MONTANA HEALTH RESEARCH AND EDUCATION FOUNDATION INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- MONTANA HEALTH RESEARCH AND EDUCATION FOUNDATION INC (EIN 23-7338233)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-13
- IRS object ID
- 201233189349302038
- Schema version
- 2011v1.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-13T11:12:46-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810385940 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANDERSON ZURMUEHLEN & CO PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1040 | AddressLine1 |
| City | HELENA | City |
| State | MT | State |
| ZIP Code | 59624 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237338233 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONTANA HEALTH RESEARCH & EDUCATION FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MONT | NameControl |
| Phone | 4064421911 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5119 | AddressLine1 |
| City | HELENA | City |
| State | MT | State |
| ZIP Code | 59604 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RICHARD BROWN | Name |
| Title | PRESIDENT | Title |
| Phone | 4064421911 | Phone |
| Date Signed | 2012-11-12 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PAULA R JACQUES | Name |
| PTIN | P00102076 | PTIN |
| Phone | 4064421040 | Phone |
| Date Prepared | 2012-10-30 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | RICHARD BROWN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5119 | AddressLine1 |
| City | HELENA | City |
| State | MT | State |
| ZIP Code | 59604 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 2781466 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | HTTP://WWW.MTHA.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1973 | YearFormation |
| State Legal Domicile | MT | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE FINANCIAL, TECHNICAL, AND INNOVATIVE SUPPORT TO MHA MEMBERS AND THEIR COMMUNITIES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 14 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2107254 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2778871 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 5138 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 625 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1870 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1964 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 6 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 2114262 | TotalRevenuePriorYear |
| Total Revenue Current Year | 2781466 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 623274 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 382087 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 527342 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 682554 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 985930 | OtherExpensePriorYear |
| Other Expenses Current Year | 1672009 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 2136546 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2736650 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -22284 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 44816 | RevenuesLessExpensesCY |
| Total Assets BOY | 756281 | TotalAssetsBOY |
| Total Assets EOY | 682199 | TotalAssetsEOY |
| Total Liabilities BOY | 603755 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 487722 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 152526 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 194477 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 555023 | Expense |
| Grants | 555023 | Grants |
| Description | FRONTIER COMMUNITY HEALTH INTEGRATION PROGRAM (F-CHIP):COOPERATIVE AGREEMENT WITH HRSA/OFFICE OF RURAL HEALTH POLICY TO DEVELOP RECOMMENDATIONS FOR A DEMONSTRATION PROJECT TO IMPROVE ACCESS TO HEALTH CARE AND INTEGRATE THE DELIVERY OF ESSENTIAL HEALTH CARE SERVICES FOR MEDICARE BENEFICIARIES IN ELIGIBLE FRONTIER COMMUNITIES. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 552207 | Expense |
| Grants | 552207 | Grants |
| Description | 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. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 527987 | Expense |
| Grants | 527987 | Grants |
| Description | 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. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1098689 | Expense |
| Grants | 800384 | Grants |
| Revenue | 631 | Revenue |
| Description | 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. HEALTHY MONTANA KIDS/CHIP OUTREACH GRANT (HMK): MONTANA DPHHS FUNDED INITIATIVE TO INCREASE OUTREACH AND ENROLLMENT IN THE HEALTH MONTANA KIDS INSURANCE PROGRAM IN RURAL COMMUNITIES, WORKING THROUGH DESIGNATED CRITICAL ACCESS HOSPITALS. 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 VETERANS 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. TELESTROKE 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. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 1098689 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 800384 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 631 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 2733906 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 48 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 14 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MHAAN ASSOC OF MT HEALTH CARE PR | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4064421911 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1720 9TH AVENUE | AddressLine1 |
| City | HELENA | City |
| State | MT | State |
| ZIP Code | 59601 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (15 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| STEVE CARLSON | ||||||
| CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 |
| MARK CROSS | ||||||
| VICE CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 |
| STEVE MCNEECE | ||||||
| EXECUTIVE OFFICER | 1.00 | X | X | 0 | 0 | 0 |
| JOHN GOODNOW | ||||||
| EXECUTIVE OFFICER | 1.00 | X | X | 0 | 0 | 0 |
| RICHARD BROWN | ||||||
| SECRETARY/TEASURER | 40.00 | X | X | 0 | 266555 | 39614 |
| JAMES KISER | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| RON GLEASON | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| RICK HARALDSON | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| SAM PLESHAR | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| TIM RUSSELL | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| JILL DOMEK | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| BINA EGGENSPERGER | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| JEFF FEE | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| SCOTT DUKE | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| JAY POTTENGER | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 266555 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 39614 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MHAAN ASSOCIATION OF MT HEALTH CARE P | |||||
| PO BOX 5119 | HELENA | MT | 596245119 | MANAGEMENT | 218397 |
| EAGLE HEALTHCARE CONSULTING | |||||
