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      <Desc>Blue Mountain Clinic (BMC) features quality clinicians and experienced staff who provide: Family practice - General medical services and on-site lab servicesSexual and reproductive healthcare , including VasectomyMental health counseling LGBT Primary care and counseling First trimester abortion and counselingBMC has provided access to first trimester abortion care with an emphasis on options counseling and birth control selection for 37 years. In 2013, BMC was voted "Best Health Clinic" and Dr. Ravitz was voted "Best Doctor" for the 6th year in a row in the Missoula Independent's reader's poll "Best of Missoula" awards. The Clinic was also voted best LGBT clinic by the Montana Pride Foundation and hosted the first Gender Expansion Trans Health Conference in Missoula. Also during the year, the fundraiser entitled "Off the Rack" was again a great success. Over 900 supporters attended this fundraising fashion event designed to promote healthy sexuality that goes beyond barriers, gender and stigma. During 2013, continued steps were taken to create a network of advocates in rural health care delivery settings, to increase prevention awareness to underserved regions of Montana and surrounding states, and to improve access to women seeking care by identifying resources to offset financial constraints. We joined with the Montana Family Practice Residency program to train resident doctors within our family practice setting. Many of these residents will eventually practice in rural Montana. And we created Gender Rhythm, a program for teens, to compliment other initiatives. Gender Rhythm facilitates student-led discussions about issues that are pertinent to them. Topics included bullying, birth control, healthy sexuality, and substance abuse.Each year, BMC staff participates in 20-35 activities for education, advocacy and outreach. Ongoing initiatives include BMC's Montana Access Project. The Clinic launched ASKMAP, in July 2010, as an SMS(text) and web-based hotline to provide information on sexual health, education and resources. Users can send or text a question confidentially and anonymously and get answers and resources from a clinical professional using a technological medium that helps reduce shame and embarrassment.BMC sees about 9,000 patient visits every year. These visits breakdown as follows:Family Practice - 68%, Gynecology, Contraceptive and Sexual Health - 18%, Mental Health Counseling - 7%, Abortion Care - 7%</Desc>
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        <ExplanationTxt>Key personnel at the Blue Mountain Clinic worked alongside the Montana Reproductive Rights Coalition to protect women's right to choice during the 63rd Legislative Session. The goal of the lobbying efforts was to prevent the passage of anti-choice bills.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CURRENT BOARD TREASURER REVIEWS THE 990 IN DETAIL WITH THE EXECUTIVE DIRECTOR. A DRAFT OF THE 990 IS THEN PRESENTED TO THE EXECUTIVE COMMITTEE. ANY CHANGES AND/OR SIGNIFICANT INFORMATION THAT IS RELEVANT TO BOARD MEMBERS IS PASSED ON TO THE BOARD FOR DISCUSSION PURPOSES VIA THE TREASURER.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS AND KEY STAFF MEMBERS ARE ASKED TO DIVULGE ANY POTENTIAL CONFLICTS OF INTEREST PRIOR TO JOINING THE BOARD OR COMMENCING EMPLOYMENT AT THE CLINIC. BOTH BOARD AND STAFF MEMBERS UNDERGO A THOROUGH APPLICATION PROCESS DESIGNED TO PREVENT AND AVOID ANY POTENTIAL CONFLICTS OF INTEREST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION OF THE EXECUTIVE DIRECTOR AND THE MEDICAL DIRECTOR IS SUBJECTED TO ANNUAL REVIEW AND APPROVAL BY THE BOARD OF DIRECTORS. CHANGES TO COMPENSATION BASED ON PERFORMANCE EVALUATIONS, COST OF LIVING INCREASE, OR ANNUAL BUDGET CONSTRAINTS ARE REVIEWED AND VOTED ON BY THE BOARD AS A WHOLE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>ANY OF THESE DOCUMENTS ARE READILY AVAILIBLE UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>BANK &amp; CREDIT CARD CHARGES: Column (A) - Total = $9098; Column (B) - Program Services = $9098; Column (C) - Management &amp; General = $0; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTINUING EDUCATION: Column (A) - Total = $13060; Column (B) - Program Services = $13060; Column (C) - Management &amp; General = $0; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>COPY MACHINE LEASE AND EXPENSE: Column (A) - Total = $5118; Column (B) - Program