Civic Intelligence

Star Valley Medical Center Charitable Foundation

EIN 83-0294706 • 501(c)3 • Afton, WY

Profile

To seek and obtain donations and grants exclusively for charitable, educational, and scientific purposes supporting the activities of North Lincoln County Hospital District dba Star Valley Health.

901 Adams StreetAfton, WY 83110

starvalleyhealth.org/foundation

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

40th percentile

0.02x

Higher debt load relative to assets than 40% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2025

Liabilities / Revenue

67th percentile

0.21x

Higher debt load relative to revenue than 67% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2025

Net Margin

1st percentile

-448%

Higher net margin than 1% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2025

Top Officer Pay

99th percentile

$761,085

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 481.6% of source-year revenue.

501(c)3 • $1M-$5M nonprofits • Source year 2025

Asset Growth

6th percentile

-36%

Faster asset growth than 6% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2024 to 2025

Revenue Growth

2nd percentile

-73%

Faster revenue growth than 2% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2024 to 2025

Balance Sheet
Liabilities / Assets40th percentile

Assets

Down

$1,347,727

Down $767,290 (-36%) from 2024

Liabilities

Down

$33,038

Down $36,087 (-52%) from 2024

Net Assets

Down

$1,314,689

Down $731,203 (-36%) from 2024

Operations
Liabilities / Revenue67th percentileNet Margin1st percentile

Revenue

Down

$158,020

Down $416,781 (-73%) from 2024

Expenses

Up

$866,136

Up $431,464 (+99%) from 2024

Net Income

Down

-$708,116

Down $848,245 (-605%) from 2024

Trend Graphs

Balance Sheet Trend

Asset Growth6th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$3.0M$2.0M$1.0M$0Assets 2011: $637,911Liabilities 2011: $0Net Assets 2011: $637,9112011Assets 2012: $906,340Liabilities 2012: $0Net Assets 2012: $906,3402012Assets 2013: $917,997Liabilities 2013: $0Net Assets 2013: $917,9972013Assets 2014: $1,001,126Liabilities 2014: $0Net Assets 2014: $1,001,1262014Assets 2015: $1,391,072Liabilities 2015: $0Net Assets 2015: $1,391,0722015Assets 2016: $1,049,362Liabilities 2016: $0Net Assets 2016: $1,049,3622016Assets 2017: $1,094,810Liabilities 2017: $0Net Assets 2017: $1,094,8102017Assets 2018: $1,174,074Liabilities 2018: $0Net Assets 2018: $1,174,0742018Assets 2019: $1,271,301Liabilities 2019: $0Net Assets 2019: $1,271,3012019Assets 2020: $1,433,617Liabilities 2020: $0Net Assets 2020: $1,433,6172020Assets 2021: $1,792,202Liabilities 2021: $0Net Assets 2021: $1,792,2022021Assets 2022: $1,594,062Liabilities 2022: $0Net Assets 2022: $1,594,0622022Assets 2023: $1,793,091Liabilities 2023: $287Net Assets 2023: $1,792,8042023Assets 2024: $2,115,017Liabilities 2024: $69,125Net Assets 2024: $2,045,8922024Assets 2025: $1,347,727Liabilities 2025: $33,038Net Assets 2025: $1,314,6892025

