Civic Intelligence

Coxhealth Foundation

990 • Fiscal year 2016 • EIN 43-6810485

Oct 01, 2015 to Sep 30, 2016 • Filed on Apr 21, 2017

3525 S NationalSpringfield, MO 65807

(417) 269-7150

Siviq Scores

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

Liabilities / Assets

15th percentile

0.01x

Higher debt load relative to assets than 15% of similar nonprofits.

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

Liabilities / Revenue

16th percentile

0.05x

Higher debt load relative to revenue than 16% of similar nonprofits.

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

Net Margin

86th percentile

29%

Higher net margin than 86% of similar nonprofits.

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

Top Officer Pay

97th percentile

$1,165,548

Higher top officer pay than 97% of similar nonprofits.

Top officer pay equals 17.0% of source-year revenue.

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

Asset Growth

62nd percentile

4.8%

Faster asset growth than 62% of similar nonprofits.

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

Revenue Growth

12th percentile

-26%

Faster revenue growth than 12% of similar nonprofits.

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

Assets

Up

$23,779,491

Up $1,099,525 (+4.8%) from 2015

Net Assets

Up

$23,432,353

Up $1,096,557 (+4.9%) from 2015

Liabilities

Up

$347,138

Up $2,968 (+0.9%) from 2015

Revenue

Down

$6,854,776

Down $2,386,502 (-26%) from 2015

Expenses

Down

$4,864,737

Down $1,769,005 (-27%) from 2015

Net Income

Down

$1,990,039

Down $617,497 (-24%) from 2015

Historical Trend

Balance Sheet Trend

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

$40M$30M$20M$10M$0Assets 2011: $19,127,219Liabilities 2011: $170,948Net Assets 2011: $18,956,2712011Assets 2012: $19,697,679Liabilities 2012: $140,322Net Assets 2012: $19,557,3572012Assets 2013: $24,327,818Liabilities 2013: $313,698Net Assets 2013: $24,014,1202013Assets 2014: $26,774,542Liabilities 2014: $1,705,832Net Assets 2014: $25,068,7102014Assets 2015: $22,679,966Liabilities 2015: $344,170Net Assets 2015: $22,335,7962015Assets 2016: $23,779,491Liabilities 2016: $347,138Net Assets 2016: $23,432,3532016Assets 2017: $26,427,478Liabilities 2017: $1,323,234Net Assets 2017: $25,104,2442017Assets 2018: $28,199,602Liabilities 2018: $1,096,244Net Assets 2018: $27,103,3582018Assets 2019: $32,459,774Liabilities 2019: $998,152Net Assets 2019: $31,461,6222019Assets 2020: $31,120,712Liabilities 2020: $912,374Net Assets 2020: $30,208,3382020Assets 2021: $33,244,463Liabilities 2021: $1,051,726Net Assets 2021: $32,192,7372021Assets 2022: $30,986,632Liabilities 2022: $864,006Net Assets 2022: $30,122,6262022Assets 2023: $34,076,571Liabilities 2023: $1,516,559Net Assets 2023: $32,560,0122023Assets 2024: $34,222,304Liabilities 2024: $1,490,432Net Assets 2024: $32,731,8722024

Highlighted filing

2016

Assets$23,779,491
Liabilities$347,138
Net Assets$23,432,353

Operations Trend

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

$15M$10M$5.0M$0Expenses 2011: $2,399,3252011Revenue 2012: $3,027,262Expenses 2012: $2,641,109Net Income 2012: $386,1532012Revenue 2013: $6,447,530Expenses 2013: $2,205,665Net Income 2013: $4,241,8652013Revenue 2014: $5,296,455Expenses 2014: $4,120,064Net Income 2014: $1,176,3912014Revenue 2015: $9,241,278Expenses 2015: $6,633,742Net Income 2015: $2,607,5362015Revenue 2016: $6,854,776Expenses 2016: $4,864,737Net Income 2016: $1,990,0392016Revenue 2017: $6,184,494Expenses 2017: $3,290,860Net Income 2017: $2,893,6342017Revenue 2018: $5,907,067Expenses 2018: $3,561,960Net Income 2018: $2,345,1072018Revenue 2019: $10,937,862Expenses 2019: $4,091,194Net Income 2019: $6,846,6682019Revenue 2020: $11,255,823Expenses 2020: $6,226,265Net Income 2020: $5,029,5582020Revenue 2021: $11,374,415Expenses 2021: $7,270,891Net Income 2021: $4,103,5242021Revenue 2022: $11,539,557Expenses 2022: $8,776,707Net Income 2022: $2,762,8502022Revenue 2023: $8,183,625Expenses 2023: $4,891,776Net Income 2023: $3,291,8492023Revenue 2024: $8,404,379Expenses 2024: $6,968,317Net Income 2024: $1,436,0622024

