Civic Intelligence

Cibola Medical Foundation

990 • Fiscal year 2017 • EIN 23-7128815

Jul 01, 2016 to Jun 30, 2017 • Filed on Nov 13, 2017

Organization ProfileN/A

View Organization Page

P O Box 963Jamestown, NM 87347

(505) 863-7527

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

26th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Liabilities / Revenue

26th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Net Margin

7th percentile

-42%

Higher net margin than 7% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Top Officer Pay

49th percentile

$0

Higher top officer pay than 49% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Asset Growth

28th percentile

-3.4%

Faster asset growth than 28% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2016 to 2017

Revenue Growth

64th percentile

13%

Faster revenue growth than 64% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2016 to 2017

Balance Sheet
Liabilities / Assets26th percentile

Assets

Down

$772,735

Down $26,995 (-3.4%) from 2016

Net Assets

Down

$772,735

Down $26,995 (-3.4%) from 2016

Liabilities

Flat

$0

Flat from 2016

Revenue And Expenses
Liabilities / Revenue26th percentileNet Margin7th percentile

Revenue

Up

$63,861

Up $7,582 (+13%) from 2016

Expenses

Down

$90,856

Down $2,848 (-3.0%) from 2016

Net Income

Up

-$26,995

Up $10,430 (+28%) from 2016

Historical Trend

Balance Sheet Trend

Asset Growth28th percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$1.0M$500K$0Assets 2011: $787,331Liabilities 2011: $0Net Assets 2011: $787,3312011Assets 2012: $781,580Liabilities 2012: $0Net Assets 2012: $781,5802012Assets 2013: $783,885Liabilities 2013: $0Net Assets 2013: $783,8852013Assets 2014: $832,037Liabilities 2014: $0Net Assets 2014: $832,0372014Assets 2015: $837,155Liabilities 2015: $0Net Assets 2015: $837,1552015Assets 2016: $799,730Liabilities 2016: $0Net Assets 2016: $799,7302016Assets 2017: $772,735Liabilities 2017: $0Net Assets 2017: $772,7352017Assets 2018: $607,451Liabilities 2018: $0Net Assets 2018: $607,4512018Assets 2019: $506,310Liabilities 2019: $0Net Assets 2019: $506,3102019Assets 2020: $0Liabilities 2020: $0Net Assets 2020: $02020

Highlighted filing

2017

Assets$772,735
Liabilities$0
Net Assets$772,735
Open 2017 Filing

Operations Trend

Revenue Growth64th percentile

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$1.0M$500K$0-$500K-$1.0MExpenses 2011: $12,4432011Expenses 2012: $17,7082012Expenses 2013: $14,1732013Revenue 2014: $86,679Expenses 2014: $38,527Net Income 2014: $48,1522014Revenue 2015: $84,163Expenses 2015: $79,045Net Income 2015: $5,1182015Revenue 2016: $56,279Expenses 2016: $93,704Net Income 2016: -$37,4252016Revenue 2017: $63,861Expenses 2017: $90,856Net Income 2017: -$26,9952017Revenue 2018: $132,967Expenses 2018: $298,251Net Income 2018: -$165,2842018Revenue 2019: $52,887Expenses 2019: $154,028Net Income 2019: -$101,1412019Revenue 2020: $146,853Expenses 2020: $653,163Net Income 2020: -$506,3102020

Highlighted filing

2017

Revenue$63,861
Expenses$90,856
Net Income-$26,995
Open 2017 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2016 to Jun 30, 2017
Signed
Nov 13, 2017
Return Version
2016v3.1
Gross Receipts
$131,934
Mission and Program Overview

Mission

To support or provide for medical care & services to the residents of mckinley county and other underserved areas.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$625,526$578,292▼ $47,234
Land, Buildings, and Equipment, Net$78,659$68,070▼ $10,589
Investments Program Related$77,185$67,679▼ $9,506
Savings and Temporary Cash Investments$18,360$58,694▲ $40,334
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Accounts Receivable$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$799,730$772,735▼ $26,995
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$0$0→ $0
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Other Liabilities$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$799,282$772,287▼ $26,995
Permanently Rstr Net Assets$448$448→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$799,730$772,735▼ $26,995
Total Liabilities and Net Assets / Fund Balance$799,730$772,735▼ $26,995

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$68,070$494,367$562,437
Investment Program Related Org$67,679--
Compensation and Service Providers
Top Officer Pay49th percentile

Board Members and Trustees

NameTitle
Phil KampsPresident
Gerald RobertsonDirector
Holly StraversDirector
John DowlingDirector
John KampsDirector
Linda Van Asselt-kingDirector
Mary Lou MrazTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$63,861
Other Revenue
$0
Change in Net Assets
$-26,995
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$50,000
Other Expenses$40,856
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$50,000--$50,000
Depreciation Depletion$10,589--$10,589
Fees for Services Accounting$1,068$1,068-$2,136
Interest-$206-$206
Office Expenses-$150-$150
Other Expenses$27,765$10-$10
Total Functional Expenses$89,422$1,434$0$90,856
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Rmchcs FoundationGallup, NM501(c)3See Part Iv.$50,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990 Part VI Governance, Management and Disclosure

“Two of the officers/directors are related. Three of the directors are employed by the same employer.”

Form 990 Part VI Governance, Management and Disclosure

“The cpa, who is the paid preparer, reviews the return with the treasurer before the return is signed and filed.”

