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MONTANA CHILDRENS HOME AND HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MONTANA CHILDRENS HOME AND HOSPITAL (EIN 81-0231789)
Tax period
2012-06-01 to 2013-05-31
Filed
2014-01-25
IRS object ID
201400259349300850
Schema version
2012v2.1
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)
Timestamp2014-01-25T09:57:37-06:00Timestamp
Tax Period End Date2013-05-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN810272932EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GALUSHA HIGGINS & GALUSHA PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1699AddressLine1
CityHELENACity
StateMTState
ZIP Code596241699ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-06-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN810231789EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MONTANA CHILDREN'S HOME & HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMONTNameControl
Phone4064447500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 5539AddressLine1
CityHELENACity
StateMTState
ZIP Code59604ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN P CASEYName
TitleADMINISTRATORTitle
Phone4064447500Phone
Date Signed2013-11-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameNATHAN D MCCARTHY CPAName
PTINP00368408PTIN
Phone4064425520Phone
Date Prepared2013-11-13DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN P CASEYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 5539AddressLine1
CityHELENACity
StateMTState
ZIP Code59604ZIPCode
FieldValueIRS element (for citing)
Gross Receipts22734349GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SHODAIR.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1942YearFormation
State Legal DomicileMTStateLegalDomicile
Activity Or Mission DescriptionPSYCHIATRIC, GENETIC AND OTHER SERVICES FOR CHILDREN IN A HOSPITAL SETTING AT COST, BELOW COST, OR NO CHARGE.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees381TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2915290ContributionsGrantsPriorYear
Contributions Grants Current Year3228527ContributionsGrantsCurrentYear
Program Service Revenue Prior Year18411092ProgramServiceRevenuePriorYear
Program Service Revenue CY19253251ProgramServiceRevenueCY
Investment Income Prior Year21760InvestmentIncomePriorYear
Investment Income Current Year8354InvestmentIncomeCurrentYear
Other Revenue Prior Year28198OtherRevenuePriorYear
Other Revenue Current Year244217OtherRevenueCurrentYear
Total Revenue Prior Year21376340TotalRevenuePriorYear
Total Revenue Current Year22734349TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year13967754SalariesEtcPriorYear
Salaries Etc Current Year14784146SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6473039OtherExpensePriorYear
Other Expenses Current Year6363172OtherExpensesCurrentYear
Total Expenses Prior Year20440793TotalExpensesPriorYear
Total Expenses Current Year21147318TotalExpensesCurrentYear
Revenues Less Expenses Prior Year935547RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1587031RevenuesLessExpensesCY
Total Assets BOY21032806TotalAssetsBOY
Total Assets EOY22765679TotalAssetsEOY
Total Liabilities BOY9127330TotalLiabilitiesBOY
Total Liabilities EOY9273172TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY11905476NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY13492507NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSHODAIR CHILDREN'S HOSPITAL IS A NON-PROFIT, MONTANA CORPORATION WHOSE PURPOSES SHALL BE:TO ESTABLISH AND MAINTAIN A HOSPITAL AND OTHER APPROPRIATE FACILITIES FOR CARE AND TREATMENT OF CHILDREN SUFFERING FROM ILLNESSES, DISEASES, DEFECTS AND OTHER PHYSICAL, MENTAL, AND EMOTIONAL ABNORMALITIES WHICH IMPAIR THE HEALTH AND WELL-BEING OF CHILDREN WHICH MAY BE JUSTIFIED BY THE FACILITY'S PERSONNEL, FUNCTIONS, OR OTHER REQUIREMENTS THAT ARE OR CAN BE MADE AVAILABLE. TO PROMOTE AND CARRY ON SCIENTIFIC RESEARCH RELATED TO THE CARE OF THE SICK AND INJURED. TO PARTICIPATE SO FAR AS CIRCUMSTANCES MAY WARRANT IN ANY ACTIVITY DESIGNATED AND CARRIED ON TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense3693024Expense
Revenue8402504Revenue
