Civic Intelligence

Kearney County Medical Foundation

990 • Fiscal year 2014 • EIN 36-3291112

Jul 01, 2013 to Jun 30, 2014 • Filed on Jan 13, 2015

Organization ProfileN/A
727 East First Street68959

(308) 832-3400

Siviq Scores

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

Liabilities / Assets

24th percentile

0.00x

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

2014 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2014

Liabilities / Revenue

24th percentile

0.00x

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

2014 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2014

Net Margin

6th percentile

-49%

Higher net margin than 6% of similar nonprofits.

2014 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2014

Top Officer Pay

95th percentile

$183,008

Higher top officer pay than 95% of similar nonprofits.

Top officer pay equals 331.2% of source-year revenue.

2014 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2014

Asset Growth

25th percentile

-4.5%

Faster asset growth than 25% of similar nonprofits.

2014 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2013 to 2014

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2014

Balance Sheet
Liabilities / Assets24th percentile

Assets

Down

$601,636

Down $28,317 (-4.5%) from 2013

Net Assets

Down

$601,636

Down $28,317 (-4.5%) from 2013

Liabilities

Flat

$0

Flat from 2013

Revenue And Expenses
Liabilities / Revenue24th percentileNet Margin6th percentile

Revenue

$55,257

No earlier filing loaded for comparison.

Expenses

Up

$82,546

Up $54,819 (+198%) from 2013

Net Income

-$27,289

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset Growth25th percentile

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

$800K$600K$400K$200K$0Assets 2010: $572,755Liabilities 2010: $0Net Assets 2010: $572,7552010Assets 2012: $572,352Liabilities 2012: $0Net Assets 2012: $572,3522012Assets 2013: $629,953Liabilities 2013: $0Net Assets 2013: $629,9532013Assets 2014: $601,636Liabilities 2014: $0Net Assets 2014: $601,6362014Assets 2015: $614,593Liabilities 2015: $0Net Assets 2015: $614,5932015Assets 2016: $478,825Liabilities 2016: $0Net Assets 2016: $478,8252016Assets 2017: $317,945Liabilities 2017: $0Net Assets 2017: $317,9452017Assets 2018: $0Liabilities 2018: $0Net Assets 2018: $02018

Highlighted filing

2014

Assets$601,636
Liabilities$0
Net Assets$601,636
Open 2014 Filing

Operations Trend

Revenue GrowthScore unavailable

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

$400K$200K$0-$200K-$400KRevenue 2010: $76,827Expenses 2010: $125,721Net Income 2010: -$48,8942010Expenses 2012: $4,8122012Expenses 2013: $27,7272013Revenue 2014: $55,257Expenses 2014: $82,546Net Income 2014: -$27,2892014Revenue 2015: $40,703Expenses 2015: $31,209Net Income 2015: $9,4942015Revenue 2016: $44,562Expenses 2016: $175,811Net Income 2016: -$131,2492016Revenue 2017: $39,994Expenses 2017: $199,513Net Income 2017: -$159,5192017Revenue 2018: $27,060Expenses 2018: $345,005Net Income 2018: -$317,9452018

Highlighted filing

2014

Revenue$55,257
Expenses$82,546
Net Income-$27,289
Open 2014 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2013 to Jun 30, 2014
Signed
Jan 13, 2015
Return Version
2013v4.0
Gross Receipts
$59,886
Mission and Program Overview

Mission

To further the betterment of the quality of medical care in kearney county, nebraska through the support of kearney county health services in the areas of recruiting doctors, nurses and all other staff personnel.

To further the betterment of the quality of medical care in kearney county, nebraska through the support of the kearney county community hospital in the areas of recruiting doctors, nurses and all other staff personnel.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$551,947$517,945▼ $34,002
Investments in Publicly Traded Securities$78,006$83,691▲ $5,685
Total Assets$629,953$601,636▼ $28,317
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$629,953$601,636▼ $28,317
Total Net Assets Fund Balance$629,953$601,636▼ $28,317
Total Liabilities and Net Assets / Fund Balance$629,953$601,636▼ $28,317
Compensation and Service Providers
Top Officer Pay95th percentile

Employees

NameTitleOtherTotal
Sharon CederburgSecretary$10,102$10,102

Board Members and Trustees

NameTitle
Kelley AyresChairman
Dr Edgar AldermanVice Chairman
David CraigMember
Fred MeisMember
Glen HaselbarthMember
Joan KopfMember
Jim EdgecombeTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$32,573
Program Service Revenue
$0
Investment Income
$3,833
Other Revenue
$18,851
All Other Contributions
$18,093
Change in Net Assets
$-27,289
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$71,349
Other Expenses$11,197
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$71,349--$71,349
Office Expenses$8,875--$8,875
Fees for Services Accounting-$1,975-$1,975
Other Expenses$297--$297
Advertising$50--$50
Total Functional Expenses$80,571$1,975$0$82,546
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
47-6014070-Government EntityTo Support the Kearney County Community Hospital$71,349
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$23,480
Fundraising Direct Expenses$4,629
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Event 1$24,325$18,580-$18,580
Event 2$13,635$4,900$166$4,734
Total Events$37,960$23,480$4,629$18,851
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
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
No

Governance Explanations

Form 990, Part VI, Section B, Line 11

“The form 990 is prepared by an accounting firm with the assistance of the kearney county health services' (kchs) controller. The prepared form 990 is reveiwed by kchs' cfo and controller. The return is approved by the cfo and provided to the foundation's board members prior to submission to the irs.”

Form 990, Part VI, Section B, Line 12C

“In addition to the ongoing disclosure obligation, an annual disclosure statement is completed by all directors. Any conflict of interest that arises will be reviewed by the chiarman or designee. Based on review and evaluation of the relevant facts and circumstances, the chairman will make an initial determination as to whether a conflict of interest exists and what further actions are required pursuant to the policy statement. A written record of the chairman's determination will be made.”

Form 990, Part VI, Section C, Line 19

“The organization makes its governing documents and financial statements available to the public upon request.”

FORM 990, PART VI, SECTION B, LINE 15:

“Kearney county medical foundation does not have a ceo, executive director, top management official or any key employees the organization directly compensates. Therefore, it is not necessary for kearney county medical foundation to have a process to determine compensation for these positions.”

Filing and Contact Details

Filer

EIN
36-3291112
Phone
3088323400

Signing Officer

Name
Jim Edgecombe
Title
Treasurer
Phone
3088323400
Signed
2015-01-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jim Edgecombe
Formed
1984
Legal Domicile
Ne
Voting Board Members
8
Independent Board Members
6
Employees
0
Volunteers
25

