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      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
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      <OnlyInHouseLobbyingInd>1</OnlyInHouseLobbyingInd>
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        <Desc>INVESTMENTS</Desc>
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        <MethodValuationCd>F</MethodValuationCd>
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      <TotalBookValueSecuritiesAmt>1473973</TotalBookValueSecuritiesAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedFinclStmtAmt>4089</RevenueNotReportedFinclStmtAmt>
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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 PROGRAM 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>IRHTP HAS ENTERED INTO A MANAGEMENT AGREEMENT WITH THE IOWA HOSPITAL ASSOCIATION TO PROVIDE MANAGEMENT SERVICES FOR THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>PURSUANT TO ARTICLE FIVE OF THE BYLAWS, MEMBERS HAVE THE POWER TO ELECT DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>PURSUANT TO ARTICLE FIVE OF THE BYLAWS, MEMBERS HAVE THE POWER TO ELECT DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH BOARD MEMBER WILL RECEIVE 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 C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>2C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD OF DIRECTORS ASSUMES MANAGEMENT OVERSIGHT FOR THE AUDIT OF THE FINANCIAL STATEMENTS.</ExplanationTxt>
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</Return>