2012-03-22T16:31:36-05:00 2011-05-31 GALUSHA HIGGINS & GALUSHA PC PO BOX 1699 HELENA MT 596241699 990 2010-06-01 810365625 MONTANA CHILDREN'S FOUNDATION MONT 4064447500 POBOX 5539 HELENA MT 59604 JOHN P JACK CASEY 4064447500 2012-03-06 1 NATHAN D MCCARTHY CPA 4064425520 2012-03-06 2010 2016-02-24 21:20:13Z JOHN P JACK CASEY POBOX 5539 HELENA MT 59604 7374247 0 X WWW.SHODAIRHOSPITAL.ORG X 1977 MT TO PROMOTE AND FURTHER OPERATIONS OF THE MONTANA CHILDREN'S HOME AND HOSPITAL. 9 9 0 50 -27213 0 2198004 3820124 0 0 299109 560059 145453 43258 2642566 4423441 703999 1150505 0 0 0 0 0 0 231533 242757 333925 946756 1484430 1695810 2939011 11817118 15582722 69733 26980 11747385 15555742 TO LEND FINANCIAL SUPPORT TO MONTANA CHILDREN'S HOME AND HOSPITAL (DBA SHODAIR HOSPITAL). 0 0 1151709 1150505 PROGRAM SERVICE EXPENSES WENT DIRECTLY TO MONTANA CHILDREN'S HOME AND HOSPITAL, INC. TO ASSIST WITH OPERATIONS. 1151709 1 1 0 0 0 0 1 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 3 0 1 0 0 0 0 0 0 0 0 0 X 9 9 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 MT X X JOHN P JACK CASEY 4064447500 2755 COLONIAL DR HELENA MT 59601 X RITA GOWEN X X 0 0 0 VIRGINIA THOMPSON X X 0 0 0 BOB LEMM X X 0 0 0 CYNTHIA MELTON X X 0 0 0 JOE SHEVLIN X 0 0 0 DAVID LEMM X 0 0 0 ED TINSLEY X 0 0 0 MOE WOSEPKA X 0 0 0 RED MENAHAN X X 0 0 0 JOHN P JACK CASEY 10.00 X 0 0 0 0 0 0 0 0 0 0 0 24634 3795490 3820124 205293 205293 70471 70471 3278359 2923593 354766 354766 354766 0 24634 27213 -27213 -27213 4423441 0 -27213 630530 1150505 1150505 10411 10411 2650 2650 58112 58112 341 341 35151 262 34889 17272 12421 4851 26341 4921 21420 10852 10852 TELETHON EXPENSES 152653 152653 OTHER FUNDRAISER EXPENS 17720 17720 ANNUITY PAYMENTS 1218 1218 SUPPLIES 1204 1204 1484430 1151709 101188 231533 36830 27027 1965599 808169 10000 10000 6549 6223 11973 12382 146085 33112 122282 112973 6814580 11861240 2849305 2744708 11817118 15582722 17133 26534 600 52000 446 69733 26980 X 8049325 11991872 2860951 2724361 837109 839509 11747385 15555742 11817118 15582722 X 2939011 869346 X X 0 1 1 X 0 X X 0 0 0 MONTANA CHILDREN'S HOME AND HOSPITAL INC 810231789 7 1 1 1 1150505 1 1150505 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5000 X 0 837109 2400 839509 836509 600 837109 835759 750 836509 1.00000 0 0 111163 111163 34922 33112 1810 112973 ACCRUED INTEREST RECEIVABLE 20643 LONG-TERM RECEIVABLE - THOMPSON TRU 73938 LONG-TERM RECEIVABLE - A. WEST TRUS 951308 LONG-TERM RECEIVABLE - GLASSCOCK TR 539715 LONG-TERM RECEIVABLE - J CARSON TRU 206903 ARTWORK (ARTWORK/WHIP) 5000 L-TERM RECEIVABLE - HODSON 947201 2744708 DUE TO SHODAIR-REIMBURSEMENT 446 446 4423441 1484430 2939011 869346 869346 3808357 5320000 869346 869346 4450654 -27213 -27213 4423441 1511643 27213 27213 1484430 0 1484430 PART XII, LINE 4B - OTHER ADJUSTMENTS: DIRECT SOCCER EVENT EXPENSES -27,213. PART XIII, LINE 2D - OTHER ADJUSTMENTS: DIRECT SOCCER EVENT EXPENSES 27,213. SHODAIR SOCCER CLASSIC 24634 24634 27213 24634 24634 27213 27213 -27213 1 MONTANA CHILDREN'S HOME & HOSPITAL PO BOX 5539 HELENA MT 59604 810231789 1150505 GRANT FOR OPERATIONS AND CAPITAL 1 FORM 990, PART VI, SECTION A, LINE 2 BOB LEMM IS THE FATHER OF DAVID LEMM, BOTH ARE BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 11 A DRAFT OF THE FORM 990 IS PROVIDED TO THE BOARD OF TRUSTEES AND APPROVED BEFORE THE FORM 990 IS FILED. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS SIGN A CONFLICT OF INTEREST POLICY ANNUALLY. THE HOSPITAL ATTORNEY ATTENDS EACH BOARD MEETING AND MONITORS ADHERENCE TO THE POLICY. NOT APPLICABLE, ORGANIZATION DOES NOT PAY COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 869,346. THE PROCESS OF THE SELECTION OF AN INDEPENDENT ACCOUNTANT AND THE OVERSIGHT OF THE AUDIT HAS NOT CHANGED SINCE THE PRIOR YEAR. MONTANA CHILDREN'S HOME & HOSPITAL INC PO BOX 5539 HELENA MT 59604 810231789 PROVIDE INPATIENT AND RESIDENTIAL PSYCHIATRIC TREATMENT FOR CHILDREN MT 501(C)(3) 170(B)(1)(A)(III) 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MONTANA CHILDREN'S HOME & HOSPITAL INC B 1150505 CASH CONTRIBUTION MONTANA CHILDREN'S HOME & HOSPITAL INC C 3000000 CASH CONTRIBUTION