2014-05-14T15:18:47-05:00 2013-06-30 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2012-07-01 810504410 BIG HORN COUNTY HOSPITAL AND HEALTH CARE FOUNDATION BIGH 4066652310 17 NORTH MILES AVENUE HARDIN MT 59034 ROXIE CAIN 4066652310 2014-05-14 1 ROBERT E SCHILE P00369682 6123764500 2012 2015-11-30 17:44:51Z WILLIAM HODGES 17 NORTH MILES AVENUE HARDIN MT 59034 80548 0 X WWW.BIGHORNHOSPITAL.ORG X 1994 MT BENEFIT AND SUPPORT OF BIG HORN HOSPITAL ASSOCIATION 7 6 0 7 0 0 152883 69556 0 0 10730 10992 0 0 163613 80548 49696 29500 0 0 45634 19224 0 0 0 7807 8117 103137 56841 60476 23707 397522 435620 0 0 397522 435620 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 29500 29500 0 VARIOUS PROGRAMS PROVIDING SUPPORT TO BIG HORN HOSPITAL TO COVER OPERATING COSTS, PATIENT CARE, AND OTHER FUNDING NEEDS. 29500 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 1 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 0 X 7 6 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 X ROXIE CAIN 4066659222 17 N MILES AVENUE HARDIN MT 59034 TERRY BULLIS 0.20 0.40 X X 0 0 0 JAMES SEYKORA 0.20 0.40 X 0 0 0 C WILLIAM FISHER 0.20 0.40 X X 0 0 0 DONNA STRICKER 0.20 0.00 X 0 0 0 DR ED ARNOLD 0.20 0.00 X 0 0 0 DR BOB WHITING 0.20 0.00 X 0 0 0 DR KIRSTEN MORISSETTE 0.20 0.00 X 0 0 0 WILLIAM HODGES 24.00 16.00 X 0 80986 17430 ROXIE CAIN 1.00 39.00 X 0 83932 17630 0 164918 35060 0 0 0 0 0 18420 51136 69556 10992 10992 80548 0 0 10992 29500 29500 18142 18142 1082 1082 3152 3152 3049 3049 TAXES & LICENSES 1849 1849 OTHER EXPENSES 67 67 56841 29500 27341 0 89898 105491 6216 6497 301408 323632 397522 435620 0 0 X 397522 435620 397522 435620 397522 435620 23707 14391 0 X 0 1 X 0 0 X X X 0 0 0 BIG HORN HOSPITAL ASSOCIATION 810384618 3 1 1 1 56841 1 56841 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 BIG HORN HOSPITAL ASSOCIATION 17 NORTH MILES AVENUE HARDIN MT 59034 810384618 501(C)(3) 29500 ARJO LIFT AND GENERATOR PROJECT. 1 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE GRANT MADE WAS AN EQUITY TRANSFER TO A RELATED ORGANIZATION. THESE FUNDS ARE TRACKED THROUGH THE ORGANIZATION'S INTERNAL FINANCIAL REPORTING PROCESS. 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 11 THE FORM 990 IS REVIEWED IN DETAIL BY BOTH THE HOSPITAL CEO AND CONTROLLER, AS WELL AS THE FOUNDATION DIRECTOR. THE BOARD MEMBERS ARE PROVIDED A COPY OF THE FORM 990 AFTER IT IS FILED. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENT 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 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0