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      </LeaseholdImprovementsGrp>
      <EquipmentGrp />
      <OtherLandBuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>0</InvestmentCostOrOtherBasisAmt>
        <OtherCostOrOtherBasisAmt>2071023</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1642588</DepreciationAmt>
        <BookValueAmt>428435</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>2451846</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>OTHER ASSETS</Desc>
        <BookValueAmt>6691</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>CASH VALUE OF LIFE INSURANCE</Desc>
        <BookValueAmt>290536</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER INVESTMENTS</Desc>
        <BookValueAmt>2058185</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>2355412</TotalBookValueOtherAssetsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AFFILIATE</Desc>
        <Amt>1044779</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LT RETIREMENT PLAN OBLIGATION</Desc>
        <Amt>2058185</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>INTEREST RATE SWAP</Desc>
        <Amt>670994</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>3773958</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>ASC 740 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE D, PART X, LINE 2 MHA is a not-for-profit organization described in Section 501(c)(6) of the Internal Revenue Code, as amended (the Code), and is generally exempt from income taxes pursuant to Section 501(a) of the Code. MHA is required to assess uncertain tax positions and has determined that there were no such positions that are material to the financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="IRS990ScheduleG">
      <FundraisingEventInformationGrp>
        <NameOfEvent1Amt>Golf Outing</NameOfEvent1Amt>
        <GrossReceiptsEvent1Amt>57993</GrossReceiptsEvent1Amt>
        <GrossRevenueEvent1Amt>57993</GrossRevenueEvent1Amt>
        <NonCashPrizesEvent1Amt>1070</NonCashPrizesEvent1Amt>
        <RentFacilityCostsEvent1Amt>11796</RentFacilityCostsEvent1Amt>
        <OtherDirectExpensesEvent1Amt>2189</OtherDirectExpensesEvent1Amt>
        <OtherEventsTotalCnt>0</OtherEventsTotalCnt>
        <GrossReceiptsTotalAmt>57993</GrossReceiptsTotalAmt>
        <GrossRevenueTotalEventsAmt>57993</GrossRevenueTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>1070</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>11796</RentFcltyCostsTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>2189</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>15055</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>42938</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>Coalition to Protect America's Health</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>PO Box 30211</AddressLine1>
          <City>Bethesda</City>
          <State>MD</State>
          <ZIPCode>20824</ZIPCode>
        </USAddress>
        <RecipientEIN>522253225</RecipientEIN>
        <IRCSectionDesc>501(c)(4)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Procedures for Monitoring use of Grant Funds</FormAndLineReferenceDesc>
        <ExplanationTxt>Schedule I, Part I, Line 2 MHA makes general contributions to support the Grass Roots advocacy of a national organization advocating for increased hospital funding and other support.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Patricia Lynn Nicholas FACHE</PersonNm>
        <TitleTxt>President and CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>573716</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>169223</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>31934</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>145545</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>27864</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>948282</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Nancy Siopes MBA CPCU CIC CRM</PersonNm>
        <TitleTxt>VP Operations</TitleTxt>
        <BaseCompensationFilingOrgAmt>200508</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>1033</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12003</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>4215</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>217759</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Patricia Noga</PersonNm>
        <TitleTxt>VP Clinical Affairs</TitleTxt>
        <BaseCompensationFilingOrgAmt>167614</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>25085</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2199</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12182</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>28504</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>235584</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Timothy Gens</PersonNm>
        <TitleTxt>EVP and General Counsel</TitleTxt>
        <BaseCompensationFilingOrgAmt>298820</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>69848</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>22617</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14185</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>29697</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>435167</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Christine Baratta</PersonNm>
        <TitleTxt>VP Marketing &amp; Communications</TitleTxt>
        <BaseCompensationFilingOrgAmt>193373</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>36309</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>19193</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13366</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>23916</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>286157</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Patricia Crowley</PersonNm>
        <TitleTxt>VP Governance and Relations</TitleTxt>
