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      <RevenueNotReportedAmt>51400</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>8230394</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>6806</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>6806</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>8237200</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>9091397</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>9091397</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>6806</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>6806</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>9098203</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ENDOWMENT FUND REPRESENTS AMOUNTS HELD BY A COMMUNITY FOUNDATION FOR THE ORGANIZATION. THE EARNINGS ON THIS FUND CAN BE USED FOR OPERATING PURPOSES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>MYSTERY DINNER</Event1Nm>
        <GrossReceiptsEvent1Amt>15098</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>10778</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>4320</GrossRevenueEvent1Amt>
        <FoodAndBeverageEvent1Amt>4320</FoodAndBeverageEvent1Amt>
        <GrossReceiptsTotalAmt>15098</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>10778</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>4320</GrossRevenueTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>4320</FoodAndBeverageTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>4320</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>0</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <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>ANDREA JOHNSON</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>154934</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9149</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>25760</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>189843</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LACIE THEIS</PersonNm>
        <TitleTxt>ARNP</TitleTxt>
        <BaseCompensationFilingOrgAmt>154736</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12928</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>167664</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CARRIE O'CONNELL</PersonNm>
        <TitleTxt>ARNP</TitleTxt>
        <BaseCompensationFilingOrgAmt>137323</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5230</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21733</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>164286</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A DETAILED REVIEW OF THE FORM 990 IS PERFORMED BY THE EXECUTIVE DIRECTOR AND BUSINESS MANAGER. A COPY OF THE FORM 990 IS PROVIDED TO EACH BOARD MEMBER FOR THEIR REVIEW PRIOR TO ITS FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS ARE REQUIRED TO SIGN A STATEMENT ANNUALLY THAT THEY HAVE READ AND UNDERSTAND THE CONFLICT OF INTEREST POLICY. AS PART OF EACH BOARD MEETING, ONE OF THE AGENDA ITEMS IS TO ASK IF ANY BOARD MEMBERS HAVE A CONFLICT OF INTEREST WITH ANY OF THE ACTION ITEMS THAT WILL BE VOTED ON.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS PERFORMS AN ANNUAL EVALUATION OF PERFORMANCE OF THE EXECUTIVE DIRECTOR. THE SALARY AND ADJUSTMENTS ARE BASED UPON PERFORMANCE BY THE EXECUTIVE DIRECTOR. THE BOARD COMPARES WAGES TO THE IBHA SALARY SURVEY AND ALSO 10 LOCAL NONPROFIT AGENCIES TAKING INTO ACCOUNT EXPERIENCE, NUMBER OF EMPLOYEES AND TOTAL REVENUE. WEIGHT IS ALSO GIVEN FOR EXTRA DUTIES, LESS DUTIES, EXPERIENCE, ETC. CONCLUSIONS ARE THEN DOCUMENTED AND PLACED IN THE EXECUTIVE DIRECTOR'S PERSONNEL FILE. THE EXECUTIVE DIRECTOR PERFORMS AN ANNUAL PERFORMANCE EVALUATION OF THE BUSINESS MANAGER. THE SALARY AND ADJUSTMENTS FOR THIS POSITION ARE BASED UPON THE PERFORMANCE EVALUATION. A COMPARISON IS PERFORMED AGAINST OTHER SIMILAR POSITIONS IN SIMILAR AGENCIES WITHIN THE STATE OF IOWA. CONCLUSIONS ARE THEN DOCUMENTED AND PLACED IN THE BUSINESS MANAGER'S PERSONNEL FILE. THE BOARD OF DIRECTORS APPROVE ALL OTHER WAGES THROUGH THE BUDGET PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>