﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2023v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2024-11-15T11:41:58-05:00</ReturnTs>
    <TaxPeriodEndDt>2023-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>820338741</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>DEATON &amp; COMPANY CHARTERED</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>215 N 9TH AVE STE A</AddressLine1Txt>
        <CityNm>POCATELLO</CityNm>
        <StateAbbreviationCd>ID</StateAbbreviationCd>
        <ZIPCd>832015278</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2023-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>481289745</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>PORTNEUF HEALTH TRUST</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>PORT</BusinessNameControlTxt>
      <PhoneNum>2082391953</PhoneNum>
      <USAddress>
        <AddressLine1Txt>500 S 11TH AVE 503</AddressLine1Txt>
        <CityNm>POCATELLO</CityNm>
        <StateAbbreviationCd>ID</StateAbbreviationCd>
        <ZIPCd>83201</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>CLARK BITTON</PersonNm>
      <PersonTitleTxt>CFO</PersonTitleTxt>
      <PhoneNum>2082391953</PhoneNum>
      <SignatureDt>2024-11-14</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>false</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>DORAN LAMBSON</PreparerPersonNm>
      <PTIN>P01291882</PTIN>
      <PhoneNum>2082325825</PhoneNum>
      <PreparationDt>2024-11-15</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2023</TaxYr>
    <BuildTS>2024-10-15 13:58:12Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="7">
    <IRS990 documentId="RetDoc2" referenceDocumentId="RetDoc6">
      <PrincipalOfficerNm>MARK BUCKALEW</PrincipalOfficerNm>
      <GrossReceiptsAmt>40875506</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>HTTP://WWW.PORTNEUFHEALTHTRUST.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>2002</FormationYr>
      <LegalDomicileStateCd>ID</LegalDomicileStateCd>
      <ActivityOrMissionDesc>ENHANCE THE HEALTH OF CITIZENS THROUGHOUT EASTERN IDAHO BY SUPPORTING QUALITY MEDICAL SERVICES, AND THROUGH THE DELIVERY OF WELLNESS AND PREVENTION PROGRAMS.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>7</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>7</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>16</TotalEmployeeCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>111299</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>76702</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>19482633</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>23001521</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>-16150848</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>17792374</CYInvestmentIncomeAmt>
      <CYOtherRevenueAmt>0</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>3443084</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>40870597</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>1333935</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>1619936</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>910014</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>924721</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>1812291</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>3719178</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>4056240</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>6263835</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-613156</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>34606762</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>171813939</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>208023022</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>1265070</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>2867391</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>170548869</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>205155631</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>ENHANCE THE HEALTH OF CITIZENS THROUGHOUT EASTERN IDAHO BY SUPPORTING QUALITY MEDICAL SERVICES, AND THROUGH THE DELIVERY OF WELLNESS AND PREVENTION PROGRAMS.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>3413357</ExpenseAmt>
      <GrantAmt>1619936</GrantAmt>
      <Desc>THE PORTNEUF HEALTH TRUST (PHT) IS DEDICATED TO ENSURE THE COMMUNITY HOSPITAL BENEFIT OF PORTNEUF MEDICAL CENTER AND TO INVEST INCOME FROM THAT PARTNERSHIP INTO COMMUNITY HEALTH INITIATIVES. AREAS OF FOCUS ARE ON CREATING GREATER ACCESS TO HEALTH CARE FOR THE POOR AND UNDERSERVED IN OUR REGION AND PROVIDING BETTER HEALTH CARE TECHNOLOGY AND HEALTH EDUCATION TO THE REGION. PHT ALSO INVESTS IN PHYSICAL INFRASTRUCTURE TO PROMOTE HEALTH SUCH AS THE PORTNEUF GREENWAY, AN ALL-ACCESS REGIONAL PLAYGROUND FOR CHILDREN TO PLAY AND INCREASE THEIR MENTAL AND PHYSICAL WELL-BEING, AND THE PORTNEUF WELLNESS COMPLEX. ALSO, THE FOUNDATION INVESTS IN EQUIPMENT, TECHNOLOGY, AND BRICKS AND MORTAR FOR HEALTH WEST, A FEDERALLY QUALIFIED HEALTH CLINIC, AND PROGRAMS FOR IDAHO STATE UNIVERSITY'S FAMILY PRACTICE RESIDENCY, CANCER PATIENT ASSISTANCE FUND, AND A FUN-FUND FOR CANCER PATIENTS.</Desc>
      <TotalProgramServiceExpensesAmt>3413357</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc8">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd>false</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc3">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc3">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc3">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc3">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc3">false</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc3">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc3">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc3">true</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc3">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc3">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc3">false</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc3">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc3">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd referenceDocumentId="RetDoc4">true</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc4">false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc5">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc7">true</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc7">true</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc7">false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc7">false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>23</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>16</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>7</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>7</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>false</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>false</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>true</InvestmentInJointVentureInd>
