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        <AverageHoursPerWeekRltdOrgRt>0.7</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jeremy Fotheringham</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.7</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Alan W Greimann</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.2</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Sean J Hogan FACHE</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Candance Jennings FACHE</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.7</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Thomas W Keller</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.7</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Paul Kempinski MS FACHE</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.9</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mel Lagarde</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.5</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Richard J Liekweg</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Stephen Mackin</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.9</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Willam K Mahoney FACHE</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.2</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Charles McElyea</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.1</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Michele C Meyer MA BSN RN</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.2</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Julie L Quirin FACHE</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.1</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Maryann L Reese DHA MHA RN</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.8</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Stephen L Reintjes Sr MD</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.1</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Craig Thompson PT MSA FACHE</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.4</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jeff A Tindle MHA</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.9</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Davin G Turner DO</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.3</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Lynette M Wheeler DNP RN LNHA</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.2</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Lori Wightman</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.5</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jon D Doolittle</PersonNm>
        <TitleTxt>Chair</TitleTxt>
        <AverageHoursPerWeekRt>0.2</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.2</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>C Todd Ahrens</PersonNm>
        <TitleTxt>Treasurer</TitleTxt>
        <AverageHoursPerWeekRt>0.2</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.4</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Charles Shields</PersonNm>
        <TitleTxt>Past Chair</TitleTxt>
        <AverageHoursPerWeekRt>0.1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.9</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Paula F Baker</PersonNm>
        <TitleTxt>Secretary</TitleTxt>
        <AverageHoursPerWeekRt>0.1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.9</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1197068</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>3747135</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>532798</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>11</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Change Healthcare LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5995 Windward Parkway</AddressLine1Txt>
            <CityNm>ALPHARETTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30005</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Infrastructure</ServicesDesc>
        <CompensationAmt>366412</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Cloudcity LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1301 Spring Street Suite 25-I</AddressLine1Txt>
            <CityNm>SEATTLE</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>98104</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Infrastructure</ServicesDesc>
        <CompensationAmt>445326</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Tshibanda Associates LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1717 Oak St</AddressLine1Txt>
            <CityNm>KANSAS CITY</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>64108</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Project Management</ServicesDesc>
        <CompensationAmt>400000</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>513275</RelatedOrganizationsAmt>
      <TotalContributionsAmt>513275</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>SPECIAL PROJECTS</Desc>
        <BusinessCd>518210</BusinessCd>
        <TotalRevenueColumnAmt>9208484</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9156170</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>52314</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEMBERSHIP DUES</Desc>
        <BusinessCd>518210</BusinessCd>
        <TotalRevenueColumnAmt>3019721</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3019721</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>12228205</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>74074</TotalRevenueColumnAmt>
        <ExclusionAmt>74074</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>10577252</SecuritiesAmt>
        <OtherAmt>348</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>10492455</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>84797</SecuritiesAmt>
        <OtherAmt>348</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>85145</TotalRevenueColumnAmt>
        <ExclusionAmt>85145</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <GrossSalesOfInventoryAmt>0</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>518210</BusinessCd>
        <TotalRevenueColumnAmt>42</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>42</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>42</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>12900741</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12175933</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>52314</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>159219</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>947600</TotalAmt>
        <ProgramServicesAmt>947600</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>497779</TotalAmt>
        <ProgramServicesAmt>24889</ProgramServicesAmt>
        <ManagementAndGeneralAmt>472890</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>2756103</TotalAmt>
        <ProgramServicesAmt>2587023</ProgramServicesAmt>
        <ManagementAndGeneralAmt>169080</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>322628</TotalAmt>
        <ProgramServicesAmt>277419</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45209</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>523731</TotalAmt>
        <ProgramServicesAmt>480435</ProgramServicesAmt>
        <ManagementAndGeneralAmt>43296</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>211575</TotalAmt>
        <ProgramServicesAmt>174880</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36695</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>695530</TotalAmt>
        <ProgramServicesAmt>19642</ProgramServicesAmt>
        <ManagementAndGeneralAmt>675888</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>1641</TotalAmt>
        <ProgramServicesAmt>1641</ProgramServicesAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>26243</TotalAmt>
        <ProgramServicesAmt>26243</ProgramServicesAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
