Civic Intelligence

Nelson County Health Services Foundation

990 • Fiscal year 2017 • EIN 36-3460675

Jan 01, 2017 to Dec 31, 2017 • Filed on Jul 12, 2018

Organization Profilewww.nelsoncountyhealthsystem.org/nchsf
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

23rd percentile

0.01x

Higher debt load relative to assets than 23% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Liabilities / Revenue

21st percentile

0.01x

Higher debt load relative to revenue than 21% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Net Margin

97th percentile

82%

Higher net margin than 97% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Top Officer Pay

39th percentile

$24,000

Higher top officer pay than 39% of similar nonprofits.

Top officer pay equals 2.6% of source-year revenue.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Asset Growth

96th percentile

130%

Faster asset growth than 96% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2016 to 2017

Revenue Growth

99th percentile

738%

Faster revenue growth than 99% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2016 to 2017

Balance Sheet
Liabilities / Assets23rd percentile

Assets

Up

$1,324,854

Up $749,625 (+130%) from 2016

Net Assets

Up

$1,317,610

Up $745,074 (+130%) from 2016

Liabilities

Up

$7,244

Up $4,551 (+169%) from 2016

Revenue And Expenses
Liabilities / Revenue21st percentileNet Margin97th percentile

Revenue

Up

$913,816

Up $804,816 (+738%) from 2016

Expenses

Up

$168,739

Up $47,207 (+39%) from 2016

Net Income

Up

$745,077

Up $757,609 (+6045%) from 2016

Historical Trend

Balance Sheet Trend

Asset Growth96th percentile

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

2017

Assets$1,324,854
Liabilities$7,244
Net Assets$1,317,610
Open 2017 Filing

Operations Trend

Revenue Growth99th percentile

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

2017

Revenue$913,816
Expenses$168,739
Net Income$745,077
Open 2017 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Jul 12, 2018
Return Version
2017v2.2
Gross Receipts
$925,946
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.

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 heath system.

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$572,536$1,317,610▲ $745,074
Savings and Temporary Cash Investments$216,077$932,192▲ $716,115
Investments Program Related$355,587$281,610▼ $73,977
Land, Buildings, and Equipment, Net-$64,000-
Cash and Non-Interest-Bearing Accounts$3,515$34,147▲ $30,632
Accounts Receivable-$600-
Total Assets$575,229$1,324,854▲ $749,625
Other Assets Total$50$12,305▲ $12,255
Liabilities
Other Liabilities$1,611$6,114▲ $4,503
Accounts Payable and Accrued Expenses$1,082$1,130▲ $48
Total Liabilities$2,693$7,244▲ $4,551
Net Assets / Fund Balance
Total Net Assets Fund Balance$572,536$1,317,610▲ $745,074
Total Liabilities and Net Assets / Fund Balance$575,229$1,324,854▲ $749,625

Asset Categories

AssetBook ValueDepreciationBasis
Investment Program Related Org$281,610--
Land$64,000--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2017-$10,000▲ $2,725-$12,305
Compensation and Service Providers
Top Officer Pay39th percentile

Employees

NameTitleFull / Part TimeBaseTotal
Kari HaugenExecutive DirectorPT$24,000$24,000

Board Members and Trustees

NameTitle
Carol SandPresident
David AaserVice President
Bob EngenDirector
David PaukertDirector
Deb NarumDirector
Joyce DahlenDirector
Margie BrekkenDirector
Renae ArnesonDirector
Gayle KlefstadSecretary
Revenue and Support

Revenue Composition

Contributions and Grants
$890,025
Program Service Revenue
$0
Investment Income
$3,772
Other Revenue
$20,019
All Other Contributions
$890,025
Change in Net Assets
$745,077
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$126,117
Salaries, Compensation, and Employee Benefits$41,122
Grants and Similar Amounts Paid$1,500
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Payments to Affiliates$115,747$0$0$115,747
Current Officers, Directors, Trustees, and Key Employees$25,200$0$0$25,200
Other Employee Benefits$14,086$0$0$14,086
Other Expenses$2,554$0$0$2,554
All Other Expenses$2,376$0$0$2,376
Payroll Taxes$1,836$0$0$1,836
Travel$1,572$0$0$1,572
Grants to Domestic Individuals$1,500--$1,500
Fees for Services Other$1,105$0$0$1,105
Advertising$418$0$0$418
Office Expenses$296$0$0$296
Fees for Services Accounting$260$0$0$260
Conferences and Meetings$115$0$0$115
Total Functional Expenses$168,739$0$0$168,739
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$21,045
Fundraising Direct Expenses$11,053
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Cookbook Event$5,735$5,735$4,176$1,559
Picnic in Park Event$5,671$5,671$2,932$2,739
Total Events$21,045$21,045$11,053$9,992
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Unearned or deferred revenue$5,000
Payroll liablities$1,113
Rounding adjustment$1
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Audit committee
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
Yes
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 M Haugen
Title
Executive Director
Phone
7013224328
Signed
2018-07-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kari M Haugen
Formed
1984
Legal Domicile
Nd
Voting Board Members
9
Independent Board Members
9
Employees
1
Volunteers
25

Preparer

Firm
LFS Professional Services Inc
Address
208 Main Street North PO Box 566, Lakota, ND 58344-0566
Preparer
Allen I Orwick Ea
Phone
7012472458
Supplemental Narrative

Additional Explanations

Pt VI, Line 11B

“Board reviews and approves at meeting prior to filing”

Pt XI

“Rounding adjustment on line 9”

Pt XII, Line 1

“Financial statments converted to accrual from cash basis”

Form 990, Part IX, Line 24E

“Postage 1669. 1669. 0. 0.”

Form 990, Part IX, Line 24E

“Giving Hearts Day expense 91. 91. 0. 0.”

Form 990, Part IX, Line 24E

“Tree of Remembrance expense 591. 591. 0. 0.”

Form 990, Part IX, Line 24E

“Miscellaneious expense 25. 25. 0. 0.”

Financial Statement Notes

Pt V, Line 4

“For improvements to medical facilities”

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IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt00
IRS990/PayrollTaxesGrp/ProgramServicesAmt01836
IRS990/PayrollTaxesGrp/TotalAmt01836
IRS990/PoliciesReferenceChaptersInd0true
IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfficerNm0KARI M HAUGEN
IRS990/PriorPeriodAdjustmentsAmt0-3
IRS990/ProfessionalFundraisingInd0false
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt098027
IRS990/PYExcessBenefitTransInd0false
IRS990/PYGrantsAndSimilarPaidAmt01500
IRS990/PYInvestmentIncomeAmt02340
IRS990/PYOtherExpensesAmt087721
IRS990/PYOtherRevenueAmt08633
IRS990/PYRevenuesLessExpensesAmt0-12532
IRS990/PYSalariesCompEmpBnftPaidAmt032311
IRS990/PYTotalExpensesAmt0121532
IRS990/PYTotalRevenueAmt0109000
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReconcilationRevenueExpnssAmt0745077
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/RentalIncomeOrLossGrp/RealAmt07556
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0true
IRS990/ReportProgramRelatedInvstInd0true
IRS990/RevenueAmt0913816
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt0572536
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt01317610
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0216077
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0932192
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt0890025
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt098027
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt070972
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt062587
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt064898
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt01186509
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt00
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt023791
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt010973
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt05178
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt014294
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt017744
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt071980
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt023791
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt010973
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt05178
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt014294
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt017744
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt071980
IRS990ScheduleA/InvestmentIncomeCYPct00.05720
IRS990ScheduleA/InvestmentIncomePYPct00.14270
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00
IRS990ScheduleA/PublicSupportCY509Pct00.94280
IRS990ScheduleA/PublicSupportPY509Pct00.85730
IRS990ScheduleA/PublicSupportTotal170Amt00
IRS990ScheduleA/PublicSupportTotal509Amt01186509
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt0890025
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt098027
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt070972
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt062587
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt064898
IRS990ScheduleA/Total509Grp/TotalAmt01186509
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt01258489
IRS990/ScheduleBRequiredInd0true
IRS990ScheduleD/CYEndwmtFundGrp/AdministrativeExpensesAmt0118
IRS990ScheduleD/CYEndwmtFundGrp/ContributionsAmt010000
IRS990ScheduleD/CYEndwmtFundGrp/EndYearBalanceAmt012305
IRS990ScheduleD/CYEndwmtFundGrp/GrantsOrScholarshipsAmt0302
IRS990ScheduleD/CYEndwmtFundGrp/InvestmentEarningsOrLossesAmt02725
IRS990ScheduleD/EndowmentsHeldUnrelatedOrgInd0true
IRS990ScheduleD/InvstProgramRelatedOrgGrp/BookValueAmt0281610
IRS990ScheduleD/InvstProgramRelatedOrgGrp/Desc0Certificates of deposit
IRS990ScheduleD/InvstProgramRelatedOrgGrp/MethodValuationCd0C
IRS990ScheduleD/LandGrp/BookValueAmt064000
IRS990ScheduleD/LandGrp/InvestmentCostOrOtherBasisAmt064000
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt01113
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt15000
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt21
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0Payroll liablities
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1Unearned or deferred revenue
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc2Rounding adjustment
IRS990ScheduleD/PrmnntEndowmentBalanceEOYPct01.00000
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0For improvements to medical facilities
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Pt V, Line 4
IRS990ScheduleD/TotalBookValueLandBuildingsAmt064000
IRS990ScheduleD/TotalBookValueProgramRltdAmt0281610
IRS990ScheduleD/TotalLiabilityAmt06114
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt011053
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0COOKBOOK EVENT
IRS990ScheduleG/FundraisingEventInformationGrp/Event2Nm0PICNIC IN PARK EVENT
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt05735
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent2Amt05671
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsOtherEventsAmt09639
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt021045
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt05735
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent2Amt05671
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueOtherEventsAmt09639
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt021045
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt09992
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssOtherEventsAmt03945
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt011053
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt04176
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent2Amt02932
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Board reviews and approves at meeting prior to filing
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Rounding adjustment on line 9
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Financial statments converted to accrual from cash basis
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3Postage 1669. 1669. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4Giving Hearts Day expense 91. 91. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5Tree of Remembrance expense 591. 591. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6Miscellaneious expense 25. 25. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Pt VI, Line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Pt XI
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Pt XII, Line 1
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part IX, Line 24e
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part IX, Line 24e
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Form 990, Part IX, Line 24e
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Form 990, Part IX, Line 24e
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxableDistributionsInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TempOrPermanentEndowmentsInd0true

Document Assets

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Filings

Displayed year

2017 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$1,324,854
Liabilities
$7,244
Net assets
$1,317,610
Revenue
$913,816
Expenses
$168,739
Net income
$745,077
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.32$0.00$1.32$0.73$0.47$0.26
2023Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.06$0.00$1.06$0.69$1.05$0.36
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.45$0.01$1.44$0.35$0.42$0.07
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.50$0.00$1.50$0.23$0.05$0.18
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.33$0.00$1.33$0.17$0.08$0.09
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.23$0.00$1.23$0.23$0.27$0.05
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.28$0.00$1.28$0.14$0.18$0.04
2017Detailed filing. Detailed filing data is available for this year.$1.32$0.01$1.32$0.91$0.17$0.75
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.58$0.00$0.57$0.11$0.12$0.01