Civic Intelligence

Caresource Ohio Inc.

990 • Fiscal year 2017 • EIN 31-1143265

Jan 01, 2017 to Dec 31, 2017 • Filed on Nov 12, 2018

PO Box 8738Dayton, OH 45401-8738

(937) 531-3027

Siviq Scores

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

Liabilities / Assets

75th percentile

0.56x

Higher debt load relative to assets than 75% of similar nonprofits.

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

Liabilities / Revenue

12th percentile

0.14x

Higher debt load relative to revenue than 12% of similar nonprofits.

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

Net Margin

17th percentile

0.4%

Higher net margin than 17% of similar nonprofits.

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

Top Officer Pay

86th percentile

$4,698,579

Higher top officer pay than 86% of similar nonprofits.

Top officer pay equals 0.1% of source-year revenue.

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

Asset Growth

42nd percentile

6.6%

Faster asset growth than 42% of similar nonprofits.

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

Revenue Growth

69th percentile

12%

Faster revenue growth than 69% of similar nonprofits.

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

Assets

Up

$1,850,810,189

Up $19,006,828 (+1.0%) from 2015

Net Assets

Down

$818,918,465

Down $130,211,389 (-14%) from 2015

Liabilities

Up

$1,031,891,724

Up $149,218,217 (+17%) from 2015

Revenue

Up

$7,220,866,266

Up $1,018,074,957 (+16%) from 2015

Expenses

Up

$7,190,510,823

Up $1,176,587,853 (+20%) from 2015

Net Income

Down

$30,355,443

Down $158,512,896 (-84%) from 2015

Historical Trend

Balance Sheet Trend

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

$3.0B$2.0B$1.0B$0Assets 2010: $727,319,843Liabilities 2010: $437,242,213Net Assets 2010: $290,077,6302010Assets 2011: $995,546,954Liabilities 2011: $585,019,612Net Assets 2011: $410,527,3422011Assets 2012: $1,002,260,430Liabilities 2012: $465,222,035Net Assets 2012: $537,038,3952012Assets 2013: $1,207,421,554Liabilities 2013: $592,703,556Net Assets 2013: $614,717,9982013Assets 2014: $1,779,366,531Liabilities 2014: $1,011,579,022Net Assets 2014: $767,787,5092014Assets 2015: $1,831,803,361Liabilities 2015: $882,673,507Net Assets 2015: $949,129,8542015Assets 2017: $1,850,810,189Liabilities 2017: $1,031,891,724Net Assets 2017: $818,918,4652017Assets 2018: $1,807,957,209Liabilities 2018: $953,260,405Net Assets 2018: $854,696,8042018Assets 2020: $2,518,378,621Liabilities 2020: $1,434,502,238Net Assets 2020: $1,083,876,3832020Assets 2021: $2,609,873,144Liabilities 2021: $1,460,610,679Net Assets 2021: $1,149,262,4652021Assets 2022: $2,667,085,761Liabilities 2022: $1,267,345,373Net Assets 2022: $1,399,740,3882022Assets 2024: $2,248,954,422Liabilities 2024: $1,402,066,398Net Assets 2024: $846,888,0242024

