Civic Intelligence

Ahsnf Inc.

990 • Fiscal year 2020 • EIN 84-2727303

Jan 01, 2020 to Dec 31, 2020 • Filed on Nov 15, 2021

1000 Blythe BlvdCharlotte, NC 28203

(704) 512-5219

Siviq Scores

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

Liabilities / Assets

50th percentile

0.40x

Higher debt load relative to assets than 50% of similar nonprofits.

2020 filings • NTEE E • $25M-$50M nonprofits • Source year 2020

Liabilities / Revenue

58th percentile

0.39x

Higher debt load relative to revenue than 58% of similar nonprofits.

2020 filings • NTEE E • $25M-$50M nonprofits • Source year 2020

Net Margin

10th percentile

-33%

Higher net margin than 10% of similar nonprofits.

2020 filings • NTEE E • $25M-$50M nonprofits • Source year 2020

Top Officer Pay

94th percentile

$2,486,675

Higher top officer pay than 94% of similar nonprofits.

Top officer pay equals 5.7% of source-year revenue.

2020 filings • NTEE E • $25M-$50M nonprofits • Source year 2020

Asset Growth

100th percentile

4277833800%

Faster asset growth than 100% of similar nonprofits.

2020 filings • NTEE E • $25M-$50M nonprofits • Annualized from 2019 to 2020

Revenue Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2019 to 2020

Assets

Up

$42,778,339

Up $42,778,338 (+4277833800%) from 2019

Net Assets

$25,637,072

No earlier filing loaded for comparison.

Liabilities

Up

$17,141,267

Up $17,141,267 from 2019

Revenue

Up

$43,712,650

Up $43,712,650 from 2019

Expenses

Up

$58,292,608

Up $58,292,608 from 2019

Net Income

Down

-$14,579,958

Down $14,579,958 from 2019

Historical Trend

Balance Sheet Trend

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

$100M$50M$0-$50M-$100MAssets 2019: $1Liabilities 2019: $02019Assets 2020: $42,778,339Liabilities 2020: $17,141,267Net Assets 2020: $25,637,0722020Assets 2021: $34,390,165Liabilities 2021: $29,666,435Net Assets 2021: $4,723,7302021Assets 2022: $32,707,040Liabilities 2022: $56,916,274Net Assets 2022: -$24,209,2342022Assets 2023: $32,188,140Liabilities 2023: $83,668,735Net Assets 2023: -$51,480,5952023Assets 2024: $30,675,077Liabilities 2024: $94,241,050Net Assets 2024: -$63,565,9732024

Highlighted filing

2020

Assets$42,778,339
Liabilities$17,141,267
Net Assets$25,637,072

Operations Trend

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

$100M$50M$0-$50MRevenue 2019: $0Expenses 2019: $0Net Income 2019: $02019Revenue 2020: $43,712,650Expenses 2020: $58,292,608Net Income 2020: -$14,579,9582020Revenue 2021: $37,411,842Expenses 2021: $58,325,184Net Income 2021: -$20,913,3422021Revenue 2022: $31,252,697Expenses 2022: $60,185,661Net Income 2022: -$28,932,9642022Revenue 2023: $34,974,200Expenses 2023: $62,245,561Net Income 2023: -$27,271,3612023Revenue 2024: $41,471,642Expenses 2024: $69,125,549Net Income 2024: -$27,653,9072024

Highlighted filing

2020

Revenue$43,712,650
Expenses$58,292,608
Net Income-$14,579,958
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Nov 15, 2021
Return Version
2020v4.1
Gross Receipts
$43,712,731
Mission and Program Overview

Mission

To promote healthcare and public health by operating one or more nursing homes (including skilled nursing facilities), hospitals, and/or healthcare facilities to facilitate the charitable and governmental purposes and activities of such facilities that are or may become affiliated with the organization from time to time.

