﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2023v5.1">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2024-11-06T13:07:58-06:00</ReturnTs>
    <TaxPeriodEndDt>2023-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>341874260</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>CBIZ ADVISORS LLC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>700 WEST 47TH STREET SUITE 1100</AddressLine1Txt>
        <CityNm>KANSAS CITY</CityNm>
        <StateAbbreviationCd>MO</StateAbbreviationCd>
        <ZIPCd>64112</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2023-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>431349495</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>CASS COMMUNITY HEALTH FOUNDATION</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>CASS</BusinessNameControlTxt>
      <PhoneNum>8162764218</PhoneNum>
      <USAddress>
        <AddressLine1Txt>2316 E MEYER BLVD</AddressLine1Txt>
        <CityNm>KANSAS CITY</CityNm>
        <StateAbbreviationCd>MO</StateAbbreviationCd>
        <ZIPCd>641321199</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>CYNTHIA RANDAZZO</PersonNm>
      <PersonTitleTxt>PRESIDENT &amp; CEO</PersonTitleTxt>
      <PhoneNum>8162764218</PhoneNum>
      <SignatureDt>2024-11-05</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>1</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>LISA BURKE</PreparerPersonNm>
      <PTIN>P00220718</PTIN>
      <PhoneNum>8169455500</PhoneNum>
      <PreparationDt>2024-10-30</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2023</TaxYr>
    <BuildTS>2024-10-15 13:58:12Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="9">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>CYNTHIA RANDAZZO</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>2316 E MEYER BLVD</AddressLine1Txt>
        <CityNm>KANSAS CITY</CityNm>
        <StateAbbreviationCd>MO</StateAbbreviationCd>
        <ZIPCd>641321199</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>5068432</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>CASSCOMMUNITYHEALTH.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1984</FormationYr>
      <LegalDomicileStateCd>MO</LegalDomicileStateCd>
      <ActivityOrMissionDesc>EMPOWER THE COMMUNITY THROUGH IMPROVED HEALTH</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>17</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>16</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>22</TotalEmployeeCnt>
      <TotalVolunteersCnt>115</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>604975</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>412334</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>1186928</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>2954097</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>212072</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>259941</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>24539</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>-1622</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>2028514</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>3624750</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>45000</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>50193</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>799629</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>887875</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>24031</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>372889</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>416098</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>1217518</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>1354166</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>810996</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>2270584</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>9275069</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>12583050</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>16685</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>59846</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>9258384</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>12523204</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>THE MISSION OF CASS COMMUNITY HEALTH FOUNDATION IS TO EMPOWER THE COMMUNITY THROUGH IMPROVED HEALTH.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>1178141</ExpenseAmt>
      <GrantAmt>50193</GrantAmt>
      <RevenueAmt>2954097</RevenueAmt>
