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      <SupplementalInformationDetail>
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        <ExplanationTxt>Each member of the board fills out a conflict of interest form disclosing any potential conflicts of interest on an annual basis or through self disclosure in the interim. If a potential conflict arises, the affected person shall fully disclose the nature of the interest and withdraw from discussion and voting on the matter. Any transaction or vote involving a potential conflict of interest shall be approved only when a majority of disinterested directors determine that it is in the best interest of Astria Health to do so. Astria Health has a compliance and monitoring policy that is enforced by the CEO.</ExplanationTxt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>Astria Health makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.</ExplanationTxt>
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      <SupplementalInformationDetail>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SHC Medical Center - Yakima DBA Astria Regional Medical Center</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>E</TransactionTypeTxt>
        <InvolvedAmt>20034645</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GAAP</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
    <ReasonableCauseExplanation documentId="RetDoc2125800001">
      <ExplanationTxt>The organization declared bankruptcy in 2019 that complicated the accounting work needed to prepare the organizations financial statements. The subsequent Covid-19 pandemic further delayed the ability of the organization and its health care subsidiaries to complete the financial statement work. Staffing, accounting and other issues due to the pandemic continued until the time of filing. Based on the facts explained, the organization requests that the penalty for late filing be removed based on reasonable cause.</ExplanationTxt>
    </ReasonableCauseExplanation>
  </ReturnData>
</Return>
