NATRONA COLLECTIVE HEALTH TRUST: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- NATRONA COLLECTIVE HEALTH TRUST (EIN 83-0230808)
- Tax period
- 2020-07-01 to 2020-12-31
- Filed
- 2022-04-20
- IRS object ID
- 202201109349300930
- Schema version
- 2020v4.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
- Reasonable Cause Explanation
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-04-20T13:20:45-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 805 SW BROADWAY STE 1200 | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97205 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 830230808 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WYOMING MEDICAL CENTER FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WYOM | BusinessNameControlTxt |
| Phone | 3075772973 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1233 EAST SECOND STREET | AddressLine1Txt |
| City | CASPER | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 82601 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BETH WORTHEN | PersonNm |
| Person Title | BOARD CHAIR | PersonTitleTxt |
| Phone | 3075772973 | PhoneNum |
| Signature | 2022-04-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | BETH | PersonFirstNm |
| Person Last | WORTHEN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | WENDY CAMPOS | PreparerPersonNm |
| PTIN | P00448102 | PTIN |
| Phone | 5032421447 | PhoneNum |
| Preparation | 2022-04-20 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BETH WORTHEN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1233 EAST SECOND STREET | AddressLine1Txt |
| City | CASPER | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 82601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $252,228,875 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WYOMINGMEDICALCENTERFOUNDATION.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1976 | FormationYr |
| Legal Domicile State | WY | LegalDomicileStateCd |
| Activity Or Mission | TO ENHANCE EXCELLENCE IN HEALTHCARE DELIVERY AT WYOMING MEDICAL CENTER. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 21 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,031,644 | PYContributionsGrantsAmt |
| CY Contributions Grants | $250,236,599 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $66,802 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,917,993 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$2,970 | PYOtherRevenueAmt |
| CY Other Revenue | -$14,648 | CYOtherRevenueAmt |
| PY Total Revenue | $1,095,476 | PYTotalRevenueAmt |
| CY Total Revenue | $252,139,944 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $652,309 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,068,979 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $39,447 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $16,542 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $16,542 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $398,597 | PYOtherExpensesAmt |
| CY Other Expenses | $297,819 | CYOtherExpensesAmt |
| PY Total Expenses | $1,050,906 | PYTotalExpensesAmt |
| CY Total Expenses | $2,422,787 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $44,570 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $249,717,157 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $8,140,660 | TotalAssetsBOYAmt |
| Total Assets EOY | $277,113,966 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $192,183 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $138,416 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,948,477 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $276,975,550 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | OUR MISSION IS TO SUPPORT THE DELIVERY AND ACCESSIBILITY OF HIGH-QUALITY, EFFICIENT HEALTH AND WELL-BEING OF RESIDENTS OF NATRONA COUNTY, WYOMING, AND THE OVERALL PHYSICAL AND MENTAL HEALTH AND WELL-BEING OF RESIDENTS OF NATRONA COUNTY, WYOMING. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $2,311,809 | ExpenseAmt |
| Grant | $2,068,979 | GrantAmt |
