BENEFIS HEALTH SYSTEM FOUNDATION INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
BENEFIS HEALTH SYSTEM FOUNDATION INC (EIN 81-0480587)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-05
IRS object ID
201543099349301649
Schema version
2014v5.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-11-05T16:24:57-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1805 SW BROADWAY SUITE 1200AddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97205ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN810480587EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BENEFIS HEALTH SYSTEM FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBENEBusinessNameControlTxt
Phone4064552563PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 7008AddressLine1Txt
CityGREAT FALLSCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59406ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAN HOLLOWPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone4064552563PhoneNum
Signature2015-10-30SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWENDY CAMPOSPreparerPersonNm
PTINP00448102PTIN
Phone5032421447PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRICHARD DOUGHTENPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 7008AddressLine1Txt
CityGREAT FALLSCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59406ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,754,185GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BENEFISFOUNDATION.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1998FormationYr
Legal Domicile StateMTLegalDomicileStateCd
Activity Or MissionIMPROVING AND ENHANCING HEALTHCARE SERVICES FOR PEOPLE THROUGHOUT NORTH CENTRAL MONTANA.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers19TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,419,717PYContributionsGrantsAmt
CY Contributions Grants$1,743,594CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$782,097PYInvestmentIncomeAmt
CY Investment Income$1,381,119CYInvestmentIncomeAmt
PY Other Revenue$205,564PYOtherRevenueAmt
CY Other Revenue$224,267CYOtherRevenueAmt
PY Total Revenue$3,407,378PYTotalRevenueAmt
CY Total Revenue$3,348,980CYTotalRevenueAmt
PY Grants And Similar Paid$2,163,175PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,466,456CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$200,892PYOtherExpensesAmt
CY Other Expenses$256,609CYOtherExpensesAmt
PY Total Expenses$2,364,067PYTotalExpensesAmt
CY Total Expenses$1,723,065CYTotalExpensesAmt
PY Revenues Less Expenses$1,043,311PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,625,915CYRevenuesLessExpensesAmt
Total Assets BOY$27,755,883TotalAssetsBOYAmt
Total Assets EOY$29,418,978TotalAssetsEOYAmt
Total Liabilities BOY$511,742TotalLiabilitiesBOYAmt
Total Liabilities EOY$606,633TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$27,244,141NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$28,812,345NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionIMPROVING AND ENHANCING HEALTHCARE SERVICES FOR PEOPLE THROUGHOUT NORTH CENTRAL MONTANA.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,466,456ExpenseAmt
Grant$1,466,456GrantAmt
Revenue$625RevenueAmt
DescBENEFIS HEALTH SYSTEM FOUNDATION'S PURPOSE IS TO IMPROVE AND ENHANCE HEALTHCARE SERVICES FOR THE PEOPLE OF NORTH CENTRAL MONTANA. THE FOUNDATION RAISES FUNDS TO PRIMARILY SUPPORT THE PROGRAMS AND SERVICES OF BENEFIS HEALTH SYSTEM BUT ALSO SUPPORTS OTHER HEALTH-RELATED PROGRAMS, SERVICES AND ACTIVITIES IN NORTH CENTRAL MONTANA. SOME OF THE PROGRAMS AND SERVICES OF BENEFIS HEALTH SYSTEM SUPPORTED BY CONTRIBUTIONS RAISED BY THE FOUNDATION INCLUDE PEACE HOSPICE OF MONTANA, SLETTEN CANCER INSTITUTE, GIFT OF LIFE FAMILY HOUSING CENTERS, MERCY FLIGHT, AND THE BENEFIS HEART AND VASCULAR INSTITUTE. CONTINUES ON SCHEDULE OCONTINUED FROM PAGE 2, PART III, LINE 4A: BENEFIS HEALTH SYSTEM FOUNDATION ALSO ENCOURAGES CONTRIBUTIONS TO ITS ANGEL FUND AND 221 CHILDREN'S FUND, WHICH HELP FAMILIES WITH CHILDREN WITH MEDICAL CONDITIONS OR A MEDICAL CRISIS. IN ADDITION, THE FOUNDATION RAISES FUNDS FOR AND MANAGES SEVERAL HEALTHCARE SCHOLARSHIPS.Desc
Total Program Service Expenses$1,466,456TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming ActivitiesYes (1)GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document23IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonFORREST EHLINGERPersonNm
Phone4064555479PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 26TH STREET SOUTHAddressLine1Txt
CityGREAT FALLSCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59405ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
RICHARD DOUGHTEN
CHAIR5.00Yes (X)Yes (X)$0$0$0
CHRIS REIQUAM
VICE CHAIR4.00Yes (X)Yes (X)$0$0$02.00
BRYCE GRAFT
SECRETARY4.00Yes (X)Yes (X)$0$0$02.00
DOUGLAS M NICHOLSON
TREASURER4.00Yes (X)Yes (X)$0$0$01.00
SHANNON HOILAND
DIRECTOR3.00Yes (X)$0$0$0
DENA BURNHAM JOHNSON
DIRECTOR3.00Yes (X)$0$0$0
NORBERT JOHNSON
