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BIG HORN COUNTY MEMORIAL HOSPITAL AND HEALTH CARE FOUNDATION: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
BIG HORN COUNTY MEMORIAL HOSPITAL AND HEALTH CARE FOUNDATION (EIN 81-0504410)
Tax period
2023-07-01 to 2024-06-30
Filed
2025-05-13
IRS object ID
202521339349303072
Schema version
2023v6.0
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)
Return2025-05-13T09:51:55-05:00ReturnTs
Tax Period End2024-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1121 WEST BRIDGE STREETAddressLine1Txt
CityOWATONNACityNm
State AbbreviationMNStateAbbreviationCd
ZIP55060ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN810504410EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BIG HORN COUNTY HOSPITAL AND HEALTH CAREBusinessNameLine1Txt
Business Name Line2FOUNDATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlBIGHBusinessNameControlTxt
Phone4066652310PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line117 NORTH MILES AVENUEAddressLine1Txt
CityHARDINCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59034ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKRISTI GATRELLPersonNm
Person TitleCEOPersonTitleTxt
Phone4066652310PhoneNum
Signature2025-05-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJUSTIN HARTERTPreparerPersonNm
PTINP02236744PTIN
Phone5074467100PhoneNum
Preparation2025-05-09PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKRISTI GATRELLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line117 NORTH MILES AVENUEAddressLine1Txt
CityHARDINCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59034ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$299,678GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BIGHORNHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StateMTLegalDomicileStateCd
Activity Or MissionBENEFIT AND SUPPORT OF BIG HORN HOSPITAL ASSOCIATIONActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers6TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$161,252PYContributionsGrantsAmt
CY Contributions Grants$32,670CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$13,041PYInvestmentIncomeAmt
CY Investment Income$41,430CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$174,293PYTotalRevenueAmt
CY Total Revenue$74,100CYTotalRevenueAmt
PY Grants And Similar Paid$147,406PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$9,351PYOtherExpensesAmt
CY Other Expenses$12,413CYOtherExpensesAmt
PY Total Expenses$156,757PYTotalExpensesAmt
CY Total Expenses$12,413CYTotalExpensesAmt
PY Revenues Less Expenses$17,536PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$61,687CYRevenuesLessExpensesAmt
Total Assets BOY$760,802TotalAssetsBOYAmt
Total Assets EOY$848,445TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$760,802NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$848,445NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE FUNDRAISING AND FINANCIAL SUPPORT TO BIG HORN HOSPITAL ASSOCIATION FOR PROJECTS TO INCREASE AND IMPROVE SERVICES AT THE HOSPITAL AND NURSING HOME AND THEIR PATIENTS/RESIDENTS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$0ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescVARIOUS PROGRAMS, PROVIDING SUPPORT TO BIG HORN HOSPITAL ASSOCIATION (BIG HORN HOSPITAL) TO COVER OPERATING COSTS, PATIENT CARE AND OTHER FUNDING NEEDS.UNFORTUNATELY DUE TO THE PANDEMIC ALL FUNDRAISING EFFORTS CEASED AS OF MARCH 2020. BIG HORN HOSPITAL WAS UNABLE TO ORGANIZE EVENTS AND THE STAFF INVOLVED WITH ANY FUNDRAISING HAD TO MOVE THEIR EFFORTS TO THE EVERCHANGING WORK LANDSCPE ASSOCIATED WITH A PANDEMIC. THIS INCLUDES THE FACT THAT OUR FOUNDATION DIRECTOR IS ALSO OUR PUBLIC HEALTH DIRECTOR. IN OCTOBER 2022 PUBLIC HEALTH WAS RETURNED TO BIG HORN COUNTY'S MANAGMENT LEAVING THE FOUNDATION WITH NO DIRECTOR. DURING FY2024 NO CHANGES HAVE OCCURED SINCE THE LOSS OF THE FOUNDATION DIRECTOR IN OCTOBER 2022. THE BOARD REMAINS INTACT BUT NO ACTIVITY HAS OCCURED IN FY2024.Desc
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ROXIE CAINBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4066652310PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line117 NORTH MILES AVENUEAddressLine1Txt
CityHARDINCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59034ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
DR SHANNON WAGENMAN
BOARD MEMBER0.2040.00Yes (X)Yes (X)$0$234,821$30,711
THOR TORSKE
CHAIRMAN0.200.40Yes (X)Yes (X)$0$0$0
DAN KERN
BOARD MEMBER0.200.00Yes (X)$0$0$0
DEBRA JOHNSON LEFT DEC 2023
BOARD MEMBER0.200.00Yes (X)$0$0$0
DONNA STRICKER
AUXILIARY MEMBER0.200.00Yes (X)$0$0$0
TERRY BULLIS
BOARD MEMBER0.200.00Yes (X)$0$0$0
JAMES SEYKORA
BOARD MEMBER0.200.00Yes (X)$0$0$0
ROXIE CAIN
CONTROLLER1.0039.00Yes (X)$0$153,982$29,290
KRISTI GATRELL
CEO1.0039.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$388,803TotReportableCompRltdOrgAmt
Total Other Compensation$60,001TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$20,124RelatedOrganizationsAmt
All Other Contributions$12,546AllOtherContributionsAmt
Total Contributions$32,670TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,257TotalRevenueColumnAmt
Exclusion$27,257ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$239,751SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$225,578SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$14,173SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,173TotalRevenueColumnAmt
