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        <ContributionFamilyInd>false</ContributionFamilyInd>
        <Contribution35ControlledInd>false</Contribution35ControlledInd>
      </Form990SchASupportingOrgGrp>
      <Form990SchAType3SprtOrgAllGrp>
        <TimelyProvidedDocumentsInd>true</TimelyProvidedDocumentsInd>
        <OfficersCloseRelationshipInd>true</OfficersCloseRelationshipInd>
        <SupportedOrgVoiceInvestmentInd>false</SupportedOrgVoiceInvestmentInd>
      </Form990SchAType3SprtOrgAllGrp>
      <Form990SchAType3FuncIntGrp>
        <ActivitiesTestInd>X</ActivitiesTestInd>
        <ActivitiesFurtherExemptPrpsInd>true</ActivitiesFurtherExemptPrpsInd>
        <ActivitiesEngagedOrgInvlmntInd>true</ActivitiesEngagedOrgInvlmntInd>
      </Form990SchAType3FuncIntGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION E, LINE 2A</FormAndLineReferenceDesc>
        <ExplanationTxt>AS DESCRIBED IN OUR STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS, ALL THE ORGANIZATION'S ACTIVITIES OF FUNDRAISING EVENTS AND INVESTING GENERATE FUNDS THAT ARE DISTRIBUTED TO THE COMMUNITY MEMORIAL HOSPITAL ASSOCIATION TO PROVIDE EQUIPMENT THAT IS NOT IN THEIR ANNUAL BUDGET. THE HOSPITAL UTILIZES THIS EQUIPMENT TO PROVIDE ADDITIONAL HEALTHCARE SERVICES FOR THE COMMUNITY IN ACCORDANCE WITH ITS OWN TAX-EXEMPT PURPOSE.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION E, LINE 2B</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDS PROVIDED TO THE COMMUNITY MEMORIAL HOSPITAL ASSOCATION ARE USED TO PURCHASE MEDICAL EQUIPMENT THAT WOULD HAVE TO BE PURCHASED BY THE HOSPITAL FOR THEIR OPERATIONS IF NOT PROVIDED BY OUR ORGANIZATION</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <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="RetDoc3">
      <AgrmtProfFundraisingActyInd>false</AgrmtProfFundraisingActyInd>
      <FundraisingEventInformationGrp>
        <Event1Nm>AUCTION/GALA</Event1Nm>
        <GrossReceiptsEvent1Amt>50480</GrossReceiptsEvent1Amt>
        <GrossRevenueEvent1Amt>50480</GrossRevenueEvent1Amt>
        <EntertainmentEvent1Amt>2200</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>1164</OtherDirectExpensesEvent1Amt>
        <Event2Nm>WINE/BEER TASTI</Event2Nm>
        <GrossReceiptsEvent2Amt>20130</GrossReceiptsEvent2Amt>
        <GrossRevenueEvent2Amt>20130</GrossRevenueEvent2Amt>
        <OtherDirectExpensesEvent2Amt>6800</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>1</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>8925</GrossReceiptsOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>8925</GrossRevenueOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>4867</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>79535</GrossReceiptsTotalAmt>
        <GrossRevenueTotalEventsAmt>79535</GrossRevenueTotalEventsAmt>
        <EntertainmentTotalEventsAmt>2200</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>12831</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>15031</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>64504</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc4">
      <GrantRecordsMaintainedInd>false</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COMMUNITY MEMORIAL HOSPITAL ASSOC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>512 SKYLINE BLVD</AddressLine1Txt>
          <CityNm>CLOQUET</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55720</ZIPCd>
        </USAddress>
        <RecipientEIN>410743546</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>92069</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAL EQUIPMENT</PurposeOfGrantTxt>
      </RecipientTable>
    </IRS990ScheduleI>
    <IRS990ScheduleM documentId="RetDoc5">
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>PAYROLL</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>127812</NoncashContributionsRptF990Amt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>AFTER THE 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM, THE 990 IS DISTRIBUTED BY THE BOARD PRESIDENT TO BOARD MEMBERS FOR REVIEW AND VOTE. AFTER THE 990 HAS BEEN APPROVED BY THE VOTE OF BOARD MEMBERS, THE RETURN IS SIGNED AND ELECTRONICALLY FILED BY THE OUTSIDE ACCOUNTING FIRM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS HAVE A DUTY TO DISCLOSE ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST WHICH IS THEN DETERMINED BY THE BOARD WHETHER AN ACTUAL CONFLICT OF INTEREST EXIST. EACH MEMBER SHALL ANNUALLY SIGN A STATEMENT ACKNOWLEDGING THE CONFLICT OF INTEREST POLICY AND THAT THEY ARE IN COMPLIANCE. IF THE BOARD HAS REASONABLE CAUSE TO BELIEVE A MEMBER HAS FAILED TO DISCLOSURE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, THE BOARD MAY TAKE APPROPRIATE DISCIPLINARY AND CORRECTION ACTION. PERIODIC REVIEWS ARE ALSO UNDERTAKEN TO DETERMINE THAT NONE OF THE ORGANIZATION'S ACTIVITIES OR COMPENSATION COULD JEOPARDIZE ITS TAX-EXEMPT STATUS AND THAT THEY CONFIRM WITH WRITTEN POLICIES WITHOUT ANY INUREMENT OR IMPERMISSIBLE PRIVATE BENEFITS IN ANY EXCESS BENEFIT TRANSACTION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN PLEDGES RECEIVABLE -14</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc7">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>COMMUNITY MEMORIAL HOSPITAL ASSOC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>512 SKYLINE BLVD</AddressLine1Txt>
          <CityNm>CLOQUET</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55720</ZIPCd>
        </USAddress>
        <EIN>410743546</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>