Civic Intelligence

Foundation for Annie Jeffrey

990 • Fiscal year 2016 • EIN 20-8143443

Jul 01, 2015 to Jun 30, 2016 • Filed on Oct 18, 2016

Organization Profile
PO Box 428Osceola, NE 68651

(402) 747-2031

Siviq Scores

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

Liabilities / Assets

56th percentile

0.00x

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

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Liabilities / Revenue

55th percentile

0.00x

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

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Net Margin

7th percentile

-57%

Higher net margin than 7% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Top Officer Pay

75th percentile

$0

Higher top officer pay than 75% of similar nonprofits.

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

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Asset Growth

9th percentile

-49%

Faster asset growth than 9% of similar nonprofits.

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

Revenue Growth

27th percentile

-17%

Faster revenue growth than 27% of similar nonprofits.

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

Balance Sheet
Liabilities / Assets56th percentile

Assets

Down

$63,801

Down $62,535 (-49%) from 2015

Net Assets

Down

$63,801

Down $62,535 (-49%) from 2015

Liabilities

Flat

$0

Flat from 2015

Revenue And Expenses
Liabilities / Revenue55th percentileNet Margin7th percentile

Revenue

Down

$109,018

Down $22,060 (-17%) from 2015

Expenses

Down

$171,553

Down $84,505 (-33%) from 2015

Net Income

Up

-$62,535

Up $62,445 (+50%) from 2015

Historical Trend

Balance Sheet Trend

Asset Growth9th percentile

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

$600K$400K$200K$0Assets 2011: $176,221Liabilities 2011: $6,723Net Assets 2011: $169,4982011Assets 2012: $521,729Liabilities 2012: $0Net Assets 2012: $521,7292012Assets 2013: $393,161Liabilities 2013: $0Net Assets 2013: $393,1612013Assets 2014: $251,316Liabilities 2014: $0Net Assets 2014: $251,3162014Assets 2015: $126,336Liabilities 2015: $0Net Assets 2015: $126,3362015Assets 2016: $63,801Liabilities 2016: $0Net Assets 2016: $63,8012016Assets 2017: $70,388Liabilities 2017: $0Net Assets 2017: $70,3882017Assets 2018: $56,179Liabilities 2018: $0Net Assets 2018: $56,1792018Assets 2019: $58,980Liabilities 2019: $0Net Assets 2019: $58,9802019Assets 2020: $54,994Liabilities 2020: $0Net Assets 2020: $54,9942020Assets 2021: $53,112Liabilities 2021: $0Net Assets 2021: $53,1122021Assets 2022: $72,032Liabilities 2022: $0Net Assets 2022: $72,0322022Assets 2023: $73,582Liabilities 2023: $0Net Assets 2023: $73,5822023Assets 2024: $80,567Liabilities 2024: $0Net Assets 2024: $80,5672024

Highlighted filing

2016

Assets$63,801
Liabilities$0
Net Assets$63,801
Open 2016 Filing

Operations Trend

Revenue Growth27th percentile

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

$600K$400K$200K$0-$200KExpenses 2011: $557,1692011Expenses 2012: $126,5232012Expenses 2013: $485,9302013Revenue 2014: $78,077Expenses 2014: $219,922Net Income 2014: -$141,8452014Revenue 2015: $131,078Expenses 2015: $256,058Net Income 2015: -$124,9802015Revenue 2016: $109,018Expenses 2016: $171,553Net Income 2016: -$62,5352016Revenue 2017: $114,482Expenses 2017: $107,895Net Income 2017: $6,5872017Revenue 2018: $54,886Expenses 2018: $69,095Net Income 2018: -$14,2092018Revenue 2019: $73,824Expenses 2019: $71,023Net Income 2019: $2,8012019Revenue 2020: $102,857Expenses 2020: $106,843Net Income 2020: -$3,9862020Revenue 2021: $83,338Expenses 2021: $85,220Net Income 2021: -$1,8822021Revenue 2022: $163,347Expenses 2022: $142,209Net Income 2022: $21,1382022Revenue 2023: $91,293Expenses 2023: $90,127Net Income 2023: $1,1662023Revenue 2024: $112,427Expenses 2024: $106,659Net Income 2024: $5,7682024

Highlighted filing

2016

Revenue$109,018
Expenses$171,553
Net Income-$62,535
Open 2016 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2015 to Jun 30, 2016
Signed
Oct 18, 2016
Return Version
2015v2.1
Gross Receipts
$109,018
Mission and Program Overview

Mission

To provide fundraising and other support to the annie jeffrey memorial county health center, osceola, nebraska, an exempt governmental organization.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$121,227$58,692▼ $62,535
Savings and Temporary Cash Investments$5,109$5,109→ $0
Total Assets$126,336$63,801▼ $62,535
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$66,227$53,692▼ $12,535
Temporarily Rstr Net Assets$60,109$10,109▼ $50,000
Total Net Assets Fund Balance$126,336$63,801▼ $62,535
Total Liabilities and Net Assets / Fund Balance$126,336$63,801▼ $62,535

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2015$5,109-▲ $218-$5,109
2014$5,109-▲ $218-$5,109
2013$5,109-▲ $218-$5,109
2012$5,109-▲ $218-$5,109
2011$5,155-▲ $218-$5,109
Compensation and Service Providers
Top Officer Pay75th percentile

Board Members and Trustees

NameTitle
Steven J PetersonChairman
Brian BecknerDirector
Karleen WattsDirector
Kathy GabelDirector
Margie HayesDirector
Mary LerchDirector
John GirardSecretary
Karen StevensTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$108,417
Program Service Revenue
$0
Investment Income
$601
Other Revenue
$0
All Other Contributions
$108,417
Change in Net Assets
$-62,535
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$165,262
Other Expenses$6,291
Total Fundraising Expense$4,541
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$165,262--$165,262
Office Expenses$1,750-$2,340$4,090
Advertising--$2,201$2,201
Total Functional Expenses$167,012$0$4,541$171,553
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Annie Jeffrey Memorial Cty Hlth CtrOsceola, NEGovPurchase Equipment$165,262
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
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
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 2

“Steven j. Peterson annie jeffrey memorial cty hlth ctr board member board member common board members john girard annie jeffrey memorial cty hlth ctr board member board member common board members karen stevens annie jeffrey memorial cty hlth ctr board member board member common board members”

Form 990, Page 6, Part VI, Line 11B

“The return is reviewed by the chairman prior to filing.”

Form 990, Page 6, Part VI, Line 19

“Governing documents and financial statements are made available upon request.”

Filing and Contact Details

Filer

Filer Name
Foundation for Annie Jeffrey
EIN
20-8143443
Phone
4027472031
Address
PO BOX 428, OSCEOLA, NE 68651

Signing Officer

Name
Steven J Peterson
Title
Chairman
Phone
4027472031
Signed
2016-10-18
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Steven J Peterson
Formed
2006
Legal Domicile
Ne
Voting Board Members
8
Independent Board Members
8
Employees
0

Preparer

Firm
Dohman Akerlund & Eddy LLC
Address
PO BOX 470, AURORA, NE 68818-0470
Preparer
Timothy J Coufal
Phone
4026946404
Supplemental Narrative

Financial Statement Notes

Schedule D, Page 2, Part V, Line 4

“20 year endowment with investment income used for scholarships.”

Raw XML Appendix383 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.

Path#Value
IRS990/AccountantCompileOrReviewInd0false
IRS990/ActivitiesConductedPrtshpInd0false
IRS990/ActivityOrMissionDesc0TO PROVIDE FUNDRAISING AND OTHER SUPPORT TO THE ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER, OSCEOLA, NEBRASKA, AN EXEMPT GOVERNMENTAL ORGANIZATION.
IRS990/AdvertisingGrp/FundraisingAmt02201
IRS990/AdvertisingGrp/TotalAmt02201
IRS990/AllOtherContributionsAmt0108417
IRS990/AuditCommitteeInd0true
IRS990/BooksInCareOfDetail/PersonNm0MARCUS AUGUSTIN
IRS990/BooksInCareOfDetail/PhoneNum04027471445
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0531 BEEBE ST PO BOX 428
IRS990/BooksInCareOfDetail/USAddress/CityNm0OSCEOLA
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0NE
IRS990/BooksInCareOfDetail/USAddress/ZIPCd068651
IRS990/BusinessRlnWithFamMemInd0false
IRS990/BusinessRlnWithOfficerEntInd0false
IRS990/BusinessRlnWithOrgMemInd0false
IRS990/CashNonInterestBearingGrp/BOYAmt0121227
IRS990/CashNonInterestBearingGrp/EOYAmt058692
IRS990/ChangeToOrgDocumentsInd0false
IRS990/CollectionsOfArtInd0false
IRS990/CompensationFromOtherSrcsInd0false
IRS990/CompensationProcessCEOInd0false
IRS990/CompensationProcessOtherInd0false
IRS990/ConflictOfInterestPolicyInd0false
IRS990/ConservationEasementsInd0false
IRS990/ConsolidatedAuditFinclStmtInd0true
IRS990/CreditCounselingInd0false
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt0108417
IRS990/CYGrantsAndSimilarPaidAmt0165262
IRS990/CYInvestmentIncomeAmt0601
IRS990/CYOtherExpensesAmt06291
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt00
IRS990/CYRevenuesLessExpensesAmt0-62535
IRS990/CYSalariesCompEmpBnftPaidAmt00
IRS990/CYTotalExpensesAmt0171553
IRS990/CYTotalFundraisingExpenseAmt04541
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt0109018
IRS990/DecisionsSubjectToApprovaInd0false
IRS990/DeductibleArtContributionInd0false
IRS990/DeductibleNonCashContriInd0false
IRS990/DelegationOfMgmtDutiesInd0false
IRS990/Desc0SOLICIT CONTRIBUTIONS FROM THE GENERAL PUBLIC, WHICH WILL PROVIDE A SOURCE OF FUNDS FROM WHICH THE FOUNDATION'S BOARD OF DIRECTORS SHALL MAKE CONTRIBUTIONS TO ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER.
IRS990/DescribedInSection501c3Ind0true
IRS990/DisregardedEntityInd0false
IRS990/DocumentRetentionPolicyInd0false
IRS990/DonorAdvisedFundInd0false
IRS990/ElectionOfBoardMembersInd0false
IRS990/EmployeeCnt00
IRS990/EngagedInExcessBenefitTransInd0false
IRS990/ExpenseAmt0167012
IRS990/FamilyOrBusinessRlnInd0true
IRS990/FederalGrantAuditRequiredInd0false
IRS990/ForeignActivitiesInd0false
IRS990/ForeignFinancialAccountInd0false
IRS990/ForeignOfficeInd0false
IRS990/Form1098CFiledInd0false
IRS990/Form8282PropertyDisposedOfInd0false
IRS990/Form8899Filedind0false
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt00.10
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt10.10
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt20.10
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt30.10
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt40.10
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt50.10
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt60.10
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt70.10
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd2X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd3X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd4X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd5X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd6X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd7X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt60
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt70
IRS990/Form990PartVIISectionAGrp/PersonNm0STEVEN J PETERSON
IRS990/Form990PartVIISectionAGrp/PersonNm1JOHN GIRARD
IRS990/Form990PartVIISectionAGrp/PersonNm2KAREN STEVENS
IRS990/Form990PartVIISectionAGrp/PersonNm3MARY LERCH
IRS990/Form990PartVIISectionAGrp/PersonNm4BRIAN BECKNER
IRS990/Form990PartVIISectionAGrp/PersonNm5KARLEEN WATTS
IRS990/Form990PartVIISectionAGrp/PersonNm6MARGIE HAYES
IRS990/Form990PartVIISectionAGrp/PersonNm7KATHY GABEL
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt70
IRS990/Form990PartVIISectionAGrp/TitleTxt0CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt1SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt2TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990ProvidedToGvrnBodyInd0false
IRS990/FormationYr02006
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd0X
IRS990/FSAuditedInd0true
IRS990/FundraisingActivitiesInd0false
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt08
IRS990/GrantAmt0165262
IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt0165262
IRS990/GrantsToDomesticOrgsGrp/TotalAmt0165262
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0true
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt0109018
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt08
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InvestmentIncomeGrp/ExclusionAmt0601
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt0601
IRS990/InvestmentInJointVentureInd0false
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0NE
IRS990/LoanOutstandingInd0false
IRS990/LobbyingActivitiesInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0TO PROVIDE FUNDRAISING AND OTHER SUPPORT TO THE ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER, OSCEOLA, NEBRASKA, AN EXEMPT GOVERNMENTAL ORGANIZATION.
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/NetAssetsOrFundBalancesBOYAmt0126336
IRS990/NetAssetsOrFundBalancesEOYAmt063801
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd0false
IRS990/OfficeExpensesGrp/FundraisingAmt02340
IRS990/OfficeExpensesGrp/ProgramServicesAmt01750
IRS990/OfficeExpensesGrp/TotalAmt04090
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/PartialLiquidationInd0false
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfficerNm0STEVEN J PETERSON
IRS990/ProfessionalFundraisingInd0false
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt0130521
IRS990/PYExcessBenefitTransInd0false
IRS990/PYGrantsAndSimilarPaidAmt0248989
IRS990/PYInvestmentIncomeAmt0557
IRS990/PYOtherExpensesAmt07069
IRS990/PYRevenuesLessExpensesAmt0-124980
IRS990/PYTotalExpensesAmt0256058
IRS990/PYTotalRevenueAmt0131078
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReconcilationRevenueExpnssAmt0-62535
IRS990/RelatedEntityInd0true
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/SavingsAndTempCashInvstGrp/BOYAmt05109
IRS990/SavingsAndTempCashInvstGrp/EOYAmt05109
IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd0true
IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd0false
IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/OperateBenefitNonSuprtOrgInd0false
IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/PowerAppointMajorityDirTrstInd0true
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/SupportedOrganizationsCnt01
IRS990ScheduleA/SupportedOrganizationsTotalCnt01
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0476000710
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd0true
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd03
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt0165262
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType1Ind0X
IRS990ScheduleA/SupportSumAmt0165262
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd0true
IRS990ScheduleD/CYEndwmtFundGrp/BeginningYearBalanceAmt05109
IRS990ScheduleD/CYEndwmtFundGrp/EndYearBalanceAmt05109
IRS990ScheduleD/CYEndwmtFundGrp/GrantsOrScholarshipsAmt0-218
IRS990ScheduleD/CYEndwmtFundGrp/InvestmentEarningsOrLossesAmt0218
