Civic Intelligence

American Liver Foundation

990 • Fiscal year 2021 • EIN 36-2883000

Jan 01, 2021 to Dec 31, 2021 • Filed on May 22, 2022

PO Box 299West Orange, NJ 07052

(212) 668-1000

Siviq Scores

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

Liabilities / Assets

56th percentile

0.23x

Higher debt load relative to assets than 56% of similar nonprofits.

2021 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2021

Liabilities / Revenue

55th percentile

0.27x

Higher debt load relative to revenue than 55% of similar nonprofits.

2021 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2021

Net Margin

84th percentile

44%

Higher net margin than 84% of similar nonprofits.

2021 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2021

Top Officer Pay

53rd percentile

$178,211

Higher top officer pay than 53% of similar nonprofits.

Top officer pay equals 2.5% of source-year revenue.

2021 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2021

Asset Growth

89th percentile

47%

Faster asset growth than 89% of similar nonprofits.

2021 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2020 to 2021

Revenue Growth

68th percentile

28%

Faster revenue growth than 68% of similar nonprofits.

2021 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2020 to 2021

Assets

Up

$8,459,273

Up $2,685,556 (+47%) from 2020

Net Assets

Up

$6,549,554

Up $3,147,735 (+93%) from 2020

Liabilities

Down

$1,909,719

Down $462,179 (-19%) from 2020

Revenue

Up

$7,058,209

Up $1,554,980 (+28%) from 2020

Expenses

Down

$3,926,966

Down $1,957,377 (-33%) from 2020

Net Income

Up

$3,131,243

Up $3,512,357 (+922%) from 2020

Historical Trend

Balance Sheet Trend

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

$10M$5.0M$0Assets 2010: $4,692,833Liabilities 2010: $3,633,300Net Assets 2010: $1,059,5332010Assets 2011: $5,096,471Liabilities 2011: $3,717,491Net Assets 2011: $1,378,9802011Assets 2012: $4,355,663Liabilities 2012: $3,465,018Net Assets 2012: $890,6452012Assets 2014: $4,497,765Liabilities 2014: $2,286,070Net Assets 2014: $2,211,6952014Assets 2015: $4,156,751Liabilities 2015: $1,757,652Net Assets 2015: $2,399,0992015Assets 2017: $5,320,791Liabilities 2017: $1,674,753Net Assets 2017: $3,646,0382017Assets 2018: $5,260,328Liabilities 2018: $1,933,110Net Assets 2018: $3,327,2182018Assets 2019: $5,267,197Liabilities 2019: $1,566,244Net Assets 2019: $3,700,9532019Assets 2020: $5,773,717Liabilities 2020: $2,371,898Net Assets 2020: $3,401,8192020Assets 2021: $8,459,273Liabilities 2021: $1,909,719Net Assets 2021: $6,549,5542021Assets 2022: $8,657,364Liabilities 2022: $997,283Net Assets 2022: $7,660,0812022Assets 2024: $8,854,388Liabilities 2024: $1,974,787Net Assets 2024: $6,879,6012024Assets 2025: $9,476,651Liabilities 2025: $2,029,085Net Assets 2025: $7,447,5662025

Highlighted filing

2021

Assets$8,459,273
Liabilities$1,909,719
Net Assets$6,549,554

Operations Trend

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

$10M$5.0M$0-$5.0MExpenses 2010: $8,526,6102010Expenses 2011: $8,216,7442011Expenses 2012: $8,210,6402012Revenue 2014: $8,129,950Expenses 2014: $7,179,709Net Income 2014: $950,2412014Revenue 2015: $7,970,010Expenses 2015: $7,674,455Net Income 2015: $295,5552015Revenue 2017: $9,409,699Expenses 2017: $8,921,259Net Income 2017: $488,4402017Revenue 2018: $9,198,357Expenses 2018: $9,295,849Net Income 2018: -$97,4922018Revenue 2019: $8,851,289Expenses 2019: $8,737,566Net Income 2019: $113,7232019Revenue 2020: $5,503,229Expenses 2020: $5,884,343Net Income 2020: -$381,1142020Revenue 2021: $7,058,209Expenses 2021: $3,926,966Net Income 2021: $3,131,2432021Revenue 2022: $5,792,842Expenses 2022: $4,256,085Net Income 2022: $1,536,7572022Revenue 2024: $5,660,921Expenses 2024: $6,521,912Net Income 2024: -$860,9912024Revenue 2025: $2,118,604Expenses 2025: $1,540,749Net Income 2025: $577,8552025

Highlighted filing

2021

Revenue$7,058,209
Expenses$3,926,966
Net Income$3,131,243
Jump To
Filing Snapshot
Filing Period
Jan 1, 2021 to Dec 31, 2021
Signed
May 22, 2022
Return Version
2021v4.2
Gross Receipts
$10,090,572
Mission and Program Overview

