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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRUCE MIKESELL</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>256900</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14770</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEAN RONALD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>258145</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4180</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2684012</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>138069</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>49</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MONTANA MOUNTAIN ANESTHESIA LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>107 6TH AVE SW</AddressLine1Txt>
            <CityNm>RONAN</CityNm>
            <StateAbbreviationCd>MT</StateAbbreviationCd>
            <ZIPCd>59864</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ANESTHESIA</ServicesDesc>
        <CompensationAmt>653587</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MONIDA SHARED IMAGING LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1200 S RESERVE ST STE H</AddressLine1Txt>
            <CityNm>MISSOULA</CityNm>
            <StateAbbreviationCd>MT</StateAbbreviationCd>
            <ZIPCd>59801</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MRI SERVICES</ServicesDesc>
        <CompensationAmt>386524</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COMMUNITY MEDICAL CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2827 FORT MISSOULA ROAD</AddressLine1Txt>
            <CityNm>MISSOULA</CityNm>
            <StateAbbreviationCd>MT</StateAbbreviationCd>
            <ZIPCd>59804</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NURSE ON CALL &amp; LAB SERVICES</ServicesDesc>
        <CompensationAmt>119023</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>GUNLOCK CORTNEE DPT</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>MT</StateAbbreviationCd>
            <ZIPCd>59901</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICAL THERAPY</ServicesDesc>
        <CompensationAmt>107226</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 9146</AddressLine1Txt>
            <CityNm>MINNEAPOLIS</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>554809146</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LAB SERVICES</ServicesDesc>
        <CompensationAmt>105304</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>172736</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>1214774</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>23572</AllOtherContributionsAmt>
      <TotalContributionsAmt>1411082</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICES</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>44383408</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>44383408</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>UTILIZATION FEE REVENUE</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>4565580</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4565580</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>340B PROGRAM REVENUE</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>808157</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>808157</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER OPERATING INCOME</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>239257</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>239257</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>49996402</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>551622</TotalRevenueColumnAmt>
        <ExclusionAmt>551622</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>56368</RealAmt>
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      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
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      <RentalIncomeOrLossGrp>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>56368</TotalRevenueColumnAmt>
        <ExclusionAmt>56368</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>14325373</SecuritiesAmt>
        <OtherAmt>2726</OtherAmt>
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      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>14884744</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
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      <GainOrLossGrp>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-556645</TotalRevenueColumnAmt>
        <ExclusionAmt>-556645</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>51458829</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>49996402</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>51345</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>785340</TotalAmt>
        <ProgramServicesAmt>641201</ProgramServicesAmt>
