Civic Intelligence

Valley County Health System Foundation Inc.

990 • Fiscal year 2023 • EIN 36-3766438

Jul 01, 2022 to Jun 30, 2023 • Filed on Jan 26, 2024

PO Box 321Ord, NE 68862

(308) 728-3011

Siviq Scores

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

Liabilities / Assets

17th percentile

0.00x

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

2023 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2023

Liabilities / Revenue

17th percentile

0.00x

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

2023 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2023

Net Margin

1st percentile

-683%

Higher net margin than 1% of similar nonprofits.

2023 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2023

Top Officer Pay

42nd percentile

$19,708

Higher top officer pay than 42% of similar nonprofits.

Top officer pay equals 23.0% of source-year revenue.

2023 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2023

Asset Growth

22nd percentile

-4.5%

Faster asset growth than 22% of similar nonprofits.

2023 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2022 to 2023

Revenue Growth

40th percentile

1.3%

Faster revenue growth than 40% of similar nonprofits.

2023 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2022 to 2023

Assets

Down

$4,118,010

Down $193,287 (-4.5%) from 2022

Net Assets

Down

$4,118,010

Down $175,008 (-4.1%) from 2022

Liabilities

Down

$0

Down $18,279 (-100%) from 2022

Revenue

Up

$85,841

Up $1,061 (+1.3%) from 2022

Expenses

Up

$672,126

Up $560,785 (+504%) from 2022

Net Income

Down

-$586,285

Down $559,724 (-2107%) from 2022

Historical Trend

Balance Sheet Trend

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

$6.0M$4.0M$2.0M$0Assets 2012: $1,052,404Liabilities 2012: $18,980Net Assets 2012: $1,033,4242012Assets 2013: $1,142,563Liabilities 2013: $19,736Net Assets 2013: $1,122,8272013Assets 2014: $1,239,012Liabilities 2014: $19,911Net Assets 2014: $1,219,1012014Assets 2015: $1,202,449Liabilities 2015: $23,040Net Assets 2015: $1,179,4092015Assets 2016: $1,163,904Liabilities 2016: $21,868Net Assets 2016: $1,142,0362016Assets 2017: $1,225,023Liabilities 2017: $6,444Net Assets 2017: $1,218,5792017Assets 2018: $1,271,522Liabilities 2018: $25,147Net Assets 2018: $1,246,3752018Assets 2019: $1,287,759Liabilities 2019: $7,901Net Assets 2019: $1,279,8582019Assets 2020: $1,380,321Liabilities 2020: $18,436Net Assets 2020: $1,361,8852020Assets 2021: $5,009,142Liabilities 2021: $23,670Net Assets 2021: $4,985,4722021Assets 2022: $4,311,297Liabilities 2022: $18,279Net Assets 2022: $4,293,0182022Assets 2023: $4,118,010Liabilities 2023: $0Net Assets 2023: $4,118,0102023Assets 2024: $4,554,048Liabilities 2024: $21,721Net Assets 2024: $4,532,3272024

Highlighted filing

2023

Assets$4,118,010
Liabilities$0
Net Assets$4,118,010

Operations Trend

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

$4.0M$3.0M$2.0M$1.0M$0-$1.0MExpenses 2012: $297,8482012Expenses 2013: $96,5572013Revenue 2014: $156,045Expenses 2014: $102,056Net Income 2014: $53,9892014Revenue 2015: $110,568Expenses 2015: $143,025Net Income 2015: -$32,4572015Revenue 2016: $90,040Expenses 2016: $105,505Net Income 2016: -$15,4652016Revenue 2017: $129,345Expenses 2017: $134,612Net Income 2017: -$5,2672017Revenue 2018: $123,329Expenses 2018: $146,546Net Income 2018: -$23,2172018Revenue 2019: $123,992Expenses 2019: $154,645Net Income 2019: -$30,6532019Revenue 2020: $127,546Expenses 2020: $79,079Net Income 2020: $48,4672020Revenue 2021: $3,025,816Expenses 2021: $254,690Net Income 2021: $2,771,1262021Revenue 2022: $84,780Expenses 2022: $111,341Net Income 2022: -$26,5612022Revenue 2023: $85,841Expenses 2023: $672,126Net Income 2023: -$586,2852023Revenue 2024: $84,466Expenses 2024: $102,283Net Income 2024: -$17,8172024

Highlighted filing

2023

Revenue$85,841
Expenses$672,126
Net Income-$586,285
Jump To
Filing Snapshot
Filing Period
Jul 1, 2022 to Jun 30, 2023
Signed
Jan 26, 2024
Return Version
2022v5.0
Gross Receipts
$111,109
Mission and Program Overview

