WYOMING HOSPITAL RESEARCH & EDUCATION FOUNDATION INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- WYOMING HOSPITAL RESEARCH & EDUCATION FOUNDATION INC (EIN 83-0215440)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-14
- IRS object ID
- 201323189349305417
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-14T15:03:19-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 830331229 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCGEE HEARNE & PAIZ LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 1088 | AddressLine1 |
| City | CHEYENNE | City |
| State | WY | State |
| ZIP Code | 82003 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 830215440 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WYOMING HOSPITAL RESEARCH & | BusinessNameLine1 |
| Business Name Line2 | EDUCATION FOUNDATION INC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WYOM | NameControl |
| Phone | 3076329344 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2005 WARREN AVE | AddressLine1 |
| City | CHEYENNE | City |
| State | WY | State |
| ZIP Code | 82001 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DANIEL PERDUE | Name |
| Title | PRESIDENT | Title |
| Phone | 3076329344 | Phone |
| Date Signed | 2013-11-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | EARL KING | Name |
| PTIN | P00242497 | PTIN |
| Phone | 3076342151 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | VICKIE DIAMOND | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2005 WARREN AVE | AddressLine1 |
| City | CHEYENNE | City |
| State | WY | State |
| ZIP Code | 82001 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 467928 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1971 | YearFormation |
| State Legal Domicile | WY | StateLegalDomicile |
| Activity Or Mission Description | THE WYOMING HOSPITAL RESEARCH AND EDUCATION FOUNDATION, INC WAS FORMED FOR THE PURPOSE OF BRINGING BETTER HEALTH CARE TO THE PEOPLE OF WYOMING. THE MAIN ACTIVITY OF THE ORGANIZATION WILL BE EDUCATION AND WILL SPONSOR EDUCATIONAL PROGRAMS FOR THE PEOPLE INVOLVED IN HEALTH FIELDS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 5 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 4 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 4 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 490500 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 467894 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 43 | InvestmentIncomePriorYear |
| Investment Income Current Year | 34 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 490543 | TotalRevenuePriorYear |
| Total Revenue Current Year | 467928 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 399078 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 495142 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 59163 | OtherExpensePriorYear |
| Other Expenses Current Year | 63465 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 458241 | TotalExpensesPriorYear |
| Total Expenses Current Year | 558607 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 32302 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -90679 | RevenuesLessExpensesCY |
| Total Assets BOY | 194735 | TotalAssetsBOY |
| Total Assets EOY | 104056 | TotalAssetsEOY |
| Total Liabilities BOY | 30000 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 30000 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 164735 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 74056 | NetAssetsOrFundBalancesEOY |
| Mission Description | SEE SCHEDULE O | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 26223 | Expense |
| Description | COMPUTER SOFTWARE FOR DIAGNOSTIC WORK. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 500 | Expense |
| Description | ANNUAL AWARDS FOR EXCELLENCE IN HEALTH CARE | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 495142 | Expense |
| Grants | 495142 | Grants |
