Civic Intelligence

Nelson County Health Services Foundation

990 • Fiscal year 2016 • EIN 36-3460675

Jan 01, 2016 to Dec 31, 2016 • Filed on May 12, 2017

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

0.00x

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

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Liabilities / Revenue

44th percentile

0.02x

Higher debt load relative to revenue than 44% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Net Margin

20th percentile

-11%

Higher net margin than 20% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Top Officer Pay

53rd percentile

$14,000

Higher top officer pay than 53% of similar nonprofits.

Top officer pay equals 12.8% of source-year revenue.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Asset Growth

35th percentile

-2.2%

Faster asset growth than 35% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2015 to 2016

Revenue Growth

85th percentile

43%

Faster revenue growth than 85% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2015 to 2016

Assets

$575,229

No earlier filing loaded for comparison.

Net Assets

$572,536

No earlier filing loaded for comparison.

Liabilities

$2,693

No earlier filing loaded for comparison.

Revenue

$109,000

No earlier filing loaded for comparison.

Expenses

$121,532

No earlier filing loaded for comparison.

Net Income

-$12,532

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 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

2016

Assets$575,229
Liabilities$2,693
Net Assets$572,536

Operations Trend

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

$1.5M$1.0M$500K$0-$500KRevenue 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

2016

Revenue$109,000
Expenses$121,532
Net Income-$12,532
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
May 12, 2017
Return Version
2016v3.0
Gross Receipts
$109,000
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$585,068$572,536▼ $12,532
Investments Program Related$353,564$355,587▲ $2,023
Savings and Temporary Cash Investments$233,383$216,077▼ $17,306
Cash and Non-Interest-Bearing Accounts$1,183$3,515▲ $2,332
Total Assets$588,130$575,229▼ $12,901
Other Assets Total-$50-
Liabilities
Other Liabilities-$1,611-
Accounts Payable and Accrued Expenses$3,062$1,082▼ $1,980
Total Liabilities$3,062$2,693▼ $369
Net Assets / Fund Balance
Total Net Assets Fund Balance$585,068$572,536▼ $12,532
Total Liabilities and Net Assets / Fund Balance$588,130$575,229▼ $12,901

Asset Categories

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

Employees

NameTitleFull / Part TimeBaseTotal
Kari HaugenFoundation DirectorPT$14,000$14,000
Margo Burthold--$10,000$10,000
Margo BurtholdFoundation DirectorPT$9,677$9,677

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
$98,027
Program Service Revenue
$0
Investment Income
$2,340
Other Revenue
$8,633
All Other Contributions
$46,736
Change in Net Assets
$-12,532
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$87,721
Salaries, Compensation, and Employee Benefits$32,311
Grants and Similar Amounts Paid$1,500
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees$12,350$12,350$0$24,700
Pension Plan Contributions$2,876$2,877$0$5,753
Office Expenses$5,251$281$0$5,532
Payroll Taxes$929$929$0$1,858
Grants to Domestic Orgs$1,500--$1,500
Conferences and Meetings$1,220$0$0$1,220
Fees for Services Accounting$0$290$0$290
Advertising$282$0$0$282
Other Expenses$187$0$0$187
Insurance$0$117$0$117
Total Functional Expenses$104,688$16,844$0$121,532
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
Giving Hearts Day----
Tree of Rememberance----
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Payroll Liabilities$1,611
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
2017-05-12
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
2
Volunteers
25

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

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IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0109000
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IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0PO BOX 506
IRS990/USAddress/CityNm0MCVILLE
IRS990/USAddress/StateAbbreviationCd0ND
IRS990/USAddress/ZIPCd058254
IRS990/VotingMembersGoverningBodyCnt09
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IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0KARI HAUGEN
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0FOUNDATION DIRECTOR
ReturnHeader/BusinessOfficerGrp/PhoneNum07013224328
ReturnHeader/BusinessOfficerGrp/SignatureDt02017-05-12
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0NELSON COUNTY HEALTH SERVICES FOUNDATION
ReturnHeader/Filer/BusinessNameControlTxt0NELS
ReturnHeader/Filer/EIN0363460675

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