Civic Intelligence

Carroll County Memorial Hospital Foundation

EIN 46-3696048 • 501(c)3 • Carrollton, MO

Profile

The mission of the ccmh foundation is to provide financial and organization support that enhances the quality and availability of healthcare services.

1502 N Jefferson StreetCarrollton, MO 64633

www.carrollcountyhospital.org/FOUNDATION

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

33rd percentile

0.00x

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

501(c)3 • $500k-$1M nonprofits • Source year 2024

Liabilities / Revenue

35th percentile

0.00x

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

501(c)3 • $500k-$1M nonprofits • Source year 2024

Net Margin

97th percentile

86%

Higher net margin than 97% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Top Officer Pay

98th percentile

$329,321

Higher top officer pay than 98% of similar nonprofits.

Top officer pay equals 325.2% of source-year revenue.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Asset Growth

68th percentile

13%

Faster asset growth than 68% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Revenue Growth

27th percentile

-9.2%

Faster revenue growth than 27% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Assets

Up

$690,444

Up $111,132 (+19%) from 2022

Liabilities

Flat

$0

Flat from 2022

Net Assets

Up

$690,444

Up $111,132 (+19%) from 2022

Revenue

Up

$111,566

Up $19,310 (+21%) from 2022

Expenses

Up

$28,545

Up $10,548 (+59%) from 2022

Net Income

Up

$83,021

Up $8,762 (+12%) from 2022

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$800K$600K$400K$200K$0Assets 2016: $175,186Liabilities 2016: $02016Assets 2017: $252,051Liabilities 2017: $0Net Assets 2017: $252,0512017Assets 2018: $294,702Liabilities 2018: $0Net Assets 2018: $294,7022018Assets 2019: $350,633Liabilities 2019: $0Net Assets 2019: $350,6332019Assets 2020: $485,727Liabilities 2020: $0Net Assets 2020: $485,7272020Assets 2021: $505,053Liabilities 2021: $0Net Assets 2021: $505,0532021Assets 2022: $579,312Liabilities 2022: $0Net Assets 2022: $579,3122022Assets 2023: $690,444Liabilities 2023: $0Net Assets 2023: $690,4442023

Highlighted filing

2023

Assets$690,444
Liabilities$0
Net Assets$690,444

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$200K$150K$100K$50K$0Revenue 2016: $153,174Expenses 2016: $10,088Net Income 2016: $143,0862016Revenue 2017: $103,972Expenses 2017: $27,107Net Income 2017: $76,8652017Revenue 2018: $54,640Expenses 2018: $7,564Net Income 2018: $47,0762018Revenue 2019: $77,059Expenses 2019: $21,128Net Income 2019: $55,9312019Revenue 2020: $146,041Expenses 2020: $10,947Net Income 2020: $135,0942020Revenue 2021: $32,177Expenses 2021: $12,851Net Income 2021: $19,3262021Revenue 2022: $92,256Expenses 2022: $17,997Net Income 2022: $74,2592022Revenue 2023: $111,566Expenses 2023: $28,545Net Income 2023: $83,0212023

Highlighted filing

2023

Revenue$111,566
Expenses$28,545
Net Income$83,021

Filings

Latest Detailed Filing

The latest 2023 filing currently has summary financial data only. Showing the latest detailed filing from 2022 below.

Jump To
Filing Snapshot
Filing Period
Jul 1, 2021 to Jun 30, 2022
Signed
May 12, 2023
Return Version
2021v4.2
Gross Receipts
$96,746
Mission and Program Overview

Mission

The mission of the ccmh foundation is to provide financial and organizational support that enhances the quality and availability of healthcare services.

The mission of the ccmh foundation is to provide financial and organization support that enhances the quality and availability of healthcare services.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$475,053$486,540▲ $11,487
Pledges and Grants Receivable$30,000$30,000→ $0
Total Assets$505,053$579,312▲ $74,259
Other Assets Total$0$62,772▲ $62,772
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$505,053$579,312▲ $74,259
Total Net Assets Fund Balance$505,053$579,312▲ $74,259
Total Liabilities and Net Assets / Fund Balance$505,053$579,312▲ $74,259

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$62,772--
Compensation and Service Providers

