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      <Form990PartVIISectionAGrp>
        <PersonNm>Cory Pullfrey</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Anne Thomas MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Chelsea Williams</PersonNm>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Beth Warner - Foundation</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Deb Gill</PersonNm>
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      <GrantsToDomesticIndividualsGrp>
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      <OtherEmployeeBenefitsGrp>
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        <ManagementAndGeneralAmt>28286</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>13151</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>22680</ManagementAndGeneralAmt>
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      <FeesForServicesProfFundraising>
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        <FundraisingAmt>50000</FundraisingAmt>
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        <ManagementAndGeneralAmt>30123</ManagementAndGeneralAmt>
        <FundraisingAmt>120490</FundraisingAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>90810</TotalAmt>
        <ManagementAndGeneralAmt>12431</ManagementAndGeneralAmt>
        <FundraisingAmt>78379</FundraisingAmt>
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      <AdvertisingGrp>
        <TotalAmt>18992</TotalAmt>
        <ManagementAndGeneralAmt>4785</ManagementAndGeneralAmt>
        <FundraisingAmt>14207</FundraisingAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>13631</TotalAmt>
        <ManagementAndGeneralAmt>4771</ManagementAndGeneralAmt>
        <FundraisingAmt>8860</FundraisingAmt>
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      <OccupancyGrp>
        <TotalAmt>85818</TotalAmt>
        <ManagementAndGeneralAmt>34327</ManagementAndGeneralAmt>
        <FundraisingAmt>51491</FundraisingAmt>
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      <TravelGrp>
        <TotalAmt>3523</TotalAmt>
        <ManagementAndGeneralAmt>634</ManagementAndGeneralAmt>
        <FundraisingAmt>2889</FundraisingAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>2349</TotalAmt>
        <ManagementAndGeneralAmt>423</ManagementAndGeneralAmt>
        <FundraisingAmt>1926</FundraisingAmt>
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      <DepreciationDepletionGrp>
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        <ManagementAndGeneralAmt>1625</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Dues &amp; Subscriptions</Desc>
        <TotalAmt>19478</TotalAmt>
        <ManagementAndGeneralAmt>2922</ManagementAndGeneralAmt>
        <FundraisingAmt>16556</FundraisingAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>77870</TotalAmt>
        <ManagementAndGeneralAmt>2260</ManagementAndGeneralAmt>
        <FundraisingAmt>75610</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>3704931</TotalAmt>
        <ProgramServicesAmt>2329418</ProgramServicesAmt>
        <ManagementAndGeneralAmt>368418</ManagementAndGeneralAmt>
        <FundraisingAmt>1007095</FundraisingAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>7510674</BOYAmt>
        <EOYAmt>5179890</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>1002135</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>27963</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>27226</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>5218</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>22008</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>34429857</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
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        <EOYAmt>4425667</EOYAmt>
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        <BOYAmt>27445</BOYAmt>
        <EOYAmt>26415</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>40417522</BOYAmt>
        <EOYAmt>45113935</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>49426</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>77000</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>1007104</BOYAmt>
        <EOYAmt>780496</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>1112698</BOYAmt>
        <EOYAmt>906922</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>19878233</BOYAmt>
        <EOYAmt>23281564</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>19426591</BOYAmt>
        <EOYAmt>20925449</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>39304824</BOYAmt>
        <EOYAmt>44207013</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>40417522</BOYAmt>
        <EOYAmt>45113935</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>788439</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>2979238</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>1134512</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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      <GiftsGrantsContriRcvd170Grp>
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        <CurrentTaxYearMinus3YearsAmt>3019000</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1270375</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1740665</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2955616</CurrentTaxYearAmt>
        <TotalAmt>18566965</TotalAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>3019000</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1270375</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1740665</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2955616</CurrentTaxYearAmt>
        <TotalAmt>18566965</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>6666595</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>11900370</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>664312</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>741242</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>876765</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1062158</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>982493</CurrentTaxYearAmt>
        <TotalAmt>4326970</TotalAmt>
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      <UnrelatedBusinessNetIncm170Grp>
        <CurrentTaxYearMinus3YearsAmt>13032</CurrentTaxYearMinus3YearsAmt>
        <TotalAmt>13032</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <TotalSupportAmt>22906967</TotalSupportAmt>
      <PublicSupportCY170Pct>0.51950</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.54550</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <ContributionsAmt>1123688</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>3137317</InvestmentEarningsOrLossesAmt>