| 1825 WINNE AVE | HELENA | MT | 59601 | GRANT ADMINISTRATION | 102000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| Government Grants | 2435599 | GovernmentGrants |
| All Other Contributions | 343272 | AllOtherContributions |
| Noncash Contributions | 320140 | NoncashContributions |
| Total Contributions | 2778871 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CONVENTIONS & WORKSHOP | Description |
| Business Code | 541900 | BusinessCode |
| Total Revenue Column | 625 | TotalRevenueColumn |
| Related Or Exempt Function Income | 625 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 625 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1964 | TotalRevenueColumn |
| Exclusion | $1,964 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISC | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 6 | TotalRevenueColumn |
| Related Or Exempt Function Income | 6 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 6 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2781466 | TotalRevenueColumn |
| Related Or Exempt Function Income | 631 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,964 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 297175 | Total |
| Program Services | 297175 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 84912 | Total |
| Program Services | 84912 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 529132 | Total |
| Program Services | 529132 | ProgramServices |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36650 | Total |
| Program Services | 36650 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 69615 | Total |
| Program Services | 69615 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47157 | Total |
| Program Services | 47157 | ProgramServices |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 218397 | Total |
| Program Services | 218397 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18936 | Total |
| Program Services | 18846 | ProgramServices |
| Management And General | 90 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 497568 | Total |
| Program Services | 497568 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 216259 | Total |
| Program Services | 215942 | ProgramServices |
| Management And General | 317 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2948 | Total |
| Program Services | 2948 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39812 | Total |
| Program Services | 39812 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 119406 | Total |
| Program Services | 118362 | ProgramServices |
| Management And General | 1044 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 545001 | Total |
| Program Services | 544001 | ProgramServices |
| Management And General | 1000 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7 | Total |
| Program Services | 7 | ProgramServices |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| DUES & SUBSCRIPTIONS | 9111 | 9096 | 15 |
| TRAINING | 4286 | 4286 | |
| BANK FEES | 278 | 278 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2736650 | Total |
| Program Services | 2733906 | ProgramServices |
| Management And General | 2744 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 507408 | BOY |
| EOY | 4814 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 74254 | BOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 76179 | BOY |
| EOY | 235447 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 20600 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 20600 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 88842 | BOY |
| EOY | 86713 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9598 | BOY |
| EOY | 355225 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 756281 | BOY |
| EOY | 682199 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59387 | BOY |
| EOY | 83023 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 544368 | BOY |
| EOY | 404699 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 603755 | BOY |
| EOY | 487722 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63683 | BOY |
| EOY | 107764 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22438 | BOY |
| EOY | 20308 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66405 | BOY |
| EOY | 66405 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 152526 | BOY |
| EOY | 194477 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 756281 | BOY |
| EOY | 682199 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 44816 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -2865 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1939420 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2494584 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2941007 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2107254 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2778877 | CurrentTaxYear |
| Total | 12261142 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 21136 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 20366 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 16054 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5138 | CurrentTaxYearMinus1Year |
| Current Tax Year | 625 | CurrentTaxYear |
| Total | 63319 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1960556 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2514950 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2957061 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2112392 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2779502 | CurrentTaxYear |
| Total | 12324461 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 12324461 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 25099 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 17158 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4057 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1916 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1964 | CurrentTaxYear |
| Total | 50194 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 25099 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 17158 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4057 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1916 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1964 | CurrentTaxYear |
| Total | 50194 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 1656 | CurrentTaxYearMinus3Years |
| Total | 1656 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1985655 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2533764 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2961118 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2114308 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2781466 | CurrentTaxYear |
| Total | 12376311 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99580 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99410 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00410 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00570 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 88842 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -1129 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 1000 | GrantsOrScholarships |
