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          <PersonNm>PHILIP E KUHN</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 115</AddressLine1Txt>
            <CityNm>VICTORIA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>67671</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACTED SERVICES</ServicesDesc>
        <CompensationAmt>286535</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>WALKER UNIFORM</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1601 PROSPECT AVE</AddressLine1Txt>
            <CityNm>KANSAS CITY</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>64127</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>UNIFORM SERVICES</ServicesDesc>
        <CompensationAmt>257489</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>UNITED LINEN AND UNIFORM</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 458</AddressLine1Txt>
            <CityNm>BARTLESVILLE</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>74005</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>UNIFORM SERVICES</ServicesDesc>
        <CompensationAmt>137482</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>QUEST DIAGNOSTICS</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 772976</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60677</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LAB SERVICES</ServicesDesc>
        <CompensationAmt>102034</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>28750</FederatedCampaignsAmt>
      <GovernmentGrantsAmt>22062</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>232557</AllOtherContributionsAmt>
      <TotalContributionsAmt>283369</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>34139073</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>34139073</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>34139073</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
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        <ExclusionAmt>37363</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
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      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
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      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
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        <PersonalAmt>0</PersonalAmt>
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      <NetRentalIncomeOrLossGrp>
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      <NetGainOrLossInvestmentsGrp>
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      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
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      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
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      </NetIncomeFromGamingGrp>
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      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
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        <Desc>BAD DEBT RECOVERY</Desc>
        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>396000</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1734586</TotalRevenueColumnAmt>
        <ExclusionAmt>1734586</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>2130586</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>34139073</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>2167949</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
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      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>191162</TotalAmt>
        <ProgramServicesAmt>191162</ProgramServicesAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>17502059</TotalAmt>
        <ProgramServicesAmt>17502059</ProgramServicesAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>238102</TotalAmt>
        <ProgramServicesAmt>238102</ProgramServicesAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2431437</TotalAmt>
        <ProgramServicesAmt>2431437</ProgramServicesAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
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        <ProgramServicesAmt>1431780</ProgramServicesAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
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        <ManagementAndGeneralAmt>3467644</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>175096</TotalAmt>
        <ProgramServicesAmt>175096</ProgramServicesAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
