Sheridan County Memorial Hospital Foundation in Sheridan, Wyoming (WY)

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Sheridan County Memorial Hospital Foundation
Employer Identification Number (EIN)741905155
Name of OrganizationSheridan County Memorial Hospital Foundation
AddressPO BOX 391, Sheridan, WY 82801-0391
ActivitiesOther health services, Non financial services of facilities to other organizations
SubsectionCharitable Organization
Ruling Date03/1977
DeductibilityContributions are deductible
FoundationOrganization which receives a substantial part of its support from a governmental unit or the general public
OrganizationCorporation
Exempt Organization StatusUnconditional Exemption
Tax Period06/2012
Assets$5,000,000 to $9,999,999
Income$1,000,000 to $4,999,999
Filing Requirement990 (all other) or 990EZ return
Asset Amount$9,555,641
Amount of Income$4,850,546
Form 990 Revenue Amount$3,852,803
National Taxonomy of Exempt Entities (NTEE)Health - General and Rehabilitative: Single Organization Support


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Amount of income in 2012: $4,850,546
Sheridan County Memorial Hospital Foundation: 

 $4,850,546
Other organizations performing similar types of work: 

 $475,628

Assets in 2012: $9,555,641
This organization: 

 $9,555,641
Other organizations performing similar types of work: 

 $882,851

Expenses in 2007: $1,142,536
This organization: 

 $1,142,536
Other organizations performing similar types of work: 

 $2,117,062

Income to expenses ratio in 2007: 0.7
This organization: 

 0.7
Other organizations performing similar types of work: 

 1.2

Expenses allocated to program services in 2007: 81.7%
This organization: 

 81.7%
Other organizations performing similar types of work: 

 81.7%

Number of employees in 2007: 3
Sheridan County Memorial Hospital Foundation: 

 3
Other organizations performing similar types of work: 

 8

Employees paid over $50,000 in 2007: 33.3%
This organization: 

 33.3%
Other organizations performing similar types of work: 

 20.0%

Grants share in income in 2007: 69.0%
This organization: 

 69.0%
Other organizations performing similar types of work: 

 52.7%

Financial snapshot ($)

Revenue for 2007

Assets at end of 2007

Expenses for 2007

Functional Expenses for 2007 ($)

