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        <CurrentTaxYear>4635</CurrentTaxYear>
        <Total>17260</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>895103</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>40013</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>16438</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2689</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>4800</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>11913</CurrentTaxYear>
        <Total>75853</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
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        <CurrentTaxYearMinus3Years>16438</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2689</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>4800</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>11913</CurrentTaxYear>
        <Total>75853</Total>
      </InvestmentIncomeAndUBTI>
      <OtherIncome509>
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        <CurrentTaxYearMinus2Years>4163</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>181</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>66</CurrentTaxYear>
        <Total>4731</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>92320</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>53921</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>36034</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>500472</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>310200</CurrentTaxYear>
        <Total>992947</Total>
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      <PublicSupportPercentage509>0.90150</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.89110</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.07640</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.08920</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <TotalOfBookValueLandBuildings>0</TotalOfBookValueLandBuildings>
      <OtherSecurities>
        <Description>RAYMOND JAMES INVESTMENTS</Description>
        <BookValue>124949</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>124949</TotalOfBookValueSecurities>
      <TotalRevenue>306715</TotalRevenue>
      <TotalExpenses>675859</TotalExpenses>
      <ExcessOrDeficitForYear>-369144</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>-11875</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>-11875</TotalAdjustments>
      <ExcessOrDeficitPerFS>-381019</ExcessOrDeficitPerFS>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>FIN 48 IS NOT APPLICABLE.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>0</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CLARINDA REGIONAL HEALTH CENTER</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>220 ESSIE DAVISON DR</AddressLine1>
          <City>CLARINDA</City>
          <State>IA</State>
          <ZIPCode>51635</ZIPCode>
        </AddressUS>
        <EINOfRecipient>426005819</EINOfRecipient>
        <AmountOfCashGrant>630301</AmountOfCashGrant>
        <AmountOfNonCashAssistance>45458</AmountOfNonCashAssistance>
        <MethodOfValuation>FMV</MethodOfValuation>
        <DescriptionOfNonCashAssistance>LIFT GATES</DescriptionOfNonCashAssistance>
        <PurposeOfGrant>THE HOSPITAL PURCHASES NECESSARY MEDICAL EQUIPMENT WITH THE CASH DONATED.</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>1</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>0</TotalNbrOfOtherOrganizations>
    </IRS990ScheduleI>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>EQUIPMENT</Description>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>45458</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET VALUE</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <AnyPropertyThatMustBeHeld>0</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>0</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>0</ThirdPartiesUsed>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 2</ReturnReference>
        <Explanation>MARK KLINE AND GLORIA KLINE ARE SPOUSES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>CLARINDA REGIONAL HEALTH CENTER IS THE SOLE MEMBER OF CLARINDA MEDICAL FOUNDATION. THE SOLE MEMBER DOES NOT HAVE ANY RIGHTS DESIGNATED BY THE BYLAWS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 8B</ReturnReference>
        <Explanation>CLARINDA MEDICAL FOUNDATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>NO REVIEW HAS OR WILL BE COMPLETED OF THE FORM 990.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12</ReturnReference>
        <Explanation>WHILE CLARINDA MEDICAL FOUNDATION HAS NOT FORMALLY ADOPTED THE CONFLICT OF INTEREST, WHISTLEBLOWER, AND DOCUMENT RETENTION AND DESTRUCTION POLICIES OF CLARINDA REGIONAL HEALTH CENTER, THE FOUNDATION DOES ADHERE TO THESE POLICIES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>CLARINDA MEDICAL FOUNDATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED LOSSES ON INVESTMENTS: -11,875.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C</ReturnReference>
        <Explanation>CLARINDA MEDICAL FOUNDATION'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF THE CLARINDA REGIONAL HEALTH CENTER, AN AFFILIATED ORGANIZATION. CLARINDA REGIONAL HEALTH CENTER'S GOVERNING BOARD MEETS WITH THE AUDITORS TO REVIEW THE AUDIT REPORT AND MANAGEMENT LETTER.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>