Civic Intelligence

Tri Valley Medical Foundation

EIN 47-0739522 • 501(c)3 • Cambridge, NE

Profile

Tri Valley Medical Foundation's sole purpose is supporting and enhancing health care missions of Tri Valley Health System.

PO Box 488Cambridge, NE 69022-0488

www.trivalleyhealth.com

Siviq Scores

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

Liabilities / Assets

47th percentile

0.05x

Higher debt load relative to assets than 47% of similar nonprofits.

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

Liabilities / Revenue

88th percentile

1.06x

Higher debt load relative to revenue than 88% of similar nonprofits.

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

Net Margin

3rd percentile

-121%

Higher net margin than 3% of similar nonprofits.

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

Top Officer Pay

66th percentile

$59,690

Higher top officer pay than 66% of similar nonprofits.

Top officer pay equals 63.6% of source-year revenue.

501(c)3 • $1M-$5M nonprofits • Source year 2021

Asset Growth

45th percentile

2.1%

Faster asset growth than 45% of similar nonprofits.

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

Revenue Growth

93rd percentile

107%

Faster revenue growth than 93% of similar nonprofits.

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

Assets

Up

$3,870,738

Up $199,677 (+5.4%) from 2024

Liabilities

Up

$188,000

Up $179,149 (+2024%) from 2024

Net Assets

Up

$3,682,738

Up $20,528 (+0.6%) from 2024

Revenue

Up

$169,559

Up $51,043 (+43%) from 2024

Expenses

Up

$410,277

Up $95,655 (+30%) from 2024

Net Income

Down

-$240,718

Down $44,612 (-23%) from 2024

Trend Graphs

Balance Sheet Trend

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

$4.0M$3.0M$2.0M$1.0M$0Assets 2011: $2,801,921Liabilities 2011: $0Net Assets 2011: $2,801,9212011Assets 2012: $2,135,178Liabilities 2012: $0Net Assets 2012: $2,135,1782012Assets 2013: $2,146,957Liabilities 2013: $0Net Assets 2013: $2,146,9572013Assets 2014: $2,280,247Liabilities 2014: $0Net Assets 2014: $2,280,2472014Assets 2015: $3,002,730Liabilities 2015: $0Net Assets 2015: $3,002,7302015Assets 2016: $3,008,753Liabilities 2016: $76,447Net Assets 2016: $2,932,3062016Assets 2017: $3,280,020Liabilities 2017: $807Net Assets 2017: $3,279,2132017Assets 2018: $3,412,971Liabilities 2018: $806Net Assets 2018: $3,412,1652018Assets 2019: $3,378,232Liabilities 2019: $0Net Assets 2019: $3,378,2322019Assets 2020: $3,144,100Liabilities 2020: $0Net Assets 2020: $3,144,1002020Assets 2021: $3,660,234Liabilities 2021: $0Net Assets 2021: $3,660,2342021Assets 2022: $3,557,462Liabilities 2022: $0Net Assets 2022: $3,557,4622022Assets 2023: $3,631,309Liabilities 2023: $191,255Net Assets 2023: $3,440,0542023Assets 2024: $3,671,061Liabilities 2024: $8,851Net Assets 2024: $3,662,2102024Assets 2025: $3,870,738Liabilities 2025: $188,000Net Assets 2025: $3,682,7382025

Highlighted filing

2025

Assets$3,870,738
Liabilities$188,000
Net Assets$3,682,738

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$1.0M$500K$0-$500KExpenses 2011: $100,9502011Expenses 2012: $940,6412012Expenses 2013: $381,2172013Revenue 2014: $279,035Expenses 2014: $168,839Net Income 2014: $110,1962014Revenue 2015: $419,063Expenses 2015: $288,995Net Income 2015: $130,0682015Revenue 2016: $311,766Expenses 2016: $372,210Net Income 2016: -$60,4442016Revenue 2017: $445,928Expenses 2017: $322,490Net Income 2017: $123,4382017Revenue 2018: $375,200Expenses 2018: $396,131Net Income 2018: -$20,9312018Revenue 2019: $204,727Expenses 2019: $390,409Net Income 2019: -$185,6822019Revenue 2020: $184,123Expenses 2020: $431,236Net Income 2020: -$247,1132020Revenue 2021: $93,818Expenses 2021: $358,994Net Income 2021: -$265,1762021Revenue 2022: $87,418Expenses 2022: $148,062Net Income 2022: -$60,6442022Revenue 2023: $180,939Expenses 2023: $399,978Net Income 2023: -$219,0392023Revenue 2024: $118,516Expenses 2024: $314,622Net Income 2024: -$196,1062024Revenue 2025: $169,559Expenses 2025: $410,277Net Income 2025: -$240,7182025

