2021-04-06T06:22:03-05:00 2020-06-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2019-07-01 810231789 MONTANA CHILDREN'S HOME & HOSPITAL INC MONT 4064447500 PO BOX 5539 HELENA MT 59604 CRAIG AASVED CHIEF EXECUTIVE OFFICER 4064447500 2021-04-01 1 MICHAEL J PETERSON CPA P01833529 2187224705 2021-04-01 2019 2022-09-23 18:48:47Z CRAIG AASVED PO BOX 5539 HELENA MT 59604 46157918 0 X WWW.SHODAIR.ORG X 1942 MT TO PROVIDE INPATIENT CHILDREN'S PSYCHIATRIC SERVICES PRIMARILY TO LOW-INCOME MONTANA CHILDREN AGES 3-17 AND TO PROVIDE GENETIC TESTING AND COUNSELING TO PRIMARILY MONTANA FAMILIES. 10 10 453 15 0 0 240619 2874907 2796921 37519483 1968 -33976 181407 153760 3220915 40514174 0 0 0 0 1749662 22259056 0 0 0 793087 8337045 2542749 30596101 678166 9918073 36937428 51480992 2899072 7517830 34038356 43963162 X TO HEAL, HELP AND INSPIRE HOPE. 0 0 12732696 0 19127252 SHODAIR CHILDREN'S HOSPITAL PROVIDES PSYCHIATRIC RESIDENTIAL TREATMENT SERVICES TO CHILDREN AGES 11-17. THE SERVICES ARE PROVIDED ON TWO SEPARATE UNITS BASED ON THE CHILD'S DEVELOPMENTAL AGE. EACH UNIT PROVIDES A THERAPEUTIC AND NURTURING ENVIRONMENT STAFFED WITH PSYCHIATRISTS, PSYCHOLOGISTS, PRIMARY THERAPISTS, RNS, AND SUPPORTING STAFF. 259 CHILDREN WERE ADMITTED ON THESE UNITS DURING THE FISCAL YEAR. 10492644 0 15762211 SHODAIR CHILDREN'S HOSPITAL PROVIDES PSYCHIATRIC INPATIENT SERVICES AGES 3 TO 17. THE SERVICES ARE PROVIDED ON TWO SEPARATE UNITS BASED ON THE CHILD'S DEVELOPMENTAL AGE. THE PROGRAMS OFFER INTENSIVE SERVICES FOR EMOTIONALLY AND BEHAVIORALLY IMPAIRED CHILDREN AND THEIR FAMILIES WHO ARE IN CRISIS. AT SHODAIR, CHILDREN AND FAMILIES INTERACT WITH A TEAM OF SPECIALISTS, INCLUDING NURSES, DOCTORS, THERAPISTS, AND TEACHERS. 820 CHILDREN WERE ADMITTED ON THESE UNITS DURING THE FISCAL YEAR. 1257893 0 1889626 SHODAIR CHILDREN'S HOSPITAL'S DEPARTMENT OF MEDICAL GENETICS STRIVES TO MEET GENETIC NEEDS OF MONTANANS THROUGH GENETIC TESTING, DIAGNOSIS, CONSULTATION, AND SUPPORT FOR FAMILIES THROUGH OUTREACH AND EDUCATION. 492868 0 740394 OTHER PROGRAM SERVICES 492868 0 740394 24976101 1 1 0 1 0 0 0 1 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 30 0 453 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X MARIA VALDENEGRO 4064447502 2755 COLONIAL DRIVE HELENA MT 59601 KEITH FOSTER PHYSICIAN 40.00 X 335874 0 47012 HEATHER ZALUSKI MEDICAL DIRECTOR 40.00 X 270752 0 46791 KIMBER PEZZONI PHYSICIAN 40.00 X 256809 0 47076 ABDALLAH ELIAS DIRECTOR OF GENETICS 40.00 X 244397 