Civic Intelligence

Montana Health Cooperative

EIN 45-1295465 • 501(c)29 • Helena, MT

Profile

The organization offers true non-profit member governed health insurance that promotes member engagement and provides access to high quality health care.

PO Box 5358Helena, MT 59604

www.mhc.coop

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

72nd percentile

0.62x

Higher debt load relative to assets than 72% of similar nonprofits.

$250M-$1B nonprofits • Source year 2024

Liabilities / Revenue

35th percentile

0.25x

Higher debt load relative to revenue than 35% of similar nonprofits.

$250M-$1B nonprofits • Source year 2024

Net Margin

25th percentile

-1.6%

Higher net margin than 25% of similar nonprofits.

$250M-$1B nonprofits • Source year 2024

Top Officer Pay

31st percentile

$398,535

Higher top officer pay than 31% of similar nonprofits.

Top officer pay equals 0.1% of source-year revenue.

$250M-$1B nonprofits • Source year 2024

Asset Growth

62nd percentile

7.7%

Faster asset growth than 62% of similar nonprofits.

$250M-$1B nonprofits • Annualized from 2023 to 2024

Revenue Growth

23rd percentile

0.7%

Faster revenue growth than 23% of similar nonprofits.

$250M-$1B nonprofits • Annualized from 2023 to 2024

Assets

Up

$197,023,662

Up $14,141,415 (+7.7%) from 2023

Liabilities

Up

$122,324,908

Up $27,578,435 (+29%) from 2023

Net Assets

Down

$74,698,753

Down $13,437,021 (-15%) from 2023

Revenue

Up

$486,076,422

Up $3,516,398 (+0.7%) from 2023

Expenses

Up

$493,868,793

Up $11,734,865 (+2.4%) from 2023

Net Income

Down

-$7,792,371

Down $8,218,467 (-1929%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$200M$100M$0-$100MAssets 2013: $10,140,324Liabilities 2013: $15,329,023Net Assets 2013: -$5,188,6992013Assets 2014: $54,931,076Liabilities 2014: $64,261,527Net Assets 2014: -$9,330,4512014Assets 2015: $67,617,542Liabilities 2015: $118,920,926Net Assets 2015: -$51,303,3842015Assets 2016: $51,848,225Liabilities 2016: $27,842,614Net Assets 2016: $24,005,6112016Assets 2017: $85,987,811Liabilities 2017: $46,909,005Net Assets 2017: $39,078,8062017Assets 2018: $125,482,191Liabilities 2018: $83,596,645Net Assets 2018: $41,885,5462018Assets 2019: $145,412,106Liabilities 2019: $82,015,720Net Assets 2019: $63,396,3862019Assets 2020: $167,525,981Liabilities 2020: $55,904,359Net Assets 2020: $111,621,6222020Assets 2021: $161,534,963Liabilities 2021: $59,589,346Net Assets 2021: $101,945,6172021Assets 2022: $154,017,085Liabilities 2022: $70,649,356Net Assets 2022: $83,367,7292022Assets 2023: $182,882,247Liabilities 2023: $94,746,473Net Assets 2023: $88,135,7742023Assets 2024: $197,023,662Liabilities 2024: $122,324,908Net Assets 2024: $74,698,7532024

Highlighted filing

2024

Assets$197,023,662
Liabilities$122,324,908
Net Assets$74,698,753

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$600M$400M$200M$0-$200MRevenue 2013: $224,227Expenses 2013: $3,968,744Net Income 2013: -$3,744,5172013Revenue 2014: $61,039,532Expenses 2014: $64,457,607Net Income 2014: -$3,418,0752014Revenue 2015: $163,832,660Expenses 2015: $204,069,381Net Income 2015: -$40,236,7212015Revenue 2016: $121,849,758Expenses 2016: $141,290,937Net Income 2016: -$19,441,1792016Revenue 2017: $157,529,981Expenses 2017: $142,462,070Net Income 2017: $15,067,9112017Revenue 2018: $316,396,976Expenses 2018: $303,035,198Net Income 2018: $13,361,7782018Revenue 2019: $254,866,483Expenses 2019: $239,694,559Net Income 2019: $15,171,9242019Revenue 2020: $234,523,363Expenses 2020: $188,910,746Net Income 2020: $45,612,6172020Revenue 2021: $256,051,984Expenses 2021: $258,763,322Net Income 2021: -$2,711,3382021Revenue 2022: $285,775,835Expenses 2022: $286,126,139Net Income 2022: -$350,3042022Revenue 2023: $482,560,024Expenses 2023: $482,133,928Net Income 2023: $426,0962023Revenue 2024: $486,076,422Expenses 2024: $493,868,793Net Income 2024: -$7,792,3712024

Highlighted filing

2024

Revenue$486,076,422
Expenses$493,868,793
Net Income-$7,792,371

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 8, 2025
Return Version
2024v5.1
Gross Receipts
$529,701,089
Mission and Program Overview

