MOUNTAIN PACIFIC QUALITY HEALTH: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- MOUNTAIN PACIFIC QUALITY HEALTH (EIN 81-0343791)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2024-05-07
- IRS object ID
- 202421289349300847
- Schema version
- 2022v5.0
- 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) |
|---|---|---|
| Return | 2024-05-07T09:21:44-05:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 105 E PINE ST UPPER FLOOR | AddressLine1Txt |
| City | MISSOULA | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59802 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810343791 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOUNTAIN-PACIFIC QUALITY HEALTH | BusinessNameLine1Txt |
| Business Name Line2 | FOUNDATION | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MOUN | BusinessNameControlTxt |
| Phone | 4064575838 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5119 | AddressLine1Txt |
| City | HELENA | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 596045119 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JILL ALESSI | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 4064575838 | PhoneNum |
| Signature | 2024-05-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JILL | PersonFirstNm |
| Person Last | ALESSI | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SAM BRUNSON CPA | PreparerPersonNm |
| PTIN | P01696998 | PTIN |
| Phone | 4067281800 | PhoneNum |
| Preparation | 2024-04-30 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOUNTAIN-PACIFIC QUALITY HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JILL ALESSI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5119 | AddressLine1Txt |
| City | HELENA | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 596045119 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $18,290,004 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MPQHF.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1973 | FormationYr |
| Legal Domicile State | MT | LegalDomicileStateCd |
| Activity Or Mission | OUR MISSION IS TO PARTNER WITHIN OUR COMMUNITIES TO PROVIDE SOLUTIONS FOR BETTER HEALTH. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 132 | TotalEmployeeCnt |
| Total Volunteers | 17 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,892,157 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,987,952 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $9,990,088 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $11,483,573 | CYProgramServiceRevenueAmt |
| PY Investment Income | $406,859 | PYInvestmentIncomeAmt |
| CY Investment Income | $318,557 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $14,289,104 | PYTotalRevenueAmt |
| CY Total Revenue | $17,790,082 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,162,581 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,851,469 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,667,076 | PYOtherExpensesAmt |
| CY Other Expenses | $4,533,414 | CYOtherExpensesAmt |
| PY Total Expenses | $13,829,657 | PYTotalExpensesAmt |
| CY Total Expenses | $16,384,883 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $459,447 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,405,199 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $10,969,426 | TotalAssetsBOYAmt |
| Total Assets EOY | $14,467,663 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,331,107 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,284,499 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,638,319 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $11,183,164 | NetAssetsOrFundBalancesEOYAmt |
| Mission | OUR MISSION IS TO PARTNER WITHIN OUR COMMUNITIES TO PROVIDE SOLUTIONS FOR BETTER HEALTH. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $6,786,023 | ExpenseAmt |
| Revenue | $9,327,671 | RevenueAmt |
| Desc | MOUNTAIN-PACIFIC QUALITY HEALTH IS A NON-PROFIT CORPORATION THAT PARTNERS WITHIN OUR COMMUNITIES TO PROVIDE SOLUTIONS FOR BETTER HEALTH. WE SERVICE MONTANA, WYOMING, ALASKA, HAWAII, AND THE U.S. PACIFIC TERRITORIES OF GUAM, AMERICAN SAMOA, AND THE COMMONWEALTH OF THE NORTHERN MARIANA ISLANDS.MOUNTAIN-PACIFIC PROVIDES MEDICAID UTILIZATION REVIEW AND MANAGEMENT SERVICES FOR THE MONTANA DEPARTMENT OF PUBLIC HEALTH AND HUMAN SERVICES. THROUGH OUR REVIEW PROCESS WE STRIVE TO ENABLE EACH MEDICAID CLIENT TO HAVE HIS OR HER NEEDS MET IN THE MOST APPROPRIATE, COST-EFFECTIVE SETTING, USING THE MOST APPROPRIATE MEDICAL SERVICE, EQUIPMENT, SUPPLIES, AND MEDICATION. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,086,086 | ExpenseAmt |
| Desc | MOUNTAIN-PACIFIC QUALITY HEALTH'S SERVICE AREA INVOLVES SUPPORTING THE CENTERS FOR MEDICARE & MEDICAID SERVICES' (CMS) INITIATIVES. WE ARE ONE OF 14 QUALITY INNOVATION NETWORK-QUALITY IMPROVEMENT ORGANIZATIONS (QIN-QIOS). WE PARTNER WITH HEALTH CARE PROVIDERS, PRACTITIONERS, STAKEHOLDERS, AND PATIENTS ON A VARIETY OF QUALITY IMPROVEMENT INITIATIVES TO ACHIEVE BETTER CARE, BETTER POPULATION HEALTH, AND LOWER HEALTH CARE COSTS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,743,562 | ExpenseAmt |
| Revenue | $2,155,902 | RevenueAmt |
