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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>CENTER FOR ASBESTOS RELATED DISEASE (CARD) PROVIDES LONG TERM SCREENING, HEALTH MONITORING, DISEASE DIAGNOSIS, SPECIALIZED ASBESTOS HEALTHCARE AND COUNSELING TO ALL PEOPLE IMPACTED BY LIBBY AMPHIBOLE ASBESTOS. CARD ALSO PROVIDES OUTREACH, ADVOCACY, DISEASE PREVENTION AND RESEARCH TO BENEFIT ALL AFFECTED BY ASBESTOS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>7/20/2023 CARD IS ACCEPTING NEW PATIENTS AND CONTINUING SERVICES AS USUAL, INCLUDING OUR FREE ASBESTOS HEALTH SCREENING PROGRAMS. CARD IS ALSO MOVING FORWARD WITH THE BIG SKY BASH CONCERT EVENT THAT WILL BE HELD ON AUG. 5 FEATURING THE MULTI-PLATINUM COUNTRY ARTIST, JOE NICHOLS. IN 2019, BNSF RAILWAY FILED A FALSE CLAIMS ACT LAWSUIT AGAINST CARD. ON JUNE 27, 2023, A MISSOULA FEDERAL COURT JURY DECIDED THAT CARD HAD SUBMITTED FALSE CLAIMS TO THE SOCIAL SECURITY ADMINISTRATION FOR MEDICARE COVERAGE FOR 337 INDIVIDUALS. HOWEVER, CARD FEELS THAT EVIDENTIARY RULINGS BY THE JUDGE PREVENTED CARD FROM PRESENTING A FULL DEFENSE. FOR EXAMPLE, MAX BAUCUS, FORMER U.S. SENATOR OF MONTANA AND A PRIMARY AUTHOR OF THE AFFORDABLE CARE ACT'S LIBBY PROVISION - WHICH WAS THE LAW IN QUESTION IN THIS CASE - WAS PREVENTED FROM TESTIFYING ON CARD'S BEHALF BECAUSE THE JUDGE RULED THAT HIS TESTIMONY WOULD BE UNFAIR TO BNSF. THE JUDGMENT AGAINST CARD IS OVER 5 MILLION AND WOULD RESULT IN CARD'S BANKRUPTCY, BUT CARD HAS FILED AN APPEAL TO HAVE THE NINTH CIRCUIT COURT OF APPEALS REVIEW THE TRIAL JUDGE'S DECISIONS. CARD STANDS BY ITS PRACTICES AND MISSION TO SERVE THE LIBBY COMMUNITY AND OTHERS IMPACTED BY ASBESTOS EXPOSURE. ALTHOUGH THE JURY FOUND FALSE CLAIMS, CARD WAS FOLLOWING TRANSPARENT PROCEDURES THAT HAVE BEEN IN PLACE SINCE THE AFFORDABLE CARE ACT PASSED IN 2010 AND THOSE PROCEDURES HAD NEVER BEFORE BEEN QUESTIONED. IN ADDITION, THE FEDERAL AGENCY THAT FUNDS CARD'S SCREENING PROGRAM TESTIFIED THAT THE AGENCY AGREED WITH CARD'S INTERPRETATION OF THE LAW AND THAT CARD HAD SUBMITTED NO FALSE CLAIMS. ALTHOUGH THERE WAS NO EXPLANATION PROVIDED WITH THE VERDICT THAT FALSE CLAIMS WERE SUBMITTED FOR 337 INDIVIDUALS, IT APPEARS THAT THE CLAIMS WERE RELATED TO PATIENTS RECEIVING MEDICARE AND/OR PILOT PROGRAM BENEFITS BASED ON AN ABNORMAL RADIOLOGY READ BY REVIEWING RADIOLOGISTS WITHOUT A CLINICAL DIAGNOSIS OF ASBESTOS RELATED DISEASE BY CARD. AT THIS TIME, REGARDLESS OF THE VERDICT, IT APPEARS THAT THE GOVERNMENT HAS NO INTENTION OF CHANGING ANYONE'S MEDICARE OR PILOT PROGRAM BENEFITS. WE ENCOURAGE YOU TO REACH OUT TO CARD IF YOU HAVE ANY QUESTIONS ABOUT YOUR SPECIFIC SITUATION. MORE INFORMATION: CONTACT TRACY MCNEW, LPN, MPA, EXECUTIVE DIRECTOR 406-293-9274 / TRACY@LIBBYASBESTOS.ORG / LIBBYASBESTOS.ORG 8/9/23 IN ORDER TO CONTINUE ITS VITAL WORK FOR THE LIBBY COMMUNITY AND THOSE AFFECTED BY LIBBY AMPHIBOLE ASBESTOS, THE CENTER FOR ASBESTOS RELATED DISEASE (CARD) FILED FOR BANKRUPTCY (CH. 11) ON MONDAY, AUGUST 7, 2023. CARD HAD TO DO SO TO PREVENT BNSF RAILWAY CO. (BNSF) FROM SEIZING CARD'S ASSETS PENDING THE OUTCOME OF CARD'S APPEAL OF A JUDGMENT ENTERED IN BNSF'S FAVOR. CARD IS APPEALING THE JUDGMENT ENTERED IN BNSF'S LAWSUIT AGAINST CARD WHEREIN BNSF ALLEGED CARD HAD SUBMITTED OVER 2,000 FALSE CLAIMS. BNSF, WHO HAS BEEN FOUND STRICTLY LIABLE FOR ITS HANDLING OF ASBESTOS IN LIBBY, HAS BEEN CONCURRENTLY LITIGATING NUMEROUS CIVIL LAWSUITS BROUGHT AGAINST IT BY PEOPLE DIAGNOSED WITH AN ASBESTOS RELATED DISEASE, MANY OF WHOM HAVE BEEN DIAGNOSED BY CARD. WHILE THE MISSOULA FEDERAL COURT JURY REJECTED MANY OF BNSF'S OVER 2,000 ALLEGATIONS AGAINST CARD, IT DID FIND THAT CARD HAD SUBMITTED 337 FALSE CLAIMS OF THE OVER 8,400 PEOPLE IT HAS SCREENED. IT APPEARS THOSE 337 FALSE CLAIMS WERE RELATED TO PATIENTS RECEIVING MEDICARE BENEFITS UNDER THE LIBBY PROVISIONS OF THE AFFORDABLE CARE ACT BASED ON ABNORMAL RADIOLOGY READS BUT WITHOUT A SEPARATE CLINICAL DIAGNOSIS OF ASBESTOS RELATED DISEASE. ALTHOUGH CARD DID NOT DIAGNOSE THOSE PEOPLE, CARD FILLED OUT A FORM FOR THOSE PEOPLE TO BE ELIGIBLE FOR MEDICARE BASED ON ITS UNDERSTANDING OF THE LIBBY PROVISIONS OF THE ACA. IN COMPLETING THOSE FORMS, CARD FOLLOWED THE PROCEDURES THAT HAVE BEEN IN PLACE SINCE THE ACA WAS PASSED IN 2010. THOSE PROCEDURES HAD NEVER BEEN QUESTIONED OR REJECTED BY THE U.S. GOVERNMENT. CARD UNDERSTANDS THAT THE GOVERNMENT DOES NOT INTEND TO CHANGE ANYONE'S MEDICARE OR PILOT PROGRAM BENEFITS BASED ON THE VERDICT. ON APPEAL WILL BE KEY LEGAL RULINGS INTERPRETING THE MEANING OF THE LIBBY PROVISIONS OF THE ACA AND KEY EVIDENTIARY RULINGS THAT PREVENTED CARD FROM PRESENTING A FULL DEFENSE, INCLUDING THE TESTIMONY OF FORMER U.S. SENATOR MAX BAUCUS, WHO WAS THE PRIMARY AUTHOR OF THE ACA'S LIBBY PROVISIONS AND WOULD HAVE TESTIFIED THE INTENT OF THE ACA WAS TO INCLUDE THOSE 337 PEOPLE. NEVERTHELESS, BNSF'S ABILITY TO SEIZE CARD'S ASSETS PENDING THE APPEAL HAS PLACED CARD AT RISK OF CLOSING ITS DOORS. CARD'S FIRST PRIORITY IS AND HAS ALWAYS BEEN THE SERVICE TO AND CARE OF ITS PATIENTS. CARD IS A NON-PROFIT CLINIC PRIMARILY FUNDED BY A FEDERAL GRANT THROUGH THE CENTERS FOR DISEASE CONTROL. BY FILING FOR BANKRUPTCY WHILE PURSUING THE APPEAL, CARD WILL BE ABLE TO CONTINUE SERVING THE LIBBY COMMUNITY AND THOSE AFFECTED BY LIBBY AMPHIBOLE ASBESTOS. CARD REMAINS DEDICATED TO ITS MISSION, AND IT CONTINUES TO ACCEPT NEW PATIENTS AND OFFER SERVICES AS USUAL. 9/25/24 THE CENTER FOR ASBESTOS RELATED DISEASE, INC. (CARD) REAFFIRMS COMMITMENT FOLLOWING RECENT COURT DECISION THE CENTER FOR ASBESTOS RELATED DISEASE (CARD), A 501(C)(3) NON-PROFIT ORGANIZATION, IS DISAPPOINTED BY THE RECENT DECISION OF THE NINTH CIRCUIT COURT OF APPEALS TO UPHOLD A LOWER COURT RULING RELATED TO A LAWSUIT BROUGHT AGAINST US BY BNSF RAILWAY. HOWEVER, THIS DECISION DOES NOT REFLECT THE CORE OF WHAT WE DO AND WILL NOT AFFECT OUR DAILY OPERATIONS. OUR DEDICATED TEAM REMAINS FOCUSED ON OUR MISSION TO PROVIDE IMPORTANT HEALTH SERVICES TO THE LIBBY COMMUNITY AND ALL THOSE IMPACTED BY ASBESTOS-RELATED DISEASES ACROSS THE NATION. CARD CONTINUES TO BE FUNDED PRIMARILY BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC). WE UNDERGO RIGOROUS FINANCIAL AUDITS ANNUALLY TO ENSURE TRANSPARENCY AND ACCOUNTABILITY. THE