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            <CityNm>DEER LODGE</CityNm>
            <StateAbbreviationCd>MT</StateAbbreviationCd>
            <ZIPCd>59722</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT MANAGEMENT SERVICES</ServicesDesc>
        <CompensationAmt>697754</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PRAIRIE TRAVELERS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>41 1ST ST N</AddressLine1Txt>
            <CityNm>GLASGOW</CityNm>
            <StateAbbreviationCd>MT</StateAbbreviationCd>
            <ZIPCd>59230</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT NURSING</ServicesDesc>
        <CompensationAmt>666727</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MONTANA HEALTH NETWORK INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>519 PLEASANT STREET</AddressLine1Txt>
            <CityNm>MILES CITY</CityNm>
            <StateAbbreviationCd>MT</StateAbbreviationCd>
            <ZIPCd>59301</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT NURSING</ServicesDesc>
        <CompensationAmt>287743</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>7</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>22128</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>77218</AllOtherContributionsAmt>
      <TotalContributionsAmt>99346</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICES</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>20707633</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>20707633</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER PROGRAM REVENUE</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>700235</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>700235</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CAFETERIA</Desc>
        <BusinessCd>722513</BusinessCd>
        <TotalRevenueColumnAmt>40505</TotalRevenueColumnAmt>
        <ExclusionAmt>40505</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>21448373</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1281</TotalRevenueColumnAmt>
        <ExclusionAmt>1281</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>13569</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>13569</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>13569</TotalRevenueColumnAmt>
        <ExclusionAmt>13569</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>21562569</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>21407868</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>55355</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>8641</TotalAmt>
        <ProgramServicesAmt>8641</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>314003</TotalAmt>
        <ManagementAndGeneralAmt>314003</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>7969786</TotalAmt>
        <ProgramServicesAmt>7347082</ProgramServicesAmt>
        <ManagementAndGeneralAmt>622704</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>247268</TotalAmt>
        <ProgramServicesAmt>158905</ProgramServicesAmt>
        <ManagementAndGeneralAmt>88363</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1154206</TotalAmt>
        <ProgramServicesAmt>732174</ProgramServicesAmt>
        <ManagementAndGeneralAmt>422032</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>597618</TotalAmt>
        <ProgramServicesAmt>390271</ProgramServicesAmt>
        <ManagementAndGeneralAmt>207347</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>3510018</TotalAmt>
        <ManagementAndGeneralAmt>3510018</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <AdvertisingGrp>
        <TotalAmt>37138</TotalAmt>
        <ProgramServicesAmt>2320</ProgramServicesAmt>
        <ManagementAndGeneralAmt>34818</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>96953</TotalAmt>
        <ProgramServicesAmt>28152</ProgramServicesAmt>
        <ManagementAndGeneralAmt>68801</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>301882</TotalAmt>
        <ProgramServicesAmt>134282</ProgramServicesAmt>
        <ManagementAndGeneralAmt>167600</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>329297</TotalAmt>
        <ProgramServicesAmt>58165</ProgramServicesAmt>
        <ManagementAndGeneralAmt>271132</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>7748</TotalAmt>
        <ProgramServicesAmt>2408</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5340</ManagementAndGeneralAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>786321</TotalAmt>
        <ProgramServicesAmt>786321</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <OtherExpensesGrp>
        <Desc>PURCHASED SERVICES</Desc>
        <TotalAmt>2719730</TotalAmt>
        <ProgramServicesAmt>2458973</ProgramServicesAmt>
        <ManagementAndGeneralAmt>260757</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROVIDER CONTRACT SERVI</Desc>
        <TotalAmt>1970118</TotalAmt>
        <ProgramServicesAmt>1970118</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>1257606</TotalAmt>
        <ProgramServicesAmt>1231871</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25735</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>231333</TotalAmt>
        <ProgramServicesAmt>231333</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1827284</TotalAmt>
        <ProgramServicesAmt>1480424</ProgramServicesAmt>
        <ManagementAndGeneralAmt>346860</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>23366950</TotalAmt>
        <ProgramServicesAmt>17021440</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6345510</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1071301</BOYAmt>
        <EOYAmt>409930</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>22891167</BOYAmt>