Mission

Our mission is to facilitate, advocate, and promote education, support services, and research for the prevention, treatment, and cure of liver disease.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$3,039,168$4,640,185▲ $1,601,017
Cash and Non-Interest-Bearing Accounts$2,422,890$3,127,780▲ $704,890
Pledges and Grants Receivable$180,798$584,568▲ $403,770
Prepaid Expenses and Deferred Charges$88,292$64,949▼ $23,343
Savings and Temporary Cash Investments$21,891$21,743▼ $148
Land, Buildings, and Equipment, Net$20,678$20,048▼ $630
Accounts Receivable$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$5,773,717$8,459,273▲ $2,685,556
Other Assets Total$0$0→ $0
Liabilities
Unsecured Notes Loans Payable$737,979$697,237▼ $40,742
Escrow Account Liability$669,521$666,063▼ $3,458
Deferred Revenue$0$312,821▲ $312,821
Accounts Payable and Accrued Expenses$867,078$196,098▼ $670,980
Grants Payable$75,000$37,500▼ $37,500
Other Liabilities$22,320$0▼ $22,320
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$2,371,898$1,909,719▼ $462,179
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$632,568$3,636,730▲ $3,004,162
Net Assets With Donor Restrictions$2,769,251$2,912,824▲ $143,573
Total Net Assets Fund Balance$3,401,819$6,549,554▲ $3,147,735
Total Liabilities and Net Assets / Fund Balance$5,773,717$8,459,273▲ $2,685,556

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings-$751,440$751,440
Equipment$20,048$476,958$497,006
Leasehold Improvements-$97,448$97,448

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2021$988,115-▲ $164,520-$1,152,635
2020$1,222,206-▲ $95,449$329,540$988,115
2019$1,112,588-▲ $222,118-$1,222,206
2018$1,215,883-▼ $75,352-$1,112,588
2017$1,103,423-▲ $174,960-$1,215,883
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
David TickerCFOFT$164,734$13,477$178,211
Kelly SmithNational Director - EventsFT$116,249$33,911$150,160
Lorraine StiehlCEOFT$129,542$13,053$142,595
Kathleen FlynnNAT'L SR. Director - ENGAGEMENTFT$114,138$10,703$124,841
Akyaa AMANKWAAControllerFT$116,600$3,902$120,502
Jackie DominguezNational Sr. Director - EngagementFT$116,467$1,133$117,600
Sheri SingerNational Director - EngagementFT$102,720$5,618$108,338
Lynn SeimFormer COO-$12,163-$12,163

Board Members and Trustees

NameTitle
Daniel E WeilBoard Chair
Allan J DoerrBoard Member
Carlo FrappolliBoard Member
Connie DenewethBoard Member
Deb TullyBoard Member
Eddie Cheung Md FacgBoard Member
Elizabeth LeesmannBoard Member
Ellen Rucker SellersBoard Member
Emmanuel Thomas Md PhdBoard Member
Hillel Tobias Md PhdBoard Member
Michael KerrBoard Member
Mike BraunsteinBoard Member
Nicholas J DeromaBoard Member
Nicole Smith PhdBoard Member
Peter CullenBoard Member
Robert PollichinoBoard Member
Rocky Yapp Md Mph AgafBoard Member
Rohit Loomba MdBoard Member
Rotonya Carr MdBoard Member
Sammy Saab Md MphBoard Member
T Clark Gamblin Md Ms MbaBoard Member
Thomas F Nealon IiiBoard member
Gene CautilloSecretary
Susan Sherman Stone CPA MstTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Amplotech LLCMarketingPO BOX 16422, San Juan, PR 00908$126,939
Revenue and Support

Revenue Composition

Contributions and Grants
$6,782,864
Program Service Revenue
$0
Investment Income
$260,753
Other Revenue
$14,592
All Other Contributions
$4,450,459
Change in Net Assets
$3,131,243

