Civic Intelligence

Asc Quality Collaboration Inc.

990 • Fiscal year 2015 • EIN 45-5614522

Jan 01, 2015 to Dec 31, 2015 • Filed on Oct 24, 2016

1012 Cameron StreetAlexandria, VA 22314

(703) 836-8808

Siviq Scores

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

Liabilities / Assets

78th percentile

0.11x

Higher debt load relative to assets than 78% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Liabilities / Revenue

78th percentile

0.07x

Higher debt load relative to revenue than 78% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Net Margin

23rd percentile

-10%

Higher net margin than 23% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Top Officer Pay

75th percentile

$0

Higher top officer pay than 75% of similar nonprofits.

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

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Asset Growth

23rd percentile

-16%

Faster asset growth than 23% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Annualized from 2014 to 2015

Revenue Growth

37th percentile

-7.7%

Faster revenue growth than 37% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Annualized from 2014 to 2015

Assets

Down

$147,748

Down $27,696 (-16%) from 2014

Net Assets

Down

$131,477

Down $25,942 (-16%) from 2014

Liabilities

Down

$16,271

Down $1,754 (-9.7%) from 2014

Revenue

Down

$249,494

Down $20,709 (-7.7%) from 2014

Expenses

Up

$275,436

Up $15,705 (+6.0%) from 2014

Net Income

Down

-$25,942

Down $36,414 (-348%) from 2014

Historical Trend

Balance Sheet Trend

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

$600K$400K$200K$0Assets 2013: $167,100Liabilities 2013: $20,153Net Assets 2013: $146,9472013Assets 2014: $175,444Liabilities 2014: $18,025Net Assets 2014: $157,4192014Assets 2015: $147,748Liabilities 2015: $16,271Net Assets 2015: $131,4772015Assets 2016: $208,802Liabilities 2016: $22,873Net Assets 2016: $185,9292016Assets 2017: $246,102Liabilities 2017: $14,955Net Assets 2017: $231,1472017Assets 2018: $276,643Liabilities 2018: $20,932Net Assets 2018: $255,7112018Assets 2019: $528,042Liabilities 2019: $155,362Net Assets 2019: $372,6802019Assets 2020: $439,751Liabilities 2020: $17,691Net Assets 2020: $422,0602020Assets 2021: $530,937Liabilities 2021: $154,277Net Assets 2021: $376,6602021Assets 2022: $474,897Liabilities 2022: $126,864Net Assets 2022: $348,0332022Assets 2023: $479,546Liabilities 2023: $130,569Net Assets 2023: $348,9772023Assets 2024: $391,895Liabilities 2024: $93,757Net Assets 2024: $298,1382024

Highlighted filing

2015

Assets$147,748
Liabilities$16,271
Net Assets$131,477

Operations Trend

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

$600K$400K$200K$0-$200KRevenue 2013: $309,221Expenses 2013: $283,211Net Income 2013: $26,0102013Revenue 2014: $270,203Expenses 2014: $259,731Net Income 2014: $10,4722014Revenue 2015: $249,494Expenses 2015: $275,436Net Income 2015: -$25,9422015Revenue 2016: $276,361Expenses 2016: $221,909Net Income 2016: $54,4522016Revenue 2017: $268,750Expenses 2017: $223,532Net Income 2017: $45,2182017Revenue 2018: $260,000Expenses 2018: $235,436Net Income 2018: $24,5642018Revenue 2019: $314,126Expenses 2019: $197,215Net Income 2019: $116,9112019Revenue 2020: $264,845Expenses 2020: $215,419Net Income 2020: $49,4262020Revenue 2021: $236,408Expenses 2021: $281,720Net Income 2021: -$45,3122021Revenue 2022: $253,451Expenses 2022: $281,938Net Income 2022: -$28,4872022Revenue 2023: $359,541Expenses 2023: $358,921Net Income 2023: $6202023Revenue 2024: $356,311Expenses 2024: $407,042Net Income 2024: -$50,7312024

Highlighted filing

2015

Revenue$249,494
Expenses$275,436
Net Income-$25,942
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Oct 24, 2016
Return Version
2015v2.1
Gross Receipts
$249,494
Mission and Program Overview

Mission

The asc quality collaboration (asc qc) was formed in 2006, bringing together leaders from both the ambulatory surgery center (asc) industry and organizations with a focus on healthcare quality and safety.

