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        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>270287</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>55744</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>45598</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MAUREEN KEENHLE</PersonNm>
        <TitleTxt>FORMER V/P GENERAL COUNSEL</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>239293</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PERRY MEYER</PersonNm>
        <TitleTxt>EXECUTIVE VP</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>339284</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>69032</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>51897</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BECKY ANTHONY</PersonNm>
        <TitleTxt>FORMER V/P EDUCATION</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>254676</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17902</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CLARE KELLY</PersonNm>
        <TitleTxt>CHIEF ADVOCACY OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>103503</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2048</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBB GARDNER</PersonNm>
        <TitleTxt>CHIEF OF STAFF</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>209241</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>41852</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27920</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2099348</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>306773</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>256457</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>7</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>MEMBERSHIP DUES &amp; ASSESSMENTS</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>4022851</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4022851</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>DATA SALES &amp; CONTRACTS</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>3480974</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>3480974</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEETING &amp; PROGRAMS</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>1282724</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1282724</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER SERVICES</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>724795</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>724795</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>9511344</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>292951</TotalRevenueColumnAmt>
        <ExclusionAmt>292951</ExclusionAmt>
      </InvestmentIncomeGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>133424</TotalRevenueColumnAmt>
        <ExclusionAmt>133424</ExclusionAmt>
      </RoyaltiesRevenueGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>2527203</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>2668827</SecuritiesAmt>
        <OtherAmt>712</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-141624</SecuritiesAmt>
        <OtherAmt>-712</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-142336</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-712</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>-141624</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>ADMINISTRATIVE SERVICES</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>12788</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12788</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>12788</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>9808171</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6042446</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>3480974</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>284751</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>120000</TotalAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>2099348</TotalAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>2763974</TotalAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>490387</TotalAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>342458</TotalAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>299727</TotalAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>114428</TotalAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>15145</TotalAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>205879</TotalAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>4345</TotalAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>19548</TotalAmt>
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      <OccupancyGrp>
        <TotalAmt>331549</TotalAmt>
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      <TravelGrp>
        <TotalAmt>101056</TotalAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>63062</TotalAmt>
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      <PaymentsToAffiliatesGrp>
        <TotalAmt>2350</TotalAmt>
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        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
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      <OtherExpensesGrp>
        <Desc>ANNUAL MEETING &amp; EDUCAT</Desc>
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      <OtherExpensesGrp>
        <Desc>INFORMATIONAL PROGRAMS</Desc>
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      <OtherExpensesGrp>
        <Desc>FEDERAL &amp; STATE ADVOCAC</Desc>
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      <AllOtherExpensesGrp>
        <TotalAmt>471515</TotalAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>10385789</TotalAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>7698</BOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>14027631</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>291725</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>150545</BOYAmt>
        <EOYAmt>289586</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>5098494</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>4454958</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>867381</BOYAmt>
        <EOYAmt>643536</EOYAmt>
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      <OtherAssetsTotalGrp>
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      <TotalAssetsGrp>
        <BOYAmt>14536299</BOYAmt>
        <EOYAmt>16127885</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1886499</BOYAmt>
        <EOYAmt>2143550</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>618622</BOYAmt>
        <EOYAmt>1251590</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>991202</BOYAmt>
        <EOYAmt>875407</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>3496323</BOYAmt>
        <EOYAmt>4270547</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>11039976</BOYAmt>
        <EOYAmt>11857338</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>11039976</BOYAmt>
        <EOYAmt>11857338</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>14536299</BOYAmt>
