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    <Timestamp>2011-11-15T08:07:13-05:00</Timestamp>
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        <BusinessNameLine1>BKD LLP</BusinessNameLine1>
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      <Name>
        <BusinessNameLine1>GREAT PLAINS OF SABETHA INC</BusinessNameLine1>
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      <Phone>7855432111</Phone>
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      <StateLegalDomicile>KS</StateLegalDomicile>
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      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>MISCELLANEOUS INCOME</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>34922</TotalRevenueColumn>
        <ExclusionAmount>34922</ExclusionAmount>
      </OtherRevenueMisc>
      <TotalOtherRevenue>105760</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>9548148</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>9343322</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>81988</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>105835</Total>
        <ManagementAndGeneral>105835</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>4542780</Total>
        <ProgramServices>4023675</ProgramServices>
        <ManagementAndGeneral>519105</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>360037</Total>
        <ProgramServices>310393</ProgramServices>
        <ManagementAndGeneral>49644</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>517150</Total>
        <ProgramServices>391317</ProgramServices>
        <ManagementAndGeneral>125833</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>307053</Total>
        <ProgramServices>263321</ProgramServices>
        <ManagementAndGeneral>43732</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>90034</Total>
        <ManagementAndGeneral>90034</ManagementAndGeneral>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>2195</Total>
        <ManagementAndGeneral>2195</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>27423</Total>
        <ManagementAndGeneral>27423</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>1176425</Total>
        <ProgramServices>1030350</ProgramServices>
        <ManagementAndGeneral>146075</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>25863</Total>
        <ProgramServices>11368</ProgramServices>
        <ManagementAndGeneral>14495</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>948019</Total>
        <ProgramServices>896630</ProgramServices>
        <ManagementAndGeneral>51389</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>243818</Total>
        <ProgramServices>230919</ProgramServices>
        <ManagementAndGeneral>12899</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>8812</Total>
        <ProgramServices>5991</ProgramServices>
        <ManagementAndGeneral>2821</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>37612</Total>
        <ProgramServices>28334</ProgramServices>
        <ManagementAndGeneral>9278</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>13663</Total>
        <ProgramServices>12575</ProgramServices>
        <ManagementAndGeneral>1088</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>562821</Total>
        <ProgramServices>514916</ProgramServices>
        <ManagementAndGeneral>47905</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>144974</Total>
        <ProgramServices>39770</ProgramServices>
        <ManagementAndGeneral>105204</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>RENTAL EQUIPMENT &amp; REPAIRS</Description>
        <Total>471537</Total>
        <ProgramServices>445109</ProgramServices>
        <ManagementAndGeneral>26428</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BAD DEBT EXPENSE</Description>
        <Total>233777</Total>
        <ProgramServices>233777</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>LICENSES &amp; TAXES</Description>
        <Total>30566</Total>
        <ProgramServices>24574</ProgramServices>
        <ManagementAndGeneral>5992</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DUES &amp; SUBSCRIPTIONS</Description>
        <Total>37987</Total>
        <ProgramServices>19626</ProgramServices>
        <ManagementAndGeneral>18361</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>UNCOLLECTIBLE CONTRIBUTIONS</Description>
        <Total>24800</Total>
        <ProgramServices>24800</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>27593</Total>
        <ProgramServices>18178</ProgramServices>
        <ManagementAndGeneral>9415</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>9940774</Total>
        <ProgramServices>8525623</ProgramServices>
