﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2013v4.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2015-05-13T16:28:54-05:00</ReturnTs>
    <TaxPeriodEndDt>2014-06-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmName>
        <BusinessNameLine1>GREEN HEALTH GROUP PC</BusinessNameLine1>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1>110 5TH ST S SUITE 106</AddressLine1>
        <City>GLASGOW</City>
        <State>MT</State>
        <ZIPCode>592302338</ZIPCode>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2013-07-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>810226578</EIN>
      <BusinessName>
        <BusinessNameLine1>NORTHEAST MONTANA HEALTH SERVICES</BusinessNameLine1>
      </BusinessName>
      <BusinessNameControlTxt>NORT</BusinessNameControlTxt>
      <PhoneNum>4066536500</PhoneNum>
      <USAddress>
        <AddressLine1>315 KNAPP ST</AddressLine1>
        <City>WOLF POINT</City>
        <State>MT</State>
        <ZIPCode>59201</ZIPCode>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>CLEO CAGLE</PersonNm>
      <PersonTitleTxt>CFO</PersonTitleTxt>
      <PhoneNum>4066536500</PhoneNum>
      <SignatureDt>2015-05-13</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>DANIEL GREEN</PreparerPersonNm>
      <PTIN>P01311679</PTIN>
      <PhoneNum>4062632615</PhoneNum>
      <PreparationDt>2015-05-13</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2013</TaxYr>
    <BuildTS>2016-02-25 16:41:14Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="10">
    <IRS990 documentId="RetDoc3" referenceDocumentId="RetDoc11">
      <PrincipalOfficerNm>CLEO CAGLE</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1>315 KNAPP ST</AddressLine1>
        <City>WOLF POINT</City>
        <State>MT</State>
        <ZIPCode>59201</ZIPCode>
      </USAddress>
      <GrossReceiptsAmt>25792521</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.NEMHS.NET</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1948</FormationYr>
      <LegalDomicileStateCd>MT</LegalDomicileStateCd>
      <ActivityOrMissionDesc>TO DELIVER QUALITY, COST-EFFECTIVE HEALTH CARE TO THE COMMUNITIES THAT WE SERVE FOR IMPROVEMENT OF HUMAN LIFE.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>9</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>8</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>514</TotalEmployeeCnt>
      <TotalGrossUBIAmt>2596694</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>232832</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>410688</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>23519444</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>24455946</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>293970</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>358951</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>374651</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>566936</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>24420897</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>25792521</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>13062307</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>14886598</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>56990</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>9555671</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>10867457</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>22617978</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>25754055</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>1802919</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>38466</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>37572531</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>37160628</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>14312594</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>13857882</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>23259937</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>23302746</NetAssetsOrFundBalancesEOYAmt>
      <MissionDesc>TO DELIVER QUALITY, COST-EFFECTIVE HEALTH CARE TO THE COMMUNITIES THAT WE SERVE FOR IMPROVEMENT OF HUMAN LIFE.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>19293731</ExpenseAmt>
      <RevenueAmt>24455946</RevenueAmt>
      <Desc>TO PROVIDE HEALTH CARE SERVICES TO PATIENTS.</Desc>
      <TotalProgramServiceExpensesAmt>19293731</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc5">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="RetDoc6">false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="RetDoc6">true</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="RetDoc6">false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc7">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc7">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc7">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc7">false</CreditCounselingInd>
      <TempOrPermanentEndowmentsInd referenceDocumentId="RetDoc7">false</TempOrPermanentEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc7">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc7">true</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc7">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc7">true</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc7">false</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc7">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc7">false</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc7">true</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 referenceDocumentId="RetDoc8">true</OperateHospitalInd>
      <AuditedFinancialStmtAttInd referenceDocumentId="RetDoc2">true</AuditedFinancialStmtAttInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc9">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd referenceDocumentId="RetDoc10">true</TaxExemptBondsInd>
      <InvestTaxExemptBondsInd>false</InvestTaxExemptBondsInd>
      <EscrowAccountInd>false</EscrowAccountInd>