DIRECTOR3.00Yes (X)$0$0$0
BARBARA BYRNE
DIRECTOR3.00Yes (X)$0$0$0
DEAN A NELSON
DIRECTOR3.00Yes (X)$0$0$0
PATRICIA SLETTEN
DIRECTOR3.00Yes (X)$0$0$0
EUGENE B THAYER
DIRECTOR (1/2014 - 4/2014)3.00Yes (X)$0$0$0
G MIKE TABACCO
DIRECTOR3.00Yes (X)$0$0$0
DIANE VOLK
DIRECTOR3.00Yes (X)$0$0$0
NORA GERRITY MD
DIRECTOR3.00Yes (X)$0$188,152$7,69540.00
FORREST EHLINGER
DIRECTOR3.00Yes (X)$0$264,760$18,18857.00
DANIEL HOLLOW
PRESIDENT50.00Yes (X)$0$130,234$15,489
MARILYN PARKER
DIRECTOR OF PLANNED GIVING & FINANCE50.00Yes (X)$0$71,366$9,829
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$654,512TotReportableCompRltdOrgAmt
Total Other Compensation$51,201TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$675FundraisingAmt
All Other Contributions$1,742,919AllOtherContributionsAmt
Noncash Contributions$151,991NoncashContributionsAmt
Total Contributions$1,743,594TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,031,437TotalRevenueColumnAmt
Exclusion$1,031,437ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,638,424SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,288,742SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$349,682SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$349,682TotalRevenueColumnAmt
Exclusion$349,682ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$315,170FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$675ContriRptFundraisingEventAmt
Fundraising Direct Expenses$105,823FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$209,347TotalRevenueColumnAmt
Exclusion$209,347ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$24,935GamingGrossIncomeAmt
Gaming Direct Expenses$10,640GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,295TotalRevenueColumnAmt
Exclusion$14,295ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Business624200BusinessCd
Total Revenue Column$625TotalRevenueColumnAmt
Related Or Exempt Func Income$625RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$625OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,348,980TotalRevenueColumnAmt
Related Or Exempt Func Income$625RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,604,761ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,291,560TotalAmt
Program Services$1,291,560ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$174,896TotalAmt
Program Services$174,896ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$256,609TotalAmt
Management And General$256,609ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,723,065TotalAmt
Program Services$1,466,456ProgramServicesAmt
Management And General$256,609ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY-$13,588BOYAmt
EOY$4,816EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,456,596BOYAmt
EOY$1,256,381EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$575,202BOYAmt
EOY$430,604EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$282,812BOYAmt
EOY$329,514EOYAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$15,285BOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$24,947,766BOYAmt
EOY$26,888,086EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$121,362BOYAmt
EOY$130,890EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$370,448BOYAmt
EOY$378,687EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$27,755,883BOYAmt
EOY$29,418,978EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$101,155BOYAmt
EOY$151,392EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$410,587BOYAmt
EOY$455,241EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$511,742BOYAmt
EOY$606,633EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,262,297BOYAmt
EOY$4,543,489EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,786,876BOYAmt
EOY$8,587,919EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$15,194,968BOYAmt
EOY$15,680,937EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$27,244,141BOYAmt
EOY$28,812,345EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$27,755,883BOYAmt
EOY$29,418,978EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,625,915ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$6,176NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$51,535OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,169,377CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,151,749CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,983,562CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,475,916CurrentTaxYearMinus1YearAmt
Current Tax Year$1,335,254CurrentTaxYearAmt
Total$8,115,858TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,169,377CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,151,749CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,983,562CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,475,916CurrentTaxYearMinus1YearAmt
Current Tax Year$1,335,254CurrentTaxYearAmt
Total$8,115,858TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$796,290SubstantialContributorsTotAmt