        <ManagementAndGeneralAmt>144139</ManagementAndGeneralAmt>
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        <TotalAmt>24288828</TotalAmt>
        <ProgramServicesAmt>19705441</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4583387</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>563014</ProgramServicesAmt>
        <ManagementAndGeneralAmt>129665</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2810589</TotalAmt>
        <ProgramServicesAmt>2428873</ProgramServicesAmt>
        <ManagementAndGeneralAmt>381716</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>1718224</TotalAmt>
        <ProgramServicesAmt>1396682</ProgramServicesAmt>
        <ManagementAndGeneralAmt>321542</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>13912</TotalAmt>
        <ManagementAndGeneralAmt>13912</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>91780</TotalAmt>
        <ManagementAndGeneralAmt>91780</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>4425308</TotalAmt>
        <ProgramServicesAmt>3738698</ProgramServicesAmt>
        <ManagementAndGeneralAmt>686610</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>188455</TotalAmt>
        <ManagementAndGeneralAmt>188455</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>2391705</TotalAmt>
        <ProgramServicesAmt>1593645</ProgramServicesAmt>
        <ManagementAndGeneralAmt>798060</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>685921</TotalAmt>
        <ProgramServicesAmt>236895</ProgramServicesAmt>
        <ManagementAndGeneralAmt>449026</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>158203</TotalAmt>
        <ProgramServicesAmt>134054</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24149</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>475754</TotalAmt>
        <ProgramServicesAmt>461481</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14273</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1816490</TotalAmt>
        <ProgramServicesAmt>1761995</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54495</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>801590</TotalAmt>
        <ProgramServicesAmt>777542</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24048</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>4270986</TotalAmt>
        <ProgramServicesAmt>4270986</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>710165</TotalAmt>
        <ProgramServicesAmt>710165</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BED TAX EXPENSE</Desc>
        <TotalAmt>710139</TotalAmt>
        <ProgramServicesAmt>710139</ProgramServicesAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>47036068</TotalAmt>
        <ProgramServicesAmt>39130811</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7905257</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>7404890</BOYAmt>
        <EOYAmt>12029260</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>8039760</BOYAmt>
        <EOYAmt>7953884</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>12018543</BOYAmt>
        <EOYAmt>11472958</EOYAmt>
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      <OthNotesLoansReceivableNetGrp>
        <EOYAmt>1269957</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>981176</BOYAmt>
        <EOYAmt>1013099</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>974726</BOYAmt>
        <EOYAmt>1080171</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>51726581</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>40598208</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>12077138</BOYAmt>
        <EOYAmt>11128373</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>57298262</BOYAmt>
        <EOYAmt>49249544</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>25000</BOYAmt>
        <EOYAmt>25000</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>3469228</BOYAmt>
        <EOYAmt>3166962</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>102288723</BOYAmt>
        <EOYAmt>98389208</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>3583591</BOYAmt>
        <EOYAmt>4981285</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>655456</BOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>11893269</BOYAmt>
        <EOYAmt>10864862</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>1980774</BOYAmt>
        <EOYAmt>1645377</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>18113090</BOYAmt>
        <EOYAmt>17491524</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>84175633</BOYAmt>
        <EOYAmt>80897684</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>84175633</BOYAmt>
        <EOYAmt>80897684</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>102288723</BOYAmt>
        <EOYAmt>98389208</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>4422761</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-7700169</NetUnrlzdGainsLossesInvstAmt>
