Civic Intelligence

Health First Shared Services Inc.

990 • Fiscal year 2014 • EIN 59-3336894

Oct 01, 2013 to Sep 30, 2014 • Filed on Aug 03, 2015

3300 Fiske Blvd32955-4305

(321) 434-5150

Siviq Scores

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

Liabilities / Assets

64th percentile

0.46x

Higher debt load relative to assets than 64% of similar nonprofits.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2014

Liabilities / Revenue

88th percentile

2.11x

Higher debt load relative to revenue than 88% of similar nonprofits.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2014

Net Margin

16th percentile

-1.2%

Higher net margin than 16% of similar nonprofits.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2014

Top Officer Pay

79th percentile

$1,647,670

Higher top officer pay than 79% of similar nonprofits.

Top officer pay equals 1.0% of source-year revenue.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2014

Asset Growth

89th percentile

20%

Faster asset growth than 89% of similar nonprofits.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2013 to 2014

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2014

Assets

Up

$758,141,675

Up $124,755,883 (+20%) from 2013

Net Assets

Up

$411,843,481

Up $85,461,976 (+26%) from 2013

Liabilities

Up

$346,298,194

Up $39,293,907 (+13%) from 2013

Revenue

$164,126,546

No earlier filing loaded for comparison.

Expenses

Up

$166,032,329

Up $11,318,404 (+7.3%) from 2013

Net Income

-$1,905,783

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

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

$3.0B$2.0B$1.0B$0Assets 2010: $649,695,796Liabilities 2010: $355,896,360Net Assets 2010: $293,799,4362010Assets 2011: $481,586,889Liabilities 2011: $256,457,771Net Assets 2011: $225,129,1182011Assets 2012: $515,350,247Liabilities 2012: $248,173,710Net Assets 2012: $267,176,5372012Assets 2013: $633,385,792Liabilities 2013: $307,004,287Net Assets 2013: $326,381,5052013Assets 2014: $758,141,675Liabilities 2014: $346,298,194Net Assets 2014: $411,843,4812014Assets 2015: $813,808,171Liabilities 2015: $360,279,563Net Assets 2015: $453,528,6082015Assets 2016: $966,097,650Liabilities 2016: $473,884,669Net Assets 2016: $492,212,9812016Assets 2017: $950,183,619Liabilities 2017: $360,845,821Net Assets 2017: $589,337,7982017Assets 2018: $1,010,974,076Liabilities 2018: $322,604,218Net Assets 2018: $688,369,8582018Assets 2019: $1,106,623,021Liabilities 2019: $332,419,180Net Assets 2019: $774,203,8412019Assets 2020: $1,338,092,247Liabilities 2020: $329,530,312Net Assets 2020: $1,008,561,9352020Assets 2021: $1,676,572,579Liabilities 2021: $378,163,292Net Assets 2021: $1,298,409,2872021Assets 2022: $1,587,486,387Liabilities 2022: $433,617,771Net Assets 2022: $1,153,868,6162022Assets 2023: $1,819,267,420Liabilities 2023: $464,477,268Net Assets 2023: $1,354,790,1522023Assets 2024: $2,051,551,035Liabilities 2024: $440,704,586Net Assets 2024: $1,610,846,4492024

Highlighted filing

2014

Assets$758,141,675
Liabilities$346,298,194
Net Assets$411,843,481

Operations Trend

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

$400M$200M$0-$200MExpenses 2010: $113,127,4462010Expenses 2011: $129,722,1552011Expenses 2012: $166,015,6302012Expenses 2013: $154,713,9252013Revenue 2014: $164,126,546Expenses 2014: $166,032,329Net Income 2014: -$1,905,7832014Revenue 2015: $205,581,665Expenses 2015: $197,933,579Net Income 2015: $7,648,0862015Revenue 2016: $226,923,314Expenses 2016: $264,591,914Net Income 2016: -$37,668,6002016Revenue 2017: $232,555,985Expenses 2017: $220,056,016Net Income 2017: $12,499,9692017Revenue 2018: $236,663,256Expenses 2018: $221,908,048Net Income 2018: $14,755,2082018Revenue 2019: $279,445,215Expenses 2019: $238,991,416Net Income 2019: $40,453,7992019Revenue 2020: $286,499,695Expenses 2020: $260,118,658Net Income 2020: $26,381,0372020Revenue 2021: $271,514,090Expenses 2021: $265,668,880Net Income 2021: $5,845,2102021Revenue 2022: $291,100,092Expenses 2022: $319,774,723Net Income 2022: -$28,674,6312022Revenue 2023: $388,946,104Expenses 2023: $358,050,153Net Income 2023: $30,895,9512023Revenue 2024: $82,240,712Expenses 2024: $94,183,859Net Income 2024: -$11,943,1472024

Highlighted filing

2014

Revenue$164,126,546
Expenses$166,032,329
Net Income-$1,905,783
Jump To
Filing Snapshot
Filing Period
Oct 1, 2013 to Sep 30, 2014
Signed
Aug 3, 2015
Return Version
2013v4.0
Gross Receipts
$229,310,696
Mission and Program Overview

Mission

Our team positively changing the health and well-being of you and your family through excellent and compassionate health care. Working together in a seamless system, Health First is devoted to integrating quality healthcare services with state-of-the-art technology. Four not-for-profit hospitals- Cape Canaveral Hospital in Cocoa Beach, Holmes Regional Medical Center in Melbourne, Palm Bay Hospital in Palm Bay, and Viera Hospital in Viera - form the core of Health First's family in Brevard County on Florida's Space Coast.

Our team positively changing the health and well-being of you and your family through excellent and compassionate health care.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$288,133,463$366,960,855▲ $78,827,392
Investments Program Related$210,793,656$214,050,705▲ $3,257,049
Land, Buildings, and Equipment, Net$87,197,341$87,086,170▼ $111,171
Prepaid Expenses and Deferred Charges$6,241,428$7,188,612▲ $947,184
Inventories for Sale or Use$624,158$853,458▲ $229,300
Intangible Assets$279,237$259,009▼ $20,228
Total Assets$633,385,792$758,141,675▲ $124,755,883
Other Assets Total$40,116,509$81,742,866▲ $41,626,357
Liabilities
Other Liabilities$203,840,073$242,813,532▲ $38,973,459
Tax Exempt Bond Liabilities$44,654,126$44,449,323▼ $204,803
Accounts Payable and Accrued Expenses$37,616,834$39,522,334▲ $1,905,500
Mortgage Notes Payable Secured by Investment Property$20,408,276$19,154,773▼ $1,253,503
Deferred Revenue$484,978$358,232▼ $126,746
Total Liabilities$307,004,287$346,298,194▲ $39,293,907
Net Assets / Fund Balance
Unrestricted Net Assets$326,381,505$411,843,481▲ $85,461,976
Total Net Assets Fund Balance$326,381,505$411,843,481▲ $85,461,976
Total Liabilities and Net Assets / Fund Balance$633,385,792$758,141,675▲ $124,755,883

