2019-05-15T16:42:40-05:00 2018-06-30 390758449 WIPFLI LLP 101 EAST FRONT STREET 301 MISSOULA MT 59802 990 2017-07-01 810496987 SHERIDAN HEALTH CARE FOUNDATION INC SHER 4067653700 440 W LAUREL AVENUE PLENTYWOOD MT 59254 PAUL HANSEN CHAIR 4067653700 2019-05-14 1 PHILIP L YASENAK CPA P01248379 4067281800 2019-05-14 65.158.74.97 2019-05-14 11:27:31 MD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 BE7A92E7B0152C1C6812F3C99C620D56F411D8FD 2017 2019-02-21 02:37:17Z GREG MAURER 440 W LAUREL AVENUE PLENTYWOOD MT 59254 104183 0 X WWW.SHERIDANMEMORIAL.NET X 1994 MT TO SUPPORT SHERIDAN MEMORIAL HEALTH CARE FACILITY. 9 9 0 14 0 0 199016 51666 0 0 25352 12865 38644 28148 263012 92679 237328 126585 0 0 0 0 0 0 0 2152 0 239480 126585 23532 -33906 1349531 1350199 0 0 1349531 1350199 TO SUPPORT SHERIDAN MEMORIAL BY PROMOTING ITS IMAGE IN THE COMMUNITY AND BY PROVIDING FINANCIAL CONTRIBUTIONS THROUGH FUNDRAISING ACTIVITIES FOR THE EXPANSION AND MAINTENANCE OF THE FACILITY AND FOR SERVICES PROVIDED TO OUR COMMUNITY AND SURROUNDING AREAS. 0 0 126585 126585 CONTRIBUTIONS WERE MADE TO SHERIDAN MEMORIAL ASSOCIATION, A 501(C)(3) ORGANIZATION, TO HELP FUND MEDICAL ACTIVITIES. SHERIDAN HEALTH CARE FOUNDATION CONTRIBUTED $126,585 IN FISCAL YEAR 2018 TO SHERIDAN MEMORIAL HOSPITAL ASSOCIATION TO HELP PURCHASE ITEMS FOR SEVERAL ANCILLARY SERVICES, DEPARTMENTS AND SUPPORT STAFF.SHERIDAN HEALTH CARE FOUNDATION SUPPORTED SHERIDAN MEMORIAL'S ELECTRONIC MEDICAL RECORD INSTALLATION BY LENDING THE FACILITY $575,000. THIS LOAN IN CONJUNCTION WITH OTHER LOANS OF ASSOCIATION MONIES MADE IT POSSIBLE FOR OUR CLINIC, CAH AND NURSING HOME TO BECOME COMPLIANT WITH EMR REQUIREMENTS. THE BALANCE OF THE LOAN TO THE HOSPITAL WAS PAID IN FULL AS OF JUNE 30, 2018. 126585 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X CONNIE ANDERSON 4067653709 440 W LAUREL AVENUE PLENTYWOOD MT 59254 X PAUL HANSEN CHAIR 0.25 X X 0 0 0 JOAN TOMMERUP VICE CHAIR 0.25 1.00 X X 0 0 0 JOSH JENSEN TREASURER 0.15 X X 0 0 0 KIM FERGUSON SECRETARY 0.30 X X 0 0 0 NIKKI SAMPSEN DIRECTOR 0.30 X 0 0 0 BEATIE PETERSEN DIRECTOR 0.15 X 0 0 0 TAYLOR FJELDHEIM DIRECTOR 0.15 X 0 0 0 TINA WIVHOLM DIRECTOR 0.15 X 0 0 0 JESSICA SHACKELFORD DIRECTOR 0.15 1.00 X 0 0 0 GREG MAUER CEO DIRECTOR 1.00 40.00 X 0 0 0 CONNIE ANDERSON EXECUTIVE DIRECTOR 12.00 X 0 0 0 0 0 0 0 0 0 0 0 13235 38431 51666 12865 12865 39652 13235 11504 28148 28148 92679 0 0 41013 126585 126585 126585 126585 0 0 774984 768263 543950 580963 30053 0 544 973 1349531 1350199 0 0 X 936103 897088 309432 348825 103996 104286 1349531 1350199 1349531 1350199 -33906 34574 0 X 0 1 X 0 0 X 76076 100901 112907 199016 51666 540566 76076 100901 112907 199016 51666 540566 16821 523745 29280 27802 23062 25352 12865 118361 658927 89333 0.79480 0.85900 X 103996 143 147 104286 113984 237 10225 103996 113916 68 145 145 113984 113916 64 64 113916 113916 72 72 113916 1.00000 0 0 0 X PART V, LINE 4: GIFTS GIVEN TO THE ENDOWMENT FUND AT SHERIDAN HEALTH CARE FOUNDATION ARE INVESTED AND CAREFULLY MANAGED TO PROTECT THE PRINCIPAL; THEY ARE INTENDED TO BE A PART OF THE