2011-05-16T13:04:15-05:00 2010-12-31 Wendling Noe Nelson & Johnson LLC 534 S Kansas Ave Suite 1500 Topeka KS 666033491 990 2010-01-01 480981990 Coffeyville Regional Medical Center Foundation COFF 6202521674 PO Box 305 Coffeyville KS 67337 Nancy Wright 6202521674 2011-05-09 1 Gary D Knoll 7852334226 2011-05-09 2010 2016-02-24 21:20:13Z Nancy Wright PO Box 305 Coffeyville KS 67337 772942 0 X www.crmcinc.com 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. 11 11 0 11 0 0 147270 511458 0 0 4838 79038 5677 5291 157785 595787 228553 372694 0 0 0 0 0 0 0 23628 19464 252181 392158 -94396 203629 2296497 2565546 3436 12550 2293061 2552996 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 363713 363713 Purchase medical equipment and furnishings for Coffeyville Regional Medical Center. 2314 2314 Cash assistance to Coffeyville Regional Medical Center employees. 6667 1500 Scholarship program established by Coffeyville Regional Medical Center Foundation to provide individuals who have been admitted to a health related program or medical school with financial assistance. 372694 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X Tamara Carnahan 6202521674 1400 W 4th Street Coffeyville KS 67337 X Doug Bell 1.00 X 0 0 0 Neal Barkley 1.00 X 0 0 0 Debbie Carter 1.00 X X 0 0 0 Bill Jones 1.00 X 0 0 0 Jim Lawrence 1.00 X X 0 0 0 Sharon Muller 1.00 X 0 0 0 Steve Miller DO 1.00 X 0 0 0 Carol Phillips 1.00 X 0 0 0 Vicki Rauch 1.00 X X 0 0 0 Max Williams 1.00 X 0 0 0 Nancy Wright 1.00 X X 0 0 0 0 0 0 0 0 0 0 0 486286 25172 511458 53482 53482 25556 25556 25556 25556 182446 486286 177155 5291 5291 595787 0 0 84329 363713 363713 8981 8981 8931 8931 2567 2567 1759 1759 137 137 3717 3717 Amortization 1375 1375 Miscellaneous 818 818 Dues and Subscriptions 160 160 392158 372694 19464 0 133908 5817 539362 558156 98149 483458 15195 1320 47866 27076 24507 20790 451932 1415004 956627 70372 87446 2296497 2565546 1276 10680 2160 1870 3436 12550 X 737523 833352 1184870 1348976 370668 370668 2293061 2552996 2296497 2565546 X 203629 56306 X 1 0 0 X 0 X X 0 0 0 Coffeyville Regional Medical Center Inc 481178846 3 1 1 1 363713 1 363713 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 47866 27076 20790 20790 Fixed Income Securities Edward Jones 956627 C 956627 Gift Annuities Payable 1870 1870 Description of Uncertain Tax Positions Under FIN 48: Part X: N/A X X X X 1 Soultion 4 Fundraiser 389 NW 1851 Rd Kingsville MO 640619320 Radiology/Oncology Capital Campaign 0 878688 156000 722688 878688 156000 722688 Radiologg/Oncology Capital Campaign 639386 471208 168178 168178 Golf Tournament 22317 15078 7239 7239 3 7029 7029 1738 668732 486286 182446 177155 177155 5291 0 Coffeyville Regional Medical Center Inc 1400 W 4th Street Coffeyville KS 67337 481178846 501(c)(3) 363713 To purchase medical equipment and furnishings for Coffeyville Regional Medical Center. Scholarship program established by Coffeyville Regional Medical Center Foundation to provide individuals who have been admitted to a health related program or medical school with financial assistance. 2 1500 Cash assistance to Coffeyville Regional Medical Center employees. 6 2314 Form 990, Part VI, Section B, line 11 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 attention. 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. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 56,306. 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) Type III - Other 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Coffeyville Regional Medical Center Inc B 363713