Civic Intelligence

Foundation for Annie Jeffrey

990 • Fiscal year 2020 • EIN 20-8143443

Jul 01, 2019 to Jun 30, 2020 • Filed on Oct 27, 2020

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

55th percentile

0.00x

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

2020 filings • 501(c)3 • <$500k nonprofits • Source year 2020

Liabilities / Revenue

55th percentile

0.00x

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

2020 filings • 501(c)3 • <$500k nonprofits • Source year 2020

Net Margin

34th percentile

-3.9%

Higher net margin than 34% of similar nonprofits.

2020 filings • 501(c)3 • <$500k nonprofits • Source year 2020

Top Officer Pay

76th percentile

$0

Higher top officer pay than 76% of similar nonprofits.

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

2020 filings • 501(c)3 • <$500k nonprofits • Source year 2020

Asset Growth

31st percentile

-6.8%

Faster asset growth than 31% of similar nonprofits.

2020 filings • 501(c)3 • <$500k nonprofits • Annualized from 2019 to 2020

Revenue Growth

86th percentile

39%

Faster revenue growth than 86% of similar nonprofits.

2020 filings • 501(c)3 • <$500k nonprofits • Annualized from 2019 to 2020

Balance Sheet
Liabilities / Assets55th percentile

Assets

Down

$54,994

Down $3,986 (-6.8%) from 2019

Net Assets

Down

$54,994

Down $3,986 (-6.8%) from 2019

Liabilities

Flat

$0

Flat from 2019

Revenue And Expenses
Liabilities / Revenue55th percentileNet Margin34th percentile

Revenue

Up

$102,857

Up $29,033 (+39%) from 2019

Expenses

Up

$106,843

Up $35,820 (+50%) from 2019

Net Income

Down

-$3,986

Down $6,787 (-242%) from 2019

Historical Trend

Balance Sheet Trend

Asset Growth31st 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

2020

Assets$54,994
Liabilities$0
Net Assets$54,994
Open 2020 Filing

Operations Trend

Revenue Growth86th 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

2020

Revenue$102,857
Expenses$106,843
Net Income-$3,986
Open 2020 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2019 to Jun 30, 2020
Signed
Oct 27, 2020
Return Version
2019v5.0
Gross Receipts
$102,857
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$53,871$49,885▼ $3,986
Savings and Temporary Cash Investments$5,109$5,109→ $0
Total Assets$58,980$54,994▼ $3,986
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$53,871$49,885▼ $3,986
Net Assets With Donor Restrictions$5,109$5,109→ $0
Total Net Assets Fund Balance$58,980$54,994▼ $3,986
Total Liabilities and Net Assets / Fund Balance$58,980$54,994▼ $3,986

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2019$5,109-▲ $218-$5,109
2018$5,109-▲ $218-$5,109
2017$5,109-▲ $218-$5,109
2016$5,109-▲ $218-$5,109
2015$5,109-▲ $218-$5,109
Compensation and Service Providers
Top Officer Pay76th percentile

Board Members and Trustees

NameTitle
Steven J PetersonChairman
John GirardVice-chairma
Brian BecknerDirector
Karleen WattsDirector
Kathy GabelDirector
Leroy GerrardDirector
Margie HayesDirector
Mary LerchSecretary
Karen StevensTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$101,647
Program Service Revenue
$0
Investment Income
$1,210
Other Revenue
$0
All Other Contributions
$101,647
Change in Net Assets
$-3,986
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$99,853
Other Expenses$6,990
Total Fundraising Expense$6,354
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$99,853--$99,853
Office Expenses$636-$4,670$5,306
Advertising--$1,684$1,684
Total Functional Expenses$100,489$0$6,354$106,843
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Annie Jeffrey Memorial Cty Hlth CtrOsceola, NEGovPurchase Equipment$99,853
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 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
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
2020-10-27
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Steven J Peterson
Formed
2006
Legal Domicile
Ne
Voting Board Members
9
Independent Board Members
9
Employees
0

Preparer

Firm
Dohman Akerlund & Eddy LLC
Address
PO BOX 470, AURORA, NE 68818-0470
Preparer
Timothy J Coufal CPA
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 Appendix390 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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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/Total501c3OrgCnt01
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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
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IRS990ScheduleR/AssetSaleToOtherOrgInd0false
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IRS990ScheduleR/PerformOfServicesByOtherOrgInd0false
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IRS990ScheduleR/ReimbursementPaidByOtherOrgInd0false
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd0false
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd0false
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd0false
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IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt0ANNIE JEFFREY MEMORIAL CTY HLTH CTR
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IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt058980
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IRS990/TotalAssetsGrp/BOYAmt058980
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IRS990/TotalContributionsAmt0101647
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IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0SAME AS C ABOVE
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ReturnHeader/BuildTS02021-01-29 14:40:06Z
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ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0FOUNDATION FOR ANNIE JEFFREY
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ReturnHeader/FilingSecurityInformation/IPTimezoneCd0CS
ReturnHeader/FilingSecurityInformation/IPTm015:10:02
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/PreparationDt02020-10-27
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0TIMOTHY J COUFAL CPA
ReturnHeader/ReturnTs02020-11-05T15:10:02-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02019-07-01
ReturnHeader/TaxPeriodEndDt02020-06-30
ReturnHeader/TaxYr02019

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2020 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$54,994
Liabilities
$0
Net assets
$54,994
Revenue
$102,857
Expenses
$106,843
Net income
-$3,986
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