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      <Form990PartVIISectionAGrp>
        <PersonNm>KELLEY GENTRY</PersonNm>
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      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SETH SIMPSON</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KIMBER PEZZONI</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DR THOMAS HOFFMAN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DR ABE ELIAS</PersonNm>
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      <ContractorCompensationGrp>
        <ContractorName>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        <ContractorAddress>
          <USAddress>
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        <ServicesDesc>CONSTRUCTION</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WIPFLI ADVISORY LLC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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        </ContractorAddress>
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      <GovernmentGrantsAmt>2475384</GovernmentGrantsAmt>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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      </TotLbbyngGrassrootMnsNonTxGrp>
      <TotLbbyExpendMnsLbbyngNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
        <AffiliatedGroupTotalAmt>0</AffiliatedGroupTotalAmt>
      </TotLbbyExpendMnsLbbyngNonTxGrp>
      <AvgLobbyingNontaxableAmountGrp>
        <CurrentYearMinus3Amt>1000000</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>1000000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>1000000</CurrentYearMinus1Amt>
        <CurrentYearAmt>1000000</CurrentYearAmt>
        <TotalAmt>4000000</TotalAmt>
      </AvgLobbyingNontaxableAmountGrp>
      <LobbyingCeilingAmt>6000000</LobbyingCeilingAmt>
      <AvgTotalLobbyingExpendGrp>
        <CurrentYearMinus3Amt>12000</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>21000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>12530</CurrentYearMinus1Amt>
        <CurrentYearAmt>21000</CurrentYearAmt>
        <TotalAmt>66530</TotalAmt>
      </AvgTotalLobbyingExpendGrp>
      <AvgGrassrootsNontaxableGrp>
        <CurrentYearMinus3Amt>250000</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>250000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>250000</CurrentYearMinus1Amt>
        <CurrentYearAmt>250000</CurrentYearAmt>
        <TotalAmt>1000000</TotalAmt>
      </AvgGrassrootsNontaxableGrp>
      <GrassrootsCeilingAmt>1500000</GrassrootsCeilingAmt>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1039900001">
      <ArtPublicExhibitionAmountsGrp>
        <AssetsIncludedAmt>5000</AssetsIncludedAmt>
      </ArtPublicExhibitionAmountsGrp>
      <CollectionUsedPubExhibitionInd>X</CollectionUsedPubExhibitionInd>
      <SolicitedAssetsSaleInd>0</SolicitedAssetsSaleInd>
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>2761320</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>489792</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>3251112</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>2433768</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>327552</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>2761320</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>2222600</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>211168</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>2433768</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>2493419</BeginningYearBalanceAmt>
