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        <DisqualifiedPrsnControllIntInd>0</DisqualifiedPrsnControllIntInd>
        <DisqualifiedPrsnOwnrIntInd>0</DisqualifiedPrsnOwnrIntInd>
        <ExcessBusinessHoldingsRulesInd>0</ExcessBusinessHoldingsRulesInd>
        <ContributionControllerInd>0</ContributionControllerInd>
        <ContributionFamilyInd>0</ContributionFamilyInd>
        <Contribution35ControlledInd>0</Contribution35ControlledInd>
      </Form990SchASupportingOrgGrp>
      <Form990SchAType3SprtOrgAllGrp>
        <TimelyProvidedDocumentsInd>1</TimelyProvidedDocumentsInd>
        <OfficersCloseRelationshipInd>1</OfficersCloseRelationshipInd>
        <SupportedOrgVoiceInvestmentInd>0</SupportedOrgVoiceInvestmentInd>
      </Form990SchAType3SprtOrgAllGrp>
      <Form990SchAType3FuncIntGrp>
        <ActivitiesTestInd>X</ActivitiesTestInd>
        <ActivitiesFurtherExemptPrpsInd>1</ActivitiesFurtherExemptPrpsInd>
        <ActivitiesEngagedOrgInvlmntInd>0</ActivitiesEngagedOrgInvlmntInd>
      </Form990SchAType3FuncIntGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SECTION E, LINE 2A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PURPOSE OF THE ORGANIZATION IS TO OPERATE EXCLUSIVELY FOR THE SUPPORT AND BENEFIT OF, TO BE RESPONSIVE TO THE NEEDS OF, TO PERFORM ONE OR MORE OF THE FUNCTIONS OF, AND TO ASSIST IN CARRYING OUT THE PURPOSES OF LYNN COUNTY HOSPITAL DISTRICT ("LCHD) AND BY CARRYING OUT ANY OTHER ACTIVITY WHICH SUPPORTS, IS RESPONSIVE TO, OR ASSISTS THE NEEDS OF THE SICK, INJURED, AFFLICTED, INFIRMED OR DISABLED. ALL ACCTIVITIES OF THE ORGANIZATION WERE CONDUCTED TO BENEFIT LCHD.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <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>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1039900001">
      <DisclosedOrgLegCtrlInd>1</DisclosedOrgLegCtrlInd>
      <DisclosedForCharitablePrpsInd>1</DisclosedForCharitablePrpsInd>
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>0</BeginningYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>17937</BeginningYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>17937</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>17937</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>337062</BeginningYearBalanceAmt>
        <GrantsOrScholarshipsAmt>319125</GrantsOrScholarshipsAmt>
        <EndYearBalanceAmt>17937</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <ContributionsAmt>450000</ContributionsAmt>
        <GrantsOrScholarshipsAmt>112938</GrantsOrScholarshipsAmt>
        <EndYearBalanceAmt>337062</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>283102</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>22648</DepreciationAmt>
        <BookValueAmt>260454</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>31217</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3642</DepreciationAmt>
        <BookValueAmt>27575</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>288029</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION IS A NOT-FOR-PROFIT ORGANIZATION THAT IS EXEMPT FROM INCOME TAXES UNDER IRC SECTION 501(C)(3). THE FOUNDATION EVALUATES AND ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES (FORMERLY FASB INTERPRETATION 48 (FIN 48) ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES). THIS STANDARD REQUIRES CERTAIN DISCLOSURES ABOUT UNCERTAIN INCOME TAX POSITIONS. THE FOUNDATION EVALUATES ANY UNCERTAIN TAX POSITIONS USING THE PROVISIONS OF ACS 450, CONTINGENCIES. AS A RESULT, MANAGEMENT DOES NOT BELIEVE ANY UNCERTAIN TAX POSITIONS CURRENLTY EXIST AND NO LOSS CONTINGENCY HAS BEEN RECOGNIZED. THE FOUNDATION HAS FILED ALL APPLICABLE TAX RETURNS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>AUCTION</Event1Nm>
        <GrossReceiptsEvent1Amt>22130</GrossReceiptsEvent1Amt>
        <GrossRevenueEvent1Amt>22130</GrossRevenueEvent1Amt>
        <Event2Nm>30 MINUTE CLUB</Event2Nm>
        <GrossReceiptsEvent2Amt>21447</GrossReceiptsEvent2Amt>
        <GrossRevenueEvent2Amt>21447</GrossRevenueEvent2Amt>
        <OtherEventsTotalCnt>2</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>18243</GrossReceiptsOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>18243</GrossRevenueOtherEventsAmt>
        <GrossReceiptsTotalAmt>61820</GrossReceiptsTotalAmt>
        <GrossRevenueTotalEventsAmt>61820</GrossRevenueTotalEventsAmt>
        <NetIncomeSummaryAmt>61820</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER OF THE FOUNDATION IS LCHD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>LCHD SHALL APPOINT ONE MEMBER OF THE LCHD BOARD OF DIRECTORS TO THE FOUNDATION'S BOARD OF DIRECTORS. THE APPOINTED BOARD MEMBER SHALL SERVICE ON THE FOUNDATION BOARD OF DIRECTORS NO MORE THAN THREE CONSECUTIVE ONE-YEAR TERMS, PROVIDED THAT SUCH APPOINTED BOARD MEMBERS REMAINS A MEMBER IN GOOD STANDING OF THE LCHD BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REVIEWS THE RETURN PRIOR TO FILING THE RETURN AND PRESENTS THE RETURN TO THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGNAIZATION REQUIRES ALL DIRECTORS, OFFICERS OR MEMBERS OF COMMITTEE WHO HAVE A DIRECT OR INDIRECT FINANCIAL INTEREST THROUGH BUSINESS, INVESTMENT OR FAMILY TO DISCLOSE THE CONFLICT. THE BOARD MEETS WITHOUT THE DISCLOSING MEMBER TO DETERIMES IF THE FINANCIAL INTEREST IS A CONFLICT OF INTEREST. IF THE BOARD HAS REASONABLE CAUSE TO BELIEVE SOMEONE HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT, IT INFORMS THE PERSON OF THE BASIS FOR SUCH BELIEVE AND GIVES THAT PERSON OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF THE BOARD DETERMINES THERE WAS A FAILURE TO DISCLOSE, IT WILL TAKE THE APPPROPIRATE DISCIPLINARY AND CORRECTIVE ACTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>EXCEPT AS PROVIDED IN THE FOUNDATION'S FORM 1023 AND FORM 990S AND INFORMATION AVAILABLE IN THE CONSOLIDATED AUDITS WITH LCHD, THE FOUNDATION DOES NOT MAKE ITS GOVERNING DOCUMENTSM, CONFLICT OF INTEREST STATEMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>