Civic Intelligence

Samaritan Memorial Foundation

990 • Fiscal year 2016 • EIN 43-1667900

Jan 01, 2016 to Dec 31, 2016 • Filed on May 26, 2017

Organization ProfileN/A
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

0.74x

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

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Liabilities / Revenue

100th percentile

84.73x

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

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Net Margin

3rd percentile

-117%

Higher net margin than 3% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

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.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Asset Growth

16th percentile

-7.4%

Faster asset growth than 16% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Revenue Growth

3rd percentile

-65%

Faster revenue growth than 3% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Balance Sheet
Liabilities / Assets86th percentile

Assets

Flat

$1,377,733

Flat from 2016

Net Assets

Flat

$364,221

Flat from 2016

Liabilities

Flat

$1,013,512

Flat from 2016

Revenue And Expenses
Liabilities / Revenue100th percentileNet Margin3rd percentile

Revenue

Flat

$11,961

Flat from 2016

Expenses

Flat

$26,006

Flat from 2016

Net Income

Flat

-$14,045

Flat from 2016

Historical Trend

Balance Sheet Trend

Asset Growth16th percentile

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 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

2016

Assets$1,377,733
Liabilities$1,013,512
Net Assets$364,221
Open 2016 Filing

Operations Trend

Revenue Growth3rd percentile

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 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

2016

Revenue$11,961
Expenses$26,006
Net Income-$14,045
Open 2016 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
May 26, 2017
Return Version
2016v3.0
Gross Receipts
$170,747
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$1,393,343$1,283,982▼ $109,361
Savings and Temporary Cash Investments$94,808$93,501▼ $1,307
Total Assets$1,488,401$1,377,733▼ $110,668
Other Assets Total$250$250→ $0
Liabilities
Mortgage Notes Payable Secured by Investment Property$1,110,135$1,013,512▼ $96,623
Total Liabilities$1,110,135$1,013,512▼ $96,623
Net Assets / Fund Balance
Unrestricted Net Assets$192,486$177,980▼ $14,506
Permanently Rstr Net Assets$165,800$165,800→ $0
Temporarily Rstr Net Assets$19,980$20,441▲ $461
Total Net Assets Fund Balance$378,266$364,221▼ $14,045
Total Liabilities and Net Assets / Fund Balance$1,488,401$1,377,733▼ $110,668

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$1,283,982$716,346$2,000,328

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2016$165,800---$165,800
2015$165,800---$165,800
2014$165,800---$165,800
2013$165,800---$165,800
2012$165,800---$165,800
Compensation and Service Providers
Top Officer Pay35th percentile

Board Members and Trustees

NameTitle
Jd KingPresident
Leigh SimonVice President
Ben WilliamsMember
Clyde SmithMember
Dan CoonsMember
Evelyn ReedMember
Jack DavisonMember
Jane LaneMember
Pat ClarkeMember
Patty CheeverMember
Karla TheriacSecretary
Jeanette PowellTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$8,138
Program Service Revenue
$0
Investment Income
$203
Other Revenue
$3,620
All Other Contributions
$5,415
Change in Net Assets
$-14,045
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$25,476
Other Expenses$530
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$25,476--$25,476
Fees for Services Accounting$0$530$0$530
Total Functional Expenses$25,476$530$0$26,006
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
Jd King
Title
President
Phone
6603851818
Signed
2017-05-26
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”

Raw XML Appendix396 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.

Path#Value
IRS990/AccountantCompileOrReviewInd0false
IRS990/ActivitiesConductedPrtshpInd0false
IRS990/ActivityOrMissionDesc0HELP SUPPORT THE COUNTY HOSPITAL
IRS990/AllOtherContributionsAmt05415
IRS990/AnnualDisclosureCoveredPrsnInd0true
IRS990/AuditCommitteeInd0true
IRS990/BooksInCareOfDetail/PersonNm0JEANETTE POWELL
IRS990/BooksInCareOfDetail/PhoneNum06603853531
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt01205 N MISSOURI STREET
IRS990/BooksInCareOfDetail/USAddress/CityNm0MACON
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0MO
IRS990/BooksInCareOfDetail/USAddress/ZIPCd063552
IRS990/BusinessRlnWithFamMemInd0false
IRS990/BusinessRlnWithOfficerEntInd0false
IRS990/BusinessRlnWithOrgMemInd0false
IRS990/ChangeToOrgDocumentsInd0false
IRS990/CollectionsOfArtInd0false
IRS990/CompensationFromOtherSrcsInd0false
IRS990/CompensationProcessCEOInd0false
IRS990/CompensationProcessOtherInd0false
IRS990/ConflictOfInterestPolicyInd0true
IRS990/ConservationEasementsInd0false
IRS990/ConsolidatedAuditFinclStmtInd0true
IRS990/ContriRptFundraisingEventAmt02723
IRS990/CreditCounselingInd0false
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt08138
IRS990/CYGrantsAndSimilarPaidAmt025476
IRS990/CYInvestmentIncomeAmt0203
IRS990/CYOtherExpensesAmt0530
IRS990/CYOtherRevenueAmt03620
IRS990/CYProgramServiceRevenueAmt00
IRS990/CYRevenuesLessExpensesAmt0-14045
IRS990/CYSalariesCompEmpBnftPaidAmt00
IRS990/CYTotalExpensesAmt026006
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt011961
IRS990/DecisionsSubjectToApprovaInd0false
IRS990/DeductibleArtContributionInd0false
IRS990/DeductibleNonCashContriInd0false
IRS990/DelegationOfMgmtDutiesInd0false
IRS990/Desc0PROVIDING A FACILITY FOR THE HOSPITAL TO RENT AND USE AS A RURAL HEALTH CLINIC IN AN UNDERSERVED AREA
IRS990/DescribedInSection501c3Ind0true
IRS990/DisregardedEntityInd0false
IRS990/DocumentRetentionPolicyInd0false
IRS990/DonorAdvisedFundInd0false
IRS990/ElectionOfBoardMembersInd0false
IRS990/EmployeeCnt00
IRS990/EngagedInExcessBenefitTransInd0false
IRS990/FamilyOrBusinessRlnInd0true
IRS990/FederalGrantAuditRequiredInd0false
IRS990/FeesForServicesAccountingGrp/FundraisingAmt00
IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt0530
IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt00
IRS990/FeesForServicesAccountingGrp/TotalAmt0530
IRS990/ForeignActivitiesInd0false
IRS990/ForeignFinancialAccountInd0false
IRS990/ForeignOfficeInd0false
IRS990/Form8282PropertyDisposedOfInd0false
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt00.50
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt10.50
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt20.50
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt30.50
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt40.50
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt50.50
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt60.50
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt70.50
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt80.50
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt90.50
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt100.50
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt110.50
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd2X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd3X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd4X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd5X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd6X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd7X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd8X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd9X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd10X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd11X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OfficerInd3X
IRS990/Form990PartVIISectionAGrp/PersonNm0PAT CLARKE
IRS990/Form990PartVIISectionAGrp/PersonNm1JD KING
IRS990/Form990PartVIISectionAGrp/PersonNm2KARLA THERIAC
IRS990/Form990PartVIISectionAGrp/PersonNm3CLYDE SMITH
IRS990/Form990PartVIISectionAGrp/PersonNm4DAN COONS
IRS990/Form990PartVIISectionAGrp/PersonNm5JACK DAVISON
IRS990/Form990PartVIISectionAGrp/PersonNm6LEIGH SIMON
IRS990/Form990PartVIISectionAGrp/PersonNm7BEN WILLIAMS
IRS990/Form990PartVIISectionAGrp/PersonNm8JANE LANE
IRS990/Form990PartVIISectionAGrp/PersonNm9JEANETTE POWELL
IRS990/Form990PartVIISectionAGrp/PersonNm10PATTY CHEEVER
IRS990/Form990PartVIISectionAGrp/PersonNm11EVELYN REED
IRS990/Form990PartVIISectionAGrp/TitleTxt0MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt1PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt2SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt3MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt4MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt5MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt6VICE PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt7MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt8MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt9TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt10MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt11MEMBER
IRS990/Form990ProvidedToGvrnBodyInd0true
IRS990/FormationYr01994
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedBasisGrp/ConsolAndSepBasisFinclStmtInd0X
IRS990/FSAuditedInd0true
IRS990/FundraisingActivitiesInd0false
IRS990/FundraisingAmt02723
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt012
IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt025476
IRS990/GrantsToDomesticOrgsGrp/TotalAmt025476
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt0170747
IRS990/GrossRentsGrp/RealAmt0162406
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt012
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InvestmentIncomeGrp/ExclusionAmt0203
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt0203
IRS990/InvestmentInJointVentureInd0false
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt0716346
IRS990/LandBldgEquipBasisNetGrp/BOYAmt01393343
IRS990/LandBldgEquipBasisNetGrp/EOYAmt01283982
IRS990/LandBldgEquipCostOrOtherBssAmt02000328
IRS990/LegalDomicileStateCd0MO
IRS990/LessRentalExpensesGrp/RealAmt0158786
IRS990/LoanOutstandingInd0false
IRS990/LobbyingActivitiesInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingCashInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0HELP SUPPORT THE COUNTY HOSPITAL
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt01110135
IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt01013512
IRS990/NetAssetsOrFundBalancesBOYAmt0378266
IRS990/NetAssetsOrFundBalancesEOYAmt0364221
IRS990/NetRentalIncomeOrLossGrp/RelatedOrExemptFuncIncomeAmt03620
IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt03620
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd0false
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt0250
IRS990/OtherAssetsTotalGrp/EOYAmt0250
IRS990/PartialLiquidationInd0false
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PermanentlyRstrNetAssetsGrp/BOYAmt0165800
IRS990/PermanentlyRstrNetAssetsGrp/EOYAmt0165800
IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfficerNm0JEANETTE POWELL
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgSrvcAccomActy2Grp/Desc0RAISING MONEY TO CONTRIBUTE TO THE HOSPITAL FOR SPECIFIC PROJECTS
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt025476
IRS990/ProgSrvcAccomActy2Grp/GrantAmt025476
IRS990/ProgSrvcAccomActy2Grp/RevenueAmt08138
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt06672
IRS990/PYExcessBenefitTransInd0false
IRS990/PYInvestmentIncomeAmt0170
IRS990/PYOtherExpensesAmt01862
IRS990/PYOtherRevenueAmt027340
IRS990/PYRevenuesLessExpensesAmt032320
IRS990/PYTotalExpensesAmt01862
IRS990/PYTotalRevenueAmt034182
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReconcilationRevenueExpnssAmt0-14045
IRS990/RegularMonitoringEnfrcInd0true
IRS990/RelatedEntityInd0true
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/RentalIncomeOrLossGrp/RealAmt03620
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RevenueAmt03620
IRS990/SavingsAndTempCashInvstGrp/BOYAmt094808
IRS990/SavingsAndTempCashInvstGrp/EOYAmt093501
IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd0true
IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd0false
IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/OperateBenefitNonSuprtOrgInd0false
IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/PowerAppointMajorityDirTrstInd0true
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt00
IRS990ScheduleA/InvestmentIncomeCYPct00
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/PublicSupportCY170Pct00
IRS990ScheduleA/PublicSupportCY509Pct00
IRS990ScheduleA/PublicSupportTotal170Amt00
IRS990ScheduleA/PublicSupportTotal509Amt00
IRS990ScheduleA/SupportedOrganizationsCnt01
IRS990ScheduleA/SupportedOrganizationsTotalCnt01
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0436003377
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd0true
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd03
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt025476
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0MACON COUNTY SAMARITAN MEMORIAL HOSPITAL
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType1Ind0X
IRS990ScheduleA/SupportSumAmt025476
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/BuildingsGrp/BookValueAmt01283982
IRS990ScheduleD/BuildingsGrp/DepreciationAmt0716346
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt02000328
IRS990ScheduleD/CYEndwmtFundGrp/BeginningYearBalanceAmt0165800
IRS990ScheduleD/CYEndwmtFundGrp/EndYearBalanceAmt0165800
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/BeginningYearBalanceAmt0165800
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/EndYearBalanceAmt0165800
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/BeginningYearBalanceAmt0165800
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/EndYearBalanceAmt0165800
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/BeginningYearBalanceAmt0165800
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/EndYearBalanceAmt0165800
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/BeginningYearBalanceAmt0165800
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/EndYearBalanceAmt0165800
IRS990ScheduleD/EndowmentsHeldRelatedOrgInd0false
IRS990ScheduleD/EndowmentsHeldUnrelatedOrgInd0false
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/TotalBookValueLandBuildingsAmt01283982
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/BOYAmt019980
IRS990/TemporarilyRstrNetAssetsGrp/EOYAmt020441
IRS990/TempOrPermanentEndowmentsInd0true
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt01488401
IRS990/TotalAssetsEOYAmt01377733
IRS990/TotalAssetsGrp/BOYAmt01488401
IRS990/TotalAssetsGrp/EOYAmt01377733
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt08138
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0530
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt025476
IRS990/TotalFunctionalExpensesGrp/TotalAmt026006
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt01110135
IRS990/TotalLiabilitiesEOYAmt01013512
IRS990/TotalLiabilitiesGrp/BOYAmt01110135
IRS990/TotalLiabilitiesGrp/EOYAmt01013512
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0378266
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0364221
IRS990/TotalProgramServiceExpensesAmt025476
IRS990/TotalRevenueGrp/ExclusionAmt0203
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt03620
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt011961
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt01488401
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt01377733
IRS990/TransactionWithControlEntInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0192486
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0177980
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/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0JD KING
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum06603851818
ReturnHeader/BusinessOfficerGrp/SignatureDt02017-05-26
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/FilingSecurityInformation/AtSubmissionCreationDeviceId013051E878F290DFA00E584C01B6798C8FFA49ECF
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId02AB67B90C86D9DAEE8196A076BB228B32B58CB15
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt076.8.156.47
ReturnHeader/FilingSecurityInformation/IPDt02017-05-26
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0PD
ReturnHeader/FilingSecurityInformation/IPTm010:32:37
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/PreparationDt02017-05-26
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0FRANK GRIMSHAW
ReturnHeader/PreparerPersonGrp/SelfEmployedInd0X
ReturnHeader/ReturnTs02017-05-26T10:32:46-07:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02016-01-01
ReturnHeader/TaxPeriodEndDt02016-12-31
ReturnHeader/TaxYr02016

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2016 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$1,377,733
Liabilities
$1,013,512
Net assets
$364,221
Revenue
$11,961
Expenses
$26,006
Net income
-$14,045
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
2016Detailed filing. Detailed filing data is available for this year.$1.38$1.01$0.36$0.01$0.03$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