HEADWATERS HEALTH FOUNDATION OF WESTERN MONTANA: Form 990PF, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- HEADWATERS HEALTH FOUNDATION OF WESTERN MONTANA (EIN 81-1099715)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-08
- IRS object ID
- 201823129349101037
- Schema version
- 2017v2.3
- 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
- Form 990-PF
- Schedule B
- Accounting Fees Schedule
- Depreciation Schedule
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Land Etc Schedule2
- Legal Fees Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Increases Schedule
- Other Liabilities Schedule
- Other Professional Fees Schedule
- Substantial Contributors Sch
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-08T16:19:33-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 805 SW BROADWAY STE 1200 | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97205 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 811099715 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEADWATERS HEALTH FOUNDATION | BusinessNameLine1Txt |
| Business Name Line2 | OF WESTERN MONTANA | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEAD | BusinessNameControlTxt |
| Phone | 4069266526 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 283 W FRONT STREET NO 301 | AddressLine1Txt |
| City | MISSOULA | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59802 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRISTINA TWOHIG | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 4069266526 | PhoneNum |
| Signature | 2018-11-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | WENDY CAMPOS | PreparerPersonNm |
| PTIN | P00448102 | PTIN |
| Phone | 5032421447 | PhoneNum |
| Preparation | 2018-11-07 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 12.129.7.100 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-07 | IPDt |
| IP Tm | 15:12:26 | IPTm |
| IP Timezone | PS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | E5FA0928A2FC35F014850BBF8B7653D327C9AB0B | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2018-06-14 16:35:46Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $94,512,778 | FMVAssetsEOYAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $86,574,733 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $442,098 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $442,098 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $1,454,692 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $1,617,802 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $629,791 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $2,064,820 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $1,089,517 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $513,401 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $722,249 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $89,614,715 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $3,871,666 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $286,492 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $23,417 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $247,077 | CompOfcrDirTrstDsbrsChrtblAmt |
| Oth Empl Slrs Wgs Rev And Expnss | $138,765 | OthEmplSlrsWgsRevAndExpnssAmt |
| Oth Empl Slrs Wgs Net Invst Incm | $0 | OthEmplSlrsWgsNetInvstIncmAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $128,087 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Rev And Expnss | $118,658 | PensionEmplBnftRevAndExpnssAmt |
| Pension Empl Bnft Net Invst Incm | $1,454 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Dsbrs Chrtbl | $85,105 | PensionEmplBnftDsbrsChrtblAmt |
| Legal Fees Rev And Expnss | $4,390 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $0 | LegalFeesNetInvstIncmAmt |
| Legal Fees Dsbrs Chrtbl | $2,592 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $24,047 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $775 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $20,817 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $458,444 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $1,002,001 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $159,438 | OtherProfFeesDsbrsChrtblAmt |
| Interest Rev And Expnss | $23,951 | InterestRevAndExpnssAmt |
| Interest Net Invst Incm | $23,951 | InterestNetInvstIncmAmt |
| Interest Dsbrs Chrtbl | $0 | InterestDsbrsChrtblAmt |
| Taxes Rev And Expnss | $185,141 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $23,953 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $944 | DeprecAndDpltnRevAndExpnssAmt |
| Deprec And Dpltn Net Invst Incm | $0 | DeprecAndDpltnNetInvstIncmAmt |
| Occupancy Rev And Expnss | $86,246 | OccupancyRevAndExpnssAmt |
| Occupancy Net Invst Incm | $0 | OccupancyNetInvstIncmAmt |
| Occupancy Dsbrs Chrtbl | $81,842 | OccupancyDsbrsChrtblAmt |
| Trav Conf Meeting Rev And Expnss | $57,910 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Net Invst Incm | $0 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $57,890 | TravConfMeetingDsbrsChrtblAmt |
| Printing And Pub Rev And Expnss | $2,832 | PrintingAndPubRevAndExpnssAmt |
| Printing And Pub Net Invst Incm | $0 | PrintingAndPubNetInvstIncmAmt |
