2016-04-04T19:17:00-05:00 2015-12-31 810385940 ANDERSON ZURMUEHLEN & CO PC PO BOX 1040 HELENA MT 59624 990 2015-01-01 237338233 MONTANA HEALTH RESEARCH & EDUCATION FOUNDATION MONT 4064421911 2625 WINNE AVENUE HELENA MT 59601 RICHARD BROWN PRESIDENT 4064421911 2016-04-01 1 PAULA R JACQUES P00102076 4064421040 2016-04-01 2015 2016-09-27 15:27:22Z RICHARD BROWN 2625 WINNE AVENUE HELENA MT 59601 1978406 0 X HTTP://WWW.MTHA.ORG X 1973 MT TO PROVIDE FINANCIAL, TECHNICAL, AND INNOVATIVE SUPPORT TO MHA MEMBERS AND THEIR COMMUNITIES. 7 6 12 0 0 0 1990322 1885450 209642 38262 9944 7776 0 0 2209908 1931488 291105 85392 0 0 684160 942183 0 0 0 1164889 895168 2140154 1922743 69754 8745 1075018 1109200 375534 408832 699484 700368 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 558686 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. 227917 AHEC GRANTS (SC AND NC PROGRAMS):HRSA FUNDED GRANTS THROUGH THE STATE OFFICE OF RURAL HEALTH TO STRENGTHEN THE HEALTHCARE WORKFORCE IN MONTANA, PARTICULARLY IN RURAL AND UNDERSERVED COMMUNITIES, AND TO IMPROVE HEALTH BY FORGING CONNECTIONS BETWEEN HEALTH PROFESSIONS, K-12 EDUCATIONAL PROGRAMS, AND COMMUNITIES. 174469 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: 536990 85392 38262 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. MONTANA CAPITAL ASSISTANCE PROGRAM: COLLABORATIVE PROJECT WITH THE MONTANA FACILITY FINANCE AUTHORITY TO ASSIST SMALL RURAL HOSPITALS IN ACCESSING SMALL GRANTS TO HELP WITH EXPENSES RELATED TO SCOPE OF SERVICE REVIEWS, CAPITAL IMPROVEMENT PLANS AND CAPITAL FINANCING PLANS. GRANT FUNDS GO FROM MFFA DIRECTLY TO QUALIFYING HOSPITALS. 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. FRONTIER COMMUNITY HEALTH CARE NETWORK COORDINATION PILOT GRANT:HRSA FUNDED GRANT. THE PURPOSE OF THIS CONTRACT IS TO EXPLORE WAYS TO INCREASE ACCESS TO, AND IMPROVE THE ADEQUACY OF, PAYMENTS FOR ACUTE CARE, AND OTHER ESSENTIAL HEALTH CARE SERVICES PROVIDED UNDER MEDICARE AND MEDICAID PROGRAMS IN ELIGIBLE COUNTIES.HOSPITAL ENGAGEMENT NETWORK:AGREEMENT WITH THE HEALTH RESEARCH & EDUCATION TRUST IN PARTNERSHIP WITH AHA FUNDED BY THE CENTERS FOR MEDICARE AND MEDICAID.RXFAP:PRESCRIPTION DRUG FINANCIAL ASSISTANCE PROGRAM FUNDED BY THE MONTANA ATTORNEY GENERAL'S OFFICE FOR THE PURPOSES OF ESTABLISHING A PRESCRIPTION DRUG FINANCIAL ASSITANCE PROGRAM AND IDENTIFIYING THE RESPONSIBILITIES OF THE PARTIES WITH RESPECT TO IMPLEMENTING AND ADMINISTERINGTHE RXFAP. GRANT FUNDS UNSPENT BY FACILITIES ARE RETURNED TO THE FOUNDATION FOR DISTRIBUTION TO OTHER ELIGIBLE FACILITIES AND ARE INCLUDED IN GROSS RECEIPTS ON THIS RETURN, REPORTED AS PROGRAM SERVICE REVENUE ABOVE BUT ARE NOT INCLUDED AS GRANT DISBURSEMENTS OR REVENUE IN THE FOUNDATION'S FINANCIAL STATEMENTS. 536990 85392 38262 1498062 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 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 12 0 0 0 0 0 0 0 0 0 0 0 X 7 6 0 1 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 DIRECTOR 3.00 X 0 0 0 PARKER POWELL DIRECTOR 3.00 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 341493 41110 STEVE TODD DIRECTOR 3.00 X 0 0 0 0 341493 41110 0 0 1 0 0 1839158 46292 1885450 FEE FOR SERVICE 541900 23438 23438 CONVENTIONS & WORKSHOP 541900 14824 14824 38262 2582 2582 52112 46918 5194 5194 5194 1931488 38262 0 7776 X 85392 85392 742975 530259 212716 40996 19175 21821 95299 73628 21671 62913 46533 16380 20800 15100 5700 579 579 421762 412805 8957 721 196 525 72036 35356 36680 4458 533 3925 112684 45975 66709 122406 99790 22616 135942 131040 4902 SPONSORSHIPS 3780 2280 1500 1922743 1498062 424681 0 13581 100 6581 0 932664 980800 122192 128300 1075018 1109200 116939 89545 258595 319287 375534 408832 X 577292 572068 50287 48395 71905 79905 699484 700368 1075018 1109200 8745 -7860 0 X X 0 1 X 1 1 1 X 2778877 3312870 4698671 1990322 1885450 14666190 2778877 3312870 4698671 1990322 1885450 14666190 14666190 1964 3487 2121 3012 2582 13166 14679356 186101 0.99910 X 0.99920 0.00080 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 122192 8000 -84 1500 308 128300 117106 5386 300 122192 101695 15982 300 271 117106 86713 5500 10712 1000 230 101695 88842 -1129 1000 86713 0.62280 0.37720 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 ST JAMES HEALTHCARE PO BOX 3300 BUTTE MT 59702 810231785 501(C)(3) 13307 PRESCRIPTION DRUG FINANCIAL ASSISTANCE PROGRAM (RXFAP) STUDER GROUP 350 WEST CEDAR ST SUITE 300 PENSACOLA FL 32502 50000 TO COORDINATE THE RURAL HOSPITAL PARTNERSHIP NETWORK WITH ST. LUKE COMMUNITY HEALTHCARE AND FOUR OTHER MONTANA CRITICAL ACCESS HOSPITALS. 1 1 0 0 0 0 0 0 0 0 0 RICHARD BROWN PERMANENT BOARD MEMBER 0 289468 0 52025 0 0 0 31520 0 9590 0 382603 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. FORM 990, PART VI, SECTION A, LINE 3 MHA PROVIDES MANAGEMENT, ADMINISTRATIVE & ACCOUNTING SERVICES TO MHREF. FORM 990, PART VI, SECTION B, LINE 11 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 412,805. MANAGEMENT AND GENERAL EXPENSES 8,957. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 421,762. 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 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 MHA K 96091 COST