Highlighted filing

2017

Assets$1,850,810,189
Liabilities$1,031,891,724
Net Assets$818,918,465

Operations Trend

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

$15B$10B$5.0B$0Expenses 2010: $2,266,629,8192010Expenses 2011: $2,592,740,2752011Expenses 2012: $3,246,741,3812012Revenue 2013: $3,643,754,539Expenses 2013: $3,509,005,034Net Income 2013: $134,749,5052013Revenue 2014: $5,003,075,985Expenses 2014: $4,843,658,409Net Income 2014: $159,417,5762014Revenue 2015: $6,202,791,309Expenses 2015: $6,013,922,970Net Income 2015: $188,868,3392015Revenue 2017: $7,220,866,266Expenses 2017: $7,190,510,823Net Income 2017: $30,355,4432017Revenue 2018: $7,819,337,654Expenses 2018: $7,743,280,827Net Income 2018: $76,056,8272018Revenue 2020: $9,272,879,618Expenses 2020: $9,110,417,960Net Income 2020: $162,461,6582020Revenue 2021: $9,756,197,809Expenses 2021: $9,704,199,278Net Income 2021: $51,998,5312021Revenue 2022: $10,064,129,024Expenses 2022: $9,417,228,730Net Income 2022: $646,900,2942022Revenue 2024: $8,559,845,484Expenses 2024: $8,462,329,539Net Income 2024: $97,515,9452024

Highlighted filing

2017

Revenue$7,220,866,266
Expenses$7,190,510,823
Net Income$30,355,443
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Nov 12, 2018
Return Version
2017v2.3
Gross Receipts
$7,488,510,879
Mission and Program Overview

Mission

Caresource ohio, inc.'s mission is to make a lasting difference in members' lives by improving their health and well-being. The organization's vision is to transform lives through innovative health and life services. (continued on schedule o)

To make a lasting difference in our members' lives by improving their health and well-being. CareSource offers services for Medicaid, Medicare and Federal Exchange members.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$772,141,473$756,561,461▼ $15,580,012
Savings and Temporary Cash Investments$549,810,434$605,808,308▲ $55,997,874
Accounts Receivable$392,933,933$360,501,417▼ $32,432,516
Cash and Non-Interest-Bearing Accounts$22,149,570$128,198,496▲ $106,048,926
Prepaid Expenses and Deferred Charges$135,220$452,181▲ $316,961
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Investments Program Related$-767,863$-711,674▲ $56,189
Total Assets$1,736,402,767$1,850,810,189▲ $114,407,422
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$809,621,819$953,529,808▲ $143,907,989
Deferred Revenue$143,995,263$56,151,193▼ $87,844,070
Other Liabilities$12,936,757$22,210,723▲ $9,273,966
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$966,553,839$1,031,891,724▲ $65,337,885
Net Assets / Fund Balance
Unrestricted Net Assets$769,848,928$818,918,465▲ $49,069,537
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$769,848,928$818,918,465▲ $49,069,537
Total Liabilities and Net Assets / Fund Balance$1,736,402,767$1,850,810,189▲ $114,407,422

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings-$118,845$118,845
Equipment-$0$0
Compensation and Service Providers

Employees

NameTitleFull / Part TimeOtherTotal
Michael E Ervin MDChairman/TrusteePT$150,000$150,000
Ellen S LeffakTrusteePT$121,250$121,250
Craig BrownVice Chairperson/TrusteePT$102,500$102,500
William F Marsteller DCSecretary/Treasurer/TrusteePT$42,500$42,500
David Kaelber MDTrusteePT$35,000$35,000
David T MillerTrusteePT$35,000$35,000
Gary L Leroy MDTrusteePT$30,000$30,000

Board Members and Trustees

NameTitle
Pamela B MorrisPresident & CEO; Trustee
Stephen RingelPresident Ohio Market
Douglas A FecherTrustee
Daniel McCabeChief Administrative Officer
David W GoltzChief Financial Ofr from 12/17
Craig Thiele MDChief Medical Officer to 6/17
L Tarlton Thomas IIIChief Operating Officer

Highest Paid Contractors

ContractorServicesLocationCompensation
CVS CaremarkPharmacy Services9501 E Shea Blvd MC 143, Scottsdale, AZ 85260$1,892,180,458
Nationwide Childrens HospitalCapitation/Medical700 Childrens Dr, Columbus, OH 43205$444,965,091
The Cleveland Clinic Foundation AMedical Services9500 Euclid Ave MC H-18, Cleveland, OH 44195$344,353,857
Univ Hosp Health System Inc AffilMedical Services11100 Euclid Ave, Cleveland, OH 44106$309,636,207
The Metrohealth SystemMedical Services2500 Metrohealth Drive, Cleveland, OH 44109$179,054,530
Revenue and Support