| Printing And Pub Dsbrs Chrtbl | $2,832 | PrintingAndPubDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $199,465 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $48 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $199,306 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $1,587,285 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $1,075,599 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $984,986 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $0 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $0 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $1,587,285 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $1,075,599 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $984,986 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $88,027,430 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $2,796,067 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $27,375 | CashBOYAmt |
| Cash EOY | $449,608 | CashEOYAmt |
| Cash EOYFMV | $449,608 | CashEOYFMVAmt |
| Sav And Temp Cash Invst EOY | $750,000 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $750,000 | SavAndTempCashInvstEOYFMVAmt |
| Acct Rcvbl | $20,540 | AcctRcvblAmt |
| Acct Rcvbl EOY | $20,540 | AcctRcvblEOYAmt |
| Acct Rcvbl EOYFMV | $20,540 | AcctRcvblEOYFMVAmt |
| Corporate Stock BOY | $0 | CorporateStockBOYAmt |
| Corporate Stock EOY | $51,399,947 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $51,399,947 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $0 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $3,776,748 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $3,776,748 | CorporateBondsEOYFMVAmt |
| Other Investments BOY | $0 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $38,111,218 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $38,111,218 | OtherInvestmentsEOYFMVAmt |
| Land Bldg Equip Cost Or Other Bss | $5,661 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $944 | LandBldgEquipAccumDeprecAmt |
| Land BOY | $0 | LandBOYAmt |
| Land EOY | $4,717 | LandEOYAmt |
| Land EOYFMV | $4,717 | LandEOYFMVAmt |
| Total Assets BOY | $27,375 | TotalAssetsBOYAmt |
| Total Assets EOY | $94,512,778 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $94,512,778 | TotalAssetsEOYFMVAmt |
| Accounts Payable BOY | $1,493 | AccountsPayableBOYAmt |
| Accounts Payable EOY | $71,570 | AccountsPayableEOYAmt |
| Other Liabilities BOY | $0 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $244,191 | OtherLiabilitiesEOYAmt |
| Total Liabilities BOY | $1,493 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $315,761 | TotalLiabilitiesEOYAmt |
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
| Unrestricted BOY | $25,882 | UnrestrictedBOYAmt |
| Unrestricted EOY | $94,197,017 | UnrestrictedEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $25,882 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $94,197,017 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $27,375 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $94,512,778 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $25,882 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $88,027,430 | ExcessRevenueOverExpensesAmt |
| Other Increases | $6,143,705 | OtherIncreasesAmt |
| Subtotal | $94,197,017 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $94,197,017 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)
| PropertyPropertyDesc | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | How AcquiredHowAcquiredCd |
|---|---|---|---|---|---|
| PUBLICLY TRADED SECURITIES | $1,037,000 | $975,303 | $61,697 | $61,697 | |
| ALTERNATIVE INVESTMENTS | $283,651 | $283,651 | $283,651 | P | |
| CAPITAL GAINS DIVIDENDS | $744,169 | $744,169 | $744,169 | P |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $1,089,517 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $48,448 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $17,220 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 2.813473 | DistributionYr1Rt |
| Total Distribution | 2.813473 | TotalDistributionRt |
| Average Distribution | 2.813473 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $77,661,511 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $218,498,564 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $27,961 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $218,526,525 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $990,647 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $55,921 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $55,921 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $55,921 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $0 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $70,000 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $70,000 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $1,742 | EsPenaltyAmt |
| Overpayment | $12,337 | OverpaymentAmt |
| Applied To ES Tax | $12,337 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | MT | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | Yes (1) | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | WWW.HEADWATERSHEALTHMT.ORG | WebsiteAddressTxt |
| Individual With Books | MYNOR VELIZ | IndividualWithBooksNm |
| Phone | 4069266526 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 283 W FRONT STREET | AddressLine1Txt |
| City | MISSOULA | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59802 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | Yes (1) | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | 0 | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| ROBERT PHILLIPS | ||||||||