        <ManagementAndGeneral>1415151</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>220</BOY>
        <EOY>220</EOY>
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      <SavingsAndTempCashInvestments>
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        <EOY>931724</EOY>
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      <PledgesAndGrantsReceivable>
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        <EOY>14208</EOY>
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      <AccountsReceivable>
        <BOY>1233154</BOY>
        <EOY>1278063</EOY>
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      <InventoriesForSaleOrUse>
        <BOY>191886</BOY>
        <EOY>211757</EOY>
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      <PrepaidExpensesDeferredCharges>
        <BOY>88280</BOY>
        <EOY>128765</EOY>
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      <LandBuildingsEquipmentBasis>11857317</LandBuildingsEquipmentBasis>
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        <EOY>219415</EOY>
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      <OtherAssetsTotal>
        <BOY>0</BOY>
        <EOY>85000</EOY>
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      <TotalAssets>
        <BOY>8285377</BOY>
        <EOY>7779815</EOY>
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      <AccountsPayableAccruedExpenses>
        <BOY>1207342</BOY>
        <EOY>947266</EOY>
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      <MortNotesPyblSecuredInvestProp>
        <BOY>124004</BOY>
        <EOY>404638</EOY>
      </MortNotesPyblSecuredInvestProp>
      <TotalLiabilities>
        <BOY>1331346</BOY>
        <EOY>1351904</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>6913494</BOY>
        <EOY>6413703</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>40537</BOY>
        <EOY>14208</EOY>
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      <TotalNetAssetsFundBalances>
        <BOY>6954031</BOY>
        <EOY>6427911</EOY>
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      <TotalLiabNetAssetsFundBalances>
        <BOY>8285377</BOY>
        <EOY>7779815</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-392626</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-133494</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementBoth>X</FinancialStatementBoth>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
      <ContribByControllingIndividual>false</ContribByControllingIndividual>
      <ContributionByRelatedParty>false</ContributionByRelatedParty>
      <ContribBy35ControlledEntity>false</ContribBy35ControlledEntity>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <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>
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      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>true</GrantsOtherOrganizations>
      <GrantsOtherOrganizationsAmount>2079</GrantsOtherOrganizationsAmount>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>false</OtherActivities>
      <TotalLobbyingExpendituresIIB>2079</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <Land>
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        <BookValue>35244</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>6397928</OtherCostOrOtherBasis>
        <Depreciation>2904313</Depreciation>
        <BookValue>3493615</BookValue>
      </Buildings>
      <LeaseholdImprovements />
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        <Depreciation>3903354</Depreciation>
        <BookValue>1334672</BookValue>
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      <OtherLandBuildings>
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        <Depreciation>138987</Depreciation>
        <BookValue>47132</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>4910663</TotalOfBookValueLandBuildings>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <TotalOfAmounts>0</TotalOfAmounts>
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      <TotalExpenses>9940774</TotalExpenses>
      <ExcessOrDeficitForYear>-392626</ExcessOrDeficitForYear>
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      <TotalAdjustments>-133494</TotalAdjustments>
      <ExcessOrDeficitPerFS>-526120</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>9585967</TotRevenueEtcAuditedFinclStmt>
      <OtherRevenues>37819</OtherRevenues>
      <RevenueNotRptdF990>37819</RevenueNotRptdF990>
      <RevenueSubtotal>9548148</RevenueSubtotal>
      <TotalRevenuePerForm990>9548148</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>10112087</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>171313</OtherExpensesIncluded>
