2016-05-11T07:03:39-05:00 2015-06-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2014-07-01 830230808 Wyoming Medical Center Foundation WYOM 3075772973 1233 East Second Street Casper WY 82601 Jessica Oden Current Board Chair 3075772973 2016-05-09 1 KIM C HUNWARDSEN P00484560 6122536500 2016-05-09 2014 2016-08-17 19:52:53Z Jessica Oden 1233 East Second Street Casper WY 82601 1953414 0 X www.wyomingmedicalcenterfoundation.org X 1976 WY To support the mission of the Wyoming Medical Center and the health of the community. 17 15 0 75 0 0 1187947 1643064 0 0 382164 131517 4741 10691 1574852 1785272 591159 1046858 0 0 35384 16901 0 0 0 183707 265759 810250 1329518 764602 455754 6679726 7056718 13600 7762 6666126 7048956 X The 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. 0 0 1195535 1002951 Throughout 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. 101533 43907 Angels 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. 1297068 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 12 0 1 0 0 0 0 0 0 1 1 0 0 0 0 X 17 15 1 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X Jeanne Ehlebracht 3075777837 1233 East 2nd St Casper WY 86201 X Jessica Oden Board Chair 2.00 0.00 X X 0 0 0 Dax Collins Vice Chair 2.00 0.00 X X 0 0 0 Patricia Cloud Secretary/Treasurer 2.00 0.00 X X 0 0 0 Bob Barnard Board Member 2.00 0.00 X 0 0 0 Jessi Waring Board Member 2.00 0.00 X 0 0 0 Vickie Diamond Board Member/CEO WMC 2.00 45.00 X 0 669679 47007 Dick Dresang Board Member 2.00 0.00 X 0 0 0 Cheryl Graff Board Member 2.00 40.00 X 0 85929 45705 Susan McMurry Board Member 2.00 5.00 X 0 0 0 John Purviance Board Member 2.00 0.00 X 0 0 0 Scott Brownell Board Member 2.00 0.00 X 0 0 0 Karen Zaback Board Member 2.00 0.00 X 0 0 0 Julie Greiner Board Member 2.00 0.00 X 0 0 0 Kyle Thompson Board Member 2.00 0.00 X 0 0 0 Judy Aurelius Board Member 2.00 0.00 X 0 0 0 Debbie Reid Board Member 2.00 0.00 X 0 0 0 Allen Quig Board Member 2.00 0.00 X 0 0 0 Alisha Havens Development Director 40.00 0.00 X 0 97851 21170 0 853459 113882 0 0 1 0 0 59325 796517 787222 1643064 128891 128891 130436 127810 2626 2626 2626 51023 59325 40332 10691 10691 1785272 0 0 142208 987580 987580 59278 59278 16901 16901 32450 32450 15396 15396 22662 22662 800 800 1885 1885 760 760 64912 64912 Angels Program Project 40725 40725 86169 86169 1329518 1297068 32450 0 1238608 803279 1034140 1659662 73368 2028490 877667 1173909 1150823 3145912 3429165 13789 13789 6679726 7056718 6266 7334 7762 13600 7762 X 3223538 3197380 2907063 3316051 535525 535525 6666126 7048956 6679726 7056718 X 455754 -63636 -9288 X 0 1 X 1 0 X X 1 Wyoming Medical Center 830279242 3 1 750000 547070 1 750000 547070 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1535525 21480 21480 1535525 1563431 80243 108149 1535525 1511270 52161 99413 99413 1563431 1511270 10478 10478 1511270 1111270 400000 93488 93488 1511270 0.65000 0.35000 0 0 340885 340885 1346331 602816 743515 308969 274851 34118 32305 32305 1150823 Due to Wyoming Medical Center 7762 7762 X 1403213 1289608 1289608 113605 1671667 1671667 1785272 1369850 40332 40332 1329518 0 1329518 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. Gift of Gala 110348 59325 51023 4968 17925 17439 110348 59325 51023 4968 17925 17439 40332 10691 1 Wyoming Medical Center 1233 E Second St Casper WY 82601 830279242 501(c)(3) 750000 237580 Purchase Price Capital Purchases for West Tower Purchase Equipment 1 0 Medications 14 5969 Gas gift cards 5 500 Food 9 1160 Lodging 16 6113 Wigs/Bras 10 3079 Utilities 6 4356 Other 14 5595 Masterson Place Lodging 26 3880 Gift Cards 32 28626 cr5911 - 02/08/16 08:24AM Worksheet Schedule I Part I, Line 2: Grant 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. 0 0 0 0 0 0 0 0 0 Vickie Diamond Board Member/CEO WMC 0 579505 0 73080 0 17094 0 27700 0 20673 0 718052 0 0 Part I, Line 3 The 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. Form 990, Part VI, Section A, line 1 There 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 2 Vickie 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 7a The 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 11 A 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 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 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 15 The 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 19 The 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 Organization The 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. Wyoming Medical Center 1233 East Second St Casper WY 82601 830279242 Medical Services WY 501(c)(3) Line 3 N/A 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 1