2024-05-13T17:34:34-05:00 2023-06-30 390758449 WIPFLI LLP 105 E PINE ST UPPER FLOOR MISSOULA MT 59802 990 2022-07-01 363464641 NORTHERN MONTANA HEALTH CARE FOUNDATION INC NORT 4062652211 PO BOX 1231 HAVRE MT 59501 DAVID HENRY PRESIDENT/CEO 4062652211 2024-04-25 1 DAVID HENRY XXX-XX-XXXX 1 SAM BRUNSON CPA P01696998 4067281800 2024-04-25 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z DAVID HENRY PO BOX 1231 HAVRE MT 59501 513913 0 X WWW.NMHCARE.ORG X 1985 MT FUNDRAISING AND SUPPORTING NORTHERN MONTANA HOSPITAL AND THEIR AFFILIATES. 10 8 0 12 0 0 65595 199335 0 0 59364 84977 28085 33525 153044 317837 54765 69076 0 0 0 0 0 0 10797 66859 54280 121624 123356 31420 194481 2372481 2509627 88948 39133 2283533 2470494 X THE MISSION OF NORTHERN MONTANA HEALTH CARE FOUNDATION (NMHCF) IS TO BRING AFFORDABLE, HIGH QUALITY HEALTH CARE TO NORTH CENTRAL MONTANA BY SUPPORTING NORTHERN MONTANA HEALTH CARE AND ITS SUBSIDIARIES. NMHCF ACCOMPLISHES THIS BY: 1) STIMULATING THE COMMUNITY IN THE DEVELOPMENT OF NORTHERN MONTANA HOSPITAL (NMH); 2) ASSISTING IN THE PUBLIC RELATIONS OF NMH, SPECIFICALLY IN IMPROVING THE FINANCIAL SUPPORT FROM CONTRIBUTORS; 3) COORDINATING NMH FUNDRAISING PROGRAMS. 0 0 69076 69076 THE FOUNDATION RAISES FUNDS TO GIVE TO THE HOSPITAL WHICH USES THE MONEY TO HELP COVER OPERATING COSTS ASSOCIATED WITH DELIVERING PATIENT CARE. IN THE FISCAL YEAR 2023, THE FOUNDATION RAISED FUNDS THROUGH THE TRIP OF THE MONTH PROJECT. THE FOUNDATION CONTINUES TO ADMINISTER THE SERVING OF HOPE FUNDS FROM MONIES RAISED IN PRIOR YEARS. THEY TAKE THE APPLICATIONS AND DISBURSE FUNDS TO INDIVIDUALS IN NEED OF TRAVEL ASSISTANCE FOR SERIOUS MEDICAL CONDITIONS. THE AMOUNT OF MONEY DISTRIBUTED IN FY 2023 WAS $24,229 TO 51 INDIVIDUALS. IN ADDITION TO THAT FUND, THE FOUNDATION ALSO MANAGES CONTINUED ON SCHEDULE O...THE HAVRE WOMEN'S GOLF ASSOCIATION ASSISTANCE FUND. FOR THE 2023 YEAR $41,500 WAS DISTRIBUTED TO 40 INDIVIDUALS. THE FOUNDATION ADMINISTERS TWO AWARDS FOR EMPLOYEES AT NORTHERN MONTANA CARE CENTER: THE WALLY SCHMOCKEL AWARD AND THE MAX KUHR MEMORIAL AWARD. 69076 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 8 1 1 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 X KIM LUCKE 4062652211 PO BOX 1231 HAVRE MT 59501 DAVID C HENRY PRESIDENT/CEO 1.00 53.00 X X 0 0 0 BRENT REBER CHAIR 2.00 0.00 X X 0 0 0 SANDY BROWN VICE CHAIR (THRU DEC) 2.00 0.00 X X 0 0 0 DEBORAH CALLAHAN TRUSTEE 2.00 0.00 X 0 0 0 JOYCE DONOVEN TRUSTEE 2.00 0.00 X 0 0 0 DR ERICA FARMER TRUSTEE 1.00 39.00 X 0 0 0 MIKE HAMILTON TRUSTEE 2.00 0.00 X 0 0 0 SHERRY KEGEL TRUSTEE 2.00 0.00 X 0 0 0 LINDSEY KELLAM TRUSTEE 2.00 0.00 X 0 0 0 JOE MALLSANI TRUSTEE 2.00 0.00 X 0 0 0 JUDY SOLOMON TRUSTEE 2.00 0.00 X 0 0 0 CHRISTEN OBRESLEY EXECUTIVE DIRECTOR 2.00 53.00 X 0 170741 19120 KIM LUCKE VP OF FINANCE 1.00 53.00 X 0 140288 18752 0 311029 37872 0 0 1 0 0 54187 145148 199335 59250 59250 150000 124273 25727 25727 25727 74347 41400 32947 32947 30981 30403 578 578 317837 0 0 118502 X 69076 69076 11650 11650 31031 31031 8777 8777 2155 135 2020 667 667 123356 69076 43483 10797 163644 