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      <Desc>GENERAL: SHS IS A JOINT COMMISSION ACCREDITED FEDERALLY QUALIFIED HEALTH CENTER. IN 2015, SHS PROVIDED MEDICAL, DENTAL AND BEHAVIORAL HEALTH CARE TO NEARLY 40,000 PATIENTS WHO RECEIVED SOME 200,000 UNITS OF SERVICES - OR AN AVERAGE OF 5 UNITS PER PATIENT - IN THE FORM OF PROVIDER VISITS AND OTHER DIRECT SERVICES.NEARLY EIGHT OUT OF TEN OF SHS PATIENTS WHO REPORTED INCOME, LIVED AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. FOR A SINGLE MOM WITH TWO CHILDREN, THAT REPRESENTS A MAXIMUM OF $1,680 A MONTH OR $20,160 A YEAR - HARDLY ENOUGH TO LIVE ON MUCH LESS PAY FOR HEALTH CARE. SHS SERVED SEVERAL RACIAL AND ETHNIC GROUPS IN 2015. MORE THAN HALF OF SHS' PATIENTS ARE AFRICAN AMERICAN, NEARLY A QUARTER ARE WHITE, FIFTEEN PERCENT ARE OF HISPANIC ETHNICITY, WITH THE REMAINING PATIENTS A MIX OF OTHER MINORITY RACES. WE ARE EXPERIENCING GROWTH IN OUR HISPANIC PATIENT POPULATION AT MOST LOCATIONS WHICH IS CONSISTENT WITH RECENT NATIONAL CENSUS DATA.ELECTRONIC MEDICAL RECORDS (EMR): IN 2011, SHS IMPLEMENTED EMR SYSTEM FOR ITS MEDICAL, BEHAVIORAL HEALTH AND SATELLITE CLINICS. THIS WAS A SIGNIFICANT ACCOMPLISHMENT SINCE THIS NEW TECHNOLOGY ALLOWED SHS TO DEMONSTRATE QUALITY OF SERVICES AND ULTIMATELY HELP ACHIEVE BETTER PATIENT OUTCOMES. SHS HAS UPGRADED EMR TO A NEWER VERSION AND ACHIEVED A LEVEL 3 PRIMARY CARE MEDICAL HOME (PCMH) RECOGNITION BY NATIONAL COMMITTEE FOR QUALITY ASSURANCE(NCQA) USING EMR TECHNOLOGY, OUR PROVIDERS HAVE MADE SIGNIFICANT PROGRESS IN MEETING MEANINGFUL USE CRITERIA ESTABLISHED TO DEMONSTRATE QUALITY OF SERVICES PROVIDED TO OUR PATIENTS.IN 2014, SHS ESTABLISHED A NEW PRIMARY CARE ACCESS POINT IN BELTON. IN 2015, SHS ESTABLISHED A NEW PRIMARY CARE ACCESS POINT IN KANSAS CITY, MISSOURI, HICKMAN MILLS SCHOOL DISTRICT. SHS RECEIVED NEW ACCESS POINT GRANTS FROM THE HEALTH RESOURCES AND SERVICE ADMINISTRATION (HRSA) FOR BOTH SITES AND THUS SHS NOW PROVIDES MUCH NEEDED PRIMARY CARE SERVICES IN THESE NEW COMMUNITIES.FREE AND LOW-COST MEDICATIONS - SHS SECURED APPROXIMATELY $2 MILLION IN FREE AND VERY LOW-COST MEDICATIONS FOR ITS PATIENTS THROUGH TWO PHARMACEUTICAL PATIENT ASSISTANCE PROGRAMS AND ITS OWN "SWOPE CARE" IN-HOUSE PHARMACY ASSISTANCE PROGRAM. THIS ALLOWED US TO ASSIST OVER 2,000 UNINSURED PATIENTS. THIS WAS CRITICAL IN MAINTAINING THE HEALTH OF THE UNINSURED PATIENTS AND ALSO ASSISTED WITH THE PURCHASING OF PRESCRIBED MEDICATIONS FOR SHS PATIENTS WHO ARE WOEFULLY UNDERINSURED. MATERNAL AND CHILDREN'S SERVICES: PREGNANT WOMEN IN SHS' TARGET SERVICE AREA OFTEN DON'T RECEIVE EARLY AND CONSISTENT PRENATAL CARE. AS A RESULT, THEY ARE MORE LIKELY THAN OTHER PREGNANT WOMEN TO EXPERIENCE INFANT MORTALITY OR DELIVER PREMATURE AND/OR LOW-BIRTH-WEIGHT INFANTS WITH DEVELOPMENTAL DELAYS AND OTHER EXPENSIVE AND DEBILITATING LONG-TERM HEALTH AND SOCIAL PROBLEMS. IN FACT, SHS SERVES A POPULATION WHO HAS A HIGHER PREMATURITY RATE THAN THE NATIONAL AVERAGE. WE PROVIDE CASE MANAGEMENT AND RELATED SUPPORT SERVICES DESIGNED TO IDENTIFY, ENROLL AND KEEP PREGNANT WOMEN IN ITS PRENATAL PROGRAM. SHS DATA CONTINUES TO SHOW THAT WOMEN IN ITS PRENATAL PROGRAM EXPERIENCE A LOWER INCIDENCE OF NEGATIVE OUTCOMES. FAMILY PLANNING SERVICES ARE ALSO OFFERED. KNOWING INADEQUATE DENTAL HYGIENE AND ORAL INFECTIONS CAN CONTRIBUTE TO PREMATURE LABOR, WE ALSO REFER PREGNANT WOMEN TO OUR DENTAL DEPARTMENT FOR ANY NECESSARY DENTAL CARE.SHS SUPPORTS NEW MOTHERS POST-PARTUM CARE THROUGH A VARIETY OF PROGRAMS AND SERVICES. FOR