SHODAIR CHILDRENS FOUNDATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SHODAIR CHILDRENS FOUNDATION (EIN 81-0365625)
Tax period
2010-06-01 to 2011-05-31
Filed
2012-03-22
IRS object ID
201240829349300149
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)
Timestamp2012-03-22T16:31:36-05:00Timestamp
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)
EIN810365625EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MONTANA CHILDREN'S FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMONTNameControl
Phone4064447500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1POBOX 5539AddressLine1
CityHELENACity
StateMTState
ZIP Code59604ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN P JACK CASEYName
TitleADMINISTRATORTitle
Phone4064447500Phone
Date Signed2012-03-06DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameNATHAN D MCCARTHY CPAName
Phone4064425520Phone
Date Prepared2012-03-06DatePrepared
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 JACK CASEYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1POBOX 5539AddressLine1
CityHELENACity
StateMTState
ZIP Code59604ZIPCode
FieldValueIRS element (for citing)
Gross Receipts7374247GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SHODAIRHOSPITAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1977YearFormation
State Legal DomicileMTStateLegalDomicile
Activity Or Mission DescriptionTO PROMOTE AND FURTHER OPERATIONS OF THE MONTANA CHILDREN'S HOME AND HOSPITAL.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers50TotalNbrVolunteers
Total Gross UBI-27213TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2198004ContributionsGrantsPriorYear
Contributions Grants Current Year3820124ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year299109InvestmentIncomePriorYear
Investment Income Current Year560059InvestmentIncomeCurrentYear
Other Revenue Prior Year145453OtherRevenuePriorYear
Other Revenue Current Year43258OtherRevenueCurrentYear
Total Revenue Prior Year2642566TotalRevenuePriorYear
Total Revenue Current Year4423441TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year703999GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1150505GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year231533TotalFundrsngExpCurrentYear
Other Expense Prior Year242757OtherExpensePriorYear
Other Expenses Current Year333925OtherExpensesCurrentYear
Total Expenses Prior Year946756TotalExpensesPriorYear
Total Expenses Current Year1484430TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1695810RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2939011RevenuesLessExpensesCY
Total Assets BOY11817118TotalAssetsBOY
Total Assets EOY15582722TotalAssetsEOY
Total Liabilities BOY69733TotalLiabilitiesBOY
Total Liabilities EOY26980TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY11747385NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY15555742NetAssetsOrFundBalancesEOY
Mission DescriptionTO LEND FINANCIAL SUPPORT TO MONTANA CHILDREN'S HOME AND HOSPITAL (DBA SHODAIR HOSPITAL).MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1151709Expense
Grants1150505Grants
DescriptionPROGRAM SERVICE EXPENSES WENT DIRECTLY TO MONTANA CHILDREN'S HOME AND HOSPITAL, INC. TO ASSIST WITH OPERATIONS.Description
Total Program Service Expense1151709TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art1CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
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 With10963NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
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 CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMTStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOHN P JACK CASEYNamePerson
Telephone Number4064447500TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12755 COLONIAL DRAddressLine1
CityHELENACity
StateMTState
ZIP Code59601ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per WeekAverageHoursPerWeek
RITA GOWEN
PRESIDENTXX000
VIRGINIA THOMPSON
TRUSTEEXX000
BOB LEMM
TRUSTEEXX000
CYNTHIA MELTON
TRUSTEEXX000
JOE SHEVLIN
TRUSTEEX000
DAVID LEMM
TRUSTEEX000
ED TINSLEY
TRUSTEEX000
MOE WOSEPKA
SECRETARY/TREASURERX000
RED MENAHAN
TRUSTEEXX000
JOHN P JACK CASEY
ADMINISTRATORX00010.00
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events24634FundraisingEvents
All Other Contributions3795490AllOtherContributions
Total Contributions3820124TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column205293TotalRevenueColumn
Exclusion$205,293ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column70471TotalRevenueColumn
Exclusion$70,471ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities3278359Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2923593Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities354766Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column354766TotalRevenueColumn
Exclusion$354,766ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events0GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events24634CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses27213FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-27213TotalRevenueColumn
Unrelated Business Revenue-27213UnrelatedBusinessRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4423441TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue-27213UnrelatedBusinessRevenue
Exclusion$630,530ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1150505Total
Program Services1150505ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total10411Total
Management And General10411ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total2650Total
Management And General2650ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total58112Total
Management And General58112ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total341Total
Management And General341ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total35151Total
Management And General262ManagementAndGeneral
Fundraising34889Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total17272Total
Management And General12421ManagementAndGeneral
Fundraising4851Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total26341Total
Management And General4921ManagementAndGeneral
Fundraising21420Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total10852Total
Management And General10852ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalFundraisingFundraisingManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
TELETHON EXPENSES152653152653
OTHER FUNDRAISER EXPENS1772017720
ANNUITY PAYMENTS12181218
SUPPLIES12041204