      <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWithOfficerEntInd>false</BusinessRlnWithOfficerEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc12">false</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc12">true</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>true</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd referenceDocumentId="RetDoc12">true</TransactionWithControlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc12">false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc12">false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>24</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>514</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>true</UnrelatedBusIncmOverLimitInd>
      <Form990TFiledInd>true</Form990TFiledInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>9</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>8</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>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>CLEO CAGLE</PersonNm>
        <PhoneNum>4066536500</PhoneNum>
        <USAddress>
          <AddressLine1>315 KNAPP ST</AddressLine1>
          <City>WOLF POINT</City>
          <State>MT</State>
          <ZIPCode>59201</ZIPCode>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARK ZILKOSKI MD</PersonNm>
        <TitleTxt>MEDICAL STAF</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>310237</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>208931</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TOM AULT</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DALLAS O'CONNOR</PersonNm>
        <TitleTxt>VICE-CHAIRMA</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHANE GIBSON</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHARON BRAVARD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RJ DOORNEK</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE ISLE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICK KIRN</PersonNm>
        <TitleTxt>TRIBAL COUNC</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PEARL HOPKINS</PersonNm>
        <TitleTxt>TRIBAL COUNC</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARGARET NORGAARD</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>139984</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24587</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CLEO CAGLE</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>125152</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7445</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VICKI HOUSTON</PersonNm>
        <TitleTxt>RN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>121524</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7927</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARK ZYGMOND</PersonNm>
        <TitleTxt>CRNA</TitleTxt>
        <AverageHoursPerWeekRt>20.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>110001</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10710</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARK ROUBIDOUX</PersonNm>
        <TitleTxt>CRNA</TitleTxt>
        <AverageHoursPerWeekRt>20.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>110001</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8270</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NONETTE BROWN</PersonNm>
        <TitleTxt>RN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>108123</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7770</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELVIRA PADRON</PersonNm>
        <TitleTxt>MT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>103691</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9422</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>818476</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>310237</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>285062</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>7</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>BIG SKY LOCUMS</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>PO BOX 50342</AddressLine1>
            <City>BILLINGS</City>
            <State>MT</State>
            <ZIPCode>59105</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ER PROVIDERS</ServicesDesc>
        <CompensationAmt>263716</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>PRAIRIE TRAVELERS INC</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>130 3RD ST SO SUITE 2</AddressLine1>
            <City>GLASGOW</City>
            <State>MT</State>
            <ZIPCode>59230</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TRAVEL NURSE</ServicesDesc>
        <CompensationAmt>229579</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>COMPHEALTH</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>PO BOX 972651</AddressLine1>
            <City>DALLAS</City>
            <State>TX</State>
            <ZIPCode>75397</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>OB/ER PROVIDERS</ServicesDesc>
        <CompensationAmt>177461</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>AMN</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>PO BOX 281939</AddressLine1>
            <City>ATLANTA</City>
            <State>GA</State>
            <ZIPCode>30384</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LAB TECHS</ServicesDesc>
        <CompensationAmt>168333</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>PRACTICAL HEALTHCARE SOLUTIONS INC</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>2120 S RESERVE ST</AddressLine1>
            <City>MISSOULA</City>
            <State>MT</State>
            <ZIPCode>59801</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ER LOCUM</ServicesDesc>
        <CompensationAmt>110939</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>44044</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>329246</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>37398</AllOtherContributionsAmt>
      <TotalContributionsAmt>410688</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT REVENUE</Desc>
        <BusinessCd>621500</BusinessCd>
        <TotalRevenueColumnAmt>21859252</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>21859252</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RETAIL PHARMACIES</Desc>
