Form990-PF
Click to see attachment

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletInformation about Form 990-PF and its instructions is at www.irs.gov/form990pf.
OMB No. 1545-0052
2015
Open to Public Inspection
For calendar year 2015, or tax year beginning 01-01-2015 , and ending 12-31-2015
Name of foundation
MONTANA HEALTHCARE FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)777 EAST MAIN NO 206
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
BOZEMAN, MT59715
A Employer identification number

46-6854005
B Telephone number (see instructions)

(406) 451-7060
C bullet
G Check all that apply:

D 1. bullet
2. bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$102,269,988J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 42,952,450
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments 19,517 19,517  
4 Dividends and interest from securities... 846,568 1,174,799  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 589,750
b Gross sales price for all assets on line 6a 649,189
7 Capital gain net income (from Part IV, line 2)... 746,600
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......   1,056  
12 Total. Add lines 1 through 11........ 44,408,285 1,941,972  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 378,402 45,040   333,362
14 Other employee salaries and wages...... 164,720 15,959   148,761
15 Pension plans, employee benefits....... 53,118 8,674   37,311
16a Legal fees (attach schedule)......... Click to see attachment 31,438 15,719   1,738
b Accounting fees (attach schedule)....... Click to see attachment 9,342 0   9,342
c Other professional fees (attach schedule).... Click to see attachment 295,653 295,268   385
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 12,448 8,398   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy.............. 55,934 0   55,934
21 Travel, conferences, and meetings....... 51,722 0   51,722
22 Printing and publications.......... 1,866 0   1,866
23 Other expenses (attach schedule)....... Click to see attachment 176,681 54,466   178,103
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 1,231,324 443,524   818,524
25 Contributions, gifts, grants paid....... 1,246,706 1,246,706
26 Total expenses and disbursements. Add lines 24 and 25 2,478,030 443,524   2,065,230
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 41,930,255
b Net investment income (if negative, enter -0-) 1,498,448
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2015)
Form 990-PF (2015)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)		 Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 44,103 46,190 46,190
2 Savings and temporary cash investments......... 43,596,702 9,408,650 9,408,650
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........   4,000 4,000
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 6,090,371 Click to see attachment47,544,400 47,544,400
c Investments—corporate bonds (attach schedule)....... 0 Click to see attachment19,960,013 19,960,013
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 12,269,865 Click to see attachment25,306,735 25,306,735
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 62,001,041 102,269,988 102,269,988
Liabilities 17 Accounts payable and accrued expenses.......... 19,906 50,159
18 Grants payable..................   829,740
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 19,906 879,899
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........ 61,981,135 101,390,089
28 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
29 Retained earnings, accumulated income, endowment, or other funds 0 0
30 Total net assets or fund balances (see instructions)..... 61,981,135 101,390,089
31 Total liabilities and net assets/fund balances (see instructions). 62,001,041 102,269,988
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year’s return) ...............
1
61,981,135
2
Enter amount from Part I, line 27a .....................
2
41,930,255
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
103,911,390
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
2,521,301
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
101,390,089
Form 990-PF (2015)
Form 990-PF (2015)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.) 		(b) How acquired
P—Purchase
D—Donation 		(c) Date acquired
(mo., day, yr.) 		(d) Date sold
(mo., day, yr.)
1 a CAPITAL GAINS FROM SCHEDULES K-1 P    
b WTC CTF RESEARCH EQUITY PORTFOLIO P    
c CAPITAL GAINS DIVIDENDS P    
d
e
(e) Gross sales price (f) Depreciation allowed
(or allowable) 		(g) Cost or other basis
plus expense of sale 		(h) Gain or (loss)
(e) plus (f) minus (g)
a 160,852     160,852
b 63,864   63,441 423
c 585,325     585,325
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69 		(k) Excess of col. (i)
over col. (j), if any
a       160,852
b       423
c       585,325
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 746,600
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in) 		(b)
Adjusted qualifying distributions 		(c)
Net value of noncharitable-use assets 		(d)
Distribution ratio
(col. (b) divided by col. (c))
2014 1,379,543 44,399,808 0.031071
2013 0 39,185,715 0.000000
2012      
2011      
2010      
2
Total of line 1, column (d) .....................
20.031071
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5, or by
the number of years the foundation has been in existence if less than 5 years . . .
3
0.015536
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
85,197,301
5
Multiply line 4 by line 3......................
5
1,323,625
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
14,984
7
Add lines 5 and 6........................
7
1,338,609
8
Enter qualifying distributions from Part XII, line 4.............
8
2,065,230
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form 990-PF (2015)
Form 990-PF (2015)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Bullet and enter “N/A" on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 14,984
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 14,984
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 14,984
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 9,224
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 9,224
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. Click to see attachment 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 5,760
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet   RefundedBullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions
for definition)?.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletMT
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2015 or the taxable year beginning in 2015 (see instructions for Part XIV)?
    If "Yes," complete Part XIV.............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletWWW.MTHCF.ORG
    14
    The books are in care ofbulletTED MADDEN Telephone no.bullet (406) 451-7060

