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MONTANA HEALTH RESEARCH AND EDUCATION FOUNDATION INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
MONTANA HEALTH RESEARCH AND EDUCATION FOUNDATION INC (EIN 23-7338233)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-09
IRS object ID
202133139349301878
Schema version
2020v4.1
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)
Return2021-11-09T09:22:22-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN810385940PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ANDERSON ZURMUEHLEN & CO PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1040AddressLine1Txt
CityHELENACityNm
State AbbreviationMTStateAbbreviationCd
ZIP59624ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237338233EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MONTANA HEALTH RESEARCH &BusinessNameLine1Txt
Business Name Line2EDUCATION FOUNDATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlMONTBusinessNameControlTxt
Phone4064421911PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12625 WINNE AVENUEAddressLine1Txt
CityHELENACityNm
State AbbreviationMTStateAbbreviationCd
ZIP59601ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRICH RASMUSSENPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone4064421911PhoneNum
Signature2021-11-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstRICHPersonFirstNm
Person LastRASMUSSENPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSUZANNE M SEVERIN CPAPreparerPersonNm
PTINP00254608PTIN
Phone4064421040PhoneNum
Preparation2021-11-05PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRICH RASMUSSENPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12625 WINNE AVENUEAddressLine1Txt
CityHELENACityNm
State AbbreviationMTStateAbbreviationCd
ZIP59601ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,000,553GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTP://WWW.MTHA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1973FormationYr
Legal Domicile StateMTLegalDomicileStateCd
Activity Or MissionTO PURSUE FUNDING OPPORTUNITIES TO PROVIDE FINANCIAL, TECHNICAL, AND INNOVATIVE PROGRAM SUPPORT TO MHA MEMBERS AND THE COMMUNITIES THEY SERVE.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers8TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,130,227PYContributionsGrantsAmt
CY Contributions Grants$2,741,331CYContributionsGrantsAmt
PY Program Service Revenue$207,110PYProgramServiceRevenueAmt
CY Program Service Revenue$236,789CYProgramServiceRevenueAmt
PY Investment Income$19,203PYInvestmentIncomeAmt
CY Investment Income$5,876CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$3,356,540PYTotalRevenueAmt
CY Total Revenue$2,983,996CYTotalRevenueAmt
PY Grants And Similar Paid$164,099PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$896,688CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,245,566PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,378,151CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,880,687PYOtherExpensesAmt
CY Other Expenses$795,319CYOtherExpensesAmt
PY Total Expenses$3,290,352PYTotalExpensesAmt
CY Total Expenses$3,070,158CYTotalExpensesAmt
PY Revenues Less Expenses$66,188PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$86,162CYRevenuesLessExpensesAmt
Total Assets BOY$1,760,942TotalAssetsBOYAmt
Total Assets EOY$2,872,706TotalAssetsEOYAmt
Total Liabilities BOY$670,051TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,848,595TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,090,891NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,024,111NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PURSUE FUNDING OPPORTUNITIES TO PROVIDE FINANCIAL, TECHNICAL, AND INNOVATIVE PROGRAM SUPPORT TO MHA MEMBERS AND THE COMMUNITIES THEY SERVE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$416,836ExpenseAmt
Grant$0GrantAmt
DescASPR COVID-19 SUPPLEMENTAL FUNDING: EMERGENCY SUPPLEMENTAL FUNDING TO SUPPORT THE PREPAREDNESS AND RESPONSE ACTIVITIES AND NEEDS OF HOSPITALS, HEALTH SYSTEMS, AND HEALTH CARE PROVIDERS ON THE FRONT LINES OF THE COVID-19 PANDEMIC.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$223,149ExpenseAmt
Grant$116,480GrantAmt
DescFRONTIER COMMUNITY INTEGRATION PROJECT TECHNICAL ASSISTANCE, TRACKING, AND ANALYSIS:PROVIDE TECHNICAL ASSISTANCE, HELP WITH TRACKING (INCLUDING COST AND BUDGET NEUTRALITY REVIEW), AND ANALYSIS FOR THE CRITICAL ACCESS HOSPITALS (CAHS) WHO ARE SLECTED FOR CMS WAIVERS THROUGH THE FCHIP PROGRAM.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$561,855ExpenseAmt
Grant$212,714GrantAmt
DescHOSPITAL PREPAREDNESS PROGRAM:ASPR FUNDED GRANT TO ASSIST HOSPITALS IN ASSESSING THEIR PREPAREDNESS IN THE EVENT OF EMERGENCIES OR NATURAL DISASTERS, AND FORMULATING AND TESTING PLANS TO STRENGTHEN THEIR READINESS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$1,299,177ExpenseAmt
Grant$567,494GrantAmt
Revenue$236,789RevenueAmt
DescRURAL HOSPITAL FLEXIBILITY GRANT (FLEX):HRSA FUNDED GRANT TO PROVIDE SUPPORT FOR CRITICAL ACCESS AND OTHER SMALL RURAL HOSPITALS TO PRESERVE ACCESS TO PRIMARY AND EMERGENCY HEALTH CARE SERVICES IN THEIR COMMUNITIES. SPECIFICALLY, THE GRANT IS INTENDED TO STRENGTHEN CRITICAL ACCESS HOSPITAL INFRASTRUCTURE, SUPPORT LEADERSHIP, ENHANCE RURAL EMERGENCY MEDICAL SERVICE, IMPROVE QUALITY, AND DEVELOP AND ENHANCE NETWORKS OF CARE.HOSPITAL IMPROVEMENT AND INNOVATION NETWORK (HQIC & HIIN ENDED 03/31/20):HQIC CMS-FUNDED CONTRACT. FOCUS IS IMPROVING PATIENT SAFETY IN A NUMBER OF SPECIFIC AREAS, INCLUDING HOSPITAL ACQUIRED INFECTIONS, FALLS, ETC. THE PROGRAM PROCIDES FOR DATA COLLECTION, ANALYSIS, AND EDUCATION AND ASSISTANCE IN ADDRESSING IDENTIFIED AREAS FOR IMPROVEMENT.OPI HAS CONTRACTED WITH US FOR $41,000 IN FEDERAL SAMHSA FUNDING TO DISSEMINATE AN APP FOR TEENS/YOUTH TO HELP THEM FIND MENTAL HEALTH SERVICES IN THEIR COMMUNITIES AND COORDINATE COMMUNITY RESOURCES TO RESPOND TO APP USERS. THE APP IS CALLED "LET'S TALK." TELESTROKE SERVICES GRANT:CDC FUNDED PROGRAM THROUGH THE MONTANA DPHHS TO IMPROVE PATIENT CARE IN RURAL HOSPITALS THROUGH TELEVIDEO AHEC GRANTS (SC AND NC PROGRAMS):HRSA FUNDED GRANTS THORUGH THE STATE OFFICE OF RURAL HEALTH TO STRENGTHEN THE HEALTHCARE WORKFORCE IN MONTANA, PARTICULARLY IN RURAL AND UNDERSERVED COMMUNITES, AND TO IMPROVE HEALTH BY FORGING CONNECTIONS BETWEEN HEALTH PROFESSIONS, K-12 EDUCATIONAL PROGRAMS, AND COMMUNITITES.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$1,299,177TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$567,494TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$236,789TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$2,501,017TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
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 OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
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 Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
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 Members9GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
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 CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4064421911PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12625 WINNE AVENUEAddressLine1Txt
CityHELENACityNm
State AbbreviationMTStateAbbreviationCd
ZIP59601ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
STEVE TODD
VICE CHAIR3.00Yes (X)Yes (X)$0$0$0
KELLEY EVANS
CHAIR3.00Yes (X)Yes (X)$0$0$0
ELLEN LIVERS
DIRECTOR3.00Yes (X)$0$0$0
ALLEN ROHRBACK
DIRECTOR3.00Yes (X)$0$0$0
MATT WALLER
TREASURER3.00Yes (X)$0$0$0
RICHARD RASMUSSEN
SECRETARY3.00Yes (X)Yes (X)$46,137$0$3,240
KRISTI GATRELL
DIRECTOR3.00Yes (X)$0$0$0
CATHERINE FERGUSON
DIRECTOR3.00Yes (X)$0$0$0
VICTORIA CECH
EXECUTIVE DIRECTOR40.00Yes (X)$104,066$0$23,444
FieldValueIRS element (for citing)
Total Reportable Comp From Org$150,203TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$26,684TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$2,741,331GovernmentGrantsAmt
Total Contributions$2,741,331TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescCONVENTIONS & WORKSHOPDesc
Business541900BusinessCd
Total Revenue Column$236,789TotalRevenueColumnAmt
Related Or Exempt Func Income$236,789RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$236,789TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,119TotalRevenueColumnAmt