Highlighted filing

2025

Revenue$169,559
Expenses$410,277
Net Income-$240,718

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$3.87$0.19$3.68$0.17$0.41$0.24
2024Detailed filing. Detailed filing data is available for this year.$3.67$0.01$3.66$0.12$0.31$0.20
2023Detailed filing. Detailed filing data is available for this year.$3.63$0.19$3.44$0.18$0.40$0.22
2022Detailed filing. Detailed filing data is available for this year.$3.56$0.00$3.56$0.09$0.15$0.06
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.66$0.00$3.66$0.09$0.36$0.27
2020Detailed filing. Detailed filing data is available for this year.$3.14$0.00$3.14$0.18$0.43$0.25
2019Detailed filing. Detailed filing data is available for this year.$3.38$0.00$3.38$0.20$0.39$0.19
2018Detailed filing. Detailed filing data is available for this year.$3.41$0.00$3.41$0.38$0.40$0.02
2017Detailed filing. Detailed filing data is available for this year.$3.28$0.00$3.28$0.45$0.32$0.12
2016Detailed filing. Detailed filing data is available for this year.$3.01$0.08$2.93$0.31$0.37$0.06
2015Detailed filing. Detailed filing data is available for this year.$3.00$0.00$3.00$0.42$0.29$0.13
2014Detailed filing. Detailed filing data is available for this year.$2.28$0.00$2.28$0.28$0.17$0.11
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.15$0.00$2.15$0.38
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.14$0.00$2.14$0.94
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.80$0.00$2.80$0.10
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
May 1, 2024 to Apr 30, 2025
Signed
Mar 12, 2026
Return Version
2024v5.5
Gross Receipts
$190,683
Mission and Program Overview

Mission

Tri Valley Medical Foundation's sole purpose is supporting and enhancing health care missions of Tri Valley Health System.

To support and enhance health care missions of Tri Valley Health System.

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$3,662,210$3,682,738▲ $20,528
Investments in Publicly Traded Securities$2,506,586$2,422,107▼ $84,479
Investments Other Securities$900,000$931,297▲ $31,297
Investments Program Related$361,893$362,570▲ $677
Savings and Temporary Cash Investments$-105,546$146,636▲ $252,182
Land, Buildings, and Equipment, Net$8,128$8,128→ $0
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$3,671,061$3,870,738▲ $199,677
Liabilities
Other Liabilities$8,851$188,000▲ $179,149
Total Liabilities$8,851$188,000▲ $179,149
Net Assets / Fund Balance
Total Net Assets Fund Balance$3,662,210$3,682,738▲ $20,528
Total Liabilities and Net Assets / Fund Balance$3,671,061$3,870,738▲ $199,677

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$8,128$11,330$19,458
Investment Program Related Org$362,570--
Other Securities$931,297--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Jamie Vontz-Foundation Dir(until Sept) then TreasurerPT$38,023$1,629$39,652
Jill GoodwinFoundation Director (as of July)FT$24,497$2,604$27,101

Board Members and Trustees

NameTitle
Jaqueline ShoemakerPresident
Betty JorgensenVice President
Kristy Witte - Treasurer(until Sept) then Director
Carrie MagorianDirector
Jodi tenBenselDirector
Mallory PalmerDirector
Abby SchulteDirector (as of February)
Sam JaegerDirector (as of February)
Sam PearsonDirector (as of February)
Cathy KubikDirector (until February)
Judy JacksonDirector (until February)
Barb LangleySecretary
Revenue and Support

