STRATEGY STUDIO / PUBLIC DATA EXPLORER

LANCASTER COUNTY MEDICAL SOCIETY FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
LANCASTER COUNTY MEDICAL SOCIETY FOUNDATION (EIN 36-3305032)
Tax period
2012-12-01 to 2013-11-30
Filed
2014-08-04
IRS object ID
201422169349300227
Schema version
2012v2.1
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)
Timestamp2014-08-04T09:51:48-05:00Timestamp
Tax Period End Date2013-11-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN470526649EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DANA F COLE & COMPANY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11248 O STREET SUITE 500AddressLine1
CityLINCOLNCity
StateNEState
ZIP Code68508ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-12-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN363305032EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Lancaster County Medical Society FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLANCNameControl
Phone4024834800Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14600 Valley Road No 250AddressLine1
CityLincolnCity
StateNEState
ZIP Code68510ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJoan AndersonName
TitleLCMS Executive DirectorTitle
Phone4024834800Phone
Date Signed2014-07-24DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameANGELA MURRAYName
PTINP00735725PTIN
Phone4024799300Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJoan AndersonNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14600 Valley Road No 250AddressLine1
CityLincolnCity
StateNEState
ZIP Code68510ZIPCode
FieldValueIRS element (for citing)
Gross Receipts431907GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicileNEStateLegalDomicile
Activity Or Mission DescriptionTo promote education and care in the local health care delivery system and to help address community public health concerns in Lancaster County, NE.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year203613ContributionsGrantsPriorYear
Contributions Grants Current Year269168ContributionsGrantsCurrentYear
Program Service Revenue Prior Year85757ProgramServiceRevenuePriorYear
Program Service Revenue CY155559ProgramServiceRevenueCY
Investment Income Prior Year8546InvestmentIncomePriorYear
Investment Income Current Year7180InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year297916TotalRevenuePriorYear
Total Revenue Current Year431907TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year265715OtherExpensePriorYear
Other Expenses Current Year316154OtherExpensesCurrentYear
Total Expenses Prior Year265715TotalExpensesPriorYear
Total Expenses Current Year316154TotalExpensesCurrentYear
Revenues Less Expenses Prior Year32201RevenuesLessExpensesPriorYear
Revenues Less Expenses CY115753RevenuesLessExpensesCY
Total Assets BOY715252TotalAssetsBOY
Total Assets EOY867861TotalAssetsEOY
Total Liabilities BOY106247TotalLiabilitiesBOY
Total Liabilities EOY114035TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY609005NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY753826NetAssetsOrFundBalancesEOY
Mission DescriptionTo promote education and care in the local health care delivery system and to help address community public health concerns in Lancaster County, Nebraska.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense259096Expense
Revenue155559Revenue
DescriptionMedication assistance/Health 360 provided to individuals without prescription medication coverage in Lancaster County, Nebraska.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense54113Expense
DescriptionOther programs designed to carry out the Foundation's exempt purpose, including a translation services, elder abuse, and childhood obesity.Description
FieldValueIRS element (for citing)
Total Program Service Expense313209TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Joan AndersonBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4024834800TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14600 Valley Road Suite 250AddressLine1
CityLincolnCity
StateNEState
ZIP Code68510ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
John L Reed MD
President1.00XX000
William Swisher MD
Treasurer1.00XX000
Michelle Petersen MD
Director1.00X000
Chris C Caudill MD
Director1.00X000
Robert F Shapiro
Director1.00X000
Glen F Lau
Director1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants23473GovernmentGrants
All Other Contributions245695AllOtherContributions
Total Contributions269168TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionProgram revenue - HealDescription
Business Code900099BusinessCode
Total Revenue Column155559TotalRevenueColumn
Related Or Exempt Function Income155559RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue155559TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6070TotalRevenueColumn
Exclusion$6,070ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1110Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1110Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1110TotalRevenueColumn
Exclusion$1,110ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column431907TotalRevenueColumn
Related Or Exempt Function Income155559RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$7,180ExclusionAmount

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total2700Total
Management And General2700ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1817Total
Program Services1817ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1456Total
Program Services1456ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4800Total
Program Services4800ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total31Total
Program Services31ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total949Total
Program Services949ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total223Total
Management And General223ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2868Total
Program Services2868ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
CHE - Specialty Office163048163048
Project coordinator7018370183
Professional fees - Tra4519045190
Special Care Services -1311313113

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total9776Total
Program Services9754ProgramServices
Management And General22ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total316154Total
Program Services313209ProgramServices
Management And General2945ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY443781BOY
EOY520662EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY5457BOY
EOY708EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY17007BOY
EOY12615EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis11907LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec10738LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY634BOY
EOY1169EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY246449BOY
EOY330633EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1924BOY
EOY2074EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY715252BOY
EOY867861EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY77697BOY
EOY100713EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY28550BOY
EOY13322EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY106247BOY
EOY114035EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY351751BOY
EOY370885EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY257254BOY
EOY382941EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY609005BOY
EOY753826EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY715252BOY
EOY867861EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses115753ReconcilationRevenueExpenses
Reconciliation Unrealized Invest29068ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years212360CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years194486CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years184647CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year203613CurrentTaxYearMinus1Year
Current Tax Year269168CurrentTaxYear
Total1064274Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years212360CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years194486CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years184647CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year203613CurrentTaxYearMinus1Year
Current Tax Year269168CurrentTaxYear
Total1064274Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total44796AmountsSubstContributorsTotal
Public Support Total1701019478PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2505CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5360CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6793CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5498CurrentTaxYearMinus1Year
Current Tax Year6070CurrentTaxYear
Total26226Total
FieldValueIRS element (for citing)
Total Support1090500TotalSupport
Gross Receipts From Admissions Etc320848GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.93490PublicSupportPertcentage170
Public Support Pertcent Prior Year0.95280PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis11907OtherCostOrOtherBasis
Depreciation10738Depreciation
Book Value1169BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1169TotalOfBookValueLandBuildings

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Section B, line 11The LCMS Executive Director reviews and signs the return.
Form 990, Part VI, Section C, line 19The Organization's governing documents and financial statements are available to the public upon request to the LCMS Executive Director.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Lancaster County Medical SocietyBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15625 O Street Suite 3AddressLine1
CityLincolnCity
StateNEState
ZIP Code68510ZIPCode
FieldValueIRS element (for citing)
EIN470401506EIN
Primary ActivitiesTrade/Member AssociationPrimaryActivities
Legal Domicile StateNELegalDomicileState
Exempt Code Section501(c)(6)ExemptCodeSection
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Lancaster County Medical Society - Project Coordinator
P70183Cash
Lancaster County Medical Society - Rent & Telephone
K5760Cash