2015-05-08T12:50:04-05:00 2014-12-31 810385940 ANDERSON ZURMUEHLEN & CO PC PO BOX 1040 HELENA MT 59624 990 2014-01-01 237338233 MONTANA HEALTH RESEARCH & EDUCATION FOUNDATION MONT 4064421911 2625 WINNE AVENUE HELENA MT 59601 RICHARD BROWN PRESIDENT 4064421911 2015-04-28 1 PAULA R JACQUES P00102076 4064421040 2015-04-07 2014 2016-02-25 16:41:14Z RICHARD BROWN 2625 WINNE AVENUE HELENA MT 59601 2213499 0 X HTTP://WWW.MTHA.ORG X 1973 MT TO PROVIDE FINANCIAL, TECHNICAL, AND INNOVATIVE SUPPORT TO MHA MEMBERS AND THEIR COMMUNITIES. 6 5 13 0 0 0 4698671 1990322 35371 209642 15568 9944 0 0 4749610 2209908 2148302 291105 0 0 664391 684160 0 0 0 1820331 1164889 4633024 2140154 116586 69754 1131357 1075018 497069 375534 634288 699484 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 250242 184105 156675 RXFAPPRESCRIPTION DRUG FINANCIAL ASSISTANCE PROGRAM FUNDED BY THE MONTANA ATTORNEY GENERAL'S OFFICE FOR THE PURPOSES OF ESTABLISHING A PRESCRIPTION DRUG FINANCIAL ASSISTANCE PROGRAM AND IDENTIFYING THE RESPONSIBILITIES OF THE PARTIES WITH RESPECT TO IMPLEMENTING AND ADMINISTERING THE RXFAP. GRANT FUNDS UNSPENT BY FACILITIES ARE RETURNED TO THE FOUNDATION FOR DISTRIBUTION TO OTHER ELIGIBLE FACILILTIES 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. 556310 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. 250346 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. 1061627 107000 52967 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.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. 1061627 107000 52967 2118525 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 13 1 0 0 0 0 0 0 0 0 0 0 X 6 5 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X RICHARD BROWN MHAAN ASSOC OF MT HEALTH CARE PR 4064421911 2625 WINNE AVENUE HELENA MT 59601 STEVE MCNEECE CHAIRMAN 3.00 X X 0 0 0 CHERIE TAYLOR 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 305738 44364 0 305738 44364 0 0 1 0 MHAAN ASSOCIATION OF MT HEALTH CARE P PO BOX 5119 HELENA MT 596245119 MANAGEMENT 303454 1 1948603 41719 21939 1990322 GRANT REFUNDS FROM FAC 541900 188277 188277 CONVENTIONS & WORKSHOP 541900 21365 21365 209642 3012 3012 10523 3591 6932 6932 6932 2209908 209642 0 9944 X 291105 291105 534815 534815 31057 31057 71617 71617 46671 46671 303454 303454 53 53 15765 5200 10565 300 300 419120 418925 195 28404 27868 536 2168 2149 19 43551 43551 97574 94236 3338 240130 234765 5365 SPONSORSHIPS 8092 8092 DUES AND SUBSCRIPTIONS 6218 4960 1258 TRAINING 60 60 2140154 2118525 21629 0 1729 13581 431 6581 1010954 932664 1137 0 117106 122192 1131357 1075018 100607 116939 396462 258595 497069 375534 X 517182 577292 45201 50287 71905 71905 634288 699484 1131357 1075018 69754 -4558 0 X X 0 1 X 1 1 1 X 2107254 2778877 3312870 4698671 1990322 14887994 5138 625 90478 35371 21365 152977 2112392 2779502 3403348 4734042 2011687 15040971 0 0 0 15040971 1916 1964 3487 2121 3012 12500 1916 1964 3487 2121 3012 12500 2114308 2781466 3406835 4736163 2014699 15053471 0.99920 0.99830 0.00080 0.00170 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 117106 5386 0 300 122192 101695 15982 300 271 117106 86713 5500 10712 1000 230 101695 88842 -1129 1000 86713 74874 4000 10968 1000 88842 0.59000 0.41000 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 MISSOURI RIVER MEDICAL CENTER PO BOX 249 FORT BENTON MT 594420249 810348783 501(C)(3) 20000 MONTANA CAPITAL ASSISTANCE PROGRAM $15,000; CARE COORDINATION $5000 ROUNDUP MEMORIAL HEALTHCARE PO BOX 40 ROUNDUP MT 590720040 810245848 501(C)(3) 10000 CARE COORDINATION $5000;PRESCRIPTION DRUG FINANCIAL ASSISTANCE (RXFAP) $5000 BENEFIS HEALTH SYSTEM 1101 26TH STREET SOUTH GREAT FALLS MT 59405 263538104 501(C)(3) 133327 PRESCRIPTION DRUG FINANCIAL ASSISTANCE PROGRAM (RXFAP) ST JAMES HEALTHCARE PO BOX 3300 BUTTE MT 59702 810231785 501(C)(3) 26279 PRESCRIPTION DRUG FINANCIAL ASSISTANCE PROGRAM (RXFAP) BROADWATER HEALTH CENTER 110 N OAK STREET TOWNSEND MT 59644 810398400 501(C)(3) 12000 MONTANA CAPITAL ASSISTANCE PROGRAM 5 0 0 0 0 0 0 0 0 0 RICHARD BROWN PERMANENT BOARD MEMBER 0 267488 0 38250 0 0 0 30905 0 13459 0 350102 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, AND THE FOUNDATION PAYS MHA AN ADMINISTRATIVE FEE FOR THESE SERVICES. 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 RECEIVED A COPY OF THE FORM 990 PRIOR TO FILING. IT WAS 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 418,925. MANAGEMENT AND GENERAL EXPENSES 195. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 419,120. FORM 990, PART XII, LINE 2C: THERE HAVE BEEN NO CHANGES FROM PRIOR YEAR IN THE AUDIT OVERSIGHT AND SELECTION PROCESS. MHAAN ASSOCIATION OF MONTANA HEALTHCARE ENTITIES 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 M 303454 COST MHA K 43551 COST