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        <OperateBenefitNonSuprtOrgInd>false</OperateBenefitNonSuprtOrgInd>
      </Form990SchAType1SuprtOrgGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SUPPLEMENTAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS OF THE BOARD OF DIRECTORS, THE CEO AND THE CFO ARE IDENTICAL BETWEEN THE SUPPORTING AND THE SUPPORTED ORGANIZATIONS. THE INDIVIDUALS RESPONSIBLE FOR BOTH ORGANIZATIONS ARE THE SAME.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <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>
    <IRS990ScheduleG documentId="RetDoc3">
      <FundraisingEventInformationGrp>
        <Event1Nm>BOOK SALE</Event1Nm>
        <GrossReceiptsEvent1Amt>9218</GrossReceiptsEvent1Amt>
        <GrossRevenueEvent1Amt>9218</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>7674</OtherDirectExpensesEvent1Amt>
        <Event2Nm>UNIFORM &amp; SHOE</Event2Nm>
        <GrossReceiptsEvent2Amt>41525</GrossReceiptsEvent2Amt>
        <GrossRevenueEvent2Amt>41525</GrossRevenueEvent2Amt>
        <OtherDirectExpensesEvent2Amt>34034</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>2</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>15519</GrossReceiptsOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>15519</GrossRevenueOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>10747</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>66262</GrossReceiptsTotalAmt>
        <GrossRevenueTotalEventsAmt>66262</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>52455</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>52455</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>13807</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc4">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>STEPHENS COUNTY HOSPITAL AUTHORITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>163 HOSPITAL DRIVE</AddressLine1Txt>
          <CityNm>TOCCOA</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>305776820</ZIPCd>
        </USAddress>
        <RecipientEIN>586001667</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>120267</CashGrantAmt>
        <PurposeOfGrantTxt>FINANCIAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PAGE 1, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION PROVIDES FUNDS FOR EQUIPMENT PURCHASES FOR THE STEPHENS COUNTY HOSPITAL AUTHORITY, A RELATED TAX-EXEMPT ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc5">
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      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VAN LOSKOSKI</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>221284</CompensationBasedOnRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>20945</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>242229</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE OFFICERS OF THE ORGANIZATION ARE EMPLOYED AND COMPENSATED BY STEPHENS COUNTY HOSPITAL AUTHORITY (THE SUPPORTED ORGANIZATION). THE FOUNDATION RELIES UPON THE COMPENSATION PROCESSES ESTABLISHED BY THE HOSPITAL AUTHORITY TO DETERMINE THE REASONABLENESS OF COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS IS ELECTED BY THE BOARD OF DIRECTORS OF STEPHENS COUNTY HOSPITAL AUTHORITY (THE AUTHORITY) WHICH IS THE SUPPORTED ORGANIZATION. THERE IS A COMPLETE IDENTITY OF INTERESTS BETWEEN THE GOVERNING BOARDS OF THE FOUNDATION AND THE AUTHORITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE RETURN IS PREPARED BY AN INDEPENDENT CPA FROM INFORMATION PROVIDED BY MANAGEMENT. IT IS REVIEWED BY MANAGEMENT AND MADE AVAILABLE TO EACH MEMBER OF THE BOARD PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD CONDUCTS PERIODIC REVIEWS OF EXISTING BUSINESS RELATIONSHIPS AND INITIAL REVIEWS OF ANY NEW BUSINESS RELATIONSHIPS. DECISIONS RELATED TO POTENTIAL CONFLICTS ARE MADE BY THE REMAINING NONCONFLICTED BOARD MEMBERS. VIOLATION OF THE COI POLICY IS SUBJECT TO CORRECTIVE ACTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, THE CONFLICTS OF INTEREST POLICY AND THE 3 PRIOR YEARS FORMS 990 ARE AVILABLE UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE NOT AUDITED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>STEPHENS COUNTY HOSPITAL AUTHORITY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>163 HOSPITAL DRIVE</AddressLine1Txt>
          <CityNm>TOCCOA</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30577</ZIPCd>
        </USAddress>
        <EIN>586001667</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>STEPHENS COUNTY EMERGENCY PHYSICIAN</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>163 HOSPITAL DRIVE</AddressLine1Txt>
          <CityNm>TOCCOA</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30577</ZIPCd>
        </USAddress>
        <EIN>020692996</EIN>
        <PrimaryActivitiesTxt>DORMANT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SCHA</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>STEPHENS COUNTY HOSPITAL AUTHORITY</BusinessNameLine2Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>