Public Support Total170$7,319,568PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$842,210CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$522,217CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$611,458CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$728,595CurrentTaxYearMinus1YearAmt
Current Tax Year$1,031,437CurrentTaxYearAmt
Total$3,735,917TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year$625CurrentTaxYearAmt
Total$625TotalAmt
FieldValueIRS element (for citing)
Total Support$11,852,400TotalSupportAmt
Gross Receipts Rltd Activities$1,240,131GrossReceiptsRltdActivitiesAmt
Public Support CY1700.61760PublicSupportCY170Pct
Public Support PY1700.68920PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$22,163,339BeginningYearBalanceAmt
Contributions$546,843ContributionsAmt
Investment Earnings Or Losses$912,332InvestmentEarningsOrLossesAmt
Other Expenditures$390,591OtherExpendituresAmt
End Year Balance$23,231,923EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$19,058,513BeginningYearBalanceAmt
Contributions$1,274,865ContributionsAmt
Investment Earnings Or Losses$2,278,824InvestmentEarningsOrLossesAmt
Other Expenditures$343,934OtherExpendituresAmt
Administrative Expenses$104,929AdministrativeExpensesAmt
End Year Balance$22,163,339EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,998,563BeginningYearBalanceAmt
Contributions$1,253,995ContributionsAmt
Investment Earnings Or Losses$2,099,380InvestmentEarningsOrLossesAmt
Other Expenditures$205,187OtherExpendituresAmt
Administrative Expenses$88,238AdministrativeExpensesAmt
End Year Balance$19,058,513EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,914,819BeginningYearBalanceAmt
Contributions$314,429ContributionsAmt
Investment Earnings Or Losses$39,106InvestmentEarningsOrLossesAmt
Other Expenditures$180,722OtherExpendituresAmt
Administrative Expenses$89,069AdministrativeExpensesAmt
End Year Balance$15,998,563EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,761,079BeginningYearBalanceAmt
Contributions$836,277ContributionsAmt
Investment Earnings Or Losses$792,950InvestmentEarningsOrLossesAmt
Administrative Expenses$475,487AdministrativeExpensesAmt
End Year Balance$15,914,819EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.13030BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.67500PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.19480TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescGIFT ANNUITY PAYABLEDesc
Amt$455,241Amt
FieldValueIRS element (for citing)
Total Liability$455,241TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$4,101,786TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$6,176NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$810,517DonatedServicesAndUseFcltsAmt
Revenue Not Reported$804,341RevenueNotReportedAmt
Revenue Subtotal$3,297,445RevenueSubtotalAmt
Other Revenues Not Included$51,535OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$51,535RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$3,348,980TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,533,582TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$810,517DonatedServicesUseFcltsAmt
Expenses Not Reported$810,517ExpensesNotReportedAmt
Expenses Subtotal$1,723,065ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,723,065TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE ENDOWMENT FUNDS OF THE FOUNDATION CONSIST OF THE FOLLOWING: THE FUNDS IN THE GENERAL ENDOWMENT ARE RESTRICTED BY DONORS AS PERMANENT ENDOWMENT FUNDS BUT HAVE NO SPECIFIC RESTRICTION ON THE DISTRIBUTION OF EARNINGS. THIS DECISION IS THE RESPONSIBILITY OF THE BOARD OF DIRECTORS OF BENEFIS HEALTH SYSTEM FOUNDATION. THE PEACE HOSPICE RESIDENTIAL ENDOWMENT PROVIDES FOR THE OPERATION AND MAINTENANCE OF THE BENEFIS PEACE HOSPICE RESIDENTIAL FACILITY. BENEFIS PEACE HOSPICE IS A SERVICE OF BENEFIS HEALTH SYSTEM. THE DONOR RESTRICTED ENDOWMENT POOL HOLDS GIFTS FROM DONORS FOR PERMANENT ENDOWMENT FUNDS THAT HAVE SPECIFIC DESIGNATIONS FOR THE USE OF THE EARNINGS OF EACH FUND. THESE MAY INCLUDE FUNDS FOR PROGRAMS OR SERVICES OR SCHOLARSHIPS. BENEFIS HEALTH SYSTEM FOUNDATION ISSUES CHARITABLE GIFT ANNUITIES AND DEFERRED PAYMENT CHARITABLE GIFT ANNUITIES AND HAS ESTABLISHED A GIFT ANNUITY POOL TO HOLD THESE FUNDS AS REQUIRED UNDER THE MONTANA CHARITABLE GIFT ANNUITY ACT. THE PURPOSES OF THE FUNDS IN THE POOL ARE DEFINED BY THE INDIVIDUAL ANNUITY CONTRACTS.
PART X, LINE 2:THE FOUNDATION IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE IRC. THE FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE IRC EXCEPT TO THE EXTENT OF UNRELATED BUSINESS TAXABLE INCOME AS DEFINED UNDER IRC SECTIONS 511 THROUGH 515. THE FOUNDATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND ESTIMABLE. THE FOUNDATION HAD NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2014 OR 2013. THE FOUNDATION IS NO LONGER SUBJECT TO EXAMINATION BY U.S. FEDERAL AUTHORITIES FOR YEARS BEFORE 2011.