Mission

The organization offers true non-profit member governed health insurance that promotes member engagement and provides access to high quality health care.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$26,959,193$77,798,718▲ $50,839,525
Pd in Cap Srpls Land Bldg Eqp Fund$76,463,200$76,463,200→ $0
Investments Other Securities$110,822,170$75,507,934▼ $35,314,236
Accounts Receivable$43,845,367$42,447,308▼ $1,398,059
Land, Buildings, and Equipment, Net$891,858$880,947▼ $10,911
Cash and Non-Interest-Bearing Accounts$363,659$388,755▲ $25,096
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$11,672,574$-1,764,447▼ $13,437,021
Total Assets$182,882,247$197,023,662▲ $14,141,415
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$94,746,473$122,324,908▲ $27,578,435
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Other Liabilities$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$94,746,473$122,324,908▲ $27,578,435
Net Assets / Fund Balance
Total Net Assets Fund Balance$88,135,774$74,698,753▼ $13,437,021
Total Liabilities and Net Assets / Fund Balance$182,882,247$197,023,661▲ $14,141,414

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$880,947$65,467$946,414
Equipment$0$304,772$304,772
Other Securities$75,507,934--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Blair FjesethCEOFT$318,802$79,733$398,535
David SlonakerCFOFT$220,362$88,219$308,581
Richard MiltenbergerFormer CEOFT$178,018$100,736$278,754
Darrel StoneVP of It BiFT$238,946$33,169$272,115
Darrel StoneVP of It & Bi-$207,624$64,490$272,114
James WarnerVP-provider NetworkFT$161,809$88,976$250,785
Jeffrey SwingleyVP SalesFT$135,561$111,534$247,095
Mark WaltersVP Business DevelopmentFT$173,388$62,897$236,285
Peggy WorleyControllerFT$137,854$60,368$198,222
Leah MartinAssistant Vice PresidentFT$100,414$66,303$166,717
Christine MendenhallDirector Member ServicesFT$104,644$53,075$157,719
Melissa McvaughDirector Clinical ProgramFT$107,402$34,724$142,126
Kathron IsleyQuality DirectorFT$106,251$27,083$133,334
Brandon RussellNetwork AdministratorFT$94,833$37,644$132,477
Melissa VanpernisProjects ManagerFT$107,402$13,546$120,948
Richard WessenbergSales ExecutiveFT$85,595$30,027$115,622
Rebecca LafondChair-$24,900-$24,900
Mark ReinselDirector-$14,900-$14,900
Michael McmurrayTreasurer-$13,250-$13,250
Nolan HillDirector-$12,700-$12,700
Lisa BallardSecretary-$12,650-$12,650
Liesel BrinkDirector-$12,600-$12,600
Lacy KowalskiDirector-$12,400-$12,400
Monica LindeenDirector-$12,200-$12,200
T Chris MuirheadDirector-$12,150-$12,150
Christina GoeDirector-$12,100-$12,100
Paul McdonaldDirector-$11,000-$11,000
Stasia CreekDirector-$10,650-$10,650
Patty HamblockDirector-$10,400-$10,400
Tom BasslerDirector-$10,400-$10,400
Alex MuromsewDirector-$9,900-$9,900

Highest Paid Contractors

ContractorServicesLocationCompensation
University Of Utah Health PlansClaims Processing Administrator50 NORTH MEDICAL DRIVE, Salt Lake City, UT 84132$11,669,263
Zelis Claims Integrity LLCClaims Reprocessor2 CROSSROAD DRIVE, Bedminster, NJ 07921$6,512,270
Mt Commissioner Of InsuranceMontana Reinsurance Premium, Premium Tax840 HELENA AVE, Helena, MT 59601$4,359,854
Healthplan Services INCClaims Processing Administrator4110 GEORGE ROAD, Tampa, FL 33634$2,247,210
Wyoming Department Of InsurancePremium Taxes, Fees106 E 6TH AVE, Cheyenne, WY 82002$1,711,290
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$473,250,933
Investment Income
$12,825,019
Other Revenue
$470
All Other Contributions
$0
Change in Net Assets
$-7,792,371

Audited Revenue Reconciliation

Revenue per Audited Statements
$450,481,435
Revenue Not Reported on Financial Statements
$35,594,987
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$35,591,444
Total Revenue per Audited Statements
$450,481,435
Total Revenue per Form 990
$486,076,422
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$488,060,630
Salaries, Compensation, and Employee Benefits$5,808,163
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$0$0$0$25,767,990
Other Expenses$0$0$0$4,618,437
All Other Expenses$0$0$0$4,498,964
Other Salaries and Wages$0$0$0$2,517,916
Current Officers, Directors, Trustees, and Key Employees$0$0$0$2,215,698
Advertising$0$0$0$678,027
Other Employee Benefits$0$0$0$490,975
Office Expenses$0$0$0$397,374
Payroll Taxes$0$0$0$349,331
Information Technology$0$0$0$346,247
Occupancy$0$0$0$274,151
Pension Plan Contributions$0$0$0$234,243
Fees for Services Legal$0$0$0$220,348
Insurance$0$0$0$194,052
Travel$0$0$0$156,464
Fees for Services Accounting$0$0$0$125,313
Conferences and Meetings$0$0$0$17,998
Fees for Service Investment Mgmnt Fees$0$0$0$3,542
Total Functional Expenses$0$0$0$493,868,793

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$493,868,793
Expenses per Audited Statements$458,273,806
Total Expenses per Audited Statements$458,273,806
Expenses Not Reported on Financial Statements$35,594,987
Other Expense Adjustments$35,591,444
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Part VI, Line 6

Form 990 Part VI Section A Line 6: Members elect the governing body as a Cooperative but are not granted other powers per the Bylaws.