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/BeginningYearBalanceAmt05109
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/EndYearBalanceAmt05109
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/GrantsOrScholarshipsAmt0-218
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt0218
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/BeginningYearBalanceAmt05109
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/EndYearBalanceAmt05109
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/GrantsOrScholarshipsAmt0-218
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt0218
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/BeginningYearBalanceAmt05109
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/EndYearBalanceAmt05109
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/GrantsOrScholarshipsAmt0-218
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt0218
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/BeginningYearBalanceAmt05155
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/EndYearBalanceAmt05109
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/GrantsOrScholarshipsAmt0-264
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt0218
IRS990ScheduleD/EndowmentsHeldRelatedOrgInd0false
IRS990ScheduleD/EndowmentsHeldUnrelatedOrgInd0false
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt020 YEAR ENDOWMENT WITH INVESTMENT INCOME USED FOR SCHOLARSHIPS.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE D, PAGE 2, PART V, LINE 4
IRS990ScheduleD/TermEndowmentBalanceEOYPct01.00000
IRS990ScheduleI/GrantRecordsMaintainedInd0true
IRS990ScheduleI/RecipientTable/CashGrantAmt0165262
IRS990ScheduleI/RecipientTable/IRCSectionDesc0GOV
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0PURCHASE EQUIPMENT
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0ANNIE JEFFREY MEMORIAL CTY HLTH CTR
IRS990ScheduleI/RecipientTable/RecipientEIN0476000710
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt0PO BOX 428
IRS990ScheduleI/RecipientTable/USAddress/CityNm0OSCEOLA
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0NE
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd068651
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0THE PURPOSE OF THE FOUNDATION IS TO SUPPORT ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER, AN EXEMPT GOVERNMENTAL ORGANIZATION. AS SUCH, THE ONLY GRANTS THAT ARE ISSUED ARE FOR THE BENEFIT OF THE HEALTH CENTER.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE I, PAGE 1, PART I, LINE 2
IRS990ScheduleI/TotalOtherOrgCnt01
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0STEVEN J. PETERSON ANNIE JEFFREY MEMORIAL CTY HLTH CTR BOARD MEMBER BOARD MEMBER COMMON BOARD MEMBERS JOHN GIRARD ANNIE JEFFREY MEMORIAL CTY HLTH CTR BOARD MEMBER BOARD MEMBER COMMON BOARD MEMBERS KAREN STEVENS ANNIE JEFFREY MEMORIAL CTY HLTH CTR BOARD MEMBER BOARD MEMBER COMMON BOARD MEMBERS
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE RETURN IS REVIEWED BY THE CHAIRMAN PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 6, PART VI, LINE 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleR/AssetExchangeInd0false
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd0false
IRS990ScheduleR/AssetSaleToOtherOrgInd0false
IRS990ScheduleR/DivRelatedOrganizationInd0false
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd0false
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd0true
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd0false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0ANNIE JEFFREY MEMORIAL CTY HLTH CTR
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0476000710
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0GOVT
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0NE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt0531 BEEBE STREET
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0OSCEOLA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0NE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd068651
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd0false
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd0false
IRS990ScheduleR/PaidEmployeesSharingInd0false
IRS990ScheduleR/PerformOfServicesByOtherOrgInd0false
IRS990ScheduleR/PerformOfServicesForOthOrgInd0false
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd0false
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd0false
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd0false
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd0false
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd0false
IRS990ScheduleR/SharingOfFacilitiesInd0false
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt0165262
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt0COST OF EQUIPMENT
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt0ANNIE JEFFREY MEMORIAL CTY HLTH CTR
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt0B
IRS990ScheduleR/TransferFromOtherOrgInd0false
IRS990ScheduleR/TransferToOtherOrgInd0false
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TemporarilyRstrNetAssetsGrp/BOYAmt060109
IRS990/TemporarilyRstrNetAssetsGrp/EOYAmt010109
IRS990/TempOrPermanentEndowmentsInd0true
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0126336
IRS990/TotalAssetsEOYAmt063801
IRS990/TotalAssetsGrp/BOYAmt0126336
IRS990/TotalAssetsGrp/EOYAmt063801
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt0108417
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt04541
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0167012
IRS990/TotalFunctionalExpensesGrp/TotalAmt0171553
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0126336
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt063801
IRS990/TotalProgramServiceExpensesAmt0167012
IRS990/TotalRevenueGrp/ExclusionAmt0601
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0109018
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0126336
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt063801
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt066227
IRS990/UnrestrictedNetAssetsGrp/EOYAmt053692
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0SAME AS C ABOVE
IRS990/USAddress/CityNm0OSCEOLA
IRS990/USAddress/StateAbbreviationCd0NE
IRS990/USAddress/ZIPCd068651
IRS990/VotingMembersGoverningBodyCnt08
IRS990/VotingMembersIndependentCnt08
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0STEVEN J PETERSON
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CHAIRMAN
ReturnHeader/BusinessOfficerGrp/PhoneNum04027472031
ReturnHeader/BusinessOfficerGrp/SignatureDt02016-10-18
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0FOUNDATION FOR ANNIE JEFFREY
ReturnHeader/Filer/BusinessNameControlTxt0FOUN
ReturnHeader/Filer/EIN0208143443
ReturnHeader/Filer/PhoneNum04027472031
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO BOX 428
ReturnHeader/Filer/USAddress/CityNm0OSCEOLA
ReturnHeader/Filer/USAddress/StateAbbreviationCd0NE
ReturnHeader/Filer/USAddress/ZIPCd068651
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0470585450
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0DOHMAN AKERLUND & EDDY LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0PO BOX 470
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0AURORA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0688180470
ReturnHeader/PreparerPersonGrp/PhoneNum04026946404
ReturnHeader/PreparerPersonGrp/PreparationDt02016-10-18
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0TIMOTHY J COUFAL
ReturnHeader/ReturnTs02016-10-25T09:12:53-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02015-07-01
ReturnHeader/TaxPeriodEndDt02016-06-30
ReturnHeader/TaxYr02015

