2021-11-04T11:51:35-05:00 2020-12-31 841483675 RLR LLP POBOX 483 CHEYENNE WY 82003 990 2020-01-01 830236858 CHEYENNE REGIONAL MEDICAL CENTER FOUNDATION CHEY 3076337667 214 EAST 23RD STREET CHEYENNE WY 82001 SCOTT FOX EXECUTIVE DIRECTOR 3076337667 2021-11-01 true SCOTT FOX 999009999 ROBERT B DICKERSON P00432362 3076315598 2021-11-01 2020 2022-09-23 18:48:47Z SCOTT FOX 214 EAST 23RD STREET CHEYENNE WY 82001 2856675 false X GIVE.CHEYENNEREGIONAL.ORG X 1977 WY THE FOUNDATION INFORMS, DEVELOPS AND STEWARDS RESOURCES IN SUPPORT OF THE CHEYENNE REGIONAL HEALTH SYSTEM'S MISSION TO INSPIRE GREAT HEALTH. 24 24 0 150 0 1104745 2247297 0 306721 291913 230194 276408 1641660 2815618 896168 2056066 0 339205 372853 0 104275 338260 231286 1573633 2660205 68027 155413 20213130 23385047 391854 1492501 19821276 21892546 X THE FOUNDATION INFORMS, DEVELOPS AND STEWARDS RESOURCES IN SUPPORT OF THE CHEYENNE REGIONAL HEALTH SYSTEM'S MISSION TO INSPIRE GREAT HEALTH. true false 1922148 1638062 PURCHASE OF MEDICAL EQUIPMENT AND RELATED EXPENSES IN SUPPORT OF THE CHEYENNE REGIONAL HEALTH SYSTEM. IN 2019 (PAID IN 2020) & 2020, THIS INCLUDED EQUIPMENT PURCHASES FOR THE INTENSIVE CARE UNIT (ICU) RENOVATION (ANNUAL CAMPAIGN), AND ALSO INCLUDED EQUIPMENT & PROGRAMS FOR VARIOUS DEPARTMENTS ACROSS THE HEALTH SYSTEM. IN CY2020, NINETY-TWO (92) NEW GRANTS WERE APPROVED. 354787 353656 ONGOING SUPPORT OF CHEYENNE REGIONAL CANCER CENTER AND DAVIS HOSPICE CENTER PROGRAM AND SERVICES. THIS INCLUDES CONTINUED STEWARDSHIP OF PLEDGES MADE DURING THE CANCER CENTER CAPITAL CAMPAIGN. IT ALSO INCLUDES STEWARDSHIP OF THE DAVIS HOSPICE CENTER PROGRAMS SUCH AS THE "TREE OF REMEMBRANCE" HELD ANNUALLY. 64348 64348 SUPPORT FOR THE CHEYENNE REGIONAL INJURY PREVENTION PROGRAM. THIS INCLUDES PROGRAMS AND SERVICES PROVIDED AS PART OF THE "SAFE KIDS" PROGRAM. GOALS OF THIS PROGRAM INCLUDE REDUCTION IN FATALITIES FOR UNRESTRAINED VEHICLE OCCUPANTS AND TO EDUCATE AND PROTECT FAMILIES ACROSS WYOMING BY ADDRESSING THE PRIMARY CAUSES OF INJURY TO CHILDREN & ADOLESCENTS. 2341283 true true false false false false false false false true true false false false true true true false false false false false false false true false false true false false false false false false false false false false true false false false false true false true false true 3 0 true 0 false false false false false true true false false false false false false X 24 24 false false false false false false false true true false false true true true true true true true true false X THE ORGANIZATION 3076337667 214 EAST 23RD STREET CHEYENNE WY 82001 SCOTT FOX EXECUTIVE DI 40.00 X 0 131880 6052 DAVID COOK CHAIR 2.00 X X 0 0 0 SUE MECCA VICE CHAIR 2.00 X X 0 0 0 GREG VAUGHN TREASURER 2.00 X X 0 0 0 MEGAN ROMANO JD SECRETARY 2.00 X X 0 0 0 HARMON DAVIS II MD PAST CHAIR 2.00 X 0 0 0 FRAN NALER DIRECTOR 1.00 X 0 0 0 PJ BARRETT DIRECTOR 1.00 X 0 0 0 SAM BASS RN DIRECTOR 1.00 X 0 0 0 MARK HOWSHAR MD DIRECTOR 1.00 X 0 0 0 BOB JENSEN DIRECTOR 1.00 X 0 0 0 DAVID LIND MD DIRECTOR 1.00 X 0 0 0 CAROL MERRELL