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        <Desc>Long Term Finance Lease Liability</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
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        <FormAndLineReferenceDesc>Part V, Line 4:</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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        <PersonNm>Mike Meyer</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Melissa John</PersonNm>
        <TitleTxt>Nurse Practitioner</TitleTxt>
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        <ContributionCnt>2</ContributionCnt>
        <NoncashContributionsRptF990Amt>314902</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
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        <ExplanationTxt>Column (b) represents the number of contributions.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Committee can act on behalf of the governing board in between board meetings. They can make any decision, with the exception of amending the governing documents. The Executive Committee consists of the President, Vice President, Secretary/Treasurer and Past President.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 will be provided to the board members for their review and approval prior to filing with the IRS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>All board members sign a conflict of interest policy on an annual basis. The corporate compliance officer investigates if any conflicts are disclosed. In addition, at the beginning of each board meeting, members are required to disclose if they have a conflict of interest regarding any agenda items. Depending on the conflict, the board member with the conflict may be excused from the discussion and is always excused from any vote.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>A full review of salaries is conducted annually and compared to wage and salary survey data (salary surveys are done annually; in 2022, a very comprehensive review was conducted finalized in the spring of 2023). The following resources were used to conduct the survey: ND Job Service, Multi-View (a national hospice financial and consulting company), HCS - Hospital and Healthcare Compensation Service, Mercer, and Eide Bailly. Based on the above and recommendation from the manager of human resources and budgetary constraints, the executive director approves the salaries of all staff except her own. The board of directors used the same information as the executive director in setting the salary for that position.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization does not make its governing documents, conflict of interest policy and financial statement available to the public.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Contracted Services: Program service expenses 13,788,291. Management and general expenses 140,012. Fundraising expenses 0. Total expenses 13,928,303. Consulting Fees: Program service expenses 0. Management and general expenses 82,660. Fundraising expenses 7,188. Total expenses 89,848.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in Value of Charitable Trust 95,890.</ExplanationTxt>
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          <CityNm>Fargo</CityNm>
          <StateAbbreviationCd>ND</StateAbbreviationCd>
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        <PrimaryActivitiesTxt>Primary &amp; Palliative Care in patient home</PrimaryActivitiesTxt>
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