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MONTANA HEALTH COOPERATIVE: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
MONTANA HEALTH COOPERATIVE (EIN 45-1295465)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-07-29
IRS object ID
202232109349300543
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-07-29T12:44:55-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390758449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1101 EAST FRONT STREET 301AddressLine1Txt
CityMISSOULACityNm
State AbbreviationMTStateAbbreviationCd
ZIP59802ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN451295465EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MONTANA HEALTH COOPERATIVEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMONTBusinessNameControlTxt
Phone4064479510PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 5358AddressLine1Txt
CityHELENACityNm
State AbbreviationMTStateAbbreviationCd
ZIP59604ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID SLONAKERPersonNm
Person TitleCFOPersonTitleTxt
Phone4064479510PhoneNum
Signature2022-07-28SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDAVIDPersonFirstNm
Person LastSLONAKERPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSAM BRUNSON CPAPreparerPersonNm
PTINP01696998PTIN
Phone4067281800PhoneNum
Preparation2022-07-28PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDAVID SLONAKERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 5358AddressLine1Txt
CityHELENACityNm
State AbbreviationMTStateAbbreviationCd
ZIP59604ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$316,401,572GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.MHC.COOPWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2010FormationYr
Legal Domicile StateMTLegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION OFFERS TRUE NON-PROFIT MEMBER GOVERNED HEALTH INSURANCE THAT PROMOTES MEMBER ENGAGEMENT AND PROVIDES ACCESS TO HIGH QUALITY HEALTH CARE.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee44TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$225,311,018PYProgramServiceRevenueAmt
CY Program Service Revenue$252,484,752CYProgramServiceRevenueAmt
PY Investment Income$9,211,030PYInvestmentIncomeAmt
CY Investment Income$3,339,488CYInvestmentIncomeAmt
PY Other Revenue$1,315PYOtherRevenueAmt
CY Other Revenue$227,744CYOtherRevenueAmt
PY Total Revenue$234,523,363PYTotalRevenueAmt
CY Total Revenue$256,051,984CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,570,080PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,123,346CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$184,340,666PYOtherExpensesAmt
CY Other Expenses$253,639,976CYOtherExpensesAmt
PY Total Expenses$188,910,746PYTotalExpensesAmt
CY Total Expenses$258,763,322CYTotalExpensesAmt
PY Revenues Less Expenses$45,612,617PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,711,338CYRevenuesLessExpensesAmt
Total Assets BOY$167,525,981TotalAssetsBOYAmt
Total Assets EOY$161,534,963TotalAssetsEOYAmt
Total Liabilities BOY$55,904,359TotalLiabilitiesBOYAmt
Total Liabilities EOY$59,589,346TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$111,621,622NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$101,945,617NetAssetsOrFundBalancesEOYAmt
MissionTHE ORGANIZATION OFFERS TRUE NON-PROFIT MEMBER GOVERNED HEALTH INSURANCE THAT PROMOTES MEMBER ENGAGEMENT AND PROVIDES ACCESS TO HIGH QUALITY HEALTH CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescTHE ORGANIZATION'S LARGEST PROGRAM SERVICE ACCOMPLISHMENT IS THE SALE OF INSURANCE WHILE SUPPORTING THEIR MEMBERS AND ADHERING TO FEDERAL AND STATE GUIDELINES AS REQUIRED UNDER THEIR ORGANIZATIONAL STRUCTURE. THIS INCLUDES MEDICARE SUPPLEMENT POLICY SALES. THE ORGANIZATION EXPANDED INTO WYOMING DURING 2021.Desc
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document3473IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee44EmployeeCnt
Employment Tax Returns Filed0EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Licensed More Than One StateYes (1)LicensedMoreThanOneStateInd
State Required Reserves$5,000,000StateRequiredReservesAmt
Reserves Maintained$101,945,617ReservesMaintainedAmt
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MONTANA HEALTH CO-OPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4064479510PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 5358AddressLine1Txt
CityHELENACityNm
State AbbreviationMTStateAbbreviationCd
ZIP59604ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
ED VOZZO
