Civic Intelligence

The Stevens County Medical Foundation

990 • Fiscal year 2017 • EIN 48-0998959

Jan 01, 2017 to Dec 31, 2017 • Filed on May 09, 2018

PO Box 94Hugoton, KS 67951

(620) 544-2096

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

97th percentile

80%

Higher net margin than 97% 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

19th percentile

-6.8%

Faster asset growth than 19% of similar nonprofits.

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

Revenue Growth

93rd percentile

113%

Faster revenue growth than 93% of similar nonprofits.

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

Assets

Down

$667,832

Down $48,652 (-6.8%) from 2016

Net Assets

Down

$667,832

Down $48,652 (-6.8%) from 2016

Liabilities

Flat

$0

Flat from 2016

Revenue

Up

$75,868

Up $40,229 (+113%) from 2016

Expenses

Down

$14,926

Down $5,794 (-28%) from 2016

Net Income

Up

$60,942

Up $46,023 (+308%) from 2016

Historical Trend

Balance Sheet Trend

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

$1.0M$500K$0Assets 2010: $690,463Liabilities 2010: $0Net Assets 2010: $690,4632010Assets 2011: $700,087Liabilities 2011: $0Net Assets 2011: $700,0872011Assets 2012: $700,599Liabilities 2012: $0Net Assets 2012: $700,5992012Assets 2013: $706,877Liabilities 2013: $0Net Assets 2013: $706,8772013Assets 2014: $722,137Liabilities 2014: $0Net Assets 2014: $722,1372014Assets 2015: $701,565Liabilities 2015: $0Net Assets 2015: $701,5652015Assets 2016: $716,484Liabilities 2016: $0Net Assets 2016: $716,4842016Assets 2017: $667,832Liabilities 2017: $0Net Assets 2017: $667,8322017Assets 2018: $647,097Liabilities 2018: $0Net Assets 2018: $647,0972018Assets 2019: $714,192Liabilities 2019: $0Net Assets 2019: $714,1922019Assets 2020: $774,430Liabilities 2020: $0Net Assets 2020: $774,4302020Assets 2021: $854,821Liabilities 2021: $0Net Assets 2021: $854,8212021Assets 2022: $759,354Liabilities 2022: $0Net Assets 2022: $759,3542022Assets 2023: $848,388Liabilities 2023: $0Net Assets 2023: $848,3882023Assets 2024: $941,165Liabilities 2024: $0Net Assets 2024: $941,1652024

Highlighted filing

2017

Assets$667,832
Liabilities$0
Net Assets$667,832

Operations Trend

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

$100K$50K$0-$50KExpenses 2010: $46,5792010Expenses 2011: $22,9412011Expenses 2012: $28,1132012Revenue 2013: $28,463Expenses 2013: $22,185Net Income 2013: $6,2782013Revenue 2014: $48,849Expenses 2014: $33,589Net Income 2014: $15,2602014Revenue 2015: $2,216Expenses 2015: $22,788Net Income 2015: -$20,5722015Revenue 2016: $35,639Expenses 2016: $20,720Net Income 2016: $14,9192016Revenue 2017: $75,868Expenses 2017: $14,926Net Income 2017: $60,9422017Revenue 2018: $34,357Expenses 2018: $13,892Net Income 2018: $20,4652018Revenue 2019: $30,184Expenses 2019: $17,178Net Income 2019: $13,0062019Revenue 2020: $21,676Expenses 2020: $8,543Net Income 2020: $13,1332020Revenue 2021: $41,958Expenses 2021: $4,517Net Income 2021: $37,4412021Revenue 2022: $24,322Expenses 2022: $6,814Net Income 2022: $17,5082022Revenue 2023: $28,903Expenses 2023: $9,406Net Income 2023: $19,4972023Revenue 2024: $91,042Expenses 2024: $12,560Net Income 2024: $78,4822024

Highlighted filing

2017

Revenue$75,868
Expenses$14,926
Net Income$60,942
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
May 9, 2018
Return Version
2017v2.2
Gross Receipts
$299,456
Mission and Program Overview

Mission

Stevens county medical foundation was organized for the purpose of insuring that the health needs of the community, patients of stevens county hospital and the residents of pioneer manor nursing home, will continue to be provided in a manner designated by the medical staff, hospital and manor boards, county commissioners and the members of the medical foundation board.

