2018-10-17T09:36:14-06:00 2017-12-31 841483675 RLR LLP POBOX 483 CHEYENNE WY 82003 990 2017-01-01 830236858 CHEYENNE REGIONAL MEDICAL CENTER FOUNDATION CHEY 3076337667 214 EAST 23RD STREET CHEYENNE WY 82001 SCOTT FOX EXECUTIVE DIRECTOR 3076337667 2018-10-16 true ROBERT B DICKERSON P00432362 3076315598 2018-10-16 64.88.174.3 2018-10-17 10:36:14 CD P 2E43059154C00348335E2B334E7609A734C56DCE BD0945D10C998F31F514FA7FA1CFC8B5F5DE0028 2017 2018-06-14 16:35:46Z SCOTT FOX 214 EAST 23RD STREET CHEYENNE WY 82001 4627848 false X GIVE.CHEYENNEREGIONAL.ORG X 1977 WY THE FOUNDATION INFORMS, DEVELOPS AND STEWARDS RESOURCES TO ENABLE THE CHEYENNE REGIONAL HEALTH SYSTEM TO PROVIDE THE BEST POSSIBLE HEALTH CARE. 20 20 0 150 0 1687853 1542990 0 -64949 570026 5418 1622904 2118434 467850 0 343994 349050 0 35427 1658758 1199953 2002752 2016853 -379848 101581 16040310 17964731 144233 407788 15896077 17556943 THE FOUNDATION INFORMS, DEVELOPS AND STEWARDS RESOURCES TO ENABLE THE CHEYENNE REGIONAL HEALTH SYSTEM TO PROVIDE THE BEST POSSIBLE HEALTH CARE. false false 1032448 467850 PURCHASE OF MEDICAL EQUIPMENT FOR AND SUPPORT FOR PROGRAMS AND SERVICES AT CHEYENNE REGIONAL HEALTH SYSTEM. THIS INCLUDES EQUIPMENT PURCHASED FOR VARIOUS DEPARTMENTS ACROSS THE HEALTH SYSTEM AS WELL AS PROGRAM AND SERVICE SUPPORT FOR THE DAVIS HOSPICE CENTER, THE CHEYENNE REGIONAL CANCER CENTER AND OTHER SERVICE LINES. 369303 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. 1401751 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 false false false false false true false true false true 3 0 0 false false false false false true true false false false false X 20 20 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 E 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 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 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 STEPHEN FOSTER 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 YVONNE MCGEE 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 ERNIE SHRINER DIRECTOR 1.00 X 0 0 0 DR SANDRA SURBRUGG 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 113854 5127 113854 5127 false false false 77742 511982 301753 651513 1542990 226897 226897 2816961 2473832 343129 343129 343129 35582 77742 35582 INCREASE IN LIFE INSURANCE 5418 5418 5418 2118434 575444 467850 467850 113854 113854 210900 210900 24296 24296 8750 8750 63255 63255 14813 14813 54160 18733 35427 17216 17216 2013 2013 868 868 OTHER PROGRAM COSTS 933901 933901 CONTRACTED SERVICES 51145 51145 CUSTOMER RELATIONS 18408 18408 MISCELLANEOUS 13380 13380 22044 22044 2016853 1401751 579675 35427 842989 887837 142961 143395 189825 103939 43407 38198 6077 5209 14829521 16789997 28937 34354 16040310 17964731 37241 8912 94839 128876 12153 270000 144233 407788 X 5732318 7389108 6955390 6888157 3208369 3279678 15896077 17556943 16040310 17964731 101581 1559285 X true X true X true false X 1893255 2975813 1743011 1687853 1542990 9842922 1893255 2975813 1743011 1687853 1542990 9842922 9842922 248565 207741 254481 233136 226897 1170820 5418 5418 11019160 0.89330 0.91130 X 3208369 11000 87456 15637 11510 3279678 3159645 10000 54276 4735 10817 3208369 3191481 25000 -1437 33839 21560 3159645 3204957 5992 19468 3191481 3192426 19336 110737 117542 3204957 1.00000 false false 13019 7860 5159 30388 30338 50 5209 PLEDGES PAYABLE 270000 270000 X 3614464 1559285 1559285 2055179 63255 63255 2118434 1953598 1953598 63255 63255 2016853 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, 2013-2017. WESTERN CONNECT 54030 30433 23597 7383 16214 TREE OF REMEMBR 22323 22323 3 36971 24986 11985 11985 113324 77742 35582 7383 28199 35582 false CHEYENNE REGIONAL MEDICAL CENTER 214 EAST 23RD STREET CHEYENNE WY 82001 836000194 467850 FMV SUPPORT 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. 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 511982 FMV CHEYENNE REGIONAL MEDICAL CENTER B 467850 FMV