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      <NetUnrlzdGainsLossesInvstAmt>-103695</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingCashInd>X</MethodOfAccountingCashInd>
      <AccountantCompileOrReviewInd>1</AccountantCompileOrReviewInd>
      <AcctCompileOrReviewBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <SupportingOrgType3FuncIntInd>X</SupportingOrgType3FuncIntInd>
      <SupportedOrganizationsCnt>1</SupportedOrganizationsCnt>
      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>Crete Area Medical Center Crete Nebraska</BusinessNameLine1Txt>
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      <Form990SchASupportingOrgGrp>
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        <SupportedOrgVoiceInvestmentInd>1</SupportedOrgVoiceInvestmentInd>
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        <ActivitiesFurtherExemptPrpsInd>1</ActivitiesFurtherExemptPrpsInd>
        <ActivitiesEngagedOrgInvlmntInd>1</ActivitiesEngagedOrgInvlmntInd>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION D, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>To maintain a close and continuous working relationship with the Crete Area Medical Center, the organization accepts grant applications from the Crete Area Medical Center. These applications include suggestions of items to purchase for the Crete Area Medical Center.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION D, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The Crete Area Medical Center had a significant voice by submitting grant applications. These applications include suggestions of items to purchase for the Crete Area Medical Center. Employees of the Crete Area Medical Center also submit grant applications for costs of schooling, conferences, or certifications related to their employment. The organization's activities to raise funds are based upon the amount of the grant applications.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION E, LINE 2A</FormAndLineReferenceDesc>
        <ExplanationTxt>The activities of the organization furthered the tax exempt purpose of the Crete Area Medical Center, which is to advance the health of the communities they serve, through collaboration, prevention, innovation and exceptional care. The net proceeds from the organization's fundraising and investments are used to provide grants to the Crete Area Medical Center, high school students who are pursuing a degree in the medical field, and employees of the Crete Area Medical Center who are pursuing additional schooling, attending a conference, or acquiring a certification related to their employment. The organization is responsive by providing grants to the Crete Area Medical Center when applications are submitted for significant purchases and by providing grants to Crete Area Medical Center employees when applications are submitted.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION E, LINE 2B</FormAndLineReferenceDesc>
        <ExplanationTxt>If the organization had not raised funds and managed the investments to provide grants, the cost of significant purchases and employee education and training would have been costs to the Crete Area Medical Center.</ExplanationTxt>
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    </IRS990ScheduleA>
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          <State>RESTRICTED</State>
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        <EndYearBalanceAmt>2320511</EndYearBalanceAmt>
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        <OtherExpendituresAmt>238408</OtherExpendituresAmt>
        <EndYearBalanceAmt>2077210</EndYearBalanceAmt>
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        <EndYearBalanceAmt>2077160</EndYearBalanceAmt>
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        <InvestmentEarningsOrLossesAmt>19942</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>19942</OtherExpendituresAmt>
        <EndYearBalanceAmt>2032660</EndYearBalanceAmt>
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        <OtherExpendituresAmt>56932</OtherExpendituresAmt>
        <EndYearBalanceAmt>2031560</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
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      <TotalBookValueLandBuildingsAmt>0</TotalBookValueLandBuildingsAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part V, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>Preserve and enhance health care in Saline Co.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>0</GrantRecordsMaintainedInd>
      <RecipientTable>
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          <BusinessNameLine1Txt>Crete Area Medical Center</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>2910 Betten Drive</AddressLine1Txt>
          <CityNm>Crete</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68333</ZIPCd>
        </USAddress>
        <RecipientEIN>470841285</RecipientEIN>
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        <PurposeOfGrantTxt>Support</PurposeOfGrantTxt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>After compilation by an independent party, the Form 990 is circulated and approved by the Crete Area Health Care Foundation Executive Board which is comprised of four directors serving as president, vice-president, secretary and treasurer. Ex-officio directors - Crete Area Health Care Foundation Director and Crete Area Medical Center CEO are also present to review Form 990. The remaining Board of Directors receive a full copy of approved Form 990 prior to submittal.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>At the Crete Area Health Care Foundation annual meeting held in November, the Crete Area Medical Center Compliance officer addresses the Foundation board regarding conflicts of interest. At this time, all board memebers are required to disclose any conflicts of interest. Those disclosing a conflict agree to abstain from voting on issues directly related to the conflict. New board members are also screened for any conflicts of interest.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Upon request</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>