Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
BENEFIS HEALTH SYSTEM INC
 
Employer identification number
26-3538104
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) MSU - GREAT FALLS COLLEGE
2100 16TH AVE SOUTH
GREAT FALLS,MT59405 		81-0522790 501(C)(3) 113,399       EDUCATIONAL SCHOLARSHIPS AND PROGRAM SUPPORT
(2) GREAT FALLS DEVELOPMENT AUTHORITY
300 CENTRAL AVE SUITE 406
GREAT FALLS,MT59401 		81-0465605 501(C)(3) 15,000       ECONOMIC DEVELOPMENT AND JOB CREATION
(3) NORTHERN TRANSIT INTERLOCAL
226 1ST ST SOUTH
SHELBY,MT59474 		81-6001438 GOVERNMENT 10,000       TRANSPORTION TO PROVIDE BETTER ACCESS TO HEALTHCARE
(4) CENTER FOR MENTAL HEALTH
915 FIRST AVE SOUTH
GREAT FALLS,MT59403 		81-0347441 501(C)(3) 7,500       BEAUTIFUL MIND WALK
(5) MONTANA NURSING HOME ASSOCIATION
36 SOUTH LAST CHANCE GULCH SUITE A
HELENA,MT59601 		81-0301576 501(C)(6) 8,550       ENHANCEMENT OF CARE FOR NURSING HOME MEMBERS
(6) GREAT FALLS COMMUNITY ICE FOUNDATION
4001 29TH STREET SW
GREAT FALLS,MT59405 		20-1541842 501(C)(3) 25,000       HEALTHY RECREATION
(6)
(7)
(8)
(9)
(10)
(11)
(12)
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
5
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
6
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2014
Page 2

Schedule I (Form 990) 2014
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
non-cash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of non-cash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
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. SHE MONITORS ALL GRANT-RELATED ACTIVITIES TO ENSURE PROTOCOLS ARE FOLLOWED. FOR EXAMPLE, SHE MEETS WITH THE PROJECT DIRECTOR AT LEAST MONTHLY TO REVIEW PROJECT PROGRESS ALONG WITH GOALS, ACTIVITIES, AND EXPENDITURES. SHE ALSO MEETS WITH ACCOUNTING MONTHLY TO REVIEW THE DETAIL TRIAL BALANCE AND ENSURE GRANT CHARGES ARE APPROPRIATE PRIOR TO APPROVING DRAWING DOWN FEDERAL FUNDS. SHE 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 THEY ARE ELIGIBLE TO RECEIVE FEDERAL FUNDS BY CONFIRMING THEY ARE NOT AN EXCLUDED PARTY AND THAT THEY HAVE A TAX IDENTIFICATION NUMBER AND DUNS NUMBER IF APPROPRIATE. 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.
Schedule I (Form 990) 2014



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