        <BaseCompensationFilingOrgAmt>169677</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>32032</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1096</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12404</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>23587</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>238796</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Michael Sroczynski</PersonNm>
        <TitleTxt>VP Government Advocacy</TitleTxt>
        <BaseCompensationFilingOrgAmt>163979</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>30507</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1118</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11832</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9640</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>217076</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Anuj Goel</PersonNm>
        <TitleTxt>VP Legal Regulatory Affairs</TitleTxt>
        <BaseCompensationFilingOrgAmt>160859</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>27775</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>961</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11070</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>23517</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>224182</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE J, PART I, LINE 4 THE PRESIDENT AND CEO HAS A SEVERANCE AGREEMENT WITH MHA. IF MHA SEVERS THE CEO'S EMPLOYMENT, MHA WILL PROVIDE SEVERANCE BENEFITS EQUAL TO ONE YEAR OF BASE SALARY AND ASSOCIATED BENEFITS, WITHOUT OFFSET, AND AN ADDITIONAL SIX MONTHS' SEVERANCE, OFFSET BY SALARY OF SUBSEQUENT EMPLOYMENT. SEVERANCE BENEFITS WILL NOT APPLY IF THE CAUSE OF THE TERMINATION IS DUE TO GROSS NEGLIGENCE FRAUD OR AN ILLEGAL ACT. THE SENIOR VICE PRESIDENT OF POLICY AND REGULATION AND GENERAL COUNSEL AND THE VICE PRESIDENT, MARKETING &amp; COMMUNICATIONS HAVE A SEVERANCE AGREEMENT WITH MHA. IF MHA SEVERS THE THEIR EMPLOYMENT, MHA WILL PROVIDE SEVERANCE BENEFITS EQUAL TO THIRTY- NINE WEEKS OF BASE SALARY AND ASSOCIATED BENEFITS, WITHOUT OFFSET, AND AN ADDITIONAL THIRTEEN WEEKS SEVERANCE, OFFSET BY SALARY OF SUBSEQUENT EMPLOYMENT. SEVERANCE BENEFITS WILL NOT APPLY IF THE CAUSE OF THE TERMINATION IS DUE TO WILLFUL MISCONDUCT, GROSS NEGLIGENCE OR AN ILLEGAL ACT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE J, PART I, LINE 4B The President and CEO Patricia Lynn Nicholas participates in a supplemental nonqualified retirement plan. No amounts were paid to Ms. Nicholas. Amounts contributed to the plan during the year, subject to substantial risk of forfeiture, totaled $130,245, and are reported as other reportable compensation in Column C of Part II.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Incentive Payments</FormAndLineReferenceDesc>
        <ExplanationTxt>Schedule J, Part I, Line 7 Compensation packages for the listed individuals include opportunities to earn incentive compensation based on a combination of meeting or exceeding pre-determined goals. This incentive compensation is subject to review and approval by the compensation committee and has been reported on Schedule J, Part II, Column Bii.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Delegation of Authority</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part VI, Line 1A EXECUTIVE COMMITTEE MEETS SIX TIMES EACH YEAR TO ADDRESS INTERNAL OPERATIONAL POLICIES WHICH ARE LATER REVIEWED BY THE FULL GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Changes to Governing Documents</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, LINE 4 IN JUNE OF 2014, THE BY-LAWS WERE AMENDED TO INCLUDE A CLARIFICATION TO THE QUORUM STANDARDS FOR VOTING AT MEMBERSHIP MEETINGS. THIS CHANGE WAS REVIEWED AND APPROVED AT THE ANNUAL MEMBERSHIP MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Members or Stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part VI, Line 6 THE ORGANIZATION HAS DUES PAYING MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Members or Stockholders Who May Elect</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part VI, Line 7a MHA HOLDS A GOVERNANCE COMMITTEE MEETING EACH YEAR TO DEVELOP A LIST OF OFFICERS WHO ARE PRESENTED TO THE ANNUAL MEMBERSHIP MEETING (WHICH IS HELD IN JUNE) FOR VOTING OF THE MHA BOARD OF TRUSTEES FOR EACH YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Decisions Subject to Approval</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part VI, Line 7b ANY CHANGES TO THE MHA BYLAWS OR CORPORATE GOVERNANCE DOCUMENTS MUST BE APPROVED AT THE ANNUAL MEMBERSHIP MEETING HELD IN JUNE OF EACH YEAR. OTHER CHANGES TO CORPORATE POLICIES AND PROCEDURES ARE APPROVED BY THE BOARD OR OTHER GOVERNANCE COMMITTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part VI, Line 11b THE FORM 990 WAS PREPARED BY THE ORGANIZATION'S TAX SERVICE PROVIDER WITH INFORMATION PROVIDED BY THE CONTROLLER. THE FORM WAS REVIEWED BY THE CHIEF EXECUTIVE OFFICER AND GENERAL COUNSEL PRIOR TO BEING PRESENTED TO THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES. THE EXECUTIVE COMMITTEE REVIEWS THE FORM 990 IN DETAIL AND APPROVES IT FOR SUBMISSION. PRIOR TO THE FINAL FORM BEING ELECTRONICALLY SUBMITTED TO THE INTERNAL REVENUE SERVICE, A COPY IS ALSO PROVIDED TO ALL MEMBERS OF THE BOARD OF TRUSTEES to review and provide any final comments.