      <WrittenPolicyOrProcedureInd>true</WrittenPolicyOrProcedureInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>CLARK BITTON</PersonNm>
        <PhoneNum>2082391953</PhoneNum>
        <USAddress>
          <AddressLine1Txt>500 S 11TH SUITE 503</AddressLine1Txt>
          <CityNm>POCATELLO</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83201</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <NoListedPersonsCompensatedInd>X</NoListedPersonsCompensatedInd>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHAUN MENCHACA</PersonNm>
        <TitleTxt>EXECUTIVE DI</TitleTxt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>268286</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARK BUCKALEW</PersonNm>
        <TitleTxt>BOARD CHAIRM</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TJ BUDGE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MIKE CALLAHAN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEVE FARNSWORTH</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN GIBBENS</PersonNm>
        <TitleTxt>VICE CHAIRMA</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PHIL JOSLIN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DENA WEAVER</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>268286</TotalReportableCompFromOrgAmt>
      <IndivRcvdGreaterThan100KCnt>1</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>HAWLEY TROXELL ENNIS HAWLEY LLP</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 1617</AddressLine1Txt>
            <CityNm>BOISE</CityNm>
            <StateAbbreviationCd>ID</StateAbbreviationCd>
            <ZIPCd>83701</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL</ServicesDesc>
        <CompensationAmt>218672</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <MembershipDuesAmt>24080</MembershipDuesAmt>
      <AllOtherContributionsAmt>52622</AllOtherContributionsAmt>
      <TotalContributionsAmt>76702</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>INVESTMENT IN PMC</Desc>
        <TotalRevenueColumnAmt>19321150</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>19321150</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RENTAL INCOME</Desc>
        <TotalRevenueColumnAmt>3653306</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3653306</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PARKING GARAGE INCOME</Desc>
        <TotalRevenueColumnAmt>27065</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>27065</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>23001521</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>17797283</TotalRevenueColumnAmt>
        <ExclusionAmt>17797283</ExclusionAmt>
      </InvestmentIncomeGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>4909</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-4909</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-4909</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-4909</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>40870597</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>22996612</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>17797283</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>1619436</TotalAmt>
        <ProgramServicesAmt>1619436</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>500</TotalAmt>
        <ProgramServicesAmt>500</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>751020</TotalAmt>
        <ProgramServicesAmt>153653</ProgramServicesAmt>
        <ManagementAndGeneralAmt>597367</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>120759</TotalAmt>
        <ProgramServicesAmt>14979</ProgramServicesAmt>
        <ManagementAndGeneralAmt>105780</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>52942</TotalAmt>
        <ProgramServicesAmt>12842</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40100</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>1772566</TotalAmt>
        <ProgramServicesAmt>22106</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1750460</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>150787</TotalAmt>
        <ProgramServicesAmt>124070</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26717</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>6824</TotalAmt>
        <ProgramServicesAmt>79</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6745</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>17233</TotalAmt>
        <ProgramServicesAmt>6912</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10321</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>481879</TotalAmt>
        <ProgramServicesAmt>415198</ProgramServicesAmt>
        <ManagementAndGeneralAmt>66681</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>37682</TotalAmt>
        <ProgramServicesAmt>107</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37575</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>56894</TotalAmt>
        <ManagementAndGeneralAmt>56894</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>901866</TotalAmt>
        <ProgramServicesAmt>895610</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6256</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>58211</TotalAmt>
        <ProgramServicesAmt>55573</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2638</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>COMMUNITY WELLNESS PROGRA</Desc>
        <TotalAmt>134956</TotalAmt>
        <ProgramServicesAmt>45924</ProgramServicesAmt>
        <ManagementAndGeneralAmt>89032</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT AND SUPPLIES</Desc>
        <TotalAmt>63245</TotalAmt>