EXAMPLE, WE OFFER CLASSES AND ONE-TO-ONE COUNSELING TO ENCOURAGE WOMEN TO BREASTFEED THEIR BABIES, A STRATEGY THAT IS NOT ONLY COST-SAVING BUT THAT PROVIDES A HOST OF LONG-TERM HEALTH BENEFITS TO BOTH THE MOTHER AND CHILD. BREAST PUMPS ARE MADE AVAILABLE TO THESE NEW MOMS. IN ADDITION, NUTRITION EDUCATION IS PROVIDED THROUGH OUR WIC PROGRAM WHICH PROVIDES SERVICES TO MOTHERS, INFANTS, AND CHILDREN ANNUALLY.SHS PROVIDED HEALTH CARE SERVICES TO CLOSE TO 9,000 CHILD AND ADOLESCENT PATIENTS, TREATING EVERYTHING FROM SPRAINS AND CUTS TO COLDS AND THE FLU. WE ALSO TREAT CHRONIC CONDITIONS SUCH AS ASTHMA AND BEHAVIORAL HEALTH CONDITIONS. BECAUSE THERE ARE SO MANY THINGS THAT CAN IMPAIR THE PHYSICAL, SOCIAL AND INTELLECTUAL DEVELOPMENT OF A CHILD, SHS MAKES EVERY EFFORT TO IDENTIFY THESE POTENTIAL PROBLEMS EARLY SO APPROPRIATE TREATMENT CAN BE INITIATED BEFORE A DEVELOPMENTAL PROBLEM BECOMES A PERMANENT DISABILITY. TO PROVIDE CHILDREN IN A HIGH-CRIME URBAN AREA WITH A SAFE AND EXCITING HALLOWEEN EXPERIENCE, SHS SPONSORED TREAT TOWN AT THE CLINIC ON BLUE PARKWAY. MORE THAN 1,500 CHILDREN ATTENDED THIS ANNUAL EVENT IN 2015. THEY RECEIVED TREATS, TOOTHBRUSHES AND OTHER IMPORTANT HEALTH INFORMATION, INCLUDING DETAILS ON HOW TO ACCESS DENTAL SERVICES AT OUR FACILITIES.ADULT MEDICAL SERVICES: SHS HAS ALWAYS ADVOCATED FOR PREVENTIVE CARE AND LONG-TERM MANAGEMENT OF CHRONIC CONDITIONS. THE MAJORITY OF SHS' PATIENTS HAVE CHRONIC CONDITIONS LIKE CARDIOVASCULAR DISEASE (NOT LIMITED TO HYPERTENSION, HYPERLIPIDEMIA OR MYOCARDIAL INJURY TO NAME A FEW), DIABETES, DEPRESSION, ETC. SHS HAS A DISPROPORTIONATE NUMBER OF PATIENTS WITH THESE CHRONIC CONDITIONS AND WE HAVE INITIATED SEVERAL MEANS TO ADDRESS THESE CONDITIONS. IF NOT PROPERLY MANAGED, THESE CHRONIC CONDITIONS CAN LEAD TO HEART DISEASE, STROKE AND A NUMBER OF OTHER SERIOUS AND VERY EXPENSIVE-TO-TREAT CONDITIONS. WE HAVE INITIATED THE PROCESS OF CARE MANAGEMENT AND HAVE BEEN MODIFYING OUR WORKFLOWS AND STAFFING TO ACHIEVE THE REQUIRED CLINICAL METRICS TO HELP THESE PATIENTS. WE INITIATED DAILY HUDDLES, MODIFIED OUR WORKFLOWS AND HAVE ALSO ORGANIZED OUR STAFF IN TEAMS TO HELP ADDRESS ANY CONCERNS AND ISSUES THE PATIENT MIGHT HAVE TO HELP THEM NAVIGATE THROUGH THE SYSTEM TO HELP TAKE CARE OF THEIR HEALTH. THIS IS A HUGE TASK AND REQUIRES SEVERAL INITIATIVES - TRACKING OF LABS, REFERRALS, HOSPITAL FOLLOW UPS AND DISCHARGE FOLLOW UPS. WE ARE IN THE PROCESS OF HIRING SEVERAL CARE COORDINATORS AND STAFF TO HELP IN THIS INITIATIVE. WE CONTINUE TO HAVE THE HEALTH CARE HOME PROGRAM THAT IS SPONSORED BY THE STATE AND WE HAVE CARE-COORDINATORS AND CASE MANAGERS WHO WORK ONE ON ONE WITH THE PATIENTS TO HELP MANAGE THEIR HEALTH. NURSES IN THE HEALTH CARE HOME PROGRAM MONITOR THE CRITICAL INDICATORS OF PATIENT CHRONIC DISEASES; EXPLAIN THE IMPORTANCE OF ADHERING TO MEDICATION REGIMENS; AND ADVISE THEM ABOUT DIET, EXERCISE AND OTHER SELF-MANAGEMENT LIFESTYLE CHANGES THAT ARE KNOWN TO SLOW THE PROGRESSION OF THEIR DISEASE. CURRENTLY WE HAVE FOUR FTE CASE MANAGERS/CARE COORDINATORS TO HELP ACHIEVE OUR PATIENT GOALS. SWOPE HEALTH SERVICES CONTINUES TO HELP PATIENTS WITH DIABETES BY EDUCATING THEM ON PATIENT SELF-CARE MANAGEMENT. THE HOMELESS: IN 2015, SHS ASSISTED SOME 2,200 HOMELESS PATIENTS WITH HEALTH CARE, HOUSING AND OTHER ESSENTIAL SERVICES. SHS STAFF MEMBERS ARE ACTIVE IN THE HOMELESS SERVICES COMMUNITY AND OFTEN GO TO SHELTERS, COMMUNITY DAY CENTERS AND HOMELESS ENCAMPMENTS TO ASSES BASIC MEDICAL NEEDS OF THE HOMELESS. WE RECONDITIONED OUR