SAUNDERS HEALTH SERVICES FOUNDATION: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
SAUNDERS HEALTH SERVICES FOUNDATION (EIN 47-0763871)
Tax period
2015-08-01 to 2016-07-31
Filed
2017-06-15
IRS object ID
201721669349301187
Schema version
2015v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-06-15T14:01:14-05:00ReturnTs
Tax Period End2016-07-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN470707411PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GLENDA R HARDERS CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1112 7TH ST E STE 3AddressLine1Txt
CityWAHOOCityNm
State AbbreviationNEStateAbbreviationCd
ZIP680661701ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-08-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN470763871EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAUNDERS HEALTH SERVICES FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSAUNBusinessNameControlTxt
Phone4024433207PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 277AddressLine1Txt
CityWAHOOCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68066ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCYNTHIA HOHLPersonNm
Person TitleTREASURERPersonTitleTxt
Phone4024433207PhoneNum
Signature2017-06-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGLENDA R HARDERS CPAPreparerPersonNm
PTINP01347365PTIN
Phone4024433342PhoneNum
Preparation2017-06-15PreparationDt
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCYNTHIA HOHLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1164 E 5TH STREETAddressLine1Txt
CityWAHOOCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68066ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$150,302GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1995FormationYr
Legal Domicile StateNELegalDomicileStateCd
Activity Or MissionSUPPORT HEALTH CARE IN THE COMMUNITY SERVED BY SAUNDERS COUNTY HEALTH SERVICES.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$18,143TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$15,329NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$8,019PYContributionsGrantsAmt
CY Contributions Grants$46,736CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$48,671PYInvestmentIncomeAmt
CY Investment Income$52,383CYInvestmentIncomeAmt
PY Other Revenue$78,557PYOtherRevenueAmt
CY Other Revenue$36,642CYOtherRevenueAmt
PY Total Revenue$135,247PYTotalRevenueAmt
CY Total Revenue$135,761CYTotalRevenueAmt
PY Grants And Similar Paid$78,416PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$69,715CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,749PYOtherExpensesAmt
CY Other Expenses$6,941CYOtherExpensesAmt
PY Total Expenses$81,165PYTotalExpensesAmt
CY Total Expenses$76,656CYTotalExpensesAmt
PY Revenues Less Expenses$54,082PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$59,105CYRevenuesLessExpensesAmt
Total Assets BOY$806,020TotalAssetsBOYAmt
Total Assets EOY$865,125TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$806,020NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$865,125NetAssetsOrFundBalancesEOYAmt
MissionSUPPORT HEALTH CARE IN THE COMMUNITY SERVED BY SAUNDERS COUNTY HEALTH SERVICES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$73,830ExpenseAmt
Grant$69,715GrantAmt
DescFINANCIAL SUPPORT OF SAUNDERS MED CENTER.Desc
Total Program Service Expenses$73,830TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredfalseScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCYNTHIA HOHLPersonNm
Phone4024433207PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1WAHOO STATE BANKAddressLine1Txt
CityWAHOOCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68066ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (3 entries)

TitleTitleTxtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
DEBRA HOHL
PRESIDENTYes (X)$0$0$0
JARED KETNER
SECRETARYYes (X)$0$0$0
CYNTHIA HOHL
TREASURERYes (X)$0$0$0
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Membership Dues$2,000MembershipDuesAmt
Fundraising$7,461FundraisingAmt
All Other Contributions$37,275AllOtherContributionsAmt
Total Contributions$46,736TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,377TotalRevenueColumnAmt
Exclusion$24,377ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$28,006OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$28,006OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,006TotalRevenueColumnAmt
Exclusion$28,006ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$33,040FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$7,461ContriRptFundraisingEventAmt
Fundraising Direct Expenses$14,541FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,499TotalRevenueColumnAmt
Exclusion$8,912ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescNEBRASKA PURCHASING GROUPDesc
Business561000BusinessCd
Total Revenue Column$18,143TotalRevenueColumnAmt
Unrelated Business Revenue$18,143UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$18,143OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$135,761TotalRevenueColumnAmt
Unrelated Business Revenue$18,143UnrelatedBusinessRevenueAmt
Exclusion$61,295ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$65,455TotalAmt
Program Services$65,455ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$4,260TotalAmt
Program Services$4,260ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$915TotalAmt
Management And General$915ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$311TotalAmt
Management And General$311ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SPONSOR BOO WAHOO$4,115$4,115
INCOME TAXES$1,600$1,600

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$76,656TotalAmt
Program Services$73,830ProgramServicesAmt
Management And General$2,826ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$149,740BOYAmt
EOY$155,137EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$275,573BOYAmt
EOY$277,267EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$263,524BOYAmt
EOY$284,767EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$117,183BOYAmt
EOY$147,954EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$806,020BOYAmt
EOY$865,125EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$806,020BOYAmt
EOY$865,125EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$806,020BOYAmt
EOY$865,125EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$806,020BOYAmt
EOY$865,125EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$59,105ReconcilationRevenueExpnssAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
IRS Written DeterminationYes (X)IRSWrittenDeterminationInd
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SAUNDERS MEDICAL CENTERBusinessNameLine1Txt
Business Name Line2WAHOO NEBusinessNameLine2Txt
FieldValueIRS element (for citing)
EIN476007158EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (true)GoverningDocumentListedInd
Support$69,075SupportAmt
Other Support$4,115OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$69,075SupportSumAmt
Other Support Sum$4,115OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstfalsePowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt OrgfalseOperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART IV, SECTION B, LINE 1FormAndLineReferenceDesc
ExplanationCHIEF EXECUTIVE OFFICER OF SUPPORTED ORGANIZATION IS A MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORSExplanationTxt

Schedule D IRS990ScheduleD

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

FieldValueIRS element (for citing)
Book Value$147,954BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$147,954TotalBookValueSecuritiesAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF TOURNAMENTEvent1Nm
Gross Receipts Event1$17,040GrossReceiptsEvent1Amt
Gross Revenue Event1$17,040GrossRevenueEvent1Amt
Other Direct Expenses Event1$8,128OtherDirectExpensesEvent1Amt
Event2AUXILIARY BENEFEvent2Nm
Gross Receipts Event2$16,000GrossReceiptsEvent2Amt
Gross Revenue Event2$16,000GrossRevenueEvent2Amt
Other Direct Expenses Event2$6,413OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$7,461GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$7,461CharitableContriOtherEventsAmt
Gross Receipts Total$40,501GrossReceiptsTotalAmt
Charitable Contributions Tot$7,461CharitableContributionsTotAmt
Gross Revenue Total Events$33,040GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$14,541OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$14,541DirectExpenseSummaryEventsAmt
Net Income Summary$18,499NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1SAUNDERS COUNTY MEDICALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1CENTERAddressLine1Txt
CityWAHOOCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68066ZIPCd
FieldValueIRS element (for citing)
Cash Grant$14,000CashGrantAmt
Non Cash Assistance$50,815NonCashAssistanceAmt
Valuation Method UsedCOSTValuationMethodUsedDesc
Non Cash AssistanceFIXTURES, PHOTONonCashAssistanceDesc
Purpose Of GrantSUPPORTPurposeOfGrantTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BFORM 990 IS PRESENTED AND REVIEWED AT MONTHLY BOARD MEETING
FORM 990, PAGE 6, PART VI, LINE 19NO DOCUMENTS AVAILABLE TO THE PUBLIC

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