2015-05-13T07:47:31-05:00 2014-06-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2013-07-01 830230808 Wyoming Medical Center Foundation WYOM 3075772973 1233 East Second Street Casper WY 82601 Jessica Oden Current Board Chair 3075772973 2015-05-12 1 KIM C HUNWARDSEN P00484560 6122536500 2015-05-12 2013 2016-02-25 16:41:14Z Jessica Oden 1233 East Second Street Casper WY 82601 3317453 0 X www.wyomingmedicalcenterfoundation.org X 1976 WY To support the mission of the Wyoming Medical Center and the health of the community. 15 13 0 75 0 0 1721765 1187947 11092 0 60582 382164 0 4741 1793439 1574852 830189 591159 0 0 0 35384 0 0 0 196691 183707 1026880 810250 766559 764602 6016604 6679726 2815 13600 6013789 6666126 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 711373 559719 This fiscal year the Wyoming Medical Center (WMC) Foundation reached its goal of raising $3 million towards Wyoming Medical Center's new McMurry West Tower. The McMurry West Tower opened in October serving surgical and labor and delivery patients as well as providing a new cafeteria and front door to the hospital. The Foundation is currently raising funds for a new Wellness Center within the McMurry West Tower. The Wellness Center is a $1.2 million project. To date, the Foundation has secured the lead donor to the Wellness Center with a gift of $300,000. The Wellness Center will provide integrative medicine approaches to chronic disease patients to lower overall risk. The WMC Foundation continues to raise funds to support the Masterson Place, a 30 bed hospitality home utilized for patients and families who travel to Casper, Wyoming to receive medical treatment and need a place to stay. This past fiscal year the Masterson Place served 5,700 patients and families. The Masterson Place offer families a $40.00 rate. For those patients that are unable to afford the $40.00, the WMC Foundation provides scholarships to cover their stay. 76660 31440 Angels Cancer Care Program: The Angels Cancer Care Program objective is to continue to serve cancer patients undergoing treatment with a number of needs such as 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. In 2015 the Angels Cancer Care Program plans to fund 100 women who are uninsured with a free screening mammogram. The Angels Cancer Care Program has a rich history of addressing varied concerns of cancer patients. These include offering emotional support, financial assistance, transportation and medication retrieval. The Angels Cancer Care Program educates the community about the program while raising much needed funds to support patients currently undergoing treatment with food and gas vouchers, wigs, prosthesis and more. In 2014, the Angels Cancer Care Program served a total of 111 patients with direct patient needs and over 1,000 patients with such items as Thanksgiving dinners, Christmas cookie trays, monthly meals at the Masterson Place, etc. The Angels Cancer Care Program hosted three events this year, The Trojan Trek, Country for Cancer and the Reindeer Run raising a total of $42,000. 788033 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 1 0 0 0 1 9 0 1 0 0 0 0 0 0 1 1 0 0 0 0 X 15 13 1 0 1 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X Nathan Stutte 3075772767 1233 East 2nd St Casper WY 86201 X Karen Zaback Board Chair 2.00 0.00 X X 0 0 0 Jessica Oden Vice Chair 2.00 0.00 X X 0 0 0 Dax Collins Secretary/Treasurer 2.00 0.00 X X 0 0 0 Bob Barnard Board Member 2.00 0.00 X 0 0 0 Patricia Cloud Board Member 2.00 0.00 X 0 0 0 Vickie Diamond Board Member/CEO WMC 2.00 45.00 X 0 639528 10200 Dick Dresang Board Member 2.00 0.00 X 0 0 0 Cheryl Graff Board Member 2.00 40.00 X 0 83156 22365 Susan McMurry Board Member 2.00 5.00 X 0 0 0 John Purviance Board Member 2.00 0.00 X 0 0 0 Miriam Temme Board Member 2.00 0.00 X 0 0 0 Marie Hill Board Member 2.00 0.00 X 0 0 0 Deanne Sramek Board Member 2.00 0.00 X 0 0 0 Kyle Thompson Board Member 2.00 0.00 X 0 0 0 Kate Bailey Board Member 2.00 0.00 X 0 0 0 Alisha Havens Development Director 40.00 0.00 X 0 98223 1287 0 820907 33852 0 0 1 0 0 18147 1169800 1187947 33421 33421 2053457 1704714 348743 348743 348743 42628 18147 37887 4741 4741 1574852 0 0 386905 559719 559719 31440 31440 35384 35384 22217 22217 381 381 11008 11008 229 229 183 183 67767 67767 Community Programs 10741 10741 Special Recognition 326 326 Wigs 122 122 Gifts Cards & Vouchers 42 42 70691 70691 810250 788033 22217 0 1399226 1238608 1315815 1034140 73368 1986664 812755 1225102 1173909 1898966 3145912 163706 13789 13789 6016604 6679726 92 6266 2723 7334 2815 13600 X 2999048 3223538 2451310 2907063 563431 535525 6013789 6666126 6016604 6679726 X 764602 -139590 27325 X 0 1 X 1 0 X X X 0 0 0 Wyoming Medical Center 830279242 3 1 1 1 558038 1 558038 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1563431 80243 108149 1535525 1511270 52161 99413 99413 1563431 1511270 10478 10478 1511270 1111270 400000 93488 93488 1511270 1111270 42331 42331 1111270 0.65000 0.35000 0 0 340885 340885 1364903 553441 811462 280876 259314 21562 1173909 Due to Wyoming Medical Center 7334 7334 X 1185261 808466 808466 376795 1198057 1198057 1574852 849087 38837 38837 810250 0 810250 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 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 808,317. Income of Subsidiary Hospital Foundation Ventures Inc in Consolidated Audit 149. Part XI, Line 4b - Other Adjustments: Fundraising Expenses in Expenses on Financial Statements -37,887. Contributions Included In Fund Balance on Financial Statements 1,235,944. Part XII, Line 2d - Other Adjustments: Expense of Subsidiary Hospital Foundation Ventures Inc in Consolidated Audit 950. Fundraising Expenses in Expenses on Financial Statements 37,887. Gift of Gala 60775 18147 42628 6287 12104 19496 60775 18147 42628 6287 12104 19496 37887 4741 1 Wyoming Medical Center 1233 E Second St Casper WY 82601 830279242 501(c)(3) 558038 Purchase Equipment 1 0 Medications 13 3187 Gas gift cards 41 4190 Food 27 2381 Lodging 42 11807 Wigs 10 1708 Utilities 6 2621 Other - Auto, Clothing, etc 16 5546 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 520175 0 106819 0 12534 0 10200 0 1366 0 651094 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 4 The Bylaws were updated in the fiscal year. The significant change was that public members will be approved and appointed by the Wyoming Medical Center Board. Form 990, Part VI, Section A, line 7a The Foundation's Board includes the CEO of Wyoming Medical Center. 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 28,126. Change in Value of Subsidiary Hospital Foundation Ventures Inc. -801. Wyoming Medical Center 1233 East Second St Casper WY 82601 830279242 Medical Services WY 501(c)(3) Line 3 N/A 0 Hospital Foundation Ventures Inc 1233 East 2nd St Casper WY 82601 830282249 Business Investment WY Wyoming Medical Center Foundation C 139 162822 1.00000 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 1