MONTANA HEALTH RESEARCH AND EDUCATION FOUNDATION INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- MONTANA HEALTH RESEARCH AND EDUCATION FOUNDATION INC (EIN 23-7338233)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-08-29
- IRS object ID
- 201122419349300127
- Schema version
- 2010v3.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-29T16:57:59-05:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANDERSON ZURMUEHLEN & CO PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1040 | AddressLine1 |
| City | HELENA | City |
| State | MT | State |
| ZIP Code | 59624 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237338233 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONTANA HEALTH RESEARCH & EDUCATION FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MONT | NameControl |
| Phone | 4064421911 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5119 | AddressLine1 |
| City | HELENA | City |
| State | MT | State |
| ZIP Code | 59604 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RICHARD BROWN | Name |
| Title | PRESIDENT | Title |
| Phone | 4064421911 | Phone |
| Date Signed | 2011-07-26 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PAULA R JACQUES | Name |
| Phone | 4064421040 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | RICHARD BROWN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5119 | AddressLine1 |
| City | HELENA | City |
| State | MT | State |
| ZIP Code | 59604 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 2114511 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | HTTP://WWW.MTHA.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1973 | YearFormation |
| State Legal Domicile | MT | StateLegalDomicile |
| Activity Or Mission Description | HEALTH CARE RESEARCH & EDUCATION | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2941007 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2107254 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 16054 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 5138 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1946 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1870 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 2959007 | TotalRevenuePriorYear |
| Total Revenue Current Year | 2114262 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1661750 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 623274 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 413362 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 527342 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 903107 | OtherExpensePriorYear |
| Other Expenses Current Year | 985930 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 2978219 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2136546 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -19212 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -22284 | RevenuesLessExpensesCY |
| Total Assets BOY | 1220255 | TotalAssetsBOY |
| Total Assets EOY | 756281 | TotalAssetsEOY |
| Total Liabilities BOY | 1054767 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 603755 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 165488 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 152526 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | HEALTH CARE EDUCATION & RESEARCH, WITH EMPHASIS ON SUPPORTING RURAL HEALTHCARE FACILITIES | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 736108 | Expense |
| Grants | 736299 | Grants |
| Description | ASPR GRANT: ADMINISTER GRANT TO MT HOSPITALS TO IMPROVE EMERGENCY RESPONSE | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 560515 | Expense |
| Grants | 559698 | Grants |
| Description | CRITICAL ACCESS: ASSISTANCE TO RURAL HEALTH CARE FACILITIES, RESEARCH, ETC. INCLUDES MCAP FUNDING & DISBURSEMENTS OF $26,795 | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 547332 | Expense |
| Grants | 533584 | Grants |
| Description | AHEC GRANT: FUNDS WORK WITH THE MONTANA & UNIVERSITY OF WASHINGTON WWAMI MEDICAL PROGRAM TO SUPPORT COMMUNITY BASED HEALTH PROFESSIONS EDUCATION, PLAN FOR THE HEALTHCARE WORKFORCE NEEDS OF THE STATE, AND LINK HEALTH PROFESSIONS EDUCATION TO RURAL & UNDERSERVED COMMUNITY HEALTH NEEDS. PROGRAM SERVICE REVENUE FROM SALES & WORKSHOPS. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 258703 | Expense |