      <ExpensesNotRptdF990>171313</ExpensesNotRptdF990>
      <ExpensesSubtotal>9940774</ExpensesSubtotal>
      <TotalExpensesPerForm990>9940774</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>UNCERTAIN TAX POSITIONS</Identifier>
        <ReturnReference>SCHEDULE D, PART X, LINE 2</ReturnReference>
        <Explanation>MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION OF CHANGE IN NET ASSETS</Identifier>
        <ReturnReference>SCHEDULE D, PART XI, LINE 8</ReturnReference>
        <Explanation>OTHER CHANGES IN NET ASSETS: EQUITY IN EARNINGS SABETHA HEALTHCARE, INC. 31,506 TRANSFER TO CITY OF SABETHA (165,000) ---------- $ (133,494)</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION OF REVENUE</Identifier>
        <ReturnReference>SCHEDULE D, PART XII, LINE 2D</ReturnReference>
        <Explanation>EQUITY IN EARNINGS SABETHA HEALTHCARE, INC. 31,506 SPECIAL EVENT EXPENSES 6,313 --------- $ 37,819</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION OF EXPENSES</Identifier>
        <ReturnReference>SCHEDULE D, PART XIII, LINE 2D</ReturnReference>
        <Explanation>TRANSFER TO CITY OF SABETHA 165,000 SPECIAL EVENT EXPENSES 6,313 --------- $ 171,313</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="IRS990ScheduleG">
      <EventsInformation>
        <NameOfEvent1>GOLF TOURNAMENT</NameOfEvent1>
        <GrossReceiptsEvent1>18927</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>16752</CharitableContributionsEvent1>
        <GrossRevenueEvent1>2175</GrossRevenueEvent1>
        <OtherDirectExpensesEvent1>6313</OtherDirectExpensesEvent1>
        <TotalNumberOfOtherEvents>0</TotalNumberOfOtherEvents>
        <GrossReceiptsTotal>18927</GrossReceiptsTotal>
        <CharitableContributionsTotal>16752</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>2175</GrossRevenueTotalEvents>
        <OtherDirectExpensesTotalEvents>6313</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>6313</DirectExpenseSummaryEvents>
        <NetIncomeSummary>-4138</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent100>X</Pcent100>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent200D>X</Pcent200D>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>false</ExpensesExceededBudget>
      <AnnualCommunityBenefitReport>false</AnnualCommunityBenefitReport>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>47961</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>47961</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00480</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>143452</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>143452</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01450</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>191413</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>191413</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01930</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
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        <DirectOffsettingRevenue>180034</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>92303</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00930</PercentOfTotalExpense>
      </CommunityHealthServices>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>7181</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>7181</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00070</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>279518</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>180034</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>99484</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01000</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>470931</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>180034</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>290897</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02930</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
      <BadDebtExpenseAmount>183679</BadDebtExpenseAmount>
      <AmountAttributableTo>0</AmountAttributableTo>
      <AmountReimbursedByMedicare>2580217</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>2580217</CostOfCareReimbursedByMedicare>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>SABETHA COMMUNITY HOSPITAL</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>14TH OREGON PO BOX 229</AddressLine1>
          <City>SABETHA</City>
          <State>KS</State>
          <ZIPCode>66534</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <CriticalAccessHospital>X</CriticalAccessHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>SABETHA COMMUNITY HOSPITAL</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART I, LINE 7, COLUMN F</Identifier>
