Civic Intelligence

Coulee Medical Foundation

990 • Fiscal year 2016 • EIN 91-1212755

Jan 01, 2016 to Dec 31, 2016 • Filed on Jul 07, 2017

Organization ProfileWWW.CMCCARES.ORG/FOUNDATION
PO Box 171Grand Coulee, WA 99133

(509) 633-0945

Siviq Scores

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

Liabilities / Assets

92nd percentile

1.00x

Higher debt load relative to assets than 92% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Liabilities / Revenue

96th percentile

8.12x

Higher debt load relative to revenue than 96% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Net Margin

38th percentile

0.0%

Higher net margin than 38% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Top Officer Pay

12th percentile

$0

Higher top officer pay than 12% of similar nonprofits.

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

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Asset Growth

28th percentile

-2.4%

Faster asset growth than 28% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2015 to 2016

Revenue Growth

29th percentile

-4.6%

Faster revenue growth than 29% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2015 to 2016

Balance Sheet
Liabilities / Assets92nd percentile

Assets

Down

$20,071,179

Down $491,532 (-2.4%) from 2015

Net Assets

Up

$220

Up $220 from 2015

Liabilities

Down

$20,070,959

Down $491,752 (-2.4%) from 2015

Revenue And Expenses
Liabilities / Revenue96th percentileNet Margin38th percentile

Revenue

Down

$2,470,496

Down $119,221 (-4.6%) from 2015

Expenses

Down

$2,470,496

Down $119,221 (-4.6%) from 2015

Net Income

Flat

$0

Flat from 2015

Historical Trend

Balance Sheet Trend

Asset Growth28th percentile

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

$30M$20M$10M$0Assets 2012: $22,066,172Liabilities 2012: $22,066,172Net Assets 2012: $02012Assets 2013: $21,602,918Liabilities 2013: $21,602,918Net Assets 2013: $02013Assets 2014: $21,220,636Liabilities 2014: $21,220,636Net Assets 2014: $02014Assets 2015: $20,562,711Liabilities 2015: $20,562,711Net Assets 2015: $02015Assets 2016: $20,071,179Liabilities 2016: $20,070,959Net Assets 2016: $2202016Assets 2017: $19,545,135Liabilities 2017: $19,544,915Net Assets 2017: $2202017Assets 2018: $19,341,615Liabilities 2018: $18,982,187Net Assets 2018: $359,4282018Assets 2019: $18,380,218Liabilities 2019: $18,380,218Net Assets 2019: $02019Assets 2020: $17,736,271Liabilities 2020: $17,736,271Net Assets 2020: $02020Assets 2021: $60,217Liabilities 2021: $60,217Net Assets 2021: $02021Assets 2022: $0Net Assets 2022: $02022Assets 2023: $1Liabilities 2023: $02023

Highlighted filing

2016

Assets$20,071,179
Liabilities$20,070,959
Net Assets$220
Open 2016 Filing

Operations Trend

Revenue Growth29th percentile

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

$3.0M$2.0M$1.0M$0-$1.0MExpenses 2012: $2,614,0272012Revenue 2013: $2,781,197Expenses 2013: $2,781,197Net Income 2013: $02013Revenue 2014: $2,633,078Expenses 2014: $2,633,079Net Income 2014: -$12014Revenue 2015: $2,589,717Expenses 2015: $2,589,717Net Income 2015: $02015Revenue 2016: $2,470,496Expenses 2016: $2,470,496Net Income 2016: $02016Revenue 2017: $2,398,353Expenses 2017: $2,398,353Net Income 2017: $02017Revenue 2018: $2,732,277Expenses 2018: $2,373,069Net Income 2018: $359,2082018Revenue 2019: $1,935,534Expenses 2019: $2,294,962Net Income 2019: -$359,4282019Revenue 2020: $2,312,119Expenses 2020: $2,312,119Net Income 2020: $02020Revenue 2021: $1,623,686Expenses 2021: $1,623,686Net Income 2021: $02021Revenue 2023: $0Expenses 2023: $0Net Income 2023: $02023

Highlighted filing

2016

Revenue$2,470,496
Expenses$2,470,496
Net Income$0
Open 2016 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Jul 7, 2017
Return Version
2016v3.0
Gross Receipts
$2,470,496
Mission and Program Overview

