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        <TotalRevenueColumnAmt>23600679</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>23353859</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>234158</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>465427</TotalAmt>
        <ManagementAndGeneralAmt>465427</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>12240062</TotalAmt>
        <ProgramServicesAmt>9573830</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2666232</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>306819</ProgramServicesAmt>
        <ManagementAndGeneralAmt>104066</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>258526</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42991</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>1010932</TotalAmt>
        <ProgramServicesAmt>761273</ProgramServicesAmt>
        <ManagementAndGeneralAmt>249659</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>16912</TotalAmt>
        <ManagementAndGeneralAmt>16912</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>188443</TotalAmt>
        <ManagementAndGeneralAmt>188443</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>72000</TotalAmt>
        <ManagementAndGeneralAmt>72000</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>802610</TotalAmt>
        <ProgramServicesAmt>649419</ProgramServicesAmt>
        <ManagementAndGeneralAmt>153191</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>146752</TotalAmt>
        <ProgramServicesAmt>5558</ProgramServicesAmt>
        <ManagementAndGeneralAmt>141194</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>293904</ProgramServicesAmt>
        <ManagementAndGeneralAmt>226543</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>711401</TotalAmt>
        <ProgramServicesAmt>35199</ProgramServicesAmt>
        <ManagementAndGeneralAmt>676202</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>423159</TotalAmt>
        <ProgramServicesAmt>15830</ProgramServicesAmt>
        <ManagementAndGeneralAmt>407329</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>625204</TotalAmt>
        <ProgramServicesAmt>603072</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22132</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>1098</TotalAmt>
        <ManagementAndGeneralAmt>1098</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>223772</TotalAmt>
        <ProgramServicesAmt>95009</ProgramServicesAmt>
        <ManagementAndGeneralAmt>128763</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>871453</ProgramServicesAmt>
        <ManagementAndGeneralAmt>433028</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>4594600</TotalAmt>
        <ProgramServicesAmt>4592825</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1775</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>758134</TotalAmt>
        <ProgramServicesAmt>566025</ProgramServicesAmt>
        <ManagementAndGeneralAmt>192109</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
        <TotalAmt>711269</TotalAmt>
        <ProgramServicesAmt>711269</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EDUCATION</Desc>
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        <ProgramServicesAmt>36200</ProgramServicesAmt>
        <ManagementAndGeneralAmt>43232</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>63582</ProgramServicesAmt>
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      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>19439793</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6270336</ManagementAndGeneralAmt>
