Civic Intelligence

Samaritan Memorial Foundation

990 • Fiscal year 2017 • EIN 43-1667900

Jan 01, 2017 to Dec 31, 2017 • Filed on May 31, 2018

1205 N Missouri StMacon, MO 63552

(660) 385-8700

Siviq Scores

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

Liabilities / Assets

86th percentile

0.71x

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

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Liabilities / Revenue

100th percentile

42.77x

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

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Net Margin

88th percentile

39%

Higher net margin than 88% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

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.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Asset Growth

15th percentile

-7.0%

Faster asset growth than 15% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2016 to 2017

Revenue Growth

91st percentile

78%

Faster revenue growth than 91% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2016 to 2017

Assets

Down

$1,280,894

Down $96,839 (-7.0%) from 2016

Net Assets

Up

$372,593

Up $8,372 (+2.3%) from 2016

Liabilities

Down

$908,301

Down $105,211 (-10%) from 2016

Revenue

Up

$21,238

Up $9,277 (+78%) from 2016

Expenses

Down

$12,866

Down $13,140 (-51%) from 2016

Net Income

Up

$8,372

Up $22,417 (+160%) from 2016

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

2017

Assets$1,280,894
Liabilities$908,301
Net Assets$372,593

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

2017

Revenue$21,238
Expenses$12,866
Net Income$8,372
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
May 31, 2018
Return Version
2017v2.3
Gross Receipts
$173,254
Mission and Program Overview

Mission

To help support the county hospital.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$1,283,982$1,220,172▼ $63,810
Savings and Temporary Cash Investments$93,501$60,472▼ $33,029
Total Assets$1,377,733$1,280,894▼ $96,839
Other Assets Total$250$250→ $0
Liabilities
Mortgage Notes Payable Secured by Investment Property$1,013,512$908,301▼ $105,211
Total Liabilities$1,013,512$908,301▼ $105,211
Net Assets / Fund Balance
Unrestricted Net Assets$177,980$185,114▲ $7,134
Permanently Rstr Net Assets$165,800$165,800→ $0
Temporarily Rstr Net Assets$20,441$21,679▲ $1,238
Total Net Assets Fund Balance$364,221$372,593▲ $8,372
Total Liabilities and Net Assets / Fund Balance$1,377,733$1,280,894▼ $96,839

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$1,220,172$827,396$2,047,568

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2017$165,800----
2016$165,800----
2015$165,800----
2014$165,800----
2013$165,800----
Compensation and Service Providers

Board Members and Trustees

NameTitle
Jd KingPresident
Ben WilliamsMember
Clyde SmithMember
Jack DavisonMember
Jane LaneMember
Jeanette PowellMember
Michael AustinMember
Pat ClarkeMember
Patty CheeverMember
Karla TheriacSecretary
Dan CoonsTreasurer
Leigh SimonVice Preside
Revenue and Support

Revenue Composition

Contributions and Grants
$5,091
Program Service Revenue
$0
Investment Income
$163
Other Revenue
$15,984
All Other Contributions
$3,220
Change in Net Assets
$8,372
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$12,000
Other Expenses$866
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$12,000--$12,000
Fees for Services Accounting-$525-$525
Office Expenses-$341-$341
Total Functional Expenses$12,000$866$0$12,866
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Macon County Samaritan HospitalMacon, MOGovScholarships$12,000
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
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
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
Yes
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 11B

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

Form 990, Page 6, Part VI, Line 12C

Conflicts of interest are examined annually.

Form 990, Page 6, Part VI, Line 19

Governing documents are made available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Samaritan Memorial Foundation
EIN
43-1667900
Phone
6603858700
Address
1205 N MISSOURI ST, MACON, MO 63552

Signing Officer

Name
Jd King
Title
President
Phone
6606992442
Signed
2018-05-31
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jd King
Formed
1994
Legal Domicile
Mo
Voting Board Members
12
Independent Board Members
12
Employees
0

Preparer

Firm
Grimshaw & Associates LLC
Address
1201 E BRIGGS DR, MACON, MO 63552
Preparer
Frank Grimshaw
Phone
6603955292
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IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/BeginningYearBalanceAmt0165800
IRS990ScheduleD/EndowmentsHeldRelatedOrgInd0false
IRS990ScheduleD/EndowmentsHeldUnrelatedOrgInd0false
IRS990ScheduleD/TotalBookValueLandBuildingsAmt01220172
IRS990ScheduleI/GrantRecordsMaintainedInd0false
IRS990ScheduleI/RecipientTable/CashGrantAmt012000
IRS990ScheduleI/RecipientTable/IRCSectionDesc0GOV
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0SCHOLARSHIPS
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0MACON COUNTY SAMARITAN HOSPITAL
IRS990ScheduleI/RecipientTable/RecipientEIN0436000337
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt01205 N MISSOURI
IRS990ScheduleI/RecipientTable/USAddress/CityNm0MACON
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0MO
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd063552
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0A DRAFT COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO SUBMITTAL.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1CONFLICTS OF INTEREST ARE EXAMINED ANNUALLY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleR/AssetExchangeInd0false
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd0false
IRS990ScheduleR/AssetSaleToOtherOrgInd0false
IRS990ScheduleR/DivRelatedOrganizationInd0false
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd0false
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd0false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd0false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0MACON COUNTY SAMARITAN
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine2Txt0MEMORIAL HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0436003377
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0MO
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt01205 N MISSOURI ST
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0MACON
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0MO
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd063552
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IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd0false
IRS990ScheduleR/PaidEmployeesSharingInd0false
IRS990ScheduleR/PerformOfServicesByOtherOrgInd0false
IRS990ScheduleR/PerformOfServicesForOthOrgInd0true
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd0true
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/BOYAmt020441
IRS990/TemporarilyRstrNetAssetsGrp/EOYAmt021679
IRS990/TempOrPermanentEndowmentsInd0true
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt01377733
IRS990/TotalAssetsEOYAmt01280894
IRS990/TotalAssetsGrp/BOYAmt01377733
IRS990/TotalAssetsGrp/EOYAmt01280894
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt05091
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0866
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt012000
IRS990/TotalFunctionalExpensesGrp/TotalAmt012866
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt01013512
IRS990/TotalLiabilitiesEOYAmt0908301
IRS990/TotalLiabilitiesGrp/BOYAmt01013512
IRS990/TotalLiabilitiesGrp/EOYAmt0908301
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0364221
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0372593
IRS990/TotalProgramServiceExpensesAmt012000
IRS990/TotalRevenueGrp/ExclusionAmt0163
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt015984
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt021238
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt01377733
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt01280894
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0177980
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0185114
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt01205 NORTH MISSOURI STREET
IRS990/USAddress/CityNm0MACON
IRS990/USAddress/StateAbbreviationCd0MO
IRS990/USAddress/ZIPCd063534
IRS990/VotingMembersGoverningBodyCnt012
IRS990/VotingMembersIndependentCnt012
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02018-06-14 16:35:46Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0JD KING
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum06606992442
ReturnHeader/BusinessOfficerGrp/SignatureDt02018-05-31
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0SAMARITAN MEMORIAL FOUNDATION
ReturnHeader/Filer/BusinessNameControlTxt0SAMA
ReturnHeader/Filer/EIN0431667900
ReturnHeader/Filer/PhoneNum06603858700
ReturnHeader/Filer/USAddress/AddressLine1Txt01205 N MISSOURI ST
ReturnHeader/Filer/USAddress/CityNm0MACON
ReturnHeader/Filer/USAddress/StateAbbreviationCd0MO
ReturnHeader/Filer/USAddress/ZIPCd063552
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId02AB67B90C86D9DAEE8196A076BB228B32B58CB15
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId02AB67B90C86D9DAEE8196A076BB228B32B58CB15
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt076.8.156.47
ReturnHeader/FilingSecurityInformation/IPDt02018-06-18
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0CD
ReturnHeader/FilingSecurityInformation/IPTm018:45:04
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0203637614
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0GRIMSHAW & ASSOCIATES LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt01201 E BRIGGS DR
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0MACON
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0MO

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
2017Detailed filing. Detailed filing data is available for this year.$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
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2017 filings • 501(c)3 • $1M-$5M nonprofits