﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2025v4.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2026-08-04T15:09:26-04:00</ReturnTs>
    <TaxPeriodEndDt>2025-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>480969601</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>SSC ADVISORS INC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>5825 SW 29TH ST STE 101</AddressLine1Txt>
        <CityNm>TOPEKA</CityNm>
        <StateAbbreviationCd>KS</StateAbbreviationCd>
        <ZIPCd>666142478</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2025-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>480688802</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>CENTRAL KANSAS MENTAL HEALTH CENTER</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>CENT</BusinessNameControlTxt>
      <PhoneNum>7858236322</PhoneNum>
      <USAddress>
        <AddressLine1Txt>809 ELMHURST BLVD</AddressLine1Txt>
        <CityNm>SALINA</CityNm>
        <StateAbbreviationCd>KS</StateAbbreviationCd>
        <ZIPCd>67401</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>GLENNA PHILLIPS</PersonNm>
      <PersonTitleTxt>CEO</PersonTitleTxt>
      <PhoneNum>7858236322</PhoneNum>
      <SignatureDt>2026-07-24</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>BRENDA FLANAGAN CPA</PreparerPersonNm>
      <PTIN>P00039590</PTIN>
      <PhoneNum>7852724484</PhoneNum>
      <PreparationDt>2026-07-24</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2025</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="6">
    <IRS990 documentId="RetDoc3" referenceDocumentId="RetDoc6">
      <PrincipalOfficerNm>GLENNA PHILLIPS</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>809 ELMHURST BLVD</AddressLine1Txt>
        <CityNm>SALINA</CityNm>
        <StateAbbreviationCd>KS</StateAbbreviationCd>
        <ZIPCd>67401</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>29994325</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.CKMHC.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1993</FormationYr>
      <LegalDomicileStateCd>KS</LegalDomicileStateCd>
      <ActivityOrMissionDesc>TO MAKE LIFE BETTER IN OUR COMMUNITIES BY PROVIDING EXCELLENT MENTAL HEALTH SERVICES, EDUCATION, AND INTEGRATED HEALTH CARE WHICH EXCEEDS CLIENTS' EXPECTATIONS.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>9</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>9</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>230</TotalEmployeeCnt>
      <TotalVolunteersCnt>9</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>4254605</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>4386261</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>17395913</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>24855645</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>563308</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>746051</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>4788</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>6368</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>22218614</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>29994325</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>16522113</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>20111168</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>2305821</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>2581253</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>18827934</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>22692421</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>3390680</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>7301904</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>25004352</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>33127185</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>1679514</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>2500443</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>23324838</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>30626742</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>TO MAKE LIFE BETTER IN OUR COMMUNITIES BY PROVIDING EXCELLENT MENTAL HEALTH SERVICES, EDUCATION, AND INTEGRATED HEALTH CARE WHICH EXCEEDS CLIENTS' EXPECTATIONS.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>3902935</ExpenseAmt>
      <RevenueAmt>1283556</RevenueAmt>
      <Desc>OUTPATIENT SERVICE PROGRAM - 20,882 HOURS OF SERVICE WAS PROVIDED. THIS SERVICE WAS DESIGNED TO IMPROVE INDIVIDUAL AND FAMILY HEALTH THROUGH CLINICAL PSYCHOTHERAPY AND EVALUATIONS.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>1850056</ExpenseAmt>
        <RevenueAmt>204480</RevenueAmt>
        <Desc>COMMUNITY SUPPORT SERVICE PROGRAM - 14,188 HOURS OF THIS SERVICE WAS PROVIDED TO ADULTS WHO HAVE LONG-TERM MENTAL ILLNESS. THESE HOURS INCLUDE SERVICES FOR PSYCHO-SOCIAL SERVICE CARE, CASE MANAGEMENT, AND EFFORTS TO STABILIZE INDIVIDUALS AT HOME WITHOUT THE NECESSITY OF RE-ENTERING STATE HOSPITALS AS WELL AS TO INCREASE COMMUNITY TENURE, IMPROVE QUALITY OF LIFE AND ACCESS WITHIN THEIR COMMUNITY.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>4849143</ExpenseAmt>
        <RevenueAmt>713379</RevenueAmt>
        <Desc>COMMUNITY BASED SERVICE PROGRAM - 50,187 HOURS OF SERVICE WAS PROVIDED TO YOUTH WITH SEVERE EMOTIONAL DISTURBANCES. SERVICES INCLUDE PSYCHOSOCIAL, CASE MANAGEMENT, ATTENDANT CARE, AND FAMILY SERVICES. THE GOAL IS TO KEEP YOUTH OUT OF STATE HOSPITALS, KEEP THEM IN SCHOOL AND LIVING IN THEIR OWN HOMES WITHIN THEIR COMMUNITY.</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>6101562</ExpenseAmt>
        <RevenueAmt>22654230</RevenueAmt>
