2017-05-01T18:02:06-05:00 2016-12-31 810385940 ANDERSON ZURMUEHLEN & CO PC PO BOX 1040 HELENA MT 59624 990 2016-01-01 237338233 MONTANA HEALTH RESEARCH & EDUCATION FOUNDATION MONT 4064421911 2625 WINNE AVENUE HELENA MT 59601 RICHARD BROWN PRESIDENT 4064421911 2017-04-26 1 PAULA R JACQUES P00102076 4064421040 2017-04-13 69.146.110.13 2017-04-26 15:59:16 MD P 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 2016 2021-01-29 14:40:06Z RICHARD BROWN 2625 WINNE AVENUE HELENA MT 59601 2328710 0 X HTTP://WWW.MTHA.ORG X 1973 MT TO PROVIDE FINANCIAL, TECHNICAL, AND INNOVATIVE SUPPORT TO MHA MEMBERS AND THEIR COMMUNITIES. 7 6 13 0 0 0 1885450 2244151 38262 37550 7776 10223 0 0 1931488 2291924 85392 58386 0 0 942183 1119620 0 0 0 895168 991596 1922743 2169602 8745 122322 1109200 1254904 408832 432424 700368 822480 X MHREF PROVIDES FINANCIAL, TECHNICAL AND INNOVATIVE PROGRAM SUPPORT TO MHA MEMBERS AND THE COMMUNITIES THEY SERVE. MHREF SUPPORTS THE DELIVERY OF HIGH QUALITY, PATIENT-CENTERED HEALTH CARE AND EFFORTS TO IMPROVE THE HEALTH OF THE MONTANA POPULATION. 0 0 606523 RURAL HOSPITAL FELEXIBILITY GRANT (FLEX):HRSA FUNDED GRANT TO PROVIDE SUPPORT FOR CRITICAL ACCESS AND OTHER SMALL RURAL HOSPITALS TO PRESERVE ACCESS TO PRIMARY AND EMERGENCY HEALTH CARE SERVICES IN THEIR COMMUNITIES. SPECIFICALLY, THE GRANT IS INTENDED TO STRENGTHEN CRITICAL ACCESS HOSPITAL INFRASTRUCTURE, SUPPORT LEADERSHIP, ENHANCE RURAL EMERGENCY MEDICAL SERVICE, IMPROVE QUALITY, AND DEVELOP AND ENHANCE NETWORKS OF CARE. 291243 HOSPITAL ENGAGEMENT NETWORK:AGREEMENT WITH THE HEALTH RESEARCH EDUCATION TRUST IN PARTNERSHIP WITH AMERICAN HOSPITAL ASSOCIATION FUNDED BY CENTERS FOR MEDICARE AND MEDICAID. 303920 FRONTIER COMMUNITY INTEGRATION PROJECT TECHNICAL ASSISTANCE, TRACKING & ANALYSIS:PROVIDE TECHNICAL ASSISTANCE, HELP WITH TRACKING (INCLUDING COST AND BUDGET NEUTRALITY REVIEW), AND ANALYSIS FOR THE CRITICAL ACCESS HOPSITALS (CAHS) WHO ARE SELECTED FOR CMS WAIVERS THROUGH THE FCHIP PROGRAM.TA FCHIP GRANT: 458277 58386 37550 HOSPITAL PREPAREDNESS PROGRAM:ASPR FUNDED GRANT TO ASSIST HOSPITALS IN ASSESSING THEIR PREPAREDNESS IN THE EVENT OF EMERGENCIES OR NATURAL DISASTERS, AND FORMULATING AND TESTING PLANS TO STRENGTHEN THEIR READINESS. ORAL HEALTH WORKFORCE GRANT (DENTAL GRANT):HRSA FUNDED GRANT THROUGH THE STATE OFFICE OF RURAL HEALTH AIMED AT EDUCATING MONTANA STUDENTS REGARDING ORAL HEALTH PROFESSIONS, THROUGH EVENTS IN SCHOOL SETTINGS. ADDITIONALLY, EFFORTS ARE FOCUSED ON ADDRESSING THE SHORTAGE OF DENTAL PROVIDERS IN THE STATE THROUGH RECRUITMENT AND RETENTION EFFORTS. HOSPITAL IMPROVEMENT AND INNOVATION NETWORK (HIIN):CMS-FUNDED CONTRACT SUBAWARDED BY AHA'S HRET. FOCUS IS IMPROVING PATIENT SAFETY IN A NUMBER OF SPECIFIC AREAS, INCLUDING HOSPITAL ACQUIRED INFECTIONS, FALLS, ETC. THE PROGRAM PROCIDES FOR DATA COLLECTION, ANALYSIS, AND EDUCATION AND ASSISTANCE IN ADDRESSING IDENTIFIED AREAS FOR IMPROVEMENT. TELESTROKE SERVICES GRANT:CDC FUNDED PROGRAM THROUGH THE MONTANA DPHHS TO IMPROVE PATIENT CARE IN RURAL HOSPITALS THROUGH TELEVIDEO CONSULTATIONS FOR THE DIAGNOSIS, EARLY INTERVENTION, AND TREATMENT OF ACUTE ISCHEMIC STROKE SYMPTOMS.MONTANA HEALTHCARE (TAACCT):US DOL FUNDED PROGRAM; SUBAWARDED FROM MSU; MSU IN TURN IS A SUBAWARDEE FROM UM. FOCUS IS IMPROVEMENT IN HEALTHCARE WORKFORCE, SPECIFICALLY ALLIED HEALTH AND NURSING EDUCATION TO JOB PLACEMENT PATHWAYS.AHEC GRANTS (SC AND NC PORGRAMS):HRSA FUNDED GRANTS THORUGH THE STATE OFFICE OF RURAL HEALTH TO STRENGTHEN THE HEALTHCARE WORKFORCE IN MONTANA, PARTICULARLY IN RURAL AND UNDERSERVED COMMUNITES, AND TO IMPROVE HEALTH BY FORGING CONNECTIONS BETWEEN HEALTH PROFESSIONS, K-12 EDUCATIONAL PROGRAMS, AND COMMUNITITES. 