2018-08-31T15:00:51-05:00 2017-12-31 450250958 Eide Bailly LLP 401 N 31st St Ste 1120 PO Box 7112 Billings MT 591037112 990 2017-01-01 474110464 Great Falls Clinic Legacy Foundation GREA 4067713107 1400 29th Street South Great Falls MT 59405 Ed Venetz President/Chairman 4067713107 2018-08-29 1 Dennen Gamradt P00622003 4068962400 2018-08-29 2017 2022-09-23 18:48:47Z Ed Venetz 1400 29th Street South Great Falls MT 59405 1477924 0 X www.gfclegacy.org X 2015 MT Provide care and comfort for patients and families at a patient housing facility. 11 11 0 12 0 0 0 1477916 0 0 0 8 0 0 0 1477924 0 8447 0 0 0 0 0 0 5823 0 19878 0 28325 0 1449599 54433 1504032 0 0 54433 1504032 The Great Falls Clinic Legacy Foundation brings hope and healing to Great Falls and surrounding communities. 0 0 22502 8447 The Great Falls Clinic Legacy Foundation is dedicated to helping patients and families from around Montana seeking treatment at the Great Falls Clinic. For many years, there has been a great need in the community for patient housing while receiving outpatient treatment.The Foundation and the generous community will provide a new level of service in the area of healthcare. Care and comfort for patients and families are of the utmost importance and the patient housing facility has become the top priority. We are currently working on a capital campaign to raise support for the construction of 12 guest rooms for patients. 22502 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 X X Samantha Shinaberger 4067713107 3010 15th Avenue South Great Falls MT 59405 Ed Venetz Chairman/President 1.00 X X 0 0 0 Tim Peterson Vice Chair/Vice President 1.00 X X 0 0 0 Samantha Shinaberger Secretary/Executive Director 1.00 X 1705 0 0 Wyman Taylor Board Member 1.00 X 0 0 0 Greg Schwandt Board Member 1.00 X 0 0 0 Suzanne Porter Board Member 1.00 X 0 0 0 Brad Livingston Board Member 1.00 X 0 0 0 Thomas Warr MD Board Member 1.00 X 0 0 0 Karl Guter MD Board Member 1.00 X 0 0 0 Robert Henderson MD Board Member 1.00 X 0 0 0 Diane Steffens Board Member 1.00 X 0 0 0 Vicki Newmiller-CEO Great Falls Clinic, Ex-Officio Board Member 1.00 X 0 0 0 1705 0 0 0 0 0 1 0 1477916 340000 1477916 8 8 1477924 0 0 8 X 600 600 7847 7847 12234 12234 4236 4236 3174 1587 1587 Subscriptions 199 199 State Registration 35 35 28325 22502 0 5823 43767 143779 360245 10666 360245 0 1000008 54433 1504032 0 0 X 54433 1504032 54433 1504032 54433 1504032 1449599 0 X 0 0 0 X 0 0 0 57494 477916 535410 57494 477916 535410 329292 206118 0 0 0 0 8 8 535418 X Schedule A, Part VI, List of Unusual Grants: Description: Cash Date: 05/05/17 Amount: 1000000. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 340000 340000 20245 20245 360245 1 Assistance with medical expenses, hotel and travel expenses 8 7847 Part I, Line 2: Currently only grants for pediatric patients are awarded. There is a maximum of $1,000 awarded to each patient per application. If a request is submitted outside of the parameter of the grant application it is taken to the board for review and consideration. 0 0 0 0 0 0 0 0 0 Samantha Shinaberger Secretary/Executive Director 1705 0 0 0 0 0 0 0 0 0 1705 0 0 0 Schedule J, Unrelated compensation: Great Falls Clinic, LLP employs the Executive Director, Samantha Shinaberger, for the Foundation full-time and compensation is determined by Great Falls Clinic's HR Model. The Clinic donates a portion of the employee's time to the Foundation as the Executive Director. The portion not considered in-kind was $1,705. X 1 340000 Appraisal 1 0 0 0 Form 990, Part VI, Section A, line 8b Great Falls Legacy Foundation has an informal executive committee that is comprised of four board members. This committee currently meets with the full board at meetings and would only meet separately if a special issue was to arise. Form 990, Part VI, Section B, line 11b The board of directors for the organization will review the Form 990 prior to being filed and offer approval or recommened changes prior to submitting. Form 990, Part VI, Section B, line 12c The organization required initial disclosure at time of commitment and approval to board. The members are requested to provide written or oral instruction of any changes to the conflict of interest policy. We rely on insiders and other interested persons to report on conflicts of interest and then they are addressed by the board. Typically the member would notify of the conflict and excuse themselves from the vote and/or remove themselves from the meeting. Form 990, Part VI, Section B, line 15 The Great Falls Clinic LLP employs the Executive Director for the Foundation full-time and compensation is decided by the Great Falls Clinic LLP HR model. The Clinic donates a portion of the employee's time to the Foundation as the Executive Director. Form 990, Part VI, Section C, line 19 The Organization's governing documents, conflict of interest policy, and financial statements are available upon request. Form 990, Part IX, line 11g Reimbursement of Compensation: Program service expenses 1,705. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,705. Consulting: Program service expenses 10,529. Management and general expenses 0. Fundraising expenses 0. Total expenses 10,529.