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← FILLMORE COUNTY HOSPITAL FOUNDATION

Form 990 for tax year 2024

Filed by FILLMORE COUNTY HOSPITAL FOUNDATION.

Totals

Total revenue
$304,616
Total expenses
$254,115
Contributions and grants received
$216,166
Grants paid
$205,383
Program service revenue
$0
Investment income
$83,347
Other revenue
$5,103
Total assets, end of year
$4,139,981
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$4,139,981
Program services expenses (Part IX)
$220,685
Management and general expenses
$20,083
Fundraising expenses
$13,347
Program service expenses (Part III)
$220,685

Program services were 86.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1c · Fundraising events

    $23,518

  • 1f · All other contributions, gifts and grants

    $192,648

  • 3 · Investment income

    total $83,347 · excluded $83,347

  • 8a · Fundraising events: gross income

    $16,406

  • 8a · Fundraising events: contributions included on line 1c

    $23,518

  • 8b · Fundraising events: direct expenses

    $11,303

  • 8c · Net income from fundraising events

    total $5,103 · excluded $5,103

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $39,550 · program services $39,550

  • 2 · Grants to domestic individuals

    total $165,833 · program services $165,833

  • 11c · Fees: accounting

    total $1,150 · management and general $1,150

  • 11f · Fees: investment management

    total $18,933 · management and general $18,933

  • 13 · Office expenses

    total $3,452 · program services $3,452

  • 19 · Conferences, conventions and meetings

    total $164 · program services $164

  • 24a · Other expenses: FUNDRAISING EXPENSES

    total $13,347 · fundraising $13,347

  • 24b · Other expenses: EMPLOYEE APPRECIATION

    total $11,686 · program services $11,686

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $548,024 · end of year $567,526

  • 3 · Pledges and grants receivable

    beginning of year $84,913 · end of year $0

  • 4 · Accounts receivable

    beginning of year $261,667 · end of year $294,500

  • 11 · Investments: publicly traded securities

    beginning of year $2,783,182 · end of year $3,006,313

  • 12 · Investments: other securities

    beginning of year $267,174 · end of year $267,174

  • 15 · Other assets

    beginning of year $13,964 · end of year $4,468

  • 27 · Net assets without donor restrictions

    beginning of year $1,765,636 · end of year $1,792,229

  • 28 · Net assets with donor restrictions

    beginning of year $2,193,288 · end of year $2,347,752

Mission and programs · 2024

Mission

THE PURPOSE OF THE FOUNDATION SHALL BE TO SUPPORT FILLMORE COUNTY HOSPITAL OF GENEVA, NEBRASKA IN ITS ENDEAVORS OF NEW TECHNOLOGIES, RECRUITMENT, EXPANSION, CONTINUING EDUCATION, MARKETING, PURCHASING OF SUPPLIES AND EQUIPMENT, AND PROVIDING SUPPORT AND HELP FOR THE CITIZENS OF FILLMORE COUNTY AND SURROUNDING AREAS IN THEIR PHYSICAL AND MENTAL HEALTH NEEDS.

Activities or mission (Part I)

SEE SCHEDULE O.THE PURPOSE OF THE FOUNDATION SHALL BE TO SUPPORT FILLMORE COUNTY HOSPITAL OF GENEVA, NEBRASKA IN ITS ENDEAVORS OF NEW TECHNOLOGIES, RECRUITMENT, EXPANSION, CONTINUING EDUCATION, MARKETING, PURCHASING OF SUPPLIES AND EQUIPMENT, AND PROVIDING SUPPORT AND HELP FOR THE CITIZENS OF FILLMORE COUNTY AND SURROUNDING AREAS IN THEIR PHYSICAL AND MENTAL HEALTH NEEDS.

  • THE FOUNDATION'S PRIMARY EXEMPT PURPOSE FOR EXPENSES IS FOR FUNDRAISING. FUNDRAISING AIDS THE HOSPITAL IN THE PURCHASE OF SUPPLIES AND EQUIPMENT, PROVIDING SUPPORT TO EMPLOYEES AND EXPANSION AND UPKEEP OF THE BUILDING. IN ADDITION, ADVERTISING AND POSTAGE EXPENSES ASSOCIATED WITH THOSE FUNDRAISING EFFORTS.

    Expenses $220,685 · Grants $205,383

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • James Donovan

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1

  • Mitchell Schlegelmilch

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    1

  • Shaun Farmer

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    1

  • Shelly Cassidy

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Richard Walter

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Nancy Meyer

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Jack Galusha

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Megan Nunns

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Judy Lichti

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Mary Houchin

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Taylor Sluka

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Jenny Hoarty

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Dayle Harlow

    EXECUTIVE DIRECTOR

    Total calculated
    $227,835
    From this org
    $0
    From related orgs
    $179,553
    Other
    $48,282
    Hours/week
    5 + 35 related

    Schedule J breakdown matched by us

    Base
    $0 + $179,553 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $9,524 related
    Nontaxable benefits
    $0 + $38,758 related
    Filer's total
    $0 + $227,835 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
THE COMPENSATION FOR DAYLE HARLOW, EXECUTIVE DIRECTOR, IS PAID BY FILLMORE COUNTY HOSPITAL, A RELATED ENTITY. FILLMORE COUNTY HOSPITAL HAS A COMPENSATION COMMITTEE COMPRISED OF THE CEO, CFO, COO, AND CHRO. ANNUALLY, THE COMMITTEE MEETS TO REVIEW WAGES OF DEPARTMENTS AND INDIVIDUAL STAFF WITH DATA FROM THE NEBRASKA HOSPITAL ASSOCIATION SALARY SURVEY PERFORMED BY GALLAGHER. THE COMPENSATION AMOUNTS REPORTED ON SCHEDULE J, PART II IS FOR SERVICES PROVIDED TO BOTH THE FILLMORE COUNTY HOSPITAL AND THE FILLMORE COUNTY HOSPITAL FOUNDATION. ONLY 10% OF HER TIME IS FOR SERVICES PROVIDED TO THE FOUNDATION.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

  • FILLMORE COUNTY HOSPITAL

    GOVT. · HOSPITAL · NE

Provenance

Return type
form_990
Tax year
2024
Filed
4 May 2026
IRS schema version
2024v5.5
Source object
202621319349300137

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