2023-11-06T12:16:12-05:00 2022-12-31 841483675 RLR LLP POBOX 483 CHEYENNE WY 82003 990 2022-01-01 830236858 CHEYENNE REGIONAL MEDICAL CENTER FOUNDATION CHEY 3076337667 214 EAST 23RD STREET CHEYENNE WY 82001 SCOTT FOX EXECUTIVE DIRECTOR 3076337667 2023-11-01 true SCOTT FOX 999009999 false ROBERT B DICKERSON P00432362 3077576866 2023-11-01 2022 2023-04-26 12:10:37Z SCOTT FOX 214 EAST 23RD STREET CHEYENNE WY 82001 1976962 false X GIVE.CHEYENNEREGIONAL.ORG X 1977 WY THE FOUNDATION INFORMS, DEVELOPS AND STEWARDS RESOURCES IN SUPPORT OF THE CHEYENNE REGIONAL HEALTH SYSTEM'S MISSION TO INSPIRE GREAT HEALTH. 24 24 0 150 0 1251637 660598 0 943772 593674 325102 293513 2520511 1547785 1486685 1514451 0 402039 0 12232 31574 287817 203890 2176541 1730573 343970 -182788 25884628 21675603 1761965 2169314 24122663 19506289 THE FOUNDATION INFORMS, DEVELOPS AND STEWARDS RESOURCES IN SUPPORT OF THE CHEYENNE REGIONAL HEALTH SYSTEM'S MISSION TO INSPIRE GREAT HEALTH. false false 1336575 1270320 PURCHASE OF MEDICAL EQUIPMENT AND RELATED EXPENSES IN SUPPORT OF THE CHEYENNE REGIONAL HEALTH SYSTEM. IN 2021 (PAID IN 2021) & 2022, THE FOUNDATION SUPPORTED CRMC'S ICU RENOVATION & BEHAVIORAL HEALTH SERVICES (ANNUAL CAMPAIGNS FOR 2021 & 2022), AND ALSO INCLUDED IN EQUIPMENT & PROGRAMS FOR VARIOUS DEPARTMENTS ACCROSS THE HEALTH SYSTEM. IN 2022, 102 NEW GRANTS WERE APPROVED. 173510 173510 ONGOING SUPPORT OF CHEYENNE REGIONAL CANCER CENTER AND DAVIS HOSPICE CENTER PROGRAM AND SERVICES. THIS INCLUDES CONTINUED STEWARDSHIP OF PLEDGES MADE DURING THE CANCER CENTER CAPITAL CAMPAIGN. IT ALSO INCLUDES STEWARDSHIP OF THE DAVIS HOSPICE CENTER PROGRAMS SUCH AS THE "TREE OF REMEMBRANCE" HELD ANNUALLY. 70621 70621 SUPPORT FOR THE CHEYENNE REGIONAL INJURY PREVENTION PROGRAM. THIS INCLUDES PROGRAMS AND SERVICES PROVIDED AS PART OF THE "SAFE KIDS OF LARAMIE COUNTY" PROGRAM. GOALS OF THIS PROGRAM INCLUDE REDUCTION IN FATALITIES FOR UNRESTRAINED VEHICLE OCCUPANTS AND TO EDUCATE AND PROTECT FAMILIES IN SOUTHEAST WYOMING BY ADDRESSING THE PRIMARY CAUSES OF INJURY TO CHILDREN & ADOLESCENTS. 1580706 true true false false false false false false false true true false false false true true true false false false false false false false true false false true false false false false false false false false false false true false false false false true false true false true 6 0 true 0 false false false false false true true false false false false false false X 24 24 false false false false false false false true true false false true true true true true true true true false X THE ORGANIZATION 3076337667 214 EAST 23RD STREET CHEYENNE WY 82001 SCOTT FOX EXECUTIVE DI 40.00 X 0 140846 6021 VICTORIA FRY JD DIR MAJ GIFT 40.00 X 0 111250 31467 SUE MECCA CHAIR 2.00 X X 0 0 0 SANDRA SURBRUGG MD VICE CHAIR 2.00 X X 0 0 0 DAVID COOK PAST CHAIR 2.00 X X 0 0 0 PJ BARRETT TREASURER 2.00 X X 0 0 0 