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        <EndYearBalanceAmt>10954784</EndYearBalanceAmt>
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        <EndYearBalanceAmt>24878147</EndYearBalanceAmt>
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        <OtherExpendituresAmt>558203</OtherExpendituresAmt>
        <EndYearBalanceAmt>20672068</EndYearBalanceAmt>
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        <ContributionsAmt>973493</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>3399161</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>584515</OtherExpendituresAmt>
        <EndYearBalanceAmt>24534132</EndYearBalanceAmt>
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      <CYMinus4YrEndwmtFundGrp>
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        <InvestmentEarningsOrLossesAmt>2623596</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>349488</OtherExpendituresAmt>
        <EndYearBalanceAmt>20745993</EndYearBalanceAmt>
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      <BoardDesignatedBalanceEOYPct>0.00000</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.46330</PrmnntEndowmentBalanceEOYPct>
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      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <EquipmentGrp>
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        <DepreciationAmt>5218</DepreciationAmt>
        <BookValueAmt>22008</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>22008</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>Private equity funds</Desc>
        <BookValueAmt>4425667</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Estimated liability to beneficiaries</Desc>
        <Amt>211652</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Due to hospital division</Desc>
        <Amt>568844</Amt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <NetUnrealizedGainsInvstAmt>2979238</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>78601</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>-15488</OtherRevenueAmt>
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      <RevenueSubtotalAmt>4342757</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>150613</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>150613</RevenueNotReportedFinclStmtAmt>
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      <InvestmentExpensesNotIncld2Amt>150613</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>150613</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>3704931</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. The other expenditure for facilities and programs reported on line 1e includes $17,933,754 which pertains to the removal of board designation.</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 -15,488.</ExplanationTxt>
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      <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>Alliance Philanthropy LLC</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>1359 Larkin Lane</AddressLine1Txt>
          <CityNm>Kalispell</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59901</ZIPCd>
        </USAddress>
        <ActivityTxt>Oversight and implementing fundraising</ActivityTxt>
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        <GrossReceiptsAmt>403516</GrossReceiptsAmt>
        <RetainedByContractorAmt>50000</RetainedByContractorAmt>
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      <TotalGrossReceiptsAmt>403516</TotalGrossReceiptsAmt>
      <TotalRetainedByContractorsAmt>50000</TotalRetainedByContractorsAmt>
      <TotalNetToOrganizationAmt>353516</TotalNetToOrganizationAmt>
      <LicensedStatesCd>MT</LicensedStatesCd>
      <LicensedStatesCd>OR</LicensedStatesCd>
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        <Event1Nm>Hospitality Auction</Event1Nm>
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          <AddressLine1Txt>915 Highland Blvd</AddressLine1Txt>
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      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Gordon Davidson Scholarship Fund</GrantTypeTxt>
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      <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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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <PersonNm>Anne Thomas MD</PersonNm>
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        <ContributionCnt>5</ContributionCnt>
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        <MethodOfDeterminingRevenuesTxt>Selling Price</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Hospitality Auction Items</Desc>
        <ContributionCnt>170</ContributionCnt>
        <NoncashContributionsRptF990Amt>54416</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Donor Designated Val</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Employee Gifts</Desc>
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        <NoncashContributionsRptF990Amt>8036</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Donor Designated Val</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
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        <MethodOfDeterminingRevenuesTxt>Donor Designated Val</MethodOfDeterminingRevenuesTxt>
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        <FormAndLineReferenceDesc>Part I, Column (b):</FormAndLineReferenceDesc>
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      <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 Health Systems Planning and Finance Committee will review the Form 990 with the Finance Team and will make a recommendation to the full Board for acceptance. A copy of the 990 is provided to the Board of Directors prior to filing.</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>Bozeman Health determines compensation for the Foundation President. 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 2023 to determine 2024 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 -15,488. Transfers from Bozeman Health Deaconess Hospital 1,150,000.</ExplanationTxt>
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          <BusinessNameLine1Txt>Bozeman HealthUSP Surgery Centers LLC</BusinessNameLine1Txt>
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        <USAddress>
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          <StateAbbreviationCd>TX</StateAbbreviationCd>
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          <AddressLine1Txt>PO Box 10490</AddressLine1Txt>
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