Civic Intelligence

Kettering Medical Center

990 • Fiscal year 2017 • EIN 31-0621866

Jan 01, 2017 to Dec 31, 2017 • Filed on Nov 15, 2018

Organization Profilewww.ketteringhealth.org
1 Prestige Place No 910Miamisburg, OH 45342

(937) 762-1629

Siviq Scores

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

Liabilities / Assets

62nd percentile

0.44x

Higher debt load relative to assets than 62% of similar nonprofits.

2017 filings • 501(c)3 • $1B+ nonprofits • Source year 2017

Liabilities / Revenue

58th percentile

0.80x

Higher debt load relative to revenue than 58% of similar nonprofits.

2017 filings • 501(c)3 • $1B+ nonprofits • Source year 2017

Net Margin

75th percentile

15%

Higher net margin than 75% of similar nonprofits.

2017 filings • 501(c)3 • $1B+ nonprofits • Source year 2017

Top Officer Pay

88th percentile

$5,068,713

Higher top officer pay than 88% of similar nonprofits.

Top officer pay equals 0.6% of source-year revenue.

2017 filings • 501(c)3 • $1B+ nonprofits • Source year 2017

Asset Growth

71st percentile

12%

Faster asset growth than 71% of similar nonprofits.

2017 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2016 to 2017

Revenue Growth

54th percentile

8.0%

Faster revenue growth than 54% of similar nonprofits.

2017 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2016 to 2017

Balance Sheet
Liabilities / Assets62nd percentile

Assets

Up

$1,544,989,082

Up $160,506,585 (+12%) from 2016

Net Assets

Up

$871,587,843

Up $114,766,018 (+15%) from 2016

Liabilities

Up

$673,401,239

Up $45,740,567 (+7.3%) from 2016

Revenue And Expenses
Liabilities / Revenue58th percentileNet Margin75th percentile

Revenue

Up

$846,432,025

Up $62,906,329 (+8.0%) from 2016

Expenses

Up

$715,236,122

Up $46,114,967 (+6.9%) from 2016

Net Income

Up

$131,195,903

Up $16,791,362 (+15%) from 2016

Historical Trend

Balance Sheet Trend

Asset Growth71st percentile

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

$2.0B$1.5B$1.0B$500M$0Assets 2010: $814,369,374Liabilities 2010: $415,421,749Net Assets 2010: $398,947,6252010Assets 2011: $930,280,349Liabilities 2011: $529,350,951Net Assets 2011: $400,929,3982011Assets 2012: $966,843,839Liabilities 2012: $539,577,530Net Assets 2012: $427,266,3092012Assets 2013: $1,079,161,898Liabilities 2013: $526,440,652Net Assets 2013: $552,721,2462013Assets 2014: $1,204,837,288Liabilities 2014: $553,665,456Net Assets 2014: $651,171,8322014Assets 2015: $1,265,428,515Liabilities 2015: $576,435,536Net Assets 2015: $688,992,9792015Assets 2016: $1,384,482,497Liabilities 2016: $627,660,672Net Assets 2016: $756,821,8252016Assets 2017: $1,544,989,082Liabilities 2017: $673,401,239Net Assets 2017: $871,587,8432017Assets 2018: $1,587,129,760Liabilities 2018: $690,545,645Net Assets 2018: $896,584,1152018Assets 2020: $1,678,927,263Liabilities 2020: $731,887,679Net Assets 2020: $947,039,5842020Assets 2021: $1,728,903,615Liabilities 2021: $626,470,932Net Assets 2021: $1,102,432,6832021Assets 2022: $1,386,161,534Liabilities 2022: $504,861,945Net Assets 2022: $881,299,5892022Assets 2024: $1,540,991,191Liabilities 2024: $487,907,458Net Assets 2024: $1,053,083,7332024

Highlighted filing

2017

Assets$1,544,989,082
Liabilities$673,401,239
Net Assets$871,587,843
Open 2017 Filing

