2023-11-03T13:01:24-05:00 2022-12-31 390758449 WIPFLI LLP 105 E PINE ST UPPER FLOOR MISSOULA MT 59802 990 2022-01-01 451295465 MONTANA HEALTH COOPERATIVE MONT 4064479510 PO BOX 5358 HELENA MT 59604 DAVID SLONAKER CFO 4064479510 2023-11-02 1 DAVID SLONAKER XXX-XX-XXXX 1 SAM BRUNSON CPA P01696998 4067281800 2023-11-02 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z DAVID SLONAKER PO BOX 5358 HELENA MT 59604 338957608 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 48 0 0 0 0 0 252484752 289112381 3339488 -3348170 227744 11624 256051984 285775835 0 0 0 0 5123346 4984703 0 0 0 253639976 281141436 258763322 286126139 -2711338 -350304 161534963 154017085 59589346 70649356 101945617 83367729 THE ORGANIZATION OFFERS TRUE NON-PROFIT MEMBER GOVERNED HEALTH INSURANCE THAT PROMOTES MEMBER ENGAGEMENT AND PROVIDES ACCESS TO HIGH QUALITY HEALTH CARE. 0 0 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 THE ORGANIZATION STRUCTURE. THIS INCLUDES MEDICARE SUPPLEMENT POLICY SALES. 0 0 0 0 0 0 0 0 0 1 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 1 0 0 1 X 3744 0 1 48 1 0 0 0 0 0 1 5000000 83367729 0 0 0 X 16 16 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X MONTANA HEALTH CO-OP 4064479510 PO BOX 5358 HELENA MT 59604 RAYMOND ROGERS CHAIR 1.00 X X 18400 0 0 MAUREEN O'KEEFFE-WING VICE CHAIR 1.00 X X 8900 0 0 MICHAEL MCMURRAY TREASURER 1.00 X X 9650 0 0 LISA BALLARD SECRETARY 1.00 X X 9650 0 0 JOAN MILES IMMEDIATE PAST CHAIR 1.00 X 12500 0 0 TOM BASSLER DIRECTOR 1.00 X 11000 0 0 LIESEL BRINK DIRECTOR 1.00 X 8400 0 0 CHRISTINA GOE DIRECTOR 1.00 X 8400 0 0 THOMAS GOOCH DIRECTOR 1.00 X 12050 0 0 PATTY HAMBLOCK DIRECTOR 1.00 X 9560 0 0 NOLAN HILL DIRECTOR 1.00 X 10000 0 0 REBECCA LAFOND DIRECTOR 1.00 X 12500 0 0 T CHRIS MUIRHEAD DIRECTOR 1.00 X 9400 0 0 MARK REINSEL DIRECTOR 1.00 X 8400 0 0 JEREMY JOHNSON DIRECTOR 1.00 X 9750 0 0 TARA BEAM DIRECTOR 1.00 X 2000 0 0 RICHARD MILTENBERGER CEO 40.00 X 390227 0 38903 DAVID SLONAKER CFO 40.00 X 211955 0 28713 BLAIR FJESETH COS 40.00 X 204631 0 19644 RONDA MCMILLAN CEAO 40.00 X 265893 0 16516 JEFFREY SWINGLEY VP SALES 40.00 X 227873 0 9026 GREG SONNENBERG VP-ID OPS 40.00 X 185667 0 21518 HILLARY GALYEAN VPCS 40.00 X 137949 0 20389 MELISSA MCVAUGH DIRECTOR CLINICAL PROGRAM 40.00 X 178786 0 25064 PEGGY WORLEY CONTROLLER 40.00 X 150554 0 23844 MORRIS MCGAUGH DIRECTOR PROVIDER NETWORK 40.00 X 123606 0 16707 LEAH MARTIN ASSISTANT VICE PRESIDENT 40.00 X 109145 0 30177 2346846 0 250501 14 0 1 0 UNIVERSITY OF UTAH HEALTH PLANS 50 NORTH MEDICAL DRIVE SALT LAKE CITY UT 84132 CLAIMS PROCESSING ADMINISTRATOR 8287301 COMMISSIONER OF INSURANCE 840 HELENA AVE HELENA MT 59601 MONTANA HIGH RISK REINSURANCE PREMIUM 5130514 ZELIS