Highlighted filing

2025

Assets$1,347,727
Liabilities$33,038
Net Assets$1,314,689
Open 2025 Filing

Operations Trend

Revenue Growth2nd percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$1.0M$500K$0-$500K-$1.0MRevenue 2011: $192,089Expenses 2011: $16,585Net Income 2011: $175,5042011Revenue 2012: $953,358Expenses 2012: $684,929Net Income 2012: $268,4292012Revenue 2013: $266,887Expenses 2013: $242,073Net Income 2013: $24,8142013Revenue 2014: $114,285Expenses 2014: $59,876Net Income 2014: $54,4092014Revenue 2015: $757,159Expenses 2015: $341,911Net Income 2015: $415,2482015Revenue 2016: $62,977Expenses 2016: $413,557Net Income 2016: -$350,5802016Revenue 2017: $87,268Expenses 2017: $108,383Net Income 2017: -$21,1152017Revenue 2018: $68,810Expenses 2018: $60,123Net Income 2018: $8,6872018Revenue 2019: $66,367Expenses 2019: $72,072Net Income 2019: -$5,7052019Revenue 2020: $56,900Expenses 2020: $69,649Net Income 2020: -$12,7492020Revenue 2021: $42,465Expenses 2021: $32,635Net Income 2021: $9,8302021Revenue 2022: $85,083Expenses 2022: $36,371Net Income 2022: $48,7122022Revenue 2023: $127,768Expenses 2023: $59,879Net Income 2023: $67,8892023Revenue 2024: $574,801Expenses 2024: $434,672Net Income 2024: $140,1292024Revenue 2025: $158,020Expenses 2025: $866,136Net Income 2025: -$708,1162025

Highlighted filing

2025

Revenue$158,020
Expenses$866,136
Net Income-$708,116
Open 2025 Filing

Filings

Most recent year

2025 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$1,347,727
Liabilities
$33,038
Net assets
$1,314,689
Revenue
$158,020
Expenses
$866,136
Net income
-$708,116
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$1.35$0.03$1.31$0.16$0.87$0.71
2024Detailed filing. Detailed filing data is available for this year.$2.12$0.07$2.05$0.57$0.43$0.14
2023Detailed filing. Detailed filing data is available for this year.$1.79$0.00$1.79$0.13$0.06$0.07
2022Detailed filing. Detailed filing data is available for this year.$1.59$0.00$1.59$0.09$0.04$0.05
2021Detailed filing. Detailed filing data is available for this year.$1.79$0.00$1.79$0.04$0.03$0.01
2020Summary only. Only limited summary data is available for this year.$1.43$0.00$1.43$0.06$0.07$0.01
2019Summary only. Only limited summary data is available for this year.$1.27$0.00$1.27$0.07$0.07$0.01
2018Summary only. Only limited summary data is available for this year.$1.17$0.00$1.17$0.07$0.06$0.01
2017Summary only. Only limited summary data is available for this year.$1.09$0.00$1.09$0.09$0.11$0.02
2016Summary only. Only limited summary data is available for this year.$1.05$0.00$1.05$0.06$0.41$0.35
2015Summary only. Only limited summary data is available for this year.$1.39$0.00$1.39$0.76$0.34$0.42
2014Summary only. Only limited summary data is available for this year.$1.00$0.00$1.00$0.11$0.06$0.05
2013Summary only. Only limited summary data is available for this year.$0.92$0.00$0.92$0.27$0.24$0.02
2012Summary only. Only limited summary data is available for this year.$0.91$0.00$0.91$0.95$0.68$0.27
2011Summary only. Only limited summary data is available for this year.$0.64$0.00$0.64$0.19$0.02$0.18
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2024 to Jun 30, 2025
Signed
Mar 13, 2026
Return Version
2024v5.2
Gross Receipts
$160,651
Mission and Program Overview

Mission

To seek and obtain donations and grants exclusively for charitable, educational, and scientific purposes supporting the activities of North Lincoln County Hospital District dba Star Valley Health.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$1,927,616$0▼ $1,927,616
Savings and Temporary Cash Investments$187,401$134,023▼ $53,378
Cash and Non-Interest-Bearing Accounts-$0-
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$2,115,017$1,347,727▼ $767,290
Other Assets Total-$1,213,704-
Liabilities
Accounts Payable and Accrued Expenses$69,124$33,038▼ $36,086
Other Liabilities$1--
Total Liabilities$69,125$33,038▼ $36,087
Net Assets / Fund Balance
Net Assets With Donor Restrictions$1,123,576$946,740▼ $176,836
Net Assets Without Donor Restrictions$922,316$367,949▼ $554,367
Total Net Assets Fund Balance$2,045,892$1,314,689▼ $731,203
Total Liabilities and Net Assets / Fund Balance$2,115,017$1,347,727▼ $767,290

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$918,667---$918,667
2023$913,667$5,000--$918,667
2022$899,687$13,980--$913,667
2021$893,187$6,500--$899,687
2020$886,687$6,500--$893,187
Compensation and Service Providers
Top Officer Pay99th percentile