Exclusion$4,119ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$18,314SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$16,557SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,757SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,757TotalRevenueColumnAmt
Exclusion$1,757ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,983,996TotalRevenueColumnAmt
Related Or Exempt Func Income$236,789RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$5,876ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$822,628TotalAmt
Program Services$822,628ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$74,060TotalAmt
Program Services$74,060ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$176,887TotalAmt
Management And General$176,887ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$745,926TotalAmt
Program Services$710,868ProgramServicesAmt
Management And General$35,058ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$120,392TotalAmt
Program Services$81,296ProgramServicesAmt
Management And General$39,096ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$212,813TotalAmt
Program Services$161,749ProgramServicesAmt
Management And General$51,064ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$122,133TotalAmt
Program Services$82,490ProgramServicesAmt
Management And General$39,643ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$810TotalAmt
Program Services$810ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$18,883TotalAmt
Program Services$18,883ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$479TotalAmt
Program Services$479ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$254,995TotalAmt
Program Services$210,037ProgramServicesAmt
Management And General$44,958ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$51,163TotalAmt
Program Services$47,915ProgramServicesAmt
Management And General$3,248ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$78,848TotalAmt
Program Services$22,490ProgramServicesAmt
Management And General$56,358ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$9,927TotalAmt
Program Services$9,927ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$99,949TotalAmt
Program Services$1ProgramServicesAmt
Management And General$99,948ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$48,074TotalAmt
Program Services$40,129ProgramServicesAmt
Management And General$7,945ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$194,083TotalAmt
Program Services$191,317ProgramServicesAmt
Management And General$2,766ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,284TotalAmt
Management And General$4,284ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$15,510TotalAmt
Program Services$7,755ProgramServicesAmt
Management And General$7,755ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
OTHER PROGRAM EXPENSES$7,500$7,500
DUES AND SUBSCRIPTIONS$6,536$6,536
OTHER EXPENSES$4,278$4,147$131

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,070,158TotalAmt
Program Services$2,501,017ProgramServicesAmt
Management And General$569,141ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$31,251BOYAmt
EOY$100EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$100BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$311,329BOYAmt
EOY$592,709EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$199,034BOYAmt
EOY$216,312EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,219,228BOYAmt
EOY$2,063,585EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,760,942BOYAmt
EOY$2,872,706EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$184,563BOYAmt
EOY$222,595EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$485,488BOYAmt
EOY$1,626,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$670,051BOYAmt
EOY$1,848,595EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$989,586BOYAmt
EOY$922,720EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$101,305BOYAmt
EOY$101,391EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,090,891BOYAmt
EOY$1,024,111EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,760,942BOYAmt