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        <ProgramServicesAmt>6624</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6623</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>1658350</TotalAmt>
        <ProgramServicesAmt>1658350</ProgramServicesAmt>
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      <AdvertisingGrp>
        <TotalAmt>5127</TotalAmt>
        <ProgramServicesAmt>5127</ProgramServicesAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>35839</TotalAmt>
        <ProgramServicesAmt>35839</ProgramServicesAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>1459807</ProgramServicesAmt>
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      <RoyaltiesGrp>
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      <OccupancyGrp>
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        <ProgramServicesAmt>224880</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4768</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>29158</TotalAmt>
        <ProgramServicesAmt>29158</ProgramServicesAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      <ConferencesMeetingsGrp>
        <TotalAmt>13903</TotalAmt>
        <ProgramServicesAmt>13903</ProgramServicesAmt>
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      <InterestGrp>
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      <PaymentsToAffiliatesGrp>
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        <ProgramServicesAmt>63570</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>12797</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>25422</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>SOCIAL COMMITTEE EVENTS</Desc>
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        <ManagementAndGeneralAmt>5233</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>TAXES</Desc>
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        <ManagementAndGeneralAmt>300</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>8513490</ProgramServicesAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>974900</EOYAmt>
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        <EOYAmt>2061184</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <ReconcilationRevenueExpnssAmt>2887825</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>114087</NetUnrlzdGainsLossesInvstAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="IRS990ScheduleA">
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        <CurrentTaxYearMinus1YearAmt>3291476</CurrentTaxYearMinus1YearAmt>
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      <PublicSupportTotal509Amt>20124537</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
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        <CurrentTaxYearMinus1YearAmt>94683</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>74074</CurrentTaxYearAmt>
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      <Post1975UBTIGrp>
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        <CurrentTaxYearMinus1YearAmt>4489</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2947</CurrentTaxYearAmt>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearAmt>77021</CurrentTaxYearAmt>
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      <NetIncomeFromOtherUBIGrp>
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        <CurrentTaxYearMinus1YearAmt>0</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus1YearAmt>619394</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>42</CurrentTaxYearAmt>
        <TotalAmt>620660</TotalAmt>
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      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus1YearAmt>9315285</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>12766229</CurrentTaxYearAmt>
        <TotalAmt>42678157</TotalAmt>
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      <PublicSupportCY509Pct>0.47154</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.49228</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.01054</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.01286</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <IRS990ScheduleB documentId="IRS990ScheduleB">
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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>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
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      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp />
      <BuildingsGrp />
      <LeaseholdImprovementsGrp />
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        <DepreciationAmt>1594776</DepreciationAmt>
        <BookValueAmt>805106</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <OtherCostOrOtherBasisAmt>67332</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>49314</DepreciationAmt>
        <BookValueAmt>18018</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>823124</TotalBookValueLandBuildingsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUES/FEES COLLECTED IN ADVANCE</Desc>
        <Amt>974900</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>974900</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>13001581</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>114087</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>114087</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>12887494</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>13247</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>13247</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>12900741</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>9999669</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>9999669</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>13247</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>13247</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>10012916</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IV, Line 11F - FIN 48 (ASC 740) Footnote:</FormAndLineReferenceDesc>
        <ExplanationTxt>HIDI follows FASB ASC 740-10, Accounting for Uncertainty in Income Taxes, which prescribes a comprehensive model for how an organization should measure, recognize, present, and disclose in its financial statements uncertain tax positions that an organization has taken or expects to take on a tax return. Management annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the financial statements as of December 31, 2021 and 2020.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
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        </RecipientBusinessName>
        <USAddress>
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          <CityNm>Joplin</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>648041694</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SSM St Joseph - St Charles</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
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          <CityNm>St Charles</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63301</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
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        </RecipientBusinessName>
        <USAddress>
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          <CityNm>St Joseph</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>645011868</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Freeman West</BusinessNameLine1Txt>
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        <USAddress>
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          <CityNm>Joplin</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>648043932</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Bothwell Regional Health Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 1706</AddressLine1Txt>
          <CityNm>Sedalia</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>653021706</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SSM St Mary's - Jefferson City</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>100 St Marys Plz</AddressLine1Txt>