DescriptionTHE ACUTE CARE UNIT ACCOMMODATES UP TO 20 CHILDREN FROM AGES 3 TO 18. THE ACUTE PSYCHIATRIC INPATIENT PROGRAM WAS DESIGNATED IN 2008 AS A MODEL PROGRAM USING DR. GREENE'S APPROACH TO SOLVING PROBLEMS COLLABORATIVELY AS DESCRIBED IN HIS BOOKS "THE EXPLOSIVE CHILD" AND "LOST AT SCHOOL". THE PROGRAM OFFERS 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.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense7173007Expense
Revenue7203928Revenue
DescriptionSHODAIR CHILDREN'S HOSPITAL PROVIDES PSYCHIATRIC RESIDENTIAL TREATMENT SERVICES TO CHILDREN AGES 3-18. THE SERVICES ARE PROVIDED ON THREE 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. THE TREATMENT APPROACH UTILIZES DR. GREENE'S RESEARCH ON SOLVING PROBLEMS COLLABORATIVELY AS DESCRIBED IN HIS BOOKS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense3017537Expense
Revenue1401347Revenue
DescriptionTHE MISSION OF SHODAIR CHILDREN'S HOSPITAL'S DEPARTMENT OF MEDICAL GENETICS IS TO MEET GENETIC NEEDS OF MONTANANS THROUGH DIAGNOSIS, CONSULTATION, AND SUPPORT FOR FAMILIES, OUTREACH, SCHOLARSHIP, AND EDUCATION. THIS PROGRAM IS MEDICALLY ORIENTED AND OFFERS A BROAD RANGE OF SERVICES TO INDIVIDUALS AND FAMILIES WITH BIRTH DEFECTS, GENETIC AND HEREDITARY CONDITIONS WITH OR WITHOUT MENTAL RETARDATION. SERVICES INCLUDE PATIENT EVALUATIONS, GENETIC COUNSELING, AND EDUCATION. SERVICE MAY BE FOR DIAGNOSIS, PROGNOSIS, NATURAL HISTORY, RECURRENCE RISK INFORMATION, PSYCHOLOGICAL SUPPORT, PRENATAL DIAGNOSIS, FETAL DEATH EVALUATION, MOLECULAR GENETIC AND OTHER SPECIAL TESTING OR FOR A VARIETY OF OTHER REASONS. AN IMPORTANT PART OF THE SERVICE MANDATE IS TO EDUCATE LAY AND PROFESSIONAL MONTANANS ABOUT GENETICS AND GENETIC CONDITIONS SO THEY ARE AWARE OF WHAT SERVICES MAY BENEFIT THEM. THE PROGRAM IS DIVIDED INTO TWO PRIMARY SERVICE UNITS: CLINICAL AND LABORATORY. AN ADMINISTRATIVE DIRECTOR IS RESPONSIBLE FOR MANAGEMENT OF PROGRAM FUNCTIONS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense2080389Expense
Revenue2245472Revenue
DescriptionOTHER PROGRAM SERVICES INCLUDE PHARMACY, MEDICAL RECORDS, AND MEDICAL LIBRARY.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp2080389TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev2245472TotalOfOtherProgramServiceRev
Total Program Service Expense15963957TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School1School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109675NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees381NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMTStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JOHN P CASEYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4064447500TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12755 COLONIAL DRIVEAddressLine1
CityHELENACity
StateMTState
ZIP Code59601ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
RED MENAHAN
PRESIDENT1.00XX000
BOB LEMM
VICE PRESIDENT0.50XX000
CYNTHIA MELTON
SECRETARY0.50XX000
RITA GOWEN
TREASURER0.50XX000
JOE SHEVLIN
TRUSTEE0.50X000
ED TINSLEY
TRUSTEE0.50X000
MOE WOSEPKA
TRUSTEE0.50X000
DAVID LEMM
TRUSTEE0.50X000
BILL HASQUET
TRUSTEE0.50X000
JANET HEDGES
TRUSTEE0.50X000
GALEN HOLLENBAUGH
TRUSTEE0.50X000
JOEL MAES
TRUSTEE0.50X000
DAN SHEA
TRUSTEE0.50X000
EDWARD SURBRUGG
TRUSTEE0.50X000
JOHN JACK CASEY
ADMINISTRATOR40.00X289613061243
RONALD J WIENS
CHIEF FINANCIAL OFFICER40.00X136260053279
KEITH FOSTER
MEDICAL DIRECTOR, PSYCHIAT40.00269951061766X
HEATHER ZALUSKI
STAFF PSYCHIATRIST40.00208811048013X
KATHERINE RAPPAPORT
STAFF PSYCHIATRIST40.00201972031698X
JOHN JOHNSON
MEDICAL DIRECTOR, GENETICS40.00215163061267X
JAMES REYNOLDS
STAFF GENETICIST40.00177131056868X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1498901TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation374134TotalOtherCompensation
Number Individuals GT100 K14NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
GOLDEN EAGLE CONSTRUCTION
3020 EAST LYNDALEHELENAMT59601CONSTRUCTION937218
WEATHERBY LOCUMS INC
6451 NORTH FEDERAL HWY STE 800FORT LAUDERDALEFL33308PHYSICIAN RECRUITMENT115536
SCHLENKER & MCKITTRICK ARCHITECTS
50 S LAST CHANCE GULCH STE 1HELENAMT59601ARCHITECTURE102127
DIAMOND CONSTRUCTION
2905 N MONTANA AVE 200HELENAMT59601CONSTRUCTION100300
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Government Grants1685811GovernmentGrants
