Civic Intelligence

Samaritan Memorial Foundation

990 • Fiscal year 2020 • EIN 43-1667900

Jan 01, 2020 to Dec 31, 2020 • Filed on May 27, 2021

Organization ProfileN/A
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

84th percentile

0.59x

Higher debt load relative to assets than 84% of similar nonprofits.

2020 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2020

Liabilities / Revenue

99th percentile

29.25x

Higher debt load relative to revenue than 99% of similar nonprofits.

2020 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2020

Net Margin

94th percentile

64%

Higher net margin than 94% of similar nonprofits.

2020 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2020

Top Officer Pay

37th percentile

$0

Higher top officer pay than 37% of similar nonprofits.

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

2020 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2020

Asset Growth

13th percentile

-6.2%

Faster asset growth than 13% of similar nonprofits.

2020 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2019 to 2020

Revenue Growth

11th percentile

-41%

Faster revenue growth than 11% of similar nonprofits.

2020 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2019 to 2020

Balance Sheet
Liabilities / Assets84th percentile

Assets

Down

$1,008,212

Down $66,903 (-6.2%) from 2019

Net Assets

Up

$410,036

Up $15,208 (+3.9%) from 2019

Liabilities

Down

$598,176

Down $82,111 (-12%) from 2019

Revenue And Expenses
Liabilities / Revenue99th percentileNet Margin94th percentile

Revenue

Down

$20,448

Down $13,958 (-41%) from 2019

Expenses

Down

$7,340

Down $26,131 (-78%) from 2019

Net Income

Up

$13,108

Up $12,173 (+1302%) from 2019

Historical Trend

Balance Sheet Trend

Asset Growth13th 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 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

2020

Assets$1,008,212
Liabilities$598,176
Net Assets$410,036
Open 2020 Filing

Operations Trend

Revenue Growth11th 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 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

2020

Revenue$20,448
Expenses$7,340
Net Income$13,108
Open 2020 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
May 27, 2021
Return Version
2020v4.0
Gross Receipts
$163,500
Mission and Program Overview

Mission

To help support the county hospital.

To help support the county hospital

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$992,823$880,674▼ $112,149
Savings and Temporary Cash Investments$82,042$127,288▲ $45,246
Total Assets$1,075,115$1,008,212▼ $66,903
Other Assets Total$250$250→ $0
Liabilities
Mortgage Notes Payable Secured by Investment Property$680,287$598,176▼ $82,111
Total Liabilities$680,287$598,176▼ $82,111
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$208,851$224,059▲ $15,208
Net Assets With Donor Restrictions$185,977$185,977→ $0
Total Net Assets Fund Balance$394,828$410,036▲ $15,208
Total Liabilities and Net Assets / Fund Balance$1,075,115$1,008,212▼ $66,903

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$880,674$1,166,894$2,047,568

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2020$165,800---$165,000
2019$165,800---$165,800
2018$165,800---$165,800
2017$165,800---$165,800
2016$165,800---$165,800
Compensation and Service Providers
Top Officer Pay37th percentile

Board Members and Trustees

NameTitle
Ben WilliamsPresident
Brent BernhardtMember
Jack DavisonMember
Jane LaneMember
Jd KingMember
Jeanette PowellMember
Michael AustinMember
Pat ClarkeMember
Patty CheeverMember
Karla TheriacSecretary
Dan CoonsTreasurer
Leigh SimonVice Preside
Revenue and Support

Revenue Composition

Contributions and Grants
$9,880
Program Service Revenue
$0
Investment Income
$620
Other Revenue
$9,948
All Other Contributions
$7,515
Change in Net Assets
$13,108
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$6,378
Other Expenses$962
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$6,378--$6,378
Fees for Services Accounting-$635-$635
Office Expenses-$327-$327
Total Functional Expenses$6,378$962$0$7,340
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Macon County Samaritan HospitalMacon, MOGovHospital Mural$6,378
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 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
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 2