The corporation owns the assets and operations of five skilled nursing facilities located in and around charlotte, nc. The facilities provide short-term nursing and rehabilitation services, long-term care services, and end of life care to patients in the community.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$0$35,236,034▲ $35,236,034
Rtn Earn Endowment Incm Other Fnds$0$25,637,072▲ $25,637,072
Accounts Receivable-$7,490,871-
Prepaid Expenses and Deferred Charges-$35,017-
Cash and Non-Interest-Bearing Accounts-$15,667-
Inventories for Sale or Use-$750-
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$0$42,778,339▲ $42,778,339
Liabilities
Other Liabilities$0$15,568,529▲ $15,568,529
Accounts Payable and Accrued Expenses-$1,572,738-
Total Liabilities$0$17,141,267▲ $17,141,267
Net Assets / Fund Balance
Total Net Assets Fund Balance$0$25,637,072▲ $25,637,072
Total Liabilities and Net Assets / Fund Balance$0$42,778,339▲ $42,778,339

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$23,250,178$24,061,721$47,311,899
Equipment$8,813,939$9,121,588$17,935,527
Land$2,193,138-$2,193,138
Other Land Buildings$978,779$1,012,943$1,991,722
Compensation and Service Providers

Board Members and Trustees

NameTitle
Ken D HaynesPresident
Scott C Rissmiller MdDirector
Linden ScotlandExec Director - Comm. Mentor - Ltc
Scharee LeeExec Director - Cont Care
Colin ClodeExec. Director - Community Mentor - Ltc
Collin LaneEnterprise SVP, Facilities Mgmt Grp
Rodney BallGroup VP, CFO
Rose Sarfo-kantankaRegistered Nurse
Sylvia OkugoRegistered Nurse
Muna AbrahamRn Supervisor
Anthony C DefurioSecretary and Treasurer
Mike StolzenzbachVP, Facility Exec., Cont. Care
Rose Cook CFO Until 1020VP, Finance

Highest Paid Contractors

ContractorServicesLocationCompensation
Healthpro Heritage LLCTherapy Services536 OLD HOWELL RD, Greenville, SC 29615$3,593,586
Sodexo INCDietary ServicesPO BOX 360170, Pittsburgh, PA 15251-6170$3,128,630
Aramark Healthcare Support Services LLCEnvironmental ServicesPO BOX 978839, Dallas, TX 75397-8839$833,573
Morrison Management Specialists INCDietary ServicesPO BOX 102289, Atlanta, GA 30368-2289$495,417
Revenue and Support

Revenue Composition

Contributions and Grants
$1,109,928
Program Service Revenue
$42,084,897
Investment Income
$-73
Other Revenue
$517,898
All Other Contributions
$4,115
Change in Net Assets
$-14,579,958
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$31,708,754
Salaries, Compensation, and Employee Benefits$26,583,854
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$16,736,622$4,184,156-$20,920,778
Fees for Services Other$5,855,943$1,463,986-$7,319,929
Depreciation Depletion$2,770,951$692,738-$3,463,689
Other Employee Benefits$2,530,107$632,527-$3,162,634
Payroll Taxes$1,215,777$303,944-$1,519,721
Other Expenses$1,113,554$323,064-$1,113,554
Pension Plan Contributions$784,577$196,144-$980,721
Occupancy$719,788$179,947-$899,735
Interest$661,152--$661,152
All Other Expenses$293,411$73,353-$366,764
Office Expenses$152,526$38,132-$190,658
Insurance$104,753$26,188-$130,941
Information Technology$42,186$10,546-$52,732
Travel$35,394$8,848-$44,242
Fees for Services Legal-$6,473-$6,473
Total Functional Expenses$47,258,540$11,034,068$0$58,292,608
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$15,568,529
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
No
Management duties delegated
No

Governance Explanations

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

The organization's board of directors receive copies of the form 990 with sufficient time to permit review, comment, and questions prior to its filing. If modifications are required following such review and comment, the revised form 990 is redistributed to all directors prior to its filing with the irs, along with a report noting the modifications.