| Desc | MOUNTAIN-PACIFIC QUALITY HEALTH HAS DEVELOPED SERVICES THAT COMBINE CLINICAL BEST PRACTICES, THE USE OF HEALTH INFORMATION TECHNOLOGY (HIT) AND ELECTRONIC DATA WITH STRATEGIC AND INNOVATIVE APPROACHES TO HELP TRANSFORM HEALTH CARE DELIVERY, QUALITY REPORTING AND PATIENT SAFETY. CONSULTING SERVICES INCLUDE: - HEALTH CARE PERFORMANCE REPORTING - HEALTH CARE OPTIMIZATION AND TRANSFORMATION - POPULATION HEALTH IMPROVEMENT - HIT TECHNICAL SUPPORT - PROJECT MANAGEMENT AND LEADERSHIP | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $11,615,671 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 41 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 132 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRISTINE WALL | PersonNm |
| Phone | 4064575838 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5119 | AddressLine1Txt |
| City | HELENA | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 596045119 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| ALLISON MINUGH PHD | |||||||
| PRESIDENT | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MIKE TRACY MD | |||||||
| VICE PRESIDENT | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MARY SCHRAMKE PHD | |||||||
| SECRETARY/TREASURER (THRU NOV 22) | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DICK BROWN | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| REZA GHOMI MD | |||||||
| DIRECTOR (THRU APR 23) | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| MARI SELLE MPH | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| FRANCIS CHAN | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| SHANDA LOHSE MD | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| PETER SYBINSKI PHD | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| GARET AZAMA | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT JANICEK | |||||||
| DIRECTOR (CFO THRU JUNE 22) | 0.50 | Yes (X) | $78,632 | $0 | $14,490 | ||
| SARA MEDLEY | |||||||
| CEO (THRU FEB 23) | 40.00 | Yes (X) | $308,687 | $0 | $38,869 | ||
| JILL ALESSI | |||||||
| CEO (STARTED APR 23) | 40.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT LOPP | |||||||
| CAO | 40.00 | Yes (X) | $100,805 | $0 | $16,873 | ||
| CHRISTINE WALL | |||||||
| CONTROLLER | 40.00 | $168,652 | $0 | $24,847 | Yes (X) | ||
| COLLEEN R ROYLANCE | |||||||
| COO | 40.00 | $162,973 | $0 | $29,060 | Yes (X) | ||
| MARK MARABELLA | |||||||
| SENIOR ACCOUNT MANAGER | 40.00 | $152,286 | $0 | $30,590 | Yes (X) | ||
| MARY COFFMAN-ERICKSON | |||||||
| CONSULTING SERVICES DIRECTOR | 40.00 | $143,943 | $0 | $30,168 | Yes (X) | ||
| MARCELLA BARNHILL | |||||||
| PHARMACIST | 40.00 | $131,332 | $0 | $21,411 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,247,310 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $206,308 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 29 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| TELLIGEN | |||||
| 1776 WEST LAKES PARKWAY | WEST DES MOINES | IA | 50266 | REVIEW SERVICES UNDER THE MT MEDICAID UM | $1,192,152 |
| SOUNDMIND LEADERSHIP LLC | |||||
| 5018 W HONANI PATH | HURRICANE | UT | 84737 | LEADERSHIP EDUCATION, TRAINING AND MENTO | $214,297 |
| WITTKIEFFER | |||||
| 2015 SPRING ROAD SUITE 510 | OAK BROOK | IL | 60523 | CEO RECRUITMENT | $105,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $5,322,322 | GovernmentGrantsAmt |
| All Other Contributions | $665,630 | AllOtherContributionsAmt |
| Total Contributions | $5,987,952 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID SERVICES | 541900 | $9,327,671 | $9,327,671 |
| CONSULTING | 541900 | $2,155,902 | $2,155,902 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $11,483,573 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $318,954 | TotalRevenueColumnAmt |
| Exclusion | $318,954 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $499,525 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $499,922 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$397 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$397 | TotalRevenueColumnAmt |
| Exclusion | -$397 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,790,082 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,483,573 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $318,557 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $613,277 | TotalAmt |
| Management And General | $613,277 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,596,579 | TotalAmt |
| Program Services | $6,008,388 | ProgramServicesAmt |
| Management And General | $1,588,191 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $741,117 | TotalAmt |
| Program Services | $579,874 | ProgramServicesAmt |
| Management And General | $161,243 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,102,491 | TotalAmt |
| Program Services | $1,567,901 | ProgramServicesAmt |
| Management And General | $534,590 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $798,005 | TotalAmt |
| Program Services | $588,834 | ProgramServicesAmt |
| Management And General | $209,171 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,236 | TotalAmt |
| Management And General | $5,236 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,143 | TotalAmt |
| Management And General | $39,143 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,824 | TotalAmt |