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$30,442,747$186,318,731$216,761,478
Buildings$31,756,746$19,564,453$51,321,199
Land$20,243,263-$20,243,263
Other Land Buildings$4,037,139-$4,037,139
Leasehold Improvements$606,275$800,944$1,407,219
Investment Program Related Org$207,018,182--
Other Assets Org$44,030,590--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Steven P JohnsonPresident/CEO HFFT$1,204,481$443,189$1,647,670
James S Mitchell IIIExec VP COO HF IncFT$652,202$277,067$929,269
Drew Alan RectorExec VP Chief Strat Growth OffFT$635,926$165,199$801,125
Jerry SennePresident/CEO HRMC-$67,220$727,585$794,805
Joseph G FelknerEvp/CFOFT$605,323$112,822$718,145
Robert R WrightPresident Community Hosp (out-going)-$234,240$398,344$632,584
Sean J GregoryPresident HRMC-$489,059$104,172$593,231
David E MathiasSVP / Corporate CounselFT$465,350$86,231$551,581
D Scott GettingsChief Medical Officer HFFT$430,615$101,219$531,834
Robert W SuttlesChief Human Resources OfficerFT$391,141$76,345$467,486
Lori K DeLoneSr VP CIOFT$361,272$50,721$411,993
Jeff C StalnakerVP Med Affairs Comm HospitalsFT$326,264$30,636$356,900
David Phillip HurwitzMedical Director of Clinical InformationFT$308,950$26,920$335,870
David Phillip HurwitzMedical Director of Clinical Informa-$303,133$32,737$335,870
Randal Bailey Currin JrSr VP Chief Admin Officer CCH-$290,993$24,741$315,734
Christopher S KennedyPresident Viera Hospital-$25,265$266,968$292,233
Thomas Mark MatenaerHfmg CFO-$232,985$23,529$256,514
Richard RogersSr VP Support Services-$5,225$250,351$255,576
Jeffery W SterlingVP Managed CareFT$217,687$18,430$236,117
Michael D MeansPresident CEO HF-$28,490$203,625$232,115
Edie Malinowski ClearySr. VP Chief Quality OfficerFT$217,619$14,328$231,947
Judith A GizinskiCOO Pbh-$205,956$25,762$231,718
Dustin M LeekVP Enterprise Technology SvcsFT$209,278$13,519$222,797
Eddy Lee HannahInterim CNO Admin Director Nursing (out-going)FT$212,942$8,890$221,832
Eddy Lee HannahInterim CNO Admin Director Nursing (out-g-$183,945$37,887$221,832
Christine C RushnellVP Information TechnologyFT$27,835$171,503$199,338
James D SlateVP Revenue OperationsFT$157,116$37,324$194,440
Larry F GarrisonEvp/COO-$19,480$135,538$155,018
James PalermoSr VP Qual Mgt Chief Qual Off-$58,033$78,287$136,320
Robert C GallowaySVP / CFO-$14,516$100,493$115,009
Nicholas E PellegrinoDirector-$487$107,316$107,803
Brian J BussenDirector-$8,211$92,899$101,110
A Thomas Hollingsworth PhDDirector-$8,119$77,862$85,981
George W LewisDirector-$7,832$10,200$18,032
Eugene S Cavallucci EsqDirector-$13,592-$13,592
James E Carter MDDirector-$11,247-$11,247
Catherine A FordVice Chairman-$10,007-$10,007
James C ShawChairman-$7,719-$7,719
James DwightDirector-$6,456-$6,456
Frances U PickettDirector-$4,663-$4,663
Pamela A GattoDirector-$2,402-$2,402
Martin W Isenman MDTreasurer-$2,184-$2,184

Board Members and Trustees

NameTitle
Bryan R RoubDirector
Cathy EddyDirector
Donald F Hagen MDDirector
Kevin B SteeleDirector
Kevin S PruettDirector
William C Potter EsqDirector
Alan PrestwoodDirector (in-coming)
James RidenourDirector (in-coming)
Richard McNeightSecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Sodexo America LLCEnvironmental Services-$13,810,599
G4S Secure Solutions IncSecurity & Carrier Service-$4,611,226
Harris IT ServiceInformation Technology-$4,366,219
Oneblood IncLaboratory Services-$3,981,420
Skylight Healthcare System IncInformation Technology-$2,489,046
Revenue and Support

Revenue Composition

Contributions and Grants
$34,201
Program Service Revenue
$156,981,373
Investment Income
$7,026,937
Other Revenue
$84,035
Change in Net Assets
$-1,905,783
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$88,216,483
Salaries, Compensation, and Employee Benefits$77,796,691
Grants and Similar Amounts Paid$19,155
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$44,650,809$1,936,928-$46,587,737
Fees for Services Other$13,483,717$8,617,069-$22,100,786
Information Technology$16,700,182$269-$16,700,451
Other Employee Benefits$16,098,337$128,012-$16,226,349
Depreciation Depletion$15,077,294--$15,077,294
Current Officers, Directors, Trustees, and Key Employees-$9,879,612-$9,879,612
Payments to Affiliates$7,133,406--$7,133,406
Insurance$5,944,416$66-$5,944,482
All Other Expenses$4,079,760$540,266-$4,620,026
Payroll Taxes$4,223,399--$4,223,399
Fees for Services Legal$3,191,789$15,989-$3,207,778
Interest$2,741,566$226,009-$2,967,575
Occupancy$2,330,371$611,409-$2,941,780
Office Expenses$2,644,066$157,325-$2,801,391
Advertising$1,705,998$1,529-$1,707,527
Pension Plan Contributions$879,594--$879,594
Fees for Services Accounting$709,212--$709,212
Fees for Services Management-$228,607-$228,607
Travel$169,745$2,735-$172,480
Conferences and Meetings$115,897$17,355-$133,252
Other Expenses$87,540$40,577-$87,540
Grants to Domestic Orgs$19,155--$19,155
Total Functional Expenses$143,628,572$22,403,757$0$166,032,329
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
59-3528774-501(c)(3)General Support$19,155