        <ContributionsAmt>300</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-271119</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>2222600</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>2026809</BeginningYearBalanceAmt>
        <ContributionsAmt>300</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>466310</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>2493419</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.00000</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.33550</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.66450</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>1</EndowmentsHeldRelatedOrgInd>
      <RelatedOrgListSchRInd>1</RelatedOrgListSchRInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>834433</OtherCostOrOtherBasisAmt>
        <BookValueAmt>834433</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>69389077</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>9407795</DepreciationAmt>
        <BookValueAmt>59981282</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>15631044</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>7597321</DepreciationAmt>
        <BookValueAmt>8033723</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>649923</OtherCostOrOtherBasisAmt>
        <BookValueAmt>649923</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>69499361</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM MONTANA CHILDREN'S FOUNDATION</Desc>
        <BookValueAmt>4400507</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>ROU ASSET</Desc>
        <BookValueAmt>2257539</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INVESTMENT INCOME RECEIVABLE</Desc>
        <BookValueAmt>559045</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>CASH SURRENDER VALUE OF LIFE INSURANCE</Desc>
        <BookValueAmt>131060</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>PARETO STOP LOSS</Desc>
        <BookValueAmt>108283</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>ART</Desc>
        <BookValueAmt>5000</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>7461434</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ROU LIABILITY</Desc>
        <Amt>2281779</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED COMPENSATION LIABILITY</Desc>
        <Amt>131060</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>SECURITY DEPOSITS</Desc>
        <Amt>5448</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>2418287</TotalLiabilityAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION WAS GIFTED AN ORIGINAL PAINTING THAT HAS BECOME A VERY POPULAR WORK OF ART THAT REPRESENTS THE MISSION OF MONTANA'S CHILDREN'S HOSPITAL. THE ORGANIZATION WILL OCCASIONALLY USE PRINTS OF THE PAINTING AT EVENTS. THE PAINTING IS SOMETIMES ON DISPLAY IN THE FOUNDATION OR THE HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USES THE RATE OF RETURN WITHIN THE ENDOWMENT TO PAY FOR CAPITAL IMPROVEMENTS AND PURCHASES FOR THE HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <FinancialAssistancePolicyInd>1</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>1</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>1</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>1</FPGReferenceDiscountedCareInd>
      <DiscountedCareOthPercentageGrp>
        <OtherInd>X</OtherInd>
        <DiscountedCareOtherPct>500.000000000000</DiscountedCareOtherPct>
      </DiscountedCareOthPercentageGrp>
