2025-11-13T18:29:48-06:00 2024-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 805 SW BROADWAY SUITE 1400 PORTLAND OR 97205 990 2024-01-01 263538104 BENEFIS HEALTH SYSTEM INC BENE 4064552563 1101 26TH STREET SOUTH GREAT FALLS MT 59405 BRUCE HOULIHAN SVP AND SYSTEM CFO 4064552563 2025-11-08 1 1 WENDY CAMPOS P00448102 5032421447 2025-11-07 2024 2025-03-06 01:10:19Z JOHN GOODNOW 1101 26TH STREET SOUTH GREAT FALLS MT 59405 358048677 0 X WWW.BENEFIS.ORG X 2008 MT PARENT ENTITY OF INTEGRATED HEALTH SYSTEM 11 10 236 10 -957460 395878 1662242 1556875 108691189 119646911 15302558 14847824 -355185 -356575 125300804 135695035 642665 740540 28958700 32894556 24871090 26152838 0 0 0 59273561 66755089 113746016 126543023 11554788 9152012 1853213534 825951196 1459137494 386399639 394076040 439551557 X WE PROVIDE EXCELLENT CARE FOR ALL, HEALING BODY, MIND AND SPIRIT. BENEFIS HEALTH SYSTEM, INC. IS ORGANIZED TO OVERSEE, COORDINATE AND DIRECT THE ASSETS AND OPERATIONS OF BENEFIS HOSPITALS, INC., BENEFIS COMMUNITY CARE, INC., BENEFIS MEDICAL GROUP, INC., BENEFIS HEALTH SYSTEM FOUNDATION, INC., BENEFIS COMMUNITY HOSPITALS, INC. AND OTHER RELATED ENTITIES AS PART OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM SERVING THE RESIDENTS OF NORTH CENTRAL MONTANA. 0 0 126543023 740540 119578271 PROVIDE MANAGEMENT AND ADMINISTRATIVE SERVICES FOR MULTIPLE RELATED HEALTH CARE ENTITIES. 126543023 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 144 0 1 236 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 11 10 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X BRUCE HOULIHAN 4064555479 1101 26TH STREET SOUTH GREAT FALLS MT 59405 JOHN GOODNOW DIRECTOR/CHIEF EXECUTIVE OFFICER 58.00 2.00 X X 1816431 0 36443 ED BUTTREY SECRETARY 4.00 X X 1609 0 0 GENE THAYER DIRECTOR 4.00 X 957 0 0 TANYA CAMERON DIRECTOR 4.00 X 842 0 0 WILLIAM MCGREGOR MD DIRECTOR 4.00 X 250 0 0 DAVE RICHARDS VICE CHAIR 4.00 4.00 X X 250 0 0 DON HAMILTON DIRECTOR 4.00 X 0 0 0 BILL BOURRET DIRECTOR 4.00 X 250 0 0 SHANNON HOILAND CHAIR 4.00 X X 0 0 0 MIKE MILBURN DIRECTOR 4.00 2.00 X 0 0 0 EUGENE MCALLISTER DIRECTOR 4.00 X 0 0 0 FORREST EHLINGER CRO & EVP (THRU 9/24) 25.00 35.00 X 1087402 0 33597 BRUCE HOULIHAN SVP & SYSTEM CFO 40.00 10.00 X 448754 0 86510 GREGORY TIERNEY MD EVP SYSTEM CLINICAL OPERATIONS 19.00 41.00 X 1387376 0 54489 CASEY BUCKINGHAM SVP OF HUMAN RESOURCES 50.00 X 477812 0 74807 BRIDGET BRENNAN MD SYSTEM CHIEF MEDICAL OFFICER 20.00 30.00 X 472166 0 55446 VICKIE NELSON VP AND SYSTEM CIO 50.00 X 293107 0 83750 KACI HUSTED SYSTEM SENIOR VICE PRESIDENT 48.00 2.00 X 215897 0 70595 PAUL DOLAN MD CHIEF MEDICAL INFORMATION OFFICER 50.00 X 489191 0 45948 JULIE WALL VP QUALITY AND PATIENT SAFETY 50.00 X 270560 0 41449 PATTY HARRIS DIRECTOR REVENUE