      <PriorPeriodAdjustmentsAmt>-541</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </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">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>712357</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-119426</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>5547</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>587384</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>645303</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>69961</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>2907</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>712357</EndYearBalanceAmt>
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      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>576911</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>73586</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>5194</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>645303</EndYearBalanceAmt>
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      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>491374</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>90430</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>4893</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>576911</EndYearBalanceAmt>
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        <BeginningYearBalanceAmt>536567</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-45193</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>491374</EndYearBalanceAmt>
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      <BoardDesignatedBalanceEOYPct>0.53463</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.46537</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>1</EndowmentsHeldRelatedOrgInd>
      <RelatedOrgListSchRInd>1</RelatedOrgListSchRInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>5201501</OtherCostOrOtherBasisAmt>
        <BookValueAmt>5201501</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>15131079</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>13916421</DepreciationAmt>
        <BookValueAmt>1214658</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>31394001</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>26681787</DepreciationAmt>
        <BookValueAmt>4712214</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>11128373</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>SUN AMERICA</Desc>
        <BookValueAmt>3963647</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>WHITEFISH CREDIT UNION</Desc>
        <BookValueAmt>882906</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>US BANK MONEY MARKET</Desc>
        <BookValueAmt>516048</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>US BANK FUNDS</Desc>
        <BookValueAmt>43886943</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>49249544</TotalBookValueSecuritiesAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED COMPENSATION LIABILITY</Desc>
        <Amt>1645377</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1645377</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>42916899</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-8223274</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>391509</OtherRevenueAmt>
      <RevenueNotReportedAmt>-7831765</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>50748664</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>710165</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>710165</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>51458829</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>46532588</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>206685</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>206685</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>46325903</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>710165</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>710165</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>47036068</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>TO MAINTAIN HEALTHCARE EXCELLENCE BY BRIDGING THE FINANCIAL GAP BETWEEN THE INCREASING COST OF PROVIDING SERVICES AND THE SHRINKING LEVEL OF REIMBURSEMENT FROM MEDICARE, MEDICAID AND PRIVATE INSURANCE; PURCHASE NEW EQUIPMENT AND MAKE OTHER NON-REIMBURSABLE CAPITAL INVESTMENTS THAT ALLOW ST. LUKE TO PROVIDE PATIENTS WITH THE LATEST AND MOST TECHNOLOGICALLY ADVANCED CARE; ENGAGE IN VALUABLE, NON-REIMBURSABLE MEDICAL ACTIVITIES, SUCH AS PHYSICIAN/STAFF TRAINING AND PATIENT/COMMUNITY EDUCATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL IS A TAX-EXEMPT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE HOSPITAL IS ALSO EXEMPT FROM STATE TAXES ON RELATED INCOME PURSUANT TO SIMILAR STATE OF MONTANA TAX LAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. LUKE COMMUNITY HEALTHCARE FOUNDATION REVENUE/LOSS 391,509.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE 710,165.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. LUKE COMMUNITY HEALTHCARE FOUNDATION EXPENSES 206,685.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE 710,165.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <TotalCommunityBenefitsGrp>
