Civic Intelligence

Pawnee Valley Community Hospital Foundation

990 • Fiscal year 2015 • EIN 45-5333776

Jul 01, 2014 to Jun 30, 2015 • Filed on Sep 23, 2015

923 Carroll AveLarned, KS 67550

(620) 285-8840

Siviq Scores

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

Liabilities / Assets

13th percentile

0.00x

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

2015 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2015

Liabilities / Revenue

13th percentile

0.00x

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

2015 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2015

Net Margin

89th percentile

39%

Higher net margin than 89% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2015

Top Officer Pay

35th percentile

$0

Higher top officer pay than 35% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2015

Asset Growth

97th percentile

159%

Faster asset growth than 97% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2014 to 2015

Revenue Growth

97th percentile

248%

Faster revenue growth than 97% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2014 to 2015

Assets

Up

$1,062,058

Up $652,675 (+159%) from 2014

Net Assets

Up

$1,062,058

Up $652,675 (+159%) from 2014

Liabilities

Flat

$0

Flat from 2014

Revenue

Up

$1,656,596

Up $1,180,628 (+248%) from 2014

Expenses

Up

$1,003,921

Up $775,068 (+339%) from 2014

Net Income

Up

$652,675

Up $405,560 (+164%) from 2014

Historical Trend

Balance Sheet Trend

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

$2.0M$1.5M$1.0M$500K$0Assets 2012: $0Net Assets 2012: $02012Assets 2013: $162,268Liabilities 2013: $0Net Assets 2013: $162,2682013Assets 2014: $409,383Liabilities 2014: $0Net Assets 2014: $409,3832014Assets 2015: $1,062,058Liabilities 2015: $0Net Assets 2015: $1,062,0582015Assets 2016: $1,067,484Liabilities 2016: $0Net Assets 2016: $1,067,4842016Assets 2017: $1,095,995Liabilities 2017: $3,207Net Assets 2017: $1,092,7882017Assets 2018: $1,174,691Liabilities 2018: $610Net Assets 2018: $1,174,0812018Assets 2019: $1,281,985Liabilities 2019: $8,654Net Assets 2019: $1,273,3312019Assets 2020: $1,523,422Liabilities 2020: $7,171Net Assets 2020: $1,516,2512020Assets 2021: $1,402,085Liabilities 2021: $2,745Net Assets 2021: $1,399,3402021Assets 2022: $1,589,600Liabilities 2022: $1,707Net Assets 2022: $1,587,8932022Assets 2023: $1,673,488Liabilities 2023: $247Net Assets 2023: $1,673,2412023Assets 2024: $1,809,780Liabilities 2024: $556Net Assets 2024: $1,809,2242024

Highlighted filing

2015

Assets$1,062,058
Liabilities$0
Net Assets$1,062,058

Operations Trend

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

$2.0M$1.5M$1.0M$500K$0-$500KRevenue 2012: $02012Expenses 2013: $886,5402013Revenue 2014: $475,968Expenses 2014: $228,853Net Income 2014: $247,1152014Revenue 2015: $1,656,596Expenses 2015: $1,003,921Net Income 2015: $652,6752015Revenue 2016: $249,248Expenses 2016: $243,822Net Income 2016: $5,4262016Revenue 2017: $56,890Expenses 2017: $31,586Net Income 2017: $25,3042017Revenue 2018: $235,269Expenses 2018: $153,976Net Income 2018: $81,2932018Revenue 2019: $157,269Expenses 2019: $58,019Net Income 2019: $99,2502019Revenue 2020: $326,229Expenses 2020: $83,309Net Income 2020: $242,9202020Revenue 2021: $202,125Expenses 2021: $319,036Net Income 2021: -$116,9112021Revenue 2022: $234,895Expenses 2022: $46,342Net Income 2022: $188,5532022Revenue 2023: $125,637Expenses 2023: $40,289Net Income 2023: $85,3482023Revenue 2024: $170,667Expenses 2024: $34,684Net Income 2024: $135,9832024

