<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2022v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2023-11-07T14:28:48-06:00</ReturnTs>
    <TaxPeriodEndDt>2022-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>440160260</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>FORVIS LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>500 RIDGEFIELD COURT</AddressLine1Txt>
        <CityNm>ASHEVILLE</CityNm>
        <StateAbbreviationCd>NC</StateAbbreviationCd>
        <ZIPCd>28806</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2022-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>580612274</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>GEORGIA HOSPITAL ASSOCIATION</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>GEOR</BusinessNameControlTxt>
      <PhoneNum>7702494501</PhoneNum>
      <USAddress>
        <AddressLine1Txt>380 INTERSTATE N PARKWAY SE 150</AddressLine1Txt>
        <CityNm>ATLANTA</CityNm>
        <StateAbbreviationCd>GA</StateAbbreviationCd>
        <ZIPCd>30339</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>CARIE SUMMERS</PersonNm>
      <PersonTitleTxt>CFO/EVP HEALTHCARE FINANCING</PersonTitleTxt>
      <PhoneNum>7702494501</PhoneNum>
      <SignatureDt>2023-11-07</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <SigningOfficerGrp>
      <PersonFullName>
        <PersonFirstNm>CARIE</PersonFirstNm>
        <PersonLastNm>SUMMERS</PersonLastNm>
      </PersonFullName>
      <SSN>999009999</SSN>
    </SigningOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>1</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>AMY BIBBY</PreparerPersonNm>
      <PTIN>P00445891</PTIN>
      <PhoneNum>8282542254</PhoneNum>
      <PreparationDt>2023-11-07</PreparationDt>
    </PreparerPersonGrp>
    <AdditionalFilerInformation>
      <TrustedCustomerGrp>
        <TrustedCustomerCd>2</TrustedCustomerCd>
        <AuthenticationAssuranceLevelCd>AAL1</AuthenticationAssuranceLevelCd>
        <IdentityAssuranceLevelCd>IAL1</IdentityAssuranceLevelCd>
      </TrustedCustomerGrp>
    </AdditionalFilerInformation>
    <TaxYr>2022</TaxYr>
    <BuildTS>2023-04-26 12:10:37Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="9">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>EARL ROGERS</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>380 INTERSTATE N PARKWAY SE 150</AddressLine1Txt>
        <CityNm>ATLANTA</CityNm>
        <StateAbbreviationCd>GA</StateAbbreviationCd>
        <ZIPCd>30339</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>9890882</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501cInd organization501cTypeTxt="6">X</Organization501cInd>
      <WebsiteAddressTxt>WWW.GHA.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1952</FormationYr>
      <LegalDomicileStateCd>GA</LegalDomicileStateCd>
      <ActivityOrMissionDesc>TO ADVANCE THE HEALTH OF INDIVIDUALS AND COMMUNITIES BY SERVING AS THE LEADING ADVOCATE FOR ALL GEORGIA HOSPITALS AND HEALTH CARE SYSTEMS.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>21</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>20</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>51</TotalEmployeeCnt>
      <TotalVolunteersCnt>21</TotalVolunteersCnt>
      <TotalGrossUBIAmt>816103</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>32222</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>57315</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>323649</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>7530039</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>7895473</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>1491223</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>-907255</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>2304205</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>602380</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>11382782</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>7914247</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>0</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>7189599</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>6935292</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>2474284</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>3080041</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>9663883</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>10015333</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>1718899</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-2101086</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>28490811</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>28056117</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>5534135</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>7201027</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>22956676</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>20855090</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>THE GEORGIA HOSPITAL ASSOCIATION (GHA) SERVES APPROXIMATELY 150 HOSPITALS THROUGHOUT GEORGIA. ITS PURPOSE IS TO PROMOTE THE HEALTH AND WELFARE OF THE PUBLIC THROUGH THE DEVELOPMENT OF BETTER HEALTH CARE FOR ALL OF GEORGIA'S CITIZENS. GHA MEMBERS ARE COMMITTED TO IMPROVING INSTITUTIONAL HEALTH CARE SERVICES AND, IN TURN, THE HEALTH STATUS OF THE COMMUNITY. THE ASSOCIATION PROVIDES INFORMATION AND EDUCATION ON ISSUES RANGING FROM ACCESS TO HEALTH CARE AND CLINICAL CARE UPDATES TO EFFECTIVE HOSPITAL MANAGEMENT AND COMPLIANCE WITH HIGH LEVEL ACCREDITATION STANDARDS.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <Desc>GHA IS A NONPROFIT TRADE ASSOCIATION MADE UP OF MEMBER HEALTH SYSTEMS, HOSPITALS AND INDIVIDUALS IN ADMINISTRATIVE AND DECISION-MAKING POSITIONS WITHIN THOSE INSTITUTIONS. FOUNDED IN 1929, GHA SERVES HOSPITALS IN GEORGIA. ITS PURPOSE IS TO PROMOTE THE HEALTH AND WELFARE OF THE PUBLIC THROUGH THE DEVELOPMENT OF BETTER HOSPITAL CARE FOR ALL OF GEORGIA'S CITIZENS. GHA MEMBERS ARE COMMITTED TO IMPROVING INSTITUTIONAL HEALTH CARE SERVICES AND, IN TURN, PATIENT CARE. THE ASSOCIATION PROVIDES INFORMATION AND EDUCATION ON ISSUES RANGING FROM ACCESS TO HEALTH CARE AND CLINICAL CARE UPDATES, TO EFFECTIVE HOSPITAL MANAGEMENT AND COMPLIANCE WITH HIGH-LEVEL ACCREDITATION STANDARDS. FROM ITS HEADQUARTERS NEAR ATLANTA, GHA REPRESENTS ITS MEMBERS TO CONGRESS AND THE GENERAL ASSEMBLY AND BEFORE FEDERAL AND STATE REGULATORY AGENCIES. GHA IS AN ALLIED MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION.</Desc>
