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        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>TO SUPPORT RESEARCH AND CHARITABLE ACTIVITIES WHICH BENEFIT THE MEDICAL COMMUNITY IN MONTANA AND TO IMPROVE THE HEALTH OF ITS RESIDENTS.</ExplanationTxt>
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          <CityNm>MISSOULA</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
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          <CityNm>CONRAD</CityNm>
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        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM:ASPR FUNDED GRANT TO ASSIST HOSPITALS IN ASSESSING THEIR PREPAREDNESS IN THE EVENT OF EMERGENCIES OR NATURAL DISASTERS, AND FORMULATING AND TESTING PLANS TO STRENGTHEN THEIR READINESS.</PurposeOfGrantTxt>
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          <CityNm>GLENDIVE</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
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        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM:ASPR FUNDED GRANT TO ASSIST HOSPITALS IN ASSESSING THEIR PREPAREDNESS IN THE EVENT OF EMERGENCIES OR NATURAL DISASTERS, AND FORMULATING AND TESTING PLANS TO STRENGTHEN THEIR READINESS.</PurposeOfGrantTxt>
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          <CityNm>MISSOULA</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59806</ZIPCd>
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        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM:ASPR FUNDED GRANT TO ASSIST HOSPITALS IN ASSESSING THEIR PREPAREDNESS IN THE EVENT OF EMERGENCIES OR NATURAL DISASTERS, AND FORMULATING AND TESTING PLANS TO STRENGTHEN THEIR READINESS.</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>ST JAMES HEALTHCARE</BusinessNameLine1Txt>
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          <CityNm>BUTTE</CityNm>
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        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM:ASPR FUNDED GRANT TO ASSIST HOSPITALS IN ASSESSING THEIR PREPAREDNESS IN THE EVENT OF EMERGENCIES OR NATURAL DISASTERS, AND FORMULATING AND TESTING PLANS TO STRENGTHEN THEIR READINESS.</PurposeOfGrantTxt>
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          <StateAbbreviationCd>MT</StateAbbreviationCd>
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        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM:ASPR FUNDED GRANT TO ASSIST HOSPITALS IN ASSESSING THEIR PREPAREDNESS IN THE EVENT OF EMERGENCIES OR NATURAL DISASTERS, AND FORMULATING AND TESTING PLANS TO STRENGTHEN THEIR READINESS.</PurposeOfGrantTxt>
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          <CityNm>SHERIDAN</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
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        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM:ASPR FUNDED GRANT TO ASSIST HOSPITALS IN ASSESSING THEIR PREPAREDNESS IN THE EVENT OF EMERGENCIES OR NATURAL DISASTERS, AND FORMULATING AND TESTING PLANS TO STRENGTHEN THEIR READINESS.MONTANA CAPITAL ASSISTANCE PROGRAM:MCAP IS FUNDED BY THE MONTANA FACILITY FINANCE AUTHORITY. IT PROVIDES UP TO $15,000 IN PASS-THROUGH FUNDING FOR AS MANY AS FOUR SMALL RURAL HEALTHCARE FACILITIES EACH YEAR TO CONDUCT CAPITAL NEEDS ASSESSMENTS, PLANNING AND FEASIBILITY STUDIES FOR CAPITAL PROJECTS, OR EXPENSES SUCH AS ARCHITECTURAL FEES FOR CAPITAL PROJECTS.</PurposeOfGrantTxt>
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        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM:ASPR FUNDED GRANT TO ASSIST HOSPITALS IN ASSESSING THEIR PREPAREDNESS IN THE EVENT OF EMERGENCIES OR NATURAL DISASTERS, AND FORMULATING AND TESTING PLANS TO STRENGTHEN THEIR READINESS.TELESTROKE SERVICES GRANT:CDC FUNDED PROGRAM THROUGH THE MONTANA DPHHS TO IMPROVE PATIENT CARE IN RURAL HOSPITALS THROUGH TELEVIDEO CONSULTATIONS FOR THE DIAGNOSIS, EARLY INTERVENTION, AND TREATMENT OF ACUTE ISCHEMIC STROKE SYMPTOMS.</PurposeOfGrantTxt>
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        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM:ASPR FUNDED GRANT TO ASSIST HOSPITALS IN ASSESSING THEIR PREPAREDNESS IN THE EVENT OF EMERGENCIES OR NATURAL DISASTERS, AND FORMULATING AND TESTING PLANS TO STRENGTHEN THEIR READINESS.</PurposeOfGrantTxt>
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          <CityNm>SUPERIOR</CityNm>
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        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>6434</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM:ASPR FUNDED GRANT TO ASSIST HOSPITALS IN ASSESSING THEIR PREPAREDNESS IN THE EVENT OF EMERGENCIES OR NATURAL DISASTERS, AND FORMULATING AND TESTING PLANS TO STRENGTHEN THEIR READINESS.</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>6200</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM:ASPR FUNDED GRANT TO ASSIST HOSPITALS IN ASSESSING THEIR PREPAREDNESS IN THE EVENT OF EMERGENCIES OR NATURAL DISASTERS, AND FORMULATING AND TESTING PLANS TO STRENGTHEN THEIR READINESS.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BIG HORN SENIOR LIVING</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>200 NORTH CENTRAL MITCHELL</AddressLine1Txt>
          <CityNm>HARDIN</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59034</ZIPCd>
        </USAddress>
        <RecipientEIN>810384618</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>6195</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM:ASPR FUNDED GRANT TO ASSIST HOSPITALS IN ASSESSING THEIR PREPAREDNESS IN THE EVENT OF EMERGENCIES OR NATURAL DISASTERS, AND FORMULATING AND TESTING PLANS TO STRENGTHEN THEIR READINESS.</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>59864</ZIPCd>
        </USAddress>
        <RecipientEIN>810221486</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>6064</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM:ASPR FUNDED GRANT TO ASSIST HOSPITALS IN ASSESSING THEIR PREPAREDNESS IN THE EVENT OF EMERGENCIES OR NATURAL DISASTERS, AND FORMULATING AND TESTING PLANS TO STRENGTHEN THEIR READINESS.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RIVERSTONE HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>123 SOUTH 27TH STREET</AddressLine1Txt>
          <CityNm>BILLINGS</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59101</ZIPCd>
        </USAddress>
        <RecipientEIN>810513538</RecipientEIN>
        <IRCSectionDesc>170(C)1</IRCSectionDesc>
        <CashGrantAmt>5583</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL PREPAREDNESS PROGRAM:ASPR FUNDED GRANT TO ASSIST HOSPITALS IN ASSESSING THEIR PREPAREDNESS IN THE EVENT OF EMERGENCIES OR NATURAL DISASTERS, AND FORMULATING AND TESTING PLANS TO STRENGTHEN THEIR READINESS.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MISSOURI RIVER MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 268</AddressLine1Txt>
          <CityNm>FORT BENTON</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59442</ZIPCd>
        </USAddress>
        <RecipientEIN>810348783</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>MONTANA CAPITAL ASSISTANCE PROGRAM:MCAP IS FUNDED BY THE MONTANA FACILITY FINANCE AUTHORITY. IT PROVIDES UP TO $15,000 IN PASS-THROUGH FUNDING FOR AS MANY AS FOUR SMALL RURAL HEALTHCARE FACILITIES EACH YEAR TO CONDUCT CAPITAL NEEDS ASSESSMENTS, PLANNING AND FEASIBILITY STUDIES FOR CAPITAL PROJECTS, OR EXPENSES SUCH AS ARCHITECTURAL FEES FOR CAPITAL PROJECTS.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DANIELS MEMORIAL HEALTHCARE CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 400</AddressLine1Txt>
          <CityNm>SCOBEY</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59263</ZIPCd>
        </USAddress>
        <RecipientEIN>816016920</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>MONTANA CAPITAL ASSISTANCE PROGRAM:MCAP IS FUNDED BY THE MONTANA FACILITY FINANCE AUTHORITY. IT PROVIDES UP TO $15,000 IN PASS-THROUGH FUNDING FOR AS MANY AS FOUR SMALL RURAL HEALTHCARE FACILITIES EACH YEAR TO CONDUCT CAPITAL NEEDS ASSESSMENTS, PLANNING AND FEASIBILITY STUDIES FOR CAPITAL PROJECTS, OR EXPENSES SUCH AS ARCHITECTURAL FEES FOR CAPITAL PROJECTS.</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>14516</CashGrantAmt>
        <PurposeOfGrantTxt>MONTANA CAPITAL ASSISTANCE PROGRAM:MCAP IS FUNDED BY THE MONTANA FACILITY FINANCE AUTHORITY. IT PROVIDES UP TO $15,000 IN PASS-THROUGH FUNDING FOR AS MANY AS FOUR SMALL RURAL HEALTHCARE FACILITIES EACH YEAR TO CONDUCT CAPITAL NEEDS ASSESSMENTS, PLANNING AND FEASIBILITY STUDIES FOR CAPITAL PROJECTS, OR EXPENSES SUCH AS ARCHITECTURAL FEES FOR CAPITAL PROJECTS.</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>16</Total501c3OrgCnt>
      <TotalOtherOrgCnt>17</TotalOtherOrgCnt>
      <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 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>