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        <PersonNm>RYAN MEYER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LISA RIDGE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRIS MITCHELL</PersonNm>
        <TitleTxt>PRESIDENT AND CEO</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>876563</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBB GARDNER</PersonNm>
        <TitleTxt>COO, CHIEF OF STAFF</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>292557</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PERRY MEYER</PersonNm>
        <TitleTxt>EXECUTIVE VICE PRESIDENT</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>447016</ReportableCompFromRltdOrgAmt>
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      <TotalReportableCompFromOrgAmt>0</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>1616136</TotReportableCompRltdOrgAmt>
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      <TotalContributionsAmt>358690</TotalContributionsAmt>
      <InvestmentIncomeGrp>
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        <SecuritiesAmt>82072</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>82072</TotalRevenueColumnAmt>
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      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-38413</TotalRevenueColumnAmt>
        <ExclusionAmt>-38413</ExclusionAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>528500</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>169810</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>611000</ProgramServicesAmt>
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      <GrantsToDomesticIndividualsGrp>
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        <ProgramServicesAmt>202520</ProgramServicesAmt>
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      <FeesForServicesManagementGrp>
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        <ManagementAndGeneralAmt>31500</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>4775</TotalAmt>
        <ManagementAndGeneralAmt>4775</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>443</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>18627</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>3283</TotalAmt>
        <ManagementAndGeneralAmt>3283</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>SCHOLARSHIP PROGRAM EXP</Desc>
        <TotalAmt>9500</TotalAmt>
        <ProgramServicesAmt>9500</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS EXPENSE</Desc>
        <TotalAmt>3842</TotalAmt>
        <ManagementAndGeneralAmt>3842</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>885490</TotalAmt>
        <ProgramServicesAmt>823020</ProgramServicesAmt>
        <ManagementAndGeneralAmt>62470</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>179760</BOYAmt>
        <EOYAmt>77329</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>4840148</BOYAmt>
        <EOYAmt>4739874</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>292</BOYAmt>
        <EOYAmt>2792</EOYAmt>
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      <OthNotesLoansReceivableNetGrp>
        <EOYAmt>453500</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>8708</BOYAmt>
        <EOYAmt>9311</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>5028908</BOYAmt>
        <EOYAmt>5282806</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>1373</EOYAmt>
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      <DeferredRevenueGrp>
        <EOYAmt>18000</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>1483</BOYAmt>
        <EOYAmt>19373</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>3446756</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>1737920</BOYAmt>
        <EOYAmt>1816677</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>5027425</BOYAmt>
        <EOYAmt>5263433</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>5028908</BOYAmt>
        <EOYAmt>5282806</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-356990</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>168998</NetUnrlzdGainsLossesInvstAmt>
      <PriorPeriodAdjustmentsAmt>399000</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>25000</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolAndSepBasisFinclStmtInd>X</ConsolAndSepBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <SupportingOrgType1Ind>X</SupportingOrgType1Ind>
      <SupportedOrganizationsCnt>1</SupportedOrganizationsCnt>
      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>IOWA HOSPITAL ASSOCIATION</BusinessNameLine1Txt>
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        <OrganizationTypeCd>10</OrganizationTypeCd>
        <GoverningDocumentListedInd>1</GoverningDocumentListedInd>
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        <OtherSupportAmt>0</OtherSupportAmt>
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      <SupportedOrganizationsTotalCnt>1</SupportedOrganizationsTotalCnt>
      <SupportSumAmt>0</SupportSumAmt>
      <OtherSupportSumAmt>0</OtherSupportSumAmt>
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        <ListedByNameGoverningDocInd>1</ListedByNameGoverningDocInd>
        <SuprtOrgNoIRSDeterminationInd>1</SuprtOrgNoIRSDeterminationInd>
        <SupportedOrgSectionC456Ind>1</SupportedOrgSectionC456Ind>
        <SupportedOrgQualifiedInd>1</SupportedOrgQualifiedInd>
        <SuprtExclusivelySec170c2BInd>1</SuprtExclusivelySec170c2BInd>
        <SupportedOrgNotOrganizedUSInd>0</SupportedOrgNotOrganizedUSInd>
        <OrganizationChangeSuprtOrgInd>0</OrganizationChangeSuprtOrgInd>