        <ProgramServicesAmt>45372</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17873</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DEVELOPMENT EXPENSE</Desc>
        <TotalAmt>25791</TotalAmt>
        <ManagementAndGeneralAmt>25791</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BOARD EXPENSE</Desc>
        <TotalAmt>9108</TotalAmt>
        <ManagementAndGeneralAmt>9108</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>2136</TotalAmt>
        <ProgramServicesAmt>996</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1140</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>6263835</TotalAmt>
        <ProgramServicesAmt>3413357</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2850478</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>9642128</BOYAmt>
        <EOYAmt>6744016</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1016831</BOYAmt>
        <EOYAmt>909208</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>18462</BOYAmt>
        <EOYAmt>27911</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>37876016</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>3162799</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>32023386</BOYAmt>
        <EOYAmt>34713217</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>89458563</BOYAmt>
        <EOYAmt>121164745</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>39649616</BOYAmt>
        <EOYAmt>44463925</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>4953</BOYAmt>
      </IntangibleAssetsGrp>
      <TotalAssetsGrp>
        <BOYAmt>171813939</BOYAmt>
        <EOYAmt>208023022</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>464505</BOYAmt>
        <EOYAmt>1966769</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>800565</BOYAmt>
        <EOYAmt>900622</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1265070</BOYAmt>
        <EOYAmt>2867391</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>170000403</BOYAmt>
        <EOYAmt>204381880</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>548466</BOYAmt>
        <EOYAmt>773751</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>170548869</BOYAmt>
        <EOYAmt>205155631</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>171813939</BOYAmt>
        <EOYAmt>208023022</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>34606762</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc8">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>60514</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>38695</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>40178</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>111299</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>76702</CurrentTaxYearAmt>
        <TotalAmt>327388</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>9974590</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>15921816</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>23014361</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>19482633</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>23001521</CurrentTaxYearAmt>
        <TotalAmt>91394921</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>10035104</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>15960511</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>23054539</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>19593932</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>23078223</CurrentTaxYearAmt>
        <TotalAmt>91722309</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>91722309</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>7928572</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5688452</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>12405111</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>-16150649</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>17797283</CurrentTaxYearAmt>
        <TotalAmt>27668769</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>7928572</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5688452</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>12405111</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>-16150649</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>17797283</CurrentTaxYearAmt>
        <TotalAmt>27668769</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>17963676</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>21648963</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>35459650</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3443283</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>40875506</CurrentTaxYearAmt>
        <TotalAmt>119391078</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.76830</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.89240</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.23000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.11000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc3">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>11058544</OtherCostOrOtherBasisAmt>
        <BookValueAmt>11058544</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>25548169</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2159524</DepreciationAmt>
        <BookValueAmt>23388645</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1245495</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>984238</DepreciationAmt>
        <BookValueAmt>261257</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>23808</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>19037</DepreciationAmt>
        <BookValueAmt>4771</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>34713217</TotalBookValueLandBuildingsAmt>
      <InvstProgramRelatedOrgGrp>
        <Desc>INVESTMENT IN PMC</Desc>
        <BookValueAmt>44463925</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <TotalBookValueProgramRltdAmt>44463925</TotalBookValueProgramRltdAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>SLATE N/P</Desc>
        <Amt>656102</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>POCATELLO HEALTH SERVICES PAYABLE</Desc>