PART XI, LINE 4B - OTHER ADJUSTMENTS:CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS 51,535.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1MAYFAIREEvent1Nm
Gross Receipts Event1$315,845GrossReceiptsEvent1Amt
Charitable Contri Event1$675CharitableContriEvent1Amt
Gross Revenue Event1$315,170GrossRevenueEvent1Amt
Rent Facility Costs Event1$34,233RentFacilityCostsEvent1Amt
Food And Beverage Event1$14,537FoodAndBeverageEvent1Amt
Entertainment Event1$39,731EntertainmentEvent1Amt
Other Direct Expenses Event1$17,322OtherDirectExpensesEvent1Amt
Gross Receipts Total$315,845GrossReceiptsTotalAmt
Charitable Contributions Tot$675CharitableContributionsTotAmt
Gross Revenue Total Events$315,170GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$34,233RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$14,537FoodAndBeverageTotalEventsAmt
Entertainment Total Events$39,731EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$17,322OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$105,823DirectExpenseSummaryEventsAmt
Net Income Summary$209,347NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Other Gaming$24,935GrossRevenueOtherGamingAmt
Cash Prizes Other Gaming$6,145CashPrizesOtherGamingAmt
Non Cash Prizes Other Gaming$4,495NonCashPrizesOtherGamingAmt
Volunteer Labor Other Gaming0VolunteerLaborOtherGamingInd
Gross Revenue Total Gaming$24,935GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming$6,145CashPrizesTotalGamingAmt
Non Cash Prizes Total Gaming$4,495NonCashPrizesTotalGamingAmt
Direct Expense Summary Gaming$10,640DirectExpenseSummaryGamingAmt
Net Gaming Income Summary$14,295NetGamingIncomeSummaryAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedMTStatesWhereGamingConductedCd
LicensedYes (1)LicensedInd
License Suspended Etc0LicenseSuspendedEtcInd
Gaming With NonmembersYes (1)GamingWithNonmembersInd
Member Of Other Entity0MemberOfOtherEntityInd
Gaming Other Facility1.00000GamingOtherFacilityPct
Individual With BooksMARILYN PARKERIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 7008AddressLine1Txt
CityGREAT FALLSCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59406ZIPCd
FieldValueIRS element (for citing)
Cntrct With3rd Prty For Game Rev0CntrctWith3rdPrtyForGameRevInd
Gaming Manager PersonMARILYN PARKERGamingManagerPersonNm
Gaming Manager Compensation$141GamingManagerCompensationAmt
Gaming Manager Services ProvCREATE AND OVERSEE THE CALCULATION FOR THE TOURNAMENT RECORD KEEPING AND PAYOUT TO PLAYERS.GamingManagerServicesProvTxt
Gaming Manager Is Director OfcrYes (X)GamingManagerIsDirectorOfcrInd
Charitable Distribution Rqr0CharitableDistributionRqrInd
Distributed$0DistributedAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
BENEFIS HEALTH SYSTEM
1101 26TH ST SGREAT FALLSMT59405263538104501(C)(3)$886,962SUPPORT VARIOUS PROGRAMS AND PROJECTS
BENEFIS HOSPITALS
1101 26TH ST SGREAT FALLSMT59405810232122501(C)(3)$76,813SUPPORT VARIOUS PROGRAMS AND PROJECTS
MISSOURI RIVER MEDICAL CENTER
PO BOX 249FORT BENTONMT59442810348783501(C)(3)$8,550SUPPORT VARIOUS PROGRAMS AND PROJECTS
BENEFIS SPECTRUM MEDICAL INC
1101 26TH ST SGREAT FALLSMT59405810431871501(C)(3)$9,959SUPPORT VARIOUS PROGRAMS AND PROJECTS
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
ANGEL FUND - PROVIDES FINANCIAL ASSISTANCE TO FAMILIES WITH CHILDREN WHO HAVE CATASTROPHIC ILLNESSES.65$42,500
CARING FOR OUR OWN - PROVIDES FINANCIAL ASSISTANCE TO BENEFIS HEALTH SYSTEM EMPLOYEES OR VOLUNTEERS WHO EXPERIENCE AN EMERGENCY.98$71,432
NURSING SCHOLARSHIPS - SCHOLARSHIPS TO ELIGIBLE STUDENTS ADVANCING THEIR HEALTHCARE EDUCATION, SOME OF WHOM ARE WILLING TO SIGN A WORK COMMITMENT AGREEMENT WITH BENEFIS HEALTH SYSTEM.28$54,250
221 CHILDREN'S FUND - PROVIDES FINANCIALS ASSISTANCE OR PRESCRIPTIONS TO CHILDREN WHO ARE SUFFERING WITH A TERRIBLE ILLNESS OR DISEASE.15$6,714

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationBENEFIS HEALTH SYSTEM FOUNDATION HAS AN APPLICATION PROCESS FOR POTENTIAL GRANT RECIPIENTS. THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE SUBMITTED APPLICATIONS AND ADHERES TO A FUNDS ALLOCATION POLICY, AS WELL AS NEED, WHEN CHOOSING RECIPIENTS. AFTER RECIPIENTS ARE CHOSEN, THE FOUNDATION COMMUNICATES FREQUENTLY WITH GRANTEES. THEY REQUIRE PROOF THAT THE FUNDS ARE SPENT ACCORDING TO THE APPLICATIONS SUBMITTED. THE TYPE OF PROOF THAT IS REQUIRED IS DETERMINED ON A CASE-BY-CASE BASIS; FOR INSTANCE, THEY MAY REQUIRE RECEIPTS AS WELL AS REPORTS CONTAINING DETAILS ON HOW THE MONEY WAS USED, WHO BENEFITTED, AND STORIES FROM THOSE