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        <CurrentTaxYearMinus1YearAmt>190519</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>311344</CurrentTaxYearAmt>
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        <CurrentTaxYearAmt>987</CurrentTaxYearAmt>
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        <CurrentTaxYearAmt>42963</CurrentTaxYearAmt>
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        <RentFacilityCostsEvent1Amt>3305</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>6798</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>1280</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>3546</OtherDirectExpensesEvent1Amt>
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        <CharitableContributionsTotAmt>95699</CharitableContributionsTotAmt>
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        <RentFcltyCostsTotalEventsAmt>3305</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>6798</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>1280</EntertainmentTotalEventsAmt>
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        <NonCashPrizesOtherGamingAmt>12000</NonCashPrizesOtherGamingAmt>
        <VolunteerLaborOtherGamingInd>0</VolunteerLaborOtherGamingInd>
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        <GrossRevenueTotalGamingAmt>62200</GrossRevenueTotalGamingAmt>
        <NonCashPrizesTotalGamingAmt>12000</NonCashPrizesTotalGamingAmt>
        <DirectExpenseSummaryGamingAmt>12000</DirectExpenseSummaryGamingAmt>
        <NetGamingIncomeSummaryAmt>50200</NetGamingIncomeSummaryAmt>
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      <LicensedInd>1</LicensedInd>
      <LicenseSuspendedEtcInd>0</LicenseSuspendedEtcInd>
      <GamingWithNonmembersInd>1</GamingWithNonmembersInd>
      <MemberOfOtherEntityInd>0</MemberOfOtherEntityInd>
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      <IndividualWithBooksNm>AMANDA SOESBE</IndividualWithBooksNm>
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        <AddressLine1Txt>745 E 8TH ST</AddressLine1Txt>
        <CityNm>WINNER</CityNm>
        <StateAbbreviationCd>SD</StateAbbreviationCd>
        <ZIPCd>57580</ZIPCd>
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      <CntrctWith3rdPrtyForGameRevInd>0</CntrctWith3rdPrtyForGameRevInd>
      <GamingManagerPersonNm>BRADY KERKMAN</GamingManagerPersonNm>
      <GamingManagerCompensationAmt>0</GamingManagerCompensationAmt>
      <GamingManagerServicesProvTxt>PLANNING, ADVERTISING, MONEY COUNTING AND DEPOSITS, RECORD KEEPING.</GamingManagerServicesProvTxt>
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      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
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          <BusinessNameLine1Txt>WINNER REGIONAL HEALTHCARE CENTER</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>745 E 8TH ST</AddressLine1Txt>
          <CityNm>WINNER</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57580</ZIPCd>
        </USAddress>
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        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>BUILDING PROJECT</PurposeOfGrantTxt>
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        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>WINNER REGIONAL HEALTH AND WELLNESS FOUNDATION SPONSORS TWO LARGE FUNDRAISERS ANNUALLY TO HELP FUND THE HOSPITAL'S CAPITAL PROJECTS, SPECIAL PROJECTS, PHYSICIAN RECRUITMENT, AND SCHOLARSHIPS FOR REGIONAL HIGH SCHOOL STUDENTS PURSUING A CAREER IN HEALTHCARE. THE FOUNDATION ALSO CONTINUES TO COLLECT FINANCIAL SUPPORT EACH YEAR ON MULTI-YEAR PLEDGES FROM DONORS WHO PLEDGED TO HELP FUND THE CONSTRUCTION OF A NEW BUILDING THAT WAS COMPLETED IN 2019. THE CEO AND TWO BOARD MEMBERS OF WINNER REGIONAL HEALTHCARE CENTER ARE ON THE BOARD OF THIS ORGANIZATION AND ARE ABLE TO MONITOR THE USE OF FUNDS PROVIDED TO THE HEALTHCARE CENTER.</ExplanationTxt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BYLAWS WERE AMENDED TO CHANGE THE REQUIREMENT OF A QUORUM FROM TWO-THIRDS OF THE VOTES TO FIFTY PERCENT PLUS ONE VOTE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS SENT TO EACH MEMBER ON THE BOARD, AND IS REVIEWED BY THE CEO OF WINNER REGIONAL HEALTHCARE CENTER (A BOARD MEMBER), AND THE BOARD PRESIDENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY COVERS ALL OFFICERS OR DIRECTORS OF THE WINNER REGIONAL HEALTH AND WELLNESS FOUNDATION. THE INTENT IS TO PROTECT THE FOUNDATION'S INTEREST WHEN ENTERING INTO TRANSACTIONS OR AGREEMENTS. THERE IS AT LEAST AN ANNUAL REVIEW OF CONFLICTS. THE BOARD IS RESPONSIBLE FOR REVIEWING POSSIBLE CONFLICT OF INTEREST CASES AS THEY MAY ARISE. THE BOARD CAN ALSO ELECT A DISINTERESTED PERSON TO CONDUCT THAT REVIEW AND REPORT BACK AT THE NEXT MEETING. RESTRICTIONS ARE THEN IMPOSED IF THERE IS A CONFLICT OF INTEREST AND SUCH FINANCIAL INTEREST THAT SAID INDIVIDUAL MAY NOT INFLUENCE OR NEGOTIATE ARRANGEMENTS THAT WILL BENEFIT THEM OR THEIR BUSINESS. IN ANY OTHER CIRCUMSTANCES, THE BOARD WILL DETERMINE ON A CASE BY CASE BASIS HOW TO ENSURE THAT INDIVIDUAL DOES NOT VOTE IN THOSE DECISIONS OR THE LIKE WHEN OPERATING BUSINESS FOR THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S DOCUMENT ARE AVAILABLE DURING REGULAR BUSINESS HOURS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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</Return>