EOY$2,872,706EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$86,162ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$19,381NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$1OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,244,151CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,659,093CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,928,108CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,130,227CurrentTaxYearMinus1YearAmt
Current Tax Year$2,741,331CurrentTaxYearAmt
Total$13,702,910TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,244,151CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,659,093CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,928,108CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,130,227CurrentTaxYearMinus1YearAmt
Current Tax Year$2,741,331CurrentTaxYearAmt
Total$13,702,910TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$13,702,910PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,981CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,947CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,204CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,218CurrentTaxYearMinus1YearAmt
Current Tax Year$4,119CurrentTaxYearAmt
Total$30,469TotalAmt
FieldValueIRS element (for citing)
Total Support$13,733,379TotalSupportAmt
Gross Receipts Rltd Activities$2,012,278GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99780PublicSupportCY170Pct
Public Support PY1700.99780PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$199,035BeginningYearBalanceAmt
Investment Earnings Or Losses$25,256InvestmentEarningsOrLossesAmt
Other Expenditures$7,500OtherExpendituresAmt
Administrative Expenses$479AdministrativeExpensesAmt
End Year Balance$216,312EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$168,437BeginningYearBalanceAmt
Investment Earnings Or Losses$33,358InvestmentEarningsOrLossesAmt
Other Expenditures$2,300OtherExpendituresAmt
Administrative Expenses$460AdministrativeExpensesAmt
End Year Balance$199,035EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$173,472BeginningYearBalanceAmt
Contributions$5,400ContributionsAmt
Investment Earnings Or Losses-$8,750InvestmentEarningsOrLossesAmt
Other Expenditures$1,250OtherExpendituresAmt
Administrative Expenses$435AdministrativeExpensesAmt
End Year Balance$168,437EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$136,486BeginningYearBalanceAmt
Contributions$16,000ContributionsAmt
Investment Earnings Or Losses$23,369InvestmentEarningsOrLossesAmt
Other Expenditures$2,000OtherExpendituresAmt
Administrative Expenses$383AdministrativeExpensesAmt
End Year Balance$173,472EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$128,300BeginningYearBalanceAmt
Investment Earnings Or Losses$10,013InvestmentEarningsOrLossesAmt
Other Expenditures$1,500OtherExpendituresAmt
Administrative Expenses$327AdministrativeExpensesAmt
End Year Balance$136,486EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.53170BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.46830PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescINVESTMENTSDesc
Book Value$216,312BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$216,312TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescINTER-COMPANY DUE TO/DUE FROMDesc
Book Value$2,063,585BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,063,585TotalBookValueOtherAssetsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4:FormAndLineReferenceDesc
ExplanationTO SUPPORT RESEARCH AND CHARITABLE ACTIVITIES WHICH BENEFIT THE MEDICAL COMMUNITY IN MONTANA AND TO IMPROVE THE HEALTH OF ITS RESIDENTS.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (62 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
MOUNTAIN-PACIFIC QUALITY HEALTH
PO BOX 5119HELENAMT59604810343791501(C)3$55,379RURAL COMMUNITIES OPIOD RESPONSE IMPLEMENTATION SUBAWARDEE TO FULFILL THE OBJECTIVES OF THE GRANT
MSU - OFFICE OF SPONSORED PROGRAMS
PO BOX 172470BOZEMANMT59717816010045501(C)3$55,292RURAL COMMUNITIES OPIOD RESPONSE IMPLEMENTATION SUBAWARDEE TO FULFILL THE OBJECTIVES OF THE GRANT
MARCUS DALY MEMORIAL HOSPITAL
1200 WESTWOODHAMILTONMT59840810240726501(C)3$26,831HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
BOZEMAN HEALTH
915 HIGHLAND BLVDBOZEMANMT597156902474717998501(C)3$13,500HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