The ASC Quality Collaboration develops standardized quality measures appropriate to Ambulatory Surgery Centers (ASCs)

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$174,253$147,351▼ $26,902
Pledges and Grants Receivable$1,191$397▼ $794
Total Assets$175,444$147,748▼ $27,696
Liabilities
Accounts Payable and Accrued Expenses$18,025$16,271▼ $1,754
Total Liabilities$18,025$16,271▼ $1,754
Net Assets / Fund Balance
Unrestricted Net Assets$157,419$131,477▼ $25,942
Total Net Assets Fund Balance$157,419$131,477▼ $25,942
Total Liabilities and Net Assets / Fund Balance$175,444$147,748▼ $27,696
Compensation and Service Providers

Board Members and Trustees

NameTitle
William PrenticeChair and Director
William WilcoxChair of Finance and Director
David HolstDirector
David ShapiroDirector
Laura MowerDirector
Linda LansingDirector
Michael KulczykiDirector
Mike DoyleDirector
Naomi KuznetsDirector
Phillip ClendeninDirector
Steve WhitmoreDirector
jan davidsondirector

Highest Paid Contractors

ContractorServicesLocationCompensation
Kmdwood LLCProfessional Services23 SUNSET TERRACE, Asheville, NC 28801$112,200
Donna Gelardi-SlosburgManagement Services106 29th Ave St, Pete Beach, FL 33706$104,087
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$249,494
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-25,942
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$275,436
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
Fees for Services Other$248,490--$248,490
Fees for Services Accounting-$11,545-$11,545
Office Expenses-$8,827-$8,827
Information Technology-$2,018-$2,018
Travel-$1,162-$1,162
Advertising-$742-$742
Other Expenses-$27-$27
Total Functional Expenses$248,490$26,946$0$275,436
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
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Donna SlosburgInterested person is an officer of the organizationSee Part VNo$104,087
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
No
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
Yes
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
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 A, line 6

Membership in the ASC Quality Collaboration consists of leaders from both the ambulatory surgery center (ASC) industry and organizations with a focus on healthcare quality and safety.

Form 990, Part VI, Section B, line 11

THE ORGANIZATION makes every effort to provide A COPY OF THE 990 TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO SUBMISSION.

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

The ASC Quality Collaboration, Inc. (the "Corporation") and its officers and directors are dedicated to serving the interests of the Corporation's constituency in the most honorable and ethical manner possible; the Corporation's officers and directors are committed to fulfilling their fiduciary duties to the Corporation, including the avoidance of conflicts of interest or the appearance of conflicts. The Corporation requires all those acting on its behalf to avoid conflicts of interest between their duties to the Corporation and their duties to other organizations or entities. A conflict of interest exists when an individual participates in the deliberation and resolution of an issue important to the Corporation while, at the same time, the individual has other professional, business, or volunteer responsibilities outside the Corporation that could predispose or bias the individual to a particular view or goal. The Corporation will generally address conflicts of interest in one of three ways in order to avoid potential legal liability. For serious and actual conflicts, the individual must voluntarily withdraw - or be withdrawn involuntarily if necessary - from the Corporation position. For less serious conflicts, there must be disclosure to the Corporation and avoidance of participating in debate and voting on the issue for which there is a conflict. Finally, for minor or potential conflicts, there simply must be full disclosure to the Corporation. The Corporation's Board of Directors has the authority to make determinations on how to proceed in all such cases.

Form 990, Part VI, Section C, line 19

The organization makes its governing documents available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Asc Quality Collaboration Inc
EIN
45-5614522
Phone
7038368808
Address
1012 CAMERON STREET, ALEXANDRIA, VA 22314

Signing Officer

Name
William Prentice
Title
Chairman of the Board
Phone
7038368808
Signed
2016-10-24
Discuss with paid preparer
Yes

Organization Details

Principal Officer
William Prentice
Formed
2012
Legal Domicile
Va
Voting Board Members
12
Independent Board Members
12
Employees
0
Volunteers
12

Preparer

Firm
Tate and Tryon
Address
2021 L Street NW Suite 400, Washington, DC 20036
Preparer
Frederick Longwood
Phone
2022932200
Supplemental Narrative

Additional Explanations

Form 990, Part IX, line 11G

Contract Services - Consultants: Program service expenses 110,475. Management and general expenses 0. Fundraising expenses 0. Total expenses 110,475. Contract Services - Executive Director: Program service expenses 103,792. Management and general expenses 0. Fundraising expenses 0. Total expenses 103,792. Contract Services - Statistician: Program service expenses 34,223. Management and general expenses 0. Fundraising expenses 0. Total expenses 34,223.