OUTCOME OF THE TRIAL IN JUNE 2023 DID NOT QUESTION THE QUALITY OR VALIDITY OF OUR MEDICAL DIAGNOSES. OUR ASBESTOS RELATED DISEASE (ARD) DIAGNOSES CONTINUE TO QUALIFY INDIVIDUALS FOR MEDICARE BENEFITS, AS THEY HAVE SINCE THE PASSAGE OF THE AFFORDABLE CARE ACT. THE ISSUE BEFORE THE NINTH CIRCUIT RELATED TO WHETHER THE INTERPRETATION OF POSITIVE RADIOLOGY READS BY OUTSIDE PHYSICIANS PROVIDED INDIVIDUALS WITH MEDICARE ELIGIBILITY. WE NO LONGER SUBMIT THESE OUTSIDE PHYSICIAN RESULTS TO THE SOCIAL SECURITY ADMINISTRATION TO SUPPORT APPLICATIONS FOR MEDICARE. WE WANT TO REASSURE OUR PATIENTS AND THE COMMUNITY THAT NOT A SINGLE PERSON LOST MEDICARE BENEFITS AS A RESULT OF THE TRIAL. OUR DIAGNOSES ARE SOUND, AND WE STAND BEHIND THE CARE WE PROVIDE. WHILE CARD DECLARED BANKRUPTCY DUE TO A JUDGMENT OF APPROXIMATELY 6 MILLION, THE UNITED STATES INTERVENED IN THE BANKRUPTCY PROCEEDING AND DETERMINED THAT THE JUDGMENT SHOULD NOT BE PAID, SO THE BANKRUPTCY WAS SETTLED AND DISMISSED IN SPRING 2024. CARD IS FINANCIALLY STABLE AND IS CONTINUING ITS MISSION. WE ARE PROUD TO ANNOUNCE THAT WE HAVE BEEN AWARDED A NEW FIVE-YEAR ASBESTOS HEALTH SCREENING GRANT FROM THE CDC, EFFECTIVE FROM SEPTEMBER 1, 2024, THROUGH AUGUST 2029. THIS AWARD IS A TESTAMENT TO OUR SUCCESS IN CARRYING OUT PREVIOUS GRANT PROGRAMS AND OUR UNWAVERING COMMITMENT TO THE COMMUNITY. THE WORK WE DO IS IMPORTANT: WE PROVIDE FREE ASBESTOS HEALTH SCREENINGS FOR INDIVIDUALS EXPOSED TO LIBBY AMPHIBOLE ASBESTOS, FREE LUNG CANCER SCREENINGS FOR QUALIFYING INDIVIDUALS, AND ONGOING CARE FOR THOSE DIAGNOSED WITH ASBESTOS-RELATED DISEASES, IN ADDITION TO PROVIDING OUTREACH AND EDUCATION LOCALLY, REGIONALLY, AND NATIONALLY. AT CARD, WE ARE PASSIONATE ABOUT OUR WORK, AND AS A NONPROFIT, THERE ARE NO OWNERS WHO CAN PERSONALLY PROFIT FROM THE ORGANIZATION. OUR EMPLOYEES ENJOY STABLE JOBS WITH BENEFITS AND MISSION-DRIVEN WORK. WE ARE DEDICATED TO SERVING OUR COMMUNITY THROUGH MEDICAL CARE, ACTIVE PARTICIPATION IN SERVICE PROJECTS, SUPPORT OF LOCAL INITIATIVES, AND CONTRIBUTIONS TO COMMUNITY EVENTS. AS WE MOVE FORWARD, CARD REMAINS COMMITTED TO ITS MISSION OF "PROVIDING ADVOCACY, CARE, RESOURCES, AND HOPE" TO THOSE IMPACTED BY ASBESTOS-RELATED DISEASES. WE WILL CONTINUE TO LEAD RESEARCH EFFORTS TO IMPROVE THE UNDERSTANDING, PREVENTION, AND TREATMENT OF ASBESTOS-RELATED DISEASES WHILE ENSURING THAT THOSE AFFECTED RECEIVE THE CARE AND SUPPORT THEY NEED.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>DRAFT COPY OF RETURN IS EMAILED TO BOARD MEMBERS FOR REVIEW AND APPROVAL PRIOR TO FILING. BOARD MEMBERS INDICATE THEIR APPROVAL BY REPLYING TO THE SENDER.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>IMMEDIATE AND FULL DISCLOSURE OF POTENTIAL CONFLICTS IS REQUIRED.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD OF DIRECTORS PERFORM AN INDEPENDANT EVALUATION OF THE PERFORMANCE OF THE CHIEF EXECUTIVE OFFICER (CEO) AND OTHER OFFICERS ANNUALLY. THE BOARD SETS COMPENSATION BASED ON A FORMAL ANALYSIS OF AREA WAGES AND THROUGH DELIBERATION WITH FELLOW BOARD MEMBERS.</ExplanationTxt>
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