MONTANA CHILDRENS HOME AND HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MONTANA CHILDRENS HOME AND HOSPITAL (EIN 81-0231789)
Tax period
2010-06-01 to 2011-05-31
Filed
2012-03-22
IRS object ID
201210829349300246
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-03-22T16:32:16-05:00Timestamp
Tax Period End Date2011-05-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GALUSHA HIGGINS & GALUSHA PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1699AddressLine1
CityHELENACity
StateMTState
ZIP Code596241699ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-06-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN810231789EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MONTANA CHILDREN'S HOME & HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMONTNameControl
Phone4064447500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 5539AddressLine1
CityHELENACity
StateMTState
ZIP Code59604ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN P CASEYName
TitleADMINISTRATORTitle
Phone4064447500Phone
Date Signed2012-03-05DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameNATHAN D MCCARTHY CPAName
Phone4064425520Phone
Date Prepared2012-03-05DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN P CASEYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 5539AddressLine1
CityHELENACity
StateMTState
ZIP Code59604ZIPCode
FieldValueIRS element (for citing)
Gross Receipts22866853GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SHODAIRHOSPITAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1942YearFormation
State Legal DomicileMTStateLegalDomicile
Activity Or Mission DescriptionPSYCHIATRIC, GENETIC AND OTHER SERVICES FOR CHILDREN IN A HOSPITAL SETTING AT COST, BELOW COST, OR NO CHARGE.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees336TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2410822ContributionsGrantsPriorYear
Contributions Grants Current Year2908272ContributionsGrantsCurrentYear
Program Service Revenue Prior Year20163508ProgramServiceRevenuePriorYear
Program Service Revenue CY19930919ProgramServiceRevenueCY
Investment Income Prior Year30309InvestmentIncomePriorYear
Investment Income Current Year27662InvestmentIncomeCurrentYear
Other Revenue Prior Year13821OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year22618460TotalRevenuePriorYear
Total Revenue Current Year22866853TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year12249016SalariesEtcPriorYear
Salaries Etc Current Year13359567SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5997845OtherExpensePriorYear
Other Expenses Current Year9745472OtherExpensesCurrentYear
Total Expenses Prior Year18246861TotalExpensesPriorYear
Total Expenses Current Year23105039TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4371599RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-238186RevenuesLessExpensesCY
Total Assets BOY21004238TotalAssetsBOY
Total Assets EOY20266964TotalAssetsEOY
Total Liabilities BOY9796123TotalLiabilitiesBOY
Total Liabilities EOY9297035TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY11208115NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10969929NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSHODAIR CHILDREN'S HOSPITAL IS A NON-PROFIT, MONTANA CORPORATION WHOSE PURPOSES SHALL BE:TO ESTABLISH AND MAINTAIN A HOSPITAL AND OTHER APPROPRIATE FACILITIES FOR CARE AND TREATMENT OF CHILDREN SUFFERING FROM ILLNESSES, DISEASES, DEFECTS AND OTHER PHYSICAL, MENTAL, AND EMOTIONAL ABNORMALITIES WHICH IMPAIR THE HEALTH AND WELL-BEING OF CHILDREN WHICH MAY BE JUSTIFIED BY THE FACILITY'S PERSONNEL, FUNCTIONS, OR OTHER REQUIREMENTS THAT ARE OR CAN BE MADE AVAILABLE. TO PROMOTE AND CARRY ON SCIENTIFIC RESEARCH RELATED TO THE CARE OF THE SICK AND INJURED. TO PARTICIPATE SO FAR AS CIRCUMSTANCES MAY WARRANT IN ANY ACTIVITY DESIGNATED AND CARRIED ON TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense4546966Expense
Revenue9552784Revenue
DescriptionTHE ACUTE CARE UNIT ACCOMMODATES UP TO 20 CHILDREN FROM AGES 3 TO 18. THE ACUTE PSYCHIATRIC INPATIENT PROGRAM WAS DESIGNATED IN 2008 AS A MODEL PROGRAM FOR COLLABORATIVE PROBLEM SOLVING. THE PROGRAM OFFERS INTENSIVE SERVICES FOR EMOTIONALLY AND BEHAVIORALLY IMPAIRED CHILDREN AND THEIR FAMILIES WHO ARE IN CRISIS. AT SHODAIR, CHILDREN AND FAMILIES INTERACT WITH A TEAM OF SPECIALISTS, INCLUDING NURSES, DOCTORS, THERAPISTS, AND TEACHERS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense7902233Expense
