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        <ProgramServicesAmt>408599</ProgramServicesAmt>
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        <CurrentTaxYearMinus1YearAmt>9204</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4218</CurrentTaxYearAmt>
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        <MethodValuationCd>F</MethodValuationCd>
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      <OtherAssetsOrgGrp>
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        <BookValueAmt>1219228</BookValueAmt>
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      <TotalBookValueOtherAssetsAmt>1219228</TotalBookValueOtherAssetsAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>TO SUPPORT RESEARCH AND CHARITABLE ACTIVITIES WHICH BENEFIT THE MEDICAL COMMUNITY IN MONTANA AND TO IMPROVE THE HEALTH OF ITS RESIDENTS.</ExplanationTxt>
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          <CityNm>BUTTE</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
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          <CityNm>BILLINGS</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
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        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM PORTABLE RADIOS</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PONDERA MEDICAL CENTER</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO BOX 668</AddressLine1Txt>
          <CityNm>CONRAD</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59425</ZIPCd>
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        <RecipientEIN>810232406</RecipientEIN>
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        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM SSTOP THE BLEED KITS</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MARCUS DALY MEMORIAL HOSPITAL</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1200 WESTWOOD</AddressLine1Txt>
          <CityNm>HAMILTON</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59840</ZIPCd>
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        <RecipientEIN>810240726</RecipientEIN>
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        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>MONTANA CAPITAL ASSISTANCE PROGRAM:</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>MADISON VALLEY MEDICAL CENTER</BusinessNameLine1Txt>
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          <CityNm>ENNIS</CityNm>
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        <PurposeOfGrantTxt>MONTANA CAPITAL ASSISTANCE PROGRAM:</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>ROOSEVELT MEDICAL CENTER</BusinessNameLine1Txt>
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          <CityNm>CULBERTSON</CityNm>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PRAIRIE COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO BOX 156</AddressLine1Txt>
          <CityNm>TERRY</CityNm>
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      <RecipientTable>
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      <RecipientTable>
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          <BusinessNameLine1Txt>MONTANA STATE UNIVERSITY</BusinessNameLine1Txt>
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        <PurposeOfGrantTxt>RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION: SUBAWARDEE TO FULFILL THE OBJECTIVES OF THE GRANT</PurposeOfGrantTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS AN APPROVAL PROCESS FROM THE STATE AND ADVISORY COMMITTEE BEFORE GRANT FUNDS ARE RELEASED.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 2B</FormAndLineReferenceDesc>
        <ExplanationTxt>MHREF'S EMPLOYMENT TAX INFORMATION IS COMBINED WITH AND REPORTED BY MONTANA HOSPITAL ASSOCIATION, SERVING AS THE COMMON PAYMASTER, UNDER ITS EIN #81-0287203.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL MEMBERS OF THE BOARD RECEIVE A COPY OF THE FORM 990 PRIOR TO FILING. IT IS REVIEWED IN DETAIL BY THE FINANCE COMMITTEE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY REQUIRES BOARD MEMBERS TO ANNUALLY SUBMIT A REPORT TO THE BOARD OF ALL ORGANIZATIONS OR BUSINESSES OF WHICH THE INDIVIDUAL IS A MEMBER, OFFICER, EMPLOYEE OR OWNER WHICH HAVE CONFLICTING INTERESTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON WRITTEN OR PERSONAL REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 565,328. MANAGEMENT AND GENERAL EXPENSES 3,647. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 568,975.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>ROUNDING 2.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE HAVE BEEN NO CHANGES FROM PRIOR YEAR IN THE AUDIT OVERSIGHT AND SELECTION PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>