| Grants | 263673 | Grants |
| Revenue | 5138 | Revenue |
| Description | RURAL HEALTH NETWORK DEVELOPMENT: PROVIDE TECHNICAL ASSISTANCE TO RURAL MT HOSPITALS TO IMPROVE COMMUNICATIONS/INFORMATION SHARING; STROKE GRANT: IMPROVE RESPONSE TO STROKE VICTIMS; FCC GRANT: IMPROVE EMERGENCY COMMUNICATIONS IN RURAL MONTANA | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 258703 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 263673 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 5138 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 2102658 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 32 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MHAAN ASSOC OF MT HEALTH CARE PR | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4064421911 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1720 9TH AVENUE | AddressLine1 |
| City | HELENA | City |
| State | MT | State |
| ZIP Code | 59601 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (13 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| STEVE MCNEECE | ||||||
| CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 |
| STEVE HANNAH | ||||||
| VICE CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 |
| NICK WOLTER | ||||||
| EXECUTIVE OFFICER | 1.00 | X | X | 0 | 0 | 0 |
| STEVE CARLSON | ||||||
| EXECUTIVE OFFICER | 1.00 | X | X | 0 | 0 | 0 |
| RICHARD BROWN | ||||||
| SECRETARY/TEASURER | 40.00 | X | X | 0 | 249275 | 30284 |
| SHANE ROBERTS | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| MARK CROSS | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| RICK HARALDSON | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| SAM PLESHAR | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| TIM RUSSELL | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| AMY EDWARDS-WEBB | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| BINA EGGENSPERGER | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| JOHN GOODNOW | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 249275 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 30284 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MHAAN ASSOCIATION OF MT HEALTH CARE P | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5119 | AddressLine1 |
| City | HELENA | City |
| State | MT | State |
| ZIP Code | 596245119 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | MANAGEMENT | DescriptionOfServices |
| Compensation | 197911 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Related Organizations | 4000 | RelatedOrganizations |
| Government Grants | 2093254 | GovernmentGrants |
| All Other Contributions | 10000 | AllOtherContributions |
| Total Contributions | 2107254 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CONVENTIONS & WORKSHOP | Description |
| Business Code | 541900 | BusinessCode |
| Total Revenue Column | 5138 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5138 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 5138 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1916 | TotalRevenueColumn |
| Exclusion | $1,916 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 203 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 249 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -46 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -46 | TotalRevenueColumn |
| Exclusion | -$46 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2114262 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5138 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,870 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 623274 | Total |
| Program Services | 623274 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 419911 | Total |
| Program Services | 411463 | ProgramServices |
| Management And General | 8448 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15511 | Total |
| Program Services | 15201 | ProgramServices |
| Management And General | 310 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54222 | Total |
| Program Services | 53192 | ProgramServices |
| Management And General | 1030 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37698 | Total |
| Program Services | 36944 | ProgramServices |
| Management And General | 754 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 197911 | Total |