      <FreeCareMedicallyIndigentInd>1</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>1</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>1</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>0</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>0</AnnualCommunityBnftReportInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>1557761</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1557761</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02920</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>33813363</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>30227367</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>3585996</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.06730</TotalExpensePct>
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      <UnreimbursedCostsGrp>
        <TotalCommunityBenefitExpnsAmt>3045192</TotalCommunityBenefitExpnsAmt>
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      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>38416316</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>32638303</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>5778013</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.10840</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>15000</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>15000</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00030</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>15000</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>15000</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00030</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>38431316</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>32638303</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>5793013</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.10870</TotalExpensePct>
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      <BadDebtExpenseReportedInd>1</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>2375717</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>0</BadDebtExpenseAttributableAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>SHODAIR CHILDREN'S HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 5539</AddressLine1Txt>
          <CityNm>HELENA</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59604</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.SHODAIR.ORG</WebsiteAddressTxt>
        <StateLicenseNum>13007</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <ChildrensHospitalInd>X</ChildrensHospitalInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>SHODAIR CHILDREN'S HOSPITAL</BusinessNameLine1Txt>
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        <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>0</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>0</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>HTTPS://SHODAIR.ORG/RESOURCES/#CHNA-AND-CHIP</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>24</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>HTTPS://SHODAIR.ORG/RESOURCES/#CHNA-AND-CHIP</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>500.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <OtherCriteriaInd>X</OtherCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>HTTPS://SHODAIR.ORG/RESOURCES/FINANCIAL-ASSISTANCE/</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>HTTPS://SHODAIR.ORG/RESOURCES/FINANCIAL-ASSISTANCE/</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>HTTPS://SHODAIR.ORG/RESOURCES/FINANCIAL-ASSISTANCE/</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <OtherPublicityInd>X</OtherPublicityInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>0</NondisEmergencyCarePolicyInd>
