2020-11-16T17:30:23-06:00 2019-12-31 390758449 WIPFLI LLP 101 EAST FRONT STREET 301 MISSOULA MT 59802 990 2019-01-01 821236014 SIMULATION IN MOTION MONTANA INC SIMU 8002766123 2021 11TH AVENUE NO STE 1 HELENA MT 59601 DREW DAWSON CHAIR 8002766123 2020-11-16 1 PHILIP L YASENAK CPA P01248379 4067281800 2020-11-16 69.146.152.249 2020-11-16 11:17:12 MS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 4A35561FF573FE7438589D6375A952819AFC63A9 2019 2021-01-29 14:40:06Z DREW DAWSON 2021 11TH AVENUE NO STE 1 HELENA MT 59601 2044753 0 X WWW.MOBILESIMMONTANA.ORG X 2017 MT PROVIDE AND FACILITATE EDUCATIONAL AND OTHER WORKFORCE RELATED ACTIVITIES THAT SUPPORT INCREASED EDUCATIONAL OPPORTUNITIES, HEALTH CARE PROVIDER COMPETENCE, AND A TEAM APPROACH TO DELIVERY OF HEALTH CARE. 7 7 0 18 0 0 912043 1830861 102338 213892 0 0 0 0 1014381 2044753 0 0 0 0 0 0 0 0 0 966601 992634 966601 992634 47780 1052119 602819 1726670 107 71839 602712 1654831 X PROVIDE AND FACILITATE EDUCATIONAL AND OTHER WORKFORCE RELATED ACTIVITIES THAT SUPPORT INCREASED EDUCATIONAL OPPORTUNITIES, HEALTH CARE PROVIDER COMPETENCE, AND A TEAM APPROACH TO DELIVERY OF HEALTH CARE. 0 0 939423 213892 THE ORGANIZATION ACHIEVES ITS OBJECTIVES BY:- SUPPORTING EDUCATION STRATEGIES TO ENHANCE MONTANA'S HEALTHCARE WORKFORCE - CURRENT AND FUTURE. - DEVELOPMENT OF A SUSTAINABLE MOBILE SIMULATION PROGRAM FOR MONTANA HEALTHCARE WORKFORCE, EDUCATIONAL INSTITUTIONS AND OTHER STRATEGIC PARTNERS. - IMPLEMENTATION OF MOBILE SIMULATION THAT CAN BE BROUGHT TO THE HEALTHCARE WORKFORCE IN COMMUNITIES WHICH WILL YIELD CONSISTENT, QUALITY EDUCATION AND SUPPORT DEVELOPMENT FOR BEST PRACTICES BY HEALTHCARE TEAMS.TO ASSIST IN THE ACHIEVEMENT OF THESE OBJECTIVES, THE DEPARTMENT OF PUBLIC HEALTH & HUMAN SERVICES DONATED THE USE OF DRIVER SERVICES WITH A FAIR MARKET VALUE OF $10,000, THE USE OF THREE SIMULATION VEHICLES WITH A FAIR MARKET VALUE FOR THE CURRENT YEAR OF $277,828, AND THE USE OF SIMULATOR EQUIPMENT WITH A FAIR MARKET VALUE FOR THE CURRENT YEAR OF $177,348. 939423 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 0 0 0 X MONTANA MEDICAL ASSOCIATION 4064434000 2021 11TH AVE STE 1 HELENA MT 59601 X DREW DAWSON CHAIR 2.00 X X 0 0 0 KYLE GIBSON VICE CHAIR 2.00 X X 0 0 0 ANN GEIGER SECRETARY 2.00 X X 0 0 0 JOBY FLYNN TREASURER 2.00 X X 0 0 0 EDITH CLARK DIRECTOR 2.00 X 0 0 0 DAVE GURCHIEK DIRECTOR 2.00 X 0 0 0 DR DARIN BELL DIRECTOR 2.00 X 0 0 0 0 0 0 0 0 0 0 BEST PRACTICE MEDICINE 601 HAGGERTY LANE SUITE A BOZEMAN MT 59715 TRAINING 742273 1 195538 1635323 1830861 TRAINING REVENUE 611430 213892 213892 213892 2044753 213892 0 0 825280 772780 52500 2652 2652 10900 10900 49507 49507 5845 5845 1763 1763 6060 6060 74375 74375 1366 1366 4342 4342 5486 5486 TRAINING 1978 1978 REPAIRS 1504 1504 BOARD EXPENSES 770 770 RECRUITING 711 711 95 95 992634 939423 53211 0 231366 282938 229872 1361790 55322 448 61502 61079 30394 9979 24757 20415 602819 1726670 107 71839 107 71839 X 577955 265141 24757 1389690 602712 1654831 602819 1726670 1052119 0 X X 0 1 X 1 0 X 1017546 912043 1830861 3760450 102338 213892 316230 465576 469976 469976 1405528 1483122 1484357 2514729 5482208 0 22606 115022 137628 22606 115022 137628 5344580 1483122 1484357 2514729 5482208 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 30394 9979 20415 20415 X 2524959 469976 10230 480206 2044753 0 2044753 1472840 469976 10230 480206 992634 0 992634 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE ORGANIZATION'S TAX-EXEMPT PURPOSE IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. IN ADDITION, THE ORGANIZATION QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION. PENALTIES AND INTEREST ASSESSED BY INCOME TAXING AUTHORITIES ARE INCLUDED IN GENERAL AND ADMINISTRATIVE EXPENSES, IF APPLICABLE. THE ORGANIZATION HAS NO INTEREST AND PENALTIES RELATED TO INCOME TAXES FOR THE YEAR ENDED DECEMBER 31, 2019 OR 2018. THE ORGANIZATION'S FEDERAL AND STATE RETURNS ARE SUBJECT TO EXAMINATION GENERALLY FOR THREE YEARS AFTER THEY ARE FILED. PART XI, LINE 2D - OTHER ADJUSTMENTS: PRESENT VALUE ADJUSTMENT 10,230. PART XII, LINE 2D - OTHER ADJUSTMENTS: PRESENT VALUE ADJUSTMENT 10,230. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION CONTRACTS WITH MONTANA MEDICAL ASSOCIATION (MMA) TO PROVIDE GENERAL ADMINISTRATION AND MANAGEMENT SUPPORT, FINANCIAL OPERATIONS AND MANAGEMENT SUPPORT, MEETINGS AND EVENT MANAGEMENT, AND SUPPORT FOR THE BOARD OF DIRECTORS. NONE OF THE ORGANIZATION'S OFFICERS NOR BOARD MEMBERS WERE COMPENSATED BY MMA DURING THE TAX YEAR. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN WILL BE REVIEWED BY THE BOARD OF DIRECTORS PRIOR TO FILING. APPROVAL OF THE FILING WILL BE RECORDED IN THE BOARD'S MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS IS REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM. THE EXECUTIVE COMMITTEE REVIEWS ANNUAL STATEMENTS AND TAKES OTHER SUCH ACTIONS AS NECESSARY FOR EFFECTIVE OVERSIGHT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE ORGANIZATION DID NOT CHANGE EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.