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      <GainOrLossGrp>
        <SecuritiesAmt>816</SecuritiesAmt>
        <OtherAmt>2205018</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>2205834</TotalRevenueColumnAmt>
        <ExclusionAmt>2205834</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>INSURANCE PROCEEDS (PROPERTY)</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>259587</TotalRevenueColumnAmt>
        <ExclusionAmt>259587</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>NE REAL ESTATE TAX CREDIT</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>9337</TotalRevenueColumnAmt>
        <ExclusionAmt>9337</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>5252</TotalRevenueColumnAmt>
        <ExclusionAmt>5252</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>1573</TotalRevenueColumnAmt>
        <ExclusionAmt>1573</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>275749</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>12641724</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9967545</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>2595628</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>137966</TotalAmt>
        <ManagementAndGeneralAmt>137966</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>4313148</TotalAmt>
        <ProgramServicesAmt>4061989</ProgramServicesAmt>
        <ManagementAndGeneralAmt>251159</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>954425</TotalAmt>
        <ProgramServicesAmt>832865</ProgramServicesAmt>
        <ManagementAndGeneralAmt>121560</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>347834</TotalAmt>
        <ProgramServicesAmt>316553</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31281</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>62000</TotalAmt>
        <ManagementAndGeneralAmt>62000</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>135124</TotalAmt>
        <ManagementAndGeneralAmt>135124</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>47803</TotalAmt>
        <ManagementAndGeneralAmt>47803</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>10688</TotalAmt>
        <ManagementAndGeneralAmt>10688</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>19927</TotalAmt>
        <ManagementAndGeneralAmt>19927</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>130097</TotalAmt>
        <ProgramServicesAmt>130097</ProgramServicesAmt>
      </OccupancyGrp>
      <InterestGrp>
        <TotalAmt>330853</TotalAmt>
        <ProgramServicesAmt>330853</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>481428</TotalAmt>
        <ProgramServicesAmt>481428</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>219857</TotalAmt>
        <ProgramServicesAmt>160199</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59658</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>POOL NURSING</Desc>
        <TotalAmt>1979505</TotalAmt>
        <ProgramServicesAmt>1979505</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FOOD</Desc>
        <TotalAmt>670476</TotalAmt>
        <ProgramServicesAmt>670476</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CONTRACT SERVICES-NURSI</Desc>
        <TotalAmt>651445</TotalAmt>
        <ProgramServicesAmt>651445</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DIETARY CONTRACTED SERV</Desc>
        <TotalAmt>538407</TotalAmt>
        <ProgramServicesAmt>538407</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>802423</TotalAmt>
        <ProgramServicesAmt>693972</ProgramServicesAmt>
        <ManagementAndGeneralAmt>108451</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>11833406</TotalAmt>
        <ProgramServicesAmt>10847789</ProgramServicesAmt>
        <ManagementAndGeneralAmt>985617</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1160974</BOYAmt>
        <EOYAmt>1848770</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>756825</BOYAmt>
        <EOYAmt>856187</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>4065</BOYAmt>
        <EOYAmt>14706</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>18655175</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>13630897</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>5434866</BOYAmt>
        <EOYAmt>5024278</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>237221</BOYAmt>
        <EOYAmt>273550</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>735285</BOYAmt>
        <EOYAmt>782942</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>8329236</BOYAmt>
        <EOYAmt>8800433</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>808233</BOYAmt>
        <EOYAmt>695490</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <EOYAmt>4139</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>6685811</BOYAmt>
        <EOYAmt>6450909</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>61815</BOYAmt>
        <EOYAmt>61823</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>7555859</BOYAmt>
        <EOYAmt>7212361</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>773377</BOYAmt>
        <EOYAmt>1588072</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>773377</BOYAmt>
        <EOYAmt>1588072</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>8329236</BOYAmt>
        <EOYAmt>8800433</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>808318</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>6377</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>15454</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>81582</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>147197</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>127841</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>78551</CurrentTaxYearAmt>
        <TotalAmt>450625</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>7993489</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6987623</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7069528</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7939031</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9967545</CurrentTaxYearAmt>
        <TotalAmt>39957216</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>8008943</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>7069205</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7216725</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8066872</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>10046096</CurrentTaxYearAmt>
        <TotalAmt>40407841</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <CurrentTaxYearMinus2YearsAmt>8000</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8000</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8000</CurrentTaxYearAmt>
        <TotalAmt>24000</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <CurrentTaxYearMinus2YearsAmt>7000</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>7000</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus2YearsAmt>15000</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8000</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8000</CurrentTaxYearAmt>
