FMRS HEALTH SYSTEMS INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- FMRS HEALTH SYSTEMS INC (EIN 55-0520303)
- Tax period
- 2018-07-01 to 2019-06-30
- Filed
- 2020-04-14
- IRS object ID
- 202041059349300449
- Schema version
- 2018v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-04-14T14:24:02-05:00 | ReturnTs |
| Tax Period End | 2019-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 540504608 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BROWN EDWARDS & COMPANY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 707 VIRGINIA STREET EAST SUITE 300 | AddressLine1Txt |
| City | CHARLESTON | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550520303 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FMRS HEALTH SYSTEMS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FMRS | BusinessNameControlTxt |
| Phone | 3042567100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 SOUTH EISENHOWER DRIVE | AddressLine1Txt |
| City | BECKLEY | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25801 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARY REDMAN | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3042567100 | PhoneNum |
| Signature | 2020-04-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MELISSA PRICE | PreparerPersonNm |
| PTIN | P00750418 | PTIN |
| Phone | 3043434188 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 206.248.228.130 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-04-14 | IPDt |
| IP Tm | 13:57:43 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | D0156BD46B4B1FE921C9503B1D7FFBF99E37DBAB | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 567944BCA731C85981930DF85E78C07D1ED9CF06 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHAEL E MAYS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 SOUTH EISENHOWER DRIVE | AddressLine1Txt |
| City | BECKLEY | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $14,695,169 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FMRS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1969 | FormationYr |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Activity Or Mission | DEDICATED TO ENHANCING THE EMOTIONAL AND BEHAVIORAL HEALTH OF SOUTHERN WEST VIRGINIA THROUGH ADVOCACY, COMMUNITY INVOLVEMENT AND PROVISION OF THE HIGHEST QUALITY DIAGNOSTIC AND PROFESSIONAL TREATMENT SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 346 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,120,233 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,395,983 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,543,280 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,075,411 | CYProgramServiceRevenueAmt |
| PY Investment Income | $48,539 | PYInvestmentIncomeAmt |
| CY Investment Income | $86,830 | CYInvestmentIncomeAmt |
| PY Other Revenue | $117,374 | PYOtherRevenueAmt |
| CY Other Revenue | $136,945 | CYOtherRevenueAmt |
| PY Total Revenue | $14,829,426 | PYTotalRevenueAmt |
| CY Total Revenue | $14,695,169 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,337,150 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,704,134 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,716,278 | PYOtherExpensesAmt |
| CY Other Expenses | $3,872,369 | CYOtherExpensesAmt |
| PY Total Expenses | $14,053,428 | PYTotalExpensesAmt |
| CY Total Expenses | $14,576,503 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $775,998 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $118,666 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $10,820,961 | TotalAssetsBOYAmt |
| Total Assets EOY | $11,000,532 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,485,652 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,546,557 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,335,309 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $9,453,975 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | DEDICATED TO ENHANCING THE EMOTIONAL AND BEHAVIORAL HEALTH OF RESIDENTS OF SOUTHERN WEST VIRGINIA THROUGH ADVOCACY, COMMUNITY INVOLVEMENT AND PROVISION OF THE HIGHEST QUALITY DIAGNOSTIC AND PROFESSIONAL TREATMENT SERVICES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,861,144 | ExpenseAmt |
| Revenue | $1,316,791 | RevenueAmt |
| Desc | SUBSTANCE ABUSE - FEDERALLY FUNDED PROGRAM OFFERING A COMPREHENSIVE ARRAY OF SUBSTANCE ABUSE ASSESSMENT AND TREATMENT SERVICES TO MEET THE VARYING NEEDS OF THOSE WHO ARE ABUSING OR ADDICTED TO ALCOHOL OR OTHER DRUGS OF ABUSE | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,700,036 | ExpenseAmt |
| Revenue | $1,150,458 | RevenueAmt |
| Desc | OUTPATIENT - PROGRAM FOCUSING ON THE DIAGNOSIS AND TREATMENT OF EMOTIONAL AND BEHAVIORAL HEALTH PROBLEMS ON AN OUTPATIENT | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,579,220 | ExpenseAmt |
| Revenue | $1,810,775 | RevenueAmt |
| Desc | WAIVER SERVICES - STATE FUNDED MEDICAID PROGRAM DESIGNED TO DELIVER SERVICES TO INDIVIDUALS IN THEIR HOME AND COMMUNITY AS AN ALTERNATIVE TO RECEIVING SERVICES IN AN INTERMEDIATE CARE FACILITY | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,086,144 | ExpenseAmt |
| Revenue | $3,939,832 | RevenueAmt |
| Desc | CRISIS - COMPREHENSIVE ARRAY OF PROGRAMS DESIGNED TO STABILIZE THE CONDITIONS OF ACUTE OR SEVERE PSYCHIATRIC SYMPTOMS; DAY TREATMENT - PROGRAM FOCUSING ON THE DIAGNOSIS AND TREATMENT OF EMOTIONAL AND BEHAVIORAL HEALTH PROBLEMS IN A DAY TIME TREATMENT; COMMUNITY ENGAGEMENT ( FORMERLY CARE COORDINATOR) - PROGRAM TO DEVELOP A COMMUNITY SUPPORT SYSTEM FOR ADULTS WITH SERIOUS MENTAL ILLNESS AND CO-OCCURRING MENTAL ILLNESS AND/OR SUBSTANCE ABUSE AND/OR DEVELOPMENTAL DISABILITIES WHO ARE AT RISK OF HOSPITALIZATION; PHYSICIANS - PROGRAM DEDICATED TO ENHANCING THE EMOTIONAL AND BEHAVIORAL HEALTH THROUGH ADVOCACY, COMMUNITY INVOLVEMENT AND PROVISION OF THE HIGHEST QUALITY DIAGNOSTIC AND PROFESSIONAL TREATMENT SERVICES; SERVICE COORDINATION - CASE MANAGEMENT PROGRAM DESIGNED TO PROVIDE A SINGLE POINT OF CONTACT TO ENSURE PATIENTS' NEEDS ARE MET; ACT - ASSERTIVE COMMUNITY TREATMENT. AN INCLUSIVE ARRAY OF COMMUNITY-BASED REHABILITATION SERVICES TO HIGH RISK CONSUMERS WHO HAVE A HISTORY OF FREQUENT HOSPITALIZATIONS AND/OR CRISIS CONTACTS | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $6,086,144 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $3,939,832 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $11,226,544 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 27 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 346 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARY REDMAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3042567100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 S EISENHOWER DR | AddressLine1Txt |
