Liabilities / Assets
94th percentile
Higher debt load relative to assets than 94% of similar nonprofits.
Siviq Scores
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
1.03x
Liabilities / Revenue
100th percentile
Higher debt load relative to revenue than 100% of similar nonprofits.
Net Margin
1st percentile
Higher net margin than 1% of similar nonprofits.
Top Officer Pay
87th percentile
Higher top officer pay than 87% of similar nonprofits.
Top officer pay equals 342.6% of source-year revenue.
Asset Growth
Score unavailable
No earlier valid filing was available within the previous three public years.
Revenue Growth
Score unavailable
No earlier valid filing was available within the previous three public years.
Balance Sheet
Assets
$16,035,732
No earlier filing loaded for comparison.
Net Assets
-$477,919
No earlier filing loaded for comparison.
Liabilities
$16,513,651
No earlier filing loaded for comparison.
Revenue And Expenses
Revenue
$114,750
No earlier filing loaded for comparison.
Expenses
$592,669
No earlier filing loaded for comparison.
Net Income
-$477,919
No earlier filing loaded for comparison.
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Jul 1, 2019 to Jun 30, 2020
- Signed
- Feb 25, 2021
- Return Version
- 2019v5.2
- Gross Receipts
- $114,750
Mission and Program Overview
Mission
To support ivinson memorial hospital.
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Prepaid Expenses and Deferred Charges | - | $14,637,507 | - |
| Savings and Temporary Cash Investments | - | $705,000 | - |
| Land, Buildings, and Equipment, Net | $0 | $662,149 | ▲ $662,149 |
| Accounts Receivable | - | $30,076 | - |
| Cash and Non-Interest-Bearing Accounts | - | $1,000 | - |
| Total Assets | $0 | $16,035,732 | ▲ $16,035,732 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | - | $16,513,651 | - |
| Total Liabilities | $0 | $16,513,651 | ▲ $16,513,651 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | - | $-477,919 | - |
| Total Net Assets Fund Balance | $0 | $-477,919 | ▼ $477,919 |
| Total Liabilities and Net Assets / Fund Balance | $0 | $16,035,732 | ▲ $16,035,732 |
Asset Categories
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $662,149 | $33,832 | $695,981 |
Compensation and Service Providers
Board Members and Trustees
| Name | Title |
|---|---|
| James Bands | President |
| Guy Warpness | Secretary |
| Rebecca Miller | Treasurer |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $0
- Program Service Revenue
- $114,750
- Investment Income
- $0
- Other Revenue
- $0
- Change in Net Assets
- $-477,919
Audited Revenue Reconciliation
- Revenue per Audited Statements
- $114,750
- Revenue Not Reported on Financial Statements
- $0
- Revenue Not Reported on Form 990
- $0
- Total Revenue per Audited Statements
- $114,750
- Total Revenue per Form 990
- $114,750
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Other Expenses | $592,669 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Salaries, Compensation, and Employee Benefits | $0 |
| Total Fundraising Expense | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Occupancy | $349,701 | - | - | $349,701 |
| Interest | $119,136 | - | - | $119,136 |
| Fees for Services Other | $90,000 | - | - | $90,000 |
| Depreciation Depletion | $33,832 | - | - | $33,832 |
| Total Functional Expenses | $592,669 | $0 | $0 | $592,669 |
Audited Expense Reconciliation
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $592,669 |
| Total Expenses per Audited Statements | $592,669 |
| Total Expenses per Form 990 | $592,669 |
| Expenses Not Reported on Financial Statements | $0 |
| Expenses Not Reported on Form 990 | $0 |
Fundraising, Events, and Gaming
- Fundraising activities
- No
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
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
- Audit committee
- 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
- No
- Management duties delegated
- No
Governance Explanations
Form 990, Part VI, Section A, Line 7A
“At all times, one of the directors must be the cfo of ivinson memorial hospital or another person as may be designated by the board of directors of ivinson memorial hospital.”
Form 990, Part VI, Section A, Line 8B
“There are no committees who have been granted authority to act on behalf of the board.”
Form 990, Part VI, Section B, Line 11B
“The form 990 was prepared by an independent cpa firm with information provided by management. Prior to filing, the 990 was reviewed in its entirety by the finance committee of ivinson memorial hospital's board and by imh qalicb's board of directors.”