        <EOYAmt>27458073</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>294538</BOYAmt>
        <EOYAmt>245154</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>35009</BOYAmt>
        <EOYAmt>23594</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>11890584</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>3462522</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>8872569</BOYAmt>
        <EOYAmt>8428062</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <TotalAssetsGrp>
        <BOYAmt>33164584</BOYAmt>
        <EOYAmt>36564813</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>28938005</BOYAmt>
        <EOYAmt>34142615</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>28938005</BOYAmt>
        <EOYAmt>34142615</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>4226579</BOYAmt>
        <EOYAmt>2422198</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>4226579</BOYAmt>
        <EOYAmt>2422198</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>33164584</BOYAmt>
        <EOYAmt>36564813</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-1804381</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>262477</OtherCostOrOtherBasisAmt>
        <BookValueAmt>262477</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>7658673</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1110855</DepreciationAmt>
        <BookValueAmt>6547818</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>3892973</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2351667</DepreciationAmt>
        <BookValueAmt>1541306</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>76461</OtherCostOrOtherBasisAmt>
        <BookValueAmt>76461</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>8428062</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION COMPRISES SEVERAL CORPORATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE IRC, EXCEPT TO THE EXTENT OF UNRELATED BUSINESS TAXABLE INCOME AS DEFINED UNDER IRC SECTIONS 511 THROUGH 515, AND SEVERAL LIMITED LIABILITY COMPANIES. THE ORGANIZATION HAS ADOPTED ACCOUNTING FOR UNCERTAIN TAX POSITIONS, WHICH IS AN ACCOUNTING STANDARD THAT PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR UNCERTAIN TAX POSITIONS. THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2024 OR 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <FinancialAssistancePolicyInd>1</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>1</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>1</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>1</FPGReferenceDiscountedCareInd>
      <Percent400Ind>X</Percent400Ind>
      <FreeCareMedicallyIndigentInd>1</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>1</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>1</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>0</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>0</AnnualCommunityBnftReportInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>112856</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>112856</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00490</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>4300707</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>3465963</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>834744</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.03610</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>4413563</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>3465963</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>947600</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.04100</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>1960</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1960</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00010</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>8641</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>8641</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00040</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>10601</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>10601</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00050</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>4424164</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>3465963</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>958201</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.04150</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>1</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>231333</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>0</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>5732444</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>6780653</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-1048209</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>2</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>BENEFIS TETON MEDICAL CENTER</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>915 FOURTH ST NW</AddressLine1Txt>
          <CityNm>CHOTEAU</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59422</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WEBSITE: SEE PART VI SUPPLEMENTAL INFO</WebsiteAddressTxt>
        <StateLicenseNum>12766</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <CriticalAccessHospitalInd>X</CriticalAccessHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <OtherDesc>INCLUDING EXTENDED CARE LIVING &amp; RURAL HEALTH CLINIC</OtherDesc>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>2</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>BENEFIS MISSOURI RIVER MEDICAL CENTER</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>1501 ST CHARLES STREET</AddressLine1Txt>