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        <ProgramServicesAmt>4883887</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>77329</ProgramServicesAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>1607045</ProgramServicesAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>647790</ProgramServicesAmt>
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        <ProgramServicesAmt>1783650</ProgramServicesAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>106524</ProgramServicesAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
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      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>162049</TotalAmt>
        <ProgramServicesAmt>162049</ProgramServicesAmt>
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      <InterestGrp>
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        <ProgramServicesAmt>31834</ProgramServicesAmt>
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      <PaymentsToAffiliatesGrp>
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      </PaymentsToAffiliatesGrp>
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        <ProgramServicesAmt>265692</ProgramServicesAmt>
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      <InsuranceGrp>
        <TotalAmt>591243</TotalAmt>
        <ProgramServicesAmt>591243</ProgramServicesAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>450894</TotalAmt>
        <ProgramServicesAmt>450894</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LICENSES &amp; DUES</Desc>
        <TotalAmt>28896</TotalAmt>
        <ProgramServicesAmt>28896</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>694540</TotalAmt>
        <ProgramServicesAmt>694540</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>_</Desc>
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      <AllOtherExpensesGrp>
        <TotalAmt>55821</TotalAmt>
        <ProgramServicesAmt>55821</ProgramServicesAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>36824474</TotalAmt>
        <ProgramServicesAmt>33356830</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3467644</ManagementAndGeneralAmt>
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      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>345330</BOYAmt>
        <EOYAmt>787381</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>4848546</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>0</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
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        <EOYAmt>6795685</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
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        <EOYAmt>0</EOYAmt>
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      <RcvblFromDisqualifiedPrsnGrp>
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      <OthNotesLoansReceivableNetGrp>
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        <EOYAmt>0</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>0</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>121041</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>5060013</LandBldgEquipCostOrOtherBssAmt>
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      <InvestmentsPubTradedSecGrp>
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      <InvestmentsOtherSecuritiesGrp>
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      <InvestmentsProgramRelatedGrp>
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      <IntangibleAssetsGrp>
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      <OtherAssetsTotalGrp>
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        <EOYAmt>20000</EOYAmt>
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      <TotalAssetsGrp>
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      <AccountsPayableAccrExpnssGrp>
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      <GrantsPayableGrp>
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      <EscrowAccountLiabilityGrp>
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      <LoansFromOfficersDirectorsGrp>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>6508539</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>7789802</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>0</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>7789802</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
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      <OtherChangesInNetAssetsAmt>-3086624</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
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      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
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      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