| 283 W FRONT STREET | MISSOULA | MT | 59802 | CHAIRMAN | 1.31 | $0 | $0 | $116 |
| ROSALIE SHEEHY CATES | ||||||||
| 283 W FRONT STREET | MISSOULA | MT | 59802 | VICE CHAIRMAN | 1.31 | $0 | $0 | $0 |
| CHRISTINA TWOHIG | ||||||||
| 283 W FRONT STREET | MISSOULA | MT | 59802 | TREASURER | 1.30 | $0 | $0 | $116 |
| MACK CLAPP | ||||||||
| 283 W FRONT STREET | MISSOULA | MT | 59802 | TRUSTEE | 1.30 | $0 | $0 | $117 |
| JODI DALY | ||||||||
| 283 W FRONT STREET | MISSOULA | MT | 59802 | TRUSTEE | 1.30 | $0 | $0 | $0 |
| PENNY KIPP | ||||||||
| 283 W FRONT STREET | MISSOULA | MT | 59802 | TRUSTEE | 1.30 | $0 | $0 | $0 |
| RYAN TOLLESON KNEE | ||||||||
| 283 W FRONT STREET | MISSOULA | MT | 59802 | TRUSTEE | 1.30 | $0 | $0 | $117 |
| JAY LOWDER | ||||||||
| 283 W FRONT STREET | MISSOULA | MT | 59802 | TRUSTEE | 1.30 | $0 | $0 | $0 |
| STEVE MCNEECE | ||||||||
| 283 W FRONT STREET | MISSOULA | MT | 59802 | TRUSTEE | 1.30 | $0 | $0 | $0 |
| RICHARD OPPER | ||||||||
| 283 W FRONT STREET | MISSOULA | MT | 59802 | TRUSTEE | 1.30 | $0 | $0 | $0 |
| ALYSSA SCHOCK | ||||||||
| 283 W FRONT STREET | MISSOULA | MT | 59802 | TRUSTEE | 1.30 | $0 | $0 | $115 |
| MIKE STEWART | ||||||||
| 283 W FRONT STREET | MISSOULA | MT | 59802 | TRUSTEE | 1.30 | $0 | $0 | $116 |
| BRENDA SOLORZANO-CAUDLE | ||||||||
| 283 W FRONT STREET | MISSOULA | MT | 59802 | CEO | 40.00 | $180,588 | $11,182 | $16,246 |
| MYNOR A VELIZ | ||||||||
| 283 W FRONT STREET | MISSOULA | MT | 59802 | CFO | 40.00 | $105,903 | $12,562 | $116 |
Compensation Highest Paid Empl CompensationHighestPaidEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARY K WINDECKER | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 283 W FRONT STREET | AddressLine1Txt |
| City | MISSOULA | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59802 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Title | PROJECT MANAGER | TitleTxt |
| Average Hrs Per Wk Devoted To Pos | 40.00 | AverageHrsPerWkDevotedToPosRt |
| Compensation | $54,543 | CompensationAmt |
| Employee Benefits | $1,553 | EmployeeBenefitsAmt |
| Expense Account | $0 | ExpenseAccountAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PHILANTHROPY NORTHWEST | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2101 4TH AVENUE SUITE 650 | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98121 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Service Type | CONSULTING | ServiceTypeTxt |
| Compensation | $75,018 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $38,491,412 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $2,241,544 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $38,111,218 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $78,844,174 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $78,844,174 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $1,182,663 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $77,661,511 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $3,883,076 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $3,883,076 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $55,921 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $55,921 | TotalTaxAmt |
| Distributable Before Adj | $3,827,155 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $3,827,155 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $3,827,155 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $984,986 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Charitable Assets Acquis Paid | $5,661 | CharitableAssetsAcquisPaidAmt |
| Qualifying Distributions | $990,647 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $990,647 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $3,827,155 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr1 | $47,611 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $47,611 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $990,647 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $990,647 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $47,611 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $47,611 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $0 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $2,788,897 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $0 | ExcessDistriCyovToNextYrAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
| Total Grant Or Contri Pd Dur Yr | $0 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $442,098 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $1,454,692 | ExclusionAmt |
Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $513,401 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $629,791 | ExclusionAmt |
Other Revenue Described OtherRevenueDescribedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ORDINARY INCOME FROM PASSTHROUGH | Desc |
| Business | 523000 | BusinessCd |
| Unrelated Business Taxbl Incm | -$52,102 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | 14 | ExclusionCd |
| Exclusion | $52,102 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | -$52,102 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $3,092,084 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $3,039,982 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY MEDICAL CENTER | BusinessNameLine1Txt |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2827 FORT MISSOULA ROAD | AddressLine1Txt |