    Located atbullet777 EAST MAIN NO 206BOZEMANMT ZIP+4bullet59715
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.......bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16 At any time during calendar year 2015, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? ........
    1b
     
    No
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2015?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2015, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2015?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2015 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2015.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2015?
    4b
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (Continued)
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? (see instructions)................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    WILLIAM UNDERRINER TREASURER
    8.00     		24,000 0 0
    777 EAST MAIN SUITE 206
    BOZEMAN,MT59715
    MICHAEL HARRINGTON TRUSTEE
    7.00     		24,000 0 0
    777 EAST MAIN SUITE 206
    BOZEMAN,MT59715
    DENIS PRAGER CHAIRMAN
    8.00     		24,000 0 0
    777 EAST MAIN SUITE 206
    BOZEMAN,MT59715
    MIGNON WATERMAN SECRETARY
    8.00     		0 0 0
    777 EAST MAIN SUITE 206
    BOZEMAN,MT59715
    JUDITH LAPAN TRUSTEE
    7.00     		24,000 0 0
    777 EAST MAIN SUITE 206
    BOZEMAN,MT59715
    JOANNE PIEPER VICE-CHAIRMAN
    8.00     		24,000 0 0
    777 EAST MAIN SUITE 206
    BOZEMAN,MT59715
    PAUL COOK TRUSTEE
    7.00     		24,000 0 0
    777 EAST MAIN SUITE 206
    BOZEMAN,MT59715
    AARON WERNHAM CEO
    40.00     		234,402 14,650 0
    777 EAST MAIN SUITE 206
    BOZEMAN,MT59715
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    THEODORE MADDEN COO
    40.00     		79,946 10,016 0
    777 EAST MAIN SUITE 206
    BOZEMAN,MT59715
    SCOTT MALLOY SNR PROGRAM OFFICER
    40.00     		52,146 3,151 0
    777 EAST MAIN SUITE 206
    BOZEMAN,MT59715
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    MONTICELLO ASSOCIATES INVESTMENT ADVISOR 200,000
    1800 LARMIER ST
    DENVER,CO80202
    WELLINGTON TRUST CO NA INVESTMENT MANAGEMENT 63,864
    2 EMBARCADERO CENTER STE 1645
    SAN FRANCISCO,CA94111
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1 AMERICAN INDIAN HEALTH: SEE STATEMENT 14 80,000
    2 BEHAVIORAL HEALTH: SEE STATEMENT 15 65,000
    3 PARTNERSHIPS FOR BETTER HEALTH: SEE STATEMENT 16 60,000
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    42,645,905
    b
    Average of monthly cash balances.......................
    1b
    25,816,294
    c
    Fair market value of all other assets (see instructions)................
    1c
    18,032,523
    d
    Total (add lines 1a, b, and c).........................
    1d
    86,494,722
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    86,494,722
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    1,297,421
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    85,197,301
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    4,259,865
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    4,259,865
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    14,984
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    14,984
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    4,244,881
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    4,244,881
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    4,244,881
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    2,065,230
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    2,065,230
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see instructions).................