        <SupportNonSupportedOrgInd>1</SupportNonSupportedOrgInd>
        <PaymentSubstantialContribtrInd>0</PaymentSubstantialContribtrInd>
        <LoanDisqualifiedPersonInd>0</LoanDisqualifiedPersonInd>
        <ControlledDisqualifiedPrsnInd>0</ControlledDisqualifiedPrsnInd>
        <DisqualifiedPrsnControllIntInd>0</DisqualifiedPrsnControllIntInd>
        <DisqualifiedPrsnOwnrIntInd>0</DisqualifiedPrsnOwnrIntInd>
        <ExcessBusinessHoldingsRulesInd>0</ExcessBusinessHoldingsRulesInd>
        <ContributionControllerInd>0</ContributionControllerInd>
        <ContributionFamilyInd>0</ContributionFamilyInd>
        <Contribution35ControlledInd>0</Contribution35ControlledInd>
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      <Form990SchAType1SuprtOrgGrp>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION A, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>IOWA HOSPITAL EDUCATION AND RESEARCH FOUNDATION'S SUPPORTED ORGANIZATION IS DESCRIBED IN SECTION 501(C)(6) AND HAS BEEN DETERMINED TO SATISFY THE PUBLIC SUPPORT TESTS UNDER SECTION 509(A)(2).</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION A, LINE 3B:</FormAndLineReferenceDesc>
        <ExplanationTxt>IOWA HOSPITAL EDUCATION AND RESEARCH FOUNDATION'S SUPPORTED ORGANIZATION IS DESCRIBED IN SECTION 501(C)(6) AND HAS BEEN DETERMINED TO SATISFY THE PUBLIC SUPPORT TESTS UNDER SECTION 509(A)(2). THE ORGANIZATION MADE THIS DETERMINATION BY COMPLETING THE PUBLIC SUPPORT TEST CALCULATION ANNUALLY.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION A, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>IHERF DOES NOT PROVIDE SUPPORT DIRECTLY TO THE IOWA HOSPITAL ASSOCIATION (IHA), BUT DOES PROVIDE SUPPORT DIRECTLY TO IOWA HOSPITALS THAT ARE REPRESENTED BY IHA. IHA ELECTS THE IHERF BOARD OF DIRECTORS AND IS ABLE TO PROVIDE OVERSIGHT AND ENSURE THAT ALL SUPPORT PROVIDED TO THE IOWA AREA HOSPITALS ARE FOR CHARITABLE PURPOSES.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION A, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN 2024, IOWA HOSPITAL EDUCATION AND RESEARCH FOUNDATION (IHERF) PROVIDED FINANCIAL SUPPORT TO VARIOUS 501(C)(3) AND/OR GOVERNMENTAL HOSPITALS THAT ARE REPRESENTED BY THE IOWA HOSPITAL ASSOCIATION, THE SUPPORTED ORGANIZATION. THE IOWA HOSPITAL ASSOCIATION REPRESENTS IOWA HOSPITALS AND SUPPORTS THEM IN ACHIEVING THEIR MISSION AND GOALS. IHERF ALSO PROVIDED SCHOLARSHIPS TO HELP HEALTH CARE STUDENTS OBTAIN A DEGREE FOR THE BENEFIT OF IOWA HOSPITALS. THE PROGRAM SERVICE ACCOMPLISHMENTS OF IHERF WOULD NEED TO BE PROVIDED BY THE IOWA HOSPITAL ASSOCIATION AS PART OF THEIR MISSION TO SUPPORT IOWA HOSPITALS, IF IHERF WAS NOT PROVIDING THE SERVICES.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <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>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <TotalBookValueLandBuildingsAmt>0</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>753376</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>168998</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>55878</OtherRevenueAmt>
      <RevenueNotReportedAmt>224876</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>528500</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>528500</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>916368</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>55878</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>55878</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>860490</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>25000</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>25000</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>885490</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT BELIEVES THAT THE FOUNDATION HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE FOUNDATION WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. THE FOUNDATION'S FORM 990 AND OTHER INCOME TAX FILINGS REQUIRED BY STATE, LOCAL, OR NON-U.S. TAX AUTHORITIES ARE NO LONGER SUBJECT TO TAX EXAMINATION FOR YEARS BEFORE 2021.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 55,878.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 55,878.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHOLARSHIP REPAYMENTS 25,000.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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        <Event1Nm>SWINGING FOR SCHOLARS</Event1Nm>
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        <CharitableContriEvent1Amt>116435</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>17465</GrossRevenueEvent1Amt>
        <CashPrizesEvent1Amt>7600</CashPrizesEvent1Amt>
        <NonCashPrizesEvent1Amt>13388</NonCashPrizesEvent1Amt>
        <RentFacilityCostsEvent1Amt>10000</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>16789</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>2594</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>5507</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>133900</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>116435</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>17465</GrossRevenueTotalEventsAmt>
        <CashPrizesTotalEventsAmt>7600</CashPrizesTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>13388</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>10000</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>16789</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>2594</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>5507</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>55878</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-38413</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GREATER REGIONAL HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1700 W TOWNLINE STREET SUITE 3</AddressLine1Txt>