        <EOYAmt>16127885</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-577618</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1394980</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolAndSepBasisFinclStmtInd>X</ConsolAndSepBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleC documentId="RetDoc1039500001">
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      <InternalFundsContributedAmt>37500</InternalFundsContributedAmt>
      <TotalExemptFunctionExpendAmt>37500</TotalExemptFunctionExpendAmt>
      <Form1120POLFiledInd>0</Form1120POLFiledInd>
      <Section527PoliticalOrgGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>REPUBLICAN GOVERNORS ASSOCIATION</BusinessNameLine1Txt>
        </OrganizationBusinessName>
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          <StateAbbreviationCd>DC</StateAbbreviationCd>
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        <EIN>113655877</EIN>
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      <Section527PoliticalOrgGrp>
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        <USAddress>
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          <CityNm>DES MOINES</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>50309</ZIPCd>
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        <EIN>420489295</EIN>
        <PaidInternalFundsAmt>2500</PaidInternalFundsAmt>
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      <SubstantiallyAllDuesNondedInd>1</SubstantiallyAllDuesNondedInd>
      <OnlyInHouseLobbyingInd>0</OnlyInHouseLobbyingInd>
      <AgreeCarryoverPriorYearInd>0</AgreeCarryoverPriorYearInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I-A, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>TO SUPPORT AND INFORM CANDIDATES FOR ELECTIVE STATE OFFICES OF THE PROBLEMS AND GOALS OF HEALTH CARE DELIVERY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>237055</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>169547</DepreciationAmt>
        <BookValueAmt>67508</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>4236392</DepreciationAmt>
        <BookValueAmt>562022</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <DepreciationAmt>49019</DepreciationAmt>
        <BookValueAmt>14006</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>643536</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT-OF-USE ASSET</Desc>
        <BookValueAmt>875407</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>875407</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITY</Desc>
        <Amt>875407</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>875407</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>11203151</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>1394980</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>1394980</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>9808171</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>9808171</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>10385789</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>10385789</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>10385789</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ASSOCIATION AND RECOGNIZE A TAX LIABILITY OR ASSET FOR AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT HAS EVALUATED THEIR MATERIAL TAX POSITIONS AND DETERMINED THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR ASSET OR DISCLOSURES IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>0</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COALITION TO PROTECT AMERICA'S HEALTHCARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>800 10TH ST SW TWO CITY CENTER</AddressLine1Txt>
          <AddressLine2Txt>SUITE 400</AddressLine2Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20001</ZIPCd>
        </USAddress>
        <RecipientEIN>522253225</RecipientEIN>
        <IRCSectionDesc>501C4</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HARVESTING OPPORTUNITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>10480 JUAN CALLE</AddressLine1Txt>
          <CityNm>CLIVE</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>50325</ZIPCd>
        </USAddress>
        <RecipientEIN>843687129</RecipientEIN>
        <IRCSectionDesc>501C4</IRCSectionDesc>
        <CashGrantAmt>40000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>IOWA FIRST FUND</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1201 OFFICE PARK ROAD</AddressLine1Txt>
          <CityNm>WEST DES MOINES</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>50265</ZIPCd>
        </USAddress>
        <RecipientEIN>842210613</RecipientEIN>
        <IRCSectionDesc>501C4</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>REYNOLDS-GREGG INAUGURAL COMMITTEE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1601 22ND STREET SUITE 400</AddressLine1Txt>
          <CityNm>WEST DES MOINES</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>50266</ZIPCd>
        </USAddress>
        <RecipientEIN>832673110</RecipientEIN>
        <IRCSectionDesc>501C4</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>REPUBLICAN GOVERNORS ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1747 PENNSYLVANIA AVE NE SUITE 250</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20006</ZIPCd>
        </USAddress>
        <RecipientEIN>113655877</RecipientEIN>
        <IRCSectionDesc>527</IRCSectionDesc>
        <CashGrantAmt>35000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <TotalOtherOrgCnt>5</TotalOtherOrgCnt>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <TravelForCompanionsInd>X</TravelForCompanionsInd>
      <ClubDuesOrFeesInd>X</ClubDuesOrFeesInd>
      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>1</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRIS MITCHELL</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>683064</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>140145</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>102375</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8717</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>794156</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>140145</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ABHAY NADIPURUM</PersonNm>
        <TitleTxt>CHIEF LEGAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>270287</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>55744</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>36550</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9048</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>315885</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>55744</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MAUREEN KEENHLE</PersonNm>
        <TitleTxt>FORMER V/P GENERAL COUNSEL</TitleTxt>
        <BaseCompensationFilingOrgAmt>239293</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>239293</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PERRY MEYER</PersonNm>
        <TitleTxt>EXECUTIVE VP</TitleTxt>