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    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInformationGrp>
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        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
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      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
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      <TotalDirectLobbyingGrp>
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      <GrassrootsNontaxableGrp>
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      <TotLbbyngGrassrootMnsNonTxGrp />
      <TotLbbyExpendMnsLbbyngNonTxGrp />
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        <CurrentYearAmt>0</CurrentYearAmt>
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        <CurrentYearAmt>250000</CurrentYearAmt>
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    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
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      <CYMinus4YrEndwmtFundGrp />
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      <BuildingsGrp />
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        <BookValueAmt>565408</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <BookValueAmt>116823</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>1725688</TotalBookValueLandBuildingsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO/FROM AFFILIATE</Desc>
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      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>229294</TotalLiabilityAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART X, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
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      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent150Ind>X</Percent150Ind>
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      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>false</ExpensesExceedBudgetInd>
      <AnnualCommunityBnftReportInd>false</AnnualCommunityBnftReportInd>
      <UnreimbursedMedicaidGrp>
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      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
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        <DirectOffsettingRevenueAmt>19988285</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>5209708</NetCommunityBenefitExpnsAmt>
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      </TotalFinancialAssistanceTyp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>25197993</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>19988285</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>5209708</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.14290</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>false</BadDebtExpenseReportedInd>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>3</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>HAYS</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>205 E 7TH STREET</AddressLine1Txt>
          <CityNm>HAYS</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67601</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>SEE PART V, SECTION C</WebsiteAddressTxt>
        <StateLicenseNum>0066871-003</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <OtherDesc>CHILDRENS' PSYCHIATRIC FACILITY</OtherDesc>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>2</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>KANSAS CITY</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>4300 BRENNER DRIVE</AddressLine1Txt>
          <CityNm>KANSAS CITY</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66104</ZIPCd>
        </USAddress>
        <StateLicenseNum>0003152-015</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <OtherDesc>CHILDRENS' PSYCHIATRIC FACILITY</OtherDesc>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>3</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>WICHITA</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>1507 W 21ST ST</AddressLine1Txt>
          <CityNm>WICHITA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67203</ZIPCd>
        </USAddress>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <OtherDesc>CHILDRENS' PSYCHIATRIC FACILITY</OtherDesc>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>A</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>13</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>19</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE PART V, SECTION C</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>19</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE PART V, SECTION C</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>150.</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>0.</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <OtherCriteriaInd>X</OtherCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SEE PART V, SECTION C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE PART V, SECTION C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SEE PART V, SECTION C</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>false</NondisEmergencyCarePolicyInd>