All Other Contributions1542716AllOtherContributions
Total Contributions3228527TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
ACUTE SERVICES62399084025048402504
RESIDENTIAL TREATMENT SERVICES62399072039287203928
PHARMACY62399015578691557869
GENETICS SERVICES62150014013471401347

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column687603TotalRevenueColumn
Related Or Exempt Function Income687603RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue19253251TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column7367TotalRevenueColumn
Exclusion$7,367ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities987Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities987Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column987TotalRevenueColumn
Related Or Exempt Function Income987RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
INSURANCE PROCEEDS FROM PROPERTY623990214575214575
CAFETERIA SALES6239902961329613
MISCELLANEOUS6239902929
FieldValueIRS element (for citing)
Total Other Revenue244217TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column22734349TotalRevenueColumn
Related Or Exempt Function Income19498455RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$7,367ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total535023Total
Management And General535023ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total11826494Total
Program Services9952869ProgramServices
Management And General1873625ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total517254Total
Program Services419203ProgramServices
Management And General98051ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total907472Total
Program Services697664ProgramServices
Management And General209808ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total997903Total
Program Services809303ProgramServices
Management And General188600ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total67218Total
Management And General67218ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total39652Total
Program Services2090ProgramServices
Management And General37562ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total644180Total
Program Services367956ProgramServices
Management And General276224ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total126116Total
Program Services27465ProgramServices
Management And General98651ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total535015Total
Program Services122978ProgramServices
Management And General412037ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total167392Total
Program Services111057ProgramServices
Management And General56335ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total6092Total
Management And General6092ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total338858Total
Management And General338858ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total920681Total
Program Services768569ProgramServices
Management And General152112ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total424029Total
Program Services388760ProgramServices
Management And General35269ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAID UTILIZATION FE898550898550
GENERAL SERVICES SUPPLI400501400501
MEDICAID UTILIZATION FE324750324750
SUPPLIES - GENETICS273738273738

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1196400Total
Program Services799005ProgramServices
Management And General397395ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total21147318Total
Program Services15963957ProgramServices
Management And General5183361ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3803959BOY
EOY3763214EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1149085BOY
EOY1086540EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4835118BOY
EOY5220935EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY194864BOY
EOY254412EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY291341BOY
EOY359897EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis19851503LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec8369083LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10237561BOY
EOY11482420EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY900BOY
