LAKESIDE BEIKIRCH CARE CENTER INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- LAKESIDE BEIKIRCH CARE CENTER INC (EIN 22-2998029)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-10-10
- IRS object ID
- 201712839349301756
- Schema version
- 2016v3.0
- 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 | 2017-10-10T16:09:08-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 161131146 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BONADIO & CO LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 171 SULLYS TRAIL SUITE 201 | AddressLine1Txt |
| City | PITTSFORD | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14534 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222998029 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAKESIDEBEIKIRCH CARE CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LAKE | BusinessNameControlTxt |
| Phone | 5853956095 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 170 WEST AVENUE | AddressLine1Txt |
| City | BROCKPORT | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14420 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ALFRED KLYCEK | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 5853956095 | PhoneNum |
| Signature | 2017-10-04 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KELLEY DEMONTE | PreparerPersonNm |
| PTIN | P01382609 | PTIN |
| Phone | 5853811000 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 4.14.157.194 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-10-04 | IPDt |
| IP Tm | 15:20:32 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | F810F9FE0C4C4DAD171A8C8E72DF89C05E51BF9A | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | E93B0435E2F7FD893AF805DA20DC9A956C86EDB6 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PATRICIA HAYLES | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 170 WEST AVENUE | AddressLine1Txt |
| City | BROCKPORT | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14420 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $11,690,004 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.LAKESIDEHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1989 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | OPERATE A NURSING HOME AND PROMOTING THE ENHANCEMENT OF HEALTH CARE SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 295 | TotalEmployeeCnt |
| Total Volunteers | 40 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,678 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,285 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $12,064,823 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $11,682,185 | CYProgramServiceRevenueAmt |
| PY Investment Income | $478 | PYInvestmentIncomeAmt |
| CY Investment Income | $542 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,477 | PYOtherRevenueAmt |
| CY Other Revenue | $5,992 | CYOtherRevenueAmt |
| PY Total Revenue | $12,075,456 | PYTotalRevenueAmt |
| CY Total Revenue | $11,690,004 | 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 | $6,724,769 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,800,284 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,144,603 | PYOtherExpensesAmt |
| CY Other Expenses | $4,872,717 | CYOtherExpensesAmt |
| PY Total Expenses | $11,869,372 | PYTotalExpensesAmt |
| CY Total Expenses | $11,673,001 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $206,084 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $17,003 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $8,438,415 | TotalAssetsBOYAmt |
| Total Assets EOY | $8,087,314 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,295,684 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,928,096 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$857,269 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$840,782 | NetAssetsOrFundBalancesEOYAmt |
| Mission | OPERATE A NURSING HOME AND PROMOTING THE ENHANCEMENT OF HEALTH CARE SERVICES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $9,517,076 | ExpenseAmt |
| Revenue | $11,688,177 | RevenueAmt |
| Desc | NURSING PATIENT CARE INVOLVING MEDICAL SERVICES, BOARD AND LODGING FOR SICK, DISABLED OR CONVALESCENT PERSONS | Desc |
| Total Program Service Expenses | $9,517,076 | 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 | Yes (1) | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | 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 | 0 | 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 | Yes (1) | 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 | 22 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 295 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 | Yes (1) | 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 | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALFRED KLYCEK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5853956095 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 170 WEST AVENUE | AddressLine1Txt |
| City | BROCKPORT | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14420 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| PATRICIA HAYLES | ||||||
| BOARD CHAIR | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| PAT O'BRIEN | ||||||
| VICE CHAIR | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JOHN GARDNER | ||||||
| TREASURER | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| KATHLEEN PETERSON | ||||||
| BOARD SECRETARY | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MICHAEL RAFF | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| KORY HUNSINGER | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| CRAIG ZICARI | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| JOHN HEISE | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| ELIZABETH CARUSO | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| KIMBERLY KLINETOB | ||||||
