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        <ReportableCompFromOrgAmt>125000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12318</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Dr William A Pankey</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>219331</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20769</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Dr Katherine Speer</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>148246</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9102</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Dr Anthony Jimenez</PersonNm>
        <TitleTxt>Dentist</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>131477</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8183</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>764054</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>59540</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>5</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>eClinicalWorks LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 847950</AddressLine1Txt>
            <CityNm>Boston</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>022847950</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EMR software hosting services</ServicesDesc>
        <CompensationAmt>107943</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Ideolity</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5800 Foxridge Drive Suite 102</AddressLine1Txt>
            <CityNm>Mission</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66202</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT consulting</ServicesDesc>
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      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>11980</FundraisingAmt>
      <GovernmentGrantsAmt>1512825</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>2036854</AllOtherContributionsAmt>
      <NoncashContributionsAmt>799728</NoncashContributionsAmt>
      <TotalContributionsAmt>3561659</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Net patient service re</Desc>
        <BusinessCd>621110</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>2124113</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>2124113</TotalProgramServiceRevenueAmt>
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      <ContriRptFundraisingEventAmt>11980</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>22206</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-7045</TotalRevenueColumnAmt>
        <ExclusionAmt>-7045</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>Other revenues</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>22723</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>22723</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>22723</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>5701450</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2146836</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-7045</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>286486</TotalAmt>
        <ManagementAndGeneralAmt>286486</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>2487552</TotalAmt>
        <ProgramServicesAmt>1978527</ProgramServicesAmt>
        <ManagementAndGeneralAmt>336326</ManagementAndGeneralAmt>
        <FundraisingAmt>172699</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>50114</TotalAmt>
        <ProgramServicesAmt>32613</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12716</ManagementAndGeneralAmt>
        <FundraisingAmt>4785</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>176064</TotalAmt>
        <ProgramServicesAmt>128447</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35954</ManagementAndGeneralAmt>
        <FundraisingAmt>11663</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>210286</TotalAmt>
        <ProgramServicesAmt>151951</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45693</ManagementAndGeneralAmt>
        <FundraisingAmt>12642</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>23866</TotalAmt>
        <ManagementAndGeneralAmt>23866</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>36835</TotalAmt>
        <ManagementAndGeneralAmt>36835</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>601739</TotalAmt>
        <ProgramServicesAmt>464293</ProgramServicesAmt>
        <ManagementAndGeneralAmt>137446</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>24397</TotalAmt>
        <ProgramServicesAmt>179</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24083</ManagementAndGeneralAmt>
        <FundraisingAmt>135</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>137811</TotalAmt>
        <ProgramServicesAmt>32302</ProgramServicesAmt>
        <ManagementAndGeneralAmt>103445</ManagementAndGeneralAmt>
        <FundraisingAmt>2064</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>168226</TotalAmt>
        <ProgramServicesAmt>17881</ProgramServicesAmt>
        <ManagementAndGeneralAmt>148743</ManagementAndGeneralAmt>
        <FundraisingAmt>1602</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>247736</TotalAmt>
        <ProgramServicesAmt>25723</ProgramServicesAmt>
        <ManagementAndGeneralAmt>222013</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>5564</TotalAmt>
        <ProgramServicesAmt>2283</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2768</ManagementAndGeneralAmt>
        <FundraisingAmt>513</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>23336</TotalAmt>
        <ProgramServicesAmt>2098</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21027</ManagementAndGeneralAmt>
        <FundraisingAmt>211</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>1144</TotalAmt>
        <ManagementAndGeneralAmt>1144</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>108547</TotalAmt>
        <ProgramServicesAmt>92936</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15611</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>33132</TotalAmt>
        <ProgramServicesAmt>23893</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9239</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Vaccines for children</Desc>
        <TotalAmt>637580</TotalAmt>
        <ProgramServicesAmt>637580</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Laboratory expense</Desc>
        <TotalAmt>86894</TotalAmt>
        <ProgramServicesAmt>86894</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Medical supplies</Desc>
        <TotalAmt>84867</TotalAmt>
        <ProgramServicesAmt>84867</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Pharmacy expense</Desc>
        <TotalAmt>63502</TotalAmt>
        <ProgramServicesAmt>63502</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>111001</TotalAmt>
        <ProgramServicesAmt>64072</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46668</ManagementAndGeneralAmt>
        <FundraisingAmt>261</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>3890041</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1510063</ManagementAndGeneralAmt>
        <FundraisingAmt>206575</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
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        <EOYAmt>80390</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>1125278</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>187132</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>227661</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>13209</BOYAmt>
        <EOYAmt>14777</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>965556</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>641771</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>397029</BOYAmt>
        <EOYAmt>323785</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