EOY900EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY519978BOY
EOY597361EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY21032806BOY
EOY22765679EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2327330BOY
EOY2913172EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY6800000BOY
EOY6360000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY9127330BOY
EOY9273172EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY11375183BOY
EOY13460625EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY530293BOY
EOY31882EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11905476BOY
EOY13492507EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY21032806BOY
EOY22765679EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1587031ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals45154FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals45154FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals21102164FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals21147318FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus21000000CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Current Year1000000CurrentYear
Total3000000Total
FieldValueIRS element (for citing)
Lobbying Ceiling$4,500,000LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus243660CurrentYearMinus2
Current Year Minus1858CurrentYearMinus1
Current Year45154CurrentYear
Total89672Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus2250000CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Current Year250000CurrentYear
Total750000Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,125,000GrassrootsCeilingAmount

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1953435OtherCostOrOtherBasis
Book Value1953435BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis14827640OtherCostOrOtherBasis
Depreciation6009484Depreciation
Book Value8818156BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3070428OtherCostOrOtherBasis
Depreciation2359599Depreciation
Book Value710829BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings11482420TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt22502945TotRevenueEtcAuditedFinclStmt
Other Revenues-231404OtherRevenues
Revenue Not Rptd F990-231404RevenueNotRptdF990
Revenue Subtotal22734349RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99022734349TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt20915914TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal20915914ExpensesSubtotal
Other Expenses Not Included231404OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt231404ExpensesNotRptdOnFinStmt
Total Expenses Per Form99021147318TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierExplanationExplanation
PART XI, LINE 2D - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBTS -231,404.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBTS 231,404.

Schedule E IRS990ScheduleE

FieldValueIRS element (for citing)
Nondiscriminatory Policy Stmt1NondiscriminatoryPolicyStmt
Policy Statement In Brochures Etc0PolicyStatementInBrochuresEtc
Policy Publ Via Broadcast Media0PolicyPublViaBroadcastMedia
Maint Racial Composition Records1MaintRacialCompositionRecords
Maint Scholarships Records0MaintScholarshipsRecords
Maint Copies Of Brochures Etc0MaintCopiesOfBrochuresEtc
Maint Copies Of All Solicitations0MaintCopiesOfAllSolicitations
Discriminate Race Students Rights0DiscriminateRaceStudentsRights
Discriminate Race Admiss Policies0DiscriminateRaceAdmissPolicies
Discriminate Race Emplmn Faculty0DiscriminateRaceEmplmnFaculty
Discriminate Race Scholarships0DiscriminateRaceScholarships
Discriminate Race Educ Policies0DiscriminateRaceEducPolicies
Discriminate Race Use Of Fclts0DiscriminateRaceUseOfFclts
Discriminate Race Athletic Prog0DiscriminateRaceAthleticProg
Discriminate Race Other Acty0DiscriminateRaceOtherActy
Government Financial Aid Received1GovernmentFinancialAidReceived
Government Financial Aid Revoked0GovernmentFinancialAidRevoked
Compliance With Rev Proc75501ComplianceWithRevProc7550

Form990 Schedule E Part II Form990ScheduleEPartII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
EXPLANATION OF DOCUMENT RETENTIONSCHEDULE E, PART I, LINE 4THE PART 4 QUESTIONS ANSWERED NO ARE NOT APPLICABLE TO THIS ORGANIZATION.