| Management And General | $27,824 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,172,509 | TotalAmt |
| Program Services | $1,652,783 | ProgramServicesAmt |
| Management And General | $519,726 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $202,534 | TotalAmt |
| Program Services | $105,720 | ProgramServicesAmt |
| Management And General | $96,814 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $666,483 | TotalAmt |
| Program Services | $493,848 | ProgramServicesAmt |
| Management And General | $172,635 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $346,924 | TotalAmt |
| Program Services | $191,063 | ProgramServicesAmt |
| Management And General | $155,861 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $363,759 | TotalAmt |
| Program Services | $150,718 | ProgramServicesAmt |
| Management And General | $213,041 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,815 | TotalAmt |
| Program Services | $22,913 | ProgramServicesAmt |
| Management And General | $56,902 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,278 | TotalAmt |
| Program Services | $15,518 | ProgramServicesAmt |
| Management And General | $39,760 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,259 | TotalAmt |
| Management And General | $75,259 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DUES & MEMBERSHIPS | $261,814 | $150,545 | $111,269 |
| SUPPLIES | $106,254 | $24,195 | $82,059 |
| PHYSICIAN EXPENSES | $3,793 | $3,793 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,789 | TotalAmt |
| Program Services | $59,578 | ProgramServicesAmt |
| Management And General | $67,211 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,384,883 | TotalAmt |
| Program Services | $11,615,671 | ProgramServicesAmt |
| Management And General | $4,769,212 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100 | BOYAmt |
| EOY | $100 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,464,002 | BOYAmt |
| EOY | $3,009,034 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,733,027 | BOYAmt |
| EOY | $2,012,128 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,000 | BOYAmt |
| EOY | $50,000 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $456,926 | BOYAmt |
| EOY | $501,585 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $958,735 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $905,920 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,093 | BOYAmt |
| EOY | $52,815 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,103,891 | BOYAmt |
| EOY | $7,438,015 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,000 | BOYAmt |
| EOY | $50,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,387 | BOYAmt |
| EOY | $1,353,986 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,969,426 | BOYAmt |
| EOY | $14,467,663 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,311,744 | BOYAmt |
| EOY | $1,682,476 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,719 | BOYAmt |
| EOY | $250,115 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,644 | BOYAmt |
| EOY | $1,351,908 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,331,107 | BOYAmt |
| EOY | $3,284,499 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,638,319 | BOYAmt |
| EOY | $11,183,164 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,638,319 | BOYAmt |
| EOY | $11,183,164 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,969,426 | BOYAmt |
| EOY | $14,467,663 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,405,199 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $139,646 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,891,582 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,930,710 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,039,006 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,892,157 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,987,952 | CurrentTaxYearAmt |
| Total | $37,741,407 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,891,582 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,930,710 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,039,006 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,892,157 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,987,952 | CurrentTaxYearAmt |
| Total | $37,741,407 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $705,125 | SubstantialContributorsTotAmt |
| Public Support Total170 | $37,036,282 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $91,999 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $117,551 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $197,176 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $328,521 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $318,954 | CurrentTaxYearAmt |
| Total | $1,054,201 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $38,795,608 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $39,798,113 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.95470 | PublicSupportCY170Pct |
| Public Support PY170 | 0.97250 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $68,516 | OtherCostOrOtherBasisAmt |
| Depreciation | $55,125 | DepreciationAmt |
| Book Value | $13,391 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $890,219 | OtherCostOrOtherBasisAmt |
