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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," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
BENEFIS HEALTH SYSTEM FOUNDATION INC
 
Employer identification number
81-0480587
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
noncash assistance
(h) Purpose of grant
or assistance
(1) BENEFIS HEALTH SYSTEM
1101 26 ST S
GREAT FALLS,MT59405
26-3538104 501(C)(3) 1,086,483       SEE PART IV
(2) BENEFIS HOSPITALS
1101 26 ST S
GREAT FALLS,MT59405
81-0232122 501(C)(3) 317,941       SEE PART IV
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
2
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2019
Page 2

Schedule I (Form 990) 2019
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1) CARING FOR OUR OWN - PROVIDES FINANCIAL ASSISTANCE TO BENEFIS HEALTH SYSTEM EMPLOYEES OR VOLUNTEERS WHO EXPERIENCE AN EMERGENCY. 124 80,211      
(2) ANGEL FUND - PROVIDES FINANCIAL ASSISTANCE TO FAMILIES WITH CHILDREN WHO HAVE CATASTROPHIC ILLNESSES. 75 44,926      
(3) NURSING SCHOLARSHIPS - SCHOLARSHIPS TO ELIGIBLE STUDENTS ADVANCING THEIR HEALTHCARE EDUCATION. SOME OF WHOM ARE WILLING TO SIGN A WORK COMMITMENT AGREEMENT WITH BENEFIS HEALTH SYSTEM. 44 102,393      
(4) 221 CHILDREN'S FUND - PROVIDES FINANCIAL ASSISTANCE TO HELP CHILDREN WHO ARE SUFFERING WITH A TERRIBLE ILLNESS OR DISEASE. 16 3,550      
(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 HEALTH SYSTEM FOUNDATION HAS AN APPLICATION PROCESS FOR POTENTIAL GRANT RECIPIENTS. THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE SUBMITTED APPLICATIONS AND ADHERES TO A FUNDS ALLOCATION POLICY, AS WELL AS NEED, WHEN CHOOSING RECIPIENTS. AFTER RECIPIENTS ARE CHOSEN, THE FOUNDATION COMMUNICATES FREQUENTLY WITH GRANTEES. THE FOUNDATION REQUIRES PROOF THAT THE FUNDS ARE SPENT ACCORDING TO THE APPLICATIONS SUBMITTED. THE TYPE OF PROOF THAT IS REQUIRED IS DETERMINED ON A CASE-BY-CASE BASIS; FOR INSTANCE, THE FOUNDATION REQUIRES RECEIPTS AS WELL AS REPORTS CONTAINING DETAILS ON HOW THE MONEY WAS USED, WHO BENEFITTED, AND STORIES FROM THOSE WHO BENEFITTED.
SCH I, PART II, LINE 1(H): THE BENEFIS HEALTH SYSTEM FOUNDATION GRANTS FUNDS TO COMMUNITY PROGRAMS AND BENEFIS HEALTH SYSTEM IN SUPPORT OF MANY OF THEIR HOSPITAL PROGRAMS, DEPARTMENTS AND PROJECTS: -GREATEST NEED, UNRESTRICTED FUNDS & ENDOWMENTS -REGIONAL EMERGENCY SERVICES/MERCY FLIGHT/TRAUMA -PEACE HOSPICE OF MONTANA, PEACE HOSPICE RESIDENTIAL FACILITY AND ENDOWMENTS -GIFT OF LIFE HOUSING CENTERS -CHILDREN'S BEREAVEMENT PROGRAM, INCLUDING CAMP FRANCIS -BENEFIS SLETTEN CANCER INSTITUTE FUNDS AND ENDOWMENTS -LABOR AND DELIVERY AND NEONATAL INTENSIVE CARE UNIT -BEHAVIORAL HEALTH -PEDIATRICS -BENEFIS SENIOR SERVICES -HEART AND VASCULAR
Schedule I (Form 990) 2019



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