LOGAN HEALTH
310 SUNNYVIEW LANEKALISPELLMT599013129237293874501(C)3$12,284HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
NORTHEAST MONTANA HEALTH SERVICE
315 KNAPP STREETWOLF POINTMT592011826810226578501(C)3$10,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
ST PATRICK HOSPITAL
500 WEST BROADWAYMISSOULAMT598064587810231793501(C)3$10,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
SHODAIR CHILDRENS HOSPITAL
PO BOX 5539HELENAMT596045539810231789501(C)3$10,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
BENEFIS HEALTH SYSTEM
1101 26TH ST SOUTHGREAT FALLSMT59405263538104501(C)3$10,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
ST VINCENT HEALTHCARE
PO BOX 35200BILLINGSMT59102810232124501(C)3$10,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
BILLINGS CLINIC
PO BOX 30357BILLINGSMT59107810231784501(C)3$10,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
NORTHERN MONTANA HOSPITAL
PO BOX 1231HAVREMT595011231810231787501(C)3$10,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
COMMUNITY MEDICAL CENTER
PO BOX 282308NASHVILLEMT37228611744940501(C)3$10,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
ST JAMES HEALTHCARE
PO BOX 3300BUTTEMT597023300810231785501(C)3$10,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
GREAT FALLS CLINIC HOSPITAL
3010 15TH AVE SOGREAT FALLSMT59405841396628501(C)3$10,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
ST PETERS HOSPITAL
PO BOX 6228HELENAMT596046228810233121501(C)3$10,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
ADVANCED CARE HOSPITAL OF MONTANA
3528 GABEL RDBILLINGSMT59102205292745501(C)3$10,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
GLENDIVE MEDICAL CENTER
202 PROSPECT DRGLENDIVEMT59330816016016501(C)3$8,500HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
PIONEER MEDICAL CENTER
PO BOX 1228BIG TIMBERMT59011421411473501(C)3$8,500HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
DANIELS MEMORIAL HEALTHCARE CENTER
PO BOX 400SCOBEYMT592630400816016920501(C)3$8,500HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
BARRETT HOSPITAL AND HEALTHCARE
600 HWY 91 SOUTHDILLONMT597253557264230898501(C)3$8,500HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
CABINET PEAKS MEDICAL CENTER
209 HEALTH PARK DRLIBBYMT59923810241755501(C)3$8,450HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
MPCA - MONTANA PRIMARY CARE ASSOCIATION
1805 EUCLIDHELENAMT59601501(C)3$5,808HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
PRAIRIE COMMUNITY HOSPITAL DISTRICT
PO BOX 156TERRYMT59349501(C)3$5,701HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
SIDNEY HEALTH CENTER
216 14TH AVE SWSIDNEYMT592701690810233499501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
NORTHERN ROCKIES MEDICAL CENTER
802 2ND STREET SOUTHEASTCUT BANKMT594273329810530457501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
BENEFIS TETON MEDICAL CENTER
915 4TH ST NWCHOTEAUMT59422810388136501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
ROUNDUP MEMORIAL HEALTHCARE
PO BOX 40ROUNDUPMT590720040810245848501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
GRANITE COUNTY HOSPITAL DISTRICT
PO BOX 729PHILIPSBURGMT598580729810385629501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
CENTRAL MONTANA MEDICAL CENTER
408 WENDELL AVELEWISTOWNMT59457237169043501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
BOZEMAN HEALTH BIG SKY MEDICAL CENTER
915 HIGHLAND BLVDBOZEMANMT59715474718253501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
COMMUNITY HOSPITAL OF ANACONDA
401 W PENNSYLVANIA STANACONDAMT597111931810303913501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
HOLY ROSARY HEALTHCARE
2600 WILSONMILES CITYMT593015094810231792501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
ROOSEVELT MEDICAL CENTER
PO BOX 419CULBERTSONMT59218810373589501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
LIBERTY MEDICAL CENTER
PO BOX 705CHESTERMT59522810515463501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
SHERIDAN MEMORIAL HOSPITAL
440 WEST LAUREL AVEPLENTYWOODMT592541526810243720501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