| Program Services | 197011 | ProgramServices |
| Management And General | 900 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 408699 | Total |
| Program Services | 398655 | ProgramServices |
| Management And General | 10044 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4310 | Total |
| Program Services | 3310 | ProgramServices |
| Management And General | 1000 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49948 | Total |
| Program Services | 48733 | ProgramServices |
| Management And General | 1215 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23480 | Total |
| Program Services | 23316 | ProgramServices |
| Management And General | 164 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71782 | Total |
| Program Services | 71782 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 227752 | Total |
| Program Services | 218932 | ProgramServices |
| Management And General | 8820 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1010 | Total |
| Management And General | 1010 | ManagementAndGeneral |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1038 | Total |
| Program Services | 845 | ProgramServices |
| Management And General | 193 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2136546 | Total |
| Program Services | 2102658 | ProgramServices |
| Management And General | 33888 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1045952 | BOY |
| EOY | 507408 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 94478 | BOY |
| EOY | 74254 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3944 | BOY |
| EOY | 76179 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 20600 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 20600 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1007 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 74874 | BOY |
| EOY | 88842 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 9598 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1220255 | BOY |
| EOY | 756281 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35957 | BOY |
| EOY | 59387 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1018810 | BOY |
| EOY | 544368 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1054767 | BOY |
| EOY | 603755 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 80889 | BOY |
| EOY | 63683 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22194 | BOY |
| EOY | 22438 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62405 | BOY |
| EOY | 66405 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 165488 | BOY |
| EOY | 152526 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1220255 | BOY |
| EOY | 756281 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -22284 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 9322 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1815642 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1939420 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2494584 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2941007 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2107254 | CurrentTaxYear |
| Total | 11297907 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 20642 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 21136 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 20366 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 16054 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5138 | CurrentTaxYear |
| Total | 83336 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1836284 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1960556 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2514950 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2957061 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2112392 | CurrentTaxYear |
| Total | 11381243 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 11381243 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 17301 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 25099 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 17158 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4057 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1916 | CurrentTaxYear |