0 44913 LISA PONFICK PHYSICIAN 40.00 X 198727 0 27183 CRAIG AASVED CHIEF EXECUTIVE OFFICER 30.00 10.00 X 283986 0 48549 MARIA VALDENEGRO CHIEF FINANCIAL OFFICER 40.00 X 77202 0 6432 JANET HEDGES PRESIDENT 1.00 0.50 X X 0 0 0 EDWARD SURBRUGG VICE PRESIDENT 1.00 0.50 X X 0 0 0 JOSEPH SHEVLIN SECRETARY 1.00 0.50 X X 0 0 0 SANDRA SMITH TREASURER 1.00 0.50 X X 0 0 0 RITA GOWEN BOARD MEMBER 1.00 0.50 X 0 0 0 DR BILL HASQUET BOARD MEMBER 1.00 0.50 X 0 0 0 GALEN HOLLENBAUGH BOARD MEMBER 1.00 0.50 X 0 0 0 JAMES RILEY JOHNSON BOARD MEMBER 1.00 0.50 X 0 0 0 DR JOEL MAES BOARD MEMBER 1.00 0.50 X 0 0 0 LEN WHEELER BOARD MEMBER 1.00 0.50 X 0 0 0 1667747 0 267956 20 0 1 0 THOMAS MANAGEMENT LLC 700 E FRANKLIN ROAD MERIDIAN ID 83642 CAFETERIA SERVICES 618232 SMA ARCHITECTS 920 FRONT ST 101 HELENA MT 59601 ARCHITECTS FOR NEW BUILDING 246134 WENDT INC 105 PARK DRIVE SOUTH GREAT FALLS MT 59401 ADVERTISING AND WEBSITE BUILD 182618 WIPFLI LLP PO BOX 3160 MILWAUKEE WI 53201 AUDIT, TAX SERVICES AND GL SYSTEM IMPLEM 181318 4 780000 2069907 25000 2874907 ACUTE SERVICES 623990 19127252 19127252 RESIDENTIAL TREATMENT SERVICES 623990 15762211 15762211 GENETICS SERVICES 621500 1886089 1886089 PHARMACY 446110 500944 500944 CYTOGENETICS LABORATORY 621500 3537 3537 239450 239450 37519483 24911 24911 5582357 2500 5579262 64482 3095 -61982 -58887 -58887 CAFETERIA SALES 623990 128175 128175 INSURANCE PROCEEDS 900099 25585 25585 153760 40514174 37519483 0 119784 416169 416169 17592737 15280365 2312372 874387 753519 120868 1878235 1564658 313577 1497528 1286983 210545 37891 37891 68404 68404 70331 70331 12000 12000 668370 460576 207794 98247 84 98163 327491 115020 212471 1123974 17962 1106012 447376 387339 60037 131918 74810 57108 61977 53982 7995 1443331 1443331 604611 511149 93462 MEDICAID UTILIZATION 1474955 1474955 GENERAL SUPPLIES 820749 746362 74387 LAB SUPPLIES 410557 410557 EQUIPMENT AND MAINTENAN 297602 278647 18955 237261 115802 121459 30596101 24976101 5620000 0 -519579 66629 11319273 4800687 12285273 12382876 163614 159410 256029 312285 25663741 14197267 10944907 11466474 1623793 21650490 900 900 863218 641241 36937428 51480992 2899072 3876830 0 3641000 2899072 7517830 X 34020356 43942162 18000 21000 34038356 43963162 36937428 51480992 9918073 6733 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 0 12000 12000 12000 12000 30559435 32035086 30571435 32047086 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 47534 200000 400263 12000 659797 250000 250000 