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        <ProgramServicesAmt>30249</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>1845</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>26948</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>129</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>133077</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>5141</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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      <TotalAssetsGrp>
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        <EOYAmt>11219843</EOYAmt>
      </TotalAssetsGrp>
      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>5401010</EOYAmt>
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        <EOYAmt>5401010</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>4247388</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>5818833</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>9220622</BOYAmt>
        <EOYAmt>11219843</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>550230</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-91066</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>1662004</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>328557</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>935146</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2319318</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1792150</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>551792</CurrentTaxYearAmt>
        <TotalAmt>5926963</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <GovtFurnSrvcFcltsVl170Grp>
        <CurrentTaxYearMinus4YearsAmt>88782</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>67424</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>66745</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>83386</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>68739</CurrentTaxYearAmt>
        <TotalAmt>375076</TotalAmt>
      </GovtFurnSrvcFcltsVl170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>417339</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1002570</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2386063</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1875536</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>620531</CurrentTaxYearAmt>
        <TotalAmt>6302039</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>1361685</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>4940354</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>20327</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>12436</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8620</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9287</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>11770</CurrentTaxYearAmt>
        <TotalAmt>62440</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>6364479</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>2990665</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.77620</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.77670</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
      <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="RetDoc1040000001">
      <TotalBookValueLandBuildingsAmt>0</TotalBookValueLandBuildingsAmt>
      <InvstProgramRelatedOrgGrp>
        <Desc>Net investment in sales-type lease</Desc>
        <BookValueAmt>6139412</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <TotalBookValueProgramRltdAmt>6139412</TotalBookValueProgramRltdAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>1184195</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-91066</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>68739</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>65283</OtherRevenueAmt>
      <RevenueNotReportedAmt>42956</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>1141239</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>1845</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>-60553</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-58708</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>1082531</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>695629</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>68739</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>96434</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>165173</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>530456</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>1845</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>1845</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>532301</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Management is not aware of any uncertainties in income tax positions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in beneficial interest in net assets of Community Foundation Change in allowance for uncollectible pledges 55,283. Change in cash surrender value of life insurance policies Returned donation 10,000.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 4b - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Fundraising Expenses -60,553.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in cash surrender value of life insurance policies 24,188. Change in beneficial interest in net assets of Community Foundation 1,693. Fundraising expense 60,553. Returned donation 10,000.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <FundraisingEventInformationGrp>
        <Event1Nm>Gala</Event1Nm>
        <GrossReceiptsEvent1Amt>95000</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>80017</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>14983</GrossRevenueEvent1Amt>
        <NonCashPrizesEvent1Amt>15325</NonCashPrizesEvent1Amt>
        <RentFacilityCostsEvent1Amt>1200</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>12883</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>1350</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>29795</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>95000</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>80017</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>14983</GrossRevenueTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>15325</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>1200</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>12883</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>1350</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>29795</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>60553</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-45570</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Labette County Medical Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1902 S US Highway 59</AddressLine1Txt>
          <CityNm>Parsons</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>67357</ZIPCd>
        </USAddress>
        <RecipientEIN>486099245</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>320623</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Purchase equipment, renovation costs, and other expenses</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Scholarships</GrantTypeTxt>
        <RecipientCnt>24</RecipientCnt>
        <CashGrantAmt>23550</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Emergency and other assistance</GrantTypeTxt>
        <RecipientCnt>13</RecipientCnt>
        <NonCashAssistanceAmt>6699</NonCashAssistanceAmt>
        <NonCashAssistanceDesc>Emergency and other assistance provided to individuals for utilities, transportation, medical care, etc.</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The funds given to Labette County Medical Center d/b/a Labette Health are dispersed in response to requests made by Labette Health for specific capital items or assistance for operations. Grants provided to individuals and other organizations are subject to an approval process by the board.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Anthony Vaughan</PersonNm>
        <TitleTxt>Executive Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>88120</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>28994</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>7200</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>22845</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14273</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>161432</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 8b</FormAndLineReferenceDesc>
        <ExplanationTxt>No committee has authority to act on behalf of the governing body. Committees report back to the Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 is reviewed by the Executive Director and Labette Health's CEO, CFO, and Director of Finance prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>Anthony Vaughan is the director of Labette Health Foundation and an employee of Labette County Medical Center d/b/a Labette Health, which is an unrelated organization for purposes of Form 990. The compensation and benefits reported on Part VII Section A is the total compensation for services provided to Medical Center and the Foundation. Of this amount, $68,739 was recognized on the Foundation's financial statements as donated service revenue and salary and benefit expense. These amounts are not recognized on the Form 990 in accordance with the instructions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in beneficial interest in net assets of Community Foundation -1,693. Change in cash surrender value of life insurance policies -24,188. Change in allowance on contributions receivable 55,283. Adjustment to net assets to adopt FASB lease standard 1,632,602.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c</FormAndLineReferenceDesc>
        <ExplanationTxt>The Foundation has made no changes to the oversight process or selection process during the tax year.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
