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          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleG documentId="IRS990ScheduleG-71-1" softwareId="22016286" softwareVersionNum="ta22mefv1.0">
      <FundraisingEventInformationGrp>
        <Event1Nm>GALA EVENT</Event1Nm>
        <GrossReceiptsEvent1Amt>13471</GrossReceiptsEvent1Amt>
        <GrossRevenueEvent1Amt>13471</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>3894</OtherDirectExpensesEvent1Amt>
        <Event2Nm>GOLF TOURNA</Event2Nm>
        <GrossReceiptsEvent2Amt>10229</GrossReceiptsEvent2Amt>
        <GrossRevenueEvent2Amt>10229</GrossRevenueEvent2Amt>
        <OtherDirectExpensesEvent2Amt>2877</OtherDirectExpensesEvent2Amt>
        <GrossReceiptsTotalAmt>23700</GrossReceiptsTotalAmt>
        <GrossRevenueTotalEventsAmt>23700</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>6771</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>6771</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>16929</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="IRS990ScheduleI-78-1" softwareId="22016286" softwareVersionNum="ta22mefv1.0">
      <GrantRecordsMaintainedInd>false</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MERCYONE HOSPITAL ELKADER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>901 DAVIDSON ST NW</AddressLine1Txt>
          <CityNm>ELKADER</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>52043</ZIPCd>
        </USAddress>
        <RecipientEIN>420818642</RecipientEIN>
        <CashGrantAmt>64000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ULTRASOUND EQUIPMENT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>0</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="IRS990ScheduleO-85-1" softwareId="22016286" softwareVersionNum="ta22mefv1.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>MICHAEL BECK OWNS THE COMPANY THAT THE INSURANCE FOR THE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>FOUNDATION IS PURCHASED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 8a</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATION DID CONTEMPORANEOUSLY DOCUMENT MEETINGS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPLETED 990 IS PRESENTED TO BOARD MEMBERS AT MEETING</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIOR TO FILING DEADLINE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 18</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABLE UPON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABLE UPON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