| Total | 65531 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 17301 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 25099 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 17158 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4057 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1916 | CurrentTaxYear |
| Total | 65531 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 1656 | CurrentTaxYearMinus2Years |
| Total | 1656 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1853585 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1985655 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2533764 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2961118 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2114308 | CurrentTaxYear |
| Total | 11448430 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99410 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99340 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00570 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00640 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 74874 | BeginningOfYearBalance |
| Contributions | 4000 | Contributions |
| Investment Earnings Or Losses | 10968 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 1000 | GrantsOrScholarships |
| End Of Year Balance | 88842 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 61153 | BeginningOfYearBalance |
| Contributions | 5600 | Contributions |
| Investment Earnings Or Losses | 9121 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 1000 | GrantsOrScholarships |
| End Of Year Balance | 74874 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 75435 | BeginningOfYearBalance |
| Contributions | 6505 | Contributions |
| Investment Earnings Or Losses | -19287 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 1500 | GrantsOrScholarships |
| End Of Year Balance | 61153 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 20600 | OtherCostOrOtherBasis |
| Depreciation | 20600 | Depreciation |
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INVESTMENTS | Description |
| Book Value | 88842 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 88842 | TotalOfBookValueSecurities |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | Identifier |
| Return Reference | PART V, LINE 4: | ReturnReference |
| Explanation | SUPPORT HEALTH EDUCATION ACTIVITY | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 0 | RecordsMaintained |
Recipient Table RecipientTable (52 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| BENEFIS HEALTH CARE INC | |||||||
| 1101 26TH STREET SOUTH | GREAT FALLS | MT | 59405 | 810232122 | 501(C)(3) | 14998 | EMERGENCY PREPAREDNESS |
| BILLINGS DEACONESS CLINIC | |||||||
| PO BOX 37000 | BILLINGS | MT | 591077000 | 810231784 | 501(C)(3) | 15000 | EMERGENCY PREPAREDNESS |
| BOZEMAN DEACONESS HOSPITAL | |||||||
| 915 HIGHLAND BLVD | BOZEMAN | MT | 59715 | 810232121 | 501(C)(3) | 15000 | EMERGENCY PREPAREDNESS |
| COMMUNITY MEDICAL CENTER | |||||||
| 2827 FT MISSOULA ROAD | MISSOULA | MT | 59804 | 810247705 | 501(C)(3) | 14995 | EMERGENCY PREPAREDNESS |
| NORTHWEST HEALTH CARE | |||||||
| 310 SUNNYVIEW LANE | KALISPELL | MT | 59901 | 810406485 | 501(C)(3) | 15000 | EMERGENCY PREPAREDNESS |
| ST PATRICK'S HOSPITAL | |||||||
| PO BOX 4587 | MISSOULA | MT | 598064587 | 810231793 | 501(C)(3) | 15000 | EMERGENCY PREPAREDNESS |
| ST VINCENT HEALTHCARE | |||||||
| PO BOX 35200 | BILLINGS | MT | 591075200 | 810232124 | 501(C)(3) | 15000 | EMERGENCY PREPAREDNESS |
| BARRETT HOSPITAL & HEALTHCARE | |||||||
| 90 HWY 91 SOUTH | DILLON | MT | 59725 | 810357909 | 501(C)(3) | 7500 | EMERGENCY PREPAREDNESS |
| BEARTOOTH HOSPITAL | |||||||
| PO BOX 590 | RED LODGE | MT | 590680590 | 810224734 | 501(C)(3) | 7500 | EMERGENCY PREPAREDNESS |
| BIG HORN MEMORIAL HOSPITAL | |||||||
| 17 NORTH MILES | HARDIN | MT | 59034 | 810384618 | 501(C)(3) | 14990 | EMERGENCY PREPAREDNESS |
| BIG SANDY MEDICAL CENTER | |||||||
| PO BOX 530 | BIG SANDY | MT | 595200530 | 810291695 | 501(C)(3) | 7500 | EMERGENCY PREPAREDNESS |
| BROADWATER HEALTH CENTER | |||||||
| 110 NORTH OAK | TOWNSEND | MT | 59644 | 810398400 | 501(C)(3) | 7500 | EMERGENCY PREPAREDNESS |
| CENTRAL MT MEDICAL CARE | |||||||
| 408 WENDELL AVE | LEWISTOWN | MT | 59457 | 237169043 | 501(C)(3) | 7500 | EMERGENCY PREPAREDNESS |
| CLARK FORK VALLEY HOSPITAL | |||||||
