2025-11-17T19:53:55+00:00 2024-12-31 440160260 Forvis Mazars LLP 1551 N Waterfront Pkwy Ste 300 Wichita KS 672066601 990 2024-01-01 480981990 COFFEYVILLE REGIONAL MEDICAL CENTER FOUNDATION INC COFF 6202521659 1400 W 4th Street Coffeyville KS 67337 Amy Taylor Director of Foundation 6202521659 2025-11-18 true true Kevin Ensminger P01310558 3162652811 2025-11-18 2024 2025-03-06 01:10:19Z Amy Taylor 1400 W 4th Street Coffeyville KS 67337 768194 false X WWW.CRMCINC.ORG/FOUNDATION 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. 12 12 0 35 0 381915 695649 0 0 78005 57966 15863 3307 475783 756922 123929 146408 0 0 0 0 0 0 6570 44924 59724 168853 206132 306930 550790 2783251 3505896 105 370 2783146 3505526 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. false false 143008 143008 PURCHASE MEDICAL EQUIPMENT AND FURNISHINGS FOR COFFEYVILLE REGIONAL MEDICAL CENTER AND FORGIVE LOAN DUE FROM COFFEYVILLE REGIONAL MEDICAL CENTER. 3000 3000 SCHOLARSHIP PROGRAM ESTABLISHED TO PROVIDE INDIVIDUALS WHO ARE STUDYING A HEALTH-RELATED PROGRAM WITH FINANCIAL ASSISTANCE. 400 400 ASSISTANCE TO COFFEYVILLE REGIONAL MEDICAL CENTER EMPLOYEES. 146408 true true false false false false false false false true true false false false false false false false false false false false false false true false false true false true false false false false false false false false false false false false false false false false false false false false true 0 0 0 false false false false false true true false false false false false false X 12 12 false false false false false false false true true false false false true true true true false false false false false false X Amy Taylor 6202521674 1400 W 4th Street Coffeyville KS 67337 X Doug Bell Chairman 1.0 0.0 X X 0 0 0 Laura Nicastro Secretary / Treasurer 1.0 0.0 X X 0 0 0 Richard Voss Vice Chairman 1.0 0.0 X X 0 0 0 Ann Marie Vannoster Trustee 1.0 0.0 X 0 0 0 Beth Kelly Trustee 1.0 0.0 X 0 0 0 Jeff Gossard Trustee 1.0 0.0 X 0 0 0 Jim Lawrence Trustee 1.0 0.0 X 0 0 0 Jodi Hayse Trustee 1.0 0.0 X 0 0 0 Judy Hiner Trustee 1.0 0.0 X 0 0 0 Kris Crane Trustee 1.0 0.0 X 0 0 0 LaKisha Johnson Trustee 1.0 0.0 X 0 0 0 Marlon Thornburg Trustee 1.0 0.0 X 0 0 0 Amy Taylor Director of Foundation 40.0 0.0 X 67154 0 39175 67154 0 39175 0 false false true 0 21110 674539 695649 0 0 0 0 0 57966 57966 0 0 0 0 14579 21110 11272 3307 3307 0 0 0 0 0 756922 0 0 61273 143008 143008 3400 3400 14280 14280 20160 20160 4342 0 0 4342 2348 2348 559 559 Miscellaneous 18035 15807 2228 0 0 0 0 206132 146408 53154 6570 425297 944714 0 0 0 0 388577 888577 56493 55085 1942 1408 1932303 1639698 0 0 35132 31499 2783251 3505896 105 370 0 0 0 0 105 370 X 1925948 2390625 857198 1114901 2783146 3505526 2783251 3505896 550790 171590 0 X true X false X true false X 163834 265639 298779 381915 695649 1805816 0 0 163834 265639 298779 381915 695649 1805816 760552 1045264 66631 52425 57833 66722 57966 301577 0 0 0 0 15863 3307 19170 2126563 0 0.49153 0.48990 X Schedule A, Part II, Line 10 Other Income DESCRIPTION - EVENT INCOME, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - 15863.0, COLUMN E - 3307.0, COLUMN F - 19170.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 400668 50272 50272 400668 400668 67813 67813 400668 400668 10883 10883 400668 400668 62314 62314 400668 370668 30000 17809 17809 400668 0.0 1.0 0.0 false false 32558 31369 1189 23935 23716 219 1408 Schedule D, Part V, Line 4 Intended uses of endowment funds The intended use of the Foundation's Cape endowment funds are to provide students who need financial assistance and have a great desire to become a dietitian with an educational scholarship. This fund was endowed by the board of directors. Unallocated earnings can be used at the discretion of the Board. The Endowment of the Best Scholarship is for students who have desire to become a healthcare worker, this fund was endowed as requested by the donor. GOLF TOURNAMENT 35689 21110 14579 2059 4056 3638 1519 0 0 35689 21110 14579 2059 4056 3638 1519 11272 3307 true COFFEYVILLE REGIONAL MEDICAL CENTER INC 1400 W 4TH STREET COFFEYVILLE KS 67337 481178846 501(C)(3) 113600 29408 PROPERTY APPRAISAL REAL ESTATE TO GIVE PROPERTY AND PURCHASE MEDICAL EQUIPMENT AND FURNISHINGS FOR COFFEYVILLE REGIONAL MEDICAL CENTER. 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds Amounts dispersed to the Medical Center and Medical Center employees for emergency assistance are made in response to specific requests. These requests are considered and approved by the Foundation's board. Tuition assistance is approved for disbursement from the Foundation board based on a review of scholarship applications. Disbursements for scholarships are written to the student's university. Amy Taylor Director of Foundation 67154 0 0 0 0 0 6972 0 32203 0 106329 0 0 0 Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL NAME - AMY TAYLOR, COMPENSATION FROM UNRELATED ORGANIZATION - 106329.260000, NAME OF UNRELATED ORGANIZATION - COFFEYVILLE REGIONAL MEDICAL CENTER, TYPE OF COMPENSATION - WAGES Form 990, Part VI, Line 11b Review of form 990 by governing body An independent accounting firm prepares and reviews the Form 990. The return is then reviewed by the Organization's CFO, COO and Controller. Any questions or concerns are addressed, and any corrections or clarifications are made. The final Form 990, with all required schedules, is provided to the entire board prior to filing the 990. Form 990, Part VI, Line 12c Conflict of interest policy A conflict of interest disclosure form is provided with a copy of the conflict of interest policy. This disclosure is completed by each member of the board upon election and annually thereafter. If a conflict of interest is discovered, the member concerned is not allowed to vote on the related matter. Form 990, Part VI, Line 19 Required documents available to the public The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon written request.