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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S POLICY IS TO EVALUATE THE LIKLIHOOD THAT ITS UNCERTAIN TAX POSITIONS WILL PREVAIL UPON EXAMINATION BASED ON THE EXTENT TO WHICH THOSE POSITIONS HAVE SUBSTANTIAL SUPPORT WITHIN THE INTERNAL REVENUE CODE AND REGULATIONS, REVENUE RULINGS, COURT DECISIONS, AND OTHER EVIDENCE. IT IS THE OPINION OF MANAGEMENT THAT THE ORGANIZATION HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT WOULD BE SUBJECT TO CHANGE UPON EXAMINATION.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS BEFORE IT IS FILED WITH THE IRS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY, THE ORGANIZATION REQUIRES THE BOARD OF DIRECTORS TO FILL OUT A FORM DETAILING ANY INTERESTS THAT MAY LEAD TO CONFLICT. EACH BOARD MEMBERS' FORM IS REVIEWED AND DISCUSSED WITH THE CEO IF A POTENTIAL CONFLICT EXISTS. THESE FORMS ARE KEPT ON FILE.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>COMMERCIALLY AVAILABLE SALARY SURVEY INFORMATION, MARKET COMPARISON INFORMATION FROM A CONTRACTED HUMAN RESOURCES COMPANY, AND SALARY SURVEY INFORMATION FROM OUR SPECIFIC INDUSTRY (QIO'S) ARE ALL USED IN DETERMINING THE CEO SALARY. THIS INFORMATION IS GIVEN TO THE BOARD OF DIRECTORS WHO MAKE DETERMINATIONS FOR THE CEO SALARY IN CLOSED SESSION WITHOUT THE CEO PRESENT.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>QUALITY HEALTH ASSOCIATES OF NORTH DAKOTA MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S PROCESS FOR SELECTING AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
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</Return>