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      <Form990PartVIISectionAGrp>
        <PersonNm>Dan Taft</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Beth Warner</PersonNm>
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        <ManagementAndGeneralAmt>23000</ManagementAndGeneralAmt>
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        <FundraisingAmt>18279</FundraisingAmt>
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        <ManagementAndGeneralAmt>24367</ManagementAndGeneralAmt>
        <FundraisingAmt>97469</FundraisingAmt>
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        <FundraisingAmt>38695</FundraisingAmt>
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      <AdvertisingGrp>
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        <ManagementAndGeneralAmt>9281</ManagementAndGeneralAmt>
        <FundraisingAmt>27844</FundraisingAmt>
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        <ManagementAndGeneralAmt>10896</ManagementAndGeneralAmt>
        <FundraisingAmt>20235</FundraisingAmt>
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      <OccupancyGrp>
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        <ManagementAndGeneralAmt>20118</ManagementAndGeneralAmt>
        <FundraisingAmt>30178</FundraisingAmt>
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      <TravelGrp>
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        <ManagementAndGeneralAmt>1293</ManagementAndGeneralAmt>
        <FundraisingAmt>5889</FundraisingAmt>
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      <ConferencesMeetingsGrp>
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        <ManagementAndGeneralAmt>862</ManagementAndGeneralAmt>
        <FundraisingAmt>3926</FundraisingAmt>
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        <ManagementAndGeneralAmt>15250</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Dues &amp; Subscriptions</Desc>
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        <ManagementAndGeneralAmt>2521</ManagementAndGeneralAmt>
        <FundraisingAmt>14287</FundraisingAmt>
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      <AllOtherExpensesGrp>
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        <ManagementAndGeneralAmt>3026</ManagementAndGeneralAmt>
        <FundraisingAmt>57540</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>3823035</ProgramServicesAmt>
        <ManagementAndGeneralAmt>342076</ManagementAndGeneralAmt>
        <FundraisingAmt>839968</FundraisingAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>7510674</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>1191205</EOYAmt>
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        <EOYAmt>7696</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>64957</LandBldgEquipCostOrOtherBssAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>25343</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>28745422</EOYAmt>
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        <EOYAmt>2909737</EOYAmt>
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        <EOYAmt>27445</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>38276789</BOYAmt>
        <EOYAmt>40417522</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>42919</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>62675</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>1007104</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>1929141</BOYAmt>
        <EOYAmt>1112698</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>16678974</BOYAmt>
        <EOYAmt>19878233</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>19668674</BOYAmt>
        <EOYAmt>19426591</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>36347648</BOYAmt>
        <EOYAmt>39304824</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>38276789</BOYAmt>
        <EOYAmt>40417522</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>459945</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1535979</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>961252</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolAndSepBasisFinclStmtInd>X</ConsolAndSepBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>2783284</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>9581309</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3019000</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1270375</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1740665</CurrentTaxYearAmt>
        <TotalAmt>18394633</TotalAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>9581309</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3019000</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1270375</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1740665</CurrentTaxYearAmt>
        <TotalAmt>18394633</TotalAmt>
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      <SubstantialContributorsTotAmt>6070148</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>12324485</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>839773</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>664312</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>741242</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>876765</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1062158</CurrentTaxYearAmt>
        <TotalAmt>4184250</TotalAmt>
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      <UnrelatedBusinessNetIncm170Grp>
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        <TotalAmt>13032</TotalAmt>
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      <PublicSupportPY170Pct>0.57740</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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        <ContributorBusinessName>
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        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <ContributionsAmt>943397</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>3632532</InvestmentEarningsOrLossesAmt>
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        <EndYearBalanceAmt>24878147</EndYearBalanceAmt>
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      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>24534132</BeginningYearBalanceAmt>
        <ContributionsAmt>68899</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-3372760</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>558203</OtherExpendituresAmt>
        <EndYearBalanceAmt>20672068</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>20745993</BeginningYearBalanceAmt>
        <ContributionsAmt>973493</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>3399161</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>584515</OtherExpendituresAmt>
        <EndYearBalanceAmt>24534132</EndYearBalanceAmt>
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      <CYMinus3YrEndwmtFundGrp>
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        <ContributionsAmt>41677</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>2623596</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>349488</OtherExpendituresAmt>
        <EndYearBalanceAmt>20745993</EndYearBalanceAmt>
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      <CYMinus4YrEndwmtFundGrp>
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        <ContributionsAmt>227769</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>3135666</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>1205532</OtherExpendituresAmt>
        <EndYearBalanceAmt>18430208</EndYearBalanceAmt>
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      <BoardDesignatedBalanceEOYPct>0.64350</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.15890</PrmnntEndowmentBalanceEOYPct>
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      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
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      <OtherSecuritiesGrp>
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        <MethodValuationCd>F</MethodValuationCd>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Due to hospital division</Desc>