MOBILE MEDICAL UNIT (A CONVERTED RV WITH AN EXAM ROOM ON BOARD) TO ASSIST WITH THIS EFFORT. THE MOBILE MEDICAL VAN HAS BEEN WELL RECEIVED AND IS A TREMENDOUS RESOURCE FOR COMMUNITY OUTREACH.ONCE THE PATIENTS HAVE BEEN INDENTIFIED AND REGISTERED IN OUR SYSTEM, WE CONDUCT ASSESSMENTS TO DETERMINE WHICH SERVICES ONE MIGHT NEED AND /OR QUALIFY FOR. CASE MANGERS ASSIST IN OBTAINING PHYSICAL AND MENTAL HEALTH TREATMENT AS WELL AS HOUSING, TRANSPORTATION, AND FINANCIAL ASSISTANCE. CASE MANAGERS ALSO WORK TO FIND PERMANENT HOUSING FOR THE HOMELESS THROUGH PROGRAMS SUCH AS SECTION 8, SUPPORTED COMMUNITY LIVING SERVICES AND SHELTER PLUS CARE, AS WELL AS LOW INCOME AND OTHER SUBSIDIZED HOUSING. FOR THOSE WITH MENTAL HEALTH CONCERNS, BOTH INDIVIDUAL AND GROUP THERAPY ARE OFFERED TO ASSIST WITH OBTAINING OVERALL MENTAL AND PHYSICAL HEALTH GOALS. STAFF ALSO PROVIDE MEDICATION MANAGEMENT, MEDICATION ASSISTANCE AND DENTAL SERVICES. FINALLY OUR OUTREACH STAFF TRANSPORTS HOMELESS INDIVIDUALS FROM AREA SHELTERS TO APPOINTMENTS AT OUR CLINIC TO ENSURE THEY ARE GETTING REGULAR CHECK-UPS.</Desc>
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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CARLOS GOMEZ</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JUDGE LISA WHITE HARDWICK</PersonNm>
        <TitleTxt>CHAIRPERSON</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SHARON JACKSON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELLEN JUNGER</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HONORABLE BONNAYE MIMS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>FRED MITCHELL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICIA NELSON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>E WYNN PRESSON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>YOLANDA SIMS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>H DAVID WHALEN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR HARRY E WILKINS III MD</PersonNm>
        <TitleTxt>VICE CHAIRPERSON</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID BARBER</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>317474</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14644</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NAIMISH PATEL</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>220806</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>45223</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RUSSELL JOHNSON</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>207554</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28891</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARK MILLER</PersonNm>
        <TitleTxt>VP BEHAVIORAL HEALTH</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>176312</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>3820</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JACY MONEYMAKER</PersonNm>
        <TitleTxt>CHIEF COMPLIANCE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>160556</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25364</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRIAN THOMAS</PersonNm>
        <TitleTxt>VP CHIEF INFORMATION OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>156691</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5377</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBIN WHEELER</PersonNm>
        <TitleTxt>VP HUMAN RESOURCE DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>193441</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23816</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID DEMBINKSKI</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>251616</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23447</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>OTIS LATIMER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>245709</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23020</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NALLU REDDY</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>247783</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32808</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DHANALAKSHMI RENGACHARY</PersonNm>
        <TitleTxt>OB-GYN DEPARTMENT CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>429813</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19727</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KRISTI SHAUMEYER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>190732</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5682</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>2798487</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>251819</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>38</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>02284</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EMR SOFTWARE MAINTENANCE</ServicesDesc>
        <CompensationAmt>395072</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DIGGS CONSTRUCTION LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1001 EAST 101ST TERRACE STE 200</AddressLine1Txt>
            <CityNm>KANSAS CITY</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>64131</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION SERVICES</ServicesDesc>
        <CompensationAmt>358719</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BRIGHTERGY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1712 MAIN STREET 6TH FLOOR</AddressLine1Txt>
            <CityNm>KANSAS CITY</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>64108</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING SERVICES</ServicesDesc>
        <CompensationAmt>342750</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WAINSCOT CONTRACTORS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>15380 LAKE ROAD 10</AddressLine1Txt>
            <CityNm>GARDNER</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66030</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION SERVICES</ServicesDesc>
        <CompensationAmt>193927</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EMDEON INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 572490</AddressLine1Txt>
            <CityNm>MURRAY</CityNm>
            <StateAbbreviationCd>UT</StateAbbreviationCd>
            <ZIPCd>84157</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EDI VENDOR</ServicesDesc>
        <CompensationAmt>142575</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>8</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>800000</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>12892987</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1998685</AllOtherContributionsAmt>
      <TotalContributionsAmt>15691672</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACTS REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>14711877</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>14711877</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT CARE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>14611571</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>14611571</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SETTLEMENTS</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>2579699</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2579699</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>31903147</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>626672</TotalRevenueColumnAmt>