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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/Form990PartVIISectionAGrp/PersonNm9Mike Doyle
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IRS990/Form990PartVIISectionAGrp/TitleTxt0Chair and Director
IRS990/Form990PartVIISectionAGrp/TitleTxt1CHAIR OF FINANCE AND DIRECTOR
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IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt0309221
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportTotal170Amt00
IRS990ScheduleA/TotalSupportAmt00
IRS990/ScheduleBRequiredInd00
IRS990/ScheduleJRequiredInd00
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/NameOfInterested/PersonNm0Donna Slosburg
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt0Interested person is an officer of the organization
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/SharingOfRevenuesInd00
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionAmt0104087
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc0See Part V
IRS990ScheduleL/SupplementalInformationDetail/ExplanationTxt0The organization has entered into a consulting agreement with Donna Slosburg to provide management services to the organization in the role of the organization's executive director.
IRS990ScheduleL/SupplementalInformationDetail/FormAndLineReferenceDesc0Schedule L, Part IV col D
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Membership in the ASC Quality Collaboration consists of leaders from both the ambulatory surgery center (ASC) industry and organizations with a focus on healthcare quality and safety.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ORGANIZATION makes every effort to provide A COPY OF THE 990 TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO SUBMISSION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2The ASC Quality Collaboration, Inc. (the "Corporation") and its officers and directors are dedicated to serving the interests of the Corporation's constituency in the most honorable and ethical manner possible; the Corporation's officers and directors are committed to fulfilling their fiduciary duties to the Corporation, including the avoidance of conflicts of interest or the appearance of conflicts. The Corporation requires all those acting on its behalf to avoid conflicts of interest between their duties to the Corporation and their duties to other organizations or entities. A conflict of interest exists when an individual participates in the deliberation and resolution of an issue important to the Corporation while, at the same time, the individual has other professional, business, or volunteer responsibilities outside the Corporation that could predispose or bias the individual to a particular view or goal. The Corporation will generally address conflicts of interest in one of three ways in order to avoid potential legal liability. For serious and actual conflicts, the individual must voluntarily withdraw - or be withdrawn involuntarily if necessary - from the Corporation position. For less serious conflicts, there must be disclosure to the Corporation and avoidance of participating in debate and voting on the issue for which there is a conflict. Finally, for minor or potential conflicts, there simply must be full disclosure to the Corporation. The Corporation's Board of Directors has the authority to make determinations on how to proceed in all such cases.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4Contract Services - Consultants: Program service expenses 110,475. Management and general expenses 0. Fundraising expenses 0. Total expenses 110,475. Contract Services - Executive Director: Program service expenses 103,792. Management and general expenses 0. Fundraising expenses 0. Total expenses 103,792. Contract Services - Statistician: Program service expenses 34,223. Management and general expenses 0. Fundraising expenses 0. Total expenses 34,223.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section A, line 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section B, line 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Section B, line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Section C, line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part IX, line 11g
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt0175444
IRS990/TotalAssetsEOYAmt0147748
IRS990/TotalAssetsGrp/BOYAmt0175444
IRS990/TotalAssetsGrp/EOYAmt0147748
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt026946
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0248490
IRS990/TotalFunctionalExpensesGrp/TotalAmt0275436
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt018025
IRS990/TotalLiabilitiesEOYAmt016271
IRS990/TotalLiabilitiesGrp/BOYAmt018025
IRS990/TotalLiabilitiesGrp/EOYAmt016271
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0157419
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0131477
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0248490
IRS990/TotalProgramServiceRevenueAmt0249494
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0249494
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0249494
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt012
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0175444
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0147748
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/ManagementAndGeneralAmt01162
IRS990/TravelGrp/TotalAmt01162
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0157419
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0131477
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt01012 CAMERON STREET
IRS990/USAddress/CityNm0ALEXANDRIA
IRS990/USAddress/StateAbbreviationCd0VA
IRS990/USAddress/ZIPCd022314
IRS990/VotingMembersGoverningBodyCnt012
IRS990/VotingMembersIndependentCnt012
IRS990/WebsiteAddressTxt0WWW.ASCQUALITY.ORG
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0WILLIAM PRENTICE
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CHAIRMAN OF THE BOARD
ReturnHeader/BusinessOfficerGrp/PhoneNum07038368808
ReturnHeader/BusinessOfficerGrp/SignatureDt02016-10-24
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0ASC QUALITY COLLABORATION INC
ReturnHeader/Filer/BusinessNameControlTxt0ASCQ
ReturnHeader/Filer/EIN0455614522
ReturnHeader/Filer/PhoneNum07038368808
ReturnHeader/Filer/USAddress/AddressLine1Txt01012 CAMERON STREET
ReturnHeader/Filer/USAddress/CityNm0ALEXANDRIA
ReturnHeader/Filer/USAddress/StateAbbreviationCd0VA
ReturnHeader/Filer/USAddress/ZIPCd022314
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0521855942
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Tate and Tryon
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt02021 L Street NW Suite 400
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Washington
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0DC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd020036
ReturnHeader/PreparerPersonGrp/PhoneNum02022932200
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Frederick Longwood
ReturnHeader/ReturnTs02016-11-01T07:04:21-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02015-01-01
ReturnHeader/TaxPeriodEndDt02015-12-31
ReturnHeader/TaxYr02015

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