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        <RecipientEIN>631040384</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ARIZONA RURAL HEALTH ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>7868 EAST GEMINI DRIVE</AddressLine1Txt>
          <CityNm>FLAGSTAFF</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>86004</ZIPCd>
        </USAddress>
        <RecipientEIN>860995505</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>29922</CashGrantAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CALIFORNIA STATE RURAL HEALTH ASSOC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>ONE ADVENTIST WAY</AddressLine1Txt>
          <CityNm>ROSEVILLE</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95661</ZIPCd>
        </USAddress>
        <RecipientEIN>680384416</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COLORADO RURAL HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3033 SOUTH PARKER ROAD SUITE 606</AddressLine1Txt>
          <CityNm>AURORA</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80014</ZIPCd>
        </USAddress>
        <RecipientEIN>841192031</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COMMUNITY FOUNDATION OF SOUTHERN</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>NEW MEXICO</BusinessNameLine2Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2640 EL PASEO ROAD</AddressLine1Txt>
          <CityNm>LAS CRUCES</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>88001</ZIPCd>
        </USAddress>
        <RecipientEIN>850455682</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DELAWARE RURAL HEALTH INITATIVE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>21444 CARMEAN WAY</AddressLine1Txt>
          <CityNm>GEORGETOWN</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19947</ZIPCd>
        </USAddress>
        <RecipientEIN>510387439</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>EIDE BAILLY LLP</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4310 17TH AVENUE S</AddressLine1Txt>
          <AddressLine2Txt>PO BOX 2545</AddressLine2Txt>
          <CityNm>FARGO</CityNm>
          <StateAbbreviationCd>ND</StateAbbreviationCd>
          <ZIPCd>581082454</ZIPCd>
        </USAddress>
        <RecipientEIN>450250958</RecipientEIN>
        <CashGrantAmt>505626</CashGrantAmt>
        <PurposeOfGrantTxt>IMPROVE RURAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FLORIDA RURAL HEALTH ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 2012</AddressLine1Txt>
          <CityNm>ALACHUA</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32615</ZIPCd>
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        <RecipientEIN>593193317</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>26000</CashGrantAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FORVIS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 200870</AddressLine1Txt>
          <CityNm>DALLAS</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>753200870</ZIPCd>
        </USAddress>
        <RecipientEIN>440160260</RecipientEIN>
        <CashGrantAmt>262112</CashGrantAmt>
        <PurposeOfGrantTxt>IMPROVE RURAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FOUNDATION FOR HEALTH LEADERSHIP &amp;</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>INNOVATION</BusinessNameLine2Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2401 WESTON PARKWAY SUITE 203</AddressLine1Txt>
          <CityNm>CARY</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27513</ZIPCd>
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        <RecipientEIN>581461316</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>30000</CashGrantAmt>
        <PurposeOfGrantTxt>TECNICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GEORGIA RURAL HEALTH ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>48 E BROAD ST</AddressLine1Txt>
          <CityNm>SAVANNAH</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>31401</ZIPCd>
        </USAddress>
        <RecipientEIN>581459086</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GEORGIA STATE UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>55 PARK PLACE NE</AddressLine1Txt>
          <AddressLine2Txt>8TH FLOOR</AddressLine2Txt>
          <CityNm>ATLANTA</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30303</ZIPCd>
        </USAddress>
        <RecipientEIN>581845423</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>346922</CashGrantAmt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HAWAII STATE RURAL HEALTH ASSOC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4442 HARDY ST SUITE 205</AddressLine1Txt>
          <CityNm>LIHUE</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96766</ZIPCd>
