FURP.ORG / PUBLIC DATA EXPLORER

NATRONA COLLECTIVE HEALTH TRUST: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
NATRONA COLLECTIVE HEALTH TRUST (EIN 83-0230808)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-11
IRS object ID
201601329349300900
Schema version
2014v6.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-11T07:03:39-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 Nicollet Mall Ste 1300AddressLine1Txt
CityMinneapolisCityNm
State AbbreviationMNStateAbbreviationCd
ZIP554027033ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN830230808EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Wyoming Medical Center FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWYOMBusinessNameControlTxt
Phone3075772973PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11233 East Second StreetAddressLine1Txt
CityCasperCityNm
State AbbreviationWYStateAbbreviationCd
ZIP82601ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJessica OdenPersonNm
Person TitleCurrent Board ChairPersonTitleTxt
Phone3075772973PhoneNum
Signature2016-05-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKIM C HUNWARDSENPreparerPersonNm
PTINP00484560PTIN
Phone6122536500PhoneNum
Preparation2016-05-09PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJessica OdenPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11233 East Second StreetAddressLine1Txt
CityCasperCityNm
State AbbreviationWYStateAbbreviationCd
ZIP82601ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,953,414GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.wyomingmedicalcenterfoundation.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1976FormationYr
Legal Domicile StateWYLegalDomicileStateCd
Activity Or MissionTo support the mission of the Wyoming Medical Center and the health of the community.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers75TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,187,947PYContributionsGrantsAmt
CY Contributions Grants$1,643,064CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$382,164PYInvestmentIncomeAmt
CY Investment Income$131,517CYInvestmentIncomeAmt
PY Other Revenue$4,741PYOtherRevenueAmt
CY Other Revenue$10,691CYOtherRevenueAmt
PY Total Revenue$1,574,852PYTotalRevenueAmt
CY Total Revenue$1,785,272CYTotalRevenueAmt
PY Grants And Similar Paid$591,159PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,046,858CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$35,384PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$16,901CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$183,707PYOtherExpensesAmt
CY Other Expenses$265,759CYOtherExpensesAmt
PY Total Expenses$810,250PYTotalExpensesAmt
CY Total Expenses$1,329,518CYTotalExpensesAmt
PY Revenues Less Expenses$764,602PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$455,754CYRevenuesLessExpensesAmt
Total Assets BOY$6,679,726TotalAssetsBOYAmt
Total Assets EOY$7,056,718TotalAssetsEOYAmt
Total Liabilities BOY$13,600TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,762TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$6,666,126NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$7,048,956NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe Wyoming Medical Center Foundation enhances excellence in healthcare delivery at Wyoming Medical Center by securing private philanthropic resources, cultivating enduring relationships, and delivering superior donor stewardship.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,195,535ExpenseAmt
Grant$1,002,951GrantAmt
DescThroughout the fiscal year the Wyoming Medical Center Foundation has raised funds to support various projects for it supported organization, Wyoming Medical Center (WMC).This fiscal year the Wyoming Medical Center (WMC) Foundation reached its goal of raising $1.2 million toward Wyoming Medical Center's new NERD Health and Wellness Center which will be located within the McMurry West Tower. The lead donor for this project contributed $700,000. Other large donations of $300,000 and $100,000 were given, as well as $40,000 from the Employee Giving Campaign. The Nerd Health and Wellness Center will provide integrative medicine programs for patients, employees and members of the community. The programs will address many aspects of a healthy lifestyle including fitness, nutrition and mental health. There will be opportunities to meet with health coaches, attend lectures and yoga classes, with access to a brand new fitness studio. Construction is scheduled to begin in January 2016 with plans to open the center in the summer of 2016. The WMC Foundation continues to raise funds to support Masterson Place, a 30 bed hospitality home that provides a place to stay for patients and families who travel to Casper, Wyoming for medical treatment. During the last fiscal year, Masterson Place served 4,527 patients and families at a rate of $40.00 per night for a room. Donations toward the new Masterson Place Project included pledges for $150,000 from the Masterson Family Foundation, $800,000 in City One Cent Funding and another $80,000 in County One Cent Funding and a $100,000 pledge from a bank. Plans for asbestos abatement and demolition of the existing buildings on the site are confirmed and will begin the third week of January 2016.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$101,533ExpenseAmt
Grant$43,907GrantAmt
