﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2023v6.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2025-06-04T09:15:13-04:00</ReturnTs>
    <TaxPeriodEndDt>2023-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>410977548</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>HONSTAD DIESER &amp; MANGSKAU PLLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>135 S BROADWAY AVE</AddressLine1Txt>
        <CityNm>ALBERT LEA</CityNm>
        <StateAbbreviationCd>MN</StateAbbreviationCd>
        <ZIPCd>560072545</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2023-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>842947813</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>ALBERT LEA HEALTHCARE COALITION</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>ALBE</BusinessNameControlTxt>
      <PhoneNum>5073832852</PhoneNum>
      <USAddress>
        <AddressLine1Txt>PO BOX 285</AddressLine1Txt>
        <CityNm>ALBERT LEA</CityNm>
        <StateAbbreviationCd>MN</StateAbbreviationCd>
        <ZIPCd>56007</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>STEVE TUFTE</PersonNm>
      <PersonTitleTxt>TREASURER</PersonTitleTxt>
      <PhoneNum>5073832852</PhoneNum>
      <SignatureDt>2025-05-01</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>false</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>KELLY A MONTANYE</PreparerPersonNm>
      <PTIN>P00794008</PTIN>
      <PhoneNum>5073732451</PhoneNum>
      <PreparationDt>2025-05-01</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2023</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="5">
    <IRS990 documentId="RetDoc2" referenceDocumentId="RetDoc4">
      <PrincipalOfficerNm>BRAD ARENDS</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>PO BOX 285</AddressLine1Txt>
        <CityNm>ALBERT LEA</CityNm>
        <StateAbbreviationCd>MN</StateAbbreviationCd>
        <ZIPCd>56007</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>151535</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.ALBERTLEAHEALTHCARECOALITION.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>2019</FormationYr>
      <LegalDomicileStateCd>MN</LegalDomicileStateCd>
      <ActivityOrMissionDesc>PROMOTE THE DEVELOPMENT OF AND IMPROVING ACCESS TO HEALTH CARE SERVICES TO BENEFIT THE COMMUNITY AND ITS RESIDENTS.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>9</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>9</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>0</TotalEmployeeCnt>
      <TotalVolunteersCnt>20</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>287515</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>16471</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>14100</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>74923</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>4125</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>12358</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>39659</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>-18846</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>345399</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>84906</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <CYSalariesCompEmpBnftPaidAmt>0</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>1806</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>348553</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>374775</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>348553</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>374775</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-3154</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-289869</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>5377492</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>5014765</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>1430952</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>1357838</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>3946540</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>3656927</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>PROMOTE THE DEVELOPMENT OF AND IMPROVING ACCESS TO HEALTH CARE SERVICES TO BENEFIT THE COMMUNITY AND ITS RESIDENTS.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>true</SignificantChangeInd>
      <ExpenseAmt>346494</ExpenseAmt>
      <RevenueAmt>84906</RevenueAmt>
      <Desc>COMPLETED THE SECOND FULL YEAR OF HAVING A FULL SERVICE PRIMARY CARE CLINIC. ACHIEVED A NEW PATIENT LOAD OF OVER 5,000, WHICH MET ONE OF THE ORIGINAL GOALS OF THE ORGANIZATION. THEN IN AUGUST, THE OPERATOR OF THE CLINIC, MERCYONE, ANNOUNDED THAT THEY WOULD CEASE OPERATIONS AT THE END OF 2023. NEGOTIATIONS CONTINUED THROUGH THE END OF THE YEAR REGARDING WHAT MEDICAL EQUIPMENT COULD BE RETAINED IN THE CLINIC. THIS WAS SETTLED IN JANUARY OF 2024, WITH SIX EXAM ROOMS OF EQUIPMENT, A SCALE, AND XRAY MACHINE PURCHASED FROM MERCYONE AT MARKET RATES. WE THEN WERE CONTACTED BY A MEDICAL PROVIDER LOCATED ABOUT 30 MILES FROM OUR LOCATION. WHILE THEY WERE NOT ABLE TO BEGIN OPERATING THE CLINIC BY THE END OF THE YEAR, NEGOTIATIONS CONTINUED THROUGH THE END OF THE YEAR REGARDING POSSIBLE SERVICES AND A LEASE AGREEMENT. AS AN INTERIM MEASURE WE CONTACTED A GROUP OF MEDICAL SPECIALISTS WHO HAD BEEN PROVIDING SERVICES THROUGH MERCYONE AND GOT AN INFORMAL AGREEMENT TO HAVE THEM START PROVIDING DOCTORS IN 2024, UNTIL A PRIMARY CARE CLINIC COULD BE OPENED. DUE TO MERCYONE ANNOUNCING THE CLINIC WOULD BE CLOSING, WE DID NOT HAVE A FUNDRAISING EVENT DURING THE YEAR.</Desc>
      <TotalProgramServiceExpensesAmt>346494</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc5">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc3">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc3">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc3">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc3">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc3">false</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc3">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc3">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc3">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc3">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc3">false</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc3">false</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc3">false</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc3">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd>false</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>1</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>0</EmployeeCnt>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>9</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>9</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>false</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>false</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>false</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>false</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>false</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>MN</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>STEVE TUFTE</PersonNm>
