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        <ExplanationTxt>FORM 990, PART III, LINE 2, DESCRIPTION OF NEW SERVICES:Money raised to support the Madison Valley Medical Center and Foundation through grants, sponsorships, and individual contributions. Funding helped provide for the general endowment fund, Dr. R.D. Marks Physician Retention and Recruitment Fund, Dr. Losee and Dr. Wilkins Capital Fund, equipment and services to the Madison Valley Medical Center, including: mobile x-ray machine, c-arm and associated pain management equipment/supplies, two Zoll defibrillators for the Ambulance and Emergency Department, Lucas Device, Lifenet renewal contract, Ambulance cot loader, Ambulance maintenance, Motorola radios, patient room TV's, pediatric crib, iSTAT analyzer, physician retention and recruitment, water heater, and joint annual report.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, SECTION B, LINE 11A:990 IS INITIALLY REVIEWED BY THE EXECUTIVE DIRECTOR AND TREASURER. FORM 990, PART VI, SECTION B, LINE 11B:BOARD REVIEWED THE 990 BEFORE IT WAS FINALIZED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, SECTION B, LINE 12C: THE CONFLICT OF INTEREST POLICY IS REVIEWED AND SIGNED ANNUALLY BY ALL STAFF, VOLUNTEERS, AND BOARD MEMBERS. IF ANY STAFF, VOLUNTEER, OR BOARD MEMBER HAS A POTENTIAL CONFLICT, THEY ARE TO MAKE A FULL, WRITTEN DISCLOSURE TO THE BOARD. THE BOARD WILL REVIEW ALL POTENTIAL CONFLICTS AND DETERMINE IF ONE EXISTS. IF A CONFLICT DOES EXIST, THE CONFLICTED PERSON SHALL BE ASKED TO LEAVE THE ROOM DURING DISCUSSION AND WILL NOT BE PERMITTED TO VOTE ON THE MATTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, SECTION B, LINE 15:THE BOARD REVIEWS COMPARABILITY DATA IN DETERMINING THE EXECUTIVE DIRECTOR'S SALARY AND THE SALARY OF OTHER EMPLOYEES (IF ANY).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 18</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, SECTION C, LINE 19:THE DOCUMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>No documents available to the public.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
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          <AddressLine1Txt>305 NORTH MAIN STREET</AddressLine1Txt>
          <CityNm>ENNIS</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59729</ZIPCd>
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        <EIN>810236460</EIN>
        <PrimaryActivitiesTxt>TO PROVIDE HEALTHCARE AND HOSPITAL SRVCS</PrimaryActivitiesTxt>
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