        <BusinessCd>446110</BusinessCd>
        <TotalRevenueColumnAmt>2596694</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>2596694</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>24455946</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>358951</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>358951</RelatedOrExemptFuncIncomeAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>HOSPITAL DISTRICT TAX</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>411628</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>411628</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MINERAL LEASE</Desc>
        <BusinessCd>532000</BusinessCd>
        <TotalRevenueColumnAmt>154808</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>154808</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>GAIN ON SALE OF ASSETS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>500</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>500</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>566936</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>25792521</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>22785139</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>2596694</UnrelatedBusinessRevenueAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>279551</TotalAmt>
        <ManagementAndGeneralAmt>279551</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>12323932</TotalAmt>
        <ProgramServicesAmt>11162872</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1113874</ManagementAndGeneralAmt>
        <FundraisingAmt>47186</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>46524</TotalAmt>
        <ProgramServicesAmt>33940</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12413</ManagementAndGeneralAmt>
        <FundraisingAmt>171</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1252388</TotalAmt>
        <ProgramServicesAmt>445740</ProgramServicesAmt>
        <ManagementAndGeneralAmt>803047</ManagementAndGeneralAmt>
        <FundraisingAmt>3601</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>984203</TotalAmt>
        <ProgramServicesAmt>370948</ProgramServicesAmt>
        <ManagementAndGeneralAmt>611595</ManagementAndGeneralAmt>
        <FundraisingAmt>1660</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>662</TotalAmt>
        <ManagementAndGeneralAmt>662</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>78185</TotalAmt>
        <ManagementAndGeneralAmt>78185</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1552127</TotalAmt>
        <ProgramServicesAmt>1552127</ProgramServicesAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>28139</TotalAmt>
        <ProgramServicesAmt>475</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27664</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>706454</TotalAmt>
        <ProgramServicesAmt>388692</ProgramServicesAmt>
        <ManagementAndGeneralAmt>314108</ManagementAndGeneralAmt>
        <FundraisingAmt>3654</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>320392</TotalAmt>
        <ManagementAndGeneralAmt>320392</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>271151</TotalAmt>
        <ProgramServicesAmt>271151</ProgramServicesAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>89423</TotalAmt>
        <ProgramServicesAmt>72873</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16550</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>35982</TotalAmt>
        <ProgramServicesAmt>17392</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18590</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>499702</TotalAmt>
        <ManagementAndGeneralAmt>499702</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1715220</TotalAmt>
        <ManagementAndGeneralAmt>1715220</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>302056</TotalAmt>
        <ManagementAndGeneralAmt>302056</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>2126575</TotalAmt>
        <ProgramServicesAmt>2126575</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>COGS</Desc>
        <TotalAmt>1738363</TotalAmt>
        <ProgramServicesAmt>1738363</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>736084</TotalAmt>
        <ProgramServicesAmt>484369</ProgramServicesAmt>
        <ManagementAndGeneralAmt>251715</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FOOD &amp; DIETARY SUPPLIES</Desc>
        <TotalAmt>402191</TotalAmt>
        <ProgramServicesAmt>401473</ProgramServicesAmt>
        <FundraisingAmt>718</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>264751</TotalAmt>
        <ProgramServicesAmt>226741</ProgramServicesAmt>
        <ManagementAndGeneralAmt>38010</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>25754055</TotalAmt>
        <ProgramServicesAmt>19293731</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6403334</ManagementAndGeneralAmt>
        <FundraisingAmt>56990</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1664475</BOYAmt>
        <EOYAmt>3412553</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>3439796</BOYAmt>
        <EOYAmt>1487722</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>6029842</BOYAmt>
        <EOYAmt>7374147</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>959680</BOYAmt>
        <EOYAmt>1086498</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>622596</BOYAmt>
        <EOYAmt>502549</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>26340345</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>15115622</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>12558962</BOYAmt>
        <EOYAmt>11224723</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>2709845</BOYAmt>
        <EOYAmt>3020095</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>9587335</BOYAmt>
        <EOYAmt>9052341</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>37572531</BOYAmt>
        <EOYAmt>37160628</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>3351367</BOYAmt>