        <ExclusionAmt>626672</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>101716</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>101716</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>101716</TotalRevenueColumnAmt>
        <ExclusionAmt>101716</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>1678223</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>1591512</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>86711</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>86711</TotalRevenueColumnAmt>
        <ExclusionAmt>86711</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS REVENUES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>192753</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>192753</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>192753</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>48602671</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>32095900</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>815099</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>282473</TotalAmt>
        <ProgramServicesAmt>282473</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>2943137</TotalAmt>
        <ProgramServicesAmt>2181685</ProgramServicesAmt>
        <ManagementAndGeneralAmt>761452</ManagementAndGeneralAmt>
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        <TotalAmt>22284496</TotalAmt>
        <ProgramServicesAmt>21096207</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1188289</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>300498</TotalAmt>
        <ProgramServicesAmt>279464</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21034</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>3811486</TotalAmt>
        <ProgramServicesAmt>3365968</ProgramServicesAmt>
        <ManagementAndGeneralAmt>445518</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>1756259</TotalAmt>
        <ProgramServicesAmt>1607104</ProgramServicesAmt>
        <ManagementAndGeneralAmt>149155</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>1630172</TotalAmt>
        <ProgramServicesAmt>1041950</ProgramServicesAmt>
        <ManagementAndGeneralAmt>588222</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>102229</TotalAmt>
        <ProgramServicesAmt>93259</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8970</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>75957</TotalAmt>
        <ManagementAndGeneralAmt>75957</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>36000</TotalAmt>
        <ManagementAndGeneralAmt>36000</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>107749</TotalAmt>
        <ManagementAndGeneralAmt>107749</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>2293885</TotalAmt>
        <ProgramServicesAmt>1135427</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1158458</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>325953</TotalAmt>
        <ProgramServicesAmt>315210</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10743</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>264639</TotalAmt>
        <ProgramServicesAmt>242200</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22439</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>7155</TotalAmt>