        <Amt>244520</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>900622</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>40870597</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>40870597</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>40870597</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>6263835</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>6263835</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>6263835</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc4">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BANNOCK COUNTY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>624 EAST CENTER</AddressLine1Txt>
          <CityNm>POCATELLO</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>832016274</ZIPCd>
        </USAddress>
        <RecipientEIN>826000279</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>96845</CashGrantAmt>
        <ValuationMethodUsedDesc>BOOK</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>WELLNESS COMPLEX</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BANNOCK DEVELOPMENT CORPORATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1001 N 7TH AVENUE STE 250</AddressLine1Txt>
          <CityNm>POCATELLO</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83201</ZIPCd>
        </USAddress>
        <RecipientEIN>820424124</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <ValuationMethodUsedDesc>BOOK</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>SUBSTAINABILITY GRAN</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CITY OF POCATELLO</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>911 NORTH 7TH AVENUE</AddressLine1Txt>
          <CityNm>POCATELLO</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83201</ZIPCd>
        </USAddress>
        <RecipientEIN>826000244</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>432797</CashGrantAmt>
        <NonCashAssistanceAmt>11924</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>BOOK</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>REDUCED RENTS</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>SUBSTAINABILITY GRAN</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BADGER INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1675 CURLEW</AddressLine1Txt>
          <CityNm>AMMON</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83406</ZIPCd>
        </USAddress>
        <RecipientEIN>820528740</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>126007</CashGrantAmt>
        <ValuationMethodUsedDesc>BOOK</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>SUBSTAINABILITY GRAN</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HEALTH WEST INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>500 SOUTH 11TH STE 400</AddressLine1Txt>
          <CityNm>POCATELLO</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83201</ZIPCd>
        </USAddress>
        <RecipientEIN>820324100</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>323377</CashGrantAmt>
        <ValuationMethodUsedDesc>BOOK</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>SUBSTAINABILITY GRAN</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>POCATELLO FREE CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1001 NORTH 7TH AVE SUITE 102</AddressLine1Txt>
          <CityNm>POCATELLO</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83201</ZIPCd>
        </USAddress>
        <RecipientEIN>820351133</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>61862</CashGrantAmt>
        <ValuationMethodUsedDesc>BOOK</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>SUBSTAINABILITY GRAN</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNITED WAY OF SE IDAHO</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>275 S 5TH AVENUE 250</AddressLine1Txt>
          <CityNm>POCATELLO</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83201</ZIPCd>
        </USAddress>
        <RecipientEIN>820209625</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>135000</CashGrantAmt>
        <ValuationMethodUsedDesc>BOOK</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>SUBSTAINABILITY GRAN</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BEHAVIORAL ENHANCEMENT SERVICES &amp; T</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1675 CURLEW</AddressLine1Txt>
          <CityNm>AMMON</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83406</ZIPCd>
        </USAddress>
        <RecipientEIN>825329347</RecipientEIN>
        <IRCSectionDesc>PART</IRCSectionDesc>
        <CashGrantAmt>10669</CashGrantAmt>
        <ValuationMethodUsedDesc>BOOK</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>MENTAL HEALTH GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>IDAHO STATE UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>921 SOUTH 8TH AVE</AddressLine1Txt>
          <CityNm>POCATELLO</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83209</ZIPCd>
        </USAddress>
        <RecipientEIN>826000924</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>34654</CashGrantAmt>
        <ValuationMethodUsedDesc>BOOK</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>HEALTHCARE RELATED</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BOYS AND GIRLS CLUB OF MAGIC VALLEY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>650 ADDISON AVE WEST</AddressLine1Txt>
          <CityNm>TWIN FALLS</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83301</ZIPCd>
        </USAddress>
        <RecipientEIN>943176622</RecipientEIN>
        <IRCSectionDesc>501CS</IRCSectionDesc>
        <CashGrantAmt>13945</CashGrantAmt>
        <ValuationMethodUsedDesc>BOOK</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>SUBSTAINABILITY GRAN</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE CENTERS OF HOPE INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1001 N 7TH AVE SUITE 150</AddressLine1Txt>
          <CityNm>POCATELLO</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83201</ZIPCd>
        </USAddress>
        <RecipientEIN>834585171</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>29129</CashGrantAmt>
        <ValuationMethodUsedDesc>BOOK</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>SUBSTAINABILITY GRAN</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PHT REAL ESTATE HOLDINGS LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>500 S 11TH AVE SUITE 503</AddressLine1Txt>
          <CityNm>POCATELLO</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83201</ZIPCd>
        </USAddress>
        <RecipientEIN>811050016</RecipientEIN>
        <IRCSectionDesc>PARTNE</IRCSectionDesc>
