MONTANA PEDIATRICS: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
MONTANA PEDIATRICS (EIN 85-4133807)
Tax period
2021-04-01 to 2022-03-31
Filed
2022-12-20
IRS object ID
202213549349301206
Schema version
2021v4.2
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

FieldValueIRS element (for citing)
Return2022-12-20T09:55:32-06:00ReturnTs
Tax Period End2022-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN810497523PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1JORDAHL & SLITER PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 8600AddressLine1Txt
CityKALISPELLCityNm
State AbbreviationMTStateAbbreviationCd
ZIP599041600ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN854133807EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MONTANA PEDIATRICSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMONTBusinessNameControlTxt
Phone4062724631PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1259 W FRONT ST STE BAddressLine1Txt
CityMISSOULACityNm
State AbbreviationMTStateAbbreviationCd
ZIP59802ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHELSEA BODNARPersonNm
Person TitleCEOPersonTitleTxt
Phone4062724631PhoneNum
Signature2022-12-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCHELSEAPersonFirstNm
Person LastBODNARPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJUSTIN P SLITERPreparerPersonNm
PTINP00188996PTIN
Phone4067521040PhoneNum
Preparation2022-12-13PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHELSEA BODNARPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1259 W FRONT ST STE BAddressLine1Txt
CityMISSOULACityNm
State AbbreviationMTStateAbbreviationCd
ZIP59802ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,131,325GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressMONTANAPEDIATRICS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2020FormationYr
Legal Domicile StateMTLegalDomicileStateCd
Activity Or MissionINCREASING ACCESS TO PEDIATRIC HEALTHCARE AND HEALTH INFORMATION TO ACHIEVE GREATER HEALTH EQUITY FOR UNDERSERVED CHILDREN IN THE STATE OF MONTANA.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee20TotalEmployeeCnt
Total Volunteers4TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$733,387PYContributionsGrantsAmt
CY Contributions Grants$654,214CYContributionsGrantsAmt
PY Program Service Revenue$143,483PYProgramServiceRevenueAmt
CY Program Service Revenue$477,111CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$876,870PYTotalRevenueAmt
CY Total Revenue$1,131,325CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$56,838CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$91,181PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$743,410CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$51,683CYTotalFundraisingExpenseAmt
PY Other Expenses$171,440PYOtherExpensesAmt
CY Other Expenses$204,338CYOtherExpensesAmt
PY Total Expenses$262,621PYTotalExpensesAmt
CY Total Expenses$1,004,586CYTotalExpensesAmt
PY Revenues Less Expenses$614,249PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$126,739CYRevenuesLessExpensesAmt
Total Assets BOY$766,185TotalAssetsBOYAmt
Total Assets EOY$1,436,547TotalAssetsEOYAmt
Total Liabilities BOY$151,936TotalLiabilitiesBOYAmt
Total Liabilities EOY$695,559TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$614,249NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$740,988NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE ARE PHYSICIAN INNOVATORS WORKING TOGETHER TO IMPROVE ACCESS TO HIGH QUALITY PEDIATRIC CARE FOR FAMILIES AND TO CREATE OPPORTUNITIES FOR PHYSICIANS ACROSS MONTANA TO COLLABORATE. WE BELIEVE THAT TEAMWORK AND CLINICAL CARE CAN TRANSCEND OUR VAST GEOGRAPHY. WE ARE UNIFIED BY THE SHARED GOAL TO MAKE THE WORLD BETTER FOR EVERYONE WHO CARES FOR MONTANA'S CHILDREN.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$235,773ExpenseAmt
Revenue$474,424RevenueAmt
DescWE DEVELOP QUALITY, ACCESSIBLE, CULTURALLY INFORMED, AND TRIBALLY-LED SYSTEMS FOR PEDIATRIC HEALTHCARE DELIVERY ON THE FORT PECK RESERVATION BY OFFERING TELEHEALTH IN PARTNERSHIP WITH LOCAL NURSES AND CLINICIANS IN SIX SCHOOL-BASED HEALTH CENTERS. THIS SERVICE LINE HAS BEEN FORTUNATE TO RECEIVE FUNDING FROM MULTIPLE PRIVATE FOUNDATIONS TO SUPPORT AND EXPAND WORK WITH NATIVE AMERICAN POPULATIONS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$102,517ExpenseAmt
Grant$56,838GrantAmt