          <CityNm>FORT BENTON</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59442</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WEBSITE: SEE PART VI SUPPLEMENTAL INFO</WebsiteAddressTxt>
        <StateLicenseNum>000000074</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <CriticalAccessHospitalInd>X</CriticalAccessHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <OtherDesc>INCLUDING EXTENDED CARE LIVING &amp; RURAL HEALTH CLINIC</OtherDesc>
        <FacilityReportingGroupCd>B</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>BENEFIS TETON MEDICAL CENTER</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>23</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>0</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>1</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE PART V, PAGE 8</OwnWebsiteURLTxt>
        <OtherWebsiteInd>X</OtherWebsiteInd>
        <OtherWebsiteURLTxt>WWW.TETONCOMT.ORG</OtherWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>24</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE PART V, PAGE 8</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <OtherCriteriaInd>X</OtherCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SEE PART V, PAGE 8</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE PART V, PAGE 8</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SEE PART V, PAGE 8</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitReportToCreditAgencyInd>X</PermitReportToCreditAgencyInd>
        <PermitLegalJudicialProcessInd>X</PermitLegalJudicialProcessInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>BENEFIS MISSOURI RIVER MEDICAL CENTER</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>1</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>23</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>0</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>1</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE PART V, PAGE 8</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>24</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE PART V, PAGE 8</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <OtherCriteriaInd>X</OtherCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SEE PART V, PAGE 8</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE PART V, PAGE 8</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SEE PART V, PAGE 8</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitReportToCreditAgencyInd>X</PermitReportToCreditAgencyInd>
        <PermitLegalJudicialProcessInd>X</PermitLegalJudicialProcessInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B</FormAndLineReferenceDesc>
        <ExplanationTxt>FACILITY REPORTING GROUP A</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY REPORTING GROUP A CONSISTS OF:</FormAndLineReferenceDesc>
        <ExplanationTxt>- FACILITY 1: BENEFIS TETON MEDICAL CENTER</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BENEFIS TETON MEDICAL CENTER PART V, SECTION B, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>BENEFIS TETON MEDICAL CENTER COLLABORATED WITH TETON COUNTY PUBLIC HEALTH DEPARTMENT TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT. SURVEYS WERE DISTRIBUTED TO TETON COUNTY KEY INFORMANTS WHICH INCLUDED COMMUNITY LEADERS, COUNTY HIGH SCHOOL TEACHERS AND STAFF, SCHOOL ADMINISTRATORS, HEALTHCARE PROFESSIONALS, AND FAITH COMMUNITY LEADERS. SURVEYS WERE PLACED ON SOCIAL MEDIA OUTLETS WHICH INCLUDED QR CODES. POSTERS WHICH INCLUDED THE QR CODES WERE DISTRIBUTED TO PUBLIC BULLETIN BOARDS THROUGHOUT TETON COUNTY AS WELL AS POSTED IN COUNTY HEALTHCARE FACILITIES. A TOTAL OF 212 SURVEYS WERE RETURNED FROM THE KEY INFORMANTS GROUP AND 202 SURVEYS WERE RETURNED FROM THE COMMUNITY SURVEYS. BENEFIS TETON MEDICAL CENTER AND THE TETON COUNTY HEALTH DEPARTMENT CONDUCTED A SERIES OF 7 FOCUS GROUP DISCUSSIONS WITH MEMBERS OF TARGETED POPULATIONS IN THE COMMUNITY: HIGH SCHOOL STUDENTS, LOW INCOME FAMILIES, BEHAVIORAL HEALTH PATIENTS, INDIVIDUALS WITH CHRONIC HEALTH CONDITIONS, AND SENIOR CITIZENS. A TOTAL OF 40 COMMUNITY MEMBERS PARTICIPATED IN GROUPS RANGING IN SIZE FROM THREE TO ELEVEN. EACH GROUP WAS ASKED 7 QUESTIONS WHICH AIMED TO ASSESS QUALITY OF LIFE IN TETON COUNTY, ACCESS TO CARE IN THE AREA, QUALITY OF LOCAL CARE PROVIDED, AND ADDITIONAL HEALTH SERVICES NEEDED. DATA WAS COMPILED FROM THE FOCUS GROUPS DISCUSSIONS AND ANSWERS. FOCUS GROUP PARTICIPANTS WERE PROMISED ANONYMITY.THE FOLLOWING COMMUNITY PARTNERS AND STAKEHOLDERS PROVIDED VALUABLE INPUT TOWARDS UNDERSTANDING THE HEALTH STATUS OF TETON COUNTY:3 RIVERS COMMUNICATIONSALLUVION HEALTHBENEFIS TETON MEDICAL CENTER FOUNDATIONBETHANY CHRISTIAN SERVICESBIG SKY SPECIAL NEEDS COOPERATIVECOURAGE COUNSELINGDPHHS CHILD AND FAMILY SERVICES DIVISIONDUTTON/BRADY SCHOOL DISTRICTEASTERN FRONT COUNSELINGFAIRFIELD ELEMENTARY SCHOOL DISTRICTFAIRFIELD PUBLIC SCHOOLSFIRST BANK OF MONTANAFRONT RANGE CASA/GALFRONT RANGE FAMILY PSYCHIATRY, LLCFRONTIER FAMILY PRACTICEGREENFIELD SCHOOL DISTRICTHEART AND MIND COUNSELINGLIFE ALLIANCE FOR YOUTHLIVING THE WORDMONTANA FISH, WILDLIFE, &amp; PARKSMONTANA STATE UNIVERSITY EXTENSION SERVICEMOUNTAIN FRONT FAMILY VISION CENTERNEIGHBORS HELPING NEIGHBORSPOWER PUBLIC SCHOOLSSAINT JOSEPH'S CATHOLIC CHURCHSKYLINE LODGE APARTMENTSSUN RIVER ELECTRIC COOPERATIVETETON COUNTY AGRICULTURETETON COUNTY BOARD OF HEALTHTETON COUNTY COMMISSIONERSTETON COUNTY CONSERVATION DISTRICTTETON COUNTY COUNCIL ON AGINGTETON COUNTY EMS/ AMBULANCE SERVICESTETON COUNTY FOOD PANTRYTETON COUNTY HEALTH DEPARTMENTTETON COUNTY SEARCH AND RESCUETETON COUNTY SHERIFF'S OFFICETETON COUNTY SUPERINTENDENT OF SCHOOLSTETON PASS SKI AREATHE ALLEY CAT BAR &amp; BOWLINGTHE EDGE SALONTHE TETON COUNTY ABSTRACT COMPANYTOWN OF FAIRFIELDTRINITY LUTHERAN CHURCHTRUE NORTH COUNSELINGUSDA FORESTRY SERVICESWEIST FARMSWHOLLY AUTHENTIC LIFE, LLCZION LUTHERAN CHURCH</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BENEFIS TETON MEDICAL CENTER PART V, SECTION B, LINE 6B:</FormAndLineReferenceDesc>
