Civic Intelligence

The Healthsource Foundation

990 • Fiscal year 2017 • EIN 45-4682089

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

5400 DUPONT CIRCLE Suite AMilford, OH 45150

(513) 576-7700

Siviq Scores

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

Liabilities / Assets

87th percentile

0.61x

Higher debt load relative to assets than 87% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Liabilities / Revenue

94th percentile

2.28x

Higher debt load relative to revenue than 94% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Net Margin

76th percentile

19%

Higher net margin than 76% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Top Officer Pay

98th percentile

$299,951

Higher top officer pay than 98% of similar nonprofits.

Top officer pay equals 151.4% of source-year revenue.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Asset Growth

82nd percentile

27%

Faster asset growth than 82% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2016 to 2017

Revenue Growth

71st percentile

20%

Faster revenue growth than 71% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2016 to 2017

Assets

Up

$737,383

Up $154,638 (+27%) from 2016

Net Assets

Up

$285,791

Up $48,248 (+20%) from 2016

Liabilities

Up

$451,592

Up $106,390 (+31%) from 2016

Revenue

Up

$198,136

Up $33,350 (+20%) from 2016

Expenses

Up

$159,586

Up $73,880 (+86%) from 2016

Net Income

Down

$38,550

Down $40,530 (-51%) from 2016

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

2017

Assets$737,383
Liabilities$451,592
Net Assets$285,791

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

2017

Revenue$198,136
Expenses$159,586
Net Income$38,550
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Nov 15, 2018
Return Version
2017v2.3
Gross Receipts
$198,136
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
Cash and Non-Interest-Bearing Accounts$286,573$406,495▲ $119,922
Savings and Temporary Cash Investments$296,172$330,888▲ $34,716
Accounts Receivable$0$0→ $0
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
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Land, Buildings, and Equipment, Net$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$582,745$737,383▲ $154,638
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$345,202$451,592▲ $106,390
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Other Liabilities$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$345,202$451,592▲ $106,390
Net Assets / Fund Balance
Unrestricted Net Assets$237,543$285,791▲ $48,248
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$237,543$285,791▲ $48,248
Total Liabilities and Net Assets / Fund Balance$582,745$737,383▲ $154,638
Compensation and Service Providers

Board Members and Trustees

NameTitle
Steve HoodChairperson
Kimberly PattonMember
Sandy MongoldMember
Revenue and Support

Revenue Composition

Contributions and Grants
$198,136
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
All Other Contributions
$198,136
Change in Net Assets
$38,550
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$72,000
Salaries, Compensation, and Employee Benefits$65,054
Other Expenses$22,532
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$72,000--$72,000
Other Salaries and Wages$51,865--$51,865
Other Expenses$13,964--$13,964
Other Employee Benefits$6,602--$6,602
Fees for Services Other$4,992--$4,992
Payroll Taxes$4,245--$4,245
Office Expenses$2,715--$2,715
Pension Plan Contributions$2,342--$2,342
Travel$861--$861
Total Functional Expenses$159,586$0$0$159,586
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Healthsource of Ohio IncMilford, OH501(c)(3)Hunger as a Health Issue$72,000
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
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 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, Line 6

Governing body and management the sole member of the healthsource foundation is healthsource of ohio, inc.

Form 990, Part VI, Section B, Line 11

Process of the review of form 990 the 2017 healthsource foundation form 990 was prepared by bkd, llp, healthsource foundation's audit firm and then reviewed in detail by management and the board prior to the return being filed with the internal revenue service. The review and approval is documented in the board minutes.

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

Conflict of interest policy the board signs a conflict of interest statement annually. All new members are required to sign the statement when they are appointed to the board.

Form 990, Part VI, Section B, Line 15

Review of compensation by related organization healthsource foundation has no paid staff. The board of healthsource of ohio, a related tax-exempt organization, utilizes comparable data along with salary compensation survey guidelines to determine the compensation paid to the president/ceo.

Form 990, Part VI, Section C, Line 19

Governing documents, conflict of interest, and financial statements healthsource foundation makes its most recently audited financial statements, governing documents and conflict of interest policy available to the public upon request.

Filing and Contact Details

Filer

Filer Name
The Healthsource Foundation
EIN
45-4682089
In Care Of
% TOM DUCRO
Phone
5135767700
Address
5400 DUPONT CIRCLE Suite A, MILFORD, OH 45150

Signing Officer

Name
Kimberly Patton
Title
CEO
Signed
2018-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kimberly Patton
Formed
2012
Legal Domicile
Oh
Voting Board Members
3
Independent Board Members
2
Employees
0

Preparer

Firm
Bkd Llp
Address
312 WALNUT STREET SUITE 3000, CINCINNATI, OH 45202
Preparer
Aaron Hershberger
Phone
5136218300
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 1

Description of organization mission the foundation's mission is to support the activities of healthsource of ohio, a healthcare provider 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.