        <NoEmergencyCareInd>X</NoEmergencyCareInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR OBTAINING INPUT FROM REPRESENTATIVES OF THE COMMUNITY WAS THE SAME FOR BOTH THE KANSAS CITY AND HAYS PSYCHIATRIC HOSPITALS: METHODOLOGY - SURVEYS WITH 10 KEY STAKEHOLDERS (INFORMANTS) WERE CONDUCTED. STAKEHOLDERS WERE DETERMINED BASED ON THEIR A) SPECIALIZED KNOWLEDGE OR EXPERTISE IN BEHAVIORAL HEALTH, B) THEIR AFFILIATION WITH LOCAL GOVERNMENT, SCHOOLS AND INDUSTRY OR C) THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS. A WEB-BASED SURVEY TOOL WAS USED TO GATHER INPUT VIA A STANDARD 11-QUESTION SURVEY. THE QUESTIONS WERE GROUPED INTO THE FOLLOWING 4 MAJOR CATEGORIES: 1. GENERAL OPINIONS REGARDING MENTAL AND BEHAVIORAL HEALTH 2. UNDERSERVED POPULATIONS AND COMMUNITIES OF NEED 3. BARRIERS TO IMPROVING MENTAL AND BEHAVIORAL HEALTH FOR CHILDREN AND YOUTH 4. MOST CRITICAL MENTAL/BEHAVIORAL HEALTH ISSUES FOR CHILDREN AND FAMILIES STAKEHOLDERS' RESPONSES WERE SUMMARIZED AND REPORTED FOR EACH OF THE CATEGORIES. HEALTH NEEDS IDENTIFIED THROUGH KEY STAKEHOLDER INTERVIEWS WERE INCLUDED AND REPORTED AS HEALTH NEEDS. NEEDS FOR VULNERABLE POPULATIONS WERE SEPARATELY REPORTED ON THE ANALYSIS IN ORDER TO FACILITATE THE PRIORITIZATION PROCESS. KEY STAKEHOLDERS (INFORMANTS) - THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE SURVEY: BRENDA SEAMAN JUDITH RODMAN JASON SCHECK JAN ADAMS TERRY CUNNINGHAM</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPLETED CHNA REPORT FOR KANSAS CITY AND HAYS CAN BE FOUND AT: https://hospitals.kvc.org/about/about-kvc-hospitals/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 10A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE IMPLEMENTATION STRATEGY FOR KANSAS CITY AND HAYS CAN BE FOUND AT: https://hospitals.kvc.org/about/about-kvc-hospitals/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>HOW NEEDS HAVE BEEN ADDRESSED: 1. Lack of trauma-informed assessment and intervention strategies KVC Hospitals Hays and KVC Hospitals Kansas City have partnered with the KVC Institute of Health Systems Innovations (KVC Institute) to conduct Trauma-Informed Research and Development to provide outreach education and training opportunities for the community KVC serves. The staff of KVC Hospitals Hays and KVC Hospitals Kansas City has continued to collaborate with staff of the KVC Institute to research and provide helpful information and tools to educate and support Trauma Informed Practices and Care. Since July of 2016, staff members from both KVC Hospitals Kansas City and KVC Hospitals Hays have presented or trained at numerous events, conferences, and forums in the identified areas of need in Kansas. 2. Access to Services KVC Hospitals has maintained the state hospital alternative programs at KVC Hospitals Kansas City and KVC Hospitals Hays that are coordinated with the Kansas Department of Aging and Disabilities (KDADS) with a "No Reject, No Eject" philosophy to provide a safety net for all of Kansas. In 2018, tele psychiatry and tele medicine equipment was added to provide additional services as needed at both KVC Hospitals, Inc. Hays &amp; Kansas City. KVC Hospitals identified shortages of children psychiatric beds in Wichita, Kansas, "the most populated city of Kansas,shortage of support service program placements such as Psychiatric Residential Treatment Facilities (PRTF). To meet these needs the following actions have been taken or in process: In 2018 KVC opened a Youth Residential Center (YRC) in Kansas City, KS within six miles of KVC Hospitals Kansas City. Expansion of KVC Hospitals Hays to add six additional hospital and 20 PRTF beds projected to be completed by 2019. The opening of a children's psychiatric in Wichita, Kansas with 54 acute beds projected for 2019. 