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The Aryan Knights formed in the mid-1990s in the Idaho prison system to organize criminal activity for a select group of white people in custody, according to the U.S. attorney’s office in the district of Idaho.Meade had been held in a type of solitary confinement called administrative segregation at Idaho Maximum Security Institution in Kuna, about 12 miles (19 kilometers) south of Boise, because officials deemed him a severe security risk, Tewalt said.Tewalt said earlier in the day that Meade had been escorted in the ambulance and at the hospital by two uniformed, unarmed officers wearing ballistic vests, tailed by armed staff. Later in the day Correction Department spokesperson Sanda Kuzeta-Cerimagic said in an email that officials had confirmed that one officer had been in the ambulance with Meade and two officers were in an escort vehicle.”To the best of our knowledge, Meade was in restraints while being escorted in and out of the hospital,” Kuzeta-Cerimagic said. She didn’t specify whether the restraints were handcuffs, shackles or another type of restraint but said transport procedures are dependent on the custody level of the person being transported.Authorities also did not say if other security measures were in place when Meade was leaving the hospital.The attack came amid a wave of gun violence at hospitals and medical centers, which have struggled to adapt to the threats.A Saint Alphonsus spokesperson said the shooting happened in the ambulance bay by its emergency department.”All patients and staff are safe, the medical center campus is safe and secure, and has resumed normal operations. The Emergency Department itself is currently under temporary lockdown while the Boise Police Department completes the investigation,” Leticia Ramirez said Wednesday morning in a statement.She said as an added precaution, “we have increased security on campus, all entrances to the hospital will be closed” and monitored by hospital security until further notice.Ramirez declined to comment when asked about Meade, deferring to the police department.

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