        <ProgramServicesAmt>7155</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1838607</TotalAmt>
        <ProgramServicesAmt>1019455</ProgramServicesAmt>
        <ManagementAndGeneralAmt>819152</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>249549</TotalAmt>
        <ManagementAndGeneralAmt>249549</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>HEALTHCARE SUPPLIES</Desc>
        <TotalAmt>5098871</TotalAmt>
        <ProgramServicesAmt>5098871</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>1810299</TotalAmt>
        <ProgramServicesAmt>1475731</ProgramServicesAmt>
        <ManagementAndGeneralAmt>334568</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT MAINTENANCE</Desc>
        <TotalAmt>1071180</TotalAmt>
        <ProgramServicesAmt>1071180</ProgramServicesAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>46290594</TotalAmt>
        <ProgramServicesAmt>40313339</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5977255</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>6053175</BOYAmt>
        <EOYAmt>5429180</EOYAmt>
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        <PersonNm>BRIAN THOMAS</PersonNm>
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        <PersonNm>ROBIN WHEELER</PersonNm>
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        <PersonNm>DAVID DEMBINKSKI</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>OTIS LATIMER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NALLU REDDY</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DHANALAKSHMI RENGACHARY</PersonNm>
        <TitleTxt>OB-GYN DEPARTMENT CHAIR</TitleTxt>
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        <PersonNm>KRISTI SHAUMEYER</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAY DURING THE CALENDAR YEAR 2015: DAVID DEMBENKSKI - $105,998. THIS INFORMATION IS INCLUDED IN REPORTABLE COMPENSATION ON THE FORM 990, PART VII AND SCHEDULE J, PART II.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>INDIVIDUALS MAY QUALIFY FOR A DISCRETIONARY BONUS, INCLUDING SPOT BONUSES, FOR EXCEEDING EXPECTATIONS OR TAKING ON ADDITIONAL RESPONSIBILITIES WITHIN THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>DENTAL CARE: GOOD DENTAL CARE IS A PREREQUISITE TO GOOD HEALTH. IN FACT, STUDIES SHOW THAT CHILDREN WITH POOR ORAL HYGIENE ARE AT INCREASED RISK FOR HEART DISEASE, STROKE AND A NUMBER OF OTHER AILMENTS LATER IN LIFE. UNFORTUNATELY, MOST LOW-INCOME PEOPLE DO NOT RECEIVE ADEQUATE DENTAL CARE, AND PUBLIC INSURANCE PROGRAMS, SUCH AS MEDICAID AND MEDICARE, INCREASINGLY LIMIT THE DENTAL SERVICES THEY WILL COVER, PARTICULARLY FOR ADULTS. IN 2015, SHS PROVIDED COMPREHENSIVE DENTAL CARE (SCREENINGS, EXAMINATIONS, X-RAYS, FILLINGS, EXTRACTIONS, SEALANTS, FLUORIDE VARNISHES, TREATMENT OF GUM DISEASE, AND DENTURES) TO CLOSE TO 6,000 ADULTS AND CHILDREN. WE OFFER EMERGENCY CARE AND SAME-DAY TREATMENT TO PATIENTS IN PAIN, PROVIDING AN ALTERNATIVE TO THE EXPENSIVE EMERGENCY DEPARTMENT AT A LOCAL HOSPITAL. WE WORK WITH OB PROVIDERS AND PEDIATRIC PROVIDERS TO SCHEDULE PRIORITY APPOINTMENTS FOR THESE DENTALLY VULNERABLE POPULATIONS. BEHAVIORAL HEALTH: ACCORDING TO A REPORT BY THE GREATER KANSAS CITY HEALTH CARE FOUNDATION ONE IN 10 ADULTS IN THE GREATER KANSAS CITY AREA HAS A SERIOUS MENTAL ILLNESS (SMI)." IT GOES ON TO SAY "ALTHOUGH SERIOUS ILLNESS SUCH AS DEPRESSION, SCHIZOPHRENIA, BIPOLAR DISORDER, AND ANXIETY DISORDERS CAN BE EFFECTIVELY TREATED, ABOUT 