      <Desc>CASS COMMUNITY HEALTH FOUNDATION'S MAIN PROGRAM ACTIVITIES INCLUDE THE CASS COUNTY DENTAL CLINIC, TELEDENTISTRY, IN-OFFICE SEDATION SERVICES, DENTAL SCREENINGS, AND NURSING AND HEALTH CARE SCHOLARSHIPS. (CONTINUED ON SCHEDULE O)CASS COUNTY DENTAL CLINICCASS COMMUNITY HEALTH FOUNDATION CONTINUED TO IMPROVE THE ORAL HEALTH STATUS OF LOW-INCOME UNINSURED CHILDREN AND THOSE INSURED BY MISSOURI MEDICAID THROUGH ITS CASS COUNTY DENTAL CLINIC. THE CLINIC SERVED 4,063 CHILDREN AND ADOLESCENTS THROUGH 7,910 DENTAL VISITS. WITH LOCATIONS IN BELTON AND HARRISONVILLE, CASS COUNTY DENTAL CLINIC IS THE FIRST FULL-TIME SAFETY NET DENTAL CLINIC IN CASS COUNTY SERVING UNDERINSURED AND LOW-INCOME CHILDREN FROM BIRTH TO AGE 20. THE CLINIC OPENED IN 2011 AND HAS TREATED OVER 13,224 UNDUPLICATED CHILDREN SINCE OPENING.DUE TO OUR BELTON, MISSOURI, CLINIC LOCATION REACHING ITS CAPACITY, THE BOARD BEGAN PLANS TO BUILD A NEW CASS COUNTY DENTAL CLINIC IN THAT COMMUNITY. THE ORGANIZATION PURCHASED LAND AT 1000 E MARKEY PARKWAY, BELTON, MISSOURI, AND HIRED CONTRACTORS TO BEGIN THE PROJECT IN 2024. THE DESIGN FOR THE NEW CLINIC ALLOWS US TO INCREASE FROM 4 DENTAL OPERATORIES TO 8 DENTAL OPERATORIES, GIVING US THE OPPORTUNITY TO EXPAND ACCESS TO CARE FOR THOSE IN THE COMMUNITY. THE PROJECT WILL BE COMPLETED IN SPRING 2025.TELEDENTISTRYCASS COUNTY DENTAL CLINIC PROVIDES TELEDENTISTRY TO INCREASE ACCESS TO DENTAL SERVICES. TELEDENTISTRY INCREASES ACCESS TO DIAGNOSTIC AND PREVENTIVE DENTAL SERVICES BY TAKING THESE SERVICES INTO LOCAL SCHOOLS. THE DENTAL HYGIENIST CAN TAKE X-RAYS AND PHOTOS, COMPLETE AN ASSESSMENT WITH DETAILED NOTES, AND PROVIDE PREVENTIVE SERVICES, SUCH AS DENTAL PROPHYLAXIS, SEALANTS, AND FLUORIDE TREATMENTS. THE DENTIST REVIEWS THE ASSESSMENT DATA WITHIN 72 HOURS AND CAN COMPLETE A DIAGNOSIS AND CREATE A TREATMENT PLAN. THE CLINIC SAW 264 CHILDREN THROUGH THIS PROGRAM, 149 OF WHICH WERE NEW PATIENTS.IN-OFFICE SEDATION SERVICESCASS COUNTY DENTAL CLINIC OFFERS IN-OFFICE SEDATION TO ELIGIBLE PATIENTS. YOUNG PATIENTS WITH EXTENSIVE DENTAL NEEDS, WHO ARE OFTEN UNABLE TO RECEIVE DENTAL CARE WHILE AWAKE, CAN NOW RECEIVE SEDATION TREATMENT AT CASS COUNTY DENTAL CLINIC. BEFORE OFFERING IN-OFFICE SEDATION SERVICE, CASS COUNTY DENTAL CLINIC REFERRED CHILDREN TO PEDIATRIC SPECIALISTS IN OTHER LOCATIONS. OFFERING IN-OFFICE SEDATION AT THE CLINIC REMOVES BARRIERS FOR FAMILIES AND REINFORCES THE DENTAL HOME MODEL, CASS COUNTY DENTAL CLINIC'S APPROACH TO ORAL HEALTH CARE. CASS COUNTY DENTAL CLINIC PROVIDED 117 CHILDREN WITH TREATMENT USING IN-OFFICE SEDATION, TREATING A TOTAL OF 1,087 TEETH OR AN AVERAGE OF 9.29 TEETH PER CHILD.2022/2023 DENTAL SCREENINGSDURING THE 2022/2023 SCHOOL YEAR, CASS COMMUNITY HEALTH FOUNDATION HELD ITS ANNUAL DENTAL SCREENINGS WHERE 6,487 CHILDREN WERE SCREENED IN 10 SCHOOL DISTRICTS IN CASS COUNTY, MISSOURI AND THE GRANDVIEW SCHOOL DISTRICT IN JACKSON COUNTY, MISSOURI. STUDENTS LEARNED PROPER DENTAL CARE TECHNIQUES AND RECEIVED DENTAL SUPPLIES TO REINFORCE ORAL HEALTH AT HOME. VARNISH APPLICATIONS WERE ALSO PROVIDED TO 3,593 CHILDREN WHO RECEIVED PARENTAL PERMISSION AS A PREVENTIVE MEASURE AGAINST TOOTH DECAY. THROUGH THESE SCREENINGS, 1,385 CHILDREN WERE IDENTIFIED AS NEEDING NON-URGENT DENTAL CARE (WITHIN 3 MONTHS) AND 73 WERE IDENTIFIED AS NEEDING URGENT DENTAL CARE (WITHIN 24 HOURS). THESE SCREENINGS ARE AN OPPORTUNITY TO PROMOTE GOOD ORAL HYGIENE TO ALL CHILDREN AND PROMOTE THE AVAILABILITY OF OUR CLINIC FOR LOW-INCOME UNINSURED CHILDREN AND THOSE INSURED BY MISSOURI MEDICAID. NURSING AND HEALTH CARE SCHOLARSHIP PROGRAMCASS COMMUNITY HEALTH FOUNDATION CONTINUED TO SUPPORT LOCAL YOUTH INTERESTED IN NURSING OR HEALTHCARE CAREERS BY PROVIDING SCHOLARSHIPS TO GRADUATES OF CASS COUNTY, MISSOURI HIGH SCHOOLS. SCHOLARSHIPS TOTALING $50,193 WERE AWARDED TO 30 STUDENTS FROM ARCHIE, BELTON, CASS MIDWAY, HARRISONVILLE, PLEASANT HILL, RAYMORE-PECULIAR, AND SHERWOOD CASS HIGH SCHOOLS.</Desc>
      <TotalProgramServiceExpensesAmt>1178141</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>0</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd>1</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">0</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">0</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">0</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">1</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd>0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="RetDoc1041300001">0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="RetDoc1041300001">1</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="RetDoc1041300001">0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd referenceDocumentId="RetDoc1041900001">0</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc1041900001">1</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc1042400001">1</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>0</PYExcessBenefitTransInd>