Revenue Composition

Contributions and Grants
$183,221
Program Service Revenue
$0
Investment Income
$1,504
Other Revenue
$-15,166
All Other Contributions
$150,496
Change in Net Assets
$-240,718
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$300,439
Total Fundraising Expense$105,743
Salaries, Compensation, and Employee Benefits$71,953
Other Expenses$37,885
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$280,689--$280,689
Other Salaries and Wages--$66,840$66,840
Grants to Domestic Individuals$19,750--$19,750
Office Expenses--$13,771$13,771
Advertising--$8,633$8,633
Payroll Taxes--$5,113$5,113
Fees for Services Accounting-$4,095-$4,095
All Other Expenses--$465$465
Travel--$231$231
Other Expenses--$150$150
Total Functional Expenses$300,439$4,095$105,743$410,277
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Tri Valley Health SystemCambridge, NE501(c)(3)Assistance in advancement of medical technology$280,689
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$21,124
Fundraising Gross Income$4,073
Gaming Gross Income$1,885
Gaming Direct Expenses$0
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
ProAm Golf$36,798$4,073$6,181$-2,108
Total Events$36,798$4,073$21,124$-17,051
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Accrued liability to TVHS$188,000
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
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
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 A, line 1A

The Board of Directors shall designate by the affirmative vote of a majority of the members constituting the Board of Directors two or more of its number to constitute an Executive Committee. Between meetings of the Board of Directors, the Executive Committee has the right to exercise the authority of the Board of Directors in the management of the organization, except matters reserved to the Board of Directors as required by law, by the Articles of Incorporation or Bylaws. The Executive Committee must consult with and advise the Chief Executive Officer and the Board of Directors of Tri-Valley Health System, Inc. in all matters pertaining to the affairs of the organization. The purpose of the Executive Committee is to provide overall leadership to the development program, to establish and implement Foundation policy and procedures, to assist staff in matters of administration, to approve investments, to facilitate communication between the various committees of the Foundation, and to act as the overall steering committee for major capital projects.

Form 990, Part VI, Section A, line 2

Kristy Witte and Jacqueline Shoemaker have a family relationship.

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

The Form 990 is provided to the Board of Directors for review before filing. The Foundation Director and Treasurer reviews the Form 990.

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

All board members and the Executive Director complete an annual conflict of interest policy. Together the board reviews the disclosures. Anyone with a conflict must abstain from voting on the issue and is not able to participate in discussions regarding the issue.

Form 990, Part VI, Section B, line 15

The Foundation Director's compensation is paid and determined by the CEO of Tri Valley Health System, an unrelated organization, and the Board President of the Foundation. The Foundation Director's experience, responsibilities and comparability data is used to adjust compensation. The process is documented and completed on an annual basis.

Form 990, Part VI, Section C, line 19

The governing documents, conflict of interest policy and financial statements are made available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Tri Valley Medical Foundation
EIN
47-0739522
Phone
3086971176
Address
PO Box 488, Cambridge, NE 69022-0488

Signing Officer

Name
Jill Goodwin
Title
Foundation Director
Phone
3086971176
Signed
2026-03-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jill Goodwin
Formed
1990
Legal Domicile
Ne
Voting Board Members
10
Independent Board Members
10
Employees
0
Volunteers
55

Preparer

Firm
Eide Bailly LLP
Address
18081 Burt St Ste 200, Omaha, NE 68022-4722
Preparer
Wendy R Cooley CPA
Phone
4023302660
Supplemental Narrative

Additional Explanations

Form 990, Part V, lines 2A and 2B:

The Foundation does not issue W-2s or file employment tax returns. Tri Valley Medical Center, a closely related organization, files these forms on behalf of the Foundation.

