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      <Form990PartVIISectionAGrp>
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          <USAddress>
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            <StateAbbreviationCd>OR</StateAbbreviationCd>
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      <ContractorCompensationGrp>
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          <BusinessName>
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          <USAddress>
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        <ExclusionAmt>458717</ExclusionAmt>
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        <ProgramServicesAmt>5434</ProgramServicesAmt>
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        <ProgramServicesAmt>7520926</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>68952</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>797132</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>49276</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>9349506</ProgramServicesAmt>
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        <ProgramServicesAmt>537141</ProgramServicesAmt>
        <ManagementAndGeneralAmt>134285</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>115686</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28921</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>3733878</ProgramServicesAmt>
        <ManagementAndGeneralAmt>345529</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>527497</ProgramServicesAmt>
        <ManagementAndGeneralAmt>131874</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>187935</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46984</ManagementAndGeneralAmt>
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      <InterestGrp>
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        <ProgramServicesAmt>931172</ProgramServicesAmt>
        <ManagementAndGeneralAmt>232793</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>3504141</ProgramServicesAmt>
        <ManagementAndGeneralAmt>876035</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>566093</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <TotalAmt>170855716</TotalAmt>
        <ProgramServicesAmt>170855716</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
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        <ProgramServicesAmt>16488906</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1832101</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>PROVIDER TAX</Desc>
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        <ProgramServicesAmt>4777147</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>3655659</TotalAmt>
        <ProgramServicesAmt>3655659</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>4811773</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>275986265</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20650758</ManagementAndGeneralAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>1239</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>20452075</EOYAmt>
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        <EOYAmt>2456431</EOYAmt>
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        <EOYAmt>45601063</EOYAmt>
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      <IntangibleAssetsGrp>
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        <EOYAmt>1310843</EOYAmt>
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      <OtherAssetsTotalGrp>
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      <DonorRestrictionNetAssetsGrp>
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      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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      <HospitalInd>X</HospitalInd>
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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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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>ACTIVITIES CONSIST OF DUES PAID ATTRIBUTABLE TO LOBBYING.</ExplanationTxt>
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      <ExplanationProvidedInd>X</ExplanationProvidedInd>
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        <BookValueAmt>2747245</BookValueAmt>
