Civic Intelligence

Saint Nicholas Family Clinic Foundation Inc

990 • Fiscal year 2017 • EIN 61-1260945

Jan 01, 2017 to Dec 31, 2017 • Filed on Sep 21, 2018

PO Box 311Paducah, KY 42003

(270) 408-4828

Siviq Scores

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

Liabilities / Assets

22nd percentile

0.01x

Higher debt load relative to assets than 22% of similar nonprofits.

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

Liabilities / Revenue

35th percentile

0.04x

Higher debt load relative to revenue than 35% of similar nonprofits.

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

Net Margin

16th percentile

-16%

Higher net margin than 16% 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

38th percentile

-0.1%

Faster asset growth than 38% of similar nonprofits.

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

Revenue Growth

10th percentile

-25%

Faster revenue growth than 10% of similar nonprofits.

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

Assets

Flat

$1,443,324

Flat from 2017

Net Assets

Flat

$1,436,056

Flat from 2017

Liabilities

Flat

$7,268

Flat from 2017

Revenue

Flat

$170,863

Flat from 2017

Expenses

Flat

$197,844

Flat from 2017

Net Income

Flat

-$26,981

Flat from 2017

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$2.0M$1.5M$1.0M$500K$0Assets 2010: $869,204Liabilities 2010: $4,327Net Assets 2010: $864,8772010Assets 2011: $823,470Liabilities 2011: $4,632Net Assets 2011: $818,8382011Assets 2012: $818,821Liabilities 2012: $3,990Net Assets 2012: $814,8312012Assets 2013: $1,232,330Liabilities 2013: $34,453Net Assets 2013: $1,197,8772013Assets 2014: $1,320,650Liabilities 2014: $2,584Net Assets 2014: $1,318,0662014Assets 2015: $1,413,549Liabilities 2015: $21,945Net Assets 2015: $1,391,6042015Assets 2016: $1,445,085Liabilities 2016: $18,389Net Assets 2016: $1,426,6962016Assets 2017: $1,443,324Liabilities 2017: $7,268Net Assets 2017: $1,436,0562017Assets 2017: $1,443,324Liabilities 2017: $7,268Net Assets 2017: $1,436,0562017Assets 2018: $1,359,376Liabilities 2018: $4,284Net Assets 2018: $1,355,0922018Assets 2019: $1,425,349Liabilities 2019: $0Net Assets 2019: $1,425,3492019Assets 2020: $1,604,477Liabilities 2020: $0Net Assets 2020: $1,604,4772020

Highlighted filing

2017

Assets$1,443,324
Liabilities$7,268
Net Assets$1,436,056

Operations Trend

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

$600K$400K$200K$0-$200KExpenses 2010: $414,3692010Revenue 2011: $388,971Expenses 2011: $370,784Net Income 2011: $18,1872011Expenses 2012: $466,1202012Revenue 2013: $401,728Expenses 2013: $414,050Net Income 2013: -$12,3222013Revenue 2014: $348,244Expenses 2014: $159,309Net Income 2014: $188,9352014Revenue 2015: $305,874Expenses 2015: $186,607Net Income 2015: $119,2672015Revenue 2016: $228,563Expenses 2016: $246,972Net Income 2016: -$18,4092016Revenue 2017: $170,863Expenses 2017: $197,844Net Income 2017: -$26,9812017Revenue 2017: $170,863Expenses 2017: $197,844Net Income 2017: -$26,9812017Revenue 2018: $127,257Expenses 2018: $131,965Net Income 2018: -$4,7082018Revenue 2019: $55,867Expenses 2019: $137,189Net Income 2019: -$81,3222019Revenue 2020: $237,079Expenses 2020: $14,242Net Income 2020: $222,8372020

Highlighted filing

2017

Revenue$170,863
Expenses$197,844
Net Income-$26,981
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Sep 21, 2018
Return Version
2017v2.3
Gross Receipts
$601,423
Mission and Program Overview

Mission

To provide medical care payment assistance to working poor who meet the progams's eligibilty requirements.

The purpose for which the corporation is organized is to provide free medical care to the working poor within the meaning of section 501(c) (3).