      <LoanOutstandingInd>0</LoanOutstandingInd>
      <GrantToRelatedPersonInd>0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>0</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>0</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>0</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc1043400001">1</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc1043400001">0</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>0</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc1043400001">0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>2</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>1</BackupWthldComplianceInd>
      <EmployeeCnt>22</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>0</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>1</QuidProQuoContributionsInd>
      <QuidProQuoContriDisclInd>1</QuidProQuoContriDisclInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>0</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>17</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>16</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>1</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>0</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>0</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>0</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>0</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>0</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>CYNTHIA RANDAZZO PRESIDENT &amp; CEO</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>8162764218</PhoneNum>
        <USAddress>
          <AddressLine1Txt>2316 E MEYER BLVD</AddressLine1Txt>
          <CityNm>KANSAS CITY</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64132</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <NoListedPersonsCompensatedInd>X</NoListedPersonsCompensatedInd>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN W WOOD</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHAUNA L STEPHENSON</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAMON M RANDOLPH</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALBERT F VOELKER EDD</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALISSA M BECKERLE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TERESA M DEATON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEANNA R FEEBACK EDD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SARA S JONES EDD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JESICA M JUNGE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SANDRA L KESSINGER</PersonNm>
        <TitleTxt>DIRECTOR (TERM START 5/19/23)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TODD D KRASS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES R PERSON</PersonNm>
        <TitleTxt>DIRECTOR (TERM END 5/19/23)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>J ALEXIS STARK EDD</PersonNm>
        <TitleTxt>DIRECTOR (TERM START 2/17/23)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT M TAIT DDS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JUDY A WILLIAMS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE L WITYK EDD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RHONDA L WOOLSEY</PersonNm>
        <TitleTxt>DIRECTOR (TERM START 11/17/23)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CYNTHIA A RANDAZZO</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO (SEE SCH O)</TitleTxt>
        <AverageHoursPerWeekRt>10.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CAMILLE TAGUE</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <AverageHoursPerWeekRt>32.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>163713</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10582</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MADELINE SLOAN</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <AverageHoursPerWeekRt>24.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>113927</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>3397</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>277640</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>13979</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>2</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>THE RESEARCH FOUNDATION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2316 E MEYER BLVD</AddressLine1Txt>
            <CityNm>KANSAS CITY</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>64132</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EXECUTIVE AND ADMINISTRATIVE SERVICES</ServicesDesc>
        <CompensationAmt>133972</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>10000</FederatedCampaignsAmt>
