Civic Intelligence

Lutheran Home - Hickory Inc

990 • Fiscal year 2016 • EIN 20-1457341

Oct 01, 2015 to Sep 30, 2016 • Filed on Feb 10, 2017

PO Box 947Salisbury, NC 28145

(704) 637-2870

Siviq Scores

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

Liabilities / Assets

41st percentile

0.15x

Higher debt load relative to assets than 41% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Liabilities / Revenue

28th percentile

0.10x

Higher debt load relative to revenue than 28% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Net Margin

31st percentile

-1.7%

Higher net margin than 31% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Top Officer Pay

82nd percentile

$330,735

Higher top officer pay than 82% of similar nonprofits.

Top officer pay equals 2.6% of source-year revenue.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Asset Growth

37th percentile

-0.6%

Faster asset growth than 37% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2015 to 2016

Revenue Growth

35th percentile

-1.5%

Faster revenue growth than 35% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2015 to 2016

Assets

Down

$8,549,407

Down $50,588 (-0.6%) from 2015

Net Assets

Down

$7,247,759

Down $188,574 (-2.5%) from 2015

Liabilities

Up

$1,301,648

Up $137,986 (+12%) from 2015

Revenue

Down

$12,919,535

Down $202,821 (-1.5%) from 2015

Expenses

Up

$13,135,254

Up $351,858 (+2.8%) from 2015

Net Income

Down

-$215,719

Down $554,679 (-164%) from 2015

Historical Trend

Balance Sheet Trend

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

$15M$10M$5.0M$0Assets 2011: $6,145,841Liabilities 2011: $836,266Net Assets 2011: $5,309,5752011Assets 2012: $7,035,464Liabilities 2012: $951,005Net Assets 2012: $6,084,4592012Assets 2013: $7,933,170Liabilities 2013: $1,135,583Net Assets 2013: $6,797,5872013Assets 2014: $8,258,867Liabilities 2014: $1,101,754Net Assets 2014: $7,157,1132014Assets 2015: $8,599,995Liabilities 2015: $1,163,662Net Assets 2015: $7,436,3332015Assets 2016: $8,549,407Liabilities 2016: $1,301,648Net Assets 2016: $7,247,7592016Assets 2017: $8,836,003Liabilities 2017: $1,304,591Net Assets 2017: $7,531,4122017Assets 2018: $8,658,590Liabilities 2018: $1,277,158Net Assets 2018: $7,381,4322018Assets 2019: $8,805,488Liabilities 2019: $1,304,891Net Assets 2019: $7,500,5972019Assets 2020: $9,351,726Liabilities 2020: $1,664,137Net Assets 2020: $7,687,5892020Assets 2021: $8,958,824Liabilities 2021: $809,836Net Assets 2021: $8,148,9882021Assets 2022: $11,015,128Liabilities 2022: $895,586Net Assets 2022: $10,119,5422022Assets 2023: $10,687,431Liabilities 2023: $1,007,615Net Assets 2023: $9,679,8162023Assets 2024: $10,811,352Liabilities 2024: $1,076,770Net Assets 2024: $9,734,5822024

Highlighted filing

2016

Assets$8,549,407
Liabilities$1,301,648
Net Assets$7,247,759

Operations Trend

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

$20M$15M$10M$5.0M$0-$5.0MRevenue 2011: $12,990,130Expenses 2011: $11,668,210Net Income 2011: $1,321,9202011Expenses 2012: $12,908,2382012Expenses 2013: $12,687,2552013Revenue 2014: $12,863,854Expenses 2014: $12,497,852Net Income 2014: $366,0022014Revenue 2015: $13,122,356Expenses 2015: $12,783,396Net Income 2015: $338,9602015Revenue 2016: $12,919,535Expenses 2016: $13,135,254Net Income 2016: -$215,7192016Revenue 2017: $14,055,797Expenses 2017: $13,886,563Net Income 2017: $169,2342017Revenue 2018: $13,824,454Expenses 2018: $14,050,892Net Income 2018: -$226,4382018Revenue 2019: $14,153,547Expenses 2019: $14,058,202Net Income 2019: $95,3452019Revenue 2020: $14,885,311Expenses 2020: $14,789,758Net Income 2020: $95,5532020Revenue 2021: $16,014,095Expenses 2021: $15,790,402Net Income 2021: $223,6932021Revenue 2022: $19,191,858Expenses 2022: $16,741,139Net Income 2022: $2,450,7192022Revenue 2023: $17,848,495Expenses 2023: $18,471,509Net Income 2023: -$623,0142023Revenue 2024: $18,377,327Expenses 2024: $19,065,127Net Income 2024: -$687,8002024