Revenue9200132Revenue
DescriptionSHODAIR CHILDREN'S HOSPITAL PROVIDES THREE DEVELOPMENTALLY SPECIFIC RESIDENTIAL TREATMENT PROGRAMS FOR CHILDREN OF ALL AGES. EACH PROGRAM PROVIDES A SAFE, THERAPEUTIC, AND NURTURING ENVIRONMENT TO PROMOTE POSITIVE CHANGE.THE CHILDREN'S RESIDENTIAL PROGRAM IS A MODEL PROGRAM FOR COLLABORATIVE PROBLEM SOLVING AND PROVIDES DEVELOPMENTALLY APPROPRIATE RESIDENTIAL PSYCHIATRIC CARE FOR UP TO 20 CHILDREN (AGES 4 TO 9). THE 20 BED MIDDLE SCHOOL RESIDENTIAL PROGRAM PROVIDES PSYCHIATRIC TREATMENT FOR MIDDLE SCHOOL-AGED YOUTH (AGES 10 TO 13) THE ADOLESCENT UNIT (AGES 14 TO 18) HAS A CAPACITY TO PROVIDE CARE FOR UP TO 24 ADOLESCENTS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2977135Expense
Revenue1152711Revenue
DescriptionTHE MISSION OF SHODAIR CHILDREN'S HOSPITAL'S DEPARTMENT OF MEDICAL GENETICS IS TO PROVIDE EXCELLENCE IN MEETING GENETIC NEEDS OF MONTANANS THROUGH DIAGNOSIS, CONSULTATION, AND SUPPORT FOR FAMILIES, OUTREACH, SCHOLARSHIP, AND EDUCATION. THIS PROGRAM IS MEDICALLY ORIENTED AND OFFERS A BROAD RANGE OF SERVICES TO INDIVIDUALS AND FAMILIES WITH BIRTH DEFECTS, GENETIC AND HEREDITARY CONDITIONS WITH OR WITHOUT MENTAL RETARDATION. SERVICES INCLUDE PATIENT EVALUATIONS, GENETIC COUNSELING, AND EDUCATION. SERVICE MAY BE FOR DIAGNOSIS, PROGNOSIS, NATURAL HISTORY, RECURRENCE RISK INFORMATION, PSYCHOLOGICAL SUPPORT, PRENATAL DIAGNOSIS, FETAL DEATH EVALUATION, MOLECULAR GENETIC AND OTHER SPECIAL TESTING OR FOR A VARIETY OF OTHER REASONS. AN IMPORTANT PART OF THE SERVICE MANDATE IS TO EDUCATE LAY AND PROFESSIONAL MONTANANS ABOUT GENETICS AND GENETIC CONDITIONS SO THEY ARE AWARE OF WHAT SERVICES MAY BENEFIT THEM. THE PROGRAM IS DIVIDED INTO TWO PRIMARY SERVICE UNITS: CLINICAL AND LABORATORY. AN ADMINISTRATIVE DIRECTOR IS RESPONSIBLE FOR MANAGEMENT OF PROGRAM FUNCTIONS.Description
FieldValueIRS element (for citing)
Total Program Service Expense15426334TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School1School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096256NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees336NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMTStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JOHN P CASEYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4064447500TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12755 COLONIAL DRIVEAddressLine1
CityHELENACity
StateMTState
ZIP Code59601ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per WeekAverageHoursPerWeekHighest Compensated EmployeeHighestCompensatedEmployee
RED MENAHAN
PRESIDENTXX000
BOB LEMM
1ST VICE PRESIDENTXX000
VIRGINIA THOMPSON
2ND VICE PRESIDENTXX000
CYNTHIA MELTON
SECRETARYXX000
RITA GOWEN
TREASURERXX000
JOE SHEVLIN
TRUSTEEX000
ED TINSLEY
TRUSTEEX000
MOE WOSEPKA
TRUSTEEX000
DAVID LEMM
TRUSTEEX000
JOHN JACK CASEY
ADMINISTRATORX29853504796340.00
KEITH FOSTER
MEDICAL DIRECTOR, PSYCHIAT23418203564440.00X
CELESTE PFISTER
PSYCHIATRIST21700502129740.00X
HEATHER ZALUSKI
STAFF PSYCHIATRIST19251103688340.00X
KATHERINE RAPPAPORT
PSYCHIATRIST20884902144040.00X
JOHN JOHNSON
MEDICAL DIRECTOR, GENETICS20161504442640.00X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1352697TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation207653TotalOtherCompensation
Number Individuals GT100 K11NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
DIAMOND CONSTRUCTION INC
2905 N MONTANA AVE 200HELENAMT59601REMODEL SERVICES520566
PHOTOSCAN NORTHWEST
2108 SOUTH RESERVE STREETMISSOULAMT59804SECURITY481714
LOCUMTENENSCOM
2655 NORTHWINDS PARKWAYALPHARETTAGA30009PHYSICIAN RECRUITMENT471368
INFORMATION SYSTEMS
1314 HELENA AVEHELENAMT59601IT SERVICE142816
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Government Grants1682822GovernmentGrants
All Other Contributions1225450AllOtherContributions
Total Contributions2908272TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
ACUTE SERVICES62399095131989513198
RESIDENTIAL TREATMENT62399091681079168107
GENETICS SERVICES62150011316111131611
CAFETERIA SALES62399025292$25,292

