Civic Intelligence

Converse County Hospital Foundation Inc.

990 • Fiscal year 2018 • EIN 83-0309209

Jul 01, 2017 to Jun 30, 2018 • Filed on Sep 19, 2018

PO Box 393Douglas, WY 82633

(307) 358-2122

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

14th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2018 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2018

Liabilities / Revenue

14th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2018 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2018

Net Margin

2nd percentile

-134%

Higher net margin than 2% of similar nonprofits.

2018 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2018

Top Officer Pay

35th percentile

$0

Higher top officer pay than 35% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2018 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2018

Asset Growth

5th percentile

-23%

Faster asset growth than 5% of similar nonprofits.

2018 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2017 to 2018

Revenue Growth

12th percentile

-25%

Faster revenue growth than 12% of similar nonprofits.

2018 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2017 to 2018

Assets

Down

$1,028,732

Down $315,573 (-23%) from 2017

Net Assets

Down

$1,028,732

Down $315,573 (-23%) from 2017

Liabilities

Flat

$0

Flat from 2017

Revenue

Down

$258,644

Down $87,172 (-25%) from 2017

Expenses

Up

$605,516

Up $587,596 (+3279%) from 2017

Net Income

Down

-$346,872

Down $674,768 (-206%) from 2017

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$3.0M$2.0M$1.0M$0Assets 2011: $713,150Liabilities 2011: $0Net Assets 2011: $713,1502011Assets 2012: $848,626Liabilities 2012: $0Net Assets 2012: $848,6262012Assets 2013: $911,455Liabilities 2013: $0Net Assets 2013: $911,4552013Assets 2014: $926,503Liabilities 2014: $25Net Assets 2014: $926,4782014Assets 2015: $935,505Liabilities 2015: $0Net Assets 2015: $935,5052015Assets 2016: $972,041Liabilities 2016: $0Net Assets 2016: $972,0412016Assets 2017: $1,344,305Liabilities 2017: $0Net Assets 2017: $1,344,3052017Assets 2018: $1,028,732Liabilities 2018: $0Net Assets 2018: $1,028,7322018Assets 2019: $1,106,538Liabilities 2019: $313Net Assets 2019: $1,106,2252019Assets 2020: $1,194,446Liabilities 2020: $313Net Assets 2020: $1,194,1332020Assets 2021: $1,784,990Liabilities 2021: $792Net Assets 2021: $1,784,1982021Assets 2022: $1,665,301Liabilities 2022: $1,175Net Assets 2022: $1,664,1262022Assets 2023: $1,929,206Liabilities 2023: $576Net Assets 2023: $1,928,6302023Assets 2024: $2,278,041Liabilities 2024: $1,200Net Assets 2024: $2,276,8412024Assets 2025: $2,441,489Liabilities 2025: $1,318Net Assets 2025: $2,440,1712025

Highlighted filing

2018

Assets$1,028,732
Liabilities$0
Net Assets$1,028,732

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$2.0M$1.5M$1.0M$500K$0-$500KExpenses 2011: $30,0432011Expenses 2012: $24,7642012Revenue 2013: $90,902Expenses 2013: $28,073Net Income 2013: $62,8292013Revenue 2014: $95,540Expenses 2014: $80,517Net Income 2014: $15,0232014Revenue 2015: $125,002Expenses 2015: $115,975Net Income 2015: $9,0272015Revenue 2016: $140,038Expenses 2016: $103,502Net Income 2016: $36,5362016Revenue 2017: $345,816Expenses 2017: $17,920Net Income 2017: $327,8962017Revenue 2018: $258,644Expenses 2018: $605,516Net Income 2018: -$346,8722018Revenue 2019: $1,509,994Expenses 2019: $1,434,461Net Income 2019: $75,5332019Revenue 2020: $192,859Expenses 2020: $115,321Net Income 2020: $77,5382020Revenue 2021: $290,140Expenses 2021: $38,006Net Income 2021: $252,1342021Revenue 2022: $303,475Expenses 2022: $144,417Net Income 2022: $159,0582022Revenue 2023: $254,222Expenses 2023: $80,272Net Income 2023: $173,9502023Revenue 2024: $226,890Expenses 2024: $31,372Net Income 2024: $195,5182024Revenue 2025: $253,980Expenses 2025: $202,438Net Income 2025: $51,5422025

Highlighted filing

2018

Revenue$258,644
Expenses$605,516
Net Income-$346,872
Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
Sep 19, 2018
Return Version
2017v2.3
Gross Receipts
$268,834
Mission and Program Overview

Mission

Build a strong financial foundation to promote and ensure the continued growth of quality healthcare in converse county.