        <EOYAmt>3272763</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>10961227</BOYAmt>
        <EOYAmt>10585119</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>14312594</BOYAmt>
        <EOYAmt>13857882</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>23235185</BOYAmt>
        <EOYAmt>23268426</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>24752</BOYAmt>
        <EOYAmt>34320</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>23259937</BOYAmt>
        <EOYAmt>23302746</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>37572531</BOYAmt>
        <EOYAmt>37160628</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>38466</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>4343</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc5">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc6">
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>true</OtherActivitiesInd>
      <OtherActivitiesAmt>2060</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>2060</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART II-B, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>0.65 PERCENT OF MHA DUES PAID TO MHA, WHICH WAS 136, 23.65 PERCENT OF DUES PAID TO MHA FOR AHA, WHICH WAS 1891, AND 2.4 PERCENT OF DUES PAID TO MHA FOR LEADING AGE WHICH WAS 33 (2060 COMBINED) WERE USED FOR LOBBYING EXPENSES BY MHA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART IV</FormAndLineReferenceDesc>
        <ExplanationTxt>LOBBYING PERCENTAGE OF DUES PAID TO MHA WERE 2060.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc7">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>28950</OtherCostOrOtherBasisAmt>
        <BookValueAmt>28950</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>15102130</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>7742421</DepreciationAmt>
        <BookValueAmt>7359709</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>11209265</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>7373201</DepreciationAmt>
        <BookValueAmt>3836064</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>11224723</TotalBookValueLandBuildingsAmt>
      <CloselyHeldEquityInterestsGrp>
        <BookValueAmt>1938698</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </CloselyHeldEquityInterestsGrp>
      <OtherSecuritiesGrp>
        <Desc>BOND FUNDS</Desc>
        <BookValueAmt>1081397</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>3020095</TotalBookValueSecuritiesAmt>
      <OtherAssetsOrgGrp>
        <Desc>RECEIVABLE-WOLF POINT CLINIC ASSOC</Desc>
        <BookValueAmt>5328088</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RECEIVABLE-RIVERSIDE FAMILY CLINIC</Desc>
        <BookValueAmt>3724253</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>9052341</TotalBookValueOtherAssetsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>25796864</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>4343</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>4343</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>25792521</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>25792521</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>25754055</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>25754055</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>25754055</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>IT IS THE OPINION OF MANAGEMENT THAT THE COMPANY HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT WOULD BE SUBJECT TO CHANGE UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. SEE NORTHEAST MONTANA HEALTH SERVICES, INC. AND AFFILIATES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS JUNE 30, 2014 AND 2013.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc8">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent100Ind>X</Percent100Ind>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <Percent200DInd>X</Percent200DInd>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>false</ExpensesExceedBudgetInd>
      <AnnualCommunityBnftReportInd>false</AnnualCommunityBnftReportInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>1172040</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1172040</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.04550</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>1172040</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1172040</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.04550</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <SubsidizedHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>5530852</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>3934493</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1596359</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.06200</TotalExpensePct>
      </SubsidizedHealthServicesGrp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>7000</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>7000</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00030</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>5537852</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>3934493</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1603359</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.06230</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>6709892</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>3934493</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>2775399</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.10780</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <WorkforceDevelopmentGrp>
        <TotalCommunityBenefitExpnsAmt>51870</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>51870</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00200</TotalExpensePct>
      </WorkforceDevelopmentGrp>
      <TotalCommuntityBuildingActyGrp>
        <TotalCommunityBenefitExpnsAmt>51870</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>51870</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00200</TotalExpensePct>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>1733409</BadDebtExpenseAmt>
