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        <PersonNm>STEPHANIE MULLER</PersonNm>
        <TitleTxt>DIRECTOR OF HUMAN RESOURCES</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>103168</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11917</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1181816</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>198288</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>5</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>IOWA HOSPITAL ASSOCIATION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>100 EAST GRAND</AddressLine1Txt>
            <CityNm>DES MOINES</CityNm>
            <StateAbbreviationCd>IA</StateAbbreviationCd>
            <ZIPCd>50309</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ADMINISTRATIVE SUPPORT AND GRANT SUPPORT</ServicesDesc>
        <CompensationAmt>428345</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>STADER OPIOID CONSULTANTS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>742 JOSEPH CIRCLE</AddressLine1Txt>
            <CityNm>GOLDEN</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>80403</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>GRANT SUPPORT SERVICES</ServicesDesc>
        <CompensationAmt>299886</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>KANSAS HEALTHCARE COLLABORATIVE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>623 SW 10TH AVENUE</AddressLine1Txt>
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        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          <USAddress>
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            <ZIPCd>39110</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          <USAddress>
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      <OtherRevenueMiscGrp>
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      <OtherRevenueMiscGrp>
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        <ProgramServicesAmt>50077</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>160953</ProgramServicesAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>151230</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15734</ManagementAndGeneralAmt>
        <FundraisingAmt>1000</FundraisingAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>46806</TotalAmt>
        <ManagementAndGeneralAmt>46806</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1358125</ProgramServicesAmt>
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        <FundraisingAmt>573</FundraisingAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>56315</TotalAmt>
        <ProgramServicesAmt>55556</ProgramServicesAmt>
        <ManagementAndGeneralAmt>693</ManagementAndGeneralAmt>
        <FundraisingAmt>66</FundraisingAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>253536</TotalAmt>
        <ProgramServicesAmt>251207</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2237</ManagementAndGeneralAmt>
        <FundraisingAmt>92</FundraisingAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>95969</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3248</ManagementAndGeneralAmt>
        <FundraisingAmt>130</FundraisingAmt>
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      <TravelGrp>
        <TotalAmt>6424</TotalAmt>
        <ProgramServicesAmt>6160</ProgramServicesAmt>
        <ManagementAndGeneralAmt>264</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>94394</TotalAmt>
        <ProgramServicesAmt>93154</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1240</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>91072</TotalAmt>
        <ProgramServicesAmt>91072</ProgramServicesAmt>
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      <InsuranceGrp>
        <TotalAmt>30289</TotalAmt>
        <ProgramServicesAmt>29302</ProgramServicesAmt>
        <ManagementAndGeneralAmt>957</ManagementAndGeneralAmt>
        <FundraisingAmt>30</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>CONSULTANTS AND CONTRAC</Desc>
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        <ProgramServicesAmt>430636</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2398</ManagementAndGeneralAmt>
        <FundraisingAmt>79</FundraisingAmt>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>20580</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>TELEPHONE</Desc>
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        <ProgramServicesAmt>7749</ProgramServicesAmt>
        <ManagementAndGeneralAmt>97</ManagementAndGeneralAmt>
        <FundraisingAmt>9</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
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        <ProgramServicesAmt>802</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>5918856</TotalAmt>
        <ProgramServicesAmt>5485368</ProgramServicesAmt>
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      <SavingsAndTempCashInvstGrp>
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      <AccountsReceivableGrp>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>110399</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>788693</LandBldgEquipCostOrOtherBssAmt>
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      <LandBldgEquipBasisNetGrp>
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      <TotalNetAssetsFundBalanceGrp>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <ReconcilationRevenueExpnssAmt>-317155</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>438429</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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        <CurrentTaxYearMinus4YearsAmt>14511502</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>16916589</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>12572200</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearAmt>4418375</CurrentTaxYearAmt>
