Civic Intelligence

Converse County Hospital Foundation Inc.

990 • Fiscal year 2015 • EIN 83-0309209

Jul 01, 2014 to Jun 30, 2015 • Filed on Nov 17, 2015

Organization ProfileWWW.CCHFOUNDATION.COM
PO Box 393Douglas, WY 82633

(307) 358-2122

Siviq Scores

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

Liabilities / Assets

25th percentile

0.00x

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

2015 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2015

Liabilities / Revenue

25th percentile

0.00x

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

2015 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2015

Net Margin

60th percentile

7.2%

Higher net margin than 60% of similar nonprofits.

2015 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2015

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.

2015 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2015

Asset Growth

50th percentile

1.0%

Faster asset growth than 50% of similar nonprofits.

2015 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2014 to 2015

Revenue Growth

81st percentile

31%

Faster revenue growth than 81% of similar nonprofits.

2015 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2014 to 2015

Balance Sheet
Liabilities / Assets25th percentile

Assets

Up

$935,505

Up $9,002 (+1.0%) from 2014

Net Assets

Up

$935,505

Up $9,027 (+1.0%) from 2014

Liabilities

Down

$0

Down $25 (-100%) from 2014

Revenue And Expenses
Liabilities / Revenue25th percentileNet Margin60th percentile

Revenue

Up

$125,002

Up $29,462 (+31%) from 2014

Expenses

Up

$115,975

Up $35,458 (+44%) from 2014

Net Income

Down

$9,027

Down $5,996 (-40%) from 2014

Historical Trend

Balance Sheet Trend

Asset Growth50th percentile

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

$3.0M$2.0M$1.0M$0Assets 2011: $713,150Liabilities 2011: $0Net Assets 2011: $713,1502011Assets 2012: $848,626Liabilities 2012: $0Net Assets 2012: $848,6262012Assets 2013: $911,455Liabilities 2013: $0Net Assets 2013: $911,4552013Assets 2014: $926,503Liabilities 2014: $25Net Assets 2014: $926,4782014Assets 2015: $935,505Liabilities 2015: $0Net Assets 2015: $935,5052015Assets 2016: $972,041Liabilities 2016: $0Net Assets 2016: $972,0412016Assets 2017: $1,344,305Liabilities 2017: $0Net Assets 2017: $1,344,3052017Assets 2018: $1,028,732Liabilities 2018: $0Net Assets 2018: $1,028,7322018Assets 2019: $1,106,538Liabilities 2019: $313Net Assets 2019: $1,106,2252019Assets 2020: $1,194,446Liabilities 2020: $313Net Assets 2020: $1,194,1332020Assets 2021: $1,784,990Liabilities 2021: $792Net Assets 2021: $1,784,1982021Assets 2022: $1,665,301Liabilities 2022: $1,175Net Assets 2022: $1,664,1262022Assets 2023: $1,929,206Liabilities 2023: $576Net Assets 2023: $1,928,6302023Assets 2024: $2,278,041Liabilities 2024: $1,200Net Assets 2024: $2,276,8412024Assets 2025: $2,441,489Liabilities 2025: $1,318Net Assets 2025: $2,440,1712025

Highlighted filing

2015

Assets$935,505
Liabilities$0
Net Assets$935,505
Open 2015 Filing

Operations Trend

Revenue Growth81st percentile

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

$2.0M$1.5M$1.0M$500K$0-$500KExpenses 2011: $30,0432011Expenses 2012: $24,7642012Revenue 2013: $90,902Expenses 2013: $28,073Net Income 2013: $62,8292013Revenue 2014: $95,540Expenses 2014: $80,517Net Income 2014: $15,0232014Revenue 2015: $125,002Expenses 2015: $115,975Net Income 2015: $9,0272015Revenue 2016: $140,038Expenses 2016: $103,502Net Income 2016: $36,5362016Revenue 2017: $345,816Expenses 2017: $17,920Net Income 2017: $327,8962017Revenue 2018: $258,644Expenses 2018: $605,516Net Income 2018: -$346,8722018Revenue 2019: $1,509,994Expenses 2019: $1,434,461Net Income 2019: $75,5332019Revenue 2020: $192,859Expenses 2020: $115,321Net Income 2020: $77,5382020Revenue 2021: $290,140Expenses 2021: $38,006Net Income 2021: $252,1342021Revenue 2022: $303,475Expenses 2022: $144,417Net Income 2022: $159,0582022Revenue 2023: $254,222Expenses 2023: $80,272Net Income 2023: $173,9502023Revenue 2024: $226,890Expenses 2024: $31,372Net Income 2024: $195,5182024Revenue 2025: $253,980Expenses 2025: $202,438Net Income 2025: $51,5422025

Highlighted filing

2015

Revenue$125,002
Expenses$115,975
Net Income$9,027
Open 2015 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2014 to Jun 30, 2015
Signed
Nov 17, 2015
Return Version
2014v6.0
Gross Receipts
$125,915
Mission and Program Overview

Mission

Build a strong financial foundation to promote and ensure the continued growth of quality healthcare in converse county.

