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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED.</ExplanationTxt>
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          <CityNm>MITCHELL</CityNm>
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      <RecipientTable>
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          <CityNm>SIOUX FALLS</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
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      <RecipientTable>
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          <AddressLine1Txt>1401 10TH AVE W</AddressLine1Txt>
          <CityNm>MOBRIDGE</CityNm>
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      <RecipientTable>
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          <CityNm>HURON</CityNm>
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          <CityNm>IRENE</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57037</ZIPCd>
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        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
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        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION RELIED ON ITS SUPPORTED ORGANIZATION, SOUTH DAKOTA ASSOCIATION OF HEALTHCARE ORGANIZATIONS (SDAHO) TO DETERMINE COMPENSATION BASED ON FACTORS LISTED ON SCHEDULE J, LINE 3.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF TRUSTEES OF THE RELATED ORGANIZATION, SOUTH DAKOTA ASSOCIATION OF HEALTHCARE ORGANIZATIONS (SDAHO), DETERMINES EMPLOYEE BONUSES BASED ON MULTIPLE FACTORS. THE SDAHO BOARD REVIEWED THE PRESIDENT/CEO'S EFFECTIVENESS AS IT RELATES TO ADVOCACY, EDUCATION AND WORKFORCE, FINANCIAL POLICY, PERFORMANCE AND GROWTH, AND MEMBERSHIP ENGAGEMENT AND RETENTION, AND DETERMINED A REASONABLE BONUS BASED ON PERFORMANCE OUTCOMES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V, LINE 2A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS ITS OWN EMPLOYEES, HOWEVER, COMPENSATION IS PAID BY SOUTH DAKOTA ASSOCIATION OF HEALTHCARE ORGANIZATIONS (SDAHO), THE COMMON PAYROLL AGENT. THE NUMBER REPORTED ON FORM 990 PART V, LINE 2A REPRESENTS THE NUMBER OF FULL TIME AND THREE-QUARTER TIME EMPLOYEES. THE ORGANIZATION ALSO LEASES EMPLOYEES OF SDAHO ON AN AS NEEDED BASIS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>ARTICLES OF INCORPORATION SECTION 2.02 ELECTION OF DIRECTORS. MEMBERS OF THE BOARD OF DIRECTORS SHALL BE NOMINATED AND ELECTED BY THE BOARD OF DIRECTORS OF HRET. THE DIRECTORS WHO ARE NOMINATED AND ELECTED BY THE BOARD OF DIRECTORS OF HRET SHALL BE PRESENTED TO THE BOARD OF DIRECTORS OF THE SUPPORTED ORGANIZATION, SOUTH DAKOTA ASSOCIATION OF HEALTHCARE ORGANIZATIONS (SDAHO). THE BOARD OF DIRECTORS OF SDAHO SHALL, IN ITS DISCRETION, APPROVE OR DISAPPROVE ALL OR A PORTION OF THE DIRECTORS NOMINATED AND ELECTED BY THE BOARD OF DIRECTORS OF HRET.</ExplanationTxt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>A LETTER IS SENT OUT REQUESTING CONFLICTS OF INTEREST. ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AND FILE A CONFLICT OF INTEREST STATEMENT WITH THE ORGANIZATION EACH YEAR. INDIVIDUAL BOARD MEMBERS MUST DISCLOSE CONFLICTS OF INTEREST AT TIME OF VOTE. PRESIDENT/CEO HAS ACCESS TO ALL STATEMENTS FOR REVIEW. ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY MEMBER OF THE BOARD OF DIRECTORS OF THE SOUTH DAKOTA ASSOCIATION OF HEALTHCARE ORGANIZATIONS HEALTHCARE, RESEARCH, EDUCATION, AND TRUST SHALL BE DISCLOSED AND KEPT ON FILE IN THE OFFICE OF THE PRESIDENT. ANY MEMBER OF THE BOARD OF DIRECTORS HAVING A DUALITY OF INTEREST OR ANY POSSIBLE CONFLICT OF INTEREST WHICH COULD CONFLICT ON ANY MATTER WITH THE INTEREST OF THE ORGANIZATION, SHALL ABSTAIN FROM VOTING AND SHALL ABSTAIN FROM USING PERSONAL INFLUENCE IN ANY WAY ON THE MATTER.</ExplanationTxt>
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        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC DURING THE YEAR UPON REQUEST.</ExplanationTxt>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>