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$781,048$850,144▲ $69,096
Cash and Non-Interest-Bearing Accounts$415,078$387,872▼ $27,206
Land, Buildings, and Equipment, Net$247,431$172,056▼ $75,375
Total Assets$1,445,085$1,443,324▼ $1,761
Other Assets Total$1,528$33,252▲ $31,724
Liabilities
Accounts Payable and Accrued Expenses$17,373$5,730▼ $11,643
Other Liabilities$1,016$1,538▲ $522
Total Liabilities$18,389$7,268▼ $11,121
Net Assets / Fund Balance
Unrestricted Net Assets$1,426,696$1,436,056▲ $9,360
Total Net Assets Fund Balance$1,426,696$1,436,056▲ $9,360
Total Liabilities and Net Assets / Fund Balance$1,445,085$1,443,324▼ $1,761

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$170,977$109,793$280,770
Equipment$1,079$1,888$2,967
Other Securities$850,144--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2017$781,048-▲ $106,291$34,386$850,144
2016$771,388-▲ $44,548$32,283$781,048
2015$789,022-▼ $14,949-$771,388
2014$766,798-▲ $24,922-$789,022
2013$717,074-▲ $67,689$15,407$766,798
Compensation and Service Providers

Board Members and Trustees

Revenue and Support

Revenue Composition

Contributions and Grants
$100,794
Program Service Revenue
$0
Investment Income
$70,069
Other Revenue
$0
All Other Contributions
$100,794
Change in Net Assets
$-26,981

Audited Revenue Reconciliation

Revenue per Audited Statements
$170,863
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$36,343
Total Revenue per Audited Statements
$207,206
Total Revenue per Form 990
$170,863
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$141,698
Salaries, Compensation, and Employee Benefits$56,146
Total Fundraising Expense$6,511
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$37,000$11,500$1,500$50,000
All Other Expenses$2,370$5,859$4,826$13,055
Other Expenses$9,397$5,634-$9,397
Depreciation Depletion-$8,541-$8,541
Fees for Services Accounting-$8,200-$8,200
Occupancy$6,550--$6,550
Insurance-$6,339-$6,339
Payroll Taxes$3,566$1,108$145$4,819
Advertising$2,378$2,378-$4,756
Office Expenses-$1,842-$1,842
Other Employee Benefits$982$305$40$1,327
Total Functional Expenses$125,946$65,387$6,511$197,844

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$197,844
Total Expenses per Audited Statements$197,844
Total Expenses per Form 990$197,844
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Payroll Liabilities$1,538
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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 B, Line 11B

990 is reviewed by the board and management before it is submitted.

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

Board members are required annually to inform the board of any business relations that could give rise to a conflict of interest with the program.

Form 990, Part VI, Section C, Line 19

All documents available upon request

Filing and Contact Details

Filer

Filer Name
Saint Nicholas Healthcare Payment
EIN
61-1260945
Phone
2704084828
Address
PO BOX 311, PADUCAH, KY 42003

Signing Officer

Name
Jennifer Cook
Title
Treasurer
Phone
2704085020
Signed
2018-09-21
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Rayla Bridges
Formed
1994
Legal Domicile
Ky
Voting Board Members
15
Independent Board Members
15
Employees
0
Volunteers
0

Preparer

Firm
Kemper CPA Group Llp
Address
100 S 4TH STREET SUITE 300, PADUCAH, KY 42001
Preparer
David Hampton
Phone
2704434400
Supplemental Narrative

Additional Explanations

FORM 990, PART XII, LINE 2C:

Board assumes oversight of audit of financial statements and selection of independent public accounting firm.this process has not changed from the prior year.