250000 250000 1000000 1500000 5000 X 0 1972110 1700 52999 2026809 1966113 5997 1972110 1894146 71967 1966113 1751662 2500 139984 1894146 1600297 700 150665 1751662 0.00000 0.42500 0.57500 0 1 1 834433 834433 12854651 8137759 4716892 10156004 6059508 4096496 1818653 1818653 11466474 PAYROLL PROTECTION PROGRAM LOAN PAYABLE 3641000 3641000 PART III, LINE 4: THE ORGANIZATION WAS GIFTED AN ORIGINAL PAINTING THAT HAS BECOME A VERY POPULAR WORK OF ART THAT REPRESENTS THE MISSION OF MONTANA'S CHILDREN'S HOSPITAL. THE ORGANIZATION WILL OCCASIONALLY USE PRINTS OF THE PAINTING AT EVENTS. THE PAINTING IS SOMETIMES ON DISPLAY IN THE FOUNDATION OR THE HOSPITAL. PART V, LINE 4: THE ORGANIZATION USES THE RATE OF RETURN WITHIN THE ENDOWMENT TO PAY FOR CAPITAL IMPROVEMENTS AND PURCHASES FOR THE HOSPITAL. 1 1 X 1 X 1 X 500.000000000000 1 1 0 0 1564066 1564066 0.05120 19941211 29996832 0 0.00000 1955516 1134738 820778 0.02690 23460793 31131570 2384844 0.07810 40680 40680 0.00130 40680 40680 0.00130 23501473 31131570 2425524 0.07940 0 44895 0 X 1 1 1 1 MONTANA CHILDREN'S HOME & HOSPITAL INC PO BOX 5539 HELENA MT 59604 13007 X X SHODAIR CHILDREN'S HOSPITAL 1 0 0 1 X X X X X X X X X 18 1 0 0 1 X SEE SUPPLEMENTAL INFORMATION X 1 18 1 HTTPS://SHODAIR.ORG/RESOURCES/#CHNA-AND-CHIP 0 1 X 200.000000000000 500.000000000000 X X X 1 1 X X X 1 X HTTPS://SHODAIR.ORG/RESOURCES/#FINANCIAL-ASSISTANCE-POLICY X HTTPS://SHODAIR.ORG/WP-CONTENT/UPLOADS/2020/01/SHOCARE-FAP-TABLE-2019-FINAL X HTTPS://SHODAIR.ORG/WP-CONTENT/UPLOADS/2019/01/SHOCARE_BROCHURE_FINAL.PDF X X X X X X 1 X 0 X X X X 0 X X 0 1 SHODAIR CHILDREN'S HOSPITAL PART V, SECTION B, LINE 5: FOR THE 2018 CHNA, MEMBERS OF THE ORGANIZATION TRAVELED EXTENSIVELY THROUGHOUT THE STATE OF MONTANA MEETING WITH STAKEHOLDERS INCLUDING HOSPITAL STAFF, SCHOOLS AND GOVERNMENT AGENCIES. LOCALLY, MUCH TIME WAS DEDICATED TO INTERVIEWING KEY STAKEHOLDERS AT VARIOUS ORGANIZATIONS AND AGENCIES SERVING CHILDREN AND YOUTH. FOLLOW UP ON-LINE SURVEYS WERE SENT TO STAKEHOLDERS IN COMMUNITIES AROUND MONTANA. OTHER HOSPITAL CHNA'S WERE ALSO REVIEWED FOR IDENTIFYING LOCAL NEEDS IDENTIFIED IN THOSE COMMUNITIES. SHODAIR CHILDREN'S HOSPITAL PART V, SECTION B, LINE 7D: PART V, SECTION B, LINE 7A:HTTPS://SHODAIR.ORG/RESOURCES/#CHNA-AND-CHIP SHODAIR CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11: FOCUS AREA 1: WORK WITH ONE LOCAL NEIGHBORHOOD IN ADDRESSING THE SOCIAL DETERMINATES OF HEALTH INCLUDING ACCESS TO LOCAL HEALTH SERVICES, AFFORDABLE