2013-05-10T10:41:57-05:00 2012-12-31 810385940 ANDERSON ZURMUEHLEN & CO PC PO BOX 1040 HELENA MT 59624 990 2012-01-01 237338233 MONTANA HEALTH RESEARCH & EDUCATION FOUNDATION MONT 4064421911 PO BOX 5119 HELENA MT 59604 RICHARD BROWN 4064421911 2013-05-08 1 PAULA R JACQUES P00102076 4064421040 2013-04-30 2012 2016-02-24 21:20:13Z RICHARD BROWN PO BOX 5119 HELENA MT 59604 3409021 0 X HTTP://WWW.MTHA.ORG X 1973 MT TO PROVIDE FINANCIAL, TECHNICAL, AND INNOVATIVE SUPPORT TO MHA MEMBERS AND THEIR COMMUNITIES. 7 6 17 0 0 0 2778871 3312870 625 90478 1964 3487 6 0 2781466 3406835 382087 484222 0 0 682554 732474 0 0 0 1672009 1874558 2736650 3091254 44816 315581 682199 1877002 487722 1359716 194477 517286 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 616208 0 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. 753084 0 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. 348415 0 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. 1366313 484222 90478 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. COMPREHENSIVE UNIT-BASED SAFETY PROGRAM (CUSP): AMERICAN HOSPITAL ASSOCIATION, THROUGH ITS HEALTH RESEARCH AND EDUCATIONAL TRUST (HRET) FUNDED PROGRAM TO ASSIST HOSPITALS IN APPLYING THE CUSP CULTURE CHANGE MODEL AND EVIDENCE-BASED INTERVENTIONS TO REDUCE HOSPITAL-ACQUIRED BLOOD STREAM (CLABSI) AND URINARY TRACT (CAUTI) INFECTIONS. ORAL HEALTH WORKFORCE GRANT (DENTAL GRANT):HRSA FUNDED GRANT THROUGH THE STATE OFFICE OF RURAL HEALTH T 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. FRONTIER ACCESS TO HEALTHCARE IN RURAL MONTANA (FAHRM): JOINT PROJECT WITH MONTANA TELEHEALTH ALLIANCE TO IMPROVE MONTANAS STATEWIDE TELECOMMUNICATIONS BROADBAND NETWORK FOR HEALTH INFORMATION TECHNOLOGY. FUNDS ARE PROVIDED BY THE FCC TO ASSIST IN PAYING FOR BROADBAND DEVELOPMENT. MHREF ACTS AS FISCAL AGENT AND PROJECT DIRECTOR. FUNDS GO DIRECTLY FROM FCC TO THE PROJECT VENDOR, VISION NET. HEALTH OCCUPATIONS OF AMERICA (HOSA): CARL D. PERKINS FEDERAL CAREER AND TECHNICAL FUNDS INTENDED TO IMPLEMENT ACTIVITIES FOCUSED ON DEVELOPING STUDENT LEADERSHIP SKILLS AND EXPANDING INTEREST IN HEALTH RELATED OCCUPATIONS AT THE HIGH SCHOOL LEVEL. 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. NATIONAL HEALTH SERVICE CORPS, (NHSC) PROMOTION GRANT: FEDERAL ARRA FUNDED GRANT THROUGH THE MONTANA DPHHS, BUILDING ON THE SUCCESS OF THE PREVIOUS NHSC PROMOTION GRANT. THIS IS A JOINT PROJECT BETWEEN THE SOUTH CENTRAL MONTANA AHEC OFFICE AND THE MONTANA PRIMARY CARE OFFICE CONSISTING OF CONDUCTING ACTIVITIES THAT ENSURE SUCCESSFUL RETENTION OF MONTANAS NHSC SCHOLARS AND LOAN REPAYORS. RURAL VETERAN'S HEALTH ACCESS PROGRAM (RVHAP): HRSA FUNDED PROGRAM TO PROVIDE EDUCATION AND TRAINING FOR STAFF OF RURAL HOSPITAL EMERGENCY DEPARTMENTS TO RECOGNIZE, REFER AND PROVIDE EARLY INTERVENTION FOR RURAL VETERANS EXPERIENCING COMBAT-RELATED MENTAL HEALTH ILLNESS. THE PROGRAM HAS ALSO PROVIDED FUNDING TO EXPAND TELEHEALTH CAPACITY IN A NUMBER OF RURAL CRITICAL ACCESS HOSPITALS. NATIONAL HEALTH SERVICE CORPS, STATE LOAN REPAYMENT PROGRAM (SLRP):FEDERAL ARRA FUNDED GRANT THROUGH THE STATE OFFICE OF RURAL HEALTH, PROVIDING ADDITIONAL LOAN REPAYMENT OPTION THAT ASSISTS WITH RECRUITMENT AND RETENTION OF PRIMARY CARE, DENTAL AND MENTAL HEALTH PROVIDERS IN RURAL AND UNDERSERVED AREAS OF MONTANA. 