      <FundraisingAmt>82051</FundraisingAmt>
      <AllOtherContributionsAmt>320283</AllOtherContributionsAmt>
      <NoncashContributionsAmt>6212</NoncashContributionsAmt>
      <TotalContributionsAmt>412334</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CASS COUNTY DENTAL CLINIC</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>2954097</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2954097</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>2954097</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>250637</TotalRevenueColumnAmt>
        <ExclusionAmt>250637</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>1448817</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>1439309</SecuritiesAmt>
        <OtherAmt>204</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>9508</SecuritiesAmt>
        <OtherAmt>-204</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>9304</TotalRevenueColumnAmt>
        <ExclusionAmt>9304</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>2350</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>82051</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>4169</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-1819</TotalRevenueColumnAmt>
        <ExclusionAmt>-1819</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>197</TotalRevenueColumnAmt>
        <ExclusionAmt>197</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>197</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>3624750</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2954097</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>258319</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>50193</TotalAmt>
        <ProgramServicesAmt>50193</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>766167</TotalAmt>
        <ProgramServicesAmt>766167</ProgramServicesAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>20551</TotalAmt>
        <ProgramServicesAmt>20551</ProgramServicesAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>40998</TotalAmt>
        <ProgramServicesAmt>40998</ProgramServicesAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>60159</TotalAmt>
        <ProgramServicesAmt>60159</ProgramServicesAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>133972</TotalAmt>
        <ProgramServicesAmt>16788</ProgramServicesAmt>
        <ManagementAndGeneralAmt>102184</ManagementAndGeneralAmt>
        <FundraisingAmt>15000</FundraisingAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>2620</TotalAmt>
        <ProgramServicesAmt>2620</ProgramServicesAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>25128</TotalAmt>
        <ProgramServicesAmt>11100</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14028</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>19444</TotalAmt>
        <ManagementAndGeneralAmt>19444</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>24085</TotalAmt>
        <ProgramServicesAmt>24085</ProgramServicesAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>8381</TotalAmt>
        <ProgramServicesAmt>6741</ProgramServicesAmt>
        <ManagementAndGeneralAmt>195</ManagementAndGeneralAmt>
        <FundraisingAmt>1445</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>41087</TotalAmt>
        <ProgramServicesAmt>32817</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4662</ManagementAndGeneralAmt>
        <FundraisingAmt>3608</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>36751</TotalAmt>
        <ProgramServicesAmt>27413</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5452</ManagementAndGeneralAmt>
        <FundraisingAmt>3886</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>15205</TotalAmt>
        <ProgramServicesAmt>15205</ProgramServicesAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>3201</TotalAmt>
        <ProgramServicesAmt>2632</ProgramServicesAmt>
        <ManagementAndGeneralAmt>477</ManagementAndGeneralAmt>
        <FundraisingAmt>92</FundraisingAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>28375</TotalAmt>
        <ProgramServicesAmt>25620</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2755</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>9256</TotalAmt>
        <ProgramServicesAmt>6459</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2797</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>DENTAL SUPPLIES</Desc>
        <TotalAmt>68593</TotalAmt>
        <ProgramServicesAmt>68593</ProgramServicesAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>1354166</TotalAmt>
        <ProgramServicesAmt>1178141</ProgramServicesAmt>
        <ManagementAndGeneralAmt>151994</ManagementAndGeneralAmt>