        <PhoneNum>5073832852</PhoneNum>
        <USAddress>
          <AddressLine1Txt>PO BOX 285</AddressLine1Txt>
          <CityNm>ALBERT LEA</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>56007</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRAD ARENDS</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREA JENSEN</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEVE TUFTE</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLES NEWELL</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JILL MORSTAD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR WILLIAM BUEGE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD HANSEN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>6.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>2200</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEAN EATON</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CRAIG LUDTKE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2200</TotalReportableCompFromOrgAmt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>false</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <AllOtherContributionsAmt>16471</AllOtherContributionsAmt>
      <TotalContributionsAmt>16471</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL CLINIC INCOME</Desc>
        <BusinessCd>531120</BusinessCd>
        <TotalRevenueColumnAmt>74923</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>74923</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>74923</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>12358</TotalRevenueColumnAmt>
        <ExclusionAmt>12358</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>46658</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>66629</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>-19971</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-19971</TotalRevenueColumnAmt>
        <ExclusionAmt>-19971</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossSalesOfInventoryAmt>1125</GrossSalesOfInventoryAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>1125</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1125</RelatedOrExemptFuncIncomeAmt>
      </NetIncomeOrLossGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>84906</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>76048</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>-7613</ExclusionAmt>
      </TotalRevenueGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>40752</TotalAmt>
        <ProgramServicesAmt>40752</ProgramServicesAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>6034</TotalAmt>
        <ProgramServicesAmt>6034</ProgramServicesAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>4085</TotalAmt>
        <ProgramServicesAmt>2400</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1685</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>1806</TotalAmt>
        <FundraisingAmt>1806</FundraisingAmt>
      </AdvertisingGrp>
      <OccupancyGrp>
        <TotalAmt>40140</TotalAmt>
        <ProgramServicesAmt>40140</ProgramServicesAmt>
      </OccupancyGrp>
      <InterestGrp>
        <TotalAmt>61582</TotalAmt>
        <ProgramServicesAmt>56040</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5542</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>141904</TotalAmt>
        <ProgramServicesAmt>129133</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12771</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>15102</TotalAmt>
        <ProgramServicesAmt>13841</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1261</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>REAL ESTATE TAXES</Desc>
        <TotalAmt>32328</TotalAmt>
        <ProgramServicesAmt>32328</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>25826</TotalAmt>
        <ProgramServicesAmt>25826</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER BUSINESS EXPENSES</Desc>
        <TotalAmt>5216</TotalAmt>
        <ManagementAndGeneralAmt>5216</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>374775</TotalAmt>
        <ProgramServicesAmt>346494</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26475</ManagementAndGeneralAmt>
        <FundraisingAmt>1806</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>20359</BOYAmt>
        <EOYAmt>22447</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>663042</BOYAmt>
        <EOYAmt>376830</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1175</BOYAmt>
        <EOYAmt>64221</EOYAmt>
      </AccountsReceivableGrp>
      <LandBldgEquipCostOrOtherBssAmt>4902694</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>360167</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>4684432</BOYAmt>
        <EOYAmt>4542527</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>8484</BOYAmt>
        <EOYAmt>8740</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <TotalAssetsGrp>
        <BOYAmt>5377492</BOYAmt>
        <EOYAmt>5014765</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>12334</BOYAmt>
        <EOYAmt>23162</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>1418618</BOYAmt>
        <EOYAmt>1334676</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1430952</BOYAmt>
        <EOYAmt>1357838</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrgDoesNotFollowFASB117Ind>X</OrgDoesNotFollowFASB117Ind>
      <RtnEarnEndowmentIncmOthFndsGrp>
        <BOYAmt>3946540</BOYAmt>
        <EOYAmt>3656927</EOYAmt>
      </RtnEarnEndowmentIncmOthFndsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>3946540</BOYAmt>
        <EOYAmt>3656927</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>5377492</BOYAmt>
        <EOYAmt>5014765</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-289869</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>256</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>false</FSAuditedInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc5">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>444892</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2441204</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1537180</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>287515</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16471</CurrentTaxYearAmt>