        <ExplanationTxt>TETON COUNTY HEALTH DEPARTMENT</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BENEFIS TETON MEDICAL CENTER PART V, SECTION B, LINE 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>BENEFIS TETON MEDICAL CENTER (BTMC) AS A FOLLOW-UP TO THE CHNA PROCESS DEVELOPED AN IMPLEMENTATION PLAN TO ADDRESS CERTAIN IDENTIFIED COMMUNITY HEALTH NEEDS OVER THE NEXT THREE YEARS. BTMC IDENTIFIED THE AVAILABLE COMMUNITY PARTNERS TO BE A PART OF THE IMPLEMENTATION PLAN. THE COMMUNITY HEALTH NEED FOCUS AREAS WERE SELECTED BECAUSE THEY WERE SEEN TO ALIGN WITH THE MEDICAL CENTER'S CLINICAL MISSION AND THE MEDICAL CENTER HAS RESOURCES AVAILABLE TO CARRY OUT AN ACTION PLAN FOR EACH. BTMC IDENTIFIED THE FOUR TOP AREAS TO FOCUS ON AFTER CAREFUL CONSIDERATION OF ALL NEEDS IDENTIFIED IN THE CHNA. THESE FOUR ARE CONSIDERED THE MOST SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY AND WILL BE COVERED BY THE IMPACT INITIATIVES. OTHER HEALTH NEEDS IDENTIFIED IN THE ASSESSMENT, NOT DEEMED SIGNIFICANT, MAY BE INDIRECTLY IMPACTED BY THE INITIATIVES, BUT RESOURCE CONSTRAINTS PREVENT BTMC FROM DIRECTLY ADDRESSING THESE INITIATIVES. THE FOUR TOP AREAS TO FOCUS ON ARE ACCESS TO SPECIALTY AND PEDIATRIC CARE, MENTAL HEALTH, ACCESS TO WELLNESS AND LIFE IMPROVEMENT RESOURCES, AND COMMUNITY HEALTH EDUCATION.IN ADDRESSING THE PRIORITY AREA OF ACCESS TO SPECIALTY AND PEDIATRIC CARE OUR OBJECTIVE INCLUDES: - BRINGING IN OUTSIDE PROVIDERS THAT PROVIDE SPECIALTIES AND MAKE ACCESS TO SPECIALISTS MORE WIDELY KNOWN.IN ADDRESSING THE PRIORITY OF MENTAL HEALTH OUR OBJECTIVE INCLUDES: - EMPOWER THE CURRENTLY AVAILABLE RESOURCES AND USE TECHNOLOGY FOR A NEW ACCESS POINT FOR MENTAL HEALTH RESOURCES.IN ADDRESSING THE PRIORITY OF ACCESS TO WELLNESS AND LIFE IMPROVEMENT RESOURCES OUR OBJECTIVE INCLUDES: - REESTABLISH PREVIOUS HEALTH AND WELLNESS PROGRAMS.- USE EXISTING CARE COORDINATION TO TRACK PATIENTS FROM INITIAL CHECK-IN TO SUBSEQUENT FOLLOW-UP VISITS.IN ADDRESSING THE PRIORITY AREA OF COMMUNITY HEALTH EDUCATION OUR OBJECTIVE INCLUDES: - IMPROVING THE LEVEL OF HEALTH EDUCATION TO VARIOUS GROUPS, INCLUDING WHAT SERVICES ARE ALREADY AVAILABLE, AND LAUNCHING A NEW WEBSITE WITH INFORMATION/SERVICES AVAILABLE IN THE COUNTY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BENEFIS TETON MEDICAL CENTER PART V, SECTION B, LINE 13H:</FormAndLineReferenceDesc>
        <ExplanationTxt>- HOMELESS- DECEASED WITH NO ESTATE- MENTALLY INCAPACITATED WITH NO ONE TO ACT ON HIS OR HER BEHALF- MEDICAID ELIGIBLE, BUT NOT ON THE DATE OF SERVICE OR FOR NON-COVERED SERVICES- ENROLLED IN ONE OR MORE GOVERNMENTAL PROGRAMS FOR LOW-INCOME INDIVIDUALS HAVING ELIGIBILITY CRITERIA AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES - INCARCERATION IN A PENAL INSTITUTION</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B</FormAndLineReferenceDesc>
        <ExplanationTxt>FACILITY REPORTING GROUP B</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY REPORTING GROUP B CONSISTS OF:</FormAndLineReferenceDesc>
        <ExplanationTxt>- FACILITY 2: BENEFIS MISSOURI RIVER MEDICAL CENTER</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BENEFIS MISSOURI RIVER MEDICAL CENTER PART V, SECTION B, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>DETAILS OF ACQUISITION: JULY 1, 2023</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BENEFIS MISSOURI RIVER MEDICAL CENTER PART V, SECTION B, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>BENEFIS MISSOURI RIVER MEDICAL CENTER COLLABORATED WITH CHOUTEAU PUBLIC COUNTY HEALTH DEPARTMENT TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT. SURVEYS WERE DISTRIBUTED TO CHOUTEAU COUNTY KEY INFORMANTS WHICH INCLUDED SENIOR CITIZENS, RELIGIOUS GROUPS, SCHOOL ADMINISTRATORS, HEALTHCARE/BUSINESS LEADERS AND DISTRICT BOARD MEMBERS. SURVEYS WERE PLACED ON SOCIAL MEDIA OUTLETS WHICH INCLUDED QR CODES. POSTERS WHICH INCLUDED THE QR CODES WERE DISTRIBUTED TO PUBLIC BULLETIN BOARDS THROUGHOUT CHOUTEAU COUNTY AS WELL AS POSTED IN COUNTY HEALTHCARE FACILITIES. A TOTAL OF 112 SURVEYS WERE RETURNED FROM THE COMMUNITY SURVEYS. BENEFIS MISSOURI RIVER MEDICAL CENTER AND THE CHOUTEAU COUNTY DEPARTMENT OF PUBLIC HEALTH CONDUCTED A SERIES OF THREE FOCUS GROUP DISCUSSIONS WITH MEMBERS OF THE COMMUNITY REPRESENTING KEY DEMOGRAPHIC COHORTS (I.E., SENIOR CITIZENS, RELIGIOUS GROUPS, SCHOOL ADMINISTRATORS, HEALTHCARE/BUSINESS LEADERS, AND DISTRICT BOARD MEMBERS). ELEVEN INDIVIDUALS PARTICIPATED IN DISCUSSION GROUPS RANGING IN SIZE FROM THREE TO FIVE. EACH GROUP WAS ASKED AROUND 10 QUESTIONS WHICH AIMED TO ASSESS THE MOST SERIOUS HEALTH ISSUES IN CHOUTEAU COUNTY, ACCESS TO CARE IN THE AREA, QUALITY OF LOCAL CARE PROVIDED, REASONS FOR HEALTHCARE OUTMIGRATION, AND ADDITIONAL HEALTH SERVICES NEEDED. DATA WAS COMPILED FROM THE FOCUS GROUPS' DISCUSSIONS AND ANSWERS.THE FOLLOWING COMMUNITY PARTNERS AND STAKEHOLDERS PROVIDED VALUABLE INPUT TOWARDS UNDERSTANDING THE HEALTH STATUS OF TETON COUNTY:BEEHIVE HOMES OF CHOTEAUCHOTEAU &amp; VICINITY SOROPTIMISTCHOTEAU ACE HARDWARECHOTEAU ACTIVITIESCHOTEAU CHAMBER OF COMMERCECHOTEAU ELEMENTARY SCHOOLCHOTEAU LIONS CLUBCHOTEAU PUBLIC SCHOOLSCHOTEAU ROXY THEATRECHOTEAU SENIOR CITIZENS CENTERCHOTEAU VOLUNTEER FIRE COMPANYCHOTEAU/TETON PUBLIC LIBRARYCITY OF CHOTEAUFIT CHOTEAU</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BENEFIS MISSOURI RIVER MEDICAL CENTER PART V, SECTION B, LINE 6B:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHOUTEAU PUBLIC COUNTY HEALTH DEPARTMENT</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BENEFIS