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        <ProgramServicesAmt>1917834</ProgramServicesAmt>
        <ManagementAndGeneralAmt>113497</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>2742</TotalAmt>
        <ManagementAndGeneralAmt>2742</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>187043</TotalAmt>
        <ProgramServicesAmt>49159</ProgramServicesAmt>
        <ManagementAndGeneralAmt>137884</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>84501</TotalAmt>
        <ProgramServicesAmt>46723</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37778</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>42311</TotalAmt>
        <ProgramServicesAmt>40193</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2118</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>1748</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>180228</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>52772</ManagementAndGeneralAmt>
      </InsuranceGrp>
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        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>222691</TotalAmt>
        <ProgramServicesAmt>222691</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>FOOD &amp; DIETARY SUPPLIES</Desc>
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        <ProgramServicesAmt>131519</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
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        <ProgramServicesAmt>18388</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33307</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER</Desc>
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        <ProgramServicesAmt>17736</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15758</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>22598</TotalAmt>
        <ProgramServicesAmt>5295</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17303</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>4265455</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1060307</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>100</EOYAmt>
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        <EOYAmt>925265</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>28548</EOYAmt>
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        <EOYAmt>123939</EOYAmt>
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      <TotalAssetsGrp>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>23373</EOYAmt>
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        <EOYAmt>939725</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>600965</BOYAmt>
        <EOYAmt>1401479</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>3823972</EOYAmt>
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        <EOYAmt>3823972</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>5225451</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>195669</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-542</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>true</AccountantCompileOrReviewInd>
      <AcctCompileOrReviewBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </AcctCompileOrReviewBasisGrp>
      <FSAuditedInd>false</FSAuditedInd>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
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        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    </IRS990ScheduleB>
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      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>true</OtherActivitiesInd>
      <OtherActivitiesAmt>460</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>460</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART IV</FormAndLineReferenceDesc>
