Civic Intelligence

Dr Mary Fisher Medical Foundation

EIN 84-1587191 • 501(c)3 • Pagosa Springs, CO

Profile

To assist the upper san juan health service district in its mission to provide medical care to the community surrounding pagosa springs.

189 N Pagosa BlvdPagosa Springs, CO 81147

www.pagosaspringsmedicalcenter.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

61st percentile

0.13x

Higher debt load relative to assets than 61% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Liabilities / Revenue

71st percentile

0.26x

Higher debt load relative to revenue than 71% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Net Margin

12th percentile

-25%

Higher net margin than 12% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Top Officer Pay

96th percentile

$344,550

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 48.4% of source-year revenue.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Asset Growth

14th percentile

-13%

Faster asset growth than 14% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Revenue Growth

69th percentile

22%

Faster revenue growth than 69% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Assets

Down

$1,387,587

Down $198,248 (-13%) from 2023

Liabilities

Down

$185,447

Down $17,549 (-8.6%) from 2023

Net Assets

Down

$1,202,140

Down $180,699 (-13%) from 2023

Revenue

Up

$712,224

Up $130,255 (+22%) from 2023

Expenses

Up

$892,923

Up $818,765 (+1104%) from 2023

Net Income

Down

-$180,699

Down $688,510 (-136%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$2.0M$1.5M$1.0M$500K$0Assets 2011: $445,523Liabilities 2011: $02011Assets 2012: $373,576Liabilities 2012: $02012Assets 2013: $594,465Liabilities 2013: $9,266Net Assets 2013: $585,1992013Assets 2014: $404,842Liabilities 2014: $3,280Net Assets 2014: $401,5622014Assets 2015: $1,565,144Liabilities 2015: $13,674Net Assets 2015: $1,551,4702015Assets 2016: $1,230,336Liabilities 2016: $9,350Net Assets 2016: $1,220,9862016Assets 2017: $604,527Liabilities 2017: $10,350Net Assets 2017: $594,1772017Assets 2018: $725,067Liabilities 2018: $299,893Net Assets 2018: $425,1742018Assets 2019: $784,583Liabilities 2019: $265,207Net Assets 2019: $519,3762019Assets 2020: $791,332Liabilities 2020: $233,986Net Assets 2020: $557,3462020Assets 2021: $1,222,835Liabilities 2021: $235,911Net Assets 2021: $986,9242021Assets 2022: $1,098,684Liabilities 2022: $223,656Net Assets 2022: $875,0282022Assets 2023: $1,585,835Liabilities 2023: $202,996Net Assets 2023: $1,382,8392023Assets 2024: $1,387,587Liabilities 2024: $185,447Net Assets 2024: $1,202,1402024

Highlighted filing

2024

Assets$1,387,587
Liabilities$185,447
Net Assets$1,202,140

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$1.5M$1.0M$500K$0-$500K-$1.0MRevenue 2011: $122,465Expenses 2011: $227,184Net Income 2011: -$104,7192011Revenue 2012: $129,010Expenses 2012: $200,957Net Income 2012: -$71,9472012Expenses 2013: $103,5232013Revenue 2014: $732,103Expenses 2014: $922,376Net Income 2014: -$190,2732014Revenue 2015: $709,957Expenses 2015: $366,566Net Income 2015: $343,3912015Revenue 2016: $940,681Expenses 2016: $1,286,770Net Income 2016: -$346,0892016Revenue 2017: $177,410Expenses 2017: $825,406Net Income 2017: -$647,9962017Revenue 2018: $251,262Expenses 2018: $410,047Net Income 2018: -$158,7852018Revenue 2019: $668,751Expenses 2019: $574,549Net Income 2019: $94,2022019Revenue 2020: $372,608Expenses 2020: $334,638Net Income 2020: $37,9702020Revenue 2021: $610,539Expenses 2021: $180,961Net Income 2021: $429,5782021Revenue 2022: $383,236Expenses 2022: $495,132Net Income 2022: -$111,8962022Revenue 2023: $581,969Expenses 2023: $74,158Net Income 2023: $507,8112023Revenue 2024: $712,224Expenses 2024: $892,923Net Income 2024: -$180,6992024

