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        <BusinessName>
          <BusinessNameLine1Txt>TAMMY ENSSLIN</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>251856</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>47771</BonusRelatedOrganizationsAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>33213</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>367063</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>WILLIAM SNAPP III</BusinessNameLine1Txt>
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        <TitleTxt>VP &amp; CFO UNTIL 06/30/21</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>-5847</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>49457</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>251661</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO IS COMPENSATED BY EPHRAIM MCDOWELL HEALTH, INC. (EMH), A RELATED ORGANIZATION. EMH USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4a Severance or change-of-control payment</FormAndLineReferenceDesc>
        <ExplanationTxt>WILLIAM SNAPP LEFT EPHRAIM MCDOWELL IN JULY 2021. HIS SEVERANCE OF $241,786 WAS REPORTED IN HIS W-2.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 6b Compensation contingent on net earnings of a related organization</FormAndLineReferenceDesc>
        <ExplanationTxt>EPHRAIM MCDOWELL HEALTH CARE FOUNDATION, INC. IS AN AFFILIATE OF EPHRAIM MCDOWELL HEALTH, INC., WHO HAS MANAGEMENT INCENTIVE PLANS FOR CORPORATE OFFICERS, SENIOR VICE-PRESIDENTS, AND DIRECTORS. ANNUAL PAYOUTS RELATED TO THESE INCENTIVE PLANS HAVE TWO COMPONENTS. 30% OF THE ANNUAL PAYOUT IS BASED ON NET OPERATING INCOME GOALS COMPARED TO BUDGET. THE OTHER 70% IS BASED ON QUALITY MEASURES, PATIENT SATISFACTION GOALS, ASSOCIATE SATISFACTION GOALS, AND SAFETY MEASURES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="22016089" softwareVersionNum="2022v5.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a PROGRAM SERVICE NARRATIVE</FormAndLineReferenceDesc>
        <ExplanationTxt>The Foundation's primary mission is to raise, invest, and distribute funds in support of EMH's tax exempt health care services. Earnings from investments go to the exempt organizations operating within EMH for capital improvements and enhancements, services, products, education and/or scholarships that would not be possible if it were not for the Foundation. A community-based, uncompensated board of directors who determine how Foundation funds are used to enhance health care in this region. The Chairperson of the EMHCF reports the activities of the Foundation to the EMH Board. Programs currently supported fully or in part by the Foundation include: The AED Grant, a grant setup to provide automated external defibrillator devices to entities within our community who do not have a device, or need additional devices, and serve a large number of people. The grant services non-profit or for-profit entities whose location is within our service region. In addition to the grant of the device, we also provide training for staff members of the award location. In 2023, EMHCF awarded $5714 in devices to various organizations. The Chaplain's Discretionary Fund, a valuable source of assistance for patients who are discharged from any EMH hospital and are unable to purchase certain vital medications, durable medical equipment, or other medical supplies needed to aid their recovery. In FY23, the Foundation received $2703 in funding for the Chaplain's Fund and paid out $1719.83 in support of the Chaplain's Fund. EMH Community Services Department conducts health screenings, community health risk assessments and builds coalitions to address priority needs in the population. In FY23, EMHCF providing $6800 of funding for colorectal screening kits and sun screen to be distributed, free of charge, in our service region. EMHCF provides significant support to Kids Can Do Pediatric Therapy Center. Their programs, Camp Can Do, a day camp for children with special needs; Camp Healthy Kids, a day camp for children with food aversions; and Sensory Santa, an opportunity for children with sensory issues to meet Santa; all developed by pediatric therapists, are funded by EMHCF. In FY23, These initiatives received contributions of $1,700 and funded $35,806 in philanthropic support. The Associates Assistance First Fund, launched in October 2020, a valuable source of assistance for EMH Associates to assist with immediate or catastrophic needs. In FY23, the Foundation received $36,249.80 in funding for the Associates First Fund and paid out $10,296. Funding of technology that supports enhanced patient clinical services and better health outcomes is a primary focus of EMHCF. In FY23, the foundation funded $204,000 for the da Vinci robotic surgical system, allowing surgeons to perform complex minimally invasive surgical procedures with precision and accuracy. Additionally, a digital monitoring system was purchased for the Sleep Center for a total