Civic Intelligence

Aurora Integrated Oncology Foundation

EIN 88-1950708 • 501(c)3 • Joelton, TN

Pub. 78 Eligible

Profile

Improve the oncology experience by ensuring access to state-of-the-art cancer services, alleviating financial burdens and fostering collaboration to improve cancer outcomes for all Alaskans.

1044 Jackson Felts RoadJoelton, TN 37080

aiofak.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

93rd percentile

1.04x

Higher debt load relative to assets than 93% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Liabilities / Revenue

94th percentile

5.52x

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

501(c)3 • $250M-$1B nonprofits • Source year 2024

Net Margin

8th percentile

-21%

Higher net margin than 8% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

Score unavailable

No value available

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

Source year 2024

Revenue Growth

Score unavailable

No value available

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

Source year 2024

Assets

Down

$285,114,579

Down $10,779,462 (-3.6%) from 2023

Liabilities

Up

$296,589,346

Up $651,631 (+0.2%) from 2023

Net Assets

Down

-$11,474,767

Down $11,431,093 (-26174%) from 2023

Revenue

Up

$53,740,844

Up $53,355,471 (+13845%) from 2023

Expenses

Up

$65,171,937

Up $64,742,890 (+15090%) from 2023

Net Income

Down

-$11,431,093

Down $11,387,419 (-26074%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$300M$200M$100M$0-$100MAssets 2023: $295,894,041Liabilities 2023: $295,937,715Net Assets 2023: -$43,6742023Assets 2024: $285,114,579Liabilities 2024: $296,589,346Net Assets 2024: -$11,474,7672024

Highlighted filing

2024

Assets$285,114,579
Liabilities$296,589,346
Net Assets-$11,474,767

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$80M$60M$40M$20M$0-$20MRevenue 2023: $385,373Expenses 2023: $429,047Net Income 2023: -$43,6742023Revenue 2024: $53,740,844Expenses 2024: $65,171,937Net Income 2024: -$11,431,0932024

Highlighted filing

2024

Revenue$53,740,844
Expenses$65,171,937
Net Income-$11,431,093

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 14, 2025
Return Version
2024v5.1
Gross Receipts
$53,740,844
Mission and Program Overview

Mission

Improve the oncology experience by ensuring access to state-of-the-art cancer services, alleviating financial burdens and fostering collaboration to improve cancer outcomes for all Alaskans.

The Aurora Integrated Oncology Foundation is revolutionizing cancer care in Alaska. The Foundation's network includes (Continued on Schedule O)

Balance Sheet Detail
LineBeginningEndChange
Assets
Intangible Assets$184,723,471$167,420,714▼ $17,302,757
Loans From Officers Directors$86,902,538$86,902,538→ $0
Prepaid Expenses and Deferred Charges$1,527,474$14,806,230▲ $13,278,756
Land, Buildings, and Equipment, Net$10,606,212$9,801,623▼ $804,589
Accounts Receivable$2,023,602$4,491,370▲ $2,467,768
Cash and Non-Interest-Bearing Accounts$5,660,803$4,151,930▼ $1,508,873
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Total Assets$295,894,041$285,114,579▼ $10,779,462
Other Assets Total$91,352,479$84,442,712▼ $6,909,767
Liabilities
Tax Exempt Bond Liabilities$108,394,167$104,365,000▼ $4,029,167
Other Liabilities$77,855,110$82,600,914▲ $4,745,804
Unsecured Notes Loans Payable$15,295,000$15,295,000→ $0
Accounts Payable and Accrued Expenses$7,490,900$7,425,894▼ $65,006
Total Liabilities$295,937,715$296,589,346▲ $651,631
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-43,674$-11,474,767▼ $11,431,093
Total Net Assets Fund Balance$-43,674$-11,474,767▼ $11,431,093
Total Liabilities and Net Assets / Fund Balance$295,894,041$285,114,579▼ $10,779,462

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$5,402,937$190,051$5,592,988
Equipment$3,432,990$777,856$4,210,846
Leasehold Improvements$452,189$37,879$490,068
Land$300,000-$300,000
Other Land Buildings$213,507$13,079$226,586
Other Assets Org$103,632--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Dr William MagnusonDirector and Physician-$1,251,592-$1,251,592
Dr Stephen SettlePhysicianFT$1,018,077-$1,018,077
Dr Eugene HuangPhysician and CMOFT$934,499-$934,499
Dr Jason ParksPhysicianFT$854,032-$854,032
Dr Robert SollaccioPhysicianFT$846,293-$846,293
Dr Larry DaughertyPhysicianFT$576,346-$576,346
Dr John HalliganPhysicianFT$503,039-$503,039
Sherrie W HinshawChief Executive OfficerFT$263,157$34,607$297,764
William PoppChair / Director-$7,425-$7,425
Mark DixsonDirector - starting 02/08/2024-$6,372-$6,372
Maude BlairDirector - starting 02/08/2024-$6,372-$6,372
Michele BrownVice Chair / Director-$6,372-$6,372
Kenny Solomon-GrossDirector - starting 02/08/2024-$6,272-$6,272