Board Members and Trustees

NameTitle
Jeff AdamsBoard Chair
Scott ThoresonPresident/CEO - Ccmh
Cohlby JonesVice Chair
Jeff TindleCEO Thru 6/2021
Amy IrelandCFO
Carolyn LockMember
Chris JacobsMember
Clint DeitchMember
Jamie WooldridgeMember
Jeanette CraigMember
Jim HouseworthMember
Pam HorineMember
Pamela Ralls MdMember
Casse BrownSecretary
Jay WilsonTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$93,356
Program Service Revenue
$0
Investment Income
$57
Other Revenue
$-1,157
All Other Contributions
$78,839
Change in Net Assets
$74,259
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$10,073
Grants and Similar Amounts Paid$7,924
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Individuals$7,924--$7,924
Fees for Services Other-$7,309-$7,309
Office Expenses-$2,764-$2,764
Total Functional Expenses$7,924$10,073$0$17,997
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$4,490
Fundraising Gross Income$3,333
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Gala$17,850$3,333$1,157$2,176
Total Events$17,850$3,333$4,490$-1,157
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
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
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 1A

The executive committee, comprised of the elected officers and two other members of the board appointed by the president, has the authority to act on behalf of the governing body.

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

A separate accounting firm prepares and reviews the 990. The 990 is then reviewed by the organization's officers and accounting personnel. Any questions and concerns the organization's officers and accounting personnel have are addressed and any corrections or clarifications that need to be made are made. The final form 990 with all required schedules is then provided to all voting members of the board prior to filing the form 990 with the irs.

Form 990, Part VI, Section B, Line 12C

The board sets the conflict of interest policy and administration is charged with assuring that compliance is maintained. The conflict of interest policy is reviewed annually and each board member signs a conflict of interest disclosure form. If a conflict arises the conflicted person does not take part in the vote on the issue.

Form 990, Part VI, Section B, Line 15

Carroll county memorial hospital foundation does not compensate any officers, directors, or key employees. Compensation is paid by carroll county memorial hospital (ccmh), a related entity. The board conducts an annual salary review for the ceo. The board approves the amount of compensation. The last review was conducted in 2021. All other management positions are hired, reviewed, and monitored by the ceo and leadership team. Compensation reviews occur annually.

Form 990, Part VI, Section C, Line 19

The organization's governing documents, conflict of interest policy, and financial statements are made available upon request.

Filing and Contact Details

Filer

Filer Name
Carroll County Memorial Hospital
EIN
46-3696048
Phone
6605421695
Address
1502 N JEFFERSON STREET, CARROLLTON, MO 64633

Signing Officer

Name
Scott Thoreson
Title
CEO
Phone
6605421695
Signed
2023-05-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Scott Thoreson
Formed
2013
Legal Domicile
Mo
Voting Board Members
12
Independent Board Members
11
Employees
0
Volunteers
16

Preparer

Firm
Eide Bailly Llp
Address
18081 BURT ST STE 200, OMAHA, NE 68022-4722
Preparer
Megan L Koziol CPA
Phone
4023302660
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Other professional fees: program service expenses 0. Management and general expenses 7,309. Fundraising expenses 0. Total expenses 7,309.

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IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0475053
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0486540
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt093356
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt032062
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt0124189
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt084146
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt054636
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt0388389
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt057
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt0115
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt03124
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt077
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt04
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt03377
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus2YearsAmt026954
IRS990ScheduleA/OtherIncome170Grp/TotalAmt026954
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.69740
IRS990ScheduleA/PublicSupportPY170Pct00.69350
IRS990ScheduleA/PublicSupportTotal170Amt0292011
IRS990ScheduleA/SubstantialContributorsTotAmt096378
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt093356
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt032062
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0124189
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt084146
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt054636
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0388389
IRS990ScheduleA/TotalSupportAmt0418720
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/ScheduleBRequiredInd01
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt062772
IRS990ScheduleD/OtherAssetsOrgGrp/Desc0INTERCOMPANY RECEIVABLE
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalBookValueOtherAssetsAmt062772
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContributionsTotAmt014517
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt014517
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt04490
IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentEvent1Amt03333
IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentTotalEventsAmt03333
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0GALA
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt017850
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt017850
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt03333
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt03333
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt0-1157
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt01157
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt01157
IRS990ScheduleI/GrantRecordsMaintainedInd01
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/CashGrantAmt06002
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/CashGrantAmt11922
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/GrantTypeTxt0TUITION SCHOLARSHIPS
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/GrantTypeTxt1EMPLOYEE ASSISTANCE
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/RecipientCnt010
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/RecipientCnt14
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0NO ADDITIONAL TRACKING OR MONITORING OCCURS AFTER FUNDS ARE DISBURSED.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 2:
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt057870
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt211600
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0199325
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1180762
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt2119691
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt3141331
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt018971
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt210618
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt232354
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt310272
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt0159
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt296
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt3493
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0PAMELA RALLS MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1JEFF TINDLE
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2AMY IRELAND
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm3SCOTT THORESON
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0MEMBER

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