Mission

The foundation's mission is to seek, receive and administer donations and gifts for the sole benefit of valley county health system. Our number one priority is enhancing and sustaining high-quality healthcare in central nebraska.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$3,551,761$3,928,196▲ $376,435
Cash and Non-Interest-Bearing Accounts$729,504$160,803▼ $568,701
Receivable From Disqualified Prsn$20,000$20,000→ $0
Other Notes and Loans Receivable, Net$3,950$5,730▲ $1,780
Total Assets$4,311,297$4,118,010▼ $193,287
Other Assets Total$6,082$3,281▼ $2,801
Liabilities
Deferred Revenue$16,010--
Accounts Payable and Accrued Expenses$2,269--
Total Liabilities$18,279$0▼ $18,279
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$3,189,490$3,563,298▲ $373,808
Net Assets With Donor Restrictions$1,103,528$554,712▼ $548,816
Total Net Assets Fund Balance$4,293,018$4,118,010▼ $175,008
Total Liabilities and Net Assets / Fund Balance$4,311,297$4,118,010▼ $193,287

Asset Categories

AssetBook ValueDepreciationBasis
Equipment-$11,028$11,028

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2022$462,747$2,500▲ $87,151$85,852$466,546
2021$461,277$550--$462,747
2020$649,050$5,000▲ $162,539$355,312$649,050
2019$632,877$15,250▲ $26,435$25,512$649,050
2018$627,829$10,020▲ $59,620$64,592$632,877
Compensation and Service Providers

Employees

NameTitleFull / Part TimeOtherTotal
Elizabeth Todsen ClarkAdministratoPT$19,708$19,708

Board Members and Trustees

NameTitle
Dan PiskorskiPresident
Julie KlimekDirector
Kelly JonakDirector
Larry ProskocilDirector
Marilyn WinkelbauerDirector
Matt EppenbachDirector
Ryan BrokerDirector
Theresa PetskaDirector
Tony LarsenDirector
Brenda LansmanSecretary
Reid HagstromVice Preside
Revenue and Support

Revenue Composition

Contributions and Grants
$32,084
Program Service Revenue
$0
Investment Income
$3,145
Other Revenue
$50,612
All Other Contributions
$32,084
Change in Net Assets
$-586,285
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$591,304
Other Expenses$80,822
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$581,304--$581,304
Fees for Service Investment Mgmnt Fees-$37,681-$37,681
Grants to Domestic Individuals$10,000--$10,000
Fees for Services Accounting-$4,283-$4,283
Office Expenses-$920-$920
Advertising-$380-$380
Other Expenses-$205-$205
Total Functional Expenses$591,304$80,822$0$672,126
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Valley County Health SystemOrd, NE-To Further Health CA$581,304
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$75,880
Fundraising Direct Expenses$25,268
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Golf Tournament$48,777$48,777$11,839$36,938
Gala$27,103$27,103$13,429$13,674
Total Events$75,880$75,880$25,268$50,612
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$20,000$20,000→ $0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
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
Yes
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, Page 6, Part VI, Line 11B

The form 990 is completed by a local cpa firm with a copy given to the executive director and chairman for review before filing.

Form 990, Page 6, Part VI, Line 12C

When a conflict of interest is relevant to a matter requiring action by the board, the interested person(s) shall call it to the attention of the board and said person(s) shall not vote on the matter. In addition, the person(s) shall not participate in the final decision or deliberation regarding the matter under consideration. When there is doubt as to whether a conflict exists, the matter shall be resolved by vote of the board of trustees, excluding the person(s) concerning whose situation the doubt has arisen. The official minutes of the board shall reflect that the conflict of interest was disclosed and the interested person(s) did not participate in the final discussion or vote on the matter.

Form 990, Page 6, Part VI, Line 15A

The finance board reviews the compensation of the executive director and makes a recommendation to the foundation board for final vote.

Form 990, Page 6, Part VI, Line 19

The foundation makes its governing documents, conflict of interest policy and financial statements available upon request.

Filing and Contact Details

Filer

Filer Name
Valley County Health System Foundat
EIN
36-3766438
Phone
3087283011
Address
PO BOX 321, ORD, NE 68862

Signing Officer

Name
Dan Piskorski
Title
President
Phone
3087283011
Signed
2024-01-26
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Dan Piskorski
Formed
1990
Legal Domicile
Ne
Voting Board Members
14
Independent Board Members
14
Employees
0

Preparer

Firm
Dana F Cole & Company Llp
Address
111 NORTH 16TH STREET PO BOX 226, ORD, NE 68862
Preparer
Gary Hinrichs
Phone
3087283014
Supplemental Narrative

Additional Explanations

FORM 990 - ORGANIZATION'S MISSION

The foundation's mission is to seek, receive and administer donations and gifts for the sole benefit of valley county health system. Our number one priority is enhancing and sustaining high-quality healthcare in central nebraska.

Financial Statement Notes

Schedule D, Page 2, Part V, Line 4

The use of the endowment funds is restricted to use stipulated by the donees. The earnings from these funds is used for these stipulated purposes.

Schedule D, Page 3, Part X

The foundation accounts for uncertainties in accounting for income tax assets and liabilities using guidance included in asc 740, income taxes. The foundation recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. At june 30, 2023 and 2022, the foundation had no uncertain tax positions accrued.