      <ReimbursedByMedicareAmt>3833606</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>3861862</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-28256</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <OtherInd>X</OtherInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1>NE MT STAT AIR AMBUL</BusinessNameLine1>
        </EntityName>
        <PrimaryActivitiesTxt>AIR AMBULANCE</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.56000</OrgProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <HospitalFacilitiesCnt>2</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1>NEMHS - TRINITY HOSPITAL</BusinessNameLine1>
        </BusinessName>
        <USAddress>
          <AddressLine1>315 KNAPP STREET</AddressLine1>
          <City>WOLF POINT</City>
          <State>MT</State>
          <ZIPCode>59201</ZIPCode>
        </USAddress>
        <WebsiteAddressTxt>WWW.NEMHS.NET</WebsiteAddressTxt>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <CriticalAccessHospitalInd>X</CriticalAccessHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>2</FacilityNum>
        <BusinessName>
          <BusinessNameLine1>NEMHS - POPLAR COMMUNITY HOSPITAL</BusinessNameLine1>
        </BusinessName>
        <USAddress>
          <AddressLine1>211 H STREET EAST</AddressLine1>
          <City>POPLAR</City>
          <State>MT</State>
          <ZIPCode>59255</ZIPCode>
        </USAddress>
        <WebsiteAddressTxt>WWW.NEMHS.NET</WebsiteAddressTxt>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <CriticalAccessHospitalInd>X</CriticalAccessHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1>NEMHS - TRINITY HOSPITAL</BusinessNameLine1>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <InformationGapsInd>X</InformationGapsInd>
        <OtherInd>X</OtherInd>
        <CHNAConductedYr>12</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.NEMHS.NET</OwnWebsiteURLTxt>
        <RptAvailableUponRequestInd>X</RptAvailableUponRequestInd>
        <AdoptImplementationStrategyInd>X</AdoptImplementationStrategyInd>
        <ExecImplementationStrategyInd>X</ExecImplementationStrategyInd>
        <AllNeedsAddressedInd>false</AllNeedsAddressedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGUsedDeterEligFreeCareInd>true</FPGUsedDeterEligFreeCareInd>
        <FPGFamilyIncmLmtFreeCarePct>100.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGUsedDetermEligDscntCareInd>true</FPGUsedDetermEligDscntCareInd>
        <FPGFamilyIncmLmtDscntCarePct>200.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <IncomeLevelInd>X</IncomeLevelInd>
        <AssetLevelInd>X</AssetLevelInd>
        <MedicalIndigencyInd>X</MedicalIndigencyInd>
        <InsuranceStatusInd>X</InsuranceStatusInd>
        <MedicaidMedicareInd>X</MedicaidMedicareInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <PostedOnWebsiteInd>X</PostedOnWebsiteInd>
        <AvailableOnRequestInd>X</AvailableOnRequestInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <FAPNotifiedAllPatientsInd>X</FAPNotifiedAllPatientsInd>
        <DocumentedEligDeterminationInd>X</DocumentedEligDeterminationInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <OtherMethodUsedInd>X</OtherMethodUsedInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1>NEMHS - POPLAR COMMUNITY HOSPITAL</BusinessNameLine1>
        </HospitalFacilityName>
        <FacilityNum>2</FacilityNum>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <InformationGapsInd>X</InformationGapsInd>
        <OtherInd>X</OtherInd>
        <CHNAConductedYr>12</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.NEMHS.NET</OwnWebsiteURLTxt>
        <RptAvailableUponRequestInd>X</RptAvailableUponRequestInd>
        <AdoptImplementationStrategyInd>X</AdoptImplementationStrategyInd>
        <ExecImplementationStrategyInd>X</ExecImplementationStrategyInd>
        <AllNeedsAddressedInd>false</AllNeedsAddressedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGUsedDeterEligFreeCareInd>true</FPGUsedDeterEligFreeCareInd>
        <FPGFamilyIncmLmtFreeCarePct>100.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGUsedDetermEligDscntCareInd>true</FPGUsedDetermEligDscntCareInd>
        <FPGFamilyIncmLmtDscntCarePct>200.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <IncomeLevelInd>X</IncomeLevelInd>
        <AssetLevelInd>X</AssetLevelInd>
        <MedicalIndigencyInd>X</MedicalIndigencyInd>
        <InsuranceStatusInd>X</InsuranceStatusInd>
        <MedicaidMedicareInd>X</MedicaidMedicareInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <PostedOnWebsiteInd>X</PostedOnWebsiteInd>
        <AvailableOnRequestInd>X</AvailableOnRequestInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <FAPNotifiedAllPatientsInd>X</FAPNotifiedAllPatientsInd>
        <DocumentedEligDeterminationInd>X</DocumentedEligDeterminationInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <OtherMethodUsedInd>X</OtherMethodUsedInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, NEMHS - TRINITY HOSPITAL - PART V, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>A SURVEY WAS MAILED TO A RANDOMLY CHOSEN SAMPLE OF 800 RESIDENTS IN OUR PRIMARY SERVICE AREA TO SOLICIT THEIR INPUT. FOCUS GROUPS WERE HELD IN WOLF POINT AND POPLAR WHICH REPRESENTED VARIOUS CONSUMER GROUPS OF HEALTH CARE INCLUDING SENIOR CITIZENS AND LOCAL COMMUNITY MEMBERS. ALSO, A KEY INFORMANT INTERVIEW WAS CONDUCTED WITH REGIONAL HEALTHCARE ADMINISTRATORS. ADDITIONALLY, NEMHS SOUGHT INPUT FROM VARIOUS GROUPS THROUGHOUT THE COMMUNITY THAT HAVE SPECIAL KNOWLEDGE REGARDING THE NEEDS OF VARIOUS GROUPS WITHIN THE SERVICE AREA. THESE GROUPS WERE CONTACTED AND MEETINGS WERE ESTABLISHED WITH THE STEERING COMMITTEE. THE FOLLOWING CONSTITUTES A LIST OF PARTIES WHICH INCLUDED PUBLIC HEALTH SERVICES, A REPRESENTATIVE FOR THE AMERICAN INDIAN, AND A REPRESENTATIVE FOR SENIOR CITIZENS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, NEMHS - TRINITY HOSPITAL - PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>NORTHEAST MONTANA HEALTH SERVICES - POPLAR COMMUNITY HOSPITAL</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, NEMHS - TRINITY HOSPITAL - PART V, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>1. DENTAL CARE - PROVIDING THIS SERVICE IS OUTSIDE OF NEMHS CAPACITY AND FINANCIAL RESOURCES. 