Highlighted filing

2016

Revenue$6,854,776
Expenses$4,864,737
Net Income$1,990,039
Jump To
Filing Snapshot
Filing Period
Oct 1, 2015 to Sep 30, 2016
Signed
Apr 21, 2017
Return Version
2015v3.0
Gross Receipts
$7,041,472
Mission and Program Overview

Mission

The mission of the coxhealth foundation is to facilitate through philanthropy the quality health care, education and research provided by coxhealth. See schedule o for additional information.

The coxhealth foundation raises funds to support patient care for those needs for which they have no resources or funding, but which are critical to patient health & well-being.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$18,905,055$19,692,875▲ $787,820
Pledges and Grants Receivable$2,832,827$2,478,276▼ $354,551
Savings and Temporary Cash Investments$702,735$1,425,524▲ $722,789
Inventories for Sale or Use$44,398$81,850▲ $37,452
Cash and Non-Interest-Bearing Accounts$0$0→ $0
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
Land, Buildings, and Equipment, Net$0--
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$22,679,966$23,779,491▲ $1,099,525
Other Assets Total$194,951$100,966▼ $93,985
Liabilities
Other Liabilities$316,828$342,553▲ $25,725
Accounts Payable and Accrued Expenses$27,342$4,585▼ $22,757
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$344,170$347,138▲ $2,968
Net Assets / Fund Balance
Temporarily Rstr Net Assets$13,965,241$14,802,413▲ $837,172
Permanently Rstr Net Assets$8,036,456$8,119,522▲ $83,066
Unrestricted Net Assets$334,099$510,418▲ $176,319
Total Net Assets Fund Balance$22,335,796$23,432,353▲ $1,096,557
Total Liabilities and Net Assets / Fund Balance$22,679,966$23,779,491▲ $1,099,525

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2015$5,111,030$665,305▲ $155,191$241,093$5,404,367
2014$4,800,435$486,859▲ $149,724$303,188$5,111,030
2013$4,452,776$513,875▲ $154,886$294,102$4,800,435
2012$4,159,597$695,884▲ $162,212$550,317$4,452,776
2011$3,887,423$527,957▲ $162,356$369,789$4,159,597
Compensation and Service Providers

Board Members and Trustees

NameTitle
Mary Beth HartmanChair
Lisa AlexanderPresident
Tyler WatskeyVice Chair
Andy DaltonDirector
Chris NattingerDirector
Cindy WaitesDirector
Jeanette HutchesonDirector
John FosterDirector
Jose Dominguez MdDirector
Ken MeyerDirector
Ken TeagueDirector
Sam CliftonDirector
William DarrDirector
Jeremy LoftinDirector Beginning 4/16
Andy BartholomyDirector Beginning 8/16
Charles Woodall Iii MdSecretary
Wm Russell Detten M DTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$6,295,513
Program Service Revenue
$0
Investment Income
$583,023
Other Revenue
$-23,760
All Other Contributions
$5,492,245
Change in Net Assets
$1,990,039

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Securities Publicly Traded7$219,975Fair Market Value (FMV)
Other Non Cash Contri Table307$85,902Fair Market Value (FMV)
Total Noncash Contributions314$305,877-