WHO BENEFITTED. THE BENEFIS HEALTH SYSTEM FOUNDATION GRANTS FUNDS TO BENEFIS HEALTH SYSTEM IN SUPPORT OF MANY OF THEIR HOSPITAL PROGRAMS, DEPARTMENTS AND PROJECTS: PEACE HOSPICE AND PEACE HOSPICE RESIDENTIAL FACILITY $463,667 SLETTEN CANCER INSTITUTE AND ONCOLOGY PROGRAMS $174,978 NEONATAL INTENSIVE CARE UNIT-$8,061 CHILDREN'S BEREAVEMENT AND CAMP FRANCIS $33,641 HEART AND VASCULAR INSTITUTE $181,655 MERCY FLIGHT/REGIONAL EMERGENCY SERVICES- $23,314 LABOR AND DELIVERY $16,755 GIFT OF LIFE HOUSING $27,711 SPIRITUAL CARE PROGRAM $10,957 VARIOUS OTHER PROGRAMS AND SERVICES $32,995 TOTAL FOR BENEFIS HEALTH SYSTEM ENTITIES = $973,734ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
NORA GERRITY MD
DIRECTOR$0$188,152$0$0$0$0$0$0$0$7,695$0$195,847$0$0
FORREST EHLINGER
DIRECTOR$0$180,076$0$34,684$0$50,000$0$18,188$0$0$0$282,948$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 7FormAndLineReferenceDesc
ExplanationBENEFIS HEALTH SYSTEM, INC. AND ITS AFFILIATES (INCLUDING THE ORGANIZATION) MAINTAIN AN INCENTIVE COMPENSATION PLAN THAT INCORPORATES BOTH SHARED AND INDIVIDUAL GOALS FOR MEMBERS OF THE EXECUTIVE AND MANAGEMENT LEADERSHIP TEAM (INCLUDING MR. EHLINGER) AND IS SUBJECT TO A PRECONDITION THAT THE SYSTEM MUST ACHIEVE BUDGETED OPERATING PERFORMANCE. IN 2010, THE SYSTEM ADOPTED SHARED PERFORMANCE OBJECTIVES INCLUDING SYSTEM GROWTH AS WELL AS MEASURES TIED TO WORKFORCE, PATIENT EXPERIENCE, PATIENT SAFETY, CLINICAL QUALITY, FINANCE/OPERATIONS, AND COMMUNITY BENEFIT. THE INDIVIDUAL PERFORMANCE OBJECTIVES ADOPTED IN 2010 ARE BASED ON AN ARRAY OF QUALITY, FINANCIAL, OPERATIONAL AND STRATEGIC INITIATIVES. INCENTIVE OPPORTUNITY LEVELS ARE CALCULATED BASED ON PREDETERMINED PERCENTAGES OF EACH EXECUTIVE'S BASE SALARY, AND VARY BASED ON THE ACHIEVEMENT OF THRESHOLD, TARGET OR STRETCH LEVELS AS TO EACH PERFORMANCE OBJECTIVE. THE SYSTEM ALSO MAINTAINS A LONG-TERM INCENTIVE PLAN DIRECTED AT RECRUITING AND RETAINING EXECUTIVE LEADERSHIP. PAYMENTS UNDER THE LONG-TERM PLAN ARE CONDITIONED ON AN EXECUTIVE REMAINING EMPLOYED BY THE SYSTEM AND MAINTAINING SATISFACTORY INDIVIDUAL PERFORMANCE. IN ADDITION, THE SYSTEM MUST HAVE MAINTAINED SATISFACTORY OVERALL PERFORMANCE, BASED ON BOTH FINANCIAL CRITERIA AND SATISFACTION OF EMPLOYEES, PATIENTS AND PHYSICIANS. INCENTIVE OPPORTUNITIES UNDER THE LONG-TERM PLAN ARE APPROVED IN ADVANCE BY THE BENEFIS HEALTH SYSTEM, INC COMPENSATION COMMITTEE, WITH LATER PAYOUTS APPROVED BY THE COMMITTEE BASED ON ACTUAL PERFORMANCE RESULTS.ExplanationTxt

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution8ContributionCnt
Noncash Contributions Rpt F990$141,380NoncashContributionsRptF990Amt
Method Of Determining RevenuesDISCOUNTED PRESENT VALUEMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)GAS CARDS AND HOTEL VOUCHERS283$8,970PURCHASE PRICE
Yes (X)BABY AND MISCELLANEOUS ITEMS70$1,641PURCHASE PRICE
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties UsedYes (1)ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 32B:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION HIRES A THIRD PARTY TO SELL ANY DONATED STOCK RECEIVED AS SPECIFIED IN THE ORGANIZATION'S INVESTMENT POLICY STATEMENT. THE ORGANIZATION ALSO HIRES AN AUCTIONEER TO AUCTION OFF DONATED ITEMS AT THE ORGANIZATION'S ANNUAL FUNDRAISER.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1BTHE ORGANIZATION IS AN AFFILIATE OF BENEFIS HEALTH SYSTEM, INC. (BHS), A TAX EXEMPT MONTANA NON-PROFIT CORPORATION SERVING AS THE PARENT ENTITY OF AN INTEGRATED SYSTEM OF PROVIDER ORGANIZATIONS ADDRESSING THE HEALTH NEEDS OF PERSONS THROUGHOUT NORTH CENTRAL MONTANA. AS THE CORPORATE MEMBER OF THE ORGANIZATION, BHS HOLDS VARIOUS RESERVED POWER IN RELATION TO THE ORGANIZATION, INCLUDING THE AUTHORITY TO ELECT ITS BOARD OF DIRECTORS. THE BOARD OF DIRECTORS OF THE ORGANIZATION INCLUDES CERTAIN INDIVIDUALS WHO ARE EMPLOYED BY THE ORGANIZATION OR ITS AFFILIATES, AND WHO MAY NOT BE CONSIDERED "INDEPENDENT" FOR PURPOSES OF FORM 990. HOWEVER, AS ACKNOWLEDGED BY THE IRS IN ITS "CPE TEXT FOR FISCAL YEAR 1997", IN A MULTI-ENTITY HOSPITAL SYSTEM, THE BOARD OF A SUBSIDIARY NON-PROFIT HEALTH CARE ORGANIZATION IS CONSIDERED TO BE COMPRISED OF INDEPENDENT COMMUNITY MEMBERS IF IT IS CONTROLLED BY AN EXEMPT ORGANIZATION WHOSE OWN BOARD IS COMPRISED OF A MAJORITY OF VOTING MEMBERS WHO ARE INDEPENDENT COMMUNITY MEMBERS. THE ORGANIZATION MEETS THIS STANDARD BECAUSE IT IS A CONTROLLED SUBSIDIARY OF BHS, AND BHS'S OWN GOVERNING BOARD INCLUDES INDEPENDENT COMMUNITY MEMBERS AS A MAJORITY THEREOF.
