Civic Intelligence

Cloud County Foundation for Health Care Inc.

990 • Fiscal year 2016 • EIN 48-0966856

Oct 01, 2015 to Sep 30, 2016 • Filed on Aug 15, 2017

1100 Highland DriveConcordia, KS 66901

(785) 243-1234

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.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Liabilities / Revenue

26th percentile

0.00x

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

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Net Margin

23rd percentile

-8.6%

Higher net margin than 23% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Top Officer Pay

93rd percentile

$138,221

Higher top officer pay than 93% of similar nonprofits.

Top officer pay equals 430.2% of source-year revenue.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Asset Growth

17th percentile

-9.8%

Faster asset growth than 17% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2015 to 2016

Revenue Growth

73rd percentile

19%

Faster revenue growth than 73% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2015 to 2016

Assets

Down

$616,889

Down $67,084 (-9.8%) from 2015

Net Assets

Down

$616,889

Down $67,084 (-9.8%) from 2015

Liabilities

Flat

$0

Flat from 2015

Revenue

Up

$32,126

Up $5,018 (+19%) from 2015

Expenses

Down

$34,890

Down $8,899 (-20%) from 2015

Net Income

Up

-$2,764

Up $13,917 (+83%) from 2015

Historical Trend

Balance Sheet Trend

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

$2.0M$1.5M$1.0M$500K$0Assets 2011: $1,528,008Liabilities 2011: $0Net Assets 2011: $1,528,0082011Assets 2012: $519,190Liabilities 2012: $0Net Assets 2012: $519,1902012Assets 2013: $682,767Liabilities 2013: $0Net Assets 2013: $682,7672013Assets 2014: $689,176Liabilities 2014: $0Net Assets 2014: $689,1762014Assets 2015: $683,973Liabilities 2015: $0Net Assets 2015: $683,9732015Assets 2016: $616,889Liabilities 2016: $0Net Assets 2016: $616,8892016Assets 2017: $676,456Liabilities 2017: $0Net Assets 2017: $676,4562017Assets 2018: $773,839Liabilities 2018: $0Net Assets 2018: $773,8392018Assets 2019: $864,770Liabilities 2019: $0Net Assets 2019: $864,7702019Assets 2020: $986,839Liabilities 2020: $0Net Assets 2020: $986,8392020Assets 2021: $842,452Liabilities 2021: $0Net Assets 2021: $842,4522021Assets 2022: $1,145,845Liabilities 2022: $0Net Assets 2022: $1,145,8452022Assets 2024: $975,452Liabilities 2024: $0Net Assets 2024: $975,4522024

Highlighted filing

2016

Assets$616,889
Liabilities$0
Net Assets$616,889

Operations Trend

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

$1.5M$1.0M$500K$0-$500KExpenses 2011: $85,9542011Expenses 2012: $1,115,2002012Expenses 2013: $1,8102013Revenue 2014: $17,733Expenses 2014: $35,852Net Income 2014: -$18,1192014Revenue 2015: $27,108Expenses 2015: $43,789Net Income 2015: -$16,6812015Revenue 2016: $32,126Expenses 2016: $34,890Net Income 2016: -$2,7642016Revenue 2017: $41,147Expenses 2017: $7,452Net Income 2017: $33,6952017Revenue 2018: $115,800Expenses 2018: $28,207Net Income 2018: $87,5932018Revenue 2019: $94,769Expenses 2019: $10,343Net Income 2019: $84,4262019Revenue 2020: $112,235Expenses 2020: $8,401Net Income 2020: $103,8342020Revenue 2021: $399,276Expenses 2021: $598,705Net Income 2021: -$199,4292021Revenue 2022: $515,242Expenses 2022: $16,529Net Income 2022: $498,7132022Revenue 2024: $104,383Expenses 2024: $12,447Net Income 2024: $91,9362024

Highlighted filing

2016

Revenue$32,126
Expenses$34,890
Net Income-$2,764
Jump To
Filing Snapshot
Filing Period
Oct 1, 2015 to Sep 30, 2016
Signed
Aug 15, 2017
Return Version
2015v3.0
Gross Receipts
$32,126
Mission and Program Overview

Mission

To secure and expend financial aid to the operation, maintenance, and expansion of the health care facilities and services of Cloud County Health Center, Inc. of Concordia, Kansas.