          <CityNm>CRESTON</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>508011054</ZIPCd>
        </USAddress>
        <RecipientEIN>426037626</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>16500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DISASTER RELIEF</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>STORY COUNTY MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>640 SOUTH 19TH STREET</AddressLine1Txt>
          <CityNm>NEVADA</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>50201</ZIPCd>
        </USAddress>
        <RecipientEIN>426037754</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DISASTER RELIEF</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CASS COUNTY HEALTH SYSTEM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1501 E 10TH STREET</AddressLine1Txt>
          <CityNm>ATLANTIC</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>50022</ZIPCd>
        </USAddress>
        <RecipientEIN>420921296</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>22000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DISASTER RELIEF</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KNOXVILLE HOSPITAL &amp; CLINICS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1002 SOUTH LINCLIN STREET</AddressLine1Txt>
          <CityNm>KNOXVILLE</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>50318</ZIPCd>
        </USAddress>
        <RecipientEIN>421087612</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DISASTER RELIEF</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>METHODIST JENNIE EDMUNDSON</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>933 EAST PIERCE STREET</AddressLine1Txt>
          <CityNm>COUNCIL BLUFFS</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>51503</ZIPCd>
        </USAddress>
        <RecipientEIN>420680355</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DISASTER RELIEF</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHEROKEE REGIONAL MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>300 SIOUX VALLEY DRIVE</AddressLine1Txt>
          <CityNm>CHEROKEE</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>51012</ZIPCd>
        </USAddress>
        <RecipientEIN>420707096</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DISASTER RELIEF</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SIOUX CENTER HEALTH SYSTEM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1101 9TH ST SE</AddressLine1Txt>
          <CityNm>SIOUX CENTER</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>51250</ZIPCd>
        </USAddress>
        <RecipientEIN>420796764</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>18000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DISASTER RELIEF</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ADAIR COUNTY HEALTH FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>609 SE KENT</AddressLine1Txt>
          <CityNm>GREENFIELD</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>50849</ZIPCd>
        </USAddress>
        <RecipientEIN>421477291</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>110000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DISASTER RELIEF</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HAWARDEN REGIONAL HEALTHCARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1111 11TH STREET</AddressLine1Txt>
          <CityNm>HAWARDEN</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>510231903</ZIPCd>
        </USAddress>
        <RecipientEIN>426005851</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>22000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DISASTER RELIEF</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNITYPOINT HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1776 WEST LAKES PARKWAY SUITE 400</AddressLine1Txt>
          <CityNm>WEST DES MOINES</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>50266</ZIPCd>
        </USAddress>
        <RecipientEIN>421435199</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>24000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DISASTER RELIEF</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MERCYONE SIOUXLAND MEDICAL CTR</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>801 5TH ST</AddressLine1Txt>
          <CityNm>SIOUX CITY</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>51101</ZIPCd>
        </USAddress>
        <RecipientEIN>311373080</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>46000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DISASTER RELIEF</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SPENCER REGIONAL HEALTHCARE FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1200 1ST AVENUE EAST</AddressLine1Txt>
          <CityNm>SPENCER</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>51301</ZIPCd>
        </USAddress>
        <RecipientEIN>421416816</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>115000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DISASTER RELIEF</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HEGG HEALTHCARE CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1202 21ST AVE</AddressLine1Txt>
          <CityNm>ROCK VALLEY</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>51247</ZIPCd>
        </USAddress>