Audited Revenue Reconciliation

Revenue per Audited Statements
$7,042,752
Revenue Not Reported on Financial Statements
$15,457
Revenue Not Reported on Form 990
$83,899
Total Revenue per Audited Statements
$7,126,651
Total Revenue per Form 990
$7,058,209
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$2,644,169
Other Expenses$1,207,797
Total Fundraising Expense$500,613
Grants and Similar Amounts Paid$75,000
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$1,415,644$248,701$217,447$1,881,792
Current Officers, Directors, Trustees, and Key Employees$246,334$43,276$37,838$327,448
Fees for Services Other$250,933$22,685$33,964$307,582
Other Employee Benefits$178,954$31,438$27,488$237,880
Office Expenses$86,903$88,906$43,119$218,928
Information Technology$138,916$24,352$21,291$184,559
Payroll Taxes$138,658$24,360$21,298$184,316
Occupancy$122,169$21,463$18,765$162,397
Grants to Domestic Orgs$75,000--$75,000
Other Expenses$46,753$6,741$14,767$68,261
Fees for Services Legal$54,992$4,971$7,443$67,406
Fees for Services Accounting$38,947$3,521$5,272$47,740
Advertising$21,953$109$11,214$33,276
Depreciation Depletion$23,991$4,215$3,685$31,891
Insurance$13,458$2,364$2,067$17,889
Fees for Service Investment Mgmnt Fees-$15,457-$15,457
Travel$11,119$795$1,674$13,588
Pension Plan Contributions$9,579$1,683$1,471$12,733
Interest-$7,013-$7,013
Total Functional Expenses$2,874,303$552,050$500,613$3,926,966

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$3,978,916
Total Expenses per Form 990$3,926,966
Expenses per Audited Statements$3,911,509
Expenses Not Reported on Form 990$67,407
Expenses Not Reported on Financial Statements$15,457
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Thomas Jefferson UniversityPhiladelphia, PA501(c)(3)Liver Disease Resear$75,000
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$243,792
Fundraising Gross Income$144,749
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Marathon$481,363-$15,232-
Liver Life Walk$402,961---
Total Events$1,729,306$144,749$243,792$-99,043
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
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
Yes
Other officer compensation reviewed
Yes
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

A draft of the form 990 is sent to the finance committee for review and comments in the monthly meeting prior to filing. In addition, a draft of the form 990 is also sent to each board member for discussion. After questions and comments are addressed and the form 990 is approved, it is ready for filing.

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

Annually, our conflict of interest form is completed by officers and directors. The form must indicate any possible conflicts of interest and be signed by all officers and directors. When any such conflict of interest is relevant to a matter requiring action by the board, the interested person shall call it to the attention of the board and such person shall not vote on the matter. Moreover, the person having a conflict shall retire from the room in which the board is meeting and shall not participate in the final deliberation or decision regarding the matter under consideration. However, that person shall provide the board with any and all relevant information. The minutes of the meeting of the board, shall reflect that the conflict of interest was disclosed and that the interested person was not present during the final discussion or vote and did not vote. When there is a doubt as to whether a conflict of interest exists, the matter shall be resolved by a vote of the board.

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

Ceo compensation is determined by the national board of director's executive committee and approved by the board members. In determining salary levels, the executive committee reviews an annual salary survey of national voluntary health organizations prepared for the national health council and reviews prior year performance. Current market conditions and the financial condition of the american liver foundation are also considered in setting compensation. This review was last conducted in 2022.

Form 990, Part VI, Section B, Line 15B

The salary of officers and key employees are determined by the ceo and cfo based on performance, market conditions and the financial condition of the american liver foundation.

Form 990, Part VI, Section C, Line 19

The form 990 is available via www.liverfoundation.org and form 1023 is available upon request.

Filing and Contact Details

Filer

Filer Name
American Liver Foundation
EIN
36-2883000
In Care Of
% DAVID TICKER
Phone
2126681000
Address
PO BOX 299, WEST ORANGE, NJ 07052

Signing Officer

Name
David Ticker
Title
CFO
Phone
2126681000
Signed
2022-05-22
Discuss with paid preparer
Yes

Organization Details

Principal Officer
David Ticker
Formed
1976
Legal Domicile
Ny
Voting Board Members
24
Independent Board Members
24
Employees
40
Volunteers
1,000

Preparer

Firm
Forvis Llp
Address
1155 Avenue of the Americas 1200, New York, NY 10036
Preparer
Aaron Shapiro
Phone
2128674000
Supplemental Narrative

Financial Statement Notes

Part IV, Line 2B

Funds held on behalf of others - alf acts as an administrator for funds collected on behalf of liver transplant patients. Alf disburses funds to cover the cost of properly documented post-surgery expenses.

Part V, Line 4

The intended use of endowment funds has been specified by the donor. All funds on hand are used to generate interest/dividend income and capital gains to support various research initiatives.

Schedule D, Part X, Line 2

Asc 740 footnote management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.