Income-Producing Activities for 2007

Revenue, Expenses, and Changes in Net Assets or Fund Balances
200020032004200520062007
Total revenue$1,137,696$1,394,036$2,992,060$766,291$1,108,303$744,570
Contributions, gifts, grants, and similar amounts received$778,439$1,021,616$2,463,129$354,296$811,222$513,537
Contributions to donor advised funds$0$0
Direct public support$778,439$1,021,616$2,463,129$354,296$811,222$513,537
Indirect public support$0$0$0$0$0$0
Government contributions (grants)$0$0$0$0$0$0
Program service revenue including government fees and contracts$0$0$0$0$0$0
Membership dues and assessments$0$0$0$0$0$0
Interest on savings and temporary cash investments$342,431$16,190$26,587$29,560$35,875$39,164
Dividends and interest from securities$27,852$107,443$114,824$111,097$137,719$132,817
Net rental income or (loss)$0$0$0$0$0$0
Gross rents$0$0$0$0$0$0
Less: rental expenses$0$0$0$0$0$0
Other investment income$0$0$0$0$0$0
Gain or (loss) from sales of assets other than inventory$-12,003$235,284$387,341$268,957$123,454$59,052
Gross amount from sales of assets other than inventory$1,804,967$1,361,263$2,536,290$2,887,003$2,717,566$2,683,908
Less: cost or other basis and sales expenses$1,816,970$1,125,979$2,148,949$2,618,046$2,594,112$2,624,856
Net income or (loss) from special events and activities$0$13,503$0$0$0$0
Gross revenue$0$27,885$0$0$0$23,374
Less: direct expenses other than fundraising expenses$0$14,382$0$0$0$23,374
Gross profit or (loss) from sales of inventory$0$0$0$0$0$0
Gross sales of inventory, less returns and allowances$0$0$0$0$0$0
Less: cost of goods sold$0$0$0$0$0$0
Other revenue$977$0$179$2,381$33$0
Total expenses$2,531,576$393,435$848,277$1,411,741$629,071$1,142,536
Program services$2,405,625$273,401$659,329$1,185,581$412,587$933,709
Management and general$125,951$116,779$136,420$151,932$153,124$161,957
Fundraising$0$3,255$52,528$74,228$63,360$46,870
Payments to affiliates$0$0$0$0$0$0
Net assets or fund balances at end of year$4,403,894$5,192,185$7,138,945$6,606,594$7,521,726$6,954,061
Excess or (deficit) for the year$-1,393,880$1,000,601$2,143,783$-645,450$479,232$-397,966
Net assets or fund balances at beginning of year$5,811,765$3,987,665$5,192,185$7,138,945$6,606,594$7,521,726
Other changes in net assets or fund balances$-13,991$203,919$-197,023$113,099$435,900$-169,699
Statement of Functional Expenses (for 2007)
TotalProgram servicesManagement and generalFundraising
Total functional expenses$1,142,536$933,709$161,957$46,870
Grants paid from donor advised funds$0
Other grants and allocations$919,253
Specific assistance to individuals$0
Benefits paid to or for members$0
Compensation of current officers, directors, key employees, etc.$59,023$5,902$35,414$17,707
Compensation of former officers, directors, key employees, etc.$0$0$0$0
Compensation and other distributions, not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)$0$0$0$0
Salaries and wages of employees not included above$48,653$3,886$33,111$11,656
Pension plan contributions not included above$7,993$738$5,040$2,215
Employee benefits not included above$15,287$1,160$10,647$3,480
Payroll taxes$11,390$1,031$7,266$3,093
Professional fundraising fees$0$0$0$0
Accounting fees$4,800$0$4,800$0
Legal fees$0$0$0$0
Supplies$6,102$0$1,150$4,952
Telephone$0$0$0$0
Postage and shipping$1,792$598$597$597
Occupancy$0$0$0$0
Equipment rental and maintenance$550$275$275$0
Printing and publications$3,580$0$410$3,170
Travel$326$0$326$0
Conferences, conventions, and meetings$2,588$866$1,722$0
Interest$0$0$0$0
Depreciation, depletion, etc.$0$0$0$0
Other expenses not covered above$61,199$0$61,199$0
Balance Sheets
200020032004200520062007
Total assets$6,453,894$5,192,185$7,138,945$6,606,594$7,521,726$6,954,061
Cash - non-interest-bearing$0$0$0$0$0$0
Savings and temporary cash investments$1,051,074$892,500$1,254,132$922,506$787,949$947,532
Accounts receivable less allowance for doubtful accounts$0$0$0$0$0$0
Pledges receivable less allowance for doubtful accounts$0$220,733$1,637,565$1,299,170$1,565,507$1,048,800
Grants receivable$0$0$0$0$0$0
Receivables from current and former officers, directors, trustees, and key employees$0$0$0$0$0$0
Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)$0$0
Other notes and loans receivable less allowance for doubtful accounts$2,050,000$0$0$0$0$0
Inventories for sale or use$0$0$0$0$0$0
