Civic Intelligence

The Healthsource Foundation

990 • Fiscal year 2014 • EIN 45-4682089

Jan 01, 2014 to Dec 31, 2014 • Filed on Aug 11, 2015

5400 Dupont Circle No AMilford, OH 45150

(513) 576-7700

Siviq Scores

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

Liabilities / Assets

89th percentile

0.54x

Higher debt load relative to assets than 89% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Liabilities / Revenue

98th percentile

3.36x

Higher debt load relative to revenue than 98% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Net Margin

6th percentile

-66%

Higher net margin than 6% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Top Officer Pay

74th percentile

$0

Higher top officer pay than 74% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Asset Growth

65th percentile

13%

Faster asset growth than 65% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Annualized from 2013 to 2014

Revenue Growth

11th percentile

-41%

Faster revenue growth than 11% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Annualized from 2013 to 2014

Assets

Up

$373,279

Up $41,703 (+13%) from 2013

Net Assets

Down

$172,567

Down $39,536 (-19%) from 2013

Liabilities

Up

$200,712

Up $81,239 (+68%) from 2013

Revenue

Down

$59,690

Down $41,195 (-41%) from 2013

Expenses

Up

$99,223

Up $24,524 (+33%) from 2013

Net Income

Down

-$39,533

Down $65,719 (-251%) from 2013

Historical Trend

Balance Sheet Trend

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

$2.0M$1.5M$1.0M$500K$0-$500KAssets 2012: $230,693Liabilities 2012: $44,776Net Assets 2012: $185,9172012Assets 2013: $331,576Liabilities 2013: $119,473Net Assets 2013: $212,1032013Assets 2014: $373,279Liabilities 2014: $200,712Net Assets 2014: $172,5672014Assets 2015: $426,245Liabilities 2015: $278,391Net Assets 2015: $147,8542015Assets 2016: $582,745Liabilities 2016: $345,202Net Assets 2016: $237,5432016Assets 2017: $737,383Liabilities 2017: $451,592Net Assets 2017: $285,7912017Assets 2018: $868,100Liabilities 2018: $661,220Net Assets 2018: $206,8802018Assets 2019: $1,087,388Liabilities 2019: $596,487Net Assets 2019: $490,9012019Assets 2020: $1,377,038Liabilities 2020: $274,883Net Assets 2020: $1,102,1552020Assets 2021: $1,754,050Liabilities 2021: $6,900Net Assets 2021: $1,747,1502021Assets 2022: $1,635,937Liabilities 2022: $219,825Net Assets 2022: $1,416,1122022Assets 2023: $1,617,687Liabilities 2023: $12,988Net Assets 2023: $1,604,6992023Assets 2024: $1,934,763Liabilities 2024: -$25,320Net Assets 2024: $1,960,0832024

Highlighted filing

2014

Assets$373,279
Liabilities$200,712
Net Assets$172,567

Operations Trend

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

$800K$600K$400K$200K$0-$200KRevenue 2012: $230,692Expenses 2012: $44,775Net Income 2012: $185,9172012Revenue 2013: $100,885Expenses 2013: $74,699Net Income 2013: $26,1862013Revenue 2014: $59,690Expenses 2014: $99,223Net Income 2014: -$39,5332014Revenue 2015: $51,386Expenses 2015: $77,681Net Income 2015: -$26,2952015Revenue 2016: $164,786Expenses 2016: $85,706Net Income 2016: $79,0802016Revenue 2017: $198,136Expenses 2017: $159,586Net Income 2017: $38,5502017Revenue 2018: $148,069Expenses 2018: $195,511Net Income 2018: -$47,4422018Revenue 2019: $464,718Expenses 2019: $262,788Net Income 2019: $201,9302019Revenue 2020: $650,189Expenses 2020: $103,620Net Income 2020: $546,5692020Revenue 2021: $581,638Expenses 2021: $157,331Net Income 2021: $424,3072021Revenue 2022: $412,652Expenses 2022: $471,655Net Income 2022: -$59,0032022Revenue 2023: $327,288Expenses 2023: $368,112Net Income 2023: -$40,8242023Revenue 2024: $489,325Expenses 2024: $359,533Net Income 2024: $129,7922024

Highlighted filing

2014

Revenue$59,690
Expenses$99,223
Net Income-$39,533
Jump To
Filing Snapshot
Filing Period
Jan 1, 2014 to Dec 31, 2014
Signed
Aug 11, 2015
Return Version
2014v5.0
Gross Receipts
$59,690
Mission and Program Overview

Mission

The foundation mission is to support the activities of healthsource of ohio, a healthcare provided organization as described in sections 501(c)(3) and 509(a)(1) of the internal revenue code. The foundation activities will consist of raising funds for making grants to the supported organization.