Support of stevens county hospital and pioneer manor nursing home.

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$716,484$667,832▼ $48,652
Investments in Publicly Traded Securities$364,652$418,233▲ $53,581
Land, Buildings, and Equipment, Net$348,584$238,990▼ $109,594
Savings and Temporary Cash Investments$3,248$10,609▲ $7,361
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$716,484$667,832▼ $48,652
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$716,484$667,832▼ $48,652
Total Liabilities and Net Assets / Fund Balance$716,484$667,832▼ $48,652

Asset Categories

AssetBook ValueDepreciationBasis
Land$238,990-$238,990
Compensation and Service Providers

Board Members and Trustees

NameTitle
Max WilliamsPresident
Mary GonzalesVice President
Darrol MunsonBoard Member
Therlene KindsvaterBoard Member
Tommy RomeroBoard Member
Jana CrumpSecretary
Sharon ConcannonTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$2,000
Program Service Revenue
$0
Investment Income
$68,589
Other Revenue
$5,279
All Other Contributions
$2,000
Change in Net Assets
$60,942
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$11,890
Other Expenses$3,036
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$9,390--$9,390
Grants to Domestic Individuals$2,500--$2,500
Other Expenses$1,231--$1,231
Royalties-$1,205-$1,205
Fees for Services Accounting-$600-$600
Total Functional Expenses$13,121$1,805$0$14,926
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Stevens County HospitalHugoton, KS-Providing Medical Equipment to Organizations$1,000
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
No
Annual disclosure for covered persons
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
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 6

Only members of the organization are board members

Form 990, Part VI, Section A, Line 7A

Corporate members may appoint directors of the board

Form 990, Part VI, Section B, Line 11B

Board members will review at board meeting and after review, return will be filed.

Form 990, Part VI, Section C, Line 19

All organization documents are available upon request of any board member to review, or an appointment time can be made with the treasurer who maintains all documents. No copy charge is assessed if someone wants a copy.

Filing and Contact Details

Filer

Filer Name
The Stevens County Medical Foundation
EIN
48-0998959
Phone
6205442096
Address
PO BOX 94, HUGOTON, KS 67951

Signing Officer

Name
Tommy Romero
Title
President
Phone
6205442096
Signed
2018-05-09
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Tommy Romero
Formed
1984
Legal Domicile
Ks
Voting Board Members
7
Independent Board Members
7
Employees
0
Volunteers
0

Preparer

Firm
Hay - Rice & Associates Chtd
Address
PO BOX 2707, LIBERAL, KS 67905-2707
Preparer
Craig Hay CPA
Phone
6206248471
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Donated land & building -109,594.

Raw XML Appendix395 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.