2. PHYSICAL THERAPY, NUTRITION EDUCATION, DISASTER PLANNING, AND COMMUNITY HOUSING CONCERNS - PROVIDING THESE SERVICES IS BEYOND THE RESOURCE CAPACITY OF NEMHS. 3. HOSPICE, RESPITE CARE, AND HOME HEALTH - THERE ARE ALREADY ORGANIZATIONS THAT EXIST IN THE COMMUNITY THAT HELP PROVIDE RESOURCES FOR SENIOR CITIZENS. NEMHS IS CURRENTLY FOCUSING ON PRIMARY CARE NEEDS OF THE POPULATION. 4. PROGRAMS THAT HELP PEOPLE PAY FOR HEALTH CARE BILLS - THIS IS BEYOND NEMHS' SCOPE OF WORK. THERE ARE ALSO OTHER RESOURCES AVAILABLE IN THE COMMUNITY SUCH AS THE PUBLIC/COUNTY HEALTH DEPARTMENT THAT CAN OFFER ASSISTANCE TO COMMUNITY MEMBERS REGARDING PAYMENT OF HEALTHCARE BILLS. 5. MRI - PROVIDING THIS SERVICE IS OUTSIDE OF NEMHS CAPACITY AND FINANCIAL RESOURCES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, NEMHS - TRINITY HOSPITAL - PART V, LINE 20D</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL PATIENTS ARE INITIALLY CHARGED THE STANDARD RATE. IF A PATIENT APPLIES AND QUALIFIES FOR FINANCIAL ASSISTANCE THEN THEY WOULD RECEIVE A DISCOUNT FROM GROSS CHARGES BASED ON OUR SLIDING SCALE, WHICH WOULD BE AT LEAST A 20% DISCOUNT. THIS RESULTS IN A NET AMOUNT CHARGED THAT IS LESS THAN AMOUNTS GENERALLY BILLED.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 2, NEMHS - POPLAR COMMUNITY HOSPITAL - PART V, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>A SURVEY WAS MAILED TO A RANDOMLY CHOSEN SAMPLE OF 800 RESIDENTS IN OUR PRIMARY SERVICE AREA TO SOLICIT THEIR INPUT. FOCUS GROUPS WERE HELD IN WOLF POINT AND POPLAR WHICH REPRESENTED VARIOUS CONSUMER GROUPS OF HEALTH CARE INCLUDING SENIOR CITIZENS AND LOCAL COMMUNITY MEMBERS. ALSO, A KEY INFORMANT INTERVIEW WAS CONDUCTED WITH REGIONAL HEALTHCARE ADMINISTRATORS. ADDITIONALLY, NEMHS SOUGHT INPUT FROM VARIOUS GROUPS THROUGHOUT THE COMMUNITY THAT HAVE SPECIAL KNOWLEDGE REGARDING THE NEEDS OF VARIOUS GROUPS WITHIN THE SERVICE AREA. THESE GROUPS WERE CONTACTED AND MEETINGS WERE ESTABLISHED WITH THE STEERING COMMITTEE. THE FOLLOWING CONSTITUTES A LIST OF PARTIES WHICH INCLUDED PUBLIC HEALTH SERVICES, A REPRESENTATIVE FOR THE AMERICAN INDIAN, AND A REPRESENTATIVE FOR SENIOR CITIZENS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 2, NEMHS - POPLAR COMMUNITY HOSPITAL - PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>NORTHEAST MONTANA HEALTH SERVICES - TRINITY HOSPITAL</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 2, NEMHS - POPLAR COMMUNITY HOSPITAL - PART V, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>1. DENTAL CARE - PROVIDING THIS SERVICE IS OUTSIDE OF NEMHS CAPACITY AND FINANCIAL RESOURCES. 2. PHYSICAL THERAPY, NUTRITION EDUCATION, DISASTER PLANNING, AND COMMUNITY HOUSING CONCERNS - PROVIDING THESE SERVICES IS BEYOND THE RESOURCE CAPACITY OF NEMHS. 3. HOSPICE, RESPITE CARE, AND HOME HEALTH - THERE ARE ALREADY ORGANIZATIONS THAT EXIST IN THE COMMUNITY THAT HELP PROVIDE RESOURCES FOR SENIOR CITIZENS. NEMHS IS CURRENTLY FOCUSING ON PRIMARY CARE NEEDS OF THE POPULATION. 4. PROGRAMS THAT HELP PEOPLE PAY FOR HEALTH CARE BILLS - THIS IS BEYOND NEMHS' SCOPE OF WORK. THERE ARE ALSO OTHER RESOURCES AVAILABLE IN THE COMMUNITY SUCH AS THE PUBLIC/COUNTY HEALTH DEPARTMENT THAT CAN OFFER ASSISTANCE TO COMMUNITY MEMBERS REGARDING PAYMENT OF HEALTHCARE BILLS. 5. MRI - PROVIDING THIS SERVICE IS OUTSIDE OF NEMHS CAPACITY AND FINANCIAL RESOURCES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 2, NEMHS - POPLAR COMMUNITY HOSPITAL - PART V, LINE 20D</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL PATIENTS ARE INITIALLY CHARGED THE STANDARD RATE. IF A PATIENT APPLIES AND QUALIFIES FOR FINANCIAL ASSISTANCE THEN THEY WOULD RECEIVE A DISCOUNT FROM GROSS CHARGES BASED ON OUR SLIDING SCALE, WHICH WOULD BE AT LEAST A 20% DISCOUNT. THIS RESULTS IN A NET AMOUNT CHARGED THAT IS LESS THAN AMOUNTS GENERALLY BILLED.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>2</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>WOLF POINT CLINIC ASSOCIATION</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>301 KNAPP STREET</AddressLine1>
            <City>WOLF POINT</City>
            <State>MT</State>
            <ZIPCode>59201</ZIPCode>
          </USAddress>
          <FacilityTxt>RURAL HEALTH CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>RIVERSIDE FAMILY CLINIC</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>PO BOX 629</AddressLine1>
            <City>POPLAR</City>
            <State>MT</State>
            <ZIPCode>59255</ZIPCode>
          </USAddress>
          <FacilityTxt>RURAL HEALTH CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COST OF BAD DEBT REMOVED FROM THE COMMUNITY BENEFIT EXPENSE IN COLUMN C IS 802,743. PHYSICIAN CLINIC COSTS ARE NOT INCLUDED IN SUBSIDIZED HEALTH CARE SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION</FormAndLineReferenceDesc>
        <ExplanationTxt>USED ADJUSTED COST TO CHARGE RATIOS FOR PATIENT CARE FROM THE MEDICARE COST REPORT, ADJUSTED FOR BED TAX AND COMMUNITY BENEFIT. BAD DEBT EXPENSE AND CHARITY CARE ARE ALREADY EXCLUDED FROM THE MEDICARE COST REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II - COMMUNITY BUILDING ACTIVITIES</FormAndLineReferenceDesc>