| Desc | THROUGHOUT THE FISCAL YEAR, WYOMING MEDICAL CENTER FOUNDATION ("WMC FOUNDATION") HAS RAISED FUNDS TO SUPPORT VARIOUS PROJECTS FOR ITS SUPPORTED ORGANIZATION, WYOMING MEDICAL CENTER ("WMC"). | Desc |
| Total Program Service Expenses | $2,311,809 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | Yes (1) | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | Yes (1) | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 4 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JEANNE EHLEBRACHT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3075777837 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1233 EAST SECOND STREET | AddressLine1Txt |
| City | CASPER | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 82601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| MICHELE CHULICK WMC EMPLOYEE | |||||||
| BOARD MEMBER THROUGH SEPT 2020 | 2.00 | 55.00 | Yes (X) | $0 | $2,287,035 | $57,671 | |
| CORRINE ARROSS WMC EMPLOYEE | |||||||
| BOARD MEMBER THROUGH SEPT 2020 | 2.00 | 40.00 | Yes (X) | $0 | $141,978 | $21,702 | |
| BETH WORTHEN | |||||||
| CHAIR | 10.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JUDY AURELIUS | |||||||
| CHAIR THROUGH SEPT 2020 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JESSICA ODEN | |||||||
| VICE CHAIR | 5.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| KYLE THOMPSON | |||||||
| VICE CHAIR THROUGH SEPT 2020 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JOHN MASTERSON | |||||||
| TREASURER | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| DEBBIE REID | |||||||
| TREASURER THROUGH SEPT 2020 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JAMES ANDERSON MD | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| BOB BARNARD | |||||||
| BOARD MEMBER THROUGH SEPT 2020 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| SCOTT BROWNELL | |||||||
| BOARD MEMBER THROUGH SEPT 2020 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| SERENA COBB | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| DAX COLLINS | |||||||
| BOARD MEMBER THROUGH SEPT 2020 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MARK DOWELL MD | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| JENNIFER GLADSON | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| J PAUL JONES MD | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| RYAN KLINGER | |||||||
| BOARD MEMBER THROUGH SEPT 2020 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| SUSIE MCMURRY | |||||||
| BOARD MEMBER THROUGH SEPT 2020 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| PAM MILLER | |||||||
| BOARD MEMBER THROUGH SEPT 2020 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| ERIC NELSON | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| BRIAN STACK | |||||||
| BOARD MEMBER THROUGH SEPT 2020 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,429,013 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $79,373 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $167,211,162 | RelatedOrganizationsAmt |
| All Other Contributions | $83,025,437 | AllOtherContributionsAmt |
| Noncash Contributions | $167,211,162 | NoncashContributionsAmt |
| Total Contributions | $250,236,599 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,038,523 | TotalRevenueColumnAmt |
| Exclusion | $1,038,523 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $74,283 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $88,931 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$14,648 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$14,648 | TotalRevenueColumnAmt |
| Exclusion | -$14,648 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $879,470 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $879,470 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $879,470 | TotalRevenueColumnAmt |
| Exclusion | $879,470 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $252,139,944 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,903,345 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,068,979 | TotalAmt |
| Program Services | $2,068,979 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,447 | TotalAmt |
| Program Services | $2,576 | ProgramServicesAmt |