Raw XML AppendixShowing 400 of 526 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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IRS990/AdvertisingGrp/TotalAmt08633
IRS990/AllOtherContributionsAmt0150496
IRS990/AllOtherExpensesGrp/FundraisingAmt0465
IRS990/AllOtherExpensesGrp/TotalAmt0465
IRS990/AnnualDisclosureCoveredPrsnInd01
IRS990/BackupWthldComplianceInd01
IRS990/BooksInCareOfDetail/PersonNm0Jill Goodwin
IRS990/BooksInCareOfDetail/PhoneNum03086971176
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0PO Box 488
IRS990/BooksInCareOfDetail/USAddress/CityNm0Cambridge
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0NE
IRS990/BooksInCareOfDetail/USAddress/ZIPCd0690220488
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IRS990/CYGrantsAndSimilarPaidAmt0300439
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IRS990/CYOtherExpensesAmt037885
IRS990/CYOtherRevenueAmt0-15166
IRS990/CYProgramServiceRevenueAmt00
IRS990/CYRevenuesLessExpensesAmt0-240718
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IRS990/Desc0Donations to Tri Valley Medical Foundation helped Tri Valley Health System purchase equipment, upgrade facilities and fund programs. Total support for fiscal year 2025 was $280,689. This support helped with advances in medical technology.Scholarships were also presented to college students seeking the medical profession. The total amount of scholarships presented in fiscal year 2025 were $19,750.
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IRS990/Form990PartVIISectionAGrp/PersonNm2Jaqueline Shoemaker
IRS990/Form990PartVIISectionAGrp/PersonNm3Betty Jorgensen
IRS990/Form990PartVIISectionAGrp/PersonNm4Barb Langley
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IRS990/Form990PartVIISectionAGrp/TitleTxt0(until Sept) then Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt1Foundation Director (as of July)
IRS990/Form990PartVIISectionAGrp/TitleTxt2President
IRS990/Form990PartVIISectionAGrp/TitleTxt3Vice President
IRS990/Form990PartVIISectionAGrp/TitleTxt4Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt5(until Sept) then Director
IRS990/Form990PartVIISectionAGrp/TitleTxt6Director
IRS990/Form990PartVIISectionAGrp/TitleTxt7Director
IRS990/Form990PartVIISectionAGrp/TitleTxt8Director
IRS990/Form990PartVIISectionAGrp/TitleTxt9Director (until February)
IRS990/Form990PartVIISectionAGrp/TitleTxt10Director (until February)
IRS990/Form990PartVIISectionAGrp/TitleTxt11Director (as of February)
IRS990/Form990PartVIISectionAGrp/TitleTxt12Director (as of February)
IRS990/Form990PartVIISectionAGrp/TitleTxt13Director (as of February)
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IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt010
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartVInd0X
IRS990/InfoInScheduleOPartXIIInd0X
IRS990/InvestmentIncomeGrp/ExclusionAmt01504
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt01504
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt0900000
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt0931297
IRS990/InvestmentsProgramRelatedGrp/BOYAmt0361893
IRS990/InvestmentsProgramRelatedGrp/EOYAmt0362570
IRS990/InvestmentsPubTradedSecGrp/BOYAmt02506586
IRS990/InvestmentsPubTradedSecGrp/EOYAmt02422107
IRS990/IRPDocumentCnt07
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt011330
IRS990/LandBldgEquipBasisNetGrp/BOYAmt08128
IRS990/LandBldgEquipBasisNetGrp/EOYAmt08128
IRS990/LandBldgEquipCostOrOtherBssAmt019458
IRS990/LegalDomicileStateCd0NE
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingOtherInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0Tri Valley Medical Foundation's sole purpose is supporting and enhancing health care missions of Tri Valley Health System.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt03662210
IRS990/NetAssetsOrFundBalancesEOYAmt03682738
IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt0-17051
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt0-17051
IRS990/NetIncomeFromGamingGrp/ExclusionAmt01885
IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt01885
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt0261246
IRS990/NondeductibleContributionsInd00
IRS990/OfficeExpensesGrp/FundraisingAmt013771
IRS990/OfficeExpensesGrp/TotalAmt013771
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrgDoesNotFollowFASB117Ind0X
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherExpensesGrp/Desc0Fundraising event expen
IRS990/OtherExpensesGrp/Desc1Education
IRS990/OtherExpensesGrp/Desc2Merle Harpst Award
IRS990/OtherExpensesGrp/Desc3Memberships
IRS990/OtherExpensesGrp/FundraisingAmt05228
IRS990/OtherExpensesGrp/FundraisingAmt13306
IRS990/OtherExpensesGrp/FundraisingAmt22006
IRS990/OtherExpensesGrp/FundraisingAmt3150
IRS990/OtherExpensesGrp/TotalAmt05228
IRS990/OtherExpensesGrp/TotalAmt13306
IRS990/OtherExpensesGrp/TotalAmt22006
IRS990/OtherExpensesGrp/TotalAmt3150
IRS990/OtherLiabilitiesGrp/BOYAmt08851
IRS990/OtherLiabilitiesGrp/EOYAmt0188000
IRS990/OtherSalariesAndWagesGrp/FundraisingAmt066840
IRS990/OtherSalariesAndWagesGrp/TotalAmt066840
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/FundraisingAmt05113
IRS990/PayrollTaxesGrp/TotalAmt05113
IRS990/PdInCapSrplsLandBldgEqpFundGrp/BOYAmt00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0Jill Goodwin
IRS990/ProfessionalFundraisingInd00
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt0143927
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt0221421
IRS990/PYInvestmentIncomeAmt0552
IRS990/PYOtherExpensesAmt031804
IRS990/PYOtherRevenueAmt0-25980
IRS990/PYProgramServiceRevenueAmt017
IRS990/PYRevenuesLessExpensesAmt0-196106
IRS990/PYSalariesCompEmpBnftPaidAmt061397
IRS990/PYTotalExpensesAmt0314622
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0118516
IRS990/QuidProQuoContributionsInd01
IRS990/QuidProQuoContriDisclInd01
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-240718
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd01
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd01