CYCLE 50.00 X 254231 0 36914 MINDI PAYNE CONTROLLER, DIRECTOR OF FINANCE 50.00 X 217179 0 11281 BRENDA BOE SYSTEM CHIEF COMPLIANCE OFFICER 50.00 X 165646 0 9857 7599910 0 641086 43 0 1 0 SLETTEN CONSTRUCTION PO BOX 2467 GREAT FALLS MT 59403 GENERAL CONTRACTOR 18247518 EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE WI 88314 BILLING SOFTWARE IMPLEMENTATION 6564648 GALLAGHER BASSETT SERVICES INC 10220 SW GREENBURG RD TIGARD OR 97223 LEGAL SERVICES 5498847 WAKEFIELD & ASSOCIATES PO BOX 50250 KNOXVILLE TN 37950 COLLECTIONS SERVICES 5202800 GUY TABACCO CONSTRUCTION PO BOX 550 BLACK EAGLE MT 59414 CONSTRUCTION 4583673 32 1556875 1556875 MANAGEMENT FEES 541610 95121912 95053272 68640 BENEFITS ADMIN FEES 541610 28652992 28652992 OTHER PROGRAM REVENUE 621990 72767 72767 JOINT VENTURE INCOME 621990 64770 64770 SUBSIDIARY LOSS 621990 -4265530 -4265530 119646911 7008182 7008182 3514172 5577773 -2063601 -2063601 -1462838 -600763 224512491 103020 216775869 0 7736622 103020 7839642 7839642 JOINT VENTURE INCOME 621990 436738 436738 VENDOR REBATES/DISCOUN 900099 125544 125544 SUBSIDIARY INCOME 621990 80878 80878 1063866 1063866 1707026 135695035 119578271 -957460 15517349 740540 740540 32894556 32894556 6698742 6698742 15470949 15470949 591168 591168 2073146 2073146 1318833 1318833 2630969 2630969 559534 559534 89721 89721 493251 493251 12050712 12050712 1067518 1067518 350748 350748 15243174 15243174 161548 161548 1991058 1991058 4719386 4719386 17299229 17299229 7413009 7413009 REWARDS AND RECOGNITION 761548 761548 TAXES 594814 594814 DUES AND SUBSCRIPTIONS 401060 401060 MINOR EQUIPMENT 134984 134984 792826 792826 126543023 126543023 0 0 44096929 30197109 7257383 7499799 972714759 5212148 6921833 9522992 538954469 262235569 267431408 276718900 512854972 459796878 12973924 13058483 14041914 9846006 14920412 14098881 1853213534 825951196 1203862750 140018515 500703 938308 134567681 137584177 111760525 98305929 8445835 9552710 1459137494 386399639 X 394076040 439551557 394076040 439551557 1853213534 825951196 X 9152012 35008712 1314793 X 0 1 X 1 1 1 X X X 4 BENEFIS HOSPITALS INC 810232122 3 1 0 88301173 BENEFIS HOSPITALS INC 810232122 3 1 0 21175019 BENEFIS MEDICAL GROUP INC 263538192 3 1 0 4299283 BENEFIS COMMUNITY CARE INC 810431871 10 1 0 3510018 BENEFIS COMMUNITY CARE INC 810431871 10 1 0 1818857 BENEFIS COMMUNITY HOSPITALS INC 473448483 3 1 0 3310721 BENEFIS COMMUNITY HOSPITALS INC 473448483 3 1 0 1293158 4 0 123708229 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 X 1 1 PART I, LINE 12G: BENEFIS HOSPITALS, INC. MANAGEMENT FEE INCOME: $88,301,173 BENEFIS HOSPITALS, INC. HEALTH PLAN BENEFITS INCOME: $21,175,019 BENEFIS MEDICAL GROUP, INC. HEALTH PLAN BENEFITS INCOME $4,299,283 BENEFIS COMMUNITY CARE, INC. MANAGEMENT