40 PERCENT OF CASES ARE UNTREATED." THE STUDY ESTIMATES USING THE FORMULA OF COMBINING CENSUS DATA WITH MENTAL ILLNESS PREVALENCE DATA THAT THERE ARE OVER 94,000 CASES OF UNTREATED MENTAL ILLNESS IN THE GREATER KANSAS CITY AREA. IN 2015, SWOPE HEALTH SERVICES PROVIDED MENTAL HEALTH AND/OR SUBSTANCE ABUSE SERVICES TO NEARLY 5,400 PATIENTS RESULTING IN OVER 85,000 VISITS. MANY OF THESE CLIENTS HAVE VERY FEW RESOURCES AND HAVE A DESPERATE NEED FOR THE CARE THAT SHS PROVIDES, WHICH INCLUDES VISITS FOR PSYCHIATRIC EVALUATION, MEDICATION MANAGEMENT, OUTPATIENT THERAPY, CASE MANAGEMENT, SUBSTANCE ABUSE TREATMENT AND INTENSIVE RESIDENTIAL TREATMENT AS WELL AS SUPPORT FOR THOSE EXPERIENCING ACUTE CRISES. SHS ALSO OFFERED PROGRAMMING FOR THOSE WITH A PERSISTENT MENTAL ILLNESSES. DURING 2015, SWOPE HEALTH SERVICES AND OTHER COMMUNITY MENTAL HEALTH CENTERS AND HOSPITALS CONTINUED TO APPROVE AND BUILD UPON THE HOSPITAL DIVERSION PROGRAM. THIS PROGRAM IS DESIGNED TO HELP THOSE SEEKING SERVICES VIA THE AREA HOSPITAL EMERGENCY ROOMS RECEIVE INTENSIVE CASE MANAGEMENT SERVICES AND TREATMENT ENGAGEMENT TO HELP BREAK THE CYCLE OF HOSPITALIZATIONS. THESE CLIENTS CAN RECEIVE MUCH MORE COMPREHENSIVE TREATMENT BY THE COMMUNITY PROVIDERS WHICH WILL LEAD TO BETTER UTILIZATION OF THE RESOURCES AVAILABLE TO HELP THOSE IN CRISIS OR NEED. THE DATA SHOWS THAT THIS PROGRAM IS MAKING SUCCESSFUL IMPACT. AS ONE OF THE FEW SAFETY NET AGENCIES IN THE GREATER KANSAS CITY AREA LOCATED IN THE URBAN CORE, SHS WORKS HARD TO ACHIEVE ITS MISSION TO HELP PROVIDE INTEGRATED MENTAL HEALTH, SUBSTANCE ABUSE AND PRIMARY CARE SERVICES TO A POPULATION AT RISK FOR UNEMPLOYMENT, VIOLENCE AND SHORTENED LIFE EXPECTANCY. IN 2015, LEGISLATIVE APPROVAL WAS PROVIDED TO BUILD AN ADDICTION TREATMENT CENTER IN THE CENTRAL KANSAS CITY AREA. AREA TREATMENT PROVIDERS AND AREA HOSPITALS ALONG WITH THE KANSAS CITY MISSOURI POLICE DEPARTMENT WILL BECOME THE CORE PROVIDERS OF SERVICES FOR THIS COUNTYWIDE CENTER. CREATING A ONE-STOP, INTEGRATED HEALTH CARE SYSTEM: WHEN SEEKING SERVICES PATIENTS OFTEN MUST TRAVEL TO DIFFERENT SITES ON DIFFERENT DAYS TO GET ALL THE MEDICAL, DENTAL AND BEHAVIORAL HEALTH CARE THEY NEED - THE NORM IN MOST HEALTH CARE SYSTEMS - THEY OFTEN FAIL TO KEEP ONE OR MORE APPOINTMENTS. SHS' CONTINUING FOCUS ON THE INTEGRATED MODEL ALLOWS PATIENTS TO RECEIVE ONE OR MORE MEDICAL, DENTAL AND BEHAVIORAL HEALTH CARE AT ONE FACILITY DURING A SINGLE VISIT, THEREBY SAVING THEIR TIME AND MAXIMIZING THE USE OF SHS' RESOURCES. SWOPE HEALTH SERVICES HIRED STAFF TO SPECIFICALLY PROVIDE SERVICES AT THE EAST CLINIC LOCATION. THIS EFFORT HAS RESULTED IN ON-SITE BEHAVIORAL HEALTH CARE FOR JACKSON COUNTY RESIDENTS IN THAT AREA. THESE EFFORTS AND THE HEALTH CARE HOME INITIATIVES DESCRIBED EARLIER DEMONSTRATE SHS COMMITMENT TO INTEGRATED CARE. IN 2014, SHS GAINED NCQA RECOGNITION FOR THE PRIMARY CARE MEDICAL HOME AND ACCREDITATION BY THE COMMISSION ON ACCREDITATION OF REHABILITATON FACILITIES (CARF) FOR THE BEHAVIORAL HEALTH CARE HOME. HEALTHCARE HOME: SHS IS PARTICIPATING IN BOTH THE PRIMARY CARE AND HEALTH HOME INITIATIVES. THE PRIMARY CARE MEDICAL HOME HAS AN AVERAGE ENROLLMENT OF 600 CLIENTS AND THE BEHAVIORAL HEALTH ENROLLMENT AVERAGES 500 CLIENTS. THE FOCUS OF BOTH HEALTH HOMES IS GREATER UTILIZATION OF THE HEALTH HOME TEAM FOR TREATMENT AND PREVENTION WITH LESS INAPPROPRIATE USAGE OF EMERGENCY CARE AND REDUCTION UNWARRANTED HOSPITALIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PRESENTS AND DISCUSSES A DRAFT OF ITS FORM 990 