Form 990, Part VI, Section B, Line 12C
“Imh qalicb has a conflict of interest policy that covers all board members, officers, directors, managers, supervisors and highly compensated employees. All covered individuals complete a conflict of interest disclosure statement upon joining imh qalicb and annually thereafter. All covered individuals have an obligation to disclose all interests, actions or relationships that create an actual or potential conflict of interest or that could create such. After such disclosure, the individual leaves the meeting while the board, committee or supervisor determines whether a conflict exists. If a conflict is deemed to exist, the relevant body evaluates whether a more beneficial transaction is available to imh qalicb. If a more beneficial transaction is not identified, the relevant body votes whether to enter the transaction that involves the conflict of interest. The individual with the conflict does not participate in the vote. Records are kept of all situations that involve an actual or potential conflict of interest. If an individual fails to disclose a conflict of interest, the individual is given the opportunity to explain, after which the relevant body determines appropriate disciplinary action, if any.”
Form 990, Part VI, Section C, Line 19
“Imh qalicb's governing documents, conflict or interest policy and financial statements are available upon request.”
Filing and Contact Details
Filer
- Filer Name
- Imh Qalicb
- EIN
- 84-3157045
- Phone
- 3077422141
- Address
- 255 NORTH 30TH STREET, LARAMIE, WY 82072
Signing Officer
- Name
- James Bands
- Title
- CEO
- Phone
- 3077422141
- Signed
- 2021-02-25
- Discuss with paid preparer
- Yes
Organization Details
- Principal Officer
- James Bands
- Formed
- 2019
- Legal Domicile
- Wy
- Voting Board Members
- 3
- Independent Board Members
- 2
- Employees
- 0
- Volunteers
- 3
Preparer
- Firm
- Cliftonlarsonallen Llp
- Address
- 370 INTERLOCKEN BLVD SUITE 500, BROOMFIELD, CO 80021
- Preparer
- Kurt Bennion
- Phone
- 3034668822
Supplemental Narrative
Additional Explanations
Form 990, Part IX, Line 11G
“Professional fees: program service expenses 90,000. Management and general expenses 0. Fundraising expenses 0. Total expenses 90,000.”
Form 990 Page 12 Line 2C
“No change, as qalicb was a new entity in fy2020.”
Financial Statement Notes
PART X, LINE 2:
“Imh qalicb is organized as a wyoming nonprofit corporation and has been recognized by the internal revenue service (irs) as exempt from federal income taxes under internal revenue code (irc) section 501(c)(3). Imh qalicb is annually required to file a return of organization exempt from income tax (form 990) with the irs. In addition, imh qalicb is subject to income tax on net income that is derived from business activities that is unrelated to their exempt purpose. Imh qalicb believes that they have appropriate support for any tax positions taken affecting their annual filing requirements, and as such, do not have any uncertain tax positions that are material to the consolidated financial statements. Imh qalicb would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties were incurred.”
Raw XML Appendix380 raw XML fields
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/Desc | 0 | IMH QALICB WAS FORMED IN SEPTEMBER 2019 TO FACILITATE THE NEW MARKETS TAX CREDIT FINANCING FOR IVINSON MEMORIAL HOSPITAL TO CONSTRUCT A 26,000 SQUARE FOOT MEDICAL OFFICE BUILDING. |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 0.30 |
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| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
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| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 2019 |
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| IRS990/FSAuditedInd | 0 | 1 |
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| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 3 |
| IRS990/GrantAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
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| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 2 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 1 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InitialReturnInd | 0 | X |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 119136 |
| IRS990/InterestGrp/TotalAmt | 0 | 119136 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 33832 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 0 |
