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        <ExplanationTxt>DELLS AREA HEALTH CENTER (CENTER) LEASES ITS HEALTHCARE OPERATIONS AND FACILITIES TO AVERA DELL RAPIDS AREA HOSPITAL THROUGH AN AGREEMENT WITH AVERA MCKENNAN. THE FACILITY IS LEASED FOR THE TREATMENT OF THE SICK AND INJURED AND FOR HEALTH RELATED EDUCATIONAL AND RELATED PROGRAMS AND ACTIVITIES.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WILL BE REVIEWED BY A BOARD OFFICER. AFTER THEIR REVIEW, IT WILL BE DISTRIUTED TO BOARD MEMBERS. IT WILL THEN BE FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>IF ANY POTENTIAL CONFLICTS MAY EXIST, THE INDIVIDUAL BRINGS THEM TO THE ATTENTION OF THE BOARD. THIS PERSON THEN ABSTAINS FROM VOTING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS NO COMPENSATION PAID. THE ORGANIZATION IS RUN BY A VOLUNTEER BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>DONATION OF LAND FROM AVERA 0</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>