Highlighted filing

2016

Revenue$12,919,535
Expenses$13,135,254
Net Income-$215,719
Jump To
Filing Snapshot
Filing Period
Oct 1, 2015 to Sep 30, 2016
Signed
Feb 10, 2017
Return Version
2015v3.0
Gross Receipts
$12,936,816
Mission and Program Overview

Mission

Empowered by christ, we walk together with all we serve.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$1,584,721$1,651,088▲ $66,367
Accounts Receivable$1,159,457$1,342,681▲ $183,224
Land, Buildings, and Equipment, Net$707,586$684,129▼ $23,457
Cash and Non-Interest-Bearing Accounts$912,422$581,048▼ $331,374
Inventories for Sale or Use$37,555$36,398▼ $1,157
Prepaid Expenses and Deferred Charges$140$4,811▲ $4,671
Total Assets$8,599,995$8,549,407▼ $50,588
Other Assets Total$4,198,114$4,249,252▲ $51,138
Liabilities
Accounts Payable and Accrued Expenses$842,210$981,484▲ $139,274
Tax Exempt Bond Liabilities$321,452$320,164▼ $1,288
Total Liabilities$1,163,662$1,301,648▲ $137,986
Net Assets / Fund Balance
Unrestricted Net Assets$7,414,651$7,236,694▼ $177,957
Temporarily Rstr Net Assets$21,682$11,065▼ $10,617
Total Net Assets Fund Balance$7,436,333$7,247,759▼ $188,574
Total Liabilities and Net Assets / Fund Balance$8,599,995$8,549,407▼ $50,588

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$670,027$1,515,130$2,185,157
Other Land Buildings$7,808$17,655$25,463
Buildings$6,294$14,231$20,525
Other Assets Org$95,625--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2015$559,927$3,486▲ $43,233-$606,646
2014$579,311-▼ $19,384-$559,927
2013$542,822$5,686▲ $30,803-$579,311
2012$504,059-▲ $38,763-$542,822
2011$152,624-▲ $351,435-$504,059
Compensation and Service Providers

Employees

NameTitleFull / Part TimeOtherTotal
Karen MaddrySecretaryFT$74,533$74,533

Board Members and Trustees

NameTitle
Ted Goins JrChief Executive Officer/PRESIDENT
Anna PasourDirector
Betty LohrDirector
Cary GrantDirector
Derek ShoemakeDirector
Doug NelsonDirector
Dr Shannon MathewsDirector
Eric HoyleDirector
Eunika SimonsDirector
Greg HudginsDirector
J White Iddings JrDirector
Jim HuddleDirector
Joy FisherDirector
Joycelyn JohnsonDirector
Mark TonnesenDirector
Rev Jennifer KrushasDirector
Rev Pamela CookDirector
Rosebud ReubelDirector
Skip DownsDirector
Elizabeth KuhnChief Development Officer
Kirby NickersonChief Financial Officer
Kesha SmithCOO-senior Services

Highest Paid Contractors

ContractorServicesLocationCompensation
Trinity Rehab LLCTherapy Services113 SOUTH RAILROAD AVENUE, Dunn, NC 28334$930,481
US Food Service IncDietary Food & Supplies800 FOOD SERVICE DRIVE, Fort Mill, SC 29715$532,685
Division of Medical AssistanceBed Assessment2022 MAIL SERVICE CENTER, Raleigh, NC 27699-2022$369,538
Grove Medical IncMedical Supplies1089 PARK WEST BOULEVARD, Greenville, SC 29611-6124$186,795
Revenue and Support

Revenue Composition

Contributions and Grants
$44,635
Program Service Revenue
$12,815,672
Investment Income
$33,098
Other Revenue
$26,130
All Other Contributions
$34,635
Change in Net Assets
$-215,719
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$7,773,879
Other Expenses$5,361,375
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$6,170,937$260,376-$6,431,313
Fees for Services Other$1,095,718$18,064-$1,113,782
Occupancy$871,212--$871,212
Other Employee Benefits$780,613$32,937-$813,550
Office Expenses$475,098$74,255-$549,353
Fees for Services Management-$513,817-$513,817
Payroll Taxes$487,941$20,588-$508,529
Depreciation Depletion$175,316--$175,316
Other Expenses$73,921--$73,921
Insurance$59,707--$59,707
Advertising-$21,096-$21,096
Pension Plan Contributions$19,658$829-$20,487
Fees for Services Accounting-$18,480-$18,480
Information Technology$16,593--$16,593
Travel$5,185$3,416-$8,601
Interest$6,397--$6,397
Fees for Service Investment Mgmnt Fees-$5,973-$5,973
Fees for Services Legal-$5,032-$5,032
Conferences and Meetings-$1,394-$1,394
All Other Expenses$765--$765
Total Functional Expenses$12,158,997$976,257$0$13,135,254
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
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
Yes
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
Yes