Board Members and Trustees

NameTitle
Dale CottamChairman
Mike HunsakerDirector
Mark TaylorExecutive Director
Brock WaltersTrustee
Dr David GonzalesTrustee
Dr Niki MillesonTrustee
Jeremy LarsenTrustee
Linda HedgesTrustee
Mike MullerTrustee
Will WilksTrustee
Revenue and Support

Revenue Composition

Contributions and Grants
$148,729
Program Service Revenue
$0
Investment Income
$3
Other Revenue
$9,288
All Other Contributions
$148,729
Change in Net Assets
$-708,116
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$826,769
Other Expenses$39,367
Total Fundraising Expense$26,340
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$820,700--$820,700
Fees for Services Management$4,680$4,680$26,340$35,700
Grants to Domestic Individuals$6,069--$6,069
Fees for Services Accounting-$2,175-$2,175
Office Expenses$1,250--$1,250
Other Expenses$45$197-$45
Total Functional Expenses$832,744$7,052$26,340$866,136
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
North Lin Co Hospital DistAfton, WY-Patron Enjoyment$800,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$11,919
Fundraising Direct Expenses$2,631
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 7A

“The Chair of the North Lincoln County Hospital District NLCHD Board of Trustees appoints at least one NLCHD Board Member to serve on the Foundation's Board of Trustees.”

Form 990, Part VI, Section A, Line 7B

“The Hospital Board of Trustees gives final approval of the Foundation Board.”

Form 990, Part VI, Section B, Line 11B

“No review was or will be conducted.”

Form 990, Part VI, Section B, Line 12C

“Governing Board Members are required to sign a conflict of interest policy when joining the Board. Thereafter, members are regularly reminded to disclose any change that may affect this policy.”

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.”

Filing and Contact Details

Filer

Filer Name
Star Valley Medical Center Charitable
EIN
83-0294706
Phone
3078855887
Address
901 Adams Street, Afton, WY 83110

Signing Officer

Name
Dale Cottam
Title
Chairman
Signed
2026-03-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Dale Cottam
Formed
1991
Legal Domicile
Wy
Voting Board Members
10
Independent Board Members
7
Employees
0

Preparer

Firm
Corey R Miles CPA PC
Address
PO Box 187, Afton, WY 83110
Preparer
Corey R Miles
Phone
3078850055
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

“Payment of prior period Management Fee = -$58200”

Form 990, Part XI, Line 9

“Scholarship Fund True-up = -$999”