          <CityNm>Jeff City</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>651011601</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Mercy Hospital St Louis</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>615 S New Ballas</AddressLine1Txt>
          <CityNm>St Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>631418277</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10800</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Mercy Hospital Jefferson</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 350</AddressLine1Txt>
          <CityNm>Crystal City</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>630190350</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Hannibal Regional Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 551</AddressLine1Txt>
          <CityNm>Hannibal</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>634010551</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Barnes-Jewish Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1 Barnes-Jewish Plz</AddressLine1Txt>
          <CityNm>St Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63110</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10800</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Truman Medical Ctr Hospital Hill</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2301 Holmes St</AddressLine1Txt>
          <CityNm>Kansas City</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>641082677</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>32800</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Mosaic Medical Center Maryville</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2016 S Main St</AddressLine1Txt>
          <CityNm>Maryville</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>644682693</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Mercy Hospital Washington</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>200 Madison Ave</AddressLine1Txt>
          <CityNm>Washington</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>630903098</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Mercy Hospital Lebanon</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box N</AddressLine1Txt>
          <CityNm>Lebanon</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>655361233</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Nevada Regional Medical Ctr</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>800 South Ash Street</AddressLine1Txt>
          <CityNm>Nevada</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>647723223</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Saint Luke's North - Barry Road</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>601 S US Hwy 169</AddressLine1Txt>
          <CityNm>Smithville</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>640899317</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Mercy Hospital Springfield</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1235 E Cherokee</AddressLine1Txt>
          <CityNm>Springfield</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>658042263</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Pemiscot Memorial Health</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 489</AddressLine1Txt>
          <CityNm>Hayti</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>638510489</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10800</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Mercy Hospital South (St Anthony)</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>10010 Kennerly Rd</AddressLine1Txt>
          <CityNm>St Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>631282185</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SSM St Clare Hospital - Fenton</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>525 Couch Avenue</AddressLine1Txt>
          <CityNm>St Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>631225536</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SSM St Mary's Hospital - St Louis</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6420 Clayton Road</AddressLine1Txt>
          <CityNm>St Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>631171872</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Cox Medical Center Branson</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 650</AddressLine1Txt>
          <CityNm>Branson</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>656150650</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>North Kansas City Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2800 Clay Edwards</AddressLine1Txt>
          <CityNm>Kansas City</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64116</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Western Missouri Medical Ctr</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>403 Burkarth Rd</AddressLine1Txt>
          <CityNm>Warrensburg</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>640933101</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Truman Medical Ctr Lakewood</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>7900 Lees Summit Rd</AddressLine1Txt>
          <CityNm>Kansas City</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64139</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>32000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SSM DePaul Hospital - St Louis</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>12303 De Paul Dr</AddressLine1Txt>
          <CityNm>Bridgeton</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>630442588</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SSM Saint Louis University</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 15250</AddressLine1Txt>
          <CityNm>St Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>631100250</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Missouri Baptist Medical Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3015 N Ballas Rd</AddressLine1Txt>
          <CityNm>St Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>631312374</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Southeast Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1701 Lacey</AddressLine1Txt>
          <CityNm>Cape Girardeau</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>637015299</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10800</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Freeman East</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1102 W 32nd St</AddressLine1Txt>
          <CityNm>Joplin</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>648043594</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10800</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Saint Luke's Hosp of Kansas City</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 119000</AddressLine1Txt>
          <CityNm>Kansas City</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>641719000</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10800</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Fitzgibbon Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 250</AddressLine1Txt>
          <CityNm>Marshall</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>653400250</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Northwest HealthCare</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1225 Graham Rd</AddressLine1Txt>
          <CityNm>Florissant</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>630318012</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SE Health Center of Stoddard</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1200 N One Mile Rd</AddressLine1Txt>
          <CityNm>Dexter</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>638411040</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Barnes-Jewish West County</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>12634 Olive Blvd</AddressLine1Txt>