        <FundraisingAmt>24031</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>244861</BOYAmt>
        <EOYAmt>251613</EOYAmt>
      </CashNonInterestBearingGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>3853</BOYAmt>
        <EOYAmt>4891</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>1228669</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>315880</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>197534</BOYAmt>
        <EOYAmt>912789</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>8828821</BOYAmt>
        <EOYAmt>11413757</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
        <BOYAmt>9275069</BOYAmt>
        <EOYAmt>12583050</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>16685</BOYAmt>
        <EOYAmt>59846</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>16685</BOYAmt>
        <EOYAmt>59846</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>6603131</BOYAmt>
        <EOYAmt>9705893</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>2655253</BOYAmt>
        <EOYAmt>2817311</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>9258384</BOYAmt>
        <EOYAmt>12523204</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>9275069</BOYAmt>
        <EOYAmt>12583050</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>2270584</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>994236</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>451699</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>855605</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>368621</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>604975</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>412334</CurrentTaxYearAmt>
        <TotalAmt>2693234</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>451699</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>855605</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>368621</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>604975</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>412334</CurrentTaxYearAmt>
        <TotalAmt>2693234</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>1197733</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>1495501</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>139600</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>125318</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>169979</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>168437</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>250637</CurrentTaxYearAmt>
        <TotalAmt>853971</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <CurrentTaxYearMinus1YearAmt>23777</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>23777</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <TotalSupportAmt>3570982</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>6093711</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.41880</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.89670</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>1097865</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>1097865</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1097865</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>1097865</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1097865</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>1097865</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1097865</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>1097865</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1113830</BeginningYearBalanceAmt>
        <ContributionsAmt>135</ContributionsAmt>
        <AdministrativeExpensesAmt>16100</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>1097865</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.00000</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>1.00000</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.00000</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>634826</OtherCostOrOtherBasisAmt>
        <BookValueAmt>634826</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>107450</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>13316</DepreciationAmt>
        <BookValueAmt>94134</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>74864</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>54367</DepreciationAmt>
        <BookValueAmt>20497</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>324198</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>248197</DepreciationAmt>
        <BookValueAmt>76001</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>87331</OtherCostOrOtherBasisAmt>
