IVINSON GUEST HOUSE

Address
255 N 30TH STREET
LARAMIE, WY 82072
Contact
Website: http://www.imhfoundation.org
Phone: +1 (307) 755-4613
Nonprofit
NTEE: L20 - Housing Development, Construction, Management
EIN: 45-5610288

Mission

TO PROVIDE LODGING FOR THE FAMILIES OF PATIENTS RECEIVING SERVICES FROM IVINSON MEMORIAL HOSPITAL.
 2016201520142013
Basic features of the organization
Year of formation2012
Form of organization
CorporationTrue
Human resources, including compensation
Summary compensation info
Sum of reportable (W2/1099) compensation$0.00$0.00$0.00 
Number of employees000 
Number of people compensated >$100k000 
Number of volunteers333 
Number of highly compensated contractors000 
Personnel
Bands, James
TitleCFO - IVINSON MEMORIAL HOSPITAL   
Name of key/compensated personJAMES BANDS   
Position of compensated person
Current officerTrue   
Average hours per week working for org1.00   
Reportable compensation from org$0.00   
Other comp, non-reportable, from org and related orgs$0.00   
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00   
Average hours per week working for related orgs39.00   
Chalmers, Bryan
Title CFO - IVINSON MEMORIAL HOSPITALCFO - IVINSON MEMORIAL HOSPITAL 
Name of key/compensated person BRYAN CHALMERSBRYAN CHALMERS 
Position of compensated person
Current officer TrueTrue 
Average hours per week working for org 0.101.00 
Reportable compensation from org $0.00$0.00 
Other comp, non-reportable, from org and related orgs $16,582.00$0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs  $155,449.00$0.00 
Average hours per week working for related orgs 39.9039.00 
Dozier, Carol
Title  CEO - IVINSON MEMORIAL HOSPITAL 
Name of key/compensated person  CAROL DOZIER 
Position of compensated person
Current officer  True 
Average hours per week working for org  1.00 
Reportable compensation from org  $0.00 
Other comp, non-reportable, from org and related orgs  $22,099.00 
Corresponding comp from related orgs
Reportable compensation from related orgs   $241,044.00 
Average hours per week working for related orgs  39.00 
Faus, Doug
TitleCEO - IVINSON MEMORIAL HOSPITALCEO - IVINSON MEMORIAL HOSPITALCEO - IVINSON MEMORIAL HOSPITAL 
Name of key/compensated personDOUG FAUSDOUG FAUSDOUG FAUS 
Position of compensated person
Current officerTrueTrueTrue 
Average hours per week working for org1.000.101.00 
Reportable compensation from org$0.00$0.00$0.00 
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00 
Average hours per week working for related orgs39.0039.9039.00 
Lebeau, Jennifer
TitlePRESIDENTPRESIDENTPRESIDENT 
Name of key/compensated personJENNIFER LEBEAUJENNIFER LEBEAUJENNIFER LEBEAU 
Position of compensated person
Current officerTrueTrueTrue 
Average hours per week working for org1.001.001.00 
Reportable compensation from org$0.00$0.00$0.00 
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00 
Average hours per week working for related orgs0.000.000.00 
Mangan, Tom
TitleSECRETARYSECRETARYSECRETARY 
Name of key/compensated personTOM MANGANTOM MANGANTOM MANGAN 
Position of compensated person
Current officerTrueTrueTrue 
Average hours per week working for org1.001.001.00 
Reportable compensation from org$0.00$0.00$0.00 
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00 
Average hours per week working for related orgs1.001.001.00 
Villums, Karl
Title  CFO - IVINSON MEMORIAL HOSPITAL 
Name of key/compensated person  KARL VILLUMS 
Position of compensated person
Current officer  True 
Average hours per week working for org  1.00 
Reportable compensation from org  $0.00 
Other comp, non-reportable, from org and related orgs  $20,311.00 
Corresponding comp from related orgs
Reportable compensation from related orgs   $467,776.00 
Average hours per week working for related orgs  39.00 
Warpness, Guy
TitleTREASURERTREASURERTREASURER 
Name of key/compensated personGUY WARPNESSGUY WARPNESSGUY WARPNESS 
Position of compensated person
Current officerTrueTrueTrue 
Average hours per week working for org1.001.001.00 
Reportable compensation from org$0.00$0.00$0.00 
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00 
Average hours per week working for related orgs2.002.002.00 
Purpose: mission, activities, & accomplishments
Mission or significant activitiesPROVIDE LODGING FOR THE FAMILIES OF PATIENTS RECEIVING SERVICES FROM IVINSON MEMORIAL HOSPITAL.PROVIDE LODGING FOR THE FAMILIES OF PATIENTS RECEIVING SERVICES FROM IVINSON MEMORIAL HOSPITAL.PROVIDE LODGING FOR THE FAMILIES OF PATIENTS RECEIVING SERVICES FROM IVINSON MEMORIAL HOSPITAL. 
Program service expenses, total$1,338,907.00$66,682.00$66,031.00 
Programs, including revenue & expenses
PROVIDED LODGING FOR PATIENTS AND THEIR FAMILIES. THE COST OF LODGING IS DETERMINED ON A SLIDING SCALE BASED ON INCOME. ON JUNE 30, 2016, IVINSON GUEST HOUSE TRANSFERRED ALL ASSETS TO IVINSON MEMORIAL HOSPITAL, ITS SUPPORTED ORGANIZATION, AND DISSOLVED. SEE FORM 990, SCHEDULE N FOR FURTHER INFORMATION.
Program expenses$1,338,907.00$66,682.00$66,031.00 
Grants and allocations made$1,268,378.00$0.00$0.00 
Program revenue$35,785.00$31,486.00$26,330.00 
Program descriptionPROVIDED LODGING FOR PATIENTS AND THEIR FAMILIES. THE COST OF LODGING IS DETERMINED ON A SLIDING SCALE BASED ON INCOME. ON JUNE 30, 2016, IVINSON GUEST HOUSE TRANSFERRED ALL ASSETS TO IVINSON MEMORIAL HOSPITAL, ITS SUPPORTED ORGANIZATION, AND DISSOLVED. SEE FORM 990, SCHEDULE N FOR FURTHER INFORMATION.PROVIDED LODGING FOR PATIENTS AND THEIR FAMILIES. THE COST OF LODGING IS DETERMINED ON A SLIDING SCALE BASED ON INCOME.PROVIDED LODGING FOR PATIENTS AND THEIR FAMILIES. THE COST OF LODGING IS DETERMINED ON A SLIDING SCALE BASED ON INCOME. 
Financial data
Revenue
Total revenue$36,327.00$32,031.00$26,906.00 
Revenue from contributions (total)  $0.00$1,508,365.00
Investment income, current yr$542.00$545.00$576.00 
Total revenue from grants, etc., current yr$0.00$0.00$0.00 
Total unrelated business revenue$0.00$0.00$0.00 
Other revenue, current yr$0.00$0.00$0.00 
Net unrelated business taxable revenue$0.00$0.00$0.00 
Program service revenue (total)$35,785.00$31,486.00$26,330.00$20,165.00
Gross receipts$36,327.00$32,031.00$26,906.00 
Other types of revenue
Income from dividends, interest, and similar investments$542.00$545.00$576.00 
Net rental income  $0.00$0.00
Expense categories (totals)
Total functional expenses: sum of all$1,366,760.00$89,486.00$87,163.00 
Total functional expenses: program service $1,338,907.00$66,682.00$66,031.00 
Total functional expenses: management and general$27,853.00$22,804.00$21,132.00 
Total functional expenses: fundraising$0.00$0.00$0.00 
Fees for services
Fundraising service fees (total)$0.00$0.00$0.00 
General management fees (total)$18,900.00$18,900.00$18,900.00 
Assets and liabilities
Total assets$0.00$1,347,481.00$1,411,566.00$1,455,011.00
Total assets, beginning of year$1,347,481.00$1,411,566.00$1,455,011.00 
Total liabilities$0.00$17,048.00$23,678.00$6,866.00
Total liabilities, beginning of year$17,048.00$23,678.00$6,866.00 
Pledges & accounts receivable, net$0.00   
Loans & receivables from key persons$0.00   
Unrestricted net assets, end of yr$0.00$1,330,433.00$1,387,888.00 
Net assets$0.00$1,330,433.00$1,387,888.00 
Net assets, beginning of year$1,330,433.00$1,387,888.00$1,448,145.00 
Intangible assets$0.00   
Other assets$0.00   
Investments: other securities$0.00   
Investments: publicly traded securities$0.00   
Cash: non-interest bearing$0.00$44,108.00$53,439.00 
Cash: non-interest bearing, beginning of year$44,108.00$53,439.00$42,153.00 
Investments -- program-related$0.00   
Inventories for sale or use$0.00   
Other financial variables
Revenue less expenses-$1,330,433.00-$57,455.00-$60,257.00 
Savings & temp cash investment$0.00$151,646.00$151,116.00 
Accounts receivable, net$0.00   
Prepaid expenses & deferred charges$0.00   
Accounts payable & accrued expenses$0.00$17,048.00$23,678.00 
Total net assets or fund balances$0.00$1,330,433.00$1,387,888.00 
Depreciation, depletion, amortization$55,284.00$55,284.00$55,284.00 
Governance and accountability
Number of voting members333 
Number of independent voting members333 
Discontinued or disposed >25% of net assetsTrue   
Accrual accountingTrueTrueTrue 
Tax year start date2015-07-012014-07-012013-07-01 
Tax year end date2016-06-012015-06-012014-06-012013-06-01
Indicators for schedules (selected)
Grants to domestic org/gov't >$5kTrue   
Metadata about the filing
E-return type: 990, 990EZ, or 990PF990990990 
Reason for form submission
Final return / terminatedTrue   
Date e-filing submitted2017-03-302016-07-252015-07-14 
IRS schema version2015v2.12014v6.02013v4.0 
Filing identifier201623169349300442201620839349300212201501339349301515 
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