          <CityNm>St Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>631416354</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Parkland Health Ctr- Farmington</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1101 W Liberty</AddressLine1Txt>
          <CityNm>Farmington</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>636401921</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Golden Valley Memorial Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1600 N 2nd St</AddressLine1Txt>
          <CityNm>Clinton</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>647351192</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>32800</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>St Luke's Des Peres</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2345 Dougherty Ferry</AddressLine1Txt>
          <CityNm>St Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63122</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Liberty Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2525 Glenn Hendren</AddressLine1Txt>
          <CityNm>Liberty</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>640689600</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>St Luke's Hospital (STL Chesterfield)</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>232 S Woods Mill</AddressLine1Txt>
          <CityNm>Chesterfield</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63017</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>54800</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Christian Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>11133 Dunn Rd</AddressLine1Txt>
          <CityNm>St Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>631366192</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Saint Francis Medical Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>211 St Francis</AddressLine1Txt>
          <CityNm>Cape Girardeau</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63703</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10800</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Lake Regional Health System</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>54 Hospital Dr</AddressLine1Txt>
          <CityNm>Osage Beach</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>650653051</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Barnes-Jewish St Peters</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>10 Hospital Dr</AddressLine1Txt>
          <CityNm>St Peters</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>633761691</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Citizens Memorial Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1500 N Oakland Ave</AddressLine1Txt>
          <CityNm>Bolivar</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>656133099</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10800</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Cox Meyer Orthopedic &amp; Rehabilitation Hosp</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3535 S National</AddressLine1Txt>
          <CityNm>Springfield</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65807</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SSM St Joseph - Wentzville</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>500 Medical Dr</AddressLine1Txt>
          <CityNm>Wentzville</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63385</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SSM St Joseph - Lake Saint Louis</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>100 Medical Plz</AddressLine1Txt>
          <CityNm>Lake St Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63367</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Saint Luke's North - Smithville</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5830 NW Barry</AddressLine1Txt>
          <CityNm>Kansas City</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>641542778</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>South City Hospital (St Alexius)</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3933 S Broadway</AddressLine1Txt>
          <CityNm>St Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>631184601</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10800</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Saint Luke's East Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>100 NE St Lukes Blvd</AddressLine1Txt>
          <CityNm>Lees Summit</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64086</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Progress West Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2 Progress Point Pkwy</AddressLine1Txt>
          <CityNm>OFallon</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63368</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Cox North</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1423 N Jefferson</AddressLine1Txt>
          <CityNm>Springfield</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65802</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Cox South</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3801 S National</AddressLine1Txt>
          <CityNm>Springfield</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>658075297</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10800</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Ellett Memorial Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 6</AddressLine1Txt>
          <CityNm>Appleton City</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>647240006</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10800</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Community Hospital - Fairfax</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 107</AddressLine1Txt>
          <CityNm>Fairfax</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>644460107</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10800</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Sullivan County Memorial</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>630 W 3rd St</AddressLine1Txt>
          <CityNm>Milan</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>635561098</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10800</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Pershing Memorial Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 408</AddressLine1Txt>
          <CityNm>Brookfield</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>646280408</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Wright Memorial Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>701 E 1st St</AddressLine1Txt>
          <CityNm>Trenton</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>646832402</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Perry County Memorial Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>434 NW St</AddressLine1Txt>
          <CityNm>Perryville</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>637751398</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10800</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Harrison County Community</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 428</AddressLine1Txt>
          <CityNm>Bethany</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>644240428</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10800</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Hermann Area District Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 470</AddressLine1Txt>
          <CityNm>Hermann</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>650410470</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10800</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Parkland Health Ctr - Bonne Terre</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>7245 Raider Rd</AddressLine1Txt>
          <CityNm>Bonne Terre</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>636283767</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Mercy Hospital Aurora</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>500 Porter Ave</AddressLine1Txt>
