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        <ProgramServicesAmt>15622</ProgramServicesAmt>
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        <ProgramServicesAmt>83233</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5816</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>60387</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30007</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>21067</ProgramServicesAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
        <Desc>TELEPHONE/INTERNET</Desc>
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        <ProgramServicesAmt>5040</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>1180283</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>20263</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearAmt>4194674</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus1YearAmt>3872373</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4194674</CurrentTaxYearAmt>
        <TotalAmt>16933596</TotalAmt>
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      <PublicSupportTotal170Amt>16933596</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>2759</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3493</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7481</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>17493</CurrentTaxYearAmt>
        <TotalAmt>33626</TotalAmt>
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      <TotalSupportAmt>16967222</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>727351</GrossReceiptsRltdActivitiesAmt>
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      <PublicSupportPY170Pct>0.99870</PublicSupportPY170Pct>
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      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
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      <DirectContactLegislatorsInd>true</DirectContactLegislatorsInd>
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      <OtherActivitiesInd>false</OtherActivitiesInd>
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      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART II-B, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ENGAGES IN ACTIVITIES FOR THE BENEFIT OF HEALTHCARE CENTERS.</ExplanationTxt>
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    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc4">
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        <DepreciationAmt>6100</DepreciationAmt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>ASSETS HELD ON BEHALF OF OTHERS</Desc>
        <Amt>9036</Amt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>CHAD IS ORGANIZED AS A SOUTH DAKOTA NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3). CHAD IN ANNUALLY REQUIRED TO FILE A RETURN OF THE ORGANIZATION EXEPT FROM INCOME TAXES (FORM 990) WITH THE IRS. CHAD 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 FINANCIAL STATEMENTS. CHAD 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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      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>SHELLY TEN NAPEL</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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        <BonusFilingOrganizationAmount>4000</BonusFilingOrganizationAmount>
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    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERSHIP SHALL BE DEFINED AS ANY REPRESENTATIVE OF CHARTER MEMBERSHIP AND ORGANIZATIONAL MEMBERSHIP. NON-VOTING MEMBERSHIP INCLUDES ASSOCIATE MEMBERSHIP. 1. CHARTER MEMBERSHIP - SHALL BE DEFINED AS THOSE SECTION 329, 330, AND 340 ORGANIZATIONS APPROVED AS MEMBERS BY THE INITIAL BOARD OF DIRECTORS BY THE TIME OF THE FIRST ANNUAL MEETING OF THE CORPORATION. 2. ORGANIZATIONAL MEMBERSHIP - SHALL BE DEFINED AS PRIMARY HEALTH CARE DELIVERY ORGANIZATIONS INCLUDING BUT NOT LIMITED TO THOSE SECTION 330E, 330G, AND 330I ORGANIZATIONS APPROVED AS MEMBERS AFTER THE INITIAL BOARD OF DIRECTORS MEETING. 3. ASSOCIATE MEMBERSHIP - SHALL BE DEFINED AS ANY SOUTH DAKOTA OR NORTH DAKOTA PRIMARY CARE AGENCY OR ORGANIZATION THAT DOES NOT MEET THE STRICT DEFINITION OF ORGANIZATIONAL MEMBERSHIP. THIS MAY INCLUDE ANY AGENCY OR ORGANIZATION THAT HAS A SPECIAL INTEREST OR CONCERN ABOUT PRIMARY CARE AND CAN CONCUR WITH THE PURPOSE OF THE ASSOCIATION. THE ASSOCIATE MEMBERSHIP HOLDS NO VOTING PRIVILIEGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>APPLICATION FOR MEMBERSHIP IN THIS ASSOCIATION SHALL BE IN SUCH MANNER AND FORM AS SHALL BE PRESCRIBED FROM TIME TO TIME BY THE BOARD OF DIRECTORS OF THE CORPORATION. AT ANY MEETING OF THE CORPORATE MEMBERSHIP, EACH CHARTER AND ORGANIZATIONAL MEMBER SHALL BE ENTITLED TO ONE REPRESENTATIVE AND ONE VOTE AS DEFINED IN ARTICLE II, SECTION C, WHICH MAY BE CAST ONLY IN PERSON. NO MEMBER MAY VOTE BY PROXY. ONLY CHARTER AND ORGANIZATIONAL MEMBERS SHALL HAVE THE RIGHT TO VOTE AND THE RIGHT TO HOLD OFFICE IN THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY THE CEO AND THE ACCOUNTANT PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY IS CONSISTENTLY MONITORED AND COMPLIANCE IS ENFORCED. NO CHAD BOARD MEMBER, OFFICER, EMPLOYEE, OR AGENT WILL PARTICIPATE IN THE SELECTION, AWARD, OR ADMINISTRATION OF A CONTRACT IF A REAL OR APPARENT CONFLICT OF INTEREST WOULD BE INVOLVED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR DETERMINING COMPENSATION IS THROUGH USE OF AN OUTSIDE CONSULTANT AND COMPARABILITY DATA. THE BOARD OF DIRECTORS REVIEWS THE COMPENSATION ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR DETERMINING COMPENSATION IS THROUGH USE OF AN OUTSIDE CONSULTANT AND COMPARABILITY DATA. THE BOARD OF DIRECTORS REVIEWS THE COMPENSATION ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES THESE DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER CONTRACT SERVICES 1,382,837 1,849 0</ExplanationTxt>
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    </IRS990ScheduleO>
  </ReturnData>
</Return>