Services = $0; Column (C) - Management &amp; General = $5118; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>D&amp;O INSURNACE: Column (A) - Total = $5374; Column (B) - Program Services = $0; Column (C) - Management &amp; General = $5374; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>DUES &amp; SUBSCRIPTIONS: Column (A) - Total = $6453; Column (B) - Program Services = $6453; Column (C) - Management &amp; General = $0; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>EDUCATIONAL LITERATURE: Column (A) - Total = $277; Column (B) - Program Services = $277; Column (C) - Management &amp; General = $0; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>EQUIPMENT LEASE: Column (A) - Total = $8692; Column (B) - Program Services = $8692; Column (C) - Management &amp; General = $0; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>EQUIPMENT PURCHASE: Column (A) - Total = $462; Column (B) - Program Services = $462; Column (C) - Management &amp; General = $0; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSE: Column (A) - Total = $4006; Column (B) - Program Services = $0; Column (C) - Management &amp; General = $0; Column (D) - Fundraising = $4006</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>GIFTS/CUSTOMER RELATIONS: Column (A) - Total = $20; Column (B) - Program Services = $20; Column (C) - Management &amp; General = $0; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>LAB FEES: Column (A) - Total = $927; Column (B) - Program Services = $927; Column (C) - Management &amp; General = $0; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>LICENSES: Column (A) - Total = $2251; Column (B) - Program Services = $2251; Column (C) - Management &amp; General = $0; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>MARKETING &amp; OUTREACH: Column (A) - Total = $24189; Column (B) - Program Services = $24189; Column (C) - Management &amp; General = $0; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICAL SUPPLIES: Column (A) - Total = $2020; Column (B) - Program Services = $2020; Column (C) - Management &amp; General = $0; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS: Column (A) - Total = $21; Column (B) - Program Services = $18; Column (C) - Management &amp; General = $2; Column (D) - Fundraising = $1</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>OUTSIDE SERVICES: Column (A) - Total = $18515; Column (B) - Program Services = $15738; Column (C) - Management &amp; General = $2777; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>Postage and Shipping: Column (A) - Total = $3223; Column (B) - Program Services = $2740; Column (C) - Management &amp; General = $161; Column (D) - Fundraising = $322</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>Printing and Publications: Column (A) - Total = $3450; Column (B) - Program Services = $2415; Column (C) - Management &amp; General = $1035; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>REPAIRS &amp; MAINTENANCE: Column (A) - Total = $2388; Column (B) - Program Services = $2388; Column (C) - Management &amp; General = $0; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>SECURITY: Column (A) - Total = $7207; Column (B) - Program Services = $7207; Column (C) - Management &amp; General = $0; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>SID TAXES: Column (A) - Total = $10; Column (B) - Program Services = $0; Column (C) - Management &amp; General = $10; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>STAFF EXPENSE: Column (A) - Total = $1158; Column (B) - Program Services = $1158; Column (C) - Management &amp; General = $0; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>SUPPLIES: Column (A) - Total = $6924; Column (B) - Program Services = $4847; Column (C) - Management &amp; General = $2077; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>TELEPHONE: Column (A) - Total = $7781; Column (B) - Program Services = $6225; Column (C) - Management &amp; General = $1167; Column (D) - Fundraising = $389</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>TRAINING: Column (A) - Total = $9713; Column (B) - Program Services = $9713; Column (C) - Management &amp; General = $0; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e: Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>WORK COMP: Column (A) - Total = $4049; Column (B) - Program Services = $3037; Column (C) - Management &amp; General = $1012; Column (D) - Fundraising = $0</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>