3. Enhance processes to better integrate families and other support systems into the treatment pre and post discharge KVC Hospitals has presented the "Hospital to Home" model to various funders to support this underfunded service and have not had any progress. But the new state KanCare Request for Proposals (RFPs) with Management Care Organizations (MCOs) have something similar to this with new purposed health home requirements which will assist with coordinated care transition. The staff of KVC Hospitals Kansas City has worked closely with the KVC- Kansas (Eastern Kansas Foster Care Contractor), Wyandotte, Inc. (Wyandotte County), Johnson County Community Mental Health Center (Johnson County), ComCare (Sedgwick County) and other Community Mental Health Centers (CMHCs) in Eastern, Southeast and Central Kansas to educate on treatment and coordinate transition of patients back into the community after their hospital stay. KVC Hospitals Hays staff members have worked closely with Saint Francis Community Services (Western Kansas Foster Care Contractor), High Plains Mental Health Center (Ellis County), ComCare (Sedgwick County) and other CMHCs in Central, Western and Southwest Kansas to educate on treatment and coordinate transition of patients back into the community patient after their hospital stay. 4. Provide educational treatment resources for families, schools and other community supports to access post discharge. KVC Hospitals Kansas City and KVC Hospitals Hays have staff that created a patient portal MyHealthPointe for parents and/or guardians to access care information from their hospital stay. The Kansas KHN statewide network has been set up to connect all hospitals to be able to exchange approved health information. This network is currently primarily set up to share primary/medical health information. Mental health provider's connectivity is still limited. In 2016, KVC Hospitals had an administrative staff member who has elected to serve on the Governors Behavioral Health Planning Council Children's' Subcommittee. One of these subcommittee's initiatives is to research and recommend integrated health Information databases to the Kansas State Mental Health Council that would serve as statewide health information exchange for all Kansas health providers (primary and mental health). KVC Hospitals Kansas City and KVC Hospitals Hays staff have added resources and tools on both of their websites to support parents and their children on post discharge. This can be accessed at our website at https://hospitals.kvc.org/resourcelibrary/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 13H</FormAndLineReferenceDesc>
        <ExplanationTxt>PRESUMPTIVE ELIGIBILITY - (E.G., FOOD STAMP PROGRAM, INFANTS, CHILDREN, ETC.). IF THE PATIENT IS ALREADY ENROLLED IN ONE OF THESE PROGRAMS, THEY WILL AUTOMATICALLY QUALIFY FOR SOME LEVEL OF FINANCIAL ASSISTANCE BASED ON THEIR INCOME LEVEL</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, LINES 16A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FAP CAN BE FOUND AT: https://hospitals.kvc.org/admissions-referrals/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, LINES 16B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FAP APPLICATION CAN BE FOUND AT: https://hospitals.kvc.org/admissions-referrals/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, LINES 16C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PLAIN LANGUAGE SUMMARY CAN BE FOUND AT: https://hospitals.kvc.org/admissions-referrals/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 3C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ALSO USES ASSET LEVELS, INSURANCE STATUS, RESIDENCY AND PRESUMPTIVE ELIGIBILITY IN DETERMINING THE ELIGIBILITY FOR FINANCIAL ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COSTING METHODOLOGY USED IN THIS TABLE IS THE COST-TO-CHARGE RATIO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, SECTION C, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>KVC DOES NOT SEND CHARITY CARE OR FINANCIAL ASSISTANCE CLIENTS TO COLLECTION AGENCIES. KVC WORKS WITH THESE CLIENTS TO SET UP PAYMENT PLANS THAT THE CLIENT CAN MAINTAIN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HAYS HOSPITAL WAS CREATED IN COOPERATION WITH THE STATE OF KANSAS. THE STATE OF KANSAS ASSESSED THE NEED FOR A PSYCHIATRIC HOSPITAL FOR THE CENTRAL AND WESTERN PART OF KANSAS. KANSAS CITY PROVIDES MENTAL HEALTH CARE TO THE COMMUNITIES IT SERVES. THIS NEED IS ASSESSED BY DISCUSSING INPATIENT MENTAL HEALTH NEEDS WITH STATE FOSTER CARE CONTRACTORS, OTHER HOSPITALS AND COMMUNITY MENTAL HEALTH CENTERS. THE STATE OF KANSAS HAS ALSO ASSESSED THE NEED FOR THESE SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>KVC'S CHARITY CARE POLICY IS ON THE COMPANY'S WEBSITE (KVC.ORG) AND GIVEN OUT UPON ADMISSION. THE MAJORITY OF CLIENTS SERVED BY KVC ARE ALREADY ON A FEDERAL, STATE OR LOCAL PROGRAM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>HAYS SERVES CHILDREN FROM CENTRAL AND WESTERN KANSAS. THIS IS A LARGE GEOGRAPHICAL AREA WHICH COVERS APPROXIMATELY