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        <BOYAmt>2278364</BOYAmt>
        <EOYAmt>2091818</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-168454</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-42086</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
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        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc5">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
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        <CurrentTaxYearMinus4YearsAmt>1089213</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1364958</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2432171</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2045501</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1800673</CurrentTaxYearAmt>
        <TotalAmt>8732516</TotalAmt>
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      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>1089213</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1364958</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2432171</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2045501</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1800673</CurrentTaxYearAmt>
        <TotalAmt>8732516</TotalAmt>
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      <PublicSupportTotal170Amt>8732516</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>232</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>448</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>248</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>924</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1370</CurrentTaxYearAmt>
        <TotalAmt>3222</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>8735738</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>7677764</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.99960</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99970</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleD documentId="RetDoc2">
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        <OtherCostOrOtherBasisAmt>87527</OtherCostOrOtherBasisAmt>
        <BookValueAmt>87527</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>1362094</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>209134</DepreciationAmt>
        <BookValueAmt>1152960</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>530720</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>364282</DepreciationAmt>
        <BookValueAmt>166438</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>1406925</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>3523588</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>3523588</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>3523588</TotalRevenuePerForm990Amt>
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      <ExpensesSubtotalAmt>3692042</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>3692042</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>NET ASSETS RELEASED FROM RESTRICTION FOR ACQUISITION OF PR 0 INCREASE IN NET ASSETS WITH DONOR RESTRICTIONS 0</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc3">
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHELLE MITCHELL</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>249147</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13581</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>262728</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TREASURE WEHNER</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICE</TitleTxt>
        <BaseCompensationFilingOrgAmt>207007</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6427</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>213434</TotalCompensationFilingOrgAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc4">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MISSION OF THE COMMUNITY HEALTH CENTER IN COWLEY COUNTY IS TO PROVIDE COMPREHENSIVE, INTEGRATED AND HOLISTIC MEDICAL, DENTAL, AND MENTAL HEALTH CARE, THAT IS AFFORDABLE AND PATIENT-CENTERED FOR EVERYONE IN COWLEY COUNTY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>STARTED AN IN-HOUSE 340B PHARMACY THAT IS RUN BY THE HEALTH CENTER</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>BRADY DUTTON KAYLA DUTTON CFO PHARMACIST HUSBAND/WIFE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS REVIEWED BY THE CHIEF FINANCIAL OFFICER AND THE CHIEF EXECUTIVE OFFICER PRIOR TO IRS FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS HAS A POLICY THAT NO MEMBER OF THE BOARD SHALL ENGAGE IN ANY PRACTICES WHICH CONSTIUTUES A POTENTIAL CONFLICT OF INTEREST. BOARD MEMBERS ARE REQUIRED TO ANNUALLY DECLARE IN WRITING ANY POTENTIAL CONFLICTS OF INTEREST THEY MAY HAVE. IF THE AGENDA FOR ANY MEETING HAS ANY ITEM FOR WHICH A MEMBER HAS A POTENTIAL CONFLICT OF INTEREST, THE MEMBER LEAVES THE MEETING ROOM AND IS EXCUSED FROM ANY DISCUSSION AND ACTION ON THAT ITEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION OF THE ORGANIZATION'S CEO IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS ANNUALLY. A SALARY SURVEY PREPARED BY THE COMMUNITY CARE NETWORK OF KANSAS (CCNK) IS USED FOR EVALUATION AND DETERMINATION OF THE THE CEO'S COMPENSATION. ADDITIONALLY, THIS EVALUATION INCLUDES DETERMINATION OF A SALARY ADJUSTMENT OF A CERTAIN PERCENTAGE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>COPIES OF THE CENTER'S FORM 990, FINANCIAL STATEMENTS AND ANNUAL INDEPENDENT AUDIT REPORT ARE AVAILABLE TO THE GENERAL PUBLICE AT THE CENTER'S OFFICE, UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>340B PHARMACETICALS 101,956 0 0 MANAGEMENT CONSULTING 0 60,788 0 MEDICAL RECORDS SUPPORT (EHR) 47,399 0 0 MEDICAL WASTE DISPOSAL 2,762 0 0 OUTSIDE LAB FEES 4,338 0 0 PHARM DISPENSING FEES 98,136 0 0 CONTRACT LABOR 205,038 971 0 DUES, MEMBERSHIPS, LICENSES 0 50,455 0 TOTAL 459,629 112,214 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>NET ASSETS RELEASED FROM RESTRICTION -42,086 INCREASE IN NET ASSETS WITH DONOR RESTRICTIONS 0 TOTAL -42,086</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>