Liabilities / Assets
15th percentile
Higher debt load relative to assets than 15% of similar nonprofits.
Tri-Valley Medical Foundation
990 • Fiscal year 2018 • EIN 47-0739522
Siviq Scores
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
0.00x
Liabilities / Revenue
17th percentile
Higher debt load relative to revenue than 17% of similar nonprofits.
Net Margin
26th percentile
Higher net margin than 26% of similar nonprofits.
Top Officer Pay
53rd percentile
Higher top officer pay than 53% of similar nonprofits.
Top officer pay equals 18.6% of source-year revenue.
Asset Growth
60th percentile
Faster asset growth than 60% of similar nonprofits.
Revenue Growth
17th percentile
Faster revenue growth than 17% of similar nonprofits.
Balance Sheet
Assets
Up$3,412,971
Up $132,951 (+4.1%) from 2017
Net Assets
Up$3,412,165
Up $132,952 (+4.1%) from 2017
Liabilities
Down$806
Down $1 (-0.1%) from 2017
Revenue And Expenses
Revenue
Down$375,200
Down $70,728 (-16%) from 2017
Expenses
Up$396,131
Up $73,641 (+23%) from 2017
Net Income
Down-$20,931
Down $144,369 (-117%) from 2017
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- May 1, 2017 to Apr 30, 2018
- Signed
- Mar 15, 2019
- Return Version
- 2017v2.3
- Gross Receipts
- $400,544
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 | $3,279,213 | $3,412,165 | ▲ $132,952 |
| Investments in Publicly Traded Securities | $2,074,233 | $2,207,821 | ▲ $133,588 |
| Investments Other Securities | $663,789 | $644,914 | ▼ $18,875 |
| Savings and Temporary Cash Investments | $529,320 | $547,558 | ▲ $18,238 |
| Land, Buildings, and Equipment, Net | $12,678 | $12,678 | → $0 |
| Investments Program Related | $0 | - | - |
| Pd in Cap Srpls Land Bldg Eqp Fund | $0 | $0 | → $0 |
| Cap Stk Tr Prin Current Funds | $0 | $0 | → $0 |
| Total Assets | $3,280,020 | $3,412,971 | ▲ $132,951 |
| Liabilities | |||
| Other Liabilities | $807 | $806 | ▼ $1 |
| Total Liabilities | $807 | $806 | ▼ $1 |
| Net Assets / Fund Balance | |||
| Total Net Assets Fund Balance | $3,279,213 | $3,412,165 | ▲ $132,952 |
| Total Liabilities and Net Assets / Fund Balance | $3,280,020 | $3,412,971 | ▲ $132,951 |
Asset Categories
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Other Land Buildings | $8,128 | $11,330 | $19,458 |
| Land | $4,550 | - | $4,550 |
| Other Securities | $644,914 | - | - |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Barb Langley | Foundation Director | PT | $66,044 | $4,080 | $70,124 |
Board Members and Trustees
| Name | Title |
|---|---|
| Betty Jorgensen | President |
| George Probasco | Vice President until 3/14/18 |
| Cathy Kubik | Director |
| Judy Jackson | Director |
| Marcus Vontz | Director |
| Sabrina Nielsen | Director |
| Brad Nelson | Director as of 1/1/18 |
| Doug Garey | Director until 1/20/18 |
| Don Harpst | Director until 11/18/17 |
| Jan Riley | Director until 12/31/17 |
| Mary Kay Sexton | Director until 3/22/18 |
| Jackie Shoemaker | Secretary |
| Doug Claussen | Treasurer |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $384,904
- Program Service Revenue
- $0
- Investment Income
- $8,768
- Other Revenue
- $-18,472
- All Other Contributions
- $337,584
- Change in Net Assets
- $-20,931
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Grants and Similar Amounts Paid | $315,690 |
| Total Fundraising Expense | $78,391 |
| Salaries, Compensation, and Employee Benefits | $59,495 |
| Other Expenses | $20,946 |
| Professional Fundraising Fees | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Grants to Domestic Orgs | $299,190 | - | - | $299,190 |
| Current Officers, Directors, Trustees, and Key Employees | - | - | $55,267 | $55,267 |
| Grants to Domestic Individuals | $16,500 | - | - | $16,500 |
| Advertising | - | - | $9,180 | $9,180 |
| Office Expenses | - | - | $7,925 | $7,925 |
| Payroll Taxes | - | - | $4,228 | $4,228 |
| Fees for Services Accounting | - | $2,050 | - | $2,050 |
| All Other Expenses | - | - | $559 | $559 |
| Conferences and Meetings | - | - | $302 | $302 |
| Other Expenses | - | - | $30 | $30 |
| Total Functional Expenses | $315,690 | $2,050 | $78,391 | $396,131 |
International Activity
Grant and Assistance Recipients
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Tri Valley Health System | Cambridge, NE | 501(c)(3) | Assistance in advancement of medical technology | $299,190 |
Fundraising, Events, and Gaming
- Fundraising activities
- Yes
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $25,344 |
| Fundraising Gross Income | $6,872 |
| Professional Fundraising Fees | $0 |
Fundraising Events
| Event | Gross Receipts | Gross Revenue | Direct Expenses | Net Income |
|---|---|---|---|---|
| Pro Am Golf | $36,734 | $4,657 | $9,518 | $-4,861 |
| Gala | $12,415 | $2,215 | $3,594 | $-1,379 |
| Total Events | $54,192 | $6,872 | $25,344 | $-18,472 |
Political and Lobbying Activity
- Political campaign activity
- No
- Lobbying activity
- No
- Subject to proxy tax
- No
Debt and Bond Financing
Other Reported Liabilities
| Liability | Amount |
|---|---|
| Due to Tri Valley Hospital | $806 |
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
- 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 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 11B
“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 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
- Jacqueline Shoemaker
- Title
- President
- Phone
- 3086971176
- Signed
- 2019-03-15
- Discuss with paid preparer
- Yes
Organization Details
- Principal Officer
- Jacqueline Shoemaker
- Formed
- 1990
- Legal Domicile
- Ne
- Voting Board Members
- 8
- Independent Board Members
- 8
- Employees
- 0
- Volunteers
- 130
Preparer
- Firm
- Eide Bailly LLP
- Address
- 800 Nicollet Mall Ste 1300, Minneapolis, MN 55402-7033
- Preparer
- Kim Hunwardsen
- Phone
- 6122536500
Raw XML AppendixShowing 400 of 496 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/Desc | 0 | Donations to Tri Valley Medical Foundation helped Tri Valley Health System purchase equipment, upgrade facilities and fund programs. Total support for fiscal year 2018 was $299,190. 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 2018 were $16,500. |
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| 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 | 3279213 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 3412165 |
| IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt | 0 | -18472 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | -18472 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 153883 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OfficeExpensesGrp/FundraisingAmt | 0 | 7925 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 7925 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrgDoesNotFollowSFAS117Ind | 0 | X |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherExpensesGrp/Desc | 0 | Merle Harpst Award |
| IRS990/OtherExpensesGrp/Desc | 1 | Thrift Shop |
| IRS990/OtherExpensesGrp/FundraisingAmt | 0 | 900 |
| IRS990/OtherExpensesGrp/FundraisingAmt | 1 | 30 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 900 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 30 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 807 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 806 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/FundraisingAmt | 0 | 4228 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 4228 |
| IRS990/PdInCapSrplsLandBldgEqpFundGrp/BOYAmt | 0 | 0 |
| IRS990/PdInCapSrplsLandBldgEqpFundGrp/EOYAmt | 0 | 0 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrincipalOfficerNm | 0 | Jacqueline Shoemaker |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 414731 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 267016 |
| IRS990/PYInvestmentIncomeAmt | 0 | 47854 |
| IRS990/PYOtherExpensesAmt | 0 | 10935 |
| IRS990/PYOtherRevenueAmt | 0 | -16657 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 0 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 123438 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 44539 |
| IRS990/PYTotalExpensesAmt | 0 | 322490 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 445928 |
| IRS990/QuidProQuoContributionsInd | 0 | 1 |
| IRS990/QuidProQuoContriDisclInd | 0 | 1 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -20931 |
| 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 | 1 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt | 0 | 3279213 |
| IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt | 0 | 3412165 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 529320 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 547558 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt | 0 | 384904 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt | 0 | 414731 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 293617 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 378518 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 250075 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt | 0 | 1721845 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt | 0 | 8768 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt | 0 | 47854 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 33029 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 109748 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 40569 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt | 0 | 239968 |
| IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt | 0 | 55295 |
| IRS990ScheduleA/PublicOrganization170Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY170Pct | 0 | 0.39880 |
| IRS990ScheduleA/PublicSupportPY170Pct | 0 | 0.41610 |
| IRS990ScheduleA/PublicSupportTotal170Amt | 0 | 782426 |
| IRS990ScheduleA/SubstantialContributorsTotAmt | 0 | 939419 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind | 0 | X |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt | 0 | 384904 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt | 0 | 414731 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 293617 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 378518 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 250075 |
| IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt | 0 | 1721845 |
| IRS990ScheduleA/TotalSupportAmt | 0 | 1961813 |
| IRS990/ScheduleBRequiredInd | 0 | 1 |
| IRS990ScheduleD/LandGrp/BookValueAmt | 0 | 4550 |
| IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt | 0 | 4550 |
| IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt | 0 | 8128 |
| IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt | 0 | 11330 |
| IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 19458 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 0 | 806 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 0 | Due to Tri Valley Hospital |
| IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt | 0 | 644914 |
| IRS990ScheduleD/OtherSecuritiesGrp/Desc | 0 | Insurance contracts |
| IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd | 0 | F |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 12678 |
| IRS990ScheduleD/TotalBookValueSecuritiesAmt | 0 | 644914 |
| IRS990ScheduleD/TotalLiabilityAmt | 0 | 806 |
| IRS990ScheduleG/FundraisingEventInformationGrp/CashPrizesEvent1Amt | 0 | 6455 |
| IRS990ScheduleG/FundraisingEventInformationGrp/CashPrizesEvent2Amt | 0 | 20 |
| IRS990ScheduleG/FundraisingEventInformationGrp/CashPrizesTotalEventsAmt | 0 | 6475 |
| IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContributionsTotAmt | 0 | 47320 |
| IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt | 0 | 32077 |
| IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent2Amt | 0 | 10200 |
| IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriOtherEventsAmt | 0 | 5043 |
| IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt | 0 | 25344 |
| IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentEvent2Amt | 0 | 646 |
| IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentTotalEventsAmt | 0 | 646 |
| IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm | 0 | Pro Am Golf |
| IRS990ScheduleG/FundraisingEventInformationGrp/Event2Nm | 0 | Gala |
| IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageEvent1Amt | 0 | 657 |
| IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageEvent2Amt | 0 | 2213 |
| IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageTotalEventsAmt | 0 | 2870 |
| IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt | 0 | 36734 |
| IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent2Amt | 0 | 12415 |
| IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsOtherEventsAmt | 0 | 5043 |
| IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt | 0 | 54192 |
| IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt | 0 | 4657 |
| IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent2Amt | 0 | 2215 |
| IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt | 0 | 6872 |
| IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt | 0 | -18472 |
| IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesEvent1Amt | 0 | 1589 |
| IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesEvent2Amt | 0 | 290 |
| IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesTotalEventsAmt | 0 | 1879 |
| IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssOtherEventsAmt | 0 | 362 |
| IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt | 0 | 13474 |
| IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt | 0 | 9518 |
| IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent2Amt | 0 | 3594 |
| IRS990ScheduleG/FundraisingEventInformationGrp/OtherEventsTotalCnt | 0 | 1 |
| IRS990ScheduleI/GrantRecordsMaintainedInd | 0 | 1 |
| IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/CashGrantAmt | 0 | 16500 |
| IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/GrantTypeTxt | 0 | Educational scholarships for nursing and other medical fields |
| IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/RecipientCnt | 0 | 23 |
| IRS990ScheduleI/RecipientTable/CashGrantAmt | 0 | 299190 |
| IRS990ScheduleI/RecipientTable/IRCSectionDesc | 0 | 501(c)(3) |
| IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt | 0 | Assistance in advancement of medical technology |
| IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt | 0 | Tri Valley Health System |
| IRS990ScheduleI/RecipientTable/RecipientEIN | 0 | 476028103 |
| IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt | 0 | PO Box 488 |
| IRS990ScheduleI/RecipientTable/USAddress/CityNm | 0 | Cambridge |
| IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd | 0 | NE |
| IRS990ScheduleI/RecipientTable/USAddress/ZIPCd | 0 | 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 | 1 |
| IRS990ScheduleI/TotalOtherOrgCnt | 0 | 0 |
| IRS990ScheduleJ/AnyNonFixedPaymentsInd | 0 | 0 |
| IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd | 0 | 0 |
| IRS990ScheduleJ/EquityBasedCompArrngmInd | 0 | 0 |
| IRS990ScheduleJ/InitialContractExceptionInd | 0 | 0 |
| IRS990/ScheduleJRequiredInd | 0 | 1 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 0 | 66044 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 0 | 2212 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 0 | 1835 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt | 0 | 33 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 0 | Barb Langley |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 0 | Foundation Director |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt | 0 | 70124 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt | 0 | 0 |
| IRS990ScheduleJ/SeverancePaymentInd | 0 | 0 |
| IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt | 0 | Barb Langley, Foundation Director, was compensated by Tri Valley Health System, an unrelated organization, for services to the Foundation. |
| IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | Schedule J, Part II |
Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2018 • Form 990Detailed filing. Detailed filing data is available for this year.
- Assets
- $3,412,971
- Liabilities
- $806
- Net assets
- $3,412,165
- Revenue
- $375,200
- Expenses
- $396,131
- Net income
- -$20,931