| City | MISSOULA | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59804 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | $86,574,733 | TotalContributionsAmt |
| Person Contribution | Yes (X) | PersonContributionInd |
| Noncash Contribution | Yes (X) | NoncashContributionInd |
Non Cash Property Contribution NonCashPropertyContributionGrp (2 entries)
| ContributorContributorNum | Noncash PropertyNoncashPropertyDesc | Fair Market ValueFairMarketValueAmt | ReceivedReceivedDt |
|---|---|---|---|
| 1 | PUBLICLY TRADED SECURITIES | $44,262,993 | 2017-04-03 |
| 1 | ALTERNATIVE INVESTMENTS | $30,542,560 | 2017-04-30 |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING | CategoryTxt |
| Amt | $24,047 | Amt |
| Net Investment Income | $775 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $20,817 | DisbursementsCharitablePrpsAmt |
Depreciation Schedule DepreciationSchedule
Depreciation Property DepreciationPropertyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Property | INTERACTIVE DISPLAY SYSTEM | PropertyDesc |
| Acquired | 2017-02-27 | AcquiredDt |
| Cost Or Other Basis | $5,661 | CostOrOtherBasisAmt |
| Computation Method | SL | ComputationMethodTxt |
| Life | 5.000000000000 | LifeRt |
| Current Year Expense | $944 | CurrentYearExpenseAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (2 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| VANGUARD INFLATION | $1,227,415 | $1,227,415 |
| VANGUARD TOTAL BOND | $2,549,333 | $2,549,333 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (5 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| SPDR S&P GLOBAL NATURAL | $1,398,495 | $1,398,495 |
| DFA EMERGING MKTS VALUE | $5,928,154 | $5,928,154 |
| PIMCO RAE FUNDAMENTAL | $20,554,684 | $20,554,684 |
| PIMCO RAE FUNDAMENTAL | $18,792,622 | $18,792,622 |
| PIMCO RAE FUNDAMENTAL | $4,725,992 | $4,725,992 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (9 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| THE HIGHCLERE INTERNATIONAL INVESTORS EMERGING MARKETS SMID FUND | FMV | $5,769,933 | $5,769,933 |
| SEAPORT GLOBAL PROPERTY SECURITIES FUND LLC | FMV | $5,753,567 | $5,753,567 |
| HARVEST MLP INCOME FUND II LLC | FMV | $4,765,518 | $4,765,518 |
| CLIFTON EQUAL SECTOR COMMODITY STRATEGY FUND LLC | FMV | $1,390,765 | $1,390,765 |
| WEATHERLOW OFFSHORE FUND I LTD | FMV | $8,045,257 | $8,045,257 |
| IRONWOOD INTERNATIONAL LTD | FMV | $7,419,642 | $7,419,642 |
| WCP NEWCOLD LP | FMV | $1,972,798 | $1,972,798 |
| COLLER INTERNATIONAL PARTNERS VII FEEDER FUND LP | FMV | $613,187 | $613,187 |
| LPL FINANCIAL | FMV | $2,380,551 | $2,380,551 |
Land Etc Schedule2 LandEtcSchedule2
Land Etc LandEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | INTERACTIVE DISPLAY SYSTEM | CategoryOrItemTxt |
| Cost Or Other Basis | $5,661 | CostOrOtherBasisAmt |
| Accumulated Depreciation | $944 | AccumulatedDepreciationAmt |
| Book Value | $4,717 | BookValueAmt |
| EOYFMV | $4,717 | EOYFMVAmt |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | LEGAL FEES | CategoryTxt |
| Legal Fees | $4,390 | LegalFeesAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $2,592 | DisbursementsCharitablePrpsAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (11 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| SMALL EQUIPMENT | $103,059 | $0 | $103,059 |
| INSURANCE | $26,944 | $0 | $26,944 |
| COMPUTER AND SOFTWARE | $24,055 | $0 | $24,055 |
| ADVERTISING AND PROMOTIONS | $10,787 | $0 | $10,787 |
| FEES AND SUBSCRIPTIONS | $10,040 | $0 | $10,040 |
| OFFICE EXPENSE | $9,324 | $0 | $9,213 |
| REPAIRS AND MAINTENANCE | $8,609 | $0 | $8,609 |
| EQUIPMENT RENT | $5,725 | $0 | $5,725 |
| MISCELLANEOUS | $853 | $0 | $853 |
| BOND PREMIUM AMORTIZATION | $48 | $48 | $0 |
| STATE FILING FEES | $21 | $0 | $21 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ALTERNATIVE INVESTMENTS | Desc |
| Revenue And Expenses Per Books | $513,401 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $722,249 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $513,401 | AdjustedNetIncomeAmt |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | UNREALIZED GAINS | Desc |
| Amt | $6,143,705 | Amt |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities Detail OtherLiabilitiesDetail (3 entries)
| DescDesc | BOY Book ValueBOYBookValueAmt | EOY Book ValueEOYBookValueAmt |
|---|---|---|
| PAYROLL LIABILITIES | $0 | $59,050 |
| DEFERRED EXCISE TAX | $0 | $131,179 |
| EXCISE TAX PAYABLE | $0 | $53,962 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail (4 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| INVESTMENT MANAGEMENT | $251,175 | $251,175 | $0 |
| CONSULTING | $156,229 | $0 | $113,724 |
| RECRUITING | $45,714 | $0 | $45,714 |
| PASSTHROUGH INVESTMENT EXPENSE | $5,326 | $750,826 | $0 |
Substantial Contributors Sch SubstantialContributorsSch
Substantial Contributor Detail SubstantialContributorDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2827 FORT MISSOULA ROAD | AddressLine1Txt |
| City | MISSOULA | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59804 | ZIPCd |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| EXCISE TAX | $185,141 | $0 | $0 |
| FOREIGN TAX | $0 | $23,953 | $0 |
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