DIRECTOR 1.00 X 0 0 0 JOHN METZKE JD DIRECTOR 1.00 X 0 0 0 GARY NEW DIRECTOR 1.00 X 0 0 0 STEVE NEWTON EDD DIRECTOR 1.00 X 0 0 0 ANN NORWOOD DIRECTOR 1.00 X 0 0 0 CARMALEE ROSE DIRECTOR 1.00 X 0 0 0 SANDRA SURBRUGG MD DIRECTOR 1.00 X 0 0 0 PAM WINTER DIRECTOR 1.00 X 0 0 0 JJ CHEN MD DIRECTOR 1.00 X 0 0 0 ALEXANDRA FARKAS DIRECTOR 1.00 X 0 0 0 PHYLLIS SHERARD PHD DIRECTOR 1.00 X 0 0 0 BARBARA STAFFORD DIRECTOR 1.00 X 0 0 0 LEW RONEY DIRECTOR 1.00 X 0 0 0 131880 6052 false false false 206703 520519 1520075 80418 2247297 291913 291913 317465 206703 41057 276408 276408 2815618 568321 2056066 2056066 131880 39564 65940 26376 214923 119619 37754 57550 26050 11983 7815 6252 9400 9400 74299 74299 5462 2731 2731 9605 4418 2882 2305 20122 9256 6037 4829 76 35 23 18 868 399 260 209 CONTRACTED SERVICES 61042 61042 GENERAL SUPPLIES 11488 11488 MISCELLANEOUS 11296 5196 3389 2711 CUSTOMER RELATIONS 9467 9467 18161 10019 6848 1294 2660205 2341283 214647 104275 731522 1142169 38814 39381 91947 96738 43407 40801 3474 2606 19311543 22065845 35830 38308 20213130 23385047 10104 14255 68750 1048246 313000 430000 391854 1492501 X 8670142 9916903 11151134 11975643 19821276 21892546 20213130 23385047 X 155413 1915857 X true X true X true false X 1687853 1542990 1843014 1104745 2247297 8425899 1687853 1542990 1843014 1104745 2247297 8425899 1080440 7345459 233136 226897 265526 306721 291913 1324193 5418 5418 9755510 508216 0.75300 0.77680 X PART II, LINE 10 OTHER INCOME 5,418 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3531714 523150 64554 4119418 3409128 15200 117227 9841 3531714 3279678 266594 -108826 4429 23889 3409128 3208369 11000 87456 15637 11510 3279678 3159645 10000 54276 4735 10817 3208369 1.00000 true false 13019 10413 2606 30388 30388 2606 PLEDGES PAYABLE 430000 430000 X 4703433 1915857 5200 1921057 2782376 74299 -41057 33242 2815618 2632163 5200 5200 2626963 74299 -41057 33242 2660205 SCHEDULE D, PAGE 2, PART V, LINE 4 THE FOUNDATION ENDOWMENTS ARE INTENDED TO SUPPORT THE ONGOING SUPPORT OF SERVICES AT CHEYENNE REGIONAL MEDICAL CENTER IN THE AREAS OF ONCOLOGY/CANCER SERVICES, CARDIAC SERVICES, NURSING EDUCATION (THROUGH SCHOLARSHIPS), AND HOSPICE PROGRAMS AND SERVICES (INCLUDING OPERATION OF THE DAVIS HOSPICE CENTER). ADDITIONALLY, THE FOUNDATION HAS A GENERAL ENDOWMENT TO SUPPORT "THE AREA OF GREATEST NEED." SCHEDULE D, PAGE 3, PART X THE FOUNDATION IS AN ORGANIZATION EXEMPT FROM INCOME TAX UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE AND IS GENERALLY NOT SUBJECT TO FEDERAL INCOME TAXES. CONTRIBUTIONS TO THE FOUNDATION ARE DEDUCTIBLE FOR TAX PURPOSES BY THE DONOR, SUBJECT TO THE NORMAL LIMITATIONS IMPOSED BY THE TAXING AUTHORITIES. HOWEVER, THE FOUNDATION IS SUBJECT TO INCOME TAXES ON ANY NET INCOME THAT IS DERIVED FROM A TRADE OR BUSINESS, REGULARLY CARRIED ON, AND NOT IN FURTHERANCE OF THE PURPOSES FOR WHICH IT WAS GRANTED EXEMPTION. NO INCOME TAX PROVISION HAS BEEN RECORDED AS THE NET INCOME, IF ANY, FROM ANY UNRELATED TRADE OR BUSINESS, IN THE OPINION OF MANAGEMENT, IS NOT MATERIAL TO