          <CityNm>Aurora</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>656052399</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Mercy Hospital Cassville</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>94 Main St</AddressLine1Txt>
          <CityNm>Cassville</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>656251610</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Mercy Hospital Lincoln</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1000 E Cherry St</AddressLine1Txt>
          <CityNm>Troy</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>633791599</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Hedrick Medical Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>100 Central</AddressLine1Txt>
          <CityNm>Chillicothe</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64601</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Cass Regional Medical Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1800 E Mechanic</AddressLine1Txt>
          <CityNm>Harrisonville</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64701</ZIPCd>
        </USAddress>
        <IRCSectionDesc>N/A</IRCSectionDesc>
        <CashGrantAmt>10800</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Cox Barton County Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>106 Gulf St</AddressLine1Txt>
          <CityNm>Lamar</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>647591047</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Ray County Memorial Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>904 Wollard Blvd</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>640852243</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10800</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Mosaic Medical Center - Albany</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>705 N College St</AddressLine1Txt>
          <CityNm>Albany</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>644021499</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Cox Monett Hospital Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>801 N Lincoln Ave</AddressLine1Txt>
          <CityNm>Monett</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>657081641</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Freeman Neosho Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>113 W Hickory St</AddressLine1Txt>
          <CityNm>Neosho</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>648501705</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Carroll County Memorial Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1502 N Jefferson</AddressLine1Txt>
          <CityNm>Carrollton</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64633</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Pike County Memorial Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2305 Georgia St</AddressLine1Txt>
          <CityNm>Louisiana</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>633532559</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Mercy St Francis Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 82</AddressLine1Txt>
          <CityNm>Mountain View</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65548</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Missouri Baptist Hosp of Sullivan</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>751 Sappington Bridge</AddressLine1Txt>
          <CityNm>Sullivan</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63080</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Mercy Hospital Carthage</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3125 Dr R Smith Way</AddressLine1Txt>
          <CityNm>Carthage</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>64836</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Mosaic Long-Term Acute Care Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5325 Faraon</AddressLine1Txt>
          <CityNm>St Joseph</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>645063488</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SSM Cardinal Glennon</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1465 S Grand Blvd</AddressLine1Txt>
          <CityNm>St Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>631041003</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10800</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>St Louis Children's Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1 Childrens Pl</AddressLine1Txt>
          <CityNm>St Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>631101077</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Children's Mercy Kansas City</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2401 Gillham Rd</AddressLine1Txt>
          <CityNm>Kansas City</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>641084698</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501 (C) (3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>81</Total501c3OrgCnt>
      <TotalOtherOrgCnt>1</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Description of Procedure for Monitoring Use of Funds:</FormAndLineReferenceDesc>
        <ExplanationTxt>Stipends were granted to hospitals that connected to HIDI's ADT platform. Project was funded through a contract with the State of Missouri.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II, Line 1, Column H - Purpose of Grant or Assistance:</FormAndLineReferenceDesc>
        <ExplanationTxt>Stipend for connection to HIDI's ADT platform.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <IdemnificationGrossUpPmtsInd>X</IdemnificationGrossUpPmtsInd>
      <ClubDuesOrFeesInd>X</ClubDuesOrFeesInd>
      <WrittenPolicyRefTAndEExpnssInd>true</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>true</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Herb B Kuhn</PersonNm>
        <TitleTxt>President/CEO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>847823</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>1960075</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>125498</OtherCompensationRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>83495</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>3016891</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>1772575</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kathleen C Poff</PersonNm>
        <TitleTxt>Financial Services Agent</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>365737</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>296673</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>25852</OtherCompensationRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>50342</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>738604</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>266673</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Theresa J Roark</PersonNm>
        <TitleTxt>Senior Vice President</TitleTxt>
