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      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </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>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>RUN IN THE SUN</Event1Nm>
        <GrossReceiptsEvent1Amt>62292</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>62292</CharitableContriEvent1Amt>
        <OtherDirectExpensesEvent1Amt>3621</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>62292</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>62292</CharitableContributionsTotAmt>
        <OthDirectExpnssTotalEventsAmt>3621</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>3621</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-3621</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MAHASKA COUNTY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1229 C AVENUE EAST</AddressLine1Txt>
          <CityNm>OSKALOOSA</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>52577</ZIPCd>
        </USAddress>
        <RecipientEIN>426038099</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>11156</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SUPPORT MAHASKA COUNTY HOSPITAL OPERATIONS.</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>SCHOLARSHIPS</GrantTypeTxt>
        <RecipientCnt>2</RecipientCnt>
        <CashGrantAmt>6000</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHOLARSHIPS ARE GIVEN TO LOCAL HIGH SCHOOL SENIORS WHO ARE PURSUING A CAREER IN HEALTHCARE. THE SCHOLARSHIP FUNDS ARE PAID DIRECTLY TO THE FINANCIAL INSTITUTION THE STUDENT IS ATTENDING TO ENSURE THEY ARE USED FOR THEIR INTENDED USE. GRANTS TO MAHASKA COUNTY HOSPITAL ARE MONITORED THROUGH COMMON MANAGEMENT AND BOARD OVERLAP TO ENSURE ALL FUNDS ARE USED FOR APPROPRIATE CHARITABLE PURPOSES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE ALL OF THE AUTHORITY OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS MADE AVAILABLE TO THE BOARD PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL TRUSTEES, EXECUTIVES, AND DIRECTORS SHALL REVIEW THE CONFLICT-OF-INTEREST POLICY AND COMPLETE A CONFLICT-OF-INTEREST QUESTIONNAIRE AND CERTIFICATION UPON INITIAL ELECTION AND ANNUALLY THEREAFTER. ANY DUALITY OF INTEREST OR POTENTIAL CONFLICT OF INTEREST ON THE PART OF ANY TRUSTEE, EXECUTIVE, OR DIRECTOR SHOULD BE DISCLOSED TO THE BOARD OF TRUSTEES AND MADE A MATTER OF RECORD WHENEVER IT ARISES, OR WHENEVER IT INVOLVES A MATTER OF BOARD ACTION. ANY TRUSTEE, HAVING A DUALITY OF INTEREST OR A POSSIBLE CONFLICT OF INTEREST IN ANY MATTER SHOULD NOT VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER. ANY EXECUTIVE OR DIRECTOR HAVING A DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST IN A MANNER SHOULD REFRAIN FROM MAKING DECISIONS IN MATTERS IMPLICATING THE CONFLICT OR USING HIS OR HER PERSONAL INFLUENCE ON THE MATTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>MAHASKA HOSPITAL FOUNDATION DOES NOT HAVE A CEO, EXECUTIVE DIRECTOR OR TOP MANAGEMENT OFFICIAL OR ANY KEY EMPLOYEES THAT THE ORGANIZATION DIRECTLY COMPENSATES. IT IS NOT NECESSARY TO HAVE A PROCESS TO DETERMINE COMPENSATION FOR THESE POSITIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS AND FINANCIAL INFORMATION ARE MADE AVAILABLE TO THE PUBLIC BY REQUEST AT THE HOSPITAL'S ADMINISTRATION OFFICE DURING NORMAL BUSINESS HOURS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>