| Management And General | $36,871 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,507 | TotalAmt |
| Program Services | $41,334 | ProgramServicesAmt |
| Management And General | $2,173 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,792 | TotalAmt |
| Program Services | $9,792 | ProgramServicesAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,542 | TotalAmt |
| Fundraising | $16,542 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,392 | TotalAmt |
| Management And General | $55,392 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $876 | TotalAmt |
| Program Services | $876 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,264 | TotalAmt |
| Program Services | $8,264 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139,826 | TotalAmt |
| Program Services | $139,826 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,219 | TotalAmt |
| Program Services | $10,219 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| LICENSES & FEES | $16,892 | $16,892 |
| PROGRAM EXPENSES | $10,752 | $10,752 |
| REPAIRS & MAINTENANCE | $1,199 | $1,199 |
| FOOD & BEVERAGE | $669 | $669 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $431 | TotalAmt |
| Program Services | $431 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,422,787 | TotalAmt |
| Program Services | $2,311,809 | ProgramServicesAmt |
| Management And General | $94,436 | ManagementAndGeneralAmt |
| Fundraising | $16,542 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $824,430 | BOYAmt |
| EOY | $1,122,918 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $93,456,610 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $126,286 | BOYAmt |
| EOY | $109,499 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $3,730,883 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,396 | BOYAmt |
| EOY | $17,799 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,744,957 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $427,963 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,456,820 | BOYAmt |
| EOY | $4,316,994 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,640,884 | BOYAmt |
| EOY | $172,551,027 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,055 | BOYAmt |
| EOY | $1,794,447 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,789 | BOYAmt |
| EOY | $13,789 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,140,660 | BOYAmt |
| EOY | $277,113,966 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,940 | BOYAmt |
| EOY | $61,207 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $184,243 | BOYAmt |
| EOY | $77,209 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $192,183 | BOYAmt |
| EOY | $138,416 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,954,387 | BOYAmt |
| EOY | $25,767,053 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $994,090 | BOYAmt |
| EOY | $251,208,497 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,948,477 | BOYAmt |
| EOY | $276,975,550 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,140,660 | BOYAmt |
| EOY | $277,113,966 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $249,717,157 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $19,309,916 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WYOMING MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 830279242 | EIN |
| Organization Type | 3 | OrganizationTypeCd |
| Governing Document Listed | Yes (1) | GoverningDocumentListedInd |
| Support | $2,328,351 | SupportAmt |
| Other Support | $0 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $2,328,351 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Power Appoint Majority Dir Trst | Yes (1) | PowerAppointMajorityDirTrstInd |
| Operate Benefit Non Suprt Org | 0 | OperateBenefitNonSuprtOrgInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Included | $13,789 | AssetsIncludedAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Collection Used Pub Exhibition | Yes (X) | CollectionUsedPubExhibitionInd |
| Solicited Assets Sale | 0 | SolicitedAssetsSaleInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,310,525 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $147,428 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $147,428 | OtherExpendituresAmt |
