Civic Intelligence

Johnson County Hospital Foundation

990 • Fiscal year 2016 • EIN 27-0317629

Jul 01, 2015 to Jun 30, 2016 • Filed on Mar 15, 2017

Organization Profilewww.jchosp.com/foundation
292 Broadway StreetTecumseh, NE 68450

(402) 335-3371

Siviq Scores

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

Liabilities / Assets

67th percentile

0.02x

Higher debt load relative to assets than 67% of similar nonprofits.

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

Liabilities / Revenue

61st percentile

0.01x

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

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

Net Margin

44th percentile

0.7%

Higher net margin than 44% 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

60th percentile

8.0%

Faster asset growth than 60% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Annualized from 2013 to 2016

Revenue Growth

89th percentile

68%

Faster revenue growth than 89% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Annualized from 2013 to 2016

Balance Sheet
Liabilities / Assets67th percentile

Assets

Up

$130,145

Up $26,965 (+26%) from 2013

Net Assets

Up

$127,013

Up $26,038 (+26%) from 2013

Liabilities

Up

$3,132

Up $927 (+42%) from 2013

Revenue And Expenses
Liabilities / Revenue61st percentileNet Margin44th percentile

Revenue

Up

$462,130

Up $364,805 (+375%) from 2013

Expenses

Up

$459,027

Up $389,960 (+565%) from 2013

Net Income

Down

$3,103

Down $25,155 (-89%) from 2013

Historical Trend

Balance Sheet Trend

Asset Growth60th percentile

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

$400K$300K$200K$100K$0Assets 2012: $72,717Net Assets 2012: $72,7172012Assets 2013: $103,180Liabilities 2013: $2,205Net Assets 2013: $100,9752013Assets 2016: $130,145Liabilities 2016: $3,132Net Assets 2016: $127,0132016Assets 2017: $123,768Liabilities 2017: $5,209Net Assets 2017: $118,5592017Assets 2018: $298,577Liabilities 2018: $4,051Net Assets 2018: $294,5262018Assets 2019: $266,119Liabilities 2019: $10,479Net Assets 2019: $255,6402019Assets 2020: $294,610Liabilities 2020: $3,239Net Assets 2020: $291,3712020Assets 2021: $217,372Liabilities 2021: $2,399Net Assets 2021: $214,9732021Assets 2022: $239,921Liabilities 2022: $7,632Net Assets 2022: $232,2892022Assets 2023: $255,484Liabilities 2023: $36Net Assets 2023: $255,4482023Assets 2024: $271,918Liabilities 2024: $10,271Net Assets 2024: $261,6472024Assets 2025: $307,130Liabilities 2025: $23,033Net Assets 2025: $284,0972025

Highlighted filing

2016

Assets$130,145
Liabilities$3,132
Net Assets$127,013
Open 2016 Filing

Operations Trend

Revenue Growth89th percentile

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

$600K$400K$200K$0-$200KRevenue 2012: $44,865Expenses 2012: $6,540Net Income 2012: $38,3252012Revenue 2013: $97,325Expenses 2013: $69,067Net Income 2013: $28,2582013Revenue 2016: $462,130Expenses 2016: $459,027Net Income 2016: $3,1032016Revenue 2017: $37,264Expenses 2017: $45,718Net Income 2017: -$8,4542017Revenue 2018: $202,104Expenses 2018: $26,137Net Income 2018: $175,9672018Revenue 2019: $102,348Expenses 2019: $141,234Net Income 2019: -$38,8862019Revenue 2020: $55,026Expenses 2020: $19,295Net Income 2020: $35,7312020Revenue 2021: $96,477Expenses 2021: $172,875Net Income 2021: -$76,3982021Revenue 2022: $41,399Expenses 2022: $24,083Net Income 2022: $17,3162022Revenue 2023: $50,984Expenses 2023: $27,825Net Income 2023: $23,1592023Revenue 2024: $74,545Expenses 2024: $68,346Net Income 2024: $6,1992024Revenue 2025: $55,394Expenses 2025: $32,944Net Income 2025: $22,4502025

Highlighted filing

2016

Revenue$462,130
Expenses$459,027
Net Income$3,103
Open 2016 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2015 to Jun 30, 2016
Signed
Mar 15, 2017
Return Version
2015v3.0
Gross Receipts
$480,469
Mission and Program Overview

Mission

The foundation supports the johnson county hospital in its efforts to provide needed health services to the rural medically underserved area around tecumseh, ne. The support allows the purchase of new medical equipment that would otherwise be unavailable and unaffordable.

The Foundation supports the Johnson County Hospital in its efforts to provide needed health services to the rural medically underserved area around Tecumseh, NE and the support allows the purchase of new medical equipment that would otherwise be unavailable and unaffordable.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$76,472$71,651▼ $4,821
Investments Other Securities$52,725$58,494▲ $5,769
Savings and Temporary Cash Investments-$0-
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$129,197$130,145▲ $948
Other Assets Total-$0-
Liabilities
Accounts Payable and Accrued Expenses$5,287$3,132▼ $2,155
Total Liabilities$5,287$3,132▼ $2,155
Net Assets / Fund Balance
Unrestricted Net Assets$122,910$126,013▲ $3,103
Temporarily Rstr Net Assets$1,000$1,000→ $0
Total Net Assets Fund Balance$123,910$127,013▲ $3,103
Total Liabilities and Net Assets / Fund Balance$129,197$130,145▲ $948
Compensation and Service Providers
Top Officer Pay75th percentile

Board Members and Trustees

NameTitle
Dana JohnsonPresident
Kay EbelerVice President
Barbara WeissDirector
Duane SugdenDirector
Ima GottulaDirector
Michele Van WinkleSecretary
Delton PankoTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$443,215
Program Service Revenue
$0
Investment Income
$16,579
Other Revenue
$2,336
All Other Contributions
$443,215
Change in Net Assets
$3,103
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$452,597
Other Expenses$6,430
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$452,597--$452,597
Other Expenses-$242-$242
Total Functional Expenses$452,597$6,430$0$459,027
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Johnson County HospitalTecumseh, NE-General Support$452,597
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$20,675
Fundraising Direct Expenses$18,339
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
GOLF Outing$10,630$10,630$7,536$3,094
Gala$7,680$7,680$6,302$1,378
Total Events$18,310$18,310$13,838$4,472
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
Audit committee
No
Backup withholding compliance
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
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Line 11B: Form 990 Review Process

“Each board member will review Form 990 before filing.”

Form 990, Part VI, Line 19: Other Organization Documents Publicly Available

“Upon request”

Filing and Contact Details

Filer

Filer Name
Johnson County Hospital Foundation
EIN
27-0317629
Phone
4023353371
Address
292 BROADWAY STREET, Tecumseh, NE 68450

Signing Officer

Name
Dana Johnson
Title
President
Signed
2017-03-15
Discuss with paid preparer
Yes

Organization Details

Formed
2010
Legal Domicile
Ne
Voting Board Members
7
Independent Board Members
7
Employees
0
Volunteers
12