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      <BadDebtExpenseAmt>710165</BadDebtExpenseAmt>
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        <CommunityDemographicsInd>X</CommunityDemographicsInd>
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        <OwnWebsiteURLTxt>WWW.STLUKEHEALTHCARE.ORG</OwnWebsiteURLTxt>
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        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>20</ImplementationStrategyAdptYr>
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        <FAPAppAvailableOnWebsiteURLTxt>WWW.STLUKEHEALTHCARE.ORG</FAPAppAvailableOnWebsiteURLTxt>
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        <FAPSummaryOnWebsiteURLTxt>WWW.STLUKEHEALTHCARE.ORG</FAPSummaryOnWebsiteURLTxt>
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        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
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        <GrossChargesInd>1</GrossChargesInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ST. LUKE COMMUNITY HEALTHCARE</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: A STEERING COMMITTEE WAS CONVENED TO ASSIST ST. LUKE COMMUNITY HEALTHCARE IN CONDUCTING THE CHNA ASSESSMENT PROCESS. THE STEERING COMMITTEE WAS COMPRISED OF KEY ADMINISTRATIVE AND PHYSICIAN LEADERSHIP. THE STEERING COMMITTEE MET SEVERAL TIMES DURING THE CHNA PROCESS; FIRST TO DISCUSS HEALTH CONCERNS IN THE COMMUNITY AND OFFER THEIR PERSPECTIVE IN DESIGNING THE SURVEY INSTRUMENT AND AGAIN TO REVIEW RESULTS OF THE SURVEY AND FOCUS GROUPS AND TO ASSIST IN THE PRIORITIZATION OF HEALTH NEEDS TO ADDRESS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ST. LUKE COMMUNITY HEALTHCARE</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: DUE TO COVID-19 THE ENGAGEMENT WAS SIMPLIFIED FOR THIS CHNA CYCLE. FIVE INTERVIEWS WERE CONDUCTED WITH REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS. THE FOLLOWING THEMES WERE IDENTIFIED.HIGH PRIORITY THEMES:1. BEHAVIORAL HEALTH CHALLENGES AND ACCESS TO CARE (INCLUDES BOTH MENTAL HEALTH AND SUBSTANCE USE DISORDER) 2. HOMELESSNESS AND LACK OF SAFE, AFFORDABLE HOUSINGMEDIUM PRIORITY THEMES:3. AGING PROBLEMS4. FOOD INSECURITY5. UNEMPLOYMENT AND LACK OF A LIVING WAGECOVID-19 IMPACTS - DECREASE IN-HOME SERVICES FOR OLDER ADULTS, EXACERBATED MENTAL HEALTH CONCERNS, REDUCED PUBLIC TRANSPORTATION, DIFFICULTY SHARING UP-TO-DATE INFORMATION, DELAYS IN CARE AND CHALLENGES PAYING COVID-19 TESTING FEES, INCREASED UNEMPLOYMENT, AND REDUCED ENGAGEMENT FROM STUDENTS DUE TO SCHOOL CLOSURES.TO ADDRESS THESE NEEDS - ST LUKE HAS 1) REVIEWED THE FACILITY'S PRESENCE IN THE COMMUNITY (I.E ACTIVITIES ALREADY BEING DONE TO ADDRESS COMMUNITY NEED, 2) CONSIDERED ORGANIZATIONS OUTSIDE OF THE FACILITY WHICH MAY SERVE AS COLLABORATORS IN EXECUTING THE FACILITY'S IMPLEMENTATION PLAN, 3) ASSESSED THE HEALTH INDICATORS OF THE COMMUNITY THROUGH AVAILABLE SECONDARY DATA, AND 4) EVALUATED THE FEEDBACK RECEIVED FROM CONSULTATIONS WITH THOSE REPRESENTING THE COMMUNITY'S INTEREST, INCLUDING PUBLIC HEALTH.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ST. LUKE COMMUNITY HEALTHCARE</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 24: THE HOSPITAL CHARGES ALL OF ITS PATIENTS AN AMOUNT EQUAL TO THE GROSS CHARGE FOR ANY SERVICE. THE BILLED AMOUNT AND THE CHARGED AMOUNT ARE THE SAME FOR EVERYONE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>1. PHYSICAL IMPROVEMENTS AND HOUSING:ST. LUKE COMMUNITY HOSPITAL CONTRIBUTES TO PHYSICAL IMPROVEMENTS AND HOUSING IN THE FOLLOWING WAYS:- PROVIDES INSURANCE OVER CITY STREETS AND SIDEWALKS- PROVIDES PERPETUAL EASEMENT ON A PORTION OF OUR PROPERTY TO ALLOW THE CITY OF RONAN TO EXPAND ITS ROAD INFRASTRUCTURE FOR AN ADDITIONAL EAST/WEST CORRIDOR THROUGH TOWN- PAYS ANNUAL ELECTRIC COSTS TO LIGHT CITY STREETS- SUPPORTS AND PROVIDES THE CITY OF RONAN WITH SNOW REMOVAL ON CITY STREETS SURROUNDING AND ADJACENT TO THE FACILITY- PROVIDES FUNDING TO THE CITY FOR THE ACQUISITION OF STREET CLEANING EQUIPMENT2. ECONOMIC DEVELOPMENT:ST. LUKE COMMUNITY HOSPITAL PROVIDES SUPPORT FUNDING FOR THE LAKE COUNTY COMMUNITY DEVELOPMENT CORPORATION AND IS AN ACTIVE PARTICIPANT IN THE RONAN AND POLSON CHAMBER OF COMMERCE.3. COMMUNITY SUPPORT:ST. LUKE COMMUNITY HOSPITAL PROVIDES THE FOLLOWING:- FUNDING TO SUPPORT THE EFFORTS OF THE BOYS AND GIRLS CLUB OF THE FLATHEAD INDIAN RESERVATION- MEETING ROOMS AND