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      <OtherExpensesGrp>
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        <EOYAmt>8328068</EOYAmt>
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        <EOYAmt>8876461</EOYAmt>
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        <CurrentTaxYearMinus1YearAmt>418511</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>397417</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus2YearsAmt>332126</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>418511</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>397417</CurrentTaxYearAmt>
        <TotalAmt>5946870</TotalAmt>
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        <CurrentTaxYearMinus3YearsAmt>173342</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>195548</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>221584</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>247258</CurrentTaxYearAmt>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <ContributorBusinessName>
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        </ContributorBusinessName>
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          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <Amt>197950</Amt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedFinclStmtAmt>44405</RevenueNotReportedFinclStmtAmt>
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      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>398533</ExpensesSubtotalAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION IS A NOT-FOR-PROFIT ENTITY AND HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE. THEREFORE, THE FOUNDATION IS NOT SUBJECT TO INCOME TAX. THE FOUNDATION'S POLICY IS TO EVALUATE THE LIKELIHOOD 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 FOUNDATION HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT WOULD BE SUBJECT TO CHANGE UPON EXAMINATION. THE FEDERAL INCOME TAX RETURNS OF THE FOUNDATION ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED.</ExplanationTxt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>20637</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>410791</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CALLEN CERMAK</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>182232</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>199706</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION IS DETERMINED BY RELATED ORGANIZATION THROUGH THE USE OF COMPENSATION SURVEY/STUDY AND IS APPROVED BY THE INDEPENDENT BOARD OF DIRECTORS.</ExplanationTxt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPITALS IN THE STATE OF NORTH DAKOTA ARE ELIGIBLE TO BE MEMBERS OF THE FOUNDATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS OF THE FOUNDATION ELECT THE BOARD OF DIRECTORS FOR THEIR TERMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRESIDENT/CEO AND THE FINANCIAL MANAGER WILL REVIEW AND APPROVE THE 990 PRIOR TO ITS FILING TO THE IRS. A COPY OF THE RETURN WILL BE EMAILED TO THE BOARD MEMBERS BEFORE IT IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD CHAIR IS RESPONSIBLE FOR MONITORING AND ENFORCING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. IF A CONFLICT ARISES, THE MEMBER INVOLVED IN THE CONFLICT ABSTAINS FROM DISCUSSION AND VOTE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION FOR THE PRESIDENT/CEO IS DETERMINED BASED ON THE SHAEF SURVEY AND AN ANNUAL EVALUATION BY THE PRESENT AND FORMER BOARD CHAIRS. THE COMPENSATION FOR THE FINANCE MANAGER IS BASED ON THE RESULTS OF THE SHAEF SURVEY AND ON ND JOB SERVICE INDUSTRY AVERAGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION 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>THERE WAS NO CHANGE IN THE OVERSIGHT OF THE AUDIT IN THE CURRENT YEAR. THE FULL BOARD APPROVES THE SELECTION OF THE AUDITOR, REVIEWS THE AUDIT AND MEETS WITH THE AUDITOR TO REVIEW THE AUDIT.</ExplanationTxt>
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          <AddressLine1Txt>PO BOX 7340</AddressLine1Txt>
          <CityNm>BISMARCK</CityNm>
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</Return>