MEGAN ROMANO JD SECRETARY 2.00 X X 0 0 0 HARMON DAVIS II MD DIRECTOR 1.00 X 0 0 0 FRAN NALER DIRECTOR 1.00 X 0 0 0 GREG VAUGHN DIRECTOR 1.00 X 0 0 0 SAM BASS RN DIRECTOR 1.00 X 0 0 0 MARK HOWSHAR MD DIRECTOR 1.00 X 0 0 0 BOB JENSEN DIRECTOR 1.00 X 0 0 0 DAVID LIND MD DIRECTOR 1.00 X 0 0 0 CAROL MERRELL DIRECTOR 1.00 X 0 0 0 GARY NEW DIRECTOR 1.00 X 0 0 0 STEVE NEWTON EDD DIRECTOR 1.00 X 0 0 0 ANN NORWOOD DIRECTOR 1.00 X 0 0 0 PAM WINTER DIRECTOR 1.00 X 0 0 0 JJ CHEN MD DIRECTOR 1.00 X 0 0 0 PHYLLIS SHERARD PHD DIRECTOR 1.00 X 0 0 0 BARBARA STAFFORD DIRECTOR 1.00 X 0 0 0 LINDA FINNERTY DIRECTOR 1.00 X 0 0 0 JULIE MALM DIRECTOR 1.00 X 0 0 0 LORRAINE SALAZAR DIRECTOR 1.00 X 0 0 0 SHERIDAN HANSON DIRECTOR 1.00 X 0 0 0 252096 37488 false false false 131755 99010 12600 417233 193233 660598 370510 370510 446328 223164 223164 223164 223164 499526 131755 206013 293513 293513 1547785 887187 1514451 1514451 12232 12232 84643 84643 7602 7602 11577 4399 3589 3589 34264 13020 10622 10622 61 23 19 19 868 330 269 269 CUSTOMER RELATIONS 19811 19811 MISCELLANEOUS 19052 11589 7463 BOOKS AND EDUCATION 11429 11429 MEALS 10784 4098 3343 3343 3799 1556 743 1500 1730573 1580706 118293 31574 1067384 772858 200054 200685 5302 23321 43407 42537 1738 870 24566117 20640311 44033 37558 25884628 21675603 39989 26202 1243976 1767112 478000 376000 1761965 2169314 X 12163313 9005721 11959350 10500568 24122663 19506289 25884628 21675603 X -182788 -4433586 X true X true X true false X 1843014 1104745 2247297 1251637 660598 7107291 1843014 1104745 2247297 1251637 660598 7107291 1020214 6087077 265526 306721 291913 379953 370510 1614623 8721914 1295097 0.69790 0.71970 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4297353 3000 -138361 10875 4151117 4119418 148827 40706 11598 4297353 3531714 523150 64554 4119418 3409128 15200 117227 9841 3531714 3279678 266594 -108826 4429 23889 3409128 1.00000 true false 13019 12150 869 30388 30387 1 870 PLEDGES PAYABLE 376000 376000 X -2267989 -4433586 496442 -3937144 1669155 84643 -206013 -121370 1547785 2348385 496442 496442 1851943 84643 -206013 -121370 1730573 SCHEDULE D, PAGE 2, PART V, LINE 4 THE FOUNDATION ENDOWMENTS ARE INTENDED TO SUPPORT THE ONGOING SUPPORT OF SERVICES AT CHEYENNE REGIONAL MEDICAL CENTER IN THE AREAS OF ONCOLOGY/CANCER SERVICES, CARDIAC SERVICES, NURSING EDUCATION (THROUGH SCHOLARSHIPS), AND HOSPICE PROGRAMS AND SERVICES (INCLUDING OPERATION OF THE DAVIS HOSPICE CENTER). ADDITIONALLY, THE FOUNDATION HAS A GENERAL ENDOWMENT TO SUPPORT "THE AREA OF GREATEST NEED." SCHEDULE D, PAGE 3, PART X THE FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PRESENTED IN THESE FINANCIAL STATEMENTS. DUE TO THE FOUNDATION'S NON-PROFIT QUALIFICATION, DONORS MAY BE ENTITLED TO A CHARITABLE DEDUCTION FOR AMOUNTS CONTRIBUTED TO THE FOUNDATION. THERE ARE NO UNRELATED BUSINESS ACTIVITIES SUBJECT TO INCOME TAXES. THE TAX