Civic Intelligence

Kearney County Medical Foundation

990 • Fiscal year 2016 • EIN 36-3291112

Jul 01, 2015 to Jun 30, 2016 • Filed on Feb 10, 2017

Organization ProfileWWW.KCHS.ORG
727 East First StreetMinden, NE 68959

(308) 832-3400

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

2nd percentile

-295%

Higher net margin than 2% of similar nonprofits.

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

Top Officer Pay

99th percentile

$193,520

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 434.3% of source-year revenue.

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

Asset Growth

19th percentile

-22%

Faster asset growth than 19% of similar nonprofits.

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

Revenue Growth

63rd percentile

9.5%

Faster revenue growth than 63% of similar nonprofits.

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

Balance Sheet
Liabilities / Assets56th percentile

Assets

Down

$478,825

Down $135,768 (-22%) from 2015

Net Assets

Down

$478,825

Down $135,768 (-22%) from 2015

Liabilities

Flat

$0

Flat from 2015

Revenue And Expenses
Liabilities / Revenue55th percentileNet Margin2nd percentile

Revenue

Up

$44,562

Up $3,859 (+9.5%) from 2015

Expenses

Up

$175,811

Up $144,602 (+463%) from 2015

Net Income

Down

-$131,249

Down $140,743 (-1482%) from 2015

Historical Trend

Balance Sheet Trend

Asset Growth19th 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

2016

Assets$478,825
Liabilities$0
Net Assets$478,825
Open 2016 Filing

Operations Trend

Revenue Growth63rd percentile

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

2016

Revenue$44,562
Expenses$175,811
Net Income-$131,249
Open 2016 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2015 to Jun 30, 2016
Signed
Feb 10, 2017
Return Version
2015v3.0
Gross Receipts
$48,785
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$524,539$384,995▼ $139,544
Investments in Publicly Traded Securities$90,054$93,830▲ $3,776
Total Assets$614,593$478,825▼ $135,768
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$614,593$478,825▼ $135,768
Total Net Assets Fund Balance$614,593$478,825▼ $135,768
Total Liabilities and Net Assets / Fund Balance$614,593$478,825▼ $135,768
Compensation and Service Providers
Top Officer Pay99th percentile

Employees

NameTitleBaseOtherTotal
Fred MeisMember (through March 2016)$170,146$23,374$193,520

Board Members and Trustees

NameTitle
Kelley AyresChairman
David CraigMember
Glen HaselbarthMember
Jim EdgecombeMember
Sharon BablMember
Luke PooreMember (started April 2016)
Joan KopfSecretary
Ed AldermanTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$45,017
Program Service Revenue
$0
Investment Income
$681
Other Revenue
$-1,136
All Other Contributions
$27,471
Change in Net Assets
$-131,249
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$173,185
Other Expenses$2,626
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$171,685--$171,685
Other Expenses$2,076--$2,076
Grants to Domestic Individuals$1,500--$1,500
Advertising$550--$550
Total Functional Expenses$175,811$0$0$175,811
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Kearney County Health ServicesMinden, NEGovernment EntityTo Support Kearney County Health Services$171,685
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$4,223
Fundraising Gross Income$3,087
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Wine, Wreaths & Whimsy$20,633$3,087$650$2,437
Total Events$20,633$3,087$4,223$-1,136
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
Yes
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 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
2017-02-10
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
Barbara J Fajen
Phone
4023302660
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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/ExplanationTxt0KCHS IS A GOVERNMENTAL ENTITY SUPPORTED BY 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:
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IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt00
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt00
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0FRED MEIS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0MEMBER (THROUGH MARCH 2016)
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt0193520
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt00
IRS990ScheduleJ/SeverancePaymentInd00
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 FRED MEIS. KCHS UTILIZED THE FOLLOWING FOR DETERMINING FRED MEIS' 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 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/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 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/ExplanationTxt2THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3KEARNEY 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 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:
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IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
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IRS990/TotalRevenueGrp/ExclusionAmt0-455
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt044562
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
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IRS990/UnrelatedBusIncmOverLimitInd00
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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/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0ED ALDERMAN
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TREASURER
ReturnHeader/BusinessOfficerGrp/PhoneNum03088323400
ReturnHeader/BusinessOfficerGrp/SignatureDt02017-02-10
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0KEARNEY COUNTY MEDICAL FOUNDATION
ReturnHeader/Filer/BusinessNameControlTxt0KEAR
ReturnHeader/Filer/EIN0363291112
ReturnHeader/Filer/PhoneNum03088323400
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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/PreparerPersonNm0BARBARA J FAJEN
ReturnHeader/ReturnTs02017-02-13T10:20:31-06:00
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
$478,825
Liabilities
$0
Net assets
$478,825
Revenue
$44,562
Expenses
$175,811
Net income
-$131,249
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