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        <OtherCostOrOtherBasis>1725725</OtherCostOrOtherBasis>
        <Depreciation>930681</Depreciation>
        <BookValue>795044</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>73572</OtherCostOrOtherBasis>
        <Depreciation>70635</Depreciation>
        <BookValue>2937</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>816751</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>ASSETS WHOSE USE IS LIMITED</Description>
        <BookValue>1069000</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>CSV - LIFE INSURANCE</Description>
        <BookValue>2413</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>1071413</TotalBookValueOtherAssets>
      <Form990ScheduleDPartXIV>
        <Identifier>INTENDED USES FOR ENDOWMENT FUNDS</Identifier>
        <ReturnReference>SCHEDULE D, PAGE 2, PART V, LINE 4</ReturnReference>
        <Explanation>THE INTENDED USE OF THE ENDOWMENT FUND IS TO PROVIDE INCOME PERIODICALLY TO PAY FOR AN ANNUAL SCHOLARSHIP TO QUALIFIED APPLICANTS.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc6">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>PENDER COMMUNITY HOSPITAL DISTRICT</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>100 HOSPITAL DR</AddressLine1>
          <City>PENDER</City>
          <State>NE</State>
          <ZIPCode>68047</ZIPCode>
        </AddressUS>
        <EINOfRecipient>470711662</EINOfRecipient>
        <IRCSection>GOV</IRCSection>
        <AmountOfCashGrant>94873</AmountOfCashGrant>
        <PurposeOfGrant>MEDICAL</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>2</TotalNbrOf501C3AndGovtGrants>
      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES</Identifier>
        <ReturnReference>SCHEDULE I, PAGE 1, PART I, LINE 2</ReturnReference>
        <Explanation>DISTRIBUTIONS ARE MADE TO HEALTH CARE ENTITIES IN THE SURROUNDING COMMUNITIES AND MONITORING CONSIST OF REPORTS FROM THE ENTITY AND PERSONAL INSPECTION BY THE BOARD MEMBERS. ADDITIONALLY, A COMMITTEE REVIEWS ALL APPLICATIONS FOR GRANTS/SCHOLARSHIPS. THIS COMMITTEE GOES OVER ALL THE CRITERIA AT THE TIME A DECISION IS MADE TO MAKE SURE ALL CRITERIA ARE MET.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleK documentId="RetDoc7">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>PENDER COMMHLTHCARE FNDTN-BOND B</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>470750036</IssuerEIN>
        <CUSIPNumber>70672DAF8</CUSIPNumber>
        <DateIssued>2010-09-27</DateIssued>
        <IssuePrice>1720000</IssuePrice>
        <DescriptionOfPurpose>CNST OF NEW HOSPITAL</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>1720000</TotalProceeds>
        <CapitalExpenditures>1720000</CapitalExpenditures>
        <YearOfSubstCompletion>2012</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>false</EngageBondCounselContracts>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <EngageBondCounselResearch>false</EngageBondCounselResearch>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc8">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>PENDER COMMUNITY HOSPITAL</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>SEE BELOW</Relationship>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>ADDITIONAL INFORMATION</Identifier>
        <ReturnReference>SCHEDULE L PART V</ReturnReference>
        <Explanation>RICHARD THOMASON IS THE FOUNDATIONS SECTREASURER HE IS ALSO THE CEO OF THE PENDER COMMUNITY HOSPITAL DISTRICT WHICH THE FOUNDATION SUPPORTS PENDER COMMUNITY HOSPITAL DISTRICT IS LISTED AS A RELATED PARTY ON SCHEDULE R AND TRANSACTIONS ARE SHOWN THERE</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc9">
      <GeneralExplanation>
        <Identifier>RELATED PARTY INFORMATION AMONG OFFICERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 2</ReturnReference>
        <Explanation>BRIAN KENT BOD MEMBER ALSO BOD CHR FOR PENDER HOSP RICHARD THOMASON OFFICER ALSO CEO FOR PENDER HOSP</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S PROCESS USED TO REVIEW FORM 990</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 11B</ReturnReference>
        <Explanation>A FINAL VERSION OF FORM 990 IS EITHER EMAILED OR MAILED TO ALL BOARD MEMBERS FOR REVIEW BEFORE IT IS FILED. THE FORM 990 WILL THEN BE DISCUSSED AT THE NEXT BOARD MEETING, WHICH IS NORMALLY SUBSEQENT TO ITS FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ENFORCEMENT OF CONFLICTS POLICY</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 12C</ReturnReference>
        <Explanation>BOARD MEMBERS SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT EACH YEAR. USING THESE FORMS, THE BOARD DISCUSSES POSSIBLE CONFLICTS. IF A CONFLICT OF INTEREST ARISES, THE BOARD MEMBERS DISCUSS THE CONFLICT AT THE BOARD MEETING AND THE MEMBER WITH A CONFLICT OF INTEREST ON A CERTAIN ISSUE IS NOT ALLOWED TO VOTE ON THAT ISSUE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENTS DISCLOSURE EXPLANATION</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 19</ReturnReference>
        <Explanation>GOVERNING DOCUMENTS, CONFLICT OF INTEREST STATEMENTS AND FINANCIAL STATEMENTS ARE PROVIDED TO THE PUBLIC ON REQUEST.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc10">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PENDER COMMUNITY HOSPITAL DISTRICT</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 100</AddressLine1>
          <AddressLine2>100 HOSPITAL DRIVE</AddressLine2>
          <City>PENDER</City>
          <State>NE</State>
          <ZIPCode>68047</ZIPCode>
        </AddressUS>
        <EIN>470711662</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PENDER CARE CENTRE DISTRICT</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>200 VALLEY VIEW DRIVE</AddressLine1>
          <City>PENDER</City>
          <State>NE</State>
          <ZIPCode>68047</ZIPCode>
        </AddressUS>
        <EIN>223887517</EIN>
        <PrimaryActivities>LTC</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>true</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PENDER COMMUNITY HOSPITAL DISTRICT</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>D</TransactionType>
        <AmountInvolved>18059081</AmountInvolved>
        <MethodOfAmtDetermination>LOAN BAL AS OF 63012</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>