| City | BECKLEY | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25801 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| DANIEL CALVERT | |||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JEANA CARR | |||||||
| VICE-PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ELIZABETH SIZEMORE | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CLYDE SMITH | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BETTY GILES | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CLEO MATHEWS | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JACK TANNER | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BRAD WARTELLA | |||||||
| AT-LARGE COMMITTEE MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL E MAYS | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | Yes (X) | $150,075 | $0 | $18,322 | ||
| MARY REDMAN | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | Yes (X) | $88,214 | $0 | $16,020 | ||
| JENNIFER HAMICK | |||||||
| CHIEF OPERATIONS OFFICER | 40.00 | Yes (X) | $88,214 | $0 | $16,020 | ||
| MICHELLE PILKINGTON | |||||||
| PHYSICIAN ASSISTANT | 40.00 | $117,744 | $0 | $18,249 | Yes (X) | ||
| EDWARD BEZ | |||||||
| PHYSICIAN | 40.00 | $263,326 | $0 | $21,122 | Yes (X) | ||
| TAMMY SAULS | |||||||
| FAMILY NURSE PRACTITIONER | 40.00 | $111,582 | $0 | $15,009 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $819,155 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $104,742 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| QUALIFACTS INC | |||||
| PO BOX 4577 | CAROL STREAM | IL | 60197 | CLINICAL SOFTWARE AND SUPPORT | $191,351 |
| APPALACHIAN PSYCHIATRIC SERVICES PLLC | |||||
| PO BOX 1128 | BECKLEY | WV | 25802 | CONTRACTED PHYSICIAN SERVICES | $175,120 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $6,395,983 | GovernmentGrantsAmt |
| Total Contributions | $6,395,983 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE FEES, NET | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $8,075,411 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,075,411 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,075,411 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $81,330 | TotalRevenueColumnAmt |
| Exclusion | $81,330 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $5,500 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $5,500 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,500 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,500 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $136,945 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $136,945 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $136,945 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,695,169 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,217,856 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $81,330 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $379,212 | TotalAmt |
| Program Services | $220,028 | ProgramServicesAmt |
| Management And General | $159,184 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,119,173 | TotalAmt |
| Program Services | $6,538,894 | ProgramServicesAmt |
| Management And General | $1,580,279 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $399,482 | TotalAmt |
| Program Services | $303,473 | ProgramServicesAmt |
| Management And General | $96,009 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,047,960 | TotalAmt |
| Program Services | $796,100 | ProgramServicesAmt |
| Management And General | $251,860 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $758,307 | TotalAmt |
| Program Services | $576,061 | ProgramServicesAmt |
| Management And General | $182,246 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,430 | TotalAmt |
| Program Services | $125 | ProgramServicesAmt |
| Management And General | $89,305 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,212 | TotalAmt |
| Management And General | $34,212 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $864,966 | TotalAmt |
| Program Services | $658,662 | ProgramServicesAmt |
| Management And General | $206,304 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $160,203 | TotalAmt |
| Program Services | $41,073 | ProgramServicesAmt |
| Management And General | $119,130 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $612,762 | TotalAmt |
| Program Services | $258,392 | ProgramServicesAmt |
| Management And General | $354,370 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,239 | TotalAmt |
| Program Services | $149,397 | ProgramServicesAmt |
| Management And General | $3,842 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,740 | TotalAmt |
| Program Services | $2,642 | ProgramServicesAmt |
| Management And General | $1,098 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $226,433 | TotalAmt |
| Program Services | $120,896 | ProgramServicesAmt |
| Management And General | $105,537 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $200,445 | TotalAmt |
| Program Services | $143,727 | ProgramServicesAmt |
| Management And General | $56,718 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| OTHER EXPENSES | $743,059 | $678,705 | $64,354 |
| BAD DEBTS | $530,609 | $530,609 | |
| FURNITURE AND FIXTURES | $253,271 | $207,760 | $45,511 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,576,503 | TotalAmt |
| Program Services | $11,226,544 | ProgramServicesAmt |
| Management And General | $3,349,959 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,500,047 | BOYAmt |
| EOY | $5,522,301 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,177,579 | BOYAmt |
| EOY | $940,863 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,031,660 | BOYAmt |
| EOY | $2,282,241 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $925,458 | BOYAmt |
