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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT FLYING HAWK</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LARRY WRIGHT JR</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JERILYN CHURCH</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>135800</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SUNNY COLOMBE</PersonNm>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>117077</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15401</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>252877</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>26013</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>2</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>0</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SONOSKYCHAMBERSSACHSE ENDRESON&amp;PERRY</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ACET INC</BusinessNameLine1Txt>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BLACK HILLS TECHNOLOGIES LLC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DEEPTREE</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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          </USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CROWN CONSULTING AND MANAGEMENT</BusinessNameLine1Txt>
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          <USAddress>
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          </USAddress>
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      <CntrctRcvdGreaterThan100KCnt>9</CntrctRcvdGreaterThan100KCnt>
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      <TotalContributionsAmt>6975782</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACT REVENUE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>12596179</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12596179</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>TRAINING AND CONSULTING</Desc>
        <BusinessCd>624100</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>114002</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>446110</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>109200</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>85321</ExclusionAmt>
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      <TotalRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>977940</ProgramServicesAmt>
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      <GrantsToDomesticIndividualsGrp>
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        <ProgramServicesAmt>130194</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>800110</TotalAmt>
        <ManagementAndGeneralAmt>800110</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>40309</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>24247</TotalAmt>
        <ProgramServicesAmt>3538</ProgramServicesAmt>
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      <OfficeExpensesGrp>
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      <InformationTechnologyGrp>
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        <ManagementAndGeneralAmt>124400</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ManagementAndGeneralAmt>61098</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>30093</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>20673</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>291380</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>80155</ProgramServicesAmt>
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      <OtherExpensesGrp>
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      <TotalFunctionalExpensesGrp>
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      <CashNonInterestBearingGrp>
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      <AccountsReceivableGrp>
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        <EOYAmt>0</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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        <ContributorUSAddress>
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          <BusinessNameLine1Txt>CARL T CURTIS HEALTH EDUCATION CENTER</BusinessNameLine1Txt>
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        </USAddress>
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        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CAROL ANNE HEART CANCER COALITION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
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          <CityNm>RAPID CITY</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57709</ZIPCd>
        </USAddress>
        <RecipientEIN>454601164</RecipientEIN>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHEYENNE RIVER SIOUX TRIBE</BusinessNameLine1Txt>
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        <USAddress>
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          <CityNm>EAGLE BUTTE</CityNm>
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        </USAddress>
        <RecipientEIN>460217757</RecipientEIN>
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        <CashGrantAmt>10788</CashGrantAmt>
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      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CUSTER HEALTH COALITION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>403 BURLINGTON ST SE</AddressLine1Txt>
          <CityNm>MANDAN</CityNm>
          <StateAbbreviationCd>ND</StateAbbreviationCd>
          <ZIPCd>58554</ZIPCd>
        </USAddress>