        <NoEmergencyCareInd>X</NoEmergencyCareInd>
        <LookBackMedicaidMedcrPrvtInd>X</LookBackMedicaidMedcrPrvtInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SHODAIR CHILDREN'S HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: THE CHNA WAS CONDUCTED IN THE SPRING OF 2025 AND TOOK INTO ACCOUNT INDIVIDUALS AND FACILITIES WHO REPRESENT THE COMMUNITY SHODAIR SERVES. THIS WAS ACCOMPLISHED THROUGH OUTREACH AND ONLINE SURVEYS. SHODAIR ENGAGEMENT WITH COMMUNITY MEMBERS, HEALTHCARE PROVIDERS, AND EDUCATORS THROUGH INTERVIEWS AND OUTREACH TO GAIN DEEPER INSIGHTS. AND A STATEWIDE ONLINE SURVEY AND REFERENCES TO NATIONAL AND MONTANA STUDIES AND ASSESSMENTS THAT SEEK TO IDENTIFY TRENDS AND DISPARITIES. THE FINDINGS HIGHLIGHT SIGNIFICANT TRENDS IN YOUTH MENTAL HEALTH, DISPARITIES IN HEALTHCARE ACCESS ACROSS MONTANA'S COMMUNITIES, AND THE SOCIAL DETERMINANTS THAT INFLUENCE CHILD AND ADOLESCENT WELL-BEING. THE CHNA UNDERSCORES BOTH THE ESSENTIAL ROLE SHODAIR PLAYS IN ADDRESSING THESE CHALLENGES AND THE PERSISTENT GAPS THAT REQUIRE STRATEGIC INTERVENTION. SINCE ITS LAST CHNA IN 2021, SHODAIR HAS CONTINUED TO ADAPT TO THE EVOLVING HEALTHCARE LANDSCAPE BY EXPANDING PROGRAMS, INCREASING ACCESSIBILITY, AND COLLABORATING WITH STATE AGENCIES AND COMMUNITY ORGANIZATIONS TO ENHANCE AND EXPAND HEALTHCARE RESOURCES. THIS CHNA BUILDS UPON PREVIOUS EFFORTS, INCORPORATING UPDATED DATA TO INFORM THE HOSPITAL'S STRATEGIC INITIATIVES FOR IMPROVING PEDIATRIC HEALTH OUTCOMES. SHODAIR CHILDREN'S HOSPITAL HAS MADE SIGNIFICANT STRIDES IN ADDRESSING THE MENTAL HEALTH NEEDS OF CHILDREN AND ADULTS IN MONTANA, PARTICULARLY IN RESPONSE TO THE PRIORITIES OUTLINED IN PREVIOUS CHNA AND THE CHIPS. THESE EFFORTS REFLECT SHODAIR'S ONGOING COMMITMENT TO IMPROVING ACCESS TO CARE, ENHANCING SERVICE DELIVERY, AND SUPPORTING THE MENTAL HEALTH AND WELL-BEING OF YOUNG PEOPLE THROUGHOUT THE STATE. SHODAIR HAS STRENGTHENED ITS IMPACT BOTH LOCALLY AND STATEWIDE, BY FOSTERING PARTNERSHIPS, ENGAGING IN OUTREACH, AND ACTIVELY PARTICIPATING IN COLLABORATIVES, CONFERENCES, AND PUBLIC AND NONPROFIT WORKING GROUPS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SHODAIR CHILDREN'S HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: SHODAIR CHILDREN'S HOSPITAL'S MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IDENTIFIED SIGNIFICANT COMMUNITY HEALTH NEEDS RELATED TO PEDIATRIC MENTAL AND BEHAVIORAL HEALTH, INCLUDING DEPRESSION, ANXIETY, SUICIDE RISK, SUBSTANCE USE, TRAUMA AND ADVERSE CHILDHOOD EXPERIENCES, CHILD ABUSE AND NEGLECT, AND BARRIERS TO ACCESSING TIMELY AND AFFORDABLE MENTAL HEALTH CARE, PARTICULARLY IN RURAL AREAS OF MONTANA.TO ADDRESS THESE NEEDS, SHODAIR FOCUSES ITS RESOURCES ON PROVIDING SPECIALIZED PEDIATRIC PSYCHIATRIC SERVICES THROUGH INPATIENT ACUTE AND RESIDENTIAL TREATMENT PROGRAMS, OUTPATIENT MENTAL HEALTH CLINICS, AND EXPANDED TELEHEALTH SERVICES TO IMPROVE ACCESS STATEWIDE. SHODAIR ALSO PROVIDES BRIDGE SERVICES FOR PATIENTS TRANSITIONING FROM INPATIENT CARE, EMPHASIZES TRAUMA-INFORMED AND FAMILY-CENTERED CARE, AND COLLABORATES WITH SCHOOLS, EMERGENCY DEPARTMENTS, COMMUNITY MENTAL HEALTH PROVIDERS, AND STATE AGENCIES TO IMPROVE CONTINUITY OF CARE.CERTAIN NEEDS IDENTIFIED IN THE CHNA, SUCH AS AFFORDABLE HOUSING AND BROADER SUBSTANCE USE PREVENTION INITIATIVES, ARE NOT DIRECTLY ADDRESSED THROUGH STANDALONE HOSPITAL PROGRAMS DUE TO THE HOSPITAL'S SPECIALIZED MISSION AND RESOURCE LIMITATIONS. THESE NEEDS ARE ADDRESSED INDIRECTLY THROUGH REFERRALS, PARTNERSHIPS, ADVOCACY, AND PARTICIPATION IN STATEWIDE AND COMMUNITY-BASED COLLABORATIONS.