        <ExplanationTxt>0.96 PERCENT OF DUES PAID TO MHA AND 39.00 PERCENT OF DUES PAID TO AHA, WHICH TOTALED 460, WERE USED FOR LOBBYING EXPENSES BY MHA AND AHA.</ExplanationTxt>
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    </IRS990ScheduleC>
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        <BookValueAmt>1303877</BookValueAmt>
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      <EquipmentGrp>
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        <BookValueAmt>139663</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>1468228</TotalBookValueLandBuildingsAmt>
      <InvstProgramRelatedOrgGrp>
        <Desc>CDS, GNMA &amp; MONEY MARKET</Desc>
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        <MethodValuationCd>F</MethodValuationCd>
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      <OtherLiabilitiesOrgGrp>
        <Desc>MEDICARE/MEDICAID PAYABLE</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITIES</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>5520889</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-542</NetUnrealizedGainsInvstAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HEALTH CENTER BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS.</ExplanationTxt>
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      <WrittenPolicyInd>true</WrittenPolicyInd>
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      <FPGReferenceDiscountedCareInd>false</FPGReferenceDiscountedCareInd>
      <FreeCareMedicallyIndigentInd>false</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>false</FinancialAssistanceBudgetInd>
      <AnnualCommunityBnftReportInd>false</AnnualCommunityBnftReportInd>
      <FinancialAssistanceAtCostTyp>
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        <NetCommunityBenefitExpnsAmt>80934</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01520</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <TotalFinancialAssistanceTyp>
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        <NetCommunityBenefitExpnsAmt>80934</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01520</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
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        <BusinessName>
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          <CityNm>CIRCLE</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59215</ZIPCd>
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        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <CriticalAccessHospitalInd>X</CriticalAccessHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
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      <HospitalFcltyPoliciesPrctcGrp>
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        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
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        <OwnWebsiteURLTxt>WWW.MCCONEHEALTH.ORG</OwnWebsiteURLTxt>
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        <RptAvailableThruOtherMethodInd>X</RptAvailableThruOtherMethodInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>WWW.MCCONEHEALTH.ORG</StrategyWebsiteURLTxt>
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        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
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        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
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        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
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        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
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      <SupplementalInformationGrp>