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        <EOYAmt>550</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>507404</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>1738075</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>4082794</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>376628</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>15497972</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>19580766</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-2109450</ReconcilationRevenueExpnssAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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        <CurrentTaxYearMinus2YearsAmt>2869264</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15863</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>12662</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus1YearAmt>21456621</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>23353859</CurrentTaxYearAmt>
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      <Total509Grp>
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      <AmountsRcvdDsqlfyPersonGrp>
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      <SubstantialContributorsAmtGrp>
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      <SubstAndDsqlfyPrsnsTotGrp>
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        <CurrentTaxYearMinus1YearAmt>22068011</CurrentTaxYearMinus1YearAmt>
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      <InvestmentIncomePYPct>0.01230</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER INCOME</ExplanationTxt>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <ExpensesSubtotalAmt>25710129</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>25710129</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AGENCY IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(C)(3) OF THE CODE. THE AGENCY HAS ELECTED TO ADOPT GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE AGENCY FOLLOWS THE ACCOUNTING STANDARD FOR CONTINGENCIES FOR EVALUATING UNCERTAIN TAX POSITIONS. THE ADOPTION OF THIS STANDARD HAD NO EFFECT ON THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <CompensationSurveyInd>X</CompensationSurveyInd>
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        <PersonNm>LARA MACKLIN</PersonNm>
        <TitleTxt>PHARMACIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>124667</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD IS COMPOSED OF TWO VOTING MEMBERS (REPRESENTING THE PARENT HOSPITALS) AND SEVEN AT-LARGE MEMBERS. WHILE THE AT-LARGE MEMBERS ARE ABLE TO MAKE MOTIONS TO APPROVE INFORMATIONAL ITEMS THAT COME BEFORE THE BOARD, ONLY THE TWO VOTING MEMBERS ARE ABLE TO VOTE ON PROPOSALS THAT HAVE OPERATIONAL SIGNIFICANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE FISCAL YEAR, THE ORGANIZATION'S MEDICAL DIRECTOR POSITION WAS PROVIDED THROUGH SERVICE AGREEMENT WITH CARLA DAVIS. CARLA'S 2023 COMPENSATION FROM PARTNERS IN HOME CARE FOR THESE WAS $258,933.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATION SHALL HAVE ONE CLASS OF MEMBERSHIP COMPOSED OF ONE MEMBER. THE NAME OF THE MEMBER, EQUALLY REPRESENTED BY ST. PATRICK HOSPITAL AND HEALTH SCIENCES CENTER AND COMMUNITY MEDICAL CENTER, IS THE MISSOULA HOSPITAL ALLIANCE, INC. THE RIGHTS OF THE MEMBER SHALL BE EXERCISED BY THE BOARD OF DIRECTORS OF THE MISSOULA HOSPITAL ALLIANCE, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. PATRICK HOSPITAL AND HEALTH SCIENCES CENTER AND COMMUNITY MEDICAL CENTER SHALL EACH HAVE THE RIGHT TO APPOINT ONE (1) DIRECTOR. THESE DIRECTORS SHALL NOT BE LIMITED IN THE NUMBER OF TERMS SERVED. THE BALANCE OF THE DIRECTORS SHALL BE AT-LARGE DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBER HAS THE RIGHT TO ELECT AND REMOVE MEMBERS OF THE BOARD OF DIRECTORS. THE MEMBER HAS THE RIGHT OF APPROVAL OF: 1. THE MISSION STATEMENT OF PARTNERS IN HOME CARE (PIHC). 