Civic Intelligence

Conejos County Hospital Foundation Inc

990EZ • Fiscal year 2016 • EIN 32-0379184

Jul 01, 2015 to Jun 30, 2016 • Filed on May 15, 2017

Organization Profile
19021 Highway 285LA Jara, CO 81140

(719) 274-5121

Siviq Scores

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

Liabilities / Assets

56th percentile

0.00x

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

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Liabilities / Revenue

55th percentile

0.00x

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

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Net Margin

99th percentile

98%

Higher net margin than 99% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Top Officer Pay

75th percentile

$0

Higher top officer pay than 75% of similar nonprofits.

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

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Asset Growth

98th percentile

495%

Faster asset growth than 98% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Annualized from 2015 to 2016

Revenue Growth

100th percentile

17149%

Faster revenue growth than 100% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Annualized from 2015 to 2016

Balance Sheet
Liabilities / Assets56th percentile

Assets

Up

$143,628

Up $119,478 (+495%) from 2015

Net Assets

Up

$143,628

Up $119,478 (+495%) from 2015

Liabilities

Flat

$0

Flat from 2015

Revenue And Expenses
Liabilities / Revenue55th percentileNet Margin99th percentile

Revenue

Up

$122,467

Up $121,757 (+17149%) from 2015

Expenses

Down

$2,989

Down $1,068 (-26%) from 2015

Net Income

Up

$119,478

Up $122,825 (+3670%) from 2015

Historical Trend

Balance Sheet Trend

Asset Growth98th percentile

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

$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

2016

Assets$143,628
Liabilities$0
Net Assets$143,628
Open 2016 Filing

Operations Trend

Revenue Growth100th percentile

Revenue, expenses, and net income across loaded years, with this 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

2016

Revenue$122,467
Expenses$2,989
Net Income$119,478
Open 2016 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2015 to Jun 30, 2016
Signed
May 15, 2017
Return Version
2015v3.0
Gross Receipts
$122,467
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)$2,989$2,989
Compensation and Service Providers
Top Officer Pay75th percentile

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
2017-05-15
Discuss with paid preparer
Yes

Preparer

Firm
Bkd Llp
Address
111 South Tejon Suite 800, Colorado Springs, CO 80903-9848
Preparer
David S Mason CPA
Phone
7194714290
Supplemental Narrative

Additional Explanations

Form 990EZ Part II Line 24

“Description:RELATED PARTY RECEIVABLE BOY Amount:24150 EOY Amount:143628”

Raw XML Appendix149 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/PersonNm0THE ORGANIZATION
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IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0LA JARA
IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd0CO
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt00
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt30
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/OrganizationDissolvedEtcInd0false
IRS990EZ/OrganizationHadUBIInd0false
IRS990EZ/OtherAssetsTotalDetail/BOYAmt024150
IRS990EZ/OtherAssetsTotalDetail/EOYAmt0143628
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/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt02989
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt02989
IRS990EZ/ProhibitedTaxShelterTransInd0false
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IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt00
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IRS990EZ/TanningServicesProvidedInd0false
IRS990EZ/TotalExpensesAmt02989
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IRS990EZ/TotalRevenueAmt0122467
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IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990ScheduleA/First5Years170Ind0X
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt0111701
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt0710
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt010884
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt023034
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt072102
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IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt010766
IRS990ScheduleA/OtherIncome170Grp/TotalAmt00
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportTotal170Amt0202800
IRS990ScheduleA/SubstantialContributorsTotAmt015631
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IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0111701
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IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Description:RELATED PARTY RECEIVABLE BOY Amount:24150 EOY Amount:143628
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990EZ PART II LINE 24
ReturnHeader/BuildTS02017-02-10 21:41:12Z
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ReturnHeader/BusinessOfficerGrp/PhoneNum07192745121
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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
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ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0CO
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0809039848
ReturnHeader/PreparerPersonGrp/PhoneNum07194714290
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0David S Mason CPA
ReturnHeader/ReturnTs02017-03-27T09:07:52-05:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/TaxPeriodBeginDt02015-07-01
ReturnHeader/TaxPeriodEndDt02016-06-30
ReturnHeader/TaxYr02015

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2016 • Form 990EZDetailed filing. Detailed filing data is available for this year.

Open filing
Assets
$143,628
Liabilities
$0
Net assets
$143,628
Revenue
$122,467
Expenses
$2,989
Net income
$119,478
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2018Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.00$1.54$1.54
2017Detailed filing. Detailed filing data is available for this year.$1.54$0.00$1.54$0.10$0.00$0.10
2016Detailed filing. Detailed filing data is available for this year.$1.44$0.00$1.44$1.22$0.03$1.19
2015Detailed filing. Detailed filing data is available for this year.$0.24$0.00$0.24$0.01$0.04$0.03
2014Detailed filing. Detailed filing data is available for this year.$0.27$0.00$0.27$0.11$0.04$0.07
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.20$0.00$0.20$0.23$0.57$0.34
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.54$0.00$0.54$0.72$0.18$0.54