FEE INCOME: $3,310,721 BENEFIS COMMUNITY CARE, INC. HEALTH PLAN BENEFITS INCOME: $1,818,857 BENEFIS COMMUNITY HOSPITALS, INC. MANAGEMENT FEE INCOME: $3,510,018 BENEFIS COMMUNITY HOSPITALS, INC. HEALTH PLAN BENEFITS INCOME: $1,293,158 PART IV, SECTION A, LINE 9C: BENEFIS HEALTH SYSTEM, INC. AND TRUSTS, IRAS, AND A FAMILY MEMBER OF DIRECTORS ARE INVESTED IN A JOINT VENTURE ORGANIZED AS A PARTNERSHIP. SEE SCHEDULE L FOR MORE INFORMATION ON INTERESTS OVER 10%. PART IV, SECTION E, LINE 3A: BENEFIS HEALTH SYSTEM, INC. (BHS) SERVES AS THE PARENT ENTITY OF AN INTEGRATED SYSTEM OF PROVIDER ORGANIZATIONS ADDRESSING THE HEALTH NEEDS OF PERSONS THROUGHOUT NORTH CENTRAL MONTANA. BHS HOLDS VARIOUS RESERVED POWERS IN RELATION TO EACH OF THE SUPPORTED ORGANIZATIONS, INCLUDING THE AUTHORITY TO ELECT ITS BOARD OF DIRECTORS. PART IV, SECTION E, LINE 3B: BHS PROVIDES CERTAIN MANAGEMENT AND ADMINISTRATIVE SERVICES TO ITS SUPPORTED ORGANIZATIONS. BHS PROVIDES THESE SERVICES TO ITS SUBSIDIARY TAX-EXEMPT OPERATING ENTITIES ON A CENTRALIZED BASIS. THE SERVICES INCLUDE THE FOLLOWING: - MANAGEMENT OF HUMAN RESOURCES INCLUDING POLICIES, PRACTICES, AND BENEFITS - MANAGEMENT, PLANNING, BUDGETING AND REPORTING OF FINANCIAL OPERATIONS - MANAGEMENT OF BILLING AND COLLECTIONS POLICIES AND FUNCTIONS - MANAGEMENT OF INFORMATION TECHNOLOGY SERVICES - OVERSIGHT OF QUALITY STANDARDS, COMPLIANCE AND RISK MANAGEMENT - MANAGEMENT OF REGIONAL, COMMUNITY AND GOVERNMENT RELATIONS AND MARKETING - MANAGEMENT OF GRANTS DEVELOPMENT THE BOARD OF DIRECTORS OF BHS ALSO GENERALLY OVERSEES THE GOVERNANCE FUNCTIONS CARRIED ON BY THE BOARDS OF THE SUPPORTED ORGANIZATIONS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 88213 0 1 1508 89721 0 PART II-B, LINE 1: BHS PAYS MONTANA HOSPITAL ASSOCIATION DUES OF WHICH A PORTION RELATES TO LOBBYING ACTIVITIES. BHS ALSO PAYS AN ATTORNEY GROUP TO ADVOCATE AND LOBBY ON ITS BEHALF. 39444960 434657 4197299 1254508 42822408 34105203 732195 5082909 475347 39444960 39626567 1545875 -6090814 976425 34105203 35162047 748384 4331941 615805 39626567 31860775 788828 3254311 741867 35162047 0.15200 0.44000 0.40800 0 1 1 1549564 18295071 19844635 236665126 134927088 101738038 112385903 72308987 40076916 108628781 54999494 53629287 61430024 61430024 276718900 RETIREMENT BENEFIT PLANS LIABILITY 7639282 CAPITAL LEASE LIABILITIES 1913428 9552710 X PART V, LINE 4: ENDOWMENT FUNDS ARE RELATED TO BENEFIS HEALTH SYSTEM FOUNDATION, INC. THE ENDOWMENT FUNDS OF THE FOUNDATION CONSIST OF THE FOLLOWING: THE FUNDS IN THE GENERAL ENDOWMENT ARE RESTRICTED BY DONORS AS PERMANENT ENDOWMENT FUNDS BUT HAVE NO SPECIFIC RESTRICTION ON THE DISTRIBUTION OF EARNINGS. THIS DECISION IS THE RESPONSIBILITY OF THE BOARD OF DIRECTORS OF BENEFIS HEALTH SYSTEM FOUNDATION. THE