The healthsource foundation is committed to providing opportunities and encouraging expressions of support to impact the mission of healthsource of ohio.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$297,975$298,006▲ $31
Cash and Non-Interest-Bearing Accounts$33,601$75,273▲ $41,672
Total Assets$331,576$373,279▲ $41,703
Liabilities
Accounts Payable and Accrued Expenses$119,473$200,712▲ $81,239
Total Liabilities$119,473$200,712▲ $81,239
Net Assets / Fund Balance
Unrestricted Net Assets$212,103$172,567▼ $39,536
Total Net Assets Fund Balance$212,103$172,567▼ $39,536
Total Liabilities and Net Assets / Fund Balance$331,576$373,279▲ $41,703
Compensation and Service Providers

Board Members and Trustees

Revenue and Support

Revenue Composition

Contributions and Grants
$59,690
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
All Other Contributions
$59,690
Change in Net Assets
$-39,533
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$70,499
Other Expenses$28,724
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$62,760--$62,760
Fees for Services Other$9,181--$9,181
Payroll Taxes$4,658--$4,658
Other Employee Benefits$3,081--$3,081
Advertising$1,390--$1,390
Other Expenses$879--$879
Office Expenses$840--$840
All Other Expenses$728--$728
Travel$662--$662
Depreciation Depletion$53--$53
Conferences and Meetings$24--$24
Total Functional Expenses$99,223$0$0$99,223
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
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
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 11

The board and management review the 990 in detail and approve the filing before the filing deadline. The review and approval is documented in the board minutes.

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

Board signs a conflict of interest statement annually. All new members are required to endorse when they are appointed to the board.

Form 990, Part VI, Section B, Line 15

Board utilizes comparable data along with salary compensation survey guidelines

Form 990, Part VI, Section C, Line 19

Organization honors all public requests made in person or via mail.

Filing and Contact Details

Filer

Filer Name
The Healthsource Foundation
EIN
45-4682089
Phone
5135767700
Address
5400 DUPONT CIRCLE NO A, MILFORD, OH 45150

Signing Officer

Name
William Marois
Title
CEO
Phone
5135767700
Signed
2015-08-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kimberly Patton
Formed
2012
Legal Domicile
Oh
Voting Board Members
10
Independent Board Members
10
Employees
0
Volunteers
0

Preparer

Firm
Vonlehman & Company Inc
Address
250 GRANDVIEW DR SUITE 300, FT MITCHELL, KY 41017
Preparer
Stephanie Allgeyer
Phone
8593313300
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

ROUNDING -3.

Form 990, Part XII, Line 2(C)

The oversight process and the selection process has not changed since the prior year.

Financial Statement Notes

PART X, LINE 2:

The foundation has adopted the provisions of the accounting pronoucement related to accounting for uncertainty in income taxes. They have recognized no interest or penalties in the statements of financial position for both the years ended december 31, 2014 and 2013. If the situation arose in which they would have interest to recoginize, they would recognize this as interest expense and penalties would be recognized in other expenses. Currently, the prior three years are open under federal and state statutes of limitations and remain subject to review and change. The foundation is not currently under audit nor has the foundation been contacted by these jurisdictions. Based upon the evaluation of the foundation's tax positions, management believes all positions taken would be upheld under an examination. Therefore, no provision for the effects of uncertain tax positions has been recorded for both the years ended december 31, 2014 and 2013.