EXPLANATION OF GOVERNMENT FINANCIAL ASSISTANCESCHEDULE E, PART I, LINE 6THE ORGANIZATION RECEIVED ASSISTANCE FROM THE OFFICE OF PUBLIC INSTRUCTION.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense45585TotalCommunityBenefitExpense
Direct Offsetting Revenue72969DirectOffsettingRevenue
Net Community Benefit Expense-27384NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense14373274TotalCommunityBenefitExpense
Direct Offsetting Revenue13239135DirectOffsettingRevenue
Net Community Benefit Expense1134139NetCommunityBenefitExpense
Percent Of Total Expense0.05420PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense14418859TotalCommunityBenefitExpense
Direct Offsetting Revenue13312104DirectOffsettingRevenue
Net Community Benefit Expense1106755NetCommunityBenefitExpense
Percent Of Total Expense0.05420PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1024TotalCommunityBenefitExpense
Net Community Benefit Expense1024NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense32940TotalCommunityBenefitExpense
Net Community Benefit Expense32940NetCommunityBenefitExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1684324TotalCommunityBenefitExpense
Direct Offsetting Revenue1187520DirectOffsettingRevenue
Net Community Benefit Expense496804NetCommunityBenefitExpense
Percent Of Total Expense0.02380PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense9475TotalCommunityBenefitExpense
Net Community Benefit Expense9475NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense1727763TotalCommunityBenefitExpense
Direct Offsetting Revenue1187520DirectOffsettingRevenue
Net Community Benefit Expense540243NetCommunityBenefitExpense
Percent Of Total Expense0.02590PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense16146622TotalCommunityBenefitExpense
Direct Offsetting Revenue14499624DirectOffsettingRevenue
Net Community Benefit Expense1646998NetCommunityBenefitExpense
Percent Of Total Expense0.08010PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense5466TotalCommunityBuildingExpense
Net Community Building Expense5466NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense5466TotalCommunityBuildingExpense
Net Community Building Expense5466NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$308,107BadDebtExpenseAmount
Amount Attributable To184900AmountAttributableTo
Amount Reimbursed By Medicare78191AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare204321CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-126130MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1SHODAIR CHILDREN'S HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1PO BOX 5539AddressLine1
CityHELENACity
StateMTState
ZIP Code59604ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
Childrens HospitalXChildrensHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SHODAIR CHILDREN'S HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities0OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs Addressed0AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent100.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent200.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

ExplanationExplanationIdentifierIdentifier
PART I, LINE 7: THE HOSPITAL USES THE COST TO CHARGE RATIO METHOD.
PART I, LINE 7G: THE HOSPITAL SUBSIDIZES THE STATEWIDE GENETICS PROGRAM.
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 $ 231404.
PART II: THE HOSPITAL'S DOCTORS ARE ON THE BOARDS OF SEVERAL ORGANIZATIONS WHICH PROMOTE THE HEALTH OF THE COMMUNITY.
PART III, LINE 4: ACCOUNTS RECEIVABLE ARE STATED AT UNPAID BALANCES, LESS AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE HOSPITAL PROVIDES FOR LOSSES ON ACCOUNTS RECEIVABLE USING THE ALLOWANCE METHOD. THE ALLOWANCE IS BASED ON EXPERIENCE, THIRD-PARTY CONTRACTS, AND OTHER CIRCUMSTANCES, WHICH MAY AFFECT THE ABILITY OF PATIENTS TO MEET THEIR OBLIGATIONS. RECEIVABLES ARE CONSIDERED IMPAIRED IF FULL PRINCIPAL PAYMENTS ARE NOT RECEIVED IN ACCORDANCE WITH THE CONTRACTUAL TERMS. IT IS THE HOSPITAL'S POLICY TO CHARGE OFF UNCOLLECTIBLE ACCOUNTS RECEIVABLE WHEN MANAGEMENT DETERMINES THE RECEIVABLE WILL NOT BE COLLECTED. THE HOSPITAL USES A COST TO CHARGE RATIO.
PART III, LINE 9B: FOR THE ACCOUNTS RECEIVABLE POLICY, SEE SUPPLEMENTAL INFORMATION PROVIDED FOR PART III, LINE 4. ADDITIONAL INFORMATION: CHARITY DISCOUNT IS APPROVED AND GRANTED PRIOR TO A PATIENT BEING ADMITTED TO SHODAIR CHILDREN'S HOSPITAL. THE CHARITY DISCOUNT MAY BE FOR THE ENTIRE ACCOUNT OR A PORTION OF AN INSURED ACCOUNT WHERE THE PAYMENT OF THE CO-PAY INSURANCE AND OR DEDUCTIBLE WOULD CREATE A FINANCIAL HARDSHIP FOR THE FAMILY OR THE CHILD OR ADOLESCENT PATIENT. THE GRANTING OF A CHARITY DISCOUNT IS DEPENDENT ON APPLICATION AND MEETING THE INCOME TEST OF THE CHARITY DISCOUNT POLICY AS ESTABLISHED.