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        <Desc>THIRD PARTY PAYOR SETTLEMENTS</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>ROU LEASE LIABILITIES</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDS BELONG TO THE COMMUNITY SANTIAM SERVICE INTEGRATION TEAM (SIT). THEREFORE, SANTIAM MEMORIAL HOSPITAL INCLUDED A DEDICATED LIABILITY ACCOUNT ON THE BALANCE SHEET.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>SANTIAM MEMORIAL HOSPITAL IS A TAX-EXEMPT ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3). AS SUCH, ONLY UNRELATED BUSINESS INCOME IS SUBJECT TO FEDERAL OR STATE INCOME TAXES. THE MEDICAL GROUP IS A SINGLE-MEMBER LIMITED LIABILITY COMPANY AND IS BEING TREATED AS A "DISREGARDED ENTITY" FOR IRC REPORTING PURPOSES. AS A "DISREGARDED ENTITY," IT IS TREATED AS A DIVISION OF SANTIAM MEMORIAL HOSPITAL. IT IS MANAGEMENT'S BELIEF THAT NONE OF THE HOSPITAL'S ACTIVITIES HAVE GENERATED MATERIAL UNRELATED BUSINESS INCOME; THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. INCOME TAX POSITIONS THAT MEET A "MORE-LIKELY-THAN-NOT" RECOGNITION THRESHOLD ARE MEASURED AT THE LARGEST AMOUNT OF INCOME TAX BENEFIT THAT IS MORE THAN 50% LIKELY TO BE REALIZED UPON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH INCOME TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE WOULD BE REFLECTED AS A LIABILITY FOR UNRECOGNIZED INCOME TAX BENEFITS IN THE HOSPITAL'S CONSOLIDATED BALANCE SHEETS ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. INTEREST AND PENALTIES ASSOCIATED WITH UNRECOGNIZED INCOME TAX BENEFITS WOULD BE CLASSIFIED AS INCOME TAXES IN THE HOSPITAL'S CONSOLIDATED STATEMENTS OF OPERATIONS. THERE WERE NO UNRECOGNIZED INCOME TAX BENEFITS, NOR ANY INTEREST AND PENALTIES ASSOCIATED WITH UNRECOGNIZED INCOME TAX BENEFITS, ACCRUED OR EXPENSED AS OF AND FOR THE YEARS ENDED DECEMBER 31, 2024 AND 2023. THE HOSPITAL FILES A FEDERAL INFORMATION RETURN IN THE U.S. AND A STATE INFORMATION RETURN IN OREGON.</ExplanationTxt>
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    <IRS990ScheduleH documentId="RetDoc1041500001">
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      <WrittenPolicyInd>1</WrittenPolicyInd>
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      <FinancialAssistanceBudgetInd>1</FinancialAssistanceBudgetInd>
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      <AnnualCommunityBnftReportInd>1</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>1</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
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        <DirectOffsettingRevenueAmt>0</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>955857</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00320</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>28612183</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>28313441</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>298742</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00100</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <UnreimbursedCostsGrp>
        <TotalCommunityBenefitExpnsAmt>3187439</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>2432413</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>755026</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00250</TotalExpensePct>
      </UnreimbursedCostsGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>32755479</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>30745854</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>2009625</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00670</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>436639</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>32237</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>404402</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00140</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <SubsidizedHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>3853053</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>2748346</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1104707</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00370</TotalExpensePct>
      </SubsidizedHealthServicesGrp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>22478</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>0</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>22478</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00010</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>4312170</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>2780583</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1531587</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00520</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>37067649</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>33526437</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>3541212</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01190</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>1</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>3655659</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>2924527</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>36156906</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>51294079</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-15137173</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>SANTIAM MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>1401 N 10TH AVENUE</AddressLine1Txt>