Board Members and Trustees

NameTitle
Greg MerrillDirector
Joseph C EverhartDirector - starting 11/02/2024
Dr Donna GalbreathSecretary / Treasurer / Director
Raymond S FrechCFO

Highest Paid Contractors

ContractorServicesLocationCompensation
Radiation Business Solutions INCManagement Services1044 JACKSON FELTS RD, STE 400 4TH FLOOR, Joelton, TN 37080$6,933,761
Elekta INCService Contract On EquipomentPO BOX 404199, Atlanta, GA 30384-4199$614,653
Alliance Physics Solutions INCContract Labor405 S BONNIE AVENUE, Pasadena, CA 91106-3507$496,321
Crystal Clear Creative INCMarketing1625 W EDLUND RD, Wasilla, AK 99654$439,252
Varian Medical Systems INC (dba D3 Oncology Inc)Service Contract On Equipment3290 NORTHSIDE PKWY NW, Atlanta, GA 30327$409,678
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$53,689,536
Investment Income
$0
Other Revenue
$51,308
Change in Net Assets
$-11,431,093

Audited Revenue Reconciliation

Revenue per Audited Statements
$53,723,516
Revenue Not Reported on Financial Statements
$17,328
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$17,328
Total Revenue per Audited Statements
$53,723,516
Total Revenue per Form 990
$53,740,844
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$53,218,360
Salaries, Compensation, and Employee Benefits$11,431,726
Grants and Similar Amounts Paid$521,851
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Depreciation Depletion$19,828,557$1,645,198-$21,473,755
Interest$20,439,560--$20,439,560
Other Salaries and Wages$7,766,577--$7,766,577
Fees for Services Other$1,756,858$2,460,506$0$4,217,364
Current Officers, Directors, Trustees, and Key Employees$2,004,538$705,200-$2,709,738
Occupancy$1,666,854$539-$1,667,393
Information Technology$854,515$3,330-$857,845
Advertising$784,975--$784,975
Fees for Services Management-$699,996-$699,996
Grants to Domestic Orgs$433,918--$433,918
Payroll Taxes$401,566$26,262-$427,828
Other Employee Benefits$399,062$18,941-$418,003
Travel$318,865$46,474-$365,339
Insurance$2,307$261,292-$263,599
Fees for Services Accounting-$167,086-$167,086
Office Expenses$153,667$941-$154,608
Fees for Services Legal-$144,071-$144,071
Other Expenses$117,180$55,135-$117,180
Pension Plan Contributions$99,066$10,514-$109,580
Conferences and Meetings$107,064$1,560-$108,624
All Other Expenses$107,835$0$0$107,835
Grants to Domestic Individuals$87,933--$87,933
Fees for Service Investment Mgmnt Fees-$46,256-$46,256
Total Functional Expenses$58,878,636$6,293,301$0$65,171,937

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$65,171,937
Total Expenses per Audited Statements$65,154,612
Expenses per Audited Statements$65,154,609
Expenses Not Reported on Financial Statements$17,328
Other Expense Adjustments$17,328
Expenses Not Reported on Form 990$3
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Alaska Community FoundationAnchorage, AK501(c)(3)Scholarships$55,000
Alaska Run for WomenAnchorage, AK501(c)(3)Breast Cancer 5k$40,000
American Cancer SocietyAnchorage, AK501(c)(3)Gala & Paddle Raise$35,000
Healthy Alaska Natives FoundationAnchorage, AK509(a)(1)Gala$25,000
Soldotna Professional FirefightersSoldotna, AK501(c)(3)Pink Fire Truck for Cancer Awareness$20,000
University of Alaska FoundationAnchorage, AK501(c)(3)Bca Sports Nights - Hockey & Vb$20,000
Alaska State Medical AssociationAnchorage, AK501(c)(6)Conference$15,000
Bcdc of AkFairbanks, AK501(c)(3)Mobile Mamm Unit$15,000
Providence Alaska FoundationAnchorage, AK501(c)(3)Technology and Conf$12,000
10 Chefs IncAnchorage, AK501(c)(3)Gala$10,000
Anchorage Neighborhood Health Center IncAnchorage, AK501(c)(3)Cancer Prevention$10,000
Armed Services Ymca of AlaskaJber, AK501(c)(3)Cancer Programs$10,000
Cancer ConnectionJuneau, AK501(c)(3)Cancer Forum$10,000
Alaska State Fair IncPalmer, AK501(c)(3)Program Assistance$8,600
Bridges Community Resource Network IncSoldotna, AK501(c)(3)Program Assistance$8,500
Mat Su Health FoundationWasilla, AK501(c)(3)Workforce Development$8,000
Alaska Hopital & Healthcare AssociationAnchorage, AK501(c)(6)Conference Sponsorship$7,500
Wasilla Area Seniors IncWasilla, AK501(c)(3)Meals on Wheels & Sponsorship$7,500
Hospice of AnchorageAnchorage, AK501(c)(3)Grief Support Group$7,000
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

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$86,902,538$86,902,538→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Restricted Funds$68,690,531
Operating Lease Liability$13,543,682
Federal Income Taxes$361,423
Capital Lease$5,278
Other Notes Payable-

Bond Issues

BondIssuerIssuedIssue PricePurpose
APublic Finance Authority2023-12-27$129,535,000Purchase of membership interests, Debt Service Reserve Fund, and payment of issuance costs.

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$129,535,000$0$0$2,189,000

Bond Financing Compliance

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

Governance Explanations

Form 990, Part VI, Line 12C Conflict of Interest Policy Compliance

AIOF was formed on April 14, 2022 with a stated purpose of improving the quality of and access to oncology care to residents of Alaska. On December 27, 2023, AIOF acquired four radiation oncology centers located in the State of Alaska, including through the acquisition of membership interests in certain limited liability companies that owned the centers (the "LLCs") or through the direct acquisition of such assets from the owners thereof (the "Transaction"). As noted in AIOF's Form 1023 - "Application for Recognition of Exemption Under Section 501(c)(3) of the Internal Revenue Code," the initial Board of Directors included three individuals who were then part owners of the LLCs. The Form 1023 further noted the AIOF "is working on replacing some of its Board of Directors to reflect a diverse, community-based governing board." As described in the Form 1023, the following five new Board members were recruited and replaced the initial Board of Directors on January 12, 2023: William Popp, President of Anchorage Economic Development Corporation Michele Brown, Senior Fellow at Rasmuson Foundation Donna Galbreath, M.D., Senior Medical Director of Quality Assurance, Southcentral Foundation Greg Merrill, President of Radiation Billing Solutions, Inc. William Magnuson, M.D., Oncologist In accordance with AIOF's conflict of interest policy, Dr. Magnuson (part-owner of certain LLCs) and Mr. Merrill (part owner of the proposed post-Transaction manager of the facilities) were not involved in any of the discussions or approvals relating to the Transaction. The Board created a Transaction Committee consisting solely of the three non-interested Board members (i.e., Mr. Popp, Ms. Brown and Dr. Galbreath) to review and approve the Transaction.

Form 990, Part VI, Line 15A 15B - ESTABLISHING COMP OF TOP MANAGEMENT, OFFICERS, AND KEY EMPLOYEES

Aiof has articulated in the bylaws of the organization as well as through adoption of a suite of policies to ensure no more than fair and reasonable compensation is paid. These policies include: physician contracting and compensation review policy, board compensation policy, as well as an executive and disqualified persons policy. The executive & disqualified persons policy requires that reasonable compensation be paid to any disqualified persons, with board approval required. Physician compensation was determined by a third-party valuation firm prior to the execution of contracts in 2023. Board compensation was set through a benchmarking analysis and legal consultation in 2024. President/ceo compensation was determined through benchmarking analysis in 2023 and updated by a third-party valuation firm in 2024. The management fee was confirmed by a third-party valuation firm prior to the execution of the management agreement in 2023.

Form 990, Part VI, Line 13 WRITTEN WHISTLEBLOWER POLICY

Aiof has a written whislteblower policy for all staff which are employed by rbs and is in the process of adopting a written whistleblower policy for all employed physicians which will be approved by the bod before december 31, 2025.