        <TotalAmt>4727262</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>865</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>302</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>640</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>14160</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>76048</CurrentTaxYearAmt>
        <TotalAmt>92015</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>445757</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2441506</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1537820</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>301675</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>92519</CurrentTaxYearAmt>
        <TotalAmt>4819277</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <CurrentTaxYearMinus4YearsAmt>283952</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2141300</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1345720</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>193504</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6955</CurrentTaxYearAmt>
        <TotalAmt>3971431</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus4YearsAmt>283952</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2141300</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1345720</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>193504</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6955</CurrentTaxYearAmt>
        <TotalAmt>3971431</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>847846</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>78</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1509</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14990</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>41472</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>59016</CurrentTaxYearAmt>
        <TotalAmt>117065</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>78</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1509</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14990</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>41472</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>59016</CurrentTaxYearAmt>
        <TotalAmt>117065</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <NetIncomeFromOtherUBIGrp>
        <CurrentTaxYearMinus1YearAmt>26104</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>26104</TotalAmt>
      </NetIncomeFromOtherUBIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>445835</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2443015</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1552810</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>369251</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>151535</CurrentTaxYearAmt>
        <TotalAmt>4962446</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <First5Years509Ind>X</First5Years509Ind>
    </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>
    <IRS990ScheduleD documentId="RetDoc3">
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>897327</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>87123</DepreciationAmt>
        <BookValueAmt>810204</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>3639788</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>219788</DepreciationAmt>
        <BookValueAmt>3420000</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>60158</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>15585</DepreciationAmt>
        <BookValueAmt>44573</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>305421</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>37671</DepreciationAmt>
        <BookValueAmt>267750</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>4542527</TotalBookValueLandBuildingsAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc4">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>IN AUGUST, THE OPERATOR OF THE PRIMARY CARE CLINIC, MERCYONE, ANNOUNCED THAT THEY WOULD CEASE OPERATIONS AT THE END OF 2023. NEGOTIATIONS CONTINUED THROUGH THE END OF THE YEAR REGARDING WHAT MEDICAL EQUIPMENT COULD BE RETAINED IN THE CLINIC. THIS WAS SETTLED IN JANUARY OF 2024, WITH SIX EXAM ROOMS OF EQUIPMENT, A SCALE AND XRAY MACHINE PURCHASED FROM MERCYONE AT MARKET RATES. WE THEN WERE CONTACTED BY A MEDICAL PROVIDER LOCATED ABOUT 30 MILES FROM OUR LOCATION. WHILE THEY WERE NOT ABLE TO BEGIN OPERATING THE CLINIC BY THE END OF THE YEAR, NEGOTIATIONS CONTINUED THROUGH THE END OF THE YEAR REGARDING POSSIBLE SERVICES AND A LEASE AGREEMENT. AS AN INTERIM MEASURE WE CONTACTED A GROUP OF MEDICAL SPECIALISTS WHO HAD BEEN PROVIDING SERVICES THROUGH MERCYONE AND GOT AN INFORMAL AGREEMENT TO HAVE THEM START PROVIDING DOCTORS IN 2024, UNTIL A PRIMARY CARE CLINIC COULD BE OPENED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPLETED THE SECOND FULL YEAR OF HAVING A FULL SERVICE PRIMARY CARE CLINIC. ACHIEVED A NEW PATIENT LOAD OF OVER 5,000, WHICH MET ONE OF THE ORIGINAL GOALS OF THE ORGANIZATION. THEN IN AUGUST, THE OPERATOR OF THE CLINIC, MERCYONE, ANNOUNDED THAT THEY WOULD CEASE OPERATIONS AT THE END OF 2023. NEGOTIATIONS CONTINUED THROUGH THE END OF THE YEAR REGARDING WHAT MEDICAL EQUIPMENT COULD BE RETAINED IN THE CLINIC. THIS WAS SETTLED IN JANUARY OF 2024, WITH SIX EXAM ROOMS OF EQUIPMENT, A SCALE, AND XRAY MACHINE PURCHASED FROM MERCYONE AT MARKET RATES. WE THEN WERE CONTACTED BY A MEDICAL PROVIDER LOCATED ABOUT 30 MILES FROM OUR LOCATION. WHILE THEY WERE NOT ABLE TO BEGIN OPERATING THE CLINIC BY THE END OF THE YEAR, NEGOTIATIONS CONTINUED THROUGH THE END OF THE YEAR REGARDING POSSIBLE SERVICES AND A LEASE AGREEMENT. AS AN INTERIM MEASURE WE CONTACTED A GROUP OF MEDICAL SPECIALISTS WHO HAD BEEN PROVIDING SERVICES THROUGH MERCYONE AND GOT AN INFORMAL AGREEMENT TO HAVE THEM START PROVIDING DOCTORS IN 2024, UNTIL A PRIMARY CARE CLINIC COULD BE OPENED. DUE TO MERCYONE ANNOUNCING THE CLINIC WOULD BE CLOSING, WE DID NOT HAVE A FUNDRAISING EVENT DURING THE YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS REVIEWED BY THE BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS ARE RESPONSIBLE FOR DISCLOSING ANY CONFLICTS AND MUST ABSTAIN FROM VOTING ON ITEMS THAT ARE A CONFLICT OF INTEREST. WHEN DISBURSEMENTS ARE PRESENTED FOR APPROVAL, MEMBERS MUST ALSO DISCLOSE ANY CONFLICTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>A REQUEST FOR DOCUMENTS MUST BE MADE DIRECTLY TO THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>