PEACE HOSPICE RESIDENTIAL ENDOWMENT PROVIDES FOR THE OPERATION AND MAINTENANCE OF THE BENEFIS PEACE HOSPICE RESIDENTIAL FACILITY. BENEFIS PEACE HOSPICE IS A SERVICE OF BENEFIS HEALTH SYSTEM. THE DONOR RESTRICTED ENDOWMENT POOL HOLDS GIFTS FROM DONORS FOR PERMANENT ENDOWMENT FUNDS THAT HAVE SPECIFIC DESIGNATIONS FOR THE USE OF THE EARNINGS OF EACH FUND. THESE MAY INCLUDE FUNDS FOR PROGRAMS OR SERVICES OR SCHOLARSHIPS. BENEFIS HEALTH SYSTEM FOUNDATION ISSUES CHARITABLE GIFT ANNUITIES, DEFERRED PAYMENT CHARITABLE GIFT ANNUITIES AND HAS ESTABLISHED A GIFT ANNUITY POOL TO HOLD THESE FUNDS AS REQUIRED UNDER THE MONTANA CHARITABLE GIFT ANNUITY ACT. THE PURPOSES OF THE FUNDS IN THE POOL ARE DEFINED BY THE INDIVIDUAL ANNUITY CONTRACTS. PART X, LINE 2: THE ORGANIZATION COMPRISES SEVERAL CORPORATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE IRC, EXCEPT TO THE EXTENT OF UNRELATED BUSINESS TAXABLE INCOME AS DEFINED UNDER IRC SECTIONS 511 THROUGH 515, AND SEVERAL LIMITED LIABILITY COMPANIES. THE ORGANIZATION HAS ADOPTED ACCOUNTING FOR UNCERTAIN TAX POSITIONS, WHICH IS AN ACCOUNTING STANDARD THAT PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR UNCERTAIN TAX POSITIONS. THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2024 OR 2023. 1 BENEFIS HEALTH SYSTEM FOUNDATION INC PO BOX 7008 GREAT FALLS MT 59406 810480587 501(C)(3) 619276 0 OPERATIONS SUPPORT COMMUNITY FOOD BANK 1620 12TH AVE NORTH GREAT FALLS MT 59401 363540471 501(C)(3) 25000 0 BACKPACK4KIDS PROGRAM & DOCTOR'S DAY GREAT FALLS RESCUE MISSION PO BOX 129 GREAT FALLS MT 59403 816014374 501(C)(3) 25000 0 ENDOWMENT FUND SPECIAL OLYMPICS OF MONTANA PO BOX 3507 GREAT FALLS MT 59403 810367064 501(C)(3) 15000 0 SPECIAL OLYMPICS STATE BASKETBALL TOURNAMENT NORTHERN TRANSIT INTERLOCAL 226 1ST ST SOUTH SHELBY MT 59474 816001438 GOVERNMENT 15000 0 HI-LINE TRANSPORTATION ALLIANCE FOR YOUTH INC 3220 11TH AVE S GREAT FALLS MT 59405 810429575 501(C)(3) 8000 0 HOMEWARD BOUND PROGRAM SUPPORT UNIVERSITY OF PROVIDENCE 1301 20TH ST S GREAT FALLS MT 59405 810231777 501(C)(3) 8000 0 ARGOS SPONSORSHIP EXPLORATIONWORKS INC 995 CAROUSEL WAY HELENA MT 59601 810541491 501(C)(3) 7000 0 EARLY EXPLORERS SOLE SPONSOR TOURO UNIVERSITY 50 WEST 47TH STREET NEW YORK NY 10036 132676570 501(C)(3) 18264 0 MEDICAL STUDENT START-UP KITS 9 0 PART I, LINE 2: BENEFIS HAS A FULL-TIME GRANTS MANAGER WHO OVERSEES INTERNAL CONTROLS. A GRANTS HANDBOOK DETAILING PROCEDURES ALONG WITH ROLES/RESPONSIBILITIES FOR BOTH PRE- AND POST-AWARD HAS BEEN DEVELOPED, APPROVED BY ADMINISTRATION, AND IS IN PLACE. THE GRANTS MANAGER ENSURES STAFF MEMBERS INVOLVED WITH A GRANT-FUNDED PROJECT ARE AWARE OF THESE PROCEDURES AND THEIR RESPECTIVE RESPONSIBILITIES. THE GRANTS MANAGER MONITORS ALL GRANT-RELATED