2011-01-10T10:08:42-06:00 2010-05-31 Galusha Higgins and Galusha PO Box 1699 Helena MT 596241699 990 2009-06-01 810365625 MONTANA CHILDREN'S FOUNDATION MONT 4064447500 POBOX 5539 HELENA MT 59604 John P JACK CASEY 4064447500 2010-12-20 1 Nathan D McCarthy CPA 4064425520 2010-12-02 2009 2016-02-24 21:20:13Z John P JACK CASEY 2755 COLONIAL DR Helena MT 59601 4522022 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 0 0 735197 2198004 0 73157 299109 52368 145453 860722 2642566 514301 703999 0 0 0 129401 366145 242757 880446 946756 -19724 1695810 9746656 11817118 165831 69733 9580825 11747385 TO LEND FINANCIAL SUPPORT TO MONTANA CHILDREN'S HOME AND HOSPITAL (DBA SHODAIR HOSPITAL.) 0 0 706092 703999 PROGRAM SERVICE EXPENSES WENT DIRECTLY TO MONTANA CHILDREN'S HOME AND HOSPITAL, INC. TO ASSIST WITH OPERATIONS. 706092 1 1 0 0 0 0 1 0 1 1 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 1 7 0 0 0 0 0 0 0 0 0 0 0 0 0 9 9 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 1 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 RON WIENS 10.00 X 0 0 0 0 0 0 0 0 0 0 0 21376 2176628 2198004 147457 147457 171140 171140 2005421 1853769 151652 151652 151652 0 21376 25687 -25687 -25687 2642566 0 0 444562 703999 703999 18457 18457 9820 9820 42913 42913 3504 3504 8799 1000 7799 16918 16027 891 22065 8453 13612 11089 11089 TELETHON EXPENSES 95482 95482 Other Fundraiser Expens 11617 11617 SUPPLIES 2093 2093 946756 706092 111263 129401 1619129 36830 887013 1965599 10000 10000 4223 6549 4028 11973 144543 22261 131234 122282 3872399 6814580 5000 3213630 2849305 9746656 11817118 68450 17133 600 97381 52000 165831 69733 X 7014494 8077430 1757927 2860951 808404 809004 9580825 11747385 9746656 11817118 X 0 1 1 X 0 X X 0 0 0 MONTANA CHILDREN'S HOME AND HOSPITAL INC 810231789 7 1 1 1 703999 1 703999 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5000 X 0 808404 600 809004 807654 750 808404 1.00000 0 0 111163 111163 33380 22261 11119 122282 Accrued interest receivable 16459 Long-term receivable - Thompson Tru 99024 Long-term receivable - A. West Trus 848739 Long-term receivable - Glasscock Tr 499412 Long-term receivable - J CARSON Tru 397198 ARTWORK (ARTWORK/WHIP) 5000 L-term receivable - Hodson 983473 2849305 Due to Shodair-Reimbursement 52000 52000 2642566 946756 1695810 470750 470750 2166560 3139003 470750 470750 2668253 -25687 -25687 2642566 972443 25687 25687 946756 0 946756 Part XII, Line 4b - Other Adjustments: DIRECT SOCCER EVENT EXPENSES : -25687. Part XIII, Line 2d - Other Adjustments: DIRECT SOCCER EVENT EXPENSES: 25687. Shodair Soccer Classic 21376 21376 25687 21376 21376 25687 25687 -25687 1 MONTANA CHILDREN'S HOME & HOSPITAL PO BOX 5539 HELENA MT 59604 810231789 703999 0 GRANT FOR OPERATIONS AND CAPITAL 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. The process of the selection of an independent accountant and the oversight of the audit has not changed since the prior year. FORM 990, PART V, LINE 1a NUMBER REPORTED IN BOX 3 OF FORM 1096 THE FOUNDATION FILED TWO FORMS 1096 AND REPORTED 5 (FORMS 1099-MISC) IN BOX 3 OF ONE FORM 1096 AND REPORTED 2 (FORMS 1099-R) IN BOX 3 OF THE OTHER 1096 FILED. 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0