        <BaseCompensationFilingOrgAmt>320891</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>15000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>17754</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>80239</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>63895</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>497779</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Matthew Reidhead</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <BaseCompensationFilingOrgAmt>165695</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>7500</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>189</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>53818</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>227202</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jamey Motter</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <BaseCompensationFilingOrgAmt>160168</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>23535</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1576</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>47612</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>232891</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Brian Waterman</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <BaseCompensationFilingOrgAmt>186214</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>10000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>906</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>58400</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>255520</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Timothy Bock</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <BaseCompensationFilingOrgAmt>138155</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>7500</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1209</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>53914</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>200778</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jon Thruston</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <BaseCompensationFilingOrgAmt>139008</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>1768</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>34622</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>175398</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 1A:</FormAndLineReferenceDesc>
        <ExplanationTxt>Employees receiving service awards with a taxable impact receive a gross-up payment to cover the tax. Health club memberships (up to $150 per year) are provided to employees as a wellness benefit as provided in the Healthy Lifestyles policy.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 4B:</FormAndLineReferenceDesc>
        <ExplanationTxt>The following individuals participate in a 457(b) plan. Each individual contributed the amounts shown to the plan to the plan in 2021. - Herb Kuhn - President and CEO - $19,500 - Kathleen Poff - Sr. VP of Administration and CFO - $19,500 - Theresa J. Roark - Sr. VP of Data, Analytics and Research - $19,495</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Incentive Compensation -- Paid to CEO by Missouri Hospital Association:</FormAndLineReferenceDesc>
        <ExplanationTxt>Incentive compensation is intended to reward the chief executive officer for the achievement of those priority organization objectives established by the Compensation Committee. The award of any portion of incentive compensation is at the sole discretion of the committee operating within the board-approved Missouri Hospital Association Executive Compensation Philosophy and at no time is guaranteed. Incentive compensation will only be considered when the following criteria are met. -The chief executive officer receives a favorable annual performance appraisal. -The association achieves positive net income from its consolidated operations (unless, at the sole discretion of the Compensation Committee, specific circumstances warrant an exception). The evaluation of net income will be based on the association's consolidated financial statements and year-end projection. Any material changes in the association's financial position reflected in the subsequent annual audit may, at the sole discretion of the Compensation Committee operating within the board-approved Missouri Hospital Association Executive Compensation Philosophy, cause the amount of current or future incentive compensation to be changed. In no event will incentive compensation be based on net income.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO Retention Bonus:</FormAndLineReferenceDesc>
        <ExplanationTxt>In 2012, an agreement for a CEO retention bonus was executed by the Missouri Hospital Association and the CEO. Commencing with the first calendar quarter of 2012, an account ("Account") created by Employer for Executive shall be credited, as of the last day of each calendar quarter while Executive is employed by Employer through December 31, 2019, with an amount equal to 6 percent of Executive's Base Salary then in effect. In calendar year 2020, the Account shall be adjusted as of the last day of each quarter in the uniform amount necessary, if any, to cause the total credits to the Account pursuant to this subsection (i) for all years to be equal, as of the end of 2020, to two times Executive's Base Salary for the year 2020. As of the last day of each calendar year and as of the date a benefit is payable, the Employer shall credit the Investment Return on the Account since the immediately preceding crediting of Investment Return, as determined pursuant to the provisions of this Section and shall reduce the Account by the amount of any distribution made with respect to the Account and by any reduction made pursuant to subsection (i). For purposes hereof, the Investment Return shall be the amount necessary to increase or decrease the Account balance to what it would have been had the Account balance during the calendar year involved actually been invested in the Investment Option(s) selected by the Executive under this Section. The Investment Return also shall be adjusted to reflect surrender or other charges that would have been incurred if the Account balance had actually been invested in the Investment Options and withdrawn to pay benefits. If the Executive fails to select an Investment Option, the Investment Return shall be the Investment Option most similar to a money market account. If Executive is employed by Employer on June 30, 2020, an amount equal to 50 percent of the Account balance will be paid to him in January 2021, and if Executive is employed by Employer on December 31, 2020, an amount equal to the remainder of the Account balance will be paid to him in January 2021. In 2021, no amounts were credited and the balance of $1,772,575 was paid to Executive in January.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CFO Retention Bonus:</FormAndLineReferenceDesc>
        <ExplanationTxt>In 2015, an agreement for a CFO retention bonus was executed by the Missouri Hospital Association and the CFO. Commencing with the first calendar quarter of 2015, an account ("Account") created by Employer for Executive shall be credited, as of the last day of each calendar quarter while Executive is employed by Employer through December 31, 2017, with an amount equal to 6 percent of Executive's annual base salary then in effect. In the 2017 calendar year, the Account shall be adjusted as of the last day of each quarter in the uniform amount necessary, if any, to cause the total credits to the Account for all years (2015-2017) to be equal, as of the end of the 2017 calendar year, to 75 percent of Executive's annual base salary for the 2017 calendar year. If Executive is continuously employed by Employer through December 31, 2017, then an amount equal to the Account balance, adjusted as provided in this Section 2, as of January 1, 2018, will be paid to her in January 2018. After the payment is made pursuant to Section 2(a), the Account shall be credited, as of the last day of each calendar quarter while Executive is employed by Employer through December 31, 2020, with an amount equal to 6 percent of Executive's annual base salary then in effect. In the 2020 calendar year, the Account shall be adjusted as of the last day of each quarter in the uniform amount necessary, if any, to cause the total credits to the Account for all years (2018-2020) to be equal, as of the end of the 2020 calendar year, to 75 percent of Executive's annual base salary for the 2020 calendar year. If Executive is continuously employed by Employer through December 31, 2020, then an amount equal to the Account balance, adjusted as provided in this Section 2, as of January 1, 2021, will be paid to her in January 2021. In 2021, no amounts were credited and the balance of $266,673 was paid to Executive in January.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Sr. Vice President Retention Bonus:</FormAndLineReferenceDesc>