| PO BOX 768 | PLAINS | MT | 598590768 | 810475376 | 501(C)(3) | 7500 | EMERGENCY PREPAREDNESS |
| COMMUNITY HOSPITAL OF ANACONDA | |||||||
| 401 W PENNSYLVANIA STREET | ANACONDA | MT | 59711 | 810303913 | 501(C)(3) | 7500 | EMERGENCY PREPAREDNESS |
| DAHL MEMORIAL HEALTH CARE | |||||||
| PO BOX 46 | EKALAKA | MT | 59324 | 810264548 | 501(C)(3) | 7500 | EMERGENCY PREPAREDNESS |
| DANIELS MEMORIAL HEALTHCARE CENTER | |||||||
| PO BOX 400 | SCOBY | MT | 592630400 | 816016920 | 501(C)(3) | 7500 | EMERGENCY PREPAREDNESS |
| FALLON MEDICAL COMPLEX | |||||||
| PO BOX 820 | BAKER | MT | 593130820 | 363808993 | 501(C)(3) | 7499 | EMERGENCY PREPAREDNESS |
| FRANCES MAHON DEACONESS | |||||||
| 621 3RD STREET SOUTH | GLASGOW | MT | 59230 | 810231786 | 501(C)(3) | 7500 | EMERGENCY PREPAREDNESS |
| GLENDIVE MEDICAL CENTER | |||||||
| 202 PROSPECT DRIVE | GLENDIVE | MT | 59330 | 816016016 | 501(C)(3) | 7500 | EMERGENCY PREPAREDNESS |
| GRANITE CO MEDICAL CENTER | |||||||
| BOX 729 | PHILIPSBURG | MT | 598580729 | 810385629 | 501(C)(3) | 19500 | EMERGENCY PREPAREDNESS |
| HOLY ROSARY HEALTH CARE | |||||||
| 2600 WILSON | MILES CITY | MT | 59301 | 810231792 | 501(C)(3) | 7500 | EMERGENCY PREPAREDNESS |
| LIBERTY CO HOSPITAL (LIBERTY MEDICAL CENTER) | |||||||
| PO BOX 705 | CHESTER | MT | 595220705 | 810515463 | 501(C)(3) | 7500 | EMERGENCY PREPAREDNESS |
| LIVINGSTON HEALTHCARE | |||||||
| 504 SOUTH 13TH STREET | LIVINGSTON | MT | 59047 | 810378200 | 501(C)(3) | 7500 | EMERGENCY PREPAREDNESS |
| MADISON VALLEY HOSPITAL | |||||||
| PO BOX 397 | ENNIS | MT | 59729 | 810236460 | 501(C)(3) | 7500 | EMERGENCY PREPAREDNESS |
| MARCUS DALY MEMORIAL HOSPITAL | |||||||
| 1200 WESTWOOD | HAMILTON | MT | 59840 | 810240726 | 501(C)(3) | 7500 | EMERGENCY PREPAREDNESS |
| MARIAS MEDICAL CENTER | |||||||
| PO BOX 915 | SHELBY | MT | 594740915 | 816001438 | 501(C)(3) | 7500 | EMERGENCY PREPAREDNESS |
| MCCONE CO HEALTH CENTER | |||||||
| PO BOX 47 | CIRCLE | MT | 59215 | 810269223 | 501(C)(3) | 7500 | EMERGENCY PREPAREDNESS |
| MISSOULA COUNTY HEALTH SERVICES DBA MINERAL COMMUNITY HOSPITAL | |||||||
| PO BOX 66 | SUPERIOR | MT | 598720066 | 810421823 | 501(C)(3) | 7500 | EMERGENCY PREPAREDNESS |
| MISSOURI RIVER MEDICAL CENTER | |||||||
| PO BOX 249 | FT BENTON | MT | 594420249 | 810348783 | 501(C)(3) | 7500 | EMERGENCY PREPAREDNESS |
| MOUNTAINVEIW MEDICAL CENTER | |||||||
| PO BOX Q | WHITE SULPHUR SPRINGS | MT | 596450817 | 810255832 | 501(C)(3) | 7500 | EMERGENCY PREPAREDNESS |
| NORTH VALLEY HOSPITAL | |||||||
| 1600 HOSPITAL WAY | WHITEFISH | MT | 59937 | 810247969 | 501(C)(3) | 7500 | EMERGENCY PREPAREDNESS |
| NORTHERN MT HOSPITAL | |||||||
| PO BOX 1231 | HAVRE | MT | 595011231 | 810231787 | 501(C)(3) | 7500 | EMERGENCY PREPAREDNESS |
| PHILIPS CO HOSPITAL | |||||||
| PO BOX 640 | MALTA | MT | 595380640 | 816016152 | 501(C)(3) | 7500 | EMERGENCY PREPAREDNESS |
| PIONEER MEDICAL CENTER | |||||||
| PO BOX 1228 | BIG TIMBER | MT | 590111228 | 816001434 | 501(C)(3) | 22295 | EMERGENCY PREPAREDNESS |
| PONDERA MEDICAL CENTER | |||||||
| PO BOX 758 | CONRAD | MT | 59425 | 810232406 | 501(C)(3) | 14680 | EMERGENCY PREPAREDNESS |
| POWELL CO MEDICAL CENTER | |||||||
| 1101 TEXAS AVENUE | DEER LODGE | MT | 59722 | 810469886 | 501(C)(3) | 7500 | EMERGENCY PREPAREDNESS |
| ROOSEVELT MEDICAL CENTER | |||||||
| PO BOX 419 | CULBERTSON | MT | 592180419 | 810373589 | 501(C)(3) | 7500 | EMERGENCY PREPAREDNESS |
| ROSEBUD HEALTH CARE CENTER | |||||||
| PO BOX 268 | FORSYTH | MT | 593270268 | 810405434 | 501(C)(3) | 7500 | EMERGENCY PREPAREDNESS |
| ROUNDUP MEMORIAL HEALTHCARE | |||||||
| PO BOX 400 | ROUNDUP | MT | 590720400 | 810245848 | 501(C)(3) | 7500 | EMERGENCY PREPAREDNESS |
| RUBY VALLEY HOSPITAL | |||||||
| PO BOX 336 | SHERIDAN | MT | 59749 | 810247889 | 501(C)(3) | 7497 | EMERGENCY PREPAREDNESS |
| SHODAIR CHILDREN'S HOSPITAL | |||||||
| 2755 COLONIAL DR | HELENA | MT | 59601 | 810231789 | 501(C)(3) | 7500 | EMERGENCY PREPAREDNESS |
| SIDNEY HEALTH CENTER | |||||||
| 216 14TH AVE SW | SIDNEY | MT | 59270 | 810233499 | 501(C)(3) | 7500 | EMERGENCY PREPAREDNESS |
| ST JAMES HEALTHCARE | |||||||
| PO BOX 3300 | BUTTE | MT | 597023300 | 810231785 | 501(C)(3) | 15000 | EMERGENCY PREPAREDNESS |
| ST JOHN'S LUTHERAN HOSPITAL | |||||||
