2026-02-03T13:31:40-06:00 2025-03-31 450250958 Eide Bailly LLP 4585 Coleman St Ste 200 Bismarck ND 58503 990 2024-04-01 810425832 St John's Lutheran Hospital Foundation STJO 4062837000 209 Health Park Drive Libby MT 59923 Shelby Johnson Executive Director 4062837000 2026-02-03 1 1 Lisa Chaffee CPA P00193453 7012551091 2026-02-03 2024 2025-03-06 01:10:19Z Cabinet Peaks Medical Center Foundation Tony Rebo 209 Health Park Drive Libby MT 59923 291633 0 X www.cabinetpeaks.org/foundation.html X 1983 MT Support the development of Cabinet Peaks Medical Center. 14 10 0 14 0 0 130516 138877 0 0 117471 136656 477 -512 248464 275021 580459 8431 0 0 0 0 0 0 0 16705 24255 597164 32686 -348700 242335 2603552 2843116 41694 41694 2561858 2801422 The mission of St. John's Lutheran Hospital Foundation is to support Cabinet Peaks Medical Center in its mission to provide quality, compassionate care through the development of public support and the expansion of fundraising efforts. 0 0 6931 6931 The Foundation granted $6,931 to the Cabinet Peaks Medical Center to purchase equipment. Fundraising efforts for the Foundation, other than events, resulted in received gifts in the amount of $41,429. 8610 Through the Foundation's Paint It Pink program, the Foundation will pay for uninsured individuals in our service area to received mammograms and breast ultrasounds, and also for the detection and treatment of breast cancer for the people of Lincoln County. In FY2025, $34,978 was raised for the program. As a note, no money is gifted to individuals who receive free mammograms, rather, the hospital bill is sent to the Foundation, and the Foundation pays the hospital directly for services rendered 1500 1500 Support Cabinet Peaks Medical Center healthcare field scholarships for graduating high school seniors from Libby and Troy, Montana. 17041 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 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 1 1 0 0 0 0 0 0 0 X 14 10 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 X Shelby Johnson 4062837140 209 Health Park Drive Libby MT 59923 Tony Rebo President 3.00 40.00 X X 0 95956 9380 Frank Votapka Vice President 3.00 0.00 X X 0 0 0 Zach Sherbo Treasurer 1.00 0.00 X X 0 0 0 Lorna Shea Left Mid-Year Secretary 1.00 0.00 X X 0 0 0 Jess Ames Secretary 1.00 0.00 X X 0 0 0 Kent Gustin Director 1.00 40.00 X 0 227338 18570 Sue Kulbeck Director 1.00 0.00 X 0 0 0 Bernadette Place Director 1.00 0.00 X 0 0 0 Devenne Leiss Director 1.00 40.00 X 0 96192 4844 Ace Olsen Director 1.00 0.00 X 0 0 0 LaRona Rebo Director 1.00 0.00 X 0 0 0 Brian Sharp Director 1.00 0.00 X 0 0 0 Bonnie Schull Director 1.00 0.00 X 0 0 0 Jamie Rosling Director 1.00 0.00 X 0 0 0 Tadd Greenfield CPMC CEO 1.00 40.00 X X 0 332395 23013 Donna Nicely Executive Director 1.00 40.00 X 0 48166 6109 0 800047 61916 0 0 1 0 0 97448 41429 138877 115698 115698 20958 0 20958 20958 20958 1885 97448 16612 -14727 -14727 14215 0 14215 14215 275021 0 0 136144 6931 6931 1500 1500 13497 13497 1557 1557 591 591 Paint it Pink 8610 8610 32686 17041 15645 0 69680 193896 2508533 2625291 25339 23929 2603552 2843116 41694 41694 41694 41694 X 1579510 1859159 982348 942263 2561858 2801422 2603552 2843116 242335 -2771 0 X 0 0 0 X 303804 78605 484283 130516 138877 1136085 303804 78605 484283 130516 138877 1136085 578155 557930 43671 91381 69064 80462 115698 400276 1536361 55376 0.36320 0.37840 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2025326 985 111219 9735 2127795 1756231 -1572 325906 45249 9990 2025326 1868757 2526 -105811 9241 1756231 1789775 2347 86906 10271 1868757 1296183 8255 523421 29663 8421 1789775 0.55890 0.44110 0.00000 0 0 0 Estimated Liability to Annuity Beneficiaries 41694 41694 Part V, Line 4: The Endowment was created to help with the capital needs of Cabinet Peaks Medical Center as they arise. This can include but is not limited to equipment, building projects, and health related programs. A strict Endowment Income Distribution Policy is in place and adhered to. Gala 55762 55441 321 860 750 4785 3000 512 Golf Tournament 43571 42007 1564 1850 3700 1155 99333 97448 1885 1850 860 4450 5940 3000 512 16612 -14727 1 Cabinet Peaks Medical Center 209 Health Park Drive Libby MT 59923 810241755 501(c)3 6931 0 Purchase equipment 1 0 Part I, Line 2: The organization provides support to a related tax-exempt organization in support of their exempt purpose. Donations to the related organization are monitored through board approval. 0 0 0 0 0 0 0 0 0 Tadd Greenfield CPMC CEO 0 272925 0 59470 0 0 0 16924 0 6089 0 355408 0 0 Kent Gustin Director 0 227338 0 0 0 0 0 11710 0 6860 0 245908 0 0 Schedule J, Part I, Line 3: Tadd Greenfield, CEO, is compensated by Cabinet Peaks Medical Center, a related organization. Cabinet Peaks Medical Center uses some of the methods on Part I, Line 3 to establish compensation for Tadd. Form 990, Part VI, Section A, line 1a The functions and powers of the Executive Committee shall be as follows: a) To represent and act for the Board of Directors between meetings on any matter of policy or procedure, with such action to be reported to the Board; and b) To receive from the Corporation's staff reports on the progress of the programs, and to report such information to the board; and c) To act as an advisory on matters of policy and procedure, and when indicated, to make recommendations on the policy decisions to the Board; and d) To advice and counsel with the Corporation's staff on special problems that may arise in connection with the program. Form 990, Part VI, Section A, line 2 Tony Rebo and LaRona Rebo have a family relationship. Form 990, Part VI, Section B, line 11b A draft copy of the Form 990 is reviewed by the Executive Director of the Foundation and the CFO of the Hospital. The final Form 990 is provided to the President of the Foundation Board. Form 990, Part VI, Section B, line 12c Conflict of interest disclosure letters are sent on an annual basis to all board members and officers. There are no key employees. Potential conflicts are reviewed annually at a board level and any determinations are made at a board level. Should a conflict of interest be applicable, the conflicted individual will be barred from voting on the conflicted item. Form 990, Part VI, Section B, line 15 The organization does not compensate any board members, officers, or employees. A related organization has a process in place for determining compensation to individuals who serve the Foundation but are paid by that organization. Form 990, Part VI, Section C, line 19 A copy of the governing documents, conflict of interest policy, and annual financial statements are available on the Hospital website or can be requested in person, by e-mail, in writing, or by telephone. St John's Lutheran Hospital Inc 209 Health Park Drive Libby MT 59923 810241755 Hospital MT 501(c)(3) Line 3 N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0