        <Desc>OTHER MISCELLANEOUS PROGRAMS - THIS INCLUDES PREVENTION, EDUCATION, AND CONSULTATION PROGRAMS. THE GOAL IS TO TEACH A POSITIVE MENTAL HEALTH APPROACH TO LIVING AND STRESS MANAGEMENT METHODOLOGY. THIS TARGETS YOUTH AND THE EDUCATION SYSTEM AND PROMOTES APPROPRIATE PRACTICE OF MENTAL HEALTH TO ALL AGES BY SPEAKING TO GROUPS, COUNSELING ON THE INDIVIDUAL LEVEL, AND ADDRESSING THE PUBLIC VIA MASS MEDIA: RADIO, TV, INTERNET, OR NEWSPAPERS. THIS TAKES PLACE IN THE FIVE COUNTIES IN OUR AREA: SALINA, OTTAWA, DICKINSON, ELLSWORTH, AND LINCOLN COUNTIES. MARTIN YOUTH CENTER SERVICES - 12,788 HOURS OF SERVICES WAS PROVIDED TO YOUTH. THIS YOUTH CENTER WAS OPENED TO PROVIDE CRISIS INTERVENTION AND STABILIZATION SERVICES TO YOUTH 24 HOURS A DAY AS AN ALTERNATIVE TO MORE RESTRICTIVE PLACEMENTS. THE PRIMARY GOAL IS TO HELP KEEP CHILDREN IN THEIR OWN COMMUNITIES FOR TREATMENT DURING THIS DIFFICULT TIME. MEDICAL SERVICES - 4,586 HOURS OF SERVICES WAS PROVIDED. THIS SERVICE WAS DESIGNED TO IMPROVE INDIVIDUAL AND FAMILY HEALTH THROUGH MEDICAL MANAGEMENT. EMERGENCY SERVICES AND ADULT OBSERVATION - 5,687 HOURS OF SERVICES WAS PROVIDED. THIS SERVICE WAS DESIGNED TO IMPROVE INDIVIDUAL AND FAMILY HEALTH THROUGH CRISIS INTERVENTION AND STABILIZATION. CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS - CCHBCS ARE DESIGNED TO PROVIDE A COMPREHENSIVE RANGE OF MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES, PARTICULARLY TO VULNERABLE INDIVIDUALS WITH THE MOST COMPLEX NEEDS DURING A FEDERAL DEMONSTRATION PROGRAM WITH PARTICIPATING STATES.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>6101562</TotalOtherProgSrvcExpenseAmt>
      <TotalOtherProgSrvcRevenueAmt>22654230</TotalOtherProgSrvcRevenueAmt>
      <TotalProgramServiceExpensesAmt>16703696</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc7">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc4">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc4">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc4">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc4">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc4">false</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc4">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc4">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc4">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc4">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc4">false</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc4">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc4">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc4">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc5">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>11</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>230</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>9</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>9</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>false</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>false</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>SHEILA SRNA</PersonNm>
        <PhoneNum>7858236322</PhoneNum>
        <USAddress>
          <AddressLine1Txt>809 ELMHURST BLVD</AddressLine1Txt>
          <CityNm>SALINA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67401</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>RODGER SPARKS</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CAROL VIAR</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAVEDA MONTGOMERY</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LYNN PETERSON</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VICKY DONLEY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALEX DRISKELL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICK PARKER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SARA HODGES</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NIKKI FLINN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GLENNA PHILLIPS</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>279573</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>43835</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT BOSSEMEYER</PersonNm>
        <TitleTxt>CHRO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>225719</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>46934</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIFER KAUFMAN</PersonNm>
        <TitleTxt>CDO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>191992</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21912</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CODY SPARKS</PersonNm>
        <TitleTxt>CCO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>166743</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>40574</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHEILA SRNA</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>255838</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>50401</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES OWENS III</PersonNm>
        <TitleTxt>MEDICAL DIRE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>339440</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>58904</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1459305</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>262560</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>6</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HUTTON CORPORATION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>111 N SYCAMORE ST</AddressLine1Txt>
            <CityNm>WICHITA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67203</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>606674</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>IRIS TELEHEALTH MEDICAL GROUP PA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 122600</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>753122600</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DOCTOR</ServicesDesc>