Mission

Coulee medical foundation supports the activities of coulee medical center in providing quality healthcare and promoting community wellness to all people in the grand coulee dam area.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$15,399,207$14,389,489▼ $1,009,718
Other Notes and Loans Receivable, Net$3,025,648$3,494,147▲ $468,499
Prepaid Expenses and Deferred Charges$205,896$38,608▼ $167,288
Total Assets$20,562,711$20,071,179▼ $491,532
Other Assets Total$1,931,960$2,148,935▲ $216,975
Liabilities
Tax Exempt Bond Liabilities$20,562,711$20,070,959▼ $491,752
Total Liabilities$20,562,711$20,070,959▼ $491,752
Net Assets / Fund Balance
Temporarily Rstr Net Assets$1,931,960--
Unrestricted Net Assets$-1,931,960$220▲ $1,932,180
Total Net Assets Fund Balance$0$220▲ $220
Total Liabilities and Net Assets / Fund Balance$20,562,711$20,071,179▼ $491,532

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$14,389,489$6,131,559$20,521,048
Other Assets Org$71,690--
Compensation and Service Providers
Top Officer Pay12th percentile

Board Members and Trustees

NameTitle
Johnathan OwensPresident
Tom PoplawskiMember
Peggy NevismalSecretary
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$2,037,097
Investment Income
$667
Other Revenue
$432,732
Change in Net Assets
$0
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$2,470,496
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
Interest$1,374,989--$1,374,989
Depreciation Depletion$1,009,718--$1,009,718
Insurance$77,217--$77,217
Other Expenses$8,572--$8,572
Total Functional Expenses$2,470,496$0$0$2,470,496
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
Debt and Bond Financing

Bond Issues

BondIssuerIssuedIssue PricePurpose
ACoulee Medical Foundation2009-10-29$23,165,000HOSPITAL REMODEL

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$23,165,000-$3,094,041-

Bond Financing Compliance

No rebate due
No
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Audit committee
Yes
Backup withholding compliance
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
No
Audited financial statements prepared
Yes
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 president 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 president signs the form 8879-eo authorizing the preparer to e-file the return.”

Form 990, Page 6, Part VI, Line 19

“The foundation makes its governing documents, form 1023, form 990 and financial statements available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
Coulee Medical Foundation
EIN
91-1212755
Phone
5096330945
Address
PO BOX 171, GRAND COULEE, WA 99133

Signing Officer

Name
Johnathan Owens
Title
President
Phone
5096330945
Signed
2017-07-07
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Ramona Hicks
Formed
1983
Legal Domicile
Wa
Voting Board Members
3
Independent Board Members
3
Employees
0
Volunteers
3

Preparer

Firm
Dingus Zarecor & Associates Pllc
Address
12015 E MAIN AVE, SPOKANE VALLEY, WA 99206-6130
Preparer
Thomas Dingus
Phone
5092420874
Supplemental Narrative

Financial Statement Notes

Schedule D, Page 3, Part X

“The foundation is a nonprofit corporation as described in section 501(c)(3) of the internal revenue code (the code) and is exempt from federal income taxes on related income pursuant to section 501(a) of the code.”