ACTIVITIES TO ENSURE PROTOCOLS ARE FOLLOWED. FOR EXAMPLE, THE GRANTS MANAGER MEETS WITH THE PROJECT DIRECTOR AT LEAST MONTHLY TO REVIEW PROJECT PROGRESS ALONG WITH GOALS, ACTIVITIES, AND EXPENDITURES. THE GRANTS MANAGER ALSO MEETS WITH ACCOUNTING MONTHLY TO REVIEW THE DETAIL TRIAL BALANCE AND ENSURE GRANT CHARGES ARE APPROPRIATE PRIOR TO APPROVING DRAWING DOWN FEDERAL FUNDS. THE GRANTS MANAGER OVERSEES ALL REPORTS AND DELIVERABLES AND MAKES SURE THEY ARE SUBMITTED AS REQUIRED. THE GRANTS MANAGER SERVES AS THE LIAISON WITH THE FEDERAL GOVERNMENT ON ALL GRANT AWARDS AND WORKS DIRECTLY WITH THE FEDERAL PROJECT OFFICER AND FEDERAL GRANTS MANAGEMENT AS INDICATED. WHEN BENEFIS PASSES THROUGH OR SUBAWARDS GRANT FUNDS TO ANOTHER ORGANIZATION, THE GRANTS MANAGER ENSURES THE ORGANIZATION IS ELIGIBLE TO RECEIVE FEDERAL FUNDS BY CONFIRMING IT IS NOT AN EXCLUDED PARTY AND THAT THE ORGANIZATION HAS A TAX IDENTIFICATION NUMBER AND DUNS NUMBER IF APPLICABLE. ALL SUBAWARDS ARE MONITORED BY THE GRANTS MANAGER AND PROJECT DIRECTOR THROUGH ONGOING MEETINGS AND REPORTS INCLUDING A COPY OF THE RECIPIENT'S ANNUAL AUDIT REPORT, WHEN AVAILABLE. X X 1 1 X X X X 1 1 0 0 0 0 0 1 0 JOHN GOODNOW DIRECTOR/CHIEF EXECUTIVE OFFICER 1094798 0 230100 0 491533 0 20700 0 15743 0 1852874 0 0 0 GREGORY TIERNEY MD EVP SYSTEM CLINICAL OPERATIONS 621421 0 139026 0 626929 0 24150 0 30339 0 1441865 0 469026 0 FORREST EHLINGER CRO & EVP (THRU 9/24) 435904 0 131450 0 520048 0 17250 0 16347 0 1120999 0 304258 0 CASEY BUCKINGHAM SVP OF HUMAN RESOURCES 370175 0 71580 0 36057 0 55700 0 19107 0 552619 0 33357 0 BRUCE HOULIHAN SVP & SYSTEM CFO 333485 0 66690 0 48579 0 54251 0 32259 0 535264 0 28618 0 PAUL DOLAN MD CHIEF MEDICAL INFORMATION OFFICER 399258 0 89633 0 300 0 24150 0 21798 0 535139 0 0 0 BRIDGET BRENNAN MD SYSTEM CHIEF MEDICAL OFFICER 396531 0 75635 0 0 0 17250 0 38196 0 527612 0 0 0 VICKIE NELSON VP AND SYSTEM CIO 239354 0 50646 0 3107 0 46789 0 36961 0 376857 0 0 0 JULIE WALL VP QUALITY AND PATIENT SAFETY 218607 0 51953 0 0 0 16678 0 24771 0 312009 0 0 0 PATTY HARRIS DIRECTOR REVENUE CYCLE 221393 0 32838 0 0 0 15460 0 21454 0 291145 0 0 0 KACI HUSTED SYSTEM SENIOR VICE PRESIDENT 155313 0 42126 0 18458 0 29318 0 41277 0 286492 0 15758 0 MINDI PAYNE CONTROLLER, DIRECTOR OF FINANCE 191554 0 25625 0 0 0 10815 0 466 0 228460 0 0 0 BRENDA BOE SYSTEM CHIEF COMPLIANCE OFFICER 143066 0 22580 0 0 0 8323 0 1534 0 175503 0 0 0 PART I, LINE 1A TRAVEL FOR COMPANIONS AND SOCIAL CLUB DUES THAT BENEFIS HEALTH SYSTEM PAYS FOR ITS OFFICERS ARE TREATED AS TAXABLE INCOME TO THE INDIVIDUAL ACCORDINGLY. PART I, LINES 4A-B LINE 4A: FORREST EHLINGER, $110,768. LINE 4B: BENEFIS HEALTH SYSTEM, INC PROVIDES A SECTION 457F NONQUALIFIED DEFERRED COMPENSATION PLAN FOR