| 350 LOUISIANA AVENUE | LIBBY | MT | 59923 | 810241755 | 501(C)(3) | 7500 | EMERGENCY PREPAREDNESS |
| ST JOSEPH MEDICAL CENTER | |||||||
| PO BOX 1010 | POLSON | MT | 598601010 | 810463482 | 501(C)(3) | 15000 | EMERGENCY PREPAREDNESS |
| ST LUKE'S COMMUNITY HOSPITAL | |||||||
| 107 6TH AVE SW | RONAN | MT | 59864 | 810221486 | 501(C)(3) | 7500 | EMERGENCY PREPAREDNESS |
| STILLWATER COMMUNITY HOSPITAL | |||||||
| PO BOX 959 | COLUMBUS | MT | 590190959 | 810286525 | 501(C)(3) | 7500 | EMERGENCY PREPAREDNESS |
| TETON MEDICAL CENTER | |||||||
| 915 4TH STREET NW | CHOTEAU | MT | 59422 | 810392234 | 501(C)(3) | 7500 | EMERGENCY PREPAREDNESS |
| WHEATLAND MEMORIAL HOSPITAL | |||||||
| PO BOX 287 | HARLOWTOWN | MT | 590360287 | 810392231 | 501(C)(3) | 7497 | EMERGENCY PREPAREDNESS |
| ST PETER'S HOSPITAL | |||||||
| 2475 BROADWAY | HELENA | MT | 59601 | 810233121 | 501(C)(3) | 7500 | EMERGENCY PREPAREDNESS |
| SHERIDAN MEMORIAL HOSPITAL | |||||||
| 440 W LAUREL AVENUE | PLENTYWOOD | MT | 59254 | 810243720 | 501(C)(3) | 14383 | EMERGENCY PREPAREDNESS |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | RICHARD BROWN | NamePerson |
| Base Compensation Filing Org | 0 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 249275 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 28684 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 0 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 1600 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 0 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 279559 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 288626 | CompReportPrior990RelatedOrgs |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Return Reference | PART III | ReturnReference |
| Explanation | RICHARD BROWN IS EMPLOYED BY MHA & SERVES AS THE PRESIDENT FOR MHA & SECRETARY/TREASURER FOR MT HEALTH RESEARCH & EDUCATION FOUNDATION. MHA ALSO PROVIDES ADMINISTRATIVE SERVICES TO MT HEALTH RESEARCH & EDUCATION FOUNDATION. THE RESPONSES ON THIS SCHEDULE PERTAIN TO MR. BROWN. PART I, LINE 1A: IT IS THE POLICY OF MHA (RELATED ORGANIZATION PROVIDING ADMINISTRATIVE SERVICES) TO PAY FOR THE EXECUTIVE DIRECTOR'S MEMBERSHIP AT A LOCAL SOCIAL CLUB TO FACILITATE BUSINESS MEETINGS. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | BOARD MEMBERS ALSO SERVE ON THE BOARD OF MHA, A RELATED 501(C)(6) ORGANIZATION. | |
| FORM 990, PART VI, SECTION A, LINE 3 | MHA PROVIDES MANAGEMENT, ADMINISTRATIVE & ACCOUNTING SERVICES TO MHREF. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE RETURN WAS REVIEWED IN DETAIL BY THE FINANCE COMMITTEE & MADE AVAILABLE FOR ALL BOARD MEMBERS TO REVIEW PRIOR TO FILING. | |
| THE 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 B, LINE 12C | |
| GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON WRITTEN OR PERSONAL REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 9,322. | FORM 990, PART XI, LINE 5: |
| FINANCIAL STATEMENTS AND REPORTING: | THERE HAVE BEEN NO CHANGES FROM PRIOR YEAR IN THE AUDIT OVERSIGHT AND SELECTION PROCESS. | FORM 990, PART XII, LINE 2C: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MHAAN ASSOCIATION OF HEALTH CARE PROVIDERS | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1720 9TH AVENUE | AddressLine1 |
| City | HELENA | City |
| State | MT | State |
| ZIP Code | 59601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810287203 | EIN |
| Primary Activities | PROVIDE EDUCATION & SUPPORT FOR MEMBERS WHO ARE NONPROFIT MONTANA HOSPITALS | PrimaryActivities |
| Legal Domicile State | MT | LegalDomicileState |
| Exempt Code Section | 501 (C)(6) | ExemptCodeSection |
| Controlled Org | 0 | ControlledOrg |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MHA VENTURES | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1720 9TH AVENUE | AddressLine1 |
| City | HELENA | City |
| State | MT | State |
| ZIP Code | 59601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810451214 | EIN |
| Primary Activity | VENTURES PROVIDES GROUP PURCHASING & OTHER SERVICES TO MHA, A RELATED ENTITY | PrimaryActivity |
| Legal Domicile State | MT | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MHAAN ASSOCIATION OF HEALTH CARE ENTITIES OWNS 100 OF MHAV STOCK | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |