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        <Desc>SYRINGE SERVICE PROGRAM, PEER REVIEW AND "UNCOVERY" TREATMENT CENTER:The syringe service program is a community-based public health approach to prevent disease transmission, prevent overdose, and improve overall health outcomes for people who use drugs. The program includes sterile injection equipment, trains people to respond to overdose and encourages the proper disposal of used syringes. The syringe service program is a critical linkage to behavorial health, housing and medical care for people who use injection drugs. This program operates fixed locations in Missoula and Polson and supports multiple programs across Montana. Peer support is a mutual aid support program where people connect based on shared lived experience. Our peer support program is focused on people experiencing challenges associated with substance abuse and housing insecurity. UNCOVERY is a state approved substance use disorder treatment center providing outpatient services in a harm reduction framework including case management individuals. This allows us to meet the behavioral health needs of some of our community's most vulnerable individuals. We performed over 40 Chemical Dependency Evaluations which is the first step to treatment for people experiencing substance use disorder.</Desc>
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        <Desc>TESTING AND PREVENTION:In 2022, this program identified 3 probable cases of HIV after testing 527 individuals. Only 49% of our HIV testing clients reported using other programs, confirming the needs for Testing and Prevention as a standalone service. We performed 470 HCV (Hepatitis C) tests and screened 119 individuals for Chlamydia and Gonorrhea. Approximately 29% of all chlamydia and gonorrhea tests were positive allowing us to connect individuals to treatment immediately. We identified one new syphilis case and performed 140 tests as syphilis numbers continue to rise nationwide.</Desc>
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      <AdvertisingGrp>
        <TotalAmt>885</TotalAmt>
        <ProgramServicesAmt>568</ProgramServicesAmt>
        <ManagementAndGeneralAmt>299</ManagementAndGeneralAmt>
        <FundraisingAmt>18</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>23118</TotalAmt>
        <ProgramServicesAmt>21297</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1734</ManagementAndGeneralAmt>
        <FundraisingAmt>87</FundraisingAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>58259</TotalAmt>
        <ProgramServicesAmt>55577</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2412</ManagementAndGeneralAmt>
        <FundraisingAmt>270</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>13763</TotalAmt>
        <ProgramServicesAmt>13508</ProgramServicesAmt>
        <ManagementAndGeneralAmt>255</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>7971</TotalAmt>
        <ManagementAndGeneralAmt>7971</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1340</TotalAmt>
        <ManagementAndGeneralAmt>1340</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>13179</TotalAmt>
        <ProgramServicesAmt>12605</ProgramServicesAmt>
        <ManagementAndGeneralAmt>514</ManagementAndGeneralAmt>
        <FundraisingAmt>60</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>Direct Care - client se</Desc>
        <TotalAmt>342571</TotalAmt>
        <ProgramServicesAmt>342571</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Supplies</Desc>
        <TotalAmt>60667</TotalAmt>
        <ProgramServicesAmt>59704</ProgramServicesAmt>
        <ManagementAndGeneralAmt>905</ManagementAndGeneralAmt>
        <FundraisingAmt>58</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Testing and stipends</Desc>
        <TotalAmt>2606</TotalAmt>
        <ProgramServicesAmt>2606</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Other</Desc>
        <TotalAmt>2518</TotalAmt>
        <ProgramServicesAmt>1719</ProgramServicesAmt>
        <ManagementAndGeneralAmt>547</ManagementAndGeneralAmt>
        <FundraisingAmt>252</FundraisingAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>1255724</TotalAmt>
        <ProgramServicesAmt>1217511</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32568</ManagementAndGeneralAmt>
        <FundraisingAmt>5645</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>936646</BOYAmt>
        <EOYAmt>659058</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>698</EOYAmt>
      </AccountsReceivableGrp>
      <LandBldgEquipCostOrOtherBssAmt>20566</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>16881</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>5025</BOYAmt>
        <EOYAmt>3685</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>3800</BOYAmt>
        <EOYAmt>75359</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>945479</BOYAmt>
        <EOYAmt>738800</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>22631</BOYAmt>
        <EOYAmt>38085</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>792410</BOYAmt>
        <EOYAmt>566935</EOYAmt>
      </DeferredRevenueGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>134000</BOYAmt>
        <EOYAmt>58687</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>75159</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>949041</BOYAmt>
        <EOYAmt>738866</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>-3562</BOYAmt>
        <EOYAmt>-66</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>-3562</BOYAmt>
        <EOYAmt>-66</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>945479</BOYAmt>
        <EOYAmt>738800</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>3496</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>858938</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>883023</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>977797</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1003846</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1258223</CurrentTaxYearAmt>
        <TotalAmt>4981827</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>858938</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>883023</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>977797</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1003846</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1258223</CurrentTaxYearAmt>
        <TotalAmt>4981827</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>308705</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>4673122</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>7</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>9</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>539</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3022</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>997</CurrentTaxYearAmt>
        <TotalAmt>4574</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>4986401</TotalSupportAmt>
      <PublicSupportCY170Pct>0.93720</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.95130</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <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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    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <DepreciationAmt>16881</DepreciationAmt>
        <BookValueAmt>3685</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>3685</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Deposits</Desc>
        <BookValueAmt>3800</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Right of Use Asset - operating lease</Desc>
        <BookValueAmt>71559</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>75359</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Lease liability</Desc>
        <Amt>75159</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>75159</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>1259220</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>1259220</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>1259220</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>1255724</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>1255724</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>1255724</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Open Aid Alliance is a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code. Accordingly, the increase in net assets is generally not subject to taxation. No provision for income tax has been included in the financial statements as the Organization does not believe it had any unrelated business income.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>A copy of the Form 990 is provided to the board of directors for their review and approval prior to finalizing and filing the Form 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Upon election to the board of directors, a full written disclosure of interests, relationships, or holdings that could potentially be a conflict of interest must be completed. During the course of meetings, any conflict or perceived conflict of interest, must be stated before speaking to any issue and the board member must abstain from making any motions or voting on any such issue. Conflicts are noted in the board minutes to ensure that the policy is being addressed as required.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Committee conducts an annual job performance review. Compensation is based on performance, budgets, and the committee may obtain comparable data prior to making its determination. The committee documents the deliberation process and basis for its decisions including compensation terms, date approved, members present, comparability data, and basis for decision.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 18</FormAndLineReferenceDesc>
        <ExplanationTxt>All documents are maintained at the organization's office in Missoula, Montana. Information is made available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing documents and financial statements are maintained at the organization's office in Missoula, Montana and are made available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