Highlighted filing

2024

Revenue$712,224
Expenses$892,923
Net Income-$180,699

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$1.39$0.19$1.20$0.71$0.89$0.18
2023Detailed filing. Detailed filing data is available for this year.$1.59$0.20$1.38$0.58$0.07$0.51
2022Detailed filing. Detailed filing data is available for this year.$1.10$0.22$0.88$0.38$0.50$0.11
2021Detailed filing. Detailed filing data is available for this year.$1.22$0.24$0.99$0.61$0.18$0.43
2020Detailed filing. Detailed filing data is available for this year.$0.79$0.23$0.56$0.37$0.33$0.04
2019Detailed filing. Detailed filing data is available for this year.$0.78$0.27$0.52$0.67$0.57$0.09
2018Detailed filing. Detailed filing data is available for this year.$0.73$0.30$0.43$0.25$0.41$0.16
2017Detailed filing. Detailed filing data is available for this year.$0.60$0.01$0.59$0.18$0.83$0.65
2016Detailed filing. Detailed filing data is available for this year.$1.23$0.01$1.22$0.94$1.29$0.35
2015Detailed filing. Detailed filing data is available for this year.$1.57$0.01$1.55$0.71$0.37$0.34
2014Detailed filing. Detailed filing data is available for this year.$0.40$0.00$0.40$0.73$0.92$0.19
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.59$0.01$0.59$0.10
2012Summary only. Only limited summary data is available for this year.$0.37$0.00$0.13$0.20$0.07
2011Summary only. Only limited summary data is available for this year.$0.45$0.00$0.12$0.23$0.10
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Sep 29, 2025
Return Version
2024v5.0
Gross Receipts
$771,041
Mission and Program Overview

Mission

To assist the upper san juan health service district in its mission to provide medical care to the community surrounding pagosa springs.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$1,112,157$893,296▼ $218,861
Land, Buildings, and Equipment, Net$350,121$331,635▼ $18,486
Pledges and Grants Receivable$116,500$110,500▼ $6,000
Investments in Publicly Traded Securities-$52,156-
Accounts Receivable$7,057--
Total Assets$1,585,835$1,387,587▼ $198,248
Liabilities
Mortgage Notes Payable Secured by Investment Property$177,640$164,502▼ $13,138
Accounts Payable and Accrued Expenses$25,356$20,945▼ $4,411
Total Liabilities$202,996$185,447▼ $17,549
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$1,027,724$999,583▼ $28,141
Net Assets With Donor Restrictions$355,115$202,557▼ $152,558
Total Net Assets Fund Balance$1,382,839$1,202,140▼ $180,699
Total Liabilities and Net Assets / Fund Balance$1,585,835$1,387,587▼ $198,248

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$324,212$108,838$433,050
Equipment$7,423$5,885$13,308
Compensation and Service Providers

Board Members and Trustees

NameTitle
Rhonda WebbChair
Barbara ParadaVice Chair
Gwen TaylorVice Chair
Revenue and Support

Revenue Composition

Contributions and Grants
$675,117
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$37,107
All Other Contributions
$315,267
Change in Net Assets
$-180,699

Audited Revenue Reconciliation

Revenue per Audited Statements
$712,224
Revenue Not Reported on Form 990
$126,991
Total Revenue per Audited Statements
$839,215
Total Revenue per Form 990
$712,224
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$826,857
Other Expenses$66,066
Total Fundraising Expense$17,003
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$825,000--$825,000
Office Expenses-$10,421$13,091$23,512
Depreciation Depletion$18,485--$18,485
Fees for Services Accounting-$14,500-$14,500
Insurance-$5,537-$5,537
All Other Expenses$100$20$3,912$4,032
Grants to Domestic Individuals$1,857--$1,857
Total Functional Expenses$845,442$30,478$17,003$892,923

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$1,019,914
Expenses per Audited Statements$892,923
Total Expenses per Form 990$892,923
Expenses Not Reported on Form 990$126,991
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Upper San Juan Heath Service DistriPagosa Springs, COGovHospital Operations$825,000
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$31,861
Fundraising Gross Income$27,700
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Gala$387,550$27,700$4,661$23,039
Total Events$387,550$27,700$31,861$-4,161
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
Audit committee
Yes
Business relationship with 35% controlled entity
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
Yes
Other officer compensation reviewed
Yes
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

A copy of the 990 is provided to the board chair who reviews the form, schedules and related attachments. Any comments or questions are addressed with the preparer and a final draft is presented to the board of directors who then approve the 990. Once management is satisfied with the 990, the preparer is authorized to finalize the return.