    5
    14,984
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    2,050,246
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2014     		(c)
    2014     		(d)
    2015
    1 Distributable amount for 2015 from Part XI, line 7 4,244,881
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 1,825,585
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2015:
    a From 2010......  
    b From 2011......  
    c From 2012......  
    d From 2013......  
    e From 2014......  
    fTotal of lines 3a through e........ 0
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 2,065,230
    a Applied to 2014, but not more than line 2a 1,825,585
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2015 distributable amount..... 239,645
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2015. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........     		4,005,236
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2011....  
    b Excess from 2012....  
    c Excess from 2013....  
    d Excess from 2014....  
    e Excess from 2015....  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2015, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2015 (b) 2014 (c) 2013 (d) 2012
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    MONTANA HEALTHCARE FOUNDATION
    777 E MAIN SUITE 206
    BOZEMAN,MT59715
    (406) 451-7060
    bThe form in which applications should be submitted and information and materials they should include:
    THE GRANT APPLICATION FORM IS AVAILABLE ONLINE AT WWW.MTHCF.ORG.
    cAny submission deadlines:
    VARIES
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    AWARDS RESTRICTED TO MONTANA BASED ORGANIZATIONS WHICH ARE EITHER TAX EXEMPT AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (EXCLUDING PRIVATE FOUNDATIONS), TAX EXEMPT EDUCATION INSTITUTIONS, STATE, TRIBAL, OR LOCAL GOVERNMENT AGENCIES.
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    BARRETT HOSPITAL FOUNDATION
    600 HWY 91 SOUTH
    DILLON,MT59725     		  SO-III FI SOUTHWESTERN MONTANA RURAL ACCOUNTABLE CARE 25,000
    BEAVERHEAD COUNTY PUBLIC HEALTH
    41 BARRETT STREET
    DILLON,MT59725     		  GOV INTEGRATING BEHAVIORAL AND PHYSICAL HEALTH IN RURAL SOUTHWEST MONTANA 12,100
    BIGHORN VALLEY HEALTH CENTER INC
    10 4TH STREET WEST
    HARDIN,MT59034     		  PC BVHC AT ST. LABRE SCHOOL: A SCHOOL-BASED HEALTH CENTER TO IMPROVE SCREENING AND TREATMENT OF DEPRESSION 50,000
    BILLINGS CLINIC
    2917 TENTH AVE NORTH
    BILLINGS,MT59107     		  PC TRAIN AND RETAIN: ESTABLISHING A MONTANA PSYCHIATRIC RESIDENCY TRAINING TRACK 25,000
    BLACKFEET TRIBAL HEALTH
    PO BOX 866
    BROWNING,MT59417     		  GOV COMMUNITY BASED HEALTH SERVICES FOR BLACKFEET YOUTH 10,000
    BROWNING ALTERNATIVE SCHOOL
    PO BOX 2021
    BROWNING,MT59417     		  GOV USING BLACKFEET CULTURAL VALUES TO CREATE A TRAUMA INFORMED SCHOOL SETTING. 7,500
    CENTER FOR MENTAL HEALTH
    915 1ST AVE SOUTH
    GREAT FALLS,MT59401     		  PC PLANNING GRANT FOR INTEGRATION OF PRIMARY CARE SERVICES INTO MENTAL HEALTH FACILITIES IN LEWIS AND CLARK COUNTY. 10,150
    COMMUNITY HEALTH PARTNERS
    214 EAST MENDENHALL
    BOZEMAN,MT59715     		  PC CHP PARK COUNTY CONNECT PROGRAM: A COMMUNITY-BASED MODEL TO REDUCE ER HIGH-UTILIZATION. 46,500
    COMMUNITY HEALTH PARTNERS
    214 EAST MENDENHALL
    BOZEMAN,MT59715     		  PC PROMOTORAS DE SALUD: BRIDGING LATINO HEALTH DISPARITIES IN WEST YELLOWSTONE AND BELGRADE 10,000
    CSKT TRIBAL HEALTH DEPARTMENT
    PO BOX 880
    ST IGNATIUS,MT59865     		  GOV UNDERSTANDING AND UTILIZATION OF HEALTH CARE RESOURCES ON THE FLATHEAD INDIAN RESERVATION, MONTANA 50,000
