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        <FormAndLineReferenceDesc>Part V, Line 4: Intended uses of the endowment fund.</FormAndLineReferenceDesc>
        <ExplanationTxt>To provide future support to Spencer Municipal Hospital.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S</FormAndLineReferenceDesc>
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          <AddressLine1Txt>1200 1ST AVENUE E</AddressLine1Txt>
          <CityNm>SPENCER</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
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        <ExplanationTxt>Other additional information for Part II, Line 1(a), column (c)IRC Section, if applicable:Name of government entity:Spencer Municipal Hospital</ExplanationTxt>
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        <ExplanationTxt>THE ORGANIZATION'S STAFF AND selected BOARD MEMBERS REVIEW A DRAFT OF FORM 990 AND MAKE ANY CHANGES TO IT BEFORE IT IS FILED.</ExplanationTxt>
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        <ExplanationTxt>The by-laws of the organization have a conflict of interest section that addresses this issue. The governing body is cognizant of any potential conflicts of interest and follows the protocol found in the by-laws. If a conflict of interest arises, the board member is prohibited from participating in deliberations, voting on the matter and any decisions related to the transaction. The organization has all board members complete an annual conflict of interest questionnaire to assist in identifying conflicts.</ExplanationTxt>
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        <ExplanationTxt>THIS IS NOT APPLICABLE SINCE THE FOUNDATION DOES NOT HAVE ANY EMPLOYEES.</ExplanationTxt>
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        <ExplanationTxt>THE FOUNDATION'S GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. The Financial statements are available on the Iowa State auditor's web site.</ExplanationTxt>
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        <ExplanationTxt>AMOUNTS RAISED ON BEHALF OF OTHERS = -$244493</ExplanationTxt>
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        <ExplanationTxt>DONATED SERVICES AND MATERIALS EXPENSES = -$175188</ExplanationTxt>
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      <SupplementalInformationDetail>
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      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>ENDOWMENT FUNDS RAISED ON BEHALF OF OTHERS = -$319264</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>FUND RAISING EXPENSES PAID FROM RESTRICTED FUNDS = $651</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANT EXPENSES PAID FROM RESTRICTED FUNDS = $154928</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>NET INCOME (LOSS) IN COMMUNITY FOUNDATIONS FUNDS = $183701</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>NET UNREALIZED GAINS OR LOSSES ON INVESTMENTS = $1495575</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="23017517" softwareVersionNum="2023v5.1">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SPENCER MUNICIPAL HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1200 1ST AVENUE E</AddressLine1Txt>
          <CityNm>SPENCER</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>51301</ZIPCd>
        </USAddress>
        <EIN>426005883</EIN>
        <PrimaryActivitiesTxt>CITY HOSPITAL PROVIDING HEALTH CARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>509(a)(1)</ExemptCodeSectionTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>