DescAngels Cancer Care Program: The Angels Cancer Care Program objective is to continue to serve cancer patients undergoing treatment by providing gas cards, food cards, hotel vouchers, prosthesis, wigs and more. Long-term, the Angels Cancer Care Program plans to continue to serve patients along with providing education on cancer prevention. This program also has a rich history of addressing varied concerns of cancer patients such as offering emotional support, financial assistance, transportation and medication retrieval. The Angels Cancer Care Program raises much needed funds to support patients currently undergoing treatment. In 2015 the Angels Cancer Care Program received a Susan G. Komen Grant of $5,000 to provide 100 uninsured women with a free screening mammogram. To date, 15 have been completed. In partnership with the Wyoming Foundation for Cancer Care, plans are in place to complete the remaining 85. In 2015, the Angels Cancer Care Program served a total of 96 patients including Thanksgiving dinners, Christmas cookie trays, monthly meals at Masterson Place, etc. The Angels Cancer Care Program hosted 3 events in 2015: The Trojan Trek, Country for Cancer Concert and the Reindeer Relay raising a total of $31,000.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,297,068TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document12IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Jeanne EhlebrachtBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3075777837PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11233 East 2nd StAddressLine1Txt
CityCasperCityNm
State AbbreviationWYStateAbbreviationCd
ZIP86201ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Jessica Oden
Board Chair2.000.00Yes (X)Yes (X)$0$0$0
Dax Collins
Vice Chair2.000.00Yes (X)Yes (X)$0$0$0
Patricia Cloud
Secretary/Treasurer2.000.00Yes (X)Yes (X)$0$0$0
Bob Barnard
Board Member2.000.00Yes (X)$0$0$0
Jessi Waring
Board Member2.000.00Yes (X)$0$0$0
Vickie Diamond
Board Member/CEO WMC2.0045.00Yes (X)$0$669,679$47,007
Dick Dresang
Board Member2.000.00Yes (X)$0$0$0
Cheryl Graff
Board Member2.0040.00Yes (X)$0$85,929$45,705
Susan McMurry
Board Member2.005.00Yes (X)$0$0$0
John Purviance
Board Member2.000.00Yes (X)$0$0$0
Scott Brownell
Board Member2.000.00Yes (X)$0$0$0
Karen Zaback
Board Member2.000.00Yes (X)$0$0$0
Julie Greiner
Board Member2.000.00Yes (X)$0$0$0
Kyle Thompson
Board Member2.000.00Yes (X)$0$0$0
Judy Aurelius
Board Member2.000.00Yes (X)$0$0$0
Debbie Reid
Board Member2.000.00Yes (X)$0$0$0
Allen Quig
Board Member2.000.00Yes (X)$0$0$0
Alisha Havens
Development Director40.000.00Yes (X)$0$97,851$21,170
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$853,459TotReportableCompRltdOrgAmt
Total Other Compensation$113,882TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$59,325FundraisingAmt
Government Grants$796,517GovernmentGrantsAmt
All Other Contributions$787,222AllOtherContributionsAmt
Total Contributions$1,643,064TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$128,891TotalRevenueColumnAmt
Exclusion$128,891ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$130,436SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$127,810SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,626SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,626TotalRevenueColumnAmt
Exclusion$2,626ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$51,023FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$59,325ContriRptFundraisingEventAmt
Fundraising Direct Expenses$40,332FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,691TotalRevenueColumnAmt
Exclusion$10,691ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,785,272TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$142,208ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$987,580TotalAmt
Program Services$987,580ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$59,278TotalAmt
Program Services$59,278ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$16,901TotalAmt
Program Services$16,901ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$32,450TotalAmt
Management And General$32,450ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$15,396TotalAmt
Program Services$15,396ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$22,662TotalAmt
Program Services$22,662ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$800TotalAmt
Program Services$800ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,885TotalAmt
Program Services$1,885ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$760TotalAmt
Program Services$760ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$64,912TotalAmt
Program Services$64,912ProgramServicesAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescAngels Program ProjectDesc
Total$40,725TotalAmt
Program Services$40,725ProgramServicesAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$86,169TotalAmt
Program Services$86,169ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,329,518TotalAmt
Program Services$1,297,068ProgramServicesAmt
Management And General$32,450ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,238,608BOYAmt
EOY$803,279EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,034,140BOYAmt
EOY$1,659,662EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$73,368BOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,028,490LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$877,667LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,173,909BOYAmt