        <Amt>784275</Amt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedFinclStmtAmt>121836</RevenueNotReportedFinclStmtAmt>
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      <InvestmentExpensesNotIncld2Amt>121836</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>121836</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>5005079</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part V, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>Each endowment fund is privy to a separate agreement. Donations made for each purpose shall be received, held and invested by the Foundation according to established policies governing gift acceptance, investment and distribution. The principal of the Fund shall be retained in perpetuity. The interest income is utilized for the greatest needs of the designated department. Policy says the organization can use a portion of interest for operations. The endowment fund reported in Line 1 is currently being held by Bozeman Health Foundation and benefits Bozeman Health and related system entities. Due to this relationship the endowment fund is being reported on the Form 990, Schedule D, Part V for all three related entities.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Foundation believes that it 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 Foundation 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>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in value of split-interest agreements -29,993.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041200001">
      <MailSolicitationsInd>X</MailSolicitationsInd>
      <EmailSolicitationsInd>X</EmailSolicitationsInd>
      <PhoneSolicitationsInd>X</PhoneSolicitationsInd>
      <InPersonSolicitationsInd>X</InPersonSolicitationsInd>
      <SolicitationOfNonGovtGrantsInd>X</SolicitationOfNonGovtGrantsInd>
      <SolicitationOfGovtGrantsInd>X</SolicitationOfGovtGrantsInd>
      <SpecialFundraisingEventsInd>X</SpecialFundraisingEventsInd>
      <AgrmtProfFundraisingActyInd>1</AgrmtProfFundraisingActyInd>
      <FundraiserActivityInfoGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>Carter</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>2145 14th Ave Ste 26</AddressLine1Txt>
          <CityNm>Vero Beach</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32960</ZIPCd>
        </USAddress>
        <ActivityTxt>Fundraising writing project</ActivityTxt>
        <FundraiserControlOfFundsInd>0</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>0</GrossReceiptsAmt>
        <RetainedByContractorAmt>12800</RetainedByContractorAmt>
        <NetToOrganizationAmt>0</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <FundraiserActivityInfoGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>Holistic Grant Services LLC</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>5017 Portland Ave</AddressLine1Txt>
          <CityNm>Minneapolis</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55417</ZIPCd>
        </USAddress>
        <ActivityTxt>Grant research and narrative writing</ActivityTxt>
        <FundraiserControlOfFundsInd>0</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>0</GrossReceiptsAmt>
        <RetainedByContractorAmt>5479</RetainedByContractorAmt>
        <NetToOrganizationAmt>0</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <TotalRetainedByContractorsAmt>18279</TotalRetainedByContractorsAmt>
      <LicensedStatesCd>MT</LicensedStatesCd>
      <LicensedStatesCd>OR</LicensedStatesCd>
      <FundraisingEventInformationGrp>
        <Event1Nm>Hospitality Auction</Event1Nm>
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        <CharitableContriEvent1Amt>469598</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>98542</GrossRevenueEvent1Amt>
        <CashPrizesEvent1Amt>0</CashPrizesEvent1Amt>
        <NonCashPrizesEvent1Amt>0</NonCashPrizesEvent1Amt>
        <RentFacilityCostsEvent1Amt>6207</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>34928</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>16700</EntertainmentEvent1Amt>
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        <GrossReceiptsTotalAmt>568140</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>469598</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>98542</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>6207</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>34928</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>16700</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>73267</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>131102</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-32560</NetIncomeSummaryAmt>
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    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
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          <BusinessNameLine1Txt>Bozeman Deaconess Health Services dba Bozeman Health</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>915 Highland Blvd</AddressLine1Txt>
          <CityNm>Bozeman</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59715</ZIPCd>
        </USAddress>
        <RecipientEIN>810232121</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>232868</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Support hospital programs and services and support of Big Sky Medical Center.</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Bozeman Health Deaconess Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>915 Highland Blvd</AddressLine1Txt>
          <CityNm>Bozeman</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59715</ZIPCd>
        </USAddress>
        <RecipientEIN>474717998</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>3574272</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Support of hospital programs and services.</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>2</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Hospital Employee Emergency Fund</GrantTypeTxt>
        <RecipientCnt>14</RecipientCnt>
        <CashGrantAmt>13895</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Gordon Davidson Scholarship Fund</GrantTypeTxt>
        <RecipientCnt>1</RecipientCnt>
        <CashGrantAmt>2000</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Assistance is granted to Bozeman Health and Affiliates through separate fund requests which are reviewed to ensure alignment with donor intent including any restrictions as applicable. Assistance is granted to Bozeman Deaconess Health Services Employees through an Employee Emergency Fund to help employees who are experiencing emergent financial hardship situations. Awards are provided based on review of an employee emergency support application and a peer review committee process. Emergent is defined as a sudden, urgent or unforeseen occurrence requiring immediate action.</ExplanationTxt>
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      <WrittenPolicyRefTAndEExpnssInd>0</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>0</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>1</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
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      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
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      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <PersonNm>Andrew Sullivan MD - Dir Jan</PersonNm>
        <TitleTxt>-Jun)/Chair (as of July)</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>524148</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>8638</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>828</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>19800</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>34853</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>588267</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Beth Warner</PersonNm>
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        <BonusFilingOrganizationAmount>1020</BonusFilingOrganizationAmount>