Prepaid expenses and deferred charges$0$0$0$0$0$0
Investments - publicly-traded securities$4,768,211$4,512,829
Investments - other securities$3,205,231$3,650,335$4,044,417$4,015,279$0$0
Investments - land, buildings, and equipment less accumulated depreciation$0$0$0$0$0$0
Investments - other$0$0$0$0$0$0
Land, buildings, and equipment less accumulated depreciation$0$0$0$0$0$0
Other assets, including program-related investments$147,589$428,617$202,831$369,639$400,059$444,900
Total liabilities$2,050,000$0$0$0$0$0
Accounts payable and accrued expenses$2,050,000$0$0$0$0$0
Grants payable$0$0$0$0$0$0
Deferred revenue$0$0$0$0$0$0
Loans from officers, directors, trustees, and key employees$0$0$0$0$0$0
Tax-exempt bond liabilities$0$0$0$0$0$0
Mortgages and other notes payable$0$0$0$0$0$0
Other liabilities$0$0$0$0$0$0
Total liabilities and net assets/fund balances$6,453,894$5,192,185$7,138,945$6,606,594$7,521,726$6,954,061
Total net assets or fund balances$4,403,894$5,192,185$7,138,945$6,606,594$7,521,726$6,954,061
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
200020032004200520062007
Total revenue$0$0$0$0$0$0
Total revenue, gains, and other support per audited financial statements$0$0$0$0$0$0
Other expenses$0$0$0$0$0$0
Net unrealized gains on investments$0$0$0$0$0$0
Donated services and use of facilities$0$0$0$0$0$0
Recoveries of prior year grants$0$0$0$0$0$0
Other$0$0$0$0$0$0
Other revenue$0$0$0$0$0$0
Investment expenses$0$0$0$0$0$0
Other$0$0$0$0$0$0
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
200020032004200520062007
Total expenses$0$0$0$0$0$0
Total expenses and losses per audited financial statements$0$0$0$0$0$0
Other revenue$0$0$0$0$0$0
Donated services and use of facilities$0$0$0$0$0$0
Prior year adjustments$0$0$0$0$0$0
Losses$0$0$0$0$0$0
Other$0$0$0$0$0$0
Other expenses$0$0$0$0$0$0
Investment expenses$0$0$0$0$0$0
Other$0$0$0$0$0$0
Current Officers, Directors, Trustees, and Key Employees
Average hours per week devoted to positionCompensationContributions to employee benefit plans & deferred compensation plansExpense account and other allowances
40$59,023$3,496$0
Total number of officers, directors, and trustees permitted to vote on organization business at board meetings11
Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?Yes
Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?No
Does the organization have a written conflict of interest policy?Yes
Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?No
Was there a liquidation, dissolution, termination, or substantial contraction during the year?No
Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?No
Direct and indirect political expenditures$0
Did the organization file Form 1120-POL for this year?No
Were substantially all dues nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Dues, assessments, and similar amounts from members$0
Section 162(e) lobbying and political expenditures$0
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices$0
Taxable amount of lobbying and political expenditures$0
Does the organization elect to pay the section 6033(e) tax on the amount above?
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?
Initiation fees and capital contributions$0
Gross receipts for public use of club facilities$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?No
Amount of tax imposed on the organization during the year under: section 4911$0
Amount of tax imposed on the organization during the year under: section 4912$0
Amount of tax imposed on the organization during the year under: section 4955$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?No
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958$0
Amount of tax above, reimbursed by the organization$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?No
Did the organization acquire a direct or indirect interest in any applicable insurance contract?No
Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?No
Number of employees employed in the pay period that includes March 12, 20063
Analysis of Income-Producing Activities (for 2007)
Unrelated business incomeExcluded by section 512, 513, or 514Related or exempt function income
Business codeAmountExclusion codeAmount
Total$0$231,033$0
Program service revenue
Program service revenue 1000000$000$0$0
Program service revenue 2000000$000$0$0
Program service revenue 3000000$000$0$0