        <RecipientEIN>420932564</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>179000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DISASTER RELIEF</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>13</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>SCHOLARSHIPS</GrantTypeTxt>
        <RecipientCnt>77</RecipientCnt>
        <CashGrantAmt>202520</CashGrantAmt>
        <NonCashAssistanceDesc>TO HELP HEALTH CARE STUDENTS OBTAIN A DEGREE FOR THE BENEFIT OF IOWA HOSPITALS</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS AND MANAGEMENT REVIEW AND APPROVE ALL GRANT FUNDS. ASSISTANCE IS RECORDED IN OUR ACCOUNTING SOFTWARE AND MUST BE FOR THE PURPOSE OF ONE OF OUR PROGRAMS. SCHOLARSHIPS - COLLEGE GRADUATE SCHOLARSHIPS: COMMITTEES HAVE BEEN ESTABLISHED IN VARIOUS HOSPITAL DISTRICTS IN THE STATE OF IOWA. EACH COMMITTEE HAS A REPRESENTATIVE FROM THE FOUNDATION'S BOARD OF DIRECTORS. APPLICATIONS FROM INDIVIDUALS ARE SUBMITTED TO THE FOUNDATION AND SCHOLARSHIPS ARE AWARDED BASED ON EACH COMMITTEE'S REVIEW OF THE APPLICATIONS. THE FOUNDATION MAKES SCHOLARSHIPS AVAILABLE TO STUDENTS IN IOWA INTERESTED IN A CAREER IN HEALTH CARE. EACH SCHOLARSHIP HAS A PROVISION FOR REPAYMENT OR COMPLETION OF SERVICE OBLIGATION. SCHOLARSHIPS - HIGH SCHOOL GRADUATE SCHOLARSHIPS: THE FOUNDATION MAKES SCHOLARSHIPS AVAILABLE TO HIGH SCHOOL STUDENTS IN IOWA INTERESTED IN A CAREER IN HEALTH CARE. DISASTER RELIEF - TO HELP EMPLOYEES OF SPECIFIC IOWA HOSPITALS WHO HAVE BEEN SEVERELY IMPACTED BY A NATURAL DISASTER.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRIS MITCHELL</PersonNm>
        <TitleTxt>PRESIDENT AND CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>716072</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>150491</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>10000</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>107494</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>10314</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>994371</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PERRY MEYER</PersonNm>
        <TitleTxt>EXECUTIVE VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>377076</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>59210</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>10730</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>84107</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>25086</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>556209</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBB GARDNER</PersonNm>
        <TitleTxt>COO, CHIEF OF STAFF</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>241548</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>51009</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>66624</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>21291</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>380472</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO COMPENSATION IS PAID BY IOWA HOSPITAL ASSOCIATION (IHA), A RELATED ENTITY. THE COMPENSATION IS REVIEWED BY THE EXECUTIVE COMMITTEE OF THE IHA BOARD OF OFFICERS AND TRUSTEES WHICH FOLLOWS GUIDELINES OF THE COMPENSATION PHILOSOPHY. ALL IHA BOARD MEMBERS COMPLETE AN EVALUATION. THE EXECUTIVE COMMITTEE WORKS WITH AN INDEPENDENT CONSULTANT TO PROVIDE COMPARABLE DATA THAT IS COLLECTED FROM OTHER STATE HOSPITAL ASSOCIATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT FUNCTIONS ARE PERFORMED BY THE IOWA HOSPITAL ASSOCIATION. THE PRESIDENT OF THE IOWA HOSPITAL ASSOCIATION SERVES ON THE BOARD OF IHERF.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERSHIP OF THE FOUNDATION ARE THE SAME PERSONS THAT COMPRISE THE BOARD OF OFFICERS AND TRUSTEES OF THE IOWA HOSPITAL ASSOCIATION AND THE PRESIDENT OF THE IOWA HOSPITAL ASSOCIATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS OF THE IOWA HOSPITAL EDUCATION AND RESEARCH FOUNDATION ARE ELECTED BY THE BOARD OF OFFICERS AND TRUSTEES OF IOWA HOSPITAL ASSOCIATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE IOWA HOSPITAL ASSOCIATION ACTS AS AN OVERARCHING GOVERNING AUTHORITY FOR IHERF.</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 FOR THEIR REVIEW IN ADVANCE OF ITS 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. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>REPAYMENT OF SCHOLARSHIPS 25,000.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>IOWA HOSPITAL ASSOCIATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 EAST GRAND SUITE 100</AddressLine1Txt>
          <CityNm>DES MOINES</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>50309</ZIPCd>
        </USAddress>
        <EIN>420706508</EIN>
        <PrimaryActivitiesTxt>REPRESENTS IOWA HOSPITALS AND SUPPORTS THEM IN ACHIEVING THEIR MISSION.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(6)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>N/A</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SERVI-SHARE OF IOWA INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>100 EAST GRAND SUITE 100</AddressLine1Txt>
          <CityNm>DES MOINES</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>50309</ZIPCd>
        </USAddress>
        <EIN>421149766</EIN>
        <PrimaryActivitiesTxt>DEVELOP, SPONSOR AND PROVIDE SHARED SERVICES TO HOSPITALS.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>IOWA HOSPITAL ASSOCIATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>IOWA HOSPITAL ASSOCIATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>162040</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SERVI-SHARE OF IOWA INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>80000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>