Build a strong financial foundation to promote and ensure the continued growth of qualtiy healthcare in Converse County.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$959,858$656,910▼ $302,948
Investments in Publicly Traded Securities$309,969$341,268▲ $31,299
Cash and Non-Interest-Bearing Accounts$73,979$30,554▼ $43,425
Land, Buildings, and Equipment, Net$499$0▼ $499
Total Assets$1,344,305$1,028,732▼ $315,573
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$631,065$502,144▼ $128,921
Permanently Rstr Net Assets$500,000$500,000→ $0
Temporarily Rstr Net Assets$213,240$26,588▼ $186,652
Total Net Assets Fund Balance$1,344,305$1,028,732▼ $315,573
Total Liabilities and Net Assets / Fund Balance$1,344,305$1,028,732▼ $315,573

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$0$11,976$11,976

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2018$500,000-▲ $4,000-$500,000
2017$500,000-▲ $2,992-$500,000
2016$528,955-▲ $4,011$32,966$500,000
2015$534,907-▲ $4,048-$528,955
2014$529,858-▲ $5,049-$534,907
Compensation and Service Providers

Board Members and Trustees

NameTitle
Ross GormanChairperson
Keith MooreVice Chairperson
Jennifer RinnFoundation Director
Andrew BeardMember
Dr Casey StarksMember
Gay BollnMember
Howard MiesslerMember
Jim TwifordMember
Kelly SishcMember
Mary Julia WilsonMember
Merritt HarrisMember
Ryan SmithMember
Amy HughesSecretary/Treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$186,453
Program Service Revenue
$0
Investment Income
$5,736
Other Revenue
$66,455
All Other Contributions
$186,453
Change in Net Assets
$-346,872
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$596,465
Other Expenses$9,051
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$596,465--$596,465
Fees for Services Accounting-$2,647-$2,647
Office Expenses-$770-$770
Depreciation Depletion$499--$499
Conferences and Meetings-$150-$150
Other Expenses$869$62-$62
Occupancy-$54-$54
Total Functional Expenses$601,833$3,683$0$605,516
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Memorial Hospital of Converse CountyDouglas, WY-Capital campaign on behalf of Hospital$596,465
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$76,645
Fundraising Direct Expenses$10,190
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Boots N Bling$62,990$62,990$2,498$60,492
Golf Tournament$13,655$13,655$27$13,628
Total Events$76,645$76,645$10,190$66,455
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
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
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

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.

Filing and Contact Details

Filer

Filer Name
Converse County Hospital Foundation
EIN
83-0309209
Phone
3073582122
Address
PO Box 393, Douglas, WY 82633

Signing Officer

Name
Amy Hughes
Title
Treasurer
Phone
3072989379
Signed
2018-09-19
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Amy Hughes
Formed
1994
Legal Domicile
Wy
Voting Board Members
12
Independent Board Members
12
Employees
0
Volunteers
0

