Civic Intelligence

Kearney County Medical Foundation

EIN 36-3291112 • 501(c)3 • Minden, NE

Profile

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.

727 East First StreetMinden, NE 68959

www.kchs.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2018

Liabilities / Revenue

61st percentile

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2018

Net Margin

3rd percentile

-1175%

Higher net margin than 3% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2018

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

9th percentile

-100%

Faster asset growth than 9% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2017 to 2018

Revenue Growth

24th percentile

-32%

Faster revenue growth than 24% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2017 to 2018

Assets

Down

$0

Down $317,945 (-100%) from 2017

Liabilities

Flat

$0

Flat from 2017

Net Assets

Down

$0

Down $317,945 (-100%) from 2017

Revenue

Down

$27,060

Down $12,934 (-32%) from 2017

Expenses

Up

$345,005

Up $145,492 (+73%) from 2017

Net Income

Down

-$317,945

Down $158,426 (-99%) from 2017

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$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

2018

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest 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

2018

Revenue$27,060
Expenses$345,005
Net Income-$317,945

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
Nov 5, 2018
Return Version
2017v2.3
Gross Receipts
$70,690
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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$275,676$0▼ $275,676
Investments in Publicly Traded Securities$42,269$0▼ $42,269
Cash and Non-Interest-Bearing Accounts-$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 Other Securities-$0-
Investments Program Related-$0-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$317,945$0▼ $317,945
Other Assets Total-$0-
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$317,945$0▼ $317,945
Total Net Assets Fund Balance$317,945$0▼ $317,945
Total Liabilities and Net Assets / Fund Balance$317,945$0▼ $317,945
Compensation and Service Providers

Employees

NameTitleOtherTotal
Luke PooreMember$169,157$169,157

Board Members and Trustees

NameTitle
Kelley AyresChairman
David CraigMember
Glen HaselbarthMember
Jim EdgecombeMember
Sharon BablMember
Joan KopfSecretary
Ed AldermanTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$21,552
Program Service Revenue
$0
Investment Income
$5,508
Other Revenue
$0
All Other Contributions
$21,552
Change in Net Assets
$-317,945
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$340,131
Other Expenses$4,874
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$338,631--$338,631
Other Expenses$4,798--$4,798
Grants to Domestic Individuals$1,500--$1,500
Advertising$76--$76
Total Functional Expenses$345,005$0$0$345,005
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Nebraska Community FoundationLincoln, NE501c3To Liquidate Net Assets Upon Dissolution$338,631
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
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
No
Annual disclosure for covered persons
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
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 A, Line 4

Articles of dissolution were drafted for puproses of dissolving the corporation.

Form 990, Part VI, Section B, Line 11B

The form 990 is prepared by an accounting firm with the assistance of the kearney county medical foundation treasurer. The prepared form 990 is reveiwed by kchs' cfo. 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 chairman 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 (kcmf) does not have a ceo, executive director, top management official or any key employees the organization directly compensates. Therefore, it is not necessary for kcmf to have a process to determine compensation for these positions.

Filing and Contact Details

Filer

Filer Name
Kearney County Medical Foundation
EIN
36-3291112
Phone
3088323400
Address
727 EAST FIRST STREET, MINDEN, NE 68959

Signing Officer

Name
Ed Alderman
Title
Treasurer
Phone
3088323400
Signed
2018-11-05
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Ed Alderman
Formed
1984
Legal Domicile
Ne
Voting Board Members
8
Independent Board Members
7
Employees
0
Volunteers
30