      <DescribedInSection501c3Ind>0</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="RetDoc1039700001">0</PoliticalCampaignActyInd>
      <SubjectToProxyTaxInd referenceDocumentId="RetDoc1039700001">1</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd>0</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">0</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">1</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">1</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">1</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd referenceDocumentId="RetDoc1040500001">1</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd referenceDocumentId="RetDoc1040500001">0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd referenceDocumentId="RetDoc1040500001">0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>0</FundraisingActivitiesInd>
      <GamingActivitiesInd>0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd>0</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>0</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc1042400001">1</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <LoanOutstandingInd referenceDocumentId="RetDoc1042800001">0</LoanOutstandingInd>
      <GrantToRelatedPersonInd referenceDocumentId="RetDoc1042800001">0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd referenceDocumentId="RetDoc1042800001">1</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd referenceDocumentId="RetDoc1042800001">1</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>0</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>0</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc1043400001">0</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc1043400001">1</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>1</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd referenceDocumentId="RetDoc1043400001">1</TransactionWithControlEntInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>4</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>1</BackupWthldComplianceInd>
      <EmployeeCnt>51</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>1</UnrelatedBusIncmOverLimitInd>
      <Form990TFiledInd>1</Form990TFiledInd>
      <ForeignFinancialAccountInd>1</ForeignFinancialAccountInd>
      <ForeignCountryCd>CJ</ForeignCountryCd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>1</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>21</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>20</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>1</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>0</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>1</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>1</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>1</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>GA</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>CARIE SUMMERS</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>7702494507</PhoneNum>
        <USAddress>
          <AddressLine1Txt>380 INTERSTATE NORTH PARKWAY SE</AddressLine1Txt>
          <CityNm>ATLANTA</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30339</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>DON AVERY</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAN OWENS</PersonNm>
        <TitleTxt>CHAIR ELECT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN BIERSCHENK</PersonNm>
        <TitleTxt>IMMEDIATE PAST CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MONTEZ CARTER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEVE GAUTNEY</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VICKI LEWIS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>J MICHAEL LEVENGOOD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JIMMY ALLEN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY CHATMAN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DELVECHHIO FINLEY</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BILL HIGHTOWER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SARAH MORRISON</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TAMMY MIMS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MIKE MURRILL</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEFFREY MYERS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN PENNINGTON</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT STEINER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KURT STUENKEL</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MELODY TRIMBLE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DOUG WELCH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SALLY PERRY</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>EARL ROGERS</PersonNm>
        <TitleTxt>PRESIDENT AND CEO</TitleTxt>
        <AverageHoursPerWeekRt>33.75</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.80</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>963757</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>107085</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>274376</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARIE SUMMERS</PersonNm>
        <TitleTxt>CFO/EVP HEALTHCARE FINANCING</TitleTxt>
