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      <ProgramServiceRevenueGrp>
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      <BenefitsToMembersGrp>
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      <CompCurrentOfcrDirectorsGrp>
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        <FundraisingAmt>10373</FundraisingAmt>
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        <ManagementAndGeneralAmt>11215</ManagementAndGeneralAmt>
        <FundraisingAmt>3303</FundraisingAmt>
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      <RoyaltiesGrp>
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      <OccupancyGrp>
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      <TravelGrp>
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        <ProgramServicesAmt>28249</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7530</ManagementAndGeneralAmt>
        <FundraisingAmt>1883</FundraisingAmt>
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      <ConferencesMeetingsGrp>
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        <ManagementAndGeneralAmt>60331</ManagementAndGeneralAmt>
        <FundraisingAmt>2200</FundraisingAmt>
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      <PaymentsToAffiliatesGrp>
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      <DepreciationDepletionGrp>
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        <ManagementAndGeneralAmt>1340</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>17768</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1974</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>DUES SUBSCRIPTIONS</Desc>
        <TotalAmt>5609</TotalAmt>
        <ManagementAndGeneralAmt>5609</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>TELEPHONE</Desc>
        <TotalAmt>13839</TotalAmt>
        <ProgramServicesAmt>10379</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2768</ManagementAndGeneralAmt>
        <FundraisingAmt>692</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>BANK CREDIT CARD FEES</Desc>
        <TotalAmt>12147</TotalAmt>
        <ProgramServicesAmt>9110</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3037</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>1364919</ProgramServicesAmt>
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        <FundraisingAmt>82258</FundraisingAmt>
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        <EOYAmt>673795</EOYAmt>
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        <EOYAmt>77928</EOYAmt>
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        <CurrentTaxYearMinus1YearAmt>690392</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>804735</CurrentTaxYearAmt>
        <TotalAmt>4465213</TotalAmt>
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      <SubstantialContributorsTotAmt>189648</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>4275565</PublicSupportTotal170Amt>
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        <CurrentTaxYearMinus3YearsAmt>7394</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>17568</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>42726</CurrentTaxYearAmt>
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        <TotalAmt>13166</TotalAmt>
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      <PublicSupportPY170Pct>0.89430</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <FactsAndCircumstancesTestTxt>Part II Section B Line 10 Miscellaneous Income 4,036 Honorariums 9,130</FactsAndCircumstancesTestTxt>
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      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
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        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
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          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      <TotalBookValueLandBuildingsAmt>12975</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>Financial derivatives and other financial products</Desc>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Closely-held equity interests</Desc>
      </OtherSecuritiesGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Federal income taxes</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedFinclStmtAmt>3298</RevenueNotReportedFinclStmtAmt>
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        <FormAndLineReferenceDesc>X 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization is exempt from federal income taxes under Section 501c3 of the Internal Revenue Code and reported no unrelated business income for the year ended December 31, 2023. Management represents there are no uncertain tax position or other provision for income taxes that should be recognized in these financial statements. In addition, the Consolidated Organization qualifies to receive deductible charitable contributions pursuant to Section 170b1Avi.</ExplanationTxt>
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        <PersonNm>CHERYL LARSON</PersonNm>
        <TitleTxt>BOARD PRESIDENT</TitleTxt>
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        <TotalCompensationFilingOrgAmt>207470</TotalCompensationFilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Classes of members or stockholders There are three categories of membership for firms, organizations, or corporations - business, business 2 and associate. Each member shall have one vote on matters presented for voting.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Enforcement of conflicts policy inquiries are made on a regular basis to management, staff, and the board about compliance with the policy.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>Election of members and their rights All members shall vote for the election of directors, other than the President, and on any other matters as determined by resolution of the board of directors. Each member shall have one vote. All votes shall be cast in person by each members designated representative. No member may vote by proxy for board elections.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Organizations process to review form 990 prior to filing The return is provided to the manager, CPA and board President for review, as well as submitted to the board for review and approval.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation process for top official The board considers a variety of components when determining the compensation of the CEO. The board considers the compensation of others at similar organizations, private companies, and in consulting arenas to determine compensation and benefits.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing documents disclosure Explanation documents are available upon request during normal business hours.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Professional consulting services</ExplanationTxt>
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          <AddressLine1Txt>211 S CLARK SUITE 2749</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
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      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
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      <AssetExchangeInd>false</AssetExchangeInd>
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      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MIDWEST HEALTH PURCHASERS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>l</TransactionTypeTxt>
        <InvolvedAmt>26667</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>