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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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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0THE MANAGEMENT OF HEALTHSOURCE OF OHIO MANAGES HEALTHSOURCE FOUNDATION.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0PART IV, SECTION C, LINE 1:
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IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd01
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE FOUNDATION HAS ADOPTED THE PROVISIONS OF THE ACCOUNTING PRONOUCEMENT RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THEY HAVE RECOGNIZED NO INTEREST OR PENALTIES IN THE STATEMENTS OF FINANCIAL POSITION FOR BOTH THE YEARS ENDED DECEMBER 31, 2014 AND 2013. IF THE SITUATION AROSE IN WHICH THEY WOULD HAVE INTEREST TO RECOGINIZE, THEY WOULD RECOGNIZE THIS AS INTEREST EXPENSE AND PENALTIES WOULD BE RECOGNIZED IN OTHER EXPENSES. CURRENTLY, THE PRIOR THREE YEARS ARE OPEN UNDER FEDERAL AND STATE STATUTES OF LIMITATIONS AND REMAIN SUBJECT TO REVIEW AND CHANGE. THE FOUNDATION IS NOT CURRENTLY UNDER AUDIT NOR HAS THE FOUNDATION BEEN CONTACTED BY THESE JURISDICTIONS. BASED UPON THE EVALUATION OF THE FOUNDATION'S TAX POSITIONS, MANAGEMENT BELIEVES ALL POSITIONS TAKEN WOULD BE UPHELD UNDER AN EXAMINATION. THEREFORE, NO PROVISION FOR THE EFFECTS OF UNCERTAIN TAX POSITIONS HAS BEEN RECORDED FOR BOTH THE YEARS ENDED DECEMBER 31, 2014 AND 2013.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE BOARD AND MANAGEMENT REVIEW THE 990 IN DETAIL AND APPROVE THE FILING BEFORE THE FILING DEADLINE. THE REVIEW AND APPROVAL IS DOCUMENTED IN THE BOARD MINUTES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1BOARD SIGNS A CONFLICT OF INTEREST STATEMENT ANNUALLY. ALL NEW MEMBERS ARE REQUIRED TO ENDORSE WHEN THEY ARE APPOINTED TO THE BOARD.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2BOARD UTILIZES COMPARABLE DATA ALONG WITH SALARY COMPENSATION SURVEY GUIDELINES
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3ORGANIZATION HONORS ALL PUBLIC REQUESTS MADE IN PERSON OR VIA MAIL.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4ROUNDING -3.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE OVERSIGHT PROCESS AND THE SELECTION PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART XI, LINE 9:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART XII, LINE 2(C)
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingEntityName/BusinessNameLine1Txt0HEALTHSOURCE OF OHIO
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN0461104165
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt0C
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd0OH
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt0RENTAL REAL ESTATE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt0CENTERPRISE INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ShareOfEOYAssetsAmt02390397
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ShareOfTotalIncomeAmt0234081
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt05400 DUPONT CIRCLE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/CityNm0MILFORD
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/StateAbbreviationCd0OH
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/ZIPCd045150
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt0THE HEALTHSOURCE FOUNDATION
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0HEALTHSOURCE OF OHIO INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0310884250
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0OH
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0PROVIDING AFFORDABLE COMPREHENSIVE HEALTH CARE TO UNINSURED PATIENTS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0LINE 8
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt05400 DUPONT CIRCLE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0MILFORD
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0OH
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd045150
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd01
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt0200712
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt0END-OF-YEAR BALANCE
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt0HEATHSOURCE OF OHIO INC
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt0E
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0OH
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt0331576
IRS990/TotalAssetsEOYAmt0373279
IRS990/TotalAssetsGrp/BOYAmt0331576
IRS990/TotalAssetsGrp/EOYAmt0373279
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt059690
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt099223
IRS990/TotalFunctionalExpensesGrp/TotalAmt099223
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0119473
IRS990/TotalLiabilitiesEOYAmt0200712
IRS990/TotalLiabilitiesGrp/BOYAmt0119473
IRS990/TotalLiabilitiesGrp/EOYAmt0200712
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0212103
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0172567
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt099223
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt059690
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0331576
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0373279
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/ProgramServicesAmt0662
IRS990/TravelGrp/TotalAmt0662
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0212103
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0172567
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt05400 DUPONT CIRCLE
IRS990/USAddress/CityNm0MILFORD
IRS990/USAddress/StateAbbreviationCd0OH
IRS990/USAddress/ZIPCd045150
IRS990/VotingMembersGoverningBodyCnt010
IRS990/VotingMembersIndependentCnt010
IRS990/WebsiteAddressTxt0WWW.HEALTHSOURCEOHIO.COM/FOUNDATION
IRS990/WhistleblowerPolicyInd01

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