EVP (THRU NOV 21)40.00Yes (X)$421,131$0$36,849
RICHARD MILTENBERGER
CEO40.00$378,301$0$36,799Yes (X)
RONDA MCMILLAN
CEAO40.00$286,849$0$17,353Yes (X)
DAVID SLONAKER
CFO30.00$251,574$0$32,018Yes (X)
JEFFREY SWINGLEY
VP SALES40.00Yes (X)$203,089$0$17,688
BLAIR FJESETH
COS40.00$177,989$0$17,602Yes (X)
HILLARY GALYEAN
VPCS40.00$173,802$0$29,198Yes (X)
MELISSA MCVAUGH
CLINICAL DIRECTOR40.00Yes (X)$173,005$0$25,265
GREG SONNENBERG
VP-ID OPS40.00Yes (X)$172,112$0$10,427
MARK EICHLER
PHARMACY DIRECTOR40.00Yes (X)$167,911$0$19,714
RAYMOND ROGERS
CHAIRMAN1.00$21,750$0$0Yes (X)Yes (X)
JOAN MILES
DIRECTOR1.00$13,700$0$0Yes (X)
THOMAS GOOCH
DIRECTOR1.00$12,950$0$0Yes (X)
MICHAEL MCMURRAY
TREASURER1.00$11,450$0$0Yes (X)Yes (X)
JEREMY JOHNSON
SECRETARY1.00$11,450$0$0Yes (X)Yes (X)
MAUREEN O'KEEFFE-WING
VICE CHAIR1.00$10,700$0$0Yes (X)Yes (X)
TOM BASSLER
DIRECTOR1.00$10,700$0$0Yes (X)
PATTY HAMBLOCK
DIRECTOR1.00$10,700$0$0Yes (X)
CHRIS MUIRHEAD
DIRECTOR1.00$10,700$0$0Yes (X)
SCOT SCHERMERHORN
DIRECTOR (THRU OCT 21)1.00$10,550$0$0Yes (X)
TARA BEAM
DIRECTOR1.00$9,200$0$0Yes (X)
CHRISTINA GOE
DIRECTOR1.00$9,200$0$0Yes (X)
LIESEL BRINK
DIRECTOR1.00$9,200$0$0Yes (X)
NOLAN HILL
DIRECTOR1.00$9,200$0$0Yes (X)
MARK REINSEL
DIRECTOR1.00$9,200$0$0Yes (X)
REBECCA LAFOND
DIRECTOR1.00$9,200$0$0Yes (X)
LISA BALLARD
DIRECTOR1.00$8,700$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,594,313TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$242,913TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K15IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
UNIVERSITY OF UTAH HEALTH PLANS
50 NORTH MEDICAL DRIVESALT LAKE CITYUT84132CLAIMS PROCESSING ADMINISTRATOR$8,300,764
ZELIS CLAIMS INTEGRITY LLC
2 CROSSROAD DRIVEBEDMINSTERNJ07921CLAIMS REPROCESSOR$2,323,369
COMMISSIONER OF INSURANCE
840 HELENA AVEHELENAMT59601MONTANA HIGH RISK REINSURANCE PREMIUM$1,278,230
YOUR HEALTH IDAHO
1010 W JEFFERSON ST STE 200BOISEID83702STATE BASED HEALTH EXCHANGE ASSESSMENT F$1,213,473
ONLINE INSIGHT LLC
33 MANSELL CTROSWELLGA30076THIRD PARTY ENROLLMENT, ELIGIBILITY AND$1,118,297
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K29CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INSURANCE PREMIUM INCOME524298$233,061,790$233,061,790
REINSURANCE RECOVERIES524298$19,422,962$19,422,962
FieldValueIRS element (for citing)
Total Program Service Revenue$252,484,752TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,754,566TotalRevenueColumnAmt
Related Or Exempt Func Income$2,754,566RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$60,934,510SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$60,349,588SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$584,922SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$584,922TotalRevenueColumnAmt
Related Or Exempt Func Income$584,922RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Business524298BusinessCd
Total Revenue Column$227,744TotalRevenueColumnAmt
Related Or Exempt Func Income$227,744RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$227,744OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$256,051,984TotalRevenueColumnAmt
Related Or Exempt Func Income$256,051,984RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,590,034TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,826,698TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$133,411TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$298,042TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$275,161TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$295,591TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$96,676TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$2,500TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$13,334,902TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$445,992TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$371,439TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$201,665TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$280,703TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$69,474TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$5,362TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,646TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$130,104TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmt
CLAIMS$219,206,376
CLAIMS ADJUSTMENT EXPEN$5,610,304
REINSURANCE PREMIUM PAY$4,098,112
MISCELLANEOUS$3,294,137

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,185,993TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$258,763,322TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$549,321BOYAmt