| End Year Balance | $1,310,525 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,917,041 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $143,285 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $749,801 | OtherExpendituresAmt |
| End Year Balance | $1,310,525 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,310,525 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $134,910 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $528,394 | OtherExpendituresAmt |
| End Year Balance | $1,917,041 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,310,525 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $133,519 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $133,519 | OtherExpendituresAmt |
| End Year Balance | $2,310,525 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,535,525 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $213,140 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $438,140 | OtherExpendituresAmt |
| End Year Balance | $2,310,525 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.59140 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.40860 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $369,000 | OtherCostOrOtherBasisAmt |
| Book Value | $369,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,138,982 | OtherCostOrOtherBasisAmt |
| Depreciation | $382,244 | DepreciationAmt |
| Book Value | $3,756,738 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $236,975 | OtherCostOrOtherBasisAmt |
| Depreciation | $45,719 | DepreciationAmt |
| Book Value | $191,256 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,316,994 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO WYOMING MEDICAL CENTER | Desc |
| Amt | $77,209 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $77,209 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $104,272,237 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $19,309,916 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$167,122,231 | OtherRevenueAmt |
| Revenue Not Reported | -$147,812,315 | RevenueNotReportedAmt |
| Revenue Subtotal | $252,084,552 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $55,392 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $55,392 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $252,139,944 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,456,326 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $88,931 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $88,931 | ExpensesNotReportedAmt |
| Expenses Subtotal | $2,367,395 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $55,392 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $55,392 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $2,422,787 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE FOUNDATION IS ORGANIZED AS A WYOMING NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE FOUNDATION IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. THE FOUNDATION HAS DETERMINED IT IS NOT SUBJECT TO UNRELATED BUSINESS INCOME TAX AND HAS NOT FILED AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990-T) WITH THE IRS. THE FOUNDATION BELIEVES IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE FOUNDATION WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSE 88,931. EQUITY TRANSFER FROM WMC -167,211,162. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSE 88,931. |
| PART III, LINE 4: | THE FOUNDATION HOLDS A STATUE THAT IS MAINTAINED IN A MAIN HALLWAY OF WYOMING MEDICAL CENTER. THE FOUNDATION WILL HAVE TO RETURN THE STATUE TO ITS OWNER UPON REQUEST. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | Yes (1) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp
Organization Business Name OrganizationBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | R-DESIGNS INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 752 NICKLAUS DR SUITE D | AddressLine1Txt |
| City | PLANO | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75025 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | CONTRACT WORK FOR CAPITAL CAMPAIGN | ActivityTxt |
