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          <CityNm>VERMILLION</CityNm>
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        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION RELIED ON ITS SUPPORTED ORGANIZATION, SOUTH DAKOTA ASSOCIATION OF HEALTHCARE ORGANIZATIONS TO DETERMINE COMPENSATION BASED ON FACTORS LISTED ON SCHEDULE J, LINE 3.</ExplanationTxt>
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        <ExplanationTxt>THE BOARD OF DIRECTORS 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 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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        <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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        <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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          <AddressLine1Txt>3708 W BROOKS PL</AddressLine1Txt>
          <CityNm>SIOUX FALLS</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57106</ZIPCd>
        </USAddress>
        <EIN>364851698</EIN>
        <PrimaryActivitiesTxt>PROVIDNG SUPPORT SERVICES FOR HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SD</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>