Part VI, Line 7A

Members elect the governing body as a Cooperative but are not granted other powers per the Bylaws.

Part VI, Line 12C

All employees and directors are covered under the Companys conflict of interest policy. Any conflicts or potential conflicts are reviewed and determined to what level they may require action by the Board of Directors and or executive management. For example a conflict may be determined to require resignation by the employee director or a conflict with a certain subject or vendor may require the individual to be prohibited from participating in any deliberations or decisions related to the conflict.

Part VI, Line 15

CEO Compensation is reviewed and approved annually by the MHC compensation committee. Additionally an outside human resource consulting firm regularly reviews all key positions in the company based on job descriptions and returns comparable salary ranges.

Part VI, Line 19

Any documents required to be available to the public can be requested at the organizations home office.

Part VI Line 11

| Explanation:| FORM 990 PART VI SECTION B LINE 11B: The Form 990 is provided to all Board members and certain executive staff for their review before it is filed.

Filing and Contact Details

Filer

Filer Name
Montana Health Cooperative
EIN
45-1295465
Phone
4064479510
Address
PO BOX 5358, HELENA, MT 59604

Signing Officer

Name
David Slonaker
Title
CFO
Phone
2083287000
Signed
2025-11-08

Organization Details

Formed
2010
Legal Domicile
Mt
Voting Board Members
15
Independent Board Members
15
Employees
51
Volunteers
0
Supplemental Narrative

Additional Explanations

Part XI, Line 9

| Description:, Explanation:, Amount:| The change in the balance of statutory non admitted assets from $7.822,236 to $9,010,107, Statutory non admitted asset liability change, $-1187871|

Part V Line 13

| Explanation:| FORM 990 PART V LINE 13 LIST OF STATES WITH QUALIFIED HEALTH PLANS: MT ID WY

Part V Line 13

| Explanation:| FORM 990 PART V LINE 13A: RESERVES REQUIRED BY STATE: ID = $4,000,000; MT = $750,000; WY = $0 WILL ACCEPT THE CERTIFICATE OF DEPOSIT FROM ANOTHER STATE IF HELD FOR BENEFIT OF ALL POLICYHOLDERS. THE RESERVES MAINTAINED AND REPORTED TO EACH STATE MT ID & WY = $74,698,753

Part XII Line 1

| Explanation:| PART XII LINE 1: THIS FORM 990 WAS PREPARED ON THE STATUTORY BASIS OF ACCOUNTING TO CONFORM WITH THE BASIS OF ACCOUNTING USED ON THE AUDITED FINANCIAL STATEMENTS.

Part XII Line 2

| Explanation:| FORM 990 PART XII LINE 2C: THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.

Financial Statement Notes

Part X, line 2

Part x line 2: the company is a qualified nonprofit health insurer as described in section 501 c 29 of the internal revenue code and is exempt from federal and state income taxes on related income pursuant to section 501 a of the code. As a matter of law the company is subject to examination by federal and state taxing authorities for the open statutory periods. Although management believes that the amounts reflected in the tax returns substantially comply with the applicable federal and state tax regulations both the irs and hte various state taxing authorities can take positions contrary to managements position based on their interpretation of the law. Any panalties and interest would be charged to interest expense in the year assessed.

Part I to XII

| PartandLinenumber:,Explanation:| Part XI Line 4,PART XI LINE 4B - OTHER ADJUSTMENTS: REINSURANCE PREMIUM PAYMENT $4,319,888 + REINSURANCE RECOVERIES $30,973,007 = $35,591,444 TOTAL TO SCHEDULE D PART XI LINE 4B| Part XII Line 4,PART XII LINE 4B - OTHER ADJUSTMENTS: REINSURANCE PREMIUM PAYMENT $4,319,888 + REINSURANCE RECOVERIES $30,973,007 = $35,591,444 TOTAL TO SCHEDULE D PART XII LINE 4B|

Raw XML AppendixShowing 400 of 1,104 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt0UNIVERSITY OF UTAH HEALTH PLANS
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt1MT COMMISSIONER OF INSURANCE
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt2ZELIS CLAIMS INTEGRITY LLC
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt3HEALTHPLAN SERVICES INC
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IRS990/ContractorCompensationGrp/ServicesDesc1MONTANA REINSURANCE PREMIUM, PREMIUM TAX
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IRS990/Form990PartVIISectionAGrp/TitleTxt20VP OF IT BI

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