        <RecipientEIN>456004343</RecipientEIN>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DIAMOND WILLOW MINISTRIES</BusinessNameLine1Txt>
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        <USAddress>
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          <CityNm>FT THOMPSON</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
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        </USAddress>
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        <CashGrantAmt>24000</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ELBOWOODS MEMORIAL HEALTH CENTER</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1058 COLLEGE DRIVE</AddressLine1Txt>
          <CityNm>NEW TOWN</CityNm>
          <StateAbbreviationCd>ND</StateAbbreviationCd>
          <ZIPCd>58763</ZIPCd>
        </USAddress>
        <RecipientEIN>263475281</RecipientEIN>
        <CashGrantAmt>10913</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FLANDREAU SANTEE SIOUX TRIBE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 283</AddressLine1Txt>
          <CityNm>FLANDREAU</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57028</ZIPCd>
        </USAddress>
        <RecipientEIN>237000301</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>37347</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LOWER BRULE COMMUNITY COLLEGE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 230</AddressLine1Txt>
          <CityNm>LOWER BRULE</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57548</ZIPCd>
        </USAddress>
        <RecipientEIN>460430791</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>16000</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LOWER BRULE RESEARCH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 146</AddressLine1Txt>
          <CityNm>LOWER BRULE</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57548</ZIPCd>
        </USAddress>
        <RecipientEIN>810835645</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>11223</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MASSACHUSETTS GENERAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 3829</AddressLine1Txt>
          <CityNm>BOSTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>00241</ZIPCd>
        </USAddress>
        <RecipientEIN>042697983</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>37087</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEBRASKA INDIAN MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2331 FAIRFIELD ST STE 1</AddressLine1Txt>
          <CityNm>LINCOLN</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68521</ZIPCd>
        </USAddress>
        <RecipientEIN>470697260</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>10900</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OGLALA SIOUX TRIBE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 2070</AddressLine1Txt>
          <CityNm>PINE RIDGE</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57770</ZIPCd>
        </USAddress>
        <RecipientEIN>460217222</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>53398</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PONCA TRIBE OF NEBRASKA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2602 J STREET</AddressLine1Txt>
          <CityNm>OMAHA</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68107</ZIPCd>
        </USAddress>
        <RecipientEIN>470744117</RecipientEIN>
        <CashGrantAmt>10913</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ROSEBUD SIOUX TRIBE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 430</AddressLine1Txt>
          <CityNm>ROSEBUD</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57570</ZIPCd>
        </USAddress>
        <RecipientEIN>460248724</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>198727</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SAC AND FOX TRIBE OF THE MISSISSIPPI IN IOWA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1646 305TH STREET</AddressLine1Txt>
          <CityNm>TAMA</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>52339</ZIPCd>
        </USAddress>
        <RecipientEIN>416053373</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>10900</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SANTEE SIOUX NATION HEALTH AND WELLNESS CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>110 S VISITING EAGLE</AddressLine1Txt>
          <CityNm>NIOBRARA</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68760</ZIPCd>
        </USAddress>
        <RecipientEIN>470533471</RecipientEIN>
        <CashGrantAmt>31913</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SISSETON WAHPETON OYATE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 509</AddressLine1Txt>
          <CityNm>SISSETON</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57262</ZIPCd>
        </USAddress>
        <RecipientEIN>460308226</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>46800</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SPIRIT LAKE TRIBAL HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 480</AddressLine1Txt>
          <CityNm>FT TOTTEN</CityNm>
          <StateAbbreviationCd>ND</StateAbbreviationCd>
          <ZIPCd>58335</ZIPCd>
        </USAddress>
        <RecipientEIN>450314494</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>89213</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>STANDING ROCK TRIBAL HEALTH ADMISTRATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX D</AddressLine1Txt>
          <CityNm>FT YATES</CityNm>
          <StateAbbreviationCd>ND</StateAbbreviationCd>