Preparer

Preparer
Barbara J Fajen
Phone
4023302660
Raw XML AppendixShowing 400 of 424 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/AccountantCompileOrReviewInd00
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0TO FURTHER THE BETTERMENT OF THE QUALITY OF MEDICAL CARE IN KEARNEY COUNTY, NEBRASKA THROUGH THE SUPPORT OF THE KEARNEY COUNTY COMMUNITY HOSPITAL IN THE AREAS OF RECRUITING DOCTORS, NURSES AND ALL OTHER STAFF PERSONNEL.
IRS990/AdvertisingGrp/ProgramServicesAmt050
IRS990/AdvertisingGrp/TotalAmt050
IRS990/AllOtherContributionsAmt018093
IRS990/AnnualDisclosureCoveredPrsnInd01
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine10JIM EDGECOMBE
IRS990/BooksInCareOfDetail/PhoneNum03088323400
IRS990/BooksInCareOfDetail/USAddress/AddressLine10727 EAST FIRST STREET
IRS990/BooksInCareOfDetail/USAddress/City0MINDEN
IRS990/BooksInCareOfDetail/USAddress/State0NE
IRS990/BooksInCareOfDetail/USAddress/ZIPCode068959
IRS990/BusinessRlnWithFamMemInd00
IRS990/BusinessRlnWithOfficerEntInd00
IRS990/BusinessRlnWithOrgMemInd00
IRS990/ChangeToOrgDocumentsInd00
IRS990/CntrctRcvdGreaterThan100KCnt00
IRS990/CollectionsOfArtInd00
IRS990/CompensationFromOtherSrcsInd00
IRS990/CompensationProcessCEOInd00
IRS990/CompensationProcessOtherInd00
IRS990/ConflictOfInterestPolicyInd01
IRS990/ConservationEasementsInd00
IRS990/ConsolidatedAuditFinclStmtInd00
IRS990/ContriRptFundraisingEventAmt014480
IRS990/CreditCounselingInd00
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt032573
IRS990/CYGrantsAndSimilarPaidAmt071349
IRS990/CYInvestmentIncomeAmt03833
IRS990/CYOtherExpensesAmt011197
IRS990/CYOtherRevenueAmt018851
IRS990/CYProgramServiceRevenueAmt00
IRS990/CYRevenuesLessExpensesAmt0-27289
IRS990/CYSalariesCompEmpBnftPaidAmt00
IRS990/CYTotalExpensesAmt082546
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt055257
IRS990/DecisionsSubjectToApprovaInd00
IRS990/DeductibleArtContributionInd00
IRS990/DeductibleNonCashContriInd00
IRS990/DelegationOfMgmtDutiesInd00
IRS990/Desc0THE FOUNDATION SPONSORS VARIOUS FUNDRAISERS AND USES THIS INCOME ALONG WITH DONATIONS RECEIVED TO FUND SCHOLARSHIPS AND MAKE DONATIONS TO KEARNEY COUNTY HEALTH SERVICES.
IRS990/DescribedInSection501c3Ind01
IRS990/DisregardedEntityInd00
IRS990/DocumentRetentionPolicyInd01
IRS990/DonorAdvisedFundInd00
IRS990/ElectionOfBoardMembersInd00
IRS990/EmployeeCnt00
IRS990/EngagedInExcessBenefitTransInd00
IRS990/ExpenseAmt080571
IRS990/FamilyOrBusinessRlnInd00
IRS990/FederalGrantAuditRequiredInd00
IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt01975
IRS990/FeesForServicesAccountingGrp/TotalAmt01975
IRS990/ForeignActivitiesInd00
IRS990/ForeignFinancialAccountInd00
IRS990/ForeignOfficeInd00
IRS990/Form8282PropertyDisposedOfInd00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt00.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt10.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt20.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt313.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt40.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt50.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt60.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt739.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt01.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt11.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt21.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt31.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt41.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt51.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt61.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt71.00
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/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OfficerInd3X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt60
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt723686
IRS990/Form990PartVIISectionAGrp/PersonNm0KELLEY AYRES
IRS990/Form990PartVIISectionAGrp/PersonNm1DR EDGAR ALDERMAN
IRS990/Form990PartVIISectionAGrp/PersonNm2JIM EDGECOMBE
IRS990/Form990PartVIISectionAGrp/PersonNm3SHARON CEDERBURG
IRS990/Form990PartVIISectionAGrp/PersonNm4DAVID CRAIG
IRS990/Form990PartVIISectionAGrp/PersonNm5GLEN HASELBARTH
IRS990/Form990PartVIISectionAGrp/PersonNm6JOAN KOPF
IRS990/Form990PartVIISectionAGrp/PersonNm7FRED MEIS
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/ReportableCompFromRltdOrgAmt310102
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt7159322
IRS990/Form990PartVIISectionAGrp/TitleTxt0CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt1VICE CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt2TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt3SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt4MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt5MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt6MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt7MEMBER
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr01984
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedInd00
IRS990/FundraisingActivitiesInd01
IRS990/FundraisingAmt014480
IRS990/FundraisingDirectExpensesAmt04629
IRS990/FundraisingGrossIncomeAmt023480
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt08
IRS990/GrantAmt071349
IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt071349
IRS990/GrantsToDomesticOrgsGrp/TotalAmt071349
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd01
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt059886
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt06
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InvestmentIncomeGrp/ExclusionAmt03833
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt03833
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsPubTradedSecGrp/BOYAmt078006
IRS990/InvestmentsPubTradedSecGrp/EOYAmt083691
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0NE
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0TO FURTHER THE BETTERMENT OF THE QUALITY OF MEDICAL CARE IN KEARNEY COUNTY, NEBRASKA THROUGH THE SUPPORT OF THE KEARNEY COUNTY COMMUNITY HOSPITAL IN THE AREAS OF RECRUITING DOCTORS, NURSES AND ALL OTHER STAFF PERSONNEL.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt0629953
IRS990/NetAssetsOrFundBalancesEOYAmt0601636
IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt018851
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt018851
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt0-1028
IRS990/NondeductibleContributionsInd00
IRS990/OfficeExpensesGrp/ProgramServicesAmt08875
IRS990/OfficeExpensesGrp/TotalAmt08875
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherExpensesGrp/Desc0MISCELLANEOUS
IRS990/OtherExpensesGrp/ProgramServicesAmt0297
IRS990/OtherExpensesGrp/TotalAmt0297
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0JIM EDGECOMBE
IRS990/ProfessionalFundraisingInd00
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt041306
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt025423
IRS990/PYInvestmentIncomeAmt08979
IRS990/PYOtherExpensesAmt02304
IRS990/PYOtherRevenueAmt022527
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt045085
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt027727
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt072812
IRS990/QuidProQuoContributionsInd01
IRS990/QuidProQuoContriDisclInd01
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-27289
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0551947
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0517945
IRS990ScheduleA/CertificationInd0X
IRS990ScheduleA/Contribution35ControlledInd00
IRS990ScheduleA/ContributionControllerInd00
IRS990ScheduleA/ContributionFamilyInd00
IRS990ScheduleA/SupportedOrganizationsTotalCnt01
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0476014070
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd01
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeDesc03
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt071349
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine10KEARNEY COUNTY HEALTH SERVICES
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrgNotifiedInd01
IRS990ScheduleA/SupportedOrgInformationGrp/USOrganizedInd01
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType3FuncIntInd0X
IRS990ScheduleA/SupportSumAmt071349
IRS990/ScheduleBRequiredInd00
IRS990ScheduleG/FundraisingEventInformationGrp/CashPrizesEvent1Amt0400
IRS990ScheduleG/FundraisingEventInformationGrp/CashPrizesEvent2Amt0500
IRS990ScheduleG/FundraisingEventInformationGrp/CashPrizesTotalEventsAmt0900
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContributionsTotAmt014480
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt05745
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent2Amt08735
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt04629
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageEvent1Amt0900
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageEvent2Amt02313
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageTotalEventsAmt03213
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt024325
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent2Amt013635
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt037960
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt018580
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent2Amt04900
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt023480
IRS990ScheduleG/FundraisingEventInformationGrp/NameOfEvent1Amt0WINE, WREATHS & WHIMSY
IRS990ScheduleG/FundraisingEventInformationGrp/NameOfEvent2Amt0GOLF TOURNAMENT
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt018851
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt0166
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent2Amt0166
IRS990ScheduleG/FundraisingEventInformationGrp/RentFacilityCostsEvent1Amt0350
IRS990ScheduleG/FundraisingEventInformationGrp/RentFcltyCostsTotalEventsAmt0350
IRS990ScheduleI/GrantRecordsMaintainedInd01
IRS990ScheduleI/RecipientTable/CashGrantAmt071349
IRS990ScheduleI/RecipientTable/IRCSectionDesc0GOVERNMENT ENTITY
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0TO SUPPORT THE KEARNEY COUNTY COMMUNITY HOSPITAL
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine10KEARNEY COUNTY HEALTH SERVICES
IRS990ScheduleI/RecipientTable/RecipientEIN0476014070
IRS990ScheduleI/RecipientTable/USAddress/AddressLine10727 EAST FIRST STREET
IRS990ScheduleI/RecipientTable/USAddress/City0MINDEN
IRS990ScheduleI/RecipientTable/USAddress/State0NE
IRS990ScheduleI/RecipientTable/USAddress/ZIPCode068959
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0KEARNEY COUNTY HEALTH SERVICES (KCHS) IS A SUPPORTED ORGANIZATION OF THE FOUNDATION. THE MISSION OF KCHS IS TO ESTABLISH AND MAINTAIN MEDICAL FACILITIES, INCLUDING BUT NOT LIMITED TO AN ACUTE CARE HOSPITAL AND A LONG TERM CARE NURSING FACILITY FOR USE IN PROVIDING CARE TO THE SICK AND INJURED, PRINCIPALLY THOSE WHO ARE RESIDENTS OF KEARNEY COUNTY, NEBRASKA; TO MEDICAL EDUCATION AND RESEARCH CONSISTENT WITH KEARNEY COUNTY HEALTH SERVICES RESOURCES AND THE NEEDS OF THE COMMUNITY; AND TO CARRY ON OTHER HEALTH-CARE ACTIVITIES DEEMED APPROPRIATE BY THE BOARD OF TRUSTEES AND PERMITTED BY NEBRASKA LAW. THE FUNDS RECEIVED BY KCHS WERE USED TO HELP SUPPORT THIS MISSION. BOTH KCHS AND THE FOUNDATION ARE LOCATED IN KEARNEY COUNTY, NEBRASKA AND THE SUPPORT SERVES THE COMMUNITY IN THIS AREA.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 2:
IRS990ScheduleI/Total501c3OrgCnt01
IRS990ScheduleI/TotalOtherOrgCnt00
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0159322
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt04837
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt018849
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0FRED MEIS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0MEMBER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0183008
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0KEARNEY COUNTY MEDICAL FOUNDATION DOES NOT PAY COMPENSATION TO A CEO OR EXECUTIVE DIRECTOR. KEARNEY COUNTY HOSPITAL PAYS THE COMPENSATION OF FRED MEIS AND SHARON CEDERBURG. THE HOSPITAL UTILIZED THE FOLLOWING FOR DETERMINING FRED MEIS AND SHARON CEDERBURG'S COMPENSATION: AN INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY AND APPROVAL BY THE BOARD.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 3:
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE FORM 990 IS PREPARED BY AN ACCOUNTING FIRM WITH THE ASSISTANCE OF THE KEARNEY COUNTY HEALTH SERVICES' (KCHS) CONTROLLER. THE PREPARED FORM 990 IS REVEIWED BY KCHS' CFO AND CONTROLLER. THE RETURN IS APPROVED BY THE CFO AND PROVIDED TO THE FOUNDATION'S BOARD MEMBERS PRIOR TO SUBMISSION TO THE IRS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1IN ADDITION TO THE ONGOING DISCLOSURE OBLIGATION, AN ANNUAL DISCLOSURE STATEMENT IS COMPLETED BY ALL DIRECTORS. ANY CONFLICT OF INTEREST THAT ARISES WILL BE REVIEWED BY THE CHIARMAN OR DESIGNEE. BASED ON REVIEW AND EVALUATION OF THE RELEVANT FACTS AND CIRCUMSTANCES, THE CHAIRMAN WILL MAKE AN INITIAL DETERMINATION AS TO WHETHER A CONFLICT OF INTEREST EXISTS AND WHAT FURTHER ACTIONS ARE REQUIRED PURSUANT TO THE POLICY STATEMENT. A WRITTEN RECORD OF THE CHAIRMAN'S DETERMINATION WILL BE MADE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3KEARNEY COUNTY MEDICAL FOUNDATION DOES NOT HAVE A CEO, EXECUTIVE DIRECTOR, TOP MANAGEMENT OFFICIAL OR ANY KEY EMPLOYEES THE ORGANIZATION DIRECTLY COMPENSATES. THEREFORE, IT IS NOT NECESSARY FOR KEARNEY COUNTY MEDICAL FOUNDATION TO HAVE A PROCESS TO DETERMINE COMPENSATION FOR THESE POSITIONS.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 15:
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd01
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine10KEARNEY COUNTY HEALTH SERVICES
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0476014070
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0GOVERNMENT ENTITY
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0NE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0COUNTY HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine10727 EAST FIRST STREET
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/City0MINDEN
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/State0NE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCode068959
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd01
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd01
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt071349
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt0FMV
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine10KEARNEY COUNTY HEALTH SERVICES
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt0B
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt0629953
IRS990/TotalAssetsEOYAmt0601636
IRS990/TotalAssetsGrp/BOYAmt0629953
IRS990/TotalAssetsGrp/EOYAmt0601636
IRS990/TotalCompGreaterThan150KInd01
IRS990/TotalContributionsAmt032573
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt01975
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt080571
IRS990/TotalFunctionalExpensesGrp/TotalAmt082546
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0629953
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0601636
IRS990/TotalOtherCompensationAmt023686
IRS990/TotalProgramServiceExpensesAmt080571
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt022684
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt055257
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt025
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0629953
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0601636
IRS990/TotReportableCompRltdOrgAmt0169424
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0629953
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0601636
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine10727 EAST FIRST STREET
IRS990/USAddress/City0MINDEN
IRS990/USAddress/State0NE
IRS990/USAddress/ZIPCode068959
IRS990/VotingMembersGoverningBodyCnt08
IRS990/VotingMembersIndependentCnt06
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02016-02-25 16:41:14Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0JIM EDGECOMBE

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2014 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$601,636
Liabilities
$0
Net assets
$601,636
Revenue
$55,257
Expenses
$82,546
Net income
-$27,289
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2018Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.27$3.45$3.18
2017Detailed filing. Detailed filing data is available for this year.$3.18$0.00$3.18$0.40$2.00$1.60
2016Detailed filing. Detailed filing data is available for this year.$4.79$0.00$4.79$0.45$1.76$1.31
2015Detailed filing. Detailed filing data is available for this year.$6.15$0.00$6.15$0.41$0.31$0.09
2014Detailed filing. Detailed filing data is available for this year.$6.02$0.00$6.02$0.55$0.83$0.27
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.30$0.00$6.30$0.28
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.72$0.00$5.72$0.05
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.73$0.00$5.73$0.77$1.26$0.49