To provide support to cloud county health center, inc. Of concordia, kansas.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$418,336$357,528▼ $60,808
Investments in Publicly Traded Securities-$204,807-
Savings and Temporary Cash Investments$202,762--
Cash and Non-Interest-Bearing Accounts$62,775$54,454▼ $8,321
Total Assets$683,973$616,889▼ $67,084
Other Assets Total$100$100→ $0
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Permanently Rstr Net Assets$14,859$293,244▲ $278,385
Temporarily Rstr Net Assets$543,804$204,807▼ $338,997
Unrestricted Net Assets$125,310$118,838▼ $6,472
Total Net Assets Fund Balance$683,973$616,889▼ $67,084
Total Liabilities and Net Assets / Fund Balance$683,973$616,889▼ $67,084

Asset Categories

AssetBook ValueDepreciationBasis
Other Securities$64,284--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2016$10,000$73,131▲ $2,321-$83,877
2015$10,000---$10,000
2014$10,000---$10,000
2013$10,000---$10,000
2012$10,000---$10,000
Compensation and Service Providers

Employees

NameTitleOtherTotal
Cherri WaitesDirector$138,221$138,221
Pamela CampbellSecretary$49,508$49,508

Board Members and Trustees

NameTitle
Richard Kueker ODPresident
Christy HaschVice President
Brandt HutchinsonDirector
Jane RichardDirector
JoAnne BalthazorDirector
John TooneDirector
Kent AndersonDirector
Kurt KocherDirector
Sr Elizabeth StoverDirector
Steve PalmquistDirector
Ryan McMillanTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$23,931
Program Service Revenue
$0
Investment Income
$8,195
Other Revenue
$0
All Other Contributions
$23,931
Change in Net Assets
$-2,764

Audited Revenue Reconciliation

Revenue per Audited Statements
$32,126
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$11,350
Total Revenue per Audited Statements
$43,476
Total Revenue per Form 990
$32,126
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$31,432
Other Expenses$3,458
Total Fundraising Expense$235
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$31,432--$31,432
Fees for Services Accounting-$2,200-$2,200
All Other Expenses-$397$235$632
Office Expenses-$626-$626
Total Functional Expenses$31,432$3,223$235$34,890

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$34,890
Total Expenses per Audited Statements$34,890
Total Expenses per Form 990$34,890
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Cloud County Health Center IncConcordia, KS501(c)(3)Contributions for the purpose of financial aid for the operation, maintenance, and expansion of the health care facilities and services of Cloud County Health Center, Inc. of Concordia, Kansas.$29,002
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
Audit committee
Yes
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
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 8B

There are no committees that have authority to act on behalf of the board.

Form 990, Part VI, Section B, line 11

The Board is notified when a copy of the Form 990 is available for review and a copy is supplied to them upon their request.

Form 990, Part VI, Section B, line 12C

The Foundation requires the trustees and key employees to sign an annual conflict of interest form and report on the form if they have any conflicts.

Form 990, Part VI, Section C, line 19

Documents are available upon request.

Filing and Contact Details

Filer

Filer Name
Cloud County Foundation For
EIN
48-0966856
Phone
7852431234
Address
1100 Highland Drive, Concordia, KS 66901

Signing Officer

Name
Pamela Campbell
Title
Secretary
Phone
7852431234
Signed
2017-08-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Pamela Campbell
Formed
1983
Legal Domicile
Ks
Voting Board Members
12
Independent Board Members
10
Employees
0
Volunteers
78

Preparer

Firm
Eide Bailly LLP
Address
800 Nicollet Mall Ste 1300, Minneapolis, MN 55402-7033
Preparer
Kim Hunwardsen CPA
Phone
6122536500
Supplemental Narrative

Additional Explanations

Form 990, Part XI, line 9:

Correction of Error on Financial Statements -75,670. Increase in beneficial interest in nets assets of Marian Cook Foundation 11,350.

Financial Statement Notes

Part V, Line 4:

A portion of permanently restricted funds may be transferred to the organization's operational account as needed for general operations. Temporarily restricted funds may be used to assist Cloud County Health Center, Inc. with building a stat care facility, building a new hospital, or purchasing equipment.

Part X, Line 2:

The Foundation is organized as a Kansas nonprofit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Section 501(a) of the Internal Revenue Code as an organization described in Section 501(c)(3) and has been determined not to be a private foundation under Section 509(a)(3). The Foundation is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Foundation is subject to income tax on net income that is derived from business activities that are unrelated to their exempt purposes. The Foundation has determined it is not subject to unrelated business income tax and has not filed an Exempt Organization Business Income Tax Return (Form 990-T) with the IRS. The Foundation believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Foundation would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.

Part XI, Line 2D - Other Adjustments:

Beneficial interest in perpetual trust 11,350.

