Civic Intelligence

340B Health

990 • Fiscal year 2017 • EIN 20-5913680

Jan 01, 2017 to Dec 31, 2017 • Filed on Oct 30, 2018

Organization ProfileWWW.340BHEALTH.ORG

View Organization Page

1101 15th Street NW No 910Washington, DC 20005

(202) 552-5850

Siviq Scores

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

Liabilities / Assets

67th percentile

0.46x

Higher debt load relative to assets than 67% of similar nonprofits.

2017 filings • 501(c)6 • $25M-$50M nonprofits • Source year 2017

Liabilities / Revenue

61st percentile

0.53x

Higher debt load relative to revenue than 61% of similar nonprofits.

2017 filings • 501(c)6 • $25M-$50M nonprofits • Source year 2017

Net Margin

68th percentile

11%

Higher net margin than 68% of similar nonprofits.

2017 filings • 501(c)6 • $25M-$50M nonprofits • Source year 2017

Top Officer Pay

58th percentile

$595,140

Higher top officer pay than 58% of similar nonprofits.

Top officer pay equals 6.0% of source-year revenue.

2017 filings • 501(c)6 • $25M-$50M nonprofits • Source year 2017

Asset Growth

79th percentile

18%

Faster asset growth than 79% of similar nonprofits.

2017 filings • 501(c)6 • $25M-$50M nonprofits • Annualized from 2016 to 2017

Revenue Growth

74th percentile

14%

Faster revenue growth than 74% of similar nonprofits.

2017 filings • 501(c)6 • $25M-$50M nonprofits • Annualized from 2016 to 2017

Balance Sheet
Liabilities / Assets67th percentile

Assets

Up

$11,536,202

Up $1,726,269 (+18%) from 2016

Net Assets

Up

$6,244,241

Up $1,407,717 (+29%) from 2016

Liabilities

Up

$5,291,961

Up $318,552 (+6.4%) from 2016

Revenue And Expenses
Liabilities / Revenue61st percentileNet Margin68th percentile

Revenue

Up

$9,930,565

Up $1,245,989 (+14%) from 2016

Expenses

Up

$8,868,889

Up $1,226,661 (+16%) from 2016

Net Income

Up

$1,061,676

Up $19,328 (+1.9%) from 2016

Historical Trend

Balance Sheet Trend

Asset Growth79th percentile

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

$40M$30M$20M$10M$0Assets 2010: $2,300,167Liabilities 2010: $504,400Net Assets 2010: $1,795,7672010Assets 2011: $2,879,788Liabilities 2011: $760,812Net Assets 2011: $2,118,9762011Assets 2012: $4,270,265Liabilities 2012: $1,826,143Net Assets 2012: $2,444,1222012Assets 2013: $4,215,396Liabilities 2013: $1,410,073Net Assets 2013: $2,805,3232013Assets 2014: $6,749,675Liabilities 2014: $3,386,051Net Assets 2014: $3,363,6242014Assets 2015: $7,993,013Liabilities 2015: $4,341,763Net Assets 2015: $3,651,2502015Assets 2016: $9,809,933Liabilities 2016: $4,973,409Net Assets 2016: $4,836,5242016Assets 2017: $11,536,202Liabilities 2017: $5,291,961Net Assets 2017: $6,244,2412017Assets 2018: $13,490,844Liabilities 2018: $7,368,433Net Assets 2018: $6,122,4112018Assets 2019: $17,756,898Liabilities 2019: $7,348,964Net Assets 2019: $10,407,9342019Assets 2020: $21,001,178Liabilities 2020: $5,656,135Net Assets 2020: $15,345,0432020Assets 2021: $25,548,585Liabilities 2021: $7,707,489Net Assets 2021: $17,841,0962021Assets 2022: $24,919,877Liabilities 2022: $7,359,287Net Assets 2022: $17,560,5902022Assets 2023: $35,979,568Liabilities 2023: $14,604,830Net Assets 2023: $21,374,7382023Assets 2024: $39,250,049Liabilities 2024: $16,198,527Net Assets 2024: $23,051,5222024

