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Nonprofiteer
← CHEYENNE COUNTY HOSPITAL & HEALTH CENTER FOUNDATION

Form 990 for tax year 2024

Filed by CHEYENNE COUNTY HOSPITAL & HEALTH CENTER FOUNDATION.

Totals

Total revenue
$170,151
Total expenses
$365,423
Contributions and grants received
$51,751
Grants paid
$306,980
Program service revenue
$0
Investment income
$112,598
Other revenue
$5,802
Total assets, end of year
$1,698,507
Total liabilities, end of year
$2,069
Net assets or fund balances, end of year
$1,696,438
Program services expenses (Part IX)
$306,980
Management and general expenses
$0
Fundraising expenses
$58,443
Program service expenses (Part III)
$306,980

Program services were 84.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1c · Fundraising events

    $26,644

  • 1d · Related organizations

    $5,000

  • 1f · All other contributions, gifts and grants

    $20,107

  • 3 · Investment income

    total $21,194 · excluded $21,194

  • 7a · Gross sales of assets other than inventory

    securities $47,193 · other assets $49,215

  • 7b · Less cost or other basis and sales expenses

    securities $0 · other assets $5,004

  • 7c · Gain or loss

    securities $47,193 · other assets $44,211

  • 7d · Net gain or loss

    total $91,404 · excluded $91,404

  • 8a · Fundraising events: gross income

    $6,396

  • 8a · Fundraising events: contributions included on line 1c

    $26,644

  • 8b · Fundraising events: direct expenses

    $7,914

  • 8c · Net income from fundraising events

    total -$1,518 · excluded -$1,518

  • 10a · Gross sales of inventory

    $9,502

  • 10b · Cost of goods sold

    $7,854

  • 10c · Net income from sales of inventory

    total $1,648 · related or exempt $1,648

  • 11d · All other revenue

    total $5,672 · related or exempt $5,672

  • 11e · Other revenue, total

    $5,672

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $304,480 · program services $304,480

  • 2 · Grants to domestic individuals

    total $2,500 · program services $2,500

  • 11c · Fees: accounting

    total $6,770 · fundraising $6,770

  • 11g · Fees: other

    total $38,459 · fundraising $38,459

  • 13 · Office expenses

    total $102 · fundraising $102

  • 16 · Occupancy

    total $2,923 · fundraising $2,923

  • 19 · Conferences, conventions and meetings

    total $909 · fundraising $909

  • 22 · Depreciation, depletion and amortization

    total $1,504 · fundraising $1,504

  • 24a · Other expenses: OKTOBERFEST RUN

    total $5,157 · fundraising $5,157

  • 24e · All other expenses

    total $2,619 · fundraising $2,619

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $1,072,978 · end of year $829,823

  • 10a · Land, buildings and equipment: cost or other basis

    $127,402

  • 10b · Land, buildings and equipment: accumulated depreciation

    $919

  • 10c · Land, buildings and equipment, net

    beginning of year $135,005 · end of year $126,483

  • 11 · Investments: publicly traded securities

    beginning of year $607,713 · end of year $742,201

  • 19 · Deferred revenue

    beginning of year $4,041 · end of year $0

  • 25 · Other liabilities

    beginning of year $0 · end of year $2,069

  • 27 · Net assets without donor restrictions

    beginning of year $1,570,201 · end of year $1,437,879

  • 28 · Net assets with donor restrictions

    beginning of year $241,454 · end of year $258,559

Mission and programs · 2024

Mission

TO ASSURE THERE IS, AND ALWAYS WILL BE, A STRONG FINANCIAL FOUNDATION SUPPORTING OUR HEALTH CARE COMMUNITY.

Activities or mission (Part I)

TO SUPPORT SIDNEY REGIONAL MEDICAL CENTER.

  • PROVIDE SUPPORT TO CHEYENNE COUNTY HOSPITAL ASSOCIATION, D/B/A SIDNEY REGIONAL MEDICAL CENTER, TO FURTHER THEIR QUEST TO PROVIDE THE MOST UP-TO-DATE FACILITIES, EQUIPMENT AND SERVICE.

    Expenses $304,480 · Grants $304,480

  • PROVIDE FUNDING TO SUPPORT SCHOLARSHIPS FOR INDIVIDUALS CURRENTLY STUDYING IN THE HEALTH CARE FIELD.

    Expenses $2,500 · Grants $2,500

As filed on the 2024 return.

Listed in Part VII

  • DR JAMES POPOVICH

    MEMBER

    Total calculated
    $726,414
    From this org
    $0
    From related orgs
    $667,835
    Other
    $58,579
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $637,835 related
    Bonus
    $0 + $30,000 related
    Other
    $0
    Deferred
    $0 + $23,000 related
    Nontaxable benefits
    $0 + $35,723 related
    Filer's total
    $0 + $726,558 related
  • BILL BUTKUS

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1
  • KURT KAISER

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    1
  • SEAN DOYLE

    TREASURER

    Total calculated
    $0
    Hours/week
    1
  • JULIE SHOEMAKER

    SECRETARY/EXECUTIVE DIRECTOR

    Total calculated
    $155,717
    From this org
    $0
    From related orgs
    $113,943
    Other
    $41,774
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $113,943 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $6,113 related
    Nontaxable benefits
    $0 + $35,677 related
    Filer's total
    $0 + $155,733 related
  • STAN BELIEU

    MEMBER

    Total calculated
    $0
    Hours/week
    1 + 4 related
  • NANCI MCCASLIN

    MEMBER

    Total calculated
    $0
    Hours/week
    1 + 4 related
  • SHANE COCHRAN

    MEMBER

    Total calculated
    $0
    Hours/week
    1
  • NICKY RADCLIFFE

    MEMBER

    Total calculated
    $0
    Hours/week
    1
  • SHIRLEY WILSON

    MEMBER

    Total calculated
    $0
    Hours/week
    1
  • BECKY BUTKUS

    MEMBER

    Total calculated
    $0
    Hours/week
    1
  • ERIKA REVORD

    MEMBER

    Total calculated
    $0
    Hours/week
    1
  • KIM PHILLIPS

    MEMBER

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
JULIE SHOEMAKER, EXECUTIVE DIRECTOR, IS COMPENSATED BY CHEYENNE COUNTY HOSPITAL ASSOCIATION, INC. FOR SERVICES TO THE FOUNDATION. CHEYENNE COUNTY HOSPITAL ASSOCIATION USES ONE OR MORE OF THE METHODS ON LINE 3 TO DETERMINE THE EXECUTIVE DIRECTOR'S COMPENSATION.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2024
Filed
13 November 2025
IRS schema version
2024v5.2
Source object
202543189349306644

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