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← MONTANA HEALTH NETWORK HEALTH INSURANCE PLAN & TRUST

Form 990 for tax year 2022

Filed by MONTANA HEALTH NETWORK HEALTH INSURANCE PLAN & TRUST.

Totals

Total revenue
$22,372,514
Total expenses
$21,481,933
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$22,471,415
Investment income
-$98,901
Other revenue
$0
Total assets, end of year
$17,621,039
Total liabilities, end of year
$1,825,933
Net assets or fund balances, end of year
$15,795,106
Program services expenses (Part IX)
not reported
Management and general expenses
not reported
Fundraising expenses
not reported
Program service expenses (Part III)
not reported

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: Participating Employers' Contribu

    total $22,392,426 · related or exempt $22,392,426

  • 2b · Program service revenue: Limited continuation of coverage

    total $78,989 · related or exempt $78,989

  • 3 · Investment income

    total $195,261 · unrelated business $195,261

  • 7b · Less cost or other basis and sales expenses

    securities $294,162

  • 7c · Gain or loss

    securities -$294,162

  • 7d · Net gain or loss

    total -$294,162 · unrelated business -$294,162

Functional expenses

Part IX, the statement of functional expenses.

  • 4 · Benefits paid to or for members

    total $18,819,742

  • 11b · Fees: legal

    total $30,967

  • 11c · Fees: accounting

    total $27,383

  • 11g · Fees: other

    total $828,556

  • 13 · Office expenses

    total $35,910

  • 17 · Travel

    total $730

  • 23 · Insurance

    total $2,356

  • 24a · Other expenses: Surcharge Reimbursement

    total $986,170

  • 24b · Other expenses: Premiums paid to insura

    total $749,619

  • 24e · All other expenses

    total $500

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $5,855,070 · end of year $7,788,289

  • 4 · Accounts receivable

    beginning of year $839,236 · end of year $1,148,588

  • 9 · Prepaid expenses and deferred charges

    beginning of year $275 · end of year $189

  • 11 · Investments: publicly traded securities

    beginning of year $8,410,863 · end of year $7,699,573

  • 15 · Other assets

    beginning of year $163,400 · end of year $984,400

  • 17 · Accounts payable and accrued expenses

    beginning of year $10,875 · end of year $1,825,933

  • 29 · Capital stock, trust principal or current funds

    beginning of year $0 · end of year $0

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year $15,257,969 · end of year $15,795,106

Mission and programs · 2022

Mission

None

Activities or mission (Part I)

Multiple Employer Voluntary Employee Benefit Association

  • Medical benefits paid for qualified medical claims of participants at 29 healthcare entities.

  • Stop loss insurance premiums paid to manage risk associated with being self-insured on ultimate benefit coverage.

As filed on the 2022 return.

Listed in Part VII

  • Randy Holom

    Chair (Thru Sept 22) See Sch. O

    Total calculated
    $0
    Hours/week
    1 + 40 related
  • Bill Robinson

    Chair (Start Oct 22) See Sch. O

    Total calculated
    $284,285
    From this org
    $0
    From related orgs
    $264,438
    Other
    $19,847
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $264,438 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $9,125 related
    Nontaxable benefits
    $0 + $11,577 related
    Filer's total
    $0 + $285,140 related
  • Greg Drapes

    Secretary See Sch. O explanation

    Total calculated
    $0
    Hours/week
    0.5 + 40 related
  • Linda Mehlhoff

    Member See Sch. O explanatiion

    Total calculated
    $0
    Hours/week
    0.5 + 40 related
  • Holly Wolff

    Member See Sch. O explanation

    Total calculated
    $0
    Hours/week
    0.5 + 40 related
  • Jeri Chapman

    Member (Start Oct 22) See Sch. O

    Total calculated
    $0
    Hours/week
    0.5 + 40 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

  • Big Horn Hospital Association

  • Central Montana Medical Center

  • Colstrip Medical Center

  • Dahl Memorial Healthcare Association

  • Daniels Memorial Healthcare Center

  • Eastern Montana Community Mental Health Center

  • Frances Mahon Deaconess Hospital

  • Glendive Medical Center

  • Hi-Line Retirement Center

  • Lone Tree Senior Living

  • Monida Healthcare Network

  • Northeast Montana Health Services

  • Northeast Montana STAT Air Ambulance Coop

  • Phillips County Hospital

  • Prairie County Hospital District

  • Prairie Ridge Village LLP

  • Roosevelt Memorial Medical Center

  • Rosebud Health Care Center

  • Roundup Memorial Healthcare

  • Sheridan Memorial Hospital Association

  • Sidney Health Center

  • Sweet Memorial Nursing Home

  • Valley View Nursing Home

  • Wheatland Memorial Hospital

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • Montana Health Network Inc

    C · Plan Sponsor · MT

  • Advanced Imaging Community Medical Center

  • Aye Family Dentistry Inc

  • Big Sky Diagnostic Imaging

  • Ravalli Orthopedics & Sports Medicine

Provenance

Return type
form_990
Tax year
2022
Filed
8 May 2023
IRS schema version
2022v5.0
Source object
202331319349304868

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