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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/Desc0Public and patient education: The American Liver Foundation's digital content allows us to reach millions of people with our information and resource. The ALF website helps us better deliver quality programs and events to our constituents including multimedia webinars, videos and broadcasts. In 2021, ALF updated the website to include a Budd-Chiari webpage, Transjugular Intrahepatic Portosystemic Shunt (TIPS) webpage, Bile Duct Cancer and Acute Hepatic Porphyria webpage. ALF held webinars on a variety of topics including Wilson Disease, Bile-Duct Cancer, PBC, Liver Cancer, and Acute Hepatic Porphyria. The American Liver Foundation has created two animated videos that will live on the ALF YouTube channel in December. The first video shared mind-body stress management techniques for chronic disease patients and the second video explains the progression of liver disease (https://www.youtube.com/watch?v=o-Kvlxyj43I). ALF expanded its educational resource library by updating patient education materials including the Alcohol-Related Liver Disease brochure, Hepatitis B Brochure, Cirrhosis Brochure, and Imaging and Testing at-a-glance. All brochures are available for download from our website at https://liverfoundation.org/for-patients/resources/brochures/. The Liver Lowdown e-newsletter is disseminated to provide information about the prevention, treatment and cure of liver disease and about the Foundation's educational and signature programs, an in-depth focus on specific types of liver disease, and profiles of liver patientscaregivers' personal experiences. In 2021, over 200,000 people received each of our e-newsletter issues. ALF held the 2nd annual HCC virtual patient conference in 2021. This conference provided educational sessions and resources for HCC patients and caregivers that are not eligible for a transplant on topics pertaining to patient care, treatment options, emotional wellness in the face of a liver cancer diagnosis, and caregiver resources. Over 150 people attended this event. The ALF was able to offer Liver Chats for patients and caregivers. These chats provided an opportunity for people to receive information in a way that was easygoing and informal. Liver Chat segments included pediatric Liver Disease, featuring a parent whose child was diagnosed with a rare form of liver cancer at the age of seven months old, COVID, Alcohol and Chronic Liver Disease, and a World Hepatitis Day Liver Chat. The 2021 Progression of Liver Disease Awareness Campaign, which takes place from October to December focused on reaching at-risk individuals, liver patients and caregivers, and the healthcare providers who serve them. While all stages of liver disease will be discussed, ALF's material includes a concentration on end-stage liver disease in underserved populations. Components of the Campaign included: . Progression of Liver Disease Animated Video . Progression of Liver Disease Infographic . Health Disparities in Viral Hepatitis Webinar in Collaboration with the CDC on November 17th . Social Media Awareness, including a virtual toolkit While our educational materials were dedicated to COVID-19 in 2020, we still provided the latest updates on the pandemic in 2021 with virtual programs including: . A COVID-19 Townhall series to enhance the liver community's knowledge about the COVID-19 vaccines. Through this initiative, ALF will provide a virtual platform for liver patients and their families to have an open dialogue with a local medical provider about one of the most relevant topics of the day: the COVID-19 vaccines and their implications for those with liver disease. . COVID-19 and Pediatrics Program for pediatric liver disease caregivers that included expert panelists answering questions about how COVID-19 is impacting children with liver disease. . ALF shared an educational video entitled "10 Questions about COVID-19 Vaccination and Liver Disease with Dr. Terry Box". We pulled our most frequently asked questions from our Helplin
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IRS990/Form990PartVIISectionAGrp/TitleTxt2CEO
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IRS990/Form990PartVIISectionAGrp/TitleTxt5NATIONAL SR. DIR - ENGAGEMENT
IRS990/Form990PartVIISectionAGrp/TitleTxt6NATIONAL DIRECTOR - ENGAGEMENT
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IRS990/Form990PartVIISectionAGrp/TitleTxt8BOARD CHAIR
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IRS990/Form990PartVIISectionAGrp/TitleTxt12BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt13BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt14BOARD MEMBER
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IRS990/Form990PartVIISectionAGrp/TitleTxt19BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt20BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt21BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt22BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt23BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt24BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt25BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt26BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt27BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt28BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt29BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt30BOARD MEMBER
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Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Facts available. Structured filing facts are available, but richer extracted sections are limited.$9.48$2.03$7.45$2.12$1.54$0.58
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.85$1.97$6.88$5.66$6.52$0.86
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.66$1.00$7.66$5.79$4.26$1.54
2021Detailed filing. Detailed filing data is available for this year.$8.46$1.91$6.55$7.06$3.93$3.13
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.77$2.37$3.40$5.50$5.88$0.38
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.27$1.57$3.70$8.85$8.74$0.11
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.26$1.93$3.33$9.20$9.30$0.10
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.32$1.67$3.65$9.41$8.92$0.49
2015Detailed filing. Detailed filing data is available for this year.$4.16$1.76$2.40$7.97$7.67$0.30
2014Detailed filing. Detailed filing data is available for this year.$4.50$2.29$2.21$8.13$7.18$0.95
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.36$3.47$0.89$8.21
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.10$3.72$1.38$8.22
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.69$3.63$1.06$8.53