Liabilities / Assets
13th percentile
Tied with the lowest-debt nonprofits in its peer group.
Tri-Valley Medical Foundation
990 • Fiscal year 2015 • EIN 47-0739522
Siviq Scores
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
0.00x
Liabilities / Revenue
13th percentile
Tied with the lowest-debt nonprofits in its peer group.
Net Margin
86th percentile
Higher net margin than 86% of similar nonprofits.
Top Officer Pay
37th percentile
Higher top officer pay than 37% of similar nonprofits.
Top officer pay equals 4.4% of source-year revenue.
Asset Growth
87th percentile
Faster asset growth than 87% of similar nonprofits.
Revenue Growth
88th percentile
Faster revenue growth than 88% of similar nonprofits.
Balance Sheet
Assets
Up$3,002,730
Up $722,483 (+32%) from 2014
Net Assets
Up$3,002,730
Up $722,483 (+32%) from 2014
Liabilities
Flat$0
Flat from 2014
Revenue And Expenses
Revenue
Up$419,063
Up $140,028 (+50%) from 2014
Expenses
Up$288,995
Up $120,156 (+71%) from 2014
Net Income
Up$130,068
Up $19,872 (+18%) from 2014
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- May 1, 2014 to Apr 30, 2015
- Signed
- Feb 25, 2016
- Return Version
- 2014v6.0
- Gross Receipts
- $444,933
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
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Rtn Earn Endowment Incm Other Fnds | $2,280,247 | $3,002,730 | ▲ $722,483 |
| Investments in Publicly Traded Securities | $1,420,149 | $1,934,046 | ▲ $513,897 |
| Investments Other Securities | $497,535 | $610,228 | ▲ $112,693 |
| Savings and Temporary Cash Investments | $354,435 | $321,292 | ▼ $33,143 |
| Investments Program Related | - | $124,486 | - |
| Land, Buildings, and Equipment, Net | $8,128 | $12,678 | ▲ $4,550 |
| Pd in Cap Srpls Land Bldg Eqp Fund | $0 | $0 | → $0 |
| Cap Stk Tr Prin Current Funds | $0 | $0 | → $0 |
| Total Assets | $2,280,247 | $3,002,730 | ▲ $722,483 |
| Liabilities | |||
| Total Liabilities | $0 | $0 | → $0 |
| Net Assets / Fund Balance | |||
| Total Net Assets Fund Balance | $2,280,247 | $3,002,730 | ▲ $722,483 |
| Total Liabilities and Net Assets / Fund Balance | $2,280,247 | $3,002,730 | ▲ $722,483 |
Asset Categories
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $8,128 | $11,330 | $19,458 |
| Land | $4,550 | - | $4,550 |
| Other Securities | $610,228 | - | - |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Barb Langley | Co-Director | PT | $12,700 | $5,717 | $18,417 |
| Sabrina Nielsen | Co-Director | PT | $10,793 | $503 | $11,296 |
Board Members and Trustees
| Name | Title |
|---|---|
| Betty Jorgensen | President |
| George Probasco | Vice President |
| Cathy Kubik | Director |
| Don Harpst | Director |
| Doug Claussen | Director |
| Jan Riley | Director |
| Judy Jackson | Director |
| Mary Kay Sexton | Director |
| Margie Molitor | Director-TVHS CEO 10/14-01/15 |
| Deb Herzberg | Director-TVHS CEO 2/15-current |
| Roger Steinkruger | Director-TVHS CEO thru 6/2014 |
| Greg Magers | Director-TVHS CEO until 9/2014 |
| Jaccie Morgan | Secretary |
| Morgan Farquhar | Treasurer |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $378,518
- Program Service Revenue
- $0
- Investment Income
- $52,396
- Other Revenue
- $-11,851
- All Other Contributions
- $323,690
- Change in Net Assets
- $130,068
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Grants and Similar Amounts Paid | $238,251 |
| Total Fundraising Expense | $50,744 |
| Salaries, Compensation, and Employee Benefits | $29,088 |
| Other Expenses | $21,656 |
| Professional Fundraising Fees | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Grants to Domestic Orgs | $228,751 | - | - | $228,751 |
| Current Officers, Directors, Trustees, and Key Employees | - | - | $27,130 | $27,130 |
| Advertising | - | - | $11,914 | $11,914 |
| Grants to Domestic Individuals | $9,500 | - | - | $9,500 |
| Office Expenses | - | - | $5,215 | $5,215 |
| All Other Expenses | - | - | $4,527 | $4,527 |
| Payroll Taxes | - | - | $1,958 | $1,958 |
| Total Functional Expenses | $238,251 | $0 | $50,744 | $288,995 |
International Activity
Grant and Assistance Recipients
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Tri Valley Health System | Cambridge, NE | 501(c)(3) | Property and equipment acquisitions | $209,251 |
| Tri Valley Health System Hospital Auxiliary | Cambridge, NE | 501(c)(3) | Repairs and maintenance to Thrift Shop building | $19,500 |
Fundraising, Events, and Gaming
- Fundraising activities
- Yes
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $25,870 |
| Fundraising Gross Income | $14,019 |
| Professional Fundraising Fees | $0 |
Fundraising Events
| Event | Gross Receipts | Gross Revenue | Direct Expenses | Net Income |
|---|---|---|---|---|
| Gala | $24,361 | $7,316 | $1,413 | $5,903 |
| Golf Tourney | $36,849 | $6,488 | $854 | $5,634 |
| Total Events | $68,061 | $13,804 | $25,654 | $-11,850 |
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
- Yes
- 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, Part VI, Section A, line 1
“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 B, line 11
“The Form 990 is provided to the Board of Directors for review before filing. The Treasurer also 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 15A
“The Co-Director's compensation is determined by the CEO of Tri Valley Health System and the Board President of the Foundation. The Co-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
- 3086971520
- Address
- PO Box 488, Cambridge, NE 69022-0488
Signing Officer
- Name
- Betty Jorgensen
- Title
- President
- Phone
- 3086971520
- Signed
- 2016-02-25
- Discuss with paid preparer
- Yes
Organization Details
- Principal Officer
- Betty Jorgensen
- Formed
- 1990
- Legal Domicile
- Ne
- Voting Board Members
- 11
- Independent Board Members