Program service revenue 4000000$000$0$0
Program service revenue 5000000$000$0$0
Medicare/Medicaid payments000000$000$0$0
Fees and contracts from government agencies000000$000$0$0
Membership dues and assessments000000$000$0$0
Interest on savings and temporary cash investments000000$0Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)$39,164$0
Dividends and interest from securities000000$0Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)$132,817$0
Net rental income or (loss) from real estate
debt-financed property000000$000$0$0
not debt-financed property000000$000$0$0
Net rental income or (loss) from personal property000000$000$0$0
Other investment income000000$000$0$0
Gain or (loss) from sales of assets other than inventory000000$0Gain (or loss, to the extent allowed) from the sale of investments and other non-inventory property and from certain property acquired from financial institutions that are in conservatorship or receivership (sections 512(b)(5) and 512(b)(16)(A))$59,052$0
Net income or (loss) from special events000000$0Income from an activity that is not regularly carried on (section 512(a)(1))$0$0
Gross profit or (loss) from sales of inventory000000$000$0$0
Other revenue000000$000$0$0
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2007)
EIN of corporation, partnership, or disregarded entityPercentage of ownership interestTotal incomeEnd-of-year assets
0000000000%$0$0
0000000000%$0$0
0000000000%$0$0
0000000000%$0$0
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2007)
CompensationContributions to employee benefit plans & deferred compensationExpense account and other allowances
$0$0$0
$0$0$0
$0$0$0
$0$0$0
$0$0$0
Total number of other employees paid over $50,0000
Statements About Activities (for 2007)
Expenses paid or incurred in connection with the lobbying activities$0
Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures?No
Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?No
Did the organization maintain any donor advised funds?No
Did the organization make any taxable distributions under section 4966?No
Did the organization make a distribution to a donor, donor advisor, or related person?No
Enter the total number of donor advised funds owned at the end of the tax year$0
Enter the aggregate value of assets held in all donor advised funds owned at the end of the tax year$0
Enter the total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts$0
Enter the aggregate value of assets held in all funds or accounts included above at the end of the tax year$0
Reason for Non-Private Foundation Status
The organization is not a private foundation because it isOrganization that receives a substantial part of its support from a governmental unit or from the general public
Support Schedule
199920022003200420052006
Total$0$0$0$0$833,388$718,479
Gifts, grants, and contributions received$0$0$0$0$692,691$544,885
Membership fees received$0$0$0$0$0$0
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose$0$0$0$0$0$0
Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975$0$0$0$0$140,697$173,594
Net income from unrelated business activities not included above$0$0$0$0$0$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf$0$0$0$0$0$0
The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge$0$0$0$0$0$0
Other income$0$0$0$0$0$0
Lobbying Expenditures by Electing Public Charities (for 2007)
Total exempt purpose expenditures$0
Total lobbying expenditures$0
Total lobbying expenditures to influence public opinion (grassroots lobbying)$0
Total lobbying expenditures to influence a legislative body (direct lobbying)$0
Other exempt purpose expenditures$0
Lobbying nontaxable amount$0
Grassroots nontaxable amount$0
Statements Regarding Other IRS Filings and Tax Compliance (for 2012)
Did the organization have unrelated business gross income of $1,000 or more during the year?No
Initiation fees and capital contributions$0
Gross receipts for public use of club facilities $0
Gross income from members or shareholders$0
Gross income from other sources$0
Statement of Revenue (for 2012)
Total revenue$3,852,803
Contributions, Gifts, Grants and Other Similar Amounts$3,536,661
Program Service Revenue$0
Other Revenue
Investment income (including dividends, interest, and other similar amounts)$113,938
Income from investment of tax-exempt bond proceeds$0
Royalties$0
Net rental income$0
Net gain from sales of assets other than inventory$202,204
Gross amount from sales of assets other than inventory (Securities / Other)$1,163,270 / $15,416
Less: cost or other basis and sales expenses (Securities / Other)$976,482 / $0
Gain or (loss) (Securities / Other)$186,788 / $15,416
Net income from fundraising events$0
Gross income from fundraising events$21,261
Less: direct expenses$21,261
Net income from gaming activities$0
Net income from sales of inventory$0
Miscellaneous Revenue$0
Statement of Functional Expenses (for 2012)
Total functional expenses$3,616,399
Compensation of current officers, directors, trustees, and key employees$0
Other salaries and wages$0
Payroll taxes$0
Professional fundraising services$0
Other$3,616,399
Balance Sheet (for 2012)
Total assets$9,555,641
Total liabilities$0
Total net assets or fund balances$9,555,641
Retained earnings, endowment, accumulated income, or other funds$0
Reason for Public Charity Status (for 2012)
The organization is not a private foundation because it is:An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi)
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (for 2012)
2008 - 2012 Total
Total Support$5,404,214
Gifts, grants, contributions, and membership fees received$4,742,989
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf$0
The value of services or facilities furnished by a governmental unit to the organization without charge$0
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources$661,225
Gross receipts from related activities, etc.$0
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Organizations performing similar types of work
IdNameAddressStateEstablishedTotal Income
1Mayo Foundation For Medical Education & Research200 First Street Sw, Rochester, MN 55905-0001MN1985-06$985,418,611
2University Of Virginia Physicians Group500 Ray C Hunt Dr, Charlottesvle, VA 22903-2981VA1980-12$369,390,764
3Texas Childrens Hospital Foundation6621 Fannin St, Houston, TX 77030-2303TX2005-11$308,148,669
4Barnabas Health Inc95 Old Short Hills Rd, West Orange, NJ 07052-1008NJ1985-05$151,925,044
5Presbyterian Systems CorporationNew York, NY 10021NY$144,992,896
6Childrens Hospital And Health System Foundation IncPO BOX 1997, Milwaukee, WI 53201-1997WI1985-03$136,970,130
7Providence St Vincent Medical Foundation9205 Sw Barnes Rd, Portland, OR 97225-6603OR1970-10$117,489,452
8Santa Barbara Cottage Hospital FoundationPO BOX 689, Santa Barbara, CA 93102-0689CA1984-06$88,780,350
9California Pacific Medical Center Foundation2015 Steiner St, San Francisco, CA 94115-2627CA1981-07$88,629,849
10Hoag Foundation 72234300500 Superior Ave Ste 350, Newport Beach, CA 92663-3658CA1978-05$87,773,794
11Texas Childrens Hospital FoundationHouston, TX 77230TX$84,280,223
12The Women And Childrens Hospital Of Buffalo FoundationC/O Kaleida Health 726 Exchange St, Buffalo, NY 14210NY1989-05$78,559,400
13Essentia Health, Essentia Health Services502 E 2nd St, Duluth, MN 55805-1913MN2003-11$76,671,369
14Northshore University Healthsystem Foundation1301 Central St, Evanston, IL 60201-1613IL2004-09$67,430,356
15Kaleida Health Foundation726 Exchange Street, Buffalo, NY 14210-1484NY2000-07$61,360,244
16Grmc Foundation Corp1221 S Gear Ave, W Burlington, IA 52655-1679IA1984-08$48,262,502
17Sheridan County Memorial Hospital FoundationPO BOX 391, Sheridan, WY 82801-0391WY1977-03$4,850,546
18Platte County Memorial Hospital FoundationPO BOX 1031, Wheatland, WY 82201-1031WY2005-08$86,687
19North Big Horn Hospital Foundation1115 Lane 12, Lovell, WY 82431-9537WY2003-03$69,347
20Niobrara County Medical FoundationPo Box 1400, Lusk, WY 82225WY2000-03$0
Number of organizations performing similar types of work
Alaska4
Alabama1
Arkansas8
Arizona9
California44
Colorado11
Connecticut5
District of Columbia4
Delaware1
Florida22
Georgia18
Hawaii8
Iowa13
Idaho4
Illinois33
Indiana12
Kansas7
Kentucky12
Louisiana13
Massachusetts15
Maryland8
Maine2
Michigan25
Minnesota21
Missouri25
Mississippi1
Montana5
North Carolina12
North Dakota6
Nebraska7
New Hampshire1
New Jersey15
New Mexico1
Nevada4
New York48
Ohio31
Oklahoma13
Oregon12
Pennsylvania26
Rhode Island5
South Carolina12
South Dakota4
Tennessee6
Texas50
Utah4
Virginia20
Vermont3
Washington16
Wisconsin18
West Virginia6
Wyoming5
International11
Total667

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