Civic Intelligence

Mitchell County Memorial Foundation Inc.

990 • Fiscal year 2018 • EIN 42-1374199

Jul 01, 2017 to Jun 30, 2018 • Filed on May 15, 2019

616 N 8th StreetOsage, IA 50461

(641) 732-6086

Siviq Scores

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

Liabilities / Assets

27th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2018 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2018

Liabilities / Revenue

27th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2018 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2018

Net Margin

90th percentile

43%

Higher net margin than 90% of similar nonprofits.

2018 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2018

Top Officer Pay

50th percentile

$0

Higher top officer pay than 50% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2018 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2018

Asset Growth

80th percentile

23%

Faster asset growth than 80% of similar nonprofits.

2018 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2017 to 2018

Revenue Growth

10th percentile

-32%

Faster revenue growth than 10% of similar nonprofits.

2018 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2017 to 2018

Assets

Up

$511,160

Up $94,638 (+23%) from 2017

Net Assets

Up

$511,160

Up $94,638 (+23%) from 2017

Liabilities

Flat

$0

Flat from 2017

Revenue

Down

$218,459

Down $102,517 (-32%) from 2017

Expenses

Up

$123,821

Up $6,141 (+5.2%) from 2017

Net Income

Down

$94,638

Down $108,658 (-53%) from 2017

Historical Trend

Balance Sheet Trend

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

$1.5M$1.0M$500K$0Assets 2012: $132,729Liabilities 2012: $02012Assets 2013: $127,702Liabilities 2013: $02013Assets 2014: $149,387Liabilities 2014: $02014Assets 2015: $168,210Liabilities 2015: $02015Assets 2016: $213,225Liabilities 2016: $02016Assets 2017: $416,522Liabilities 2017: $0Net Assets 2017: $416,5222017Assets 2018: $511,160Liabilities 2018: $0Net Assets 2018: $511,1602018Assets 2019: $823,512Liabilities 2019: $0Net Assets 2019: $823,5122019Assets 2020: $1,109,772Liabilities 2020: $0Net Assets 2020: $1,109,7722020Assets 2021: $1,124,267Liabilities 2021: $0Net Assets 2021: $1,124,2672021Assets 2022: $1,149,809Liabilities 2022: $0Net Assets 2022: $1,149,8092022Assets 2023: $1,103,130Liabilities 2023: $0Net Assets 2023: $1,103,1302023Assets 2024: $1,245,600Liabilities 2024: $100,000Net Assets 2024: $1,145,6002024Assets 2025: $589,399Liabilities 2025: $0Net Assets 2025: $589,3992025

Highlighted filing

2018

Assets$511,160
Liabilities$0
Net Assets$511,160

Operations Trend

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

$1.0M$500K$0-$500K-$1.0MRevenue 2012: $21,310Expenses 2012: $17,563Net Income 2012: $3,7472012Revenue 2013: $19,780Expenses 2013: $24,807Net Income 2013: -$5,0272013Revenue 2014: $31,150Expenses 2014: $9,465Net Income 2014: $21,6852014Revenue 2015: $35,062Expenses 2015: $16,239Net Income 2015: $18,8232015Revenue 2016: $53,707Expenses 2016: $8,692Net Income 2016: $45,0152016Revenue 2017: $320,976Expenses 2017: $117,680Net Income 2017: $203,2962017Revenue 2018: $218,459Expenses 2018: $123,821Net Income 2018: $94,6382018Revenue 2019: $331,255Expenses 2019: $18,903Net Income 2019: $312,3522019Revenue 2020: $409,718Expenses 2020: $123,458Net Income 2020: $286,2602020Revenue 2021: $169,707Expenses 2021: $155,212Net Income 2021: $14,4952021Revenue 2022: $182,403Expenses 2022: $156,861Net Income 2022: $25,5422022Revenue 2023: $87,293Expenses 2023: $133,972Net Income 2023: -$46,6792023Revenue 2024: $171,137Expenses 2024: $128,667Net Income 2024: $42,4702024Revenue 2025: $103,485Expenses 2025: $659,686Net Income 2025: -$556,2012025

Highlighted filing

2018

Revenue$218,459
Expenses$123,821
Net Income$94,638
Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
May 15, 2019
Return Version
2017v2.3
Gross Receipts
$218,459
Mission and Program Overview

Mission

The mission of the mcrhc foundation is to promote the highest quality health care in mitchell county.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$242,064$305,335▲ $63,271
Pledges and Grants Receivable$174,458$205,825▲ $31,367
Total Assets$416,522$511,160▲ $94,638
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Temporarily Rstr Net Assets$296,466$392,237▲ $95,771
Unrestricted Net Assets$120,056$118,923▼ $1,133
Total Net Assets Fund Balance$416,522$511,160▲ $94,638
Total Liabilities and Net Assets / Fund Balance$416,522$511,160▲ $94,638
Compensation and Service Providers

Board Members and Trustees

NameTitle
Jean BrummPresident
Leo ChisholmVice President
Diane SetkaDirector
Gloria JordahlDirector
Gordon CimmiyottiDirector
Julie MaliszewskiDirector
Katie PenfoldDirector
Kara NaigFoundation Director/hospital Leasion
Michele RusselHosipital CEO
Gina GoddardSecretary/treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$215,889
Program Service Revenue
$0
Investment Income
$2,570
Other Revenue
$0
All Other Contributions
$215,889
Change in Net Assets
$94,638
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$115,000
Other Expenses$8,821
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$115,000--$115,000
Other Expenses-$1,400-$1,400
All Other Expenses$1,275--$1,275
Total Functional Expenses$116,275$7,546$0$123,821
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Mithcell County Regional Health CenterOsage, IA-The Foundation Primarily Supports Mitchell County Regional Health Center Who Is Located in Osage, Iowa or Other Local Organizations Who Promote And/or Support Healthcare in Mitchell County, Iowa.$100,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
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
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, Part VI, Section A, Line 8B

We have done electronic votes with the executive committee (president, vice & treasurer/secretary) to approve a dispersement in advance of a regularly scheduled board meeting. Those dispersements are reviewed at the next scheduled board meeting for review/approval.

Form 990, Part VI, Section B, Line 11B

The 990 will be shared & reviewed at the april 17, 2019 board meeting. Members will approve the the 990 to be filed.

Form 990, Part VI, Section B, Line 12

Directors will abstain from voting from any action that may pose as a potential conflict of interest.

Form 990, Part VI, Section C, Line 19

The foundation's statement of net position and statement of revenue & expenses are included in mitchell county regional health center's audited financial statements which are filed with the state of iowa.

Filing and Contact Details

Filer

Filer Name
Mitchell County Memorial Foundation
EIN
42-1374199
Phone
6417326086
Address
616 N 8TH STREET, OSAGE, IA 50461

Signing Officer

Name
Jean Brumm
Title
Board President
Phone
6417326086
Signed
2019-05-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jean Brumm
Formed
1991
Legal Domicile
Ia
Voting Board Members
8
Independent Board Members
8
Employees
0
Volunteers
10

Preparer

Firm
Cliftonlarsonallen Llp
Address
PO BOX 217, AUSTIN, MN 55912
Preparer
Ryan Engebretson
Phone
5074347000
Raw XML Appendix362 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/TitleTxt0PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt1VICE PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt2SECRETARY/TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
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IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0THE FOUNDATION PRIMARILY SUPPORTS MITCHELL COUNTY REGIONAL HEALTH CENTER WHO IS LOCATED IN OSAGE, IOWA OR OTHER LOCAL ORGANIZATIONS WHO PROMOTE AND/OR SUPPORT HEALTHCARE IN MITCHELL COUNTY, IOWA.
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0WE HAVE DONE ELECTRONIC VOTES WITH THE EXECUTIVE COMMITTEE (PRESIDENT, VICE & TREASURER/SECRETARY) TO APPROVE A DISPERSEMENT IN ADVANCE OF A REGULARLY SCHEDULED BOARD MEETING. THOSE DISPERSEMENTS ARE REVIEWED AT THE NEXT SCHEDULED BOARD MEETING FOR REVIEW/APPROVAL.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE 990 WILL BE SHARED & REVIEWED AT THE APRIL 17, 2019 BOARD MEETING. MEMBERS WILL APPROVE THE THE 990 TO BE FILED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2DIRECTORS WILL ABSTAIN FROM VOTING FROM ANY ACTION THAT MAY POSE AS A POTENTIAL CONFLICT OF INTEREST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE FOUNDATION'S STATEMENT OF NET POSITION AND STATEMENT OF REVENUE & EXPENSES ARE INCLUDED IN MITCHELL COUNTY REGIONAL HEALTH CENTER'S AUDITED FINANCIAL STATEMENTS WHICH ARE FILED WITH THE STATE OF IOWA.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 12
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 19
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TemporarilyRstrNetAssetsGrp/BOYAmt0296466
IRS990/TemporarilyRstrNetAssetsGrp/EOYAmt0392237
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt0416522
IRS990/TotalAssetsEOYAmt0511160
IRS990/TotalAssetsGrp/BOYAmt0416522
IRS990/TotalAssetsGrp/EOYAmt0511160
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt0215889
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt07546
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0116275
IRS990/TotalFunctionalExpensesGrp/TotalAmt0123821
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0416522
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0511160
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0116275
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt02570
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0218459
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt010
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0416522
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0511160
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0120056
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0118923
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0616 N 8TH STREET
IRS990/USAddress/CityNm0OSAGE
IRS990/USAddress/StateAbbreviationCd0IA
IRS990/USAddress/ZIPCd050461
IRS990/VotingMembersGoverningBodyCnt08
IRS990/VotingMembersIndependentCnt08
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02019-02-21 02:37:17Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0JEAN BRUMM
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0BOARD PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum06417326086
ReturnHeader/BusinessOfficerGrp/SignatureDt02019-05-15
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0MITCHELL COUNTY MEMORIAL FOUNDATION
ReturnHeader/Filer/BusinessNameControlTxt0MITC
ReturnHeader/Filer/EIN0421374199
ReturnHeader/Filer/PhoneNum06417326086
ReturnHeader/Filer/USAddress/AddressLine1Txt0616 N 8TH STREET
ReturnHeader/Filer/USAddress/CityNm0OSAGE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0IA
ReturnHeader/Filer/USAddress/ZIPCd050461
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId02D2ADA08DFBCD9CE63D4D49722A5A80C8B448248
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId02CCFC7E30E1C7F7287E1A5F09795F66155F6CA59
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt067.137.57.251
ReturnHeader/FilingSecurityInformation/IPDt02019-05-15
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0CD
ReturnHeader/FilingSecurityInformation/IPTm009:31:24
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0410746749
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0CLIFTONLARSONALLEN LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0PO BOX 217
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0AUSTIN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0MN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd055912
ReturnHeader/PreparerPersonGrp/PhoneNum05074347000
ReturnHeader/PreparerPersonGrp/PreparationDt02019-03-22
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0RYAN ENGEBRETSON
ReturnHeader/ReturnTs02019-05-15T09:32:17-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02017-07-01
ReturnHeader/TaxPeriodEndDt02018-06-30
ReturnHeader/TaxYr02017

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$0.59$0.00$0.59$0.10$0.66$0.56
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.25$0.10$1.15$0.17$0.13$0.04
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.10$0.00$1.10$0.09$0.13$0.05
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.15$0.00$1.15$0.18$0.16$0.03
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.12$0.00$1.12$0.17$0.16$0.01
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.11$0.00$1.11$0.41$0.12$0.29
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.82$0.00$0.82$0.33$0.02$0.31
2018Detailed filing. Detailed filing data is available for this year.$0.51$0.00$0.51$0.22$0.12$0.09
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.42$0.00$0.42$0.32$0.12$0.20
2016Summary only. Only limited summary data is available for this year.$0.21$0.00$0.05$0.01$0.05
2015Summary only. Only limited summary data is available for this year.$0.17$0.00$0.04$0.02$0.02
2014Summary only. Only limited summary data is available for this year.$0.15$0.00$0.03$0.01$0.02
2013Summary only. Only limited summary data is available for this year.$0.13$0.00$0.02$0.02$0.01
2012Summary only. Only limited summary data is available for this year.$0.13$0.00$0.02$0.02$0.00