        <BookValueAmt>87331</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>912789</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CASS COMMUNITY HEALTH FOUNDATION'S ENDOWMENT CONSISTS OF 4 FUNDS RESTRICTED IN PERPETUITY. ONE OF THE PURPOSES OF THE FOUNDATION'S INVESTMENT ASSETS IS TO PROVIDE FUNDS TO COVER THE PORTION OF THE FOUNDATION'S PROGRAM COSTS AND ORGANIZATIONAL EXPENSES THAT ARE NOT COVERED BY FEES FOR SERVICES OR BY DONATIONS AND GRANTS. THE FOUNDATION'S ANNUAL BUDGET FOR EACH CALENDAR YEAR WILL ALLOW FOR SPENDING UP TO A MAXIMUM OF 5% OF THE ROLLING THREE-YEAR AVERAGE OF THE FAIR VALUE OF THE FOUNDATION'S ASSETS, USING FAIR VALUES AS OF DECEMBER 31 OF EACH YEAR. DISTRIBUTIONS WILL BE MADE AT THE DISCRETION OF THE BOARD OF DIRECTORS, TAKING INTO ACCOUNT THE INVESTMENT PERFORMANCE RESULTS AND THE ANNUAL BUDGET NEEDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND EXEMPT FROM STATE INCOME TAXES UNDER THE LAWS OF THE STATE OF MISSOURI. CCDC IS A SINGLE MEMBER LIMITED LIABILITY COMPANY AND IS CONSIDERED A DISREGARDED ENTITY FOR FEDERAL INCOME TAX PURPOSES. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR FEDERAL AND STATE INCOME TAXES. THE FOUNDATION ASSESSES UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. THERE HAS NOT BEEN INTEREST OR PENALTIES RECOGNIZED IN EITHER THE COMBINED STATEMENT OF ACTIVITIES AND CHANGE IN NET ASSETS OR IN THE COMBINED STATEMENT OF FINANCIAL POSITION RELATED TO UNCERTAIN TAX POSITIONS. IN ADDITION, NO TAX POSITIONS EXIST FOR WHICH IT IS REASONABLY POSSIBLE THAT THE TOTAL AMOUNTS OF UNRECOGNIZED TAX BENEFITS WILL SIGNIFICANTLY INCREASE OR DECREASE WITHIN THE NEXT TWELVE MONTHS. THE FOUNDATION IS NO LONGER SUBJECT TO FEDERAL OR STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES BEFORE 2020.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>5K FOR HEALTH</Event1Nm>
        <GrossReceiptsEvent1Amt>84401</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>82051</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>2350</GrossRevenueEvent1Amt>
        <NonCashPrizesEvent1Amt>1082</NonCashPrizesEvent1Amt>
        <FoodAndBeverageEvent1Amt>1146</FoodAndBeverageEvent1Amt>
        <OtherDirectExpensesEvent1Amt>1941</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>84401</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>82051</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>2350</GrossRevenueTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>1082</NonCashPrizesTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>1146</FoodAndBeverageTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>1941</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>4169</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-1819</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>STUDENT SCHOLARSHIPS</GrantTypeTxt>
        <RecipientCnt>30</RecipientCnt>
        <CashGrantAmt>50193</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>CASS COMMUNITY HEALTH FOUNDATION'S SCHOLARSHIPS ARE MADE POSSIBLE THROUGH ESTABLISHED FUNDS FROM COMMUNITY DONORS. SCHOLARSHIPS ARE AWARDED ANNUALLY TO STUDENTS INTERESTED IN PURSUING A HEALTHCARE CAREER WITH NURSING AS A PRIORITY. STUDENTS ARE SELECTED BASED ON GPA, ESSAY, AND LETTER OF RECOMMENDATION. SCHOLARSHIPS ARE DESIGNATED FOR TUITION ONLY. CHECKS ARE MADE PAYABLE TO THE SCHOOL ATTENDED IN THE NAME OF THE STUDENT AND APPLIED DIRECTLY TO THEIR STUDENT ACCOUNT FOR THAT PURPOSE. CASS COMMUNITY HEALTH FOUNDATION NURSING OR OTHER HEALTH RELATED SCHOLARSHIPS: THESE SCHOLARSHIPS ARE AVAILABLE FOR STUDENTS FROM OR RESIDING IN CASS COUNTY WHO ARE PURSUING A NURSING OR OTHER HEALTH RELATED CAREER. WILLIAM AND RUTH HOPPEN MEMORIAL NURSING SCHOLARSHIP: THIS SCHOLARSHIP WAS ESTABLISHED BY BILL HOPPEN TO PAY TRIBUTE TO HIS WIFE, RUTH. RUTH AND BILL DEVOTED THEIR TIME, ENERGY AND MONEY TO RESEARCH BELTON FOUNDATION, NOW CALLED CASS COMMUNITY HEALTH FOUNDATION. R. DIANE MARTIN NURSING SCHOLARSHIP: THIS SCHOLARSHIP WAS CREATED TO CELEBRATE THE LIFE OF DIANE MARTIN, A LONG-TIME NURSE MANAGER AT RESEARCH BELTON HOSPITAL. GEORGE M. &amp; ELIZABETH V. ROBINSON MEMORIAL SCHOLARSHIP: ELIZABETH ROBINSON CREATED THIS FUND TO PROVIDE ANNUAL SCHOLARSHIPS TO STUDENTS PURSUING A DEGREE IN NURSING OR OTHER MEDICAL PROFESSIONS. DANIEL F. SHEEHAN NURSING STUDENT SCHOLARSHIP: THIS SCHOLARSHIP WAS CREATED TO HONOR DANIEL F. SHEEHAN, FORMER CEO OF RESEARCH BELTON HOSPITAL, FOR HIS STEADFAST COMMITMENT TO THE IMPROVED HEALTH OF RESIDENTS FROM BELTON, RAYMORE, PECULIAR AND GRANDVIEW COMMUNITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CAMILLE