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        <RecipientEIN>990338158</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ILLINOIS RURAL HEALTH ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>9211 WATERFALL GLEN BLVD</AddressLine1Txt>
          <CityNm>DARIEN</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60561</ZIPCd>
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        <RecipientEIN>371385037</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>INDIANA RURAL HEALTH ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2901 OHIO BLVD SUITE 240</AddressLine1Txt>
          <CityNm>TERRE HAUTE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>47803</ZIPCd>
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        <RecipientEIN>352026704</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>IOWA RURAL HEALTH ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2910 WESTON PARKWAY</AddressLine1Txt>
          <CityNm>WEST DES MOINES</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>50266</ZIPCd>
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        <RecipientEIN>421410997</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>30000</CashGrantAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KENTUCKY RURAL HEALTH ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>36 SOUTH ALVASIA ST</AddressLine1Txt>
          <CityNm>HENDERSON</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>42420</ZIPCd>
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        <RecipientEIN>611346813</RecipientEIN>
        <IRCSectionDesc>501C6</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LOUISANA RURAL HEALTH ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 387</AddressLine1Txt>
          <CityNm>NAPOLEONVILLE</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>70390</ZIPCd>
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        <RecipientEIN>721219312</RecipientEIN>
        <IRCSectionDesc>501C6</IRCSectionDesc>
        <CashGrantAmt>30000</CashGrantAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MARYLAND RURAL HEALTH ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 3128</AddressLine1Txt>
          <CityNm>LAVALE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21504</ZIPCd>
        </USAddress>
        <RecipientEIN>521967676</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>34745</CashGrantAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MICHIGAN CENTER FOR RURAL HEALTH</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>909 FEE ROAD ROOM B-218</AddressLine1Txt>
          <CityNm>EAST LANSING</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48824</ZIPCd>
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        <RecipientEIN>383344302</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>44879</CashGrantAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MINNESOTA RURAL HEALTH ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 62</AddressLine1Txt>
          <CityNm>WARREN</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>56762</ZIPCd>
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        <RecipientEIN>411873554</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MISSISSIPPI RURAL HEALTH ASSOC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>31 WOODGREEN PLACE</AddressLine1Txt>
          <CityNm>MADISON</CityNm>
          <StateAbbreviationCd>MS</StateAbbreviationCd>
          <ZIPCd>39110</ZIPCd>
        </USAddress>
        <RecipientEIN>640852917</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>40000</CashGrantAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MISSOURI RURAL HEALTH ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2412 HYDE PARK SUITE B</AddressLine1Txt>
          <CityNm>JEFFERSON CITY</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65109</ZIPCd>
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        <RecipientEIN>431691291</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MONTANA RURAL HEALTH ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 170520</AddressLine1Txt>
          <CityNm>BOZEMAN</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59717</ZIPCd>
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        <RecipientEIN>816010045</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEBRASKA RURAL HEALTH ASSOCIATION</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>4505 LAKE FOREST CIRCLE</AddressLine1Txt>
          <CityNm>PAPILLION</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68133</ZIPCd>
