2018-11-14T14:44:40-06:00 2017-12-31 481026809 Wendling Noe Nelson & Johnson LLC 534 S Kansas Ave Suite 1500 Topeka KS 666033491 990 2017-01-01 480981990 Coffeyville Regional Medical Center Foundation COFF 6202521674 PO Box 305 Coffeyville KS 67337 Ann Marie Vannoster President 6202521674 2018-06-20 1 Eric L Otting P00298454 7852334226 2018-06-20 98.172.114.81 2018-06-20 09:27:51 CD P 7BFE3B854AB1225F23BB948F282F981782A0C6C3 411EF98F42EFEF241619C450F0D2FDFACAEDEEE5 2017 2019-02-21 02:37:17Z Ann Marie Vannoster PO Box 305 Coffeyville KS 67337 183380 0 X www.crmcinc.org X 1984 KS To provide support and financial assistance to Coffeyville Regional Medical Center to achieve and maintain excellence as a healthcare provider and leader for the community served. 8 8 0 46 0 0 67082 44344 0 0 89490 111343 5850 16030 162422 171717 93485 221386 0 0 0 0 0 0 8228 46067 32507 139552 253893 22870 -82176 2360281 2431518 161 125 2360120 2431393 To provide support and financial assistance to Coffeyville Regional Medical Center to achieve and maintain excellence as a healthcare provider and leader for the community served. 0 0 217777 217777 Purchase medical equipment and furnishings for Coffeyville Regional Medical Center. 3109 3109 Cash assistance to Coffeyville Regional Medical Center employees. 500 500 Scholarship program established to provide individuals who are studying a health-related program with financial assistance. 3071 3071 224457 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 2 0 1 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X Cari Redden 6202521594 1400 W 4th Street Coffeyville KS 67337 Doug Bell Vice President 1.00 X X 0 0 0 Jeff Gossard Secretary 1.00 X X 0 0 0 Jim Lawrence Trustee 1.00 X 0 0 0 Steve Miller DO Trustee 1.00 X 0 0 0 Marlon Thornburg Trustee 1.00 X 0 0 0 Ann Marie Vannoster President 1.00 X X 0 0 0 LaKisha Johnson Trustee 1.00 X 0 0 0 Laura Nicastro Trustee 1.00 X 0 0 0 Cari Redden Director of Foundation 32.00 X 0 31436 16298 0 31436 16298 0 0 0 0 0 44344 44344 49491 49491 61852 0 61852 61852 61852 27693 11663 16030 16030 171717 0 0 127373 217777 217777 3609 3609 1772 1772 11365 11365 2147 436 1711 1495 1495 790 790 2169 2169 Miscellaneous 9034 500 306 8228 Contribution expense 2135 2135 Amortization 1500 1500 Dues and Subscriptions 100 100 253893 224457 21208 8228 246581 253406 15804 0 56249 44152 14266 12097 2040794 2119874 42836 46141 2360281 2431518 161 125 161 125 X 1395145 1490206 594307 570519 370668 370668 2360120 2431393 2360281 2431518 X -82176 168423 -14974 X X 1 X 0 1 0 X 107481 50825 37372 67082 44344 307104 107481 50825 37372 67082 44344 307104 2346 304758 66841 104969 69859 45208 49491 336368 643472 0.47360 0.57360 X 370668 370668 370668 370668 370668 370668 370668 370668 370668 370668 1.00000 0 0 32533 22739 9794 23716 21413 2303 12097 X Part V, Line 4: The intended use of the Foundation's endowment funds are to provide students who need financial assistance and have a great desire to become a dietitian with an educational scholarship. Part X, Line 2: Management is not aware of any uncertainties in income tax positions. Golf Tournament 21558 21558 3975 4888 5K Spring Chicken Walk/Run 6135 6135 2800 27693 27693 3975 7688 11663 16030 1 Coffeyville Regional Medical Center Inc 1400 W 4th Street Coffeyville KS 67337 481178846 501(c)(3) 217777 To purchase medical equipment and furnishings for Coffeyville Regional Medical Center. Part I, Line 2: Amounts dispersed to the Medical Center and Medical Center employees are sent in response to specific requests. These requests are considered and voted by the Foundation's board before being dispersed. Form 990, Part VI, Section B, line 11b Form 990 was provided to the organization's governing body before it was filed. Form 990, Part VI, Section B, line 12c The organization reviews concerns as they are brought to the attention of management. Form 990, Part VI, Section C, line 19 The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon written request. Form 990, Part XI, line 9: Write off of uncollectible pledges -14,974. Form 990, Part XII, Line 2c: The board is provided a copy of the financial statement Review Report for review and approval. Coffeyville Regional Medical Center Inc 1400 W 4th Street Coffeyville KS 67337 481178846 Acute care hospital providing medical care and services. KS 501(c)(3) Line 3 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0