Operations Trend

Revenue Growth54th percentile

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

$1.5B$1.0B$500M$0Expenses 2010: $509,434,0772010Expenses 2011: $510,937,6452011Expenses 2012: $566,007,5002012Revenue 2013: $682,210,438Expenses 2013: $564,878,595Net Income 2013: $117,331,8432013Revenue 2014: $717,547,140Expenses 2014: $580,196,507Net Income 2014: $137,350,6332014Revenue 2015: $740,682,787Expenses 2015: $636,494,573Net Income 2015: $104,188,2142015Revenue 2016: $783,525,696Expenses 2016: $669,121,155Net Income 2016: $114,404,5412016Revenue 2017: $846,432,025Expenses 2017: $715,236,122Net Income 2017: $131,195,9032017Revenue 2018: $918,956,166Expenses 2018: $752,225,143Net Income 2018: $166,731,0232018Revenue 2020: $1,020,327,026Expenses 2020: $851,558,774Net Income 2020: $168,768,2522020Revenue 2021: $1,055,020,178Expenses 2021: $924,486,202Net Income 2021: $130,533,9762021Revenue 2022: $1,081,392,411Expenses 2022: $987,228,592Net Income 2022: $94,163,8192022Revenue 2024: $1,176,502,669Expenses 2024: $994,618,338Net Income 2024: $181,884,3312024

Highlighted filing

2017

Revenue$846,432,025
Expenses$715,236,122
Net Income$131,195,903
Open 2017 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Nov 15, 2018
Return Version
2017v2.3
Gross Receipts
$846,499,138
Mission and Program Overview

Mission

To provide quality healthcare to individuals and the community as a whole in a Judeo-Christian manner.

To provide quality healthcare to individuals and the community as a whole in a Judeo-Christian manner

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$672,173,378$725,625,511▲ $53,452,133
Land, Buildings, and Equipment, Net$413,502,154$410,426,669▼ $3,075,485
Savings and Temporary Cash Investments$701,492$204,756,076▲ $204,054,584
Accounts Receivable$87,867,899$96,515,987▲ $8,648,088
Prepaid Expenses and Deferred Charges$18,405,464$18,701,144▲ $295,680
Cash and Non-Interest-Bearing Accounts$135,086,968$17,997,101▼ $117,089,867
Inventories for Sale or Use$11,429,120$14,476,407▲ $3,047,287
Intangible Assets$3,700,000$3,700,000→ $0
Other Notes and Loans Receivable, Net$468,219$1,635,984▲ $1,167,765
Pledges and Grants Receivable$6,579$4,471▼ $2,108
Total Assets$1,384,482,497$1,544,989,082▲ $160,506,585
Other Assets Total$41,141,224$51,149,732▲ $10,008,508
Liabilities
Tax Exempt Bond Liabilities$412,194,367$407,610,589▼ $4,583,778
Accounts Payable and Accrued Expenses$115,633,728$152,450,577▲ $36,816,849
Other Liabilities$96,512,815$108,901,228▲ $12,388,413
Mortgage Notes Payable Secured by Investment Property$2,400,000$3,600,000▲ $1,200,000
Deferred Revenue$901,752$838,845▼ $62,907
Unsecured Notes Loans Payable$18,010--
Total Liabilities$627,660,672$673,401,239▲ $45,740,567
Net Assets / Fund Balance
Unrestricted Net Assets$756,821,825$871,587,843▲ $114,766,018
Total Net Assets Fund Balance$756,821,825$871,587,843▲ $114,766,018
Total Liabilities and Net Assets / Fund Balance$1,384,482,497$1,544,989,082▲ $160,506,585

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$232,495,818$335,940,430$568,436,248
Equipment$101,585,051$307,529,234$409,114,285
Land$53,227,186-$53,227,186
Other Land Buildings$22,198,661-$22,198,661
Leasehold Improvements$919,953$2,139,926$3,059,879
Compensation and Service Providers
Top Officer Pay88th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Donna L ArandClinical PolysomnographerFT$208,930$73,547$282,477
Michael D MacomberDirector of Legal ServicesFT$193,480$33,992$227,472
Elizabeth GarrisonDirectorFT$169,021$50,611$219,632
Diane M RyckmanDirectorFT$170,683$46,904$217,587
Linda S StarkeyDirectorFT$164,246$36,825$201,071
Dave WeigleyPres. Columbia Union Conference of SDA-$16,000-$16,000