1048269 292139 27008 27749 9657 9504 10936 10936 0 0 1233076 1930814 5050 54471 80727 2372481 2509627 59384 39133 29564 0 88948 39133 X 1641833 1749871 641700 720623 2283533 2470494 2372481 2509627 194481 -7520 0 X X 0 1 X 1 0 X 118426 132240 61097 65595 199335 576693 118426 132240 61097 65595 199335 576693 221434 355259 63360 45788 36789 32205 59250 237392 40252 26029 32947 99228 913313 310773 0.38900 0.48290 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 152095 6817 158912 145017 7078 152095 138215 6802 145017 132797 5418 138215 126935 5862 132797 0.00000 1.00000 0.00000 0 0 10936 10936 0 0 X 349832 -7520 71803 64283 285549 32288 32288 317837 162871 71803 71803 91068 32288 32288 123356 PART V, LINE 4: THE FUNDS ARE USED TO PROVIDE FUNDING FOR SPECIFIC ACTIVITIES AND GENERAL OPERATIONS. PART X, LINE 2: THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND, AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. PART XI, LINE 2D - OTHER ADJUSTMENTS: DIRECT GAMING EXPENSES 41,400. COST OF GOODS SOLD 30,403. PART XI, LINE 4B - OTHER ADJUSTMENTS: REVENUES NETTED WITH EXPENSES ON FINANCIAL STATEMENTS 32,288. PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT GAMING EXPENSES 41,400. COST OF GOODS SOLD 30,403. PART XII, LINE 4B - OTHER ADJUSTMENTS: REVENUES NETTED WITH EXPENSES ON FINANCIAL STATEMENTS 32,288. 74347 12079 29321 0 74347 12079 29321 41400 32947 MT 0 THE STATE OF MONTANA DOES NOT REQUIRE NOT-FOR-PROFIT ORGANIZATIONS TO HAVE A GAMING LICENSE TO CONDUCT A RAFFLE. 0 1 0 0.95000 0.05000 KIM LUCKE 30 13TH STREET HAVRE MT 59501 0 CHRISTEN OBRESLEY 0 CHRISTEN OBRESLEY IS COMPENSATED FOR HER SERVICES AS EXECUTIVE DIRECTOR OF THE FOUNDATION REGARDLESS IF THE FOUNDATION HAS A RAFFLE OR NOT. THE FOUNDATION EXECUTIVE DIRECTOR SUPERVISES AND MANAGES THE RAFFLE. X 0 1 MEDICAL ASSISTANCE 91 65729 PART I, LINE 2: GRANTS TO INDIVIDUALS: THE "MEN WHO COOK FOR WOMEN WHO WINE" WAS AN ANNUAL COMMUNITY FUNDRAISER PUT TOGETHER BY RESIDENTS ALONG THE HI-LINE. THE FUNDS THEY RAISED WERE TURNED OVER TO NMHC FOUNDATION TO ADMINISTER "A SERVING OF HOPE." ANY RESIDENT ALONG THE HI-LINE THAT HAS A NEED TO TRAVEL FOR MEDICAL CARE FILLS OUT AN APPLICATION GIVING NMHC FOUNDATION THE DIAGNOSIS, NEED FOR TRAVEL, ETC. THE APPLICANT DOES NOT NEED TO SHOW FINANCIAL NEED. THE NUMBER OF RECIPIENTS FOR THE ASSISTANCE IS DETERMINED BY THE AMOUNT OF FUNDS. EACH APPLICATION IS LIMITED TO $500 PER REQUEST. IF THE FUNDS RUN OUT, NO MORE APPLICATIONS ARE ACCEPTED. IN ADDITION TO THAT FUND, THE FOUNDATION ALSO MANAGES THE HAVRE WOMEN'S GOLF ASSOCIATION ASSISTANCE FUND. THE HWGA FUNDS TOTALED $81,000 AND ARE ALSO TYPICALLY CAPPED AT $1,000 PER APPLICATION SO THE FUND COULD SERVE APPROXIMATELY 81 INDIVIDUALS. 