Governance Explanations

Form 990, Part VI, Section A, line 3

Lsa management, inc. Provides administrative support, management, accounting, information technology, and resource development services to lutheran services for the aging and its affiliates. See schedule r, part v.

Form 990, Part VI, Section B, line 11

The form 990 is prepared by an independent accounting firm and then reviewed by the chief financial officer, before made available to the board of directors via a website portal. The board of directors review and comment on the form 990. Any matters are raised to the outside accountants for collaboration and ultimate resolution.

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

Board members receive a board manual as part of orientation when they join the board which includes the corporate compliance policy and bylaws. Both the policy and the bylaws address conflict of interest. Thereafter, annually, the board of directors receive corporate compliance training and complete a conflict of interest disclosure.

Form 990, Part VI, Section B, line 15A

All compensation limits are compared to state and national ranges based on facility size and experience of staff. The board of directors approve the compensation of the ceo/president which is paid by the managing organization of the control group. All compensation limits are compared to state and national ranges based on facility size and experience of staff. The ceo/president approves the compensation of officers and key employees. Officers of the controlled group are paid by the managing organization and certain organizations within the control group also compensate key employees directly.

Form 990, Part VI, Section C, line 18

Form 990 are posted on guidestar and available upon request at the lsa office located in salisbury, nc.

Form 990, Part VI, Section C, line 19

The organization only makes its conflict of interest policy available to the public.

Form 990, Part VI - Additional Information

Whistleblower policy lutheran services for the aging, inc. & affiliates are committed to their role in preventing health care fraud and abuse and complying with applicable state and federal laws related to health care fraud and abuse. The civil false claims act provides for protection for employees from retaliation. Any employee who is discharged, demoted, suspended, threatened, harassed, or discriminated against in terms and conditions of employment because of lawful acts conducted in furtherance of an action under the fca may bring an action in federal district court seeking reinstatement, two times the amount of back pay plus interest, and other enumerated costs, damages, and fees. Documentation retention and destruction policy each entity within the lutheran services for the aging, inc. & affiliates group will ensure that records are retained for the required time periods established by state laws, federal regulations, and payor requirements to meet the needs of legitimate users. At the end of the retention period, each entity will ensure that destruction of records is performed according to specific procedure and authorization with appropriate supervision of destruction. The proper method of destruction for any paper record is by shredding or incineration only. Prior to the destruction of any facility records, whether original or computer media, a check will be made to ensure the retention period has expired as defined by state laws and facility policies. Any records in open investigation, audit, or litigation will not be destroyed. For facilities using electronic medical records, records will be stored in the system indefinitely and the destruction process will not apply.

Form 990, Part VII - Additional Information

Part vii, section a - column (b) hours for related organizations board members and officers devote time to all entities within the control group.

Filing and Contact Details

Filer

Filer Name
Lutheran Home - Hickory Inc
EIN
20-1457341
Phone
7046372870
Address
PO BOX 947, SALISBURY, NC 28145
Doing Business As
Trinity Village

Signing Officer

Name
Kirby Nickerson
Title
CFO
Phone
7046372870
Signed
2017-02-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Ted Goins
Formed
2004
Legal Domicile
Nc
Voting Board Members
19
Independent Board Members
18
Employees
334
Volunteers
145

Preparer

Firm
Dixon Hughes Goodman Llp
Address
500 RIDGEFIELD COURT, ASHEVILLE, NC 28806
Preparer
Amy Bibby
Phone
8282542254
Supplemental Narrative