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        <ExplanationTxt>THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND ARE IDENTIFIED THROUGH THE CHNA.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, MCCONE COUNTY HEALTH CENTER - PART V, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>A STEERING COMMITTEE WAS CONVENED IN MARCH 2023 TO ASSIST MCCONE COUNTY HEALTH CENTER IN CONDUCTING THE CHNA. IN APRIL AND MAY 2023, THREE KEY INFORMANT INTERVIEWS WERE FACILITATED BY STAFF FROM THE MONTANA OFFICE OF RURAL HEALTH. THE STEERING COMMITTEE AND KEY INFORMANTS INCLUDED A DIVERSE GROUP OF MEMBERS WHICH REPRESENTED VARIOUS ORGANIZATIONS AND POPULATIONS WITHIN THE COMMUNITY SUCH AS PUBLIC HEALTH, MEDICALLY UNDERSERVED, LOW- INCOME, SENIORS, VETERANS, AND MINORITY CITIZENS. ALSO, IN APRIL 2023, A SURVEY WAS MAILED TO 630 RANDOMLY SELECTED RESIDENTS IN THE HOSPITAL'S SERVICE AREA TO SOLICIT THEIR INPUT. THERE WAS A 27.7 PERCENT RESPONSE RATE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, MCCONE COUNTY HEALTH CENTER - PART V, LINE 7D</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY IS ALSO AVAILABLE AT THE MCCONE COUNTY SENIOR CENTER.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, MCCONE COUNTY HEALTH CENTER - PART V, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRIORITIZED HEALTH NEEDS AS DETERMINED THROUGH THE ASSESSMENT PROCESS AND WHICH THE FACILITY WILL BE ADDRESSING RELATES TO THE FOLLOWING HEALTHCARE ISSUES: 1. MENTAL AND BEHAVIORAL HEALTH 2. ACCESS TO HEALTHCARE SERVICES 3. HEALTH, WELLNESS, AND PREVENTION THE FIRST HEALTHCARE ISSUE IS TO ENHANCE MENTAL &amp; BEHAVIORAL HEALTH SERVICES THROUGHOUT MCCONE COUNTY. THE STRATEGY FOR ADDRESSING THIS ISSUE IS TO SUSTAIN AND ENHANCE MENTAL AND BEHAVIORAL HEALTH SERVICES/RESOURCES IN MCCONE COUNTY BY CONTINUING TO OFFER PAIN MANAGEMENT SERVICES, TRYING TO REDUCE THE TRAVEL BURDEN OF COMMUNITY MEMBERS BY UTILIZING TELEHEALTH SERVICES, EXPLORING MENTAL HEALTH RESOURCES AVAILABLE THROUGH THE MONTANA FARM AND RANCH STRESS ASSISTANCE NETWORK AND PROMOTING THE UTILIZATION OF THESE RESOURCES, SUPPORTING AND PARTNERING WITH LOCAL AG ORGANIZATIONS WHO APPLY FOR THE MINI-GRANTS THAT HELP PAY FOR MENTAL HEALTH SPEAKERS, WORKSHOPS AND TRAINING THAT SUPPORT THE MONTANA AGRICULTURAL COMMUNITIES, AND EXPLORING OPPORTUNITIES TO CHAMPION THE COMPLETION OF FREE AND LOW COST MENTAL AND BEHAVIORAL HEALTH TRAINING BY MCHC STAFF AND COMMUNITY MEMBERS. MCHC IS COLLABORATING WITH THE PUBLIC HEALTH DEPARTMENT TO TRY TO GET MENTAL AND BEHAVIORAL HEALTH SERVICES TO MCCONE COUNTY WHICH INCLUDES CREATING A GRIEF GROUP IN CIRCLE. THE SECOND HEALTHCARE ISSUE IS TO IMPROVE ACCESS TO HEALTHCARE SERVICES THROUGHOUT MCCONE COUNTY. THE FIRST STRATEGY FOR ADDRESSING THIS ISSUE IS TO IMPROVE KNOWLEDGE OF AVAILABLE HEALTHCARE SERVICES AND RESOURCES BY CONTINUING TO DISSEMINATE OUTREACH AND EDUCATION THROUGHOUT THE SERVICE AREA OF NEW AND CONTINUING PHYSICIANS/PRACTITIONERS, INCLUDING LOCUM PHYSICIANS/PRACTITIONERS AND THEIR SCHEDULES, CHAMPIONING HEALTHCARE WORKFORCE PIPELINE ACTIVITIES THAT EXPOSE LOCAL ADOLESCENTS TO POTENTIAL CAREERS IN THE RURAL AREAS, AND CONTINUING TO DEVELOP COMMUNITY EDUCATION REGARDING THE USE AND BENEFITS OF UTILIZING TELEHEALTH SERVICES. THE SECOND STRATEGY IS TO CONTINUE TO CHAMPION OPPORTUNITIES TO ALLEVIATE BARRIERS ASSOCIATED WITH ACCESSING NECESSARY HEALTH SERVICES BY CONTINUING TO PARTNER WITH THE LOCAL SENIOR CENTER ON THE TRANSPORTATION PROGRAM, PARTICULARLY TO DELIVER PRESCRIPTIONS TO LOCAL SENIORS AND SEEK FUNDING TO SUSTAIN THIS NECESSARY SERVICE, PROVIDING TRAINING TO NEW PHYSICIANS/PRACTITIONERS AND NURSING STAFF ON AVAILABLE TRANSPORTATION AND PHARMACY RESOURCES AVAILABLE THROUGHOUT THE SERVICE AREA, AND EXPLORING OPPORTUNITIES TO EXPAND ACCESS TO HEALTH SERVICES LOCALLY WHICH INCLUDES DENTISTRY, DERMATOLOGY, AND CT SCAN. MCHC CONTRACTS WITH TRAVEL PRACTITIONERS, AND THEY PROVIDE GOOD