Revenue Composition

Contributions and Grants
$8,170,454
Program Service Revenue
$7,182,270,383
Investment Income
$30,425,429
Other Revenue
$0
Change in Net Assets
$30,355,443
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$7,190,480,823
Grants and Similar Amounts Paid$30,000
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$47,967,736$105,216,422-$153,184,158
Office Expenses$299,527$24,415,733-$24,715,260
Information Technology$61,900$19,209,249-$19,271,149
Other Expenses$5,398$11,313,230-$11,318,628
All Other Expenses$1,624,402$6,541,094-$8,165,496
Occupancy$361$6,424,285-$6,424,646
Advertising$52,768$4,156,699-$4,209,467
Travel$1,843,808$2,148,255-$3,992,063
Insurance-$1,597,148-$1,597,148
Fees for Services Legal-$1,480,777-$1,480,777
Conferences and Meetings$640,864$785,991-$1,426,855
Fees for Services Lobbying$15,980$684,314-$700,294
Fees for Services Accounting$198,844$380,133-$578,977
Interest-$236,723-$236,723
Grants to Domestic Orgs$30,000--$30,000
Total Functional Expenses$6,824,676,457$365,834,366$0$7,190,510,823
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Wright State University FoundationDayton, OH501(c)(3)General Support$25,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Gary L Leroy MDDr Leroy is a Trustee of CareSource and a contracted provider with CareSourceProvides Healthcare Svc to OrgNo$1,929,919

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Related Party Payable$22,210,723
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
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
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

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

The Form 990 was provided to the organization's Finance committee for their review of the return prior to the time of filing Form 990. The Form 990 was made available to each voting member of the governing body of the organization for their review prior to the time of filing Form 990. The Form 990 was reviewed by the CEO, CFO, VP Treasury, an outside CPA firm, outside legal counsel, and by internal counsel prior to filing Form 990 with the IRS.

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

Annually, each trustee, principal officer and member of a committee with Board-delegated powers ("interested person") shall sign a statement which affirms that such person a) has received a copy of the conflicts of interest policy, b) has read and understands the policy, c) has agreed to comply with the policy, and d) understands that the organization is a charitable organization and that in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. In connection with any actual or possible conflicts of interest, an interested person must disclose the existence of his or her financial or conflict of interest and must be given the opportunity to disclose all material facts to the directors and members of committees with Board delegated powers considering the proposed transaction or arrangement. After disclosure of the financial interest and all material facts, and after any discussion with the interested person, he/she shall leave the Board or committee meeting while the determination of a conflict of interest is discussed and voted upon. The remaining Board or committee members shall decide if a conflict of interest exists. An interested person may make a presentation at the Board or committee meeting, but after such presentation, he/she shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in the conflict of interest. The conflicted trustee has no vote on the matter involved with the conflict of interest. At the beginning of each Board Meeting and Committee Meeting, the Board Members and Committee Members are asked to disclose if they have a Conflict of Interest on any item contained in the agenda. In addition, the Board Members and Committee Members are also asked to inform the board chair if a Conflict of Interest arises during the course of the Board or Committee Meeting. When such a conflict is disclosed, then the procedure outlined above is implemented. In addition, a Conflict of Interest Schedule is kept with respect to each declared Conflict of Interest during the course of a Board or Committee meeting. On an annual basis, the Nominating and Governance Committee reviews each Conflict of Interest raised by a Board or Committee Member. Also, the Nominating and Governance Committee conducts a bi-annual evaluation of the Board Members' performance during the course of the Board Meetings and Committee Meetings. The review includes but is not limited to the Board Member's engagement, participation, contributions to board business, attendance, and any absence from a meeting due to a conflict of interest. The Conflicts of Interest declared by the Board Members are reviewed on an annual basis by the Nominating and Governance Committee, and memorialized in meeting minutes, to make sure all policies on Conflict of Interest are adhered to by the Boards, the Committees and the Individual Board or Committee Member.

