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        <CurrentTaxYearMinus1YearAmt>9660</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9138</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus2YearsAmt>7674</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6153</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>47761</CurrentTaxYearAmt>
        <TotalAmt>63559</TotalAmt>
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        <CurrentTaxYearMinus1YearAmt>135688</CurrentTaxYearMinus1YearAmt>
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      <InvestmentIncomePYPct>0.01890</InvestmentIncomePYPct>
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        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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        <GrossRevenueEvent1Amt>5340</GrossRevenueEvent1Amt>
        <CashPrizesEvent1Amt>480</CashPrizesEvent1Amt>
        <RentFacilityCostsEvent1Amt>3492</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>1847</FoodAndBeverageEvent1Amt>
        <OtherDirectExpensesEvent1Amt>2587</OtherDirectExpensesEvent1Amt>
        <Event2Nm>GALA</Event2Nm>
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        <GrossRevenueEvent2Amt>10033</GrossRevenueEvent2Amt>
        <CashPrizesEvent2Amt>225</CashPrizesEvent2Amt>
        <RentFacilityCostsEvent2Amt>670</RentFacilityCostsEvent2Amt>
        <FoodAndBeverageEvent2Amt>8513</FoodAndBeverageEvent2Amt>
        <EntertainmentEvent2Amt>850</EntertainmentEvent2Amt>
        <OtherDirectExpensesEvent2Amt>3574</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>1</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>20986</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>17468</CharitableContriOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>3518</GrossRevenueOtherEventsAmt>
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        <RentFcltyCostsOtherEventsAmt>500</RentFcltyCostsOtherEventsAmt>
        <FoodAndBeverageOtherEventsAmt>3018</FoodAndBeverageOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>276</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>96740</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>77849</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>18891</GrossRevenueTotalEventsAmt>
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        <FoodAndBeverageTotalEventsAmt>13378</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>850</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>6437</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>30072</DirectExpenseSummaryEventsAmt>
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        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1501 EAST 10TH ST</AddressLine1Txt>
          <CityNm>ATLANTIC</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>50022</ZIPCd>
        </USAddress>
        <RecipientEIN>420921296</RecipientEIN>
        <IRCSectionDesc>GOVERNMENTAL</IRCSectionDesc>
        <CashGrantAmt>113393</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PURCHASE OF EQUIPMENT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
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        <RecipientCnt>6</RecipientCnt>
        <CashGrantAmt>30000</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANTS ARE TO CASS COUNTY HEALTH SYSTEMS, A RELATED ORGANIZATION WHO SHARES A CLOSE RELATIONSHIP WITH THE FOUNDATION. THE FOUNDATION IS ABLE TO TRACE ALL FUNDS GIVEN TO THE HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, COLUMN B:</FormAndLineReferenceDesc>
        <ExplanationTxt>RECIPIENTS ARE SELECTED THROUGH A COMPETITIVE SCHOLARSHIP APPLICATION PROCESS ADMINISTERED BY THE FOUNDATION. APPLICANTS MUST BE GRADUATES OF A CASS COUNTY SCHOOL AND PURSUING EDUCATION IN HEALTHCARE-RELATED FIELDS. APPLICATIONS ARE REVIEWED BY A SCHOLARSHIP COMMITTEE BASED ON ACADEMIC PERFORMANCE, CAREER GOALS, AND COMMITMENT TO SERVING RURAL COMMUNITIES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE, COMPRISED OF THE PRESIDENT, VICE PRESIDENT, SECRETARY AND TREASURER, HAS THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>CASS COUNTY HEALTH SYSTEM, A RELATED ORGANIZATION, HAS THE POWER TO APPOINT ONE MEMBER OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS E-MAILED TO ALL BOARD MEMBERS. THEY ARE GIVEN TIME TO REVIEW THE RETURN AND ASK ANY QUESTIONS BEFORE THE FORM 990 IS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT-OF-INTEREST STATEMENT ANNUALLY. ANY CONFLICTS ARE REVIEWED BY THE BOARD. A MEMBER WITH A CONFLICT SHALL NOT VOTE ON THAT MATTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>NO COMPENSATION IS PAID TO THE TOP MANAGEMENT OFFICIAL OR ANY OTHER OFFICERS, THEREFORE THERE IS NO PROCESS FOR DETERMINING COMPENSATION OF THESE INDIVIDUALS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL INFORMATION ARE MADE AVAILABLE TO THE PUBLIC BY REQUEST AT THE ORGANIZATION'S BUSINESS OFFICE DURING NORMAL BUSINESS HOURS.</ExplanationTxt>
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          <CityNm>ATLANTIC</CityNm>
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        <PrimaryActivitiesTxt>HOSPITAL OPERATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IA</LegalDomicileStateCd>
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      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
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      <AssetExchangeInd>0</AssetExchangeInd>
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      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
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      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
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      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
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      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>