The VA Heartland Network is the regional unit that directs activities for Veteran Integrated Service Network (VISN) 15. The VA Heartland Network is one of 18 VISNs in the Veterans Health Administration (VHA). It is composed of seven integrated healthcare systems that include 9 medical centers (all provide ambulatory care services), 56 community-based outpatient clinics (CBOCs), 7 long-term care facilities, and numerous specialized services. The VA Heartland Network spans a geographic area of 162,207 square miles across Kansas and Missouri, as well as parts of Illinois, Indiana, Kentucky and Arkansas. VISN 15 provides health care services to over 275,000 Veterans annually and has an annual operating budget of $2 billion with 11,000 employees. VA Heartland Network is one of the only VA networks in the country to be endorsed by the National Committee for Quality Assurance (NCQA).