International Summary

Offices
1
Employees
0
Spending
$779,642

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
Yes
Foreign partnership interest
No
Interest in foreign trust
No
Passive foreign investment company interest
No
Transfers to foreign corporations
No

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central America and The CaribbeanInsurance ServicesInsurance for Health Systems10$779,642
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
Gatto's Tire Auto ServiceBoard MemberAutomobile MaintenanceNo$108,339
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Demand Notes Pay to Affiliates$132,984,820
Inter-Company Payable$78,953,952
Other Liabilities$30,874,760

Bond Issues

BondIssuerIssuedIssue PricePurpose
A59-24446292005-12-14$173,754,107See Part VI
B59-24446292009-07-01$84,829,591See Part VI
A59-24446292013-02-05$74,287,417See Part VI
D59-24446292012-05-30$65,041,667See Part VI
B59-24446292013-02-15$36,000,000See Part VI
C59-24446292012-05-09$20,555,000See Part VI

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$173,754,107$20,402,483-$1,363,425
B$84,829,591$64,963,651-$1,224,591
A$73,159,250--$1,128,167
D$65,041,667$19,524,834-$78,016
B$36,000,000--$134,552
C$20,555,000$72,031,069-$152,517

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
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
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

After review and approval by the Chief Financial Officer the Form 990 is sent to each member of the Board of Trustees electronically for their review and approval prior to filing.

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

A copy of the Conflict of Interest policy is provided to all associates, including management, in which they review and electronically attest that they have agreed to the terms noted in the policy on an annual basis. In addition, Senior Leadership and BOD members on an annual basis are required to complete a Conflict of Interest questionnaire prepared and monitored by the Chief Compliance Officer. The questionnaire requires an attestation stating that the individual is free of conflicts should they not report anything of concern. These forms are tracked and kept on file. Should a conflict arise, the Chief Compliance Officer investigates the issue and determines a course of action to ensure enforcement of the policy.

Form 990, Part VI, Section B, line 15

The salaries of our CEO and other Health First executives are reviewed and recommended annually to the Board of Trustees and approved in executive session by the full Board of Health First. Health First contracts annually with a highly respected national consulting firm to provide these recommendations to ensure that our executives are compensated fairly and competitively when compared with similar roles in other healthcare organizations nationally. The Compensation Committee is independent for Internal Revenue Code Section 4958 for the individuals whose salary is reviewed. Minutes are kept for all Board of Directors and Compensation Committee meetings. The process is documented contemporaneously in the Board and Committee meetings.

Form 990, Part VI, Section C, line 19

Quarterly and Annually Consolidated Financials and Consolidated Statistical information is filed electronically on www.dacbond.com and is available to the public. In addition, any requests made to the Chief Financial Officer for the above referenced items are provided upon request in a timely manner. A copy of the conflicts of interest policy is available upon request to the compliance officer. Documents are available for the same period of disclosure as provided in section 6104(d).

Filing and Contact Details

Filer

EIN
59-3336894
Phone
3214345150

Signing Officer

Name
Joseph G Felkner
Title
Exec VP/CFO
Phone
3214345150
Signed
2015-08-03
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Steven P Johnson
Formed
1995
Legal Domicile
Fl
Voting Board Members
17
Independent Board Members
9
Employees
9,433
Volunteers
20

Preparer

Preparer
Wayne Harder
Phone
3126343400
Supplemental Narrative

Additional Explanations

Form 990, Part IX, line 11G

Purchased Services: Program service expenses 8,145,551. Management and general expenses 135,944. Fundraising expenses 0. Total expenses 8,281,495. Consultant and Professional Fees: Program service expenses 5,338,166. Management and general expenses 8,481,125. Fundraising expenses 0. Total expenses 13,819,291.

Form 990, Part XI, line 9:

Transfer of net assets to a related tax-exempt 60,775,109. Unrealized gain 26,592,650.

FORM 990, PART XII, QUESTION 2C, AUDITED FINANCIAL STATEMENTS:

The audit committee of Health First reviews and approves the annual audit and compliance audit plans then makes its report to the Health First board of directors. The audit committee is responsible for the selection of the independent auditors. There was no change from prior year.

Form 990, PART IV, QUESTION 24A, BONDS ISSUED AFTER DECEMBER 31, 2002:

The filing organization is part of an obligated group that had more than $100,000 in bonds issued after december 31, 2002 that were outstanding on the last day of its tax year. The filing organization's share of these obligations is reported on Part X, Line 20 of Health First, Inc. The parent of the obligated group, is filing Schedule K on behalf of itself and all members of the obligated group.

Financial Statement Notes

Part X, Line 2:

FASB ASC 740 Footnote: The company is exempt from Federal and State income taxes under Section 501(a), as an organization described in Section 501(c)(3), of the Internal Revenue Code and Section 220.13 of the Florida Statutes, respectively. Accordingly, no provision for income taxes is made in the accompanying Financial Statements. ASC Topic 740, Income Taxes, prescribes the accounting for uncertainty in income tax positions recognized in financial statements. ASC Topic 740 provides guidance for recognition threshold and measurement attributes for the Financial Statement recognition and measurement of a tax position taken or expected to be taken in a tax return.

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IRS990/Desc0The primary exempt purpose of Health First, Inc. is to support Cape Canaveral Hospital, Inc. (CCH), Hospice of Health First, Inc. (HHF), Holmes Regional Medical Center, Inc. (HRMC), Palm Bay Hospital (PBH), and Viera Hospital (VH). Health First, Inc. provides strategic planning, management and administrative support services to CCH, HHF, HRMC and VH. More specifically, Health First assists its affiliated organizations with:1. Coordination of patient care services across all its hospital provider locations to reduce duplication of resources and increase the cost-efficiency of patient care offered at any Health First entity;2. Provision of enhanced clinical, marketing, planning, financial and organizational services and expertise, and;3. Service area community health planning to ensure that collectively all Health First entities provide the healthcare services required to meet the needs of residents who live in Central and South Brevard County. One example of enhanced clinical care is a service known as Vitalwatch (Electronic Intensive Care Unit). Combining telemedicine, software, and 24/7 electronic monitoring technology, this service provides inpatients cared for in all critical care beds at CCH, PBH and HRMC an extra layer of expertise and oversight. Critical care physicians and nurses at a centralized location monitor real-time vital signs, laboratory results, and complete electronic medical records of patients in all Intensive Care Units (ICU) at no extra cost to the patients.If necessary, the Vitalwatch staff can also direct a patient's care on the spot via live audio and video connections to the patient's room. All information is transmitted over private data lines to ensure privacy and security. Beyond the walls of its hospitals, Health First, Inc. supports the Brevard Health Alliance, the only federally qualified healthcare clinic in Brevard County, with an annual donation of $1.1 million in cash and over $330,000 in in-kind diagnostic services. This funding allows area residents without health insurance to establish a medical home for preventive and emergency healthcare services. Health First, Inc. also partners with other community organizations in programs providing health services and preventative care to patients that have limited access to preventive or primary healthcare services. Another form of community support is the clinical training and education that Health First offers to physicians, nursing students, technicians and other health professionals.Additional activities provided to Cape Canaveral Hospital, Hospice of Health First, Palm Bay Hospital and Holmes Regional Medical Center, and Viera Hospital, Inc. by Health First, Inc. include adopting overall budgets and strategic plans, controlling the incurrence of debt, directing capital acquisition strategies, directing managed care purchasing arrangements and directing or approving mergers and acquisitions of additional affiliations within the group. For a copy of our health first community benefit report see: http://hfwww1.health-first.org/about_us/gives_back/community_report.cfm
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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2,052$441$1,611$82.2$94.2$11.9
2023Summary only. Only limited summary data is available for this year.$1,819$464$1,355$389$358$30.9
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,587$434$1,154$291$320$28.7
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,677$378$1,298$272$266$5.85
2020Summary only. Only limited summary data is available for this year.$1,338$330$1,009$286$260$26.4
2019Summary only. Only limited summary data is available for this year.$1,107$332$774$279$239$40.5
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,011$323$688$237$222$14.8
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$950$361$589$233$220$12.5
2016Detailed filing. Detailed filing data is available for this year.$966$474$492$227$265$37.7
2015Detailed filing. Detailed filing data is available for this year.$814$360$454$206$198$7.65
2014Detailed filing. Detailed filing data is available for this year.$758$346$412$164$166$1.91
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$633$307$326$155
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$515$248$267$166
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$482$256$225$130
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$650$356$294$113
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2014 filings • 501(c)3 • $250M-$1B nonprofits