MISSOURI RIVER MEDICAL CENTER PART V, SECTION B, LINE 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>BENEFIS MISSOURI RIVER MEDICAL CENTER (BMRMC) AS A FOLLOW-UP TO THE CHNA PROCESS DEVELOPED AN IMPLEMENTATION PLAN TO ADDRESS CERTAIN IDENTIFIED COMMUNITY HEALTH NEEDS OVER THE NEXT THREE YEARS. BMRMC IDENTIFIED THE AVAILABLE COMMUNITY PARTNERS TO BE A PART OF THE IMPLEMENTATION PLAN. THE COMMUNITY HEALTH NEED FOCUS AREAS WERE SELECTED BECAUSE THEY WERE SEEN TO ALIGN WITH THE MEDICAL CENTER'S CLINICAL MISSION AND THE MEDICAL CENTER HAS RESOURCES AVAILABLE TO CARRY OUT AN ACTION PLAN FOR EACH. BMRMC IDENTIFIED THE FOUR TOP AREAS TO FOCUS ON AFTER CAREFUL CONSIDERATION OF ALL NEEDS IDENTIFIED IN THE CHNA. THESE FOUR ARE CONSIDERED THE MOST SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY AND WILL BE COVERED BY THE IMPACT INITIATIVES. OTHER HEALTH NEEDS IDENTIFIED IN THE ASSESSMENT, NOT DEEMED SIGNIFICANT, MAY BE INDIRECTLY IMPACTED BY THE INITIATIVES, BUT RESOURCE CONSTRAINTS PREVENT BMRMC FROM DIRECTLY ADDRESSING THESE INITIATIVES. THE FOUR TOP AREAS TO FOCUS ON ARE ACCESS TO SPECIALTY AND PEDIATRIC CARE, MENTAL HEALTH, ACCESS TO WELLNESS AND LIFE IMPROVEMENT RESOURCES, AND COMMUNITY HEALTH EDUCATION. IN ADDRESSING THE PRIORITY AREA OF ACCESS TO SPECIALTY AND PEDIATRIC CARE OUR OBJECTIVE INCLUDES: - BRINGING IN OUTSIDE PROVIDERS THAT PROVIDE SPECIALTIES AND MAKE ACCESS TO SPECIALISTS MORE WIDELY KNOWN. - MAKING ACCESS TO HEALTHCARE MORE AFFORDABLE BY ADOPTING A NEW FINANCIAL ASSISTANCE POLICY THAT WILL IMPACT A LARGER PERCENTAGE OF THE COMMUNITY AS RELATES TO FREE AND DISCOUNTED CARE.IN ADDRESSING THE PRIORITY OF MENTAL HEALTH OUR OBJECTIVE INCLUDES: - EMPOWER THE CURRENTLY AVAILABLE RESOURCES AND USE TECHNOLOGY FOR A NEW ACCESS POINT FOR MENTAL HEALTH RESOURCES.IN ADDRESSING THE PRIORITY OF ACCESS TO WELLNESS AND LIFE IMPROVEMENT RESOURCES OUR OBJECTIVE INCLUDES: - REESTABLISH PREVIOUS HEALTH AND WELLNESS PROGRAMS.- USE EXISTING CARE COORDINATION TO TRACK PATIENTS FROM INITIAL CHECK-IN TO SUBSEQUENT FOLLOW-UP VISITS.IN ADDRESSING THE COMMUNITY HEALTH EDUCATION OUR OBJECTIVE INCLUDES: - IMPROVING THE LEVEL OF HEALTH EDUCATION TO VARIOUS GROUPS, INCLUDING WHAT SERVICES ARE ALREADY AVAILABLE, AND LAUNCHING A NEW WEBSITE WITH INFORMATION/SERVICES AVAILABLE IN THE COUNTY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BENEFIS MISSOURI RIVER MEDICAL CENTER PART V, SECTION B, LINE 13H:</FormAndLineReferenceDesc>
        <ExplanationTxt>- HOMELESS- DECEASED WITH NO ESTATE- MENTALLY INCAPACITATED WITH NO ONE TO ACT ON HIS OR HER BEHALF- MEDICAID ELIGIBLE, BUT NOT ON THE DATE OF SERVICE OR FOR NON-COVERED SERVICES- ENROLLED IN ONE OR MORE GOVERNMENTAL PROGRAMS FOR LOW-INCOME INDIVIDUALS HAVING ELIGIBILITY CRITERIA AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES - INCARCERATION IN A PENAL INSTITUTION</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BENEFIS TETON MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, LINE 7A, CHNA ON HOSPITAL FACILITY WEBSITE: WWW.BENEFIS.ORG/ABOUT-BENEFIS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSBENEFIS TETON MEDICAL CENTERPART V, LINE 10A, IMPLEMENTATION PLAN WEBSITE: WWW.BENEFIS.ORG/ABOUT-BENEFIS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSTHE IMPLEMENTATION STRATEGY FOR THE 2023 COMMUNITY HEALTH NEEDS ASSESSMENT WAS ADOPTED IN 2024.BENEFIS TETON MEDICAL CENTERPART V, LINE 16A, FAP WEBSITE: WWW.BENEFIS.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCEBENEFIS TETON MEDICAL CENTERPART V, LINE 16B, FAP APPLICATION WEBSITE: WWW.BENEFIS.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCEBENEFIS TETON MEDICAL CENTERPART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: WWW.BENEFIS.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCEBENEFIS TETON MEDICAL CENTERPART V, LINE 16I: THERE IS NO LIMITED ENGLISH PROFICIENCY POPULATIONS THAT MAKE UP 10% OR MORE OF THE COMMUNITY SERVED BY THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BENEFIS MISSOURI RIVER MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, LINE 7A, CHNA ON HOSPITAL FACILITY WEBSITE: WWW.BENEFIS.ORG/ABOUT-BENEFIS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSBENEFIS MISSOURI RIVER MEDICAL CENTERPART V, LINE 10A, IMPLEMENTATION PLAN WEBSITE: WWW.BENEFIS.ORG/ABOUT-BENEFIS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTSAS A FOLLOW-UP TO THE CHNA PROCESS, BENEFIS MISSOURI RIVER MEDICAL CENTER DEVELOPED AN IMPLEMENTATION PLAN IN 2023 TO ADDRESS CERTAIN IDENTIFIED COMMUNITY HEALTH NEEDS. THIS PLAN WAS APPROVED BY THE BOARD AND ADOPTED IN EARLY 2024.BENEFIS MISSOURI RIVER MEDICAL CENTERPART V, LINE 16A, FAP WEBSITE: WWW.BENEFIS.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCEBENEFIS MISSOURI RIVER MEDICAL CENTERPART V, LINE 16B, FAP APPLICATION WEBSITE: WWW.BENEFIS.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCEBENEFIS MISSOURI RIVER MEDICAL CENTERPART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: WWW.BENEFIS.