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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0ALL MONIES SOLICITED AND RAISED BY THE ORGANIZATION WENT DIRECTLY FOR THE SOLE SUPPORT OF THE VALLEY COUNTY HEALTH SYSTEM.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt1VALLEY COUNTY HEALTH SYSTEM STAFF WORK CLOSELY WITH THE FOUNDATION DIRECTORS ON MANY SUPPORTING PROJECTS.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0PART IV, SECTION D, LINE 2
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc1PART IV, SECTION E, LINE 1C
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IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine2Txt0VALLEY COUNTY HEALTH SYSTEM
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IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/OtherExpendituresAmt0355312
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/BeginningYearBalanceAmt0632877
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/ContributionsAmt015250
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/EndYearBalanceAmt0649050
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt026435
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/OtherExpendituresAmt025512
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IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/EndYearBalanceAmt0632877
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt059620
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/OtherExpendituresAmt064592
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IRS990ScheduleD/EndowmentsHeldUnrelatedOrgInd0false
IRS990ScheduleD/EquipmentGrp/DepreciationAmt011028
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt011028
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/PrmnntEndowmentBalanceEOYPct00.94990
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE USE OF THE ENDOWMENT FUNDS IS RESTRICTED TO USE STIPULATED BY THE DONEES. THE EARNINGS FROM THESE FUNDS IS USED FOR THESE STIPULATED PURPOSES.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1THE FOUNDATION ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN ASC 740, INCOME TAXES. THE FOUNDATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT JUNE 30, 2023 AND 2022, THE FOUNDATION HAD NO UNCERTAIN TAX POSITIONS ACCRUED.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE D, PAGE 2, PART V, LINE 4
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1SCHEDULE D, PAGE 3, PART X
IRS990ScheduleD/TermEndowmentBalanceEOYPct00.05010
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IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0GOLF TOURNAMENT
IRS990ScheduleG/FundraisingEventInformationGrp/Event2Nm0GALA
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IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent2Amt027103
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt075880
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt048777
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent2Amt027103
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IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt025268
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt011839
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent2Amt013429
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IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/CashGrantAmt010000
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/GrantTypeTxt0LOAN FORGIVENESS
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/RecipientCnt01
IRS990ScheduleI/RecipientTable/CashGrantAmt0581304
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0TO FURTHER HEALTH CA
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0VALLEY COUNTY HEALTH SYSTEM
IRS990ScheduleI/RecipientTable/RecipientEIN0470485275
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt02707 L STREET
IRS990ScheduleI/RecipientTable/USAddress/CityNm0ORD
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0NE
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd068862
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0OVERSIGHT BY BOARD COMMITTEE.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE I, PAGE 1, PART I, LINE 2
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IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/LoanFromOrganizationInd1X
IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/LoanPurposeTxt0RECRUIT PHYSICIAN TO HOSPITAL
IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/LoanPurposeTxt1RECRUIT PHYSICIAN TO HOSPITAL
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IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/OriginalPrincipalAmt110000
IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/PersonNm0DARIAN NORDHUES
IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/PersonNm1DR KATY WARD
IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/RelationshipWithOrgTxt0NURSE PRACTITIONER
IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/RelationshipWithOrgTxt1DOCTOR
IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/WrittenAgreementInd0true
IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/WrittenAgreementInd1true
IRS990ScheduleL/TotalBalanceDueAmt020000
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE FOUNDATION'S MISSION IS TO SEEK, RECEIVE AND ADMINISTER DONATIONS AND GIFTS FOR THE SOLE BENEFIT OF VALLEY COUNTY HEALTH SYSTEM. OUR NUMBER ONE PRIORITY IS ENHANCING AND SUSTAINING HIGH-QUALITY HEALTHCARE IN CENTRAL NEBRASKA.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE FORM 990 IS COMPLETED BY A LOCAL CPA FIRM WITH A COPY GIVEN TO THE EXECUTIVE DIRECTOR AND CHAIRMAN FOR REVIEW BEFORE FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2WHEN A CONFLICT OF INTEREST IS RELEVANT TO A MATTER REQUIRING ACTION BY THE BOARD, THE INTERESTED PERSON(S) SHALL CALL IT TO THE ATTENTION OF THE BOARD AND SAID PERSON(S) SHALL NOT VOTE ON THE MATTER. IN ADDITION, THE PERSON(S) SHALL NOT PARTICIPATE IN THE FINAL DECISION OR DELIBERATION REGARDING THE MATTER UNDER CONSIDERATION. WHEN THERE IS DOUBT AS TO WHETHER A CONFLICT EXISTS, THE MATTER SHALL BE RESOLVED BY VOTE OF THE BOARD OF TRUSTEES, EXCLUDING THE PERSON(S) CONCERNING WHOSE SITUATION THE DOUBT HAS ARISEN. THE OFFICIAL MINUTES OF THE BOARD SHALL REFLECT THAT THE CONFLICT OF INTEREST WAS DISCLOSED AND THE INTERESTED PERSON(S) DID NOT PARTICIPATE IN THE FINAL DISCUSSION OR VOTE ON THE MATTER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE FINANCE BOARD REVIEWS THE COMPENSATION OF THE EXECUTIVE DIRECTOR AND MAKES A RECOMMENDATION TO THE FOUNDATION BOARD FOR FINAL VOTE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990 - ORGANIZATION'S MISSION
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 19
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0VALLEY COUNTY HEALTH SYSTEM
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0470485275

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