- OPENING THE NEW HOSPITAL BUILDING IN FEBRUARY 2023, INCLUDING OPENING UNITS THAT SERVE HIGH ACUITY PATIENTS.- EXPANDING TELEHEALTH OUTPATIENT SERVICES TO REACH MORE RURAL COMMUNITIES.- GROWTH OF GENETICS OUTREACH CLINICS TO SERVE MORE RURAL COMMUNITIES IN MONTANA.- INCREASED COMMUNICATION WITH HOSPITAL ERS, ESPECIALLY RURAL HOSPITALS, FACILITATING IMPROVED PATIENT ACCESS FOR MENTAL HEALTH SERVICES.- EXPANDING TRAUMA-INFORMED EDUCATION AND SUPPORT TO COMMUNITY PARTNERS, EDUCATORS, AND SHODAIR STAFF INCLUDING CONTRACT NURSING STAFF.- ENGAGEMENT IN INTERIM STUDIES AND PROPOSALS TO THE MONTANA STATE LEGISLATURE TO STABILIZE THE BEHAVIORAL HEALTH SYSTEM.- LEADERSHIP IN DEVELOPMENT AND IMPROVEMENT OF COMPREHENSIVE CLINICAL AND LABORATORY GENETIC SERVICES, INCLUDING BUT NOT LIMITED TO CYTOGENETICS, DNA, AND SPECIAL CHEMISTRY, TO ALL AREAS OF THE STATE AND ALL SEGMENTS OF THE MONTANA POPULATION.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SHODAIR CHILDREN'S HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 13H: OUTSTANDING MEDICAL DEBT</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SHODAIR CHILDREN'S HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 16J: THE HOSPITAL DOES NOT HAVE A LEP POPULATION THAT IT SERVES AND AS SUCH, HAS NOT BEEN REQUIRED TO TRANSLATE THEIR FAP INTO ANOTHER LANGUAGE OTHER THAN ENGLISH.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>4</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - GENETICS LAB &amp; CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2620 SHODAIR DRIVE</AddressLine1Txt>
            <CityNm>HELENA</CityNm>
            <StateAbbreviationCd>MT</StateAbbreviationCd>
            <ZIPCd>59604</ZIPCd>
          </USAddress>
          <FacilityTxt>GENETICS LAB AND CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - BUTTE OUTPATIENT CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>435 SOUTH CRYSTAL STREET</AddressLine1Txt>
            <CityNm>BUTTE</CityNm>
            <StateAbbreviationCd>MT</StateAbbreviationCd>
            <ZIPCd>59701</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - HELENA OUTPATIENT CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2620 SHODAIR DRIVE</AddressLine1Txt>
            <CityNm>HELENA</CityNm>
            <StateAbbreviationCd>MT</StateAbbreviationCd>
            <ZIPCd>59604</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>4 - GREAT FALLS OUTPATIENT CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2720 10TH AVE SOUTH 2ND FLOOR 210</AddressLine1Txt>
            <CityNm>GREAT FALLS</CityNm>
            <StateAbbreviationCd>MT</StateAbbreviationCd>
            <ZIPCd>59405</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ALSO USED MEDICAL DEBT IN ADDITION TO FINANCIAL ASSISTANCE ELIGIBILITY BASED ON FEDERAL POVERTY GUIDELINES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL USES AN INTERNAL COST-TO-CHARGE RATIO SIMILAR TO THE MEDICARE COST REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7, COLUMN (F):</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 2,375,717.