“Dan coons samaritan hospital board treas supp org dan coons serves both boards”

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
Ben Williams
Title
President
Phone
6606992442
Signed
2021-05-27
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Ben Williams
Formed
1994
Legal Domicile
Mo
Voting Board Members
12
Independent Board Members
11
Employees
0

Preparer

Firm
Grimshaw & Associates LLC
Address
PO BOX 126, MACON, MO 63552
Preparer
Cherie C Seipel
Phone
6603955292
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IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/OperateBenefitNonSuprtOrgInd0false
IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/PowerAppointMajorityDirTrstInd0true
IRS990ScheduleA/OtherSupportSumAmt00
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IRS990ScheduleA/SupportedOrganizationsTotalCnt01
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IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd03
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IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt06378
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IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType1Ind0X
IRS990ScheduleA/SupportSumAmt06378
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd0true
IRS990ScheduleD/BuildingsGrp/BookValueAmt0880674
IRS990ScheduleD/BuildingsGrp/DepreciationAmt01166894
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt02047568
IRS990ScheduleD/CYEndwmtFundGrp/BeginningYearBalanceAmt0165800
IRS990ScheduleD/CYEndwmtFundGrp/EndYearBalanceAmt0165000
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/PrmnntEndowmentBalanceEOYPct01.00000
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0880674
IRS990ScheduleI/GrantRecordsMaintainedInd0false
IRS990ScheduleI/RecipientTable/CashGrantAmt06378
IRS990ScheduleI/RecipientTable/IRCSectionDesc0GOV
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0HOSPITAL MURAL
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
IRS990ScheduleI/Total501c3OrgCnt01
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0DAN COONS SAMARITAN HOSPITAL BOARD TREAS SUPP ORG DAN COONS SERVES BOTH BOARDS
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1A DRAFT COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO SUBMITTAL.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2CONFLICTS OF INTEREST ARE EXAMINED ANNUALLY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 6, PART VI, LINE 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleR/AssetExchangeInd0false
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd0false
IRS990ScheduleR/AssetSaleToOtherOrgInd0false
IRS990ScheduleR/DivRelatedOrganizationInd0false
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd0false
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd0true
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd0false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine2Txt0MEMORIAL HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0436003377
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0MO
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IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd0false
IRS990ScheduleR/PaidEmployeesSharingInd0false
IRS990ScheduleR/PerformOfServicesByOtherOrgInd0false
IRS990ScheduleR/PerformOfServicesForOthOrgInd0true
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd0true
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IRS990ScheduleR/ReimbursementPaidToOtherOrgInd0false
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd0true
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd0false
IRS990ScheduleR/SharingOfFacilitiesInd0true
IRS990ScheduleR/TransferFromOtherOrgInd0false
IRS990ScheduleR/TransferToOtherOrgInd0false
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
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IRS990/TotalAssetsEOYAmt01008212
IRS990/TotalAssetsGrp/BOYAmt01075115
IRS990/TotalAssetsGrp/EOYAmt01008212
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt09880
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0962
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt06378
IRS990/TotalFunctionalExpensesGrp/TotalAmt07340
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0680287
IRS990/TotalLiabilitiesEOYAmt0598176
IRS990/TotalLiabilitiesGrp/BOYAmt0680287
IRS990/TotalLiabilitiesGrp/EOYAmt0598176
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0394828
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0410036
IRS990/TotalProgramServiceExpensesAmt06378
IRS990/TotalRevenueGrp/ExclusionAmt0620
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt09948
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt020448
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt01075115
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt01008212
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
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IRS990/USAddress/CityNm0MACON
IRS990/USAddress/StateAbbreviationCd0MO

Document Assets

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Filings

Displayed year

2020 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$1,008,212
Liabilities
$598,176
Net assets
$410,036
Revenue
$20,448
Expenses
$7,340
Net income
$13,108
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
2020Detailed filing. Detailed filing data is available for this year.$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