Preparer

Firm
Seim Johnson Llp
Address
18081 BURT STREET SUITE 200, OMAHA, NE 68022-4722
Preparer
Marc D Behrens
Phone
4023302660
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IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0KEARNEY COUNTY MEDICAL FOUNDATION DOES NOT PAY COMPENSATION TO A CEO OR EXECUTIVE DIRECTOR. KEARNEY COUNTY HEALTH SERVICES (KCHS) PAYS THE COMPENSATION OF LUKE POORE. KCHS UTILIZED THE FOLLOWING FOR DETERMINING LUKE POORE'S COMPENSATION: AN INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY AND APPROVAL BY THE BOARD.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 3:
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990ScheduleN/AssetsDistributedInd01
IRS990ScheduleN/AttorneyGeneralNotifiedInd01
IRS990ScheduleN/BondsOutstandingInd00
IRS990ScheduleN/DirectorOfSuccessorInd00
IRS990ScheduleN/EmployeeOfSuccessorInd00
IRS990ScheduleN/LiabilitiesPaidInd01
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0CASH
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine1Txt0NEBRASKA COMMUNITY FOUNDATION
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02018-04-11
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN0470769903
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt0338631
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0501(C)(3)
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0BOOK VALUE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt08100 SOUTH 15TH STREET
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0LINCOLN
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd0NE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd068512
IRS990ScheduleN/OwnerOfSuccessorInd00
IRS990ScheduleN/ReceiveCompensationInd00
IRS990ScheduleN/RequiredToNotifyAGInd01
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0ARTICLES OF DISSOLUTION WERE DRAFTED FOR PUPROSES OF DISSOLVING THE CORPORATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE FORM 990 IS PREPARED BY AN ACCOUNTING FIRM WITH THE ASSISTANCE OF THE KEARNEY COUNTY MEDICAL FOUNDATION TREASURER. THE PREPARED FORM 990 IS REVEIWED BY KCHS' CFO. THE RETURN IS APPROVED BY THE CFO AND PROVIDED TO THE FOUNDATION'S BOARD MEMBERS PRIOR TO SUBMISSION TO THE IRS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2IN 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 CHAIRMAN 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/ExplanationTxt3THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4KEARNEY COUNTY MEDICAL FOUNDATION (KCMF) DOES NOT HAVE A CEO, EXECUTIVE DIRECTOR, TOP MANAGEMENT OFFICIAL OR ANY KEY EMPLOYEES THE ORGANIZATION DIRECTLY COMPENSATES. THEREFORE, IT IS NOT NECESSARY FOR KCMF TO HAVE A PROCESS TO DETERMINE COMPENSATION FOR THESE POSITIONS.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 4
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 15:
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd01
IRS990/TotalAssetsBOYAmt0317945
IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt0317945
IRS990/TotalAssetsGrp/EOYAmt00
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt021552
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0345005
IRS990/TotalFunctionalExpensesGrp/TotalAmt0345005
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0317945
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotalOtherCompensationAmt028897
IRS990/TotalProgramServiceExpensesAmt0345005
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt05508
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt027060
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt030
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0317945
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotReportableCompRltdOrgAmt0140260
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0317945
IRS990/UnrestrictedNetAssetsGrp/EOYAmt00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0727 EAST FIRST STREET
IRS990/USAddress/CityNm0MINDEN
IRS990/USAddress/StateAbbreviationCd0NE
IRS990/USAddress/ZIPCd068959
IRS990/VotingMembersGoverningBodyCnt08
IRS990/VotingMembersIndependentCnt07
IRS990/WebsiteAddressTxt0WWW.KCHS.ORG
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02019-02-21 02:37:17Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0ED ALDERMAN
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TREASURER
ReturnHeader/BusinessOfficerGrp/PhoneNum03088323400
ReturnHeader/BusinessOfficerGrp/SignatureDt02018-11-05
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0KEARNEY COUNTY MEDICAL FOUNDATION
ReturnHeader/Filer/BusinessNameControlTxt0KEAR
ReturnHeader/Filer/EIN0363291112
ReturnHeader/Filer/PhoneNum03088323400
ReturnHeader/Filer/USAddress/AddressLine1Txt0727 EAST FIRST STREET
ReturnHeader/Filer/USAddress/CityNm0MINDEN
ReturnHeader/Filer/USAddress/StateAbbreviationCd0NE
ReturnHeader/Filer/USAddress/ZIPCd068959
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0606148D43A08485A4B3CE148BC63DC11C84FD005
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0606148D43A08485A4B3CE148BC63DC11C84FD005
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt0209.34.201.180
ReturnHeader/FilingSecurityInformation/IPDt02018-11-05
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0CS
ReturnHeader/FilingSecurityInformation/IPTm011:51:48
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0476097913
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0SEIM JOHNSON LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt018081 BURT STREET SUITE 200
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0OMAHA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0680224722
ReturnHeader/PreparerPersonGrp/PhoneNum04023302660
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0MARC D BEHRENS
ReturnHeader/ReturnTs02018-11-08T14:45:34-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02017-07-01
ReturnHeader/TaxPeriodEndDt02018-06-30
ReturnHeader/TaxYr02017

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