EOY$1,150,823EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$3,145,912BOYAmt
EOY$3,429,165EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$13,789BOYAmt
EOY$13,789EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,679,726BOYAmt
EOY$7,056,718EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,266BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,334BOYAmt
EOY$7,762EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,600BOYAmt
EOY$7,762EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,223,538BOYAmt
EOY$3,197,380EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,907,063BOYAmt
EOY$3,316,051EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$535,525BOYAmt
EOY$535,525EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,666,126BOYAmt
EOY$7,048,956EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,679,726BOYAmt
EOY$7,056,718EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$455,754ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$63,636NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$9,288OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Wyoming Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN830279242EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$750,000SupportAmt
Other Support$547,070OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$750,000SupportSumAmt
Other Support Sum$547,070OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,535,525BeginningYearBalanceAmt
Investment Earnings Or Losses$21,480InvestmentEarningsOrLossesAmt
Other Expenditures$21,480OtherExpendituresAmt
End Year Balance$1,535,525EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,563,431BeginningYearBalanceAmt
Investment Earnings Or Losses$80,243InvestmentEarningsOrLossesAmt
Other Expenditures$108,149OtherExpendituresAmt
End Year Balance$1,535,525EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,511,270BeginningYearBalanceAmt
Contributions$52,161ContributionsAmt
Investment Earnings Or Losses$99,413InvestmentEarningsOrLossesAmt
Other Expenditures$99,413OtherExpendituresAmt
End Year Balance$1,563,431EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,511,270BeginningYearBalanceAmt
Investment Earnings Or Losses$10,478InvestmentEarningsOrLossesAmt
Other Expenditures$10,478OtherExpendituresAmt
End Year Balance$1,511,270EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,111,270BeginningYearBalanceAmt
Contributions$400,000ContributionsAmt
Investment Earnings Or Losses$93,488InvestmentEarningsOrLossesAmt
Other Expenditures$93,488OtherExpendituresAmt
End Year Balance$1,511,270EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.65000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.35000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$340,885OtherCostOrOtherBasisAmt
Book Value$340,885BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,346,331OtherCostOrOtherBasisAmt
Depreciation$602,816DepreciationAmt
Book Value$743,515BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$308,969OtherCostOrOtherBasisAmt
Depreciation$274,851DepreciationAmt
Book Value$34,118BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$32,305OtherCostOrOtherBasisAmt
Book Value$32,305BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,150,823TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDue to Wyoming Medical CenterDesc
Amt$7,762Amt
FieldValueIRS element (for citing)
Total Liability$7,762TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,403,213TotalRevEtcAuditedFinclStmtAmt
Other Revenue$1,289,608OtherRevenueAmt
Revenue Not Reported$1,289,608RevenueNotReportedAmt
Revenue Subtotal$113,605RevenueSubtotalAmt
Other Revenues Not Included$1,671,667OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,671,667RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,785,272TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,369,850TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$40,332OtherExpensesIncludedAmt
Expenses Not Reported$40,332ExpensesNotReportedAmt
Expenses Subtotal$1,329,518ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,329,518TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:The Foundation has an endowment on which the investment earnings are available to be used for Foundation general operating expenses.
Part X, Line 2:The Foundation is organized as a Wyoming nonprofit corporation and has been recognized by the Internal Revenue Service 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. In addition, the Foundation is subject to income tax on net income that is derived from business activities that are unrelated to its exempt purpose. The Organization has determined it is not subject to unrelated business income tax and has not filed an Exempt Organization Business Income Tax Return (Form 990T) 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 will recognize future accrued interest and penalties related to unrecognized tax liabilities in income tax expense if incurred.
Part XI, Line 2d - Other Adjustments:Net Assets Released from Restrictions In Revenue on Financial Statements 1,289,608.
Part XI, Line 4b - Other Adjustments:Fundraising Expenses in Expenses on Financial Statements -40,332. Contributions and Earnings Included In Fund Balance on Financial Statements 1,711,999.