        <ExplanationTxt>THE STAFF AT NEMHS DESIGNATES TIME FOR THE DEVELOPMENT OF COMMUNITY HEALTH PROGRAMS AND PARTNERSHIPS. THESE ACTIVITIES/INITIATIVES OFTEN TARGET ENVIRONMENTAL STRATEGIES, ECONOMIC DEVELOPMENT AND LEADERSHIP, ADVOCACY AND SUPPORT THAT INDIRECTLY AFFECT THE HEALTH OF THE COMMUNITY. PART II, LINE 8: NEMHS IS LOCATED IN A HEALTH PROFESSIONAL SHORTAGE AREA AND SPENT 51,870 TO RECRUIT PHYSICIANS AND OTHER HEALTH PROFESSIONALS NEEDED IN THE COMMUNITY. THE COST IS COMPRISED OF PAYMENTS TO RECRUITING FIRMS, NEWSPAPER AND PERIODICALS ADVERTISING, LEGAL FEES FOR FOREIGN PROFESSIONALS, AND TRAVEL AND LODGING FOR SITE VISITS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S PATIENT CARE COST TO CHARGE RATIO, AFTER ELIMINATING BAD DEBT, CHARITY CARE, BED TAX, AND COMMUNITY BENEFIT EXPENSE, IS APPLIED TO GROSS BAD DEBT CHARGES TO ARRIVE AT THE COST OF BAD DEBT. DISCOUNTS REDUCE REVENUE AND ARE NOT RECORDED AS BAD DEBT. PAYMENTS RECEIVED ON PREVIOUSLY WRITTEN OFF ACCOUNTS ARE RECORDED AS RECOVERIES OF BAD DEBT WHICH REDUCE BAD DEBT EXPENSE. NONE OF THE BAD DEBT IS CONSIDERED ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE. BAD DEBTS ARE AN INEVITABLE RESULT OF OPERATING A NON-PROFIT HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BAD DEBT EXPENSE FOOTNOTE IS ON PAGES 7 &amp; 8 OF THE AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8 - MEDICARE EXPLANATION</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS A MEDICARE SHORTFALL SINCE CRITICAL ACCESS HOSPITALS ARE REIMBURSED 101 PERCENT OF COST FROM MEDICARE, WHICH IS THEN REDUCED BY THE 2% SEQUESTRATION ADJUSTMENT. THE SHORTFALL IS CONSIDERED A COMMUNITY BENEFIT SINCE SERVICES ARE PROVIDED TO MEDICARE PATIENTS FOR LESS THAN THE COST. MEDICARE COSTS ON PART III, LINE 6 ARE DIRECTLY FROM THE MEDICARE COST REPORT. MEDICARE REVENUE ON PART III, LINE 5 IS DIRECTLY FROM THE MEDICARE COST REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USES A SLIDING SCALE BASED ON FEDERAL POVERTY GUIDELINES, AND ALSO A MEDICALLY INDIGENT TEST REGARDLESS OF INCOME, TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. THE ORGANIZATION DOES NOT ATTEMPT TO COLLECT CHARGES APPROVED AS CHARITY OR FINANCIAL ASSISTANCE UNLESS THE PATIENT QUALIFIED FOR DISCOUNTED CARE AND THEN DEFAULTS ON THE PAYMENT PLAN ON THE BALANCE OF THE ACCOUNT. THIS IS A SPECIFIC POLICY FOR PATIENTS QUALIFYING FOR FREE OR DISCOUNTED CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2 - NEEDS ASSESSMENT</FormAndLineReferenceDesc>
        <ExplanationTxt>PURSUANT TO THE PROVISIONS OF THE AFFORDABLE CARE ACT, NEMHS ADOPTED A COMMUNITY HEALTH NEEDS ASSESSMENT PLAN AND AN IMPLEMENTATION STRATEGY DURING FISCAL YEAR 2013 (TAX YEAR 2012). THIS IS A CONTINUATION AND EXPANSION OF WHAT WE ARE ALREADY DOING TO BETTER SERVE OUR COMMUNITY. WE ARE DILIGENTLY TRACKING LOCAL TRENDS IN HEALTH CARE NEEDS THROUGH AN AVATAR PATIENT SATISFACTION SURVEY GIVEN TO ALL INPATIENTS AS WELL AS THE USE OF OUR INTERNAL BALANCED SCORE CARD. A SELECTED TEAM OF MANAGERS MEET QUARTERLY TO DISCUSS OUTCOMES FROM OUR SURVEY REPORTS AND BALANCED SCORE CARD FINDINGS. HERE ARE SOME OF OUR PAST FINDINGS: WE RECEIVED COMMENTS FROM PATIENTS THAT EXPRESSED MANY DIETARY ISSUES SO A PROJECT WAS STARTED TO HELP INCREASE THE PATIENTS AND RESIDENTS SATISFACTION ON IMPLEMENTING MENUS. THE CLINICS WERE SHOWING A LARGE NUMBER OF NO-SHOW APPOINTMENTS THAT WERE TRACKED TO SEE IF IT WAS NEGATIVELY IMPACTING REVENUE. RECEPTIONISTS NOW MAKE PHONE CALLS TO THE PATIENTS THE DAY BEFORE THE APPOINTMENT AS A REMINDER. UTILIZING THE BALANCED SCORE CARD, WE TRACKED PATIENT REFERRAL FROM THE CLINICS TO SEE WHICH SERVICES PATIENTS WERE BEING REFERRED TO OTHER AREA CLINICS FOR CARE. IT WAS DISCOVERED THAT THERE WERE A SIGNIFICANT AMOUNT OF PATIENTS BEING REFERRED OUT FOR ECHOCARDIOGRAMS. THE RADIOLOGY DEPARTMENT IS STILL BUDGETING FOR EQUIPMENT AND TRAINING TO BE ABLE TO PROVIDE THESE TESTS LOCALLY. NORTHEAST MONTANA HEALTH SERVICES MAKES INVESTMENTS IN PERSONNEL WITH THE SKILL SETS REQUIRED TO DELIVER THE SERVICES NEEDED IN THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</FormAndLineReferenceDesc>
        <ExplanationTxt>NORTHEAST MONTANA HEALTH SERVICES EMPLOYS TWO SOCIAL SERVICE EMPLOYEES TO ASSIST PATIENTS WITH THEIR FINANICAL NEEDS AND OPTIONS. COMMUNITY ADVERTISEMENT IS USED TO EDUCATE PATIENTS AND SUPPORT IS GIVEN ON A ONE-ON-ONE BASIS TO ASSIST COMMUNITY MEMBERS. PATIENTS ARE NOTIFIED BY THE BILLING DEPARTMENT OF OUR POLICY FOR FINANCIAL ASSISTANCE AND ARE SENT A SIMPLE APPLICATION. OUR WEBSITE PROVIDES DETAILS OF OUR CHARITY CARE POLICY AND THE FINANCIAL ASSISTANCE AVAILABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4 - COMMUNITY INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION OPERATES ON THE FORT PECK RESERVATION. GEOGRAPHICALLY THIS IS A REMOTE LOCATION WHERE ACCESS TO OTHER HEALTH FACILITIES IS AT LEAST 50 MILES AWAY. WITH SEVERE WEATHER CONDITIONS OFTEN RESULTING IN BLIZZARDS AND IMPASSABLE ROADS, NORTHEAST MONTANA HEALTH SERVICES IS THE FRONTLINE OF CARE FOR THE COMMUNITY. THE POPULATION OF SIOUX AND ASSINIBOINE TRIBAL MEMBERS MAKE UP OUR HIGHEST CONCENTRATION OF PATIENTS WITH DISPARITIES THAT INCLUDE CULTURAL BARRIERS, LOW HOUSEHOLD INCOME, HIGH UNEMPLOYMENT RATES, HIGHER RATES OF TOBACCO, ALCOHOL AND ILLEGAL DRUG USE, AS WELL AS HIGHER THAN AVERAGE RATES OF HEART DISEASE, DIABETES, FETAL ALCOHOL SYNDROME, AND SUICIDE. AS WE CONTINUE OUR EFFORTS TO SERVE THE PUBLIC THROUGH HEALTHCARE AND EDUCATION, THERE IS PROGRESS BEING MADE TO IMPROVE THE QUALITY OF LIFE FOR COMMUNITY MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH</FormAndLineReferenceDesc>
        <ExplanationTxt>NORTHEAST MONTANA HEALTH SERVICES IS GOVERNED BY A VOLUNTARY BOARD OF COMMUNITY MEMBERS REPRESENTING THE GEOGRAPHICAL AREAS OF OUR PRIMARY SERVICE AREA. OUR HOSPITALS PROVIDE 24/7 EMERGENCY SERVICE COVERAGE TO TREAT PATIENTS, INCLUDING THOSE THAT ARE UNABLE TO PAY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM</FormAndLineReferenceDesc>
        <ExplanationTxt>TWO AFFILIATED RURAL HEALTH CLINICS, WOLF POINT CLINIC ASSOCIATION AND RIVERSIDE FAMILY CLINIC, PROVIDE PROFESSIONAL PHYSICIAN AND OTHER PROVIDER SERVICES WHILE NORTHEAST MONTANA HEALTH SERVICES PROVIDES INPATIENT AND OUTPATIENT HOSPITAL SERVICES AND SKILLED NURSING SERVICES. THE TWO RURAL HEALTH CLINICS ARE OPERATED AND SUBSIDIZED BY NORTHEAST MONTANA HEALTH SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>ADDITIONAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V: WOLF POINT CLINIC ASSOCIATION AND RIVERSIDE FAMILY CLINIC ARE RURAL HEALTH CLINICS THAT ARE OPERATED AND SUBSIDIZED BY NORTHEAST MONTANA HEALTH SERVICES. THEIR REVENUE AND EXPENSES ARE NOT INCLUDED ON NORTHEAST MONTANA HEALTH SERVICES' FORM 990. PART I, LINE 7I: NEMHS CONTRIBUTED 7,000 TO RURAL HEALTH DEVELOPMENT, INC TO SUPPORT AND INFLUENCE THE EVOLUTION OF HEALTHCARE ORGANIZATION BY PROVIDING ADDITIONAL FUNDING FOR SMALLER FACILITIES IN CENTRAL AND EASTERN MONTANA FOR CAPITAL PURCHASES, QUALITY IMPROVEMENTS, AND CREATING COST SAVINGS AND OPERATIONAL EFFICIENCIES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="RetDoc9">