| End Of Year Balance | 86713 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 74874 | BeginningOfYearBalance |
| Contributions | 4000 | Contributions |
| Investment Earnings Or Losses | 10968 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 1000 | GrantsOrScholarships |
| End Of Year Balance | 88842 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 61153 | BeginningOfYearBalance |
| Contributions | 5600 | Contributions |
| Investment Earnings Or Losses | 9121 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 1000 | GrantsOrScholarships |
| End Of Year Balance | 74874 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 75435 | BeginningOfYearBalance |
| Contributions | 6505 | Contributions |
| Investment Earnings Or Losses | -19287 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 1500 | GrantsOrScholarships |
| End Of Year Balance | 61153 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.76580 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.23420 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 20600 | OtherCostOrOtherBasis |
| Depreciation | 20600 | Depreciation |
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INVESTMENTS | Description |
| Book Value | 86713 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 86713 | TotalOfBookValueSecurities |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO/FROM MHA ENTITIES | Description |
| Book Value | 355225 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 355225 | TotalBookValueOtherAssets |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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: | THE FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE REGARDING A FIN 48 STATEMENT OF UNCERTAIN TAX POSITIONS. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 0 | RecordsMaintained |
Recipient Table RecipientTable (10 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| COMMUNITY HOSPITAL OF ANACONDA | |||||||
| 401 W PENNSYLVANIA STREET | ANACONDA | MT | 59711 | 810303913 | 501(C)(3) | 15000 | CAPITAL ASSISTANCE PROGRAM |
| DAHL MEMORIAL HEALTH CARE | |||||||
| PO BOX 46 | EKALAKA | MT | 59324 | 810264548 | 501(C)(3) | 20579 | FRONTIER COMMUNITY INTEGRATION PROJECT |
| LIBERTY CO HOSPITAL (LIBERTY MEDICAL CENTER) | |||||||
| PO BOX 705 | CHESTER | MT | 595220705 | 810515463 | 501(C)(3) | 20579 | FRONTIER COMMUNITY INTEGRATION PROJECT |
| MCCONE CO HEALTH CENTER | |||||||
| PO BOX 47 | CIRCLE | MT | 59215 | 810269223 | 501(C)(3) | 20579 | FRONTIER COMMUNITY INTEGRATION PROJECT |
| PIONEER MEDICAL CENTER | |||||||
| PO BOX 1228 | BIG TIMBER | MT | 590111228 | 816001434 | 501(C)(3) | 20579 | FRONTIER COMMUNITY INTEGRATION PROJECT |
| ROOSEVELT MEDICAL CENTER | |||||||
| PO BOX 419 | CULBERTSON | MT | 592180419 | 810373589 | 501(C)(3) | 20579 | FRONTIER COMMUNITY INTEGRATION PROJECT |
| ROSEBUD HEALTH CARE CENTER | |||||||
| PO BOX 268 | FORSYTH | MT | 593270268 | 810405434 | 501(C)(3) | 20579 | FRONTIER COMMUNITY INTEGRATION PROJECT |
| RUBY VALLEY HOSPITAL | |||||||
| PO BOX 336 | SHERIDAN | MT | 59749 | 810247889 | 501(C)(3) | 20579 | FRONTIER COMMUNITY INTEGRATION PROJECT |
| GEORGIA HEALTH SCIENCES UNIVERSITY | |||||||
| 1120 15TH STREET AF 2030 | AUGUSTA | GA | 309122800 | 586002053 | 501(C)(3) | 28555 | EMERGENCY PREPAREDNESS |
| PRAIRIE COMMUNITY HEALTH CENTER | |||||||
| PO BOX 156 | TERRY | MT | 59349 | 810258933 | 501(C)(3) | 20579 | FRONTIER COMMUNITY INTEGRATION PROJECT |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | STUDENT LOAN REPAYMENT | TypeOfGrant |
| Number Of Recipients | 3 | NumberOfRecipients |
| Amount Of Cash Grant | 84912 | AmountOfCashGrant |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | RICHARD BROWN | NamePerson |
| Base Compensation Filing Org | 0 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 251510 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 15045 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 29060 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 0 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 10554 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 0 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 306169 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Return Reference | PART III | ReturnReference |
| Explanation | RICHARD BROWN IS EMPLOYED BY MHA & SERVES AS THE PRESIDENT FOR MHA & SECRETARY/TREASURER 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. | Explanation |
Schedule M IRS990ScheduleM
Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Number Of ContributionsNumberOfContributions | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|---|
| X | PRECEPTOR/OTHER SALARIES | 35 | 312835 | AVG.SALARY/BENEFITS PER SURVEY & ACTUAL COST |
| X | SUPPLIES DONATED TO AHEC PROGAM | 5 | 7305 | COST |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | BOARD MEMBERS ALSO SERVE ON THE BOARD OF MHA, A RELATED 501(C)(6) ORGANIZATION. | |
| 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 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. | |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED LOSSES ON INVESTMENTS: -2,865. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| PART XII, LINE 2B | THE FINANCIAL STATEMENT DO NOT CONTAIN A FOOTNOTE REGARDING A FIN 48 STATEMENT OF UNCERTAIN TAX POSITIONS. | FINANCIAL STATEMENT REPORTING |
| FORM 990, PART XII, LINE 2C: | THERE HAVE BEEN NO CHANGES FROM PRIOR YEAR IN THE AUDIT OVERSIGHT AND SELECTION PROCESS. | FINANCIAL STATEMENTS AND REPORTING: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MHAAN ASSOCIATION OF MONTANA HEALTHCARE ENTITIES | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5119 | AddressLine1 |
| City | HELENA | City |
| State | MT | State |
| ZIP Code | 59604 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810287203 | EIN |
| Primary Activities | TO PROVIDE SUPPORT, EDUCATION & RESOURCES TO MT HEALTHCARE PROVDIERS | PrimaryActivities |
| Legal Domicile State | MT | LegalDomicileState |
| Exempt Code Section | 501(C)(6) | ExemptCodeSection |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MHAAN ASSOCIATION OF MT HEALTHCARE PROVIDERS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | 0 | ControlledOrg |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MHA VENTURES | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1720 9TH AVENUE | AddressLine1 |
| City | HELENA | City |
| State | MT | State |
| ZIP Code | 59601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810451214 | EIN |
| Primary Activity | GROUP PURCHASING & OTHER SERVICES TO MHA MEMBERS | PrimaryActivity |
| Legal Domicile State | MT | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MHAAN ASSOCIATION OF HEALTH CARE ENTITIES OWNS 100 OF MHAV STOCK | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MHA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | L | TransactionType |
| Amount Involved | 218397 | AmountInvolved |
| Method Of Amt Determination | COST | MethodOfAmtDetermination |