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          <CurrentYearAmt>4695</CurrentYearAmt>
        </TotalAdjustedNetIncomeGrp>
      </AdjustedNetIncomeGrp>
      <MinimumAssetAmountGrp>
        <AverageMonthlyFMVOfSecGrp>
          <PriorYearAmt>292393</PriorYearAmt>
          <CurrentYearAmt>280343</CurrentYearAmt>
        </AverageMonthlyFMVOfSecGrp>
        <AverageMonthlyCashBalancesGrp>
          <PriorYearAmt>8933</PriorYearAmt>
          <CurrentYearAmt>11120</CurrentYearAmt>
        </AverageMonthlyCashBalancesGrp>
        <FMVOtherNonExemptUseAssetGrp>
          <PriorYearAmt>0</PriorYearAmt>
        </FMVOtherNonExemptUseAssetGrp>
        <TotalFMVOfNonExemptUseAssetGrp>
          <PriorYearAmt>301326</PriorYearAmt>
          <CurrentYearAmt>291463</CurrentYearAmt>
        </TotalFMVOfNonExemptUseAssetGrp>
        <DiscountClaimedAmt>0</DiscountClaimedAmt>
        <AcquisitionIndebtednessGrp>
          <PriorYearAmt>0</PriorYearAmt>
        </AcquisitionIndebtednessGrp>
        <AdjustedFMVLessIndebtednessGrp>
          <PriorYearAmt>301326</PriorYearAmt>
          <CurrentYearAmt>291463</CurrentYearAmt>
        </AdjustedFMVLessIndebtednessGrp>
        <CashDeemedCharitableGrp>
          <PriorYearAmt>4520</PriorYearAmt>
          <CurrentYearAmt>4372</CurrentYearAmt>
        </CashDeemedCharitableGrp>
        <NetVlNonExemptUseAssetsGrp>
          <PriorYearAmt>296806</PriorYearAmt>
          <CurrentYearAmt>287091</CurrentYearAmt>
        </NetVlNonExemptUseAssetsGrp>
        <PctOfNetVlNonExemptUseAstGrp>
          <PriorYearAmt>10388</PriorYearAmt>
          <CurrentYearAmt>10048</CurrentYearAmt>
        </PctOfNetVlNonExemptUseAstGrp>
        <RecoveriesPYDistriMinAssetGrp>
          <PriorYearAmt>0</PriorYearAmt>
        </RecoveriesPYDistriMinAssetGrp>
        <TotalMinimumAssetGrp>
          <PriorYearAmt>10388</PriorYearAmt>
          <CurrentYearAmt>10048</CurrentYearAmt>
        </TotalMinimumAssetGrp>
      </MinimumAssetAmountGrp>
      <DistributableAmountGrp>
        <CYAdjNetIncomeDistributableAmt>16913</CYAdjNetIncomeDistributableAmt>
        <CYPct85AdjustedNetIncomeAmt>14376</CYPct85AdjustedNetIncomeAmt>
        <CYTotalMinAstDistributableAmt>10388</CYTotalMinAstDistributableAmt>
        <CYGreaterAdjustedMinimumAmt>14376</CYGreaterAdjustedMinimumAmt>
        <CYIncomeTaxImposedPYAmt>0</CYIncomeTaxImposedPYAmt>
        <CYDistributableAsAdjustedAmt>14376</CYDistributableAsAdjustedAmt>
      </DistributableAmountGrp>
      <DistributionsGrp>
        <CYPaidAccomplishExemptPrpsAmt>15000</CYPaidAccomplishExemptPrpsAmt>
        <CYPdInExcessIncomeActivityAmt>0</CYPdInExcessIncomeActivityAmt>
        <CYAdministrativeExpensePaidAmt>500</CYAdministrativeExpensePaidAmt>
        <ExemptUseAssetsAcquisPaidAmt>1075</ExemptUseAssetsAcquisPaidAmt>
        <QualifiedSetAsideAmt>0</QualifiedSetAsideAmt>
        <CYOtherDistributionsAmt>0</CYOtherDistributionsAmt>
        <CYTotalAnnualDistributionsAmt>16575</CYTotalAnnualDistributionsAmt>
        <CYDistriAttentiveSuprtOrgAmt>0</CYDistriAttentiveSuprtOrgAmt>
        <CYDistributableAsAdjustedAmt>14376</CYDistributableAsAdjustedAmt>
        <CYDistributionYrRt>0</CYDistributionYrRt>
      </DistributionsGrp>
      <DistributionAllocationsGrp>
        <CYDistributableAsAdjustedAmt>14376</CYDistributableAsAdjustedAmt>
        <UnderdistributionsAmt>0</UnderdistributionsAmt>
        <ExcessDistributionCyovYr5Amt>0</ExcessDistributionCyovYr5Amt>
        <ExcessDistributionCyovYr4Amt>0</ExcessDistributionCyovYr4Amt>
        <ExcessDistributionCyovYr3Amt>0</ExcessDistributionCyovYr3Amt>
        <ExcessDistributionCyovYr2Amt>14758</ExcessDistributionCyovYr2Amt>
        <ExcessDistributionCyovYr1Amt>17574</ExcessDistributionCyovYr1Amt>
        <TotalExcessDistributionCyovAmt>32332</TotalExcessDistributionCyovAmt>
        <CyovAppliedUnderdistriPYAmt>0</CyovAppliedUnderdistriPYAmt>
        <CyovAppliedUnderdistrCPYAmt>14376</CyovAppliedUnderdistrCPYAmt>
        <CarryoverPYNotAppliedAmt>0</CarryoverPYNotAppliedAmt>
        <ExcessDistributionCyovAmt>17956</ExcessDistributionCyovAmt>
        <CYTotalAnnualDistributionsAmt>16575</CYTotalAnnualDistributionsAmt>
        <CYDistribAppUnderdistriPYAmt>0</CYDistribAppUnderdistriPYAmt>
        <CYDistriAppDistributableAmt>0</CYDistriAppDistributableAmt>
        <ExcessDistributionAmt>16575</ExcessDistributionAmt>
        <RemainingUnderdistriPYAmt>0</RemainingUnderdistriPYAmt>
        <RemainingUnderdistriCYAmt>0</RemainingUnderdistriCYAmt>
        <ExcessDistriCyovToNextYrAmt>34531</ExcessDistriCyovToNextYrAmt>
        <ExcessFromYear5Amt>0</ExcessFromYear5Amt>
        <ExcessFromYear4Amt>0</ExcessFromYear4Amt>
        <ExcessFromYear3Amt>0</ExcessFromYear3Amt>
        <ExcessFromYear2Amt>14376</ExcessFromYear2Amt>
        <ExcessFromYear1Amt>16575</ExcessFromYear1Amt>
      </DistributionAllocationsGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Pt III Ln 20</FormAndLineReferenceDesc>