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        <RecipientEIN>470766519</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>44954</CashGrantAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEW ENGLAND RURAL HEALTH ASSOCIATIO</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>501 SOUTH STREET</AddressLine1Txt>
          <CityNm>BOW</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03304</ZIPCd>
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        <RecipientEIN>010532229</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>60000</CashGrantAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEW YORK ST ASSOC FOR RURAL HEALTH</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>ONE MAIN ST SUITE 102</AddressLine1Txt>
          <CityNm>CANTON</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>13617</ZIPCd>
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        <RecipientEIN>510489828</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NORTH DAKOTA RURAL HEALTH ASSOC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>501 NORTH COLUMBIA ROAD</AddressLine1Txt>
          <AddressLine2Txt>STOP 9037</AddressLine2Txt>
          <CityNm>GRAND FORKS</CityNm>
          <StateAbbreviationCd>ND</StateAbbreviationCd>
          <ZIPCd>58202</ZIPCd>
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        <RecipientEIN>611565289</RecipientEIN>
        <IRCSectionDesc>501C4</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OHIO RURAL HEALTH ASSOCIATION</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>870 RED OAK DRIVE</AddressLine1Txt>
          <CityNm>ASHLAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44805</ZIPCd>
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        <RecipientEIN>843235641</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>30000</CashGrantAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OKLAHOMA HOSPITAL ASSOCIATION</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>ANDREW FOSMIRE</BusinessNameLine2Txt>
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        <USAddress>
          <AddressLine1Txt>4000 N LINCOLN BLVD</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73105</ZIPCd>
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        <RecipientEIN>730618552</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>45297</CashGrantAmt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OREGON OFFICE OF RURAL HEALTH</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>OHSU</BusinessNameLine2Txt>
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        <USAddress>
          <AddressLine1Txt>3181 SW SAM JACKSON PARK ROAD</AddressLine1Txt>
          <CityNm>PORTLAND</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97239</ZIPCd>
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        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>BEHAVIORAL HEALTH</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PENNSYLVANIA RURAL HEALTH ASSOC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO BOX 1632</AddressLine1Txt>
          <CityNm>HARRISBURG</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17105</ZIPCd>
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        <RecipientEIN>251776528</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>45000</CashGrantAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RURAL HEALTH ASSOC OF ARKANSAS</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>2517 HARRISON ST 307</AddressLine1Txt>
          <CityNm>BATESVILLE</CityNm>
          <StateAbbreviationCd>AR</StateAbbreviationCd>
          <ZIPCd>72501</ZIPCd>
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        <RecipientEIN>844804660</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RURAL HEALTH ASSOC OF TENNESSEE</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>21 NORTH OAK ST</AddressLine1Txt>
          <CityNm>DECATURVILLE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>38329</ZIPCd>
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        <RecipientEIN>621613239</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RURAL HEALTH ASSOC OF UTAH</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>351 WEST CENTER ST</AddressLine1Txt>
          <CityNm>CEDAR CITY</CityNm>
          <StateAbbreviationCd>UT</StateAbbreviationCd>
          <ZIPCd>84720</ZIPCd>
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        <RecipientEIN>870651009</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RURAL HEALTH PROJECTS INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>2929 E RANDOLPH AVE 130</AddressLine1Txt>
          <CityNm>ENID</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73701</ZIPCd>
        </USAddress>
        <RecipientEIN>731410736</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SOUTH CAROLINA OFFICE OF RURAL HEAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>107 SALUDA POINTE DR</AddressLine1Txt>
          <CityNm>LEXINGTON</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29072</ZIPCd>
        </USAddress>
        <RecipientEIN>571006495</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>STROUDWATER ASSOCIATES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1685 CONGRESS STREET STE 202</AddressLine1Txt>
          <CityNm>PORTLAND</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04102</ZIPCd>
        </USAddress>
        <RecipientEIN>010459937</RecipientEIN>
        <CashGrantAmt>593353</CashGrantAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TEN MILE ENTERPRISES LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>63 LACY DRIVE</AddressLine1Txt>
          <CityNm>SILVERTHORNE</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80498</ZIPCd>
        </USAddress>
        <RecipientEIN>452131803</RecipientEIN>
        <CashGrantAmt>66000</CashGrantAmt>
        <PurposeOfGrantTxt>CAPACITY BUILDING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TEXAS A&amp;M HEALTH SCIENCE CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>400 HARVEY MITCHELL PARKWAY 300</AddressLine1Txt>
          <CityNm>COLLEGE STATION</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77845</ZIPCd>
        </USAddress>
        <RecipientEIN>742902553</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>91666</CashGrantAmt>
        <PurposeOfGrantTxt>BEST PRACTICES &amp; DEV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TEXAS RURAL HEALTH ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3702 LOOP 322</AddressLine1Txt>
          <CityNm>ABILENE</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>79602</ZIPCd>
        </USAddress>
        <RecipientEIN>742530131</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WASHINGTON RURAL HEALTH ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 882</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99210</ZIPCd>
        </USAddress>
        <RecipientEIN>911640107</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WEST VIRGINIA RURAL HEALTH ASSOC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 2073</AddressLine1Txt>
          <CityNm>SHADY SPRING</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25918</ZIPCd>
        </USAddress>
        <RecipientEIN>274832756</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>TECHNICAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WIPFLI</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 3160</AddressLine1Txt>
          <CityNm>MILWAUKEE</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>532013160</ZIPCd>
        </USAddress>
        <CashGrantAmt>167000</CashGrantAmt>
        <PurposeOfGrantTxt>IMPROVE RURAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>41</Total501c3OrgCnt>
      <TotalOtherOrgCnt>5</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>HEALTH INITIATIVES GRANT</GrantTypeTxt>
        <RecipientCnt>1</RecipientCnt>
        <CashGrantAmt>12000</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>CONFERENCE SCHOLARSHIP</GrantTypeTxt>
        <RecipientCnt>17</RecipientCnt>
        <CashGrantAmt>25500</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PAGE 1, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MONITERS USE OF GRANT FUNDS THROUGH INTERIM AND FINAL REPORTING REQUIREMENTS.</ExplanationTxt>
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      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
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        <PersonNm>ALAN E MORGAN</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT G MCVAY</PersonNm>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BROCK A SLABACH</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>250194</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>23777</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>273971</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
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        <PersonNm>AMY L ELIZONDO</PersonNm>
        <TitleTxt>CHIEF STRATEGY OFFIC</TitleTxt>
        <BaseCompensationFilingOrgAmt>251494</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>21216</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>272710</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CAROLINE L COCHRAN-MCLAIN</PersonNm>
        <TitleTxt>CHIEF POLICY OFFICER</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GABRIELA BOSCAN</PersonNm>
        <TitleTxt>DEVELOPMENT SR DIR</TitleTxt>
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        <TotalCompensationFilingOrgAmt>158051</TotalCompensationFilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>PART IX SALARIES AND WAGES: DURING 2023 NATIONAL RURAL HEALTH ASSOCIATION ENTERED INTO AN AGREEMENT WITH INSPERITY. INSPERITY PEO SERVICES IS A PROFESSIONAL EMPLOYER ORGANIZATION (''PEO'') WHICH PERFORMS CERTAIN DUTIES RELATED TO HUMAN RESOURCES, PAYROLL AND BENEFITS ADMINISTRATION, AS OUTLINED MORE SPECIFICALLY IN THE CLIENT SERVICES AGREEMENT (''CSA'') BETWEEN INSPERITY AND EACH OF ITS CLIENTS. THESE DUTIES INCLUDE PAYROLL PROCESSING FOR EMPLOYEES WHO WORK AT THE CLIENT'S BUSINESS DURING THE TIME IN WHICH THE CSA IS IN EFFECT. FOR EMPLOYEES ON INSPERITY'S PAYROLL, INSPERITY IS THE EMPLOYER-OF-RECORD FOR PAYROLL TAX PURPOSES AND INSPERITY SUBMITS ALL APPLICABLE TAXES AND RETURNS UNDER THE INSPERITY EIN 76-0689539. WHILE NRHA IS NOT THE EMPLOYER OF RECORD, THE PAYROLL EXPENSES ARE REPORTED ON THIS RETURN AS A NORMAL COST OF CONDUCTING DAY TO DAY ACTIVITIES IN FULFILLING THE MISSION OF NRHA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>NRHA IS A NATIONAL NONPROFIT MEMBERSHIP ORGANIZATION THAT BRINGS TOGETHER THOUSANDS OF MEMBERS ACROSS THE US TO TACKLE THE VASTLY DIFFERENT OBSTACLES FACED BY PATIENTS AND HEALTH CARE PROVIDERS IN RURAL AREAS. NRHA MEMBERS PARTICIPATE IN IN-DEPTH ANALYSIS, ASSISTANCE, DISCUSSION, ADVOCACY, PROGRAMMING, AND POLICY PRODUCTION WITH STAKEHOLDERS ACROSS THE COUNTRY. THEY PARTICIPATE IN NATIONAL CONFERENCES AND SYMPOSIUMS, ENGAGE IN EDUCATION AND ASSISTANCE, AND SEEK TO IMPROVE ACCESS TO HEALTHCARE IN THEIR RURAL COMMUNITIES. NRHA WORKS TO IMPROVE ACCESS TO CARE FOR THOSE LIVING IN RURAL COMMUNITIES. ONE OF THE MOST PERTINENT ISSUES IS THE HEALTH CARE WORKFORCE SHORTAGE AND ITS SIGNIFICANT IMPACT ON PATIENTS' ACCESS TO CARE. TO ADDRESS THIS CONCERN, NRHA BEGAN TO LAY THE FOUNDATION FOR A NATIONAL COMMUNITY HEALTHCARE WORKER (CHW) TRAINING NETWORK IN 2011. NRHA HAS SUCCESSFULLY IMPLEMENTED MORE THAN 30 TRAININGS IN THE PAST SIXTEEN YEARS AND HAS TRAINED MORE THAN 2,200 RURAL CHWS IN THE US. THE JOURNAL OF RURAL HEALTH (JRH), WHICH HAS BEEN PUBLISHED BY NRHA FOR THE PAST 45 YEARS, SERVES TO ADVANCE PROFESSIONAL PRACTICE, RESEARCH, THEORY DEVELOPMENT, AND PUBLIC POLICY. IT IS A PEER-REVIEWED QUARTERLY JOURNAL USED TO DISSEMINATE EVIDENCE-BASED BEST PRACTICES TO THE MEMBERSHIP WORKING IN RURAL COMMUNITIES. IT'S REACH HAS INCREASED TO INCLUDE MORE THAN 7,000 INSTITUTIONS IN DEVELOPING COUNTRIES AT LOW OR NO COST DUE TO PHILANTHROPIC INITIATIVES. NRHA ALSO PUBLISHES A QUARTERLY MAGAZINE, RURAL HORIZONS, FEATURING ARTICLES TO ENGAGE AND INFORM ALL THOSE WORKING TO IMPROVE HEALTH CARE IN RURAL AMERICA. THE WEEKLY ELECTRONIC NEWSLETTER NRHA TODAY IS DELIVERED EVERY THURSDAY MORNING TO ALL ACTIVE MEMBERS WITH VALID EMAIL ADDRESSES AND PROVIDES UPDATES ON ACTIVITIES AND OPPORTUNITIES WITHIN NRHA'S PROGRAMMING, GOVERNMENT AFFAIRS, FUNDING AND EDUCATIONAL EFFORTS, AS WELL AS NATIONAL NEWS THAT IMPACTS RURAL HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>STATE RURAL HEALTH ASSOCIATIONS (SRHAS) ARE NONPROFIT, GRASSROOTS ORGANIZATIONS THAT ARE MADE UP OF THE RURAL PROVIDERS AND OTHER RURAL HEALTH LEADERS WHO WORK IN EACH COMMUNITY AND/OR INDIVIDUAL STATE. THE NATIONAL RURAL HEALTH ASSOCIATION BEGAN PROVIDING DIRECT TECHNICAL ASSISTANCE TO THE SRHAS THROUGH THIS COOPERATIVE AGREEMENT WITH THE FEDERAL OFFICE OF RURAL HEALTH POLICY IN THE 1990S WITH 19 SRHAS. OVER THE LAST 30 YEARS, NRHA HAS SUPPORTED IN THE DEVELOPMENT OF AN ADDITIONAL 25 SRHAS. NATIONAL RURAL HEALTH ASSOCIATION, WITH SUPPORT FROM THE FEDERAL OFFICE OF RURAL HEALTH POLICY PROVIDES TECHNICAL ASSISTANCE IN THE FOLLOWING THREE AREAS: COMMUNICATION, CONVENINGS, TECHNICAL ASSISTANCE AND EDUCATION. BESIDES SRHA, THERE ARE MANY OTHER LOCAL AND STATE AGENCIES MAKING A DIFFERENCE IN PROVIDING HEALTHCARE ACCESS, TRAINING, RESEARCH, AND DELIVERY TO RURAL COMMUNITIES. THESE INCLUDE ORAL HEALTH CARE INITATIVES AND AGE- RELATED HEALTH INITATIVES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS MEMBERS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS VOTE TO ELECT THE GOVERNING BODY</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY THE MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS REVIEWED BY THE CFO OF THE ORGANIZATION PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>TOP OFFICIAL HAS A FIVE-YEAR CONTRACT THAT IS ESTABLISHED BY THE ORGANIZATIONS EXECUTIVE FINANCIAL COMMITTEE. THERE ARE ALSO ANNUAL REVIEWS CONDUCTED BY THE EXECUTIVE FINANCIAL COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON WRITTEN REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
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          <AddressLine1Txt>406 W 34TH ST SUITE 408-409</AddressLine1Txt>
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