contribution of $16,152.50. As a part of our Cancer Program, EMHCF provides survivors of the disease, who are patients of EMH, a complimentary lifetime membership to McDowell Wellness Center. In FY23, funded $460 for these efforts. Using data from the COVID-19 pandemic, EMH saw a need to better fit our associates with personal protective equipment, reducing the risk of the spread of infectious disease. These efforts were funded with a $16,256.35 contribution. Finally, in an effort to enhance patient experience, EMHCF funded bedside tables throughout Fort Logan Hospital for a total cost of $6,605.39. The Ephraim McDowell Health Care Foundation collaborates with other reputable organizations in the region to increase the benefits that EMH facilities provide. Our annual partners is 2022 were Farmers National Bank, Whitaker Bank, Trim Masters Charitable Foundation, Republic Services, and Danville Office Equipment. Ephraim McDowell Health Care Foundation Grants for FY23 include: - $10,000 - Republic Services unrestricted grant. - $3,000 - Enterprise Rental Car unrestricted grant.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 2a COMMON PAYMASTER</FormAndLineReferenceDesc>
        <ExplanationTxt>EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER IS THE COMMON PAYMASTER FOR EPHRAIM MCDOWELL HEALTH CARE FOUNDATION, INC. ALL SALARIES AND PAYROLL TAXES ARE REPORTED ON A CONSOLIDATED FORM 941. THE EIN ON THE FORM 941 IS 61-0492356.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a PROCESS FOR DETERMINING COMPENSATION</FormAndLineReferenceDesc>
        <ExplanationTxt>EPHRAIM MCDOWELL HEALTH CARE FOUNDATION IS PART OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM WHOSE PARENT IS EPHRAIM MCDOWELL HEALTH, INC. COMPENSATION FOR ALL AFFILIATES IS OVERSEEN AND COORDINATED THROUGH EPHRAIM MCDOWELL HEALTH, INC. THE MERCER GROUP, INDEPENDENT CONSULTANTS, CONDUCTED A REVIEW IN 2018 FOR ESTABLISHING REASONABLE COMPENSATION OF THE CEO. FOR OTHER OFFICERS AND KEY EMPLOYEES, THE ORGANIZATION ALSO UTILIZED COMPENSATION STUDIES. THE COMPENSATION IS APPROVED BY THE COMPENSATION COMMITTEE OF THE EPHRAIM MCDOWELL HEALTH, INC. BOARD OF DIRECTORS. THE DECISION AND PROCESS IS DOCUMENTED BY THE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>EPHRAIM MCDOWELL HEALTH, INC. IS THE SOLE CORPORATE MEMBER OF EPHRAIM MCDOWELL HEALTH CARE FOUNDATION, INC. EPHRIAM MCDOWELL HEALTH, INC., A RELATED 501(C)(3) ENTITY, IS THE PARENT ORGANIZATION OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM. EPHRAIM MCDOWELL HEALTH, INC. ELECTS BOARD MEMBERS OF EPHRAIM MCDOWELL HEALTH CARE FOUNDATION, INC. ON AN ANNUAL BASIS. THE BYLAWS OF EPHRAIM MCDOWELL HEALTH CARE FOUNDATION, INC. REQUIRE APPROVAL OF CERTAIN TRANSACTIONS BY EPHRAIM MCDOWELL HEALTH, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>EPHRAIM MCDOWELL HEALTH, INC. IS THE SOLE CORPORATE MEMBER OF EPHRAIM MCDOWELL HEALTH CARE FOUNDATION, INC. EPHRIAM MCDOWELL HEALTH, INC., A RELATED 501(C)(3) ENTITY, IS THE PARENT ORGANIZATION OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM. EPHRAIM MCDOWELL HEALTH, INC. ELECTS BOARD MEMBERS OF EPHRAIM MCDOWELL HEALTH CARE FOUNDATION, INC. ON AN ANNUAL BASIS. THE BYLAWS OF EPHRAIM MCDOWELL HEALTH CARE FOUNDATION, INC.REQUIRE APPROVAL OF CERTAIN TRANSACTIONS BY EPHRAIM MCDOWELL HEALTH, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>EPHRAIM MCDOWELL HEALTH, INC. IS THE SOLE CORPORATE MEMBER OF EPHRAIM MCDOWELL HEALTH CARE FOUNDATION, INC. EPHRIAM MCDOWELL HEALTH, INC., A RELATED 501(C)(3) ENTITY, IS THE PARENT ORGANIZATION OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM. EPHRAIM MCDOWELL HEALTH, INC. ELECTS BOARD MEMBERS OF EPHRAIM MCDOWELL HEALTH CARE FOUNDATION, INC. ON AN ANNUALBASIS. THE BYLAWS OF EPHRAIM MCDOWELL HEALTH CARE FOUNDATION, INC.REQUIRE APPROVAL OF CERTAIN TRANSACTIONS BY EPHRAIM MCDOWELL HEALTH, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>COPIES OF THE FORM 990 ARE SUBMITTED TO THE FULL BOARD VIA EMAIL PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY, BOARD OF DIRECTORS, SENIOR LEADERSHIP, AND MEDICAL STAFF LEADERS COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE. COMPLETION OF THE ANNUAL QUESTIONNAIRE IS COORDINATED BY GENERAL COUNSEL AND EPHRAIM MCDOWELL'S CORPORATE COMPLIANCE OFFICER. THE COMPLETED QUESTIONNAIRES ARE REVIEWED BY THE SENIOR LEADERSHIP AND THE CORPORATE COMPLIANCE OFFICER. THE CHAIRMAN OF THE BOARD OF DIRECTORS IS MADE AWARE OF CONFLICTS WHICH HAVE BEEN DISCLOSED ON ANNUAL STATEMENTS. IF CONFLICTS EXIST, THE CONFLICT IS DISCLOSED AND THE INDIVIDUAL WITH THE CONFLICT DOES NOT PARTICIPATE OR VOTE ON ACTIVITIES WHERE A CONFLICT OF INTEREST IS PRESENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS - 36996; ROUNDING - 1;</ExplanationTxt>
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    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>EMHFL INC</BusinessNameLine1Txt>
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</Return>