| Description | HOSPITAL EMERGENCY AND DISASTER PREPAREDNESS | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 521865 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 0 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 5 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 4 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 0 | ConflictOfInterestPolicy |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WYOMING HOSPITAL ASSOCIATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3076329344 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2005 WARREN AVE | AddressLine1 |
| City | CHEYENNE | City |
| State | WY | State |
| ZIP Code | 82001 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (5 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee |
|---|---|---|---|---|---|---|---|
| RICK SHROEDER | |||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| MIKE MCCAFFERTY | |||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| VICKIE DIAMOND | |||||||
| CHAIRMAN | 1.00 | X | 0 | 0 | 0 | X | |
| ERIC BOLEY | |||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DAN PERDUE | |||||||
| MEMBER | 1.00 | 0 | 185658 | 30595 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 185658 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 30595 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Government Grants | 467894 | GovernmentGrants |
| Total Contributions | 467894 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 34 | TotalRevenueColumn |
| Exclusion | $34 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 467928 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $34 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 481442 | Total |
| Program Services | 481442 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13700 | Total |
| Program Services | 13700 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1005 | Total |
| Management And General | 1005 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 214 | Total |
| Management And General | 214 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12086 | Total |
| Management And General | 12086 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1432 | Total |
| Management And General | 1432 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| COMPUTER SOFTWARE | 26223 | 26223 | |
| ADMINISTRATION FEES | 21980 | 21980 | |
| AWARD | 500 | 500 | |
| SECRETARY OF STATE | 25 | 25 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 558607 | Total |
| Program Services | 521865 | ProgramServices |
| Management And General | 36742 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 188017 | BOY |
| EOY | 97337 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6718 | BOY |
| EOY | 6719 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 194735 | BOY |
| EOY | 104056 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30000 | BOY |
| EOY | 30000 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30000 | BOY |
| EOY | 30000 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 164735 | BOY |
| EOY | 74056 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 164735 | BOY |
| EOY | 74056 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 194735 | BOY |
| EOY | 104056 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -90679 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 0 | FSAudited |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 488254 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 285520 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 507500 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 490500 | CurrentTaxYearMinus1Year |
| Current Tax Year | 467894 | CurrentTaxYear |
| Total | 2239668 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 488254 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 285520 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 507500 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 490500 | CurrentTaxYearMinus1Year |
| Current Tax Year | 467894 | CurrentTaxYear |