Highlighted filing

2017

Assets$11,536,202
Liabilities$5,291,961
Net Assets$6,244,241
Open 2017 Filing

Operations Trend

Revenue Growth74th percentile

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

$20M$15M$10M$5.0M$0Expenses 2010: $3,611,1162010Expenses 2011: $4,431,0802011Expenses 2012: $4,913,5982012Revenue 2013: $6,038,533Expenses 2013: $5,748,725Net Income 2013: $289,8082013Revenue 2014: $6,798,700Expenses 2014: $6,228,478Net Income 2014: $570,2222014Revenue 2015: $7,779,138Expenses 2015: $7,319,520Net Income 2015: $459,6182015Revenue 2016: $8,684,576Expenses 2016: $7,642,228Net Income 2016: $1,042,3482016Revenue 2017: $9,930,565Expenses 2017: $8,868,889Net Income 2017: $1,061,6762017Revenue 2018: $10,410,054Expenses 2018: $9,905,604Net Income 2018: $504,4502018Revenue 2019: $11,728,558Expenses 2019: $8,854,529Net Income 2019: $2,874,0292019Revenue 2020: $12,493,970Expenses 2020: $8,791,305Net Income 2020: $3,702,6652020Revenue 2021: $9,750,586Expenses 2021: $8,473,287Net Income 2021: $1,277,2992021Revenue 2022: $13,814,777Expenses 2022: $10,968,686Net Income 2022: $2,846,0912022Revenue 2023: $14,254,781Expenses 2023: $12,478,849Net Income 2023: $1,775,9322023Revenue 2024: $15,126,016Expenses 2024: $14,743,681Net Income 2024: $382,3352024

Highlighted filing

2017

Revenue$9,930,565
Expenses$8,868,889
Net Income$1,061,676
Open 2017 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Oct 30, 2018
Return Version
2017v2.3
Gross Receipts
$26,313,316
Mission and Program Overview

Mission

340b health educates and advocates for hospitals eligible to participate in the 340b program in order to increase the affordability and accessibility of health care for patients in need, especially those living with low incomes or in isolated...see schedule ocontinued from page 2...rural communities. Formed in 1993, member hospitals include some of the nation's largest non-profit academic medical centers and some of its smallest rural community-based facilities. The 340b program requires drug manufacturers to provide outpatient drugs at reduced prices to eligible hospitals, clinics, and health centers that serve large numbers of patients with low income and rural patient populations.

Leading advocate & resource for those hospitals who serve their communities through participation in the 340b drug pricing program.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$6,025,976$10,696,085▲ $4,670,109
Savings and Temporary Cash Investments$3,235,358$364,968▼ $2,870,390
Land, Buildings, and Equipment, Net$288,866$325,825▲ $36,959
Prepaid Expenses and Deferred Charges$187,066$122,464▼ $64,602
Accounts Receivable$20,000--
Total Assets$9,809,933$11,536,202▲ $1,726,269
Other Assets Total$52,667$26,860▼ $25,807
Liabilities
Deferred Revenue$4,262,589$4,348,608▲ $86,019
Accounts Payable and Accrued Expenses$263,154$583,108▲ $319,954
Other Liabilities$442,138$357,141▼ $84,997
Mortgage Notes Payable Secured by Investment Property$5,528$3,104▼ $2,424
Total Liabilities$4,973,409$5,291,961▲ $318,552
Net Assets / Fund Balance
Unrestricted Net Assets$4,836,524$6,244,241▲ $1,407,717
Total Net Assets Fund Balance$4,836,524$6,244,241▲ $1,407,717
Total Liabilities and Net Assets / Fund Balance$9,809,933$11,536,202▲ $1,726,269

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$114,079$425,834$539,913
Leasehold Improvements$158,597$222,395$380,992
Equipment$53,149$115,439$168,588
Compensation and Service Providers
Top Officer Pay58th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Edward SlafskyPresident and CEOFT$371,273$223,867$595,140
Maureen TestoniSenior VP & General CounselFT$208,657$184,043$392,700
Robert MillerSnr VP Business DevelopmentFT$235,876$59,783$295,659
Anna MangumVP Member and Board RelationsFT$180,177$43,539$223,716
Jeffrey DavisCounsel, Legal and PolicyFT$178,753$31,482$210,235
Steven MillerDirector of Pharmacy ServicesFT$161,454$38,866$200,320
Gregory DoggettCounsel, Legal and PolicyFT$162,317$36,590$198,907
Miriam LasarVP Finance and HrFT$160,160$38,291$198,451
Michael HessVP OperationsFT$153,999$33,420$187,419
Kathryn DibitettoDirector, Government RelationsFT$134,777$26,259$161,036
Tomas MirgaEditorial DirectorFT$140,942$7,086$148,028
Amanda NagrotskyAssistant CounselFT$134,641$11,418$146,059

Board Members and Trustees

NameTitle
Sam Ross MdChair
Sherrie Williams MdChair-elect
Mark BirdwhistellImmediate Past Chair
Andrew LoweDirector
Bruce Siegel MdDirector
Charles CooperDirector
Charles Hart MdDirector
Cynthia MartensDirector
Donald DaviesDirector
Michael BonckDirector
Robert Chapman MdDirector
Scott SmithDirector
Steve PetersenDirector
Terry AndrusDirector
James Chip FalaheeSecretary
Patricia ViltTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Powers Pyles Sutter & Verville PCLobbying/government Relations/policy1501 M ST NW 7TH FL, Washington, DC 20005$362,527
Waxman ConsultingPr/advocacy1900 M STREET NW 3RD FLR, Washington, DC 20036$215,000
Mintz Levin CohnLobbying/government RelationsPO BOX 4539, Boston, MA 02212$121,370
Mcallister & Quinn LLCLobbying/government Relations1368 NORTH WASHINGTON AVE, Scranton, PA 18509$120,066
Advocacysmiths INCExecutive Coaching/leadership Facilitati4515 DRUMMOND AVE, Chevy Chase, MD 20815$120,000
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$9,416,927
Investment Income
$484,556
Other Revenue
$29,082
Change in Net Assets
$1,061,676
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$4,659,389
Other Expenses$4,209,500
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees---$2,502,548
Other Salaries and Wages---$1,750,061
Conferences and Meetings---$1,192,321
Fees for Services Other---$613,084
Office Expenses---$602,704
Fees for Services Lobbying---$525,724
Advertising---$495,122
Occupancy---$358,242
Payroll Taxes---$230,308
Other Employee Benefits---$118,792
Information Technology---$99,052
Depreciation Depletion---$97,050
Fees for Services Legal---$71,582
Travel---$62,472
Pension Plan Contributions---$57,680
Fees for Services Accounting---$38,889
Insurance---$20,166
Fees for Service Investment Mgmnt Fees---$20,103
All Other Expenses---$12,989
Total Functional Expenses$0$0$0$8,868,889
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
In-house lobbying only
No
Subject to proxy tax
Yes

Reported Spending and Taxes

Line ItemAmount
Section 527 Activity Spending$0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Deferred Rent$357,041
Due to 340b Health Pac$100
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
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, Part VI, Section A, Line 4

“In 2017, the organization modified its bylaws to: 1. Redefine the individual member definition 2. Redefine voting rights of members to align with current memberships in 2018, the organization further modified its bylaws to: 1. Change voting rules such that new board members are appointed by the board after an open nomination process. 2. Establish board term limits to 2 three-year terms 3. Transform the nominating committee to the governance committee”

Form 990, Part VI, Section A, Line 6

“Full members consist of hospitals and their affiliates that qualify for outpatient drug discounts under section 340b of the public health service act.”

Form 990, Part VI, Section A, Line 7A

“In advance of the election of board members, the nominating committee solicits nominations from full members for all of the elected director positions. The organization changed the name of the nominating committee to the governance committee in 2018.”

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

“The president and ceo, the audit committee, and the board review form 990 prior to filing.”

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

“The organization asks the board of directors, officers, and all staff to disclose any conflicts of interest on an annual basis. They are also asked to disclose any relevant conflicts prior to board meetings and excuse themselves from discussion or decisions that could impact them financially or where they would be compromised.”

Form 990, Part VI, Section B, Line 15

“Compensation for the president and ceo was reviewed and approved by the executive committee using advice from a compensation consultant, compensation study undertaken in 2015, nonprofit compensation information provided by the american society of association executives, and prior performance criteria. The president and ceo determines compensation for the staff of the organization based on performance, advice from a compensation consultant, compensation study undertaken in 2015, and compensation information provided by the american society of association executives. Compensation for the senior vice president and general counsel was reviewed and approved by the executive committee using advice from a compensation consultant, nonprofit compensation information provided by the american society of association executives, and prior performance criteria. Compensation of other key employees is determined by the president and ceo using nonprofit compensation information provided by the american society of association executives, and prior performance criteria.”

