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      <TotalOtherCompensationAmt>151501</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>5</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>FORVIS LLP</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 200870</AddressLine1Txt>
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            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75320</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>1884350</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HURON CONSULTING GROUP INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3005 MOMENTUM PL</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
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            <ZIPCd>60689</ZIPCd>
          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>1638500</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>STROUDWATER ASSOCIATES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        <ExclusionAmt>29823</ExclusionAmt>
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        <SecuritiesAmt>51560</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>51658</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>-98</ExclusionAmt>
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      <OtherRevenueMiscGrp>
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        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>55781</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>GAIN FROM SUBSIDIARY</Desc>
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        <ExclusionAmt>16109</ExclusionAmt>
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      <TotalRevenueGrp>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>36650</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24006</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>86565</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>195711</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16698</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ManagementAndGeneralAmt>3569</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>15338</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>13065</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>816</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>145</ManagementAndGeneralAmt>
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        <EOYAmt>749</EOYAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearMinus2YearsAmt>9146972</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11595042</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus2YearsAmt>9146972</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11595042</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>13378053</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus1YearAmt>12575</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus3YearsAmt>123309</CurrentTaxYearMinus3YearsAmt>
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      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTER IS A NONPROFIT CORPORATION EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, THEREFORE, HAS MADE NO PROVISION FOR FEDERAL AND STATE INCOME TAXES IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. IN ADDITION, THE CENTER QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A)VI AND HAS BEEN CLASSIFIED AS AN ORGANIZATION OTHER THAN A PRIVATE FOUNDATION UNDER SECTION 509(A)(2). THE CENTER HAS ANALYZED ITS TAX POSITIONS TAKEN FOR FILINGS WITH THE INTERNAL REVENUE SERVICE. IT BELIEVES THAT ITS TAX FILING POSITIONS WILL BE SUSTAINED UPON EXAMINATION AND DOES NOT ANTICIPATE ANY ADJUSTMENTS THAT WOULD RESULT IN A MATERIAL ADVERSE EFFECT ON THE FINANCIAL CONDITION, RESULTS OF OPERATIONS, OR CASH FLOWS.</ExplanationTxt>
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      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS NO COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION CONTROLLER REVIEWS THE 990 WITH THE CHIEF OPERATING OFFICER AND, FOLLOWING ANY NEEDED CORRECTIONS FROM THAT REVIEW, THEN FORWARDS THE 990 TO THE PRESIDENT OF THE BOARD OF DIRECTORS FOR FINAL APPROVAL AND SIGNATURE. THE 990 IS AVAILABLE TO THE CEO AND OTHER BOARD MEMBERS WHEN REQUESTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S CONFLICT OF INTEREST POLICY COVERS ALL BOARD MEMBERS, OFFICERS OF THE ORGANIZATION AND OTHER KEY LEADERSHIP STAFF. THE INTERESTED PERSON DISCLOSES THE EXISTENCE AND THE MATERIAL FACTS REGARDING A POTENTIAL CONFLICT OF INTEREST TO THE BOARD; THE BOARD WILL DETERMINE IF CONFLICT OF INTEREST EXISTS. THE INTERESTED PERSON MAY NOT BE PRESENT IN THE BOARD MEETING AND MAY NOT VOTE ON THE TRANSACTION. THE BOARD WILL DETERMINE ANY APPROPRIATE DISCIPLINARY OR CORRECTIVE ACTION. ALL PROCEEDINGS RELATED TO CONFLICTS OF INTEREST ARE DOCUMENTED IN THE MEETING MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE RURAL HEALTH RESOURCE CENTER (CENTER) WILL PERIODICALLY, GENERALLY EVERY THREE YEARS, UTILIZE A COMPENSATION CONSULTING FIRM TO PROVIDE A COMPETITIVE MARKET REVIEW FOR THE CEO, COMPARING CURRENT PAY LEVELS TO THE MARKET PAY. ANNUALLY IN THE INTERIM YEARS, THE COMPENSATION CONSULTING FIRM WILL PROVIDE MARKET SURVEY DATA TO PROVIDE LABOR MARKET RATE ADJUSTMENTS. THE CENTER PRESENTS ALL COMPENSATION RECOMMENDATIONS TO THE EXECUTIVE COMMITTEE FOR REVIEW AND APPROVAL. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST TO INTERESTED THIRD PARTIES. FINANCIAL STATEMENTS ARE ALSO AVAILABLE WITH THE STATE OF MN ATTORNEY GENERAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>IT HELPDESK SERVICES, EMPLOYEE TRAINING, HR CONSULTING, &amp; SOFTWARE SERVICES: PROGRAM SERVICE EXPENSES 27,730. MANAGEMENT AND GENERAL EXPENSES 80,179. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 107,909. SPECIAL MATTER EXPERTS ASSESSMENT; TELEHEALTH EQUIPMENT/SOFTWARE IMPLEMENT: PROGRAM SERVICE EXPENSES 6,376,202. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,376,202. SPECIAL MATTER EXPERTS PROVIDING FINANCIAL AND OPERATIONAL ASSESSMENTS: PROGRAM SERVICE EXPENSES 366,634. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 366,634. SOFTWARE SYSTEMS SELECTION, ASSESSMENT, AND IMPLEMENTATION SERVICES: PROGRAM SERVICE EXPENSES 694,503. MANAGEMENT AND GENERAL EXPENSES 268,839. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 963,342. SPECIAL MATTER EXPERTS PROVIDING CONSULTING SERVICES AND DEVELOPING CONTENT: PROGRAM SERVICE EXPENSES 348,942. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 348,942. REIMBURSEMENTS TO SELECTED DELTA HOSPITALS: PROGRAM SERVICE EXPENSES 697,013. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 697,013. PROGRAM EVALUATION SERVICES: PROGRAM SERVICE EXPENSES 157,500. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 157,500. GRANT REVIEW SERVICE COSTS TO SUPPORT THE BID AND APPLIC. OF FEDERAL PROPOS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 46,200. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 46,200.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>RURAL HEALTH INNOVATIONS LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>525 S LAKE AVENUE STE 320</AddressLine1Txt>
          <CityNm>DULUTH</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55802</ZIPCd>
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        <EIN>203669805</EIN>
        <PrimaryActivitiesTxt>PROVIDE TECHNICAL ASSISTANCE TO BUILD, STRENGTHEN, &amp; TRANSFORM RURAL HEALTH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MN</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>RURAL HEALTH RESOURCE CENTER</BusinessNameLine1Txt>
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      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
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      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
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      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
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        <InvolvedAmt>222093</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FAIR VALUE</MethodOfAmountDeterminationTxt>
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