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        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>128247</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21413</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DANA ZINN</PersonNm>
        <TitleTxt>FAMILY NURSE PRACTITIONER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>136131</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>403</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HUNTER ROLF</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>173074</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19988</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KATHERINE SNODGRASS</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>173658</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7626</OtherCompensationAmt>
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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>121859</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>14</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>LYTLE CONSTRUCTION INC</BusinessNameLine1Txt>
          </BusinessName>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1100 SE HAMBLEN ROAD</AddressLine1Txt>
            <CityNm>LEES SUMMIT</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>64081</ZIPCd>
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        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>1564629</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ECLINICALWORKS</BusinessNameLine1Txt>
          </BusinessName>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 847950</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>022847950</ZIPCd>
          </USAddress>
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        <ServicesDesc>SOFTWARE/TECH SERVICES</ServicesDesc>
        <CompensationAmt>203822</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FORVIS MAZARS</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>PO BOX 200870</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>753200870</ZIPCd>
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        <CompensationAmt>131844</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>VITRUVIAN HEALTHCARE</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>1741 NE BLUE HERON CT</AddressLine1Txt>
            <CityNm>LEES SUMMIT</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>64086</ZIPCd>
          </USAddress>
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        <ServicesDesc>NURSE PRACTITIONER OVERSIGHT</ServicesDesc>
        <CompensationAmt>120100</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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            <CityNm>OLATHE</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66062</ZIPCd>
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        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>120000</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>5285988</GovernmentGrantsAmt>
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        <RelatedOrExemptFuncIncomeAmt>430470</RelatedOrExemptFuncIncomeAmt>
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      <InvestmentIncomeGrp>
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        <PersonalAmt>0</PersonalAmt>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>-27773</ExclusionAmt>
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        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>29753</ExclusionAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <GrantsToDomesticOrgsGrp>
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      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>104031</ProgramServicesAmt>
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      <ConferencesMeetingsGrp>
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      <InterestGrp>
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        <ProgramServicesAmt>623473</ProgramServicesAmt>
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        <FormAndLineReferenceDesc>Schedule C, Part II-B, Line 1i OTHER LOBBYING ACTIVITIES</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PAYS DUES TO MISSOURI PRIMARY CARE ASSOCIATION. A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING.</ExplanationTxt>
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        <BookValueAmt>1601472</BookValueAmt>
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      <EquipmentGrp>
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        <BookValueAmt>2225975</BookValueAmt>
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        <BookValueAmt>65000</BookValueAmt>
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      <OtherAssetsOrgGrp>
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      <OtherAssetsOrgGrp>
        <Desc>ROU Assets</Desc>
        <BookValueAmt>445590</BookValueAmt>
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      <TotalBookValueOtherAssetsAmt>616067</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
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      <OtherLiabilitiesOrgGrp>
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        <Amt>45000</Amt>
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      <OtherRevenuesNotIncludedAmt>97354</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>97354</RevenueNotReportedFinclStmtAmt>
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      <OtherExpensesIncludedAmt>27773</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>27773</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>13007747</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>0</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>13007747</TotalExpensesPerForm990Amt>
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        <FormAndLineReferenceDesc>Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990</FormAndLineReferenceDesc>
        <ExplanationTxt>NET ASSETS RELEASED FROM RESTRICTION - 881408</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements</FormAndLineReferenceDesc>
        <ExplanationTxt>TEMPORARILY RESTRICTED CONTRIBUTIONS - 125127 LOSS ON DISPOSAL OF PP&amp;E - -27773</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON DISPOSAL OF PP&amp;E - 27773</ExplanationTxt>
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      <CompensationSurveyInd>X</CompensationSurveyInd>
      <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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        <PersonNm>TONIANN RICHARD</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>189064</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>214472</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PRESTON HOWERTON</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GEOFF PETERSON</PersonNm>
        <TitleTxt>CHIEF DENTAL OFFICER</TitleTxt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>9413</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8494</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>257186</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HUNTER ROLF</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12791</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>193062</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KATHERINE SNODGRASS</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6946</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>680</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>181284</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTHCARE, COMMUNITY AND SOCIAL SERVICE ORGANIZATIONS ARE MEMBERS OF HCC. DUES RANGE FROM $50 - $500 PER YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORAMTION PROVIDED BY T THE FINANCE DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING A DRAFT VERSION OF FORM 990 IS REVIEWED BY MANAGEMENT AND PROVIDED TO THE BOARD</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>A CONFLICT OF INTEREST TRANSACTION IS APPROVED IF IT RECEIVED THE AFFIRMATIVE VOTE OF A MAJORITY OF THE DIRECTORS ON THE BOARD, OR ON THE COMMITTEE, WHO HAVE NO DIRECT OR INDIRECT FINANCIAL AND/OR INSTITUTIONAL INTEREST IN THE TRANSACTION. A QUORUM IS DEEMED PRESENT FOR THE PURPOSE OF THE VOTE. IF THE TRANSACTION IS APPROVED, THE MINUTES OF THE MEETING SHALL REFLECT THE NAMES OF THE PERSON WHO DISCLOSED FINANCIAL OR INSTITUTIONAL INTEREST, THE NATURE OF SUCH INTEREST AND WHETHER THE BOARD DETERMINED THERE WAS A CONFLICT, THE NAMES OF THE PERSONS PRESENT FOR THE DISCUSSION AND VOTES RELATING TO THE TRANSACTION, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION; AND A ROLL CALL OF THE VOTE. BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS REVIEWS AND APPROVES COMPENSATION. EXECUTIVE REVIEW WAS HELD MAY 28, 2025. HCC COMPARES SALARY WITH TWO INDEPENDENT SALARY SURVEYS AND THE EXECUTIVE COMMITTEE MAKES RECOMMENDATIONS TO THE ENTIRE BOARD FOR SALARY COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS OF HCC ARE MADE AVAILABLE AS REQUESTED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>