Highlighted filing

2015

Revenue$1,656,596
Expenses$1,003,921
Net Income$652,675
Jump To
Filing Snapshot
Filing Period
Jul 1, 2014 to Jun 30, 2015
Signed
Sep 23, 2015
Return Version
2014v5.0
Gross Receipts
$1,656,596
Mission and Program Overview

Mission

This foundation is established to provide support for the activities and misson of pawnee valley community hospital, inc ("pvch) in pvch's efforts to provide for the healthcare and wellness needs of the citizens of pawnee county, ks.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities-$1,005,837-
Cash and Non-Interest-Bearing Accounts$409,383$48,519▼ $360,864
Savings and Temporary Cash Investments-$7,702-
Total Assets$409,383$1,062,058▲ $652,675
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$409,383$1,062,058▲ $652,675
Total Net Assets Fund Balance$409,383$1,062,058▲ $652,675
Total Liabilities and Net Assets / Fund Balance$409,383$1,062,058▲ $652,675

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2014$372,016$1,515,575--$934,796
2013$142,777$354,946--$372,016
2012-$1,026,228-$883,451$142,777
Compensation and Service Providers

Board Members and Trustees

Revenue and Support

Revenue Composition

Contributions and Grants
$1,529,003
Program Service Revenue
$0
Investment Income
$23,016
Other Revenue
$104,577
All Other Contributions
$1,529,003
Change in Net Assets
$652,675

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported Amount
Securities Publicly Traded1$1,005,837
Total Noncash Contributions1$1,005,837
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$952,795
Other Expenses$51,126
Total Fundraising Expense$49,037
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$952,795--$952,795
Other Expenses--$1,029$1,029
All Other Expenses$995--$995
Fees for Services Accounting$900--$900
Travel-$134-$134
Office Expenses-$60-$60
Total Functional Expenses$954,690$194$49,037$1,003,921
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Pawnee Valley Community HospitalLarned, KS509a1Purchase of Equip$952,795
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$104,577
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Annual Gala$99,667$99,667-$99,667
Total Events$99,667$99,667-$99,667
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
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
No

Governance Explanations

Form 990, Page 6, Part VI, Line 8B

Minutes are not contemporaneously documented for committee meetings.

Form 990, Page 6, Part VI, Line 11B

Copy of 990 will be distributed to board members for review before return will be transmitted to irs.

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

Board reviews and consistenly monitors conflict of interest policy.

Form 990, Page 6, Part VI, Line 19

Governing documents are available upon reqest from the pawnee valley community hospital foundation by contacting linda henderson.

Filing and Contact Details

Filer

Filer Name
Pawnee Valley Community Hospital
EIN
45-5333776
Phone
6202858840
Address
923 CARROLL AVE, LARNED, KS 67550

Signing Officer

Name
Kyle Beckwith
Title
President
Phone
6202858840
Signed
2015-09-23
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kyle Beckwith
Formed
2012
Legal Domicile
Ks
Voting Board Members
7
Independent Board Members
7
Employees
0

Preparer

Firm
Simmons & Simmons Inc
Address
529 BROADWAY, LARNED, KS 67550-3048
Preparer
William Nusser
Phone
6202856061
Supplemental Narrative

Additional Explanations

FORM 990 - ORGANIZATION'S MISSION

This foundation is established to provide support for the activities and misson of pawnee valley community hospital, inc ("pvch) in pvch's efforts to provide for the healthcare and wellness needs of the citizens of pawnee county, ks.

Form 990, Page 2, Part III, Line 4D

For operation of program services

Raw XML Appendix361 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.