| Fundraiser Control Of Funds | 0 | FundraiserControlOfFundsInd |
| Gross Receipts | $0 | GrossReceiptsAmt |
| Retained By Contractor | $16,542 | RetainedByContractorAmt |
| Net To Organization | -$16,542 | NetToOrganizationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Retained By Contractors | $16,542 | TotalRetainedByContractorsAmt |
| Total Net To Organization | -$16,542 | TotalNetToOrganizationAmt |
| Licensed States | WY | LicensedStatesCd |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WYOMING MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1233 EAST SECOND STREET | AddressLine1Txt |
| City | CASPER | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 82601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 830279242 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $2,068,979 | CashGrantAmt |
| Purpose Of Grant | WOMEN OF VISION AND WEST TOWER DONATIONS | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | GRANTS TO OTHER ORGANIZATIONS ARE LIMITED TO THE ORGANIZATION'S SUPPORTED ORGANIZATION, WYOMING MEDICAL CENTER, IN SUPPORT OF ITS CHARITABLE PURPOSE. BOTH ORGANIZATIONS ARE UNDER COMMON MANAGEMENT, WHO ENSURE THAT ALL GRANTED FUNDS ARE USED FOR APPROPRIATE PURPOSES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHELE CHULICK WMC EMPLOYEE | ||||||||||||||
| BOARD MEMBER THROUGH SEPT 2020 | $0 | $572,084 | $0 | $190,000 | $0 | $1,524,951 | $0 | $31,356 | $0 | $26,315 | $0 | $2,344,706 | $0 | $0 |
| CORRINE ARROSS WMC EMPLOYEE | ||||||||||||||
| BOARD MEMBER THROUGH SEPT 2020 | $0 | $131,607 | $0 | $10,138 | $0 | $233 | $0 | $7,174 | $0 | $14,528 | $0 | $163,680 | $0 | $0 |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $167,211,162 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 3 | ON AUGUST 19, 2020, THE HOSPITAL ENTERED INTO A MEMBERSHIP SUBSTITUTION AGREEMENT ("THE AGREEMENT") WITH BANNER HEALTH, AN ARIZONA NONPROFIT CORPORATION ("BANNER"). AS PART OF THE AGREEMENT BANNER BECOME THE SOLE MEMBER OF THE HOSPITAL ON OCTOBER 1, 2020. IN CONNECTION WITH THE CLOSING OF THE AGREEMENT AS OF SEPTEMBER 30, 2020, THE FOUNDATION RECEIVED CERTAIN PROCEEDS FROM THE HOSPITAL AND BANNER, WHICH THE FOUNDATION WILL INVEST, MAINTAIN AND EXPEND IN FURTHERANCE OF ITS CHARITABLE PURPOSES, INCLUDING FOR THE BENEFIT OF THE HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 1 | THE FOUNDATION'S EXECUTIVE COMMITTEE INCLUDES THE FOUNDATION BOARD PRESIDENT, VICE PRESIDENT, TREASURER, AND SECRETARY. THE EXECUTIVE DIRECTOR OF THE FOUNDATION SERVES AS A NON-VOTING, EX-OFFICIO MEMBER. THE EXECUTIVE COMMITTEE ACTS ON BEHALF OF THE BOARD OF DIRECTORS WHEN THE BOARD IS NOT IN SESSION BUT IS ACCOUNTABLE TO THE BOARD FOR ITS ACTIONS. THESE ACTIONS MUST BE APPROVED BY A VOTE BY THE BOARD OF DIRECTORS AT THE NEXT BOARD MEETING FOLLOWING THE ACTION. |
| FORM 990, PART VI, SECTION A, LINE 4 | ON AUGUST 19, 2020, THE HOSPITAL ENTERED INTO A MEMBERSHIP SUBSTITUTION AGREEMENT ("THE AGREEMENT") WITH BANNER HEALTH, AN ARIZONA NONPROFIT CORPORATION ("BANNER"). AS PART OF THE AGREEMENT BANNER BECOME THE SOLE MEMBER OF THE HOSPITAL ON OCTOBER 1, 2020. IN CONNECTION WITH THE CLOSING OF THE AGREEMENT AS OF SEPTEMBER 30, 2020, THE FOUNDATION RECEIVED CERTAIN PROCEEDS FROM THE HOSPITAL AND BANNER, WHICH THE FOUNDATION WILL INVEST, MAINTAIN AND EXPEND IN FURTHERANCE OF ITS CHARITABLE PURPOSES, INCLUDING FOR THE BENEFIT OF THE HOSPITAL. IN CONNECTION WITH THE CLOSING OF THE TRANSACTION, THE FOUNDATION'S ARTICLES OF INCORPORATION WERE AMENDED TO PROVIDE THAT THE FOUNDATION WILL MORE BROADLY SUPPORT HEALTH NEEDS WITHIN THE COMMUNITY. FROM CONTRIBUTIONS RECEIVED AND THE EARNINGS THEREON, THE FOUNDATION WILL BE OPERATED EXCLUSIVELY FOR CHARITABLE PURPOSES TO SUPPORT THE DELIVERY AND ACCESSIBILITY OF HIGH-QUALITY, EFFICIENT HEALTH AND WELLBEING OF RESIDENTS OF NATRONA COUNTY, WYOMING, AND THE OVERALL PHYSICAL AND MENTAL HEALTH AND WELLBEING OF RESIDENTS OF NATRONA COUNTY, WYOMING. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE FOUNDATION'S BOARD INCLUDES THE CEO OF WYOMING MEDICAL CENTER. |
