Nemaha Valley Health Care Foundation (EIN 481097250) - Form 990 Financial Analysis & Trantor Score

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1991

Legal Domicile

Principal Officer

Lacey Frehe

Phone

7853366181

Tax Period

2024-07-01 to 2025-06-30

Nemaha Valley Health Care Foundation, founded in 1991, is a small nonprofit that reported $300K in total revenue in fiscal year 2024. Revenue fell 67% from the prior year — a significant decline worth monitoring. Expenses of $775K exceeded revenue, resulting in a 159% operating deficit.

Mission

Support the delivery of health care services to the community served by Nemaha Valley Community Hospital.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $278,856

Program Service Revenue $0

Investment Income $14,119

Other Revenue $6,671

TOTAL REVENUE $299,646

Expense Breakdown

Grants Paid $770,323

Salaries & Benefits $0

Fundraising Expenses $0

Program Expenses $770,323

Other Expenses $4,768

TOTAL EXPENSES $775,091

Year-over-Year Comparison

	2024	2023	Change
Revenue	$299,646	$899,967	-0.7%
Expenses	$775,091	$797,621	0.0%
Net Income	$-475,445	$102,346	-5.6%

Key Indicators

✓ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

N/A

Volunteers

Governance Policies

✓ Conflict of Interest Policy

✗ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$254,856

Total Directors

$395,204

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
Lacey Frehe	Chairperson	1.00	Officer Director	$0	$0	$0
Jeff Kidd	Vice-Chairperson	1.00	Officer Director	$0	$0	$0
Bob Kramer	Secretary	1.00	Officer Director	$0	$0	$0
Kris Enneking	Director	1.00	Director	$0	$0	$0
TJ Haverkamp	Director	1.00	Director	$0	$0	$0
Donna Elder	Director	1.00	Director	$0	$0	$0
Betsy Macke	Director	1.00	Director	$0	$0	$0
Kathy Ganstrom	Director	1.00	Director	$0	$0	$0
Cathy Holthaus	Director	1.00	Director	$0	$0	$0
Jessica Hermesch	Director	1.00	Director	$0	$0	$0
Tavis Desormiers	Director	1.00	Director	$0	$0	$0
Kiley Floyd	NVCH CEO	1.00	Director	$0	$27,441	$240,711
Niki Buesing	Contract CFO/Treasurer (Thru 02/2025)	1.00	Officer Director	$0	$25,751	$154,493
Sarah Windmeyer	NVCH CFO/Treasurer (Eff. 02/2025)	1.00	Officer Director	$0	$0	$0
Courtney Schmelzle	Foundation Director	15.00	Officer	$0	$19,398	$100,363

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2025	$299,646	$775,091	$839,876	$-475,445
2024	$899,967	$797,621	$1,275,637	$102,346
2023	$488,858	$1,772,974	$1,188,605	$-1,284,116
2022	$2,420,584	$128,243	$2,467,539	$2,292,341

Nemaha Valley Health Care Foundation