        <ExplanationTxt>In 2019, an agreement for a Sr. Vice President of Research, Data and Information Services retention bonus was executed by the Hospital Industry Data Institute and the Sr. Vice President of Research, Data and Information Services. Commencing in the fourth calendar quarter of 2019, an account ("Account") created by Employer for Executive shall be credited, as of the last day of each calendar quarter while Executive is employed by Employer through June 30, 2023, with an amount equal to 6 percent of Executive's annual base salary then in effect, except that with respect to the fourth calendar quarter of 2019, the Account will be credited with 12 percent of Executive's annual base salary then in effect. In the 2023 calendar year, the Account shall be adjusted as necessary, such that the total amounts credited to the Account pursuant to this Section 2(a) equals, as of June 20, 2023, the Executive's annual base salary for the 2023 calendar year. If executive is continuously employed by Employer through June 30, 2023, then an amount equal to the Account balance, adjusted as provided in this Section 2, as of June 30, 2023, will be paid to her in July 2023. No further credits will be made to such Account after such payment is made. In 2021, the accrual for the Sr. Vice President's Retention Bonus was calculated to be $80,239. This is year three of the accrual period and is reported as deferred compensation.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part I, Line 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>To gather data for private and public hospitals; to provide data analysis and assemble various reports in order to assist facilities in conducting efficient operations; and to conduct special research projects for health care facilities.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>Management provided by employees of Missouri Hospital Association.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>Missouri Hospital Association is the sole member of the Hospital Industry Data Institute.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7A:</FormAndLineReferenceDesc>
        <ExplanationTxt>The member has the authority under the by-laws to elect the Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>A copy of the Form 990 is e-mailed to the Board for their review prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12C:</FormAndLineReferenceDesc>
        <ExplanationTxt>The board members and key employees review the conflict of interest policy annually and are required to sign the conflict of interest statement annually.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization's CEO: The Missouri Hospital Association president serves as the president and CEO of Hospital Industry Data Institute and is paid by the Missouri Hospital Association. The Missouri Hospital Association Board has an approved Executive Compensation Philosophy and administrative guidelines for implementing the philosophy. Goals are established each year by the Compensation Committee with input from the Board of Trustees. The salary for the CEO is set by the Compensation Committee. The committee members are independent -- the three chair officers of the Missouri Hospital Association Board and the treasurer of the Missouri Hospital Association Board (who also are the chair officers and treasurer of the HIDI board). Comparative data is provided to the committee by an outside, independent firm. The firm conducts a survey of state associations, analyzes the data and the market, and provides the Compensation Committee with a recommended range and target for the CEO position in accordance with the Executive Compensation Philosophy. The Compensation Committee performs a formal evaluation of the CEO's performance and then utilizes the data provided by the independent firm to determine the recommended salary adjustment. The Compensation Committee also solicits input on the CEO's performance from members of the Missouri Hospital Association/Hospital Industry Data Institute Board of Trustees/Directors. A formal process is used to set the base compensation, award any incentive bonus and establish the goals for the coming year. The Compensation Committee shares its actions and details of the CEO's compensation and benefits the full board. Other officers or key employees: The board has an approved Executive Compensation Philosophy. Comparative data is provided by an outside, independent firm. This firm conducts a survey of state associations and analyzes the data and the market. In addition, human resources staff contact hospitals, health systems, the State of Missouri Division of Personnel and private industry for their projected increases for the next year. This data is used to determine the recommended salary adjustment. The chief executive officer conducts the performance evaluations for senior executives and establishes the salary adjustment. The CEO reviews the salary and recommended increases for the senior executives with the Compensation Committee. The Compensation Committee members are independent. They are the three chair officers of the Missouri Hospital Association Board and the treasurer of the Missouri Hospital Association Board (who also are the chair officers and treasurer of the HIDI Board). The Compensation Committee reports to the Board that the salaries for the senior executives were reviewed. The benefits provided to the senior executives are shared with the Missouri Hospital Association/Hospital Industry Data Institute Board of Trustees/Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19:</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization has a committee that assumes responsibility for oversight of the audit and selection of an independent accountant. The process has not changed from the prior year.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONTRACTUAL SERVICES TOTAL FEES:1658350</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Missouri Hospital Association</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO Box 60</AddressLine1Txt>
          <CityNm>Jefferson City</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65102</ZIPCd>
        </USAddress>
        <EIN>440610607</EIN>
        <PrimaryActivitiesTxt>See Pt VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(6)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HEALTH CARE ISSUES COMMITTEE OF THE MHA</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO Box 60</AddressLine1Txt>
          <CityNm>Jefferson City</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65102</ZIPCd>
        </USAddress>
        <EIN>431911634</EIN>
        <PrimaryActivitiesTxt>See Pt VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>527</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>See Pt VII</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MHA Health Institute</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO Box 60</AddressLine1Txt>
          <CityNm>Jefferson City</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65102</ZIPCd>
        </USAddress>
        <EIN>430898947</EIN>
        <PrimaryActivitiesTxt>See Pt VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12b</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>See Pt VII</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>POLITICAL ACTION COMMITTEE FOR HEALTH</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO Box 60</AddressLine1Txt>
          <CityNm>Jefferson City</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65102</ZIPCd>
        </USAddress>
        <EIN>431260901</EIN>
        <PrimaryActivitiesTxt>See Pt VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>527</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>See Pt VII</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>POLITICAL ACTION COMMITTEE OF THE MHA</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO Box 60</AddressLine1Txt>
          <CityNm>Jefferson City</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65102</ZIPCd>
        </USAddress>
        <EIN>431677333</EIN>