Form 990, Part VI, Section C, Question 19

The company's Form 1023 is available for public inspection upon request and Form 990 is available for public inspection upon request in accordance with IRC Section 6104(d). Statutory financial statements for the organization are available on the Ohio Department of Insurance's website at www.ins.ohio.gov. The company's Form 990 is available on the U.S. nonprofit database website at www.guidestar.org. The company's Articles of Incorporation are available on the Ohio Secretary of State's website at www.sos.state.oh.us.

Filing and Contact Details

Filer

Filer Name
CareSource
EIN
31-1143265
In Care Of
% JANET FERNANDES
Phone
9375313027
Address
PO Box 8738, Dayton, OH 45401-8738

Signing Officer

Name
David W Goltz
Title
CFO
Phone
9375313027
Signed
2018-11-12

Organization Details

Principal Officer
Pamela B Morris
Formed
1985
Legal Domicile
Oh
Voting Board Members
9
Independent Board Members
5
Employees
0
Volunteers
0
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

Change in net assets is inclusive of the following: (1) change in investment in subsidiary ($1,943,811).

Financial Statement Notes

FIN 48 (ASC 740) Footnote

As outlined in the CareSource Management Group Co.'s Audited Consolidated Financial Statements, which include the activity of CareSource: The Company annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the consolidated financial statements. Currently, tax years 2014-2017 are open for audit by the Internal Revenue Service.