Form 990, Page 6, Part VI, Line 12C

Board members annually review and sign a conflict of interest statement disclosing any possible conflicts of interest. The bookkeeper monitors the statement for any potential conflicts. Whenever a board member has a financial or personal interest in any matter coming before the board of directors, the affected person shall fully disclose the nature of the interest and withdraw from discussion and voting on the matter.

Form 990, Page 6, Part VI, Line 15A

The foundation does not have any employees.

Form 990, Page 6, Part VI, Line 15B

See form 990, part vi, line 15a.

Form 990, Page 6, Part VI, Line 19

The foundation makes its governing documents, conflict of interest policy, and financial statements available to the public upon request at the foundation office.

Filing and Contact Details

Filer

Filer Name
Dr Mary Fisher Medical Foundation
EIN
84-1587191
Phone
9705073811
Address
189 N PAGOSA BLVD, PAGOSA SPRINGS, CO 81147
Doing Business As
Pagosa Springs Medical Center Found

Signing Officer

Name
Rhonda Webb
Title
Chair
Phone
9705073811
Signed
2025-09-29
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Rhonda Webb
Formed
2001
Legal Domicile
Co
Voting Board Members
3
Independent Board Members
2
Employees
0
Volunteers
30

Preparer

Firm
Dza Pllc
Address
12015 E MAIN AVE, SPOKANE VALLEY, WA 99206
Preparer
Rikki Patch
Phone
5092420874
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

Rental expenses 26,956 special event expenses 9,909 rental expenses -26,956 special event expenses -9,909

Financial Statement Notes

Schedule D, Page 3, Part X

The foundation is exempt from federal income taxes under section 501(c)(3) of the internal revenue code, except for income, if any, from activities unrelated to the foundations exempt purpose. The foundation evaluates uncertain tax positions whereby the effect of the uncertainty would be recorded if the outcome was considered probable and reasonably estimable. As of december 31, 2024 and 2023, the foundation had no uncertain tax positions requiring accrual.

Schedule D, Page 4, Part XI, Line 2D

Rental expenses 26,956 special event expenses 9,909

Schedule D, Page 4, Part XII, Line 2D

Rental expenses 26,956 special event expenses 9,909

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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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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0THE FOUNDATION SUPPORTS A GOVERNMENTAL HOSPITAL OWNED AND OPERATED BY A PUBLIC HEALTH SERVICE DISTRICT AND IS EXEMPT FROM TAXATION AS A POLITICAL SUBDIVISION OF THE STATE RATHER THAN IRC 501(C)(3). IF THE HOSPITAL HAD NOT ALREADY BEEN DESIGNATED A POLITICAL SUBDIVISION OF THE STATE, IT WOULD QUALIFY AS DESCRIBED IN IRC 170(B)(1)(A)(III) AS EXCLUDED FROM PRIVATE FOUNDATION STATUS UNDER IRC 509(A)(1).
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt1AS OUTLINED IN THE BYLAWS, THE FOUNDATION BOARD IS MADE UP OF 3 VOTING DIRECTORS (TWO HOSPITAL BOARD MEMBERS AND THE HOSPITAL CEO) AND 3 NONVOTING DIRECTORS (HOSPITAL FOUNDATION MANAGER, HOSPITAL MARKETING MANAGER, AND HOSPITAL CFO). HOSPITAL BOARD MEMBERS AND EMPLOYEES MAKE UP THE FOUNDATION'S BOARD, AND HANDLE OPERATIONS. THROUGH THIS RELATIONSHIP THE HOSPITAL HAS A SIGNIFICANT VOICE IN THE INVESTMENT POLICIES, TIMING OF GRANTS, MANNER OF MAKING GRANTS, SELECTION OF GRANT RECIPIENTS, AND OTHER USE OF INCOME.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt2THE FOUNDATION WAS ESTABLISHED TO ASSIST, BENEFIT AND SUPPORT THE EXPANSION OF THE FACILITIES AND PROGRAMS OF THE UPPER SAN JUAN HEALTH SERVICE DISTRICT DOING BUSINESS AS PAGOSA SPRINGS MEDICAL CENTER. A HEALTH SERVICE DISTRICT IS ORGANIZED AS A POLITICAL SUBDIVISION OF THE STATE.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0PART IV, SECTION A, LINE 2
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc1PART IV, SECTION D, LINE 3
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc2PART IV, SECTION E, LINE 1C
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IRS990ScheduleD/DonatedServicesUseFcltsAmt090126
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IRS990ScheduleD/EquipmentGrp/DepreciationAmt05885
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT FOR INCOME, IF ANY, FROM ACTIVITIES UNRELATED TO THE FOUNDATIONS EXEMPT PURPOSE. THE FOUNDATION EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF DECEMBER 31, 2024 AND 2023, THE FOUNDATION HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1RENTAL EXPENSES 26,956 SPECIAL EVENT EXPENSES 9,909
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2RENTAL EXPENSES 26,956 SPECIAL EVENT EXPENSES 9,909
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE D, PAGE 3, PART X
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1SCHEDULE D, PAGE 4, PART XI, LINE 2D
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2SCHEDULE D, PAGE 4, PART XII, LINE 2D
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IRS990ScheduleI/RecipientTable/CashGrantAmt0825000
IRS990ScheduleI/RecipientTable/IRCSectionDesc0GOV
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0HOSPITAL OPERATIONS
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0UPPER SAN JUAN HEATH SERVICE DISTRI
IRS990ScheduleI/RecipientTable/RecipientEIN0840866061
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt095 S PAGOSA BLVD
IRS990ScheduleI/RecipientTable/USAddress/CityNm0PAGOSA SPRINGS
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0CO
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IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0THE FOUNDATION MONITORS ITS FINANCIAL ASSISTANCE OF UPPER SAN JUAN HEALTH SERVICE DISTRICT (THE HOSPITAL) BY MAINTAINING CLOSE CONTACT BETWEEN THE GOVERNING BODIES. REQUESTS FOR FINANCIAL ASSISTANCE ARE INITIATED FROM THE HOSPITAL CEO AND APPROVED BY THE FOUNDATION BOARD PRIOR TO DISBURSEMENT.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE I, PAGE 1, PART I, LINE 2
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0CHAIR
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0A COPY OF THE 990 IS PROVIDED TO THE BOARD CHAIR WHO REVIEWS THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT IS PRESENTED TO THE BOARD OF DIRECTORS WHO THEN APPROVE THE 990. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE PREPARER IS AUTHORIZED TO FINALIZE THE RETURN.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1BOARD MEMBERS ANNUALLY REVIEW AND SIGN A CONFLICT OF INTEREST STATEMENT DISCLOSING ANY POSSIBLE CONFLICTS OF INTEREST. THE BOOKKEEPER MONITORS THE STATEMENT FOR ANY POTENTIAL CONFLICTS. WHENEVER A BOARD MEMBER HAS A FINANCIAL OR PERSONAL INTEREST IN ANY MATTER COMING BEFORE THE BOARD OF DIRECTORS, THE AFFECTED PERSON SHALL FULLY DISCLOSE THE NATURE OF THE INTEREST AND WITHDRAW FROM DISCUSSION AND VOTING ON THE MATTER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE FOUNDATION DOES NOT HAVE ANY EMPLOYEES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3SEE FORM 990, PART VI, LINE 15A.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE FOUNDATION OFFICE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5RENTAL EXPENSES 26,956 SPECIAL EVENT EXPENSES 9,909 RENTAL EXPENSES -26,956 SPECIAL EVENT EXPENSES -9,909
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 15B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART XI, LINE 9
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