2019-05-15T15:18:36-05:00 2018-06-30 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2017-07-01 810504410 BIG HORN COUNTY HOSPITAL AND HEALTH CARE FOUNDATION BIGH 4066652310 17 NORTH MILES AVENUE HARDIN MT 59034 KRISTI GATRELL CEO 4066652310 2019-05-14 1 MARTY LIENAU P00001025 6123764500 67.137.57.251 2019-05-14 15:39:21 CD P 556679616493003E6E17937C0791D09847FC9451 0FD4EF385CD5022A6BCA3F6D48F1B56E012374BF 2017 2019-02-21 02:37:17Z WILLIAM HODGES 17 NORTH MILES AVENUE HARDIN MT 59034 844130 0 X WWW.BIGHORNHOSPITAL.ORG X 1994 MT BENEFIT AND SUPPORT OF BIG HORN HOSPITAL ASSOCIATION 7 7 0 6 11190 0 94738 105582 0 0 15652 34037 0 0 110390 139619 0 0 0 0 49261 51028 0 0 0 9778 20439 59039 71467 51351 68152 627819 711035 0 0 627819 711035 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, PROVIDEING SUPPORT TO BIG HORN HOSPITAL TO COVER OPERATIGN COSTS, PATIENT CARE AND OTHER FUNDING NEEDS. DURING THE YEAR, BEGAN FUNDRAISING FOR "BUILDING YOUR HEALTHCARE FUTURE" CAPITAL CAMPAIN TO RAISE FUNDS FOR AN $11 MILLION REMODEL PROJECT FOR BIG HORN COUNTY MEMORIAL HOSPITAL. THIS PROJECT WILL INCLUDE A NEW ER WING WITH ADDITIONAL ER BAYS, CONSOLIDATION OF PATIENT ROOMS, IMAGING DEPARTMENT AND NURSES STATION. MORE HIPAA COMPLIANT CHECK IN FOR PATIENTS. 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 0 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 X 7 7 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 0 0 0 X ROXIE CAIN 4066659222 17 N MILES AVENUE HARDIN MT 59034 TERRY BULLIS CHAIRMAN 0.20 0.40 X X 0 0 0 JAMES SEYKORA FUNDRAISING CHAIR 0.20 0.40 X 0 0 0 THOR TORSKE SECRETARY/TREASURER 0.20 0.40 X X 0 0 0 DONNA STRICKER AUXILIARY MEMBER 0.20 X 0 0 0 DR ED ARNOLD BOARD MEMBER 0.20 X 0 0 0 DR SHANNON WAGENMAN BOARD MEMBER 0.20 X 0 0 0 DR BOB WHITING BOARD MEMBER 0.20 X 0 0 0 WILLIAM HODGES EXECUTIVE DIRECTOR 25.00 15.00 X 0 92243 18784 KRISTI GATTRELL CEO 1.00 39.00 X 0 119334 18784 ROXIE CAIN CONTROLLER 1.00 39.00 X 0 98186 23975 0 309763 61543 0 0 0 0 0 24560 81022 105582 22847 22847 715701 704511 11190 11190 11190 139619 0 11190 22847 47422 47422 639 639 2967 2967 2035 2035 6486 6486 35 35 2617 2617 MISCELLANEOUS EXPENSE 7251 7251 TAXES & LICENSES 2015 2015 71467 0 71467 0 53626 1728 5801 5807 568392 703500 627819 711035 0 0 X 627819 711035 627819 711035 627819 711035 68152 15064 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 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. ALL OF THE 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 COUNTY MEMORIAL 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. 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