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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