HALF OF THE STATE. THE CLIENTS OFTEN COME FROM LOW INCOME OR LOW MIDDLE INCOME HOUSEHOLDS. KANSAS CITY GENERALLY SERVES CHILDREN FROM THE GREATER METROPOLITAN KANSAS CITY AREA AND ALSO SERVES CHILDREN FROM OTHER STATES WHEN LOCAL PROVIDERS CANNOT EFFECTIVELY MEET THEIR NEEDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>KVC HOSPITALS ARE PSYCHIATRIC HOSPITALS. THEREFORE TRAINING PROVIDED IN THE COMMUNITY HELPS EXPAND THE UNDERSTANDING OF BEHAVIORAL HEALTHCARE ISSUES, PARTICULARLY IN PRE-ADOLESCENTS AND ADOLESCENTS. KVC IS A LEADER IN TRAUMA-INFORMED CARE AND TREATMENT. KVC PROFESSIONALS PROVIDE TRAINING TO COMMUNITY PROVIDERS AND KVC ALSO PROVIDES CONFERENCES LED BY NATIONAL PURVEYORS AND EXPERTS. THESE EVENTS PROMOTE CONTINUITY AND PROFESSIONAL GROWTH IN THE TREATMENT CULTURES OF OUR VARIOUS COMMUNITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
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      <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>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>25026</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>254156</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT EKLOFE</PersonNm>
        <TitleTxt>DIR./PRESIDENT - KVC HOSPITALS</TitleTxt>
        <BaseCompensationFilingOrgAmt>124541</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7917</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18892</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>151350</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANH H VINH</PersonNm>
        <TitleTxt>EXECUTIVE MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>256441</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2268</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23100</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>281809</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARILYN JACOBSON</PersonNm>
        <TitleTxt>DIR./TREASURER/CFO END 07/2020</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>180998</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>1446</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>600</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>183044</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, SECTION A &amp; SCHEDULE J, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION REPORTED ON FORM 990, PART VII, SECTION A &amp; SCHEDULE J, PART II FOR JASON HOOPER, ERIN STUCKY, CHAD ANDERSON, LONNIE JOHNSON, SHERRI LOHE AND MARILYN JACOBSON WAS PAID BY KVC HEALTH SYSTEMS, INC., A RELATED TAX EXEMPT ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>VISHAL ADMA MD PA</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>3290894</TransactionAmt>
        <TransactionDesc>SEE PART V</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART IV, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>(B) VISHAL ADMA, M.D. IS A DIRECTOR OF KVC HOSPITALS, INC. AND GREATER THAN 35% OWNER OF INTEGRATED PSYCHIATRIC CONSULTANTS, P.A. (D) VISHAL ADMA, M.D. P.A. IS COMPENSATED FOR THE SERVICES OF MEDICAL DIRECTOR AND PROVIDING THE DOCTORS FOR PSYCHIATRIC SERVICES FOR KVC HOSPITALS, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>KVC HOSPITALS HAYS IS A PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY (PRTF) LOCATED IN HAYS, KANSAS PROVIDING COMPASSIONATE CARE FOR CHILDREN AND TEENS WHO ARE STRUGGLING WITH THEIR BEHAVIORAL HEALTH. IT IS ACCREDITED BY THE JOINT COMMISSION AND FOR OVER 12 YEARS HAS ADHERED TO THE HIGHEST INDUSTRY STANDARDS FOR SAFETY AND SECURITY. KVC IS KNOWN FOR PROVIDING ENHANCED PSYCHIATRIC TREATMENT FOR YOUTH WITH THE MOST COMPLEX MENTAL HEALTH DIAGNOSES WHO ARE REFERRED FOR SERVICES BY COMMUNITY MENTAL HEALTH CENTERS, MEDICAL HOSPITALS, PROVIDERS, AND OTHER COMMUNITY PARTNERS INVOLVED IN CHILD WELLBEING. KVC WORKS WITH YOUTH AND THEIR FAMILIES TO PROVIDE COMPASSIONATE AND EFFECTIVE CARE BY CREATING INDIVIDUALIZED TREATMENT PLANS BASED ON EACH CLIENTS INDIVIDUAL NEEDS AND THESE PLANS ARE CREATED IN COLLABORATION WITH EACH CHILD, THEIR FAMILY, AND THE APPROPRIATE COMMUNITY PROVIDERS. KVC IS RECOGNIZED AS AN INDUSTRY LEADER LOCALLY AND NATIONALLY FOR ITS EXCELLENCE IN THE IMPLEMENTATION OF TRAUMA SYSTEMS THERAPY (TST) AND SEVERAL OTHER EVIDENCE-BASED TREATMENTS AND BEST PRACTICE MODELS. IT ALSO SERVES AS A TEACHING SITE FOR BACHELOR AND MASTER LEVEL SOCIAL WORKERS, THERAPISTS, NURSES, AND OTHER HEALTHCARE AND MENTAL HEALTH PROFESSIONALS FROM UNIVERSITIES THROUGHOUT THE AREA, ENCOURAGING TOP TALENT TO PURSUE LOCAL CAREERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>KVC HOSPITALS KANSAS CITY PROVIDES A CONTINUUM OF YOUTH PSYCHIATRIC SERVICES AT