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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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        <CurrentTaxYearMinus2YearsAmt>38149</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>28515</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2071</CurrentTaxYearAmt>
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      <PublicSupportPY170Pct>0.67340</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleD documentId="RetDoc3">
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        <BookValueAmt>399973</BookValueAmt>
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    <IRS990ScheduleK documentId="RetDoc4">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>ECON DEV REV BONS SERIES 2015A</BusinessNameLine1Txt>
        </IssuerName>
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        <BondIssuedDt>2015-10-21</BondIssuedDt>
        <IssuePriceAmt>10000000</IssuePriceAmt>
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        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
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      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>ECON DEV REV BONS SERIES 2015B</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>466000292</BondIssuerEIN>
        <BondIssuedDt>2015-10-21</BondIssuedDt>
        <IssuePriceAmt>7819276</IssuePriceAmt>
        <PurposeDesc>HOSPITAL BUILDING - 730,000 SQUARE FOOT</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
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        <BondReferenceCd>A</BondReferenceCd>
        <SubstantialCompletionYr>2016</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
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        <BondReferenceCd>B</BondReferenceCd>
        <SubstantialCompletionYr>2016</SubstantialCompletionYr>
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        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
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        <BondReferenceCd>B</BondReferenceCd>
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        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
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        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>ECON. DEV. REV. BONS, SERIES 2015A HOSPITAL BUILDING - 730,000 SQUARE FOOT</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>ECON. DEV. REV. BONS, SERIES 2015B HOSPITAL BUILDING - 730,000 SQUARE FOOT</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVIDING HEALTH CARE SERVICES TO CITIZENS LIVING THE THE GREATER NORTHEASTERN SOUTH DAKOTA AREA</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD IS MADE UP BY APPOINTMENTS BY VARIOUS INDIVIDUALS OR ENTITIES. SPECIFICALLY, THE BISHOP OF THE SIOUX FALLS DIOCESE HAS THE POWER TO APPOINT EVERY THREE YEARS ONE BOARD MEMBER. LIKEWISE, A BOARD EMEBER IS APPOINTED TO A THREE YEAR TERM BY THE CITY OF MILBANK, THE GRANT COUNTY COMMISSIONERS, THE MILBANK COMMUNITY FOUNDATION, THE MILBANK AREA CHAMBER OF COMMERCE, GRANT COUNTY ECONOMIC DEVELOPMENT, AND THE HOSPITAL MEDICAL STAFF IF ELECTING A CHIEF OF STAFF FOR THE HOSPITAL. THE BOARD ALSO HAS TWO AT LARGE MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING BODY WAS PROVIDED WITH A COPY OF THE FINANCIAL STATEMENT AND FORM 990 BY THE ACCOUNTANT WHO COMPLETED THE FINANCIAL STATEMENT AND FORM 990 PRIOR TO THE DATE IN WHICH THE GOVERNING BODY FILED THE ACTUAL FORM 990</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING MEETINGS HELD BY THE OFFICERS AND DIRECTORS, THEY ARE ASKED TO INFORM THE BOARD OF ANY POTENTIAL CONFLICTS WHICH MAY ARISE WITH THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES AVAILABLE TO THE PUBLIC ANY OF ITS DOCUMENTS OR FINANCIAL STATEMENTS UPON THE REQUEST OF THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC: JAMES GESSWEIN - 317 NORTH DAKOTA STREET, MILBANK, SD 57252 STUART SCHREURS - 1208 PARK DRIVE, MILBANK, SD 57252 GREGORY GRAJCZYK - 103 SOUTH 4TH STREET, MILBANK, SD 57252 DARYL HALVORSON - 108 VILLA LANE, MILBANK, SD 57252 DR. PAUL DENNA - 13945 482ND AVENUE, BIG STONE CITY, SD 57216 RICK DILTS - 47208 US HWY 12, MILBANK, SD 57252 KATIE HELLER - 706 SOUTH 5TH STREET, MILBANK, SD 57252 JASON MISCHEL, 47772 143RD STREET, MILBANK, SD 57252 GERALD ZUBKE - 14536 SD HIGHWAY 15, MILBANK, SD 57252</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS TO COMPLETE THE FINANCIAL STATEMENT AND RELATED INCOME TAX RETURN HASNN'T CHANGED FROM THE PRIOR YEAR. THE INFORMATION IS GIVEN TO THE ACCOUNTANT WHO THEN PREPARES A PRELIMINARY AND TENTATIVE FINACIAL STATEMENT AND INCOME TAX RETURN. THESE PRELIMINARY STATEMENTS AND RETURN ARE THEN REVIEWED BY THE OFFICERS AND DIRECTORS. ONCE THE REPORTS ARE APPROVED, THEN FINAL FINANCIAL STATEMENTS AND INCOME TAX RETURNS ARE PREPARED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>