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 TO IMPLEMENT "PARTNERSHIP FOR PATIENTS", A PRIORITY PROJECT DESIGNED TO PROVIDE TECHNICAL ASSISTANCE, TRAINING EVENTS, AND LEARNING SESSIONS FOR HOSPITALS TO REDUCE HARM AND COMPLICATIONS TO PATIENTS. 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. 1366313 484222 90478 3084020 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 1 17 1 0 0 0 0 0 0 0 0 0 0 X 7 6 0 1 1 0 0 0 0 1 1 0 0 1 1 1 1 1 0 0 0 0 X RICHARD BROWN MHAAN ASSOC OF MT HEALTH CARE PR 4064421911 1720 9TH AVENUE HELENA MT 59601 STEVE MCNEECE 3.00 X X 0 0 0 CHERIE TAYLOR 3.00 X 0 0 0 KELLEY EVANS 3.00 X 0 0 0 PEGGY STEBBINS 3.00 X 0 0 0 KRISTIAN WILSON 3.00 X 0 0 0 NANCY ROSAAEN 3.00 X 0 0 0 RICHARD BROWN 1.00 40.00 X X 0 293911 43771 0 293911 43771 0 0 1 0 MHAAN ASSOCIATION OF MT HEALTH CARE P PO BOX 5119 HELENA MT 596245119 MANAGEMENT 290422 1 2941534 371336 328452 3312870 FEE FOR SERVICE 541900 81333 81333 CONVENTIONS & WORKSHOP 541900 9145 9145 90478 1891 1891 3782 2186 1596 1596 1596 3406835 90478 0 3487 188986 188986 295236 295236 572457 572457 35226 35226 71254 71254 53537 53537 319515 319515 150 150 11899 10407 1492 230 230 894522 894481 41 87469 85915 1554 4986 4986 39290 39290 102041 100830 1211 392734 391052 1682 DUES & SUBSCRIPTIONS 12917 12902 15 SPONSORSHIPS 8365 7365 1000 TRAINING 420 411 9 BANK FEES 20 20 3091254 3084020 7234 0 4814 4818 235447 1770489 20600 20600 0 0 86713 101695 355225 682199 1877002 83023 88281 404699 1271435 487722 1359716 X 107764 415591 20308 29790 66405 71905 194477 517286 682199 1877002 315581 7228 0 X X 0 1 X 1 1 1 X 2494584 2941007 2107254 2778877 3312870 13634592 20366 16054 5138 625 90478 132661 2514950 2957061 2112392 2779502 3403348 13767253 0 0 0 13767253 17158 4057 1916 1964 3487 28582 17158 4057 1916 1964 3487 28582 1656 1656 2533764 2961118 2114308 2781466 3406835 13797491 0.99780 0.99580 0.00210 0.00410 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISC - 2008 AMOUNT: $ 1,656. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 86713 5500 10712 1000 230 101695 88842 -1129 1000 86713 74874 4000 10968 1000 88842 61153 5600 9121 1000 74874 75435 6505 -19287 1500 61153 0.70700 0.29300 0 0 20600 20600 0 0 INVESTMENTS 101695 F 101695 X DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: TO SUPPORT RESEARCH AND CHARITABLE ACTIVITIES WHICH BENEFIT THE MEDICAL COMMUNITY IN MONTANA AND TO IMPROVE THE HEALTH OF IT'S RESIDENTS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: PART X, LINE 2: THE FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE REGARDING A FIN 48 STATEMENT OF UNCERTAIN TAX POSITIONS. 