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      <Form990PartVIISectionAGrp>
        <PersonNm>Thomas L Bell</PersonNm>
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        <PersonNm>Steve Poage</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Dennis George</PersonNm>
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        <PersonNm>Karen Braman</PersonNm>
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        <PersonNm>Kathi Branyon</PersonNm>
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        <PersonNm>Cindy Samuelson</PersonNm>
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        </ContributorBusinessName>
        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      <OtherSecuritiesGrp>
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        <MethodValuationCd>F</MethodValuationCd>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Due to Kansas Hospital Education &amp; Research Foundation</Desc>
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      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Due to American Hospital Association</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Management is not aware of any uncertain tax positions.</ExplanationTxt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>710617</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Steve Poage</PersonNm>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Chad Austin</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Karen Braman</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dennis George</PersonNm>
        <TitleTxt>CEO - APS</TitleTxt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kathi Branyon</PersonNm>
        <TitleTxt>Senior Vice President</TitleTxt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Cindy Samuelson</PersonNm>
        <TitleTxt>Senior Vice President</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Lisa Love</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Association established a deferred compensation plan (a 457 Plan subject to Code section 457(f)). The name of the Plan as adopted by the Association is the Kansas Hospital Association Deferred Compensation Plan. During the calendar year ended 12/31/2020, the Association contributed $100,000 to the Plan on behalf of Thomas L. Bell, President of the Association. These funds had been segregated into a separate account. During the calendar year ended 12/31/2020, the entire fair market value of the account amounting to $1,035,393 was transferred to Thomas L. Bell upon his retirement.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Reviewed by the Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization has a compliance officer and has approved an internal audit process.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>Outside firm and survey data used by the Executive Committee of the board. Data is comprised of similar positions from across the country.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization provides its governing documents, conflict of interest policy, and financial statements to the public if asked.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>990 Page 11 Part XI 2c</FormAndLineReferenceDesc>
        <ExplanationTxt>Audit commitee assumes the reponsibility and meets with the auditor annually.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>The Kansas Hospital Educational and Research Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>215 SE 8th Street</AddressLine1Txt>
          <CityNm>Topeka</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66603</ZIPCd>
        </USAddress>
        <EIN>237058598</EIN>
        <PrimaryActivitiesTxt>Provide education to KS hospitals &amp; their employees; and scholarships.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 9</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>Kansas Hospital Association</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Kansas Healthcare Collaborative Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>623 SW 10th Avenue</AddressLine1Txt>
          <CityNm>Topeka</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66612</ZIPCd>
        </USAddress>
        <EIN>943483497</EIN>
        <PrimaryActivitiesTxt>Transform healthcare through patient centered initiatives.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 12a</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>Kansas Health Services Corporation</BusinessNameLine1Txt>
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          <CityNm>Topeka</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>666033906</ZIPCd>
        </USAddress>
        <EIN>480991210</EIN>
        <PrimaryActivitiesTxt>Facilitate Discount Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Kansas Hospital Association</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>164421</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>1950680</ShareOfEOYAssetsAmt>
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      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
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      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
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      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>Kansas Health Services Corporation</BusinessNameLine1Txt>
        </OtherOrganizationName>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>Kansas Health Services Corporation</BusinessNameLine1Txt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>Kansas Health Services Corporation</BusinessNameLine1Txt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>Kansas Hospital Education and Research Foundation</BusinessNameLine1Txt>
        </OtherOrganizationName>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>Kansas Hospital Education and Research Foundation</BusinessNameLine1Txt>
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        <MethodOfAmountDeterminationTxt>Management fees paid</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <UnrelatedOrgTxblPartnershipGrp>
        <BusinessName>
          <BusinessNameLine1Txt>The Health Alliance of Mid-America LLC</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>7015 College Blvd Suite 150</AddressLine1Txt>
          <CityNm>Overland Park</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66211</ZIPCd>
        </USAddress>
        <EIN>431843809</EIN>
        <PrimaryActivitiesTxt>Provide programs, products, &amp; services to members and members constituancies</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <PredominateIncomeDesc>Related</PredominateIncomeDesc>
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  </ReturnData>
</Return>