Filing and Contact Details

Filer

Filer Name
Cibola Medical Foundation
EIN
23-7128815
In Care Of
% MARY LOU MRAZ
Phone
5058637527
Address
P O BOX 963, JAMESTOWN, NM 87347

Signing Officer

Name
Mary Lou Mraz
Title
Treasurer
Phone
5058637527
Signed
2017-11-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Mary Lou Mraz
Formed
1972
Legal Domicile
Nm
Voting Board Members
8
Independent Board Members
8
Employees
0
Volunteers
14

Preparer

Firm
P W Brunson Cpapfs & Co LLC
Address
P O BOX 19336, ALBUQUERQUE, NM 87119
Preparer
Peter W Brunson
Phone
5058886808
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IRS990/SavingsAndTempCashInvstGrp/EOYAmt058694
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IRS990ScheduleD/EquipmentGrp/DepreciationAmt0494367
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IRS990ScheduleD/InvstProgramRelatedOrgGrp/BookValueAmt067679
IRS990ScheduleD/InvstProgramRelatedOrgGrp/Desc0NOTE RECEIVABLE-ESPES EST LLC
IRS990ScheduleD/InvstProgramRelatedOrgGrp/MethodValuationCd0C
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IRS990ScheduleD/TotalBookValueProgramRltdAmt067679
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IRS990ScheduleI/RecipientTable/CashGrantAmt050000
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501(c)3
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0SEE PART IV.
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0RMCHCS FOUNDATION
IRS990ScheduleI/RecipientTable/RecipientEIN0850349559
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt01901 RED ROCK DR
IRS990ScheduleI/RecipientTable/USAddress/CityNm0GALLUP
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0NM
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd087301
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION SUPPORTS OTHER ORGANIZATIONS THAT COMPLEMENT ITS MISSION STATEMYNT WHICH IS TO SUPPORT OR PROVIDE FOR MEDICAL CARE & SERVICES TO THE RESIDENTS OF MCKINLEY COUNTY AND OTHER UNDERSERVED AREAS. THIS CONTRIBUTION TO THE REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES FOUNDATION WILL BE USED TO HELP REOPEN REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES' RESIDENTIAL ALCOHOL AND SUBSTANCE ABUSE PROGRAM AT THE EAST CAMPUS LOCATION ON VANDENBOSCH PARKWAY, GALLUP, NM. THE RESULTS OF THE CONTRIBUTION WILL BE READILY APPARENT.
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IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990 PART VI GOVERNANCE, MANAGEMENT AND DISCLOSURE
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990 PART VI GOVERNANCE, MANAGEMENT AND DISCLOSURE
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IRS990/TaxablePartyNotificationInd0false
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IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
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IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt089422
IRS990/TotalFunctionalExpensesGrp/TotalAmt090856
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IRS990/TotalProgramServiceRevenueAmt00
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IRS990/TotalRevenueGrp/TotalRevenueColumnAmt063861
IRS990/TotalVolunteersCnt014
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IRS990/UnsecuredNotesLoansPayableGrp/BOYAmt00
IRS990/UnsecuredNotesLoansPayableGrp/EOYAmt00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0P O BOX 963
IRS990/USAddress/CityNm0JAMESTOWN
IRS990/USAddress/StateAbbreviationCd0NM
IRS990/USAddress/ZIPCd087347
IRS990/VotingMembersGoverningBodyCnt08
IRS990/VotingMembersIndependentCnt08
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0MARY LOU MRAZ
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TREASURER
ReturnHeader/BusinessOfficerGrp/PhoneNum05058637527
ReturnHeader/BusinessOfficerGrp/SignatureDt02017-11-13
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0CIBOLA MEDICAL FOUNDATION
ReturnHeader/Filer/BusinessNameControlTxt0CIBO
ReturnHeader/Filer/EIN0237128815
ReturnHeader/Filer/InCareOfNm0% MARY LOU MRAZ
ReturnHeader/Filer/PhoneNum05058637527
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ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId076F816088A225F159C6CCE40101EC4240D50E8C7
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ReturnHeader/FilingSecurityInformation/FederalOriginalSubmissionIdDt02017-11-14
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt067.41.96.29
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0P W BRUNSON CPAPFS & CO LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0P O BOX 19336

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2017 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$772,735
Liabilities
$0
Net assets
$772,735
Revenue
$63,861
Expenses
$90,856
Net income
-$26,995
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2020Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$1.47$6.53$5.06
2019Detailed filing. Detailed filing data is available for this year.$5.06$0.00$5.06$0.53$1.54$1.01
2018Detailed filing. Detailed filing data is available for this year.$6.07$0.00$6.07$1.33$2.98$1.65
2017Detailed filing. Detailed filing data is available for this year.$7.73$0.00$7.73$0.64$0.91$0.27
2016Detailed filing. Detailed filing data is available for this year.$8.00$0.00$8.00$0.56$0.94$0.37
2015Detailed filing. Detailed filing data is available for this year.$8.37$0.00$8.37$0.84$0.79$0.05
2014Detailed filing. Detailed filing data is available for this year.$8.32$0.00$8.32$0.87$0.39$0.48
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.84$0.00$7.84$0.14
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.82$0.00$7.82$0.18
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.87$0.00$7.87$0.12