    FORT PECK TRIBAL HEALTH DEPARTMENT
    PO BOX 1027
    POPLAR,MT59255     		  GOV FORT PECK NEEDLE EXCHANGE PROGRAM 25,000
    FORT PECK TRIBES HEALTH PROMOTION DISEASE PREVENTION PROGRAM
    PO BOX 1027
    POPLAR,MT59255     		  GOV FORT PECK TRIBES HPDP STAFF RECRUITMENT AND TELEMEDICINE SYSTEMS PROJECT 12,500
    GLACIER COUNTY EMERGENCY MEDICAL SERVICES
    3530 CENTENNIAL DRIVE
    HELENA,MT59601     		  GOV GLACIER COUNTY, MONTANA INTEGRATED MOBILE HEALTH 25,000
    HELENA INDIAN ALLIANCE
    501 EUCLID AVENUE
    HELENA,MT59601     		  PC DEVELOPMENT OF BEST PRACTICES FOR EXCELLENCE IN OPIATE DEPENDENCE TREATMENT 15,000
    HOLY ROSARY HEALTHCARE FOUNDATION
    2600 WILSON STREET
    MILES CITY,MT59301     		  PC EASTERN MONTANA INTEGRATED BEHAVIORAL HEALTH COLLABORATIVE 25,000
    INTERMOUNTAIN DEACONESS CHILDREN'S SERVICES
    3240 DREDGE DRIVE
    HELENA,MT59602     		  PC ONSITE AND ON-CALL BEHAVIORAL HEALTH AND SUBSTANCE ABUSE SERVICES FOR AT-RISK HELENA YOUTH IN ALTERNATIVE HIGH SCHOOLS. 25,000
    KALISPELL REGIONAL HEALTHCARE
    310 SUNNYVIEW LANE
    KALISPELL,MT59901     		  PC POST-DELIVERY SUPPORT FOR NEONATAL ABSTINENCE SYNDROME (NAS) INFANTS AND THEIR PARENTS IN RURAL MONTANA 25,000
    LEWIS AND CLARK COUNTY
    316 NORTH PARK AVENUE
    HELENA,MT59623     		  GOV LEWIS AND CLARK COUNTY MENTAL HEALTH STRATEGIC PLAN 10,000
    MESSENGERS FOR HEALTH
    335 MAKAWASHA AVENUE
    CROW AGENCY,MT59022     		  PC TRADITIONAL RELATIONSHIPS IMPROVE CONTEMPORARY HEALTH 12,500
    MONTANA BUDGET AND POLICY CENTER
    101 NORTH LAST CHANCE GULCH SUITE
    220
    HELENA,MT59601     		  PC RESEARCHING AND IMPLEMENTING EFFECTIVE STRATEGIES TO HELP ENROLL LOW-INCOME MONTANANS IN HEALTH CARE COVERAGE 10,000
    MONTANA DEPARTMENT OF PUBLIC HEALTH AND HUMAN SERVICES (CHILDREN)
    111 NORTH SANDERS ROOM 307
    HELENA,MT59620     		  GOV SERENITY IN THE STORM IN TRIBAL AND FRONTIER MONTANA SCHOOLS 9,950
    MONTANA DEPARTMENT OF PUBLIC HEALTH AND HUMAN SERVICES
    616 HELENA AVENUE SUITE 100
    HELENA,MT59620     		  GOV IMPROVING THE HEALTH OF MONTANANS THROUGH LOCAL AND TRIBAL PUBLIC HEALTH. 150,000
    MONTANA LEGAL SERVICES ASSOCIATION
    111 NORTH SANDERS AVENUE
    HELENA,MT59601     		  PC MONTANA HEALTH JUSTICE PARTNERSHIP 50,000
    MONTANA MEDICAL ASSOCIATION FOUNDATION
    2021 11TH AVENUE SUITE 1
    HELENA,MT59601     		  PC PRESCRIPTION DRUG ABUSE REDUCTION INITIATIVE 25,000
    MONTANA PUBLIC RADIO-UNIVERSITY OF MONTANA FOUNDATION
    32 CAMPUS DRIVE
    MISSOULA,MT59812     		  PC MONTANA CARE ISSUE REPORTING 10,000
    MONTANA STATE UNIVERSITY - OFFICE OF RURAL HEALTH
    PO BOX 170520
    BOZEMAN,MT59717     		  GOV MT GME COUNCIL RURAL RESIDENCY SUSTAINABILITY INITIATIVE 25,000
    MONTANA WOMEN VOTE
    725 WEST ALDER STREET SUITE 21
    MISSOULA,MT59802     		  PC RESEARCHING AND IMPLEMENTING EFFECTIVE STRATEGIES TO ENROLL LOW-INCOME MONTANANS IN HEALTH CARE COVERAGE 25,000
    NATIONAL CENTER FOR APPROPRIATE TECHNOLOGY
    3040 CONTINENTAL DRIVE
    BUTTE,MT59702     		  PC MONTANA HEALTHY FOOD AND COMMUNITIES INITIATIVE 176,881
    NEIGHBORWORKS MONTANA
    509 1ST AVENUE SOUTH
    GREAT FALLS,MT59401     		  PC MANUFACTURED HOUSING REHAB AND REPLACEMENT COLLABORATION 10,000
    NORTH VALLEY HOSPITAL FOUNDATION
    1600 HOSPITAL WAY
    WHITEFISH,MT59937     		  PC VIRTUAL ACCESS FOR BEHAVIORAL HEALTHCARE SERVICES (VABHS) 25,000
    NORTHERN CHEYENNE TRIBAL BOARD OF HEALTH
    PO BOX 67
    LAME DEER,MT59043     		  GOV NORTHERN CHEYENNE INJURY PREVENTION PROJECT 49,453
    OPEN AID ALLIANCE
    1500 WEST BROADWAY SUITE A