PUBLIC CHARITY

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$658,484$528,955▼ $129,529
Investments in Publicly Traded Securities$209,400$223,983▲ $14,583
Cash and Non-Interest-Bearing Accounts$45,649$147,012▲ $101,363
Accounts Receivable$7,980$28,070▲ $20,090
Land, Buildings, and Equipment, Net$4,990$7,485▲ $2,495
Total Assets$926,503$935,505▲ $9,002
Liabilities
Accounts Payable and Accrued Expenses$25--
Total Liabilities$25$0▼ $25
Net Assets / Fund Balance
Permanently Rstr Net Assets$500,000$500,000→ $0
Unrestricted Net Assets$391,571$406,550▲ $14,979
Temporarily Rstr Net Assets$34,907$28,955▼ $5,952
Total Net Assets Fund Balance$926,478$935,505▲ $9,027
Total Liabilities and Net Assets / Fund Balance$926,503$935,505▲ $9,002

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$7,485$4,491$11,976

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2014$534,907-▲ $4,048-$528,955
2013$529,858-▲ $5,049-$534,907
2012$444,509$79,942▲ $5,407-$529,858
2011$338,518$101,004▲ $4,987-$444,509
2010$325,557$8,300▲ $4,661-$338,518
Compensation and Service Providers
Top Officer Pay49th percentile

Board Members and Trustees

NameTitle
Diane HarropChairperson
Ross GormanVice Chairpe
Denise LyonsFoundation D
Amy HughesMember
Howard MiesslerMember
Jim TwifordMember
Keith MooreMember
Kelly SishcMember
Mary Julia WilsonMember
Merritt HarrisMember
Rebecca PextonMember
Roberto FarsMember
Laura DandridgeSecretary/tr
Revenue and Support

Revenue Composition

Contributions and Grants
$101,699
Program Service Revenue
$0
Investment Income
$20,416
Other Revenue
$2,887
All Other Contributions
$86,199
Change in Net Assets
$9,027
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$115,975
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Advertising$4,544--$4,544
Depreciation Depletion$3,493--$3,493
Other Expenses$7,500$2,472-$2,472
All Other Expenses$1,023--$1,023
Interest$1--$1
Total Functional Expenses$69,235$46,740$0$115,975
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$3,800
Fundraising Direct Expenses$913
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
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, Page 6, Part VI, Line 11B

“The organization's contracted accountant will review the form 990 for completeness & accuracy.”

Form 990, Page 6, Part VI, Line 19

“No documents available to the public”

Filing and Contact Details

Filer

Filer Name
Converse County Hospital Foundation
EIN
83-0309209
Address
PO BOX 393, DOUGLAS, WY 82633

Signing Officer

Name
Laura Dandridge
Title
Treasurer
Signed
2015-11-17
Discuss with paid preparer
Yes

Organization Details

Legal Domicile
Wy
Voting Board Members
13
Independent Board Members
13
Employees
0

