Civic Intelligence

The Healthsource Foundation

990 • Fiscal year 2021 • EIN 45-4682089

Jan 01, 2021 to Dec 31, 2021 • Filed on Nov 15, 2022

424 WARDS CORNER RD Suite 200Loveland, OH 45140

(513) 576-7700

Siviq Scores

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

Liabilities / Assets

25th percentile

0.00x

Higher debt load relative to assets than 25% of similar nonprofits.

2021 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2021

Liabilities / Revenue

27th percentile

0.01x

Higher debt load relative to revenue than 27% of similar nonprofits.

2021 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2021

Net Margin

94th percentile

73%

Higher net margin than 94% of similar nonprofits.

2021 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2021

Top Officer Pay

95th percentile

$324,365

Higher top officer pay than 95% of similar nonprofits.

Top officer pay equals 55.8% of source-year revenue.

2021 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2021

Asset Growth

75th percentile

27%

Faster asset growth than 75% of similar nonprofits.

2021 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2020 to 2021

Revenue Growth

20th percentile

-11%

Faster revenue growth than 20% of similar nonprofits.

2021 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2020 to 2021

Assets

Up

$1,754,050

Up $377,012 (+27%) from 2020

Net Assets

Up

$1,747,150

Up $644,995 (+59%) from 2020

Liabilities

Down

$6,900

Down $267,983 (-97%) from 2020

Revenue

Down

$581,638

Down $68,551 (-11%) from 2020

Expenses

Up

$157,331

Up $53,711 (+52%) from 2020

Net Income

Down

$424,307

Down $122,262 (-22%) from 2020

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

2021

Assets$1,754,050
Liabilities$6,900
Net Assets$1,747,150

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

2021

Revenue$581,638
Expenses$157,331
Net Income$424,307
Jump To
Filing Snapshot
Filing Period
Jan 1, 2021 to Dec 31, 2021
Signed
Nov 15, 2022
Return Version
2021v4.2
Gross Receipts
$599,485
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$970,905$1,410,252▲ $439,347
Cash and Non-Interest-Bearing Accounts$306,133$333,623▲ $27,490
Accounts Receivable$100,000$10,175▼ $89,825
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$1,377,038$1,754,050▲ $377,012
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$274,883$6,900▼ $267,983
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$274,883$6,900▼ $267,983
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$1,102,155$1,747,150▲ $644,995
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$1,102,155$1,747,150▲ $644,995
Total Liabilities and Net Assets / Fund Balance$1,377,038$1,754,050▲ $377,012
Compensation and Service Providers

Board Members and Trustees

NameTitle
Gail KofordChairperson
Steve HoodPast Chairperson
Kimberly PattonHso CEO
Ken SmithMember
Kosta ElefterMember
Randy RileyMember
Sandy MongoldMember
Revenue and Support

Revenue Composition

Contributions and Grants
$566,946
Program Service Revenue
$0
Investment Income
$18,659
Other Revenue
$-3,967
All Other Contributions
$82,621
Change in Net Assets
$424,307
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$157,331
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Office Expenses$18,535--$18,535
Fees for Services Other$4,734--$4,734
Other Expenses$3,942--$3,942
Insurance$1,077--$1,077
Conferences and Meetings$1,012--$1,012
Travel$648--$648
Advertising$150--$150
Total Functional Expenses$157,331$0$0$157,331
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$17,847
Fundraising Gross Income$13,880
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
More Than Med$112,580$13,880$1,489$12,391
Total Events$112,580$13,880$17,847$-3,967
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
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

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

Form 990, Part VI, Section A, Line 7A

Governing body and management a member of the healthsource of ohio board of trustees serves as a dual member to the healthsource foundation board. She or he will be appointed by the healthsource of ohio board.

Form 990, Part VI, Section A, Line 7B

Governing body and management the healthsource of ohio board has fiduciary and decision-making responsibilities for the healthsource foundation board.

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

Process of the review of form 990 the healthsource foundation form 990 was prepared by forvis, 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
424 WARDS CORNER RD Suite 200, LOVELAND, OH 45140

Signing Officer

Name
Kimberly Patton
Title
CEO
Phone
5135767700
Signed
2022-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kimberly Patton
Formed
2012
Legal Domicile
Oh
Voting Board Members
6
Independent Board Members
6
Employees
0
Volunteers
32

Preparer

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

Financial Statement Notes

Schedule D, Part X, Line 2

Fin 48 (asc 740) footnote healthsource and the foundation have been recognized as exempt from income taxes under section 501 of the internal revenue code (irc) 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 single member limited liability corporation and is disregarded for income tax purposes. All three entities file returns in the u.s. Federal jurisdiction.

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IRS990/MissionDesc0DESCRIPTION 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.
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0SUPPORTING ORGANIZATIONS THE MANAGEMENT OF HEALTHSOURCE OF OHIO MANAGES HEALTHSOURCE FOUNDATION.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0SCHEDULE A, PART IV, SECTION B, LINE 1
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0FIN 48 (ASC 740) FOOTNOTE HEALTHSOURCE AND THE FOUNDATION HAVE BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE (IRC) 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 SINGLE MEMBER LIMITED LIABILITY CORPORATION AND IS DISREGARDED FOR INCOME TAX PURPOSES. ALL THREE ENTITIES FILE RETURNS IN THE U.S. FEDERAL JURISDICTION.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE D, PART X, LINE 2
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0KIMBERLY PATTON
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0HSO CEO
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0GOVERNING BODY AND MANAGEMENT THE SOLE MEMBER OF THE HEALTHSOURCE FOUNDATION IS HEALTHSOURCE OF OHIO, INC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1GOVERNING BODY AND MANAGEMENT A MEMBER OF THE HEALTHSOURCE OF OHIO BOARD OF TRUSTEES SERVES AS A DUAL MEMBER TO THE HEALTHSOURCE FOUNDATION BOARD. SHE OR HE WILL BE APPOINTED BY THE HEALTHSOURCE OF OHIO BOARD.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2GOVERNING BODY AND MANAGEMENT THE HEALTHSOURCE OF OHIO BOARD HAS FIDUCIARY AND DECISION-MAKING RESPONSIBILITIES FOR THE HEALTHSOURCE FOUNDATION BOARD.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3PROCESS OF THE REVIEW OF FORM 990 THE HEALTHSOURCE FOUNDATION FORM 990 WAS PREPARED BY FORVIS, 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/ExplanationTxt4CONFLICT 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/ExplanationTxt5REVIEW 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/ExplanationTxt6GOVERNING 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 VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 7B

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