    MISSOULA,MT59802     		  PC OVERDOSE PREVENTION AND NALOXONE ACCESS PROJECT OF MISSOULA COUNTY 15,000
    ROCKY BOY HEALTH BOARD
    96 CLINIC ROAD
    BOX ELDER,MT59521     		  PC ROCKY BOY HEALTH BOARD CENTRALIZED CODING, BILLING, AND REVENUE MAXIMIZATION PROJECT 49,608
    ROCKY MOUNTAIN DEVELOPMENT COUNCIL INC'S RSVP (RETIRED SNR VOLUNTEER PROG)
    PO BOX 1717
    HELENA,MT59624     		  PC TRI-COUNTY RSVP KEEPING YOU HOME PROJECT 25,000
    SIDNEY HEALTH CENTER
    216 14TH AVENUE SOUTHWEST
    SIDNEY,MT59270     		  PC BAKKEN BEHAVIORAL HEALTH PROJECT 10,414
    ST LUKE COMMUNITY HEALTHCARE
    107 6TH AVENUE SOUTHWEST
    RONAN,MT59864     		  PC THE HOPE PROJECT OF LAKE COUNTY & FLATHEAD RESERVATION: IMPROVING HEALTH OUTCOMES FOR MOM AND BABY IMPACTED BY SUBSTANCE ABUSE DURING PREGNANCY 50,000
    ST VINCENT HEALTHCARE FOUNDATION
    1105 NORTH 30TH STREET
    BILLINGS,MT59101     		  PC COMPREHENSIVE PRENATAL CARE WITH INTEGRATED SUBSTANCE ABUSE TREATMENT FOR AMERICAN INDIAN WOMEN 25,000
    THE UNIVERSITY OF MONTANA- OFFICE OF RESEARCH AND SPONSORED PROGRAMS
    32 CAMPUS DRIVE
    MISSOULA,MT59812     		  GOV EFFECTIVE INTEGRATED BEHAVIORAL HEALTH PARTNERSHIPS FOR RURAL MONTANA: A COLLABORATIVE TRAINING PROPOSAL 50,000
    WESTERN MONTANA MENTAL HEALTH
    699 FARMHOUSE LANE
    BOZEMAN,MT59715     		  PC INTEGRATED BEHAVIORAL HEALTH FOR WESTERN AND SOUTH CENTRAL MONTANA 22,400
    PHILANTHROPY NORTHWEST
    2101 FOURTH AVENUE SUITE 650
    SEATTLE,WA98121     		  PC SPONSORSHIP OF HEALTH RELATED FORUM 2,000
    MONTANA PRIMARY CARE ASSOCIATION
    1805 EUCLID AVENUE
    HELENA,MT59601     		  PC SPONSORSHIP OF HEALTH RELATED FORUM 750
    MONTANA NONPROFIT ASSOCIATION
    7 WEST 6TH AVENUE
    HELENA,MT59624     		  PC SPONSORSHIP OF HEALTH RELATED FORUM 1,000
    MONTANA CHAMBER FOUNDATION
    900 GIGGON STREET
    HELENA,MT59601     		  PC SPONSORSHIP OF HEALTH RELATED FORUM 2,500
    MSU- OFFICE OF RURAL HEALTH
    PO BOX 170520
    BOZEMAN,MT59717     		  GOV SPONSORSHIP OF HEALTH RELATED FORUM 5,000
    GREATER GALLATIN UNITED WAY
    945 TECHNOLOGY BOULEVARD SUITE 101F
    BOZEMAN,MT59718     		  PC SPONSORSHIP OF HEALTH RELATED FORUM 500
    Total .................................bullet 3a 1,246,706
    bApproved for future payment
    BARRETT HOSPITAL FOUNDATION
    600 HWY 91 SOUTH
    DILLON,MT59725     		  SO-III FI SOUTHWESTERN MONTANA RURAL ACCOUNTABLE CARE 25,000
    BEAVERHEAD COUNTY PUBLIC HEALTH
    41 BARRETT STREET
    DILLON,MT59725     		  GOV INTEGRATING BEHAVIORAL AND PHYSICAL HEALTH IN RURAL SOUTHWEST MONTANA 10,000
    BIGHORN VALLEY HEALTH CENTER INC
    10 4TH STREET WEST
    HARDIN,MT59034     		  PC BVHC AT ST. LABRE SCHOOL: A SCHOOL-BASED HEALTH CENTER TO IMPROVE SCREENING AND TREATMENT OF DEPRESSION 50,000
    BILLINGS CLINIC
    2917 TENTH AVENUE NORTH
    BILLINGS,MT59107     		  PC TRAIN AND RETAIN: ESTABLISHING A MONTANA PSYCHIATRIC RESIDENCY TRAINING TRACK 25,000
    BLACKFEET TRIBAL HEALTH
    PO BOX 866
    BROWNING,MT59417     		  GOV COMMUNITY BASED HEALTH SERVICES FOR BLACKFEET YOUTH 10,000
    BROWNING ALTERNATIVE SCHOOL
    PO BOX 2021
    BROWNING,MT59417     		  GOV USING BLACKFEET CULTURAL VALUES TO CREATE A TRAUMA INFORMED SCHOOL SETTING. 7,500
    COMMUNITY HEALTH PARTNERS
    214 EAST MENDENHALL
    BOZEMAN,MT59715     		  PC CHP PARK COUNTY CONNECT PROGRAM: A COMMUNITY-BASED MODEL TO REDUCE ER HIGH-UTILIZATION. 46,500
    COMMUNITY HEALTH PARTNERS
    214 EAST MENDENHALL
    BOZEMAN,MT59715     		  PC PROMOTORAS DE SALUD: BRIDGING LATINO HEALTH DISPARITIES IN WEST YELLOWSTONE AND BELGRADE 10,000
    CSKT TRIBAL HEALTH DEPARTMENT
    PO BOX 880
    ST IGNATIUS,MT59865     		  GOV UNDERSTANDING AND UTILIZATION OF HEALTH CARE RESOURCES ON THE FLATHEAD INDIAN RESERVATION, MONTANA 50,000
    FORT PECK TRIBAL HEALTH DEPARTMENT
    PO BOX 1027
    POPLAR,MT59255     		  GOV FORT PECK NEEDLE EXCHANGE PROGRAM 25,000
    FORT PECK TRIBES HEALTH PROMOTION DISEASE PREVENTION PROGRAM
    PO BOX 1027
    POPLAR,MT59255     		  GOV FORT PECK TRIBES HPDP STAFF RECRUITMENT AND TELEMEDICINE SYSTEMS PROJECT 12,500
    GLACIER COUNTY EMERGENCY MEDICAL SERVICES
    3530 CENTENNIAL DRIVE
    HELENA,MT59601     		  GOV GLACIER COUNTY, MONTANA INTEGRATED MOBILE HEALTH 25,000
    HELENA INDIAN ALLIANCE
    501 EUCLID AVENUE
    HELENA,MT59601     		  PC DEVELOPMENT OF BEST PRACTICES FOR EXCELLENCE IN OPIATE DEPENDENCE TREATMENT 5,000
    INTERMOUNTAIN DEACONESS CHILDREN'S SERVICES
    3240 DREDGE DRIVE
    HELENA,MT59602     		  PC ONSITE AND ON-CALL BEHAVIORAL HEALTH AND SUBSTANCE ABUSE SERVICES FOR AT-RISK HELENA YOUTH IN ALTERNATIVE HIGH SCHOOLS. 20,000
    KALISPELL REGIONAL HEALTHCARE
    310 SUNNYVIEW LANE
    KALISPELL,MT59901     		  PC POST-DELIVERY SUPPORT FOR NEONATAL ABSTINENCE SYNDROME (NAS) INFANTS AND THEIR PARENTS IN RURAL MONTANA 25,000
    LEWIS AND CLARK COUNTY
    316 NORTH PARK AVENUE
    HELENA,MT59623     		  GOV LEWIS AND CLARK COUNTY MENTAL HEALTH STRATEGIC PLAN 10,000
    MESSENGERS FOR HEALTH
    335 MAKAWASHA AVENUE
    CROW AGENCY,MT59022     		  PC TRADITIONAL RELATIONSHIPS IMPROVE CONTEMPORARY HEALTH 37,500
    MONTANA LEGAL SERVICES ASSOCIATION
    616 HELENA AVENUE SUITE 100
    HELENA,MT59601     		  PC MONTANA HEALTH JUSTICE PARTNERSHIP 50,000
    MONTANA PUBLIC RADIO-UNIVERSITY OF MONTANA FOUNDATION
    32 CAMPUS DRIVE
    MISSOULA,MT59812     		  PC MONTANA CARE ISSUE REPORTING 10,000
    NEIGHBORWORKS MONTANA
    509 1ST AVENUE SOUTH
    GREAT FALLS,MT59401     		  PC MANUFACTURED HOUSING REHAB AND REPLACEMENT COLLABORATION 10,000
    NORTH VALLEY HOSPITAL FOUNDATION
    1600 HOSPITAL WAY
    WHITEFISH,MT59937     		  PC VIRTUAL ACCESS FOR BEHAVIORAL HEALTHCARE SERVICES (VABHS) 25,000
    NORTHERN CHEYENNE TRIBAL BOARD OF HEALTH
    PO BOX 67
    LAME DEER,MT59043     		  GOV NORTHERN CHEYENNE INJURY PREVENTION PROJECT 50,000
    ROCKY BOY HEALTH BOARD
    96 CLINIC ROAD
    BOX ELDER,MT59521     		  PC ROCKY BOY HEALTH BOARD CENTRALIZED CODING, BILLING, AND REVENUE MAXIMIZATION PROJECT 50,000
    SIDNEY HEALTH CENTER
    216 14TH AVENUE SOUTHWEST
    SIDNEY,MT59270     		  PC BAKKEN BEHAVIORAL HEALTH PROJECT 10,000
    ST LUKE COMMUNITY HEALTHCARE
    107 6TH AVENUE SOUTHWEST
    RONAN,MT59864     		  PC THE HOPE PROJECT OF LAKE COUNTY & FLATHEAD RESERVATION: IMPROVING HEALTH OUTCOMES FOR MOM AND BABY IMPACTED BY SUBSTANCE ABUSE DURING PREGNANCY 50,000
    Total .................................bullet 3b 649,000
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ...........     		    14 19,517  
    4 Dividends and interest from securities....     18 846,568  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6
    Net rental income or (loss) from personal property     		         
    7 Other investment income.....          
    8
    Gain or (loss) from sales of assets other than inventory ............     		    18 589,750  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 1,455,835 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    131,455,835
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2015)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors
    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
    OMB No. 1545-0047
    2015
    Name of the organization
    MONTANA HEALTHCARE FOUNDATION
     