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
340b Health
EIN
20-5913680
Phone
2025525850
Address
1101 15TH STREET NW NO 910, WASHINGTON, DC 20005

Signing Officer

Name
Maureen Testoni
Title
Interim President & CEO
Phone
2025525850
Signed
2018-10-30
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Maureen Testoni
Formed
2006
Legal Domicile
Dc
Voting Board Members
14
Independent Board Members
14
Employees
37
Volunteers
16

Preparer

Firm
Ross Langan & Mckendree Llp
Address
7900 WESTPARK DR STE T420, MCLEAN, VA 22102
Preparer
Jeffrey P Hayden
Phone
7038932660
Supplemental Narrative

Financial Statement Notes

PART X, LINE 2:

“The organization is required to measure, recognize, present, and disclose in its consolidated financial statements uncertain income tax positions the organization has taken in the tax years that remain subject to examination or expects to take on an income tax return. The organization recognizes the tax benefits from uncertain income tax positions only if it is more likely than not the tax position will be sustained on examination by tax authorities. The organization recorded no liability for uncertain income tax positions for any open tax years.”

Raw XML AppendixShowing 400 of 780 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0EDUCATION - 340B HEALTH HELPS HOSPITALS, HEALTH SYSTEMS, OTHER HEALTH CARE PROVIDERS, CONTRACT PHARMACIES, AND PHARMACY SERVICES PROVIDERS UNDERSTAND HOW TO UTILIZE 340B AND COMPLY WITH ITS RULES AND REGULATIONS. 340B HEALTH PROVIDES THIS EDUCATION THROUGH ONE-ON-ONE TECHNICAL ASSISTANCE, WEBINARS, REGIONAL ROUNDTABLES, NATIONAL CONFERENCES, AND ONLINE RESOURCES. 340B HEALTH ALSO KEEPS ITS MEMBERS AND 340B STAKEHOLDERS INFORMED ABOUT THE PROGRAM VIA VARIOUS ELECTRONIC COMMUNICATIONS, THE WWW.340BHEALTH.ORG WEBSITE, THE WWW.340BINFORMED.ORG BLOG, AND THE 340BHEALTH TWITTER FEED. 340B HEALTH ORGANIZES THE 340B COALITION'S ANNUAL WINTER AND SUMMER CONFERENCES (WWW.340BWINTERCONFERENCE.ORG AND WWW.340BSUMMERCONFERENCE.ORG).
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IRS990/Form990PartVIISectionAGrp/PersonNm3BRUCE SIEGEL MD
IRS990/Form990PartVIISectionAGrp/PersonNm4DONALD DAVIES
IRS990/Form990PartVIISectionAGrp/PersonNm5CHARLES HART MD
IRS990/Form990PartVIISectionAGrp/PersonNm6MARK BIRDWHISTELL
IRS990/Form990PartVIISectionAGrp/PersonNm7PATRICIA VILT
IRS990/Form990PartVIISectionAGrp/PersonNm8SCOTT SMITH
IRS990/Form990PartVIISectionAGrp/PersonNm9JAMES CHIP FALAHEE
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IRS990/Form990PartVIISectionAGrp/PersonNm13TERRY ANDRUS
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IRS990/Form990PartVIISectionAGrp/PersonNm15STEVE PETERSEN
IRS990/Form990PartVIISectionAGrp/PersonNm16EDWARD SLAFSKY
IRS990/Form990PartVIISectionAGrp/PersonNm17MIRIAM LASAR
IRS990/Form990PartVIISectionAGrp/PersonNm18MICHAEL HESS
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IRS990/Form990PartVIISectionAGrp/TitleTxt1DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6IMMEDIATE PAST CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt7TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt10CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt12CHAIR-ELECT
IRS990/Form990PartVIISectionAGrp/TitleTxt13DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt14DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt15DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt16PRESIDENT AND CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt17VP FINANCE AND HR
IRS990/Form990PartVIISectionAGrp/TitleTxt18VP OPERATIONS
IRS990/Form990PartVIISectionAGrp/TitleTxt19VP MEMBER AND BOARD RELATIONS
IRS990/Form990PartVIISectionAGrp/TitleTxt20COUNSEL, LEGAL AND POLICY
IRS990/Form990PartVIISectionAGrp/TitleTxt21SENIOR VP & GENERAL COUNSEL
IRS990/Form990PartVIISectionAGrp/TitleTxt22COUNSEL, LEGAL AND POLICY
IRS990/Form990PartVIISectionAGrp/TitleTxt23SNR VP BUSINESS DEVELOPMENT
IRS990/Form990PartVIISectionAGrp/TitleTxt24DIRECTOR OF PHARMACY SERVICES
IRS990/Form990PartVIISectionAGrp/TitleTxt25DIRECTOR, GOVERNMENT RELATIONS
IRS990/Form990PartVIISectionAGrp/TitleTxt26EDITORIAL DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt27ASSISTANT COUNSEL
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IRS990/MissionDesc0340B HEALTH IS A MEMBERSHIP ORGANIZATION OF PUBLIC AND PRIVATE NON-PROFIT HOSPITALS AND HEALTH SYSTEMS THROUGHOUT THE UNITED STATES OF AMERICA THAT PARTICIPATE IN THE PUBLIC HEALTH SERVICE 340B DRUG PRICING PROGRAM. THE MISSION OF 340B HEALTH IS TO BE THE LEADING ADVOCATE AND RESOURCE FOR 340B HOSPITALS AND THEIR CLINICIANS. ENACTED BY CONGRESS IN 1992, THE 340B DRUG DISCOUNT PROGRAM REQUIRES DRUG MANUFACTURERS TO PROVIDE OUTPATIENT DRUGS AT REDUCED PRICES TO ELIGIBLE HEALTH CARE FACILITIES THAT SERVE THE NATION'S LOW-INCOME AND VULNERABLE PATIENT POPULATIONS. 340B HEALTH WAS FORMED IN 1993 TO INCREASE THE AFFORDABILITY AND ACCESSIBILITY OF PHARMACEUTICAL AND CLINICAL CARE FOR THE NATION'S POOR AND UNDERSERVED POPULATIONS. THE MEMBERSHIP CONSISTS OF A BROAD SPECTRUM OF HOSPITALS, INCLUDING ACADEMIC MEDICAL CENTERS, COMMUNITY HOSPITALS, CHILDREN'S HOSPITALS, AND RURAL FACILITIES.
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IRS990/ProgramServiceRevenueGrp/Desc4ONLINE TOOLS
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IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt12038908
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt2750375
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt313250