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCEBENEFIS MISSOURI RIVER MEDICAL CENTERPART V, LINE 16I: THERE IS NO LIMITED ENGLISH PROFICIENCY POPULATIONS THAT MAKE UP 10% OR MORE OF THE COMMUNITY SERVED BY THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COST TO CHARGE RATIO IS USED TO CALCULATE THE TOTAL COMMUNITY BENEFIT EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7, COLUMN (F)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BAD DEBT OF $231,333 IS INCLUDED ON FORM 990 PART IX, LINE 24(D) BUT IS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE METHODOLOGY UTILIZED TO CALCULATE THE COST OF THE ORGANIZATION'S BAD DEBT EXPENSE IS A COST TO CHARGE RATIO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE NOTE 2 ON PAGE 10 OF THE ATTACHED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT BELIEVE THAT ANY SHORTFALL REPORTED IN LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT.THE ORGANIZATION USED ITS COST TO CHARGE RATIO TO OBTAIN THE MEDICARE ALLOWABLE COST REPORTED IN PART III, SECTION B. THE ORGANIZATION HAS A CONSIDERABLE POPULATION OF MEDICARE PATIENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>PERSONS DETERMINED TO BE ELIGIBLE FOR 100% CHARITY CARE SHALL NOT RECEIVEA BILL FOR SERVICES OR BE SUBJECT TO COLLECTION PROCEDURES. PERSONS DETERMINED TO BE ELIGIBLE FOR A REDUCTION OF A PERCENTAGE OF CHARGES UNDER THE CHARITY CARE PROGRAM LESS THAN 100% SHALL NOT BE BILLEDOR SUBJECT TO COLLECTION PROCEDURES FOR THE PORTION OF THE BILL THAT ISREDUCED UNDER THE SLIDING FEE SCALE, ONLY THE OUT OF POCKET RESPONSIBILITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, SECTION A. BENEFIS TETON MEDICAL CENTER WEBSITE:</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTPS://WWW.BENEFIS.ORG/LOCATIONS/PROFILE/BENEFIS-TETON-MEDICAL-CENTER/</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, SECTION A. BENEFIS MISSOURI RIVER MEDICAL CENTER WEBSITE:</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTPS://WWW.BENEFIS.ORG/LOCATIONS/PROFILE/BENEFIS-MISSOURI-RIVER-MEDICAL-CENTER/</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>HISTORICALLY, BENEFIS COMMUNITY HOSPITALS, INC. HAS ASSESSED THE HEALTH NEEDS OF THE COMMUNITIES WITHIN ITS SERVICE AREA THROUGH DIRECT OBSERVATION AND EXPERIENCE, AS WELL AS THROUGH THE USE OF CERTAIN SECONDARY DATA COMPILED BY INDEPENDENT SOURCES. BENEFIS TETON MEDICAL CENTERIN 2023, BENEFIS COMMUNITY HOSPITALS, INC. CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR ITS SERVICE AREA IN TETON COUNTY, MONTANA, AS CONTEMPLATED BY IRC SECTION 501(R). THE ORGANIZATION WORKED COLLABORATIVELY WITH THE TETON COUNTY HEALTH DEPARTMENT TO IDENTIFY THE NEEDS OF ITS COMMUNITY THROUGH STAKEHOLDER SURVEYS, COMMUNITY FOCUS GROUPS, AND RESEARCH USING REGIONAL AND STATE HEALTH DATA. SIGNIFICANT HEALTH NEEDS OF TETON COUNTY AREA RESIDENTS WERE IDENTIFIED AND PRIORITIZED THROUGH THE SURVEY PROCESS AND DATA ANALYSIS. ALL COLLECTED INFORMATION HAS BEEN COMPILED INTO A CHNA REPORT. AFTER THE REPORT'S PUBLIC PRESENTATION, THE ORGANIZATION DEVELOPED AN IMPLEMENTATION STRATEGY FOR EACH OF THE HEALTH NEEDS IDENTIFIED IN THE ASSESSMENT REPORT. BOTH THE ORGANIZATION'S CHNA REPORT AND ITS IMPLEMENTATION PLAN ARE AVAILABLE FREE OF CHARGE TO THE PUBLIC AS WELL AS DIGITALLY ON ITS WEBSITE AT THE FOLLOWING ADDRESS WWW.BENEFIS.ORG/ABOUT-BENEFIS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS.BENEFIS MISSOURI RIVER MEDICAL CENTER IN 2023, BENEFIS COMMUNITY HOSPITALS, INC. ACQUIRED MISSOURI RIVER MEDICAL CENTER, AND CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR ITS SERVICE AREA IN CHOUTEAU COUNTY, MONTANA, AS CONTEMPLATED BY IRC SECTION 501(R). THE ORGANIZATION WORKED COLLABORATIVE WITH CHOUTEAU COUNTY PUBLIC HEALTH DEPARTMENT TO IDENTIFY THE NEEDS OF ITS COMMUNITY THROUGH STAKEHOLDER SURVEYS, COMMUNITY FOCUS GROUPS, AND RESEARCH USING REGIONAL AND STATE HEALTH DATA. SIGNIFICANT HEALTH NEEDS OF CHOUTEAU COUNTY AREA RESIDENTS WERE IDENTIFIED AND PRIORITIZED THROUGH THE SURVEY PROCESS AND DATA ANALYSIS. ALL COLLECTED INFORMATION HAS BEEN COMPILED INTO A CHNA REPORT. AFTER THE REPORT'S PUBLIC PRESENTATION, THE ORGANIZATION DEVELOPED AN IMPLEMENTATION STRATEGY FOR EACH OF THE HEALTH NEEDS IDENTIFIED IN THE ASSESSMENT REPORT. BOTH THE ORGANIZATION'S CHNA REPORT AND ITS IMPLEMENTATION PLAN ARE AVAILABLE FREE OF CHARGE TO THE PUBLIC AS WELL AS DIGITALLY ON ITS WEBSITE AT THE FOLLOWING ADDRESS WWW.BENEFIS.ORG/ABOUT-BENEFIS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS POSTED IN REGISTRATION AREAS, EMERGENCY ROOMS, AND FINANCIAL ASSISTANCE AREAS A SUMMARY OF ITS FINANCIAL ASSISTANCE POLICY ALONG WITH BROCHURES THAT DEFINE THE POLICY. THE POLICY AND APPLICATION IS AVAILABLE ONLINE AT WWW.BENEFIS.ORG/PATIENTS-VISITORS/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE AND IS MAILED TO EACH PATIENT ALONG WITH THEIR BILLING STATEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>BENEFIS TETON MEDICAL CENTER IS A 25-BED CRITICAL ACCESS HOSPITAL LOCATED IN CHOTEAU, TETON COUNTY, MT. THE HOSPITALS' SERVICE AREA IS 2,272 SQUARE MILES. TETON COUNTY IS A FRONTIER COMMUNITY LOCATED ALONG THE ROCKY MOUNTAIN FRONT WITH A POPULATION DENSITY OF 2.8/SQUARE MILE. THE POPULATION OF TETON COUNTY IS 6,430. 13.3% OF THE RESIDENTS LIVE IN POVERTY. TETON COUNTY IS DESIGNATED AS A MEDICALLY UNDERSERVED AREA AND A PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREA. DATA IS BASED ON U.S. CENSUS BUREAU 2024 ESTIMATES.BENEFIS MISSOURI RIVER MEDICAL CENTER IS A 25-BED CRITICAL ACCESS HOSPITAL LOCATED IN FORT BENTON, CHOUTEAU COUNTY, MT. THE HOSPITALS' SERVICE AREA IS 3,973 SQUARE MILES WITH A POPULATION DENSITY OF 1.5/SQUARE MILE. THE POPULATION OF CHOUTEAU COUNTY IS 5,847. 