Board Members and Trustees

NameTitle
Terry BurnsExec VP-KHN & President-KMC 11/17
Roy ChewPresident - KHN
Walter SackettPresident - Sycamore Hospital
Ron Halvorsen JrPresident, Ohio Conference of SDAs
Jarrod McNaughtonPresident-KMC until 11/17
Franklin HandelFormer Director
Terri DayFormer Director
Fred ManchurCEO - Khn
Randy TanguayCommunity Volunteer
Shelley PerezCommunity Volunteer
Steve RauchCommunity Volunteer
Susan KetteringCommunity Volunteer
Anita AdamsCOO - Kmc
Brenda KuhnFormer Key Employee
Mark SmithFormer Key Employee
Steven ChavezFormer Officer
Jonathan E VelascoPhysician
Robert J SawyerPhysician
Thomas J MerlePhysician
Deanette SissonVP Patient Care Services - KMC

Highest Paid Contractors

ContractorServicesLocationCompensation
Southview Orthopedic Center Management LHealthcare Services201 Seaboard Lane Suite 100, Franklin, TN 37067$20,470,224
Kettering Anesthesia Associates IncHealthcare Services3500 Pentagon Blvd Suite 200, Dayton, OH 45431$7,537,201
University of CincinnatiHealthcare Services2830 Victory Parkway, Cincinnati, OH 45206$4,556,403
Teamhealth IncHealthcare Services7111 Fairway Dr Suite 450, Palm Beach, FL 33418$4,173,505
South Dayton Acute Care ConsultantsHealthcare Services33 West Rahn Road, Dayton, OH 45429$3,952,747
Revenue and Support

Revenue Composition

Contributions and Grants
$3,210,207
Program Service Revenue
$811,491,534
Investment Income
$31,726,812
Other Revenue
$3,472
All Other Contributions
$543
Change in Net Assets
$131,195,903
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$422,225,814
Salaries, Compensation, and Employee Benefits$292,685,224
Grants and Similar Amounts Paid$325,084
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$212,101,684$18,670,690-$230,772,374
Fees for Services Other$37,500,883$1,125,044-$38,625,927
Depreciation Depletion$29,885,872$11,660-$29,897,532
Other Employee Benefits$17,843,245$1,570,689-$19,413,934
Payroll Taxes$14,169,095$1,247,264-$15,416,359
Pension Plan Contributions$13,832,751$1,217,657-$15,050,408
All Other Expenses$13,847,335$1,196,436-$15,043,771
Other Expenses$12,704,517$430-$12,704,947
Interest$11,898,447$439,412-$12,337,859
Current Officers, Directors, Trustees, and Key Employees$10,784,392$1,247,757-$12,032,149
Office Expenses$8,048,543$193,660-$8,242,203
Occupancy$5,755,119$2,245-$5,757,364
Insurance$4,843,317$903,217-$5,746,534
Fees for Services Management$2,290,904$265,058-$2,555,962
Fees for Service Investment Mgmnt Fees-$2,340,893-$2,340,893
Information Technology$1,172,888$26,509-$1,199,397
Travel$665,200$44,719-$709,919
Fees for Services Legal$445,084$63,458-$508,542
Conferences and Meetings$346,050$156,642-$502,692
Grants to Domestic Individuals$325,084--$325,084
Advertising$36,425$-6,118-$30,307
Fees for Services Accounting$900$26,348-$27,248
Total Functional Expenses$675,070,232$40,165,890$0$715,236,122
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
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
David NelsonSon-In-Law of Key Employee Wally SackettCompensationNo$120,652
Jayme SissonDaughter of Key Employee Deanette SissonCompensationNo$72,355
Allegra NelsonDaughter of Key Employee Wally SackettCompensationNo$52,379
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Interest rate swap agreements liability$33,473,847
Estimated amounts due to third-party payors$26,718,969
Accrued pension liability$21,380,263
Professional self-insurance liability$20,784,789
Synthetic lease obligations$3,240,078
Physician income guarantee commitments$1,322,917
Reserve for payroll tax liability$1,288,889
Other long-term liabilities$473,333
Retirement plans liabilities$218,143