| ADMINISTRATOR | 40.00 | Yes (X) | $85,381 | $0 | $0 | |
| ALFRED KLYCEK | ||||||
| CFO | 23.00 | Yes (X) | $83,275 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $168,656 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MVP HEALTH CARE INC | |||||
| PO BOX 26864 | NEW YORK | NY | 10087 | EMPLOYEE HEALTHCARE COVERAGE | $841,032 |
| PHYSICAL OCCUPATIONAL REHAB THERAPY | |||||
| 7733 FORSYTH BLVD | ST LOUIS | MO | 63105 | PHYSICAL THERAPY | $768,336 |
| NEW YORK STATE INSURANCE FUND | |||||
| PO BOX 5238 | NEW YORK | NY | 10008 | WORKER'S COMPENSATION | $466,822 |
| US FOODSERVICE | |||||
| PO BOX 644547 | PITTSBURGH | PA | 15264 | FOOD SERVICES | $349,180 |
| OMNICARE OF NY | |||||
| PO BOX 781668 | DETROIT | MI | 48278 | LTC PHARMACY SERVICES | $271,912 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $1,285 | AllOtherContributionsAmt |
| Total Contributions | $1,285 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET RESIDENT SERVICE REVENUE | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $11,682,185 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,682,185 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $11,682,185 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $542 | TotalRevenueColumnAmt |
| Exclusion | $542 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER | Desc |
| Business | 623990 | BusinessCd |
| Total Revenue Column | $5,992 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,992 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,992 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,690,004 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,688,177 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $542 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,364,249 | TotalAmt |
| Program Services | $4,291,399 | ProgramServicesAmt |
| Management And General | $1,072,850 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,018,423 | TotalAmt |
| Program Services | $814,738 | ProgramServicesAmt |
| Management And General | $203,685 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $417,612 | TotalAmt |
| Program Services | $334,090 | ProgramServicesAmt |
| Management And General | $83,522 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,803 | TotalAmt |
| Management And General | $42,803 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,630 | TotalAmt |
| Management And General | $25,630 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,753,050 | TotalAmt |
| Program Services | $1,402,440 | ProgramServicesAmt |
| Management And General | $350,610 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $140,497 | TotalAmt |
| Management And General | $140,497 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,948 | TotalAmt |
| Program Services | $27,158 | ProgramServicesAmt |
| Management And General | $6,790 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,428 | TotalAmt |
| Program Services | $5,942 | ProgramServicesAmt |
| Management And General | $1,486 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $381,805 | TotalAmt |
| Program Services | $305,444 | ProgramServicesAmt |
| Management And General | $76,361 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $407,090 | TotalAmt |
| Program Services | $325,672 | ProgramServicesAmt |
| Management And General | $81,418 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146,074 | TotalAmt |
| Program Services | $116,859 | ProgramServicesAmt |
| Management And General | $29,215 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $960,368 | $960,368 | |
| NEW YORK STATE ASSESSME | $567,795 | $567,795 | |
| BAD DEBT EXPENSE | $200,936 | $200,936 | |
| REPAIRS AND MAINTENANCE | $180,701 | $144,561 | $36,140 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,592 | TotalAmt |
| Program Services | $19,674 | ProgramServicesAmt |
| Management And General | $4,918 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,673,001 | TotalAmt |
| Program Services | $9,517,076 | ProgramServicesAmt |
| Management And General | $2,155,925 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $633,697 | BOYAmt |
| EOY | $652,734 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,489,862 | BOYAmt |
| EOY | $1,454,810 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $139,554 | BOYAmt |
| EOY | $138,091 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,342,062 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,833,240 | BOYAmt |
| EOY | $5,841,679 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,438,415 | BOYAmt |
| EOY | $8,087,314 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,147,220 | BOYAmt |
| EOY | $1,112,283 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,168 | BOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,872,693 | BOYAmt |
| EOY | $6,486,482 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,230,603 | BOYAmt |
| EOY | $1,329,331 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,295,684 | BOYAmt |
| EOY | $8,928,096 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$972,926 | BOYAmt |
| EOY | -$955,923 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,778 | BOYAmt |
| EOY | $62,520 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,879 | BOYAmt |
| EOY | $52,621 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$857,269 | BOYAmt |
| EOY | -$840,782 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,438,415 | BOYAmt |
| EOY | $8,087,314 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $17,003 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$516 | 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $1,352 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $36,399 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,991 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $746 | CurrentTaxYearAmt |