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
$63,801
Liabilities
$0
Net assets
$63,801
Revenue
$109,018
Expenses
$171,553
Net income
-$62,535
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$0.81$0.00$0.81$1.12$1.07$0.06
2023Detailed filing. Detailed filing data is available for this year.$0.74$0.00$0.74$0.91$0.90$0.01
2022Detailed filing. Detailed filing data is available for this year.$0.72$0.00$0.72$1.63$1.42$0.21
2021Detailed filing. Detailed filing data is available for this year.$0.53$0.00$0.53$0.83$0.85$0.02
2020Detailed filing. Detailed filing data is available for this year.$0.55$0.00$0.55$1.03$1.07$0.04
2019Detailed filing. Detailed filing data is available for this year.$0.59$0.00$0.59$0.74$0.71$0.03
2018Detailed filing. Detailed filing data is available for this year.$0.56$0.00$0.56$0.55$0.69$0.14
2017Detailed filing. Detailed filing data is available for this year.$0.70$0.00$0.70$1.14$1.08$0.07
2016Detailed filing. Detailed filing data is available for this year.$0.64$0.00$0.64$1.09$1.72$0.63
2015Detailed filing. Detailed filing data is available for this year.$1.26$0.00$1.26$1.31$2.56$1.25
2014Detailed filing. Detailed filing data is available for this year.$2.51$0.00$2.51$0.78$2.20$1.42
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.93$0.00$3.93$4.86
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.22$0.00$5.22$1.27
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.76$0.07$1.69$5.57