DR. TIERNEY, MR. GOODNOW, MS. BUCKINGHAM, MS. HUSTED, MR. HOULIHAN, MS. NELSON, AND MR. EHLINGER WHO MET THE REQUIREMENTS OF THE PLAN. DR. TIERNEY, MR. GOODNOW, MS. BUCKINGHAM, MS. HUSTED, MR. HOULIHAN, AND MR. EHLINGER RECEIVED A PAYOUT FROM THE PLAN IN 2024. PART I, LINE 7 BENEFIS HEALTH SYSTEM, INC. AND ITS AFFILIATES (INCLUDING THE ORGANIZATION) MAINTAIN AN INCENTIVE COMPENSATION PLAN THAT INCORPORATES BOTH SHARED AND INDIVIDUAL GOALS FOR MEMBERS OF THE EXECUTIVE AND MANAGEMENT LEADERSHIP TEAMS. PAYMENTS PURSUANT TO THE INCENTIVE PLAN ARE SUBJECT TO A PRECONDITION THAT THE SYSTEM MUST ACHIEVE BUDGETED OPERATING PERFORMANCE. THE SYSTEM HAS ADOPTED SHARED PERFORMANCE OBJECTIVES INCLUDING SYSTEM GROWTH AS WELL AS MEASURES TIED TO WORKFORCE, PATIENT EXPERIENCE, PATIENT SAFETY, CLINICAL QUALITY, AND FINANCE/OPERATIONS. THE INDIVIDUAL PERFORMANCE OBJECTIVES ADOPTED ARE BASED ON AN ARRAY OF QUALITY, FINANCIAL, OPERATIONAL AND STRATEGIC INITIATIVES. INCENTIVE OPPORTUNITY LEVELS ARE CALCULATED BASED ON PREDETERMINED PERCENTAGES OF EACH EXECUTIVE'S AND MANAGER'S BASE SALARY, AND VARY BASED ON THE ACHIEVEMENT OF THRESHOLD, TARGET OR STRETCH LEVELS AS TO EACH PERFORMANCE OBJECTIVE. THE SYSTEM ALSO MAINTAINS A LONG-TERM INCENTIVE PLAN DIRECTED AT RECRUITING AND RETAINING EXECUTIVE LEADERSHIP. PAYMENTS UNDER THE LONG-TERM INCENTIVE PLAN ARE CONDITIONED ON AN EXECUTIVE REMAINING EMPLOYED BY THE SYSTEM AND MAINTAINING SATISFACTORY OVERALL PERFORMANCE. INCENTIVE OPPORTUNITIES UNDER THE LONG-TERM PLAN ARE APPROVED IN ADVANCE BY THE BENEFIS HEALTH SYSTEM, INC. COMPENSATION COMMITTEE, WITH LATER PAYOUTS APPROVED BY THE COMMITTEE BASED ON ACTUAL PERFORMANCE RESULTS. A MONTANA FACILITY FINANCE AUTHORITY 364615155 2017-06-28 28300000 CONSTRUCTION/ EXPANSION OF HEALTHCARE FACILITY 0 0 0 B MONTANA FACILITY FINANCE AUTHORITY 364615155 2016-11-10 161550995 CONSTRUCTION/ EXPANSION OF HEALTHCARE FACILITY 0 0 0 A 13910000 28300000 290401 28009599 2017 1 0 1 1 B 38375000 164305244 1560101 22791208 139953935 2019 1 1 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 1 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 1 1 JP MORGAN 19.000000000000 1 0 0 0 1 B 0 0 0 1 0 0 0 0 1 A 1 B 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MONTANA FACILITY FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/10/2021 SCHEDULE K, PART II, LINE 3: THE VARIANCE OF THE MONTANA FACILITY FINANCE AUTHORITY BOND ISSUED ON 11/10/2016 BETWEEN PART I, COLUMN (E) AND PART II, LINE 3 RELATES TO INVESTMENT INCOME EARNED ON THE PROCEEDS HELD IN ESCROW. FORM 990, PART VI, SECTION A, LINE 2 CERTAIN OFFICERS AND DIRECTORS LISTED IN PART VII ALSO HOLD OFFICER AND/OR DIRECTOR POSITIONS IN RELATION TO THE ORGANIZATION'S AFFILIATES (AS IDENTIFIED IN SCHEDULE R) AND, IN THAT REGARD, MAY