Our Philosophy

  • Healthcare is a local affair.
  • Healthcare delivered in rural communities is affordable, high quality, and necessary to the good health of the entire community.
  • Citizens of rural communities/counties should take responsibility for the health of the community.
  • Effective problem-solving by communities is the most important factor in the survival of rural health services.  


A community health needs assessment (CHNA) is a systematic process that involves the community to identify and analyze community health needs and assets. The process also involves prioritizing needs and laying the groundwork for action to address unmet community health needs. 

The CHSD process assists rural hospitals in conducting a meaningful CHNA, helping the facility to achieve various objectives, such as: 

  • Accountability
  • Community Input/Engagement
  • Assessing Social Determinants of Health
  • Health service and delivery planning
  • Gather real-time information about rural health in Montana.
  • Identify specific priorities of health needs and access to services for rural communities in Montana.
  • Help Critical Access Hospitals (CAHs) fulfill IRS 990 Schedule H reporting requirements to develop a community benefit plan and maintain nonprofit, tax-exempt status.


MORH has partnered with 45 of the 48 Critical Access Hospitals in Montana in conducting their CHNA and implementation plans.  Many facilities having completed the CHSD process multiple times. 

Explore CHSD Findings
Review 2018-2020 CHSD Aggregate Report - July 2021
View Archived CHSD Reports
data hub
Explore our Data Hub