Audited Revenue Reconciliation

Revenue per Audited Statements
$325,584
Revenue Not Reported on Financial Statements
$6,529,192
Revenue Not Reported on Form 990
$3,036,174
Other Revenue Adjustments
$6,529,192
Total Revenue per Audited Statements
$3,361,758
Total Revenue per Form 990
$6,854,776
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$4,648,198
Other Expenses$216,539
Total Fundraising Expense$213,745
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Individuals$3,343,234--$3,343,234
Grants to Domestic Orgs$1,304,964--$1,304,964
Other Expenses--$213,745$213,745
Fees for Services Accounting-$2,794-$2,794
Total Functional Expenses$4,648,198$2,794$213,745$4,864,737

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$4,864,737
Total Expenses per Form 990$4,864,737
Total Expenses per Audited Statements$3,185,439
Expenses Not Reported on Form 990$-1,679,298
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Lester E Cox Medical CentersSpringfield, MO501(c)(3)Support$836,356
Cox Medical Center BransonBranson, MO501(c)(3)Support$373,908
Cox Monett HospitalMonett, MO501(c)(3)Support$94,700
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$182,897
Fundraising Gross Income$153,145
Gaming Gross Income$7,618
Gaming Direct Expenses$1,626
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
C.r.a.p.$94,352$56,738$23,327$33,411
Under the Sea$137,150$32,287$26,910$5,377
Total Events$481,821$153,145$182,897$-29,752
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliate$342,553
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
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Lines 6, 7A, and 7B

Members or stockholders: coxhealth foundation shall have one member which shall be lester e. Cox medical centers (member), which is a controlled subsidiary of a parent corporation known as coxhealth (parent). The member and parent shall exercise their powers and fulfill their responsibilities as specified in the articles of incorporation and the bylaws. The following reserved powers may be exercised by the parent without prior action by the board. Said reserved powers are: (a) to establish and change the business purposes, mission, vision or values of coxhealth foundation; (b) approve the adoption, or permit the adoption of, any new, or any changes to any existing, long-term or master institutional plans of the coxhealth foundation; (c) approve the adoption of the annual operating budget of the coxhealth foundation; (d) to approve amendments to the articles of incorporation of coxhealth foundation as provided therein; (e) to approve amendments to the bylaws; (f) to approve the adoption of and any revision to the charters for all committees established by the board; (g) to appoint and remove the directors or honorary directors of coxhealth foundation, subject to the requirements of article five, and to appoint and remove the officers of the board and coxhealth foundation; (h) to approve the appointment and removal of the president of coxhealth foundation; (i) to appoint the auditor and the corporate counsel for coxhealth foundation and its controlled subsidiaries or remotely controlled subsidiaries; (j) to establish centralized employee benefit, insurance, investment, financing, marketing, legal, corporate compliance, performance assessment and improvement and other operational and support programs; to require the participation of coxhealth foundation in such programs; and to authorize the opening and closing of bank accounts and investment accounts in the name of coxhealth foundation; (k) authorize or permit the coxhealth foundation to engage in, or enter into, any transaction providing for the sale, lease, exchange, mortgage, pledge, creation of a security interest in or disposition of all or substantially all of its assets; (l) approve, or permit the approval of, any contributions or grants by the coxhealth foundation to any affiliate or subsidiary of member; (m) authorize or permit the coxhealth foundation to enter into or perform any contract or engage in any transaction not specified above which involves the expenditure of a sum greater than twenty-five thousand and no/100 dollars ($25,000.00); (n) approve or permit the borrowing of money by the coxhealth foundation; (o) to approve the acquisition or disposition by coxhealth foundation of another legal entity or an interest in another legal entity; (p) approve the adoption, or permit the adoption of, a plan of dissolution of the coxhealth foundation; (q) approve the adoption, or permit the adoption of, a plan of merger or consolidation of the coxhealth foundation with another legally defined non-profit coxhealth foundation; (r) to approve the merger, consolidation or dissolution of coxhealth foundation or the sale of all or substantially all of the assets of coxhealth foundation; (s) to approve the organization, acquisition, formation of a controlled subsidiary, remotely controlled subsidiary, affiliate, or legally defined non-profit organization; (t) to determine the extent to which and the manner in which the powers described in this section which are reserved to the parent with respect to coxhealth foundation are to be included in the governing documents of any controlled subsidiary or remotely controlled subsidiary and exercised with respect to any controlled subsidiary or any remotely controlled subsidiary.