ITS 75-ACRE CAMPUS IN KANSAS CITY, KANSAS THROUGH ITS INPATIENT ACUTE HOSPITAL AND PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY (PRTF). IT IS ACCREDITED BY THE JOINT COMMISSION AND FOR OVER 30 YEARS HAS PROVIDED COMPASSIONATE CARE FOR THOUSANDS OF CHILDREN AND TEENS WHILE ADHERING TO THE HIGHEST INDUSTRY STANDARDS FOR SAFETY AND SECURITY. KVC IS KNOWN FOR PROVIDING ENHANCED PSYCHIATRIC TREATMENT FOR YOUTH WITH THE MOST COMPLEX MENTAL HEALTH DIAGNOSES WHO ARE REFERRED FOR SERVICES BY COMMUNITY MENTAL HEALTH CENTERS, MEDICAL HOSPITALS, PROVIDERS, AND OTHER COMMUNITY PARTNERS INVOLVED IN CHILD WELLBEING. KVC WORKS WITH YOUTH AND THEIR FAMILIES TO PROVIDE COMPASSIONATE AND EFFECTIVE CARE BY CREATING INDIVIDUALIZED TREATMENT PLANS BASED ON EACH CLIENTS INDIVIDUAL NEEDS AND THESE PLANS ARE CREATED IN COLLABORATION WITH EACH CHILD, THEIR FAMILY, AND THE APPROPRIATE COMMUNITY PROVIDERS. KVC IS RECOGNIZED AS AN INDUSTRY LEADER LOCALLY AND NATIONALLY FOR ITS EXCELLENCE IN THE IMPLEMENTATION OF TRAUMA SYSTEMS THERAPY (TST) AND SEVERAL OTHER EVIDENCE-BASED TREATMENTS AND BEST PRACTICE MODELS. IT ALSO SERVES AS A TEACHING SITE FOR CHILD PSYCHIATRY FELLOWS FROM THE UNIVERSITY OF KANSAS MEDICAL CENTER AND BACHELOR AND MASTER LEVEL SOCIAL WORKERS, THERAPISTS, NURSES, AND OTHER HEALTHCARE AND MENTAL HEALTH PROFESSIONALS FROM UNIVERSITIES THROUGHOUT THE AREA, ENCOURAGING TOP TALENT TO PURSUE LOCAL CAREERS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4C</FormAndLineReferenceDesc>
        <ExplanationTxt>KVC HOSPITALS WICHITA IS AN INPATIENT ACUTE PSYCHIATRIC HOSPITAL LOCATED IN WICHITA, KANSAS PROVIDING COMPASSIONATE CARE FOR CHILDREN AND TEENS WHO ARE STRUGGLING WITH THEIR BEHAVIORAL HEALTH. IT IS ACCREDITED BY THE JOINT COMMISSION AND SINCE OPENING IN JULY 2019 HAS ADHERED TO THE HIGHEST INDUSTRY STANDARDS FOR SAFETY AND SECURITY WHILE SERVING THOUSANDS OF YOUTH ANNUALLY. KVC IS KNOWN FOR PROVIDING ENHANCED PSYCHIATRIC TREATMENT FOR YOUTH WITH THE MOST COMPLEX MENTAL HEALTH DIAGNOSES WHO ARE REFERRED FOR SERVICES BY COMMUNITY MENTAL HEALTH CENTERS, MEDICAL HOSPITALS, PROVIDERS, AND OTHER COMMUNITY PARTNERS INVOLVED IN CHILD WELLBEING. KVC WORKS WITH YOUTH AND THEIR FAMILIES TO PROVIDE COMPASSIONATE AND EFFECTIVE CARE BY CREATING INDIVIDUALIZED TREATMENT PLANS BASED ON EACH CLIENTS INDIVIDUAL NEEDS AND THESE PLANS ARE CREATED IN COLLABORATION WITH EACH CHILD, THEIR FAMILY, AND THE APPROPRIATE COMMUNITY PROVIDERS. KVC IS RECOGNIZED AS AN INDUSTRY LEADER LOCALLY AND NATIONALLY FOR ITS EXCELLENCE IN THE IMPLEMENTATION OF TRAUMA SYSTEMS THERAPY (TST) AND SEVERAL OTHER EVIDENCE-BASED TREATMENTS AND BEST PRACTICE MODELS. IT ALSO SERVES AS A TEACHING SITE FOR BACHELOR AND MASTER LEVEL SOCIAL WORKERS, THERAPISTS, AND OTHER HEALTHCARE AND MENTAL HEALTH PROFESSIONALS FROM UNIVERSITIES THROUGHOUT THE AREA, ENCOURAGING TOP TALENT TO PURSUE LOCAL CAREERS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>JASON HOOPER, ERIN STUCKY, SHERRI LOHE, CHAD ANDERSON, MARILYN JACOBSON, AND LONNIE JOHNSON HAVE A BUSINESS RELATIONSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>KVC HEALTH SYSTEMS, INC., A KANSAS NOT-FOR-PROFIT CORPORATION, IS THE SOLE MEMBER OF KVC HOSPITALS, INC. KVC HEALTH SYSTEMS, INC. IS DESIGNATED AS THE SOLE MEMBER; KVC HEALTH SYSTEMS, INC. CONTINUES TO QUALIFY AS A QUALIFIED ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) AND SECTIONS 509(A)(3) OF THE IRC. KVC HEALTH SYSTEMS, INC. HAS THE RIGHT TO CHANGE THE NUMBER OF DIRECTORS, TO APPOINT AND ELECT AND REMOVE THE MEMBERS OF KVC HOSPITALS, INC.'S BOARD OF DIRECTORS. KVC HEALTH SYSTEMS, INC. HAS THE POWER TO APPROVE SIGNIFICANT DECISIONS OF KVC HOSPITALS, INC. KVC HEALTH SYSTEMS, INC. IS NOT ENTITLED TO RECEIVE A SHARE OF KVC HOSPITALS, INC.'S PROFITS. KVC HEALTH SYSTEMS, INC. IS ENTITLED TO KVC HOSPITALS, INC.'S NET ASSETS UPON DISSOLUTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>KVC HEALTH SYSTEMS, INC. BEING THE SOLE MEMBER OF KVC HOSPITALS, INC. HAS THE RIGHT TO ELECT ALL MEMBERS OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATE BYLAWS OF KVC HOSPITALS, INC. IDENTIFY CERTAIN RIGHTS AND POWERS WHICH ARE RESERVED TO KVC HEALTH SYSTEMS, INC. THE SOLE MEMBER. IN EACH INSTANCE, THE RIGHTS AND POWERS RESERVED TO THE SOLE MEMBER MAY BE SUMMARIZED AS FOLLOWS: 1. BOARD OF DIRECTORS - THE SOLE MEMBER HAS THE POWER TO ELECT THE BOARD OF DIRECTORS, REMOVE DIRECTORS, AND CHANGE THE NUMBER OF DIRECTORS. 2. ARTICLES OF INCORPORATION AND BYLAWS - KVC HOSPITALS, INC. ARTICLES OF INCORPORATION AND BYLAWS MAY BE AMENDED BY THE SOLE MEMBER. 