2024-11-14T10:31:07-06:00 2024-06-30 830232451 SKOGEN COMETTO & ASSOCIATES PC 104 SOUTH WOLCOTT SUITE 735 CASPER WY 82601 990 2023-07-01 830309209 CONVERSE COUNTY HOSPITAL FOUNDATION CONV 3073582122 PO BOX 393 DOUGLAS WY 82633 JENNE MILLER TREASURER 3073592459 2024-11-11 1 1 ROXY L SKOGEN CPA P00072753 3072345395 2023 2024-10-15 13:58:12Z JENNE MILLER PO BOX 68 DOUGLAS WY 82633 278547 0 X WWW.CONVERSECOUNTYHOSPITALFOUNDATION.ORG X 1994 WY BUILD A STRONG FINANCIAL FOUNDATION TO PROMOTE AND ENSURE THE CONTINUED GROWTH OF QUALITY HEALTHCARE IN CONVERSE COUNTY. 8 8 0 0 0 0 166556 163435 0 0 28413 24893 59253 38562 254222 226890 57545 12400 0 0 0 0 0 0 0 22727 18972 80272 31372 173950 195518 1929206 2278041 576 1200 1928630 2276841 BUILD A STRONG FINANCIAL FOUNDATION TO PROMOTE AND ENSURE THE CONTINUED GROWTH OF QUALITY HEALTHCARE IN CONVERSE COUNTY. 0 0 22092 12400 THE ORGANIZATION COLLECTS AND INVESTS FUNDS TO BE PROVIDED TO SUPPORTED ORGANIZATIONS FOR THE BENEFIT AND PROVISION OF HEALTH CARE SERVICES. 22092 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 X THE ORGANIZATION 3073582122 111 S 5TH STREET DOUGLAS WY 82633 X RHONDA DILTS MEMBER 0.50 X 0 0 0 MATT DAMMEYER MEMBER 0.50 X 0 0 0 KEITH MOORE MEMBER 0.50 X 0 0 0 ROSS GORMAN MEMBER 0.50 X 0 0 0 DR SANDRA GEBHART VICE CHAIRPERSON 0.50 X 0 0 0 ANDREW BEARD CHAIRPERSON 3.00 X 0 0 0 JENNIFER RINN FOUNDATION DIRECTOR 20.00 X 0 0 0 JENNE MILLER SECRETARY/TREASURER 1.00 X 0 0 0 0 0 0 0 0 0 0 0 39700 123735 163435 26077 26077 8625 9809 -1184 -1184 -1184 80410 39700 41848 38562 38562 226890 0 0 63455 6400 6400 6000 6000 1250 1250 964 964 1149 1149 797 797 CHAMPION OF EXCELLENCE 4000 4000 DOUG ENDERS MEMORIAL 4000 4000 DUES & SUBSCRIPTIONS 3858 3858 FIFTY FAMILIES 1395 1395 1559 297 1262 31372 22092 9280 0 77399 67900 212471 400679 11976 11976 0 0 1191444 1291069 447892 516393 0 2000 1929206 2278041 576 1200 576 1200 X 1250562 1519534 678068 757307 1928630 2276841 1929206 2278041 195518 152693 0 X 0 0 0 X X 1 MEMORIAL HOSPITAL OF CONVERSE COUNTY 836000097 3 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 X 1 1 PART IV SECTION A LINE 1 PRIMARILY SUPPORT THE MEMORIAL HOSPITAL OF CONVERSE COUNTY. THE FOUNDATION ALSO SUPPORTS OTHER NONPROFIT ORGANIZAIONS IN CONVERSE COUNTY THAT ARE HEALTHCARE RELATED AS OUTLINED IN THE ORGANIZATIONAL DOCUMENTS. PART IV SECTION E LINE 2A DIRECTLY FURTHER THE EXEMPT PURPOSE OF MEMORIAL HOSPITAL OF CONVERSE COUNTY. CONVERSE COUNTY HOSPITAL FOUNDATION HOLDS EXEMPT-USE INVESTMENT ASSETS AND ENDOWMENTS ON BEHALF OF MEMORIAL HOSPITAL OF CONVERSE COUNTY. SUBSTANTIALLY ALL OF CONVERSE COUNTY HOSPITAL FOUNDATION'S ACTIVITY IS CONDUCTING FUNDRAISING AND PROVIDING GRANTS TO INDIVIDUALS ON BEHLAF OF THE MEMORIAL HOSPITAL OF CONVERSE COUNTY. PART IV SECTION E LINE 2A BUT FOR THE INVOLVEMENT OF CONVERSE COUNTY HOSPITAL FOUNDATION, EXEMPT PURPOSE INVESTMENT ASSETS WOULD BE HELD BY MEMORIAL HOSPITAL OF CONVERSE COUNTY. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 500000 34490 34490 500000 500000 26777 26777 500000 500000 -121208 -121208 500000 500000 168685 168685 500000 500000 -11890 -11890 500000 1 0 11976 11976 0 0 JPMORGAN TR II LARGE CAP 155069 F NEUBERGER BERMAN LARGE CAP VALUE 96112 F DODGE & COX INCOME FD 146388 F BAIRD FDS INC INTER BD INSTL 118824 F 516393 GOLF TOURNAMENT 24425 17000 7425 2250 500 3493 1994 1160 BOOTS N BLING 95685 22700 72985 1324 7937 900 22290 120110 39700 80410 2250 500 4817 9931 900 23450 41848 38562 0 INDIVIDUAL SCHOLARSHIPS 4 6000 FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S CONTRACTED ACCOUNTANT WILL REVIEW THE FORM 990 FOR COMPLETENESS AND ACCURACY. FORM 990, PART VI, SECTION C, LINE 19 NO DOCUMENTS AVAILABLE TO THE PUBLIC.