          <CityNm>STAYTON</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>973831311</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.SANTIAMHOSPITAL.ORG</WebsiteAddressTxt>
        <StateLicenseNum>14-0709</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>SANTIAM MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <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>24</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>1</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>1</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SANTIAMHOSPITAL.ORG/COMMUNITY-BENEFIT/</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>24</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SANTIAMHOSPITAL.ORG/COMMUNITY-BENEFIT/</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>250.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SANTIAMHOSPITAL.ORG/PATIENTS-VISITORS-INFO-2/PATIENT-BILLING-FINANCIAL-ASSI</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SANTIAMHOSPITAL.ORG/PATIENTS-VISITORS-INFO-2/PATIENT-BILLING-FINANCIAL-ASSI</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SANTIAMHOSPITAL.ORG/PATIENTS-VISITORS-INFO-2/PATIENT-BILLING-FINANCIAL-ASSI</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LookBackMedicaidMedcrPrvtInd>X</LookBackMedicaidMedcrPrvtInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SANTIAM MEMORIAL HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: CONSULTED WITH MARION COUNTY HEALTH &amp; HUMAN SERVICES, POLK COUNTY HEALTH DEPARTMENT, WILLAMETTE VALLEY COMMUNITY HEALTH, AND LOCAL HEALTH PROFESSIONALS AND COMMUNITY PARTNERS IN THE AREA.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SANTIAM MEMORIAL HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6A: BEHAVIORAL CARE NETWORK, KAISER PERMANENTE, LEGACY HEALTH SILVERTON, SALEM HEALTH, WILLAMETTE VALLEY COMMUNITY HEALTH.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SANTIAM MEMORIAL HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6B: BENTON COUNTY, CITY OF GATES, OREGON DEPT. OF HUMAN SERVICES, HBN ENGINEERING, FAMILY &amp; COMMUNITY HEALTH -LINN COUNTY- OSU EXTENSION, SCHOOL OF SOCIAL POLICY- OSU, CITY OF DETROIT, SANTIAM CANYON LONG TERM RECOVERY GROUP, MARION COUNTY HEALTH AND HUMAN SERVICES, COMMUNITY SERVICES DEPARTMENT MARION COUNTY, MID-WILLAMETTE VALLEY COMMUNITY ACTION AGENCY, STRATEGIC ECONOMIC DEVELOPMENT CORPORATION- SANTIAM REBUILD COALITION, MILL CITY/ GATES FOOD SHARE, MARION COUNTY, MARION COUNTY HOUSING AUTHORITY, SAMARITAN HEALTH OUTCOMES RESEARCH AND EVALUATION, FAMILY AND COMMUNITY HEALTH- MARION COUNTY- OSU EXTENSION, OREGON DEPT. OF HUMAN SERVICES-EMERGENCY MANAGEMENT UNIT, PACIFICSOURCE COMMUNITY SOLUTIONS, PSS MARION COUNTY, SANTIAM CANYON SCHOOL DISTRICT, MARION COUNTY BUILDING AND PLANNING, MARION POLK FOOD SHARE, US FEDERAL FOREST SERVICE, GATES COMMUNITY CHURCH, DETROIT CITY COUNCIL AND MID-WILLAMETTE VALLEY COUNCIL OF GOVERNMENTS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SANTIAM MEMORIAL HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: SANTIAM HOSPITAL IS PARTNERING WITH ORGANIZATIONS ACROSS THE COMMUNITY TO ADDRESS THE NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>11</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - AUMSVILLE MEDICAL CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>205 MAIN STREET</AddressLine1Txt>
            <CityNm>AUMSVILLE</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97325</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - SUBLIMITY MEDICAL CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>114 SE CHURCH STREET</AddressLine1Txt>
            <CityNm>SUBLIMITY</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97325</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - SANTIAM MEDICAL ASSOCIATES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1401 N 10TH AVENUE STE 100</AddressLine1Txt>
            <CityNm>STAYTON</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97383</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>4 - SANTIAM GENERAL SURGERY CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1371 N 10TH AVENUE</AddressLine1Txt>
            <CityNm>STAYTON</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97383</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>5 - SANTIAM INTERNAL MEDICINE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1401 N 10TH AVENUE STE 200</AddressLine1Txt>