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/InvestmentsPubTradedSecGrp/EOYAmt00
IRS990/IRPDocumentCnt00
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IRS990/MissionDesc0To seek and obtain donations and grants exclusively for charitable, educational, and scientific purposes supporting the activities of North Lincoln County Hospital District dba Star Valley Health.
IRS990/MoreThan5000KToIndividualsInd0false
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IRS990/NetAssetsOrFundBalancesBOYAmt02045892
IRS990/NetAssetsOrFundBalancesEOYAmt01314689
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IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt09288
IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt00
IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt00
IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt036112
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt0922316
IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt0367949
IRS990/NondeductibleContributionsInd0false
IRS990/OccupancyGrp/TotalAmt00
IRS990/OfficeExpensesGrp/ProgramServicesAmt01250
IRS990/OfficeExpensesGrp/TotalAmt01250
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherAssetsTotalGrp/EOYAmt01213704
IRS990/OtherChangesInNetAssetsAmt0-59199
IRS990/OtherEmployeeBenefitsGrp/TotalAmt00
IRS990/OtherExpensesGrp/Desc0Bank Fees
IRS990/OtherExpensesGrp/Desc1Board Meeting Supplies
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt0197
IRS990/OtherExpensesGrp/ProgramServicesAmt045
IRS990/OtherExpensesGrp/TotalAmt0197
IRS990/OtherExpensesGrp/TotalAmt145
IRS990/OtherLiabilitiesGrp/BOYAmt01
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IRS990/OtherSalariesAndWagesGrp/TotalAmt00
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IRS990/PayrollTaxesGrp/TotalAmt00
IRS990/PensionPlanContributionsGrp/TotalAmt00
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt00
IRS990/PrincipalOfficerNm0Dale Cottam
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IRS990/PYContributionsGrantsAmt0518108
IRS990/PYExcessBenefitTransInd0false
IRS990/PYGrantsAndSimilarPaidAmt0321593
IRS990/PYInvestmentIncomeAmt043605
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt00
IRS990/PYOtherExpensesAmt064711
IRS990/PYOtherRevenueAmt013088
IRS990/PYRevenuesLessExpensesAmt0140129
IRS990/PYTotalExpensesAmt0434672
IRS990/PYTotalProfFndrsngExpnsAmt048368
IRS990/PYTotalRevenueAmt0574801
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
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IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt0-708116
IRS990/RegularMonitoringEnfrcInd0true
IRS990/RelatedEntityInd0true
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0true
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RoyaltiesGrp/TotalAmt00
IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0187401
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0134023
IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd0true
IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd0false
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IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd0false
IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/OperateBenefitNonSuprtOrgInd0false
IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/PowerAppointMajorityDirTrstInd0true
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/SupportedOrganizationsCnt01
IRS990ScheduleA/SupportedOrganizationsTotalCnt01
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0830327251
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd0false
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd03
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0NLCHD dba Star Valley Health
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType1Ind0X
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd0true
IRS990ScheduleD/CYEndwmtFundGrp/BeginningYearBalanceAmt0918667
IRS990ScheduleD/CYEndwmtFundGrp/EndYearBalanceAmt0918667
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/BeginningYearBalanceAmt0913667
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/ContributionsAmt05000
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/EndYearBalanceAmt0918667
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/BeginningYearBalanceAmt0899687
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/ContributionsAmt013980
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/EndYearBalanceAmt0913667
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/BeginningYearBalanceAmt0893187
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/ContributionsAmt06500
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/EndYearBalanceAmt0899687
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/BeginningYearBalanceAmt0886687
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/ContributionsAmt06500
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/EndYearBalanceAmt0893187
IRS990ScheduleD/EndowmentsHeldRelatedOrgInd0false
IRS990ScheduleD/EndowmentsHeldUnrelatedOrgInd0false
IRS990ScheduleD/RelatedOrgListSchRInd0false
IRS990ScheduleD/TotalBookValueOtherAssetsAmt01213704
IRS990ScheduleI/GrantRecordsMaintainedInd0false
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/CashGrantAmt02000
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/CashGrantAmt13439
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/CashGrantAmt2630
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/GrantTypeTxt0Scholarships
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/GrantTypeTxt1Mammograms
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/GrantTypeTxt2Angel Tree
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/RecipientCnt03
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/RecipientCnt17
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/RecipientCnt21
IRS990ScheduleI/RecipientTable/CashGrantAmt0800000
IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt020700
IRS990ScheduleI/RecipientTable/NonCashAssistanceDesc0Artwork for Infusion Center
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0Patron Enjoyment
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0North Lin Co Hospital Dist
IRS990ScheduleI/RecipientTable/RecipientEIN0830327251
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt0901 Adams Street
IRS990ScheduleI/RecipientTable/USAddress/CityNm0Afton
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0WY
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd083110
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0The Foundation monitors its financial assistance of the Hospital by maintaining close contact between the governing bodies. Request for financial assistance generally are initiated from the Hospital's CEO and/or Board of Trustees and approved by the Foundation's Board prior to disbursement.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0Additional Supplemental Information
IRS990ScheduleI/Total501c3OrgCnt00
IRS990ScheduleI/TotalOtherOrgCnt01
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IRS990ScheduleJ/InitialContractExceptionInd0false
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0758405
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1313343
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt2204221
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt02680
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt1944
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt282309
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0Dr David Gonzales
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1Dr Niki Milleson
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2Mike Hunsaker
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0Trustee
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1Trustee
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2Director
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0761085
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt1314287
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt2286530
IRS990ScheduleJ/SeverancePaymentInd0false
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0The Chair of the North Lincoln County Hospital District NLCHD Board of Trustees appoints at least one NLCHD Board Member to serve on the Foundation's Board of Trustees.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1The Hospital Board of Trustees gives final approval of the Foundation Board.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2No review was or will be conducted.

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