FORM 990, PART VI, SECTION A, LINE 2CERTAIN OFFICERS AND DIRECTORS LISTED IN PART VII ALSO HOLD OFFICER AND/OR DIRECTOR POSITIONS IN RELATION TO THE ORGANIZATION'S AFFILIATES (AS IDENTIFIED IN SCHEDULE R) AND, IN THAT REGARD, MAY BE CONSIDERED TO HAVE BUSINESS RELATIONSHIPS WITH EACH OTHER.
FORM 990, PART VI, SECTION A, LINE 3PURSUANT TO A CONTRACTUAL ARRANGEMENT, THE ORGANIZATION OBTAINS CERTAIN MANAGEMENT AND ADMINISTRATIVE SERVICES FROM ITS PARENT ENTITY, BENEFIS HEALTH SYSTEM, INC. (BHS). BHS PROVIDES THESE SERVICES TO ITS SUBSIDIARY TAX-EXEMPT OPERATING ENTITIES ON A CENTRALIZED BASIS. THE SERVICES INCLUDE THE FOLLOWING: - MANAGEMENT OF HUMAN RESOURCES INCLUDING POLICIES AND PRACTICES - MANAGEMENT, PLANNING, BUDGETING AND REPORTING OF FINANCIAL OPERATIONS - INFORMATION SYSTEMS COORDINATION - OVERSEES QUALITY STANDARDS, COMPLIANCE AND RISK MANAGEMENT - MANAGES REGIONAL, COMMUNITY AND GOVERNMENT RELATIONS AND MARKETING - MANAGEMENT OF GRANTS DEVELOPMENT THE BOARD OF DIRECTORS OF BHS ALSO OVERSEES ALL OF THE ORGANIZATION'S BOARD ACTIVITIES. THE FOLLOWING PERSONS LISTED IN PART VII WERE COMPENSATED BY BHS: FORREST EHLINGER - $282,948 (COMPENSATION FOR SERVICES AS OFFICER OF BHS) DANIEL HOLLOW - $145,723 MARILYN PARKER - $81,195
FORM 990, PART VI, SECTION A, LINE 6THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS BENEFIS HEALTH SYSTEM, INC., A MONTANA NON-PROFIT PUBLIC BENEFIT CORPORATION THAT HAS BEEN RECOGNIZED BY THE IRS AS DESCRIBED IN IRC SECTION 501(C)(3).
