Civic Intelligence

Conejos County Hospital Foundation Inc

990EZ • Fiscal year 2017 • EIN 32-0379184

Jul 01, 2016 to Jun 30, 2017 • Filed on Mar 26, 2018

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.

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

Liabilities / Revenue

56th percentile

0.00x

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

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

Net Margin

100th percentile

100%

Higher net margin than 100% of similar nonprofits.

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

Top Officer Pay

76th percentile

$0

Higher top officer pay than 76% of similar nonprofits.

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

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

Asset Growth

58th percentile

7.2%

Faster asset growth than 58% of similar nonprofits.

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

Revenue Growth

2nd percentile

-92%

Faster revenue growth than 2% of similar nonprofits.

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

Balance Sheet
Liabilities / Assets56th percentile

Assets

Up

$153,995

Up $10,367 (+7.2%) from 2016

Net Assets

Up

$153,995

Up $10,367 (+7.2%) from 2016

Liabilities

Flat

$0

Flat from 2016

Revenue And Expenses
Liabilities / Revenue56th percentileNet Margin100th percentile

Revenue

Down

$10,367

Down $112,100 (-92%) from 2016

Expenses

Down

$0

Down $2,989 (-100%) from 2016

Net Income

Down

$10,367

Down $109,111 (-91%) from 2016

Historical Trend

Balance Sheet Trend

Asset Growth58th 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

2017

Assets$153,995
Liabilities$0
Net Assets$153,995
Open 2017 Filing

Operations Trend

Revenue Growth2nd 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

2017

Revenue$10,367
Expenses$0
Net Income$10,367
Open 2017 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2016 to Jun 30, 2017
Signed
Mar 26, 2018
Return Version
2016v3.1
Gross Receipts
$17,604
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
Top Officer Pay76th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
JAN GAYDirector/President-$0--
CHERI CROWDER DIRECTORVICE-CHAIR& Secretary Treasurer-$0--
KATHY LORENZDirector-$0--
DONALD SHAWCROFTDirector-$0--
Fundraising, Events, and Gaming

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
BBQ/Auction$16,863$8,987$7,237$1,750
Total Events$16,863$8,987$7,237$1,750
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
2018-03-26
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 II Line 24

“Description:RELATED PARTY RECEIVABLE BOY Amount:143628 EOY Amount:153995”

Raw XML Appendix159 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/CntrctRcvdGreaterThan100KCnt00
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IRS990EZ/FundraisingGrossIncomeAmt08987
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IRS990EZ/LandAndBuildingsGrp/BOYAmt00
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IRS990EZ/MethodOfAccountingCashInd0X
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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/OrganizationDissolvedEtcInd0false
IRS990EZ/OrganizationHadUBIInd0false
IRS990EZ/OtherAssetsTotalDetail/BOYAmt0143628
IRS990EZ/OtherAssetsTotalDetail/EOYAmt0153995
IRS990EZ/OtherEmployeePaidOver100kCnt00
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
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IRS990EZ/SalariesOtherCompEmplBnftAmt00
IRS990EZ/ScheduleBNotRequiredInd0X
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IRS990EZ/SpecialEventsNetIncomeLossAmt01750
IRS990EZ/SubjectToProxyTaxInd0false
IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt00
IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt00
IRS990EZ/TanningServicesProvidedInd0false
IRS990EZ/TotalExpensesAmt00
IRS990EZ/TotalRevenueAmt010367
IRS990EZ/TransactionWithControlEntInd0false
IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt08617
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt0111701
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt0710
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt010884
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt023034
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt0154946
IRS990ScheduleA/GovtFurnSrvcFcltsVl170Grp/TotalAmt00
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt00
IRS990ScheduleA/OtherIncome170Grp/TotalAmt00
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.81896
IRS990ScheduleA/PublicSupportPY170Pct00.00000
IRS990ScheduleA/PublicSupportTotal170Amt0137144
IRS990ScheduleA/SubstantialContributorsTotAmt017802
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft170Grp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt08617
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IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt010884
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt023034
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0154946
IRS990ScheduleA/TotalSupportAmt0167462
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/CurrentTaxYearAmt01750
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IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/TotalAmt012516
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContributionsTotAmt07876
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt07876
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IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0BBQ/Auction
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt016863
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IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt08987
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IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt01750
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IRS990ScheduleG/FundraisingEventInformationGrp/OtherEventsTotalCnt00
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Description:RELATED PARTY RECEIVABLE BOY Amount:143628 EOY Amount:153995
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990EZ PART II LINE 24
ReturnHeader/BuildTS02018-03-14 21:41:22Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0JAN GAY
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0President
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
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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/ReturnTs02018-03-30T10:39:48-05:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/TaxPeriodBeginDt02016-07-01
ReturnHeader/TaxPeriodEndDt02017-06-30
ReturnHeader/TaxYr02016

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

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

Open filing
Assets
$153,995
Liabilities
$0
Net assets
$153,995
Revenue
$10,367
Expenses
$0
Net income
$10,367
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