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt03662210
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt03682738
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0-105546
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0146636
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt0183221
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt0143927
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt0180848
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt081051
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt088413
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt0677460
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt01504
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt0552
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt04490
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt05431
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt05405
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt017382
IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt0452
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.60450
IRS990ScheduleA/PublicSupportPY170Pct00.58520
IRS990ScheduleA/PublicSupportTotal170Amt0420530
IRS990ScheduleA/SubstantialContributorsTotAmt0256930
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0183221
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0143927
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0180848
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt081051
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt088413
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0677460
IRS990ScheduleA/TotalSupportAmt0695723
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/CurrentTaxYearMinus4YearsAmt0881
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/TotalAmt0881
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd01
IRS990ScheduleD/InvstProgramRelatedOrgGrp/BookValueAmt0362570
IRS990ScheduleD/InvstProgramRelatedOrgGrp/Desc0Scholarships
IRS990ScheduleD/InvstProgramRelatedOrgGrp/MethodValuationCd0F
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt08128
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt011330
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt019458
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0188000
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0Accrued liability to TVHS
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt0931297
IRS990ScheduleD/OtherSecuritiesGrp/Desc0Insurance contracts
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd0F
IRS990ScheduleD/TotalBookValueLandBuildingsAmt08128
IRS990ScheduleD/TotalBookValueProgramRltdAmt0362570
IRS990ScheduleD/TotalBookValueSecuritiesAmt0931297
IRS990ScheduleD/TotalLiabilityAmt0188000
IRS990ScheduleG/FundraisingEventInformationGrp/CashPrizesEvent1Amt08435
IRS990ScheduleG/FundraisingEventInformationGrp/CashPrizesTotalEventsAmt08435
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContributionsTotAmt032725
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt032725
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt021124
IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentEvent1Amt02660
IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentTotalEventsAmt02660
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0ProAm Golf
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageEvent1Amt01248
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageTotalEventsAmt01248
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt036798
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt036798
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt04073
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt04073
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt0-17051
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt06181
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt06181
IRS990ScheduleG/FundraisingEventInformationGrp/RentFacilityCostsEvent1Amt02600
IRS990ScheduleG/FundraisingEventInformationGrp/RentFcltyCostsTotalEventsAmt02600
IRS990ScheduleI/GrantRecordsMaintainedInd01
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/CashGrantAmt019750
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/GrantTypeTxt0Educational scholarships for nursing and other medical related fields
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/RecipientCnt027
IRS990ScheduleI/RecipientTable/CashGrantAmt0280689
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501(c)(3)
IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt00
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0Assistance in advancement of medical technology
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0Tri Valley Health System
IRS990ScheduleI/RecipientTable/RecipientEIN0476028103
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt0PO Box 488
IRS990ScheduleI/RecipientTable/USAddress/CityNm0Cambridge
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0NE
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd069022
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0Scholarship grants are presented to college students seeking the medical profession. The checks are written to the college and to the student so they cannot be cashed by the student. The students complete an application form that states their intentions and how much money they are requesting. The Foundation Scholarship Committee reviews the applications and makes the decision on the recipients and the amounts. There is no monitoring of the grant funds after they have been presented to the students. The Foundation also gives funds to Tri Valley Health System (TVHS). TVHS presents their requests to the Foundation Board. The Foundation board reviews and approves the requests. A check is written when the Foundation receives an invoice from TVHS.
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/BaseCompensationFilingOrgAmt038023
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt124497
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt10

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