        <CompensationAmt>247850</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JGR ARCHITECTS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 2928</AddressLine1Txt>
            <CityNm>SALINA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>674022928</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>240690</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DBH CONSULTING LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5018 PARK ST</AddressLine1Txt>
            <CityNm>SHAWNEE</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66216</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DOCTOR</ServicesDesc>
        <CompensationAmt>185229</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HEALTHSOURCE INTEGRATED SOLUTIONS</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>INC</BusinessNameLine2Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2121 SW CHELSEA DRIVE</AddressLine1Txt>
            <CityNm>TOPEKA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66614</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DOCTOR</ServicesDesc>
        <CompensationAmt>118226</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>4347683</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>38578</AllOtherContributionsAmt>
      <TotalContributionsAmt>4386261</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>24623888</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>24623888</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>231757</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>231757</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>24855645</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>746051</TotalRevenueColumnAmt>
        <ExclusionAmt>746051</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>CHANGE IN BENEFICIAL INTEREST</Desc>
        <TotalRevenueColumnAmt>6368</TotalRevenueColumnAmt>
        <ExclusionAmt>6368</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>6368</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>29994325</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>24855645</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>752419</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1328498</TotalAmt>
        <ProgramServicesAmt>966217</ProgramServicesAmt>
        <ManagementAndGeneralAmt>362281</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>13556787</TotalAmt>
        <ProgramServicesAmt>10050793</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3505994</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>1600081</TotalAmt>
        <ProgramServicesAmt>1187460</ProgramServicesAmt>
        <ManagementAndGeneralAmt>412621</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2541577</TotalAmt>
        <ProgramServicesAmt>1838944</ProgramServicesAmt>
        <ManagementAndGeneralAmt>702633</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1084225</TotalAmt>
        <ProgramServicesAmt>811808</ProgramServicesAmt>
        <ManagementAndGeneralAmt>272417</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>3328</TotalAmt>
        <ManagementAndGeneralAmt>3328</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>23100</TotalAmt>
        <ProgramServicesAmt>3750</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19350</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>746316</TotalAmt>
        <ProgramServicesAmt>675154</ProgramServicesAmt>
        <ManagementAndGeneralAmt>71162</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>39815</TotalAmt>
        <ProgramServicesAmt>39765</ProgramServicesAmt>
        <ManagementAndGeneralAmt>50</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>52763</TotalAmt>
        <ProgramServicesAmt>12619</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40144</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>453836</TotalAmt>
        <ProgramServicesAmt>258213</ProgramServicesAmt>
        <ManagementAndGeneralAmt>195623</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>214440</TotalAmt>
        <ProgramServicesAmt>148967</ProgramServicesAmt>
        <ManagementAndGeneralAmt>65473</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>287106</TotalAmt>
        <ProgramServicesAmt>261480</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25626</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>27044</TotalAmt>
        <ProgramServicesAmt>15973</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11071</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>269043</TotalAmt>
        <ProgramServicesAmt>196401</ProgramServicesAmt>
        <ManagementAndGeneralAmt>72642</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>212486</TotalAmt>
        <ProgramServicesAmt>36082</ProgramServicesAmt>
        <ManagementAndGeneralAmt>176404</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PROFESSIONAL DEVELOPMENT</Desc>
        <TotalAmt>96097</TotalAmt>
        <ProgramServicesAmt>80867</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15230</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROGRAM SUPPLIES</Desc>
        <TotalAmt>55454</TotalAmt>
        <ProgramServicesAmt>54487</ProgramServicesAmt>
        <ManagementAndGeneralAmt>967</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FOOD</Desc>
        <TotalAmt>32246</TotalAmt>
        <ProgramServicesAmt>30302</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1944</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CENTER MEMBERSHIP &amp; DUES</Desc>
        <TotalAmt>27176</TotalAmt>
        <ProgramServicesAmt>948</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26228</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>41003</TotalAmt>
        <ProgramServicesAmt>33466</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7537</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>22692421</TotalAmt>
