NATRONA COLLECTIVE HEALTH TRUST: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- NATRONA COLLECTIVE HEALTH TRUST (EIN 83-0230808)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-15
- IRS object ID
- 201341359349305369
- Schema version
- 2011v1.5
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-15T13:00:29-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450250958 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eide Bailly LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 Nicollet Mall Ste 1300 | AddressLine1 |
| City | Minneapolis | City |
| State | MN | State |
| ZIP Code | 554027033 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 830230808 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wyoming Medical Center Foundation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WYOM | NameControl |
| Phone | 3075772188 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1233 East Second Street | AddressLine1 |
| City | Casper | City |
| State | WY | State |
| ZIP Code | 82601 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Karen Zaback | Name |
| Title | Chair | Title |
| Phone | 3075772188 | Phone |
| Date Signed | 2013-05-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Lisa Chaffee CPA | Name |
| PTIN | P00193453 | PTIN |
| Phone | 6122536500 | Phone |
| Date Prepared | 2013-05-08 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Karen Zaback | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1233 East Second Street | AddressLine1 |
| City | Casper | City |
| State | WY | State |
| ZIP Code | 82601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1434537 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.wyomingmedicalcenterfoundation.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1976 | YearFormation |
| State Legal Domicile | WY | StateLegalDomicile |
| Activity Or Mission Description | To support the mission of the Wyoming Medical Center and the health of the community. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 47 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1504334 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 391008 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 274773 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 449289 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 37414 | InvestmentIncomePriorYear |
| Investment Income Current Year | 55206 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 92464 | OtherRevenuePriorYear |
| Other Revenue Current Year | 22982 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1908985 | TotalRevenuePriorYear |
| Total Revenue Current Year | 918485 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1535438 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 23142 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 452930 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 432352 | 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 | 674162 | OtherExpensePriorYear |
| Other Expenses Current Year | 443560 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 2662530 | TotalExpensesPriorYear |
| Total Expenses Current Year | 899054 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -753545 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 19431 | RevenuesLessExpensesCY |
| Total Assets BOY | 5031680 | TotalAssetsBOY |
| Total Assets EOY | 5278328 | TotalAssetsEOY |
| Total Liabilities BOY | 98776 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 35209 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 4932904 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 5243119 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | The Foundation's mission is to visibily improve the health of the community by providing financial and educational support in partnership with Wyoming Medical Center. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 351524 | Expense |
| Grants | 2970 | Grants |
| Revenue | 449289 | Revenue |
| Description | Masterson Place, the Foundation's "home away from home", provides out of town patients and families a comfortable place to stay while receiving medical care in Casper. Each night, the facility averages 13 residents for a reasonable rate of $40. Masterson Place serves all needs including heart, cancer, neurological and trauma patients and families. Basic services include transportation to and from the facility, laundry and linen services, a small entertainment area as well as a reading library. The staff offers comfort to guests and their families as well as assistance in accessing medical and social services. Approximately 10,000 guests were served and $2,970 worth of room subsidy during the year ended June 30, 2012. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 138295 | Expense |
| Description | Community Programs and support of Wyoming Medical Center: the Foundation assisted Wyoming Medical Center with public and community related efforts outside usual operational expenses for medical, civic, charitable, scientific, and educational purposes. The Foundation is holding funds for a capital campaign for Wyoming Medical Center construct a new tower, but no funds were distributed this year. It also raises funds for the Life Flight program, which is the only one in Wyoming, to purchase uniforms and specialized equipment when needed. The Foundation oversees the funds for the Prevent Alcohol Related Trauma in Youth (P.A.R.T.Y.) program, which educates the community about the risks of alcohol related trauma. The Foundation also supports many other community related programs. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 62829 | Expense |