| Depreciation | $850,795 | DepreciationAmt |
| Book Value | $39,424 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $52,815 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEPOSITS | $3,387 |
| RIGHT-OF-USE ASSET | $1,350,599 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,353,986 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OPERATING LEASE OBLIGATION | Desc |
| Amt | $1,351,908 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,351,908 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $17,901,904 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $139,646 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $139,646 | RevenueNotReportedAmt |
| Revenue Subtotal | $17,762,258 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $27,824 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $27,824 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $17,790,082 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $16,357,059 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $16,357,059 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $27,824 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $27,824 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $16,384,883 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A). IN ADDITION, THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND STATE INCOME TAXES. HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE ORGANIZATION'S TAX-EXEMPT PURPOSE IS SUBJECT TO TAXATION ON UNRELATED BUSINESS INCOME. THE ORGANIZATION BELIEVES THAT INCOME TAX FILING POSITIONS WILL BE SUSTAINED UPON EXAMINATION AND DOES NOT ANTICIPATE ANY ADJUSTMENTS THAT WOULD RESULT IN A MATERIAL ADVERSE EFFECT ON ITS FINANCIAL CONDITION, RESULTS OF OPERATIONS OR CASH FLOWS. ACCORDINGLY, THE ORGANIZATION HAS NOT RECORDED ANY RESERVES OR RELATED ACCRUALS FOR INTEREST OR PENALTIES FOR UNCERTAIN INCOME TAX POSITIONS AS OF JUNE 30, 2023. THE ORGANIZATION'S POLICY IS TO CLASSIFY INCOME TAX RELATED INTEREST AND PENALTIES TO INTEREST EXPENSE AND MISCELLANEOUS EXPENSE, RESPECTIVELY, WHEN APPLICABLE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SARA MEDLEY | ||||||||||||||
| CEO (THRU FEB 23) | $308,426 | $0 | $261 | $0 | $0 | $0 | $27,900 | $0 | $10,969 | $0 | $347,556 | $0 | $0 | $0 |
| CHRISTINE WALL | ||||||||||||||
| CONTROLLER | $168,396 | $0 | $256 | $0 | $0 | $0 | $15,644 | $0 | $9,203 | $0 | $193,499 | $0 | $0 | $0 |
| COLLEEN R ROYLANCE | ||||||||||||||
| COO | $162,719 | $0 | $254 | $0 | $0 | $0 | $15,644 | $0 | $13,416 | $0 | $192,033 | $0 | $0 | $0 |
| MARK MARABELLA | ||||||||||||||
| SENIOR ACCOUNT MANAGER | $152,015 | $0 | $271 | $0 | $0 | $0 | $14,344 | $0 | $16,246 | $0 | $182,876 | $0 | $0 | $0 |
| MARY COFFMAN-ERICKSON | ||||||||||||||
| CONSULTING SERVICES DIRECTOR | $143,672 | $0 | $271 | $0 | $0 | $0 | $14,015 | $0 | $16,153 | $0 | $174,111 | $0 | $0 | $0 |
| MARCELLA BARNHILL | ||||||||||||||
| PHARMACIST | $131,059 | $0 | $273 | $0 | $0 | $0 | $12,320 | $0 | $9,091 | $0 | $152,743 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE CONTROLLER REVIEWS THE FORM 990 FOR ACCURACY AND RECOMMENDS THE RETURN FOR PROCESSING. THE BOARD IS PROVIDED THE OPPORTUNITY FOR REVIEW AND INPUT PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY COVERS THE BOARD OF DIRECTORS, CEO, CAO, COO, CIO, AND KEY EMPLOYEES. WHEN A CONFLICT OF INTEREST ARISES WITH AN EMPLOYEE, THE CEO, COMPLIANCE OFFICER, AND HR DIRECTOR REVIEW THE CONFLICT AND THE COMPLIANCE OFFICER ULTIMATELY DETERMINES IF A CONFLICT EXISTS. IF A CONFLICT OF INTEREST ARISES WITH A BOARD MEMBER, THE BOARD COMPLIANCE COMMITTEE AND BOARD MANAGER REVIEW THE CONFLICT. THOSE DETERMINED TO HAVE A CONFLICT ARE EXCLUDED FROM DELIBERATIONS AND DECISIONS. OTHER RESTRICTIONS MAY BE IMPOSED DEPENDING ON THE CIRCUMSTANCES AND LEVEL OF RISK ASSOCIATED WITH THE CONFLICT. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF DIRECTORS APPROVES THE COMPENSATION OF THE CEO. FOR OFFICERS OR KEY EMPLOYEES, THE ORGANIZATION USES AN INDEPENDENT SALARY SURVEY TO DETERMINE THE COMPENSATION AND THE COMPENSATION IS APPROVED BY THE CEO. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE AT THE WEBSITE WWW.MPQHF.ORG. |
| FORM 990, PART IX, LINE 11G | CONSULTING FEES: PROGRAM SERVICE EXPENSES 347,389. MANAGEMENT AND GENERAL EXPENSES 519,726. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 867,115. OTHER SUBCONTRACTORS: PROGRAM SERVICE EXPENSES 1,305,394. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,305,394. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MOUNTAIN PACIFIC QUALITY HEALTH - AK | ||||||||||
| C/O MPQH PO BOX 5119 | HELENA | MT | 596045119 | 261379095 | PROMOTION OF HEALTHCARE EXCELLENCE | AK | 501(C)(3) | LINE 7 | N/A | 0 |
| MOUNTAIN PACIFIC QUALITY HEALTH - HI | ||||||||||
| C/O MPQH PO BOX 5119 | HELENA | MT | 596045119 | 202371086 | PROMOTION OF HEALTHCARE EXCELLENCE | HI | 501(C)(3) | LINE 7 | N/A | 0 |
| MOUNTAIN PACIFIC QUALITY HEALTH - WY | ||||||||||
| C/O MPQH PO BOX 5119 | HELENA | MT | 596045119 | 261378993 | PROMOTION OF HEALTHCARE EXCELLENCE | WY | 501(C)(3) | LINE 7 | N/A | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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