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        <ExplanationTxt>PART V, SECTION B, LINE 5: THE HOSPITAL PARTICIPATES IN A COMMUNITY NEEDS ASSESSMENT, IN COOPERATION WITH MONTANA OFFICE OF RURAL HEALTH. A RANDOM LIST OF PATIENTS WERE MAILED SURVEYS. IT WAS DETERMINED THAT AREAS WHERE PATIENTS RESIDE WOULD BE REPRESENTED IN PROPORTION. THE SURVEY WAS BASED ON: DEMOGRAPHICS; HOSPITALS, PRIMARY CARE PROVIDERS AND SPECIALISTS USED AND THE REASON FOR A PATIENT'S SELECTION OF THAT PROVIDER; LOCAL HEALTH CARE PROVIDER USAGE; SERVICES PREFERRED LOCALLY; AND PERCEPTION AND SATISFACTION OF LOCAL HEALTH CARE. TWO FOCUS GROUP MEETINGS WERE HELD TO IDENTIFY THE MOTIVES OF LOCAL RESIDENTS WHEN SELECTING LOCAL HEALTH CARE AND DISCOVER REASONS WHY PEOPLE MAY LEAVE THE AREA TO SEEK HEALTH CARE SERVICES. THIS REPORT HAS BEEN REVIEWED BY LIBERTY MEDICAL CENTER'S ADMINISTRATIVE TEAM, MANAGERS, SHARED WITH EMPLOYEES AT THE MONTHLY EMPLOYEE ASSEMBLIES, AND THE BOARD OF DIRECTORS. THIS REPORT HAS BEEN USED BY THE BOARD TO ASSIST WITH THEIR STRATEGIC PLANNING.</ExplanationTxt>
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        <ExplanationTxt>PART V, SECTION B, LINE 11: REVIEWED THE FACILITY'S PRESENCE IN THE COMMUNITY, CONSIDERED ORGANIZATIONS OUTSIDE THE FACILITY WHICH MAY SERVE AS COLLABORATORS IN EXECUTING THE FACILITY'S IMPLEMENTATION PLAN, ASSESSED THE HEALTH INDICATORS OF THE COMMUNITY THROUGH SECONDARY DATE, EVALUATED THE FEEDBACK RECEIVED FROM CONSULTATIONS WITH THOSE REPRESENTING THE COMMUNITY'S INTERESTS INCLUDING PUBLIC HEALTH.</ExplanationTxt>
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        <ExplanationTxt>PART V, SECTION B, LINE 16J: DURING REVIEW OF AGED ACCOUNTS, A PATIENT CAN BE CONTACTED BY PHONE AND THEN INFORMATION IS SENT TO THE PATIENT TO APPLY. THEY CAN ALSO GET THE FORMS ONLINE OR AT ANY RECEPTION DESK.</ExplanationTxt>
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        <ExplanationTxt>PART V, SECTION B, LINE 19E: JUDGEMENTS</ExplanationTxt>
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        <ExplanationTxt>PART V, SECTION B, LINE 20E: SETUP PAYMENT AGREEMENTS ON PATIENT BALANCES DUE</ExplanationTxt>
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            <ZIPCd>59522</ZIPCd>
          </USAddress>
          <FacilityTxt>ASSISTED LIVING</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>USE FPL, AS ADJUSTED FOR FAMILY UNIT AND GROSS FAMILY INCOME BETWEEN 100% AND 199% FPL0. 100%=100% DISCOUNT, 101%-125%=80% DISCOUNT, 126%-150%=60% DISCOUNT, 151%-175%=40% DISCOUNT, 176%-199%=20% DISCOUNT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPITAL WORKED TO PROVIDE MENTAL AND EMOTIONAL HEALTH SUPPORT TO THE COMMUNITY DUE TO THE COVID-19 PANDEMIC. HOSPITAL WORKED WITH OPEN DOOR WELLNESS CENTER TO PROVIDE ONSITE PRIVATE SESSIONS AND TELEHEALTH PRIVATE SESSIONS. OPEN DOOR WELLNESS CENTER FOCUSES ON FAMILY, TRAUMA AND RELATIONSHIPS. HOSPITAL ENTERED INTO AGREEMENT WITH FRONTIER PSYCHIATRY IN SEPTEMBER 2021. FRONTIER PSYCHIATRY PROVIDES PROFESSIONAL PSYCHIATRIC SERVICES THROUGH THE EMERGENCY DEPARTMENT AND IN-PATIENTS VIA TELEHEALTH. THE SERVICES CAN ALSO EXTEND PAST THE ER AND IN-PATIENT STATUS UPON DISCHARGE OF THE PATIENT. FRONTIER PSYCHIATRY ALSO COLLABORATES FOR PATIENT ADMISSIONS TO PSYCHIATRIC UNITS WHEN DETERMINED THIS IS THE BEST CARE FOR THE PATIENT. HOSPITAL COORDINATED WITH THE MONTANA TOBACCO PREVENTION PROGRAM AND THE LIBERTY COUNTY CHAMBER OF COMMERCE FOR A COMMUNITY WALK WITH EASE SELF DIRECTED PROGRAM. THE PROGRAM WAS OFFERED TO HOSPITAL EMPLOYEES AS WELL AS THE COMMUNITY FOR A SIX-WEEK PROGRAM. THE GOAL OF THE COLLABORATION WAS TO INCREASE PHYSICAL ACTIVITY WHILE PROVIDING EDUCATION ON TOBACCO/VAPING CESSATION, MOST IMPORTANTLY DURING THE COVID-19 PANDEMIC. PARTICIPANTS RECEIVED A POSITIVE AND ENCOURAGING WEEKLY EMAIL. TOBACCO QUIT KITS WERE ALSO AVAILABLE TO PARTICIPANTS. IMPROVE ACCESS TO, AND AWARENESS OF, AVAILABLE RESOURCES AND SERVICES THROUGH ENHANCED COORDINATION AND COLLABORATION WITH COMMUNITY PARTNERS, SUCH AS LIBERTY COUNTY PUBLIC HEALTH, COMMUNITY TRANSPORTATION COMMITTEE, HEALTHY COALITION AND LIBERTY