Additional Explanations

FORM 990 - ORGANIZATION'S MISSION

Lutheran services for the aging, inc. (lsa) and its affiliated organizations are ministries of the north carolina synod of the evangelical lutheran church in america. The lsa mission statement is, "empowered by christ, we walk together with all we serve." lsa operates nursing homes, retirement communities, assisted living residences, and adult day services in addition to providing care management, home care, and information and referral services in north carolina. Lsa provides a ministry of christian care to older adults and adults with disabilities regardless of faith, race, disability, or economic status. Lsa is made up of compassionate people with loving spirits and generous hearts. Residents, staff, clients, participants, families, and volunteers all strive to be of service to god and the community. Many of the seniors served by lsa have been service oriented and philanthropically inclined throughout their lives and continue to seek opportunities for community service. For the young-elders of the retirement communities those opportunities are abundant. Residents there log in hundreds of volunteer hours for local churches, habitat for humanity, the alzheimer' s association, the state veterans hospital, fund raising for cancer research, literacy councils, local hospitals, food pantries, homeless shelters, the united way, and mentoring projects for local elementary schools. They have packed boxes for samaritan's purse, gathered coats for kids and collected canned goods for food pantries. They have sewn, knitted, crocheted, and quilted countless items for causes throughout the state and beyond. The more frail elders of the lsa nursing homes and adult day services may be less visible, but are equally committed to community service. Supported by staff and volunteers, they have held blood drives, they have hosted breakfasts for fire, police, and emergency service personnel, collected school supplies for kids, and adopted needy families at christmas. They, too, have logged in hundreds of hours in pro jects for local schools and hospitals, the arc, the alzheimer's association, meals-on-wheels, the humane society, the american red cross, the united way, and more. Lsa also serves its communities by working collaboratively with colleges and universities throughout north carolina including catawba and livingstone colleges; catawba valley, gaston, rowan-cabarrus, stanly, caldwell and forsyth community colleges; appalachian state, winston-salem state, lenoir-rhyne and duke universities; and the university of north carolina and hood theological seminary. These collaborative efforts foster growth and cooperation, and ultimately improve the quality of life for the institutions and the communities. Lsa also encourages community members to seek volunteer, educational, and spiritual opportunities through its ministries. The ministries of lsa are active, busy places where multiple generations meet in a spirit of fun, fellowship and cooperation. Community education opportunities are always available on topics such as adult day care, alzheimer' s disease, medicaid, medicare, healthcare directives and more.

Form 990, Part XII, Line 2C:

This process has not changed from prior year.

Financial Statement Notes

Part X, Line 2:

Substantially all affiliates of lsa and lfs are organized as north carolina nonprofit organizations and are exempt from income taxes under internal revenue code (irc) section 501(c)(3) under a group exemption of the elca. Lfs real properties, inc. Is exempt under irc section 501(c)(2). The organizations record a liability for any tax position taken that is beneficial to the organizations, including any related interest and penalties, when it is more likely than not the position of management with respect to a transaction or class of transactions will be overturned by a taxing authority upon examination. Management believes there are no such positions as of september 30, 2016.