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column92711TotalRevenueColumn
Related Or Exempt Function Income92711RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue19930919TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column27662TotalRevenueColumn
Exclusion$27,662ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column22866853TotalRevenueColumn
Related Or Exempt Function Income19905627RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$52,954ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total10927008Total
Program Services8719602ProgramServices
Management And General2207406ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total473070Total
Program Services392234ProgramServices
Management And General80836ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total856919Total
Program Services638161ProgramServices
Management And General218758ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1102570Total
Program Services878113ProgramServices
Management And General224457ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total59244Total
Program Services660ProgramServices
Management And General58584ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total33255Total
Program Services5434ProgramServices
Management And General27821ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total441473Total
Program Services303585ProgramServices
Management And General137888ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total133391Total
Program Services31006ProgramServices
Management And General102385ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total422490Total
Program Services91506ProgramServices
Management And General330984ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total152964Total
Program Services112328ProgramServices
Management And General40636ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total37571Total
Management And General37571ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total368152Total
Management And General368152ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total833768Total
Program Services716990ProgramServices
Management And General116778ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total427094Total
Program Services391647ProgramServices
Management And General35447ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
CONTRIBUTIONS30000003000000
SUPPLIES13413143336241007690
MEDICAID UTILIZATION FE11163121116312
CONTRACT LABOR433467433467
BAD DEBTS247825247825