Financial Statement Notes

Part X, Line 2

Fin 48 (asc 740) footnote healthsource and foundation have been recognized as exempt from income taxes under section 501 of the internal revenue code and a similar provision of state law. However, both entities are subject to federal income tax on any unrelated business taxable income. Centerprise is a separate taxable entity for internal revenue service reporting purposes and is taxed as a corporation for income tax purposes. All three entities file returns in the u.s. Federal jurisdiction.

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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0SUPPORTING ORGANIZATIONS THE MANAGEMENT OF HEALTHSOURCE OF OHIO MANAGES HEALTHSOURCE FOUNDATION.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0PART IV, SECTION C, LINE 1
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0FIN 48 (ASC 740) FOOTNOTE HEALTHSOURCE AND FOUNDATION HAVE BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, BOTH ENTITIES ARE SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. CENTERPRISE IS A SEPARATE TAXABLE ENTITY FOR INTERNAL REVENUE SERVICE REPORTING PURPOSES AND IS TAXED AS A CORPORATION FOR INCOME TAX PURPOSES. ALL THREE ENTITIES FILE RETURNS IN THE U.S. FEDERAL JURISDICTION.
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IRS990ScheduleD/TotalLiabilityAmt00
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IRS990ScheduleI/RecipientTable/CashGrantAmt072000
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501(C)(3)
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0HUNGER AS A HEALTH ISSUE
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0HEALTHSOURCE OF OHIO INC
IRS990ScheduleI/RecipientTable/RecipientEIN0310884250
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt05400 DUPONT CIRCLE
IRS990ScheduleI/RecipientTable/USAddress/CityNm0MILFORD
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0OH
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd045150
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0THE FOUNDATION GRANTS FUNDS TO A RELATED SUPPORTED ORGANIZATION, HEALTHSOURCE OF OHIO, WHICH USES THE FUNDS TO SUPPORT ITS TAX EXEMPT PURPOSE.
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt01703
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0KIMBERLY PATTON
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0MEMBER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0299951
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0DESCRIPTION OF ORGANIZATION MISSION THE FOUNDATION'S MISSION IS TO SUPPORT THE ACTIVITIES OF HEALTHSOURCE OF OHIO, A HEALTHCARE PROVIDER 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1GOVERNING BODY AND MANAGEMENT THE SOLE MEMBER OF THE HEALTHSOURCE FOUNDATION IS HEALTHSOURCE OF OHIO, INC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2PROCESS OF THE REVIEW OF FORM 990 THE 2017 HEALTHSOURCE FOUNDATION FORM 990 WAS PREPARED BY BKD, LLP, HEALTHSOURCE FOUNDATION'S AUDIT FIRM AND THEN REVIEWED IN DETAIL BY MANAGEMENT AND THE BOARD PRIOR TO THE RETURN BEING FILED WITH THE INTERNAL REVENUE SERVICE. THE REVIEW AND APPROVAL IS DOCUMENTED IN THE BOARD MINUTES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3CONFLICT OF INTEREST POLICY THE BOARD SIGNS A CONFLICT OF INTEREST STATEMENT ANNUALLY. ALL NEW MEMBERS ARE REQUIRED TO SIGN THE STATEMENT WHEN THEY ARE APPOINTED TO THE BOARD.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4REVIEW OF COMPENSATION BY RELATED ORGANIZATION HEALTHSOURCE FOUNDATION HAS NO PAID STAFF. THE BOARD OF HEALTHSOURCE OF OHIO, A RELATED TAX-EXEMPT ORGANIZATION, UTILIZES COMPARABLE DATA ALONG WITH SALARY COMPENSATION SURVEY GUIDELINES TO DETERMINE THE COMPENSATION PAID TO THE PRESIDENT/CEO.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5GOVERNING DOCUMENTS, CONFLICT OF INTEREST, AND FINANCIAL STATEMENTS HEALTHSOURCE FOUNDATION MAKES ITS MOST RECENTLY AUDITED FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART III, LINE 1
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION C, LINE 19
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IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt0C-Corp
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd0OH
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt0CONSULTING
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt0CENTERPRISE INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt05300 DUPONT CIRCLE
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0HEALTHSOURCE OF OHIO INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0310884250
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0OH
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0HEALTH CARE
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IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt120000
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt251865
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt0CASH
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt1CASH
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt2ACTUAL SALARY
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt0HEALTHSOURCE OF OHIO INC
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt1CENTERPRISE INC
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt2HEALTHSOURCE OF OHIO INC
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt0B
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IRS990/TotalAssetsBOYAmt0582745

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