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      <Form990PartVIISectionAGrp>
        <PersonNm>Don King</PersonNm>
        <TitleTxt>Director thru. April 2022</TitleTxt>
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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AJ Thomas</PersonNm>
        <TitleTxt>Director thru. May 2022</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Karen Braman</PersonNm>
        <TitleTxt>SR VP, Healthcare Strategy</TitleTxt>
        <AverageHoursPerWeekRt>36.80</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.20</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>294993</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>49532</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Steve Poage</PersonNm>
        <TitleTxt>Vice President/CFO</TitleTxt>
        <AverageHoursPerWeekRt>20.80</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>19.20</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>335182</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Cindy Samuelson</PersonNm>
        <TitleTxt>Senior Vice President</TitleTxt>
        <AverageHoursPerWeekRt>37.20</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.80</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>185741</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Dennis George</PersonNm>
        <TitleTxt>CEO - APS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>226713</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kathi Branyon</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Audrey Dunkel</PersonNm>
        <TitleTxt>VP, Government Relations</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>151886</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36088</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jennifer Findley</PersonNm>
        <TitleTxt>KHERF Exeutive Director</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>21.60</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Shannan Flach</PersonNm>
        <TitleTxt>VP, Finance and Reimbursem</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.80</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Bruce Frerking</PersonNm>
        <TitleTxt>Senior Director Client Services</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>131146</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39887</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2210194</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>490754</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>16</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>Membership Dues and Assessments</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>3595393</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3595393</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Convention</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>387816</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>387816</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Education-Leadership</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>289565</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>289565</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Data Services</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>186377</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>186377</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Councils/Committees</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>58209</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>58209</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>70020</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>70020</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>4587380</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>226259</TotalRevenueColumnAmt>
        <ExclusionAmt>226259</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>40130</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>37949</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>2181</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>2181</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>4043</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-1862</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>2500359</SecuritiesAmt>
        <OtherAmt>145</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>2826169</SecuritiesAmt>
        <OtherAmt>44</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-325810</SecuritiesAmt>
        <OtherAmt>101</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-325709</TotalRevenueColumnAmt>
        <ExclusionAmt>-325709</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>Miscellaneous</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>7403</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7403</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>7403</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>4497514</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4594783</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>4043</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-101312</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1016766</TotalAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>1339245</TotalAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>137066</TotalAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>144238</TotalAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>129604</TotalAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>37408</TotalAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>59927</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>18325</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>374949</TotalAmt>
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      <AdvertisingGrp>
        <TotalAmt>30124</TotalAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>103402</TotalAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>62595</TotalAmt>
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      <TravelGrp>
        <TotalAmt>273392</TotalAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>335838</TotalAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>54708</TotalAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>11273</TotalAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Data Services</Desc>
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      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Gifts &amp; Memorials</Desc>
        <TotalAmt>103622</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Equipment Rental &amp; Main</Desc>
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      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Miscellaneous</Desc>
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      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>12006</TotalAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>4660389</TotalAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>171033</BOYAmt>
        <EOYAmt>1408650</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>2921411</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
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        <EOYAmt>54195</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>36925</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>1433940</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1222883</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>258543</BOYAmt>
        <EOYAmt>211057</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>8220627</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
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      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
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        <EOYAmt>47583</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
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        <EOYAmt>20414930</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>1016361</EOYAmt>
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      <DeferredRevenueGrp>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>352909</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>3459221</BOYAmt>
        <EOYAmt>4113958</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>16234785</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>66187</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>18666890</BOYAmt>
        <EOYAmt>16300972</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>22126111</BOYAmt>
        <EOYAmt>20414930</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-162875</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-2203043</NetUnrlzdGainsLossesInvstAmt>
      <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>
    <IRS990ScheduleC documentId="RetDoc1039700001">
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      <OnlyInHouseLobbyingInd>0</OnlyInHouseLobbyingInd>
      <AgreeCarryoverPriorYearInd>1</AgreeCarryoverPriorYearInd>
      <DuesAssessmentsAmt>3595393</DuesAssessmentsAmt>
      <NonDeductibleLbbyngPltclCYAmt>332798</NonDeductibleLbbyngPltclCYAmt>
      <NonDedLbbyngPltclCyovAmt>17036</NonDedLbbyngPltclCyovAmt>
      <NonDeductibleLbbyngPltclTotAmt>349834</NonDeductibleLbbyngPltclTotAmt>
      <AggregateReportedDuesNtcAmt>334372</AggregateReportedDuesNtcAmt>
      <CarriedOverAmt>15462</CarriedOverAmt>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <BookValueAmt>11405</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>824610</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>727238</DepreciationAmt>
        <BookValueAmt>97372</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>425881</DepreciationAmt>
        <BookValueAmt>78813</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>93231</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>69764</DepreciationAmt>
        <BookValueAmt>23467</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>211057</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>Investment in Subsidiary</Desc>
        <BookValueAmt>7514482</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>7514482</TotalBookValueSecuritiesAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Due to Healthworks KHA Foundation, Inc.</Desc>
        <Amt>10217</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Due to American Hospital Association</Desc>
        <Amt>342692</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>352909</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Management is not aware of any uncertain tax positions.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Chad Austin</PersonNm>
        <TitleTxt>President</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>63000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>8052</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>56105</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>29138</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>517357</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Steve Poage</PersonNm>
        <TitleTxt>Vice President/CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>260082</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>67561</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>7539</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>56007</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>35229</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>426418</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Karen Braman</PersonNm>
        <TitleTxt>SR VP, Healthcare Strategy</TitleTxt>
        <BaseCompensationFilingOrgAmt>265761</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>27000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2232</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dennis George</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Cindy Samuelson</PersonNm>
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        <PersonNm>Audrey Dunkel</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Shannan Flach</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Bruce Frerking</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Members of the Association consist of community hospital members, specialty hospital members, health care organization members, health insurance company members, and associate members.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>Board of directors are elected at the annual business meeting of the Association.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Reviewed by the Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization has a compliance officer and has approved an internal audit process.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>Outside firm and survey data used by the Executive Committee of the board. Data is comprised of similar positions from across the country.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization provides its governing documents, conflict of interest policy, and financial statements to the public if asked.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>990 Page 11 Part XI 2c</FormAndLineReferenceDesc>
        <ExplanationTxt>Audit commitee assumes the reponsibility and meets with the auditor annually.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        </DisregardedEntityName>
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          <StateAbbreviationCd>KS</StateAbbreviationCd>
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        <PrimaryActivitiesTxt>Provide education to KS hospitals &amp; their employees; and scholarships.</PrimaryActivitiesTxt>
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        </DirectControllingEntityName>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Kansas Healthcare Collaborative Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <CityNm>Topeka</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66612</ZIPCd>
        </USAddress>
        <EIN>943483497</EIN>
        <PrimaryActivitiesTxt>Transform healthcare through patient centered initiatives.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
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        </USAddress>
        <EIN>480991210</EIN>
        <PrimaryActivitiesTxt>Facilitate Discount Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <DirectControllingEntityName>
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        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>-77549</ShareOfTotalIncomeAmt>
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      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
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      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
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      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
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      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
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          <BusinessNameLine1Txt>Kansas Health Services Corporation</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
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      </TransactionsRelatedOrgGrp>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
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      </TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>The Health Alliance of Mid-America LLC</BusinessNameLine1Txt>
        </BusinessName>
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          <AddressLine1Txt>7015 College Blvd Suite 150</AddressLine1Txt>
          <CityNm>Overland Park</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66211</ZIPCd>
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        <EIN>431843809</EIN>
        <PrimaryActivitiesTxt>Provide programs, products, &amp; services to members and members constituancies</PrimaryActivitiesTxt>
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</Return>