        <BaseCompensationFilingOrgAmt>339284</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>69032</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>39600</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12297</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>391181</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>69032</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BECKY ANTHONY</PersonNm>
        <TitleTxt>FORMER V/P EDUCATION</TitleTxt>
        <BaseCompensationFilingOrgAmt>254676</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14210</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3692</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>272578</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBB GARDNER</PersonNm>
        <TitleTxt>CHIEF OF STAFF</TitleTxt>
        <BaseCompensationFilingOrgAmt>209241</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>41852</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11180</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16740</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>237161</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>41852</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>SEVERANCE PAYMENTS WERE MADE TO TWO INDIVIDUALS DURING THE YEAR. THE TERMS OF THE SEVERANCE AGREEMENTS ARE CONFIDENTIAL AND NOT PUBLICLY AVAILABLE. THE PAYMENTS WERE MADE IN ACCORDANCE WITH THE AGREEMENTS AND THE ASSOCIATION'S POLICIES AND LEGAL REQUIREMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>BRIAN DIETER</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD MEMBER OF IOWA HOSPITAL ASSOCIATION AND IOWA HEALTHCARE COLLABORATIVE</RelationshipDescriptionTxt>
        <TransactionAmt>400313</TransactionAmt>
        <TransactionDesc>IOWA HOSPITAL ASSOCIATION PROVIDES ADMINISTRATIVE AND SUPPORTING SERVICES TO THE COLLABORATIVE, INCLUDING THE HIIN CONTRACT. THESE SERVICES INCLUDE ADMINISTRATIVE, FINANCIAL, HUMAN RESOURCES, DATA PROCESSING AND IT SUPPORT.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>JENNIFER HAVENS</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD MEMBER OF IOWA HOSPITAL ASSOCIATION AND IOWA HEALTHCARE COLLABORATIVE</RelationshipDescriptionTxt>
        <TransactionAmt>400313</TransactionAmt>
        <TransactionDesc>IOWA HOSPITAL ASSOCIATION PROVIDES ADMINISTRATIVE AND SUPPORTING SERVICES TO THE COLLABORATIVE, INCLUDING THE HIIN CONTRACT. THESE SERVICES INCLUDE ADMINISTRATIVE, FINANCIAL, HUMAN RESOURCES, DATA PROCESSING AND IT SUPPORT.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CHRIS MITCHELL</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>PRESIDENT, IOWA HOSPITAL ASSOC &amp; BOARD MEMBER IOWA HEALTHCARE COLLABORATIVE</RelationshipDescriptionTxt>
        <TransactionAmt>400313</TransactionAmt>
        <TransactionDesc>IOWA HOSPITAL ASSOCIATION PROVIDES ADMINISTRATIVE AND SUPPORTING SERVICES TO THE COLLABORATIVE, INCLUDING THE HIIN CONTRACT. THESE SERVICES INCLUDE ADMINISTRATIVE, FINANCIAL, HUMAN RESOURCES, DATA PROCESSING AND IT SUPPORT.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>IN 2023, THERE WERE REVISIONS TO THE IOWA HOSPITAL ASSOCIATION BOARD OF OFFICERS AND TRUSTEES BYLAWS THAT WERE APPROVED BY THE ASSOCIATION'S MEMBERSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION IS A 501(C)(6) ORGANIZATION WITH DUES PAYING MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION'S MEMBERSHIP APPROVES THE MEMBERS OF THE BOARD OF OFFICERS AND TRUSTEES AT THEIR ANNUAL MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S MEMBERS APPROVE ANY BY-LAW CHANGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH BOARD MEMBER WILL RECEIVE A COPY OF THE FORM 990 AND 990T FOR THEIR REVIEW IN ADVANCE OF THEIR SUBMISSION TO THE IRS. MANAGEMENT REVIEWS THE FORM IN DETAIL BEFORE SENDING TO THE BOARD FOR THEIR REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY IS REVIEWED AND A NEW DISCLOSURE FORM IS COMPLETED BY EACH BOARD MEMBER ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>CEO COMPENSATION IS REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF OFFICERS AND TRUSTEES WHICH FOLLOWS THE GUIDELINES OF THE COMPENSATION PHILOSOPHY. ALL BOARD MEMBERS COMPLETE AN EVALUATION AND COMPARABLE DATA IS COLLECTED FROM OTHER STATE HOSPITAL ASSOCIATIONS. THE IHA BOARD OF OFFICERS AND TRUSTEES REVIEWS THE WORK AND RECOMMENDATION OF THE EXECUTIVE COMMITTEE. IF THERE ARE ANY OBJECTIONS, THE RECOMMENDATION WOULD GO BACK TO THE EXECUTIVE COMMITTEE FOR FURTHER EVALUATION. COMPENSATION FOR OTHER OFFICERS OF THE IHA BOARD OF OFFICERS AND TRUSTEES IS REVIEWED BY THE CEO USING COMPARABLE DATA COLLECTED FROM OTHER STATE HOSPITAL ASSOCIATIONS. THE IHA BOARD OF OFFICERS AND TRUSTEES REVIEWS THE RECOMMENDATIONS DURING THE ANNUAL BUDGET PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>NO CHANGES FROM PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>IOWA HOSPITAL EDUCATION &amp; RESEARCH FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 E GRAND STE 100</AddressLine1Txt>
          <CityNm>DES MOINES</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>50309</ZIPCd>
        </USAddress>
        <EIN>420981889</EIN>
        <PrimaryActivitiesTxt>SEE SUPPLEMENTAL INFOMRATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>509(A)(3) TYPE I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>IOWA HOSPITAL ASSOCIATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SERVI-SHARE OF IOWA INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>100 E GRAND STE 100</AddressLine1Txt>
          <CityNm>DES MOINES</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>50309</ZIPCd>
        </USAddress>
        <EIN>421149766</EIN>
        <PrimaryActivitiesTxt>DEVELOP, SPONSOR &amp; PROVIDE SHARED SERVICES TO HOSPITALS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>1</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>1</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SERVI-SHARE OF IOWA INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>A</TransactionTypeTxt>
        <InvolvedAmt>133424</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SERVI-SHARE OF IOWA INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>132782</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SERVI-SHARE OF IOWA INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>331549</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SERVI-SHARE OF IOWA INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>306773</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE R, PART II, SUBPART B:</FormAndLineReferenceDesc>
        <ExplanationTxt>IOWA HOSPITAL EDUCATION &amp; RESEARCH FOUNDATION PRIMARY ACTIVITY: PROVIDES HIGH SCHOOL AND COLLEGE GRADUATE SCHOLARSHIPS. THE FOUNDATION MAKES SCHOLARSHIPS AVAILABLE TO STUDENTS IN IOWA INTERESTED IN A CAREER IN HEALTH CARE. THE FOUNDATION ALSO PROVIDES DISASTER RELIEF TO HELP EMPLOYEES OF SPECIFIC IOWA HOSPITALS WHO BEEN SEVERELY IMPACTED BY A NATURAL DISASTER.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>