        <Explanation>THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $233,777.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART I, LINE 7</Identifier>
        <Explanation>THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS CONTAINED IN THE TABLE OF PART I, LINE 7, OF SCHEDULE H, IS A COST TO CHARGE RATIO.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>BAD DEBT EXPENSE</Identifier>
        <ReturnReference>SCHEDULE H, PART III, LINE 4</ReturnReference>
        <Explanation>No separate bad debt expense disclosure. Accounts are considered delinquent and subsequently written off as bad debts based on individual credit evaluation and specific circumstances of the account. Disclosures on provision for doubtful account are related to disclosures regarding the allowance for doubtful accounts which is set for all non-Medicare accounts receivable over 150 days old. The provision for doubtful accounts is a separate expense on the statement of operations and changes in net assets. Hospital charges that are not collected and are not approved for financial assistance as classified as bad debts from patients who will not pay. Bad debts are a service to the community because many people cannot pay, but will not submit a charity care application due to the negative implications within the community.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COLLECTION PRACTICES</Identifier>
        <ReturnReference>SCHEDULE H, PART III, LINE 9B</ReturnReference>
        <Explanation>ALL CHARITY CARE CHARGES AND CHARGES NOT TO BE COLLECTED DUE TO FINANCIAL ASSISTANCE COMPUTATIONS ARE EXEMPTED FROM COLLECTION POLICIES AND PRACTICES. THOSE ACCOUNTS ARE REMOVED FROM THE COLLECTION CYCLE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>NEEDS ASSESSMENT</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 2</ReturnReference>
        <Explanation>In 2009, Sabetha Community Hospital developed a three year strategic plan. The goals established through the strategic plan process continue to be reviewed on a regular basis by the Hospital Board of Directors. Community perceptions of the hospital were determined based on two focus groups, interviews of community leaders, health care providers, Board members and the five family physicians located in Sabetha and hospital department directors. As a result of this strategic plan several nutritional sessions and obstetrical classes were provided to the community. The Board of Directors is kept informed of regulatory and industry changes as the Board meets monthly. Results from patient satisfaction surveys are reviewed on regular intervals in order that hospital staff can identify issues which need to be addressed. The Hospital plans on conducting a community needs assessment in 2012 bringing in community leaders from local industry, city officials, schools, local consumers, and community health.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 3</ReturnReference>
        <Explanation>The Financial Assistance Program employs a sliding scale discount that takes into consideration a patients household income and qualifying assets. The Financial Counselor consults with private pay patients to see if they qualify for the Hospitals financial assistance policy. It is posted in both the hospital and clinic lobbies that financial assistance is available and directs patients to the Financial Counselor at the Hospital for information to apply. If discovered during the accounts receivable collection process that a patient is having trouble paying bills, both the hospital and the clinic will inform the patient that financial assistance is available. As part of the financial assistance program all applicants must apply for Medicaid. To determine if the patient may qualify for financial assistance, the financial counselor gives the patient forms to complete and requests bank statements, tax returns, etc. Computations based on current Federal Poverty Level Guidelines are completed to see if qualifications is appropriate and the percentage of charges to be written off is determined, based on family size and household income. All instances of financial assistance are approved by upper management of the Hospital. Information about Financial Assistance is posted on the hospital website and the Financial Assistance form can be downloaded from www.sabethahospital.com</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY INFORMATION</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 4</ReturnReference>