AND STABLE HOUSING, AFFORDABLE AND RELIABLE DAY CARE AND ACCESS TO HEALTHY FOOD CHOICES. THIS IS BEING DONE THROUGH A COLLABORATIVE EFFORT OF THE COMMUNITY STAKEHOLDERS, INCLUDING THE RESIDENTS IN THE NEIGHBORHOOD. SHODAIR IS THE ORGANIZER OF THESE EFFORTS. SHODAIR HELPED COORDINATE HAVING A SCHOOL IN THE NEIGHBORHOOD SERVE FREE LUNCHES DURING THE SUMMER. ONE OF SHODAIR'S RECREATIONAL THERAPISTS BEGAN DESIGNING THE 10 WEEK PROGRAM ACTIVITY CALENDAR BEFORE THE PANDEMIC HIT; HOWEVER, WE ARE NOW LOOKING TOWARDS SUMMER 2021 TO RESTART THOSE NEIGHBORHOOD EFFORTS. FOCUS AREA 2: WORK WITH ONE NATIVE AMERICAN TRIBE IN MONTANA TO PROVIDE EDUCATION ON THE EFFECTS OF TOXIC STRESS ON CHILDREN AND THEIR BRAIN DEVELOPMENT AND BEHAVIORS. THIS EFFORT WILL BE IN PARTNERSHIP WITH THE LOCAL TRIBAL HEALTH LEADERS AND OTHERS THAT WISH TO PARTICIPATE. SHODAIR HAS DEVELOPED A RELATIONSHIP WITH THE FORT PECK TRIBE AND SHODAIR'S OUTPATIENT PROGRAM IS CURRENTLY SEEING KIDS FROM THE TRIBE'S FIVE SCHOOL-BASED CLINICS THROUGH OUR TELEMEDICINE SYSTEM. FOCUS AREA 3: BECOME A LEADING RESOURCE OF INFORMATION ON CHILDREN AND YOUTH MENTAL HEALTH ISSUES TO STAKEHOLDERS THROUGHOUT MONTANA INCLUDING SCHOOLS AND BUSINESS LEADERS. SHODAIR WAS ABLE TO CONDUCT TWO ESSAY CONTESTS FOR SCHOOL STUDENTS RELATED TO MENTAL HEALTH AWARENESS. THE FIRST ESSAY CONTEST WAS HELD LOCALLY IN SEPTEMBER OF 2019 AND CENTERED AROUND COMBATING THE STIGMA OF MENTAL ILLNESS. THE WINNERS EACH RECEIVED A $500 SCHOLARSHIP. IN SEPTEMBER OF 2020 THE SECOND ESSAY CONTEST WAS HELD ON A STATEWIDE LEVEL INVITING HIGH SCHOOL STUDENTS TO SUBMIT AN ESSAY ON SUICIDE PREVENTION. THE FOUR WINNERS EACH RECEIVED A $2,500 SCHOLARSHIP. SHODAIR PRESENTED AN EDUCATION SESSION ON ACES AT THE ANNUAL MONTANA HOSPITAL ASSOCIATION FALL CONFERENCE IN 2019. CURRENTLY, OTHER OUTREACH EFFORTS HAVE BEEN STIFLED BY THE PANDEMIC FOR 2020. SHODAIR CHILDREN'S HOSPITAL PART V, SECTION B, LINE 16J: THE HOSPITAL DOES NOT HAVE A LEP POPULATION THAT IT SERVES AND AS SUCH, HAS NOT BEEN REQUIRED TO TRANSLATE THEIR FAP INTO ANOTHER LANGUAGE OTHER THAN ENGLISH. PART I, LINE 3C: THE ORGANIZATION ALSO USED MEDICAL DEBT IN ADDITION TO FINANCIAL ASSISTANCE ELIGIBILITY BASED ON FEDERAL POVERTY GUIDELINES. PART I, LINE 7: THE HOSPITAL USES AN INTERNAL COST-TO-CHARGE RATIO SIMILAR TO THE MEDICARE COST REPORT. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 59,875. PART II, COMMUNITY BUILDING ACTIVITIES: IN THE PAST YEAR THE ORGANIZATION, THROUGH COLLABORATION WITH COMMUNITY LEADERS EXPANDED ITS MUCH NEEDED OUTPATIENT MENTAL HEALTH SERVICES TO TWO LARGE CITIES IN MONTANA BY THE OPENING OF OUTPATIENT CLINICS IN THOSE COMMUNITIES. THIS HAD THE RESULT OF INCREASING ACCESS TO TIMELY LOCAL MENTAL HEALTH SERVICES AND REDUCING THE AMOUNT OF TRAVEL REQUIRED BY THOSE RESIDING IN NEARBY RURAL COMMUNITIES. PART III, LINE 2: THIS AMOUNT IS CALCULATED BY MULTIPLYING THE TOTAL CHARGES FOR SERVICES WRITTEN OFF AS BAD DEBT BY THE COST TO CHARGE RATIO. PART III, LINE 3: THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY FINANCIAL ASSISTANCE POLICY IS DETERMINED BY THE ORGANIZATION USING INFORMATION AVAILABLE TO MAKE AN EDUCATED ESTIMATE. PART III, LINE 4: THE ORGANIZATION DESCRIBES THE RECEIVABLES AND CREDIT POLICY AROUND PATIENT ACCOUNTS ON PAGE 12 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: THE ORGANIZATION DID NOT HAVE ANY MEDICARE PAYMENTS OR CLAIMS IN TAX YEAR 2019. PART III, LINE 9B: ALL MEDICAID PATIENTS ARE KNOWN TO QUALIFY FOR 100% FINANCIAL ASSISTANCE, ALL OTHER PATIENTS MUST FILL OUT THE FINANCIAL ASSISTANCE APPLICATION IN ORDER TO DETERMINE IF THEY QUALIFY FOR ANY LEVEL OF FINANCIAL ASSISTANCE. MONTANA MEDICAID DOES NOT HAVE DEDUCTIBLES OR COPAYS FOR ANY MEDICAID MEMBER, SO NO MONTANA MEDICAID MEMBER WOULD EVER HAVE A BALANCE THAT WOULD EVER HAVE A BALANCE DUE AFTER INSURANCE PAYMENT. IF ANOTHER STATE'S MEDICAID MEMBER HAD A BALANCE DUE AFTER THE OUT OF STATE MEDICAID PAYMENT IS PROCESSED, WE FIRST CONTACT THE PATIENT AND LET THEM KNOW. IF WE DO NOT RECEIVE A RESPONSE THE BALANCE IS WRITTEN OFF KNOWING THAT IN ORDER TO BE FEDERALLY ELIGIBLE FOR MEDICAID THE PATIENT IS ELIGIBLE FOR 100% FINANCIAL ASSISTANCE AT SHODAIR. NON-MEDICAID PATIENTS WHO HAVE A BALANCE DUE AFTER INSURANCE IS PROCESSED ARE SENT A STATEMENT OF THEIR BALANCE DUE. EACH STATEMENT NOTIFIES THE PATIENT THAT WE HAVE FINANCIAL ASSISTANCE AVAILABLE IF NEEDED. IF WE DO NOT HEAR ANYTHING FROM THE FAMILY AND THE BALANCE IS NOT PAID IN 60 DAYS FROM THE FIRST STATEMENT, WE CONTACT THE FAMILY AND OFFER THE FINANCIAL ASSISTANCE APPLICATION. IT IS ALSO INCLUDED IN THE 90 AND 120 DAY STATEMENTS. ONLY THOSE PATIENTS WHO NEVER RESPOND TO STATEMENTS OR OVER 3 PHONE CALLS ARE SENT TO COLLECTIONS AFTER MORE THAN 180 DAYS OF NON-PAYMENT. PART VI, LINE 2: IN ADDITION TO THE CHNA, THE ORGANIZATION PERIODICALLY CONDUCTS A STRATEGIC PLANNING PROCESS THAT IDENTIFIES NEEDS AND OPPORTUNITIES TO MEET NEEDS. THE NEXT