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      <DeferredRevenueGrp>
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        <EOYAmt>3605773</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>3823074</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>379823</BOYAmt>
        <EOYAmt>811269</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>379823</BOYAmt>
        <EOYAmt>811269</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>3705492</BOYAmt>
        <EOYAmt>4634343</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>41059</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-3943</NetUnrlzdGainsLossesInvstAmt>
      <PriorPeriodAdjustmentsAmt>394330</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleC documentId="RetDoc1039700001">
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      <OnlyInHouseLobbyingInd>1</OnlyInHouseLobbyingInd>
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        <DepreciationAmt>1207137</DepreciationAmt>
        <BookValueAmt>194147</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>194147</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <NetUnrealizedGainsInvstAmt>-3943</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>-3943</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>2939752</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>2939752</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>2898693</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>2898693</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>2898693</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT BELIEVES THAT THE ORGANIZATION HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE ORGANIZATION WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. THE ORGANIZATION'S FORM 990 AND OTHER INCOME TAX FILINGS REQUIRED BY STATE, LOCAL, OR NON-U.S. TAX AUTHORITIES ARE NO LONGER SUBJECT TO TAX EXAMINATION FOR YEARS BEFORE 2021.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <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. COREY MARTIN IS AN EMPLOYEE OF IOWA HOSPITAL ASSOCIATION AND SERVED AS THE TOP MANAGEMENT OFFICIAL OF IRHTP ALLOCATING APPROXIMATELY 20% OF HIS TIME TO IRHTP. HIS ALLOCATED COMPENSATION AND BENEFITS FOR 2024 WAS $31,100 AND $4,600, RESPECTIVELY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATION HAS ONE CLASS OF MEMBERS. TO QUALIFY FOR ELECTION AS A MEMBER BY THE BOARD OF DIRECTORS, AN INDIVIDUAL OR ENTITY MUST BE A HEALTH CARE PROVIDER THAT PAYS CORE AND OPERATIONAL FEES OF THE NETWORK TO THE CORPORATION AS THEY BECOME DUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS ARE ELECTED BY THE MEMBERSHIP AT THE ANNUAL MEETING AS BOARD MEMBER TERMS EXPIRE PER THE BYLAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS HAVE THE POWER TO ELECT THE BOARD OF 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 B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY IS REVIEWED AND A DISCLOSURE FORM IS COMPLETED BY EACH BOARD MEMBER ANNUALLY. IF A CONFLICT OF INTEREST IS LISTED, IT IS REVIEWED BETWEEN THE EXECUTIVE DIRECTOR AND THE BOARD MEMBER. SHOULD A TOPIC OF DISCUSSION DURING A BOARD MEETING INVOLVE ANY ASPECT OF THE CONFLICT OF INTEREST, THAT BOARD MEMBER WOULD BE EXCUSED FROM ALL DISCUSSIONS AND VOTING TO MAINTAIN UNBIASED DECISION MAKING.</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>
    </IRS990ScheduleO>
  </ReturnData>
</Return>