15.0% OF THE RESIDENTS LIVE IN POVERTY. CHOUTEAU COUNTY IS DESIGNATED AS A MEDICALLY UNDERSERVED AREA AND A PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREA. DATA IS BASED ON U.S. CENSUS BUREAU 2024 ESTIMATES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HELPS DEVELOP THE COMMUNITY THROUGH PARTICIPATION IN COMMUNITY LEADERSHIP ACTIVITIES, IMPROVED HEALTH ADVOCACY WITH COMMUNITY CLINICS, HEALTH FAIRS AND SUPPORT OF GENERAL HEALTH CLINICS. THE ORGANIZATION PROVIDES SUPPORT TO INDIAN HEALTH FACILITY CLINICS AND PROVIDES ECONOMIC FUNDING FOR COMMUNITY HEALTH CLINICS TO PROVIDE LOCUM DOCTORS TO COME DURING PLANNED AND UNPLANNED ABSENCES. BENEFIS HOSPITALS, INC. PROMOTES THE HEALTH OF PERSONS RESIDING THROUGHOUT ITS SERVICE AREA. THE HOSPITAL OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS, WITHOUT REGARD TO ABILITY TO PAY, AND PARTICIPATES IN GOVERNMENT SPONSORED HEALTHCARE PAYMENT PROGRAMS. THE HOSPITAL USES ANY SURPLUS FUNDS TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND OR IMPROVE ITS FACILITIES AND PROVIDE EDUCATION. THE HOSPITAL'S BOARD OF DIRECTORS (AND THAT OF BENEFIS HEALTH SYSTEM, ITS SOLE CORPORATE MEMBER) CONSISTS PRIMARILY OF INDIVIDUALS REPRESENTING THE COMMUNITY. THE HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF, WITH MEMBERSHIP AND PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS AND HEALTHCARE PROFESSIONALS, AS SET FORTH IN THE MEDICAL STAFF BYLAWS, RULES, AND REGULATIONS. IN THESE AND OTHER RESPECTS, THE HOSPITAL IS ORGANIZED AND OPERATED IN A MANNER THAT PROMOTES THE HEALTH OF THE COMMUNITY AND THEREFORE FULFILLS CHARITABLE PURPOSES WITHIN THE MEANING OF INTERNAL REVENUE CODE SECTION 501(C)(3).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS PART OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM AND AS SUCH COORDINATES EFFORTS BETWEEN ALL SYSTEM ENTITIES TO REDUCE DUPLICATION AND PROMOTE THE BROADEST OFFERING OF SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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        <PersonNm>JOHN GOODNOW</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FORREST EHLINGER</PersonNm>
        <TitleTxt>DIRECTOR (THRU 9/24)</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RAYN GINNATY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <DeferredCompRltdOrgsAmt>59700</DeferredCompRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>569676</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>35961</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LOUIE KING</PersonNm>
        <TitleTxt>CHAIR/PRES. OF COMMUNITY HOSPITALS</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RONAN VALDECANAS</PersonNm>
        <TitleTxt>LAB SUPERVISOR</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUSAN MURPHY</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER, BTMC</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PENNY SMOOT</PersonNm>
        <TitleTxt>DIRECTOR OF NURSING, BTMC</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION OF THE SENIOR EXECUTIVE TEAM OF BENEFIS COMMUNITY HOSPITALS, INC. WAS SET BY THE INDEPENDENT COMPENSATION COMMITTEE OF BENEFIS HEALTH SYSTEM, INC., WHICH IS CHARGED WITH ADMINISTERING THE SYSTEM'S EXECUTIVE COMPENSATION PHILOSOPHY, POLICIES AND PROGRAMS IN THE MANNER SET FORTH IN THE COMMITTEE'S WRITTEN CHARTER. THE COMMITTEE'S RESPONSIBILITIES INCLUDE (I) DETERMINING APPROPRIATE COMPENSATION FOR ALL EXECUTIVES, (II) EVALUATING AND ADOPTING EXECUTIVE COMPENSATION PLANS, POLICIES AND PROGRAMS, (III) REVIEWING AND APPROVING EXECUTIVE BENEFIT PLANS, AND (IV) VERIFYING THAT COMPENSATION IS APPROPRIATELY AND FULLY DISCLOSED AND REPORTED. THE COMMITTEE HAS ENGAGED AN INDEPENDENT COMPENSATION CONSULTING FIRM TO ASSIST IN ENSURING THAT AMOUNTS PAID TO THE SYSTEM'S EXECUTIVES ARE CONSISTENT WITH REASONABLE, FAIR MARKET LEVELS. THE PROCESS FOLLOWED BY THE COMMITTEE, INCLUDING THE DATA RELIED UPON AND THE COMMITTEE'S DECISIONS, WAS THOROUGHLY AND TIMELY DOCUMENTED. THIS PROCESS IS COMPLETED ON AN ANNUAL BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINES 4A-B</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 4A: FORREST EHLINGER, $110,768. LINE 4B: BENEFIS HEALTH SYSTEM, INC PROVIDES A SECTION 457F NONQUALIFIED DEFERRED COMPENSATION PLAN FOR MR. GOODNOW, MS. GINNATY, MR. EHLINGER, AND MR. KING, WHO MET THE REQUIREMENTS OF THE PLAN. MR. GOODNOW, MS. GINNATY, MR. EHLINGER, AND MR. KING RECEIVED A PAYOUT FROM THE PLAN IN 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>BENEFIS HEALTH SYSTEM, INC. AND ITS AFFILIATES (INCLUDING THE ORGANIZATION) MAINTAIN AN INCENTIVE COMPENSATION PLAN THAT INCORPORATES BOTH SHARED AND INDIVIDUAL GOALS FOR MEMBERS OF THE EXECUTIVE AND MANAGEMENT LEADERSHIP TEAMS. PAYMENTS PURSUANT TO THE INCENTIVE PLAN ARE SUBJECT TO A PRECONDITION THAT THE SYSTEM MUST ACHIEVE BUDGETED OPERATING PERFORMANCE. THE SYSTEM HAS ADOPTED SHARED PERFORMANCE OBJECTIVES INCLUDING SYSTEM GROWTH AS WELL AS MEASURES TIED TO WORKFORCE, PATIENT EXPERIENCE, PATIENT SAFETY, CLINICAL QUALITY, AND FINANCE/OPERATIONS. THE INDIVIDUAL PERFORMANCE OBJECTIVES ADOPTED ARE BASED ON AN ARRAY OF QUALITY, FINANCIAL, OPERATIONAL AND STRATEGIC INITIATIVES. INCENTIVE OPPORTUNITY LEVELS ARE CALCULATED BASED ON PREDETERMINED PERCENTAGES OF EACH EXECUTIVE'S AND MANAGER'S BASE SALARY, AND VARY BASED ON THE ACHIEVEMENT OF THRESHOLD, TARGET OR STRETCH LEVELS AS TO EACH PERFORMANCE OBJECTIVE.</ExplanationTxt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS AN AFFILIATE OF BENEFIS HEALTH SYSTEM, INC. (BHS), A TAX EXEMPT MONTANA NONPROFIT CORPORATION SERVING AS THE PARENT ENTITY OF AN INTEGRATED SYSTEM OF PROVIDER ORGANIZATIONS ADDRESSING THE HEALTH NEEDS OF PERSONS THROUGHOUT NORTH CENTRAL MONTANA. AS THE CORPORATE MEMBER OF THE ORGANIZATION, BHS HOLDS VARIOUS RESERVED POWERS IN RELATION TO THE ORGANIZATION, INCLUDING THE AUTHORITY TO APPROVE THE ELECTION OF INDIVIDUALS TO ITS BOARD OF DIRECTORS. THE BOARD OF DIRECTORS OF THE ORGANIZATION INCLUDES CERTAIN INDIVIDUALS WHO ARE EMPLOYED BY THE ORGANIZATION OR ITS AFFILIATES, AND WHO MAY NOT BE CONSIDERED "INDEPENDENT" FOR PURPOSES OF FORM 990. HOWEVER, AS ACKNOWLEDGED BY THE IRS IN ITS "CPE TEXT FOR FISCAL YEAR 1997", IN A MULTI-ENTITY HOSPITAL SYSTEM, THE BOARD OF A SUBSIDIARY NON-PROFIT HEALTH CARE ORGANIZATION IS CONSIDERED TO BE COMPRISED OF INDEPENDENT COMMUNITY MEMBERS IF IT IS CONTROLLED BY AN EXEMPT ORGANIZATION WHOSE OWN BOARD IS COMPRISED OF A MAJORITY OF VOTING MEMBERS WHO ARE INDEPENDENT COMMUNITY MEMBERS. THE ORGANIZATION MEETS THIS STANDARD BECAUSE IT IS A CONTROLLED SUBSIDIARY OF BHS, AND BHS' OWN GOVERNING BOARD INCLUDES INDEPENDENT COMMUNITY MEMBERS AS A MAJORITY THEREOF.