PART V, SECTION B, LINE 3: PHONE SURVEYS WITH INDIVIDUALS FROM A.W.A.R.E, INC., DISABILITY RIGHTS MONTANA,DPHHS - MONTANA CHILDREN'S MENTAL HEALTH SERVICES, FORT BELKNAP INDIAN HEALTH SERVICES, MONTANA MENTAL DISABILITIES BOARD OF VISITORS AND ST. PETER'S HOSPITAL.SHODAIR CHILDREN'S HOSPITAL
PART V, SECTION B, LINE 7: 1) THE RATE OF PTSD SEEN AMONG CHILDREN IN FOSTER CARE BECAUSE THE RESOURCES ARE NOT AVAILABLE TO ADDRESS THIS ISSUE EFFECTIVELY. 2)PREVENTIVE SERVICES AND PSYCHOEDUCATIONAL PROGRAMS FOR YOUTH ACROSS THE STATE BECAUSE THERE IS NOT ADEQUATE STAFF AND/OR FINANCIAL RESOURCES TO PROVIDE THESE TYPES OF SERVICES PUBLICLY ON A STATEWIDE SCALE. 3) PROVIDER RATIOS IN SPECIFIC AREAS THROUGHOUT THE STATE THAT ARE MORE RURAL DEPENDS ON STATE-LEVEL LEGISLATIVE CHANGE AND IS OUTSIDE THE SCOPE OF THE MISSION OF THE HOSPITAL. THEY DO PLAN TO ADDRESS THE PROVIDER RATIO LOCALLY IN HELENA, MT AND WILL CONSIDER A PILOT PROJECT WITH RURAL COMMUNITY TELEPYSCH DURING THE THREE YEARS PRIOR TO REEVALUATION.SHODAIR CHILDREN'S HOSPITAL
PART V, SECTION B, LINE 20D: 10% DISCOUNT, WHICH IS SIMILAR TO DISCOUNTS NEGOTIATED WITH COMMERICIAL INSURANCE CARRIERS.SHODAIR CHILDREN'S HOSPITAL
PART VI, LINE 2: SHODAIR CHILDREN'S HOSPITAL IS LOCATED IN HELENA, MONTANA. ITS FACILITY TOTALS 90,000 SQUARE FEET AND INCLUDES THE RESIDENTIAL AND ACUTE PSYCHIATRIC TREATMENT CENTERS FOR CHILDREN AND ADOLESCENTS, THE MEDICAL GENETICS PROGRAM, ADMINISTRATIVE OFFICES, AND THE MARKETING/COMMUNITY RELATIONS AND FOUNDATION OFFICES. SHODAIR CHILDREN'S HOSPITAL IS THE ONLY FACILITY IN THE STATE OF MONTANA TO OFFER BOTH ACUTE AND RESIDENTIAL TREATMENT SERVICES FOR CHILDREN AND ADOLESCENTS. SHODAIR CHILDREN'S HOSPITAL PROVIDES THREE DEVELOPMENTALLY SPECIFIC RESIDENTIAL TREATMENT PROGRAMS FOR CHILDREN OF ALL AGES. EACH PROGRAM PROVIDES A THERAPEUTIC AND NURTURING ENVIRONMENT TO PROMOTE POSITIVE CHANGE. THE SCHOOL AT SHODAIR IS ACCREDITED BY THE NORTHWEST ASSOCIATION OF ACCREDITED SCHOOLS AND IS SCHEDULED YEAR-ROUND. THIS ALLOWS STUDENTS AN OPPORTUNITY TO WORK IN ACADEMIC AREAS AS NEEDED OR TO MAKE UP MISSED CREDITS. THE MISSION OF SHODAIR CHILDREN'S HOSPITAL'S DEPARTMENT OF MEDICAL GENETICS IS TO MEET GENETIC NEEDS OF MONTANANS THROUGH DIAGNOSIS, CONSULTATION, AND SUPPORT FOR FAMILIES, OUTREACH, SCHOLARSHIP, AND EDUCATION.