2. THE SELECTION AND REMOVAL OF THE CHIEF EXECUTIVE OFFICER. 3. THE ANNUAL OPERATING AND CAPITAL BUDGET FOR THE CORPORATION. THE BOARD OF DIRECTORS WILL SUBMIT ALL BUDGETS TO THE MEMBER AT THE ANNUAL MEETING. UNTIL APPROVAL BY THE MEMBER, NEITHER THE DIRECTORS NOR OFFICERS OF THE CORPORATION HAVE THE AUTHORITY TO EXPEND MONEY FOR ITEMS CONTAINED IN THE BUDGETS. 4. MAJOR NEW SERVICES APPROVED BY THE BOARD OF DIRECTORS. 5. CHANGES TO THE ARTICLES OF INCORPORATION AND BY-LAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DRAFT FORM WAS REVIEWED BY THE DIRECTOR OF FINANCE AND CEO. ONCE ANY NEEDED CORRECTIONS WERE MADE, THE DRAFT WAS PROVIDED TO THE BOARD OF DIRECTORS. THE BOARD WILL APPROVE THE DRAFT AT ITS NEXT SCHEDULED MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>POLICY: ALL STAFF, VOLUNTEERS, AND MEMBERS OF THE BOARD OF DIRECTORS AND PROFESSIONAL ADVISORY COMMITTEE OF THE AGENCY WILL DISCLOSE ANY DUALITY OF INTEREST OR POTENTIAL CONFLICT OF INTEREST. DEFINITION: A CONFLICT OF INTEREST MAY EXIST WHEN AN INDIVIDUAL WILL DERIVE ANY PROFIT OR GAIN DIRECTLY OR INDIRECTLY BY REASON OF HIS/HER ROLE IN THE AGENCY, AND THE OBJECTIVITY OR LOYALTY OF THAT INDIVIDUAL COULD BE QUESTIONED. PROCEDURE - BOARD OF DIRECTORS: 1. IF A MATTER ARISES IN WHICH A MEMBER OF THE BOARD HAS A CONFLICT OF INTEREST, THIS SHALL BE PROMPTLY DISCLOSED BY THE BOARD MEMBER TO THE BOARD OF DIRECTORS. 2. IN MATTERS INVOLVING A CONFLICT OF INTEREST, A BOARD OF DIRECTORS MEMBER MUST DISCLOSE ANY KNOWN SIGNIFICANT REASONS WHY A TRANSACTION MIGHT NOT BE IN THE BEST INTEREST OF THE AGENCY AND A BOARD MEMBER SHALL NOT PARTICIPATE IN DISCUSSION NOR VOTE ON THE RELATED TRANSACTIONS. 3. ALL BOARD MEMBERS OF AGENCY WILL DISCLOSE ANY DUALITY OF INTEREST OR POTENTIAL CONFLICT OF INTEREST. PROCEDURE: STAFF AND VOLUNTEERS: 1. ANY EMPLOYEE, CONTRACTED STAFF MEMBER, OR VOLUNTEER (INCLUDING A NON-EMPLOYEE MEMBER OF THE PROFESSIONAL ADVISORY COMMITTEE) THAT COULD, OR WOULD, DERIVE ANY PROFIT OR GAIN DIRECTLY OR INDIRECTLY BY A RELATIONSHIP WITH ANOTHER AGENCY, MUST MAKE THE CONFLICT KNOWN TO THE SUPERVISOR OR COMPLIANCE OFFICER. IF A STAFF MEMBER HAS TIES TO OR OWNERSHIP IN AN UNRELATED COMPANY, HE/SHE WILL NOTIFY THE SUPERVISOR, SO AS NOT TO BE PLACED IN A COMPROMISING POSITION. FOR EXAMPLE, A STAFF MEMBER WHO IS ALSO AN EMPLOYEE OF A HOSPITAL THAT GIVES REFERRALS TO THE AGENCY OR A STAFF MEMBER WHO HAS OWNERSHIP IN A MEDICAL SUPPLY COMPANY THAT PROVIDES MEDICAL SUPPLIES TO THE AGENCY. THE SUPERVISOR, IN CONJUNCTION WITH THE LEADERS OF THE AGENCY, WILL DETERMINE APPROPRIATE ACTIONS. 2. THE NATURE OF OUTSIDE INTERESTS MAY BE DETERMINED AS OWNERSHIP, ENTERTAINMENT, GIFTS, LOANS, EMPLOYMENT STATUS, OR RELATED STAFF MEMBERS OR VOLUNTEERS. 3. IT IS THE RESPONSIBILITY OF ALL STAFF MEMBERS AND VOLUNTEERS TO INFORM HIS/HER IMMEDIATE SUPERVISOR IF HE/SHE CONCURRENTLY WORKS FOR A COMPETITOR OF THE AGENCY. IT IS THE EMPLOYEE'S RESPONSIBILITY TO NOTIFY HIS/HER SUPERVISOR OF ANY CHANGES IN EMPLOYMENT STATUS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO'S COMPENSATION IS COMPARED TO MARKET STUDIES ANNUALLY. COMP WAS REVIEWED AND WENT TO THE BOD FOR REVIEW AND LEVEL-SETTING. ALL OTHER EMPLOYEES' WAGES ARE BASED ON A REGIONAL SALARY MARKET SURVEY AND APPROVED BY THE CEO. THE LAST SURVEY WAS PERFORMED IN 2023 (ONE IS PERFORMED EVERY YEAR).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>PARTNERS IN HOME CARE MAKE THEIR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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          <AddressLine1Txt>2827 FORT MISSOULA ROAD</AddressLine1Txt>
          <CityNm>MISSOULA</CityNm>
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