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1484430Total
Program Services1151709ProgramServices
Management And General101188ManagementAndGeneral
Fundraising231533Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY36830BOY
EOY27027EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1965599BOY
EOY808169EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY10000BOY
EOY10000EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6549BOY
EOY6223EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY11973BOY
EOY12382EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis146085LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec33112LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY122282BOY
EOY112973EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY6814580BOY
EOY11861240EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2849305BOY
EOY2744708EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11817118BOY
EOY15582722EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY17133BOY
EOY26534EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY600BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY52000BOY
EOY446EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY69733BOY
EOY26980EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY8049325BOY
EOY11991872EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2860951BOY
EOY2724361EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY837109BOY
EOY839509EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11747385BOY
EOY15555742EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11817118BOY
EOY15582722EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2939011ReconcilationRevenueExpenses
Reconcilation Other Changes869346ReconcilationOtherChanges
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)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1MONTANA CHILDREN'S HOME AND HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
EIN810231789EIN
Type Of Organization7TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$1,150,505Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts1150505SumOfAmounts

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 D IRS990ScheduleD

Art Public Exhibition Amts ArtPublicExhibitionAmts

FieldValueIRS element (for citing)
Assets In Part X5000AssetsInPartX
FieldValueIRS element (for citing)
Collect Used For Public ExhibitionXCollectUsedForPublicExhibition
Solicited Assets For Sale0SolicitedAssetsForSale

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance837109BeginningOfYearBalance
Contributions2400Contributions
End Of Year Balance839509EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance836509BeginningOfYearBalance
Contributions600Contributions
End Of Year Balance837109EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance835759BeginningOfYearBalance
Contributions750Contributions
End Of Year Balance836509EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis111163OtherCostOrOtherBasis
Book Value111163BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis34922OtherCostOrOtherBasis
Depreciation33112Depreciation
Book Value1810BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings112973TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
ACCRUED INTEREST RECEIVABLE20643
LONG-TERM RECEIVABLE - THOMPSON TRU73938
LONG-TERM RECEIVABLE - A. WEST TRUS951308
LONG-TERM RECEIVABLE - GLASSCOCK TR539715
LONG-TERM RECEIVABLE - J CARSON TRU206903
ARTWORK (ARTWORK/WHIP)5000
L-TERM RECEIVABLE - HODSON947201
FieldValueIRS element (for citing)
Total Book Value Other Assets2744708TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO SHODAIR-REIMBURSEMENTDescription
Amount$446Amount
FieldValueIRS element (for citing)
Total Of Amounts446TotalOfAmounts
Total Revenue4423441TotalRevenue
Total Expenses1484430TotalExpenses
Excess Or Deficit For Year2939011ExcessOrDeficitForYear
Net Unrealized GL On Investments869346NetUnrealizedGLOnInvestments
Total Adjustments869346TotalAdjustments
Excess Or Deficit Per FS3808357ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt5320000TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments869346NetUnrealizedGainsInvestments
Revenue Not Rptd F990869346RevenueNotRptdF990
Revenue Subtotal4450654RevenueSubtotal
Other Revenues Not Included-27213OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-27213RevenueNotRptdOnFinStmt
Total Revenue Per Form9904423441TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1511643TotExpensesEtcAuditedFinclStmt
Other Expenses Included27213OtherExpensesIncluded
Expenses Not Rptd F99027213ExpensesNotRptdF990
Expenses Subtotal1484430ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9901484430TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
PART XII, LINE 4B - OTHER ADJUSTMENTS:DIRECT SOCCER EVENT EXPENSES -27,213.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:DIRECT SOCCER EVENT EXPENSES 27,213.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1SHODAIR SOCCER CLASSICNameOfEvent1
Gross Receipts Event124634GrossReceiptsEvent1
Charitable Contributions Event124634CharitableContributionsEvent1
Other Direct Expenses Event127213OtherDirectExpensesEvent1
Gross Receipts Total24634GrossReceiptsTotal
Charitable Contributions Total24634CharitableContributionsTotal
Other Direct Expenses Total Events27213OtherDirectExpensesTotalEvents
Direct Expense Summary Events27213DirectExpenseSummaryEvents
Net Income Summary-27213NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1MONTANA CHILDREN'S HOME & HOSPITALBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 5539AddressLine1
CityHELENACity
StateMTState
ZIP Code59604ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient810231789EINOfRecipient
Amount Of Cash Grant1150505AmountOfCashGrant
Purpose Of GrantGRANT FOR OPERATIONS AND CAPITALPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 2BOB LEMM IS THE FATHER OF DAVID LEMM, BOTH ARE BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11A DRAFT OF THE FORM 990 IS PROVIDED TO THE BOARD OF TRUSTEES AND APPROVED BEFORE THE FORM 990 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
NOT APPLICABLE, ORGANIZATION DOES NOT PAY COMPENSATION.
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 869,346.FORM 990, PART XI, LINE 5:
THE PROCESS OF THE SELECTION OF AN INDEPENDENT ACCOUNTANT AND THE OVERSIGHT OF THE AUDIT HAS NOT CHANGED SINCE THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 5539AddressLine1
CityHELENACity
StateMTState
ZIP Code59604ZIPCode
FieldValueIRS element (for citing)
EIN810231789EIN
Primary ActivitiesPROVIDE INPATIENT AND RESIDENTIAL PSYCHIATRIC TREATMENT FOR CHILDRENPrimaryActivities
Legal Domicile StateMTLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status170(B)(1)(A)(III)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 HOME & HOSPITAL INC
B1150505CASH CONTRIBUTION
MONTANA CHILDREN'S HOME & HOSPITAL INC
C3000000CASH CONTRIBUTION

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