- 10
- Employees
- 0
- Volunteers
- 189
Preparer
- Firm
- Eide Bailly Llp
- Address
- 1545 ASSOCIATES DR STE 101, DUBUQUE, IA 52002
- Preparer
- Carmen Krantz
- Phone
- 5635561790
Supplemental Narrative
Additional Explanations
Form 990, Part XII, Line 1, Other:
“The accounting method was changed to Modified Cash. As of May 1, 2014, beginning of the fiscal year, investements were reported as market value and not cost.”
Form 990, Part XI, Line 8:
“The prior period adjustment is recorded to adjust investments to market value at the beginning of the year.”
Raw XML AppendixShowing 400 of 494 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/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 610228 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 124486 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 1420149 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 1934046 |
| IRS990/IRPDocumentCnt | 0 | 2 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 11330 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 8128 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 12678 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 24008 |
| IRS990/LegalDomicileStateCd | 0 | NE |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingOtherInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | Tri Valley Medical Foundation's sole purpose is supporting and enhancing health care missions of Tri Valley Health System. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 2280247 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 3002730 |
| IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt | 0 | -11851 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | -11851 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 112595 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OfficeExpensesGrp/FundraisingAmt | 0 | 5215 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 5215 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrgDoesNotFollowSFAS117Ind | 0 | X |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/FundraisingAmt | 0 | 1958 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 1958 |
| IRS990/PdInCapSrplsLandBldgEqpFundGrp/BOYAmt | 0 | 0 |
| IRS990/PdInCapSrplsLandBldgEqpFundGrp/EOYAmt | 0 | 0 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrincipalOfficerNm | 0 | Betty Jorgensen |
| IRS990/PriorPeriodAdjustmentsAmt | 0 | 479820 |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 250075 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 91052 |
| IRS990/PYInvestmentIncomeAmt | 0 | 40569 |
| IRS990/PYOtherExpensesAmt | 0 | 20712 |
| IRS990/PYOtherRevenueAmt | 0 | -11609 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 0 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 110196 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 57075 |
| IRS990/PYTotalExpensesAmt | 0 | 168839 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 279035 |
| IRS990/QuidProQuoContributionsInd | 0 | 1 |
| IRS990/QuidProQuoContriDisclInd | 0 | 1 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 130068 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 0 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 1 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 0 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt | 0 | 2280247 |
| IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt | 0 | 3002730 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 354435 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 321292 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt | 0 | 378518 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt | 0 | 250075 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 313136 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 218034 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 353722 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt | 0 | 1513485 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt | 0 | 109748 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt | 0 | 40569 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 60255 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 71558 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 77864 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt | 0 | 359994 |
| IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt | 0 | 111939 |
| IRS990ScheduleA/PublicOrganization170Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY170Pct | 0 | 0.45930 |
| IRS990ScheduleA/PublicSupportPY170Pct | 0 | 0.47510 |
| IRS990ScheduleA/PublicSupportTotal170Amt | 0 | 860552 |
| IRS990ScheduleA/SubstantialContributorsTotAmt | 0 | 652933 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind | 0 | X |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt | 0 | 378518 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt | 0 | 250075 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 313136 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 218034 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 353722 |
| IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt | 0 | 1513485 |
| IRS990ScheduleA/TotalSupportAmt | 0 | 1873479 |
| IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorNum | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine2 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt | 0 | RESTRICTED |
| IRS990/ScheduleBRequiredInd | 0 | 1 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 8128 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 11330 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 19458 |
| IRS990ScheduleD/LandGrp/BookValueAmt | 0 | 4550 |
| IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt | 0 | 4550 |
| IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt | 0 | 610228 |
| IRS990ScheduleD/OtherSecuritiesGrp/Desc | 0 | Insurance contracts |
| IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd | 0 | F |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 12678 |
| IRS990ScheduleD/TotalBookValueSecuritiesAmt | 0 | 610228 |
| IRS990ScheduleG/FundraisingEventInformationGrp/CashPrizesEvent1Amt | 0 | 2950 |
| IRS990ScheduleG/FundraisingEventInformationGrp/CashPrizesTotalEventsAmt | 0 | 2950 |
| IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContributionsTotAmt | 0 | 54257 |
| IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt | 0 | 30361 |
| IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent2Amt | 0 | 17045 |
| IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriOtherEventsAmt | 0 | 6851 |
| IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt | 0 | 25654 |
| IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentEvent2Amt | 0 | 2000 |
| IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentTotalEventsAmt | 0 | 2000 |
| IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm | 0 | Golf Tourney |
| IRS990ScheduleG/FundraisingEventInformationGrp/Event2Nm | 0 | Gala |
| IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageEvent1Amt | 0 | 62 |
| IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageEvent2Amt | 0 | 4591 |
| IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageTotalEventsAmt | 0 | 4653 |
| IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt | 0 | 36849 |
| IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent2Amt | 0 | 24361 |
| IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsOtherEventsAmt | 0 | 6851 |
| IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt | 0 | 68061 |
| IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt | 0 | 6488 |
| IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent2Amt | 0 | 7316 |
| IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt | 0 | 13804 |
| IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt | 0 | -11850 |
| IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesEvent1Amt | 0 | 5691 |
| IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesEvent2Amt | 0 | 660 |
| IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesTotalEventsAmt | 0 | 6351 |
| IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssOtherEventsAmt | 0 | 282 |
| IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt | 0 | 2549 |
| IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt | 0 | 854 |
| IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent2Amt | 0 | 1413 |
| IRS990ScheduleG/FundraisingEventInformationGrp/OtherEventsTotalCnt | 0 | 1 |
| IRS990ScheduleG/FundraisingEventInformationGrp/RentFacilityCostsEvent1Amt | 0 | 6426 |
| IRS990ScheduleG/FundraisingEventInformationGrp/RentFacilityCostsEvent2Amt | 0 | 725 |
| IRS990ScheduleG/FundraisingEventInformationGrp/RentFcltyCostsTotalEventsAmt | 0 | 7151 |
| IRS990ScheduleI/GrantRecordsMaintainedInd | 0 | 1 |
| IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/CashGrantAmt | 0 | 6450 |
| IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/CashGrantAmt | 1 | 3050 |
| IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/GrantTypeTxt | 0 | Educational scholarships for nursing and other medical fields |
| IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/GrantTypeTxt | 1 | Bernard Haag Memorial Nursing Scholarship |
| IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/RecipientCnt | 0 | 14 |
| IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/RecipientCnt | 1 | 4 |
| IRS990ScheduleI/RecipientTable/CashGrantAmt | 0 | 209251 |
| IRS990ScheduleI/RecipientTable/CashGrantAmt | 1 | 19500 |
| IRS990ScheduleI/RecipientTable/IRCSectionDesc | 0 | 501(c)(3) |
| IRS990ScheduleI/RecipientTable/IRCSectionDesc | 1 | 501(c)(3) |
| IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt | 0 | Property and equipment acquisitions |
| IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt | 1 | Repairs and maintenance to Thrift Shop building |
| IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt | 0 | Tri Valley Health System |
| IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt | 1 | Tri Valley Health System Hospital Auxiliary |
| IRS990ScheduleI/RecipientTable/RecipientEIN | 0 | 476028103 |
| IRS990ScheduleI/RecipientTable/RecipientEIN | 1 | 476028103 |
| IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt | 0 | PO Box 488 |
| IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt | 1 | PO Box 488 |
| IRS990ScheduleI/RecipientTable/USAddress/CityNm | 0 | Cambridge |
| IRS990ScheduleI/RecipientTable/USAddress/CityNm | 1 | Cambridge |
| IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd | 0 | NE |
| IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd | 1 | NE |
| IRS990ScheduleI/RecipientTable/USAddress/ZIPCd | 0 | 69022 |
| IRS990ScheduleI/RecipientTable/USAddress/ZIPCd | 1 | 69022 |
| IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt | 0 | Scholarship 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/FormAndLineReferenceDesc | 0 | Part I, Line 2: |
| IRS990ScheduleI/Total501c3OrgCnt | 0 | 2 |
| IRS990/ScheduleJRequiredInd | 0 | 0 |
| IRS990ScheduleL/GrntAsstBnftInterestedPrsnGrp/AssistancePurposeTxt | 0 | Medical school assistance |
| IRS990ScheduleL/GrntAsstBnftInterestedPrsnGrp/CashGrantAmt | 0 | 500 |
| IRS990ScheduleL/GrntAsstBnftInterestedPrsnGrp/PersonNm | 0 | Matt Sexton |
Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2015 • Form 990Detailed filing. Detailed filing data is available for this year.
- Assets
- $3,002,730
- Liabilities
- $0
- Net assets
- $3,002,730
- Revenue
- $419,063
- Expenses
- $288,995
- Net income
- $130,068
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