BE CONSIDERED TO HAVE BUSINESS RELATIONSHIPS WITH EACH OTHER. SUCH BUSINESS RELATIONSHIPS ARE UNDERTAKEN IN THE ORDINARY COURSE OF BUSINESS. FORM 990, PART VI, SECTION B, LINE 11B THIS FORM 990 WAS PREPARED BY THE FINANCE DEPARTMENT PERSONNEL OF BENEFIS HEALTH SYSTEM, INC. IN COLLABORATION WITH ITS ACCOUNTING FIRM. PRIOR TO FILING, A COPY OF THIS FORM 990 INCLUDING SCHEDULE B WAS MADE AVAILABLE TO ALL MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS AND WAS PRESENTED TO THE BHS BOARD BY THE ACCOUNTING FIRM. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ANNUALLY COMPLETE A FORM TO DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS. IN ADDITION, AT THE START OF EACH BOARD MEETING, MEMBERS ARE ASKED TO INDICATE WHETHER THEY HAVE A CONFLICT OF INTEREST WITH RESPECT TO ANY ITEMS ON THE AGENDA FOR THE MEETING. CONSISTENT WITH THE ORGANIZATION'S CONFLICTS OF INTEREST POLICY, BOARD MEMBERS ARE PROHIBITED FROM PARTICIPATING IN DELIBERATIONS AND VOTING ON ANY MATTERS AS TO WHICH THEY HAVE A CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE SENIOR EXECUTIVE TEAM WAS SET BY THE INDEPENDENT COMPENSATION COMMITTEE OF BENEFIS HEALTH SYSTEM, INC., WHICH IS CHARGED WITH ADMINISTERING THE SYSTEM'S EXECUTIVE COMPENSATION PHILOSOPHY, POLICIES AND PROGRAMS IN THE MANNER SET FORTH IN THE COMMITTEE'S WRITTEN CHARTER. THE COMMITTEE'S RESPONSIBILITIES INCLUDE (I) DETERMINING APPROPRIATE COMPENSATION FOR ALL EXECUTIVES AND OTHER KEY EMPLOYEES, (II) EVALUATING AND ADOPTING EXECUTIVE COMPENSATION PLANS, POLICIES AND PROGRAMS, (III) REVIEWING AND APPROVING EXECUTIVE BENEFIT PLANS, AND (IV) VERIFYING THAT COMPENSATION IS APPROPRIATELY AND FULLY DISCLOSED AND REPORTED. THE COMMITTEE HAS ENGAGED AN INDEPENDENT COMPENSATION CONSULTING FIRM TO ASSIST IN ENSURING THAT AMOUNTS PAID TO THE SYSTEM'S EXECUTIVES ARE CONSISTENT WITH REASONABLE, FAIR MARKET LEVELS. THE PROCESS FOLLOWED BY THE COMMITTEE, INCLUDING THE DATA RELIED UPON AND THE COMMITTEE'S DECISIONS, WAS THOROUGHLY AND TIMELY DOCUMENTED. THIS PROCESS IS COMPLETED ON AN ANNUAL BASIS. THE COMPENSATION OF THE ORGANIZATION'S KEY EMPLOYEES AND MANAGERS WAS SET BY THEIR RESPECTIVE SUPERVISORY EXECUTIVES IN CONSULTATION WITH BENEFIS HEALTH SYSTEM'S HUMAN RESOURCES DEPARTMENT AND EXECUTIVE LEADERSHIP, BASED ON A REVIEW OF INDEPENDENT DATA AS TO AMOUNTS PAID BY SIMILAR SITUATED ORGANIZATIONS FOR PERSONS PERFORMING COMPARABLE SERVICES. FORM 990, PART VI, SECTION C, LINE 19 BENEFIS HEALTH SYSTEM, INC. PROVIDES COPIES OF THE FORM 990 TO THE PUBLIC UPON REQUEST DURING NORMAL BUSINESS HOURS. FORM 990, PART XI, LINE 9: GAIN/LOSS ON INTEREST RATE SWAP AGREEMENT 9,327. BOOK/TAX DIFFERENCE IN SUBSIDIARY AND JV INCOME 1,305,466. 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