2019-08-14T17:40:06-05:00 2018-12-31 841483675 RLR LLP POBOX 483 CHEYENNE WY 82003 990 2018-01-01 830236858 CHEYENNE REGIONAL MEDICAL CENTER FOUNDATION CHEY 3076337667 214 EAST 23RD STREET CHEYENNE WY 82001 SCOTT FOX EXECUTIVE DIRECTOR 3076337667 2019-08-08 true ROBERT B DICKERSON P00432362 3076315598 2019-08-08 64.88.174.3 2019-08-14 17:40:06 CD P F8AEA7BB7429B73A2EA81EDEBF7B880FEEFD9203 BD0945D10C998F31F514FA7FA1CFC8B5F5DE0028 2018 2019-02-21 02:37:17Z SCOTT FOX 214 EAST 23RD STREET CHEYENNE WY 82001 2386562 false X GIVE.CHEYENNEREGIONAL.ORG X 1977 WY THE FOUNDATION INFORMS, DEVELOPS AND STEWARDS RESOURCES TO ENABLE THE CHEYENNE REGIONAL HEALTH SYSTEM TO INSPIRE GREAT HEALTH. 24 24 0 150 0 1542990 1843014 0 570026 265526 5418 169880 2118434 2278420 467850 348963 0 349050 338949 0 167760 1199953 1065793 2016853 1753705 101581 524715 17964731 17341988 407788 507193 17556943 16834795 THE FOUNDATION INFORMS, DEVELOPS AND STEWARDS RESOURCES TO ENABLE THE CHEYENNE REGIONAL HEALTH SYSTEM TO INSPIRE GREAT HEALTH. false false 1058650 348963 PURCHASE OF MEDICAL EQUIPMENT AND RELATED EXPENSES IN SUPPORT OF THE CHEYENNE REGIONAL HEALTH SYSTEM. IN 2017 (PAYED IN 2018), THIS INCLUDED EQUIPMENT & FURNISHINGS FOR NEW PACE CENTER (ANNUAL CAMPAIGN). IN 2018, THIS INCLUDED EQUIPMENT PURCHASES FOR THE MOTHER-BABY UNIT RENOVATION (ANNUAL CAMPAIGN), AND ALSO INCLUDED EQUIPMENT & PROGRAMS FOR VARIOUS DEPARTMENTS ACROSS THE HEALTH SYSTEM. IN 2018, EIGHTY-THREE (83) NEW GRANTS WERE APPROVED. 304152 SUPPORT FOR THE CHEYENNE REGIONAL INJURY PREVENTION PROGRAM. THIS INCLUDES PROGRAMS AND SERVICES PROVIDED AS PART OF THE "SAFE COMMUNITIES- AND "SAFE KIDS" PROGRAMS. GOALS OF THESE PROGRAMS 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. 1362802 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 5 0 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 DR HARMON DAVIS CHAIR 2.00 X X 0 0 0 DAVID COOK VICE CHAIR 2.00 X X 0 0 0 SUE MECCA TREASURER 2.00 X X 0 0 0 FRAN NALER SECRETARY 2.00 X X 0 0 0 PJ BARRETT DIRECTOR 1.00 X 0 0 0 SAM BASS DIRECTOR 1.00 X 0 0 0 DR RICK DAVIS DIRECTOR 1.00 X 0 0 0 KATHY EMMONS DIRECTOR 1.00 X 0 0 0 TIGHE FAGAN DIRECTOR 1.00 X 0 0 0 STEPHEN FOSTER DIRECTOR 1.00 X 0 0 0 JOHN GROSS DIRECTOR 1.00 X 0 0 0 JEAN HALPERN DIRECTOR 1.00 X 0 0 0 BILL HARRIS DIRECTOR 1.00 X 0 0 0 DR MARK HOWSHAR DIRECTOR 1.00 X 0 0 0 BOB JENSEN DIRECTOR 1.00 X 0 0 0 DR DAVID LIND DIRECTOR 1.00 X 0 0 0 PATRICK MADIGAN DIRECTOR 1.00 X 0 0 0 STEPHANIE MEISNER DIRECTOR 1.00 X 0 0 0 CAROL MERRELL DIRECTOR 1.00 X 0 0 0 JOHN METZKE DIRECTOR 1.00 X 0 0 0 GARY NEW DIRECTOR 1.00 X 0 0 0 STEVE NEWTON DIRECTOR 1.00 X 0 0 0 MARK PARSONS DIRECTOR 1.00 X 0 0 0 LEW RONEY DIRECTOR 1.00 X 0 0 0 DR SANDRA SURBRUGG DIRECTOR 1.00 X 0 0 0 GREG VAUGHN DIRECTOR 1.00 X 0 0 0 PAM WINTER DIRECTOR 