RETURNS FOR DECEMBER 31, 2022, 2021, AND 2020 REMAIN OPEN FOR EXAMINATION. SCHEDULE D, PAGE 4, PART XI, LINE 4B COST OF DIRECT BENEFIT -126,544 IN-KIND DONATIONS - FUNDRAISING -79,469 SCHEDULE D, PAGE 4, PART XII, LINE 4B OUTREACH AND EVENTS -126,544 IN-KIND DONATIONS -79,469 DENIM & DIAMOND 461324 115475 345849 63189 89706 GOLF CLASSIC 82884 82884 30829 3 82723 16280 66443 1500 16280 4509 626931 131755 495176 1500 79469 125044 206013 289163 false CHEYENNE REGIONAL MEDICAL CENTER 214 EAST 23RD STREET CHEYENNE WY 82001 836000194 GOV 1499747 14704 FMV DONATED GOODS SUPPORT X DONATED GOODS 192 94223 FMV X CRMC IN-KIND 12 99010 FMV false true false SCHEDULE M, PAGE 2, PART II WE ARE REPORTING THE NUMBER OF TRANSACTIONS FOR DONATED GOODS. WE ARE REPORTING 12 MONTHS OF EXPENSES PAID FOR BY CHEYENNE REGIONAL MEDICAL CENTER. FORM 990, PAGE 1, PART I, LINE 6 NUMBER OF VOLUNTEERS INCLUDE THE MEMBERS OF THE BOARD OF DIRECTORS (ALL VOLUNTEER), VOLUNTEERS SUPPORTING MAJOR EVENTS,AND VOLUNTEERS SUPPORTING OTHER EVENTS/ACTIVITIES THROUGHOUT THE YEAR. FORM 990, PAGE 6, PART VI, LINE 11B THE EXECUTIVE DIRECTOR REVIEWS THE FORM 990. IT IS THEN REVIEWED BY THE FINANCE COMMITTEE. ONCE THE BOARD FINANCE COMMITTEE HAS APPROVED THE FORM 990, IT IS SIGNED AND DISTRIBUTED TO THE FULL BOARD OF DIRECTORS PRIOR TO BEING FILED WITH THE IRS. FORM 990, PAGE 6, PART VI, LINE 12C ORGANIZATION BYLAWS REQUIRE ALL DIRECTORS/STAFF/COMMITTEE MEMBERS MUST REVIEW THE CONFLICT OF INTEREST POLICY AND SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. SHOULD THE INFORMATION CHANGE MATERIALLY DURING THE YEAR, THEY ARE REQUIRED TO DISCLOSE SUCH CHANGES AND REVISE THEIR ANNUAL DISCLOSURE STATEMENT. FORM 990, PAGE 6, PART VI, LINE 15A THE COMPENSATION FOR THE EXECUTIVE DIRECTOR IS SET BY CHEYENNE REGIONAL MEDICAL CENTER AS THE EXECUTIVE DIRECTOR IS AN EMPLOYEE OF THE MEDICAL CENTER IN ACCORDANCE WITH THE MEMORANDUM OF UNDERSTANDING BETWEEN CRMC AND THE FOUNDATION. FORM 990, PAGE 6, PART VI, LINE 15B ALL EMPLOYEE SALARIES ARE SET BY THE CHEYENNE REGIONAL MEDICAL CENTER IN ACCORDANCE WITH THE MEMORANDUM OF UNDERSTANDING BETWEEN CRMC AND THE FOUNDATION. FORM 990, PAGE 6, PART VI, LINE 19 ALL GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9 COST OF DIRECT BENEFIT 126,544 IN-KIND DONATIONS - FUNDRAISING 79,469 OUTREACH AND EVENTS -126,544 IN-KIND DONATIONS -79,469 CHEYENNE REGIONAL MEDICAL CENTER 214 EAST 23RD STREET CHEYENNE WY 82001 836000194 HOSPITAL WY N/A false false true false false false false false false false false false false false false true false false true true CHEYENNE REGIONAL MEDICAL CENTER S 175466 FMV CHEYENNE REGIONAL MEDICAL CENTER B 1499747 FMV CHEYENNE REGIONAL MEDICAL CENTER O 419986 FMV CHEYENNE REGIONAL MEDICAL CENTER R 14704 FMV SCHEDULE R THE FOUNDATION HAS NO EMPLOYEES, ALL PAYROLL AND APPLICABLE TAX FILINGS ARE DONE THROUGH THE HOSPITAL.