CLAIMS INTEGRITY LLC 2 CROSSROAD DRIVE BEDMINSTER NJ 07921 CLAIMS REPROCESSOR 2990873 MONTANA REINSURANCE ASSOCIATION 828 GREAT NORTHERN BLVD HELENA MT 59601 STATE OF MONTANA REINSURANCE PROGRAM 1586235 ONLINE INSIGHT LLC 33 MANSELL CT ROSWELL GA 30076 THIRD PARTY ENROLLMENT, ELIGIBILITY AND 1193471 34 INSURANCE PREMIUM INCOME 524298 271733454 271733454 REINSURANCE RECOVERIES 524298 17378927 17378927 289112381 2694613 2694613 47138990 53181773 -6042783 -6042783 -6042783 MISCELLANEOUS REVENUE 524298 11624 11624 11624 285775835 285775835 0 0 1781126 2463625 133845 320070 286037 311808 98575 5000 15509174 883293 342591 318676 252219 109938 5805 3289 155014 CLAIMS 245141113 CLAIMS ADJUSTMENT EXPEN 8381245 AGENT COMMISSIONS 4479850 REINSURANCE PREMIUM PAY 4319888 823958 286126139 520962 2066311 18871164 24383204 13137945 22683489 1207541 304772 913681 902769 128091211 103981312 161534963 154017085 59589346 70649356 59589346 70649356 X 0 0 76463200 76463200 25482417 6904529 101945617 83367729 161534963 154017085 X -350304 -13520504 -4707080 X X 0 1 X 1 1 1 946414 43645 902769 261127 261127 0 902769 INVESTMENTS 103981312 F 103981312 X 264068731 0 264068731 8289 21698815 21707104 285775835 264419035 0 264419035 8289 21698815 21707104 286126139 PART X, LINE 2: THE COMPANY IS A QUALIFIED NONPROFIT HEALTH INSURER AS DESCRIBED IN SECTION 501(C)(29) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. AS A MATTER OF LAW, THE COMPANY IS SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES FOR THE OPEN STATUTORY PERIODS. ALTHOUGH MANAGEMENT BELIEVES THAT THE AMOUNTS REFLECTED IN THE TAX RETURNS SUBSTANTIALLY COMPLY WITH THE APPLICABLE FEDERAL AND STATE TAX REGULATIONS, BOTH THE IRS AND THE VARIOUS STATE TAXING AUTHORITIES CAN TAKE POSITIONS CONTRARY TO MANAGEMENT'S POSITION BASED ON THEIR INTERPRETATION OF THE LAW. ANY PENALTIES AND INTEREST WOULD BE CHARGED TO INTEREST EXPENSE IN THE YEAR ASSESSED. PART XI, LINE 4B - OTHER ADJUSTMENTS: REINSURANCE PREMIUM PAYMENT 4,319,888. REINSURANCE RECOVERIES 17,378,927. PART XII, LINE 4B - OTHER ADJUSTMENTS: REINSURANCE PREMIUM PAYMENT 4,319,888. REINSURANCE RECOVERIES 17,378,927. X X 1 1 0 0 0 1 0 0 0 RICHARD MILTENBERGER CEO 304155 0 86072 0 0 0 18300 0 20603 0 429130 0 0 0 RONDA MCMILLAN CEAO 205212 0 60681 0 0 0 15954 0 562 0 282409 0 0 0 DAVID SLONAKER CFO 161468 0 50487 0 0 0 11567 0 17146 0 240668 0 0 0 JEFFREY SWINGLEY VP SALES 125390 0 102483 0 0 0 0 0 9026 0 236899 0 0 0 BLAIR FJESETH COS 179423 0 25208 0 0 0 12278 0 7366 0 224275 0 0 0 GREG SONNENBERG VP-ID OPS 159890 0 25777 0 0 0 11140 0 10378 0 207185 0 0 0 MELISSA MCVAUGH DIRECTOR CLINICAL PROGRAM 152890 0 25896 0 0 0 10021 0 15043 0 203850 0 0 0 PEGGY WORLEY