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| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 695981 |
| IRS990/LegalDomicileStateCd | 0 | WY |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
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| IRS990/MinutesOfCommitteesInd | 0 | 0 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | TO SUPPORT IVINSON MEMORIAL HOSPITAL. |
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| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 0 | IVINSON MEMORIAL HOSPITAL HAS A SIGNIFICANT VOICE IN IMH QALICB'S INVESTMENTS AND ACTIVITIES THROUGH ITS CFO, WHO SERVES AS THE PRESIDENT OF IMH QALICB'S BOARD OF DIRECTORS AND HAS 1/3 OF THE TOTAL VOTING RIGHTS ON THE BOARD. |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 1 | IVINSON MEMORIAL HOSPITAL IS THE SOLE ORGANIZATION SUPPORTED BY IMH QALICB, WHICH WAS FORMED IN SEPTEMBER 2019 TO FACILITATE THE NEW MARKETS TAX CREDIT FINANCING FOR IVINSON MEMORIAL HOSPITAL TO CONSTRUCT A 26,000 SQUARE FOOT MEDICAL OFFICE BUILDING. |
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| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | IMH QALICB IS ORGANIZED AS A WYOMING NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3). IMH QALICB IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, IMH QALICB IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT IS UNRELATED TO THEIR EXEMPT PURPOSE. IMH QALICB BELIEVES THAT THEY HAVE APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING THEIR ANNUAL FILING REQUIREMENTS, AND AS SUCH, DO NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. IMH QALICB WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES WERE INCURRED. |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PART X, LINE 2: |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 662149 |
| IRS990ScheduleD/TotalExpensesPerForm990Amt | 0 | 592669 |
| IRS990ScheduleD/TotalRevenuePerForm990Amt | 0 | 114750 |
| IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt | 0 | 114750 |
| IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt | 0 | 592669 |
| IRS990ScheduleJ/AnyNonFixedPaymentsInd | 0 | 1 |
| IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd | 0 | 0 |
| IRS990ScheduleJ/EquityBasedCompArrngmInd | 0 | 0 |
| IRS990ScheduleJ/InitialContractExceptionInd | 0 | 0 |
| IRS990/ScheduleJRequiredInd | 0 | 1 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 0 | 67298 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 0 | 268892 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 0 | 10776 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 0 | 40354 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt | 0 | 5797 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 0 | JAMES BANDS |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 0 | PRESIDENT |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt | 0 | 393117 |
| IRS990ScheduleJ/SeverancePaymentInd | 0 | 0 |
| IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt | 0 | THE BOARD COMPENSATION COMMITTEE OF IVINSON MEMORIAL HOSPITAL REVIEWS THE CEO'S COMPENSATION ANNUALLY. THIS COMMITTEE UTILIZES DATA FROM AN INDEPENDENT COMPENSATION CONSULTANT. THE DATA IS CREATED BASED ON COMPARABLE FACILITIES IN THE GEOGRAPHIC REGION. COMPENSATION REVIEWS WERE LAST CONDUCTED IN 2019. |
| IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt | 1 | AS IVINSON MEMORIAL HOSPITAL TRANSITIONED FROM A GOVERNMENTAL HOSPITAL TO A 501(C)(3) HOSPITAL AS OF JANUARY 1, 2018, THE BOARD OF DIRECTORS FELT IT WAS IMPORTANT TO PROVIDE CERTAIN INDIVIDUALS WITH ONE-TIME COMPENSATION ARRANGEMENTS IN ORDER TO RETAIN THEIR SERVICES THROUGH THE TRANSITION AND INTO THE FUTURE. THESE ARRANGEMENTS WERE PAID OUT OVER MULTIPLE YEARS, ENDING IN 2020. |
| IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PART I, LINE 3 |
| IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | PART I, LINE 7 |
| IRS990ScheduleJ/SupplementalNonqualRtrPlanInd | 0 | 0 |
