Civic Intelligence

Aurora Integrated Oncology Foundation

990 • Fiscal year 2023 • EIN 88-1950708

Jan 01, 2023 to Dec 31, 2023 • Filed on Nov 14, 2024

1044 Jackson Felts RoadJoelton, TN 37080

(615) 746-4711

Siviq Scores

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

Liabilities / Assets

92nd percentile

1.00x

Higher debt load relative to assets than 92% of similar nonprofits.

2023 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2023

Liabilities / Revenue

100th percentile

767.93x

Higher debt load relative to revenue than 100% of similar nonprofits.

2023 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2023

Net Margin

16th percentile

-11%

Higher net margin than 16% of similar nonprofits.

2023 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2023

Top Officer Pay

5th percentile

$170,001

Higher top officer pay than 5% of similar nonprofits.

Top officer pay equals 44.1% of source-year revenue.

2023 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2023

Asset Growth

Score unavailable

No value available

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

Source year 2023

Revenue Growth

Score unavailable

No value available

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

Source year 2023

Assets

$295,894,041

No earlier filing loaded for comparison.

Net Assets

-$43,674

No earlier filing loaded for comparison.

Liabilities

$295,937,715

No earlier filing loaded for comparison.

Revenue

$385,373

No earlier filing loaded for comparison.

Expenses

$429,047

No earlier filing loaded for comparison.

Net Income

-$43,674

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.

$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

2023

Assets$295,894,041
Liabilities$295,937,715
Net Assets-$43,674

Operations Trend

Revenue, expenses, and net income across loaded years, with this 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

2023

Revenue$385,373
Expenses$429,047
Net Income-$43,674
Jump To
Filing Snapshot
Filing Period
Jan 1, 2023 to Dec 31, 2023
Signed
Nov 14, 2024
Return Version
2023v5.1
Gross Receipts
$385,373
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$0$184,723,471▲ $184,723,471
Loans From Officers Directors$0$102,197,538▲ $102,197,538
Land, Buildings, and Equipment, Net$0$10,606,212▲ $10,606,212
Cash and Non-Interest-Bearing Accounts$0$5,660,803▲ $5,660,803
Accounts Receivable$0$2,023,602▲ $2,023,602
Prepaid Expenses and Deferred Charges$0$1,527,474▲ $1,527,474
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities$0--
Investments Program Related$0--
Total Assets$0$295,894,041▲ $295,894,041
Other Assets Total$0$91,352,479▲ $91,352,479
Liabilities
Tax Exempt Bond Liabilities$0$108,394,167▲ $108,394,167
Other Liabilities$0$77,855,110▲ $77,855,110
Accounts Payable and Accrued Expenses$0$7,490,900▲ $7,490,900
Total Liabilities$0$295,937,715▲ $295,937,715
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$0$-43,674▼ $43,674
Total Net Assets Fund Balance$0$-43,674▼ $43,674
Total Liabilities and Net Assets / Fund Balance$0$295,894,041▲ $295,894,041

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$5,592,988-$5,592,988
Equipment$4,181,090-$4,181,090
Leasehold Improvements$490,068-$490,068
Land$300,000-$300,000
Other Land Buildings$42,066-$42,066
Other Assets Org$1,800--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-Chief Executive OfficerFT$151,829$18,172$170,001

Board Members and Trustees

NameTitle
-Chair / Director 1/1/23 - 1/12/23
-Chair / Director 1/12/23 - 12/31/23
-Vice Chair / Director 1/1/23 - 1/12/23
-Vice Chair / Director 1/12/23 - 12/31/23
-Director 1/1/23 - 1/12/23
-Director 1/12/23 - 12/31/23
-Secretary / Director 1/1/23 - 12/31/23
-Secretary / Treasurer / Director 1/12/23 - 12/31/23
-Treasurer / Director 1/1/23 - 1/12/23

Highest Paid Contractors

ContractorServicesLocationCompensation
Loop Capital MarketsBond Underwriter425 South Financial Place, Chicago, IL 60605$3,015,888
Nixon Peabody LLPLegal70 W Madison Suite 5200, Chicago, IL 60602$902,187
Orrick Herrington & Sutcliffe LLPLegal2121 Main Street, Wheeling, WV 26003$575,000
Forvis LLPFinancial ServicesPO BOX 602828, Charlotte, NC 28260-2828$385,304
Ballard Spahr LLPLegal1735 MARKET ST 51ST FLOOR, Philadephia, PA 19103$225,000
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$385,373
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-43,674
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$257,318
Other Expenses$171,729
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees-$170,001-$170,001
Fees for Services Legal-$55,963-$55,963
Payroll Taxes$43,565--$43,565
Insurance$40,116--$40,116
Other Salaries and Wages$28,975--$28,975
Fees for Services Accounting-$25,621-$25,621
Other Employee Benefits$14,777--$14,777
Fees for Services Management-$9,409-$9,409
Fees for Services Other$0$7,241$0$7,241
Occupancy$4,076--$4,076
Conferences and Meetings$3,091--$3,091
Other Expenses$595--$595
Advertising$473--$473
Office Expenses$91--$91
Total Functional Expenses$160,812$268,235$0$429,047
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
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-John Halligan, William Magnuson, and Eugene Huang are greater than 35% owners of CRPG.Purchase membership units of 4 SMLLC's from CRPGNo$198,003,800

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$102,197,538▲ $102,197,538
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Other Notes Payable$61,447,461
Capital Lease$15,647,068
Operating Lease Liability$744,410
Restricted Funds$16,171

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
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
Yes
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
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Line 13 Line 14 - Whistleblower and Document Retention and Destruction Policy

Aiof is in the process of adopting and approving a written whistleblower and a written document retention and destruction policy which will be approved in 2024.

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 2 Family/business relationships amongst interested persons

Sherrie W Hinshaw, Raymond S Frech, Daniel Moore, and Greg Merrill - Business relationship, Eugene Huang, John Halligan, William Magnuson, Daniel Moore, 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 $124,775 ; Other Reportable Compensation $26,068 Greg Merrill, Director of AIOF; Reportable compensation $181,036; Other Reportable Compensation $38,023 Daniel Moore, Director of AIOF; Reportable Compensation $51,882; Other Reportable Compensation $6,578

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 15A Process to establish compensation of top management official

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 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
Sherrie Wilson Hinshaw
Title
President/CEO
Phone
9075622002
Signed
2024-11-14
Discuss with paid preparer
Yes

Organization Details

Formed
2023
Legal Domicile
De
Voting Board Members
5
Independent Board Members
3
Employees
1
Volunteers
0

Preparer

Firm
Forvis Mazars LLP
Address
1201 Walnut 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/Form990PartVIISectionAGrp/TitleTxt0Secretary / Treasurer / Director 1/12/23 - 12/31/23
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