CONTROLLER 130131 0 20423 0 0 0 9033 0 14811 0 174398 0 0 0 HILLARY GALYEAN VPCS 113087 0 24862 0 0 0 7535 0 12854 0 158338 0 0 0 PART I, LINE 3 CEO COMPENSATION IS REVIEWED ANNUALLY BY THE MONTANA HEALTH CO-OP COMPENSATION COMMITTEE. PART I, LINES 4A-B SEVERANCE PAYMENTS TOTALING $107,400 WERE ACCRUED IN 2022 FOR RONDA MCMILLAN. THE SEVERANCE WAS PAID IN 2023. DAVID SLONAKER, RICHARD MILTENBERGER, AND BLAIR FJESETH PARTICIPATED IN A 457(F) PLAN DURING THE YEAR. NO PAYMENTS WERE MADE TO THE PARTICIPANTS DURING THE YEAR. PART I, LINE 6 THE ORGANIZATION HAS AN EMPLOYEE INCENTIVE PROGRAM WITH A COMPONENT OF THE INCENTIVE/COMPENSATION BASED ON THE UNDERWRITING GAINS OF THE COMPANY. FORM 990, PART V, LINE 13A ID,MT,WY FORM 990, PART V, LINE 13A RESERVES REQUIRED BY EACH STATE: ID - $5,000,000 MT - $750,000 WY - $0, WILL ACCEPT THE CERTIFICATE OF DEPOSIT FROM ANOTHER STATE, IF HELD FOR BENEFIT OF ALL POLICY HOLDERS RESERVES MAINTAINED AND REPORTED TO EACH STATE: ID - $83,367,729 MT - $83,367,729 WY - $83,367,729 FORM 990, PART VI, SECTION A, LINE 6 MEMBERS ELECT THE GOVERNING BODY BUT ARE NOT GRANTED OTHER POWERS PER THE BYLAWS. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS ELECT THE GOVERNING BODY BUT ARE NOT GRANTED OTHER POWERS PER THE BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE MHC EXECUTIVE STAFF AND THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL EMPLOYEES AND DIRECTORS ARE COVERED UNDER THE COMPANY'S CONFLICT OF INTEREST POLICY. ANY CONFLICTS OR POTENTIAL CONFLICTS ARE REVIEWED AND DETERMINED TO WHAT LEVEL THEY MAY REQUIRE ACTION BY THE BOARD OF DIRECTORS AND/OR EXECUTIVE MANAGEMENT. FOR EXAMPLE, A CONFLICT MAY BE DETERMINED TO REQUIRE RESIGNATION BY THE EMPLOYEE/DIRECTOR OR A CONFLICT WITH A CERTAIN SUBJECT OR VENDOR MAY REQUIRE THE INDIVIDUAL TO BE PROHIBITED FROM PARTICIPATING IN ANY DELIBERATIONS OR DECISIONS RELATED TO THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 CEO COMPENSATION IS REVIEWED ANNUALLY BY THE MHC COMPENSATION COMMITTEE. ADDITIONALLY, AN OUTSIDE HUMAN RESOURCE CONSULTING FIRM REVIEWED ALL KEY POSITIONS IN THE COMPANY BASED ON JOB DESCRIPTION AND RETURNED COMPARABLE SALARY RANGES. ALL KEY POSITIONS WERE REVIEWED TO ENSURE THEY WERE WITHIN THE RANGES PROVIDED AND WERE UPDATED AS REQUIRED. FORM 990, PART VI, SECTION C, LINE 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 -4,707,080. PART 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. PART XII LINE 2C THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. MOUNTAIN HEALTH GIVES 810 HIALEAH COURT HELENA MT 59601 871569260 HEALTH CARE ACCESS MT 501(C)(3) PF 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 MOUNTAIN HEALTH GIVES L 60002 COST