0 0 0 0 0 0 0 0 0 CHRISTEN OBRESLEY EXECUTIVE DIRECTOR 0 169937 0 0 0 804 0 3537 0 15583 0 189861 0 0 KIM LUCKE VP OF FINANCE 0 139470 0 0 0 818 0 2934 0 15818 0 159040 0 0 PART I, LINE 3 PRESIDENT/CEO IS COMPENSATED BY AN UNRELATED MANAGEMENT COMPANY. A RELATED ORGANIZATION AND THE MANAGEMENT COMPANY HAVE A PROCESS IN PLACE TO DETERMINE THE CEO'S COMPENSATION, A COMPENSATION COMMITTEE, USING THE FORM 990 OF OTHER ORGANIZATIONS, AND THE APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION A, LINE 2 KIM LUCKE, CHRISTEN OBRESLEY, DR. ERICA FARMER AND DAVID C. HENRY HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER. KIM, CHRISTEN AND DAVID ARE OFFICERS OF A RELATED TAX-EXEMPT ORGANIZATION THAT EMPLOYS DR. ERICA FARMER. FORM 990, PART VI, SECTION A, LINE 3 DAVID C. HENRY, PRESIDENT/CEO IS EMPLOYED BY FUNDAMENTAL FINANCIAL GROUP, AN UNRELATED MANAGEMENT COMPANY. NORTHERN MONTANA HOSPITAL (NMH) PAYS THE UNRELATED MANAGEMENT COMPANY FOR DAVID'S SERVICES PROVIDED TO THE HOSPITAL, NORTHERN MONTANA HEALTH CARE, AND NORTHERN MONTANA HEALTH CARE FOUNDATION. THE PRESIDENT/CEO'S RESPONSIBILITIES INCLUDE IMPLEMENTING DECISIONS AND SUPERVISING THE MANAGEMENT, ADMINISTRATION AND OPERATION OF THE HOSPITAL AND THE RELATED, EXEMPT ORGANIZATIONS. THE AMOUNT OF COMPENSATION PAID DURING THE CALENDAR YEAR 2022 WAS $566,000. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE NORTHERN MONTANA HEALTH CARE FOUNDATION IS NORTHERN MONTANA HEALTH CARE, INC. FORM 990, PART VI, SECTION A, LINE 7A NORTHERN MONTANA HEALTH CARE FOUNDATION, INC. MAY NOT ELECT TRUSTEES TO THE BOARD EXCEPT FROM A SLATE PREPARED BY THE NOMINATING COMMITTEE OF THE CORPORATION AND APPROVED BY THE SOLE MEMBER FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER OF THE ORGANIZATION SHALL HAVE SUCH RIGHTS AND POWERS AS ARE PROVIDED FOR IN THE ARTICLES OF INCORPORATION, THE BYLAWS OF THE ORGANIZATION AND THE LAWS OF THE STATE OF MONTANA, INCLUDING BUT NOT LIMITED TO, THE EXCLUSIVE POWER: (A) TO REMOVE A TRUSTEE FROM OFFICE AT ANY TIME, WITH OR WITHOUT CAUSE; (B) TO PROPOSE AND APPROVE (I) A PLAN OF DISSOLUTION OR LIQUIDATION OF THE CORPORATION OR (II) A PLAN OF MERGER OR CONSOLIDATION OF THE CORPORATION WITH ANOTHER CORPORATION; AND (C) TO PROPOSE AND APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION. ALL POWERS OF THE CORPORATION SHALL BE EXERCISED BY AND UNDER THE AUTHORITY OF THE BOARDS OF TRUSTEES, AND THE PROPERTY, BUSINESS AND AFFAIRS OF THE CORPORATION SHALL BE MANAGED UNDER THE BOARD'S DIRECTION. THE BOARD OF TRUSTEES MAY NOT, WITHOUT PRIOR APPROVAL OF THE SOLE MEMBER OF THE CORPORATION (A) ADOPT ANY ANNUAL OR LONG-TERM CAPITAL OR OPERATIONAL BUDGET CHANGES THEREIN EXCEEDING TEN PERCENT (10%) OF ANY BUDGET APPROVED BY THE SOLE MEMBER OR $20,000, WHICHEVER IS LESS; (B) AUTHORIZE THE CORPORATION TO ENTER INTO ANY CONTRACT OR ENGAGE IN ANY TRANSACTION WHICH IS NOT PROVIDED FOR IN AN ANNUAL OR LONG-TERM CAPITAL OR OPERATIONAL BUDGET; (C) ADOPT SUBSTANTIVE CHANGES TO EXISTING LONG-TERM OR MASTER INSTITUTIONAL PLANS OF THE CORPORATION; (D) AMEND THE BYLAWS; (E) AUTHORIZE THE CORPORATION TO ENGAGE IN, OR ENTER INTO, ANY TRANSACTION PROVIDING FOR THE SALE, MORTGAGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL THE ASSETS OF THE CORPORATION; (F) ORGANIZE OR ACQUIRE, OR AUTHORIZE THE ORGANIZATION OR ACQUISITION OF, ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (G) AUTHORIZE THE CORPORATION TO