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        <InvestmentEarningsOrLossesAmt>112</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>65</OtherExpendituresAmt>
        <EndYearBalanceAmt>8540</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>8276</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>157</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>240</OtherExpendituresAmt>
        <EndYearBalanceAmt>8193</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>1.00000</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc5">
      <GrantRecordsMaintainedInd>false</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>WINNESHIEK MEDICAL CTR</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>901 MONTGOMERY ST</AddressLine1>
          <City>DECORAH</City>
          <State>IA</State>
          <ZIPCode>52101</ZIPCode>
        </USAddress>
        <RecipientEIN>420680467</RecipientEIN>
        <CashGrantAmt>47691</CashGrantAmt>
        <PurposeOfGrantTxt>CLINIC AND MISC</PurposeOfGrantTxt>
      </RecipientTable>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHIEF ADMINISTRATIVE OFFICER OF WINNESHIEK MEDICAL CENTER SHALL SERVE AS AN EX-OFFICIO NONVOTING MEMBER OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD WILL REVIEW THE FORM 990 PRIOR TO THE BOARD SECRETARY'S SIGNATURE AND FILING OF THE RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY, ALL BOARD MEMBERS RECEIVE A COPY OF THE CONFLICT OF INTEREST POLICY. THEY SUBMIT A SIGNED AND DATED FORM THAT AFFIRMS THAT THEY HAVE READ, UNDERSTAND, AND AGREE TO THE STANDARDS SET FORTH IN THE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFER TO COMMUNITY FOUNDATION -248,372</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>