Exclusion$14,173ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$74,100TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$41,430ExclusionAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$4,575TotalAmt
Management And General$4,575ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
DUES & SUBSCRIPTIONS$5,782$5,782
TAXES & LICENSES$2,056$2,056

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$12,413TotalAmt
Program Services$0ProgramServicesAmt
Management And General$12,413ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$21,486BOYAmt
EOY$5,916EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,873BOYAmt
EOY$49,304EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$733,443BOYAmt
EOY$793,225EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$760,802BOYAmt
EOY$848,445EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$760,802BOYAmt
EOY$848,445EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$760,802BOYAmt
EOY$848,445EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$760,802BOYAmt
EOY$848,445EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$61,687ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$25,956NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1BIG HORN HOSPITAL ASSOCIATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN810384618EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$0SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationBIG HORN HOSPITAL ASSOCIATION (THE "HOSPITAL ASSOCIATION OR "HOSPITAL") IS A MONTANA NONPROFIT ORGANIZATION WHICH IS CONSIDERED A POLITICAL SUBDIVISION OF BIG HORN COUNTY AND IS EXEMPT FROM FEDERAL TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). THE HOSPITAL ASSOCIATION CONSISTS OF: BIG HORN HOSPITAL AND SENIOR LIVING. THE FINANCIAL STATEMENTS ALSO INCLUDE DATA OF BIG HORN HOSPITAL AND HEALTH CARE FOUNDATION (THE FOUNDATION), BIG HORN COUNTY MEMORIAL HOSPITAL AUXILIARY AND HERITAGE ACRES AUXILIARY, SEPARATE LEGAL ENTITIES WHICH ARE BLENDED COMPONENT UNITS IN THE FINANCIAL STATEMENTS. THE FOUNDATION AND AUXILIARIES ARE ORGANIZED AS MONTANA NONPROFIT CORPORATIONS, EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE IRC.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DR SHANNON WAGENMAN
BOARD MEMBER$0$234,821$0$0$0$0$0$9,000$0$21,711$0$265,532$0$0
ROXIE CAIN
CONTROLLER$0$153,982$0$0$0$0$0$7,579$0$21,711$0$183,272$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3BIG HORN HOSPITAL ASSOCIATION USED THE FOLLOWING TO DETERMINE THE CEO'S COMPENSATION: A) WRITTEN EMPLOYMENT CONTRACT B) COMPENSATION SURVEY OR STUDY C) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
SCHEDULE J, PART IIKRISTI GATRELL, CEO, COMPENSATION IS NOT PRESENTED WITHIN THIS TAX FILING AS SHE IS NOW AN EMPLOYEE OF BILLINGS CLINIC, AN UNRELATED ORGANIZATION.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3ALL MANAGEMENT SERVICES ARE PROVIDED BY BIG HORN HOSPITAL ASSOCIATION, THE SUPPORTED ORGANIZATION. ADDITIONALLY, BIG HORN HOSPITAL ASSOCIATION'S CEO IS PROVIDED THROUGH A SERVICES AGREEMENT WITH BILLINGS CLINIC.
FORM 990, PART VI, SECTION A, LINE 6THE MEMBERSHIP OF THE FOUNDATION, SUBJECT TO AVAILABILITY TO SERVE, CONSISTS OF AT LEAST THE FOLLOWING: A. THREE MEMBERS OF THE BOARD OF DIRECTORS OF BIG HORN HOSPITAL ASSOCIATION OF BIG HORN COUNTY, MONTANA. B. ONE MEMBER OF THE ACTIVE MEDICAL STAFF OF BIG HORN HOSPITAL OF BIG HORN COUNTY, MONTANA, WHO IS A RESIDENT OF BIG HORN COUNTY. C. SUCH OTHER MEMBERS AS DETERMINED AND AUTHORIZED BY THE FOREGOING EXISTING MEMBERSHIP. ALL MEMBERS OF EXISTING AUXILIARY ORGANIZATIONS WHICH ARE AFFILIATED WITH BIG HORN HOSPITAL ASSOCIATION ARE ENTITLED TO BECOME MEMBERS OF THE FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 7ATHREE MEMBERS OF THE BOARD OF DIRECTORS ARE DULY APPOINTED AND ACTING MEMBERS OF THE BOARD OF DIRECTORS OF BIG HORN HOSPITAL ASSOCIATION. THEY ARE ELECTED BY THE BOARD OF DIRECTORS OF BIG HORN HOSPITAL ASSOCIATION. ONE MEMBER OF THE BOARD OF DIRECTORS IS ELECTED BY THE ACTIVE MEDICAL STAFF OF BIG HORN COUNTY MEMORIAL HOSPITAL.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 WAS REVIEWED IN DETAIL BY BOTH THE HOSPITAL CEO AND CONTROLLER. THE BOARD MEMBERS WERE PROVIDED A COPY OF THE FORM 990 AFTER IT WAS FILED.
FORM 990, PART VI, SECTION B, LINE 12CREGULAR COMPLIANCE MEETINGS DISCUSS ANY ACTUAL CONFLICTS OR POTENTIAL CONFLICTS. THERE IS ALSO A HOTLINE NUMBER TO CALL FOR COMPLIANCE OR HIPAA ISSUES THAT IS OPERATED BY MONTANA HOSPITAL ASSOCIATION, NOT BIG HORN HOSPITAL ASSOCIATION. BOARD MEMBERS SIGN YEARLY CONFLICT OF INTEREST STATEMENTS AND IF A CONFLICT OCCURS ON A SPECIFIC ITEM, THEY ABSTAIN FROM THE VOTE ON THAT ITEM.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE UNAVAILABLE TO THE PUBLIC.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1BIG HORN HOSPITAL ASSOCIATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line117 NORTH MILES AVENUEAddressLine1Txt
CityHARDINCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59034ZIPCd
FieldValueIRS element (for citing)
EIN810384618EIN
Primary ActivitiesHOSPITALPrimaryActivitiesTxt
Legal Domicile StateMTLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 3PublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd