Civic Intelligence

Conejos County Hospital Foundation

EIN 32-0379184 • 501(c)3 • LA Jara, CO

Profile

The foundation's main mission will be to enhance the quality and availability of healthcare services in conejos county by generating and administering charitable gifts to conejos county hospital (cch). The foundation aspires to be a significant contributor to assist cch to maintain its role as the primary healthcare facility in conejos county. The foundation will encourage philanthropic giving through public education and events, and currently plans to hold three to four major fundraisers per year within conejos county and throughout the san luis valley.

19021 Highway 285LA Jara, CO 81140
Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2018

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.

Source year 2018

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on the latest valid filing.

Source year 2018

Top Officer Pay

84th percentile

$0

Higher top officer pay than 84% of similar nonprofits.

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

501(c)3 • <$500k nonprofits • Source year 2017

Asset Growth

9th percentile

-100%

Faster asset growth than 9% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2017 to 2018

Revenue Growth

3rd percentile

-100%

Faster revenue growth than 3% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2017 to 2018

Assets

Down

$0

Down $153,995 (-100%) from 2017

Liabilities

Flat

$0

Flat from 2017

Net Assets

Down

$0

Down $153,995 (-100%) from 2017

Revenue

Down

$0

Down $10,367 (-100%) from 2017

Expenses

Up

$153,995

Up $153,995 from 2017

Net Income

Down

-$153,995

Down $164,362 (-1585%) from 2017

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$200K$150K$100K$50K$0Assets 2012: $53,977Liabilities 2012: $0Net Assets 2012: $53,9772012Assets 2013: $20,324Liabilities 2013: $0Net Assets 2013: $20,3242013Assets 2014: $27,497Liabilities 2014: $0Net Assets 2014: $27,4972014Assets 2015: $24,150Liabilities 2015: $0Net Assets 2015: $24,1502015Assets 2016: $143,628Liabilities 2016: $0Net Assets 2016: $143,6282016Assets 2017: $153,995Liabilities 2017: $0Net Assets 2017: $153,9952017Assets 2018: $0Liabilities 2018: $0Net Assets 2018: $02018

Highlighted filing

2018

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$200K$100K$0-$100K-$200KRevenue 2012: $72,102Expenses 2012: $18,125Net Income 2012: $53,9772012Revenue 2013: $23,034Expenses 2013: $56,687Net Income 2013: -$33,6532013Revenue 2014: $10,884Expenses 2014: $3,711Net Income 2014: $7,1732014Revenue 2015: $710Expenses 2015: $4,057Net Income 2015: -$3,3472015Revenue 2016: $122,467Expenses 2016: $2,989Net Income 2016: $119,4782016Revenue 2017: $10,367Expenses 2017: $0Net Income 2017: $10,3672017Revenue 2018: $0Expenses 2018: $153,995Net Income 2018: -$153,9952018

Highlighted filing

2018

Revenue$0
Expenses$153,995
Net Income-$153,995

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
Feb 15, 2019
Return Version
2017v2.3
Gross Receipts
$0
Mission and Program Overview

Mission

The foundation's main mission is to enhance the quality and availability of healthcare services in conejos county by generating and administering charitable gifts to conejos county hospital (cch). The foundation aspires to be a significant contributor to assist cch to maintain its role as the primary healthcare facility in conejos county. The foundation will encourage philanthropic giving through public education and events, and currently plans to hold three to four major fundraisers per year within conejos county and throughout the san luis valley.

Program Services

DescriptionGrantsExpenses
SUPPORT OF CONEJOS COUNTY HOSPITAL corporation (part of the san luis valley regional medical center system)--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
JAN GAYDirector/President-$0--
CHERI CROWDER DIRECTORVICE-CHAIR& Secretary/Treasurer-$0--
Kathy LorenzDirector-$0--
Donald ShawcroftDirector-$0--
Filing and Contact Details

Filer

Filer Name
Conejos County Hospital Foundation
EIN
32-0379184
In Care Of
% THE ORGANIZATION
Phone
7192745121
Address
19021 Highway 285, LA JARA, CO 81140

Signing Officer

Name
Jan Gay
Title
President
Phone
7192745121
Signed
2019-02-15
Discuss with paid preparer
Yes

Preparer

Firm
Bkd Llp
Address
111 South Tejon Suite 800, Colorado Springs, CO 80903-9848
Preparer
Adam R Smith CPA
Phone
7194714290
Supplemental Narrative

Additional Explanations

Form 990EZ Part I Line 10

DONEES NAME:LUTHERAN HOSPITAL ASSOC. OF THE SAN LUIS VALLEY DONEES ADDRESS:106 BLANCA AVENUE ALAMOSA, CO 81101 RELATIONSHIP:Related PURPOSE OF PAYMENT:Support operations AMOUNT:153995

Form 990EZ Part II Line 24

Description:RELATED PARTY RECEIVABLE BOY Amount:153995 EOY Amount:

Raw XML Appendix175 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0LA JARA
IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd0CO
IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd081140
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IRS990EZ/FiledScheduleAInd0true
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IRS990EZ/Form1120PolFiledInd0false
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IRS990EZ/Form990TotalAssetsGrp/EOYAmt00
IRS990EZ/GainOrLossFromSaleOfAssetsAmt00
IRS990EZ/GrantsAndSimilarAmountsPaidAmt0153995
IRS990EZ/GrossProfitLossSlsOfInvntryAmt00
IRS990EZ/GrossReceiptsAmt00
IRS990EZ/InfoInScheduleOPartIIIInd0X
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IRS990EZ/InfoInScheduleOPartIInd0X
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IRS990EZ/LobbyingActivitiesInd0false
IRS990EZ/MadeLoansToFromOfficersInd0false
IRS990EZ/MethodOfAccountingCashInd0X
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IRS990EZ/NetAssetsOrFundBalancesEOYAmt00
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IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt00
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt20
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt20
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0JAN GAY
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1CHERI CROWDER DIRECTORVICE-CHAIR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2Kathy Lorenz
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm3Donald Shawcroft
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0DIRECTOR/PRESIDENT
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1& SECRETARY/TREASURER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2Director
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt3Director
IRS990EZ/OperateHospitalInd0false
IRS990EZ/Organization501c3Ind0X
IRS990EZ/OrganizationDissolvedEtcInd0true
IRS990EZ/OrganizationHadUBIInd0false
IRS990EZ/OtherAssetsTotalDetail/BOYAmt0153995
IRS990EZ/OtherAssetsTotalDetail/EOYAmt00
IRS990EZ/OtherEmployeePaidOver100kCnt00
IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt0NONE
IRS990EZ/PartVIOfCompOfHghstPdEmplTxt0NONE
IRS990EZ/PoliticalCampaignActyInd0false
IRS990EZ/PrimaryExemptPurposeTxt0THE FOUNDATION'S MAIN MISSION IS TO ENHANCE THE QUALITY AND AVAILABILITY OF HEALTHCARE SERVICES IN CONEJOS COUNTY BY GENERATING AND ADMINISTERING CHARITABLE GIFTS TO CONEJOS COUNTY HOSPITAL (CCH). THE FOUNDATION ASPIRES TO BE A SIGNIFICANT CONTRIBUTOR TO ASSIST CCH TO MAINTAIN ITS ROLE AS THE PRIMARY HEALTHCARE FACILITY IN CONEJOS COUNTY. THE FOUNDATION WILL ENCOURAGE PHILANTHROPIC GIVING THROUGH PUBLIC EDUCATION AND EVENTS, AND CURRENTLY PLANS TO HOLD THREE TO FOUR MAJOR FUNDRAISERS PER YEAR WITHIN CONEJOS COUNTY AND THROUGHOUT THE SAN LUIS VALLEY.
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0SUPPORT OF CONEJOS COUNTY HOSPITAL corporation (part of the san luis valley regional medical center system)
IRS990EZ/ProhibitedTaxShelterTransInd0false
IRS990EZ/RelatedOrganizationCtrlEntInd0false
IRS990EZ/SalariesOtherCompEmplBnftAmt00
IRS990EZ/ScheduleBNotRequiredInd0X
IRS990EZ/SchoolOperatingInd0false
IRS990EZ/SpecialEventsDirectExpensesAmt00
IRS990EZ/SpecialEventsNetIncomeLossAmt00
IRS990EZ/SubjectToProxyTaxInd0false
IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt00
IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt00
IRS990EZ/TanningServicesProvidedInd0false
IRS990EZ/TotalExpensesAmt0153995
IRS990EZ/TotalRevenueAmt00
IRS990EZ/TransactionWithControlEntInd0false
IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt00
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt08617
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt0111701
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt0710
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt010884
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt0131912
IRS990ScheduleA/GovtFurnSrvcFcltsVl170Grp/TotalAmt00
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt00
IRS990ScheduleA/OtherIncome170Grp/TotalAmt00
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.90391
IRS990ScheduleA/PublicSupportPY170Pct00.81900
IRS990ScheduleA/PublicSupportTotal170Amt0130550
IRS990ScheduleA/SubstantialContributorsTotAmt01362
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft170Grp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt00
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt08617
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0111701
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0710
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt010884
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0131912
IRS990ScheduleA/TotalSupportAmt0144428
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/CurrentTaxYearAmt00
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/CurrentTaxYearMinus1YearAmt01750
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/CurrentTaxYearMinus2YearsAmt010766
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/TotalAmt012516
IRS990ScheduleN/AssetsDistributedInd0true
IRS990ScheduleN/AttorneyGeneralNotifiedInd0true
IRS990ScheduleN/BondsOutstandingInd0false
IRS990ScheduleN/DirectorOfSuccessorInd0true
IRS990ScheduleN/EmployeeOfSuccessorInd0false
IRS990ScheduleN/LiabilitiesPaidInd0true
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0Cash
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02018-06-30
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN0840255530
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt0153995
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0501(C)(3)
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0Cash Value
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/PersonNm0LUTHERAN HOSPITAL ASSOC OF THE SAN
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt0106 BLANCA AVENUE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0ALAMOSA
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IRS990ScheduleN/OwnerOfSuccessorInd0false
IRS990ScheduleN/ReceiveCompensationInd0false
IRS990ScheduleN/RequiredToNotifyAGInd0true
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt0DIRECTORS OF SUCCESSOR/TRANSFEREE ORGANIZATION: PRIOR TO THE DISSOLUTION OF CONEJOS COUNTY HOSPITAL FOUNDATION AND THE TRANSFER OF ITS ASSETS TO LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY (DBA SAN LUIS VALLEY HEALTH), THE FOLLOWING TRUSTEES WERE ALREADY SERVING AS UNCOMPENSATED TRUSTEES OF BOTH ORGANIZATIONS. THEY CONTINUE TO SERVE AS UNCOMPENSATED TRUSTEES OF LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY (DBA SAN LUIS VALLEY HEALTH). *JAN GAY *CHERI CROWER *KATHY LORENZ *DONALD SHAWCROFT
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE N, PART I, LINE 2A
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0DONEES NAME:LUTHERAN HOSPITAL ASSOC. OF THE SAN LUIS VALLEY DONEES ADDRESS:106 BLANCA AVENUE ALAMOSA, CO 81101 RELATIONSHIP:Related PURPOSE OF PAYMENT:Support operations AMOUNT:153995
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Description:RELATED PARTY RECEIVABLE BOY Amount:153995 EOY Amount:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990EZ PART I LINE 10
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990EZ PART II LINE 24
ReturnHeader/BuildTS02019-02-21 02:37:17Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0JAN GAY
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0President
ReturnHeader/BusinessOfficerGrp/PhoneNum07192745121
ReturnHeader/BusinessOfficerGrp/SignatureDt02019-02-15
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Conejos County Hospital Foundation
ReturnHeader/Filer/BusinessNameControlTxt0CONE
ReturnHeader/Filer/EIN0320379184
ReturnHeader/Filer/InCareOfNm0% THE ORGANIZATION
ReturnHeader/Filer/PhoneNum07192745121
ReturnHeader/Filer/USAddress/AddressLine1Txt019021 Highway 285
ReturnHeader/Filer/USAddress/CityNm0LA JARA
ReturnHeader/Filer/USAddress/StateAbbreviationCd0CO
ReturnHeader/Filer/USAddress/ZIPCd081140
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ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt0167.68.126.162
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0BKD LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0111 South Tejon Suite 800
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Colorado Springs
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0CO
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0809039848
ReturnHeader/PreparerPersonGrp/PhoneNum07194714290
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Adam R Smith CPA
ReturnHeader/ReturnTs02019-02-18T15:18:39-06:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/TaxPeriodBeginDt02017-07-01
ReturnHeader/TaxPeriodEndDt02018-06-30
ReturnHeader/TaxYr02017

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