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      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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        <FormAndLineReferenceDesc>PART III, LINE 12</FormAndLineReferenceDesc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITIES</Desc>
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      <TotalLiabilityAmt>1163666</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueSubtotalAmt>23999859</RevenueSubtotalAmt>
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      <ExpensesSubtotalAmt>22446211</ExpensesSubtotalAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTER IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. THE CENTER EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF DECEMBER 31, 2023, AND 2022, THE CENTER HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL.</ExplanationTxt>
      </SupplementalInformationDetail>
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARY STERHAN</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN TREMPER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <PersonNm>HEATHER BROWN</PersonNm>
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    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTER CONTRACTS WITH COMMUNITY LINK CONSULTING (CLC) FOR MANAGEMENT SERVICES AND UTILIZES AN EMPLOYEE OF CLC AS ITS CHIEF FINANCIAL OFFICER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE 990 IS PROVIDED TO THE CEO AND CFO WHO REVIEW THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT IS PRESENTED TO THE BOARD OF DIRECTORS WHO THEN APPROVE THE 990. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS THE FORM 8879-TE AUTHORIZING THE PREPARER TO E-FILE THE RETURN.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS OF THE BOARD OF DIRECTORS ANNUALLY COMPLETE A CONFLICT OF INTEREST FORM AFFIRMING THE POLICY AND DECLARING CONFLICTS, IF ANY. SHOULD A CONFLICT OF INTEREST OCCUR, THE INDIVIDUAL(S) MAY EXCUSE THEMSELF FROM DISCUSSIONS AND/OR DETERMINATIONS. THE BOARD OF DIRECTORS, THROUGH THE SENIOR MANAGEMENT IS ACCOUNTABLE FOR IMPLEMENTATION, ENFORCEMENT, MONITORING, OVERSIGHT, AND COMMUNICATION OF THE ORGANIZATIONS CONFLICT OF INTEREST POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>CEO COMPENSATION IS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD AND RATIFIED BY THE BOARD. THE COMPENSATION LEVEL IS DETERMINED BY PERFORMANCE WITHIN THE CONTEXT OF THE BUDGET, BENCHMARKING WITH OTHER MONTANA COMMUNITY HEALTH CENTERS AND UTILIZING THE CHAMPS BI-ANNUAL COMPENSATION SURVEY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE 990, PART VI, LINE 15A.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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</Return>