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        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
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          <CityNm>BUTTE</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>597023300</ZIPCd>
        </USAddress>
        <RecipientEIN>810231785</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GREAT FALLS CLINIC HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3010 15TH AVE SO</AddressLine1Txt>
          <CityNm>GREAT FALLS</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59405</ZIPCd>
        </USAddress>
        <RecipientEIN>841396628</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ST PETERS HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 6228</AddressLine1Txt>
          <CityNm>HELENA</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>596046228</ZIPCd>
        </USAddress>
        <RecipientEIN>810233121</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ADVANCED CARE HOSPITAL OF MONTANA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3528 GABEL RD</AddressLine1Txt>
          <CityNm>BILLINGS</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59102</ZIPCd>
        </USAddress>
        <RecipientEIN>205292745</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GLENDIVE MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>202 PROSPECT DR</AddressLine1Txt>
          <CityNm>GLENDIVE</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59330</ZIPCd>
        </USAddress>
        <RecipientEIN>816016016</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>8500</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PIONEER MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 1228</AddressLine1Txt>
          <CityNm>BIG TIMBER</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59011</ZIPCd>
        </USAddress>
        <RecipientEIN>421411473</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>8500</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DANIELS MEMORIAL HEALTHCARE CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 400</AddressLine1Txt>
          <CityNm>SCOBEY</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>592630400</ZIPCd>
        </USAddress>
        <RecipientEIN>816016920</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>8500</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BARRETT HOSPITAL AND HEALTHCARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>600 HWY 91 SOUTH</AddressLine1Txt>
          <CityNm>DILLON</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>597253557</ZIPCd>
        </USAddress>
        <RecipientEIN>264230898</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>8500</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CABINET PEAKS MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>209 HEALTH PARK DR</AddressLine1Txt>
          <CityNm>LIBBY</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59923</ZIPCd>
        </USAddress>
        <RecipientEIN>810241755</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>8450</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MPCA - MONTANA PRIMARY CARE ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1805 EUCLID</AddressLine1Txt>
          <CityNm>HELENA</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59601</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5808</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PRAIRIE COMMUNITY HOSPITAL DISTRICT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 156</AddressLine1Txt>
          <CityNm>TERRY</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59349</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5701</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SIDNEY HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>216 14TH AVE SW</AddressLine1Txt>
          <CityNm>SIDNEY</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>592701690</ZIPCd>
        </USAddress>
        <RecipientEIN>810233499</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NORTHERN ROCKIES MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>802 2ND STREET SOUTHEAST</AddressLine1Txt>
          <CityNm>CUT BANK</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>594273329</ZIPCd>
        </USAddress>
        <RecipientEIN>810530457</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BENEFIS TETON MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>915 4TH ST NW</AddressLine1Txt>
          <CityNm>CHOTEAU</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59422</ZIPCd>
        </USAddress>
        <RecipientEIN>810388136</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ROUNDUP MEMORIAL HEALTHCARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 40</AddressLine1Txt>
          <CityNm>ROUNDUP</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>590720040</ZIPCd>
        </USAddress>
        <RecipientEIN>810245848</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GRANITE COUNTY HOSPITAL DISTRICT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 729</AddressLine1Txt>
          <CityNm>PHILIPSBURG</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>598580729</ZIPCd>
        </USAddress>
        <RecipientEIN>810385629</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CENTRAL MONTANA MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>408 WENDELL AVE</AddressLine1Txt>
          <CityNm>LEWISTOWN</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59457</ZIPCd>
        </USAddress>
        <RecipientEIN>237169043</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BOZEMAN HEALTH BIG SKY MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>915 HIGHLAND BLVD</AddressLine1Txt>
          <CityNm>BOZEMAN</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59715</ZIPCd>
        </USAddress>
        <RecipientEIN>474718253</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COMMUNITY HOSPITAL OF ANACONDA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>401 W PENNSYLVANIA ST</AddressLine1Txt>
          <CityNm>ANACONDA</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>597111931</ZIPCd>
        </USAddress>
        <RecipientEIN>810303913</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HOLY ROSARY HEALTHCARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2600 WILSON</AddressLine1Txt>
          <CityNm>MILES CITY</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>593015094</ZIPCd>
        </USAddress>
        <RecipientEIN>810231792</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ROOSEVELT MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 419</AddressLine1Txt>
          <CityNm>CULBERTSON</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59218</ZIPCd>
        </USAddress>
        <RecipientEIN>810373589</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LIBERTY MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 705</AddressLine1Txt>
          <CityNm>CHESTER</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59522</ZIPCd>
        </USAddress>
        <RecipientEIN>810515463</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SHERIDAN MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>440 WEST LAUREL AVE</AddressLine1Txt>
          <CityNm>PLENTYWOOD</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>592541526</ZIPCd>
        </USAddress>
        <RecipientEIN>810243720</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LIVINGSTON HEALTHCARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>320 ALPENGLOW LN</AddressLine1Txt>
          <CityNm>LIVINGSTON</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59047</ZIPCd>
        </USAddress>
        <RecipientEIN>810378200</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DEER LODGE MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1100 HOLLENBACK LANE</AddressLine1Txt>
          <CityNm>DEER LODGE</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>597221828</ZIPCd>
        </USAddress>
        <RecipientEIN>810469886</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BROADWATER HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>110 NORTH OAK ST</AddressLine1Txt>