| IRS990/ScheduleORequiredInd | 0 | 1 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | AT ALL TIMES, ONE OF THE DIRECTORS MUST BE THE CFO OF IVINSON MEMORIAL HOSPITAL OR ANOTHER PERSON AS MAY BE DESIGNATED BY THE BOARD OF DIRECTORS OF IVINSON MEMORIAL HOSPITAL. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | THERE ARE NO COMMITTEES WHO HAVE BEEN GRANTED AUTHORITY TO ACT ON BEHALF OF THE BOARD. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | THE FORM 990 WAS PREPARED BY AN INDEPENDENT CPA FIRM WITH INFORMATION PROVIDED BY MANAGEMENT. PRIOR TO FILING, THE 990 WAS REVIEWED IN ITS ENTIRETY BY THE FINANCE COMMITTEE OF IVINSON MEMORIAL HOSPITAL'S BOARD AND BY IMH QALICB'S BOARD OF DIRECTORS. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | IMH QALICB HAS A CONFLICT OF INTEREST POLICY THAT COVERS ALL BOARD MEMBERS, OFFICERS, DIRECTORS, MANAGERS, SUPERVISORS AND HIGHLY COMPENSATED EMPLOYEES. ALL COVERED INDIVIDUALS COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT UPON JOINING IMH QALICB AND ANNUALLY THEREAFTER. ALL COVERED INDIVIDUALS HAVE AN OBLIGATION TO DISCLOSE ALL INTERESTS, ACTIONS OR RELATIONSHIPS THAT CREATE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST OR THAT COULD CREATE SUCH. AFTER SUCH DISCLOSURE, THE INDIVIDUAL LEAVES THE MEETING WHILE THE BOARD, COMMITTEE OR SUPERVISOR DETERMINES WHETHER A CONFLICT EXISTS. IF A CONFLICT IS DEEMED TO EXIST, THE RELEVANT BODY EVALUATES WHETHER A MORE BENEFICIAL TRANSACTION IS AVAILABLE TO IMH QALICB. IF A MORE BENEFICIAL TRANSACTION IS NOT IDENTIFIED, THE RELEVANT BODY VOTES WHETHER TO ENTER THE TRANSACTION THAT INVOLVES THE CONFLICT OF INTEREST. THE INDIVIDUAL WITH THE CONFLICT DOES NOT PARTICIPATE IN THE VOTE. RECORDS ARE KEPT OF ALL SITUATIONS THAT INVOLVE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST. IF AN INDIVIDUAL FAILS TO DISCLOSE A CONFLICT OF INTEREST, THE INDIVIDUAL IS GIVEN THE OPPORTUNITY TO EXPLAIN, AFTER WHICH THE RELEVANT BODY DETERMINES APPROPRIATE DISCIPLINARY ACTION, IF ANY. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | IMH QALICB'S GOVERNING DOCUMENTS, CONFLICT OR INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 5 | PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 90,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 90,000. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 6 | NO CHANGE, AS QALICB WAS A NEW ENTITY IN FY2020. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | FORM 990, PART VI, SECTION A, LINE 7A |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | FORM 990, PART VI, SECTION A, LINE 8B |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | FORM 990, PART VI, SECTION B, LINE 11B |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | FORM 990, PART VI, SECTION B, LINE 12C |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | FORM 990, PART VI, SECTION C, LINE 19 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 5 | FORM 990, PART IX, LINE 11G |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 6 | FORM 990 PAGE 12 LINE 2C |
| IRS990ScheduleR/AssetExchangeInd | 0 | 0 |
| IRS990ScheduleR/AssetPurchaseFromOtherOrgInd | 0 | 0 |
| IRS990ScheduleR/AssetSaleToOtherOrgInd | 0 | 0 |
| IRS990ScheduleR/DivRelatedOrganizationInd | 0 | 0 |
| IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd | 0 | 0 |
| IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd | 0 | 0 |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd | 0 | 0 |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd | 0 | N/A |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt | 0 | IVINSON MEMORIAL HOSPITAL |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN | 0 | 300975387 |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt | 0 | 501(C)(3) |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd | 0 | WY |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt | 0 | HOSPITAL |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt | 0 | LINE 3 |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt | 0 | 255 NORTH 30TH STREET |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm | 0 | IVINSON |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd | 0 | WY |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd | 0 | 82072 |
| IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd | 0 | 1 |
| IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd | 0 | 0 |
| IRS990ScheduleR/PaidEmployeesSharingInd | 0 | 1 |
| IRS990ScheduleR/PerformOfServicesByOtherOrgInd | 0 | 1 |
| IRS990ScheduleR/PerformOfServicesForOthOrgInd | 0 | 0 |
| IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd | 0 | 0 |
| IRS990ScheduleR/ReimbursementPaidByOtherOrgInd | 0 | 0 |
| IRS990ScheduleR/ReimbursementPaidToOtherOrgInd | 0 | 0 |
| IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd | 0 | 1 |
| IRS990ScheduleR/RentalOfFcltsFromOthOrgInd | 0 | 0 |
| IRS990ScheduleR/SharingOfFacilitiesInd | 0 | 1 |
| IRS990ScheduleR/TransferFromOtherOrgInd | 0 | 1 |
| IRS990ScheduleR/TransferToOtherOrgInd | 0 | 0 |
| IRS990/SchoolOperatingInd | 0 | 0 |
| IRS990/SignificantChangeInd | 0 | 0 |
| IRS990/SignificantNewProgramSrvcInd | 0 | 0 |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 0 | WY |
| IRS990/SubjectToExcsTaxNetInvstIncInd | 0 | 0 |
| IRS990/SubjectToProxyTaxInd | 0 | 0 |
| IRS990/SubjToTaxRmnrtnExPrchtPymtInd | 0 | 0 |
| IRS990/TaxablePartyNotificationInd | 0 | 0 |
| IRS990/TaxExemptBondsInd | 0 | 0 |
| IRS990/TerminateOperationsInd | 0 | 0 |
| IRS990/TotalAssetsEOYAmt | 0 | 16035732 |
| IRS990/TotalAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/TotalAssetsGrp/EOYAmt | 0 | 16035732 |
| IRS990/TotalCompGreaterThan150KInd | 0 | 1 |
| IRS990/TotalEmployeeCnt | 0 | 0 |
| IRS990/TotalFunctionalExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt | 0 | 0 |
| IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt | 0 | 592669 |
| IRS990/TotalFunctionalExpensesGrp/TotalAmt | 0 | 592669 |
| IRS990/TotalGrossUBIAmt | 0 | 0 |
| IRS990/TotalLiabilitiesEOYAmt | 0 | 16513651 |
| IRS990/TotalLiabilitiesGrp/BOYAmt | 0 | 0 |
| IRS990/TotalLiabilitiesGrp/EOYAmt | 0 | 16513651 |
| IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt | 0 | 0 |
| IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt | 0 | -477919 |
| IRS990/TotalOtherCompensationAmt | 0 | 51130 |
| IRS990/TotalProgramServiceExpensesAmt | 0 | 592669 |
| IRS990/TotalProgramServiceRevenueAmt | 0 | 114750 |
| IRS990/TotalReportableCompFromOrgAmt | 0 | 0 |
| IRS990/TotalRevenueGrp/ExclusionAmt | 0 | 0 |
| IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 114750 |
| IRS990/TotalRevenueGrp/TotalRevenueColumnAmt | 0 | 114750 |
| IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/TotalVolunteersCnt | 0 | 3 |
| IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt | 0 | 0 |
| IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt | 0 | 16035732 |
| IRS990/TotReportableCompRltdOrgAmt | 0 | 341987 |
| IRS990/TrnsfrExmptNonChrtblRltdOrgInd | 0 | 0 |
| IRS990/TypeOfOrganizationCorpInd | 0 | X |
| IRS990/UnrelatedBusIncmOverLimitInd | 0 | 0 |
| IRS990/UponRequestInd | 0 | X |
| IRS990/USAddress/AddressLine1Txt | 0 | 255 NORTH 30TH STREET |
| IRS990/USAddress/CityNm | 0 | LARAMIE |
| IRS990/USAddress/StateAbbreviationCd | 0 | WY |
| IRS990/USAddress/ZIPCd | 0 | 82072 |
| IRS990/VotingMembersGoverningBodyCnt | 0 | 3 |
| IRS990/VotingMembersIndependentCnt | 0 | 2 |
| IRS990/WebsiteAddressTxt | 0 | N/A |
| IRS990/WhistleblowerPolicyInd | 0 | 1 |
| ReturnHeader/BuildTS | 0 | 2022-09-23 18:48:47Z |
| ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd | 0 | 1 |
| ReturnHeader/BusinessOfficerGrp/PersonNm | 0 | JAMES BANDS |
| ReturnHeader/BusinessOfficerGrp/PersonTitleTxt | 0 | CEO |
| ReturnHeader/BusinessOfficerGrp/PhoneNum | 0 | 3077422141 |
| ReturnHeader/BusinessOfficerGrp/SignatureDt | 0 | 2021-02-25 |
| ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt | 0 | IMH QALICB |
| ReturnHeader/Filer/BusinessNameControlTxt | 0 | IMHQ |
| ReturnHeader/Filer/EIN | 0 | 843157045 |
| ReturnHeader/Filer/PhoneNum | 0 | 3077422141 |
| ReturnHeader/Filer/USAddress/AddressLine1Txt | 0 | 255 NORTH 30TH STREET |
| ReturnHeader/Filer/USAddress/CityNm | 0 | LARAMIE |
| ReturnHeader/Filer/USAddress/StateAbbreviationCd | 0 | WY |
| ReturnHeader/Filer/USAddress/ZIPCd | 0 | 82072 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmEIN | 0 | 410746749 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt | 0 | CLIFTONLARSONALLEN LLP |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt | 0 | 370 INTERLOCKEN BLVD SUITE 500 |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm | 0 | BROOMFIELD |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd | 0 | CO |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd | 0 | 80021 |
| ReturnHeader/PreparerPersonGrp/PhoneNum | 0 | 3034668822 |
| ReturnHeader/PreparerPersonGrp/PreparationDt | 0 | 2021-02-25 |
| ReturnHeader/PreparerPersonGrp/PreparerPersonNm | 0 | KURT BENNION |
| ReturnHeader/ReturnTs | 0 | 2021-03-08T15:31:20-06:00 |
| ReturnHeader/ReturnTypeCd | 0 | 990 |
| ReturnHeader/TaxPeriodBeginDt | 0 | 2019-07-01 |
| ReturnHeader/TaxPeriodEndDt | 0 | 2020-06-30 |
| ReturnHeader/TaxYr | 0 | 2019 |
Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2020 • Form 990Detailed filing. Detailed filing data is available for this year.
- Assets
- $16,035,732
- Liabilities
- $16,513,651
- Net assets
- -$477,919
- Revenue
- $114,750
- Expenses
- $592,669
- Net income
- -$477,919