0 DAHL MEMORIAL HEALTH CARE PO BOX 46 EKALAKA MT 59324 810264548 501(C)(3) 5000 FRONTIER COMMUNITY INTEGRATION PROJECT LIBERTY CO HOSPITAL (LIBERTY MEDICAL CENTER) PO BOX 705 CHESTER MT 595220705 810515463 501(C)(3) 13000 FRONTIER COMMUNITY INTEGRATION PROJECT MCCONE CO HEALTH CENTER PO BOX 47 CIRCLE MT 59215 810269223 501(C)(3) 13512 FRONTIER COMMUNITY INTEGRATION PROJECT PIONEER MEDICAL CENTER PO BOX 1228 BIG TIMBER MT 590111228 816001434 501(C)(3) 13000 FRONTIER COMMUNITY INTEGRATION PROJECT ROSEBUD HEALTH CARE CENTER PO BOX 268 FORSYTH MT 593270268 810405434 501(C)(3) 28000 FRONTIER COMMUNITY INTEGRATION PROJECT PRAIRIE COMMUNITY HEALTH CENTER PO BOX 156 TERRY MT 59349 810258933 501(C)(3) 12800 FRONTIER COMMUNITY INTEGRATION PROJECT MINERAL COMMUNITY HOSPITAL PO BOX 66 SUPERIOR MT 598720066 810421823 501(C)(3) 18174 FRONTIER COMMUNITY INTEGRATION PROJECT PHILLIPS COUNTY HOSPITAL PO BOX 640 MALTA MT 595380640 816016152 501(C)(3) 12000 FRONTIER COMMUNITY INTEGRATION PROJECT MISSOURI RIVER MEDICAL CENTER PO BOX 249 FORT BENTON MT 594420249 810348783 501(C)(3) 8000 FRONTIER COMMUNITY INTEGRATION PROJECT ROUNDUP MEMORIAL HEALTHCARE PO BOX 40 ROUNDUP MT 590720040 810245848 501(C)(3) 8000 FRONTIER COMMUNITY INTEGRATION PROJECT SHERIDAN MEMORIAL HOSPITAL 440 WEST LAUREL AVENUE PLENTYWOOD MT 592541526 810243720 501(C)(3) 8000 FRONTIER COMMUNITY INTEGRATION PROJECT TETON MEDICAL CENTER 915 4TH STREET NW CHOTEAU MT 594229123 810392234 501(C)(3) 8000 FRONTIER COMMUNITY INTEGRATION PROJECT WHEATLAND MEMORIAL HEALTHCARE PO BOX 287 HARLOWTON MT 59036 810392231 501(C)(3) 13000 FRONTIER COMMUNITY INTEGRATION PROJECT STUDENT LOAN REPAYMENT 11 295236 0 0 0 0 0 0 0 0 0 RICHARD BROWN 0 256411 0 37500 0 0 0 29675 0 14096 0 337682 0 0 SUPPLEMENTAL INFORMATION PART III RICHARD BROWN IS EMPLOYED BY MHA & SERVES AS THE PRESIDENT FOR MHA & IS A PERMANENT MEMBER OF THE BOARD FOR MT HEALTH RESEARCH & EDUCATION FOUNDATION. MHA ALSO PROVIDES ADMINISTRATIVE SERVICES TO MT HEALTH RESEARCH & EDUCATION FOUNDATION. THE RESPONSES ON THIS SCHEDULE PERTAIN TO MR. BROWN. X PRECEPTOR/OTHER SALARIES 35 328450 AVG.SALARY/BENEFITS PER SURVEY & ACTUAL COST 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 MHA PROVIDES MANAGEMENT, ADMINISTRATIVE & ACCOUNTING SERVICES TO MHREF. FORM 990, PART VI, SECTION A, LINE 4 MHREF APPROVED NEW BY-LAWS IN 2012. FORM 990, PART VI, SECTION B, LINE 11 ALL MEMBERS FO THE BOARD RECEIVED A COPY OF THE FORM 990 PRIOR TO FILING. IT WAS REVIEWED IN DETAIL BY THE BOARD OF TRUSTEES. 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. OTHER FEES FORM 990, PART IX, LINE 11G CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 894,481. MANAGEMENT AND GENERAL EXPENSES 41. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 894,522. FINANCIAL STATEMENTS AND REPORTING: 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 MHA VENTURES 1720 9TH AVENUE HELENA MT 59601 810451214 GROUP PURCHASING & OTHER SERVICES TO MHA MEMBERS MT MHAAN ASSOCIATION OF HEALTH CARE ENTITIES OWNS 100 OF MHAV STOCK C 5500 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 MHA L 290422 COST MHA J 28513 COST