Bond Issues

BondIssuerIssuedIssue PricePurpose
ACounty of Butler Ohio2011-07-13$120,548,832Construction and equipment of a hospital
BCounty of Montgomery Ohio2011-12-10$100,155,421Current refund
DCounty of Montgomery Ohio2016-05-04$79,457,968Hospital building improvements and equipment
CCounty of Montgomery Ohio2012-05-01$78,768,109Current refund

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$121,509,414$13,290-$764,259
B$100,155,421$100,065,634-$89,787
D$79,508,729$1-$727,807
C$78,768,109$78,355,284-$412,825

Bond Financing Compliance

No rebate due
No
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
Yes
Corrective action procedures
Yes
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
Yes
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
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 B, line 11B

“A tax specialist is engaged to review the 990. The 990 is reviewed and accepted by the audit committee which reports this to the governing body (board).”

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

“The Network regularly and consistently monitors and enforces compliance with the conflict of interest policy by making it part of the employees' annual reviews. Employees must certify that they have read the conflict of interest policy and have disclosed any potential conflicts and agree to immediately notify Corporate Integrity if one should arise. Board members are required to annually review the Network's policy, sign a conflict of interest statement, and notify the Network if a conflict should arise.”

Form 990, Part VI, Section B, line 15

“The process of determining compensation of CEO's, executive directors, officers, and key employees is to have an independent board approve the compensation. The compensation is determined to be reasonable compared to independent comparability data. The approval of the amounts is documented in the Board minutes within the appropriate time frame. At year end the organization reviews executive compensation by comparing the amounts approved to the amounts paid.”

Form 990, Part VI, Section C, line 19

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

Filing and Contact Details

Filer

Filer Name
Kettering Medical Center
EIN
31-0621866
Phone
9377621629
Address
1 Prestige Place No 910, Miamisburg, OH 45342

Signing Officer

Name
Steven Chavez
Title
Khn CFO
Phone
9377621629
Signed
2018-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Terry Burns
Formed
1959
Legal Domicile
Oh
Voting Board Members
12
Independent Board Members
5
Employees
9,703
Volunteers
729

Preparer

Firm
Clark Schaefer Hackett & Co
Address
10100 Innovation Drive Suite 400, Dayton, OH 45342
Preparer
Herbert L Lemaster CPA
Phone
9372260070
Supplemental Narrative

Additional Explanations

Form 990, Part XI, line 9:

“Net transfers to affiliate -78,000,124. Other changes, net -33,797.”

Part XII, Line 2C

“Neither the oversight process nor the selection process changed during the tax year.”

Financial Statement Notes

Part X, Line 2:

“The Network completed an analysis of its certain and uncertain tax positions in accordance with applicable accounting guidance and determined that no amounts were required to be recognized in the consolidated financial statements at December 31, 2017 or 2016.”