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IRS990/Desc0CareSource, a leading nonprofit managed care organization based in Dayton, Ohio, has been living its mission to make a lasting difference in members' lives by improving their health and well-being for more than 28 years. CareSource serves 1.28 million Medicaid members in Ohio. CareSource's membership includes: (1) Medicaid consumers, including families with low income, children, pregnant women, those who are aged, blind or disabled, 2) Medicaid consumers who are eligible for Home and Community Based services through execution of an annual Provider Agreement with the Ohio Department of Medicaid (ODM), (3) Dually eligible consumers for Medicare and Medicaid through Ohio's Dual Demonstration program, MyCare, (4) Medicare Advantage consumers, (5) a Qualified Health Plan offered through the Federal Health Insurance Marketplace, providing low-cost comprehensive coverage for individuals and families, and (6) Community Transition Program consumers who are transitioning from the Ohio Department of Rehabilitation and Correction back to the community through a grant from the Ohio Department of Mental Health and Addiction Services. CareSource Program Services: 1) CareSource Ohio Medicaid: CareSource pioneered Ohio's first mandatory Medicaid managed care program in 1989, and is now one of the largest Medicaid managed care plans in the country. CareSource's years of experience in managing Medicaid managed care programs and member-focused approach to care have allowed it the opportunity to forge strong, positive regulatory relationships with state agencies, including departments of insurance. CareSource has earned over 53% of the statewide Medicaid managed care market share, with the highest voluntary enrollment rate and the lowest voluntary disenrollment rate of all Ohio participating Medicaid Managed care plans. CareSource focuses on prevention with a goal of improving member health, the quality of health care services received, and accessibility of health care services for Medicaid members. CareSource has made an organizational commitment to make evidence-based investments towards improving health outcomes for members. CareSource's approach is one that blends the recommendations of the Triple Aim framework and principles of population health management best practice, while leveraging emerging technological and analytic solutions to make measureable positive impacts in the health of the communities we serve. CareSource also has significant focus on creating social based partnerships with providers and community organizations to support a longitudinal health management effort for members. Providers have the most control and influence on members and thus provide the best opportunity to help capitalize on cost, quality, and experience. Partnering with providers allows us to collaborate on population health strategies such as emergency department diversion, patient-centered medical home implementation, and performance management. Engaging our high risk members primary care and specialty providers is particularly critical to achieve successful care management. CareSource has a broad, statewide network of more than 43,000 providers, including primary care and specialist physicians, hospitals, nursing facilities, home health care agencies and other medical providers who provide medical services as well as assist in the coordination of member care. To further drive quality and achieve health outcomes targets, CareSource incentivizes certain providers through a value based incentive model. CareSource focuses efforts on creating incentives and reimbursement options to support models that recognize quality at the provider level. CareSource created a program that provides additional incentives to providers for delivering quality based services that impact Healthcare Effectiveness Data and Information Set (HEDIS) measures. CareSource created a shared savings model that rewards providers for attaining quality targets while sharing savings. In this parti
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IRS990/Form990PartVIISectionAGrp/PersonNm0Michael E Ervin MD
IRS990/Form990PartVIISectionAGrp/PersonNm1William F Marsteller DC
IRS990/Form990PartVIISectionAGrp/PersonNm2Craig Brown
IRS990/Form990PartVIISectionAGrp/PersonNm3David T Miller
IRS990/Form990PartVIISectionAGrp/PersonNm4Ellen S Leffak
IRS990/Form990PartVIISectionAGrp/PersonNm5Douglas A Fecher
IRS990/Form990PartVIISectionAGrp/PersonNm6David Kaelber MD
IRS990/Form990PartVIISectionAGrp/PersonNm7Gary L Leroy MD
IRS990/Form990PartVIISectionAGrp/PersonNm8Pamela B Morris
IRS990/Form990PartVIISectionAGrp/PersonNm9Craig Thiele MD
IRS990/Form990PartVIISectionAGrp/PersonNm10Daniel McCabe
IRS990/Form990PartVIISectionAGrp/PersonNm11L Tarlton Thomas III
IRS990/Form990PartVIISectionAGrp/PersonNm12Stephen Ringel
IRS990/Form990PartVIISectionAGrp/PersonNm13David W Goltz
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IRS990/Form990PartVIISectionAGrp/TitleTxt1Secretary/Treasurer/Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt2Vice Chairperson/Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt3Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt4Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt5Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt6Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt7Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt8President & CEO; Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt9Chief Medical Officer to 6/17
IRS990/Form990PartVIISectionAGrp/TitleTxt10Chief Administrative Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt11Chief Operating Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt12President Ohio Market
IRS990/Form990PartVIISectionAGrp/TitleTxt13Chief Financial Ofr from 12/17
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IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt0452181
IRS990/PrincipalOfficerNm0Pamela B Morris
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IRS990/ProgramServiceRevenueGrp/BusinessCd0524114
IRS990/ProgramServiceRevenueGrp/BusinessCd1524114
IRS990/ProgramServiceRevenueGrp/Desc0MEDICAID & MEDICARE
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IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt1253875193
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt06928395190
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt1253875193
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IRS990/PYContributionsGrantsAmt00
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IRS990/PYGrantsAndSimilarPaidAmt031875
IRS990/PYInvestmentIncomeAmt032445652
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt00

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2,249$1,402$847$8,560$8,462$97.5
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$2,667$1,267$1,400$10,064$9,417$647
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2,610$1,461$1,149$9,756$9,704$52.0
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$2,518$1,435$1,084$9,273$9,110$162
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,808$953$855$7,819$7,743$76.1
2017Detailed filing. Detailed filing data is available for this year.$1,851$1,032$819$7,221$7,191$30.4
2015Detailed filing. Detailed filing data is available for this year.$1,832$883$949$6,203$6,014$189
2014Detailed filing. Detailed filing data is available for this year.$1,779$1,012$768$5,003$4,844$159
2013Detailed filing. Detailed filing data is available for this year.$1,207$593$615$3,644$3,509$135
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,002$465$537$3,247
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$996$585$411$2,593
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$727$437$290$2,267
Peer Organizations

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