            <CityNm>STAYTON</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97383</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>6 - SANTIAM MEDICAL CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>280 S FIRST AVENUE</AddressLine1Txt>
            <CityNm>MILL CITY</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97360</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>7 - CASCADE MEDICAL CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1375 N 10TH AVENUE STE B</AddressLine1Txt>
            <CityNm>STAYTON</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97383</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>8 - SANTIAM WOMEN'S CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1373 N 10TH AVENUE</AddressLine1Txt>
            <CityNm>STAYTON</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97383</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>9 - SANTIAM ORTHOPEDIC CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1377 N 10TH AVENUE</AddressLine1Txt>
            <CityNm>STAYTON</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97383</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>10 - SANTIAM PULMONARY CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1401 N 10TH AVENUE STE 200</AddressLine1Txt>
            <CityNm>STAYTON</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97383</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>11 - SANTIAM CARDIOLOGY CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1401 N 10TH AVENUE STE 200</AddressLine1Txt>
            <CityNm>STAYTON</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97383</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>A SLIDING FEE SCHEDULE WILL BE USED TO DETERMINE CHARITY DISCOUNTS WHEN GROSS FAMILY INCOME IS OVER 250% OF FEDERAL POVERTY INCOME GUIDELINES. AVAILABLE LIQUID ASSETS, APPROPRIATE TO VERIFIED INCOME, MAY ALSO BE CONSIDERED.INCOME AS % OF FEDERAL POVERTY LEVEL / FINANCIAL ASSISTANCE ADJUSTMENT %:0 - 250%: 100%251 - 300%: 75%301 - 400%: 58%FINANCIAL ASSISTANCE MAY BE PROVIDED TO A RESPONSIBLE PARTY WITH GROSS FAMILY INCOME GREATER THAN SMH RECOGNIZED FEDERAL POVERTY INCOME GUIDELINES IF CIRCUMSTANCES SUCH AS EXTRAORDINARY, NON-DISCRETIONARY EXPENSES, FUTURE EARNING CAPACITY AND THE ABILITY TO MAKE PAYMENTS OVER AN EXTENDED PERIOD OF TIME WARRANT CONSIDERATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7G:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ENTIRE AMOUNT REPORTED ON SCH H, PART I, LINE 7G REFLECTS COSTS FROM PHYSICIAN CLINICS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>ESTIMATES ARE BASED ON PAST COLLECTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>ESTIMATED 80% OF BAD DEBT COULD BE ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE ON PAGE 16 OF THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>A COST TO CHARGE RATIO OF 50.4% WAS USED AGAINST MEDICARE CHARGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCIAL ASSISTANCE IS GRANTED ON A SLIDING SCALE. IF AMOUNT DEEMED TO BE PAYABLE BY THE PATIENT IS DELINQUENT, THE PATIENT IS SENT TO COLLECTION AGENCY FOR THE PORTION OUTSTANDING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTHCARE NEEDS ARE ASSESSED BY LISTENING TO PROVIDER FEEDBACK ON WHAT PATIENT NEEDS ARE CURRENTLY. SANTIAM MEMORIAL HOSPITAL'S SERVICE INTEGRATION TEAM HEARS THE NEEDS OF THE GREATER COMMUNITY IN THEIR WORK WITH COMMUNITY PARTNERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL INPATIENTS ARE PROVIDED A FINANCIAL ASSISTANCE POLICY BROCHURE UPON ADMISSION. ANY INPATIENT PRESENTING WITHOUT INSURANCE IS PROVIDED ASSISTANCE IN APPLYING FOR THE OREGON HEALTH PLAN. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS LISTED ON PATIENT STATEMENTS. FINANCIAL ASSISTANCE POLICY BROCHURES ARE PRESENT AT EVERY ADMITTING DESK, AND THE FINANCIAL ASSISTANCE POLICY AND APPLICATON ARE AVAILABLE UPON REQUEST AND ON THE SANTIAM MEMORIAL HOSPITAL WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>SANTIAM MEMORIAL HOSPITAL SERVES THE SANTIAM RIVER CANYON AND SURROUNDING COMMUNITIES OF AUMSVILLE, TURNER, STAYTON, SUBLIMITY, SHAW, MARION, CRABTREE, LYONS, MILL CITY AND IDANHA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOCAL COMMUNITY MEMBERS VOLUNTEER TO SERVE AS THE BOARD OF DIRECTORS. SANTIAM MEMORIAL HOSPITAL EMPLOYS A SERVICE INTEGRATION COORDINATOR WHO LEADS THE SANTIAM SERVICE INTEGRATION PROGRAM. THE PURPOSE OF THE SANTIAM SERVICE INTEGRATION PROGRAM IS TO FACILITATE COLLABORATION AMONG COMMUNITY PARTNERS TO PROVIDE COORDINATED RESOURCES AND INFORMATION FOR INDIVIDUALS AND FAMILIES. THESE ARE AGENCY AND COMMUNITY PARTNERS EXPEDITING SOLUTIONS BY MATCHING RESOURCES TO CLEARLY DEFINED NEEDS, WHILE AVOIDING DUPLICATION OF SERVICES. SERVICE INTEGRATION IS A PARTNERSHIP BETWEEN SANTIAM MEMORIAL HOSPITAL, SCHOOL DISTRICTS, FAITH GROUPS, NON-PROFITS, SOCIAL SERVICE AGENCIES, LOCAL CLUBS, GOVERNMENT AGENCIES, BUSINESSES, AND COMMUNITY MEMBERS. THE SERVICE INTEGRATION TEAMS MEETS MONTHLY TO NETWORK, SHARE RESOURCES, DISCUSS LOCAL NEEDS, AND FIND SOLUTIONS. EACH TEAM IS UNIQUE TO ITS COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>OR</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SANTIAM HOSPITAL AND CLINICS FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1401 N 10TH AVENUE</AddressLine1Txt>