DescTHE MONTANA HAPPINESS PROJECT TRAINS AND SUPPORTS PROFESSIONALS TO OFFER STRENGTH-BASED POSITIVE ASSESSMENT AND SUICIDE INTERVENTION STRATEGIES. IN OUR TRAININGS WE ADDRESS MANY OF THE MYTHS SURROUNDING SUICIDE THAT CREATE BARRIERS FOR PROFESSIONALS WHO WOULD LIKE TO IMPROVE THEIR COMFORT AND CAPACITY TO ENGAGE WITH ANYONE CONSIDERING SUICIDE. OUR WEBSITE, WORKSHOPS, VIDEOS, PUBLICATIONS, AND CONSULTATION GROUPS ARE TOOLS FOR LEARNING MORE ABOUT POSITIVE PSYCHOLOGY AND ITS ROLE IN HELPING PEOPLE LIVE HAPPIER LIVES.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$69,770ExpenseAmt
Revenue$2,687RevenueAmt
DescMONTANA PEDIATRICS ENSURES THAT THERE IS NEVER A TIME WHEN MONTANA FAMILIES ARE ALONE WITH A WORRY ABOUT THEIR CHILD'S HEALTH. WE EMBRACE COLLABORATION AND THE USE OF TECHNOLOGY TO OFFER AFTER-HOURS TELEMEDICINE VISITS WITH MONTANA PEDIATRICIANS WHO VALUE CONTINUITY OF CARE AND SUPPORTING THE MEDICAL HOME.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$403,787ExpenseAmt
DescALL OTHER PROGRAM SERVICESDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$403,787TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$811,847TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document12IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee20EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1APRIL MALANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4062724631PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1259 W FRONT ST STE BAddressLine1Txt
CityMISSOULACityNm
State AbbreviationMTStateAbbreviationCd
ZIP59802ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
CHELSEA BODNAR
CEO40.00Yes (X)Yes (X)$0$205,399$11,560
CRAIG LAMBRECHT
BOARD CHAIR0.50Yes (X)Yes (X)$0$1,259,354$58,57950.00
COURTNEY PATERSON
FOUNDING DIRECTOR0.50Yes (X)$0$298,819$24,09250.00
CRAIG AASVED
TREASURER0.50Yes (X)Yes (X)$0$0$0
DOROTHY DUPREE
DIRECTOR0.50Yes (X)$0$0$0
APRIL MALAN
DIRECTOR OF OPERATIONS40.00Yes (X)$0$123,646$30,222
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,887,218TotReportableCompRltdOrgAmt
Total Other Compensation$124,453TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KALISPELL REGIONAL MEDICAL CENTERBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1310 SUNNYVIEW LANEAddressLine1Txt
CityKALISPELLCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59901ZIPCd
FieldValueIRS element (for citing)
ServicesLEASED EMPLOYEESServicesDesc
Compensation$589,224CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Related Organizations$200,000RelatedOrganizationsAmt
All Other Contributions$454,214AllOtherContributionsAmt
Total Contributions$654,214TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescFORT PECK TRIBESDesc
Business621300BusinessCd
Total Revenue Column$477,111TotalRevenueColumnAmt
Related Or Exempt Func Income$477,111RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$477,111TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,131,325TotalRevenueColumnAmt
Related Or Exempt Func Income$477,111RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$56,838TotalAmt
Program Services$56,838ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$722,086TotalAmt
Program Services$599,134ProgramServicesAmt
Management And General$71,618ManagementAndGeneralAmt
Fundraising$51,334FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,643TotalAmt
Program Services$1,643ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$19,681TotalAmt
Program Services$19,681ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$18,269TotalAmt
Program Services$45ProgramServicesAmt
Management And General$18,224ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$80,278TotalAmt
Program Services$57,837ProgramServicesAmt
Management And General$22,441ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,570TotalAmt
Program Services$5,307ProgramServicesAmt
Management And General$263ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$16,541TotalAmt
Program Services$200ProgramServicesAmt
Management And General$16,341ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$6,153TotalAmt
Program Services$5,769ProgramServicesAmt
Management And General$384ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$8,296TotalAmt
Program Services$8,206ProgramServicesAmt
Management And General$90ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$33,705TotalAmt
Program Services$33,705ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,611TotalAmt
Program Services$3,573ProgramServicesAmt
Management And General$4,038ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
COMPUTER SOFTWARE FEES$9,569$7,483$2,086
DUE AND SUBSCRIPTIONS$8,356$5,706$2,301$349
SUPPLIES$4,742$2,159$2,583
BAD DEBTS$3,500$3,500

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,748TotalAmt
Program Services$1,061ProgramServicesAmt