Part XII, Line 2d - Other Adjustments:Fundraising Expenses in Expenses on Financial Statements 40,332.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Gift of GalaEvent1Nm
Gross Receipts Event1$110,348GrossReceiptsEvent1Amt
Charitable Contri Event1$59,325CharitableContriEvent1Amt
Gross Revenue Event1$51,023GrossRevenueEvent1Amt
Rent Facility Costs Event1$4,968RentFacilityCostsEvent1Amt
Food And Beverage Event1$17,925FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$17,439OtherDirectExpensesEvent1Amt
Gross Receipts Total$110,348GrossReceiptsTotalAmt
Charitable Contributions Tot$59,325CharitableContributionsTotAmt
Gross Revenue Total Events$51,023GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$4,968RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$17,925FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$17,439OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$40,332DirectExpenseSummaryEventsAmt
Net Income Summary$10,691NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Wyoming Medical CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11233 E Second StAddressLine1Txt
CityCasperCityNm
State AbbreviationWYStateAbbreviationCd
ZIP82601ZIPCd
FieldValueIRS element (for citing)
Recipient EIN830279242RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$750,000CashGrantAmt
Non Cash Assistance$237,580NonCashAssistanceAmt
Valuation Method UsedPurchase PriceValuationMethodUsedDesc
Non Cash AssistanceCapital Purchases for West TowerNonCashAssistanceDesc
Purpose Of GrantPurchase EquipmentPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (9 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceDesc
Medications14$5,969
Gas gift cards5$500
Food9$1,160
Lodging16$6,113
Wigs/Bras10$3,079
Utilities6$4,356
Other14$5,595
Masterson Place Lodging26$3,880
Gift Cards32$28,626cr5911 - 02/08/16 08:24AM Worksheet Schedule I

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationGrant requests are submitted to the Foundation. The Foundation's program committee reviews the requests to see if the request qualifies, and if so, analyzes the amount requested and establishes a decision to be presented to the Board of Directors for approval. The Foundation pays directly for these expenses to ensure the funds are spent on the items requested.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonVickie DiamondPersonNm
TitleBoard Member/CEO WMCTitleTxt
Base Compensation Filing Org$0BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$579,505CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$73,080BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$17,094OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$27,700DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$20,673NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$0TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$718,052TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 3FormAndLineReferenceDesc
ExplanationThe Executive Director is compensated by a related organization, Wyoming Medical Center, for the services as the top management official. The related organization uses methods listed in Part I, line 3 to determine her compensation. The compensation listed for Vickie Diamond is for services solely as the CEO of Wyoming Medical Center.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 1There shall be an Executive Committee of the Foundation that includes the Foundation Board President, Vice President, Treasurer, and Secretary. The Vice President of External Affairs and Development Director of the Foundation shall serve as non-voting, ex-officio members. The Executive Committee shall act on behalf of the Board of Directors when the Foundation Board is not in session but shall be accountable to the Foundation Board for its actions. These actions must be approved by a vote by the Board of Directors at the immediate Foundation Board Meeting following the action.
Form 990, Part VI, Section A, line 2Vickie Diamond is the CEO of WMC and Cheryl Graff and Alisha Havens are employed by WMC. Therefore Vickie has a business relationship with each of these individuals. Vickie Diamond is the CEO of WMC. Susan McMurry serves as a Board Member on the WMC Board. Therefore Vickie and Susan have a business relationship.
Form 990, Part VI, Section A, line 7aThe Foundation's Board includes the CEO of Wyoming Medical Center. Wyoming Medical Center approves and appoints all public members of the Foundation Board.
Form 990, Part VI, Section B, line 11A public accounting firm was contracted to prepare the Form 990. The Form 990 was reviewed by the Secretary/Treasurer and the Development Director of the Foundation. 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 12cThe 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 Development Director reviews the conflict forms. When voting on projects where an individual board member has a conflict, they will abstain from voting. The Development 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 15The Development Director is compensated from 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 19The Foundation makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.
Form 990, Part VII, Compensation from Related OrganizationThe related organization, WMC, compensates those individuals listed in Part VII. The Foundation does not reimburse WMC for these services. The compensation reported for Vickie Diamond and Cheryl Graff represent compensation for their services solely to WMC. The compensation reported for Alisha Havens are for services rendered to the Foundation.
Form 990, Part XI, line 9:Change in Valuation of Discount on Pledges -9,288.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Wyoming Medical CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11233 East Second StAddressLine1Txt
CityCasperCityNm
State AbbreviationWYStateAbbreviationCd
ZIP82601ZIPCd
FieldValueIRS element (for citing)
EIN830279242EIN
Primary ActivitiesMedical ServicesPrimaryActivitiesTxt
Legal Domicile StateWYLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity StatusLine 3PublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd