Civic Intelligence

Nelson County Health Services Foundation

990 • Fiscal year 2019 • EIN 36-3460675

Jan 01, 2019 to Dec 31, 2019 • Filed on Aug 27, 2020

Organization ProfileWWW.NELSONCOUNTYHEALTHSYSTEM.ORG/NCHSF
PO Box 506Mcville, ND 58254-0506

(701) 322-2225

Siviq Scores

Scores are not available for this record yet.

Balance Sheet

Assets

Flat

$1,234,279

Flat from 2019

Net Assets

Flat

$1,234,092

Flat from 2019

Liabilities

Flat

$187

Flat from 2019

Revenue And Expenses

Revenue

Flat

$225,572

Flat from 2019

Expenses

Flat

$271,581

Flat from 2019

Net Income

Flat

-$46,009

Flat from 2019

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 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

2019

Assets$1,234,279
Liabilities$187
Net Assets$1,234,092
Open 2019 Filing

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 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

2019

Revenue$225,572
Expenses$271,581
Net Income-$46,009
Open 2019 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Aug 27, 2020
Return Version
2019v5.0
Gross Receipts
$229,555
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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$1,280,101$1,234,092▼ $46,009
Savings and Temporary Cash Investments$764,338$625,438▼ $138,900
Investments in Publicly Traded Securities$186,479$317,821▲ $131,342
Investments Program Related$248,745$211,816▼ $36,929
Land, Buildings, and Equipment, Net$64,000$64,000→ $0
Cash and Non-Interest-Bearing Accounts$4,806$2,482▼ $2,324
Accounts Receivable$1,864--
Total Assets$1,281,490$1,234,279▼ $47,211
Other Assets Total$11,258$12,722▲ $1,464
Liabilities
Other Liabilities$289--
Accounts Payable and Accrued Expenses$1,100$187▼ $913
Total Liabilities$1,389$187▼ $1,202
Net Assets / Fund Balance
Total Net Assets Fund Balance$1,280,101$1,234,092▼ $46,009
Total Liabilities and Net Assets / Fund Balance$1,281,490$1,234,279▼ $47,211

Asset Categories

AssetBook ValueDepreciationBasis
Land$64,000-$64,000
Investment Program Related Org$211,816--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2019$11,258-▲ $1,922-$12,600
2018$12,305-▼ $502-$11,258
2017-$10,000▲ $2,725-$12,305
Compensation and Service Providers

Employees

NameTitleBaseOtherTotal
Kari M HaugenExecutive Di$9,579$8,987$18,566

Board Members and Trustees

NameTitle
David AaserPresident
Deb NarumDirector
Evonne FrederickDirector
Lori NicholsDirector
Margie BrekkenDirector
Olen OphaugDirector
Renae ArnesonDirector
Anna F WalterExecutive Di
Gayle KlefstadSecretary
Bob EngenVice Preside
Revenue and Support

Revenue Composition

Contributions and Grants
$152,588
Program Service Revenue
$0
Investment Income
$57,249
Other Revenue
$15,735
All Other Contributions
$147,927
Change in Net Assets
$-46,009

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 Traded575$31,475Fair Market Value (FMV)
Total Noncash Contributions575$31,475-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$252,282
Salaries, Compensation, and Employee Benefits$19,299
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Payments to Affiliates$220,872--$220,872
Fees for Services Management$20,352--$20,352
Other Salaries and Wages$9,579--$9,579
Other Employee Benefits$8,987--$8,987
Office Expenses$1,798--$1,798
Travel$1,086--$1,086
Fees for Services Accounting$755--$755
Payroll Taxes$733--$733
Advertising$642--$642
All Other Expenses$583--$583
Other Expenses$528--$528
Fees for Services Other$254--$254
Interest$111--$111
Total Functional Expenses$271,581$0$0$271,581
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$11,085
Fundraising Direct Expenses$3,041
Professional Fundraising Fees$0
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
Audit committee
No
Backup withholding compliance
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
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

Governance Explanations

Form 990, Page 6, Part VI, Line 9

“Kari m. Haugen 1447 110th ave ne binford, nd 58416-9451”

Form 990, Page 6, Part VI, Line 11B

“Board reviews and approves at meeting prior to filing”

Form 990, Page 6, Part VI, Line 19

“Available upon request from the nelson county health services foundation during normal business hours”

Filing and Contact Details

Filer

Filer Name
Nelson County Health
EIN
36-3460675
Phone
7013222225
Address
PO BOX 506, MCVILLE, ND 58254-0506

Signing Officer

Name
Anna F Walter
Title
Executive Director
Phone
7013224328
Signed
2020-08-27
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 ST N, LAKOTA, ND 58344
Preparer
Allen I Orwick Ea
Phone
7012472458
Supplemental Narrative

Financial Statement Notes

Schedule D, Page 2, Part V, Line 4

“Improvements to medical facilities”

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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2AVAILABLE UPON REQUEST FROM THE NELSON COUNTY HEALTH SERVICES FOUNDATION DURING NORMAL BUSINESS HOURS
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Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2019 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$1,234,279
Liabilities
$187
Net assets
$1,234,092
Revenue
$225,572
Expenses
$271,581
Net income
-$46,009
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
2019Detailed filing. Detailed filing data is available for this year.$1.23$0.00$1.23$0.23$0.27$0.05
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
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
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2019 filings • 501(c)3 • $1M-$5M nonprofits