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IRS990/Form990PartVIISectionAGrp/TitleTxt3BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt4VICE PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt5BOARD MEMBER
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IRS990/MissionDesc0STEVENS COUNTY MEDICAL FOUNDATION WAS ORGANIZED FOR THE PURPOSE OF INSURING THAT THE HEALTH NEEDS OF THE COMMUNITY, PATIENTS OF STEVENS COUNTY HOSPITAL, AND THE RESIDENTS OF PIONEER MANOR NURSING HOME. WILL CONTINUE TO BE PROVIDED IN A MANNER DESIGNATED BY THE MEDICAL STAFF DESCRIPTION OF ORGANIZATION MISSION:HOSPITAL AND MANOR BOARDS, COUNTY COMMISSIONERS AND THE MEMBERS OF THE MEDICAL FOUNDATION BOARD.
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IRS990ScheduleI/RecipientTable/RecipientEIN0486009148
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1CORPORATE MEMBERS MAY APPOINT DIRECTORS OF THE BOARD
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2BOARD MEMBERS WILL REVIEW AT BOARD MEETING AND AFTER REVIEW, RETURN WILL BE FILED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3ALL ORGANIZATION DOCUMENTS ARE AVAILABLE UPON REQUEST OF ANY BOARD MEMBER TO REVIEW, OR AN APPOINTMENT TIME CAN BE MADE WITH THE TREASURER WHO MAINTAINS ALL DOCUMENTS. NO COPY CHARGE IS ASSESSED IF SOMEONE WANTS A COPY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4DONATED LAND & BUILDING -109,594.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART XI, LINE 9:
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0KS
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IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
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IRS990/TotalAssetsEOYAmt0667832
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IRS990/TotalContributionsAmt02000
IRS990/TotalEmployeeCnt00
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IRS990/TotalReportableCompFromOrgAmt00
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IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt075868
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
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IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0667832
IRS990/TotReportableCompRltdOrgAmt00
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IRS990/UnrelatedBusIncmOverLimitInd00
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IRS990/USAddress/CityNm0HUGOTON
IRS990/USAddress/StateAbbreviationCd0KS
IRS990/USAddress/ZIPCd067951
IRS990/VotingMembersGoverningBodyCnt07
IRS990/VotingMembersIndependentCnt07
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02018-06-14 16:35:46Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0TOMMY ROMERO
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum06205442096
ReturnHeader/BusinessOfficerGrp/SignatureDt02018-05-09
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0THE STEVENS COUNTY MEDICAL FOUNDATION
ReturnHeader/Filer/BusinessNameControlTxt0STEV
ReturnHeader/Filer/EIN0480998959
ReturnHeader/Filer/PhoneNum06205442096
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO BOX 94
ReturnHeader/Filer/USAddress/CityNm0HUGOTON
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ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId001E0B2FEA6CDCE3B1D09D0C54C8FC85589D03886
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt064.188.212.160
ReturnHeader/FilingSecurityInformation/IPDt02018-05-09
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0CD
ReturnHeader/FilingSecurityInformation/IPTm013:10:46
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0480800083
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0HAY - RICE & ASSOCIATES CHTD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0PO BOX 2707
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0LIBERAL
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0KS
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0679052707
ReturnHeader/PreparerPersonGrp/PhoneNum06206248471
ReturnHeader/PreparerPersonGrp/PreparationDt02018-05-08
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0CRAIG HAY CPA
ReturnHeader/ReturnTs02018-05-14T17:53:45-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02017-01-01
ReturnHeader/TaxPeriodEndDt02017-12-31
ReturnHeader/TaxYr02017

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$9.41$0.00$9.41$0.91$0.13$0.78
2023Detailed filing. Detailed filing data is available for this year.$8.48$0.00$8.48$0.29$0.09$0.19
2022Detailed filing. Detailed filing data is available for this year.$7.59$0.00$7.59$0.24$0.07$0.18
2021Detailed filing. Detailed filing data is available for this year.$8.55$0.00$8.55$0.42$0.05$0.37
2020Detailed filing. Detailed filing data is available for this year.$7.74$0.00$7.74$0.22$0.09$0.13
2019Detailed filing. Detailed filing data is available for this year.$7.14$0.00$7.14$0.30$0.17$0.13
2018Detailed filing. Detailed filing data is available for this year.$6.47$0.00$6.47$0.34$0.14$0.20
2017Detailed filing. Detailed filing data is available for this year.$6.68$0.00$6.68$0.76$0.15$0.61
2016Detailed filing. Detailed filing data is available for this year.$7.16$0.00$7.16$0.36$0.21$0.15
2015Detailed filing. Detailed filing data is available for this year.$7.02$0.00$7.02$0.02$0.23$0.21
2014Detailed filing. Detailed filing data is available for this year.$7.22$0.00$7.22$0.49$0.34$0.15
2013Detailed filing. Detailed filing data is available for this year.$7.07$0.00$7.07$0.28$0.22$0.06
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.01$0.00$7.01$0.28
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.00$0.00$7.00$0.23
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.90$0.00$6.90$0.47