          <ZIPCd>58538</ZIPCd>
        </USAddress>
        <RecipientEIN>450220519</RecipientEIN>
        <CashGrantAmt>54500</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TIWAHE GLU KINI PI</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 105</AddressLine1Txt>
          <CityNm>MISSION</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57555</ZIPCd>
        </USAddress>
        <RecipientEIN>460312209</RecipientEIN>
        <CashGrantAmt>27678</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TRENTON INDIAN SERVICE AREA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 210</AddressLine1Txt>
          <CityNm>TRENTON</CityNm>
          <StateAbbreviationCd>ND</StateAbbreviationCd>
          <ZIPCd>58853</ZIPCd>
        </USAddress>
        <RecipientEIN>450324907</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>10913</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TURTLE MOUNTAIN BAND OF CHIPPEWA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 900</AddressLine1Txt>
          <CityNm>BELCOURT</CityNm>
          <StateAbbreviationCd>ND</StateAbbreviationCd>
          <ZIPCd>58316</ZIPCd>
        </USAddress>
        <RecipientEIN>450323401</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>18413</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WINNEBAGO TRIBE OF NEBRASKA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>225 S BLUFF STREET</AddressLine1Txt>
          <CityNm>WINNEBAGO</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68071</ZIPCd>
        </USAddress>
        <RecipientEIN>470489118</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>94331</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AVERA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4940 5TH STREET 1-C</AddressLine1Txt>
          <CityNm>RAPID CITY</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57701</ZIPCd>
        </USAddress>
        <RecipientEIN>460224743</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>19615</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>YANKTON SIOUX TRIBE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 1153</AddressLine1Txt>
          <CityNm>WAGNER</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57380</ZIPCd>
        </USAddress>
        <RecipientEIN>460373220</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>84277</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>REACH PARTNERS INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>15 21ST ST S SUITE 208</AddressLine1Txt>
          <CityNm>FARGO</CityNm>
          <StateAbbreviationCd>ND</StateAbbreviationCd>
          <ZIPCd>58103</ZIPCd>
        </USAddress>
        <RecipientEIN>450459142</RecipientEIN>
        <CashGrantAmt>17150</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>19</Total501c3OrgCnt>
      <TotalOtherOrgCnt>7</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>SCHOLARSHIPS</GrantTypeTxt>
        <RecipientCnt>71</RecipientCnt>
        <CashGrantAmt>130194</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANTS ARE PROVIDED TO ENTITIES THAT PROVIDE TRIBAL HEALTH PROGRAMS TO NATIVE AMERICANS IN THE GREAT PLAINS REGION. PROGRAM DIRECTORS CONSISTENTLY MONITOR THE SUCCESS OF THE VARIOUS PROGRAMS THROUGH SITE VISITS AND PROGRAM REPORTS. SCHOLARSHIPS ARE PROVIDED TO HELP STUDENTS DEFRAY THE COSTS OF PURSUING A HIGH-DEMAND HEALTHCARE TRAINING PROGRAM OR POST-SECONDARY HEALTHCARE EDUCATION IN A QUALIFIED HEALTHCARE TRAINING PROGRAM. STUDENTS MUST DEMONSTRATE ACADEMIC MERIT AND FINANCIAL NEED. VERIFICATION OF ENROLLMENT IN A QUALIFIED PROGRAM IS REQUIRED PRIOR TO PAYMENT OF THE SCHOLARSHIP. STUDENTS ALSO PARTICIPATE IN MENTORSHIP MEETINGS, CAREER SUCCESS CLASSES, AND SURVEYS AS A FORM OF CONTINUAL MONITORING. HONORARIUMS ARE PROVIDED TO DRUMMERS, DANCERS, OR SPECIAL PRESENTERS AT ORGANIZATION MEETINGS OR CONFERENCES. THE HONARIUM IS DISTRIBUTED AT THE EVENT, SO NO ADDITIONAL MONITORING IS NEEDED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE OYATE HEALTH CENTER IS A TRIBALLY OWNED AND OPERATED WALK-IN PRIMARY CARE CLINIC LOCATED IN RAPID CITY, SOUTH DAKOTA. ON JULY 21, 2019 THE GREAT PLAINS TRIBAL CHAIRMEN'S HEALTH BOARD TOOK OVER MANAGEMENT RESPONSIBILITIES OF THE RAPID CITY SERVICE UNIT ON BEHALF OF THE OGLALA SIOUX AND CHEYENNE RIVER SIOUX TRIBES THROUGH PUBLIC LAW 93-638 (THE INDIAN SELF-DETERMINATION ACT); IT WAS BOTH AN EXPRESSION OF SOVEREIGNTY AND THE DEPLOYMENT OF A PROVEN STRATEGY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>AN EXTERNAL CPA FIRM PREPARES THE 990. THE CFO, SENIOR ACCOUNTANT, AND CEO REVIEW THE RETURN BEFORE FILING</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>AN INDEPENDENT CONTRACTOR PERFORMS AN INITIAL COMPENSATION EVALUATION AND OTHER COMPENSATION DATA IS GATHERED FROM VARIOUS SOURCES AND ANALYZED. RAISES ARE CONSIDERED ANNUALLY BASED ON COST OF LIVING INCREASES. PERFORMANCE COMPENSATION IS BASED UPON EACH INDIVIDUAL EMPLOYEE'S EVALUATION AND APPROVED BY THE APPROPRIATE ADMINISTRATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTANTS/CONTRACTUAL: PROGRAM SERVICE EXPENSES 2,128,248. MANAGEMENT AND GENERAL EXPENSES 149,787. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,278,035. STAFFING SERVICES: PROGRAM SERVICE EXPENSES 286,202. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 286,202. CONTRACTED SERVICES : PROGRAM SERVICE EXPENSES 2,524,668. MANAGEMENT AND GENERAL EXPENSES 180,403. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,705,071.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>