COUNTY MENTAL HEALTH ADVISORY BOARD. WE SUPPORT THE LOCAL FOOD PANTRY THROUGH FOOD DRIVES TO COLLECT FOOD AND OTHER ITEMS TO BE DONATED TO THE FOOD PANTRY. WE PARTICIPATE IN THE 340B PROGRAM TO PASS ON SAVINGS TO PATIENTS WHO ARE SEEN BY OUR RHC PROVIDERS. THE SPECIFIC INFORMATION ABOUT THE MEDICATIONS OFFERED ON THE 340B FORMULARY IS OFFERED IN THE CLINIC AS WELL AS AT THE PHARMACY FOR PATIENTS WHO ARE HAVING DIFFICULTY GETTING PRESCRIPTIONS. THE BENEFIT IS NOT AVAILABLE TO THOSE ON MEDICAID. ALL OTHER PATIENTS ARE ABLE TO RECEIVE THE BENEFIT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CARRYING AMOUNT OF PATIENT AND RESIDENT RECEIVABLES IS REDUCED BY A VALUATION ALLOWANCE THAT REFLECTS MANAGEMENT'S BEST ESTIMATE OF AMOUNTS THAT WILL NOT BE COLLECTED FROM PATIENTS, RESIDENTS, AND THIRD PARTY PAYORS. MANAGEMENT REVIEWS PATIENT AND RESIDENT RECEIVABLES BY PAYOR CLASS AND APPLIES PERCENTAGES TO DETERMINE ESTIMATED AMOUNTS THAT WILL NOT BE COLLECTED FROM THIRD PARTIES UNDER CONTRACTUAL AGREEMENTS AND AMOUNTS THAT WILL NOT BE COLLECTED FROM PATIENTS AND RESIDENTS DUE TO BAD DEBTS. MANAGEMENT CONSIDERS HISTORICAL WRITE OFF RECOVERY INFORMATION IN DETERMINING BAD DEBT PROVISION. COMMUNITY BENEFIT IS NOT A FACTOR IN BAD DEBT EXPENSE AS THE HOSPITAL HAS GUIDELINES IN PLACE TO DETERMINE ELIGIBILITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>6 DEPARTMENTS ARE ABOVE 1:1 COST RATIO: MEDICAL SUPPLIES 2.851996; BLOOD STORING 1.855960; OUTPATIENT SERVICES 3.233694; OBSERVATION 4.773856; DRUGS CHARGED TO PATIENTS 1.042972; EMERGENCY 1.429535.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A FINANCIAL ASSISTANCE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPITAL PARTICIPATES IN COMMUNITY NEEDS ASSESSMENT IN COOPERATION WITH MT OFFICE OF RURAL HEALTH. THE OFFICE WILL BE DOING THESE EVERY 3 YEARS. THE LAST ONE WE PARTICIPATED IN WAS IN 2021. THE ORGANIZATION WILL BEGIN A NEW ASSESSMENT IN 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPITAL'S FINANCIAL COUNSELOR MAILS INFORMATION TO THE PATIENTS. SHE IS ALSO AVAILABLE BY APPOINTMENT TO HELP WITH ANY PAPERWORK TO DETERMINE IF THE PATIENT IS ELIGIBLE BY FEDERAL POVERTY GUIDELINES TO QUALIFY FOR FINANCIAL ASSISTANCE. THE CLINIC'S PATIENT NAVIGATOR MEETS FACE TO FACE WITH PATIENTS AND ASSISTS THEM WITH THE PROPER PAPERWORK TO OBTAIN DRUGS AT NO COST FROM PHARMACEUTICAL COMPANIES. PATIENTS ARE REFERRED TO COVER MONTANA FOR THE HEALTHY MONTANA KIDS PROGRAM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPITAL IS A 25 BED CAH BASED IN CHESTER, LIBERTY COUNTY, MT. SERVICE AREA IS 1,430 SQUARE MILES. COUNTY IS A FRONTIER COMMUNITY LOCATED IN NORTHCENTRAL MT WITH A POPULATION DENSITY OF 1.4/SQUARE MILE. THE TOWN POPULATION OF CHESTER IS 840 AND THE COUNTY POPULATION IS 1,972, BUT THE HOSPITAL SERVES APPROXIMATELY 2,500 PEOPLE. LIBERTY COUNTY IS DESIGNATED AS A MEDICALLY UNDERSERVED AREA AS WELL AS A PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREA. 21.2% OF RESIDENTS ARE AT OR BELOW 200% FPL AND 16.1% ARE AT OR BELOW 100% FPL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPITAL PROVIDES ALL HEALTHCARE TO THE COMMUNITYALL PHYSICIAN SERVICES, LONG TERM CARE, ASSISTED LIVING IS PROVIDED TO THE HOSPITAL. THE HOSPITAL PROVIDES CARE TO ANYONE WHO REQUESTS CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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        <PersonNm>CHERIE TAYLOR</PersonNm>
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        <PersonNm>SHARI DOLAN</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NANCY KLEINSASSER</PersonNm>
        <TitleTxt>DIRECTOR OF NURSING</TitleTxt>