          <CityNm>TOWNSEND</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>596442306</ZIPCd>
        </USAddress>
        <RecipientEIN>810398400</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CLARK FORK VALLEY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 768</AddressLine1Txt>
          <CityNm>PLAINS</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59859</ZIPCd>
        </USAddress>
        <RecipientEIN>810475376</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FRANCES MAHON DECONESS HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>621 3RD STREET SOUTH</AddressLine1Txt>
          <CityNm>GLASGOW</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>592302604</ZIPCd>
        </USAddress>
        <RecipientEIN>810231786</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PHILLIPS COUNTY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 640</AddressLine1Txt>
          <CityNm>MALTA</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>595380640</ZIPCd>
        </USAddress>
        <RecipientEIN>816016152</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>STILLWATER BILLINGS CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 959</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>590190959</ZIPCd>
        </USAddress>
        <RecipientEIN>810286525</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PONDERA MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 668</AddressLine1Txt>
          <CityNm>CONRAD</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59425</ZIPCd>
        </USAddress>
        <RecipientEIN>810232406</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MCCONE COUNTY HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 48</AddressLine1Txt>
          <CityNm>CIRCLE</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59215</ZIPCd>
        </USAddress>
        <RecipientEIN>810269223</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PROVIDENCE ST JOSEPH MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 1010</AddressLine1Txt>
          <CityNm>POLSON</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59860</ZIPCd>
        </USAddress>
        <RecipientEIN>810463482</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MINERAL COMMUNITY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 66</AddressLine1Txt>
          <CityNm>SUPERIOR</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>598720066</ZIPCd>
        </USAddress>
        <RecipientEIN>810421823</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ROSEBUD HEALTH CARE CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 268</AddressLine1Txt>
          <CityNm>FORSYTH</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59327</ZIPCd>
        </USAddress>
        <RecipientEIN>810405434</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MISSOURI RIVER MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 249</AddressLine1Txt>
          <CityNm>FORT BENTON</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59442</ZIPCd>
        </USAddress>
        <RecipientEIN>810348783</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RUBY VALLEY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 336</AddressLine1Txt>
          <CityNm>SHERIDAN</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59749</ZIPCd>
        </USAddress>
        <RecipientEIN>810247889</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MOUNTAINVIEW MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX Q</AddressLine1Txt>
          <CityNm>WHITE SULPHUR SPRINGS</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>596450817</ZIPCd>
        </USAddress>
        <RecipientEIN>810255832</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BIG HORN HOSPITAL ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>17 N MILES</AddressLine1Txt>
          <CityNm>HARDIN</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59034</ZIPCd>
        </USAddress>
        <RecipientEIN>810384618</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DAHL MEMORIAL HEALTHCARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 46</AddressLine1Txt>
          <CityNm>EKALAKA</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59324</ZIPCd>
        </USAddress>
        <RecipientEIN>810264548</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GARFIELD COUNTY HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 389</AddressLine1Txt>
          <CityNm>JORDAN</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59337</ZIPCd>
        </USAddress>
        <RecipientEIN>816001366</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ST LUKE COMMUNITY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>107 6TH AVE SW</AddressLine1Txt>
          <CityNm>RONAN</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>598642634</ZIPCd>
        </USAddress>
        <RecipientEIN>810221486</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BIG SANDY MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 530</AddressLine1Txt>
          <CityNm>BIG SANDY</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59520</ZIPCd>
        </USAddress>
        <RecipientEIN>810291695</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BEARTOOTH BILLINGS CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 590</AddressLine1Txt>
          <CityNm>RED LODGE</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>590680590</ZIPCd>
        </USAddress>
        <RecipientEIN>810224734</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FALLON MEDICAL COMPLEX</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 820</AddressLine1Txt>
          <CityNm>BAKER</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>593130820</ZIPCd>
        </USAddress>
        <RecipientEIN>363808993</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NORTH VALLEY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1600 HOSPITAL WAY</AddressLine1Txt>
          <CityNm>WHITEFISH</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59937</ZIPCd>
        </USAddress>
        <RecipientEIN>810247969</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WHEATLAND MEMORIAL HEALTHCARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 287</AddressLine1Txt>
          <CityNm>HARLOWTON</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59036</ZIPCd>
        </USAddress>
        <RecipientEIN>810392231</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MARIAS MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 915</AddressLine1Txt>
          <CityNm>SHELBY</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59474</ZIPCd>
        </USAddress>
        <RecipientEIN>810370945</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MADISON VALLEY MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>305 N MAIN STREET</AddressLine1Txt>
          <CityNm>ENNIS</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59729</ZIPCd>
        </USAddress>
        <RecipientEIN>810236460</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC</PurposeOfGrantTxt>
      </RecipientTable>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS AN APPROVAL PROCESS FROM THE STATE AND ADVISORY COMMITTEE BEFORE GRANT FUNDS ARE RELEASED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 2B</FormAndLineReferenceDesc>
        <ExplanationTxt>MHREF'S EMPLOYMENT TAX INFORMATION IS COMBINED WITH AND REPORTED BY MONTANA HOSPITAL ASSOCIATION, SERVING AS THE COMMON PAYMASTER, UNDER ITS EIN #81-0287203.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL MEMBERS OF THE BOARD RECEIVE A COPY OF THE FORM 990 PRIOR TO FILING. IT IS REVIEWED IN DETAIL BY THE FINANCE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY REQUIRES BOARD MEMBERS TO ANNUALLY SUBMIT A REPORT TO THE BOARD OF ALL ORGANIZATIONS OR BUSINESSES OF WHICH THE INDIVIDUAL IS A MEMBER, OFFICER, EMPLOYEE OR OWNER WHICH HAVE CONFLICTING INTERESTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON WRITTEN OR PERSONAL REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>ROUNDING 1.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE HAVE BEEN NO CHANGES FROM PRIOR YEAR IN THE AUDIT OVERSIGHT AND SELECTION PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