COVERAGE FOR THE RURAL HEALTH CLINIC. ALSO, MCHC CONTACTED A PODIATRIST AND OTHER SPECIALISTS TO SEE IF ANYONE WAS INTERESTED IN DOING AN OUTREACH CLINIC, BUT NO ONE IS WILLING TO DO SO AT THIS TIME. THEY WILL CONTINUE TO TRY AND GET A THERAPIST OR PSYCHIATRIST THROUGH TELEMEDICINE OR OUTREACH CLINIC IN CIRCLE. THE THIRD HEALTHCARE ISSUE IS TO ENHANCE HEALTH, WELLNESS, AND PREVENTION OUTREACH THROUGHOUT MCCONE COUNTY. THE STRATEGY FOR ADDRESSING THIS ISSUE IS TO SUSTAIN MCHC'S PRESENCE IN THE COMMUNITY AS A SOURCE OF RELIABLE HEALTH EDUCATION, PROGRAMS, AND RESOURCES BY DEVELOPING A RELATIONSHIP WITH THE MCCONE COUNTY EXTENSION OFFICE TO LEARN ABOUT THEIR SERVICES AND DISCUSS SHARED GOALS AND OPPORTUNITIES FOR PARTNERSHIP/ALIGNMENT, BY DISSEMINATING OUTREACH AND EDUCATION ON TIMELY HEALTH TOPICS VIA NEWSLETTER, LOCAL NEWSPAPER, AND SOCIAL MEDIA, AND STAYING APPRISED AND RESPONSIVE TO CREATIVE OPPORTUNITIES AIMED AT PROMOTING HEALTHY LIFESTYLES. PRACTITIONERS ARE FOCUSING ON HEALTHY EATING VERSUS MEDICATIONS. THE HEALTH NEEDS IDENTIFIED BY MCHC THAT THEY ARE UNABLE TO ADDRESS: FIRST, 56.2% OF SURVEY RESPONDENTS INDICATED THEY WOULD UTILIZE "IN HOME PERSONAL ASSISTANCE- AND "SENIOR RETIREMENT HOUSING/COMMUNITY"(41.1%) IF AVAILABLE LOCALLY. MCHC PHYSICIANS/PRACTITIONERS REFER TO HOMESTEAD HEALTH FOR PATIENTS' NEEDS AT HOME, SINCE OFFERING IN HOME ASSISTANCE DIRECTLY FROM MCHC IS NOT FEASIBLE AT THIS TIME. SECOND, 37.8% OF SURVEY RESPONDENTS REPORTED THAT THERE ARE NOT ADEQUATE AND AFFORDABLE HOUSING OPTIONS IN THE COMMUNITY. MCHC CONTINUES TO SEEK OPPORTUNITIES TO COLLABORATE OR PARTNER WITH COMMUNITY ORGANIZATIONS TO BUILD LOW-INCOME HOUSING IN OUR COMMUNITY. THIRD, KEY INFORMANT INTERVIEW PARTICIPANTS EXPRESSED A CONCERN WITH RECRUITMENT AND RETENTION OF LOCAL PRIMARY CARE PHYSICIANS/PRACTITIONERS AS WELL AS LOCAL PHYSICIANS/PRACTITIONERS TRAVELING OUTSIDE OF THE AREA FOR WORK TO EARN A HIGHER WAGE. RECOGNIZING THIS IS A NATIONAL PROBLEM, MCHC CONTINUES TO WORK ON RECRUITMENT AND RETENTION EFFORTS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>1</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MCCONE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>PO BOX 278</AddressLine1Txt>
            <CityNm>CIRCLE</CityNm>
            <StateAbbreviationCd>MT</StateAbbreviationCd>
            <ZIPCd>59215</ZIPCd>
          </USAddress>
          <FacilityTxt>RURAL HEALTH CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7G</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS NO COST OF BAD DEBT TO REMOVE FROM THE COMMUNITY BENEFIT EXPENSE IN COLUMN C. PHYSICIAN/PRACTITIONER PROFESSIONAL SERVICES MAKE UP 534,922 OF COLUMN C, 396,752 OF COLUMN D, AND 138,170 OF COLUMN E. MCCONE COUNTY HEALTH CENTER'S EFFORTS TO RECRUIT AND RETAIN PHYSICIANS/PRACTITIONERS ARE DEPENDENT ON OUR ABILITY TO COMPETE WITH OTHER COMMUNITIES THAT ARE RECRUITING SIMILAR PHYSICIANS/PRACTITIONERS. DUE TO OUR SMALL COMMUNITY SIZE AND REMOTE LOCATION, WHICH IS FAR REMOVED FROM A TERTIARY MEDICAL CENTER, WE EMPLOY PHYSICIANS/PRACTITIONERS AND SUBSIDIZE THEIR PRACTICES IN ORDER TO OFFER APPROPRIATELY COMPETITIVE SALARIES AND PRACTICE ENVIRONMENTS, INCLUDING REASONABLE CALL SCHEDULES. WE BELIEVE OUR ABILITY TO OFFER CORE NECESSARY PRIMARY CARE AND EMERGENCY SERVICES IS DEPENDENT ON SUBSIDIZATION OF PHYSICIAN/PRACTITIONER PRACTICES DUE TO LOW VOLUMES IN THE ER RESULTING IN LOW REVENUES, BUT HIGH EXPENSES FROM HAVING TO STAFF A PHYSICIAN/PRACTITIONER 24 HOURS PER DAY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>USED ADJUSTED COST TO CHARGE RATIOS FOR PATIENT CARE FROM THE MEDICARE COST REPORT, ADJUSTED FOR BED TAX AND COMMUNITY BENEFIT. BAD DEBT EXPENSE AND FINANCIAL ASSISTANCE ARE ALREADY EXCLUDED FROM THE MEDICARE COST REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S