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>PURSUANT TO A CONTRACTUAL ARRANGEMENT, THE ORGANIZATION OBTAINS CERTAIN MANAGEMENT AND ADMINISTRATIVE SERVICES FROM ITS PARENT ENTITY, BENEFIS HEALTH SYSTEM, INC. (BHS). BHS, AS THE PARENT AND SYSTEM ENTITY, PROVIDES THE SERVICES TO ITS SUBSIDIARY TAX-EXEMPT NON-PROFIT CORPORATE ENTITIES ON A CENTRALIZED BASIS. THE SERVICES INCLUDE THE FOLLOWING: - MANAGEMENT OF HUMAN RESOURCES INCLUDING POLICIES AND PRACTICES AND BENEFITS - MANAGEMENT, PLANNING, BUDGETING AND REPORTING OF FINANCIAL OPERATIONS - MANAGEMENT OF BILLING AND COLLECTIONS POLICIES AND FUNCTIONS - MANAGEMENT OF INFORMATION TECHNOLOGY SERVICES - OVERSIGHT OF QUALITY STANDARDS, COMPLIANCE AND RISK MANAGEMENT - MANAGEMENT OF REGIONAL, COMMUNITY AND GOVERNMENT RELATIONS AND MARKETING - MANAGEMENT OF GRANTS DEVELOPMENT</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS BENEFIS HEALTH SYSTEM, INC., A MONTANA NOT-FOR-PROFIT PUBLIC BENEFIT CORPORATION THAT HAS BEEN RECOGNIZED BY THE IRS AS DESCRIBED IN IRC SECTION 501(C)(3).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>AS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, BENEFIS HEALTH SYSTEM, INC. (ACTING THROUGH ITS OWN GOVERNING BODY) ELECTS THE BOARD OF DIRECTORS OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>AS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, BENEFIS HEALTH SYSTEM, INC. RETAINS CERTAIN RESERVED POWERS WITH RESPECT TO THE ORGANIZATION, INCLUDING AUTHORITY OVER MATTERS SUCH AS (WITHOUT LIMITATION) THE ORGANIZATION'S MISSION AND VISION STATEMENTS, STRATEGIC AND LONG-TERM PLANS, ELECTION OF ITS DIRECTORS AND OFFICERS, ANNUAL CAPITAL AND OPERATING BUDGETS, CHARITY CARE AND COMMUNITY BENEFIT POLICIES, AND ANY AMENDMENTS TO ITS ARTICLES OF INCORPORATION AND BYLAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS FORM 990 WAS PREPARED BY THE FINANCE DEPARTMENT PERSONNEL OF BENEFIS HEALTH SYSTEM, INC. IN COLLABORATION WITH ITS ACCOUNTING FIRM. PRIOR TO FILING, A COPY OF THIS FORM 990 WAS PRESENTED TO THE BENEFIS HEALTH SYSTEM, INC. BOARD BY THE ACCOUNTING FIRM.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS ANNUALLY COMPLETE A FORM TO DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS. IN ADDITION, AT THE START OF EACH BOARD MEETING, MEMBERS ARE ASKED TO INDICATE WHETHER THEY HAVE A CONFLICT OF INTEREST WITH RESPECT TO ANY ITEMS ON THE AGENDA FOR THE MEETING. CONSISTENT WITH THE ORGANIZATION'S CONFLICTS OF INTEREST POLICY, BOARD MEMBERS ARE PROHIBITED FROM PARTICIPATING IN DELIBERATIONS AND VOTING ON ANY MATTERS AS TO WHICH THEY HAVE A CONFLICT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION OF THE SENIOR EXECUTIVE TEAM WAS SET BY THE INDEPENDENT COMPENSATION COMMITTEE OF BENEFIS HEALTH SYSTEM, INC., WHICH IS CHARGED WITH ADMINISTERING THE SYSTEM'S EXECUTIVE COMPENSATION PHILOSOPHY, POLICIES AND PROGRAMS IN THE MANNER SET FORTH IN THE COMMITTEE'S WRITTEN CHARTER. THE COMMITTEE'S RESPONSIBILITIES INCLUDE (I) DETERMINING APPROPRIATE COMPENSATION FOR ALL EXECUTIVES AND OTHER KEY EMPLOYEES, (II) EVALUATING AND ADOPTING EXECUTIVE COMPENSATION PLANS, POLICIES AND PROGRAMS, (III) REVIEWING AND APPROVING EXECUTIVE BENEFIT PLANS, AND (IV) VERIFYING THAT COMPENSATION IS APPROPRIATELY AND FULLY DISCLOSED AND REPORTED. THE COMMITTEE HAS ENGAGED AN INDEPENDENT COMPENSATION CONSULTING FIRM TO ASSIST IN ENSURING THAT AMOUNTS PAID TO THE SYSTEM'S EXECUTIVES ARE CONSISTENT WITH REASONABLE, FAIR MARKET LEVELS. THE PROCESS FOLLOWED BY THE COMMITTEE, INCLUDING THE DATA RELIED UPON AND THE COMMITTEE'S DECISIONS, WAS THOROUGHLY AND TIMELY DOCUMENTED. THIS PROCESS IS COMPLETED ON AN ANNUAL BASIS. THE COMPENSATION OF THE ORGANIZATION'S KEY EMPLOYEES AND MANAGERS WAS SET BY THEIR RESPECTIVE SUPERVISORY EXECUTIVES IN CONSULTATION WITH BENEFIS HEALTH SYSTEM, INC.'S HUMAN RESOURCES DEPARTMENT AND EXECUTIVE LEADERSHIP, BASED ON A REVIEW OF INDEPENDENT DATA AS TO AMOUNTS PAID BY SIMILAR SITUATED ORGANIZATIONS FOR PERSONS PERFORMING COMPARABLE SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>BENEFIS COMMUNITY HOSPITALS, INC. PROVIDES COPIES OF THE FORM 990 TO THE PUBLIC UPON REQUEST DURING NORMAL BUSINESS HOURS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VII, SECTION A, LINE 1A:</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACT CEOS JUSTIN BARTLETT (BMRMC) AND MARK BURZYNSKI (BTMC) ARE PAID BY CYPRESS HEALTHCARE, LLC WHICH IS REPORTABLE ON PART VII SECTION B. BENEFIS COMMUNITY CARE PAID CYPRESS $180,433 FOR MR. BARTLETT'S SERVICES AND $171,584 FOR MR. BURZYNSKI'S SERVICES IN 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <StateAbbreviationCd>MT</StateAbbreviationCd>
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          <BusinessNameLine1Txt>BENEFIS MEDICAL GROUP INC</BusinessNameLine1Txt>
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        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
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      <IdRelatedTaxExemptOrgGrp>
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          <AddressLine1Txt>1101 26TH STREET SOUTH</AddressLine1Txt>
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          <BusinessNameLine1Txt>GREAT FALLS ATHLETIC CLUB LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>1800 BENEFIS COURT</AddressLine1Txt>
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      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
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  </ReturnData>
</Return>