TAGUE</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>132256</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>31457</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4007</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>6575</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>174295</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>CAMILLE TAGUE, DENTIST, WAS PAID $31,457 IN 2023 FOR STUDENT LOAN PAYMENTS. THE STUDENT LOAN STIPEND PROGRAM IS APPROVED BY THE BOARD. FULL-TIME AND PART TIME DENTISTS ARE ELIGIBLE TO PARTICIPATE IN THE PROGRAM AND ARE APPROVED BY THE PRESIDENT &amp; CEO AT THE TIME OF THEIR CONTRACT SIGNING EACH YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS MAY DESIGNATE AN EXECUTIVE COMMITTEE CONSISTING OF TWO OR MORE DIRECTORS OF THE CORPORATION. THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE ALL OF THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE CORPORATION. THE EXECUTIVE COMMITTEE SHALL KEEP REGULAR MINUTES OF ITS PROCEEDINGS. THE SECRETARY OR AN ASSISTANT SECRETARY OF THE CORPORATION MAY ACT AS SECRETARY FOR THE COMMITTEE IF THE COMMITTEE SO REQUESTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>CASS COMMUNITY HEALTH FOUNDATION (CCHF) RETAINED THE RESEARCH FOUNDATION (TRF), AN UNRELATED 501(C)(3) ORGANIZATION, TO PROVIDE EXECUTIVE AND ADMINISTRATIVE SERVICES TO SUPPORT CCHF IN THE AREAS OF FINANCE AND ACCOUNTING, HUMAN RESOURCES, DATABASE MANAGEMENT, MARKETING, FUNDRAISING, AND ANNUAL FINANCIAL REPORTING. TRF SHALL ASSIGN THE PERFORMANCE OF SERVICES TO ITS PRESIDENT &amp; CEO, CYNTHIA A. RANDAZZO, WHO SHALL ALSO SERVE AS PRESIDENT &amp; CEO OF CCHF, AND OTHER EMPLOYEES WITH THE NECESSARY EXPERIENCE TO PERFORM SUCH SERVICES. IN CONSIDERATION OF THE PERFORMANCE OF SERVICES, CCHF COMPENSATES TRF FOR ALL STAFF TIME AND REASONABLE EXPENSES INCURRED WHILE PERFORMING SUCH SERVICES. FEES FOR STAFF SERVICES TOTALED $133,972 FOR 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF FORM 990 IS MADE AVAILABLE TO ALL MEMBERS OF THE BOARD OF DIRECTORS, INCLUDING THE FINANCE COMMITTEE, FOR REVIEW AND COMMENT PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS OF THE BOARD OF DIRECTORS ARE PROVIDED WITH A COPY OF THE CONFLICT-OF-INTEREST POLICY AND A DUALITY OF INTEREST QUESTIONNAIRE. THEY ARE REQUIRED TO FILL OUT THE QUESTIONNAIRE WHICH DISCLOSES ANY POSSIBLE CONFLICTS OF INTEREST. THE CHAIR OF THE BOARD AND THE PRESIDENT REVIEW THESE ANNUALLY TO DETERMINE IF ANY CONFLICTS EXIST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRESIDENT &amp; CEO SERVES THE ORGANIZATION UNDER A SERVICES AGREEMENT WITH THE RESEARCH FOUNDATION, AN UNRELATED 501(C)(3) ORGANIZATION AND INDEPENDENT CONTRACTOR. SEE FORM 990, PART VI, SECTION A, LINE 3.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>CASS COMMUNITY HEALTH FOUNDATION IS INCLUDED IN THE COMBINED FINANCIAL STATEMENT AUDIT OF THE RESEARCH FOUNDATION. THE RESEARCH FOUNDATION FINANCE COMMITTEE OVERSEES THE SELECTION OF AN INDEPENDENT AUDITOR. THE INDEPENDENT AUDITOR PRESENTS THE ANNUAL AUDIT TO THE RESEARCH FOUNDATION AND CASS COMMUNITY HEALTH FOUNDATION FINANCE COMMITTEES. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART X: BALANCE SHEET</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRESENTATION OF FORM 990, PART X, BEGINNING OF YEAR BALANCE SHEET, WAS RESTATED IN 2023 TO REPORT THE ASSETS, LIABILITIES, AND NET ASSETS OWNED BY CASS COMMUNITY HEALTH FOUNDATION AND ITS DISREGARDED ENTITY, CASS COUNTY DENTAL CLINIC (SEE SCHEDULE R, PART I). HISTORICALLY, THESE AMOUNTS WERE INCLUDED IN THE BALANCE SHEET REPORTED ON PART X OF THE RESEARCH FOUNDATION'S FORM 990, AN UNRELATED TAX-EXEMPT ORGANIZATION INCLUDED IN THE ORGANIZATION'S COMBINED AUDITED FINANCIAL STATEMENTS. THE HISTORICAL REPORTING STARTED IN 2003, WHEN ALL THE ASSETS OF CASS COMMUNITY HEALTH FOUNDATION WERE TRANSFERRED TO THE RESEARCH FOUNDATION FOR MANAGEMENT OF THE FUNDS. THE RESEARCH FOUNDATION CONTINUES TO MANAGE THE FUNDS, BUT OWNERSHIP OF THE ASSETS LIES WITH CASS COMMUNITY HEALTH FOUNDATION. PART X HAS BEEN RESTATED TO ACCURATELY REFLECT THE ASSETS, LIABILITIES, AND NET ASSETS OF CASS COMMUNITY HEALTH FOUNDATION AND ITS DISREGARDED ENTITY, CASS COUNTY DENTAL CLINIC.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CASS COUNTY DENTAL CLINIC LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>802 E WALNUT ST</AddressLine1Txt>
          <CityNm>BELTON</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64012</ZIPCd>
        </USAddress>
        <EIN>611629025</EIN>
        <PrimaryActivitiesTxt>DENTAL CLINIC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <TotalIncomeAmt>2960302</TotalIncomeAmt>
        <EndOfYearAssetsAmt>253421</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CASS COMMUNITY HEALTH FOUNDATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>