    Employer identification number

    46-6854005
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ





    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
    Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2
    Name of organization
    MONTANA HEALTHCARE FOUNDATION
          		Employer identification number
    46-6854005
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
     
     

    CARING FOR MONTANA INC  
    560 NORTH PARK AVENUE
     
    HELENA, MT59601

    		$ 40,000,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    2
     
     

    FOUNDATION FOR HEALTHY MONTANANS  
    PO BOX 4309
     
    HELENA, MT59604

    		$ 2,952,450


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 3
    Name of organization
    MONTANA HEALTHCARE FOUNDATION
          		Employer identification number

    46-6854005
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 4
    Name of organization
    MONTANA HEALTHCARE FOUNDATION
          		Employer identification number

    46-6854005
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No.from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2015 AccountingFeesSchedule
    Name:
    MONTANA HEALTHCARE FOUNDATION
    EIN:
    46-6854005
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 9,342 0   9,342

    TY 2015 GeneralExplanationAttachment
    Name:
    MONTANA HEALTHCARE FOUNDATION
    EIN:
    46-6854005
    Identifier Return Reference Explanation
    SUMMARY OF DIRECT CHARITABLE ACTIVITIES FROM 990-PF, PART IX-A, LINE 1 AMERICAN INDIAN HEALTH: OVER THE COURSE OF MORE THAN 20 INDIVIDUAL AND GROUP MEETINGS, WORKED WITH THE MONTANA DEPARTMENT OF PUBLIC HEALTH AND HUMAN SERVICES (DPHHS), THE GOVERNOR'S OFFICE, AND THE TRIBAL HEALTH DIRECTORS IN THE SEVEN RESERVATIONS AND FIVE URBAN INDIAN HEALTH CENTERS TO PLAN AN EFFECTIVE, COORDINATED, STATEWIDE APPROACH TO IMPROVING AMERICAN INDIAN HEALTH IN MONTANA. THIS INCLUDED CONTRIBUTING TECHNICAL EXPERTISE TO DEVELOP THE FRAMEWORK FOR MONTANA'S NEW OFFICE OF AMERICAN INDIAN HEALTH; FACILITATING A STATE-TRIBAL GOVERNMENT-TO-GOVERNMENT CONSULTATION ON THIS NEW OFFICE AT THE REQUEST OF THE DIRECTOR OF DPHHS AND THE GOVERNOR'S OFFICE; DEVELOPING AN IN-DEPTH REPORT ON TRIBAL RECOMMENDATIONS FOR ADDRESSING HEALTH DISPARITIES AND YOUTH SUICIDE IN INDIAN COUNTRY; AND CONDUCING MULTIPLE MEETINGS AND SITE VISITS WITH TRIBES AND URBAN INDIAN HEALTH CENTERS IN ORDER TO IDENTIFY SPECIFIC OPPORTUNITIES TO ADDRESS HEALTH DISPARITIES AMONG AMERICAN INDIANS IN MONTANA.
    SUMMARY OF DIRECT CHARITABLE ACTIVITIES FROM 990-PF, PART IX-A, LINE 2 BEHAVIORAL HEALTH: THERE IS STRONG EVIDENCE THAT INTEGRATING CARE FOR PEOPLE WITH MENTAL ILLNESS, ADDICTION, AND CHRONIC MEDICAL PROBLEMS IMPROVES OUTCOMES AND REDUCES HEALTHCARE EXPENDITURES. MONTANA'S SYSTEM IS FRAGMENTED (AS IS THE CASE IN MANY STATES), WITH DIFFERENT PAYMENT STRUCTURES AND DELIVERY SYSTEMS, AND GAPS IN MENTAL HEALTH AND ADDICTION SERVICES IN MANY PARTS OF THE STATE. TO ADDRESS THIS ISSUE, WE:- CONDUCTED 30 INDIVIDUAL AND GROUP MEETINGS WITH STAKEHOLDERS INCLUDING DPHHS LEADERSHIP, LEADERSHIP OF MONTANA'S COMMUNITY MENTAL HEALTH CENTERS, COMMUNITY HEALTH CENTERS, SUBSTANCE ABUSE TREATMENT FACILITIES, HOSPITALS, AND COUNTY LAW ENFORCEMENT, TO IDENTIFY KEY CHALLENGES AND BEGIN TO IDENTIFY POTENTIAL STATE-LEVEL SOLUTIONS. - COLLABORATED WITH DPHHS TO DEVELOP A COLLABORATIVE INITIATIVE TO BRING THE SAMHSA-HRSA CENTER FOR INTEGRATED SOLUTIONS TO MONTANA TO PROVIDE TRAINING, TECHNICAL ASSISTANCE, AND STRATEGIC GUIDANCE FOR ORGANIZATIONS INTERESTED IN DELIVERING INTEGRATED CARE. - CONVENED A COMMUNITY-WIDE STRATEGIC PLANNING MEETING IN BILLINGS TO ADDRESS THE REGION'S CHALLENGES IN TREATING BEHAVIORAL HEALTH ISSUES. - COMMISSIONED AN IN-DEPTH RESEARCH REPORT ON THE BEHAVIORAL HEALTH LANDSCAPE AND OPPORTUNITIES FOR SYSTEMS-LEVEL IMPROVEMENT. - CONVENED SERIES OF MULTIPLE MEETINGS WITH DPHHS AND HEALTH LEADERS IN CUSTER COUNTY AND DAWSON COUNTY TO ADDRESS REGIONAL MENTAL HEALTH CRISIS NEEDS.
    SUMMARY OF DIRECT CHARITABLE ACTIVITIES FROM 990-PF, PART IX-A, LINE 3 PARTNERSHIPS FOR BETTER HEALTH: IN THIS PORTFOLIO, WE ENGAGED IN EFFORTS TO SUPPORT THE DESIGN OF CLINICAL SERVICES AND PAYMENT STRUCTURES THAT WILL CONTRIBUTE TO IMPROVING HEALTH OUTCOMES AND REDUCING HEALTHCARE EXPENDITURES. - MHCF CEO, DR. AARON WERNHAM, WAS APPOINTED TO THE GOVERNOR'S COUNCIL ON HEALTHCARE INNOVATION AND REFORM, WHICH MET FOR THE FIRST TIME IN 2015. THIS COUNCIL WILL OVERSEE THE DESIGN AND IMPLEMENTATION OF A STATE PLAN TO CONTAIN COSTS AND IMPROVE HEALTH SYSTEM PERFORMANCE THROUGH INNOVATIONS IN THE WAY SERVICES ARE DELIVERED AND PAID FOR BY PUBLIC AND PRIVATE PAYERS. - MHCF PLANNED AND CO-CONVENED THE FIRST MONTANA HEALTHY COMMUNITIES MEETING, ALONG WITH THE FEDERAL RESERVE BANK OF MINNEAPOLIS AND THE OFFICE OF RURAL HEALTH. THE MEETING WAS ATTENDED BY 230 HEALTH LEADERS, COMMUNITY DEVELOPERS, BANKS, FOUNDATIONS, AND OTHERS, AND FOCUSED ON OPPORTUNITIES TO IMPROVE HEALTH AND CONTAIN HEALTHCARE COSTS BY COLLABORATING TO ADDRESS UPSTREAM FACTORS SUCH AS HOUSING AND EDUCATION. WORKING GROUPS FORMED ON DAY TWO AND WILL CONTINUE TO PURSUE OPPORTUNITIES IDENTIFIED THROUGH THE MEETING. SPONSORED AND PLANNED STATEWIDE HEALTHY COMMUNITIES MEETING, IBH PLANNING MEETINGS AND VARIOUS INDIVIDUAL CONSULTATIONS AND PLANNING SESSIONS WITH HEALTH CARE PROVIDERS, DEPARTMENT OF HEALTH AND HUMAN SERVICES OFFICIALS AND OTHER STAKEHOLDERS.