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>SHODAIR CONTINUALLY REACHES OUT TO ITS REFERRAL SOURCES AND STAKEHOLDERS TO WORK ON BUILDING NETWORKS AND PARTNERSHIPS THAT PROMOTE THE MENTAL HEALTH OF YOUTH AND YOUNG ADULTS. ONE WAY SHODAIR IS ACTIVELY INVOLVED IN THIS PROCESS IS BY PARTICIPATING AS A MEMBER OF THE MONTANA HOSPITAL ASSOCIATION'S HEALTHCARE TRANSFORMATION COUNCIL AND OTHER STATEWIDE ORGANIZATIONS (BEHAVIORAL HEALTH ASSOCIATION OF MT) TO ENSURE THAT BEHAVIORAL HEALTH NEEDS ARE BEING ADDRESSED ALONG WITH THE MEDICAL NEEDS OF THE COMMUNITIES IN MONTANA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHARGES ARE CONTRACTED DOWN TO THE PAYER ACCEPTED RATE (IF INSURED), AND ANY SELF PAY BALANCES AFTER INSURANCE HAS PAID ARE BILLED TO THE PATIENT. IF THEY APPLY FOR CHARITY CARE AND ARE APPROVED, THE REMAINING BALANCES ARE WRITTEN OFF AS CHARITY CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>WE DO NOT INCLUDE BAD DEBTS AS COMMUNITY SUPPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DESCRIBES THE RECEIVABLES AND CREDIT POLICY AROUND PATIENT ACCOUNTS ON PAGE 20 OF THE ATTACHED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>NOT APPLICABLE IN TAX YEAR 2025.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL MEDICAID PATIENTS ARE KNOWN TO QUALIFY FOR 100% FINANCIAL ASSISTANCE, ALL OTHER PATIENTS MUST FILL OUT THE FINANCIAL ASSISTANCE APPLICATION IN ORDER TO DETERMINE IF THEY QUALIFY FOR ANY LEVEL OF FINANCIAL ASSISTANCE. MONTANA MEDICAID DOES NOT HAVE DEDUCTIBLES OR COPAYS FOR ANY MEDICAID MEMBER, SO NO MONTANA MEDICAID MEMBER WOULD EVER HAVE A BALANCE THAT WOULD EVER HAVE A BALANCE DUE AFTER INSURANCE PAYMENT. IF ANOTHER STATE'S MEDICAID MEMBER HAD A BALANCE DUE AFTER THE OUT OF STATE MEDICAID PAYMENT IS PROCESSED, WE FIRST CONTACT THE PATIENT AND LET THEM KNOW. IF WE DO NOT RECEIVE A RESPONSE THE BALANCE IS WRITTEN OFF KNOWING THAT IN ORDER TO BE FEDERALLY ELIGIBLE FOR MEDICAID THE PATIENT IS ELIGIBLE FOR 100% FINANCIAL ASSISTANCE AT SHODAIR. NON-MEDICAID PATIENTS WHO HAVE A BALANCE DUE AFTER INSURANCE IS PROCESSED ARE SENT A STATEMENT OF THEIR BALANCE DUE. EACH STATEMENT NOTIFIES THE PATIENT THAT WE HAVE FINANCIAL ASSISTANCE AVAILABLE IF NEEDED. IF WE DO NOT HEAR ANYTHING FROM THE FAMILY AND THE BALANCE IS NOT PAID IN 60 DAYS FROM THE FIRST STATEMENT, WE CONTACT THE FAMILY AND OFFER THE FINANCIAL ASSISTANCE APPLICATION. IT IS ALSO INCLUDED IN THE 90 AND 120 DAY STATEMENTS. ONLY THOSE PATIENTS WHO NEVER RESPOND TO STATEMENTS OR OVER 3 PHONE CALLS ARE SENT TO COLLECTIONS AFTER MORE THAN 180 DAYS OF NON-PAYMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>WE PERIODICALLY CONDUCT A STRATEGIC PLANNING PROCESS THAT IDENTIFIES NEEDS AND OPPORTUNITIES TO MEET THOSE NEEDS. THE MOST RECENT STRATEGIC PLAN UPDATE WAS CONDUCTED IN NOVEMBER 2025. BESIDES THE STRATEGIC PLAN, SHODAIR IS CONTINUOUSLY ENGAGING GOVERNMENT AGENCIES, PROVIDERS OF CHILDREN'S MENTAL SERVICES, PAYERS, AND OTHER COMMUNITY ORGANIZATIONS SERVING CHILDREN IN AN EFFORT TO COLLABORATIVELY SOLVE COMMUNITY HEALTH NEEDS OF CHILDREN AND THEIR FAMILIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>FROM THE ADMISSIONS PACKET TO THE FINANCIAL ASSISTANCE PACKETS MAILED WITH BILLS, THE PATIENT IS INFORMED OF PROGRAMS AVAILABLE TO THEM FREQUENTLY THROUGHOUT THE STAY/VISIT AND AFTER CARE FOLLOW UP. IN ADDITION, A SUMMARY OF THE FINANCIAL ASSISTANCE PROGRAM ALONG WITH CONTACT INFORMATION IS DISPLAYED IN THE WAITING AREAS OF BOTH INPATIENT AND OUTPATIENT SERVICES. THE FINANCIAL ASSISTANCE PROGRAM INFORMATION ALONG WITH APPLICATION IS ALSO POSTED ON OUR WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS CENTRALLY LOCATED IN THE STATE OF MONTANA AND SERVES CHILDREN FROM AROUND THE ENTIRE STATE. IN 2025 PATIENTS WERE ADMITTED FROM OVER 52 OF THE STATE'S 56 COUNTIES. THE PRIMARY SERVICE AREA THAT ACCOUNTS FOR NEARLY 70% OF ITS PATIENTS IS WITHIN A 150-MILE RADIUS OF THE ORGANIZATION'S CAMPUS. OUTPATIENT SERVICES HAVE EXPANDED TO ENCOMPASS THE ENTIRE STATE OF MONTANA, ESPECIALLY WITH THE ROLL OUT OF TELE-VIDEO TECHNOLOGY THAT HAS IMPROVED ACCESS IN THE MORE REMOTE AND RURAL COMMUNITIES IN MONTANA. IN 2020, SHODAIR EXPANDED ITS PATIENT DEMOGRAPHICS TO INCLUDE YOUNG ADULTS UP TO AGE 26.