2022-01-31T07:59:53-08:00 2021-06-30 203594086 Corey R Miles CPA PC PO Box 187 Afton WY 83110 990 2020-07-01 830294706 Star Valley Medical Center Charitable Foundation STAR 3078855887 901 Adams Street Afton WY 83110 Dale Cottam Chairman 2022-01-31 true Dale Cottam 999009999 Corey R Miles P00576020 3078850055 2 AAL1 IAL1 FAL1 2020 2022-09-23 18:48:47Z Dale Cottam 901 Adams Street Afton WY 83110 42465 false X https://starvalleyhealth.org/foundation/ X 1991 WY 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. 8 8 0 0 46531 24663 0 17033 17802 -6664 0 56900 42465 51586 8961 0 0 0 0 18063 23674 69649 32635 -12749 9830 1433617 1792202 0 1433617 1792202 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. false false 9521 Contributions raised from the local community, private foundations, and various grant monies were donated to the hospital and related long term care facility for needed equipment. The current and long term objective of the Foundation is to seek and obtain donations and grants exclusively for charitable, educational, or scientific purposes supporting the activities of North Lincoln County Hospital District dba Star Valley Health. 9521 true true false false false false false false false true false false false false false false false false false false false false false false false false false true false false false false false false false false false false false false false false false true false true false true 0 0 true 0 false false false false false false false 0 false false false false false false false X 8 8 false false false false false true true true true false false true true true true true true false false false Chad Turner 3078855887 901 Adams Street Afton WY 83110 X Dale Cottam Chairman 1.00 0.00 X X 0 0 0 Phil Newcomb Treasurer 0.50 0.00 X X 0 0 0 Scott Thomas Secretary 0.50 0.00 X X 0 0 0 Mark Taylor President 1.00 0.00 X X 0 0 0 Dave Curtis Trustee 0.50 0.00 X 0 0 0 Dr Niki Milleson Trustee 0.50 0.00 X 0 0 0 Jeremy Larsen Trustee 0.50 0.00 X 0 0 0 Katheryne Myers Trustee 0.50 0.00 X 0 0 0 0 false false false 0 24663 24663 0 17802 17802 0 0 0 0 0 0 0 0 42465 17802 6000 6000 2961 2961 0 0 0 0 0 0 0 0 0 0 0 0 0 22879 22879 0 0 10 10 0 0 0 0 0 0 0 0 0 0 Refunds for Cancelled Events 550 550 Gift 120 120 Cr Card Fees 90 90 Wy State License 25 25 0 32635 9521 23114 0 64955 79870 60514 59246 0 0 0 0 0 0 0 0 1308148 1653086 0 0 0 0 1433617 1792202 0 0 X 518544 863087 915073 929115 1433617 1792202 1433617 1792202 9830 348755 X false false false X X 1 NLCHD dba Star Valley Health 830327251 3 false 6000 0 1 6000 0 true false false false false false false false false false false false false false false true false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 886687 6500 893187 879837 6850 886687 873237 6600 879837 865837 7950 873787 857837 7450 865287 false false false false No Lincoln Co Hosp Dist 901 Adams Street Afton WY 83110 830327251 6000 0 Medical Equipment 1 0 Additional Supplemental Information The 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. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body 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, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders The Hospital Board of Trustees gives final approval of the Foundation Board. Form 990, Part VI, Line 11b: Form 990 Review Process No review was or will be conducted. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts 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, Line 19: Other Organization Documents Publicly Available The Foundation makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. NLCHD dba Star Valley Health 901 Adams Street Afton WY 83110 830327251 Hospital/Clinics WY NA false false true false false false false false false false false false false false true true false false false false NLCHD dba Star Valley Health b 6000 Cash Donation