        <ExplanationTxt>Trustee Halver H. Haugen of The Piccioni Foundation was appointed by the Atrium Medical Center Foundation as their representative to keep them advised of the activities of The Piccioni Foundation. The information is documented by letter to the Atrium Medical Center Foundation. Trustee Patrick J. Piccioni also is in constant and continual contact with the Atrium Medical Center Foundation. Patrick J. Piccioni serves on various committees which gives him insight into the current and future needs of the Atrium Medical Center. The Piccioni Foundation mainly supports 100% of the projects it selects. This allows The Piccioni Foundation to control the funding from start to finish and to actually review the project impact on the hospital community. In addition, the Atrium Medical Center Foundation uses The Piccioni Foundation to kick off major campaigns by committing funds for designated projects, which in turn will attract other donors.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleO documentId="IRS990ScheduleO-01" softwareId="23017509">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt III, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>PURPOSE IS TO SUPPORT ONLY THE ATRIUM MEDICAL CENTER FOUNDATION 31-1079213, ONE ATRIUM DRIVE MIDDLETOWN OH 45005. THE PICCIONI FOUNDATION PROVIDED A 2023 TAX YEAR $15,000 GRANT TO ATRIUM MEDICAL CENTER FOUNDATION TO BUY AN IN-MOTION ARM FOR STROKE, SPINAL CORD INJURY, MS AND OTHER RELATED ILLNESSES. THIS IS NOTED IN LIEU OF FILING SCHEDULE I (FORM 990).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt III, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PICCIONI FOUNDATION SUPPORTED THE ATRIUM MEDICAL CENTER FOUNDATION TO BUY AN IN-MOTION ARM FOR STROKE, SPINAL CORD, MS, AND RELATED INJURIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PICCIONI FOUNDATION MAKES ITS GOVERNING POLICIES, CONFLICT OF INTEREST ON DEMAND AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ON PUBLIC DOMAIN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XII, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>BECAUSE OF THE STOCK MARKET VOLATITY IN 2023 THE BOARD DECIDED TO LIQUIDATE THE MAJORITY OF THE FOUNDATION'S ASSETS. TO BETTER PROTECT THE PRINCIPAL VALUE, BY INVESTING IN A NATIONWIDE ANNUITY. THE ANNUITY CAME WITH A THIRTY PERCENT SIGN ON BONUS(INCREASE APPLIES TO WITHDRAWL VALUE ONLY) PLUS AN EIGHT PERCENT MINIMUM RETURN FOR TEN YEARS. WE WILL BE BEGIN MAKING WITHDRAWALS FOR ATRIUM MEDICAL CENTER FOUNDATION PROJECTS IN 2024. WE WILL STILL BE USING ACCOUNT RBC 86621 FOR ALL WRITTEN CHECKS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XII, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>RECONCILING ITEMS:</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XII, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>RBC 86621 CHANGE IN MARKET VALUE $ 4,289</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XII, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>RBC 86625 CHANGE IN MARKET VALUE $ 9,176</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XII, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>RECONCILING ITEMS $ 1,071</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XII, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>LIQUIDATION OF RBC 86625 $-171,592</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XII, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFER OF BALANCE TO RBC 86621 $ 171,592</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XII, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>DEPOSITED RMD FROM ACCT 86628 $ 4,313</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XII, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>ADD BACK CAPITAL LOSS RBC 86625 $ 22,254</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XII, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>ADD BACK CAPITAL LOSS RBC 86621 $ 880</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XII, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>PURCHASE OF NATIONWIDE ANNUITY $-280,000</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XII, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>VALUE OF NATIONWIDE ANNUITY $ 278,129</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XII, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>TOTAL RECONCILING ITEMS $ 40,112</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DRAFT FORM 990 IS REVIEWED BY AT LEAST TWO MEMBERS OF THE PICCIONI FOUNDATION PRIOR TO PREPARING THE RETURN. THE RETURN IS THEN DISTRIUBED TO EACH TRUSTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST IS DISCUSSED AT EVERY MEETING OF THE TRUSTEES TO INSURE COMLIANCE WITH OUR WRITTEN CONFLICT OF INTEREST POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>RONALD V PULLMAN 943 BLACKHAWK ROAD BEAVER FALLS PA 15010</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>HALVER H HAUGEN 4955 RIVERVIEW AVENUE MIDDLETOWN OH 45042</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