FORM 990, PART VI, SECTION A, LINE 7ABENEFIS HEALTH SYSTEM IS THE SOLE VOTING MEMBER AND HAS THE FOLLOWING RESERVE POWERS OVER BENEFIS HEALTH SYSTEM FOUNDATION: - TO ELECT THE DIRECTORS TO THE BOARD AND OFFICERS OF THE FOUNDATION AND REMOVE ANY DIRECTOR OR OFFICER OF THE FOUNDATION - TO INITIATE AND APPROVE ANY PLAN OF MERGER, CONSOLIDATION OR DISSOLUTION INVOLVING THE FOUNDATION - TO APPROVE ALL AMENDMENTS TO THE FOUNDATION'S ARTICLES OF INCORPORATION AND BYLAWS - TO CONTINUOUSLY REVIEW AND MONITOR THE FINANCIAL CONDITION OF THE FOUNDATION, INCLUDING THROUGH AN ANNUAL AUDIT - TO APPROVE THE ANNUAL BUDGET OF THE FOUNDATION AND ALL MATERIAL DEVIATIONS FROM THE APPROVED BUDGET - TO DELINEATE BY POLICY THE REQUIREMENTS FOR APPROVAL OF ALL ARRANGEMENTS AND TRANSACTIONS INVOLVING THE ASSETS AND FINANCES OF THE FOUNDATION - TO SET THE COMPENSATION FOR ALL OF THE OFFICERS OF THE FOUNDATION, INCLUDING THE PRESIDENT - TO APPROVE ALL MISSION AND/OR VISION STATEMENTS AND ALL STRATEGIC OR LONG-TERM PLANS OF THE FOUNDATION - TO APPROVE THE CREATION, ACQUISITION, DISPOSTION OR TERMINATION OF THE SUBSIDIARIES OR CONTROLLED AFFILIATES, AND ANY MERGERS, CONSOLIDATIONS, AND PERMANENT OR LONG-TERM AFFILIATIONS OF THE FOUNDATION OR ANY OF ITS SUBSIDIARIES OR CONTROLLED ENTITIES - TO APPOINT A CERTIFIED PUBLIC ACCOUNTANT TO PERFORM THE ANNUAL AUDIT OF THE FOUNDATION'S FINANCIAL STATEMENTS IN CONJUNCTION WITH THE ANNUAL AUDIT OF THE MEMBER'S FINANCIAL STATEMENTS - TO APPROVE ANY AGREEMENT THAT OBLIGATES THE FOUNDATION TO PAY OR INCUR LIABILITY OF MORE THAN TEN THOUSAND DOLLARS ($10,000), AND TO APPROVE ANY AGREEMENT THAT OBLIGATES THE FOUNDATION TO PAY AN AMOUNT OR INCUR A LIABILITY NOT INCLUDED IN THE THEN CURRENT BUDGET OF THE FOUNDATION, WHICH WAS APPROVED BY THE MEMBER PURSUANT TO THESE POWERS LISTED - TO DETERMINE AND ENSURE COMPLIANCE WITH THE FOUNDATION'S STATED CHARITABLE PURPOSES - TO INITIATE AND APPROVE, IN CONSULTATION WITH THE BOARD, SUCH OPERATING POLICIES REGARDING THE FOUNDATION'S ACTIVITIES, OPERATIONS, FINANCES AND ASSETS AS IT DEEMS NECESSARY OR APPROPRIATE FROM TIME TO TIME - TO ENSURE THAT THE FOUNDATION IS HONORING THE INTENTIONS AND DIRECTIONS OF ALL OF ITS DONORS WITH RESPECT TO THE INVESTMENT AND USE OF THEIR DONATIONS
FORM 990, PART VI, SECTION A, LINE 7BAS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, BENEFIS HEALTH SYSTEM, INC. RETAINS CERTAIN RESERVED POWERS WITH RESPECT TO THE ORGANIZATION, INCLUDING AUTHORITY OVER MATTERS SUCH AS (WITHOUT LIMITATION) THE ORGANIZATION'S MISSION AND VISION STATEMENTS, STRATEGIC AND LONG-TERM PLANS, ELECTION OF ITS DIRECTORS AND OFFICERS, ANNUAL CAPITAL AND OPERATING BUDGETS, CHARITY CARE AND COMMUNITY BENEFIT POLICIES, AND ANY AMENDMENTS TO ITS ARTICLES OF INCORPORATION AND BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11THIS FORM 990 WAS PREPARED BY THE FINANCE DEPARTMENT PERSONNEL OF BENEFIS HEALTH SYSTEM, INC. IN COLLABORATION WITH ITS ACCOUNTING FIRM. PRIOR TO FILING, A COPY OF THIS FORM 990 WAS DISTRIBUTED TO ALL MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS, WITH A PRESENTATION TO THE BOARD OF BENEFIS HEALTH SYSTEM, INC. BY THE ACCOUNTING FIRM.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS ANNUALLY COMPLETE A FORM TO DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS. IN ADDITION, AT THE START OF EACH BOARD MEETING, MEMBERS ARE ASKED TO INDICATE WHETHER THEY HAVE A CONFLICT OF INTEREST WITH RESPECT TO ANY ITEMS ON THE AGENDA FOR THE MEETING. CONSISTENT WITH THE ORGANIZATION'S CONFLICTS OF INTEREST POLICY, BOARD MEMBERS ARE PROHIBITED FROM PARTICIPATING ON ANY MATTERS AS TO WHICH THEY HAVE A CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15ATHE COMPENSATION OF THE PRESIDENT WAS SET BY THE INDEPENDENT COMPENSATION COMMITTEE OF BENEFIS HEALTH SYSTEM, INC., WHICH IS CHARGED WITH ADMINISTERING THE SYSTEM'S EXECUTIVE COMPENSATION PHILOSOPHY, POLICIES AND PROGRAMS IN THE MANNER SET FORTH IN THE COMMITTEE'S WRITTEN CHARTER. THE COMMITTEE'S RESPONSIBILITIES INCLUDE (I) DETERMINING APPROPRIATE COMPENSATION FOR ALL EXECUTIVES AND OTHER KEY EMPLOYEES, (II) EVALUATING AND ADOPTING EXECUTIVE COMPENSATION PLANS, POLICIES AND PROGRAMS, (III) REVIEWING AND APPROVING EXECUTIVE BENEFIT PLANS, AND (IV) VERIFYING THAT COMPENSATION IS APPROPRIATELY AND FULLY DISCLOSED AND REPORTED. THE COMMITTEE HAS ENGAGED AN INDEPENDENT COMPENSATION CONSULTING FIRM TO ASSIST IN ENSURING THAT AMOUNTS PAID TO THE SYSTEM'S EXECUTIVES ARE CONSISTENT WITH REASONABLE, FAIR MARKET LEVELS. THE PROCESS FOLLOWED BY THE COMMITTEE, INCLUDING THE DATA RELIED UPON AND THE COMMITTEE'S DECISIONS, WAS THOROUGHLY AND TIMELY DOCUMENTED. THE COMPENSATION OF THE ORGANIZATION'S OTHER OFFICERS, KEY EMPLOYEES AND MANAGERS WAS SET BY THEIR RESPECTIVE SUPERVISORY EXECUTIVES IN CONSULTATION WITH BENEFIS HEALTH SYSTEM, INC.'S HUMAN RESOURCES DEPARTMENT AND EXECUTIVE LEADERSHIP, BASED ON A REVIEW OF INDEPENDENT DATA AS TO AMOUNTS PAID BY SIMILARLY-SITUATED ORGANIZATIONS FOR PERSONS PERFORMING COMPARABLE SERVICES.