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IRS990/Desc0LUTHERAN HOME - HICKORY, INC. STRIVES TO BE A TRUE HOME FOR ITS RESIDENTS, A PLACE OF COMFORT, SECURITY AND BELONGING. STAFF EMPHASIZE BOTH QUALITY CARE AND QUALITY OF LIFE. MEANINGFUL ACTIVITIES BRING RESIDENTS, STAFF, FAMILIES AND VOLUNTEERS TOGETHER IN A SPIRIT OF FUN AND FELLOWSHIP. STAFF ARE COMMITTED TO PROVIDING COMPASSIONATE CARE AND PERSONAL ATTENTION TO RESIDENTS WHILE MEETING THE UNIQUE MEDICAL, EMOTIONAL, AND SPIRITUAL NEEDS OF EACH INDIVIDUAL. BECAUSE CHOOSING A NURSING HOME OFTEN COMES AT A DIFFICULT TIME, CHAPLAINS ARE AVAILABLE TO OFFER SUPPORT AND GUIDANCE TO FAMILIES AND RESIDENTS DURING ADMISSION AND THROUGHOUT THEIR STAY. SEE CONTINUATION ON SCHEDULE ODURING THE YEAR ENDED SEPTEMBER 30, 2016, LUTHERAN HOME - HICKORY, INC. PROVIDED 65,891 DAYS OF CARE TO 565 RESIDENTS.
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IRS990/Form990PartVIISectionAGrp/PersonNm0Ted Goins Jr
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IRS990/Form990PartVIISectionAGrp/PersonNm2Eric Hoyle
IRS990/Form990PartVIISectionAGrp/PersonNm3Cary Grant
IRS990/Form990PartVIISectionAGrp/PersonNm4Skip Downs
IRS990/Form990PartVIISectionAGrp/PersonNm5Jim Huddle
IRS990/Form990PartVIISectionAGrp/PersonNm6Joy Fisher
IRS990/Form990PartVIISectionAGrp/PersonNm7Eunika Simons
IRS990/Form990PartVIISectionAGrp/PersonNm8Joycelyn Johnson
IRS990/Form990PartVIISectionAGrp/PersonNm9Mark Tonnesen
IRS990/Form990PartVIISectionAGrp/PersonNm10Betty Lohr
IRS990/Form990PartVIISectionAGrp/PersonNm11Dr Shannon Mathews
IRS990/Form990PartVIISectionAGrp/PersonNm12Greg Hudgins
IRS990/Form990PartVIISectionAGrp/PersonNm13Doug Nelson
IRS990/Form990PartVIISectionAGrp/PersonNm14Derek Shoemake
IRS990/Form990PartVIISectionAGrp/PersonNm15Rev Jennifer Krushas
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IRS990/Form990PartVIISectionAGrp/PersonNm18Anna Pasour
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IRS990/Form990PartVIISectionAGrp/PersonNm22Elizabeth Kuhn
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IRS990/Form990PartVIISectionAGrp/TitleTxt0Chief Executive Officer/PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt1Director
IRS990/Form990PartVIISectionAGrp/TitleTxt2Director
IRS990/Form990PartVIISectionAGrp/TitleTxt3Director
IRS990/Form990PartVIISectionAGrp/TitleTxt4Director
IRS990/Form990PartVIISectionAGrp/TitleTxt5Director
IRS990/Form990PartVIISectionAGrp/TitleTxt6Director
IRS990/Form990PartVIISectionAGrp/TitleTxt7Director
IRS990/Form990PartVIISectionAGrp/TitleTxt8Director
IRS990/Form990PartVIISectionAGrp/TitleTxt9Director
IRS990/Form990PartVIISectionAGrp/TitleTxt10Director
IRS990/Form990PartVIISectionAGrp/TitleTxt11Director
IRS990/Form990PartVIISectionAGrp/TitleTxt12Director
IRS990/Form990PartVIISectionAGrp/TitleTxt13Director
IRS990/Form990PartVIISectionAGrp/TitleTxt14Director
IRS990/Form990PartVIISectionAGrp/TitleTxt15Director
IRS990/Form990PartVIISectionAGrp/TitleTxt16Director
IRS990/Form990PartVIISectionAGrp/TitleTxt17Director
IRS990/Form990PartVIISectionAGrp/TitleTxt18Director
IRS990/Form990PartVIISectionAGrp/TitleTxt19Chief Financial Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt20Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt21COO-SENIOR SERVICES
IRS990/Form990PartVIISectionAGrp/TitleTxt22Chief Development Officer
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr02004
IRS990/FormerOfcrEmployeesListedInd00
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IRS990/FSAuditedInd01
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IRS990/IndivRcvdGreaterThan100KCnt00
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IRS990/InfoInScheduleOPartIIIInd0X
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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.$10.8$1.08$9.73$18.4$19.1$0.69
2023Summary only. Only limited summary data is available for this year.$10.7$1.01$9.68$17.8$18.5$0.62
2022Detailed filing. Detailed filing data is available for this year.$11.0$0.90$10.1$19.2$16.7$2.45
2021Detailed filing. Detailed filing data is available for this year.$8.96$0.81$8.15$16.0$15.8$0.22
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$9.35$1.66$7.69$14.9$14.8$0.10
2019Detailed filing. Detailed filing data is available for this year.$8.81$1.30$7.50$14.2$14.1$0.10
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.66$1.28$7.38$13.8$14.1$0.23
2017Detailed filing. Detailed filing data is available for this year.$8.84$1.30$7.53$14.1$13.9$0.17
2016Detailed filing. Detailed filing data is available for this year.$8.55$1.30$7.25$12.9$13.1$0.22
2015Detailed filing. Detailed filing data is available for this year.$8.60$1.16$7.44$13.1$12.8$0.34
2014Detailed filing. Detailed filing data is available for this year.$8.26$1.10$7.16$12.9$12.5$0.37
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.93$1.14$6.80$12.7
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.04$0.95$6.08$12.9
2011Summary only. Only limited summary data is available for this year.$6.15$0.84$5.31$13.0$11.7$1.32
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2016 filings • 501(c)3 • $10M-$25M nonprofits