| Total | 2239668 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 2239668 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 473 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 72 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 139 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 43 | CurrentTaxYearMinus1Year |
| Current Tax Year | 33 | CurrentTaxYear |
| Total | 760 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 2240428 | TotalSupport |
| Gross Receipts From Admissions Etc | 66005 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.99970 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99920 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (35 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Method Of ValuationMethodOfValuation | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|
| ALBANY COUNTY TREASURER | ||||||||
| 525 GRAND AVE | LARAMIE | WY | 82070 | 836000101 | 501(C)(3) | 5000 | BOOK | GENERAL SUPPORT |
| AMERICAN MEDICAL RESPONSE | ||||||||
| 6200 SOUTH SYRACUSE WAY 200 | GREENWOOD VILLAGE | CO | 80111 | 752474011 | 501(C)(3) | 25500 | BOOK | GENERAL SUPPORT |
| CAMPBELL COUNTY MEMORIAL HOSPITAL | ||||||||
| PO BOX 3011 | GILLETTE | WY | 82717 | 830234097 | 501(C)(4) | 20590 | BOOK | GENERAL SUPPORT |
| CASPER COMMUNITY COLLEGE | ||||||||
| 125 COLLEGE DRIVE | CASPER | WY | 82601 | 836001132 | 501(C)(3) | 7500 | BOOK | GENERAL SUPPORT |
| CHEYENNE FIRE AND RESCUE | ||||||||
| 1912 CAREY AVE | CHEYENNE | WY | 82001 | 836000050 | 501(C)(3) | 5380 | BOOK | GENERAL SUPPORT |
| CHEYENNE REGIONAL MEDICAL CENTER | ||||||||
| 214 E 23RD STREET | CHEYENNE | WY | 82001 | 836000194 | 501(C)(3) | 27500 | BOOK | GENERAL SUPPORT |
| TOWN OF CHUGWATER - CHUGWATER AMBULANCE SERVICE | ||||||||
| 248 2ND STREET | CHUGWATER | WY | 82210 | 836017958 | 501(C)(3) | 8634 | BOOK | GENERAL SUPPORT |
| COMMUNITY HEALTH CENTER OF CENTRAL WYOMING | ||||||||
| 5000 BLACKMORE RD | CASPER | WY | 82609 | 830326307 | 501(C)(3) | 2500 | BOOK | GENERAL SUPPORT |
| EMS UNIVERSITY | ||||||||
| 501 S 48TH STREET 105 | TEMPE | AZ | 85281 | 830234097 | 501(C)(3) | 10000 | BOOK | GENERAL SUPPORT |
| TOWN OF GLENDO - GLENDO VOLUNTEER AMBULANCE SERVICE | ||||||||
| 203 SOUTH YELLOWSTONE HIGHWAY | GLENDO | WY | 82213 | 836000854 | 501(C)(3) | 20000 | BOOK | GENERAL SUPPORT |
| GLENROCK HEALTH CENTER | ||||||||
| 925 W BIRCH STREET | GLENROCK | WY | 82637 | 830197465 | 501(C)(3) | 7500 | BOOK | GENERAL SUPPORT |
| IVINSON MEMORIAL HOSPITAL | ||||||||
| 255 NORTH 30TH ST | LARAMIE | WY | 82070 | 836000188 | 501(C)(4) | 3000 | BOOK | GENERAL SUPPORT |
| JACKSON HOLE FIRE EMS | ||||||||
| 40 EAST PEARL AVE | JACKSON | WY | 83001 | 836000127 | 501(C)(3) | 7500 | BOOK | GENERAL SUPPORT |
| LANDER REGIONAL HOSPITAL | ||||||||
| 1320 BISHOP RANDALL DR | LANDER | WY | 82520 | 621823043 | 501(C)(4) | 7500 | BOOK | GENERAL SUPPORT |
| MEMORIAL HOSPITAL OF CARBON COUNTY | ||||||||
| PO BOX 460 | RAWLINS | WY | 82301 | 836000025 | 501(C)(4) | 8250 | BOOK | GENERAL SUPPORT |
| MEMORIAL HOSPITAL OF CONVERSE COUNTY | ||||||||
| PO BOX 1450 | DOUGLAS | WY | 82633 | 836000097 | 501(C)(4) | 22500 | BOOK | GENERAL SUPPORT |
| MEMORIAL HOSPITAL OF SWEETWATER COUNTY | ||||||||
| 1200 COLLGE DR | ROCK SPRINGS | WY | 82901 | 836000295 | 501(C)(4) | 9230 | BOOK | GENERAL SUPPORT |
| MOUNTAIN VIEW REGIONAL HOSPITAL | ||||||||
| 6550 E 2ND STREET | CASPER | WY | 82609 | 205067728 | 501(C)(3) | 10000 | BOOK | GENERAL SUPPORT |
| NATRONA COUNTY MRC | ||||||||
| 475 SOUTH SPRUCE STREET | CASPER | WY | 82601 | 830287956 | 501(C)(4) | 2500 | BOOK | GENERAL SUPPORT |
| NEWCASTLE AMBULANCE SERVICE | ||||||||
| 7 W WENTWORTH | NEWCASTLE | WY | 82701 | 830334753 | 501(C)(3) | 7978 | BOOK | GENERAL SUPPORT |
| NIOBRARA HEALTH AND LIFE CENTER | ||||||||
| 921 SOUTH BALLANCEE BLVD | LUSK | WY | 82225 | 830267414 | 501(C)(3) | 642 | BOOK | GENERAL SUPPORT |
| NORTH BIG HORN HOSPITAL | ||||||||
| 1115 LANE 12 | LOVELL | WY | 82431 | 836000891 | 501(C)(4) | 19500 | BOOK | GENERAL SUPPORT |