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

The conflict of interest policy applies to covered individuals, and includes all ahsnf, inc teammates in their performance of the administration, teaching, patient care and other business operations of the organization and to non-employees who are appointed by ahsnf, inc to represent its interest on various committees or in other decision making capacities or whose contractual relationship with the organization requires compliance with this policy. Due to the nature of cois, the activities of a covered individual's family member(s) may also be relevant to provide the corporate compliance department with a full accounting of relationships that may influence or appear to influence decisions made on behalf of atrium health. "covered individual" is defined as any ahsnf, inc teammate in his/her performance of the administration, teaching, patient care and other business operations of ahsnf, inc and to non-employees who are appointed by ahsnf, inc to represent its interest on various committees or in other decision making capacities or whose contractual relationship with atrium health requires compliance with this policy. A covered individual, regardless of level, who believes a relationship may give rise to a coi should work with relevant leaders, the corporate compliance department and other departments as needed to properly evaluate, disclose and manage any potential cois. Ahsnf, inc. Requires teammates at a director level or above to complete an annual disclosure. These disclosures are reviewed and any necessary resolution is addressed. When a potential conflict of interest is identified and determined to require management in order to reduce or eliminate the conflict, ahsnf, inc takes steps to manage/resolve the conflict. Restrictions imposed for an actual conflict are adjusted to address the actual conflict. Conflict of interest are documented in multiple databases, dependent upon the covered individual's level and reporting structure. Failure of a covered individual to comply may result in disciplinary action and/or sanctions; examples of possible sanctions include formal reprimand; suspension and/or termination of medical staff privileges; and/or any other enforcement action mandated by the applicable government granting agency or ahsnf, inc administration.

Form 990, Part VI, Section B, Line 15

Ahsnf, inc. Is an integrated part of the charlotte-mecklenburg hospital authority ("cmha." dba atrium health), one of the nation's leading and most innovative healthcare organizations. The filing organization pays no compensation to officers, directors and key employees. All compensation paid to officers, directors and key employees was paid by cmha. Compensation paid to these individuals is reviewed and approved in accordance with cmha's compensation policies and procedures which include independent compensation consultants, compensation surveys and studies to determine the appropriateness of each officer's and director's compensation.

Form 990, Part VI, Section C, Line 19

Filed on msrb website (emma) as part of cmha annual information statement.

Filing and Contact Details

Filer

Filer Name
Ahsnf Inc
EIN
84-2727303
Phone
7045125219
Address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203

Signing Officer

Name
Anthony C Defurio
Title
Secretary and Treasurer
Phone
7045125219
Signed
2021-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Ken D Haynes
Formed
2019
Legal Domicile
Nc
Voting Board Members
3
Independent Board Members
0
Employees
0
Volunteers
13

Preparer

Firm
Cliftonlarsonallen Llp
Address
227 WEST TRADE STREET SUITE 800, CHARLOTTE, NC 28202
Preparer
John Norman
Phone
7049985200
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Other professional services: program service expenses 5,855,943. Management and general expenses 1,463,986. Fundraising expenses 0. Total expenses 7,319,929.

FORM 990, PART XI, LINE 9:

Beginning net asset contributions 40,217,030.

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IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3GROUP VP, CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt4VP, FINANCE
IRS990/Form990PartVIISectionAGrp/TitleTxt5ENTERPRISE SVP, FACILITIES MGMT GRP
IRS990/Form990PartVIISectionAGrp/TitleTxt6VP, FACILITY EXEC., CONT. CARE
IRS990/Form990PartVIISectionAGrp/TitleTxt7EXEC DIR - CONT CARE
IRS990/Form990PartVIISectionAGrp/TitleTxt8REGISTERED NURSE
IRS990/Form990PartVIISectionAGrp/TitleTxt9REGISTERED NURSE
IRS990/Form990PartVIISectionAGrp/TitleTxt10EXEC. DIR - COMMUNITY MENTOR - LTC
IRS990/Form990PartVIISectionAGrp/TitleTxt11RN SUPERVISOR
IRS990/Form990PartVIISectionAGrp/TitleTxt12EXEC DIR - COMM. MENTOR - LTC
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