Civic Intelligence

Mt. Hermon Good Samaritan Foundation

990 • Fiscal year 2021 • EIN 34-6571402

Jan 01, 2021 to Dec 31, 2021 • Filed on Apr 19, 2022

Organization ProfileN A
7401 Woodland AvenueCleveland, OH 44104

(216) 391-8900

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

98th percentile

2.11x

Higher debt load relative to assets than 98% of similar nonprofits.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2021

Liabilities / Revenue

84th percentile

0.48x

Higher debt load relative to revenue than 84% of similar nonprofits.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2021

Net Margin

19th percentile

-6.8%

Higher net margin than 19% of similar nonprofits.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2021

Top Officer Pay

65th percentile

$44,696

Higher top officer pay than 65% of similar nonprofits.

Top officer pay equals 7.8% of source-year revenue.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2021

Asset Growth

5th percentile

-24%

Faster asset growth than 5% of similar nonprofits.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2020 to 2021

Revenue Growth

40th percentile

4.2%

Faster revenue growth than 40% of similar nonprofits.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2020 to 2021

Balance Sheet
Liabilities / Assets98th percentile

Assets

Down

$129,915

Down $40,140 (-24%) from 2020

Net Assets

Down

-$143,860

Down $38,945 (-37%) from 2020

Liabilities

Down

$273,775

Down $1,195 (-0.4%) from 2020

Revenue And Expenses
Liabilities / Revenue84th percentileNet Margin19th percentile

Revenue

Up

$569,750

Up $22,770 (+4.2%) from 2020

Expenses

Up

$608,695

Up $65,036 (+12%) from 2020

Net Income

Down

-$38,945

Down $42,266 (-1273%) from 2020

Historical Trend

Balance Sheet Trend

Asset Growth5th percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$400K$200K$0-$200K-$400KAssets 2020: $170,055Liabilities 2020: $274,970Net Assets 2020: -$104,9152020Assets 2021: $129,915Liabilities 2021: $273,775Net Assets 2021: -$143,8602021Assets 2022: $70,183Liabilities 2022: $273,725Net Assets 2022: -$203,5422022Assets 2023: $127,700Liabilities 2023: $273,725Net Assets 2023: -$146,0252023Assets 2024: $165,828Liabilities 2024: $273,725Net Assets 2024: -$107,8972024

Highlighted filing

2021

Assets$129,915
Liabilities$273,775
Net Assets-$143,860
Open 2021 Filing

Operations Trend

Revenue Growth40th percentile

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$800K$600K$400K$200K$0-$200KRevenue 2020: $546,980Expenses 2020: $543,659Net Income 2020: $3,3212020Revenue 2021: $569,750Expenses 2021: $608,695Net Income 2021: -$38,9452021Revenue 2022: $545,315Expenses 2022: $604,997Net Income 2022: -$59,6822022Revenue 2023: $565,694Expenses 2023: $508,177Net Income 2023: $57,5172023Revenue 2024: $545,599Expenses 2024: $507,471Net Income 2024: $38,1282024

Highlighted filing

2021

Revenue$569,750
Expenses$608,695
Net Income-$38,945
Open 2021 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2021 to Dec 31, 2021
Signed
Apr 19, 2022
Return Version
2021v4.0
Gross Receipts
$569,750
Mission and Program Overview

Mission

Provided residential to senior citizens

The organization was created to provide residential housing to retired people.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$81,444$71,396▼ $10,048
Land, Buildings, and Equipment, Net$67,067$32,169▼ $34,898
Accounts Receivable$981$576▼ $405
Savings and Temporary Cash Investments$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$170,055$129,915▼ $40,140
Other Assets Total$20,563$25,774▲ $5,211
Liabilities
Unsecured Notes Loans Payable$250,000$250,000→ $0
Other Liabilities$24,970$23,775▼ $1,195
Accounts Payable and Accrued Expenses$0$0→ $0
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$274,970$273,775▼ $1,195
Net Assets / Fund Balance
Net Assets With Donor Restrictions$0$0→ $0
Net Assets Without Donor Restrictions$-104,915$-143,860▼ $38,945
Total Net Assets Fund Balance$-104,915$-143,860▼ $38,945
Total Liabilities and Net Assets / Fund Balance$170,055$129,915▼ $40,140

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$25,412$6,214,427$6,239,839
Equipment$5,350$478,858$484,208
Land$1,407-$1,407
Other Assets Org$25,774--
Compensation and Service Providers
Top Officer Pay65th percentile

Employees

NameTitleFull / Part TimeBaseTotal
Jimmie Roseboro SrMaintenance ManagerFT$44,696$44,696
Dorthea ScruggsOffice ManagerFT$39,339$39,339
George CarnellSecurity OfficerFT$29,817$29,817

Board Members and Trustees

NameTitle
Earl Scruggs JrBoard Member
Eric WaldinBoard Member
Lawrence Powell SrBoard Member
Rubin NealBoard Member
Timothy AbernathyBoard Member
Carl ScruggsBoard Officer
Elaine ScruggsBaord Member
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$569,750
All Other Contributions
$0
Change in Net Assets
$-38,945

Audited Revenue Reconciliation

Revenue per Audited Statements
$569,750
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$569,750
Total Revenue per Form 990
$569,750
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$428,124
Salaries, Compensation, and Employee Benefits$180,571
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$0$166,162$0$166,162
Occupancy$0$76,943$0$76,943
Depreciation Depletion$0$34,898$0$34,898
Insurance$0$14,753$0$14,753
Payroll Taxes$0$14,409$0$14,409
Office Expenses$0$12,816$0$12,816
Fees for Services Accounting$0$5,300$0$5,300
Other Expenses$0$3,148$0$3,148
Total Functional Expenses$0$608,695$0$608,695

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$608,695
Total Expenses per Audited Statements$608,695
Total Expenses per Form 990$608,695
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Tenant Security Deposits Payable$23,775
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Part VI, Line 7A

“All current board members have the authority or power to appoint new board members to the governing board.”

Part VI, Line 7B

“All Board decisions require the approval of the majority of the present Board members before any decisions are made.”

Part VI, Line 11A

“Once the 990 federal tax return has been completed by the entity's outside auditors the return is provided to the Board members for their review. The Board members review the return errors omissions etc. and if corrections are needed the return is corrected modified by the auditors. Once all corrections are made the return is ready for submission to the IRS.”

Part VI, Line 12C

“Potential conflicts of interest are monitored annually by having all Board members and key management employees complete a related party questionnaire as part of the annual audit. Once a related party relationship is identified the related party transaction is required to be described to the Board and to senior management and the related party is required to abstain from any decision concerning the related party transaction.”

Part VI, Line 15

“The Board establishes the salary for the top management officials of the agency. This approved pay rate is documented by a written agreement between the employee and the key Board member assigned and authorized to approve of this pay rate salary.”

Filing and Contact Details

Filer

Filer Name
Mt Hermon Good Samaritan Foundation
EIN
34-6571402
In Care Of
% Dorthea Scruggs
Phone
2163918900
Address
7401 Woodland Avenue, Cleveland, OH 44104

Signing Officer

Name
Robert Rice
Title
Audit Partner
Signed
2022-04-19
Discuss with paid preparer
No

Organization Details

Principal Officer
Dorthea Scruggs
Formed
1960
Legal Domicile
Oh
Voting Board Members
7
Independent Board Members
7
Employees
5
Volunteers
0

Preparer

Firm
Watsonrice&Co
Address
850 Euclid Ave Ste 601, Cleveland, OH 44114
Preparer
Robert Rice
Phone
2166960767
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IRS990/IndependentAuditFinclStmtInd0true
IRS990/IndependentVotingMemberCnt07
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InformationTechnologyGrp/FundraisingAmt00
IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt00
IRS990/InformationTechnologyGrp/ProgramServicesAmt00
IRS990/InformationTechnologyGrp/TotalAmt00
IRS990/InsuranceGrp/FundraisingAmt00
IRS990/InsuranceGrp/ManagementAndGeneralAmt014753
IRS990/InsuranceGrp/ProgramServicesAmt00
IRS990/InsuranceGrp/TotalAmt014753
IRS990/IntangibleAssetsGrp/BOYAmt00
IRS990/IntangibleAssetsGrp/EOYAmt00
IRS990/InterestGrp/FundraisingAmt00
IRS990/InterestGrp/ManagementAndGeneralAmt00
IRS990/InterestGrp/ProgramServicesAmt00
IRS990/InterestGrp/TotalAmt00
IRS990/InventoriesForSaleOrUseGrp/BOYAmt00
IRS990/InventoriesForSaleOrUseGrp/EOYAmt00
IRS990/InvestmentExpenseAmt00
IRS990/InvestmentIncomeGrp/ExclusionAmt00
IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt00
IRS990/InvestmentIncomeGrp/UnrelatedBusinessRevenueAmt00
IRS990/InvestmentInJointVentureInd0false
IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt00
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt00
IRS990/InvestmentsProgramRelatedGrp/BOYAmt00
IRS990/InvestmentsProgramRelatedGrp/EOYAmt00
IRS990/InvestmentsPubTradedSecGrp/BOYAmt00
IRS990/InvestmentsPubTradedSecGrp/EOYAmt00
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt06693129
IRS990/LandBldgEquipBasisNetGrp/BOYAmt067067
IRS990/LandBldgEquipBasisNetGrp/EOYAmt032169
IRS990/LandBldgEquipCostOrOtherBssAmt06725298
IRS990/LegalDomicileStateCd0OH
IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt00
IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt00
IRS990/LessRentalExpensesGrp/PersonalAmt00
IRS990/LessRentalExpensesGrp/RealAmt00
IRS990/LoanOutstandingInd0false
IRS990/LoansFromOfficersDirectorsGrp/BOYAmt00
IRS990/LoansFromOfficersDirectorsGrp/EOYAmt00
IRS990/LobbyingActivitiesInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembershipDuesAmt00
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MiscellaneousRevenueGrp/ExclusionAmt00
IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt04876
IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/MissionDesc0Provide residential housing to senior citizens.
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt00
IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt00
IRS990/NetAssetsOrFundBalancesBOYAmt0-104915
IRS990/NetAssetsOrFundBalancesEOYAmt0-143860
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt00
IRS990/NetGainOrLossInvestmentsGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt00
IRS990/NetGainOrLossInvestmentsGrp/UnrelatedBusinessRevenueAmt00
IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt00
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt00
IRS990/NetIncmFromFundraisingEvtGrp/UnrelatedBusinessRevenueAmt00
IRS990/NetIncomeFromGamingGrp/ExclusionAmt00
IRS990/NetIncomeFromGamingGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt00
IRS990/NetIncomeFromGamingGrp/UnrelatedBusinessRevenueAmt00
IRS990/NetIncomeOrLossGrp/ExclusionAmt00
IRS990/NetIncomeOrLossGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt00
IRS990/NetIncomeOrLossGrp/UnrelatedBusinessRevenueAmt00
IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt00
IRS990/NetRentalIncomeOrLossGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt0362011
IRS990/NetRentalIncomeOrLossGrp/UnrelatedBusinessRevenueAmt00
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt00
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt0-104915
IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt0-143860
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NoncashContributionsAmt00
IRS990/NondeductibleContributionsInd0false
IRS990/OccupancyGrp/FundraisingAmt00
IRS990/OccupancyGrp/ManagementAndGeneralAmt076943
IRS990/OccupancyGrp/ProgramServicesAmt00
IRS990/OccupancyGrp/TotalAmt076943
IRS990/OfficeExpensesGrp/FundraisingAmt00
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt012816
IRS990/OfficeExpensesGrp/ProgramServicesAmt00
IRS990/OfficeExpensesGrp/TotalAmt012816
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt020563
IRS990/OtherAssetsTotalGrp/EOYAmt025774
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherEmployeeBenefitsGrp/FundraisingAmt00
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt00
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt00
IRS990/OtherEmployeeBenefitsGrp/TotalAmt00
IRS990/OtherExpensesGrp/Desc0Real Estate Taxes
IRS990/OtherExpensesGrp/Desc1Repairs & Maintenance
IRS990/OtherExpensesGrp/Desc2Janitorial Expenses
IRS990/OtherExpensesGrp/Desc3Miscellaneous & other
IRS990/OtherExpensesGrp/FundraisingAmt00
IRS990/OtherExpensesGrp/FundraisingAmt10
IRS990/OtherExpensesGrp/FundraisingAmt20
IRS990/OtherExpensesGrp/FundraisingAmt30
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt081321
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt1189295
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt29650
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt33148
IRS990/OtherExpensesGrp/ProgramServicesAmt00
IRS990/OtherExpensesGrp/ProgramServicesAmt10
IRS990/OtherExpensesGrp/ProgramServicesAmt20
IRS990/OtherExpensesGrp/ProgramServicesAmt30
IRS990/OtherExpensesGrp/TotalAmt081321
IRS990/OtherExpensesGrp/TotalAmt1189295
IRS990/OtherExpensesGrp/TotalAmt29650
IRS990/OtherExpensesGrp/TotalAmt33148
IRS990/OtherLiabilitiesGrp/BOYAmt024970
IRS990/OtherLiabilitiesGrp/EOYAmt023775
IRS990/OtherRevenueMiscGrp/BusinessCd0900099
IRS990/OtherRevenueMiscGrp/BusinessCd1900099
IRS990/OtherRevenueMiscGrp/ExclusionAmt00
IRS990/OtherRevenueMiscGrp/ExclusionAmt10
IRS990/OtherRevenueMiscGrp/ExclusionAmt20
IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt10
IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt20
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt017638
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt1185225
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt20
IRS990/OtherRevenueMiscGrp/UnrelatedBusinessRevenueAmt00
IRS990/OtherRevenueMiscGrp/UnrelatedBusinessRevenueAmt10
IRS990/OtherRevenueMiscGrp/UnrelatedBusinessRevenueAmt20
IRS990/OtherRevenueTotalAmt0207739

Document Assets

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Filings

Displayed year

2021 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$129,915
Liabilities
$273,775
Net assets
-$143,860
Revenue
$569,750
Expenses
$608,695
Net income
-$38,945
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$1.66$2.74$1.08$5.46$5.07$0.38
2023Detailed filing. Detailed filing data is available for this year.$1.28$2.74$1.46$5.66$5.08$0.58
2022Detailed filing. Detailed filing data is available for this year.$0.70$2.74$2.04$5.45$6.05$0.60
2021Detailed filing. Detailed filing data is available for this year.$1.30$2.74$1.44$5.70$6.09$0.39
2020Detailed filing. Detailed filing data is available for this year.$1.70$2.75$1.05$5.47$5.44$0.03