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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/ExplanationTxt0BABS REBATE INCOME 2,602,832
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt1PER THE IRS DETERMINATION LETTER, COULEE MEDICAL FOUNDATION IS LISTED AS A 509(A)(1) ORGANIZATION. THE OPERATIONS OF COULEE MEDICAL FOUNDATION ARE MORE IN LINE WITH A 509(A)(2) ORGANIZATION AND THEREFORE SCHEDULE A IS COMPLETED BASED ON THIS FACT.
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IRS990ScheduleK/TaxExemptBondsProceedsGrp/AdvanceRefundingInd0false
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IRS990ScheduleK/TaxExemptBondsProceedsGrp/FinalAllocationMadeInd0true
IRS990ScheduleK/TaxExemptBondsProceedsGrp/InReserveFundAmt01932627
IRS990ScheduleK/TaxExemptBondsProceedsGrp/RetiredAmt03094041
IRS990ScheduleK/TaxExemptBondsProceedsGrp/SubstantialCompletionYr02011
IRS990ScheduleK/TaxExemptBondsProceedsGrp/TotalProceedsAmt023165000
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0A COPY OF THE 990 IS PROVIDED TO THE BOARD PRESIDENT 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 PRESIDENT SIGNS THE FORM 8879-EO AUTHORIZING THE PREPARER TO E-FILE THE RETURN.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE FOUNDATION MAKES ITS GOVERNING DOCUMENTS, FORM 1023, FORM 990 AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleR/AssetExchangeInd0false
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd0false
IRS990ScheduleR/AssetSaleToOtherOrgInd0false
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IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd0false
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd0false
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0911557904
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501C3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0WA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0HEALTHCARE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt03
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt0411 FORTUYN ROAD
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0GRAND COULEE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0WA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd099133
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd0false
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd0false
IRS990ScheduleR/PaidEmployeesSharingInd0false
IRS990ScheduleR/PerformOfServicesByOtherOrgInd0false
IRS990ScheduleR/PerformOfServicesForOthOrgInd0false
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd0false
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd0false
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd0false
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd0true
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd0false
IRS990ScheduleR/SharingOfFacilitiesInd0false
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt02037097
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt0FMV
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt0COULEE MEDICAL CENTER
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IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxablePartyNotificationInd0false
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IRS990/TaxExemptBondLiabilitiesGrp/EOYAmt020070959
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IRS990/TemporarilyRstrNetAssetsGrp/BOYAmt01931960
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
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IRS990/TotalAssetsGrp/BOYAmt020562711
IRS990/TotalAssetsGrp/EOYAmt020071179
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt02470496
IRS990/TotalFunctionalExpensesGrp/TotalAmt02470496
IRS990/TotalGrossUBIAmt00
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IRS990/TotalProgramServiceExpensesAmt02470496
IRS990/TotalProgramServiceRevenueAmt02037097
IRS990/TotalRevenueGrp/ExclusionAmt0433399
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt02037097
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt02470496
IRS990/TotalVolunteersCnt03
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt020562711
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt020071179
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0-1931960
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0220
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0PO BOX 171
IRS990/USAddress/CityNm0GRAND COULEE
IRS990/USAddress/StateAbbreviationCd0WA
IRS990/USAddress/ZIPCd099133
IRS990/VotingMembersGoverningBodyCnt03
IRS990/VotingMembersIndependentCnt03
IRS990/WebsiteAddressTxt0WWW.CMCCARES.ORG/FOUNDATION
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0JOHNATHAN OWENS
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum05096330945
ReturnHeader/BusinessOfficerGrp/SignatureDt02017-07-07
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0COULEE MEDICAL FOUNDATION
ReturnHeader/Filer/BusinessNameControlTxt0COUL
ReturnHeader/Filer/EIN0911212755
ReturnHeader/Filer/PhoneNum05096330945
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO BOX 171
ReturnHeader/Filer/USAddress/CityNm0GRAND COULEE
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ReturnHeader/Filer/USAddress/ZIPCd099133
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId07AE59EE715E8C752EF5DE0EF2B4A5847F26059E4
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId04E47AE817102BDCE7527071ECCD14AD9DFD4CEB5
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0200079326
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0DINGUS ZARECOR & ASSOCIATES PLLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt012015 E MAIN AVE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0SPOKANE VALLEY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0WA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0992066130
ReturnHeader/PreparerPersonGrp/PhoneNum05092420874
ReturnHeader/PreparerPersonGrp/PreparationDt02017-08-04
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0THOMAS DINGUS
ReturnHeader/ReturnTs02017-08-04T15:54:21-07:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02016-01-01
ReturnHeader/TaxPeriodEndDt02016-12-31
ReturnHeader/TaxYr02016

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2016 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$20,071,179
Liabilities
$20,070,959
Net assets
$220
Revenue
$2,470,496
Expenses
$2,470,496
Net income
$0
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2023Summary only. Only limited summary data is available for this year.$0.00$0.00$0.00$0.00$0.00
2022Detailed filing. Detailed filing data is available for this year.$0.00$0.00
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.06$0.06$0.00$1.62$1.62$0.00
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$17.7$17.7$0.00$2.31$2.31$0.00
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$18.4$18.4$0.00$1.94$2.29$0.36
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$19.3$19.0$0.36$2.73$2.37$0.36
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$19.5$19.5$0.00$2.40$2.40$0.00
2016Detailed filing. Detailed filing data is available for this year.$20.1$20.1$0.00$2.47$2.47$0.00
2015Summary only. Only limited summary data is available for this year.$20.6$20.6$0.00$2.59$2.59$0.00
2014Detailed filing. Detailed filing data is available for this year.$21.2$21.2$0.00$2.63$2.63$0.00
2013Detailed filing. Detailed filing data is available for this year.$21.6$21.6$0.00$2.78$2.78$0.00
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$22.1$22.1$0.00$2.61
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2016 filings • 501(c)3 • $10M-$25M nonprofits