Document Assets

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Filings

Displayed year

2017 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$11,536,202
Liabilities
$5,291,961
Net assets
$6,244,241
Revenue
$9,930,565
Expenses
$8,868,889
Net income
$1,061,676
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Summary only. Only limited summary data is available for this year.$39.3$16.2$23.1$15.1$14.7$0.38
2023Summary only. Only limited summary data is available for this year.$36.0$14.6$21.4$14.3$12.5$1.78
2022Summary only. Only limited summary data is available for this year.$24.9$7.36$17.6$13.8$11.0$2.85
2021Summary only. Only limited summary data is available for this year.$25.5$7.71$17.8$9.75$8.47$1.28
2020Summary only. Only limited summary data is available for this year.$21.0$5.66$15.3$12.5$8.79$3.70
2019Summary only. Only limited summary data is available for this year.$17.8$7.35$10.4$11.7$8.85$2.87
2018Summary only. Only limited summary data is available for this year.$13.5$7.37$6.12$10.4$9.91$0.50
2017Detailed filing. Detailed filing data is available for this year.$11.5$5.29$6.24$9.93$8.87$1.06
2016Summary only. Only limited summary data is available for this year.$9.81$4.97$4.84$8.68$7.64$1.04
2015Summary only. Only limited summary data is available for this year.$7.99$4.34$3.65$7.78$7.32$0.46
2014Summary only. Only limited summary data is available for this year.$6.75$3.39$3.36$6.80$6.23$0.57
2013Summary only. Only limited summary data is available for this year.$4.22$1.41$2.81$6.04$5.75$0.29
2012Summary only. Only limited summary data is available for this year.$4.27$1.83$2.44$4.91
2011Summary only. Only limited summary data is available for this year.$2.88$0.76$2.12$4.43
2010Summary only. Only limited summary data is available for this year.$2.30$0.50$1.80$3.61
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2017 filings • 501(c)6 • $25M-$50M nonprofits