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      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <NetUnrealizedGainsInvstAmt>-1660705</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>-1660705</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>43386873</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>10525</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>3578464</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>3588989</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>46975862</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>39031660</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>39031660</ExpensesSubtotalAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INTERNAL REVENUE SERVICE ("IRS") HAS DETERMINED AND INFORMED MANAGEMENT BY LETTER DATED NOVEMBER 14, 1990, THAT THE PLAN AND RELATED TRUST ARE DESIGNED IN ACCORDANCE WITH APPLICABLE SECTIONS OF THE INTERNAL REVENUE CODE ("IRC"). HOWEVER, AS A RESULT OF THE PLAN'S FUNDING POLICY, FROM TIME TO TIME THE TRUST MAY BE SUBJECT TO INCOME TAXES. FEDERAL INCOME TAX EXPENSE TOTALED $1,420,000 FOR THE YEAR ENDING MARCH 31, 2024. THE PLAN RECOGNIZED $-0- IN PREPAID INCOME TAX FOR THE YEAR ENDED MARCH 31, 2024 RELATING TO UNRELATED BUSINESS TAXABLE INCOME. STATE INCOME TAX EXPENSE TOTALED $98,000 FOR THE YEAR ENDING MARCH 31, 2024. THE PLAN RECOGNIZED $1,307,500 IN FEDERAL INCOME TAXES PAYABLE FOR THE YEAR ENDED MARCH 31, 2024, RELATING TO UNRELATED TAXABLE INCOME. IN ADDITION, THE PLAN AND THE TRUST ARE REQUIRED TO OPERATE IN CONFORMITY WITH THE IRC AND MAINTAIN THE TAX-EXEMPT STATUS OF THE TRUST. THE PLAN ADMINISTRATOR BELIEVES THAT THE PLAN IS BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC AND, THEREFORE, BELIEVES THAT THE RELATED TRUST IS TAX-EXEMPT. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF IT HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>PHARMACY REBATES 3,578,463. ROUNDING 1.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>PHARMACY REBATES 3,578,463. NET INCREASE IN BENEFIT OBLIGATION 646,701.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>FARGO-MOORHEAD HOME BUILDERS HEALTH PLAN AND TRUST DOESN'T HAVE A COMMITTEE THAT ACTS ON BEHALF OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WILL BE EMAILED TO THE PLAN MANAGEMENT COMMITTEE SO THEY HAVE AN OPPORTUNITY TO REVIEW IT BEFORE IT IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS AVAILABLE AT THE BIA-RRV OFFICE FOR PUBLIC INSPECTION. THE PARTICIPANTS ARE NOTIFIED OF THIS THROUGH THE NEWSLETTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
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          <StateAbbreviationCd>ND</StateAbbreviationCd>
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