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARK ZILKOSKI MD</PersonNm>
        <TitleTxt>MEDICAL STAFF REP</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>310237</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>208931</DeferredCompRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>519168</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARGARET NORGAARD</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>139984</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>24587</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>164571</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>MARK ZILKOSKI, MD 0 207,103 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION OF MARK ZILKOSKI, MD IS AN EXPENSE OF WOLF POINT CLINIC ASSOCIATION, A RELATED PARTY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc10">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>MT FACILITY FINANCE AUTHORITY BONDS</BusinessNameLine1>
        </IssuerName>
        <BondIssuerEIN>810302402</BondIssuerEIN>
        <CUSIPNum>612043EE5</CUSIPNum>
        <BondIssuedDt>2007-05-10</BondIssuedDt>
        <IssuePriceAmt>12444852</IssuePriceAmt>
        <PurposeDesc>RENOVATIONS TO HOSPITALS</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>1890000</RetiredAmt>
        <TotalProceedsAmt>12444852</TotalProceedsAmt>
        <InReserveFundAmt>863364</InReserveFundAmt>
        <CapitalizedInterestAmt>743105</CapitalizedInterestAmt>
        <IssuanceCostsFromProceedsAmt>248897</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>10578875</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2009</SubstantialCompletionYr>
        <CurrentRefundingInd>false</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>false</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc11">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED AND APPROVED BY THE CEO AND CFO AND IS DISTRIBUTED TO THE GOVERNING BOARD FOR REVIEW PRIOR TO BEING FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS OF THE GOVERNING BOARD SIGN CONFLICT OF INTEREST STATEMENTS ANNUALLY IN WHICH THEY ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST. IF A POTENTIAL CONFLICT DOES EXIST, THE BOARD CHAIRMAN WILL REMIND MEMBERS AND ASK THEM TO ABSTAIN FROM VOTING. THESE CONFLICTS ARE DULY NOTED IN THE MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD APPROVES THE WAGES OF THE CEO AND OTHER TOP MANAGEMENT OFFICIALS IN THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO APPROVES THE WAGES OF OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS ARE AVAILABLE FROM CFO UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc12">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>RIVERSIDE FAMILY CLINIC</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>PO BOX 629</AddressLine1>
          <City>POPLAR</City>
          <State>MT</State>
          <ZIPCode>59255</ZIPCode>
        </USAddress>
        <EIN>810474760</EIN>
        <PrimaryActivitiesTxt>CLINIC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MT</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>NEMHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>WOLF POINT CLINIC ASSOCIATION</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>301 KNAPP STREET</AddressLine1>
          <City>WOLF POINT</City>
          <State>MT</State>
          <ZIPCode>59201</ZIPCode>
        </USAddress>
        <EIN>810386812</EIN>
        <PrimaryActivitiesTxt>CLINIC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MT</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>NEMHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>NEMHS CHARITABLE FOUNDATION INC</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>PO BOX 38</AddressLine1>
          <City>POPLAR</City>
          <State>MT</State>
          <ZIPCode>59255</ZIPCode>
        </USAddress>
        <EIN>383732814</EIN>
        <PrimaryActivitiesTxt>SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MT</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>NE MT STAT AIR AMB COOP</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>11 SOUTH 7TH ST SUITE 241</AddressLine1>
          <City>MILES CITY</City>
          <State>MT</State>
          <ZIPCode>59301</ZIPCode>
        </USAddress>
        <EIN>204748673</EIN>
        <PrimaryActivitiesTxt>AIR AMBUL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MT</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11B</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>FAITH LUTHERAN HOME FOUNDATION INC</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>1000 6TH AVE N</AddressLine1>
          <City>WOLF POINT</City>
          <State>MT</State>
          <ZIPCode>59201</ZIPCode>
        </USAddress>
        <EIN>810483586</EIN>
        <PrimaryActivitiesTxt>SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MT</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>PF</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</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>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>RIVERSIDE FAMILY CLINIC</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>841682</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>DECREASE IN RECEIVABLE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>WOLF POINT CLINIC ASSOCIATION</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>306688</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>INCREASE IN RECEIVABLE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>NEMHS CHARITABLE FOUNDATION</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>44044</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH GIFTS</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>