| EOY | $1,028,045 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $97,360 | BOYAmt |
| EOY | $101,196 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,554,353 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,519,701 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,088,857 | BOYAmt |
| EOY | $1,034,652 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $91,234 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,820,961 | BOYAmt |
| EOY | $11,000,532 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,403,949 | BOYAmt |
| EOY | $1,336,465 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $68,003 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,703 | BOYAmt |
| EOY | $50,855 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $91,234 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,485,652 | BOYAmt |
| EOY | $1,546,557 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,335,309 | BOYAmt |
| EOY | $9,453,975 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,335,309 | BOYAmt |
| EOY | $9,453,975 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,820,961 | BOYAmt |
| EOY | $11,000,532 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $118,666 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,451,703 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,374,679 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,692,731 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,120,233 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,395,983 | CurrentTaxYearAmt |
| Total | $29,035,329 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $335,556 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $335,556 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $335,556 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $335,556 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $335,556 | CurrentTaxYearAmt |
| Total | $1,677,780 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,787,259 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,710,235 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,028,287 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,455,789 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,731,539 | CurrentTaxYearAmt |
| Total | $30,713,109 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $30,713,109 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,902 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $648 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,852 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $48,270 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $81,330 | CurrentTaxYearAmt |
| Total | $141,002 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $91,399 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $91,148 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $436,314 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $117,374 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $136,945 | CurrentTaxYearAmt |
| Total | $873,180 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $31,727,291 | TotalSupportAmt |
| Public Support CY170 | 0.96800 | PublicSupportCY170Pct |
| Public Support PY170 | 0.97140 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $119,210 | OtherCostOrOtherBasisAmt |
| Book Value | $119,210 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,498,711 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,979,435 | DepreciationAmt |
| Book Value | $519,276 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $715,037 | OtherCostOrOtherBasisAmt |
| Depreciation | $527,303 | DepreciationAmt |
| Book Value | $187,734 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,246,240 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,189,239 | DepreciationAmt |
| Book Value | $57,001 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $975,155 | OtherCostOrOtherBasisAmt |
| Depreciation | $823,724 | DepreciationAmt |
| Book Value | $151,431 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,034,652 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LIABILITY FOR PROPERTY HELD FOR OTHERS | Desc |
| Amt | $91,234 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $91,234 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $14,504,369 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $339,809 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $339,809 | RevenueNotReportedAmt |
| Revenue Subtotal | $14,164,560 | RevenueSubtotalAmt |
| Other Revenues Not Included | $530,609 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $530,609 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $14,695,169 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $14,385,703 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $339,809 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $339,809 | ExpensesNotReportedAmt |
| Expenses Subtotal | $14,045,894 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $530,609 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $530,609 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $14,576,503 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RECLASS OF BAD DEBT EXPENSE FOR 990 530,609. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | RECLASS OF BAD DEBTS EXPENSE FOR 990 530,609. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL E MAYS | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $150,075 | $0 | $0 | $0 | $0 | $0 | $10,506 | $0 | $7,816 | $0 | $168,397 | $0 | $0 | $0 |
| EDWARD BEZ | ||||||||||||||
| PHYSICIAN | $263,326 | $0 | $0 | $0 | $0 | $0 | $10,533 | $0 | $10,589 | $0 | $284,448 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | COPY REVIEWED BY FINANCE COMMITTEE BEFORE FILED WHEN PRACTICAL, OTHERWISE REVIEWED SUBSEQUENT TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | REVIEWED REGUALARLY AND HANDLED ACCORDINGLY. |
| FORM 990, PART VI, SECTION B, LINE 15 | 15A: COMPENSATION DICTATED BY CONTRACT ESTABLISHED BY BOARD BASED ON MARKET VALUE AND REVIEWED ANNUALLY. 15B: REVIEWED ANNUALLY BASED ON MARKET VALUE OF POSITION. |
| FORM 990, PART VI, SECTION C, LINE 19 | AVAILABLE UPON REQUEST |
| FROM 990, PART XII LINE 2C | FORM 990, PART XII, LINE 2C NO CHANGE FROM PRIOR YEAR |
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