PART VI, LINE 3: FINANCIAL ASSISTANCE WILL BE PROVIDED TO THE HOSPITAL'S PATIENTS WHO MEET SPECIFIED FINANCIAL CRITERA AND REQUEST SUCH ASSISTANCE.
PART VI, LINE 4: SHODAIR CHILDREN'S HOSPITAL BEGAN ITS OPERATIONS IN HELENA, MONTANA. THE HOSPITAL SERVES PATIENTS FROM ACROSS THE COUNTRY, AS IT PROVIDES SPECIALIZED SERVICES.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOHN JACK CASEY
ADMINISTRATOR28961300000174140438290350856000
RONALD J WIENS
CHIEF FINANCIAL OFFICER1362600000082790450000189539000
KEITH FOSTER
MEDICAL DIRECTOR, PSYCHIAT26995100000162950454710331717000
HEATHER ZALUSKI
STAFF PSYCHIATRIST20881100000128810351320256824000
KATHERINE RAPPAPORT
STAFF PSYCHIATRIST20197200000134480182500233670000
JOHN JOHNSON
MEDICAL DIRECTOR, GENETICS21516300000127500485170276430000
JAMES REYNOLDS
STAFF GENETICIST17713100000116310452370233999000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1US BANK NATIONAL ASSOCIATIONBusinessNameLine1
FieldValueIRS element (for citing)
Date Issued2005-04-01DateIssued
Issue Price9720000IssuePrice
Description Of PurposeTO FINANCE COSTS OF IMPROVEMENTS TO THE HOSPITALDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Year Of Subst Completion2006YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made0FinalAllocationMade
Adequate Books And Recds Maintaind0AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Iss Meet Prvt Security Pay Test0BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs0NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet0RebateNotDueYet
Exception To Rebate0ExceptionToRebate
No Rebate Due0NoRebateDue
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Written Proc To Monitor Reqs0WrittenProcToMonitorReqs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 2BOB LEMM, 1ST VICE CHAIR, IS THE FATHER OF DAVID LEMM, TRUSTEE
FORM 990, PART VI, SECTION B, LINE 11A DRAFT OF THE FORM 990 IS PRESENTED TO THE BOARD FOR REVIEW AND APPROVAL BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS SIGN A CONFLICT OF INTEREST POLICY ANNUALLY. THE HOSPITAL ATTORNEY ATTENDS EACH BOARD MEETING AND MONITORS ADHERENCE TO THE POLICY.
FORM 990, PART VI, SECTION B, LINE 15DUE TO THE NATURE OF THE SPECIALTY OF THIS HOSPITAL, A COMPANY SPECIALIZING IN COMPENSATION PACKAGES IS CONTRACTED TO REVIEW THE ADMINISTRATOR'S COMPENSATION. OTHER KEY EMPLOYEES' COMPENSATION IS DETERMINED UTILIZING THE MONTANA HOSPITAL ASSOCIATION'S ANNUAL COMPENSATION SURVEY. IF THE SPECIALTY HAS A LIMITED NUMBER OF PROFESSIONALS IN MONTANA THE REGIONAL OR NATIONAL COMPENSATION DATA IS UTILIZED.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING 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 ARE REPRESENTATION OF THE PUBLIC.
THERE HAS BEEN NO CHANGE FROM THE PRIOR YEAR IN THE OVERSIGHT OF THE AUDIT OR THE SELECTION OF AN INDEPENDENT ACCOUNTANT.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1MONTANA CHILDREN'S FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 5539AddressLine1
CityHELENACity
StateMTState
ZIP Code59604ZIPCode
FieldValueIRS element (for citing)
EIN810365625EIN
Primary ActivitiesTO PROMOTE AND FURTHER OPERATIONS OF MONTANA CHILDREN'S HOME AND HOSPITALPrimaryActivities
Legal Domicile StateMTLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status509(A)(3)PublicCharityStatus
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1MONTANA CHILDREN'S FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeCTransactionType
Amount Involved1510620AmountInvolved
Method Of Amt DeterminationCASH RECEIVEDMethodOfAmtDetermination