2018-04-27T17:54:30-05:00 2017-12-31 390758449 WIPFLI LLP PO BOX 1699 HELENA MT 59624 990 2017-01-01 451295465 MONTANA HEALTH COOPERATIVE MONT 4064479510 PO BOX 5358 HELENA MT 59604 DAVID SLONAKER CFO 4064479510 2018-04-26 1 MEGHAN BRONEC CPA P00399092 4064425520 2018-04-26 2017 2022-09-23 18:48:47Z DAVID SLONAKER PO BOX 5358 HELENA MT 59604 174477377 0 X WWW.MHC.COOP X 2010 MT THE ORGANIZATION OFFERS TRUE NON-PROFIT MEMBER GOVERNED HEALTH INSURANCE THAT PROMOTES MEMBER ENGAGEMENT AND PROVIDES ACCESS TO HIGH QUALITY HEALTH CARE. 16 16 31 0 0 0 0 0 122989911 156630724 -1140153 899257 0 0 121849758 157529981 0 0 0 0 2922535 3919898 0 0 0 138368402 138542172 141290937 142462070 -19441179 15067911 51848225 85987811 27842614 46909005 24005611 39078806 THE ORGANIZATION OFFERS TRUE NON-PROFIT MEMBER GOVERNED HEALTH INSURANCE THAT PROMOTES MEMBER ENGAGEMENT AND PROVIDES ACCESS TO HIGH QUALITY HEALTH CARE. 0 0 142462070 157529981 THE 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. 142462070 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 291 0 31 1 0 0 0 0 0 0 0 0 0 1 5000000 39078806 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X MONTANA HEALTH CO-OP 4064473309 PO BOX 5358 HELENA MT 59604 JOAN MILES CHAIRMAN 1.00 X X 14500 0 0 MICHAEL MCMURRAY DIRECTOR 1.00 X 7200 0 0 JAMES STOGSDILL CO-CHAIRMAN 1.00 X X 8400 0 0 LORI PETERSON CPA TREASURER 1.00 X X 10000 0 0 JEREMY JOHNSON SECRETARY 1.00 X X 8800 0 0 THOMAS GOOCH DIRECTOR 1.00 X 7200 0 0 TOM BASSLER DIRECTOR 1.00 X 7200 0 0 SYLVIA DANFORTH DIRECTOR 1.00 X 3200 0 0 DR JANE GILLETTE DIRECTOR 1.00 X 6000 0 0 TREASA GLINNWATER DIRECTOR 1.00 X 6000 0 0 GARY GUNDERSON DIRECTOR 1.00 X 6000 0 0 RAY KUNTZ DIRECTOR 1.00 X 2800 0 0 KEVIN JOPLIN DIRECTOR 1.00 X 6800 0 0 DIANE OLSEN DIRECTOR 1.00 X 8400 0 0 RAYMOND ROGERS DIRECTOR 1.00 X 8800 0 0 DAVID FORBES DIRECTOR 1.00 X 10400 0 0 JOHN MORRISON DIRECTOR 1.00 X 6000 0 0 JERRY DWORAK CEO 40.00 X 289125 0 38802 LARRY TURNEY PRESIDENT & COO 40.00 X 229955 0 26711 DAVID SLONAKER CFO 40.00 X 162541 0 30850 RONDA MCMILLAN CEAO 40.00 X 144196 0 18441 DOUG DAMMROSE MEDICAL DIRECTOR 40.00 X 157077 0 9425 1110594 0 124229 6 0 1 0 ALTIUS 10421 SOUTH JORDAN GATEWAY SUITE 4 SOUTH JORDAN UT 84095 HEALTH CARE SERVICES 7186196 RE-SOLUTIONS INTERMEDIARIES LLC 10 SOUTH 5TH STREET SUITE 1108 MINNEAPOLIS MN 55402 RE-INSURANCE INTERMEDIARY 1538047 YOUR HEALTH IDAHO PO BOX 943 BOISE ID 83701 HEALTH INSURANCE EXCHANGE FEES 1164725 ONLINE INSIGHT INC 375 NORTHRIDGE ROAD SUITE 270 ATLANTA GA 30350 ENROLLMENT AND BILLING DEVELOPMENT 622527 MILLIMAN 1301 FIFTH AVENUE SUITE 3800 SEATTLE WA 981012646 ACTUARIAL SERVICES 479891 5 SALE OF INSURANCE 524298 156630724 156630724 156630724 649262 649262 17197391 16947396 249995 249995 249995 157529981 157529981 0 0 1107123 2193446 107258 222480 289591 68072 11406698 95520 16502 3972 272073 77407 37020 41910 CLAIMS 120521084 CLAIMS AND CLAIMS ADJ E 3607936 AGENT COMMISSIONS 1567914 PREMIUM TAX EXPENSE 919065 -93001 142462070 17175780 44323135 21837009 7327435 12835436 34337241 51848225 85987811 27842614 46909005 27842614 46909005 X 24005611 39078806 24005611 39078806 51848225 85987811 X 15067911 127101 -121817 X X 0 1 X 1 1 1 0 INVESTMENTS 34337241 F 34337241 X 157657082 127101 127101 157529981 0 157529981 142462070 0 142462070 0 142462070 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 LAST THREE YEARS. 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. X X 0 0 0 JERRY DWORAK CEO 244349 0 44776 0 0 0 16200 0 22602 0 327927 0 0 0 LARRY TURNEY PRESIDENT & COO 198455 0 31500 0 0 0 13890 0 12821 0 256666 0 0 0 DAVID SLONAKER CFO 162541 0 0 0 0 0 10017 0 20833 0 193391 0 0 0 RONDA MCMILLAN CEAO 144196 0 0 0 0 0 8654 0 9787 0 162637 0 0 0 DOUG DAMMROSE MEDICAL DIRECTOR 148077 0 9000 0 0 0 9425 0 0 0 166502 0 0 0 PART I, LINE 3 CEO COMPENSATION IS REVIEWED ANNUALLY BY THE MONTANA HEALTH CO-OP COMPENSATION COMMITTEE. FORM 990, PART V, LINE 13A ID,MT FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 HAS BEEN REVIEWED BY MHC EXECUTIVE STAFF AND THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15A CEO COMPENSATION IS REVIEWED ANNUALLY BY THE MHC COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 ANY 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 -121,817. PAR XII LINE 1 THIS FORM 990 WAS PREPARED ON THE STATUTORY BASIS OF ACCCOUNTING TO CONFORM WITH THE BASIS OF ACCOUNTING USED ON THE AUDITED FINANCIAL STATEMENTS.