        <TotalAmt>31000</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>40376841</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>2280</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>58710</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>53660</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>70699</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>62883</CurrentTaxYearAmt>
        <TotalAmt>248232</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>2280</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>58710</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>53660</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>70699</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>62883</CurrentTaxYearAmt>
        <TotalAmt>248232</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>16688</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>13759</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11720</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9970</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>275749</CurrentTaxYearAmt>
        <TotalAmt>327886</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>8027911</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>7141674</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7282105</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8147541</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>10384728</CurrentTaxYearAmt>
        <TotalAmt>40983959</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.98520</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99250</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00610</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00500</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART III, LINE 12 - OTHER INCOME DETAIL:</FormAndLineReferenceDesc>
        <ExplanationTxt>INSURANCE PROCEEDS, MEALS, MISCELLANEOUS, NEBRASKA PROPERTY TAX CREDIT, AND LAUNDRY INCOME - $275,749</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>138556</OtherCostOrOtherBasisAmt>
        <BookValueAmt>138556</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>15514269</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>11016950</DepreciationAmt>
        <BookValueAmt>4497319</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>3002350</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2613947</DepreciationAmt>
        <BookValueAmt>388403</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>5024278</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>CASH SURRENDER VALUE OF LIFE INSURANCE</Desc>
        <BookValueAmt>19385</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DEBT SERVICE RESERVE FUND</Desc>
        <BookValueAmt>763217</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RESIDENT FUNDS</Desc>
        <BookValueAmt>340</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>782942</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>SECURITY DEPOSITS</Desc>
        <Amt>55261</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CHRISOMA TRUST LIABLITY</Desc>
        <Amt>6222</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>RESIDENT TRUST LIABILITY</Desc>
        <Amt>340</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>61823</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>12648101</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>6377</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>6377</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>12641724</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>12641724</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>11833406</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>11833406</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>11833406</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOME IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, THEREFORE, HAS MADE NO PROVISION FOR FEDERAL INCOME TAXES IN THE ACCOMPANYING FINANCIAL STATEMENTS. IN ADDITION, THE HOME HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE NOT TO BE A "PRIVATE FOUNDATION" WITHIN THE MEANING OF SECTION 509(A) OF THE INTERNAL REVENUE CODE. THERE WAS NO UNRELATED BUSINESS INCOME FOR 2025 OR 2024. THE HOME IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY FEDERAL, STATE, OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE JUNE 30, 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>HOSPITAL AUTHORITY NO 1 OF PHELPS COUNTY 2020 A &amp; B</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>410777710</BondIssuerEIN>
        <BondIssuedDt>2020-09-01</BondIssuedDt>
        <IssuePriceAmt>7545000</IssuePriceAmt>
        <PurposeDesc>REFUNDING OF PRIOR ISSUE</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>930000</RetiredAmt>
        <TotalProceedsAmt>7545000</TotalProceedsAmt>
        <InReserveFundAmt>430000</InReserveFundAmt>
        <IssuanceCostsFromProceedsAmt>212056</IssuanceCostsFromProceedsAmt>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>0</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>1</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>ELECTION OF MEMBERS AND THEIR RIGHTS BOARD MEMBERS ARE FIRST NOMINATED BY A NOMINATING COMMITTEE COMPRISED OF CURRENT BOARD MEMBERS. THEY ARE THEN ELECTED DURING THE YEARLY MIDWEST EVANGELICAL FREE CHURCH CONFERENCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>DECISIONS SUBJECT TO APPROVAL OF MEMBERS IF A LOAN REQUIRES THE PLEDGING OF ASSETS, PERMISSION IS REQUIRED OF THE BOARD OF THE MIDWEST DISTRICT OF THE EVANGELICAL FREE CHURCH OF AMERICA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATION'S PROCESS TO REVIEW FORM 990 THE EXECUTIVE DIRECTOR REVIEWS THE FORM 990 AND NOTIFIES THE PREPARER OF ANY CHANGES. THE FORM 990 IS AVAILABLE FOR REVIEW BY BOARD MEMBERS AT THEIR REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ENFORCEMENT OF CONFLICTS POLICY THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION PROCESS FOR TOP OFFICIAL COMPARABILITY OF COMPENSATION FOR TOP MANAGEMENT OFFICIALS IS REVIEWED THROUGH AN INDEPENDENT CONSULTANT SPECIALIZING IN LONG-TERM CARE AS WELL AS BY AN INDUSTRY SURVEY CONDUCTED ON A STATE WIDE BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS DISCLOSURE EXPLANATION GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PARTXII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MIDWEST DISTRICT OF THE EVANGELICAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>218 W 18TH ST</AddressLine1Txt>
          <CityNm>KEARNEY</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68845</ZIPCd>
        </USAddress>
        <EIN>410721672</EIN>
        <PrimaryActivitiesTxt>CHURCH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(1)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 1</PublicCharityStatusTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>