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      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
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        <ContributorBusinessName>
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        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      </OtherSecuritiesGrp>
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      <OtherLiabilitiesOrgGrp>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Due to American Hospital Association</Desc>
        <Amt>337787</Amt>
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      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Management is not aware of any uncertain tax positions.</ExplanationTxt>
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          <CityNm>Topeka</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
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        </USAddress>
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      </RecipientTable>
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        <ExplanationTxt>Grants to other organizations are made in response to applicable requests.</ExplanationTxt>
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        <TotalCompensationFilingOrgAmt>568535</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Steve Poage</PersonNm>
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        <OtherCompensationFilingOrgAmt>7905</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>50876</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>39143</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Karen Braman</PersonNm>
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        <DeferredCompensationFlngOrgAmt>36804</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dennis George</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Cindy Samuelson</PersonNm>
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        <PersonNm>Shannan Flach</PersonNm>
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        <PersonNm>Kathi Branyon</PersonNm>
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        <PersonNm>Audrey Dunkel</PersonNm>
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        <PersonNm>Bruce Frerking</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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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 by the members of the Association.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is reviewed by the Board of Directors prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization has a compliance officer whose duties involve monitoring and enforcing the conflict of interest policy 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 is used by the Executive Committee of the board to determine the compensation of the officers. 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>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Contract Services 440,293. Consultants 423,788.</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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          <ZIPCd>66603</ZIPCd>
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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>
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        </DisregardedEntityName>
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          <CityNm>Topeka</CityNm>
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          <ZIPCd>66612</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>Transform healthcare through patient centered initiatives.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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        <PrimaryActivitiesTxt>Facilitate Discount Services</PrimaryActivitiesTxt>
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        <ShareOfEOYAssetsAmt>2676218</ShareOfEOYAssetsAmt>
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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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      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
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      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
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      <TransactionsRelatedOrgGrp>
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      <TransactionsRelatedOrgGrp>
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        <TransactionTypeTxt>B</TransactionTypeTxt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
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      <TransactionsRelatedOrgGrp>
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      </TransactionsRelatedOrgGrp>
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        <BusinessName>
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        </BusinessName>
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          <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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        <PredominateIncomeDesc>Related</PredominateIncomeDesc>
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</Return>