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        <TotalCompensationFilingOrgAmt>333124</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Anne Thomas MD</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>235120</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>6499</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>305</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>14559</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>10512</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>266995</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>Beth Warner received $36,000 in housing benefits, which were reported as taxable income on her W-2.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Lines 4a-b</FormAndLineReferenceDesc>
        <ExplanationTxt>Line 4a: Mark Williams, MD received severance from a related organization of $123,000. Line 4b: Mark Williams was a participant in the 457f plan for 2023. He did not have any contributions in that year, but is still an active participant with a balance to be paid in the future.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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        <ContributionCnt>5</ContributionCnt>
        <NoncashContributionsRptF990Amt>53055</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Selling Price</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Hospitality Auction Items</Desc>
        <ContributionCnt>91</ContributionCnt>
        <NoncashContributionsRptF990Amt>22654</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Donor Designated Val</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Employee Gifts</Desc>
        <ContributionCnt>22</ContributionCnt>
        <NoncashContributionsRptF990Amt>10465</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Donor Designated Val</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Patient Gifts</Desc>
        <ContributionCnt>17</ContributionCnt>
        <NoncashContributionsRptF990Amt>10303</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Donor Designated Val</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Furniture and Fixtures</Desc>
        <ContributionCnt>3</ContributionCnt>
        <NoncashContributionsRptF990Amt>5911</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Donor Designated Val</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Miscellaneous</Desc>
        <ContributionCnt>3</ContributionCnt>
        <NoncashContributionsRptF990Amt>2589</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Donor Designated Val</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Column (b):</FormAndLineReferenceDesc>
        <ExplanationTxt>The amount in column (b) is the total number of contributions.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Committee shall consist of the Chair, First Vice Chair, Second Vice Chair, the Secretary, the Treasurer and the Immediate Past Chair. The President of the Foundation shall serve ex officio with voice but no vote on the Executive Committee. Members of the Executive Committee are also members of the Board of Directors. The Executive Committee acts on behalf of the Board pursuant to the policies and procedures established on an ongoing basis during the year. The Executive Committee shall report regularly and routinely to the Board concerning its activities on behalf of the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors is a voluntary Board appointed by the Trustees of Bozeman Deaconess Health Services, dba Bozeman Health.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>Ratification of board members and officers is subject to approval by the board of Bozeman Deaconess Health Services, dba Bozeman Health.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Foundation's 990 return has a comprehensive review process that is followed before it is presented to the governing body of the Foundation. The review process includes a layered review by the Foundation President and CFO of Bozeman Health, Bozeman Health's internal legal department, the Bozeman Health Foundation Finance Committee, and the Foundation's outside independent accountants. Each one of those areas has an opportunity to review, ask questions and make comments back to the Bozeman Health finance department before the Form 990 is completed and presented to the governing body of the Foundation. The Foundation makes available to the governing body (Board of Directors), a copy of the 990 for review and comment prior to the filing of the 990 return. This copy is provided in a pre-meeting packet, and is an agenda item at a meeting of the full board of directors. This process is noted and documented in the written minutes of the meeting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The Foundation board monitors potential conflicts of interest on the part of its board members, principal officers, members of committees, with board delegated powers and key employees ("covered persons") by maintaining a conflict of interest policy. Under the policy, the covered persons annually are provided with a copy of the policy and asked to complete a questionnaire identifying any potential conflicts of interest. The Bozeman Health legal department, a related entity, reviews the questionnaire responses and develops a report detailing any potentially material conflicts for the Foundation President and Chair of the Board. A verbal summary is also provided to the Executive Committee ending with a reminder to covered persons of the policy's mandate that each person is obligated to disclose any new potential conflicts as they may arise throughout the year. Board agendas and executive decisions are monitored in relation to this policy.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Compensation Committee receives a formal presentation by an independent compensation consultant (as selected by the Bozeman Health Board) qualified to perform compensation reviews including usage of comparability data. This person presents recommendations to the Compensation Committee of the Bozeman Health Board. The Compensation Committee makes recommendations to the full Bozeman Health Board on an annual basis for Officers and Senior Administration. This annual process was performed in fall 2022 to determine 2023 compensation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Foundation's tax documents the annual audit statement and 990 returns are made available to any person who requests the information from the Foundation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in value of split-interest agreements -29,993. Transfers from Bozeman Health Deaconess Hospital 991,245.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>Bozeman Deaconess Health Services (dba Bozeman Health)</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>915 Highland Blvd</AddressLine1Txt>
          <CityNm>Bozeman</CityNm>
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        </RelatedOrganizationName>
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      <IdRelatedOrgTxblPartnershipGrp>
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        </RelatedOrganizationName>
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          <AddressLine1Txt>1450 Ellis St Suite 101</AddressLine1Txt>
          <CityNm>Bozeman</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
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      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
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        </RelatedOrganizationName>
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          <AddressLine1Txt>120 N 19th Ave Suite A</AddressLine1Txt>
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          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59718</ZIPCd>
        </USAddress>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Bozeman HealthUSP Surgery Centers LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>14201 Dallas Parkway</AddressLine1Txt>
          <CityNm>Dallas</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
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</Return>