Management And General$687ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,004,586TotalAmt
Program Services$811,847ProgramServicesAmt
Management And General$141,056ManagementAndGeneralAmt
Fundraising$51,683FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$273,462BOYAmt
EOY$726,240EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$98,101BOYAmt
EOY$136,426EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,200BOYAmt
EOY$14,164EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$392,222BOYAmt
EOY$558,517EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,200BOYAmt
EOY$1,200EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$766,185BOYAmt
EOY$1,436,547EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$151,936BOYAmt
EOY$63,727EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$631,832EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$151,936BOYAmt
EOY$695,559EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$614,249BOYAmt
EOY$665,988EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
EOY$75,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$614,249BOYAmt
EOY$740,988EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$766,185BOYAmt
EOY$1,436,547EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$126,739ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$733,387CurrentTaxYearMinus1YearAmt
Current Tax Year$654,214CurrentTaxYearAmt
Total$1,387,601TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$733,387CurrentTaxYearMinus1YearAmt
Current Tax Year$654,214CurrentTaxYearAmt
Total$1,387,601TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$73,248SubstantialContributorsTotAmt
Public Support Total170$1,314,353PublicSupportTotal170Amt
Total Support$1,387,601TotalSupportAmt
Gross Receipts Rltd Activities$620,594GrossReceiptsRltdActivitiesAmt
First5 Years170Yes (X)First5Years170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO LOGAN HEALTHDesc
Amt$631,832Amt
FieldValueIRS element (for citing)
Total Liability$631,832TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE CORPORATION ADOPTED THE PROVISIONS OF ASC TOPIC 740, INCOME TAXES. ASC TOPIC 740 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT STANDARD FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF AN INCOME TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE CORPORATION HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN TAX YEARS AND HAS CONCLUDED NO RESERVES ARE REQUIRED.ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
FAMILIES FIRST
455 E MAIN STMISSOULAMT59802810490719501(C)(3)$16,838$0GENERAL SUPPORT
UNIVERSITY OF MONTANA FOUNDATION
950 ARTHUR AVEMISSOULAMT59801810362989501(C)(3)$40,000$0GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CRAIG LAMBRECHT
BOARD CHAIR$0$935,387$0$323,967$0$0$0$43,400$0$15,179$0$1,317,933$0$0
COURTNEY PATERSON
FOUNDING DIRECTOR$0$267,469$0$16,692$0$14,658$0$10,000$0$14,092$0$322,911$0$0
CHELSEA BODNAR
CEO$0$203,859$0$0$0$1,540$0$11,077$0$483$0$216,959$0$0
APRIL MALAN
DIRECTOR OF OPERATIONS$0$122,090$0$0$0$1,556$0$7,267$0$22,955$0$153,868$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1ATHE ORGANIZATION HAS TWO CLASSES OF DIRECTORS, "FOUNDING DIRECTORS AND "DIRECTORS AT LARGE." FOUNDING DIRECTORS HAVE INDEPENDENT APPROVAL AUTHORITY OVER MOST BOARD DECISIONS. DURING THIS TAX YEAR, THE BOARD CONSISTED OF TWO FOUNDING DIRECTORS AND TWO DIRECTORS AT LARGE.
FORM 990, PART VI, SECTION A, LINE 2CHELSEA BODNAR, CRAIG LAMBRECHT, APRIL MILAN, AND COURTNEY PATERSON HAVE A BUSINESS RELATIONSHIP INSOFAR AS EACH INDIVIDUAL IS EMPLOYED BY KALISPELL REGIONAL MEDICAL CENTER DBA LOGAN HEALTH MEDICAL CENTER.
FORM 990, PART VI, SECTION A, LINE 4THE ORGANIZATION MADE UPDATES TO THE BYLAWS TO MOVE ALL SUBSTANTIVE GOVERNANCE TO A GROUP OF DIRECTORS CALLED FOUNDING DIRECTORS. THE AMENDMENTS FURTHER ADDED LANGUAGE TO ENSURE THAT LOGAN HEALTH HAS THE AUTHORITY TO APPOINT A MAJORITY OF THE FOUNDING DIRECTORS AT ALL TIMES.
FORM 990, PART VI, SECTION A, LINE 7ALOGAN HEALTH HAS THE AUTHORITY TO APPOINT A MAJORITY OF THE FOUNDING DIRECTORS AT ALL TIMES.
FORM 990, PART VI, SECTION B, LINE 11BTHE ORGANIZATION DELIVERED AN ELECTRONIC COPY OF FORM 990 TO THE BOARD MEMBERS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CMONTANA PEDIATRICS HAS A CONFLICT OF INTEREST POLICY APPLICABLE TO ANY BOARD MEMBER, OFFICER, OR COMMITTEE MEMBER, PURSUANT TO WHICH INDIVIDUALS ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS ANNUALLY AND WHEN ANY SUCH CONFLICT ARISES. POTENTIAL CONFLICTS ARE REVIEWED BY THE NON-CONFLICTED BOARD MEMBERS, SO TRANSACTIONS AND DECISIONS MAY BE MADE FREE FROM IMPERMISSIBLE CONFLICTS.