| FORM 990, PART VI, SECTION B, LINE 11B | A PUBLIC ACCOUNTING FIRM WAS CONTRACTED TO PREPARE THE FORM 990. THE FORM 990 WAS REVIEWED BY THE FOUNDATION'S BOARD SECRETARY/TREASURER AND BOARD CHAIR. THE FORM 990 WAS PRESENTED TO THE BOARD FOR APPROVAL AND, UPON APPROVAL, WAS FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE FOUNDATION MONITORS VOTING BOARD MEMBERS BY REQUIRING EACH MEMBER TO SUBMIT A CONFLICT OF INTEREST FORM AT THE BEGINNING OF EVERY FISCAL YEAR OR WHEN JOINING THE BOARD. THE EXECUTIVE DIRECTOR REVIEWS THE CONFLICT FORMS. IF IT'S UNCLEAR WHETHER A CONFLICT EXISTS, THE BOARD OF DIRECTORS MAKES THE DETERMINATION. WHEN VOTING ON PROJECTS WHERE AN INDIVIDUAL BOARD MEMBER HAS A CONFLICT, THEY WILL ABSTAIN FROM VOTING. THE EXECUTIVE DIRECTOR AND STAFF MUST DISCLOSE ANY CONFLICTS WITHIN THE CONFINES OF THE WYOMING MEDICAL CENTER POLICIES AS EMPLOYEES. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE EXECUTIVE DIRECTOR IS COMPENSATED BY WYOMING MEDICAL CENTER, AND THE COMPENSATION IS DETERMINED BY WYOMING MEDICAL CENTER'S HUMAN RESOURCES DEPARTMENT BY UTILIZING COMPARABILITY DATA. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VII, SECTION A: | THE RELATED ORGANIZATION, WYOMING MEDICAL CENTER ("WMC"), COMPENSATES THOSE INDIVIDUALS LISTED IN FORM 990, PART VII, SECTION A. WYOMING MEDICAL CENTER FOUNDATION ("WMC FOUNDATION") DOES NOT REIMBURSE WMC FOR THESE SERVICES. THE COMPENSATION REPORTED FOR MICHELE CHULICK AND CORRINE ARROSS REPRESENTS COMPENSATION FOR THEIR SERVICES SOLELY TO WMC. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WYOMING MEDICAL CENTER | |||||||||||
| 1233 EAST SECOND STREET | CASPER | WY | 82601 | 830279242 | MEDICAL SERVICES | WY | 501(C)(3) | LINE 3 | N/A | 0 | |
| WYMEDCO CARE INC | |||||||||||
| 1233 EAST SECOND STREET | CASPER | WY | 82601 | 830279267 | SUPPORT IN THE NONPROFIT MISSION OF WMC | WY | 501(C)(3) | LINE 12A, I | 0 | WYOMING MEDICAL CENTER | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| CENTRAL WYOMING OUTPATIENT SURGERY CENTER LLC | |||||||||
| 1201 EAST 3RD STREET | CASPER | WY | 82601 | 830331130 | MEDICAL SERVICES | WY | N/A | 0 | 0 |
| NORTH PLATTE PATHOLOGY LLC | |||||||||
| 111 SOUTH JEFFERSON STREET | CASPER | WY | 82601 | 453676843 | MEDICAL SERVICES | WY | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WYMEDCO VENTURES INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1233 EAST SECOND STREET | AddressLine1Txt |
| City | CASPER | CityNm |
| State Abbreviation | WY | StateAbbreviationCd |
| ZIP | 82601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 830281137 | EIN |
| Primary Activities | MEDICAL SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | WY | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | Yes (1) | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | AT THE TIME OF FILING, AS A RESULT OF THE ACCOUNTING PERIOD CHANGE AND THE SHORT TAX YEAR, THE 2020 FORM 990 DID NOT QUALIFY FOR ELECTRONIC SUBMISSION. PER IRS.GOV, IN THE CASE OF A SHORT YEAR, THE INSTRUCTIONS STATED THAT THE IRS WOULD CONTINUE TO ACCEPT PAPER FILINGS AS ITS SYSTEMS WEREN'T YET ABLE TO RECEIVE THESE FORMS ELECTRONICALLY. THE RETURN WAS ORIGINALLY MAILED TO THE IRS AND FILED TIMELY ON MAY 6, 2021. THE ORGANIZATION RECEIVED A LETTER DATED NOVEMBER 1, 2021 REJECTING ITS SUBMISSION. WE RESPONDED TO THE LETTER AND RESUBMITTED A COPY OF THE ORIGINALLY FILED RETURN WHICH WAS AGAIN RETURNED WITH A LETTER DATED MARCH 18, 2022. UPON A DISCUSSION WITH AN IRS AGENT AND THEIR RECOMMENDATION TO ATTEMPT TO SUBMIT ELECTRONICALLY AND VERIFYING WITH OUR TAX SOFTWARE PROVIDER, WE SUBMITTED THE RETURN WHICH WAS REJECTED SINCE "FINAL RETURN/TERMINATED OR "INITIAL RETURN" CHECKBOXES WERE NOT CHECKED AND THE EIN IN THE RETURN HAD NOT BEEN ESTABLISHED AS AN EXEMPT ORGANIZATION RETURN FILER IN THE E-FILE DATABASE. DUE TO THE ACCOUNTING PERIOD CHANGE AS WELL AS THE CONVERSION FROM A PUBLIC CHARITY TO PRIVATE FOUNDATION THIS REQUIRED A MANUAL CHANGE IN THE IRS SYSTEMS. WE RECEIVED CONFIRMATION TODAY THAT THIS HAS BEEN TEMPORARILY CHANGED/UPDATED TO ACCEPT THIS SUBMISSION. WE KINDLY REQUEST THAT YOU ACCEPT THIS RETURN AS FILED TIMELY. | ExplanationTxt |