        <AverageHoursPerWeekRt>28.12</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>9.40</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>306033</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>102011</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>97993</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLES ADAMS</PersonNm>
        <TitleTxt>EVP</TitleTxt>
        <AverageHoursPerWeekRt>11.25</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>26.30</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>204845</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>614534</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>116708</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANNA ADAMS</PersonNm>
        <TitleTxt>EVP, EXTERNAL AFFAIRS</TitleTxt>
        <AverageHoursPerWeekRt>33.75</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.80</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>331938</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>36883</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>92717</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KERI CONLEY</PersonNm>
        <TitleTxt>GENERAL COUNSEL/EVP HEALTH POLICY</TitleTxt>
        <AverageHoursPerWeekRt>24.38</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>13.10</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>245482</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>132182</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>110474</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM WYLIE</PersonNm>
        <TitleTxt>SENIOR VP</TitleTxt>
        <AverageHoursPerWeekRt>22.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>15.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>137442</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>91628</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>38656</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DONNA HATCHER</PersonNm>
        <TitleTxt>VP</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>169000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39700</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CAROLYN GURNEY</PersonNm>
        <TitleTxt>HR DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>26.25</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>11.30</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>106786</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>45765</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28856</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEVEN MCWILLIAMS</PersonNm>
        <TitleTxt>CIO</TitleTxt>
        <AverageHoursPerWeekRt>28.12</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>9.40</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>118983</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>39662</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30151</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TRIPP COFIELD</PersonNm>
        <TitleTxt>VP GOVERNMENT RELATIONS</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>160109</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32078</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2744375</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>1169750</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>861709</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>18</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>53500</RelatedOrganizationsAmt>
      <AllOtherContributionsAmt>270149</AllOtherContributionsAmt>
      <TotalContributionsAmt>323649</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEMBERSHIP DUES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>5168645</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5168645</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>DATABASE PROGRAM FEES</Desc>
        <BusinessCd>518210</BusinessCd>
        <TotalRevenueColumnAmt>1980274</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1980274</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>WORKSHOPS, SEMINARS, CONVENTION</Desc>
        <BusinessCd>611710</BusinessCd>
        <TotalRevenueColumnAmt>746554</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>746554</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>7895473</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1069380</TotalRevenueColumnAmt>
        <ExclusionAmt>1069380</ExclusionAmt>
      </InvestmentIncomeGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>1976635</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-1976635</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-1976635</TotalRevenueColumnAmt>
        <ExclusionAmt>-1976635</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>CONSULTING</Desc>
        <BusinessCd>541610</BusinessCd>
        <TotalRevenueColumnAmt>1444909</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>628806</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>816103</UnrelatedBusinessRevenueAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>21</TotalRevenueColumnAmt>
        <ExclusionAmt>21</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>CAPTIVE OPERATING INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>-842550</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-842550</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>602380</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>7914247</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7681729</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>816103</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-907234</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>2093023</TotalAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>3508914</TotalAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>515371</TotalAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>531341</TotalAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>286643</TotalAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>42893</TotalAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>38140</TotalAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>22576</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>314849</TotalAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>967</TotalAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>184726</TotalAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>1008311</TotalAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>232947</TotalAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>90511</TotalAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>751941</TotalAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>37602</TotalAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>98064</TotalAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>52352</TotalAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEMBERSHIP ACTIVITIES</Desc>
        <TotalAmt>98548</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SPONSOR EXPENSE</Desc>
        <TotalAmt>51549</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PUBLIC AWARENESS AND AD</Desc>
        <TotalAmt>38704</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS EXPENSES</Desc>
        <TotalAmt>13282</TotalAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>2079</TotalAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>10015333</TotalAmt>
      </TotalFunctionalExpensesGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>513155</BOYAmt>
        <EOYAmt>557665</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1529433</BOYAmt>
        <EOYAmt>2080953</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>344482</BOYAmt>
        <EOYAmt>382656</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>607220</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>515159</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>185778</BOYAmt>
        <EOYAmt>92061</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>12869422</BOYAmt>
        <EOYAmt>11240068</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>12314822</BOYAmt>
        <EOYAmt>12296039</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>733719</BOYAmt>
        <EOYAmt>1406675</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>28490811</BOYAmt>
        <EOYAmt>28056117</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>3522775</BOYAmt>
        <EOYAmt>3706738</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>2011360</BOYAmt>
        <EOYAmt>2114288</EOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>1380001</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>5534135</BOYAmt>
        <EOYAmt>7201027</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>22956676</BOYAmt>
        <EOYAmt>20855090</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>22956676</BOYAmt>
        <EOYAmt>20855090</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>28490811</BOYAmt>
        <EOYAmt>28056117</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-2101086</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>-500</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <SubstantiallyAllDuesNondedInd>0</SubstantiallyAllDuesNondedInd>
      <OnlyInHouseLobbyingInd>0</OnlyInHouseLobbyingInd>
      <AgreeCarryoverPriorYearInd>0</AgreeCarryoverPriorYearInd>
      <DuesAssessmentsAmt>5117020</DuesAssessmentsAmt>
      <NonDeductibleLbbyngPltclCYAmt>1115510</NonDeductibleLbbyngPltclCYAmt>
      <NonDeductibleLbbyngPltclTotAmt>1115510</NonDeductibleLbbyngPltclTotAmt>
      <AggregateReportedDuesNtcAmt>1105276</AggregateReportedDuesNtcAmt>
      <CarriedOverAmt>10234</CarriedOverAmt>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>607220</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>515159</DepreciationAmt>
        <BookValueAmt>92061</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>92061</TotalBookValueLandBuildingsAmt>
      <InvstProgramRelatedOrgGrp>
        <Desc>INVESTMENT IN AFFILIATED COMPANIES</Desc>
        <BookValueAmt>12296039</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <TotalBookValueProgramRltdAmt>12296039</TotalBookValueProgramRltdAmt>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM AFFILIATES</Desc>
        <BookValueAmt>26674</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>ROU ASSET</Desc>
        <BookValueAmt>1380001</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>1406675</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ROU LIABILITY</Desc>
        <Amt>1380001</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1380001</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>GHA IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(6) OF THE INTERNAL REVENUE CODE (THE "CODE"), EXCEPT FOR UNRELATED BUSINESS INCOME. GHAREF IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE CODE. GHCIC HAS RECEIVED EXEMPTIONS FROM THE CAYMAN ISLAND GOVERNMENT EXEMPTING THESE ENTITIES FROM ALL LOCAL INCOME, PROFITS, AND CAPITAL GAINS TAXES UNTIL DECEMBER 9, 2034. NO SUCH TAXES ARE LEVIED IN THE CAYMAN ISLANDS AT THE PRESENT TIME. HCIR AND GHHS ARE FOR-PROFIT ENTITIES AND SUBJECT TO INCOME TAX. WITH RESPECT TO ITS FOR-PROFIT SUBSIDIARIES, THE ASSOCIATION RECORDS INCOME TAXES USING THE ASSET AND LIABILITY METHOD UNDER WHICH DEFERRED INCOME TAXES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASES OF ASSETS AND LIABILITIES. DEFERRED INCOME TAXES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIODS THAT THE DEFERRED INCOME TAXES ARE EXPECTED TO BE REALIZED OR SETTLED. THE ASSOCIATION RECOGNIZES TAX BENEFITS FROM UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN FIFTY PERCENT LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE ASSOCIATION HAS EVALUATED ITS TAX POSITIONS AND HAS DETERMINED THAT THEY DO NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="RetDoc1040500001">