          <CityNm>STAYTON</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97383</ZIPCd>
        </USAddress>
        <RecipientEIN>881210159</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>343795</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>OPERATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>STAYTON SUBLIMITY CHAMBER OF COMMERCE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>175 N 2ND AVENUE</AddressLine1Txt>
          <CityNm>STAYTON</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97383</ZIPCd>
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        <RecipientEIN>931019810</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>8025</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>EVENT SPONSOR</PurposeOfGrantTxt>
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      <Total501c3OrgCnt>2</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>CHARITY CARE</GrantTypeTxt>
        <RecipientCnt>20</RecipientCnt>
        <CashGrantAmt>5434</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANTEES INCLUDE RELATED SUPPORTING ORGANIZATIONS AND CHARITY CARE RECIPIENTS THAT MEET FINANCIAL ASSISTANCE POLICY REQUIREMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <TotalCompensationFilingOrgAmt>787835</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <PersonNm>JOHN HOFFMAN</PersonNm>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>TIFFANIE PYE</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHERRI STEELE</PersonNm>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BYLAWS WERE RESTATED EFFECTIVE JANUARY 10, 2024 TO REMOVE THE MEMBERSHIP REQUIREMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY THE DIRECTORS AND OFFICERS PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS, KEY EMPLOYEES AND CHIEF OF STAFF ARE REQUIRED TO SIGN AN ANNUAL CONFLICT OF INTEREST STATEMENT ATTESTING TO THEIR COMPLIANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>SMH USES A THIRD PARTY COMPENSATION AND BENEFIT SERVICE: OLNEY &amp; ASSOCIATES. THE SURVEY PROVIDES DATA ON HOSPITAL KEY EMPLOYEE COMPENSATION AND BENEFITS BASED ON BED SIZE, GEOGRAPHIC REGION, ADMISSIONS AND GROSS REVENUE. THE BOARD OF DIRECTORS REVIEW COMPENSATION AND BENEFITS FOR THE CEO (MAGGIE HUDSON), CFO (RACHAEL SEEDER) AND CHIEF NURSING OFFICER (SHERRI STEELE). THE CEO'S CONTRACT IS APPROVED BY THE BOARD AND THE CHIEF NURSING OFFICER AND CFO CONTRACTS ARE APPROVED BY THE CEO. THE COMPENSATION REVIEW AND APPROVAL PROCESS WAS LAST COMPLETED DURING 2020.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>SANTIAM MEMORIAL HOSPITAL MAKES COPIES OF ITS GOVERNING DOCUMENTS AND AUDITED FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. THE CONFLICT OF INTEREST POLICY IS NOT AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        </DisregardedEntityName>
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          <CityNm>STAYTON</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97383</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>TO PROVIDE OUTPATIENT MEDICAL SERVICES AT VARIOUS CLINIC LOCATIONS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OR</LegalDomicileStateCd>
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      <IdRelatedTaxExemptOrgGrp>
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          <AddressLine1Txt>1401 N 10TH AVENUE</AddressLine1Txt>
          <CityNm>STAYTON</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97383</ZIPCd>
        </USAddress>
        <EIN>881210159</EIN>
        <PrimaryActivitiesTxt>PROVIDE SUPPORT TO THE HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OR</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
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      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
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      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
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      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
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</Return>