Form 990, Part VI, Line 2 Family/business relationships amongst interested persons

Sherrie W Hinshaw, Raymond S Frech, and Greg Merrill - Business relationship, Eugene Huang,on John Halligan, William Magnus, and Greg Merrill - Business relationship

Form 990, Part VI, Line 3 Delegation of management duties

Radiation Billing Solutions, Inc. (RBS) provides comprehensive management functions to Aurora Integrated Oncology Foundation (AIOF) which include the following: compliance program services, health information services, clinical and non-clinical management services, accounting services, regulatory reporting support services, facilities management services, financial planning and analysis services, human resource services, information technology management services, supply chain services, revenue cycle services, executive management & marketing services, and nursing management services. The management services agreement requires RBS to conduct business and operations on AIOF's behalf in a manner consistent with the charitable purposes required under section 501(C)(3) of the code and in line with policies adopted by the AIOF. The following individuals were employed by RBS: Raymond S. Frech, Director of AIOF; Reportable Compensation $181,562; Other Reportable Compensation $30,937 Greg Merrill, Director of AIOF; Reportable compensation $89,439; Other Reportable Compensation $12,513 Angela Balser-Heusser, Senior Controller of RBS; Reportable Compensation $11,001; Other Reportable Compensation $1,102

Form 990, Part VI, Line 8B Documentation of meetings held by committees of governing body

There are no other committees that can act on behalf of the governing body.

Form 990, Part VI, Line 11B Review of form 990 by governing body

An independent accounting firm prepares and reviews the 990. The 990 is then reviewed by the finance committee. Any questions or concerns the finance committee has are addressed and any corrections or clarifications that need to be made are made. A copy of the 990 is then presented to the board of directors prior to filing.

Form 990, Part VI, Line 12C Conflict of interest policy

The aiof board of directors has adopted a conflict of interest (coi) policy as well as a code of conduct, which requires board of directors, officers and key employees to annually disclose interests that could give rise to conflicts. The coi policy is also documented in the bylaws, and includes a definition of what constitutes a conflict of interest, required disclosure of those conflicts, and ensuring the board approves only contracts that are considered fair, reasonable, and in the aiof's best interests. Conflicts are reviewed at the board level and the board chair determines whether a conflict exists. Individuals with conflicts do not participate in voting.

Form 990, Part VI, Line 19 Required documents available to the public

Aiof makes all required disclosures available to the public under irs regulations.

Filing and Contact Details

Filer

Filer Name
Aurora Integrated Oncology Foundation
EIN
88-1950708
Phone
6157464711
Address
1044 Jackson Felts Road, Joelton, TN 37080

Signing Officer

Name
Steven Castle
Title
Senior VP of Operations
Phone
9075622002
Signed
2025-11-14
Discuss with paid preparer
Yes

Organization Details

Formed
2023
Legal Domicile
De
Voting Board Members
9
Independent Board Members
8
Employees
39
Volunteers
0

Preparer

Firm
Forvis Mazars LLP
Address
1201 Walnut Street Suite 1700, Kansas City, MO 64106-2246
Preparer
Michael Engle
Phone
8162216300
Supplemental Narrative

Additional Explanations

Form 990, Part I, Line 1 Brief Mission

Anchorage Radiation Oncology Center, Mat-Su Valley Cancer Care, Peninsula Radiation Oncology Center and Southeast Radiation Oncology Center focuses on accessible, advanced treatment and comprehensive support for patients and families. With a commitment to patient-centered care, AIOF emphasizes reinvestment in community health initiatives and state-of-the-art services, operating under a sustainable model that covers all residents of Alaska, regardless of their insurance status.

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IRS990/Desc0AIOF, AS A NEWLY FORMED NOT-FOR-PROFIT 501(C)(3) ORGANIZATION, IS FOCUSED ON ACCESSIBLE AND COMPREHENSIVE SUPPORT FOR PATIENTS AND FAMILIES. IN ADDITION TO THE SERVICES PROVIDED AT THE CANCER CLINICS, AIOF PLANS TO ADDRESS NEEDS IN THE COMMUNITY THROUGH: (1) COLLABORATIVE STRATEGY: With a focus on improving cancer outcomes, the Foundation's model is designed to leverage statewide resources, fostering collaboration among health care professionals and enhancing the continuum of care for Alaskans facing cancer. Through initiatives such as supporting the development of oncology workforce and providing resources to support the work of partners in the community, we can effectively begin to address the significant health disparities in the incidence and mortality rates of cancer in Alaska. (2) COMMUNITY SUPPORT: The Foundation extends its impact beyond treatment, supporting the broader cancer community through strategic giving. By investing in health initiatives and patient support programs, the Foundation reinforces a network of care that uplifts every individual affected by cancer in Alaska. Areas of focus include access to care through increased cancer prevention/awareness, early detection through screening, and direct patient support to address barriers to care.
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