2026-02-12T12:37:18-06:00 2025-06-30 830232451 SKOGEN COMETTO & ASSOCIATES PC 104 S WOLCOTT ST STE 735 CASPER WY 826012549 990 2024-07-01 830309209 CONVERSE COUNTY HOSPITAL FOUNDATION CONV 3073582122 PO BOX 393 DOUGLAS WY 82633 JENNE MILLER TREASURER 3073592459 2026-01-21 1 1 ROXY L SKOGEN CPA P00072753 3072345395 2026-01-21 2024 2025-03-06 01:10:19Z JENNE MILLER PO BOX 68 DOUGLAS WY 82633 283189 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. 9 9 0 0 0 0 163435 136417 0 0 24893 84399 38562 33164 226890 253980 12400 181900 0 0 0 0 0 0 0 18972 20538 31372 202438 195518 51542 2278041 2441489 1200 1318 2276841 2440171 BUILD A STRONG FINANCIAL FOUNDATION TO PROMOTE AND ENSURE THE CONTINUED GROWTH OF QUALITY HEALTHCARE IN CONVERSE COUNTY. 0 0 186468 181900 THE ORGANIZATION COLLECTS AND INVESTS FUNDS TO BE PROVIDED TO SUPPORTED ORGANIZATIONS FOR THE BENEFIT AND PROVISION OF HEALTH CARE SERVICES. 186468 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 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 X SANDRA SOKOL EXEC DIRECTOR 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 BREONNA EMMERT MEMBER 0.50 X 0 0 0 BLAKE RICHENDIFER MEMBER 0.50 X 0 0 0 ANDREW BEARD VICE CHAIRPERSON 1.00 X 0 0 0 SANDRA SOKOL FOUNDATION DIRECTOR 20.00 X 0 0 0 DR SANDRA GEBHART CHAIRPERSON 3.00 X 0 0 0 JENNE MILLER SECRETARY/TREASURER 1.00 X 0 0 0 0 0 0 0 0 0 0 0 16549 119868 136417 39899 39899 44500 0 44500 44500 44500 62373 16549 29209 33164 33164 253980 0 0 117563 171400 171400 10500 10500 1375 1375 8294 8294 280 280 DUES & SUBSCRIPTIONS 4206 4206 CHAMPION OF EXCELLENCE 3000 3000 WEB DESIGN & HOSTING 1776 1776 SUPPORTING SERVICES 1568 1568 39 39 202438 186468 15970 0 67900 46459 400679 412103 11976 11976 0 0 1291069 1530363 516393 452564 2000 0 2278041 2441489 1200 1318 1200 1318 X 1519534 1788764 757307 651407 2276841 2440171 2278041 2441489 51542 111788 0 X 0 0 0 X X 1 MEMORIAL HOSPITAL OF CONVERSE COUNTY 836000097 3 1 165000 0 1 165000 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 35553 35553 500000 500000 34490 34490 500000 500000 26777 26777 500000 500000 -121208 -121208 500000 500000 168685 168685 500000 1 0 11976 11976 0 0 JPMORGAN TR II LARGE CAP 150338 F DODGE & COX INCOME FD 134168 F BAIRD FDS INC INTER BD INSTL 168058 F 452564 GOLF TOURNAMENT 7670 3850 3820 2053 2080 1512 1152 BOOTS N BLING 71252 12699 58553 1132 8485 300 12496 78922 16549 62373 2053 3212 9997 300 13648 29210 33163 0 MEMORIAL HOSPITAL OF CONVERSE COUNTY 111 S 5TH ST DOUGLAS WY 82633 836000097 165000 0 CAPITAL CAMPAIGN ON BEHALF OF HOSPITAL INDIVIDUAL SCHOLARSHIPS 6 10500 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.