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

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IRS990/Form990PartVIISectionAGrp/TitleTxt1Vice President
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IRS990/ReconcilationRevenueExpnssAmt0-2764
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IRS990/ReportOtherAssetsInd00
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IRS990ScheduleA/DistributableAmountGrp/CYTotalMinAstDistributableAmt09181
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IRS990ScheduleA/DistributionAllocationsGrp/CyovAppliedUnderdistrCPYAmt020919
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IRS990ScheduleA/DistributionAllocationsGrp/ExcessDistributionAmt034890
IRS990ScheduleA/DistributionAllocationsGrp/ExcessDistributionCyovAmt020666
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IRS990ScheduleA/DistributionAllocationsGrp/ExcessDistributionCyovYr2Amt00
IRS990ScheduleA/DistributionAllocationsGrp/ExcessDistriCyovToNextYrAmt055556
IRS990ScheduleA/DistributionAllocationsGrp/ExcessFromYear1Amt034890
IRS990ScheduleA/DistributionAllocationsGrp/ExcessFromYear2Amt020666
IRS990ScheduleA/DistributionAllocationsGrp/ExcessFromYear3Amt00
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IRS990ScheduleA/DistributionAllocationsGrp/UnderdistributionsAmt00
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IRS990ScheduleA/DistributionsGrp/CYDistriAttentiveSuprtOrgAmt031432
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IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd01
IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd01
IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd00
IRS990ScheduleA/Form990SchAType3SprtOrgAllGrp/OfficersCloseRelationshipInd01
IRS990ScheduleA/Form990SchAType3SprtOrgAllGrp/SupportedOrgVoiceInvestmentInd01
IRS990ScheduleA/Form990SchAType3SprtOrgAllGrp/TimelyProvidedDocumentsInd01
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0The Foundation provided $2,400 of support to the Cloud County Community College to assist with the salary of the nursing instructor. The instructor supervises the nursing students that go to Cloud County Health Center, Inc. for clinical training.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt1Article VI, Section 1 of the Bylaws requires that one of the directors of the Foundation shall be at all times the Chief Executive Officer of the Hospital. Cherri Waites is the current President of Operations of the supported organization. Because of this relationship, the supported organization has a significant voice in how the supporting organization manages and uses its assets.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0Schedule A, Part IV, Section A, Line 6
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc1Schedule A, Part IV, Section D, Line 3
IRS990ScheduleA/MinimumAssetAmountGrp/AcquisitionIndebtednessGrp/CurrentYearAmt00
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IRS990ScheduleA/MinimumAssetAmountGrp/AdjustedFMVLessIndebtednessGrp/CurrentYearAmt0259853
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IRS990ScheduleA/MinimumAssetAmountGrp/AverageMonthlyCashBalancesGrp/CurrentYearAmt0259853
IRS990ScheduleA/MinimumAssetAmountGrp/AverageMonthlyCashBalancesGrp/PriorYearAmt0266306
IRS990ScheduleA/MinimumAssetAmountGrp/AverageMonthlyFMVOfSecGrp/CurrentYearAmt00
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IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt031432
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0Cloud County Health Center Inc
IRS990ScheduleA/SupportingOrganization509a3Ind0X
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IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
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IRS990ScheduleD/CYEndwmtFundGrp/ContributionsAmt073131
IRS990ScheduleD/CYEndwmtFundGrp/EndYearBalanceAmt083877
IRS990ScheduleD/CYEndwmtFundGrp/GrantsOrScholarshipsAmt01382
IRS990ScheduleD/CYEndwmtFundGrp/InvestmentEarningsOrLossesAmt02321
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/BeginningYearBalanceAmt010000
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/EndYearBalanceAmt010000
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/BeginningYearBalanceAmt010000
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/EndYearBalanceAmt010000
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/BeginningYearBalanceAmt010000
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/EndYearBalanceAmt010000
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/BeginningYearBalanceAmt010000
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/EndYearBalanceAmt010000
IRS990ScheduleD/EndowmentsHeldRelatedOrgInd00
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IRS990ScheduleD/ExpensesNotRptFinclStmtAmt00
IRS990ScheduleD/ExpensesSubtotalAmt034890
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/OtherRevenueAmt011350
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt0293244
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt164284
IRS990ScheduleD/OtherSecuritiesGrp/Desc0Beneficial Interest in net assets of Cook Foundation

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.98$0.00$0.98$0.10$0.01$0.09
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.15$0.00$1.15$0.52$0.02$0.50
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.84$0.00$0.84$0.40$0.60$0.20
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.99$0.00$0.99$0.11$0.01$0.10
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.86$0.00$0.86$0.09$0.01$0.08
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.77$0.00$0.77$0.12$0.03$0.09
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.68$0.00$0.68$0.04$0.01$0.03
2016Detailed filing. Detailed filing data is available for this year.$0.62$0.00$0.62$0.03$0.03$0.00
2015Detailed filing. Detailed filing data is available for this year.$0.68$0.00$0.68$0.03$0.04$0.02
2014Detailed filing. Detailed filing data is available for this year.$0.69$0.00$0.69$0.02$0.04$0.02
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.68$0.00$0.68$0.00
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.52$0.00$0.52$1.12
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.53$0.00$1.53$0.09