        <Explanation>Sabetha Community Hospital is a 25 bed Critical Access Hospital located in the city of Sabetha, Nemaha County Kansas. Currently the population is estimated at 2800. According to data collected during the strategic planning process, the primary service area for Sabetha Community Hospital includes portions of Nemaha and Brown Counties with Nemaha County providing 79% of all inpatients and Sabetha zip code alone contributing 69%. Nebraska and a few other counties provide a growing portion of the hospitals patient base. Brown and Nemaha counties account for 20,269 persons according to the 2007 U.S. Census estimate. In 2007, 92.5% of the the two-county population was white, 4.2% Native American, 2.1% Hispanic and 1.2% African-American. The 65 and older age group accounted for 19.5% of the population in 2007.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PROMOTION OF COMMUNITY HEALTH</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 5</ReturnReference>
        <Explanation>The hospital provides and promotes the health of the citizens of Sabetha and the surrounding region by providing the following services. The hospital offers diabetic consultations with a registered dietician. First grade students are invited to attend an annual hospital tour guiding them through various departments of the hospital. The hospital Guild members volunteer to coordinate efforts to hold bloodmobile clinics. During the flu season flu clinics are offered at the hospital, and hospital staff conducts flu clinics at the local grocery store as well as onsite flu vaccinations for several local businesses. Hospital staff provides CPR training for professionals in the area. The hospital provides prenatal classes including CPR training on a quarterly basis. Hospital staff travels to surrounding communities to provide free blood pressure clinics. Sabetha Community Hospital implemented the Healthy U program, an educational class for the community to discuss healthy eating and exercise. Two of these courses were held in 2010. These sessions won the Community Connection award from the State Hospital Association. Cardiac Rehab Phase III is open to the community to offer support in an exercise program, especially for those patients who have graduated from the Cardiac Rehab program. Social Services aids those in the community who are in need of enrollment assistance, whether it be for Medicaid, Medicare Part D services, or other information referral assistance. The hospital also provides Lifeline to the senior population in the region. One of the hospital physicians sits as the Medical Director for the city owned ambulance service. The Chief Executive Officer of Sabetha Community Hospital serves on the board of Kansas Health Service Corporation Workers Compensation Fund, the Kansas Hospital Associations Policy and Advocacy committee and the Health Innovations Network of Kansas strategic planning committee. The Wellness Coordinator of the hospital sits on the Wellness Council for the local school district. Sabetha Community Hospital coordinated with community leaders to sponsor Twelve Minutes to Live. Twelve Minutes to Live, held on April 30, 2010 was a disaster preparedness drill which provided vital training not only for hospital staff in case of a mass casualty disaster but to those in the community who would be affected by such an event. Hot Drills are run which include members of the local EMS, Fire Department, County response system and Public Health Department. The hospital annually sponsors the Sabetha Firecracker 5k Run/Walk. A learning avenue for nursing students is provided through the hospital affiliation with Highland Community College, medical students in the rural residency program at Kansas University Medical School are able to follow the family physicians, physical therapy students through affiliation with Kansas City Kansas Community College and Indian Hills Community College, and occupational therapy students through Washburn University affiliation all do clinical rotations. Hospital Administration works closely with the High School counselor in the administration of local scholarships to nursing students and to those who are going into a healthcare career.</Explanation>
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        <Identifier>AFFILIATED HEALTH CARE SYSTEM</Identifier>
        <ReturnReference>SCHEDULE H, PART VI, LINE 6</ReturnReference>
        <Explanation>The organization is affiliated with Great Plains Health Alliance, Inc. (GPHA), a non-profit 501(c)(3) organization, which provides management services and operational, financial and accounting support to the Hospital. GPHA does not provide services directly to patients, but does provide access to professionals that may not be affordable to the normal critical access hospital. GPHA provides education and assistance in areas such as HIPAA, Medicare reimbursement, meaningful use requirements for computer systems, etc. GPHA is an affiliation of Critical Access hospitals in Kansas and Nebraska that provides networking opportunities with other rural hospitals, communities and leaders. GPHA provides policies and guidance to its Critical Access facilities regarding financial assistance, conflicts of interest, corporate compliance and many other areas. GPHA also provides educational sessions for Board Members, Business Office Managers, Billers, Medical Records personnel, Director of Nursing and Administrators. GPHA is a vital link in allowing critical access hospitals to operate at a high quality within the cash constraints imposed by the Critical Access program.</Explanation>
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        <Identifier>COMPENSATION FROM A RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990, PART VII; SCHEDULE J, PART I, LINE 3</ReturnReference>
        <Explanation>COMPENSATION FOR ROGER JOHN AND DAVE DELLASEGA IS PROVIDED BY GREAT PLAINS HEALTH ALLIANCE, A RELATED ORGANIZATION. GREAT PLAINS HEALTH ALLIANCE'S BOARD OF DIRECTORS ANNUALLY APPROVE THE COMPENSATION FOR MR. JOHN AND MR. DELLASEGA.</Explanation>
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        <Identifier>PROGRAM SERVICE ACCOMPLISHMENTS</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4</ReturnReference>
        <Explanation>Hospital staff spent many hours training for disaster preparedness through the transition from its mass casualty plan to the Emergency Operations Plan. Recognizing the need to assist patients and their families facing advanced or end-of-life illnesses, August 1, 2010, Sabetha Community Hospital began to provide palliative care to our patients. In October, hospital staff had a dress down day to raise funds for Kansas Dialysis Services. Multiple pieces to the electronic medical record have been added throughout 2010 with the installation of order entry, nursing documentation and others. In an effort to provide a centralized location for staff to access policies which affect how they function, the hospital began to utilize PolicyTech software to maintain departmental policies. As information technology continues to be a vital part of the healthcare industry, the hospital looks to expand the avenues utilized to provide education to staff as well as patients. Sabetha Community Hospital was able to obtain ITV equipment. Carpet was replaced in the outpatient office as well as the entry way to the portion of the hospital which houses cardiac rehabilitation, Nemaha County Home Health and Hospice, outpatient clinics, Occupational Assessment Services, administration, human resources, and medical records.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ATTACHMENT OF AUDITED FINANCIAL STATEMENTS</Identifier>
        <ReturnReference>FORM 990, PART IV, LINE 20B</ReturnReference>
        <Explanation>PER THE IRS' FORM 990 INSTRUCTIONS, AN ORGANIZATION OPERATING ONE OR MORE HOSPITALS AT ANY TIME DURING THE YEAR MUST ATTACH A COPY OF ITS AUDITED FINANCIAL STATEMENTS TO THE TAX RETURN IF ITS TAX YEAR BEGAN AFTER MARCH 23, 2010. THE AUDITED FINANCIAL STATEMENTS OF GREAT PLAINS OF SABETHA, INC. ARE NOT ATTACHED BECAUSE ITS TAX YEAR BEGAN ON JANUARY 1, 2010.</Explanation>
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      <GeneralExplanation>
        <Identifier>MEMBERS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>GREAT PLAINS HEALTH ALLIANCE, INC., A NOT-FOR-PROFIT, 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF GREAT PLAINS OF SABETHA, INC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MEMBERS MAY ELECT GOVERNING BODY</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>GREAT PLAINS HEALTH ALLIANCE, INC., BEING THE SOLE MEMBER, HAS THE RIGHT TO ELECT AND APPROVE ALL THE BOARD MEMBERS.</Explanation>
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      <GeneralExplanation>
        <Identifier>GOVERNING BODY DECISIONS SUBJECT TO APPROVAL OF MEMBERS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7B</ReturnReference>
        <Explanation>GREAT PLAINS HEALTH ALLIANCE, INC. (GPHA) IS THE SOLE MEMBER AND HAS THE AUTHORITY TO APPROVE THE ARTICLES OF INCORPORATION, BYLAWS, ELECTION TO OR REMOVAL FROM THE BOARD OF DIRECTORS, THE ANNUAL OPERATING AND CAPITAL BUDGETS, AND THE LONG RANGE OR STRATEGIC PLANS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990 REVIEW PROCESS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11B</ReturnReference>
