2018-05-15T11:19:53-05:00 2017-06-30 390758449 Wipfli LLP PO Box 1699 Helena MT 59624 990 2016-07-01 810496987 Sheridan Health Care Foundation Inc SHER 4067653700 440 W Laurel Avenue Plentywood MT 59254 Paul Hansen Chair 4067653700 2018-05-10 1 Nathan D McCarthy CPA P00368408 4064425520 2018-05-10 2016 2022-09-23 18:48:47Z Greg Maurer 440 W Laurel Avenue Plentywood MT 59254 274049 0 X www.sheridanmemorial.net X 1994 MT To support Sheridan Memorial Health Care Facility. 9 9 0 15 0 0 112907 199016 0 0 23062 25352 28705 38644 164674 263012 32417 237328 0 0 0 0 0 0 0 0 2152 32417 239480 132257 23532 1301033 1349531 0 0 1301033 1349531 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 239480 237328 Contributions were made to Sheridan Memorial Association, a 501(c)(3) organization, to help fund medical activities. Sheridan Health Care Foundation contributed $237,328 in fiscal year 2017 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 at June 30, 2017 was $30,053. 239480 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 0.50 0.00 X X 0 0 0 Joan Tommerup Vice Chair 0.50 1.00 X X 0 0 0 Kim Ferguson Secretary 0.50 0.00 X X 0 0 0 Josh Jensen Treasurer 0.50 0.00 X X 0 0 0 Tina Wivholm Director 0.50 0.00 X 0 0 0 Nikki Sampsen Director 0.50 0.00 X 0 0 0 Taylor Fjeldheim Director 0.50 0.00 X 0 0 0 Jessica Shackelford Director 0.50 0.00 X 0 0 0 Beatie Peterson Director 0.50 0.00 X 0 0 0 Greg Mauer President/CEO 1.00 40.00 X 0 0 0 0 0 0 0 0 0 0 0 4225 194791 199016 25352 25352 49681 4225 11037 38644 38644 263012 0 0 63996 237328 237328 Miscellaneous Expenses 2152 2152 239480 239480 0 0 624377 774984 503771 543950 170973 30053 1912 544 1301033 1349531 0 0 X 902693 936103 284356 309432 113984 103996 1301033 1349531 1301033 1349531 23532 24966 0 X 0 1 X 0 0 X 325602 76076 100901 112907 199016 814502 325602 76076 100901 112907 199016 814502 11299 803203 15075 29280 27802 23062 25352 120571 935073 116566 0.85900 0.88810 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 113984 237 10225 103996 113916 68 145 145 113984 113916 64 64 113916 113916 72 72 113916 37530 76386 27 27 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. Interest from endowments will go towards Sheridan Health Care Foundation's unrestricted fund to allow for additional revenue to ensure the future of the Foundation and Sheridan Memorial Hospital Association unless otherwise stipulated by the donor. 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. Part V, Line 1(e) The Foundation identified that the endowment fund balance was incorrect. $10,225 of "administrative expenses" were recorded this year to correct the balance of the endowment fund. Christmas Kickoff 31281 31281 4500 462 727 Golf Tournament 22625 4225 18400 1300 2400 1450 198 53906 4225 49681 5800 2400 1912 925 11037 38644 1 Sheridan Memorial Hospital Association 440 W Laurel Ave Plentywood MT 59254 810243720 501(c)(3) 237328 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 one member of the Hospital Board and the CEO of the Hospital is the Foundation President. 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 board members 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 1 0 0 0 Sheridan Memorial Hospital Association B 237328 Sheridan Memorial Hospital Association O 60046