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        <BusinessNameLine1>McCurtain Memorial Hospital Foundation Inc</BusinessNameLine1>
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        <AddressLine1>1301 E Lincoln Road</AddressLine1>
        <City>Idabel</City>
        <State>OK</State>
        <ZIPCode>74745</ZIPCode>
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      <Name>Melvin Cavender</Name>
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      <DateSigned>2011-08-24</DateSigned>
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    <Preparer>
      <Name>Carolyn Levings</Name>
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      <DatePrepared>2011-08-23</DatePrepared>
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      <GeneralExplanation>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>The Form 990 is reviewed by the CFO. It is available for review at the next Board meeting of the Foundation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>All board members are required to complete a conflict of interest statement annually. The officers and key employees do not complete the annual conflict of interest statement. The Board reviews the forms for potential conflicts. The Board of Directors reviews when the conflict is first presented and annually report on the conflicts. The individuals who have conflicts are not present during discussions by the board or vote regarding the conflicts.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>Documents and records are available for inspection by the public at the principal offices located at 1301 E Lincoln Road, Idabel, OK 74745 during normal business hours Monday through Friday.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>McCurtain Memorial Medical Mgmt Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1301 E Lincoln Road</AddressLine1>
          <City>Idabel</City>
          <State>OK</State>
          <ZIPCode>74745</ZIPCode>
        </AddressUS>
        <EIN>736617937</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>OK</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>N/A</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>1</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>1</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>1</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>1</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>McCurtain Memorial Medical Management Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>188100</AmountInvolved>
        <MethodOfAmtDetermination>Book</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>McCurtain Memorial Medical Management Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>D</TransactionType>
        <AmountInvolved>157998</AmountInvolved>
        <MethodOfAmtDetermination>Book</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>McCurtain Memorial Medical Management Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>D</TransactionType>
        <AmountInvolved>250000</AmountInvolved>
        <MethodOfAmtDetermination>Book</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>