| NORTHERN COLORADO MEDICAL CENTER | ||||||||
| 1801 16TH STREET | GREELEY | CO | 80631 | 841287638 | 501(C)(3) | 22000 | BOOK | GENERAL SUPPORT |
| PLATTE COUNTY MEMORIAL HOSPITAL | ||||||||
| PO BOX 848 | WHEATLAND | WY | 82201 | 830249710 | 501(C)(4) | 9687 | BOOK | GENERAL SUPPORT |
| POWELL VALLEY HEALTHCARE | ||||||||
| 777 AVENUE H | POWELL | WY | 82435 | 830300467 | 501(C)(4) | 17000 | BOOK | GENERAL SUPPORT |
| READY RESPONSE TRAINING | ||||||||
| 3022 SUMMIT CT | CHEYENNE | WY | 82009 | 271926032 | 501(C)(3) | 111500 | BOOK | GENERAL SUPPORT |
| SHERIDAN MEMORIAL HOSPITAL | ||||||||
| 1401 WEST 5TH STREET | SHERIDAN | WY | 82801 | 836000241 | 501(C)(4) | 5250 | BOOK | GENERAL SUPPORT |
| SOUTH BIG HORN HOSPITAL | ||||||||
| 388 SOUTH US HWY 20 | BASIN | WY | 82410 | 820181409 | 501(C)(4) | 7675 | BOOK | GENERAL SUPPORT |
| ST JOHNS MEDICAL CENTER | ||||||||
| 625 E BROADWAY | JACKSON | WY | 83001 | 830230892 | 501(C)(3) | 17000 | BOOK | GENERAL SUPPORT |
| STAR VALLEY MEDICAL CENTER | ||||||||
| PO BOX 579 | AFTON | WY | 83110 | 830327251 | 501(C)(4) | 18400 | BOOK | GENERAL SUPPORT |
| WASHAKIE MEDICAL CENTER | ||||||||
| PO BOX 700 | WORLAND | WY | 82401 | 630249708 | 501(C)(4) | 2325 | BOOK | GENERAL SUPPORT |
| WEST PARK HOSPITAL | ||||||||
| 707 SHERIDAN AVE | CODY | WY | 82414 | 830207671 | 501(C)(4) | 4400 | BOOK | GENERAL SUPPORT |
| WESTERN STATES BURN CENTER | ||||||||
| 1801 16T STREET | GREELEY | WY | 80631 | 841591715 | 501(C)(3) | 11000 | BOOK | GENERAL SUPPORT |
| WESTON COUNTY HEALTH SERVICES | ||||||||
| 1124 WASHINGTON BLVD | NEWCASTLE | WY | 82701 | 830323512 | 501(C)(4) | 6500 | BOOK | GENERAL SUPPORT |
| WYOMING MEDICAL CENTER | ||||||||
| 1233 EAST 2ND STREET | CASPER | WY | 82601 | 830279242 | 501(C)(4) | 10000 | BOOK | GENERAL SUPPORT |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | MEDICAL GRANT | TypeOfGrant |
| Number Of Recipients | 4 | NumberOfRecipients |
| Amount Of Cash Grant | 13700 | AmountOfCashGrant |
| Method Of Valuation | CASH | MethodOfValuation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DAN PERDUE | NamePerson |
| Title | MEMBER | Title |
| Base Compensation Filing Org | 0 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 185658 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 0 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 30595 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 0 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 216253 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | A COPY OF THE 990 IS PROVIDED TO THE BOARD PRIOR TO IT'S FILING. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL PUBLIC DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART III, LINE 1 | THE WYOMING HOSPITAL RESEARCH AND EDUCATION FOUNDATION, INC WAS FORMED FOR THE PURPOSE OF BRINGING BETTER HEALTH CARE TO THE PEOPLE OF WYOMING. THE MAIN ACTIVITY OF THE ORGANIZATION WILL BE EDUCATION AND WILL SPONSOR EDUCATIONAL PROGRAMS FOR THE PEOPLE INVOLVED IN HEALTH FIELDS. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WYOMING HOSPITAL ASSOCIATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2005 WARREN AVENUE | AddressLine1 |
| City | CHEYENNE | City |
| State | WY | State |
| ZIP Code | 82001 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 830210517 | EIN |
| Primary Activities | SEE SCHEDULE R PART VII | PrimaryActivities |
| Legal Domicile State | WY | LegalDomicileState |
| Exempt Code Section | 501(C)(4) | ExemptCodeSection |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WYOMING HOSPITAL ASSOCIATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | M | TransactionType |
| Amount Involved | 21980 | AmountInvolved |
| Method Of Amt Determination | CASH | MethodOfAmtDetermination |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | SCHEDULE R, PART II (B) | ReturnReference |
| Explanation | PROVIDING LEADERSHIP, REPRESENTATION AND ADVOCACY FOR WYOMING HOSPITALS | Explanation |
Comments