PERMANENT INVESTMENT RESERVE WHICH WILL REMAIN FOR PERPETUITY. THE ENDOWMENT EARNINGS, TYPICALLY INTEREST INCOME, ARE APPROPRIATED BY THE FOUNDATION'S BOARD OF DIRECTORS FROM TIME TO TIME TO ALLOW FOR CURRENT FUNDING OF HOSPITAL OPERATIONS OR PROJECTS AS WELL AS FOR FUTURE NEEDS OF THE FOUNDATION AND HOSPITAL. PART X, LINE 2: THE FOUNDATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE FOUNDATION IS ALSO EXEMPT FROM STATE INCOME TAXES ON RELATED INCOME. FEDERAL AND STATE INCOME TAXES ARE PAID ON NONEXEMPT UNRELATED BUSINESS INCOME IN ACCORDANCE WITH THE CODE. CURRENT ACCOUNTING GUIDELINES REQUIRE AN ORGANIZATION TO DETERMINE WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED ON THE FINANCIAL STATEMENTS. THE FOUNDATION RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS. FEDERAL RETURNS FOR TAX YEARS 2014 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. GOLF TOURNAMENT 30312 10995 19317 1740 0 2200 2064 2518 CHRISTMAS KICKOFF 22575 2240 20335 1300 150 324 1208 52887 13235 39652 3040 150 2200 2388 3726 11504 28148 1 SHERIDAN MEMORIAL HOSPITAL ASSOCIATION 440 W LAUREL AVE PLENTYWOOD MT 59254 810243720 501(C)(3) 126585 GENERAL SUPPORT 1 0 PART I, LINE 2: SHERIDAN HEALTH CARE FOUNDATION, INC. WAS ESTABLISHED EXCLUSIVELY FOR THE BENEFIT OF SHERIDAN MEMORIAL HOSPITAL ASSOCIATION. THE FOUNDATION'S BOARD OF DIRECTORS INCLUDES AT LEAST ONE MEMBER OF THE HOSPITAL BOARD AND THE CEO OF THE HOSPITAL. THESE RELATIONSHIPS HELP TO ENSURE AND MONITOR THE APPROPRIATE USE OF FUNDS DISTRIBUTED FROM THE FOUNDATION TO THE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 1 SHERIDAN HEALTH CARE FOUNDATION'S EXECUTIVE COMMITTEE CONSISTS OF ALL 9 BOARD MEMBERS PLUS THE FOUNDATION'S FORMER CHAIR. THIS COMMITTEE IS NOT ACTIVE; HOWEVER IS DEFINED IF THE NEED ARISES. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BOARD. THERE IS AN EXECUTIVE COMMITTEE DEFINED IN THE BYLAWS, BUT THEY HAVE NEVER MET. THE INVESTMENT/FINANCE COMMITTEE MEETS ON OCCASION, BUT ONLY TO GATHER SUGGESTIONS TO PRESENT AT THE NEXT BOARD MEETING TO PUT TO A VOTE. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD REVIEWS AN ELECTRONIC COPY OF THE FORM 990 BEFORE THE FINAL COPY IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY THE FOUNDATION BOARD OF DIRECTORS SIGN A CONFLICT OF INTEREST POLICY. ANY POTENTIAL CONFLICTS ARE MADE KNOWN TO THE ENTIRE BOARD AND DIRECTORS WITH A CONFLICT MUST ABSTAIN FROM VOTING ON THE CONFLICTED ISSUE. FORM 990, PART VI, SECTION B, LINE 15 SHERIDAN HEALTH CARE FOUNDATION, INC. DOES NOT COMPENSATE THE FOUNDATION EXECUTIVE DIRECTOR. THE DIRECTOR WAGES ARE PAID FROM SHERIDAN MEMORIAL HOSPITAL ASSOCIATION. SHERIDAN HEALTH CARE FOUNDATION DOES NOT COMPENSATE ANY OTHER MANAGEMENT OR OFFICERS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY RELATED TO THE SHERIDAN HEALTH CARE FOUNDATION ARE AVAILABLE UPON REQUEST. SHERIDAN MEMORIAL HOSPITAL ASSOCIATION 440 W LAUREL AVE PLENTYWOOD MT 59254 810243720 HOSPITAL MT 501(C)(3) LINE 3 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 SHERIDAN MEMORIAL HOSPITAL ASSOCIATION B 126585