Preparer

Firm
Lutz and Company Pc
Address
13616 CALIFORNIA ST STE 300, OMAHA, NE 68154-5336
Preparer
Deyna C Rouse
Phone
4024968800
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IRS990ScheduleA/DistributableAmountGrp/CYIncomeTaxImposedPYAmt00
IRS990ScheduleA/DistributableAmountGrp/CYPct85AdjustedNetIncomeAmt00
IRS990ScheduleA/DistributableAmountGrp/CYTotalMinAstDistributableAmt00
IRS990ScheduleA/DistributionAllocationsGrp/CYDistribAppUnderdistriPYAmt00
IRS990ScheduleA/DistributionAllocationsGrp/CYDistributableAsAdjustedAmt00
IRS990ScheduleA/DistributionAllocationsGrp/CyovAppliedUnderdistrCPYAmt00
IRS990ScheduleA/DistributionAllocationsGrp/CyovAppliedUnderdistriPYAmt00
IRS990ScheduleA/DistributionAllocationsGrp/CYTotalAnnualDistributionsAmt00
IRS990ScheduleA/DistributionAllocationsGrp/ExcessDistributionAmt00
IRS990ScheduleA/DistributionAllocationsGrp/ExcessDistributionCyovAmt00
IRS990ScheduleA/DistributionAllocationsGrp/ExcessDistributionCyovYr1Amt00
IRS990ScheduleA/DistributionAllocationsGrp/ExcessDistributionCyovYr2Amt00
IRS990ScheduleA/DistributionAllocationsGrp/ExcessDistriCyovToNextYrAmt00
IRS990ScheduleA/DistributionAllocationsGrp/ExcessFromYear1Amt00
IRS990ScheduleA/DistributionAllocationsGrp/ExcessFromYear2Amt00
IRS990ScheduleA/DistributionAllocationsGrp/ExcessFromYear3Amt00
IRS990ScheduleA/DistributionAllocationsGrp/RemainingUnderdistriCYAmt00
IRS990ScheduleA/DistributionAllocationsGrp/RemainingUnderdistriPYAmt00
IRS990ScheduleA/DistributionAllocationsGrp/TotalExcessDistributionCyovAmt00
IRS990ScheduleA/DistributionAllocationsGrp/UnderdistributionsAmt00
IRS990ScheduleA/DistributionsGrp/CYAdministrativeExpensePaidAmt00
IRS990ScheduleA/DistributionsGrp/CYDistriAttentiveSuprtOrgAmt00
IRS990ScheduleA/DistributionsGrp/CYDistributableAsAdjustedAmt00
IRS990ScheduleA/DistributionsGrp/CYDistributionYrRt00.00000
IRS990ScheduleA/DistributionsGrp/CYOtherDistributionsAmt00
IRS990ScheduleA/DistributionsGrp/CYPaidAccomplishExemptPrpsAmt00
IRS990ScheduleA/DistributionsGrp/CYPdInExcessIncomeActivityAmt00
IRS990ScheduleA/DistributionsGrp/CYTotalAnnualDistributionsAmt00
IRS990ScheduleA/DistributionsGrp/ExemptUseAssetsAcquisPaidAmt00
IRS990ScheduleA/DistributionsGrp/QualifiedSetAsideAmt00
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/Form990SchAType3SprtOrgAllGrp/OfficersCloseRelationshipInd0false
IRS990ScheduleA/Form990SchAType3SprtOrgAllGrp/SupportedOrgVoiceInvestmentInd0false
IRS990ScheduleA/Form990SchAType3SprtOrgAllGrp/TimelyProvidedDocumentsInd0true
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0EXECUTIVE OFFICER OF JOHNSON COUNTY HOSPITAL ATTENDS EACH BOARD MEETING OF THE FOUNDATION AND REPORTS ON CURRENT NEEDS OF HOSPITAL FOR WHICH SUPPORT IS REQUESTED FROM THE FOUNDATION. FINANCIAL SUMMARY OF FOUNDATION IS PROVIDED TO ITS OWN BOARD OF DIRECTORS AND HOSPITAL BOARD OF TRUSTEES AT EACH BOARD MEETING. FOUNDATION BOARD MEETINGS ALSO OCCUR ON HOSPITAL PROPERTY. FOUNDATION BOARD OF DIRECTORS OPERATES IN CLOSE CONNECTION WITH HOSPITAL BOARD OF TRUSTEES.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0Part IV, Section D, Line 2: Organizaiton Maintained A Relationship with Supported Orgs.
IRS990ScheduleA/MinimumAssetAmountGrp/AcquisitionIndebtednessGrp/PriorYearAmt00
IRS990ScheduleA/MinimumAssetAmountGrp/AdjustedFMVLessIndebtednessGrp/PriorYearAmt00
IRS990ScheduleA/MinimumAssetAmountGrp/AverageMonthlyCashBalancesGrp/PriorYearAmt00
IRS990ScheduleA/MinimumAssetAmountGrp/AverageMonthlyFMVOfSecGrp/PriorYearAmt00
IRS990ScheduleA/MinimumAssetAmountGrp/CashDeemedCharitableGrp/PriorYearAmt00
IRS990ScheduleA/MinimumAssetAmountGrp/DiscountClaimedAmt00
IRS990ScheduleA/MinimumAssetAmountGrp/FMVOtherNonExemptUseAssetGrp/PriorYearAmt00
IRS990ScheduleA/MinimumAssetAmountGrp/NetVlNonExemptUseAssetsGrp/PriorYearAmt00
IRS990ScheduleA/MinimumAssetAmountGrp/PctOfNetVlNonExemptUseAstGrp/PriorYearAmt00
IRS990ScheduleA/MinimumAssetAmountGrp/RecoveriesPYDistriMinAssetGrp/PriorYearAmt00
IRS990ScheduleA/MinimumAssetAmountGrp/TotalFMVOfNonExemptUseAssetGrp/PriorYearAmt00
IRS990ScheduleA/MinimumAssetAmountGrp/TotalMinimumAssetGrp/PriorYearAmt00
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/SupportedOrganizationsCnt01
IRS990ScheduleA/SupportedOrganizationsTotalCnt01
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0476000874
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd0true
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd03
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt0452597
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0JOHNSON COUNTY HOSPITAL
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType3NonFuncInd0X
IRS990ScheduleA/SupportSumAmt0452597
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/TotalBookValueSecuritiesAmt058494
IRS990ScheduleG/AgrmtProfFundraisingActyInd0false
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt013838
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0GOLF Outing
IRS990ScheduleG/FundraisingEventInformationGrp/Event2Nm0GALA
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt010630
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent2Amt07680
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt018310
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt010630
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent2Amt07680
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt018310
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt04472
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt013838
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt07536
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent2Amt06302
IRS990ScheduleI/GrantRecordsMaintainedInd0false
IRS990ScheduleI/RecipientTable/CashGrantAmt0452597
IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt00
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0General Support
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0Johnson County Hospital
IRS990ScheduleI/RecipientTable/RecipientEIN0476000874
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt0202 High Street
IRS990ScheduleI/RecipientTable/USAddress/CityNm0Tecumseh
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0NE
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd068450
IRS990ScheduleI/RecipientTable/ValuationMethodUsedDesc0Cash Paid
IRS990ScheduleI/Total501c3OrgCnt00
IRS990ScheduleI/TotalOtherOrgCnt01
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Each board member will review Form 990 before filing.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Upon request
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Line 11b: Form 990 Review Process
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
IRS990ScheduleR/AssetExchangeInd0false
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd0false