SCHEDULED STRATEGIC PLAN UPDATE IS SCHEDULED TO START JANUARY 2021. IT IS ALSO CONTINUOUSLY ENGAGING GOVERNMENT AGENCIES, PROVIDERS OF CHILDREN'S MENTAL SERVICES, PAYERS, AND OTHER COMMUNITY ORGANIZATIONS SERVING CHILDREN IN AN EFFORT TO COLLABORATIVELY SOLVE COMMUNITY HEALTH NEEDS OF CHILDREN AND THEIR FAMILIES. PART VI, LINE 3: FROM THE ADMISSIONS PACKET TO THE FINANCIAL ASSISTANCE PACKETS MAILED WITH BILLS, THE PATIENT IS INFORMED OF PROGRAMS AVAILABLE TO THEM FREQUENTLY THROUGHOUT THE STAY/VISIT AND AFTER CARE FOLLOW UP. IN ADDITION, A SUMMARY OF THE FINANCIAL ASSISTANCE PROGRAM ALONG WITH CONTACT INFORMATION IS DISPLAYED IN THE WAITING AREAS OF BOTH INPATIENT AND OUTPATIENT SERVICES. PART VI, LINE 4: THE ORGANIZATION IS CENTRALLY LOCATED IN THE STATE OF MONTANA AND SERVES CHILDREN FROM AROUND THE ENTIRE STATE. IN 2020 PATIENTS WERE ADMITTED FROM OVER 40 OF THE STATE'S 56 COUNTIES. THE PRIMARY SERVICE AREA THOUGH THAT ACCOUNTS FOR NEARLY 70% OF ITS PATIENTS IS WITHIN A 150-MILE RADIUS OF THE ORGANIZATION'S CAMPUS. OUTPATIENT SERVICES HAVE EXPANDED TO ENCOMPASS THE ENTIRE STATE OF MONTANA ESPECIALLY WITH THE ROLL OUT OF TELE-VIDEO TECHNOLOGY THAT HAS IMPROVED ACCESS IN THE MORE REMOTE AND RURAL COMMUNITIES IN MONTANA. PART VI, LINE 5: THE ORGANIZATION IS CONTINUALLY EDUCATING COMMUNITY LEADERS, LEGISLATORS, PATIENTS AND OTHER HEALTHCARE PROVIDERS OF THE COMPLEXITIES OF TREATING CHILDREN WITH MENTAL HEALTH AND BEHAVIORAL CONDITIONS. INVOLVEMENT IN COMMUNITY PLANNING, CONFERENCES AND SERVING ON BOARDS IS A COMMON OCCURRENCE. THE ORGANIZATION IS THE ONLY PROVIDER WITH A DEDICATED ACUTE UNIT FOR YOUNGER CHILDREN IN THE STATE (AGES 3-10). ALMOST ALL YOUNGER CHILDREN ADMITTED TO THIS ACUTE UNIT ARE COMING FROM LOW-INCOME FAMILIES. THIS MAKES THE ORGANIZATION'S SERVICE INVALUABLE TO THIS POPULATION. EACH YEAR THE ORGANIZATION ALSO BUDGETS FOR SUPPORTING ACTIVITIES THAT PROMOTE MENTAL HEALTH INITIATIVES AND SUICIDE PREVENTION. PART VI, LINE 6: N/A PART VI, LINE 7: THE ORGANIZATION IS NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF MT. X 1 1 X X X X X 0 0 0 0 0 0 0 0 0 KEITH FOSTER PHYSICIAN 330575 0 5299 0 0 0 14952 0 32060 0 382886 0 0 0 HEATHER ZALUSKI MEDICAL DIRECTOR 266272 0 4480 0 0 0 16268 0 30523 0 317543 0 0 0 KIMBER PEZZONI PHYSICIAN 252525 0 4284 0 0 0 15495 0 31581 0 303885 0 0 0 ABDALLAH ELIAS DIRECTOR OF GENETICS 240384 0 4013 0 0 0 14682 0 30231 0 289310 0 0 0 LISA PONFICK PHYSICIAN 195495 0 3232 0 0 0 12029 0 15154 0 225910 0 0 0 CRAIG AASVED CHIEF EXECUTIVE OFFICER 267018 0 9768 0 7200 0 16489 0 32060 0 332535 0 0 0 PART I, LINE 1A THE ONLY EMPLOYEE THAT RECEIVES HEALTH OR SOCIAL CLUB DUES IS THE CEO OF THE HOSPITAL AND IT IS CONSIDERED TAXABLE COMPENSATION. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE FORM 990 IS PRESENTED TO THE BOARD FOR REVIEW AND APPROVAL BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C A PERSON SHALL BE DEEMED TO HAVE AN "INTEREST" IN A TRANSACTION IF HE OR SHE IS THE PARTY, ONE OF THE PARTIES, OR DIRECTLY RELATED TO A PARTY DEALING WITH THE CORPORATION, OR IF HE OR SHE HAS DIRECT OR INDIRECT INTEREST IN THE TRANSACTION. ANY TRUSTEE, OFFICER, MEDICAL STAFF MEMBER OR OTHER EMPLOYEE OR AGENT OF THE CORPORATION HAVING A DIRECT OR INDIRECT INTEREST IN A TRANSACTION PRESENTED TO THE BOARD FOR AUTHORIZATION, APPROVAL OR RATIFICATION SHALL MAKE A PROMPT, FULL AND FRANK DISCLOSURE OF HIS OR HER INTEREST TO THE BOARD PRIOR TO ACTION ON SUCH TRANSACTION. THAT PERSON SHALL NOT VOTE ON, OR USE HIS OR HER PERSONAL INFLUENCE ON, NOR PARTICIPATE IN THE DISCUSSION OR DELIBERATIONS WITH RESPECT TO SUCH TRANSACTION. THE MINUTES OF THE MEETINGS SHALL REFLECT THE DISCLOSURE MADE THE VOTE THEREON, THE ABSTENTION FROM VOTING AND PARTICIPATION, AND WHETHER A QUORUM WAS PRESENT. ANY TRANSACTION WHICH INVOLVES A TRUSTEE CONFLICT OF INTEREST MAY NOT BE AUTHORIZED, APPROVED OR RATIFIED BY A SINGLE TRUSTEE. FORM 990, PART VI, SECTION B, LINE 15 ANNUALLY THE ORGANIZATION USED AN OUTSIDE CONSULTANT TO STUDY ALL CATEGORIES OF JOBS AT THE HOSPITAL AND COMPARE THE HOSPITAL TO THE 50TH PERCENTILE OF THE NATIONAL COMPENSATION AVERAGE. THE CEO COMPENSATION IS REVIEWED ANNUALLY AND APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE ON FILE WITH THE STATE OF MONTANA AND AVAILABLE TO THE PUBLIC IF REQUESTED FROM THE STATE. CONFLICT OF INTEREST AND FINANCIAL STATEMENTS ARE NOT MADE READILY AVAILABLE TO THE GENERAL PUBLIC BUT ARE DISTRIBUTED TO THE BOARD OF TRUSTEES WHO REPRESENT THE PUBLIC. MONTANA CHILDREN'S FOUNDATION PO BOX 5539 HELENA MT 59604 810365625 TO PROMOTE AND FURTHER OPERATIONS OF MONTANA CHILDREN'S HOME AND HOSPITAL MT 501(C)(3) LINE 7 MONTANA CHILDREN'S HOME & HOSPITAL INC 1 0 0 1 1 1 0 0 0 0 0 0 1 1 1 1 0 1 1 0 MONTANA CHILDREN'S FOUNDATION C 780000 CASH CONTRIBUTION MONTANA CHILDREN'S FOUNDATION Q 715000 CASH REIMBURSEMENT MONTANA CHILDREN'S FOUNDATION PO BOX 5539 HELENA MT 59604 810365625 0 0 0 1475651 1475651 222565 55641 0 0 0