PATIENT CARE COST TO CHARGE RATIO, AFTER ELIMINATING BAD DEBT EXPENSE, FINANCIAL ASSISTANCE, BED TAX, AND COMMUNITY BENEFIT EXPENSE, IS APPLIED TO GROSS BAD DEBT CHARGES, NOT INCLUDING IMPLICIT PRICE CONCESSIONS, TO ARRIVE AT THE COST OF BAD DEBT. DISCOUNTS AND IMPLICIT PRICE CONCESSIONS REDUCE REVENUE AND ARE NOT RECORDED AS BAD DEBT. PAYMENTS RECEIVED ON PREVIOUSLY WRITTEN OFF ACCOUNTS ARE RECORDED AS RECOVERIES OF IMPLICIT PRICE CONCESSIONS OR BAD DEBT, WHICH REDUCE IMPLICIT PRICE CONCESSIONS OR BAD DEBT EXPENSE. PATIENT OBLIGATIONS WHICH QUALIFY FOR FINANCIAL ASSISTANCE ARE NOT RECORDED AS IMPLICIT PRICE CONCESSIONS OR BAD DEBT EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE WERE NO BAD DEBT EXPENSES RECORDED AND THEREFORE NO RELATED FOOTNOTE AFTER ADOPTING THE NEW REVENUE RECOGNITION GUIDANCE IN FASB ASU 2014-09. MOST TRANSACTIONS WHICH PREVIOUSLY WOULD HAVE BEEN RECORDED AS BAD DEBT EXPENSE ARE CLASSIFIED AS IMPLICIT PRICE CONCESSIONS WHICH ARE RECORDED AS REDUCTIONS IN REVENUE VERSUS BAD DEBT EXPENSE. NOTE 1 AND NOTE 3 TO THE REVIEWED FINANCIAL STATEMENTS DISCUSSES IMPLICIT PRICE CONCESSIONS ON PAGES 12, 13 AND 17.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS A MEDICARE SHORTFALL SINCE CRITICAL ACCESS HOSPITALS ARE REIMBURSED 101 PERCENT OF COST FROM MEDICARE FOR MOST SERVICES, LESS THE 2% SEQUESTRATION ADJUSTMENT. MEDICARE COSTS ON PART III, LINE 6 ARE DIRECTLY FROM THE MEDICARE COST REPORT. MEDICARE REVENUE ON PART III, LINE 5 IS DIRECTLY FROM THE MEDICARE COST REPORT AND THE MEDICARE PROVIDER SUMMARY REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>MCHC WILL NOT IMPOSE EXTRAORDINARY COLLECTIONS ACTIONS FOR ANY PATIENT WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THAT PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, THE APPLICABLE SERVICES WILL BE DISCOUNTED BY 100%, SO THERE IS NO COLLECTIONS EFFORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>MCCONE COUNTY HEALTH CENTER ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY BASED ON SURVEY RESPONSES RECEIVED FROM RESIDENTS OF THE SERVICE AREA AND FROM COMMUNITY INVOLVEMENT IN RELATED STEERING COMMITTEE MEETINGS AND KEY INFORMANT INTERVIEWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>MCCONE COUNTY HEALTH CENTER WILL MAKE ALL REASONABLE EFFORTS TO NOTIFY A PATIENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY BY: 1. ATTEMPTING TO DETERMINE WHETHER A PATIENT HAS THIRD-PARTY COVERAGE FOR ANY PART OF THE EMERGENCY OR MEDICALLY NECESSARY HEALTH CARE SERVICE PROVIDED. IF A PATIENT DOES NOT HAVE OR QUALIFY FOR THIRD-PARTY FUNDING, THE OFFICE MANAGER WILL EXPLAIN THE FINANCIAL ASSISTANCE POLICY, PROVIDE AN APPLICATION FOR FINANCIAL ASSISTANCE, AND PROVIDE ASSISTANCE WITH COMPLETING THE APPLICATION, IF DESIRED. 2. OFFERING THE PATIENT A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE AVAILABLE UNDER THE FINANCIAL ASSISTANCE POLICY AT THE TIME OF ADMISSION OR BEFORE DISCHARGE FROM MCHC. 3. PROVIDING THE INFORMATION DURING THE NOTIFICATION PERIOD ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE ON OR WITH AT LEAST THREE (3) BILLING STATEMENTS AND ALL OTHER WRITTEN COMMUNICATIONS TO THE PATIENT. 4. INFORMING PATIENTS DURING THE NOTIFICATION PERIOD ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING ORAL INQUIRIES REGARDING THE AMOUNT DUE FOR THE CARE THAT OCCURED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>MCHC PRIMARILY PROVIDES SERVICES TO THE MONTANA COMMUNITIES OF CIRCLE, BROCKWAY, VIDA, RICHEY, AND RURAL AREAS SURROUNDING THESE COMMUNITIES, PLUS RESIDENTS LIVING IN DAWSON COUNTY ALONG US 200.