| Grants | 10972 | Grants |
| Description | Angels Program: The goal of the Angels Program is to offer support and services to cancer patients and their families around the state while they are going through treatment in Casper. We provide awareness and mammograms as well as women's exams for the uninsured and patients in need. The Angels Program has a group of 35 volunteers that provide meals and one-on-one support to patients and their families. We provide a library, art therapy, wigs, prosthesis, gas cards, grocery cards, utility payments, housekeeping, lodging and food vouchers so that patients can concentrate on healing and spending time with loved ones rather than worrying about day to day problems. The Angels Program is currently meeting the needs of at least 300 families. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 113486 | Expense |
| Grants | 9200 | Grants |
| Description | Safe Kids of Central Wyoming is dedicated to the prevention of unintentional injury to children through education, advocacy, enforcement and environmental changes. Serving Central Wyoming, the coalition is comprised of almost 50 individuals who represent law enforcement, safety and health advocates, parents and grandparents, education professionals, child advocate groups, city and county officals. Every year, a Safe Kids Day is held where more than 1,000 participants enjoy a day of fun and learning in an interactive environment. More than 300 helmets are distributed, 250 car seats are checked with more than 100 distributed, over 100 life jackets are distributed to children and families on an annual basis. Monthly car seat checks, bike rodeos, booster seat demonstrations in elementary schools, seat belt campaigns at the junior and senior high levels are routine calendar items. Involvement to prevent drunk driving is continual in an effort to protect children and their families. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 113486 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 9200 | TotalOfOtherProgramServiceGrnt |
| Total Program Service Expense | 666134 | 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 | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | 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 | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | 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 | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 10 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| 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 | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | 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 | 1 | 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 | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | 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 | Nathan Stutte | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3075772767 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1233 East 2nd St | AddressLine1 |
| City | Casper | City |
| State | WY | State |
| ZIP Code | 86201 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (16 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| Miriam Temme | ||||||
| Board Chair | 1.50 | X | X | 0 | 0 | 0 |
| Karen Zaback | ||||||
| Vice Chair | 0.50 | X | X | 0 | 0 | 0 |
| Jessica Oden | ||||||
| Secretary/Treasurer | 0.50 | X | X | 0 | 0 | 0 |
| Bob Barnard | ||||||
| Board Member | 0.50 | X | 0 | 0 | 0 | |
| Patricia Cloud | ||||||
| Board Member | 0.50 | X | 0 | 0 | 0 | |
| Vickie Diamond | ||||||
| Board Member/CEO WMC | 1.00 | X | 0 | 572431 | 26288 | |
| Dick Dresang | ||||||
| Board Member | 0.50 | X | 0 | 0 | 0 | |
| Cheryl Graff | ||||||
| Board Member | 0.50 | X | 0 | 0 | 0 | |
| Susie McMurry | ||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |
| John Purviance | ||||||
| Board Member | 0.50 | X | 0 | 0 | 0 | |
| Dax Collins | ||||||
| Board Member | 0.50 | X | 0 | 0 | 0 | |
| Marie Hill | ||||||
| Board Member | 0.50 | X | 0 | 0 | 0 | |
| Deanne Sramek | ||||||
| Board Member | 0.50 | X | 0 | 0 | 0 | |
| Kyle Thompson | ||||||
| Board Member | 0.50 | X | 0 | 0 | 0 | |
| Shawn Bassham | ||||||
| Executive Director (July-December) | 40.00 | X | 130005 | 0 | 14837 | |
| Pam Walker | ||||||
| Interim Executive Director (Feb-Jun) | 40.00 | X | 54288 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 184293 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 572431 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 41125 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| All Other Contributions | 391008 | AllOtherContributions |
| Total Contributions | 391008 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Masterson Place Rev | 721000 | 274289 | 274289 |
| Income from Affiliate | 900099 | 175000 | 175000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 449289 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 18974 | TotalRevenueColumn |
| Exclusion | $18,974 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 508702 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 472470 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 36232 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 36232 | TotalRevenueColumn |
| Exclusion | $36,232 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 66564 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 43582 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 22982 | TotalRevenueColumn |