458277 58386 37550 1659963 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 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 0 1 X 0 0 1 13 1 0 0 0 0 0 0 0 0 0 0 X 7 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X RICHARD BROWN MONTANA HOSPITAL ASSOCIATION 4064421911 2625 WINNE AVENUE HELENA MT 59601 STEVE MCNEECE CHAIRMAN 3.00 X X 0 0 0 ELLEN LIVERS DIRECTOR 3.00 X 0 0 0 KELLEY EVANS SECRETARY/TREASURER 3.00 X X 0 0 0 PARKER POWELL VICE CHAIR 3.00 X X 0 0 0 JOYCE DOMBROVSKI DIRECTOR 3.00 X 0 0 0 RICHARD BROWN PERMANENT BOARD MEMBER 3.00 40.00 X X 0 324702 40033 STEVE TODD DIRECTOR 3.00 X 0 0 0 0 324702 40033 0 0 1 0 0 1152404 1091747 2244151 FEE FOR SERVICE 541900 37550 37550 37550 2332 2332 44677 36786 7891 7891 7891 2291924 37550 0 10223 X 46250 46250 12136 12136 857727 631033 226694 58965 36651 22314 133160 109369 23791 69768 53078 16690 120 120 14058 4800 9258 328 328 469261 454354 14907 2078 2078 66863 22702 44161 6004 180 5824 105791 19430 86361 148619 124237 24382 138672 132112 6560 17046 17046 7127 7127 DUES & SUBSCRIPTIONS 8266 6278 1988 SPONSORSHIPS 6175 4675 1500 TRAINING 1188 480 708 2169602 1659963 509639 0 100 100 980800 1118318 128300 136486 1109200 1254904 89545 105347 319287 327077 408832 432424 X 572068 678994 48395 56581 79905 86905 700368 822480 1109200 1254904 122322 -210 0 X X 0 1 X 1 1 1 X 3312870 4698671 1990322 1885450 2244151 14131464 3312870 4698671 1990322 1885450 2244151 14131464 14131464 3487 2121 3012 2582 3981 15183 14146647 185476 0.99890 0.99910 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 128300 10013 1500 327 136486 122192 8000 -84 1500 308 128300 117106 5386 300 122192 101695 15982 300 271 117106 86713 5500 10712 1000 230 101695 0.58540 0.41460 0 0 0 PART V, LINE 4: TO SUPPORT RESEARCH AND CHARITABLE ACTIVITIES WHICH BENEFIT THE MEDICAL COMMUNITY IN MONTANA AND TO IMPROVE THE HEALTH OF ITS RESIDENTS. 0 0 0 0 0 0 0 0 0 RICHARD BROWN PERMANENT BOARD MEMBER 0 279596 0 45106 0 0 0 31520 0 8513 0 364735 0 0 SCHEDULE J PART III EXPLANATION: RICHARD BROWN IS EMPLOYED BY MHA, AN ENTITY RELATED TO THE MONTANA HEALTH RESEARCH AND EDUCATION FOUNDATION. HE SERVES AS THE PRESDIENT FOR MHA, AND IS PAID BY MHA. THE PRESIDENT OF MHA IS ALSO A PERMANENT MEMBER OF THE BOARD OF THE FOUNDATION. MHA PROVIDES ADMINISTRATIVE SERVICES TO THE FOUNDATION, AS REPORTED IN SCHEDULE R. THE RESPONSES ON THIS SCHEDULE PERTAIN TO MR. BROWN'S SALARY PAID BY MHA. HE IS NOT PAID DIRECTLY BY THE FOUNDATION. PART V, LINE 2B MHREF'S EMPLOYMENT TAX INFORMATION IS COMBINED WITH AND REPORTED BY MONTANA HOSPITAL ASSOCIATION, A RELATED ENTITY SERVING AS THE COMMON PAYMASTER, UNDER ITS EIN #81-0287203. FORM 990, PART VI, SECTION B, LINE 11B ALL MEMBERS OF THE BOARD RECEIVE A COPY OF THE FORM 990 PRIOR TO FILING. IT IS REVIEWED IN DETAIL BY THE FINANCE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY REQUIRES BOARD MEMBERS TO ANNUALLY SUBMIT A REPORT TO THE BOARD OF ALL ORGANIZATIONS OR BUSINESSES OF WHICH THE INDIVIDUAL IS A MEMBER, OFFICER, EMPLOYEE OR OWNER WHICH HAVE CONFLICTING INTERESTS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON WRITTEN OR PERSONAL REQUEST. FORM 990, PART IX, LINE 11G CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 454,354. MANAGEMENT AND GENERAL EXPENSES 14,907. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 469,261. FORM 990, PART XII, LINE 2C: THERE HAVE BEEN NO CHANGES FROM PRIOR YEAR IN THE AUDIT OVERSIGHT AND SELECTION PROCESS. MONTANA HOSPITAL ASSOCIATION PO BOX 5119 HELENA MT 59604 810287203 TO PROVIDE SUPPORT, EDUCATION & RESOURCES TO MT HEALTHCARE PROVDIERS MT 501(C)(6) MHAAN ASSOCIATION OF MT HEALTHCARE PROVIDERS 0 0 0 1 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 MHA K 104403 COST MHA C 50000 COST