ACCOMMODATIONS FOR AA AND ALANON MEETINGS- FINANCIAL ASSISTANCE TO THE RONAN POLICE DEPARTMENT4. ENVIRONMENTAL IMPROVEMENTS:ST. LUKE COMMUNITY HOSPITAL PROVIDES THE CITY OF RONAN USE OF A LARGE PORTION OF ITS PROPERTY AS A STORM WATER RETENTION POND FOR CITY STREETS. ST. LUKE ALSO PURCHASED AND INSTALLED THREE GRINDER PUMPS FOR THE CITY OF RONAN'S SEWER SYSTEM. ST. LUKE ALSO PROVIDES SUPPORT FOR ADOPT A HIGHWAY - CLEAN UP.5. LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS:ST. LUKE COMMUNITY HOSPITAL SPONSORS LAKE COUNTY JOB SERVICE TRAINING FOR COMMUNITY MEMBERS AND REASONABLE SUSPICION TRAINING FOR AREA BUSINESSES.6. COALITION BUILDING:ST. LUKE COMMUNITY HOSPITAL PROVIDES FINANCIAL ASSISTANCE TO THE LAKE COUNTY COUNCIL ON AGING TO ENSURE ACCESS TO TRAVEL FOR ERRANDS BY THE SENIOR POPULATION. ST. LUKE ALSO PARTICIPATES WITH OTHER HEALTH CARE ENTITIES, LAKE COUNTY, POLICE AND FIRE DEPARTMENTS, FOR DISASTER PLANNING. ST. LUKE DONATES ANNUALLY TO THE SCHOOL DISTRICTS FOR SPORTS PHYSICALS.7. COMMUNITY HEALTH IMPROVEMENT ADVOCACY:ST. LUKE COMMUNITY HOSPITAL ADVOCATES FOR COMMUNITY HEALTH IMPROVEMENT IN THE FOLLOWING WAYS:- PROVIDES SUBSIDIES FOR LAKE COUNTY COMMUNITY HEALTH DEPARTMENT TO PAY FOR MEDICAL DIRECTOR AND DIETICIAN- PROVIDES A PHYSICIAN TO BE THE COUNTY HEALTH OFFICER- SPONSORS AND SUPPORTS THE RELAY FOR LIFE CANCER RESEARCH FUNDRAISING- WORKS WITH LAKE COUNTY HEALTH DEPARTMENT ON VARIOUS CAMPAIGNS AND PROGRAMS SUCH AS FETAL, INFANT, CHILD MORTALITY REVIEW, GREAT AMERICAN SMOKEOUT, AND OTHER PROGRAMS- PROVIDES FINANCIAL SUBSIDY TO ENSURE COMMUNITY ACCESS TO MENTAL HEALTH - PROVIDES CHILDBIRTH EDUCATION TO COMMUNITY MEMBERS- PROVIDES STAFF AND FINANCIAL ASSISTANCE AT PUBLIC EVENTS SUCH AS 3 ON 3 BASKETBALL TOURNAMENT, HEALTH FAIR TRADE SHOW, WOMEN FOR WELLNESS, CRUISING BY THE BAY CAR SHOW, BUFFALO RUN, LIVE LOCALLY FUN RUN, WATER DAYZ, AND OTHER PUBLIC EVENTS- PROVIDES HEALTHCARE CERTIFICATES TO NOT-FOR-PROFIT ENTITIES TO SUPPORT THEIR FUNDRAISING EFFORTS8. WORKFORCE DEVELOPMENT:ST. LUKE COMMUNITY HOSPITAL PROVIDES CLINICAL SPACE AND INSTRUCTION AS WELL AS HOUSING FOR MEDICAL STUDENTS, MEDICAL RESIDENTS, NURSING STUDENTS, PA STUDENTS, KICKING HORSE JOB CORPS STUDENTS, RADIOLOGY STUDENTS AND OTHERS. ST. LUKE ALSO PROVIDES SCHOLARSHIP ASSISTANCE TO AREA YOUTH FOR EDUCATION EFFORTS AND PARTICIPATES IN AREA JOB FAIRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S BAD DEBT EXPENSE IS THE ACTUAL AMOUNT TURNED OVER TO THE COLLECTION COMPANIES ON AN ANNUAL BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>HISTORICALLY, ONE-THIRD OF ALL BAD DEBTS ARE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE IS DESCRIBED IN FOOTNOTE 1 ON PAGE 11 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>NO PORTION OF THE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT. ADJUSTED PATIENT CARE COST WAS DIVIDED BY THE ADJUSTED PATIENT CARE CHARGES TO DETERMINE THE COST TO CHARGE RATIO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MISSION OF ST. LUKE COMMUNITY HEALTH CARE NETWORK IS TO PROVIDE CARE AT ALL TIMES TO THOSE WHO ARE IN NEED. THE CHARITY POLICY MAY BE EXTENDED TO THOSE PATIENTS WHO HAVE DEMONSTRATED THE INABILITY TO PAY ALL OR PART OF THEIR NETWORK BILL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. LUKE CONDUCTS THE FOLLOWING ACTIVITIES IN ORDER TO ASSESS THE HEALTHCARE NEEDS OF OUR COMMUNITIES: - CONDUCTS PERIODIC NEEDS ASSESSMENT SURVEYS TO THE COMMUNITY VIA FOCUS GROUPS;- SERVICE LINE SPECIFIC PATIENT SATISFACTION SURVEYS ARE GIVEN TO PATIENTS WITH OPPORTUNITY TO PROVIDE INPUT AND SUGGESTIONS FOR ADDITIONAL SERVICES;- BOARD MEMBERS AND MEDICAL STAFF MEMBERS ARE ENCOURAGED TO COMMUNICATE WITH COMMUNITY MEMBERS AND PROVIDE INPUT INTO THE STRATEGIC PLANNING PROCESS;- ADMINISTRATIVE INVOLVEMENT IN COMMUNITY CIVIC ORGANIZATIONS WITH SPECIFIC EFFORTS TO SOLICIT FEEDBACK ON SERVICE IMPROVEMENT OPPORTUNITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. LUKE POSTS SIGNS AT ALL ACCESS AREAS, GIVING INFORMATION ABOUT OUR PATIENT FINANCIAL ASSISTANCE POLICY. ALL PATIENTS MAY MEET WITH A PATIENT ACCOUNTS REPRESENTATIVE TO DISCUSS PROGRAMS AVAILABLE TO THEM AND FORMS OF PAYMENT. THE PATIENT FINANCIAL ASSISTANCE POLICY IS POSTED ON THE WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. LUKE PROVIDES HEALTHCARE SERVICES TO THE RESIDENTS OF THE FLATHEAD INDIAN RESERVATION AND LAKE COUNTY, MONTANA. GEOGRAPHICALLY THE AREA CONSISTS MAINLY OF MOUNTAINOUS TERRAIN AND IS CONSIDERED RURAL WITH 19.2 PEOPLE PER SQUARE MILE. DEMOGRAPHICALLY THE POPULATION OF LAKE COUNTY IS 28,690 - 24.5% OF WHICH IS LISTED AS NATIVE AMERICAN. THE MEDIAN HOUSEHOLD INCOME IS $34,732. 18.0% OF THE POPULATION IS BELOW THE POVERTY LEVEL.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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</Return>