ENTER INTO ANY SHARED SERVICE AGREEMENT; (H) APPROVE LONG-TERM BORROWING OF MONEY BY THE CORPORATION OR AUTHORIZE THE CORPORATION TO INCUR ANY INDEBTEDNESS INVOLVING A MORTGAGE OR LIEN OF ASSETS; (I) ELECT TRUSTEES OR THE PRESIDENT OF THE CORPORATION, EXCEPT FROM A SLATE PREPARED BY THE NOMINATING COMMITTEE OF THE CORPORATION AND APPROVED BY THE SOLE MEMBER; (J) ADOPT THE ANNUAL CONTRIBUTION BUDGET; OR (K) AUTHORIZE ANY UNBUDGETED CONTRIBUTIONS IN EXCESS OF SPECIFIED AMOUNTS. FORM 990, PART VI, SECTION A, LINE 8B NO COMMITTEE HAD THE AUTHORITY TO ACT ON BEHALF OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE VP OF FINANCE REVIEWS THE FORM. THE BOARD OF DIRECTORS RECEIVES A COPY OF THE REVIEWED FORM 990 VIA E-MAIL BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY COVERS ALL TRUSTEES, DIRECTORS, OFFICERS, AND KEY EMPLOYEES. THE BOARD IDENTIFIES POTENTIAL CONFLICTS FROM ANNUAL DISCLOSURES. DISCLOSURES ARE REVIEWED BY ADMINISTRATION AFTER ALL ARE GATHERED. THE BOARD DISCUSSES THE POTENTIAL CONFLICTS AND DETERMINES IF VOTING ON RELATED ITEMS WOULD BE A CONFLICT OF INTEREST. IF A CONFLICT IS DETERMINED TO EXIST, THE CONFLICTED INDIVIDUAL IS EXCLUDED FROM VOTING ON THE CONFLICTED ITEM. FORM 990, PART VI, SECTION B, LINE 15 THE PRESIDENT/CEO IS COMPENSATED BY AN UNRELATED MANAGEMENT COMPANY. THE UNRELATED MANAGEMENT COMPANY RECEIVES A FEE FOR SERVICE FROM A RELATED ORGANIZATION FOR THE CEO'S SERVICE PROVIDED TO THIS ORGANIZATION AND RELATED ORGANIZATIONS, NORTHERN MONTANA HOSPITAL (NMH) AND NORTHERN MONTANA HEALTH CARE, INC (NMHC). IN DETERMINE THE CEO'S COMPENSATION, THE GOVERNING BOARD, WITH THE EXCEPTION OF THE CEO, MEETS AND REVIEWS THE FINANCIAL RESULTS OF NMH AND NMHC, CEO'S CURRENT YEAR PRIORITIES, DISCUSSES EVALUATION TOOLS TO BE USED FOR THE CEO'S EVALUATION, HOW COMPARATIVE SALARIES WILL BE OBTAINED AND DISCUSSES THE HISTORY OF COMPENSATION TO THE CEO. AT A SECOND MEETING, THE BOARD REVIEWS NON-FINANCIAL ACTIVITY OF NMH AND NMHC AND THE RESULTS OF THE CEO EVALUATIONS COMPLETED BY THE BOARD MEMBERS. THEN THEY REVIEW AND DISCUSS A COMPENSATION COMPARATIVE SUMMARY OF MONTANA'S CEO COMPENSATION. THEY AGREE UPON A LIST OF THE COMING YEAR'S PRIORITIES FOR THE CEO AND PROPOSED COMPENSATION WITH THE COMPENSATION SET BY BOARD VOTE. THIS ANNUAL PROCESS WAS COMPLETED DURING FISCAL YEAR 2023. THE CEO REVIEWS AND APPROVES THE COMPENSATION FOR ALL OTHER OFFICERS AND PHYSICIANS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 31,031. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,031. FORM 990, PART XII, LINE 2C: THE CONTROLLING ORGANIZATION, NORTHERN MONTANA HEALTH CARE, INC'S. BOARD HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDITED FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT AUDITOR. NORTHERN MONTANA HEALTH CARE INC PO BOX 1231 HAVRE MT 59501 810428854 SUPPORTING ORGANIZATION MT 501(C)(3) LINE 12B, II N/A 0 NORTHERN MONTANA HOSPITAL PO BOX 1231 HAVRE MT 59501 810231787 HEALTH CARE SERVICES MT 501(C)(3) LINE 3 NORTHERN MONTANA HEALTH CARE INC 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0