        <ProgramServicesAmt>16703696</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5988725</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>312433</BOYAmt>
        <EOYAmt>475417</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>16822627</BOYAmt>
        <EOYAmt>24184408</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>3627331</BOYAmt>
        <EOYAmt>3398139</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>420732</BOYAmt>
        <EOYAmt>479221</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>8856294</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>4402709</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>3741603</BOYAmt>
        <EOYAmt>4453585</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>79626</BOYAmt>
        <EOYAmt>136415</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>25004352</BOYAmt>
        <EOYAmt>33127185</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1679514</BOYAmt>
        <EOYAmt>2231219</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <EOYAmt>269224</EOYAmt>
      </DeferredRevenueGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1679514</BOYAmt>
        <EOYAmt>2500443</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>23324838</BOYAmt>
        <EOYAmt>30626742</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>23324838</BOYAmt>
        <EOYAmt>30626742</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>25004352</BOYAmt>
        <EOYAmt>33127185</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>7301904</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc7">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>3307014</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4336078</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3176256</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3698597</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3808711</CurrentTaxYearAmt>
        <TotalAmt>18326656</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TaxRevLeviedOrgnztnlBnft170Grp>
        <CurrentTaxYearMinus4YearsAmt>467769</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>502670</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>546069</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>556008</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>577550</CurrentTaxYearAmt>
        <TotalAmt>2650066</TotalAmt>
      </TaxRevLeviedOrgnztnlBnft170Grp>
      <GovtFurnSrvcFcltsVl170Grp>
        <CurrentTaxYearMinus4YearsAmt>299400</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>299400</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>299400</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>299400</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>299400</CurrentTaxYearAmt>
        <TotalAmt>1497000</TotalAmt>
      </GovtFurnSrvcFcltsVl170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>4074183</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5138148</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4021725</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4554005</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4685661</CurrentTaxYearAmt>
        <TotalAmt>22473722</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>696588</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>21777134</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>34202</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>34299</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>304909</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>563308</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>746051</CurrentTaxYearAmt>
        <TotalAmt>1682769</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>4219</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>-5750</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4504</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4788</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6368</CurrentTaxYearAmt>
        <TotalAmt>14129</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>24170620</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>77403059</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.90100</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.88720</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART II, LINE 10</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER 7,761</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <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="RetDoc4">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>645481</OtherCostOrOtherBasisAmt>
        <BookValueAmt>645481</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>7103019</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3559104</DepreciationAmt>
        <BookValueAmt>3543915</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1063687</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>807252</DepreciationAmt>
        <BookValueAmt>256435</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>44107</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>36353</DepreciationAmt>
        <BookValueAmt>7754</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>4453585</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>29994325</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>29994325</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>29994325</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>22692421</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>22692421</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>22692421</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTER IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AS PROVIDED BY A DETERMINATION LETTER RECEIVED FROM INTERNAL REVENUE SERVICE. THE CENTER HAS ADOPTED THE PROVISIONS OF FASB ASC 740-10, ACCOUNTING FOR INCOME TAXES. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN THE INCOME TAXES RECOGNIZED IN THE CENTERS FINANCIAL STATEMENTS. THE STANDARD PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE CENTER HAS NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS. THE CENTERS INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE CENTER IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc5">