        <PrimaryActivitiesTxt>See Pt VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>527</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>See Pt VII</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>THE HEALTH ALLIANCE OF MID AMERICA LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>7015 College Blvd Suite 150</AddressLine1Txt>
          <CityNm>OVERLAND PARK</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66211</ZIPCd>
        </USAddress>
        <EIN>431843809</EIN>
        <PrimaryActivitiesTxt>See Pt VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <UBICodeVAmt>0</UBICodeVAmt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MHA MANAGEMENT SERVICES CORPORATION</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO BOX 6766</AddressLine1Txt>
          <CityNm>JEFFERSON CITY</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>651026766</ZIPCd>
        </USAddress>
        <EIN>431471940</EIN>
        <PrimaryActivitiesTxt>See Pt VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>See Pt VII</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MHA Management Services Corporation</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>513275</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cash</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Missouri Hospital Association</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>224880</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cash</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Missouri Hospital Association</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>646670</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Alloc. FTE's</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Missouri Hospital Association</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>572154</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Alloc. FTE's</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MHA Management Services Corporation</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>52314</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Alloc. FTE's</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MHA Health Insitute</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>222143</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Alloc. FTE's</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II, Column B - Primary Activity:</FormAndLineReferenceDesc>
        <ExplanationTxt>Missouri Hospital Association: To promote the health and welfare of Missouri citizens by assisting hospitals and other healthcare-related organizations. Health Care Issues Committee of the Missouri Hospital Association: To support or oppose health care ballot issues. MHA Health Institute: To assist hospitals and other healthcare-related organizations in the effective management and utilization of human resources, developing education programs designed to meet the educational requirements of hospital personnel, and assistance with quality improvement and population health. Political Action Committee for Health of the MHA: To support Missouri candidates for public office who would serve in the public interest with respect to matters affecting hospitals and the health care industry. Political Action Committee of the MHA: To support federal candidates for public office who would serve in the public interest with respect to matters affecting hospitals and the health care industry.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II, Column F - Direct Controlling Entity:</FormAndLineReferenceDesc>
        <ExplanationTxt>Healthcare Issues Committee of the Missouri Hospital Association: Direct controlling entity: Missouri Hospital Association MHA Health Institute: Direct controlling entity: Missouri Hospital Association Political Action Committee for Health of the MHA: Direct controlling entity: Missouri Hospital Association Political Action Committee of the MHA: Direct controlling entity: Missouri Hospital Association</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Column B - Primary Activity:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Health Alliance of Mid America, LLC: EIN: 43-1843809 To enhance and further the tax-exempt purposes of its members through efficiencies and economics of scale in the operation of programs and provision of products and services to, or for the benefit of, the members and constituencies of the members, by means of coordinating and consolidating programs, products and services and through the conduct of any lawful business for which a limited liability company may be organized under the Act.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Columns E-J:</FormAndLineReferenceDesc>
        <ExplanationTxt>Hospital Industry Data Institute is treated as indirectly owning 50% of the ownership interest in The Health Alliance of Mid America, LLC through the Missouri Hospital Association. The Hospital Industry Data Institute does not directly have any ownership interest in The Health Alliance of Mid America, LLC. Therefore, Hospital Industry Data Institute, the filing organization, does not have a share of the total income or end-of-year assets in The Health Alliance of Mid America, LLC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Column K:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital Industry Data Institute is a 512(b)(13) controlled entity of the Missouri Hospital Association (MHA). The Missouri Hospital Association also owns 50% of the ownership interest of The Health Alliance of Mid America, LLC. According to the attribution rules in 318(a), the Hospital Industry Data Institute is also treated as indirectly owning 50% of the ownership interest in The Health Alliance of Mid America, LLC through the Missouri Hospital Association. The Health Alliance of Mid America, LLC is therefore related to Hospital Industry Data Institute through the Missouri Hospital Association and is reported as a related entity on Schedule R. However, according to the rules in 512(b)(13), The Health Alliance of Mid America, LLC is not a controlled entity of Hospital Industry Data Institute, the filing organization, and therefore no ownership percentage has been reported.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IV, Column B - Primary Activity:</FormAndLineReferenceDesc>
        <ExplanationTxt>MHA Management Services Corporation: To provide products and services to healthcare providers.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IV, Column D - Direct Controlling Entity:</FormAndLineReferenceDesc>
        <ExplanationTxt>MHA Management Services Corporation: Direct controlling entity: Missouri Hospital Association</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IV, Columns F and G:</FormAndLineReferenceDesc>
        <ExplanationTxt>Hospital Industry Data Institute is treated as indirectly owning 100% of the stock interest in MHA Management Services Corporation through the Missouri Hospital Association. The Hospital Industry Data Institute does not directly hold any shares of MHA Management Services Corporation. Therefore, Hospital Industry Data Institute, the filing organization, does not have a share of total income or end-of-year assets in MHA Management Services Corporation, the controlled entity.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IV, Column I:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital Industry Data Institute is a 512(b)(13) controlled entity of the Missouri Hospital Association (MHA). The Missouri Hospital Association also owns 100% of the stock interest of MHA Management Services Corporation. According to the attribution rules in 318(a), the Hospital Industry Data Institute is also treated as indirectly owning 100% of the stock interest in MHA Management Services Corporation through the Missouri Hospital Association. Therefore, MHA Management Services Corporation is a 512(b)(13) controlled entity of Hospital Industry Data Institute.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