FORM 990, PART VI, SECTION C, LINE 19BENEFIS HEALTH SYSTEM FOUNDATION, INC. PROVIDES COPIES OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, FINANCIAL STATEMENTS, AND FORM 990 TO THE PUBLIC UPON REQUEST DURING NORMAL BUSINESS HOURS.
FORM 990, PART XI, LINE 9:CHANGE IN VALUE OF CHARITABLE GIFT ANNUITY -51,535.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmt
BENEFIS SLETTEN HI-LINE CANCER CENTER LLC
1101 26TH STREET SOUTHGREAT FALLSMT59405263144419MEDICAL CAREMTBENEFIS HEALTH SYSTEM INC
BENEFIS CASCADE RIDGE LLC
1101 26TH STREET SOUTHGREAT FALLSMT59405274602798REAL ESTATEMTBENEFIS HEALTH SYSTEM INC
BENEFIS HEALTH SYSTEM FOUNDATION PROPERTIES LLC
PO BOX 7008GREAT FALLSMT59406272514629HOLDS REAL PROPERTY DONATED TO FOUNDATIONMTBENEFIS HEALTH SYSTEM FOUNDATION INC$0$0
BBB LLC
1101 26TH STREET SOUTHGREAT FALLSMT59405263652926MEDICAL BUILDINGMTBENEFIS HEALTH SYSTEM INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
BENEFIS HEALTH SYSTEM INC
1101 26TH STREET SOUTHGREAT FALLSMT59405263538104MANAGEMENT AND SUPPORT SERVICESMT501(C)(3)SCHEDULE A, LINE 11N/A0
BENEFIS MEDICAL GROUP INC
1401 25TH STREET SOUTHGREAT FALLSMT59405263538192PHYSICIAN SERVICESMT501(C)(3)SCHEDULE A, LINE 30BENEFIS HEALTH SYSTEM INC
BENEFIS SPECTRUM MEDICAL INC
1101 26TH STREET SOUTHGREAT FALLSMT59405810431871HOME HEALTH AND RELATED PRODUCTSMT501(C)(3)SCHEDULE A, LINE 90BENEFIS HEALTH SYSTEM INC
BENEFIS HOSPITALS INC
1101 26TH STREET SOUTHGREAT FALLSMT59405810232122HOSPITALMT501(C)(3)SCHEDULE A, LINE 30BENEFIS HEALTH SYSTEM INC
BENEFIS HEALTHCARE EES HEALTH PLAN AND TRUST
1101 26TH STREET SOUTHGREAT FALLSMT59405363386166BENEFIT PLANMT501(C)(9)0BENEFIS HEALTH SYSTEM INC
BENEFIS SENIOR SERVICES INC
1101 26TH STREET SOUTHGREAT FALLSMT59405461344408SENIOR SERVICES/CRCCMT501(C)(3)SCHEDULE A, LINE 90BENEFIS HEALTH SYSTEM INC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
GREAT FALLS ATHLETIC CLUB LLC
1800 BENEFIS COURTGREAT FALLSMT59405912081505FITNESS CLUBMTN/AN/A00
BBB LLC
1101 26TH STREET SOUTHGREAT FALLSMT59405263652926MEDICAL BUILDINGMTN/AN/A00
SPECTRUM HOME SOLUTIONS
2509 7TH AVE SOUTHGREAT FALLSMT59405810431871IV THERAPYMTN/AN/A00
THE ORTHOPEDIC CENTER OF MONTANA LLC
1101 26TH STREET SOUTHGREAT FALLSMT59405264490025ORTHOPEDIC SERVICESMTN/AN/A00
ORTHOPEDIC CENTER OF MONTANA AMBULATORY SURGERY CENTER LLC
PO BOX 6988GREAT FALLSMT59406263684944AMBULATORY SURGERY CENTERMTN/AN/A00
TREASURE STATE HEALTHCARE NETWORK LLC
500 15TH AVENUE SOUTHGREAT FALLSMT59405810534714HEALTHCARE SERVICESMTN/AN/A00
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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