| Exclusion | $22,982 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 918485 | TotalRevenueColumn |
| Related Or Exempt Function Income | 449289 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $78,188 | ExclusionAmount |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23142 | Total |
| Program Services | 23142 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 145094 | Total |
| Program Services | 101566 | ProgramServices |
| Management And General | 43528 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 287258 | Total |
| Program Services | 162106 | ProgramServices |
| Management And General | 125152 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 860 | Total |
| Management And General | 860 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7530 | Total |
| Management And General | 7530 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14985 | Total |
| Management And General | 14985 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 565 | Total |
| Program Services | 475 | ProgramServices |
| Management And General | 90 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30847 | Total |
| Program Services | 26067 | ProgramServices |
| Management And General | 4780 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 65990 | Total |
| Program Services | 51173 | ProgramServices |
| Management And General | 14817 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2512 | Total |
| Program Services | 62 | ProgramServices |
| Management And General | 2450 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 78978 | Total |
| Program Services | 73908 | ProgramServices |
| Management And General | 5070 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31616 | Total |
| Program Services | 27642 | ProgramServices |
| Management And General | 3974 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3562 | Total |
| Program Services | 3162 | ProgramServices |
| Management And General | 400 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72895 | Total |
| Program Services | 72895 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13556 | Total |
| Program Services | 12534 | ProgramServices |
| Management And General | 1022 | ManagementAndGeneral |
Other Expenses OtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Community Programs | Description |
| Total | 54906 | Total |
| Program Services | 54906 | ProgramServices |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 64758 | Total |
| Program Services | 56496 | ProgramServices |
| Management And General | 8262 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 899054 | Total |
| Program Services | 666134 | ProgramServices |
| Management And General | 232920 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 909536 | BOY |
| EOY | 1123700 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1158633 | BOY |
| EOY | 757352 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5483 | BOY |
| EOY | 20139 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1957449 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 671517 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1353611 | BOY |
| EOY | 1285932 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1390709 | BOY |
| EOY | 1455805 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 199919 | BOY |
| EOY | 621611 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13789 | BOY |
| EOY | 13789 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5031680 | BOY |
| EOY | 5278328 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 4008 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 98776 | BOY |
| EOY | 31201 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 98776 | BOY |
| EOY | 35209 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2592648 | BOY |
| EOY | 3039653 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1776825 | BOY |
| EOY | 1640035 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 563431 | BOY |
| EOY | 563431 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4932904 | BOY |
| EOY | 5243119 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5031680 | BOY |
| EOY | 5278328 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 19431 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 290784 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wyoming Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 830279242 | EIN |
| Type Of Organization | 3 | TypeOfOrganization |
| Listed In Governing Doc | 1 | ListedInGoverningDoc |
| Amount | $0 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 0 | SumOfAmounts |
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 D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1511270 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 10478 | InvestmentEarningsOrLosses |
| Other Expenditures | 10478 | OtherExpenditures |
| End Of Year Balance | 1511270 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1111270 | BeginningOfYearBalance |
| Contributions | 400000 | Contributions |
| Investment Earnings Or Losses | 93488 | InvestmentEarningsOrLosses |
| Other Expenditures | 93488 | OtherExpenditures |
| End Of Year Balance | 1511270 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1111270 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 42331 | InvestmentEarningsOrLosses |
| Other Expenditures | 42331 | OtherExpenditures |
| End Of Year Balance | 1111270 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.62720 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.37280 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 340885 | OtherCostOrOtherBasis |