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
$130,145
Liabilities
$3,132
Net assets
$127,013
Revenue
$462,130
Expenses
$459,027
Net income
$3,103
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$3.07$0.23$2.84$0.55$0.33$0.22
2024Detailed filing. Detailed filing data is available for this year.$2.72$0.10$2.62$0.75$0.68$0.06
2023Detailed filing. Detailed filing data is available for this year.$2.55$0.00$2.55$0.51$0.28$0.23
2022Detailed filing. Detailed filing data is available for this year.$2.40$0.08$2.32$0.41$0.24$0.17
2021Detailed filing. Detailed filing data is available for this year.$2.17$0.02$2.15$0.96$1.73$0.76
2020Detailed filing. Detailed filing data is available for this year.$2.95$0.03$2.91$0.55$0.19$0.36
2019Detailed filing. Detailed filing data is available for this year.$2.66$0.10$2.56$1.02$1.41$0.39
2018Detailed filing. Detailed filing data is available for this year.$2.99$0.04$2.95$2.02$0.26$1.76
2017Detailed filing. Detailed filing data is available for this year.$1.24$0.05$1.19$0.37$0.46$0.08
2016Detailed filing. Detailed filing data is available for this year.$1.30$0.03$1.27$4.62$4.59$0.03
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.03$0.02$1.01$0.97$0.69$0.28
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.73$0.73$0.45$0.07$0.38