        <Explanation>THE 990 IS PREPARED AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE 990 IS THEN PROVIDED TO THE CHIEF FINANCIAL OFFICER FOR REVIEW AND APPROVAL. AN ELECTRONIC DRAFT OF THE 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED TO THE FULL BOARD FOR REIVEW PRIOR TO FILING THE 990 WITH THE IRS.</Explanation>
      </GeneralExplanation>
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        <Identifier>CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE ORGANIZATION IS REQUIRED TO ADOPT GPHA'S CONFLICT OF INTEREST POLICY. ALL BOARD MEMBERS, OFFICERS AND EMPLOYEES ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY AND SIGN AN ANNUAL ACKNOWLEDGEMENT THAT THEY HAVE READ, UNDERSTAND AND COMPLIED WITH THE GPHA CONFLICT OF INTEREST POLICY. UNDER THE POLICY, ANY MEMBER WHO HAS A DIRECT OR INDIRECT (VIA FAMILY) FINANCIAL INTEREST IS CHARACTERIZED AS AN INTERESTED PERSON. INTERSTED PERSONS ARE REQUIRED TO DISCLOSE FINANCIAL INTERESTS WITH COMPANIES DOING BUSINESS WITH GPHA. THE INTERESTED PERSON MUST RECUSE THEMSELVES FROM FURTHER DISCUSSIONS OF THE TRANSACTION AND LEAVE THE ROOM. THE REMAINING NON-INTERESTED MEMBERS DECIDE IF A CONFLICT OF INTEREST EXISTS. THE BOARD CHAIR MAY APPOINT ANOTHER DISINTERESTED PARTY TO DISCUSS THE TRANSACTION OR THE REMAINING BOARD MEMBERS MAY VOTE TO ENTER INTO OR ABSTAIN FROM THE SUSPECT TRANSACTION. FAILURE TO DISCLOSE FINANCIAL INTERESTS BY INTERESTED BOARD MEMBERS WILL RESULT IN DISCIPLIARY ACTION, INCLUDING SACTIONING BY BOARD. ALL CONFLICTS OF INTEREST AND THEIR ULTIMATE RESOLUTION ARE DOCUMENTED IN THE BOARD MINUTES. THE BOARD CONDUCTS PERIODIC REVIEWS TO DETERMINE THAT CONFLICTS ARE BEING IDENTIFIED AND RESOLVED ACCORDING TO POLICY DOCUMENTATION. REVIEWS BY OUTSIDE EXPERTS ARE PERMITTED, BUT NOT REQUIRED.</Explanation>
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      <GeneralExplanation>
        <Identifier>COMPENSATION REVIEW</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINES 15A &amp; B</ReturnReference>
        <Explanation>THERE IS NO FORMAL REVIEW BY INDEPENDENT SOURCES, BUT THE ORGANIZATION'S BUDGET AND THE GPHA BUDGET IS APPROVED BY THE BOARD. AS A HISTORICAL PRACTICE, RAISES OF THE PRESIDENT/CEO AND CHIEF FINANCIAL OFFICER ARE LIMITED TO $3,000 ANNUALLY SINCE THESE INDIVIDUALS EACH EARN OVER $100,000 ANNUALLY.</Explanation>
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        <Identifier>AVAILABILITY OF DOCUMENTS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE COMPANY'S KANSAS ANNUAL REPORT IS ALSO AVAILABLE UPON REQUEST FROM THE KANSAS SECRETARY OF STATE.</Explanation>
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        <Identifier>OTHER CHANGES IN NET ASSETS</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5</ReturnReference>
        <Explanation>EQUITY IN EARNINGS SABETHA HEALTHCARE, INC. 31,506 TRANSFER TO CITY OF SABETHA (165,000) ---------- $ (133,494)</Explanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:STEVE CARLSON TITLE:CHAIRMAN/DIRECTOR HOURS:2</Explanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:ROGER JOHN TITLE:PRESIDENT/CEO/DIRECTOR HOURS:48</Explanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:BETH MEYERES TITLE:VICE PRESIDENT/DIRECTOR HOURS:2</Explanation>
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        <Explanation>NAME:LOGAN SPRUNGER TITLE:VICE PRESIDENT/DIRECTOR HOURS:2</Explanation>
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        <Explanation>NAME:ROBERT HAMILTON TITLE:SECREATRY/DIRECTOR HOURS:2</Explanation>
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        <Explanation>NAME:THOMAS E. KELLER, D.V.M. TITLE:TREASURER/DIRECTOR HOURS:2</Explanation>
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        <Explanation>NAME:FERD DIETZ TITLE:DIRECTOR HOURS:2</Explanation>
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        <Explanation>NAME:HERBERT DOUBEK, M.D. TITLE:DIRECTOR HOURS:2</Explanation>
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        <Explanation>NAME:DAVE RANKIN TITLE:DIRECTOR HOURS:2</Explanation>
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        <Explanation>NAME:CURTIS ERICKSON TITLE:DIRECTOR HOURS:2</Explanation>
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        <Explanation>NAME:JOHN TERRILL TITLE:DIRECTOR HOURS:2</Explanation>
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        <Explanation>NAME:DAVE DELLASEGA TITLE:CFO HOURS:44</Explanation>
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          <AddressLine1>625 THIRD STREET</AddressLine1>
          <City>PHILLIPSBURG</City>
          <State>KS</State>
          <ZIPCode>67661</ZIPCode>
        </AddressUS>
        <EIN>481226830</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>GPHA INC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>