| Book Value | 340885 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1337947 | OtherCostOrOtherBasis |
| Depreciation | 446509 | Depreciation |
| Book Value | 891438 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 278617 | OtherCostOrOtherBasis |
| Depreciation | 225008 | Depreciation |
| Book Value | 53609 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1285932 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Investment in Hospital Foundation Ventures, Inc. | Description |
| Book Value | 621611 | BookValue |
| Method Of Valuation | C | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 621611 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Due to Wyoming Medical Center | Description |
| Amount | $31,201 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 31201 | TotalOfAmounts |
| Total Revenue | 918485 | TotalRevenue |
| Total Expenses | 899054 | TotalExpenses |
| Excess Or Deficit For Year | 19431 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -39107 | NetUnrealizedGLOnInvestments |
| Other | $329,891 | OtherAmount |
| Total Adjustments | 290784 | TotalAdjustments |
| Excess Or Deficit Per FS | 310215 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 2060588 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -39107 | NetUnrealizedGainsInvestments |
| Other Revenues | 1312628 | OtherRevenues |
| Revenue Not Rptd F990 | 1273521 | RevenueNotRptdF990 |
| Revenue Subtotal | 787067 | RevenueSubtotal |
| Other Revenues Not Included | 131418 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 131418 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 918485 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 1228056 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 329002 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 329002 | ExpensesNotRptdF990 |
| Expenses Subtotal | 899054 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 899054 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Intended Use of Endowment Funds: | Part V, Line 4: | The Foundation has an endowment on which the investment earnings are available to be used for Foundation general operating expenses. |
| Description of Uncertain Tax Positions Under FIN 48: | Part X: | 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 undergoes annual analysis of its various tax positions, assessing the likelihood of these positions being upheld with relevant tax authorities, as defined by the accounting principles generally accepted in the United States of America. The Foundation believes that it is compliant with all IRS tax regulations and as of June 30, 2012 has not recorded a tax liability for a tax uncertainty. The Foundation will recognize future accrued interest and penalties related to unrecognized tax liabilities in income tax expense if incurred. |
| Part XI, Line 8 - Other Adjustments: | Change in Valuation of Bad Debt Expense from Pledges -144,924. Change in Valuation of Discount on Pledges 53,123. Change in Value of Subsidiary Hospital Foundation Ventures Inc. 421,692. Total to Schedule D, Part XI, Line 8: 329,891. | |
| Part XII, Line 2d - Other Adjustments: | Net Assets Released from Restrictions on Financial Statements 430,516. Subsidiary Hospital Foundation Ventures, Inc. Revenues 882,112. | |
| Part XII, Line 4b - Other Adjustments: | Fundraising Expenses Reported in Expenses on Financial Statements -43,582. Subsidiary Hospital Foundation Ventures, Inc. Distribution 175,000. | |
| Part XIII, Line 2d - Other Adjustments: | Subsidiary Hospital Foundation Ventures, Inc. Expenses 285,420. Fundraising Expenses Reported in Revenue on Form 990 43,582. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Wine with a View | NameOfEvent1 |
| Gross Receipts Event1 | 66564 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 66564 | GrossRevenueEvent1 |
| Food And Beverage Event1 | 19854 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 23728 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 66564 | GrossReceiptsTotal |
| Gross Revenue Total Events | 66564 | GrossRevenueTotalEvents |
| Food And Beverage Total Events | 19854 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 23728 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 43582 | DirectExpenseSummaryEvents |
| Net Income Summary | 22982 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII (6 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance | Amount Of Cash GrantAmountOfCashGrant |
|---|---|---|---|---|---|
| Car Seats | 100 | 5000 | FMV | Provided car seats to those in need. | |
| Helmets | 300 | 3000 | FMV | Provided helmets to children. | |
| Life Jackets | 100 | 1200 | FMV | Provided life jackets to children. | |
| Mammograms | 118 | 10031 | |||
| Travel for Children's Medical Appointments | 8 | 941 | |||
| Masterson Place Rooms | 74 | 2970 |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | 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 estimates for car seats, helmets, and life jackets are a best guess of the number of each item given out at various events and to walk-ins at our office. The mammograms are an average of the number of patients billed for over 12 months. The cancer patient assistance and travel for children's medical appointments are the number of checks we cut to those needing assistance. The Masterson Place rooms are the total paid by the Foundation divided by the $40 per night rate. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 1 | 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 | Vickie Diamond | NamePerson |
