Form 990 for tax year 2024

Totals

Total revenue

$30,267,831

Total expenses

$29,538,544

Contributions and grants received

$0

Grants paid

$0

Program service revenue

$29,914,386

Investment income

$353,445

Other revenue

$0

Total assets, end of year

$18,918,501

Total liabilities, end of year

$1,638,962

Net assets or fund balances, end of year

$17,279,539

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.

Mission and programs · 2024

• Medical benefits paid for qualified medical claims of participants at 30 healthcare entities.

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

As filed on the 2024 return.

Listed in Part VII

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

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.

• Beartooth Billings Clinic (Memorial Hospital Assn)

• 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

• Hot Springs County Hospital Dist

• Lone Tree Senior Living

• North Big Horn Hospital Dist

• Northeast Montana Health Services

• Northeast Montana STAT Air Ambulance Coop

• Phillips County Hospital

• Pioneer Medical Center

• Prairie County Hospital District

• Prairie Ridge Village

• Roosevelt Memorial Medical Center

• Rosebud Health Care Center

• Roundup Memorial Healthcare

• Sheridan Memorial Hospital Assn

• South Big Horn Hospital Dist aka Three Rivers Health

• Sidney Health Center

• 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.

Provenance

Return type

form_990

Tax year

2024

Filed

14 May 2025

IRS schema version

2024v5.1

Source object

202501349349304750

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