THE BASIC FINANCIAL STATEMENTS TAKEN AS A WHOLE. IN ACCORDANCE WITH ASC (ACCOUNTING STANDARDS CODIFICATION) 740 INCOME TAXES (FORMERLY FASB INTERPRETATION 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES) THE FOUNDATION CURRENTLY RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF SUCH POSITIONS ARE PROBABLE OF BEING SUSTAINED. THE FOUNDATION'S TAX YEARS SUBJECT TO EXAMINATION BY THE U.S. FEDERAL, STATE AND LOCAL TAX AUTHORITIES ARE FOR THE FISCAL YEARS ENDING DECEMBER 31, 2017-2020. SCHEDULE D, PAGE 4, PART XI, LINE 4B DIRECT EXPENSES -41,057 SCHEDULE D, PAGE 4, PART XII, LINE 4B DIRECT EXPENSES -41,057 DENIM & DIAMOND 411998 206703 205295 15064 GOLF CLASSIC 49545 49545 16566 3 62625 62625 9427 524168 206703 317465 41057 41057 276408 false CHEYENNE REGIONAL MEDICAL CENTER 214 EAST 23RD STREET CHEYENNE WY 82001 836000194 GOV 2056066 FMV SUPPORT X DONATED GOODS 134 80418 FMV false false false FORM 990, PAGE 1, PART I, LINE 6 NUMBER OF VOLUNTEERS INCLUDE THE MEMBERS OF THE BOARD OF DIRECTORS (ALL VOLUNTEER), VOLUNTEERS SUPPORTING MAJOR EVENTS (SUCH AS THE ANNUAL GALA), AND VOLUNTEERS SUPPORTING OTHER EVENTS/ACTIVITIES THROUGHOUT THE YEAR. FORM 990, PAGE 2, PART III, LINE 2 ONGOING SUPPORT OF CHEYENNE REGIONAL CANCER CENTER AND DAVIS HOSPICE CENTER PROGRAM AND SERVICES. THIS INCLUDES CONTINUED STEWARDSHIP OF PLEDGES MADE DURING THE CANCER CENTER CAPITAL CAMPAIGN. IT ALSO INCLUDES STEWARDSHIP OF THE DAVIS HOSPICE CENTER PROGRAMS SUCH AS THE "TREE OF REMEMBRANCE" HELD ANNUALLY. FORM 990, PAGE 6, PART VI, LINE 11B THE EXECUTIVE DIRECTOR REVIEWS THE FORM 990. IT IS THEN REVIEWED BY THE FINANCE COMMITTEE. ONCE THE BOARD FINANCE COMMITTEE HAS APPROVED THE FORM 990, IT IS SIGNED AND DISTRIBUTED TO THE FULL BOARD OF DIRECTORS PRIOR TO BEING FILED WITH THE IRS. FORM 990, PAGE 6, PART VI, LINE 12C ORGANIZATION BYLAWS REQUIRE ALL DIRECTORS/STAFF/COMMITTEE MEMBERS MUST REVIEW THE CONFLICT OF INTEREST POLICY AND SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. SHOULD THE INFORMATION CHANGE MATERIALLY DURING THE YEAR, THEY ARE REQUIRED TO DISCLOSE SUCH CHANGES AND REVISE THEIR ANNUAL DISCLOSURE STATEMENT. FORM 990, PAGE 6, PART VI, LINE 15A THE COMPENSATION FOR THE EXECUTIVE DIRECTOR IS SET BY CHEYENNE REGIONAL MEDICAL CENTER AS THE EXECUTIVE DIRECTOR IS AN EMPLOYEE OF THE MEDICAL CENTER IN ACCORDANCE WITH THE MEMORANDUM OF UNDERSTANDING BETWEEN CRMC AND THE FOUNDATION. FORM 990, PAGE 6, PART VI, LINE 15B ALL EMPLOYEE SALARIES ARE SET BY THE CHEYENNE REGIONAL MEDICAL CENTER IN ACCORDANCE WITH THE MEMORANDUM OF UNDERSTANDING BETWEEN CRMC AND THE FOUNDATION. FORM 990, PAGE 6, PART VI, LINE 19 ALL GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9 DIRECT EXPENSES 41,057 DIRECT EXPENSES -41,057 CHEYENNE REGIONAL MEDICAL CENTER 214 EAST 23RD STREET CHEYENNE WY 82001 836000194 HOSPITAL WY N/A false false true true false false false false false false false false false false false false false false false false CHEYENNE REGIONAL MEDICAL CENTER C 520519 FMV CHEYENNE REGIONAL MEDICAL CENTER B 2056065 FMV