      <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>GLENNA PHILLIPS</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>251364</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>16771</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>11438</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>31899</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11936</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>323408</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SCOTT BOSSEMEYER</PersonNm>
        <TitleTxt>CHRO</TitleTxt>
        <BaseCompensationFilingOrgAmt>199260</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>11863</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>14596</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>25606</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>21328</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>272653</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JENNIFER KAUFMAN</PersonNm>
        <TitleTxt>CDO</TitleTxt>
        <BaseCompensationFilingOrgAmt>179390</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>11102</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1500</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>21912</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>213904</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CODY SPARKS</PersonNm>
        <TitleTxt>CCO</TitleTxt>
        <BaseCompensationFilingOrgAmt>153368</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>11875</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1500</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>19291</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>21283</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>207317</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHEILA SRNA</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>222176</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>14540</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>19122</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>29118</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>21283</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>306239</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES OWENS III</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>322940</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>15000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1500</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>38121</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>20783</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>398344</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER MISCELLANEOUS PROGRAMS - THIS INCLUDES PREVENTION, EDUCATION, AND CONSULTATION PROGRAMS. THE GOAL IS TO TEACH A POSITIVE MENTAL HEALTH APPROACH TO LIVING AND STRESS MANAGEMENT METHODOLOGY. THIS TARGETS YOUTH AND THE EDUCATION SYSTEM AND PROMOTES APPROPRIATE PRACTICE OF MENTAL HEALTH TO ALL AGES BY SPEAKING TO GROUPS, COUNSELING ON THE INDIVIDUAL LEVEL, AND ADDRESSING THE PUBLIC VIA MASS MEDIA: RADIO, TV, INTERNET, OR NEWSPAPERS. THIS TAKES PLACE IN THE FIVE COUNTIES IN OUR AREA: SALINA, OTTAWA, DICKINSON, ELLSWORTH, AND LINCOLN COUNTIES. MARTIN YOUTH CENTER SERVICES - 12,788 HOURS OF SERVICES WAS PROVIDED TO YOUTH. THIS YOUTH CENTER WAS OPENED TO PROVIDE CRISIS INTERVENTION AND STABILIZATION SERVICES TO YOUTH 24 HOURS A DAY AS AN ALTERNATIVE TO MORE RESTRICTIVE PLACEMENTS. THE PRIMARY GOAL IS TO HELP KEEP CHILDREN IN THEIR OWN COMMUNITIES FOR TREATMENT DURING THIS DIFFICULT TIME. MEDICAL SERVICES - 4,586 HOURS OF SERVICES WAS PROVIDED. THIS SERVICE WAS DESIGNED TO IMPROVE INDIVIDUAL AND FAMILY HEALTH THROUGH MEDICAL MANAGEMENT. EMERGENCY SERVICES AND ADULT OBSERVATION - 5,687 HOURS OF SERVICES WAS PROVIDED. THIS SERVICE WAS DESIGNED TO IMPROVE INDIVIDUAL AND FAMILY HEALTH THROUGH CRISIS INTERVENTION AND STABILIZATION. CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS - CCHBCS ARE DESIGNED TO PROVIDE A COMPREHENSIVE RANGE OF MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES, PARTICULARLY TO VULNERABLE INDIVIDUALS WITH THE MOST COMPLEX NEEDS DURING A FEDERAL DEMONSTRATION PROGRAM WITH PARTICIPATING STATES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMMITTEES OF THE ORGANIZATION ARE ADVISORY IN NATURE AND DO NOT HAVE THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TAX RETURN IS REVIEWED AND APPROVED BY THE CEO AND CFO AFTER BEING PREPARED BY OUR EXTERNAL ACCOUNTANTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>AN ANNUAL REVIEW IS PERFORMED REGARDING CONFLICTS OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD REVIEWS SALARY SURVEYS GENERATED IN THE LOCAL COMMUNITY AND BY OTHER MENTAL HEALTH CENTERS WHEN THEY SET THE CEO'S BASE WAGE. RAISES ARE REVIEWED ANNUALLY AND AWARDED BASED ON AN ANNUAL PERFORMANCE REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR ALL STAFF, RAISES ARE REVIEWED ANNUALLY AND AWARDED BASED ON AN ANNUAL PERFORMANCE REVIEW. FOR THE PURPOSE OF RETAINING QUALIFIED STAFF, SALARY SURVEYS ARE REVIEWED TO ENSURE THE CENTER HAS COMPETITIVE WAGES FOR ALL STAFF.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS AND INFORMATION ARE MADE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>