FORM 990, PART VI, SECTION B, LINE 15MONTANA PEDIATRICS'S CEO IS AN EMPLOYEE OF LOGAN HEALTH THROUGH A WRITTEN EMPLOYMENT CONTRACT, BUT REPORTS TO THE MONTANA PEDIATRICS' BOARD AND LOGAN HEALTH. COMPENSATION INCLUDES BASE SALARY AND DISCRETIONARY BONUS. DISCRETIONARY BONUS IS EVALUATED PURSUANT TO METRICS ASSIGNED BY THE MONTANA PEDIATRICS BOARD. ALL COMPENSATION IS ALSO REVIEWED PURSUANT TO LOGAN HEALTH'S POLICIES.
FORM 990, PART VI, SECTION C, LINE 19ONLY FORM 990 IS AVAILABLE.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
LOGAN HEALTH
310 SUNNYVIEW LANEKALISPELLMT59901810406485SUPPORT SUBSIDIARY TAX-EXEMPT ORGANIZATIONSMT501(C)(3)LINE 12B, IIN/A0
KALISPELL REGIONAL MEDICAL CENTER
310 SUNNYVIEW LANEKALISPELLMT59901237293874ACUTE CARE HOSPITALMT501(C)(3)LINE 3Yes (1)LOGAN HEALTH
KALISPELL REGIONAL HEALTHCARE FOUNDATION
310 SUNNYVIEW LANEKALISPELLMT59901311703013SUPPORTING ORGANIZATIONMT501(C)(3)LINE 12A, IYes (1)KALISPELL REGIONAL MEDICAL CENTER
ASSIST-FLATHEAD VALLEY
310 SUNNYVIEW LANEKALISPELLMT59901462669324WELLNESS RESOURCE PROVIDERMT501(C)(3)LINE 10Yes (1)KALISPELL REGIONAL MEDICAL CENTER
KALISPELL REGIONAL MEDICAL CENTER VOLUNTEERS
310 SUNNYVIEW LANEKALISPELLMT59901273866474SUPPORTING ORGANIZATIONMT501(C)(3)LINE 11Yes (1)KALISPELL REGIONAL MEDICAL CENTER
LOGAN HEALTH CONRAD
805 SUNSET BLVDCONRADMT59425810232406PROVIDE ACUTE HOSPITAL CAREMT501(C)(3)LINE 3Yes (1)LOGAN HEALTH
LOGAN HEALTH CUT BANK
226 9TH AVE SECUT BANKMT59427810530457PROVIDE ACUTE HOSPITAL CAREMT501(C)(3)LINE 3Yes (1)LOGAN HEALTH
LOGAN HEALTH SHELBY
640 PARK AVESHELBYMT59474862327525PROVIDE ACUTE HOSPITAL CAREMT501(C)(3)LINE 3Yes (1)LOGAN HEALTH
LOGAN HEALTH ASSISTED LIVING SHELBY
111 2ND ST SSHELBYMT59474862394240RETIREMENT & ASSISTED LIVINGMT501(C)(3)LINE 10Yes (1)LOGAN HEALTH SHELBY
LOGAN HEALTH CARE CENTER SHELBY
630 PARK DRIVESHELBYMT59474862346458LONG-TERM CARE & SKILLED NURSINGMT501(C)(3)LINE 10Yes (1)LOGAN HEALTH SHELBY
LOGAN HEALTH WHITEFISH
1600 HOSPITAL WAYWHITEFISHMT59937810247969PROVIDE ACUTE HOSPITAL CAREMT501(C)(3)LINE 10Yes (1)LOGAN HEALTH
LOGAN HEALTH WHITEFISH FOUNDATION
1600 HOSPITAL WAYWHITEFISHMT59937810526541SUPPORTING ORGANIZATIONMT501(C)(3)LINE 12C, III-FI0
NORTHWEST HORIZONS INC
310 SUNNYVIEW LANEKALISPELLMT59901810420653LONG-TERM AMBULATORY CAREMT501(C)(3)LINE 10Yes (1)LOGAN HEALTH
SUMMIT MEDICAL FITNESS CENTER
310 SUNNYVIEW LANEKALISPELLMT59901237293874COMMUNITY HEALTH & WELLNESS CENTERMT501(C)(3)LINE 10Yes (1)LOGAN HEALTH
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
KALISPELL REGIONAL MEDICAL CENTER
M$589,224ACTUAL PAYMENT
LOGAN HEALTH
C$200,000ACTUAL PAYMENT

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