Preparer

Firm
Pisacka Baker & Associates LLC
Address
PO BOX 819, DOUGLAS, WY 82633
Preparer
Cody L Pisacka
Phone
9704881888
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IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt010219
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt012629
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt014000
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt074876
IRS990ScheduleA/InvestmentIncomeCYPct00.16000
IRS990ScheduleA/InvestmentIncomePYPct00.00000
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IRS990ScheduleA/PublicSupportTotal509Amt0390713
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IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt0125915
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt084124
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt0132364
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt027505
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt020805
IRS990ScheduleA/Total509Grp/TotalAmt0390713
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt0146331
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt0101736
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt0142583
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt040134
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt034805
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt0465589
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IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
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IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/EndYearBalanceAmt0534907
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt05049
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/BeginningYearBalanceAmt0444509
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IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/EndYearBalanceAmt0529858
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IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/ContributionsAmt0101004
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/EndYearBalanceAmt0444509
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt04987
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/BeginningYearBalanceAmt0325557
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/ContributionsAmt08300
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/EndYearBalanceAmt0338518
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt04661
IRS990ScheduleD/EndowmentsHeldRelatedOrgInd0false
IRS990ScheduleD/EndowmentsHeldUnrelatedOrgInd0false
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt07485
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt04491
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt011976
IRS990ScheduleD/PrmnntEndowmentBalanceEOYPct00.94500
IRS990ScheduleD/TermEndowmentBalanceEOYPct00.05500
IRS990ScheduleD/TotalBookValueLandBuildingsAmt07485
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0false
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION'S CONTRACTED ACCOUNTANT WILL REVIEW THE FORM 990 FOR COMPLETENESS & ACCURACY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1NO DOCUMENTS AVAILABLE TO THE PUBLIC
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 19
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
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IRS990/TemporarilyRstrNetAssetsGrp/EOYAmt028955
IRS990/TempOrPermanentEndowmentsInd0true
IRS990/TerminateOperationsInd0false
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IRS990/TotalAssetsEOYAmt0935505
IRS990/TotalAssetsGrp/BOYAmt0926503
IRS990/TotalAssetsGrp/EOYAmt0935505
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IRS990/TotalContributionsAmt0101699
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt046740
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt069235
IRS990/TotalFunctionalExpensesGrp/TotalAmt0115975
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt025
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt025
IRS990/TotalLiabilitiesGrp/EOYAmt00
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IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0935505
IRS990/TotalProgramServiceExpensesAmt069235
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IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0125002
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0926503
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0935505
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0391571
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0406550
IRS990/UponRequestInd0X
IRS990/VotingMembersGoverningBodyCnt013
IRS990/VotingMembersIndependentCnt013
IRS990/WebsiteAddressTxt0WWW.CCHFOUNDATION.COM
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02016-04-25 22:37:26Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0LAURA DANDRIDGE
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TREASURER
ReturnHeader/BusinessOfficerGrp/SignatureDt02015-11-17
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0CONVERSE COUNTY HOSPITAL FOUNDATION
ReturnHeader/Filer/BusinessNameControlTxt0CONV
ReturnHeader/Filer/EIN0830309209
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO BOX 393
ReturnHeader/Filer/USAddress/CityNm0DOUGLAS
ReturnHeader/Filer/USAddress/StateAbbreviationCd0WY
ReturnHeader/Filer/USAddress/ZIPCd082633
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0260875911
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0PISACKA BAKER & ASSOCIATES LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0PO BOX 819
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0DOUGLAS
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0WY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd082633
ReturnHeader/PreparerPersonGrp/PhoneNum09704881888
ReturnHeader/PreparerPersonGrp/PreparationDt02016-01-18
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0CODY L PISACKA
ReturnHeader/ReturnTs02016-01-18T14:14:58-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02014-07-01
ReturnHeader/TaxPeriodEndDt02015-06-30
ReturnHeader/TaxYr02014

Document Assets

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Filings

Displayed year

2015 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$935,505
Liabilities
$0
Net assets
$935,505
Revenue
$125,002
Expenses
$115,975
Net income
$9,027
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$2.44$0.00$2.44$0.25$0.20$0.05
2024Detailed filing. Detailed filing data is available for this year.$2.28$0.00$2.28$0.23$0.03$0.20
2023Detailed filing. Detailed filing data is available for this year.$1.93$0.00$1.93$0.25$0.08$0.17
2022Detailed filing. Detailed filing data is available for this year.$1.67$0.00$1.66$0.30$0.14$0.16
2021Detailed filing. Detailed filing data is available for this year.$1.78$0.00$1.78$0.29$0.04$0.25
2020Detailed filing. Detailed filing data is available for this year.$1.19$0.00$1.19$0.19$0.12$0.08
2019Detailed filing. Detailed filing data is available for this year.$1.11$0.00$1.11$1.51$1.43$0.08
2018Detailed filing. Detailed filing data is available for this year.$1.03$0.00$1.03$0.26$0.61$0.35
2017Detailed filing. Detailed filing data is available for this year.$1.34$0.00$1.34$0.35$0.02$0.33
2016Detailed filing. Detailed filing data is available for this year.$0.97$0.00$0.97$0.14$0.10$0.04
2015Detailed filing. Detailed filing data is available for this year.$0.94$0.00$0.94$0.13$0.12$0.01
2014Detailed filing. Detailed filing data is available for this year.$0.93$0.00$0.93$0.10$0.08$0.02
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.91$0.00$0.91$0.09$0.03$0.06
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.85$0.00$0.85$0.02
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.71$0.00$0.71$0.03