        <CashGrantAmt>139600</CashGrantAmt>
        <ValuationMethodUsedDesc>BOOK</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>SUSTAINABILITY GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>POCATELLO HOSPITAL LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>340 SEVEN SPRINGS WAY STE 101</AddressLine1Txt>
          <CityNm>BRENTWOOD</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37027</ZIPCd>
        </USAddress>
        <RecipientEIN>263757032</RecipientEIN>
        <IRCSectionDesc>PART</IRCSectionDesc>
        <NonCashAssistanceAmt>39362</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>BOOK</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>REDUCED RENT</NonCashAssistanceDesc>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>POCATELLO CHUBBUCK CHAMBER FOUNDATI</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>324 SOUTH MAIN</AddressLine1Txt>
          <CityNm>POCATELLO</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83204</ZIPCd>
        </USAddress>
        <RecipientEIN>813237943</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>9420</CashGrantAmt>
        <ValuationMethodUsedDesc>BOOK</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>HEALTHCARE RELATED</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE HOSPITAL COOPERATIVE INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>500 SOUTH 11TH AVE SUITE 503</AddressLine1Txt>
          <CityNm>POCATELLO</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83201</ZIPCd>
        </USAddress>
        <RecipientEIN>820520059</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>7206</CashGrantAmt>
        <ValuationMethodUsedDesc>BOOK</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>HEALTHCARE RELATED</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PHT 1001 N 7TH AVE LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>500 S 11TH AVE SUITE 503</AddressLine1Txt>
          <CityNm>POCATELLO</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83201</ZIPCd>
        </USAddress>
        <RecipientEIN>811050016</RecipientEIN>
        <IRCSectionDesc>PART</IRCSectionDesc>
        <CashGrantAmt>102639</CashGrantAmt>
        <ValuationMethodUsedDesc>BOOK</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>SUBSTAINABILITY GRAN</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PORTNEUF GREENWAY FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>420 N MAIN STREET</AddressLine1Txt>
          <CityNm>POCATELLO</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83204</ZIPCd>
        </USAddress>
        <RecipientEIN>820458456</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <ValuationMethodUsedDesc>BOOK</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>HEALTHCARE RELATED</PurposeOfGrantTxt>
      </RecipientTable>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PAGE 4, PART IV</FormAndLineReferenceDesc>
        <ExplanationTxt>DONATED RENT AND GRANTS: IN ACCORDANCE WITH THE TRUST'S MISSION TO ENHANCE AND IMPROVE THE HEALTH OF SOUTHEASTERN IDAHO AND SURROUNDING AREAS, PHT PROVIDES GIFT IN KIND CONTRIBUTIONS TO HEALTH-RELATED ORGANIZATIONS THROUGH HIGH QUALITY CLINICAL AND ADMINISTRATIVE SPACE AT REDUCED RATES, WITH USE OF EDUCATIONAL FACILITIES, AND OTHER PHT ASSETS. GREATER SYNERGY, HIGHER QUALITY PATIENT COORDINATED CARE, AND MORE SERVICES TO VULNERABLE PATIENTS EXIST BECAUSE OF THESE EFFORTS. THE TRUST'S DONATED RENTS, SUSTAINABILITY, AND HEALTHCARE RELATED GRANTS TOTALED 1,619,439 FOR THE YEAR ENDED DECEMBER 31, 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc5">
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHAUN MENCHACA</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>268286</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>268286</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PORTNEUF HEALTH TRUST (PHT) IS DEDICATED TO ENSURE THE COMMUNITY HOSPITAL BENEFIT OF PORTNEUF MEDICAL CENTER AND TO INVEST INCOME FROM THAT PARTNERSHIP INTO COMMUNITY HEALTH INITIATIVES. AREAS OF FOCUS ARE ON CREATING GREATER ACCESS TO HEALTH CARE FOR THE POOR AND UNDERSERVED IN OUR REGION AND PROVIDING BETTER HEALTH CARE TECHNOLOGY AND HEALTH EDUCATION TO THE REGION. PHT ALSO INVESTS IN PHYSICAL INFRASTRUCTURE TO PROMOTE HEALTH SUCH AS THE PORTNEUF GREENWAY, AN ALL-ACCESS REGIONAL PLAYGROUND FOR CHILDREN TO PLAY AND INCREASE THEIR MENTAL AND PHYSICAL WELL-BEING, AND THE PORTNEUF WELLNESS COMPLEX. ALSO, THE FOUNDATION INVESTS IN EQUIPMENT, TECHNOLOGY, AND BRICKS AND MORTAR FOR HEALTH WEST, A FEDERALLY QUALIFIED HEALTH CLINIC, AND PROGRAMS FOR IDAHO STATE UNIVERSITY'S FAMILY PRACTICE RESIDENCY, CANCER PATIENT ASSISTANCE FUND, AND A FUN-FUND FOR CANCER PATIENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS PRESENTED AT THE REGULAR MONTHLY BOARD MEETING AND IS REVIEWED AND APPROVED BY THE BOARD BEFORE FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS MEETS ANNUALLY TO DETERMINE THE CEO'S COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc7">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PHT REAL ESTATE HOLDINGS LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>500 S 11TH AVE 503</AddressLine1Txt>
          <CityNm>POCATELLO</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83201</ZIPCd>
        </USAddress>
        <EIN>811050016</EIN>
        <PrimaryActivitiesTxt>RENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ID</LegalDomicileStateCd>
        <TotalIncomeAmt>3653306</TotalIncomeAmt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdDisregardedEntitiesGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>POCATELLO HEALTH SYSTEMS LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2400 DALLAS PARKWAY 450</AddressLine1Txt>
          <CityNm>PLANO</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75093</ZIPCd>
        </USAddress>
        <EIN>263756972</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ID</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>19321150</ShareOfTotalIncomeAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.23000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>POCATELLO HEALTH SYSTEMS LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>19321150</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FROM SCHEDULE K-1</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>