        <TotalAmt>53905659</TotalAmt>
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      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>239632</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>305318</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>229330</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearAmt>175036</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus2YearsAmt>23618</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12261</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>830</CurrentTaxYearAmt>
        <TotalAmt>41882</TotalAmt>
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      <PublicSupportCY170Pct>0.97900</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.98360</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>671728</DepreciationAmt>
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      </EquipmentGrp>
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      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED EMPLOYEE COMPENSATION</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>5872050</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>46806</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>46806</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE COLLABORATIVE AND RECOGNIZE A TAX LIABILITY OR ASSET FOR AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT HAS EVALUATED THEIR MATERIAL TAX POSITIONS AND DETERMINED THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR ASSET OR DISCLOSURES IN THE FINANCIAL STATEMENTS. THE COLLABORATIVE IS SUBJECT TO ROUTINE AUDITS BY TAX AUTHORITIES; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES THE COLLABORATIVE IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2018.</ExplanationTxt>
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      <IndependentConsultantInd>X</IndependentConsultantInd>
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <PersonNm>THOMAS EVANS MD</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>15286</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>649353</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LINDA FIRKINS</PersonNm>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>JENNIFER BROCKMAN</PersonNm>
        <TitleTxt>VICE PRESIDENT, HEALTH SERVICES</TitleTxt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>21125</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16907</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>226279</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTOPHER EVANS</PersonNm>
        <TitleTxt>VICE PRESIDENT, ADMINISTRATIVE SERVI</TitleTxt>
        <BaseCompensationFilingOrgAmt>197085</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>22080</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17550</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>236715</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>BRIAN DIETER</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD MEMBER OF IOWA HOSPITAL ASSOCIATION AND IOWA HEALTHCARE COLLABORATIVE</RelationshipDescriptionTxt>
        <TransactionAmt>527919</TransactionAmt>
        <TransactionDesc>IOWA HOSPITAL ASSOCIATION PROVIDES SERVICES TO THE COLLABERATIVE, DATA PROCESSING AND IT SUPPORT.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>MIKE FLESHER</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>CEO OF IOWA MEDICAL SOCIETY AND BOARD MEMBER OF IHC</RelationshipDescriptionTxt>
        <TransactionAmt>17526</TransactionAmt>
        <TransactionDesc>IOWA MEDICAL SOCIETY PROVIDES CONSULTING SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>LAURIE CONNER</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD MEMBER OF IOWA HOSPITAL ASSOCIATION AND IOWA HEALTHCARE COLLABORATIVE</RelationshipDescriptionTxt>
        <TransactionAmt>527919</TransactionAmt>
        <TransactionDesc>IOWA HOSPITAL ASSOCIATION PROVIDES SERVICES TO THE COLLABERATIVE, DATA PROCESSING AND IT SUPPORT.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>PERRY MEYER</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>EXECUTIVE VP, IOWA HOSPITAL ASSOC. AND BOARD MEMBER, IOWA HEALTHCARE COLL.</RelationshipDescriptionTxt>
        <TransactionAmt>527919</TransactionAmt>
        <TransactionDesc>IOWA HOSPITAL ASSOCIATION PROVIDES SERVICES TO THE COLLABERATIVE, DATA PROCESSING AND IT SUPPORT.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH BOARD MEMBER RECEIVES A COPY OF THE FORM 990 FOR THEIR REVIEW IN ADVANCE OF ITS SUBMISSION TO THE IRS. MANAGEMENT REVIEWS THE FORM IN DETAIL BEFORE SENDING TO THE BOARD FOR THEIR REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY IS REVIEWED BY THE BOARD OF DIRECTORS ON AN ANNUAL BASIS. A NEW DISCLOSURE FORM IS COMPLETED BY EACH BOARD MEMBER ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTOR'S EXECUTIVE COMMITTEE, CONSISTING OF THE CHAIR, VICE-CHAIR AND SECRETARY-TREASURER, MEET TO ANNUALLY REVIEW PERFORMANCE EVALUATION FEEDBACK FROM A SURVEY OF THE BOARD. THE EXECUTIVE COMMITTEE REVIEWS THE EVALUATION WITH THE PRESIDENT. THE EXECUTIVE COMMITTEE USES THE RESULTS FROM A COMPENSATION REVIEW PERFORMED BY AN INDEPENDENT THIRD PARTY AS GUIDE IN THEIR NEGOTIATION OF ADDITIONAL COMPENSATION FOR THE PRESIDENT. THE EXCUTIVE COMMITTEE'S RECOMMENDATION ON SALARY ADJUSTMENT COMES TO THE BOARD FOR THEIR APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER CONTRACT FEES: PROGRAM SERVICE EXPENSES 1,323,535. MANAGEMENT AND GENERAL EXPENSES 11,944. FUNDRAISING EXPENSES 569. TOTAL EXPENSES 1,336,048. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 34,590. MANAGEMENT AND GENERAL EXPENSES 19,078. FUNDRAISING EXPENSES 4. TOTAL EXPENSES 53,672.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>NO CHANGES FROM PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
