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      <FeesForServicesOtherGrp>
        <TotalAmt>845280</TotalAmt>
        <ProgramServicesAmt>844488</ProgramServicesAmt>
        <ManagementAndGeneralAmt>792</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>10900</TotalAmt>
        <ProgramServicesAmt>9528</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1372</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>13254</TotalAmt>
        <ProgramServicesAmt>4753</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8501</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>30063</TotalAmt>
        <ProgramServicesAmt>23864</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6199</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>18344</TotalAmt>
        <ProgramServicesAmt>18290</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>733</TotalAmt>
        <ManagementAndGeneralAmt>733</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>4389</TotalAmt>
        <ManagementAndGeneralAmt>4389</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Small Hospital Improvem</Desc>
        <TotalAmt>1073577</TotalAmt>
        <ProgramServicesAmt>1073577</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>HOSA program</Desc>
        <TotalAmt>12237</TotalAmt>
        <ProgramServicesAmt>12237</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Miscellaneous</Desc>
        <TotalAmt>3411</TotalAmt>
        <ProgramServicesAmt>3331</ProgramServicesAmt>
        <ManagementAndGeneralAmt>80</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>2469540</TotalAmt>
        <ProgramServicesAmt>2308939</ProgramServicesAmt>
        <ManagementAndGeneralAmt>160601</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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        <EOYAmt>199866</EOYAmt>
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        <EOYAmt>3649826</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>389769</BOYAmt>
        <EOYAmt>389000</EOYAmt>
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        <EOYAmt>17646</EOYAmt>
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        <EOYAmt>2972</EOYAmt>
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      <LandBldgEquipAccumDeprecAmt>18963</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>1466</BOYAmt>
        <EOYAmt>733</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
        <BOYAmt>3395571</BOYAmt>
        <EOYAmt>4447192</EOYAmt>
      </InvestmentsPubTradedSecGrp>
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        <BOYAmt>765</BOYAmt>
        <EOYAmt>18130</EOYAmt>
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        <BOYAmt>6584071</BOYAmt>
        <EOYAmt>8725365</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>129135</BOYAmt>
        <EOYAmt>183067</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>165671</BOYAmt>
        <EOYAmt>94504</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>380007</BOYAmt>
        <EOYAmt>1115598</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>674813</BOYAmt>
        <EOYAmt>1393169</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>4859361</BOYAmt>
        <EOYAmt>5361855</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>1049897</BOYAmt>
        <EOYAmt>1970341</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>5909258</BOYAmt>
        <EOYAmt>7332196</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>6584071</BOYAmt>
        <EOYAmt>8725365</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>1156792</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>266146</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>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>6588972</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>13392835</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11707217</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2293945</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2842945</CurrentTaxYearAmt>
        <TotalAmt>36825914</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>231293</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>249717</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>373373</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>309723</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>379812</CurrentTaxYearAmt>
        <TotalAmt>1543918</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>6820265</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>13642552</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>12080590</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2603668</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3222757</CurrentTaxYearAmt>
        <TotalAmt>38369832</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>38369832</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>54317</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>301965</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>192639</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>220902</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>195545</CurrentTaxYearAmt>
        <TotalAmt>965368</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>54317</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>301965</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>192639</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>220902</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>195545</CurrentTaxYearAmt>
        <TotalAmt>965368</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>6874582</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>13944517</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>12273229</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2824570</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3418302</CurrentTaxYearAmt>
        <TotalAmt>39335200</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.97550</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.98010</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.02450</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.01990</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </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">
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>19696</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>18963</DepreciationAmt>
        <BookValueAmt>733</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>733</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Due to Kansas Hospital Association</Desc>
        <Amt>466</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Advances</Desc>
        <Amt>1115132</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1115598</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>3886050</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>266146</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>266146</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>3619904</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>6428</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>6428</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>3626332</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>2463112</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>2463112</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>6428</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>6428</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>2469540</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Management is not aware of any uncertain tax positions.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Kansas Hospital Association</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>215 SE 8th Street</AddressLine1Txt>
          <CityNm>Topeka</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66603</ZIPCd>
        </USAddress>
        <RecipientEIN>480543786</RecipientEIN>
        <IRCSectionDesc>501(c)(6)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>Amount paid</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>To support the healthcare programs of KHA.</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Scholarships</GrantTypeTxt>
        <RecipientCnt>25</RecipientCnt>
        <CashGrantAmt>34500</CashGrantAmt>
        <ValuationMethodUsedDesc>Amount paid</ValuationMethodUsedDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Grants to other organizations are made in response to applicable requests. Scholarships are given directly to the university being attended by the awardee after the Foundation completes the scholarship selection process.</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>Chad R Austin</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>432414</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>80787</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>15493</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>41201</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>44457</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>614352</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jennifer Findley</PersonNm>
        <TitleTxt>Executive Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>134003</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>10250</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>657</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>13804</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>41397</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>200111</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 will be reviewed by the Board of Directors prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Kansas Hospital Association has a compliance officer whose duties include monitoring and enforcing the conflict of interest policy and has approved an internal audit process.</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: Program service expenses 236,705. Management and general expenses 25. Fundraising expenses 0. Total expenses 236,730. Consultants: Program service expenses 520,477. Management and general expenses 767. Fundraising expenses 0. Total expenses 521,244. Administrative Costs: Program service expenses 87,306. Management and general expenses 0. Fundraising expenses 0. Total expenses 87,306.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 PART XI LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>Audit committee assumes this responsibility.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>Kansas Hospital Association</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>215 SE 8th Avenue</AddressLine1Txt>
          <CityNm>Topeka</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66603</ZIPCd>
        </USAddress>
        <EIN>480543786</EIN>
        <PrimaryActivitiesTxt>Develop &amp; improve hospital services to promote health &amp; welfare of people.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(6)</ExemptCodeSectionTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Kansas Health Services Corporation</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>215 SE 8th Street</AddressLine1Txt>
          <CityNm>Topeka</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>666033906</ZIPCd>
        </USAddress>
        <EIN>480991210</EIN>
        <PrimaryActivitiesTxt>Faciliate discount services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Kansas Hospital Association</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</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>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Kansas Hospital Association</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>453795</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Actual costs</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Kansas Hospital Association</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>55000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cash received</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>