| Base Compensation Filing Org | 0 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 472459 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 90000 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 9972 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 26288 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 0 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 5620 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 0 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 604339 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part I, Line 4a | Shawn Bassham: Severance pay of $22,295.20 and severance cobra premiums of $6,631.82 | |
| Part III | For the purposes of determining compensation, the filing organization relied on a related organization to establish compensation of the CEO of Wyoming Medical Center. The related organization used the following practices for establishing compensation for such individuals: compensation committee, written employment contract, compensation survey or study, and approval by the board or compensation committee. | Supplemental Information |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 1 | The Executive Committee of the Board may act on behalf of the Board to make decisions based on motions made at regular Board meetings. This committee is comprised of the Board Chair, Board Vice Chair and Board Treasurer. | |
| Form 990, Part VI, Section A, line 7a | The Foundation's Board includes the CEO of Wyoming Medical Center, the current President of the Blue Envelope Health Fund, and the current President of the Wyoming Medical Center Auxiliary. The Foundation's Board must have eight community representatives as approved and appointed by the Wyoming Medical Center. | |
| Form 990, Part VI, Section B, line 11 | A public accounting firm was contracted to prepare the Form 990. The Secretary/Treasurer will review the Form 990 with the Executive Director and the Finance Officer. The Form 990 will be presented to the Board for approval and upon approval, will be 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 Executive Director reviews the conflict forms. When voting on projects where an individual board member has a conflict, they will abstain from voting. The Executive 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 15a | The Executive Director is reviewed under the Wyoming Medical Center Director and Manager process that includes a 360 evaluation, a Wyoming Medical Center evaluation form and the percentage raise is based on this score. Additionally, the Executive Director's performance and compensation is reviewed by the Executive Committee led by the Board Chair regarding the goals set at the beginning of the fiscal year. A predetermined bonus (10% of salary) is prorated based on the accomplishments within the strategic plan and the Executive Director's goals for the year. Every 12-18 months, Wyoming Medical Center will conduct a market survey to determine if there are potential market adjustments based on similar jobs and if there are any market increases. This process was undertaken in August 2011 for the Executive Director Shawn Bassham. | |
| 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: | In addition to the hours served at the Wyoming Medical Center Foundation, Vickie Diamond served 45 hours per week at the Wyoming Medical Center, a related organization. The Executive Director is employed by a related organization, Wyoming Medical Center. The salary for this position is reimbursed by the Wyoming Medical Center Foundation. | |
| Form 990, Part XI, line 5: | Net unrealized losses on investments: -39,107. Change in Valuation of Bad Debt Expense from Pledges -144,924. Change in Valuation of Discount on Pledges 53,123. Change in Value of Subsidiary Hospital Foundation Ventures Inc. 421,692. Total to Form 990, Part XI, Line 5: 290,784. | Changes in Net Assets or Fund Balances: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wyoming Medical Center | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1233 East Second St | AddressLine1 |
| City | Casper | City |
| State | WY | State |
| ZIP Code | 82601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 830279242 | EIN |
| Primary Activities | Medical Services | PrimaryActivities |
| Legal Domicile State | WY | LegalDomicileState |
| Exempt Code Section | 501(c)(3) | ExemptCodeSection |
| Public Charity Status | Line 3 | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Controlled Org | 0 | ControlledOrg |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hospital Foundation Ventures Inc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1233 East 2nd St | AddressLine1 |
| City | Casper | City |
| State | WY | State |
| ZIP Code | 82601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 830282249 | EIN |
| Primary Activity | Business Investment | PrimaryActivity |
| Legal Domicile State | WY | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wyoming Medical Center Foundation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Share Of Total Income | 882112 | ShareOfTotalIncome |
| Share Of EOY Assets | 755711 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| 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 |
| 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 | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hospital Foundation Ventures Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | R | TransactionType |
| Amount Involved | 175000 | AmountInvolved |
| Method Of Amt Determination | Actual Amount | MethodOfAmtDetermination |