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA AND THE CARIBBEAN</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>INVESTMENTS</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>423686</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalOfficesCnt>0</SubtotalOfficesCnt>
      <SubtotalEmployeesCnt>0</SubtotalEmployeesCnt>
      <ContinuationTotalOfficeCnt>0</ContinuationTotalOfficeCnt>
      <ContinuationTotalEmployeeCnt>0</ContinuationTotalEmployeeCnt>
      <TotalOfficeCnt>0</TotalOfficeCnt>
      <TotalEmployeeCnt>0</TotalEmployeeCnt>
      <SubtotalSpentAmt>423686</SubtotalSpentAmt>
      <ContinuationSpentAmt>0</ContinuationSpentAmt>
      <TotalSpentAmt>423686</TotalSpentAmt>
      <TransferToForeignCorpInd>0</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>0</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>1</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>0</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>0</ForeignPartnershipInd>
      <BoycottCountriesInd>0</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III ACCOUNTING METHOD:</FormAndLineReferenceDesc>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <TravelForCompanionsInd>X</TravelForCompanionsInd>
      <ClubDuesOrFeesInd>X</ClubDuesOrFeesInd>
      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>1</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EARL ROGERS</PersonNm>
        <TitleTxt>PRESIDENT AND CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>662805</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>73645</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>220271</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>24475</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>80681</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>8965</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>226539</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>25171</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20399</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>2267</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1210695</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>134523</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHARLES ADAMS</PersonNm>
        <TitleTxt>EVP</TitleTxt>
        <BaseCompensationFilingOrgAmt>118414</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>355242</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>16125</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>48375</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>70306</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>210917</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>25008</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>70022</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>5705</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>15973</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>235558</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>700529</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>85048</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>198445</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CARIE SUMMERS</PersonNm>
        <TitleTxt>CFO/EVP HEALTHCARE FINANCING</TitleTxt>
        <BaseCompensationFilingOrgAmt>271285</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>90428</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>36645</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>12215</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>-1897</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>-632</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>62424</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>20808</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11071</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>3690</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>379528</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>126509</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KERI CONLEY</PersonNm>
        <TitleTxt>GENERAL COUNSEL/EVP HEALTH POLICY</TitleTxt>
        <BaseCompensationFilingOrgAmt>215417</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>115994</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>29007</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>15619</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1058</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>569</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>51203</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>27571</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20605</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>11095</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>317290</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>170848</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANNA ADAMS</PersonNm>
        <TitleTxt>EVP, EXTERNAL AFFAIRS</TitleTxt>
        <BaseCompensationFilingOrgAmt>294134</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>32682</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>23864</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>2652</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>13940</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>1549</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>68766</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>7641</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14679</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>1631</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>415383</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>46155</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM WYLIE</PersonNm>
        <TitleTxt>SENIOR VP</TitleTxt>
        <BaseCompensationFilingOrgAmt>132179</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>88119</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>1264</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>843</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3999</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>2666</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14005</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>9336</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9189</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>6126</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>160636</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>107090</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DONNA HATCHER</PersonNm>
        <TitleTxt>VP</TitleTxt>
        <BaseCompensationFilingOrgAmt>171571</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>1590</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>-4161</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>17984</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21716</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>208700</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TRIPP COFIELD</PersonNm>
        <TitleTxt>VP GOVERNMENT RELATIONS</TitleTxt>
        <BaseCompensationFilingOrgAmt>146513</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>1624</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>11972</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>32078</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>192187</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEVEN MCWILLIAMS</PersonNm>
        <TitleTxt>CIO</TitleTxt>
        <BaseCompensationFilingOrgAmt>114440</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>38147</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>1193</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>398</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3350</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>1117</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12260</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>4087</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10353</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>3451</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>141596</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>47200</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CAROLYN GURNEY</PersonNm>
        <TitleTxt>HR DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>112840</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>48360</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>947</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>406</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>-7001</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>-3001</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10960</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>4697</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9239</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>3960</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>126985</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>54422</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A POLICY THAT STATES: GENERALLY, EXPENSES INCURRED BY A SPOUSE OR COMPANION OF A GHA EMPLOYEE ARE NOT REIMBURSABLE UNLESS THERE IS A BUSINESS PURPOSE FOR THE EXPENSES AND THE GHA EMPLOYEE HAS OBTAINED PRIOR WRITTEN APPROVAL FROM THE EMPLOYEE'S SUPERVISOR. FOR THE PRESIDENT, THE TERMS OF TRAVEL EXPENSE REIMBURSEMENT ARE DICTATED BY HIS EMPLOYMENT CONTRACT: GHA SHALL REIMBURSE THE PRESIDENT FOR TRAVEL, BOARD, MEALS AND OTHER REASONABLY NECESSARY BUSINESS COSTS INCURRED IN CONNECTION WITH, AND NECESSARY FOR THE PERFORMANCE OF, HIS DUTIES AND RESPONSIBILITIES UNDER THIS AGREEMENT. SUCH REIMBURSEMENT SHALL EXTEND TO REASONABLE TRAVEL EXPENSES INCURRED BY THE PRESIDENTS SPOUSE WHERE HER ATTENDENCE IS EXPECTED AT CERTAIN BUSINESS-RELATED FUNCTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINES 4A-B</FormAndLineReferenceDesc>
        <ExplanationTxt>ETHAN JAMES, EXECUTIVE VICE PRESIDENT, RECEIVED SEVERANCE PAYMENTS TOTALING $154,917 IN CY 2022 CEO AND OTHER LEADERSHIP TEAM MEMBERS HAVE A 457(F) DEFERRED COMPENSATION PLAN. ONLY CHARLES ADAMS, EXECUTIVE VICE PRESIDENT, RECEIVED A 457(F) PAYOUT OF $283,493 IN CY 2022. THE FOLLOWING AMOUNTS ACCRUED UNDER THE TERMS OF THE PLAN: EARL ROGERS - $ 220,935 CARIE SUMMERS - $ 52,457 CHARLES ADAMS - $ 69,256 ANNA ADAMS - $ 45,632 KERI CONLEY - $ 47,999</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO AND LEADERSHIP TEAM MEMBERS ARE SUBJECT TO RECEIVE INCENTIVE COMPENSATION BASED ON THE PERFORMANCE OF CORPORATE GOALS. ONE CORPORATE GOAL IS TO MEET THE OPERATING NET INCOME BUDGET. THIS GOAL IS WORTH 7.5% OF THE TOTAL INCENTIVE PAYMENT AVAILABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>GEORGIA HOSPITAL ASSOCIATION ISSUES W-2'S FOR ITS OFFICERS, HOWEVER PORTIONS OF THEIR SALARIES AND BENEFITS ARE ALLOCATED TO OTHER RELATED ENTITIES. THE ALLOCATIONS ARE AS FOLLOWS: EARL ROGERS - 90% TO GEORGIA HOSPITAL ASSOCIATION (GHA), 3% TO GEORGIA HOSPITAL ASSOCIATION RESEARCH AND EDUCATION FOUNDATION (GHAREF), 4% TO HEALTH CARE INSURANCE RESOURCES (HCIR), AND 3% TO GEORGIA HOSPITAL HEALTH SERVICES, INC (GHHS). CHARLES ADAMS - 30% TO GHA, 25% TO GHAREF, 25% TO HCIR, AND 20% TO GHHS. CARIE SUMMERS - 75% TO GHA, 15% TO GHAREF, 5% TO HCIR, AND 5% TO GHHS. KERI CONLEY - 65% TO GHA, 25% TO GHREF, 5% TO HCIR AND 5% TO GHHS ANNA ADAMS - 90% TO GHA, 10% TO GHREF</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>ANNA ADAMS</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>ANNA ADAMS IS THE DAUGHTER-IN-LAW OF CHARLES ADAMS</RelationshipDescriptionTxt>
        <TransactionAmt>350198</TransactionAmt>
        <TransactionDesc>EVP, EXTERNAL AFFAIRS</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE VP CHARLES ADAMS AND THE EVP, EXTERNAL AFFAIRS ANNA ADAMS HAVE A FAMILY RELATIONSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS OF THE CORPORATION SHALL CONSIST OF THOSE PERSONS, INCLUDING INDIVIDUALS AND ORGANIZATIONS, WHO MAY FROM TIME TO TIME BE APPOINTED TO MEMBERSHIP IN SUCH MANNER AND UNDER SUCH REQUIREMENTS AS MAY BE PRESCRIBED IN THESE (GEORGIA HOSPITAL ASSOCIATION, INCORPORATED) BYLAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNMENT AND MANAGEMENT OF AFFAIRS OF THE CORPORATION SHALL BE VESTED IN THE BOARD OF TRUSTEES. THE BOARD OF TRUSTEES SHALL HAVE SUPERVISION, CONTROL AND DIRECTION OF THE MANAGEMENT, AFFAIRS, AND PROPERTY OF THE CORPORATION; SHALL DETERMINE ITS POLICIES OR CHANGES THEREIN; AND SHALL ACTIVELY PROSECUTE ITS PURPOSES AND OBJECTIVES AND SUPERVISE THE DISBURSEMENT OF ITS FUNDS. THE BOARD OF TRUSTEES MAY ADOPT, BY MAJORITY VOTE, SUCH RULES AND REGULATIONS FOR THE CONDUCT OF ITS BUSINESS AND THE BUSINESS OF THE CORPORATION AS SHALL BE DEEMED ADVISABLE, AND MAY, IN THE EXECUTION OF THE POWERS GRANTED, DELEGATE CERTAIN OF ITS AUTHORITY AND RESPONSIBILITY TO AN EXECUTIVE COMMITTEE. UNDER NO CIRCUMSTANCES, HOWEVER, SHALL ANY ACTIONS BE TAKEN WHICH ARE INCONSISTENT WITH ANY ACTION OF THE ASSEMBLY OR WITH THE ARTICLES OF INCORPORATION OR THESE BYLAWS; AND THE FUNDAMENTAL AND BASIC PURPOSES OF THE CORPORATION, AS EXPRESSED IN THE ARTICLES OF INCORPORATION AND THESE BYLAWS, SHALL NOT BE AMENDED OR CHANGED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AUDIT/FINANCE COMMITTEE OF THE ORGANIZATION MET AND WAS PROVIDED AN OVERVIEW OF THE FORM 990 BY THE ASSOCIATION'S TAX FIRM. PAPER AND ELECTRONIC COPIES OF FORM 990 WERE MADE AVAILABLE TO EACH MEMBER OF THE BOARD OF TRUSTEES UPON THEIR REQUEST. THIS OCCURED AT THE LAST BOARD MEETING BEFORE THE FORM 990 WAS FILED. DURING THIS MEETING, THE AUDIT/FINANCE COMMITTEE CHAIR REPORTED THE COMMITTEE'S REVIEW TO THE BOARD AND ASKED THE BOARD TO VOTE FOR APPROVAL OF THE FORM 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>KEY EMPLOYEES ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE DISCLOSURE STATEMENT FOR GHA OFFICERS AND MANAGERS IS IN THE GHA EMPLOYEE HANDBOOK. TRUSTEES COMPLETE A SIMILAR DISCLOSURE STATEMENT THAT IS SPECIFIC TO GHA TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS ARE NOT COMPENSATED. EMPLOYEE COMPENSATION BASED ON MARKET-BASED SALARY STUDY FOR COMPARABLE POSITIONS CONDUCTED EVERY THREE YEARS. SALARIES SET WITHIN THE RANGE INDENTIFIED IN THE STUDY. SALARIES APPROVED BY MANAGER, HR DIRECTOR AND CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE UPON REQUEST. ADDITIONALLY, RECENT FILINGS OF THE FORM CAN BE FOUND ON GUIDESTAR.ORG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>NO DOCUMENTS AVAILABLE TO PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GEORGIA HOSPITAL ASSOCIATION RESEARCH AND EDUCATION FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>380 INTERSTATE NORTH PARKWAY SE STE</AddressLine1Txt>
          <CityNm>ATLANTA</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30339</ZIPCd>
        </USAddress>
        <EIN>586047070</EIN>
        <PrimaryActivitiesTxt>RESEARCH AND EDUCATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GEORGIA HOSPITAL ASSOCIATION INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HEALTH CARE INSURANCE RESOURCES</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>380 INTERSTATE NORTH PARKWAY SE STE</AddressLine1Txt>
          <CityNm>ATLANTA</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30339</ZIPCd>
        </USAddress>
        <EIN>581438039</EIN>
        <PrimaryActivitiesTxt>INSURANCE MARKETING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GEORGIA HOSPITAL ASSOCIATION INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>4809158</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>6045614</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GEORGIA HOSPITAL HEALTH SERVICES</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>380 INTERSTATE NORTH PARKWAY SE STE</AddressLine1Txt>
          <CityNm>ATLANTA</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30339</ZIPCd>
        </USAddress>
        <EIN>581785824</EIN>
        <PrimaryActivitiesTxt>PROFESSIONAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GEORGIA HOSPITAL ASSOCIATION INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>1200664</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>479523</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GEORGIA HEALTHCARE INSURANCE COMPANY SPC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>62 FORUM LANE 3RD FLOOR</AddressLine1Txt>
          <CityNm>GRAND CAYMAN</CityNm>
          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>KY1-1203</ForeignPostalCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GEORGIA HOSPITAL ASSOCIATION INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>-694927</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>8156446</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GEORGIA HOSPITAL RESEARCH AND EDUCATION FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>628806</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GEORGIA HOSPITAL RESEARCH AND EDUCATION FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>1015650</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HEALTH CARE INSURANCE RESOURCES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>465706</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HEALTH CARE INSURANCE RESOURCES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>1500000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GEORGIA HOSPITAL HEALTH SERVICES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>338397</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GEORGIA HOSPITAL HEALTH SERVICES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>1453500</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