    TY 2015 InvestmentsCorpBondsSchedule
    Name:
    MONTANA HEALTHCARE FOUNDATION
    EIN:
    46-6854005
    Name of Bond End of Year Book Value End of Year Fair Market Value
    1,913,711.663 SHS VANGUARD SHORT TERM BOND INDEX FUND 19,960,013 19,960,013

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    MONTANA HEALTHCARE FOUNDATION
    EIN:
    46-6854005
    Name of Stock End of Year Book Value End of Year Fair Market Value
    260,085.642 SHS DODGE & COX INTERNATIONAL STOCK FUND 9,487,924 9,487,924
    20,400 SHS I SHARES RUSSELL MID-CAP ETF 3,267,672 3,267,672
    310,949.646 SHS DFA EMERGING MARKETS CORE EQUITY 4,900,566 4,900,566
    634,939.673 SHS EDGEWOOD GROWTH INSTL 13,905,179 13,905,179
    404,294.431 SHS HARBOR SMALL CAP GROWTH OPPORTUNITIES FUND 4,107,631 4,107,631
    58,250 SHS SPDR S&P 500 ETF TRUST 11,875,428 11,875,428

    TY 2015 InvestmentsOtherSchedule2
    Name:
    MONTANA HEALTHCARE FOUNDATION
    EIN:
    46-6854005
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    6,000,000 SHS NEWPORT ASIA INTERNATIONAL FUND LP FMV 5,513,214 5,513,214
    1,030,895.275 SHS WTC CTF RESEARCH EQUITY FMV 11,113,051 11,113,051
    8,000 SHS INDUS SELECT FUND LTD FMV 8,680,470 8,680,470

    TY 2015 LegalFeesSchedule
    Name:
    MONTANA HEALTHCARE FOUNDATION
    EIN:
    46-6854005
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 31,438 15,719   1,738


    TY 2015 OtherDecreasesSchedule
    Name:
    MONTANA HEALTHCARE FOUNDATION
    EIN:
    46-6854005
    Description Amount
    UNREALIZED LOSSES 1,328,232
    ACCRUED GRANTS 829,740
    PRIOR PERIOD ADJUSTMENT TO UNREALIZED LOSSES 363,329


    TY 2015 OtherExpensesSchedule
    Name:
    MONTANA HEALTHCARE FOUNDATION
    EIN:
    46-6854005
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    SUPPLIES & EQUIPMENT 2,267 0   2,267
    SHIPPING & DELIVERY 310 0   310
    DUES & SUBSCRIPTIONS 9,255 0   9,183
    INSURANCE 10,587 0   10,587
    OFFICE EXPENSE 12,143 0   12,087
    WEBSITE EXPENSE 18,405 0   14,805
    COMMUNICATIONS 16,258 0   17,658
    GRANT MAKING & RESEARCH 31,759 0   31,759
    OTHER ADMINISTRATIVE EXPENSE 75,697 0   79,447
    PORTFOLIO DEDUCTIONS FROM SCHEDULES K-1 0 54,466   0


    TY 2015 OtherProfessionalFeesSchedule
    Name:
    MONTANA HEALTHCARE FOUNDATION
    EIN:
    46-6854005
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT MANAGEMENT FEES 295,268 295,268   0
    CONSULTING FEES 385 0   385


    TY 2015 TaxesSchedule
    Name:
    MONTANA HEALTHCARE FOUNDATION
    EIN:
    46-6854005
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXCISE TAXES 12,448 0   0
    FOREIGN TAXES FROM SCHEDULES K-1 0 8,398   0