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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/Form990PartVIISectionAGrp/OtherCompensationAmt1715960
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1826692
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1931619
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt2016881
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt2142296
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt2230940
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt238877
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt2463699
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt2530891
IRS990/Form990PartVIISectionAGrp/PersonNm0Fred Manchur
IRS990/Form990PartVIISectionAGrp/PersonNm1Roy Chew
IRS990/Form990PartVIISectionAGrp/PersonNm2Jonathan E Velasco
IRS990/Form990PartVIISectionAGrp/PersonNm3Jarrod McNaughton
IRS990/Form990PartVIISectionAGrp/PersonNm4Terry Burns
IRS990/Form990PartVIISectionAGrp/PersonNm5Thomas J Merle
IRS990/Form990PartVIISectionAGrp/PersonNm6Robert J Sawyer
IRS990/Form990PartVIISectionAGrp/PersonNm7Dave Weigley
IRS990/Form990PartVIISectionAGrp/PersonNm8Randy Tanguay
IRS990/Form990PartVIISectionAGrp/PersonNm9Ron Halvorsen Jr
IRS990/Form990PartVIISectionAGrp/PersonNm10Shelley Perez
IRS990/Form990PartVIISectionAGrp/PersonNm11Steve Rauch
IRS990/Form990PartVIISectionAGrp/PersonNm12Susan Kettering
IRS990/Form990PartVIISectionAGrp/PersonNm13Walter Sackett
IRS990/Form990PartVIISectionAGrp/PersonNm14Anita Adams
IRS990/Form990PartVIISectionAGrp/PersonNm15Deanette Sisson
IRS990/Form990PartVIISectionAGrp/PersonNm16Donna L Arand
IRS990/Form990PartVIISectionAGrp/PersonNm17Michael D Macomber
IRS990/Form990PartVIISectionAGrp/PersonNm18Diane M Ryckman
IRS990/Form990PartVIISectionAGrp/PersonNm19Elizabeth Garrison
IRS990/Form990PartVIISectionAGrp/PersonNm20Linda S Starkey
IRS990/Form990PartVIISectionAGrp/PersonNm21Brenda Kuhn
IRS990/Form990PartVIISectionAGrp/PersonNm22Franklin Handel
IRS990/Form990PartVIISectionAGrp/PersonNm23Terri Day
IRS990/Form990PartVIISectionAGrp/PersonNm24Steven Chavez
IRS990/Form990PartVIISectionAGrp/PersonNm25Mark Smith
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt14462116
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt15357158
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt160
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt25175547
IRS990/Form990PartVIISectionAGrp/TitleTxt0CEO - KHN
IRS990/Form990PartVIISectionAGrp/TitleTxt1President - KHN
IRS990/Form990PartVIISectionAGrp/TitleTxt2Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt3President-KMC until 11/17
IRS990/Form990PartVIISectionAGrp/TitleTxt4Exec VP-KHN & President-KMC 11/17
IRS990/Form990PartVIISectionAGrp/TitleTxt5Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt6Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt7Pres. Columbia Union Conference of SDA
IRS990/Form990PartVIISectionAGrp/TitleTxt8Community Volunteer
IRS990/Form990PartVIISectionAGrp/TitleTxt9President, Ohio Conference of SDAs
IRS990/Form990PartVIISectionAGrp/TitleTxt10Community Volunteer
IRS990/Form990PartVIISectionAGrp/TitleTxt11Community Volunteer
IRS990/Form990PartVIISectionAGrp/TitleTxt12Community Volunteer
IRS990/Form990PartVIISectionAGrp/TitleTxt13President - Sycamore Hospital
IRS990/Form990PartVIISectionAGrp/TitleTxt14COO - KMC
IRS990/Form990PartVIISectionAGrp/TitleTxt15VP Patient Care Services - KMC
IRS990/Form990PartVIISectionAGrp/TitleTxt16Clinical Polysomnographer
IRS990/Form990PartVIISectionAGrp/TitleTxt17Director of Legal Services
IRS990/Form990PartVIISectionAGrp/TitleTxt18Director
IRS990/Form990PartVIISectionAGrp/TitleTxt19Director
IRS990/Form990PartVIISectionAGrp/TitleTxt20Director
IRS990/Form990PartVIISectionAGrp/TitleTxt21Former Key Employee
IRS990/Form990PartVIISectionAGrp/TitleTxt22Former Director
IRS990/Form990PartVIISectionAGrp/TitleTxt23Former Director
IRS990/Form990PartVIISectionAGrp/TitleTxt24Former Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt25Former Key Employee
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IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0To provide quality healthcare to individuals and the community as a whole in a Judeo-Christian manner

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

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

Open filing
Assets
$1,544,989,082
Liabilities
$673,401,239
Net assets
$871,587,843
Revenue
$846,432,025
Expenses
$715,236,122
Net income
$131,195,903
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,541$488$1,053$1,177$995$182
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,386$505$881$1,081$987$94.2
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,729$626$1,102$1,055$924$131
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,679$732$947$1,020$852$169
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,587$691$897$919$752$167
2017Detailed filing. Detailed filing data is available for this year.$1,545$673$872$846$715$131
2016Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,384$628$757$784$669$114
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,265$576$689$741$636$104
2014Detailed filing. Detailed filing data is available for this year.$1,205$554$651$718$580$137
2013Detailed filing. Detailed filing data is available for this year.$1,079$526$553$682$565$117
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$967$540$427$566
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$930$529$401$511
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$814$415$399$509
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2017 filings • 501(c)3 • $1B+ nonprofits