LIVINGSTON HEALTHCARE
320 ALPENGLOW LNLIVINGSTONMT59047810378200501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
DEER LODGE MEDICAL CENTER
1100 HOLLENBACK LANEDEER LODGEMT597221828810469886501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
BROADWATER HEALTH CENTER
110 NORTH OAK STTOWNSENDMT596442306810398400501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
CLARK FORK VALLEY HOSPITAL
PO BOX 768PLAINSMT59859810475376501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
FRANCES MAHON DECONESS HOSPITAL
621 3RD STREET SOUTHGLASGOWMT592302604810231786501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
PHILLIPS COUNTY HOSPITAL
PO BOX 640MALTAMT595380640816016152501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
STILLWATER BILLINGS CLINIC
PO BOX 959COLUMBUSMT590190959810286525501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
PONDERA MEDICAL CENTER
PO BOX 668CONRADMT59425810232406501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
MCCONE COUNTY HEALTH CENTER
PO BOX 48CIRCLEMT59215810269223501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
PROVIDENCE ST JOSEPH MEDICAL CENTER
PO BOX 1010POLSONMT59860810463482501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
MINERAL COMMUNITY HOSPITAL
PO BOX 66SUPERIORMT598720066810421823501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
ROSEBUD HEALTH CARE CENTER
PO BOX 268FORSYTHMT59327810405434501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
MISSOURI RIVER MEDICAL CENTER
PO BOX 249FORT BENTONMT59442810348783501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
RUBY VALLEY HOSPITAL
PO BOX 336SHERIDANMT59749810247889501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
MOUNTAINVIEW MEDICAL CENTER
PO BOX QWHITE SULPHUR SPRINGSMT596450817810255832501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
BIG HORN HOSPITAL ASSOCIATION
17 N MILESHARDINMT59034810384618501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
DAHL MEMORIAL HEALTHCARE
PO BOX 46EKALAKAMT59324810264548501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
GARFIELD COUNTY HEALTH CENTER
PO BOX 389JORDANMT59337816001366501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
ST LUKE COMMUNITY HOSPITAL
107 6TH AVE SWRONANMT598642634810221486501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
BIG SANDY MEDICAL CENTER
PO BOX 530BIG SANDYMT59520810291695501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
BEARTOOTH BILLINGS CLINIC
PO BOX 590RED LODGEMT590680590810224734501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
FALLON MEDICAL COMPLEX
PO BOX 820BAKERMT593130820363808993501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
NORTH VALLEY HOSPITAL
1600 HOSPITAL WAYWHITEFISHMT59937810247969501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
WHEATLAND MEMORIAL HEALTHCARE
PO BOX 287HARLOWTONMT59036810392231501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
MARIAS MEDICAL CENTER
PO BOX 915SHELBYMT59474810370945501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC
MADISON VALLEY MEDICAL CENTER
305 N MAIN STREETENNISMT59729810236460501(C)3$5,000HOSPITAL PREPAREDNESS PROGRAM FUNDS RELATED TO PANDEMIC

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHERE IS AN APPROVAL PROCESS FROM THE STATE AND ADVISORY COMMITTEE BEFORE GRANT FUNDS ARE RELEASED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 2BMHREF'S EMPLOYMENT TAX INFORMATION IS COMBINED WITH AND REPORTED BY MONTANA HOSPITAL ASSOCIATION, SERVING AS THE COMMON PAYMASTER, UNDER ITS EIN #81-0287203.
FORM 990, PART VI, SECTION B, LINE 11BALL MEMBERS OF THE BOARD RECEIVE A COPY OF THE FORM 990 PRIOR TO FILING. IT IS REVIEWED IN DETAIL BY THE FINANCE COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY REQUIRES BOARD MEMBERS TO ANNUALLY SUBMIT A REPORT TO THE BOARD OF ALL ORGANIZATIONS OR BUSINESSES OF WHICH THE INDIVIDUAL IS A MEMBER, OFFICER, EMPLOYEE OR OWNER WHICH HAVE CONFLICTING INTERESTS.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON WRITTEN OR PERSONAL REQUEST.
FORM 990, PART XI, LINE 9:ROUNDING 1.
FORM 990, PART XII, LINE 2C:THERE HAVE BEEN NO CHANGES FROM PRIOR YEAR IN THE AUDIT OVERSIGHT AND SELECTION PROCESS.