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        <TotalAmt>31308</TotalAmt>
        <ProgramServicesAmt>24819</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6489</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>243120</TotalAmt>
        <ProgramServicesAmt>176142</ProgramServicesAmt>
        <ManagementAndGeneralAmt>66978</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>207560</TotalAmt>
        <ProgramServicesAmt>150354</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57206</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>220000</TotalAmt>
        <ManagementAndGeneralAmt>220000</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>119533</TotalAmt>
        <ManagementAndGeneralAmt>119533</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>9000</TotalAmt>
        <ManagementAndGeneralAmt>9000</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>383908</TotalAmt>
        <ProgramServicesAmt>286259</ProgramServicesAmt>
        <ManagementAndGeneralAmt>97649</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>252077</TotalAmt>
        <ProgramServicesAmt>8105</ProgramServicesAmt>
        <ManagementAndGeneralAmt>243972</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>44967</TotalAmt>
        <ProgramServicesAmt>16819</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28148</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>133143</TotalAmt>
        <ManagementAndGeneralAmt>133143</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>17510</TotalAmt>
        <ProgramServicesAmt>15833</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1677</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>156631</TotalAmt>
        <ProgramServicesAmt>156631</ProgramServicesAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>39621</TotalAmt>
        <ProgramServicesAmt>5564</ProgramServicesAmt>
        <ManagementAndGeneralAmt>34057</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>1408</TotalAmt>
        <ProgramServicesAmt>1408</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>90460</TotalAmt>
        <ProgramServicesAmt>81414</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9046</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>34571</TotalAmt>
        <ManagementAndGeneralAmt>34571</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Medical Supplies</Desc>
        <TotalAmt>406597</TotalAmt>
        <ProgramServicesAmt>395359</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11238</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Leases</Desc>
        <TotalAmt>118839</TotalAmt>
        <ProgramServicesAmt>118839</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Licenses and Permits</Desc>
        <TotalAmt>17721</TotalAmt>
        <ProgramServicesAmt>7621</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10100</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Bad Debt</Desc>
        <TotalAmt>3042</TotalAmt>
        <ProgramServicesAmt>3042</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>22622</TotalAmt>
        <ProgramServicesAmt>8429</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14193</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>5816112</TotalAmt>
        <ProgramServicesAmt>3905501</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1910611</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1525430</BOYAmt>
        <EOYAmt>1653977</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>664310</BOYAmt>
        <EOYAmt>1386276</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>75921</BOYAmt>
        <EOYAmt>86500</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>420962</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>213791</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>177291</BOYAmt>
        <EOYAmt>207171</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <TotalAssetsGrp>
        <BOYAmt>2442952</BOYAmt>
        <EOYAmt>3333924</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>492249</BOYAmt>
        <EOYAmt>873477</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>53702</BOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>73370</BOYAmt>
        <EOYAmt>57748</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>399600</BOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>231906</BOYAmt>
        <EOYAmt>107639</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1250827</BOYAmt>
        <EOYAmt>1038864</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>1192125</BOYAmt>
        <EOYAmt>2295060</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1192125</BOYAmt>
        <EOYAmt>2295060</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>2442952</BOYAmt>
        <EOYAmt>3333924</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>1102935</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus3YearsAmt>2655</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>16456</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16383</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>713912</CurrentTaxYearAmt>
        <TotalAmt>749406</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus3YearsAmt>826755</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4115775</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4092820</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6205135</CurrentTaxYearAmt>
        <TotalAmt>15240485</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus3YearsAmt>829410</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4132231</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4109203</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6919047</CurrentTaxYearAmt>
        <TotalAmt>15989891</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <CurrentTaxYearMinus2YearsAmt>142728</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>89422</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>232150</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus2YearsAmt>142728</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>89422</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>232150</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>15757741</PublicSupportTotal509Amt>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus3YearsAmt>829410</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4132231</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4109203</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6919047</CurrentTaxYearAmt>
        <TotalAmt>15989891</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <First5Years509Ind>X</First5Years509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>131354</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>58531</DepreciationAmt>
        <BookValueAmt>72823</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>280232</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>155260</DepreciationAmt>
        <BookValueAmt>124972</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>9376</OtherCostOrOtherBasisAmt>
        <BookValueAmt>9376</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>207171</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Refundable Advance</Desc>
        <Amt>107639</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>107639</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>6919047</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>6919047</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>6919047</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>5816112</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>5816112</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>5816112</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Management believes the Organization 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. The Organization 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>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Knute Nelson</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>420 12th Avenue East</AddressLine1Txt>
          <CityNm>Alexandria</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>56308</ZIPCd>
        </USAddress>
        <RecipientEIN>411263433</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>100000</CashGrantAmt>
        <PurposeOfGrantTxt>General Operations</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Eventide</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>801 Main Avenue Suite A</AddressLine1Txt>
          <CityNm>Moorhead</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>56560</ZIPCd>
        </USAddress>
        <RecipientEIN>410721640</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>100000</CashGrantAmt>
        <PurposeOfGrantTxt>General Operations</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Bethany Homes Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>201 University Drive S</AddressLine1Txt>
          <CityNm>Fargo</CityNm>
          <StateAbbreviationCd>ND</StateAbbreviationCd>
          <ZIPCd>58103</ZIPCd>
        </USAddress>
        <RecipientEIN>450394181</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>100000</CashGrantAmt>
        <PurposeOfGrantTxt>General Operations</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>3</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Funds are given to member nonprofit organizations to further their nonprofit missions. No additional monitoring is done once the grants have been issued.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Committee shall include the Chair, Vice Chair, President, Secretary, and Treasurer. The Executive Committee shall have the authority of the board in the management of the business of the organization in the interval between board meetings, and at all times shall be subject to the control and direction of the board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Mark Anderson and Marnie Gugisberg have a business relationship. Jon Riewer and Melissa Heesch have a business relationship. Shawn Stuhaug and Jane Kelly have a business relationship. Each of these board member is an employee of one of the member organizations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization has entered into a management agreement with Knute Nelson and Knute Nelson is responsible for the overall management of the organization. For the year ended September 30, 2021, the Organization paid management fees of $220,000 and utilization and intake fees of $85,200 to Knute Nelson.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Bethany, Eventide and Knute Nelson are all members of BEK Care LLC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>Each member of the organization may appoint three board members.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>A copy of the Form 990 will be provided to the Board of Directors prior to filing with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Each officer, director, and key employee is required to fill out a conflict of interest form annually. The form is reviewed initially by the Board Chair of the Board of Directors and the President/Administrator for potential conflicts. If a conflict exists, it is reviewed by the Board of Directors. Any person with a conflict is restricted from voting on related matters.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board determines the compensation of the President/Administrator based on comparability data. The President/Administrator is reviewed annually by the Executive Board which then reports back to the full Board of Directors. The decision is noted in the board minutes. There are no other officers or key employees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization makes its governing documents, conflict of interest policy, and financial statements available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