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of Interest Policy Monitoring &amp; Enforcement</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part VI, Line 12c THE ASSOCIATION MAINTAINS A WRITTEN CONFLICT OF INTEREST POLICY THAT IS INCLUDED IN THE ASSOCIATION'S POLICIES AND PROCEDURES MANUAL WHICH IS UPDATED AND DISSEMINATED TO EMPLOYEES AND TRUSTEES ANNUALLY. AT THE START OF EACH FISCAL YEAR, THE SENIOR DIRECTOR OF HUMAN RESOURCES OF THE ORGANIZATION REQUIRES THAT EACH KEY EMPLOYEE, OFFICER AND TRUSTEE COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE TRUSTEES AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS. INDIVIDUALS WITH A CONFLICT OF INTEREST ARE PROHIBITED FROM PARTICIPATING IN THE DISCUSSION AND RESOLUTION OF THE CONFLICT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Process for Determining Compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part VI, Line 15a THE ORGANIZATION'S COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES IS AN INDEPENDENT COMMITTEE THAT DOES NOT HAVE ANY CONFLICTS OF INTEREST WITH RESPECT TO THE COMPENSATION PAID TO THE ORGANIZATION'S EXECUTIVES. THIS COMMITTEE REVIEWS THE CHIEF EXECUTIVE OFFICER'S ANNUAL GOALS AND PERFORMANCE. THE COMMITTEE SETS AND APPROVES THE COMPENSATION PACKAGE OF THE CHIEF EXECUTIVE OFFICER EACH YEAR. THE COMMITTEE HIRES A COMPENSATION CONSULTING FIRM TO PROVIDE EXPERTISE AND GUIDANCE REGARDING COMPARABLE COMPENSATION DATA FOR SIMILARLY QUALIFIED PEOPLE IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILAR SIZED ORGANIZATIONS, AND PERIODIC UPDATES AS PRUDENT. THE COMPENSATION REVIEW IS AN ANNUAL PROCESS AND IS DOCUMENTED EACH YEAR IN THE COMPENSATION COMMITTEE MINUTES, IN WHICH THE DELIBERATION AND DECISION REGARDING THE COMPENSATION ARRANGEMENT FOR THE CEO IS RECORDED. THE COMPENSATION COMMITTEE REPORTS ON ITS MEETINGS AND ACTIONS TO THE FULL BOARD OF TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Process for Determining Compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part VI, Line 15b THE CHIEF EXECUTIVE OFFICER MAKES RECOMMENDATIONS FOR REVIEW AND APPROVAL OF KEY EMPLOYEE COMPENSATION TO THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE ORGANIZATION'S COMPENSATION COMMITTEE IS AN INDEPENDENT COMMITTEE THAT DOES NOT HAVE ANY CONFLICTS OF INTEREST WITH RESPECT TO THE COMPENSATION PAID TO THE ORGANIZATION'S EXECUTIVES. ON A BIENNIAL BASIS, THE COMMITTEE HIRES A COMPENSATION CONSULTING FIRM TO PROVIDE EXPERTISE AND GUIDANCE REGARDING COMPARABLE COMPENSATION DATA FOR SIMILARLY QUALIFIED PEOPLE IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILAR SIZED ORGANIZATIONS, AND PERIODIC UPDATES AS PRUDENT. THE COMPENSATION REVIEW IS DOCUMENTED IN THE COMPENSATION COMMITTEE MINUTES, IN WHICH THE DELIBERATION AND DECISION REGARDING THE COMPENSATION ARRANGEMENT FOR KEY EMPLOYEES IS RECORDED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>How Documents are Made Available to the Public</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part VI, Line 19 THE ASSOCIATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Lobbying Activity</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART X, LINE 11(d) The expenditures on this line item include amounts provided to contract lobbyists ($253,800) and money provided to a state ballot campaign committee (Committee for Quality Hospital Care), which provided grass roots communication and messaging ($857,489).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes in Net Assets</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART XI, LINE 9 GAIN ON INTEREST RATE SWAPS: 49,768</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>MA Hospital Research &amp; Ed Association</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>5 New England Executive Park</AddressLine1>
          <City>Burlington</City>
          <State>MA</State>
          <ZIPCode>01803</ZIPCode>
        </USAddress>
        <EIN>237039401</EIN>
        <PrimaryActivitiesTxt>EDUCATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>09</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>MHA Insurance Agency Inc</BusinessNameLine1>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1>5 New England Executive Park</AddressLine1>
          <City>Burlington</City>
          <State>MA</State>
          <ZIPCode>01803</ZIPCode>
        </USAddress>
        <EIN>042915488</EIN>
        <PrimaryActivitiesTxt>Insurance</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHA</BusinessNameLine1>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>1032497</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>486874</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>true</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>MHA IA</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>o</TransactionTypeTxt>
        <InvolvedAmt>159480</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>MHA IA</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>o</TransactionTypeTxt>
        <InvolvedAmt>127500</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>MHA IA</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>q</TransactionTypeTxt>
        <InvolvedAmt>20000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>MHA IA</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>a</TransactionTypeTxt>
        <InvolvedAmt>50700</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>MHA IA</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>q</TransactionTypeTxt>
        <InvolvedAmt>8000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>MHA IA</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>l</TransactionTypeTxt>
        <InvolvedAmt>53000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>MHA IA</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>r</TransactionTypeTxt>
        <InvolvedAmt>135000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>MHA IA</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>r</TransactionTypeTxt>
        <InvolvedAmt>35429</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>MHREA</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>o</TransactionTypeTxt>
        <InvolvedAmt>169474</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>MHREA</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>l</TransactionTypeTxt>
        <InvolvedAmt>25000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>MHREA</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>r</TransactionTypeTxt>
        <InvolvedAmt>351456</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>