3. ANNUAL BUDGETS - THE SOLE MEMBER HAS THE POWER TO APPROVE OR DISAPPROVE ANNUAL BUDGETS ADOPTED BY THE BOARD OF DIRECTORS AND TO ESTABLISH LEVELS OF APPROVAL AUTHORITY FOR KVC HOSPITALS, INC. 4. DISSOLUTION OR LIQUIDATION - THE SOLE MEMBER HAS THE POWER TO APPROVE IN ADVANCE ANY PROPOSED DISSOLUTION AND/OR LIQUIDATION OF KVC HOSPITALS, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S OFFICERS AND ACCOUNTING PERSONNEL. ANY QUESTIONS AND CONCERNS THE ORGANIZATION'S OFFICERS AND ACCOUNTING PERSONNEL HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE. THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH YEAR BOARD MEMBERS AND OFFICERS FILL OUT A PACKET THAT DETAILS ANY CONFLICTS OF INTEREST. IF ANY CONFLICTS EXIST, THE BOARD MEMBER WITH THE CONFLICT DOES NOT PARTICIPATE IN THE DISCUSSION OR VOTE ON THE ISSUE INVOLVING THE CONFLICT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE TEAM PERIODICALLY UTILIZES AN INDEPENDENT COMPENSATION CONSULTANT AND ALSO ANALYZES INFORMATION FROM THE FORM 990S OF OTHER ORGANIZATIONS (OF SIMILAR AND COMPARABLE SERVICES, SIZE, SCOPE AND GEOGRAPHICS). IN ADDITION THE HUMAN RESOURCES DEPARTMENT REVIEWS WAGE REPORTS AND COMPENSATION SURVEYS ANNUALLY. THESE SOURCES OF INFORMATION ARE USED FOR REVIEW OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST TO THE ACCOUNTING MANAGERS. FINANCIAL STATEMENT INFORMATION THAT WAS USED TO PREPARE THE 990 IS AVAILABLE AT WWW.GUIDESTAR.ORG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>INTERCOMPANY TRANSFER $ (3,465,000) INTERCOMPANY ELIMINATIONS $ 378,376 ---------------- TOTAL $ (3,086,624)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONTRACT PHYSICIANS TOTAL FEES:3447718</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONTRACT LABOR TOTAL FEES:801335</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONSULTING TOTAL FEES:634834</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>KVC HEALTH SYSTEMS INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>21350 W 153RD STREET</AddressLine1Txt>
          <CityNm>OLATHE</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66061</ZIPCd>
        </USAddress>
        <EIN>262516589</EIN>
        <PrimaryActivitiesTxt>MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12B</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>KVC BEHAVIORAL HEALTHCARE WEST VIRGINIA</BusinessNameLine1Txt>
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          <AddressLine1Txt>1510 KANAWHA BOULEVARD EAST</AddressLine1Txt>
          <CityNm>CHARLESTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25311</ZIPCd>
        </USAddress>
        <EIN>311770280</EIN>
        <PrimaryActivitiesTxt>FOSTER CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>KVC BEHAVIORAL HEALTHCARE NEBRASKA INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>11550 I ST SUITE 100</AddressLine1Txt>
          <CityNm>OMAHA</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68137</ZIPCd>
        </USAddress>
        <EIN>270408957</EIN>
        <PrimaryActivitiesTxt>FOSTER CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>KVC HSI</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>KVC BEHAVIORAL HEALTHCARE KENTUCKY INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>2250 THUNDERSTICK DRIVE SUITE 1104</AddressLine1Txt>
          <CityNm>LEXINGTON</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40505</ZIPCd>
        </USAddress>
        <EIN>270795565</EIN>
        <PrimaryActivitiesTxt>IN HOME SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NILES HOME FOR CHILDREN</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1911 EAST 23RD STREET</AddressLine1Txt>
          <CityNm>KANSAS CITY</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64127</ZIPCd>
        </USAddress>
        <EIN>440565392</EIN>
        <PrimaryActivitiesTxt>residentIAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>KVC FOUNDATION INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>21350 W 153RD STREET</AddressLine1Txt>
          <CityNm>OLATHE</CityNm>
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          <ZIPCd>66061</ZIPCd>
        </USAddress>
        <EIN>262516476</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>12B</PublicCharityStatusTxt>
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      <IdRelatedTaxExemptOrgGrp>
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        <EIN>480770308</EIN>
        <PrimaryActivitiesTxt>FOSTER CARE</PrimaryActivitiesTxt>
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        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>KVC HSI</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
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