1.00 X 0 0 0 LARRY WOLFE DIRECTOR 1.00 X 0 0 0 SCOTT FOX EXECUTIVE DI 40.00 X 0 115059 5215 115059 5215 false false false 94974 491000 231697 1025343 49785 1843014 265526 265526 278022 94974 108142 169880 169880 2278420 435406 348963 348963 115059 52860 34197 28002 200401 92066 59562 48773 23489 10805 7047 5637 9000 9000 81895 81895 12639 6320 6319 8784 4041 2635 2108 19220 8841 5766 4613 735 338 221 176 867 399 260 208 OTHER PROGRAM COSTS 692885 692885 GENERAL SUPPLIES 129763 64502 759 64502 CONTRACTED SERVICES 42850 42850 MISCELLANEOUS 21536 9907 6460 5169 45619 28025 15341 2253 1753705 1362802 223143 167760 X 887837 555006 143395 144221 103939 90688 43407 39065 5209 4342 16789997 16517137 34354 30594 17964731 17341988 8912 61406 128876 199787 270000 246000 407788 507193 X 7389108 5968681 6888157 7491748 3279678 3374366 17556943 16834795 17964731 17341988 524715 -1246863 X true X true X true false X 2975813 1743011 1687853 1542990 1843014 9792681 2975813 1743011 1687853 1542990 1843014 9792681 425282 9367399 207741 254481 233136 226897 265526 1187781 5418 5418 10985880 278022 0.85270 0.89330 X PART II, LINE 10 OTHER INCOME 5,418 3279678 231832 -108826 4429 23889 3374366 3208369 11000 87456 15637 11510 3279678 3159645 10000 54276 4735 10817 3208369 3191481 25000 -1437 33839 21560 3159645 3204957 5992 19468 3191481 1.00000 false false 13019 8677 4342 30388 30388 4342 PLEDGES PAYABLE 246000 246000 X 997146 -1246863 47484 -1199379 2196525 81895 81895 2278420 1719294 47484 47484 1671810 81895 81895 1753705 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, 2015-2018. DENIM & DIAMOND 310305 32283 278022 56772 46525 TREE OF REMEMBR 19470 19470 4 43221 43221 4845 372996 94974 278022 56772 51370 108142 169880 false CHEYENNE REGIONAL MEDICAL CENTER 214 EAST 23RD STREET CHEYENNE WY 82001 836000194 348963 FMV SUPPORT X DONATED GOODS 169 49785 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 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 X FORM 990, PART X, LINES 27-29: THE ORGANIZATION HAS ADOPTED THE PRINCIPLES OF FASB ASU NO. 2016-14 (ASC 958) FOR ITS AUDITED FINANCIAL STATEMENTS FOR THE PERIOD ENDED DECEMBER 31, 2018 AND 2017. TO DATE, FORM 990 AND ITS ASSOCIATED SCHEDULES HAVE NOT BEEN UPDATED TO REFLECT CHANGES MADE BY THIS STANDARD. THUS, WE HAVE INCLUDED THE NET ASSET CATEGORIES IN OUR AUDITED FINANCIAL STATEMENTS ON EXISTING FORM 990, PART X, LINES 27-29 AS FOLLOWS: NET ASSETS WITHOUT DONOR RESTRICTIONS 5,968,681 NET ASSETS WITH DONOR RESTRICTIONS 10,866,114 TOTAL NET ASSETS 16,834,795 UNRESTRICED NET ASSETS 5,968,681 TEMPORARILY RESTRICTED NET ASSETS 7,491,748 PERMANENTLY RESTRICTED NET ASSETS 3,374,366 TOTAL NET ASSETS 16,834,795 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 491000 FMV CHEYENNE REGIONAL MEDICAL CENTER B 348963 FMV