Montana Health Cooperative is a 501(c)(29) organization based in Helena, Montana, registered in 2013, with $486,076,422 in FY2024 revenue. CharityIndex grades it A, and it directs about 100% of spending to programs.
Revenue (FY2024)
$486.1M
▲ 0.7% vs prior year
Membership median: $185K
Expenses (FY2024)
$493.9M
Net assets
$74.7M
Employees
51
Measures how much of every dollar spent actually reaches programs, plus what it costs to raise $100 of donations. The worse of the two measures sets the letter (85%+ to programs is an A; under $15 to raise $100 is an A), averaged over the three most recent filings. For Montana Health Cooperative: 100% to programs earns a A+ on this criterion. See the exact thresholds →
Measures whether the organization is built to last: how many months its reserves would cover expenses (3+ months earns an A-range score, but hoarding 5+ years of budget is capped) and whether it runs a surplus or a deficit. For Montana Health Cooperative: 2 mo reserves · -2% margin earns a B on this criterion. See the exact thresholds →
Checks how the organization is run, from its own Form 990: an independent board majority, a board of five or more, conflict-of-interest, whistleblower and document-retention policies, and independently audited financials. The share of disclosed checks that pass sets the letter. For Montana Health Cooperative: 6 of 6 checks met earns a A+ on this criterion. See the exact thresholds →
Counts five disclosure signals: a recent filing, a mission statement, program descriptions, a listed website, and the full expense breakdown. More disclosure, better letter. For Montana Health Cooperative: 4 of 5 disclosure signals earns a A on this criterion. See the exact thresholds →
Show this grade on your website
A live seal — it updates automatically when the grade changes and links donors to this verified profile.
The organization offers true non-profit member governed health insurance that promotes member engagement and provides access to high quality health care.
Revenue grew from $163.8M (FY2015) to $486.1M (FY2024) across 10 reported years.
Financial snapshot
Operating margin
-1.6%
Spent more than it raised in the latest fiscal year.
Total assets
$197.0M
Total liabilities
$122.3M
Net assets
$74.7M
Salaries & benefits
$5.8M
1% of expenses
Board members
15
15 independent
| Fiscal year | Revenue | Expenses | Net assets | Total assets | Form |
|---|---|---|---|---|---|
| 2024 | $486,076,422▲0.7% | $493,868,793▲2.4% | $74,698,753▼15.2% | $197,023,662▲7.7% | 990 |
| 2023 | $482,560,024▲68.9% | $482,133,928▲68.5% | $88,135,774▲5.7% | $182,882,247▲18.7% | 990 |
| 2022 | $285,775,835▲11.6% | $286,126,139▲10.6% | $83,367,729▼18.2% | $154,017,085▼4.7% | 990 |
| 2021 | $256,051,984▲9.2% | $258,763,322▲37.0% | $101,945,617▼8.7% | $161,534,963▼3.6% | 990 |
| 2020 | $234,523,363▼8.0% | $188,910,746▼21.2% | $111,621,622▲76.1% | $167,525,981▲15.2% | 990 |
| 2019 | $254,866,483▼19.4% | $239,694,559▼20.9% | $63,396,386▲51.4% | $145,412,106▲15.9% | 990 |
| 2018 | $316,396,976▲101% | $303,035,198▲113% | $41,885,546▲7.2% | $125,482,191▲45.9% | 990 |
| 2017 | $157,529,981▲29.3% | $142,462,070▲0.8% | $39,078,806▲62.8% | $85,987,811▲65.8% | 990 |
| 2016 | $121,849,758▼25.6% | $141,290,937▼30.8% | $24,005,611▲147% | $51,848,225▼23.3% | 990 |
| 2015 | $163,832,660 | $204,069,381 | -$51,303,384 | $67,617,542 | 990 |
Original Form 990 PDFs (the Form column) are served by ProPublica Nonprofit Explorer, as filed with the IRS. Create a free account to download the CSV report.
Highest-paid: Blair Fjeseth — $368,327 (0.07% of total expenses)
| Name | Title | Hours/week | Compensation |
|---|---|---|---|
| Blair Fjeseth | Ceo | 40 | $368,327 |
| David Slonaker | Cfo | 40 | $264,624 |
| Darrel Stone | Vp of It Bi | 40 | $238,946 |
| Richard Miltenberger | Former Ceo | 40 | $236,319 |
| Jeffrey Swingley | Vp Sales | 40 | $233,008 |
| James Warner | Vp-provider Network | 40 | $215,655 |
| Mark Walters | Vp Business Development | 40 | $189,449 |
| Melissa Mcvaugh | Director Clinical Program | 40 | $184,360 |
| Peggy Worley | Controller | 40 | $160,663 |
| Christine Mendenhall | Director Member Services | 40 | $121,061 |
| Kathron Isley | Quality Director | 40 | $118,676 |
| Leah Martin | Assistant Vice President | 40 | $118,523 |
| Melissa Vanpernis | Projects Manager | 40 | $113,396 |
| Richard Wessenberg | Sales Executive | 40 | $108,421 |
| Brandon Russell | Network Administrator | 40 | $102,213 |
| Rebecca Lafond | Chair | 1 | $24,900 |
| Mark Reinsel | Director | 1 | $14,900 |
| Michael Mcmurray | Treasurer | 1 | $13,250 |
| Nolan Hill | Director | 1 | $12,700 |
| Lisa Ballard | Secretary | 1 | $12,650 |
| Contractor | Services | Paid |
|---|---|---|
| University of Utah Health Plans | Claims Processing Administrator | $11,669,263 |
| Zelis Claims Integrity LLC | Claims Reprocessor | $6,512,270 |
| Mt Commissioner of Insurance | Montana Reinsurance Premium, Premium Tax | $4,359,854 |
| Healthplan Services Inc | Claims Processing Administrator | $2,247,210 |
| Wyoming Department of Insurance | Premium Taxes, Fees | $1,711,290 |
Explore more
Data for Montana Health Cooperative (EIN 45-1295465) comes from the IRS Business Master File and e-filed Form 990 returns, via CharityIndex. Figures reflect what the organization reported to the IRS for each fiscal year.