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IRS990ScheduleI/RecipientTable/IRCSectionDesc0509A1
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0PURCHASE OF EQUIP
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0PAWNEE VALLEY COMMUNITY HOSPITAL
IRS990ScheduleI/RecipientTable/RecipientEIN0481253246
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt0923 CARROLL AVE
IRS990ScheduleI/RecipientTable/USAddress/CityNm0LARNED
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0KS
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd067550
IRS990/ScheduleJRequiredInd0false
IRS990ScheduleM/AnyPropertyThatMustBeHeldInd0false
IRS990ScheduleM/ReviewProcessUnusualNCGiftsInd0false
IRS990ScheduleM/SecuritiesPubliclyTradedGrp/ContributionCnt01
IRS990ScheduleM/SecuritiesPubliclyTradedGrp/NonCashCheckboxInd0X
IRS990ScheduleM/SecuritiesPubliclyTradedGrp/NoncashContributionsRptF990Amt01005837
IRS990ScheduleM/ThirdPartiesUsedInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THIS FOUNDATION IS ESTABLISHED TO PROVIDE SUPPORT FOR THE ACTIVITIES AND MISSON OF PAWNEE VALLEY COMMUNITY HOSPITAL, INC ("PVCH) IN PVCH'S EFFORTS TO PROVIDE FOR THE HEALTHCARE AND WELLNESS NEEDS OF THE CITIZENS OF PAWNEE COUNTY, KS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1FOR OPERATION OF PROGRAM SERVICES
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2MINUTES ARE NOT CONTEMPORANEOUSLY DOCUMENTED FOR COMMITTEE MEETINGS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3COPY OF 990 WILL BE DISTRIBUTED TO BOARD MEMBERS FOR REVIEW BEFORE RETURN WILL BE TRANSMITTED TO IRS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4BOARD REVIEWS AND CONSISTENLY MONITORS CONFLICT OF INTEREST POLICY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5GOVERNING DOCUMENTS ARE AVAILABLE UPON REQEST FROM THE PAWNEE VALLEY COMMUNITY HOSPITAL FOUNDATION BY CONTACTING LINDA HENDERSON.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990 - ORGANIZATION'S MISSION
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 2, PART III, LINE 4D
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PAGE 6, PART VI, LINE 19
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TempOrPermanentEndowmentsInd0true
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0409383
IRS990/TotalAssetsEOYAmt01062058
IRS990/TotalAssetsGrp/BOYAmt0409383
IRS990/TotalAssetsGrp/EOYAmt01062058
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt01529003
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt049037
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0194
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0954690
IRS990/TotalFunctionalExpensesGrp/TotalAmt01003921
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0409383
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt01062058
IRS990/TotalOtherProgSrvcExpenseAmt01895
IRS990/TotalProgramServiceExpensesAmt0954690
IRS990/TotalRevenueGrp/ExclusionAmt023016
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt01656596
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0409383
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt01062058
IRS990/TravelGrp/ManagementAndGeneralAmt0134
IRS990/TravelGrp/TotalAmt0134
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0409383
IRS990/UnrestrictedNetAssetsGrp/EOYAmt01062058
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0315 RUSH STREET
IRS990/USAddress/CityNm0LARNED
IRS990/USAddress/StateAbbreviationCd0KS
IRS990/USAddress/ZIPCd067550
IRS990/VotingMembersGoverningBodyCnt07
IRS990/VotingMembersIndependentCnt07
IRS990/WebsiteAddressTxt0WWW.PAWNEEVALLEYFOUNDATION.COM
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02016-03-07 17:11:31Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0KYLE BECKWITH
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum06202858840
ReturnHeader/BusinessOfficerGrp/SignatureDt02015-09-23
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0PAWNEE VALLEY COMMUNITY HOSPITAL
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0FOUNDATION
ReturnHeader/Filer/BusinessNameControlTxt0PAWN
ReturnHeader/Filer/EIN0455333776
ReturnHeader/Filer/PhoneNum06202858840
ReturnHeader/Filer/USAddress/AddressLine1Txt0923 CARROLL AVE
ReturnHeader/Filer/USAddress/CityNm0LARNED
ReturnHeader/Filer/USAddress/StateAbbreviationCd0KS
ReturnHeader/Filer/USAddress/ZIPCd067550
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0481054393
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0SIMMONS & SIMMONS INC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0529 BROADWAY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0LARNED
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0KS
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0675503048
ReturnHeader/PreparerPersonGrp/PhoneNum06202856061
ReturnHeader/PreparerPersonGrp/PreparationDt02015-09-24
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0WILLIAM NUSSER
ReturnHeader/ReturnTs02015-09-24T08:25:52-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02014-07-01
ReturnHeader/TaxPeriodEndDt02015-06-30
ReturnHeader/TaxYr02014

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