EOY$520,962EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$13,209,558BOYAmt
EOY$18,871,164EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$12,396,373BOYAmt
EOY$13,137,945EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$946,414LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$32,733LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$514,407BOYAmt
EOY$913,681EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$140,856,322BOYAmt
EOY$128,091,211EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$167,525,981BOYAmt
EOY$161,534,963EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$55,904,359BOYAmt
EOY$59,589,346EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$55,904,359BOYAmt
EOY$59,589,346EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$85,019,688BOYAmt
EOY$76,463,200EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$26,601,934BOYAmt
EOY$25,482,417EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$111,621,622BOYAmt
EOY$101,945,617EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$167,525,981BOYAmt
EOY$161,534,963EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$2,711,338ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,725,576NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$8,690,243OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting OtherYes (X)MethodOfAccountingOtherInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$946,414OtherCostOrOtherBasisAmt
Depreciation$32,733DepreciationAmt
Book Value$913,681BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$913,681TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescINVESTMENTSDesc
Book Value$128,091,211BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$128,091,211TotalBookValueSecuritiesAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$232,522,435TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$232,522,435RevenueSubtotalAmt
Investment Expenses Not Incld$8,474InvestmentExpensesNotIncldAmt
Other Revenues Not Included$23,521,075OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$23,529,549RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$256,051,984TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$235,233,773TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$235,233,773ExpensesSubtotalAmt
Investment Expenses Not Incld2$8,474InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$23,521,075OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$23,529,549ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$258,763,322TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE COMPANY IS A QUALIFIED NONPROFIT HEALTH INSURER AS DESCRIBED IN SECTION 501(C)(29) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. AS A MATTER OF LAW, THE COMPANY IS SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES FOR THE OPEN STATUTORY PERIODS. ALTHOUGH MANAGEMENT BELIEVES THAT THE AMOUNTS REFLECTED IN THE TAX RETURNS SUBSTANTIALLY COMPLY WITH THE APPLICABLE FEDERAL AND STATE TAX REGULATIONS, BOTH THE IRS AND THE VARIOUS STATE TAXING AUTHORITIES CAN TAKE POSITIONS CONTRARY TO MANAGEMENT'S POSITION BASED ON THEIR INTERPRETATION OF THE LAW. ANY PENALTIES AND INTEREST WOULD BE CHARGED TO INTEREST EXPENSE IN THE YEAR ASSESSED.
PART XI, LINE 4B - OTHER ADJUSTMENTS:REINSURANCE PREMIUM PAYMENT 4,098,112. REINSURANCE RECOVERIES 19,422,963.
PART XII, LINE 4B - OTHER ADJUSTMENTS:REINSURANCE PREMIUM PAYMENT 4,098,112. REINSURANCE RECOVERIES 19,422,963.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ED VOZZO
EVP (THRU NOV 21)$225,432$0$44,656$0$151,043$0$14,022$0$22,827$0$457,980$0$0$0
RICHARD MILTENBERGER
CEO$277,222$0$101,079$0$0$0$17,400$0$19,399$0$415,100$0$0$0
RONDA MCMILLAN
CEAO$205,908$0$80,941$0$0$0$17,211$0$142$0$304,202$0$0$0
DAVID SLONAKER
CFO$173,989$0$77,585$0$0$0$15,474$0$16,544$0$283,592$0$0$0
JEFFREY SWINGLEY
VP SALES$113,793$0$89,296$0$0$0$0$0$17,688$0$220,777$0$0$0
BLAIR FJESETH
COS$148,419$0$29,570$0$0$0$10,756$0$6,846$0$195,591$0$0$0
HILLARY GALYEAN
VPCS$143,091$0$30,711$0$0$0$10,829$0$18,369$0$203,000$0$0$0
MELISSA MCVAUGH
CLINICAL DIRECTOR$140,400$0$32,605$0$0$0$10,779$0$14,486$0$198,270$0$0$0
GREG SONNENBERG
VP-ID OPS$155,284$0$16,828$0$0$0$10,327$0$100$0$182,539$0$0$0
MARK EICHLER
PHARMACY DIRECTOR$137,720$0$30,191$0$0$0$8,325$0$11,389$0$187,625$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3CEO COMPENSATION IS REVIEWED ANNUALLY BY THE MONTANA HEALTH CO-OP COMPENSATION COMMITTEE.
PART I, LINES 4A-BED VOZZO RECEIVED $151,043 IN SEVERANCE PAYMENTS. DAVID SLONAKER, RICHARD MILTENBERGER, AND BLAIR FJESETH PARTICIPATED IN A 457(F) PLAN DURING THE YEAR. NO PAYMENTS WERE MADE TO THE PARTICIPANTS DURING THE YEAR.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART V, LINE 2B:IT HAS RECENTLY COME TO OUR ATTENTION THAT QTS, OUR PAYROLL PROCESSING COMPANY FAILED TO FILE FORM 940 (EMPLOYER'S ANNUAL FEDERAL UNEMPLOYMENT FUTA) FORM ON OUR BEHALF, OR PAY FUTA SINCE 1/1/2019. QTS IS IN THE PROCESS OF RECTIFYING THIS ON OUR BEHALF.
FORM 990, PART V, LINE 13AID,MT,WY
FORM 990, PART V, LINE 13ARESERVES REQUIRED BY EACH STATE: ID - $5,000,000 MT - $750,000 WY - $0, WILL ACCEPT THE CERTIFICATE OF DEPOSIT FROM ANOTHER STATE, IF HELD FOR BENEFIT OF ALL POLICY HOLDERS RESERVES MAINTAINED AND REPORTED TO EACH STATE: ID - $101,945,617 MT - $101,945,617 WY - $101,945,617
FORM 990, PART VI, SECTION A, LINE 6MEMBERS ELECT THE GOVERNING BODY BUT ARE NOT GRANTED OTHER POWERS PER THE BYLAWS.
FORM 990, PART VI, SECTION A, LINE 7AMEMBERS ELECT THE GOVERNING BODY BUT ARE NOT GRANTED OTHER POWERS PER THE BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS REVIEWED BY THE MHC EXECUTIVE STAFF AND THE BOARD OF DIRECTORS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, SECTION B, LINE 15CEO COMPENSATION IS REVIEWED ANNUALLY BY THE MHC COMPENSATION COMMITTEE. ADDITIONALLY, AN OUTSIDE HUMAN RESOURCE CONSULTING FIRM REVIEWED ALL KEY POSITIONS IN THE COMPANY BASED ON JOB DESCRIPTION AND RETURNED COMPARABLE SALARY RANGES. ALL KEY POSITIONS WERE REVIEWED TO ENSURE THEY WERE WITHIN THE RANGES PROVIDED AND WERE UPDATED AS REQUIRED.
FORM 990, PART VI, SECTION C, LINE 19ANY DOCUMENTS REQUIRED TO BE AVAILABLE TO THE PUBLIC CAN BE REQUESTED AT THE ORGANIZATION'S HOME OFFICE.
FORM 990, PART XI, LINE 9:CHANGE IN NON-ADMITTED ASSETS -133,755. CHANGE IN SURPLUS NOTES -8,556,488.
PART XII LINE 1THIS FORM 990 WAS PREPARED ON THE STATUTORY BASIS OF ACCCOUNTING TO CONFORM WITH THE BASIS OF ACCOUNTING USED ON THE AUDITED FINANCIAL STATEMENTS.
PART XII LINE 2CTHE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1MOUNTAIN HEALTH GIVESBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1810 HIALEAH COURTAddressLine1Txt
CityHELENACityNm
State AbbreviationMTStateAbbreviationCd
ZIP59601ZIPCd
FieldValueIRS element (for citing)
EIN871569260EIN
Primary ActivitiesHEALTH CARE ACCESSPrimaryActivitiesTxt
Legal Domicile StateMTLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusPFPublicCharityStatusTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd