Civic Intelligence

Nelson County Health Services Foundation

990 • Fiscal year 2018 • EIN 36-3460675

Jan 01, 2018 to Dec 31, 2018 • Filed on Jun 28, 2019

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

17th percentile

0.00x

Higher debt load relative to assets than 17% of similar nonprofits.

2018 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2018

Liabilities / Revenue

22nd percentile

0.01x

Higher debt load relative to revenue than 22% of similar nonprofits.

2018 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2018

Net Margin

11th percentile

-26%

Higher net margin than 11% of similar nonprofits.

2018 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2018

Top Officer Pay

39th percentile

$21,432

Higher top officer pay than 39% of similar nonprofits.

Top officer pay equals 15.0% of source-year revenue.

2018 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2018

Asset Growth

30th percentile

-3.3%

Faster asset growth than 30% of similar nonprofits.

2018 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2017 to 2018

Revenue Growth

1st percentile

-84%

Faster revenue growth than 1% of similar nonprofits.

2018 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2017 to 2018

Balance Sheet
Liabilities / Assets17th percentile

Assets

Down

$1,281,490

Down $43,364 (-3.3%) from 2017

Net Assets

Down

$1,280,101

Down $37,509 (-2.8%) from 2017

Liabilities

Down

$1,389

Down $5,855 (-81%) from 2017

Revenue And Expenses
Liabilities / Revenue22nd percentileNet Margin11th percentile

Revenue

Down

$143,292

Down $770,524 (-84%) from 2017

Expenses

Up

$180,801

Up $12,062 (+7.1%) from 2017

Net Income

Down

-$37,509

Down $782,586 (-105%) from 2017

Historical Trend

Balance Sheet Trend

Asset Growth30th 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

2018

Assets$1,281,490
Liabilities$1,389
Net Assets$1,280,101
Open 2018 Filing

Operations Trend

Revenue Growth1st 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

2018

Revenue$143,292
Expenses$180,801
Net Income-$37,509
Open 2018 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Dec 31, 2018
Signed
Jun 28, 2019
Return Version
2018v3.1
Gross Receipts
$147,623
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$1,317,610$1,280,101▼ $37,509
Savings and Temporary Cash Investments$932,192$764,338▼ $167,854
Investments Program Related$281,610$248,745▼ $32,865
Investments in Publicly Traded Securities-$186,479-
Land, Buildings, and Equipment, Net$64,000$64,000→ $0
Cash and Non-Interest-Bearing Accounts$34,147$4,806▼ $29,341
Accounts Receivable$600$1,864▲ $1,264
Total Assets$1,324,854$1,281,490▼ $43,364
Other Assets Total$12,305$11,258▼ $1,047
Liabilities
Accounts Payable and Accrued Expenses$1,130$1,100▼ $30
Other Liabilities$6,114$289▼ $5,825
Total Liabilities$7,244$1,389▼ $5,855
Net Assets / Fund Balance
Total Net Assets Fund Balance$1,317,610$1,280,101▼ $37,509
Total Liabilities and Net Assets / Fund Balance$1,324,854$1,281,490▼ $43,364

Asset Categories

AssetBook ValueDepreciationBasis
Investment Program Related Org$248,745--
Land$64,000--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2018$12,305-▼ $502-$11,258
2017-$10,000▲ $2,725-$12,305
Compensation and Service Providers
Top Officer Pay39th percentile

Employees

NameTitleFull / Part TimeBaseTotal
Kari HaugenExecutive DirectorPT$21,432$21,432

Board Members and Trustees

NameTitle
David AaserPresident
Bob EngenVice President
Deb NarumDirector
Joyce DahlenDirector
Lori NicholsDirector
Margie BrekkenDirector
Olen OphaugDirector
Renae ArnesonDirector
Gayle KlefstadSecretary
Revenue and Support

Revenue Composition

Contributions and Grants
$138,052
Program Service Revenue
$0
Investment Income
$6,274
Other Revenue
$-1,034
All Other Contributions
$127,908
Change in Net Assets
$-37,509

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Securities Publicly Traded453$50,283Fair Market Value (FMV)
Total Noncash Contributions453$50,283-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$136,812
Salaries, Compensation, and Employee Benefits$43,489
Grants and Similar Amounts Paid$500
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Payments to Affiliates$118,307$0$0$118,307
Current Officers, Directors, Trustees, and Key Employees$25,681$0$0$25,681
Other Employee Benefits$16,168$0$0$16,168
All Other Expenses$2,452$0$0$2,452
Other Expenses$2,237$0$0$2,237
Travel$1,965$0$0$1,965
Payroll Taxes$1,640$0$0$1,640
Office Expenses$928$0$0$928
Fees for Services Accounting$870$0$0$870
Fees for Services Other$700$0$0$700
Grants to Domestic Individuals$500--$500
Conferences and Meetings$120$0$0$120
Total Functional Expenses$180,801$0$0$180,801
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$10,150
Fundraising Direct Expenses$3,314
Professional Fundraising Fees$0
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 liablities$278
Life insurace premium$11
Unearned or deferred revenue$0
Rounding adjustment$0
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
Anna F Walter
Title
Executive Director
Phone
7013224328
Signed
2019-06-28
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Anna F Walter
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”

Form 990, Part IX, Line 24E

“Postage 1531. 1531. 0. 0.”

Form 990, Part IX, Line 24E

“Giving Hearts Day expense 149. 149. 0. 0.”

Form 990, Part IX, Line 24E

“Tree of Remembrance expense 772. 772. 0. 0.”

Financial Statement Notes

Pt V, Line 4

“For improvements to medical facilities”

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IRS990/PayrollTaxesGrp/ProgramServicesAmt01640
IRS990/PayrollTaxesGrp/TotalAmt01640
IRS990/PoliciesReferenceChaptersInd0true
IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfficerNm0Anna F Walter
IRS990/ProfessionalFundraisingInd0false
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt0890025
IRS990/PYExcessBenefitTransInd0false
IRS990/PYGrantsAndSimilarPaidAmt01500
IRS990/PYInvestmentIncomeAmt03772
IRS990/PYOtherExpensesAmt0126117
IRS990/PYOtherRevenueAmt020019
IRS990/PYRevenuesLessExpensesAmt0745077
IRS990/PYSalariesCompEmpBnftPaidAmt041122
IRS990/PYTotalExpensesAmt0168739
IRS990/PYTotalRevenueAmt0913816
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReconcilationRevenueExpnssAmt0-37509
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/RelatedOrganizationsAmt010144
IRS990/RentalIncomeOrLossGrp/RealAmt07616
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0true
IRS990/ReportProgramRelatedInvstInd0true
IRS990/RevenueAmt0143292
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt01317610
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt01280101
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0932192
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0764338
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt0138052
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt0890025
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt098027
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt070972
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt062587
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt01259663
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt05240
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt023791
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt010973
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt05178
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt014294
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt059476
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt00
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/TotalAmt00
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt05240
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt023791
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt010973
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt05178
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt014294
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt059476
IRS990ScheduleA/InvestmentIncomeCYPct00.04510
IRS990ScheduleA/InvestmentIncomePYPct00.05720
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00
IRS990ScheduleA/PublicSupportCY509Pct00.95490
IRS990ScheduleA/PublicSupportPY509Pct00.94280
IRS990ScheduleA/PublicSupportTotal509Amt01259663
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft509Grp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt0138052
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt0890025
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt098027
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt070972
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt062587
IRS990ScheduleA/Total509Grp/TotalAmt01259663
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt01319139
IRS990/ScheduleBRequiredInd0true
IRS990ScheduleD/CYEndwmtFundGrp/AdministrativeExpensesAmt0119
IRS990ScheduleD/CYEndwmtFundGrp/BeginningYearBalanceAmt012305
IRS990ScheduleD/CYEndwmtFundGrp/EndYearBalanceAmt011258
IRS990ScheduleD/CYEndwmtFundGrp/GrantsOrScholarshipsAmt0426
IRS990ScheduleD/CYEndwmtFundGrp/InvestmentEarningsOrLossesAmt0-502
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/AdministrativeExpensesAmt0118
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/ContributionsAmt010000
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/EndYearBalanceAmt012305
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/GrantsOrScholarshipsAmt0302
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt02725
IRS990ScheduleD/EndowmentsHeldUnrelatedOrgInd0true
IRS990ScheduleD/InvstProgramRelatedOrgGrp/BookValueAmt0248745
IRS990ScheduleD/InvstProgramRelatedOrgGrp/Desc0Certificates of deposit
IRS990ScheduleD/InvstProgramRelatedOrgGrp/MethodValuationCd0C
IRS990ScheduleD/LandGrp/BookValueAmt064000
IRS990ScheduleD/LandGrp/InvestmentCostOrOtherBasisAmt064000
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt011
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt1278
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt20
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt30
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0Life insurace premium
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1Payroll liablities
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc2Unearned or deferred revenue
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc3Rounding adjustment
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0For improvements to medical facilities
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Pt V, Line 4
IRS990ScheduleD/TotalBookValueLandBuildingsAmt064000
IRS990ScheduleD/TotalBookValueProgramRltdAmt0248745
IRS990ScheduleD/TotalLiabilityAmt0289
IRS990/ScheduleJRequiredInd0false
IRS990ScheduleM/AnyPropertyThatMustBeHeldInd0false
IRS990ScheduleM/ReviewProcessUnusualNCGiftsInd0false
IRS990ScheduleM/SecuritiesPubliclyTradedGrp/ContributionCnt0453
IRS990ScheduleM/SecuritiesPubliclyTradedGrp/MethodOfDeterminingRevenuesTxt0FMV
IRS990ScheduleM/SecuritiesPubliclyTradedGrp/NonCashCheckboxInd0X
IRS990ScheduleM/SecuritiesPubliclyTradedGrp/NoncashContributionsRptF990Amt050283
IRS990ScheduleM/ThirdPartiesUsedInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Board reviews and approves at meeting prior to filing
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Postage 1531. 1531. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Giving Hearts Day expense 149. 149. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3Tree of Remembrance expense 772. 772. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Pt VI, Line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part IX, Line 24e
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part IX, Line 24e
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part IX, Line 24e
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxableDistributionsInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TempOrPermanentEndowmentsInd0true
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt01324854
IRS990/TotalAssetsEOYAmt01281490

Document Assets

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Filings

Displayed year

2018 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$1,281,490
Liabilities
$1,389
Net assets
$1,280,101
Revenue
$143,292
Expenses
$180,801
Net income
-$37,509
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
2018Detailed filing. Detailed filing data is available for this year.$1.28$0.00$1.28$0.14$0.18$0.04
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$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