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total697152Total
Program Services339774ProgramServices
Management And General357378ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total23105039Total
Program Services15426334ProgramServices
Management And General7678705ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3676745BOY
EOY3205593EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1138361BOY
EOY1155966EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4675967BOY
EOY4356304EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY224141BOY
EOY195039EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY198115BOY
EOY255205EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis17503680LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6994057LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10410277BOY
EOY10509623EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY119076BOY
EOY60747EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY561556BOY
EOY528487EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY21004238BOY
EOY20266964EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2562882BOY
EOY2490812EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY3000BOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY7225000BOY
EOY6800000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5241BOY
EOY6223EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY9796123BOY
EOY9297035EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY11162615BOY
EOY10909929EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY45500BOY
EOY60000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11208115BOY
EOY10969929EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY21004238BOY
EOY20266964EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-238186ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals43660FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals43660FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals23061379FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals23105039FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus2999523CurrentYearMinus2
Current Year1000000CurrentYear
Total1999523Total
FieldValueIRS element (for citing)
Lobbying Ceiling$2,999,285LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus223470CurrentYearMinus2
Current Year43660CurrentYear
Total67130Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus2249881CurrentYearMinus2
Current Year250000CurrentYear
Total499881Total
FieldValueIRS element (for citing)
Grassroots Ceiling$749,822GrassrootsCeilingAmount

Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures

FieldValueIRS element (for citing)
Current Year Minus20CurrentYearMinus2

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1935904OtherCostOrOtherBasis
Book Value1935904BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis12556830OtherCostOrOtherBasis
Depreciation4698798Depreciation
Book Value7858032BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3010946OtherCostOrOtherBasis
Depreciation2295259Depreciation
Book Value715687BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10509623TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO MONTANA CHILDREN'S FOUNDATIONDescription
Amount$6,223Amount
FieldValueIRS element (for citing)
Total Of Amounts6223TotalOfAmounts
Total Revenue22866853TotalRevenue
Total Expenses23105039TotalExpenses
Excess Or Deficit For Year-238186ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS-238186ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt22866853TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal22866853RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99022866853TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt23105039TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal23105039ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99023105039TotalExpensesPerForm990

Schedule E IRS990ScheduleE

FieldValueIRS element (for citing)
Nondiscriminatory Policy Stmt1NondiscriminatoryPolicyStmt
Policy Statement In Brochures Etc0PolicyStatementInBrochuresEtc
Policy Publ Via Broadcast Media0PolicyPublViaBroadcastMedia
Maint Racial Composition Records1MaintRacialCompositionRecords
Maint Scholarships Records0MaintScholarshipsRecords
Maint Copies Of Brochures Etc0MaintCopiesOfBrochuresEtc
Maint Copies Of All Solicitations0MaintCopiesOfAllSolicitations
Discriminate Race Students Rights0DiscriminateRaceStudentsRights
Discriminate Race Admiss Policies0DiscriminateRaceAdmissPolicies
Discriminate Race Emplmn Faculty0DiscriminateRaceEmplmnFaculty
Discriminate Race Scholarships0DiscriminateRaceScholarships
Discriminate Race Educ Policies0DiscriminateRaceEducPolicies
Discriminate Race Use Of Fclts0DiscriminateRaceUseOfFclts
Discriminate Race Athletic Prog0DiscriminateRaceAthleticProg
Discriminate Race Other Acty0DiscriminateRaceOtherActy
Government Financial Aid Received1GovernmentFinancialAidReceived
Government Financial Aid Revoked0GovernmentFinancialAidRevoked
Compliance With Rev Proc75501ComplianceWithRevProc7550

Form990 Schedule E Part II Form990ScheduleEPartII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
EXPLANATION OF DOCUMENT RETENTIONSCHEDULE E, PART I, LINE 4THE PART 4 QUESTIONS ANSWERED NO ARE NOT APPLICABLE TO THIS ORGANIZATION.
EXPLANATION OF GOVERNMENT FINANCIAL ASSISTANCESCHEDULE E, PART I, LINE 6THE ORGANIZATION RECEIVED ASSISTANCE FROM THE OFFICE OF PUBLIC INSTRUCTION.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense75531TotalCommunityBenefitExpense
Direct Offsetting Revenue64541DirectOffsettingRevenue
Net Community Benefit Expense10990NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense11468051TotalCommunityBenefitExpense
Direct Offsetting Revenue11754920DirectOffsettingRevenue

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense11543582TotalCommunityBenefitExpense
Direct Offsetting Revenue11819461DirectOffsettingRevenue
Net Community Benefit Expense10990NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense5418TotalCommunityBenefitExpense
Net Community Benefit Expense5418NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense68657TotalCommunityBenefitExpense
Net Community Benefit Expense68657NetCommunityBenefitExpense
Percent Of Total Expense0.00300PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1708147TotalCommunityBenefitExpense
Direct Offsetting Revenue1424928DirectOffsettingRevenue
Net Community Benefit Expense283219NetCommunityBenefitExpense
Percent Of Total Expense0.01240PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense4950TotalCommunityBenefitExpense
Net Community Benefit Expense4950NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense1787172TotalCommunityBenefitExpense
Direct Offsetting Revenue1424928DirectOffsettingRevenue
Net Community Benefit Expense362244NetCommunityBenefitExpense
Percent Of Total Expense0.01580PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense13330754TotalCommunityBenefitExpense
Direct Offsetting Revenue13244389DirectOffsettingRevenue
Net Community Benefit Expense373234NetCommunityBenefitExpense
Percent Of Total Expense0.01630PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense7413TotalCommunityBuildingExpense
Net Community Building Expense7413NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense7413TotalCommunityBuildingExpense
Net Community Building Expense7413NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$244,460BadDebtExpenseAmount
Amount Attributable To149100AmountAttributableTo
Amount Reimbursed By Medicare52026AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare191115CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-139089MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1SHODAIR CHILDREN'S HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1PO BOX 5539AddressLine1
CityHELENACity
StateMTState
ZIP Code59604ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
Childrens HospitalXChildrensHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NOT REQUIREDBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)

