Civic Intelligence

Samaritan Memorial Foundation

990 • Fiscal year 2015 • EIN 43-1667900

Jan 01, 2015 to Dec 31, 2015 • Filed on Aug 10, 2016

1205 N Missouri StreetMacon, MO 63552

(660) 385-1818

Siviq Scores

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

Liabilities / Assets

86th percentile

0.75x

Higher debt load relative to assets than 86% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2015

Liabilities / Revenue

100th percentile

32.48x

Higher debt load relative to revenue than 100% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2015

Net Margin

99th percentile

95%

Higher net margin than 99% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2015

Top Officer Pay

35th percentile

$0

Higher top officer pay than 35% of similar nonprofits.

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

2015 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2015

Asset Growth

95th percentile

103%

Faster asset growth than 95% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2014 to 2015

Revenue Growth

77th percentile

22%

Faster revenue growth than 77% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2014 to 2015

Assets

Up

$1,488,401

Up $754,906 (+103%) from 2014

Net Assets

Up

$378,266

Up $32,320 (+9.3%) from 2014

Liabilities

Up

$1,110,135

Up $722,586 (+186%) from 2014

Revenue

Up

$34,182

Up $6,101 (+22%) from 2014

Expenses

Down

$1,862

Down $39,879 (-96%) from 2014

Net Income

Up

$32,320

Up $45,980 (+337%) from 2014

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 2010: $1,008,046Liabilities 2010: $622,998Net Assets 2010: $385,0482010Assets 2011: $923,777Liabilities 2011: $569,285Net Assets 2011: $354,4922011Assets 2012: $896,739Liabilities 2012: $517,275Net Assets 2012: $379,4642012Assets 2013: $811,426Liabilities 2013: $451,820Net Assets 2013: $359,6062013Assets 2014: $733,495Liabilities 2014: $387,549Net Assets 2014: $345,9462014Assets 2015: $1,488,401Liabilities 2015: $1,110,135Net Assets 2015: $378,2662015Assets 2016: $1,377,733Liabilities 2016: $1,013,512Net Assets 2016: $364,2212016Assets 2017: $1,280,894Liabilities 2017: $908,301Net Assets 2017: $372,5932017Assets 2018: $1,191,347Liabilities 2018: $797,454Net Assets 2018: $393,8932018Assets 2019: $1,075,115Liabilities 2019: $680,287Net Assets 2019: $394,8282019Assets 2020: $1,008,212Liabilities 2020: $598,176Net Assets 2020: $410,0362020Assets 2021: $891,096Liabilities 2021: $509,416Net Assets 2021: $381,6802021Assets 2022: $789,011Liabilities 2022: $417,290Net Assets 2022: $371,7212022Assets 2023: $710,500Liabilities 2023: $322,007Net Assets 2023: $388,4932023Assets 2024: $613,543Liabilities 2024: $223,341Net Assets 2024: $390,2022024

Highlighted filing

2015

Assets$1,488,401
Liabilities$1,110,135
Net Assets$378,266

Operations Trend

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

$100K$50K$0-$50KExpenses 2010: $57,5312010Expenses 2011: $61,3182011Expenses 2012: $7942012Revenue 2013: $29,354Expenses 2013: $49,212Net Income 2013: -$19,8582013Revenue 2014: $28,081Expenses 2014: $41,741Net Income 2014: -$13,6602014Revenue 2015: $34,182Expenses 2015: $1,862Net Income 2015: $32,3202015Revenue 2016: $11,961Expenses 2016: $26,006Net Income 2016: -$14,0452016Revenue 2017: $21,238Expenses 2017: $12,866Net Income 2017: $8,3722017Revenue 2018: $22,158Expenses 2018: $858Net Income 2018: $21,3002018Revenue 2019: $34,406Expenses 2019: $33,471Net Income 2019: $9352019Revenue 2020: $20,448Expenses 2020: $7,340Net Income 2020: $13,1082020Revenue 2021: $24,185Expenses 2021: $52,541Net Income 2021: -$28,3562021Revenue 2022: $10,318Expenses 2022: $20,277Net Income 2022: -$9,9592022Revenue 2023: $49,715Expenses 2023: $32,943Net Income 2023: $16,7722023Revenue 2024: $51,022Expenses 2024: $49,313Net Income 2024: $1,7092024

Highlighted filing

2015

Revenue$34,182
Expenses$1,862
Net Income$32,320
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Aug 10, 2016
Return Version
2015v2.1
Gross Receipts
$128,609
Mission and Program Overview

Mission

To help support the county hospital.

Help support the county hospital

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$645,467$1,393,343▲ $747,876
Savings and Temporary Cash Investments$87,778$94,808▲ $7,030
Total Assets$733,495$1,488,401▲ $754,906
Other Assets Total$250$250→ $0
Liabilities
Mortgage Notes Payable Secured by Investment Property$387,549$1,110,135▲ $722,586
Total Liabilities$387,549$1,110,135▲ $722,586
Net Assets / Fund Balance
Unrestricted Net Assets$162,179$192,486▲ $30,307
Permanently Rstr Net Assets$165,800$165,800→ $0
Temporarily Rstr Net Assets$17,967$19,980▲ $2,013
Total Net Assets Fund Balance$345,946$378,266▲ $32,320
Total Liabilities and Net Assets / Fund Balance$733,495$1,488,401▲ $754,906

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$1,393,343$606,346$1,999,689

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2015$165,800---$165,800
2014$165,800---$165,800
2013$165,800---$165,800
2012$165,800---$165,800
2011$165,800---$165,800
Compensation and Service Providers

Board Members and Trustees

NameTitle
Pat ClarkePresident
Jd KingVice-president
Ben WilliamsMember
Clyde SmithMember
Dan CoonsMember
Evelyn ReedMember
Jack DavisonMember
Jane LaneMember
Leigh SimonMember
Patty CheeverMember
Karla TheriacSecretary
Jeanette PowellTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$6,672
Program Service Revenue
$0
Investment Income
$170
Other Revenue
$27,340
All Other Contributions
$3,825
Change in Net Assets
$32,320

Audited Revenue Reconciliation

Revenue per Audited Statements
$28,589
Revenue Not Reported on Financial Statements
$5,593
Revenue Not Reported on Form 990
$104,224
Other Revenue Adjustments
$5,593
Total Revenue per Audited Statements
$132,813
Total Revenue per Form 990
$34,182
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,862
Total Fundraising Expense$354
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Legal$0$973$0$973
Fees for Services Accounting$0$535$0$535
Other Expenses$0$0$354$354
Total Functional Expenses$0$1,508$354$1,862

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$96,193
Expenses Not Reported on Form 990$94,427
Total Expenses per Form 990$1,862
Expenses per Audited Statements$1,766
Expenses Not Reported on Financial Statements$96
Other Expense Adjustments$96
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
Annual disclosure for covered persons
Yes
Audit committee
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
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No
Filing and Contact Details

Filer

Filer Name
Samaritan Memorial Foundation
EIN
43-1667900
Phone
6603851818
Address
1205 N MISSOURI STREET, MACON, MO 63552

Signing Officer

Name
Pat Clarke
Title
President
Phone
6603851818
Signed
2016-08-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jeanette Powell
Formed
1994
Legal Domicile
Mo
Voting Board Members
12
Independent Board Members
12
Employees
0
Volunteers
0

Preparer

Firm
Grimshaw & Associates LLC
Address
1201 East Briggs Dr, Macon, MO 63552
Preparer
Frank Grimshaw
Phone
6603955292
Supplemental Narrative

Additional Explanations

Pt VI, Line 2

Due to the relatively small size of the board, some members have family/business relationships.

Pt VI, Line 11B

A draft copy of the form 990 was emailed to all board members prior to submittal.

Pt VI, Line 12C

Conflicts of interest are examined annually.

Form 990EZ, Part I, Line 16

DONATIONS

Form 990EZ, Part I, Line 16

SUPPLIES AND OTHER

Form 990EZ, Part I, Line 16

INSURANCE

Form 990EZ, Part I, Line 16

INTEREST

Form 990EZ, Part II, Line 24

LIFE INSURANCE

Form 990EZ, Part II, Line 26

MORTGAGE PAYABLE

Financial Statement Notes

Pt XI, Line 2D

Less rental expenses netted with rental income

Pt XII, Line 2D

Less rental expenses netted with rental income

Pt XI, Line 4B

2015 deferred rental revenue (990 on cash basis)

Pt XII, Line 4B

Accrual to cash basis adjustment

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IRS990ScheduleD/EndowmentsHeldUnrelatedOrgInd0false
IRS990ScheduleD/ExpensesNotReportedAmt094427
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt096
IRS990ScheduleD/ExpensesSubtotalAmt01766
IRS990ScheduleD/OtherExpensesIncludedAmt094427
IRS990ScheduleD/OtherExpensesNotIncludedAmt096
IRS990ScheduleD/OtherRevenueAmt0104224
IRS990ScheduleD/OtherRevenuesNotIncludedAmt05593
IRS990ScheduleD/RevenueNotReportedAmt0104224
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt05593
IRS990ScheduleD/RevenueSubtotalAmt028589
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0LESS RENTAL EXPENSES NETTED WITH RENTAL INCOME
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1LESS RENTAL EXPENSES NETTED WITH RENTAL INCOME
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt22015 DEFERRED RENTAL REVENUE (990 ON CASH BASIS)
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt3ACCRUAL TO CASH BASIS ADJUSTMENT
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Pt XI, Line 2d
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1Pt XII, Line 2d
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2Pt XI, Line 4b
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc3Pt XII, Line 4b
IRS990ScheduleD/TotalBookValueLandBuildingsAmt01393343
IRS990ScheduleD/TotalExpensesPerForm990Amt01862
IRS990ScheduleD/TotalRevenuePerForm990Amt034182
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt0132813
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt096193
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0DUE TO THE RELATIVELY SMALL SIZE OF THE BOARD, SOME MEMBERS HAVE FAMILY/BUSINESS RELATIONSHIPS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1A DRAFT COPY OF THE FORM 990 WAS EMAILED TO ALL BOARD MEMBERS PRIOR TO SUBMITTAL.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2CONFLICTS OF INTEREST ARE EXAMINED ANNUALLY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3DONATIONS
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4SUPPLIES AND OTHER
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5INSURANCE
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6INTEREST
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7LIFE INSURANCE
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8MORTGAGE PAYABLE
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Pt VI, Line 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Pt VI, Line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Pt VI, Line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7Form 990EZ, Part II, Line 24
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8Form 990EZ, Part II, Line 26
IRS990ScheduleR/AssetExchangeInd0false
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd0false
IRS990ScheduleR/AssetSaleToOtherOrgInd0false
IRS990ScheduleR/DivRelatedOrganizationInd0false
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd0false
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd0true
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0MACON COUNTY SAMARITAN MEMORIAL HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0436003377
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0MO
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt01205 NORTH MISSOURI STREET
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0MACON
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0MO
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd063552
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd0false
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd0false
IRS990ScheduleR/PaidEmployeesSharingInd0false
IRS990ScheduleR/PerformOfServicesByOtherOrgInd0false
IRS990ScheduleR/PerformOfServicesForOthOrgInd0true
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd0false
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd0false
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd0false
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd0true
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd0false
IRS990ScheduleR/SharingOfFacilitiesInd0true
IRS990ScheduleR/TransferFromOtherOrgInd0false
IRS990ScheduleR/TransferToOtherOrgInd0false
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TemporarilyRstrNetAssetsGrp/BOYAmt017967
IRS990/TemporarilyRstrNetAssetsGrp/EOYAmt019980
IRS990/TempOrPermanentEndowmentsInd0true
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0733495
IRS990/TotalAssetsEOYAmt01488401
IRS990/TotalAssetsGrp/BOYAmt0733495
IRS990/TotalAssetsGrp/EOYAmt01488401
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt06672
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt0354
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt01508
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt01862
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0387549
IRS990/TotalLiabilitiesEOYAmt01110135
IRS990/TotalLiabilitiesGrp/BOYAmt0387549
IRS990/TotalLiabilitiesGrp/EOYAmt01110135
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0345946
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0378266
IRS990/TotalRevenueGrp/ExclusionAmt0170
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt027340
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt034182
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0733495
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt01488401
IRS990/TransactionWithControlEntInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0162179
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0192486
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt01205 N MISSOURI
IRS990/USAddress/CityNm0MACON
IRS990/USAddress/StateAbbreviationCd0MO
IRS990/USAddress/ZIPCd063552
IRS990/VotingMembersGoverningBodyCnt012
IRS990/VotingMembersIndependentCnt012
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02016-12-15 16:53:06Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0PAT CLARKE
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum06603851818
ReturnHeader/BusinessOfficerGrp/SignatureDt02016-08-10
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0SAMARITAN MEMORIAL FOUNDATION
ReturnHeader/Filer/BusinessNameControlTxt0SAMA
ReturnHeader/Filer/EIN0431667900
ReturnHeader/Filer/PhoneNum06603851818
ReturnHeader/Filer/USAddress/AddressLine1Txt01205 N MISSOURI STREET
ReturnHeader/Filer/USAddress/CityNm0MACON
ReturnHeader/Filer/USAddress/StateAbbreviationCd0MO
ReturnHeader/Filer/USAddress/ZIPCd063552
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Grimshaw & Associates LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt01201 East Briggs Dr
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Macon
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0MO
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd063552
ReturnHeader/PreparerPersonGrp/PhoneNum06603955292
ReturnHeader/PreparerPersonGrp/PreparationDt02016-08-10

Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.61$0.22$0.39$0.05$0.05$0.00
2023Summary only. Only limited summary data is available for this year.$0.71$0.32$0.39$0.05$0.03$0.02
2022Summary only. Only limited summary data is available for this year.$0.79$0.42$0.37$0.01$0.02$0.01
2021Summary only. Only limited summary data is available for this year.$0.89$0.51$0.38$0.02$0.05$0.03
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.01$0.60$0.41$0.02$0.01$0.01
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.08$0.68$0.39$0.03$0.03$0.00
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.19$0.80$0.39$0.02$0.00$0.02
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.28$0.91$0.37$0.02$0.01$0.01
2016Summary only. Only limited summary data is available for this year.$1.38$1.01$0.36$0.01$0.03$0.01
2015Detailed filing. Detailed filing data is available for this year.$1.49$1.11$0.38$0.03$0.00$0.03
2014Detailed filing. Detailed filing data is available for this year.$0.73$0.39$0.35$0.03$0.04$0.01
2013Summary only. Only limited summary data is available for this year.$0.81$0.45$0.36$0.03$0.05$0.02
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.90$0.52$0.38$0.00
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.92$0.57$0.35$0.06
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.01$0.62$0.39$0.06