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>MCCONE COUNTY HEALTH CENTER IS THE ONLY HOSPITAL IN THE RURAL AREA SURROUNDING CIRCLE, MONTANA. THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF VOLUNTEER MEMBERS WHO RESIDE IN THE COMMUNITY OR SURROUNDING COMMUNITIES. THE ORGANIZATION REINVESTS SURPLUS FUNDS IN THE FACILITY IN ORDER TO IMPROVE PATIENT CARE. THE HOSPITAL OPERATES AN EMERGENCY ROOM THAT IS AVAILABLE TO ALL, REGARDLESS OF ABILITY TO PAY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleO documentId="RetDoc7">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>MCCONE COUNTY HEALTH CENTER IS DEDICATED TO PROVIDING OUR RESIDENTS AND PATIENTS WITH OPTIMAL AND ACHIEVABLE HEALTH CARE SERVICES, IMPLEMENTING PROGRAMS AND SERVICES THAT WILL PROVIDE FOR THE OVERALL HEALTH AND WELL- BEING OF ITS SERVICE AREA, AND CENTRALIZE HEALTH CARE SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 1, PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS AND BINGO CALLER</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>MCCONE COUNTY HEALTH CENTER IS ORGANIZED AS A MEMBERSHIP ORGANIZATION. A PERSON 18 YEARS OF AGE AND OLDER THAT IS A RESIDENT OF MCCONE COUNTY OR CONTIGUOUS COUNTIES CAN BECOME A MEMBER BY ATTENDING THE ANNUAL MEETING OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS HAVE VOTING RIGHTS WHEN ELECTING DIRECTORS OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY MANAGEMENT AND MADE AVAILABLE TO BOARD MEMBERS BEFORE BEING FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>IF A CONFLICT OF INTEREST EXISTS, THE BOARD MEMBER OR OFFICER INVOLVED SHALL NOT VOTE ON OR OTHERWISE PARTICIPATE IN MATTERS CONCERNING THE CONFLICT AREA, OTHER THAN TO PRESENT FACTUAL INFORMATION OR TO RESPOND TO QUESTIONS IN THE DISCUSSION OR DELIBERATIONS CONCERNING THE CONFLICT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO'S COMPENSATION IS APPROVED BY THE BOARD OF DIRECTORS WHICH IS USUALLY BASED ON THE DATA PUBLISHED FROM THE MONTANA HOSPITAL ASSOCIATION SALARY INFORMATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS APPROVES ALL PHYSICIAN, NURSE PRACTITIONER, AND PHYSICIAN ASSISTANT AGREEMENTS AND ALSO ALL WAGE CHANGES THROUGH THE APPROVAL OF THE OPERATING BUDGET.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS RELATING TO MCCONE COUNTY HEALTH CENTER ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CAH - TRANSCRIPTION SERVICES 33 0 0 CAH - TRAVEL NP/PA FEES 66,216 0 0 CAH - TRAVEL RN/LPN FEES 207,337 0 0 CAH - TRAVEL CNA FEES 816,869 0 0 CAH - PURCHASED SVCS 16,267 0 0 CLINIC - TRANSCRIPTION SVCS 8,538 0 0 CLINIC - TRAVEL NP/PA FEES 194,091 0 0 RAD - PROFESSIONAL FEES 12,136 0 0 RAD - PURCHASED SERVICES 149 0 0 LAB - PURCHASED SERVICES 776 0 0 LAB - OUTSIDE LABORATORY FEES 42,559 0 0 PT - PT OUT-PATIENT FEES 89,331 0 0 PHARMACY - PROFESSIONAL FEES 2,758 0 0 PHARMACY - PHARMACIST FEES 39,600 0 0 ER - TRAVEL NP/PA FEES 42,792 0 0 ER-ON CALL TRAVEL NP/PA FEES 362,982 0 0 DIETARY - DIETICIAN FEES 5,945 0 0 PLANT - PURCHASED SERVICES 0 8,146 0 HOUSEKEEPING - PURCH SVCS 521 0 0 ADMIN - PROFESSIONAL FEES 0 25,340 0 ADMIN - PURCHASED SERVICES 0 80,011 0 CLINIC-PURCHASED SERVICES 5,188 0 0 RAD-ON CALL TRAVEL TECH FEES 3,376 0 0 RAD-TRAVEL XRAY TECH FEES 370 0 0 TOTAL 1,917,834 113,497 0</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>NE MT STAT AIR AMB COOP</BusinessNameLine1Txt>
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          <AddressLine1Txt>81 AIRPORT ROAD</AddressLine1Txt>
          <CityNm>GLASGOW</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59230</ZIPCd>
        </USAddress>
        <EIN>204748673</EIN>
        <PrimaryActivitiesTxt>AIR AMBUL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MT</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12B</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>N/A</BusinessNameLine2Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
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</Return>