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

Form 990 review process: the form 990 is prepared by an independent accounting firm based on the audited financial statements and information provided by the accounting department of the organization. Prior to filing, the form 990 is first reviewed by members of top management. Once they have approved the draft, a final copy is provided to the board of directors via email.

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

Monitoring compliance with conflict of interest policy: coxhealth officers, directors and key employees, as well as officers, directors and key employees of the coxhealth affiliates and/or committees with delegated authority to make decisions, are annually required to disclose potential conflicts of interest following the corporate compliance policy, set forth below. In addition, the lester e. Cox medical centers bylaws contain a conflict of interest provision to ensure board members make decisions that are conflict free, or if a conflict is present, that it is fully disclosed for the board's consideration. Coxhealth's employees and board members must avoid all activities, associations or interests that create a conflict of interest. Conflicts of interest for employees must be reported to the corporate integrity department. A file will be maintained of all reported conflicts of interest. For medical staff members, the conflict of interest process may be accessed through the medical staff office. For board members, the conflict of interest process is handled through a sub-committee of the board with the assistance of the executive office and is defined in the board bylaws. If any officer or director is found to have a conflict of interest, such person shall neither vote nor use his or her influence to affect any decision relating to the conflict, and such person should not be included in determining whether a quorum participated in the decision. Such person is permitted to briefly state his or her position on the matter, and answer pertinent questions about it, if his or her knowledge or expertise could assist those participating in the decision. For vendors, the policy is distributed at their first contract with lester e. Cox medical centers.

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

Compensation review policy: the president's compensation is periodically reviewed by an independent consultant using comparability data. The consultant's recommendations are presented to and discussed with the board of directors. This review is documented in board minutes.

Form 990, Part VI, Section C, Line 19

Document disclosure: organization documents will be made available upon written request for a legitimate business or fundraising purpose (as determined by top management). Documents may be viewed at the foundation's office.

Form 990, Part VII, Section A

Board member compensation: russell detten, m.d., jose dominguez, m.d., and charles woodall, iii, m.d., are employees of lester e. Cox medical centers, a related organization. Their compensations are related to thier roles as employees. No board members receive compensation for their duties as board members.

Filing and Contact Details

Filer

Filer Name
Coxhealth Foundation
EIN
43-6810485
In Care Of
% SHAWNA BRIDGES
Phone
4172697150
Address
3525 S NATIONAL, SPRINGFIELD, MO 65807

Signing Officer

Name
Lisa Alexander
Title
President
Signed
2017-04-21
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Lisa Alexander
Formed
1998
Legal Domicile
Mo
Voting Board Members
16
Independent Board Members
13
Employees
0
Volunteers
85

Preparer

Firm
Bkd Llp
Address
910 E ST LOUIS 200/PO BOX 1190, SPRINGFIELD, MO 65806-2523
Preparer
Brian D Todd
Phone
4178658701
Supplemental Narrative

Additional Explanations

Form 990, Part I, Line 1

Organization's mission and most significant activity: additionally, coxhealth foundation raises funds to support the mission of coxhealth through support of health education, facilities, technologies and those programs and services which impact the health of our ozarks community. Each contribution to the foundation creates the following benefits: -supports services for the indigent and uninsured by providing financial assistance through the bethlehem fund for high-risk mothers, the good samaritan fund and other patient care funds. At coxhealth, health care is provided without prejudice and regardless of the patient's ability to pay. -provides educational training to resident physicians and to future nurses through the family practice residency program and cox college scholarship and endowment funds. -assists the community by providing programs like cpr training and smoking cessation classes, as well as the emergency cardiovascular care community training center and the "women and heart - know your figures" awareness campaign. -builds new, expanded facilities with gifts to support state-of-the-art equipment to continue medical research and offer innovative clinical treatments and procedures in areas such as cancer, heart disease, rehabilitation and much more.

Form 990, Part III, Line 4D

Exempt purpose achievements - other: the coxhealth foundation provided additional support for the health professions by offering scholarships for nursing students and health science students. These scholarships help to encourage health professions and the fulfillment of careers that will impact total community health and wellness.

