2022-05-16T15:48:16-05:00 2021-06-30 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2020-07-01 810504410 BIG HORN COUNTY HOSPITAL AND HEALTH CARE FOUNDATION BIGH 4066652310 17 NORTH MILES AVENUE HARDIN MT 59034 KRISTI GATRELL CEO 4066652310 2022-05-16 1 KRISTI GATRELL 999009999 ROBERT E SCHILE P00369682 6123764500 2022-05-16 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z WILLIAM HODGES 17 NORTH MILES AVENUE HARDIN MT 59034 400328 0 X WWW.BIGHORNHOSPITAL.ORG X 1994 MT BENEFIT AND SUPPORT OF BIG HORN HOSPITAL ASSOCIATION 5 4 0 4 0 0 591560 125765 0 0 25373 69364 0 0 616933 195129 738719 0 0 0 43667 -908 0 0 0 24221 12110 806607 11202 -189674 183927 623875 878512 0 0 623875 878512 TO 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. 0 0 0 0 0 VARIOUS PROGRAMS, PROVIDING SUPPORT TO 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 LANDSCAPE ASSOCIATED WITH A PANDEMIC. THIS INCLUDES THE FACT THAT OUR FOUNDATION DIRECTOR IS ALSO OUR PUBLIC HEALTH DIRECTOR. 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 4 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 0 0 0 X ROXIE CAIN 4066652310 17 NORTH MILES AVENUE HARDIN MT 59034 DR SHANNON WAGENMAN BOARD MEMBER 0.20 40.00 X 0 211912 25168 KRISTI GATTRELL CEO 1.00 39.00 X 0 138626 23261 ROXIE CAIN CONTROLLER 1.00 39.00 X 0 130371 22018 WILLIAM HODGES EXECUTIVE DIRECTOR 25.00 15.00 X 0 110146 23261 TERRY BULLIS CHAIRMAN 0.20 0.40 X X 0 0 0 THOR TORSKE SECRETARY/TREASURER 0.20 0.40 X X 0 0 0 JAMES SEYKORA FUNDRAISING CHAIR 0.20 0.40 X 0 0 0 DONNA STRICKER AUXILIARY MEMBER 0.20 0.00 X 0 0 0 0 591055 93708 0 0 1 0 0 85765 40000 125765 14854 14854 259709 205199 54510 54510 54510 195129 0 0 69364 X -843 -843 -1 -1 -64 -64 683 683 6282 6282 2880 2880 -141 -141 TAXES & LICENSES 2406 2406 11202 0 11202 0 55845 176692 5831 5836 562199 695984 623875 878512 0 0 X 623875 878512 623875 878512 623875 878512 183927 70710 0 X 0 1 X 0 0 X X 1 BIG HORN HOSPITAL ASSOCIATION 810384618 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 0 DR SHANNON WAGENMAN BOARD MEMBER 0 211912 0 0 0 0 0 4500 0 20668 0 237080 0 0 KRISTI GATTRELL CEO 0 138626 0 0 0 0 0 9000 0 14261 0 161887 0 0 ROXIE CAIN CONTROLLER 0 130371 0 0 0 0 0 1350 0 20668 0 152389 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE 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 7A THREE 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 11B THE FORM 990 WAS REVIEWED IN DETAIL BY BOTH THE HOSPITAL CEO AND CONTROLLER, AS WELL AS THE FOUNDATION DIRECTOR. THE BOARD MEMBERS WERE PROVIDED A COPY OF THE FORM 990 AFTER IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C REGULAR 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 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE UNAVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,880. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,880. BIG HORN HOSPITAL ASSOCIATION 17 NORTH MILES AVENUE HARDIN MT 59034 810384618 HOSPITAL MT 501(C)(3) LINE 3 N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0