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        <PersonNm>TIMOTHY BLAIR</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>CRAIG LAMBRECHT, COLE TURNER, AND CHERIE TAYLOR PARTICIPATED IN A SECTION 457(F) DEFERRED COMPENSATION PLAN BUT RECEIVED NO PAYMENT FROM THE PLAN. A COMMITTEE APPOINTED BY THE BOARD OF TRUSTEES SELECTS THE PLAN'S PARTICIPANTS FROM A SELECT GROUP OF MANAGEMENT AND HIGHLY COMPENSATED EMPLOYEES. THE EMPLOYER WILL CONTRIBUTE TO THE PLAN BASED ON THE TERMS OF THE PARTICIPANT'S INCENTIVE COMPENSATION PLAN. THE FUNDS IN THE PARTICIPANT'S NON-RETIREMENT ACCOUNT ARE DISTRIBUTABLE IN THE THIRD YEAR AFTER THE PARTICIPANT PERFORMS THE SERVICES ATTRIBUTABLE TO THE DEFERRED COMPENSATION. THE PARTICIPANT CAN DEFER DISTRIBUTION. THE FUNDS IN THE PARTICIPANT'S RETIREMENT ACCOUNT ARE DISTRIBUTABLE WHEN THE PARTICIPANT SEPARATES FROM SERVICE. A PARTICIPANT'S NON-RETIREMENT ACCOUNT VESTS AT THE EARLIER OF THE PARTICIPANT'S DEATH, DISABILITY, OR ELECTED DISTRIBUTION DATE. A PARTICIPANT'S RETIREMENT ACCOUNT VESTS UPON THE COMPLETION OF FIVE YEARS OF SERVICE AS A SENIOR EXECUTIVE OR, IF EARLIER, THE PARTICIPANT'S DEATH OR DISABILITY. ANY AMOUNT CREDITED TO THE PARTICIPANT'S ACCOUNT IS TAXABLE ON THE VESTING DATE, REGARDLESS OF WHETHER THE AMOUNT DISTRIBUTABLE AT THAT TIME.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS ONE MEMBER, LOGAN HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>TO BE EFFECTIVE, SIGNIFICANT DECISIONS OF THE GOVERNING BOARD MUST BE APPROVED BY ITS MEMBER, LOGAN HEALTH. SIGNIFICANT DECISIONS INCLUDE CHANGES TO THE BOARD OF DIRECTORS, CONFIRMATION OF THE ANNUAL BUDGETS, ENTERING INTO LARGE CONTRACTS, AND REORGANIZATION OF THE ORGANIZATION WITH TWO UNACCEPTABLE SLATES OF NOMINEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>TO BE EFFECTIVE, SIGNIFICANT DECISIONS OF THE GOVERNING BOARD MUST BE APPROVED BY ITS MEMBER, LOGAN HEALTH. SIGNIFICANT DECISIONS INCLUDE CHANGES TO THE BOARD OF DIRECTORS, CONFIRMATION OF THE ANNUAL BUDGETS, ENTERING INTO LARGE CONTRACTS, AND REORGANIZATION OF THE ORGANIZATION WITH TWO UNACCEPTABLE SLATES OF NOMINEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
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        <ExplanationTxt>PRIOR TO FILING FORM 990, THE ORGANIZATION'S CHIEF FINANCIAL OFFICER OR FINANCE TEAM DELEGATE MADE A COPY OF THE RETURN AVAILABLE FOR REVIEW BY EMAIL, PORTAL, OR IN PERSON.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICERS, DIRECTORS, AND TRUSTEES REVIEW THE CONFLICT OF INTEREST POLICY ANNUALLY AND SIGN NOTICE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION WAS SET BY LUTS FINANCIAL, AN UNRELATED MANAGEMENT COMPANY. THE BOARD REVIEWED AND SIGNED THE COMPENSATION CONTRACTS AND REVIEWED AND APPROVED MONTHLY BILLING STATEMENTS ASSOCIATED WITH THE CONTRACTS.</ExplanationTxt>
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        <ExplanationTxt>UPON REQUEST.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER SERVICES: PROGRAM SERVICE EXPENSES 1,512,814. MANAGEMENT AND GENERAL EXPENSES 57,596. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,570,410.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFER FROM AFFILIATE 15,339.</ExplanationTxt>
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          <CityNm>KALISPELL</CityNm>
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      <IdRelatedTaxExemptOrgGrp>
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          <AddressLine1Txt>310 SUNNYVIEW LANE</AddressLine1Txt>
          <CityNm>KALISPELL</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
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          <BusinessNameLine1Txt>KALISPELL REGIONAL HEALTHCARE FOUNDATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>310 SUNNYVIEW LANE</AddressLine1Txt>
          <CityNm>KALISPELL</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
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        <PrimaryActivitiesTxt>SUPPORTING ORGANIZATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MT</LegalDomicileStateCd>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>KALISPELL REGIONAL MEDICAL CENTER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ASSIST-FLATHEAD VALLEY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>310 SUNNYVIEW LANE</AddressLine1Txt>
          <CityNm>KALISPELL</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59901</ZIPCd>
        </USAddress>
        <EIN>462669324</EIN>
        <PrimaryActivitiesTxt>WELLNESS RESOURCE PROVIDER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MT</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>KALISPELL REGIONAL MEDICAL CENTER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>KALISPELL REGIONAL MEDICAL CENTER VOLUNTEERS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>310 SUNNYVIEW LANE</AddressLine1Txt>
          <CityNm>KALISPELL</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59901</ZIPCd>
        </USAddress>
        <EIN>273866474</EIN>
        <PrimaryActivitiesTxt>SUPPORTING ORGANIZATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MT</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>KALISPELL REGIONAL MEDICAL CENTER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LIBERTY COUNTY HOSPITAL AND NURSING HOME INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>315 W MADISON AVE</AddressLine1Txt>
          <CityNm>CHESTER</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59522</ZIPCd>
        </USAddress>
        <EIN>810515463</EIN>
        <PrimaryActivitiesTxt>PROVIDE ACUTE HOSPITAL CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MT</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LOGAN HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LOGAN HEALTH - CONRAD</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>805 SUNSET BLVD</AddressLine1Txt>
          <CityNm>CONRAD</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59425</ZIPCd>
        </USAddress>
        <EIN>810232406</EIN>
        <PrimaryActivitiesTxt>PROVIDE ACUTE HOSPITAL CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MT</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LOGAN HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LOGAN HEALTH - CUT BANK</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>310 SUNNYVIEW LANE</AddressLine1Txt>
          <CityNm>KALISPELL</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59901</ZIPCd>
        </USAddress>
        <EIN>810530457</EIN>
        <PrimaryActivitiesTxt>PROVIDE ACUTE HOSPITAL CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MT</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LOGAN HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LOGAN HEALTH - SHELBY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>640 PARK AVE</AddressLine1Txt>
          <CityNm>SHELBY</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59474</ZIPCd>
        </USAddress>
        <EIN>862327525</EIN>
        <PrimaryActivitiesTxt>PROVIDE ACUTE HOSPITAL CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MT</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LOGAN HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LOGAN HEALTH - WHITEFISH</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1600 HOSPITAL WAY</AddressLine1Txt>
          <CityNm>WHITEFISH</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59937</ZIPCd>
        </USAddress>
        <EIN>810247969</EIN>
        <PrimaryActivitiesTxt>PROVIDE ACUTE HOSPITAL CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MT</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LOGAN HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LOGAN HEALTH EMERGENCY MEDICAL SERVICES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>310 SUNNYVIEW LANE</AddressLine1Txt>
          <CityNm>KALISPELL</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59901</ZIPCd>
        </USAddress>
        <EIN>880538346</EIN>
        <PrimaryActivitiesTxt>EMERGENCY SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MT</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LOGAN HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>RURAL EMERGENCY CARE ALLIANCE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>310 SUNNYVIEW LANE</AddressLine1Txt>
          <CityNm>KALISPELL</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59901</ZIPCd>
        </USAddress>
        <EIN>883504819</EIN>
        <PrimaryActivitiesTxt>PROVIDE SUPPORT FOR EMERGENCY MEDICAL SERVICE PROVIDERS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MT</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LOGAN HEALTH EMERGENCY MEDICAL SERVICES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MONTANA PEDIATRICS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>259 W FRONT ST STE B</AddressLine1Txt>
          <CityNm>MISSOULA</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59802</ZIPCd>
        </USAddress>
        <EIN>854133807</EIN>
        <PrimaryActivitiesTxt>AMBULATORY CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MT</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LOGAN HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NORTHWEST HORIZONS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>310 SUNNYVIEW LANE</AddressLine1Txt>
          <CityNm>KALISPELL</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59901</ZIPCd>
        </USAddress>
        <EIN>810420653</EIN>
        <PrimaryActivitiesTxt>LONG-TERM AMBULATORY CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MT</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LOGAN HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SUMMIT MEDICAL FITNESS CENTER</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>310 SUNNYVIEW LANE</AddressLine1Txt>
          <CityNm>KALISPELL</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59901</ZIPCd>
        </USAddress>
        <EIN>203752312</EIN>
        <PrimaryActivitiesTxt>COMMUNITY HEALTH &amp; WELLNESS CENTER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MT</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LOGAN HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NORTH VALLEY HOSPITAL FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1600 HOSPITAL WAY</AddressLine1Txt>
          <CityNm>WHITEFISH</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59937</ZIPCd>
        </USAddress>
        <EIN>810526541</EIN>
        <PrimaryActivitiesTxt>SUPPORTING ORGANIZATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MT</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12C, III-FI</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LOGAN HEALTH - WHITEFISH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LOGAN HEALTH ASSISTED LIVING - SHELBY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>111 2ND ST S</AddressLine1Txt>
          <CityNm>SHELBY</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59474</ZIPCd>
        </USAddress>
        <EIN>862394240</EIN>
        <PrimaryActivitiesTxt>RETIREMENT &amp; ASSISTED LIVING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MT</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NORTHWEST HORIZONS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LOGAN HEALTH CARE CENTER - SHELBY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>630 PARK DRIVE</AddressLine1Txt>
          <CityNm>SHELBY</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59474</ZIPCd>
        </USAddress>
        <EIN>862346458</EIN>
        <PrimaryActivitiesTxt>LONG-TERM CARE &amp; SKILLED NURSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MT</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NORTHWEST HORIZONS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>FLATHEAD HOSPITAL DEVELOPMENT COMPANY LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>310 SUNNYVIEW LANE</AddressLine1Txt>
          <CityNm>KALISPELL</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59901</ZIPCd>
        </USAddress>
        <EIN>810541707</EIN>
        <PrimaryActivitiesTxt>COMMERCIAL BUILDING RENTAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MT</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>APPLIED HEALTH SERVICES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>310 SUNNYVIEW LANE</AddressLine1Txt>
          <CityNm>KALISPELL</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59901</ZIPCd>
        </USAddress>
        <EIN>810413632</EIN>
        <PrimaryActivitiesTxt>HEALTH RELATED</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MT</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>KALISPELL REGIONAL MEDICAL CENTER</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>170861</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL PAYMENT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LOGAN HEALTH</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>1028049</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL PAYMENT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>