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IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt0237392
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt0-8829
IRS990/PYOtherExpensesAmt0192819
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt0-18409
IRS990/PYSalariesCompEmpBnftPaidAmt054153
IRS990/PYTotalExpensesAmt0246972
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0228563
IRS990/QuidProQuoContributionsInd00
IRS990/ReconcilationRevenueExpnssAmt0-26981
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd01
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt0100794
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt0237392
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt0274998
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt0295142
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt0376948
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt01285274
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt070069
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt0-8829
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt030876
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt053102
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt024780
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt0169998
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.88320
IRS990ScheduleA/PublicSupportPY170Pct00.91280
IRS990ScheduleA/PublicSupportTotal170Amt01285274
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0100794
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0237392
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0274998
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0295142
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt0376948
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt01285274
IRS990ScheduleA/TotalSupportAmt01455272
IRS990/ScheduleBRequiredInd01
IRS990ScheduleD/BuildingsGrp/BookValueAmt0170977
IRS990ScheduleD/BuildingsGrp/DepreciationAmt0109793
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt0280770
IRS990ScheduleD/CYEndwmtFundGrp/AdministrativeExpensesAmt02809
IRS990ScheduleD/CYEndwmtFundGrp/BeginningYearBalanceAmt0781048
IRS990ScheduleD/CYEndwmtFundGrp/EndYearBalanceAmt0850144
IRS990ScheduleD/CYEndwmtFundGrp/InvestmentEarningsOrLossesAmt0106291
IRS990ScheduleD/CYEndwmtFundGrp/OtherExpendituresAmt034386
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/AdministrativeExpensesAmt02605
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/BeginningYearBalanceAmt0771388
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/EndYearBalanceAmt0781048
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt044548
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/OtherExpendituresAmt032283
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/AdministrativeExpensesAmt02685
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/BeginningYearBalanceAmt0789022
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/EndYearBalanceAmt0771388
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt0-14949
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/AdministrativeExpensesAmt02698
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/BeginningYearBalanceAmt0766798
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/EndYearBalanceAmt0789022
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt024922
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/AdministrativeExpensesAmt02558
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/BeginningYearBalanceAmt0717074
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/EndYearBalanceAmt0766798
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt067689
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/OtherExpendituresAmt015407
IRS990ScheduleD/EndowmentsHeldRelatedOrgInd00
IRS990ScheduleD/EndowmentsHeldUnrelatedOrgInd00
IRS990ScheduleD/EquipmentGrp/BookValueAmt01079
IRS990ScheduleD/EquipmentGrp/DepreciationAmt01888
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt02967
IRS990ScheduleD/ExpensesNotReportedAmt00
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt00
IRS990ScheduleD/ExpensesSubtotalAmt0197844
IRS990ScheduleD/NetUnrealizedGainsInvstAmt036343
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt01538
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0PAYROLL LIABILITIES
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt0850144
IRS990ScheduleD/OtherSecuritiesGrp/Desc0ENDOWMENT
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd0F
IRS990ScheduleD/RevenueNotReportedAmt036343
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt00
IRS990ScheduleD/RevenueSubtotalAmt0170863
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0172056
IRS990ScheduleD/TotalBookValueSecuritiesAmt0850144
IRS990ScheduleD/TotalExpensesPerForm990Amt0197844
IRS990ScheduleD/TotalLiabilityAmt01538
IRS990ScheduleD/TotalRevenuePerForm990Amt0170863
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt0207206
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt0197844
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0990 IS REVIEWED BY THE BOARD AND MANAGEMENT BEFORE IT IS SUBMITTED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1BOARD MEMBERS ARE REQUIRED ANNUALLY TO INFORM THE BOARD OF ANY BUSINESS RELATIONS THAT COULD GIVE RISE TO A CONFLICT OF INTEREST WITH THE PROGRAM.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2ALL DOCUMENTS AVAILABLE UPON REQUEST
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3BOARD ASSUMES OVERSIGHT OF AUDIT OF FINANCIAL STATEMENTS AND SELECTION OF INDEPENDENT PUBLIC ACCOUNTING FIRM.THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART XII, LINE 2C:
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd01
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt01445085
IRS990/TotalAssetsEOYAmt01443324
IRS990/TotalAssetsGrp/BOYAmt01445085
IRS990/TotalAssetsGrp/EOYAmt01443324
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt0100794
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt06511
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt065387
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0125946
IRS990/TotalFunctionalExpensesGrp/TotalAmt0197844
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt018389
IRS990/TotalLiabilitiesEOYAmt07268
IRS990/TotalLiabilitiesGrp/BOYAmt018389
IRS990/TotalLiabilitiesGrp/EOYAmt07268
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt01426696
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt01436056
IRS990/TotalOtherCompensationAmt00

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