Civic Intelligence

Nelson County Health Services Foundation

990 • Fiscal year 2015 • EIN 36-3460675

Jan 01, 2015 to Dec 31, 2015 • Filed on Aug 11, 2016

PO Box 506Mcville, ND 58254-0506

(701) 322-4328

Siviq Scores

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

Liabilities / Assets

33rd percentile

0.01x

Higher debt load relative to assets than 33% of similar nonprofits.

2015 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2015

Liabilities / Revenue

50th percentile

0.04x

Higher debt load relative to revenue than 50% of similar nonprofits.

2015 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2015

Net Margin

62nd percentile

8.1%

Higher net margin than 62% of similar nonprofits.

2015 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2015

Top Officer Pay

54th percentile

$22,939

Higher top officer pay than 54% of similar nonprofits.

Top officer pay equals 30.1% of source-year revenue.

2015 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2015

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2015

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2015

Assets

$588,130

No earlier filing loaded for comparison.

Net Assets

$585,068

No earlier filing loaded for comparison.

Liabilities

$3,062

No earlier filing loaded for comparison.

Revenue

$76,150

No earlier filing loaded for comparison.

Expenses

$69,955

No earlier filing loaded for comparison.

Net Income

$6,195

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

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

$2.0M$1.5M$1.0M$500K$0Assets 2015: $588,130Liabilities 2015: $3,062Net Assets 2015: $585,0682015Assets 2016: $575,229Liabilities 2016: $2,693Net Assets 2016: $572,5362016Assets 2017: $1,324,854Liabilities 2017: $7,244Net Assets 2017: $1,317,6102017Assets 2018: $1,281,490Liabilities 2018: $1,389Net Assets 2018: $1,280,1012018Assets 2019: $1,234,279Liabilities 2019: $187Net Assets 2019: $1,234,0922019Assets 2020: $1,330,389Liabilities 2020: $3,042Net Assets 2020: $1,327,3472020Assets 2021: $1,504,255Liabilities 2021: $0Net Assets 2021: $1,504,2552021Assets 2022: $1,445,311Liabilities 2022: $10,254Net Assets 2022: $1,435,0572022Assets 2023: $1,060,105Liabilities 2023: $0Net Assets 2023: $1,060,1052023Assets 2024: $1,317,685Liabilities 2024: $0Net Assets 2024: $1,317,6852024

Highlighted filing

2015

Assets$588,130
Liabilities$3,062
Net Assets$585,068

Operations Trend

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

$1.5M$1.0M$500K$0-$500KRevenue 2015: $76,150Expenses 2015: $69,955Net Income 2015: $6,1952015Revenue 2016: $109,000Expenses 2016: $121,532Net Income 2016: -$12,5322016Revenue 2017: $913,816Expenses 2017: $168,739Net Income 2017: $745,0772017Revenue 2018: $143,292Expenses 2018: $180,801Net Income 2018: -$37,5092018Revenue 2019: $225,572Expenses 2019: $271,581Net Income 2019: -$46,0092019Revenue 2020: $173,250Expenses 2020: $79,995Net Income 2020: $93,2552020Revenue 2021: $229,240Expenses 2021: $52,941Net Income 2021: $176,2992021Revenue 2022: $350,020Expenses 2022: $419,218Net Income 2022: -$69,1982022Revenue 2023: $692,577Expenses 2023: $1,047,685Net Income 2023: -$355,1082023Revenue 2024: $729,123Expenses 2024: $473,565Net Income 2024: $255,5582024

Highlighted filing

2015

Revenue$76,150
Expenses$69,955
Net Income$6,195
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Aug 11, 2016
Return Version
2015v2.1
Gross Receipts
$84,685
Mission and Program Overview

Mission

Our mission is to promote, educate, and serve as the philanthropic resource to improve the health status of the people served by the nelson county health system.

Fundraising for hospital & nursing home

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$558,767$585,068▲ $26,301
Investments Program Related$348,333$353,564▲ $5,231
Savings and Temporary Cash Investments$222,687$233,383▲ $10,696
Cash and Non-Interest-Bearing Accounts$1,105$1,183▲ $78
Total Assets$572,125$588,130▲ $16,005
Liabilities
Accounts Payable and Accrued Expenses$13,358$3,062▼ $10,296
Total Liabilities$13,358$3,062▼ $10,296
Net Assets / Fund Balance
Total Net Assets Fund Balance$558,767$585,068▲ $26,301
Total Liabilities and Net Assets / Fund Balance$572,125$588,130▲ $16,005

Asset Categories

AssetBook ValueDepreciationBasis
Investment Program Related Org$10,000--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Margo BurtholdFoundation DirectorPT$22,939$22,939

Board Members and Trustees

NameTitle
Norma TrostPresident
Liv HalvorsonVice President
Carol SandDirector
David AaserDirector
John MonsonDirector
Renae ArnesonDirector
Victoria HaabakDirector
DavidPaukert
Kendy QuamSecretary
Revenue and Support

Revenue Composition

Contributions and Grants
$70,972
Program Service Revenue
$0
Investment Income
$-3,455
Other Revenue
$8,633
All Other Contributions
$16,353
Change in Net Assets
$6,195
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$41,067
Salaries, Compensation, and Employee Benefits$26,818
Grants and Similar Amounts Paid$2,070
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees$13,409$13,409$0$26,818
Office Expenses$6,371$551$0$6,922
Grants to Domestic Orgs$2,070--$2,070
Travel$951$0$0$951
Advertising$285$0$0$285
Other Expenses$268$0$0$268
Fees for Services Accounting$0$200$0$200
Insurance$0$110$0$110
Conferences and Meetings$92$0$0$92
Total Functional Expenses$55,685$14,270$0$69,955
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Tree of Rememberance$26,760$26,760-$26,760
Giving Hearts Day$16,811$16,811-$16,811
Total Events$43,571$43,571-$43,571
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Backup withholding compliance
Yes
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
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No
Filing and Contact Details

Filer

Filer Name
Nelson County Health Services Foundation
EIN
36-3460675
Phone
7013224328
Address
PO BOX 506, MCVILLE, ND 58254-0506

Signing Officer

Name
Kari Haugen
Title
Foundation Director
Phone
7013224328
Signed
2016-08-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kari Haugen
Formed
1984
Legal Domicile
Nd
Voting Board Members
9
Independent Board Members
9
Employees
1
Volunteers
10

Preparer

Firm
Reinhart Tax & Accounting
Address
PO BOX 157, MCVILLE, ND 58254-0157
Preparer
Tonia Reinhart CPA
Phone
7013225571
Supplemental Narrative

Additional Explanations

Pt VI, Line 11B

BOARD REVIEWS AT MEETING

Pt XI

Prior period adjustment $10,000 for ndcf, $180 prior interest income and $10 audit adjustment to payment to hospice and audit adjustment for to remove an a/p from the balance sheet.

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IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt070972
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt062587
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt064898
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt059992
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt074509
IRS990ScheduleA/Total509Grp/TotalAmt0332958
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt0391036
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/InvstProgramRelatedOrgGrp/BookValueAmt064000
IRS990ScheduleD/InvstProgramRelatedOrgGrp/BookValueAmt1279564
IRS990ScheduleD/InvstProgramRelatedOrgGrp/BookValueAmt210000
IRS990ScheduleD/InvstProgramRelatedOrgGrp/Desc0LAND
IRS990ScheduleD/InvstProgramRelatedOrgGrp/Desc1CD
IRS990ScheduleD/InvstProgramRelatedOrgGrp/Desc2INVESTMENT IN NDCF
IRS990ScheduleD/InvstProgramRelatedOrgGrp/MethodValuationCd0C
IRS990ScheduleD/InvstProgramRelatedOrgGrp/MethodValuationCd1F
IRS990ScheduleD/InvstProgramRelatedOrgGrp/MethodValuationCd2C
IRS990ScheduleD/TotalBookValueProgramRltdAmt0353564
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0GIVING HEARTS DAY
IRS990ScheduleG/FundraisingEventInformationGrp/Event2Nm0TREE OF REMEMBERANCE
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt016811
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent2Amt026760
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt043571
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt016811
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent2Amt026760
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt043571
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt043571
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0BOARD REVIEWS AT MEETING
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1PRIOR PERIOD ADJUSTMENT $10,000 FOR NDCF, $180 PRIOR INTEREST INCOME AND $10 AUDIT ADJUSTMENT TO PAYMENT TO HOSPICE AND AUDIT ADJUSTMENT FOR TO REMOVE AN A/P FROM THE BALANCE SHEET.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Pt VI, Line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Pt XI
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxableDistributionsInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0572125
IRS990/TotalAssetsEOYAmt0588130
IRS990/TotalAssetsGrp/BOYAmt0572125
IRS990/TotalAssetsGrp/EOYAmt0588130
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt070972
IRS990/TotalEmployeeCnt01
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt014270
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt055685
IRS990/TotalFunctionalExpensesGrp/TotalAmt069955
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt013358
IRS990/TotalLiabilitiesEOYAmt03062
IRS990/TotalLiabilitiesGrp/BOYAmt013358
IRS990/TotalLiabilitiesGrp/EOYAmt03062
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0558767
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0585068
IRS990/TotalProgramServiceExpensesAmt055685
IRS990/TotalReportableCompFromOrgAmt022939
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt05178
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt076150
IRS990/TotalVolunteersCnt010
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0572125
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0588130
IRS990/TransactionWithControlEntInd0false
IRS990/TravelGrp/FundraisingAmt00
IRS990/TravelGrp/ManagementAndGeneralAmt00
IRS990/TravelGrp/ProgramServicesAmt0951
IRS990/TravelGrp/TotalAmt0951
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0PO BOX 506
IRS990/USAddress/CityNm0MCVILLE
IRS990/USAddress/StateAbbreviationCd0ND
IRS990/USAddress/ZIPCd058254
IRS990/VotingMembersGoverningBodyCnt09
IRS990/VotingMembersIndependentCnt09
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02016-12-15 16:53:06Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0KARI HAUGEN
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0FOUNDATION DIRECTOR
ReturnHeader/BusinessOfficerGrp/PhoneNum07013224328
ReturnHeader/BusinessOfficerGrp/SignatureDt02016-08-11
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0NELSON COUNTY HEALTH SERVICES FOUNDATION
ReturnHeader/Filer/BusinessNameControlTxt0NELS
ReturnHeader/Filer/EIN0363460675
ReturnHeader/Filer/PhoneNum07013224328
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO BOX 506
ReturnHeader/Filer/USAddress/CityNm0MCVILLE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0ND
ReturnHeader/Filer/USAddress/ZIPCd0582540506
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0REINHART TAX & ACCOUNTING
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0PO BOX 157
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0MCVILLE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0ND
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0582540157
ReturnHeader/PreparerPersonGrp/PhoneNum07013225571
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0TONIA REINHART CPA
ReturnHeader/PreparerPersonGrp/SelfEmployedInd0X

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