Form 990, Part XI, Line 9

Other changes in net assets: $ (865,329) transfers to affiliates (116,289) change in beneficial interest in trust ----------- $ (981,618)

Financial Statement Notes

Schedule D, Part I, Column A

Donor advised funds: the glauser oncology fund is a donor advised fund that exists to enhance service, clinical awareness, and technological advances at the hulston cancer center at coxhealth.

Schedule D, Part V, Line 4

Intended use of endowments: the organization has 29 endowment funds which include monies donated to be used for specific expenses, and the income from each fund is to be spent on specific services and program functions on a fund-by-fund basis. Endowment funds held by the organization are intended for but not limited to expenditures relating to cancer services, health education, purchase of equipment and indigent care. These services and functions benefit coxhealth and its affiliates, as well as scholarships for individuals pursuing degrees.

Schedule D, Part X, Line 2

Uncertain tax positions: 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.

Schedule D, Part XI, Line 2D

Amounts included on line 1 but not on form 990, part viii, line 12: $ 2,948,038 net assets released from restriction

Schedule D, Part XI, Line 4B

Amounts included on form 990, part viii, line 12 but not on line 1: $ 4,067,516 trna contributions & transfers 583,023 trna investment return 199,355 prna contributions 1,863,821 revenue included in expenses ( 182,897) special events expenses ( 1,626) gaming expenses ----------- $ 6,529,192

Schedule D, Part XII, Line 2D

Amounts included on line 1 but not on form 990, part ix, line 25: $(1,863,821) revenue included in expenses 182,897 special events expenses 1,626 gaming expenses ----------- $(1,679,298)

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IRS990/MissionDesc0THE MISSION OF THE COXHEALTH FOUNDATION IS TO FACILITATE THROUGH PHILANTHROPY THE QUALITY HEALTH CARE, EDUCATION AND RESEARCH PROVIDED BY COXHEALTH. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.
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IRS990/ProgSrvcAccomActy2Grp/Desc0THE SECOND LARGEST PROGRAM WAS FACILITY SUPPORT. THE FOUNDATION RAN A FUNDRAISING CAMPAIGN TO HELP ENSURE A NEW PATIENT TOWER WAS PREPARED WITH THE MANY NEEDS OF OUR PATIENTS INCLUDING THE LATEST TECHNOLOGIES. THE FACILITY CAMPAIGN SUPPORTED WOMEN'S AND CHILDREN'S SERVICES AS WELL AS OUR NEUROSCIENCE PROGRAM. ADDITIONALLY, THIS ACCOUNTS FOR OTHER EQUIPMENT PURCHASED TO SUPPORT MEDICAL CARE AT COXHEALTH INCLUDING A NEW AIRWAY CART FOR CHILDREN, PAGER SYSTEM FOR SURGERY PATIENTS, AND A MEASUREMENT CAMERA FOR ORTHOTICS.
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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.$34.2$1.49$32.7$8.40$6.97$1.44
2023Summary only. Only limited summary data is available for this year.$34.1$1.52$32.6$8.18$4.89$3.29
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$31.0$0.86$30.1$11.5$8.78$2.76
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$33.2$1.05$32.2$11.4$7.27$4.10
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$31.1$0.91$30.2$11.3$6.23$5.03
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$32.5$1.00$31.5$10.9$4.09$6.85
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$28.2$1.10$27.1$5.91$3.56$2.35
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$26.4$1.32$25.1$6.18$3.29$2.89
2016Detailed filing. Detailed filing data is available for this year.$23.8$0.35$23.4$6.85$4.86$1.99
2015Detailed filing. Detailed filing data is available for this year.$22.7$0.34$22.3$9.24$6.63$2.61
2014Detailed filing. Detailed filing data is available for this year.$26.8$1.71$25.1$5.30$4.12$1.18
2013Summary only. Only limited summary data is available for this year.$24.3$0.31$24.0$6.45$2.21$4.24
2012Summary only. Only limited summary data is available for this year.$19.7$0.14$19.6$3.03$2.64$0.39
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$19.1$0.17$19.0$2.40
Peer Organizations

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