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS CONTINUALLY EDUCATING COMMUNITY LEADERS, LEGISLATORS, PATIENTS AND OTHER HEALTHCARE PROVIDERS OF THE COMPLEXITIES OF TREATING CHILDREN WITH MENTAL HEALTH AND BEHAVIORAL CONDITIONS. SHODAIR INTENTIONALLY TRIES TO MATCH THE MAKE UP OF ITS BOARD MEMBERS WITH THE COMMUNITIES IT SERVES. STAFF INVOLVEMENT IN COMMUNITY PLANNING, CONFERENCES AND SERVING ON BOARDS IS A COMMON OCCURRENCE. ALMOST ALL OF THE YOUNGER CHILDREN ADMITTED TO THIS ACUTE UNIT ARE COMING FROM LOW-INCOME FAMILIES. EACH YEAR THE ORGANIZATION ALSO BUDGETS FOR SUPPORTING ACTIVITIES THAT PROMOTE MENTAL HEALTH INITIATIVES AND SUICIDE PREVENTION.SHODAIR CONTINUALLY REACHES OUT TO ITS REFERRAL SOURCES AND STAKEHOLDERS TO WORK ON BUILDING NETWORKS AND PARTNERSHIPS THAT PROMOTE THE MENTAL HEALTH OF YOUTH AND YOUNG ADULTS. ONE WAY SHODAIR IS ACTIVELY INVOLVED IN THIS PROCESS IS BY PARTICIPATING AS A MEMBER OF THE MONTANA HOSPITAL ASSOCIATION'S HEALTHCARE TRANSFORMATION COUNCIL AND OTHER STATEWIDE ORGANIZATIONS (BEHAVIORAL HEALTH ASSOCIATION OF MT) TO ENSURE THAT BEHAVIORAL HEALTH NEEDS ARE BEING ADDRESSED ALONG WITH THE MEDICAL NEEDS OF THE COMMUNITIES IN MONTANA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>N/A</ExplanationTxt>
      </SupplementalInformationDetail>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ONLY EMPLOYEE THAT RECEIVES A TRAVEL FOR COMPANIONS IS THE CEO - ALLOWED ONE TRAVEL WITH SPOUSE PER YEAR, WHICH IS APPROVED BY THE BOARD. THIS IS IN THE CEO'S CONTRACT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>CRAIG AASVED 457(F) ER CONTRIBUTION - $5,529</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PRESENTED TO THE BOARD FOR REVIEW AND APPROVAL BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>A PERSON SHALL BE DEEMED TO HAVE AN "INTEREST" IN A TRANSACTION IF HE OR SHE IS THE PARTY, ONE OF THE PARTIES, OR DIRECTLY RELATED TO A PARTY DEALING WITH THE CORPORATION, OR IF HE OR SHE HAS DIRECT OR INDIRECT INTEREST IN THE TRANSACTION. ANY TRUSTEE, OFFICER, MEDICAL STAFF MEMBER OR OTHER EMPLOYEE OR AGENT OF THE CORPORATION HAVING A DIRECT OR INDIRECT INTEREST IN A TRANSACTION PRESENTED TO THE BOARD FOR AUTHORIZATION, APPROVAL OR RATIFICATION SHALL MAKE A PROMPT, FULL AND FRANK DISCLOSURE OF HIS OR HER INTEREST TO THE BOARD PRIOR TO ACTION ON SUCH TRANSACTION. THAT PERSON SHALL NOT VOTE ON, OR USE HIS OR HER PERSONAL INFLUENCE ON, NOR PARTICIPATE IN THE DISCUSSION OR DELIBERATIONS WITH RESPECT TO SUCH TRANSACTION. THE MINUTES OF THE MEETINGS SHALL REFLECT THE DISCLOSURE MADE THE VOTE THEREON, THE ABSTENTION FROM VOTING AND PARTICIPATION, AND WHETHER A QUORUM WAS PRESENT. ANY TRANSACTION WHICH INVOLVES A TRUSTEE CONFLICT OF INTEREST MAY NOT BE AUTHORIZED, APPROVED OR RATIFIED BY A SINGLE TRUSTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY THE ORGANIZATION USED AN OUTSIDE CONSULTANT TO STUDY ALL CATEGORIES OF JOBS AT THE HOSPITAL AND COMPARE THE HOSPITAL TO THE 50TH PERCENTILE OF THE NATIONAL COMPENSATION AVERAGE. THE CEO COMPENSATION IS REVIEWED ANNUALLY AND APPROVED BY THE BOARD OF DIRECTORS.</ExplanationTxt>
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