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      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
        <BOYAmt>1804777</BOYAmt>
        <EOYAmt>1994355</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>283628</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <EOYAmt>99545</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <TotalLiabilitiesGrp>
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        <EOYAmt>383173</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>220524</BOYAmt>
        <EOYAmt>670941</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
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        <EOYAmt>940241</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1506811</BOYAmt>
        <EOYAmt>1611182</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1804777</BOYAmt>
        <EOYAmt>1994355</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>94771</ReconcilationRevenueExpnssAmt>
      <DonatedServicesAndUseFcltsAmt>9600</DonatedServicesAndUseFcltsAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>1794808</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1591915</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1705823</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2270191</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3661659</CurrentTaxYearAmt>
        <TotalAmt>11024396</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <GovtFurnSrvcFcltsVl170Grp>
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        <TotalAmt>9600</TotalAmt>
      </GovtFurnSrvcFcltsVl170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>1794808</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1591915</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1705823</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2270191</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3671259</CurrentTaxYearAmt>
        <TotalAmt>11033996</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>6305372</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>4728624</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>827</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>535</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>412</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>1774</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>971</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>19965</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2562</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8273</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16737</CurrentTaxYearAmt>
        <TotalAmt>48508</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>11084278</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>6781415</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.42660</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99610</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part II, Line 10</FormAndLineReferenceDesc>
        <ExplanationTxt>2013 - reimbursements and KS trade pay; 2014 - incidential income and refunds; 2015 - incidential income and billing overpayment settlement of $17,762; 2016 - incidential income and UHC incentive payments of $2,445; 2017 - insurance incentive payments and other miscellaneous income; 2018 - other miscellaneous income</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001" />
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>334360</DepreciationAmt>
        <BookValueAmt>179714</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>266615</DepreciationAmt>
        <BookValueAmt>133653</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <DepreciationAmt>40796</DepreciationAmt>
        <BookValueAmt>10418</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>323785</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>5711050</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>9600</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>9600</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>5701450</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>5701450</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>5606679</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>5606679</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>5606679</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Management is not aware of any uncertainties in income tax positions.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>Top Golf Event</Event1Nm>
        <GrossReceiptsEvent1Amt>27141</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>11980</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>15161</GrossRevenueEvent1Amt>
        <NonCashPrizesEvent1Amt>88</NonCashPrizesEvent1Amt>
        <RentFacilityCostsEvent1Amt>8660</RentFacilityCostsEvent1Amt>
        <EntertainmentEvent1Amt>575</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>12883</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>27141</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>11980</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>15161</GrossRevenueTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>88</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>8660</RentFcltyCostsTotalEventsAmt>
        <EntertainmentTotalEventsAmt>575</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>12883</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>22206</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-7045</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr William A Pankey</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>214331</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>5000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6662</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14107</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>240100</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Katherine Speer</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>148246</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4251</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>4851</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>157348</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>2</ContributionCnt>
        <NoncashContributionsRptF990Amt>35332</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Fair market value</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>12</ContributionCnt>
        <NoncashContributionsRptF990Amt>734086</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Fair market value</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Backpacks</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>30310</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Fair market value</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 was reviewed by the CEO and finance committee prior to filing. A copy will be sent to the full board of directors for review.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The executive committee annually reviews the CEO's compensation using Kansas City not-for-profit salary survey and FQHC salary surveys.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Contract labor: Program service expenses 324,291. Management and general expenses 102,791. Fundraising expenses 0. Total expenses 427,082. Interpreting services: Program service expenses 136,462. Management and general expenses 13,473. Fundraising expenses 0. Total expenses 149,935. Other service fees: Program service expenses 3,540. Management and general expenses 21,182. Fundraising expenses 0. Total expenses 24,722.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <ReasonableCauseExplanation documentId="RetDoc2125800001">
      <ExplanationTxt>Late filed return due to CCH Software outage</ExplanationTxt>
    </ReasonableCauseExplanation>
  </ReturnData>
</Return>