Preparer

Firm
Skogen Cometto & Associates PC
Address
104 South Wolcott Suite 735, Casper, WY 82601
Preparer
Roxy L Skogen CPA
Phone
3072345395
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IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd00
IRS990ScheduleA/Form990SchAType3FuncIntGrp/ActivitiesEngagedOrgInvlmntInd00
IRS990ScheduleA/Form990SchAType3FuncIntGrp/ActivitiesFurtherExemptPrpsInd01
IRS990ScheduleA/Form990SchAType3FuncIntGrp/ActivitiesTestInd0X
IRS990ScheduleA/Form990SchAType3SprtOrgAllGrp/OfficersCloseRelationshipInd01
IRS990ScheduleA/Form990SchAType3SprtOrgAllGrp/SupportedOrgVoiceInvestmentInd00
IRS990ScheduleA/Form990SchAType3SprtOrgAllGrp/TimelyProvidedDocumentsInd00
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0Primarily support the Memorial Hospital of Converse County. The Foundation also supports other nonprofit organizations in Converse County that are healthcare related as outlined in the Organizational Documents.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt1Funding was provided to the Memorial Hospital of Converse County to support the Hospital's facilities upgrade. Small awards are made to other nonprofit organizations that support healthcare in Converse County.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0Part IV Section A Line 1
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc1Part IV Section E Line 2a
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/SupportedOrganizationsCnt01
IRS990ScheduleA/SupportedOrganizationsTotalCnt01
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0836000097
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd01
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd03
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt0596465
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0Memorial Hospital of Converse County
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType3FuncIntInd0X
IRS990ScheduleA/SupportSumAmt0596465
IRS990/ScheduleBRequiredInd01
IRS990ScheduleD/CYEndwmtFundGrp/BeginningYearBalanceAmt0500000
IRS990ScheduleD/CYEndwmtFundGrp/EndYearBalanceAmt0500000
IRS990ScheduleD/CYEndwmtFundGrp/InvestmentEarningsOrLossesAmt04000
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/BeginningYearBalanceAmt0500000
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/EndYearBalanceAmt0500000
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt02992
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/BeginningYearBalanceAmt0528955
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/EndYearBalanceAmt0500000
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt04011
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/OtherExpendituresAmt032966
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/BeginningYearBalanceAmt0534907
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/EndYearBalanceAmt0528955
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt04048
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/BeginningYearBalanceAmt0529858
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/EndYearBalanceAmt0534907
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt05049
IRS990ScheduleD/EndowmentsHeldRelatedOrgInd00
IRS990ScheduleD/EndowmentsHeldUnrelatedOrgInd00
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt00
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt011976
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt011976
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt010190
IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentEvent2Amt01816
IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentTotalEventsAmt01816
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0Golf Tournament
IRS990ScheduleG/FundraisingEventInformationGrp/Event2Nm0Boots N Bling
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageEvent2Amt05103
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageTotalEventsAmt05103
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt013655
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent2Amt062990
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt076645
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt013655
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent2Amt062990
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt076645
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt066455
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt02525
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt027
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent2Amt02498
IRS990ScheduleG/FundraisingEventInformationGrp/RentFacilityCostsEvent2Amt0746
IRS990ScheduleG/FundraisingEventInformationGrp/RentFcltyCostsTotalEventsAmt0746
IRS990ScheduleI/GrantRecordsMaintainedInd00
IRS990ScheduleI/RecipientTable/CashGrantAmt0596465
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0Capital campaign on behalf of Hospital
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0Memorial Hospital of Converse County
IRS990ScheduleI/RecipientTable/RecipientEIN0836000097
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt0111 S 5th St
IRS990ScheduleI/RecipientTable/USAddress/CityNm0Douglas
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0WY
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd082633
IRS990ScheduleI/Total501c3OrgCnt01
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0The Organization's contracted accountant will review the Form 990 for completeness and accuracy.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1No documents available to the public.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section B, line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section C, line 19
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TemporarilyRstrNetAssetsGrp/BOYAmt0213240
IRS990/TemporarilyRstrNetAssetsGrp/EOYAmt026588
IRS990/TempOrPermanentEndowmentsInd01
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt01344305
IRS990/TotalAssetsEOYAmt01028732
IRS990/TotalAssetsGrp/BOYAmt01344305
IRS990/TotalAssetsGrp/EOYAmt01028732
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt0186453
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt03683
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0601833
IRS990/TotalFunctionalExpensesGrp/TotalAmt0605516
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt01344305
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt01028732
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0601833
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt072191
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0258644
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt01344305
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt01028732
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0631065
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0502144
IRS990/UponRequestInd0X

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$2.44$0.00$2.44$0.25$0.20$0.05
2024Detailed filing. Detailed filing data is available for this year.$2.28$0.00$2.28$0.23$0.03$0.20
2023Detailed filing. Detailed filing data is available for this year.$1.93$0.00$1.93$0.25$0.08$0.17
2022Detailed filing. Detailed filing data is available for this year.$1.67$0.00$1.66$0.30$0.14$0.16
2021Detailed filing. Detailed filing data is available for this year.$1.78$0.00$1.78$0.29$0.04$0.25
2020Detailed filing. Detailed filing data is available for this year.$1.19$0.00$1.19$0.19$0.12$0.08
2019Detailed filing. Detailed filing data is available for this year.$1.11$0.00$1.11$1.51$1.43$0.08
2018Detailed filing. Detailed filing data is available for this year.$1.03$0.00$1.03$0.26$0.61$0.35
2017Detailed filing. Detailed filing data is available for this year.$1.34$0.00$1.34$0.35$0.02$0.33
2016Detailed filing. Detailed filing data is available for this year.$0.97$0.00$0.97$0.14$0.10$0.04
2015Detailed filing. Detailed filing data is available for this year.$0.94$0.00$0.94$0.13$0.12$0.01
2014Detailed filing. Detailed filing data is available for this year.$0.93$0.00$0.93$0.10$0.08$0.02
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.91$0.00$0.91$0.09$0.03$0.06
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.85$0.00$0.85$0.02
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.71$0.00$0.71$0.03
Peer Organizations

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