ExplanationExplanation
PART I, LINE 7: THE HOSPITAL USES THE COST TO CHARGE RATIO METHOD.
PART I, LINE 7G: THE HOSPITAL SUBSIDIZES THE STATEWIDE GENETICS PROGRAM.
PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 247825.
PART II: THE HOSPITAL'S DOCTORS ARE ON THE BOARDS OF SEVERAL ORGANIZATIONS WHICH PROMOTE THE HEALTH OF THE COMMUNITY.
PART III, LINE 4: ACCOUNTS RECEIVABLE ARE STATED AT UNPAID BALANCES, LESS AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE HOSPITAL PROVIDES FOR LOSSES ON ACCOUNTS RECEIVABLE USING THE ALLOWANCE METHOD. THE ALLOWANCE IS BASED ON EXPERIENCE, THIRD-PARTY CONTRACTS, AND OTHER CIRCUMSTANCES, WHICH MAY AFFECT THE ABILITY OF PATIENTS TO MEET THEIR OBLIGATIONS. RECEIVABLES ARE CONSIDERED IMPAIRED IF FULL PRINCIPAL PAYMENTS ARE NOT RECEIVED IN ACCORDANCE WITH THE CONTRACTUAL TERMS. IT IS THE HOSPITAL'S POLICY TO CHARGE OFF UNCOLLECTIBLE ACCOUNTS RECEIVABLE WHEN MANAGEMENT DETERMINES THE RECEIVABLE WILL NOT BE COLLECTED. THE HOSPITAL USES A COST TO CHARGE RATIO.
PART III, LINE 9B: FOR THE ACCOUNTS RECEIVABLE POLICY, SEE SUPPLEMENTAL INFORMATION PROVIDED FOR PART III, LINE 4. ADDITIONAL INFORMATION: CHARITY DISCOUNT IS APPROVED AND GRANTED PRIOR TO A PATIENT BEING ADMITTED TO SHODAIR CHILDREN'S HOSPITAL. THE CHARITY DISCOUNT MAY BE FOR THE ENTIRE ACCOUNT OR A PORTION OF AN INSURED ACCOUNT WHERE THE PAYMENT OF THE CO-PAY INSURANCE AND OR DEDUCTIBLE WOULD CREATE A FINANCIAL HARDSHIP FOR THE FAMILY OR THE CHILD OR ADOLESCENT PATIENT. THE GRANTING OF A CHARITY DISCOUNT IS DEPENDENT ON APPLICATION AND MEETING THE INCOME TEST OF THE CHARITY DISCOUNT POLICY AS ESTABLISHED.
PART VI, LINE 2: SHODAIR CHILDREN'S HOSPITAL IS LOCATED IN HELENA, MONTANA. ITS FACILITY TOTALS 90,000 SQUARE FEET AND INCLUDES THE RESIDENTIAL AND ACUTE PSYCHIATRIC TREATMENT CENTERS FOR CHILDREN AND ADOLESCENTS, THE MEDICAL GENETICS PROGRAM, ADMINISTRATIVE OFFICES, AND THE MARKETING/COMMUNITY RELATIONS AND FOUNDATION OFFICES. SHODAIR CHILDREN'S HOSPITAL IS THE ONLY FACILITY IN THE STATE OF MONTANA TO OFFER BOTH ACUTE AND RESIDENTIAL TREATMENT SERVICES FOR CHILDREN AND ADOLESCENTS. SHODAIR CHILDREN'S HOSPITAL PROVIDES THREE DEVELOPMENTALLY SPECIFIC RESIDENTIAL TREATMENT PROGRAMS FOR CHILDREN OF ALL AGES. EACH PROGRAM PROVIDES A SAFE, THERAPEUTIC, AND NURTURING ENVIRONMENT TO PROMOTE POSITIVE CHANGE. THE SCHOOL AT SHODAIR IS ACCREDITED BY THE NORTHWEST ASSOCIATION OF ACCREDITED SCHOOLS AND IS SCHEDULED YEAR-ROUND. THIS ALLOWS STUDENTS AN OPPORTUNITY TO WORK IN ACADEMIC AREAS AS NEEDED OR TO MAKE UP MISSED CREDITS. THE MISSION OF SHODAIR CHILDREN'S HOSPITAL'S DEPARTMENT OF MEDICAL GENETICS IS TO PROVIDE EXCELLENCE IN MEETING GENETIC NEEDS OF MONTANANS THROUGH DIAGNOSIS, CONSULTATION, AND SUPPORT FOR FAMILIES, OUTREACH, SCHOLARSHIP, AND EDUCATION.
PART VI, LINE 3: FINANCIAL ASSISTANCE WILL BE PROVIDED TO THE HOSPITAL'S PATIENTS WHO MEET SPECIFIED FINANCIAL CRITERA AND REQUEST SUCH ASSISTANCE.
PART VI, LINE 4: SHODAIR CHILDREN'S HOSPITAL BEGAN ITS OPERATIONS IN HELENA, MONTANA. THE HOSPITAL SERVES PATIENTS FROM ACROSS THE COUNTRY, AS IT PROVIDES SPECIALIZED SERVICES.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOHN JACK CASEY
29853500000175970303660346498000
KEITH FOSTER
23418200000141210215230269826000
CELESTE PFISTER
2170050000012987083100238302000
HEATHER ZALUSKI
19251100000118330250500229394000
KATHERINE RAPPAPORT
2088490000012498089420230289000
JOHN JOHNSON
20161500000120320323940246041000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1US BANK NATIONAL ASSOCIATIONBusinessNameLine1
FieldValueIRS element (for citing)
Date Issued2005-04-01DateIssued
Issue Price9720000IssuePrice
Description Of PurposeTO FINANCE COSTS OF IMPROVEMENTS TO THE HOSPITALDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Year Of Subst Completion2006YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made0FinalAllocationMade
Adequate Books And Recds Maintaind0AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Post Issuance Compliance Procdrs0PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 2BOB LEMM, 1ST VICE CHAIR, IS THE FATHER OF DAVID LEMM, TRUSTEE
FORM 990, PART VI, SECTION B, LINE 11A DRAFT OF THE FORM 990 IS PRESENTED TO THE BOARD FOR REVIEW AND APPROVAL BEFORE IT IS FILED.
BOARD MEMBERS SIGN A CONFLICT OF INTEREST POLICY ANNUALLY. THE HOSPITAL ATTORNEY ATTENDS EACH BOARD MEETING AND MONITORS ADHERENCE TO THE POLICY.FORM 990, PART VI, SECTION B, LINE 12C
DUE TO THE NATURE OF THE SPECIALTY OF THIS HOSPITAL, A COMPANY SPECIALIZING IN COMPENSATION PACKAGES IS CONTRACTED TO REVIEW THE ADMINISTRATOR'S COMPENSATION. OTHER KEY EMPLOYEES' COMPENSATION IS DETERMINED UTILIZING THE MONTANA HOSPITAL ASSOCIATION'S ANNUAL COMPENSATION SURVEY. IF THE SPECIALTY HAS A LIMITED NUMBER OF PROFESSIONALS IN MONTANA THE REGIONAL OR NATIONAL COMPENSATION DATA IS UTILIZED.FORM 990, PART VI, SECTION B, LINE 15
THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
THERE HAS BEEN NO CHANGE FROM THE PRIOR YEAR IN THE OVERSIGHT OF THE AUDIT OR THE SELECTION OF AN INDEPENDENT ACCOUNTANT.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1MONTANA CHILDREN'S FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 5539AddressLine1
CityHELENACity
StateMTState
ZIP Code59604ZIPCode
FieldValueIRS element (for citing)
EIN810365625EIN
Primary ActivitiesTO PROMOTE AND FURTHER OPERATIONS OF MONTANA CHILDRENS HOME AND HOSPITALPrimaryActivities
Legal Domicile StateMTLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status509(A)(3)PublicCharityStatus
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MONTANA CHILDREN'S FOUNDATION
B3000000CASH CONTRIBUTED
MONTANA CHILDREN'S FOUNDATION
C1150450CASH RECEIVED

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