Mountain Pacific Quality Health Foundation

What it reported doing in 2024

Health quality solutions: mountain pacific has been the expert and partner for rural and frontier health care communities for more than 50 years. We support access to services and advancements in quality care in some of the most expansive, remote and geographically challenging states, and we continue to grow our efforts to connect health care professionals to education and support networks and to help make sure consumers get the care they need. In fiscal year 2025, our team worked alongside clinical and community partners across Montana, Hawaii, Alaska, and Wyoming to provide technical assistance to improve the quality of outcomes for people with complex chronic conditions. Technical assistance and support activities utilize industry best practices, strategies and initiatives to build collaborations and align opportunities to elevate the use of health information technology. The outcomes include improved population health, quality reporting, and clinical outcomes. In 2025, we facilitated roundtable discussions with more than 180 participants from health care organizations, community-based organizations, councils on aging, tribal communities and other service providers to discuss areas of need and identify solutions at a community level. Robust data analysis supported the use of dashboards to share best practices, driving higher participation and engagement.the infant and early childhood mental health consultation program (iecmh), mountain pacific contracted twenty-seven licensed mental health professionals certified in iecmh consultation and thirty-eight early childcare and education sites to work together in enhancing the knowledge and confidence of early child care and empowering staff who work with young children. As of june 30, 10 of the thirty-eight sites are receiving consultation from iecmh professionals, and twenty-four sites have completed at least one or two consultation cycles.mountain pacific is part of a nationwide effort to improve health care quality outcomes for american indian Alaska native (aian) communities, partnering with indian health service (ihs) agencies and facilities and medicare-certified hospitals, nursing homes and outpatient clinics managed by tribes or urban indian organizations. The latest iteration of this program runs january 2025 through january 2030. In the first year, we: conducted multifaceted, extensive outreach to 248 eligible tribal facilities for program engagement and enrollment. Applied criteria such as geography, tribal/agency affiliation and land boundaries to group eligible facilities into eighty-six collaborative communities for focused technical assistance. Assessed all eighty-six communities to understand existing quality improvement initiatives or needs to understand how we can best complement current programs through strategic collaboration, coordinate with existing efforts to avoid duplication of effort and/or create new initiatives where gaps in care exist. Met with key national leaders and partners to align initiatives and identify local priorities, including ihs, national indian health board, cms tribal technical advisory group, tribal health boards and urban indian organization councils.

Financial Efficiency

• Mission deployment rate: 68.5%; rating input score 68
• Program expense ratio: 66.7%; rating input score 67
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
• Pay-setting controls: 3 of 6 controls in place; rating input score 50
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Pass
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -5%; rating input score 17; 17th percentile among comparable filings
• Total-asset coverage ratio: 0.71; rating input score 25; 25th percentile among comparable filings
• Liabilities to assets ratio: 0.18; rating input score 61; 61st percentile among comparable filings
• Officer compensation ratio: 9.6%; rating input score 22; 22nd percentile among comparable filings

Growth

• Program expense growth: -0.4% per year; rating input score 0; 9th percentile among comparable filings
• Revenue growth: 4.9% per year; rating input score 100; 43rd percentile among comparable filings
• Asset growth: 5.9% per year; rating input score 100; 42nd percentile among comparable filings