WITH THE ORGANIZATION'S SENIOR MANAGEMENT, AS WELL AS THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. THE REMAINING BOARD MEMBERS ARE PROVIDED WITH A COPY FOR REVIEW AND COMMENT AS WELL. COMMENTS AND QUESTIONS OF THE REVIEWING INDIVIDUALS ARE ADDRESSED BY THOSE RESPONSIBLE FOR PREPARING THE FORM 990, AND APPROPRIATE MODIFICATIONS ARE MADE TO THE DRAFT BEFORE IT IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL DIRECTORS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE ANNUALLY THE CONFLICT OF INTEREST DISCLOSURE FORM AND PROVIDE PERIODIC UPDATES TO THE FORM AS MAY BE NECESSARY. ANY CONFLICT IDENTIFIED WILL REQUIRE RECUSAL OF THE DIRECTOR, OFFICER, OR KEY EMPLOYEE WHERE APPROPRIATE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNANCE PROCESS FOR DETERMINING COMPENSATION OF THE PRESIDENT/CEO INCLUDES AN ANNUAL REVIEW OF SUCH COMPENSATION BY THE COMPANY'S BOARD OF DIRECTORS. IN CARRYING OUT THIS ANNUAL REVIEW, THE BOARD ENGAGES AN INDEPENDENT COMPENSATION CONSULTING FIRM TO ADVISE AND ASSESS THE REASONABLENESS OF THE COMPENSATION OF THE PRESIDENT/CEO AND OTHER MEMBERS OF THE SENIOR LEADERSHIP TEAM, NONE OF WHOM PARTICIPATE IN THIS REVIEW OF HIS/HER OWN COMPENSATION. THE BOARD ALSO CONSIDERS RECOMMENDATIONS FROM THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF SWOPE HEALTH SERVICES, THE SHS COMPENSATION COMMITTEE MET TWICE IN 2015 AND REVIEWED COMPENSATION DATA AS PRESENTED BY ITS INDEPENDENT COMPENSATION CONSULTANT AND CONTEMPORANEOUSLY DOCUMENTED ITS DECISIONS AND DELIBERATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIALS STATEMENTS, AND FORM 990 ARE MADE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNANCE STRUCTURE INCLUDES A FINANCE COMMITTEE, WHICH IS A SEPARATE STANDING COMMITTEE OF THE BOARD OF DIRECTORS. THIS COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT PROCESS, INCLUDING REVIEWING AND DISCUSSING THE RESULTS OF THE ANNUAL AUDIT WITH THE INDEPENDENT ACCOUNTANT AS WELL AS THE SELECTION AND ENGAGEMENT OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR TAX YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <AddressLine1Txt>3801 BLUE PARKWAY</AddressLine1Txt>
          <CityNm>KANSAS CITY</CityNm>
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        <PublicCharityStatusTxt>LINE 11D, III-O</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
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      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
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      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
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      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
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      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
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          <BusinessNameLine1Txt>SWOPE PARKWAY HOUSING INC</BusinessNameLine1Txt>
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        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>282473</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE</MethodOfAmountDeterminationTxt>
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          <BusinessNameLine1Txt>SWOPE COMMUNITY ENTERPRISES</BusinessNameLine1Txt>
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        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SWOPE HEALTH FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>59883</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>