| Total | $42,488 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,552,233 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,706,553 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,317,793 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,064,823 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,682,185 | CurrentTaxYearAmt |
| Total | $56,323,587 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,552,233 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,707,905 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,354,192 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,068,814 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,682,931 | CurrentTaxYearAmt |
| Total | $56,366,075 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $56,366,075 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,169 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $731 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $923 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $478 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $542 | CurrentTaxYearAmt |
| Total | $3,843 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,169 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $731 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $923 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $478 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $542 | CurrentTaxYearAmt |
| Total | $3,843 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,967 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $175,440 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,732 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,164 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,531 | CurrentTaxYearAmt |
| Total | $195,834 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,555,369 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,884,076 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,360,847 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,075,456 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,690,004 | CurrentTaxYearAmt |
| Total | $56,565,752 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99650 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99640 | PublicSupportPY509Pct |
| Investment Income CY | 0.00010 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00010 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2012 AMOUNT: $ 1,967. 2013 AMOUNT: $ 175,440. 2014 AMOUNT: $ 5,732. 2015 AMOUNT: $ 6,164. 2016 AMOUNT: $ 6,531. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | 0 | InclEscrowCustodialAcctLiabInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $115,658 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$517 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $115,141 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $120,421 | BeginningYearBalanceAmt |
| Contributions | $8,000 | ContributionsAmt |
| Investment Earnings Or Losses | -$4,086 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $8,677 | OtherExpendituresAmt |
| End Year Balance | $115,658 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $117,865 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2,556 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $120,421 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $105,689 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $14,894 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,718 | OtherExpendituresAmt |
| End Year Balance | $117,865 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $102,949 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $14,843 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $12,103 | OtherExpendituresAmt |
| End Year Balance | $105,689 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.46000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.54000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ASSETS WHOSE USE IS LIMITED | $1,678,411 |
| DUE FROM STRONG WEST | $16,626 |
| BENEFICIAL INTEREST IN NET ASSETS OF LAKESIDE FOUNDATION, INC. | $115,141 |
| DUE FROM FOUNDATION | $1,760 |
| ASSETS HELD FOR SALE | $4,029,741 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $5,841,679 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO HOSPITAL | $1,104,383 |
| DUE TO THIRD PARTY PAYERS | $204,996 |
| LIABILITIES HELD FOR SALE | $19,952 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,329,331 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $11,690,004 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $11,690,004 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $11,690,004 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $11,673,001 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $11,673,001 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $11,673,001 | TotalExpensesPerForm990Amt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE BOARD CHAIR PRESENTS THE DRAFT 990 TO THE DIRECTORS OF THE BOARD PRIOR TO FILING. ANY QUESTIONS ARE RAISED AND ONCE APPROVED, THE 990 INCLUDING ALL REQUIRED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, WAS PROVIDED/OR WAS MADE AVAILABLE TO EACH MEMBER OF THE BOARD BEFORE ITS FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THIS IS DISCUSSED ANNUALLY AT THE BOARD MEETING. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE BOARD REVIEWS COMPENSATION ANNUALLY. MARKET SURVEYS ARE UTILIZED TO ASSESS COMPETITIVE SALARY LEVELS FOR EXECUTIVE LEADERSHIP POSITIONS WITH THIS SURVEY INFORMATION FOR THE ROCHESTER REGION AS A BASIS. IT IS LAKESIDE'S POLICY TO PAY SALARIES FOR ALL EXECUTIVE POSITIONS THAT ARE COMPETITIVE FOR THE POSITION, WHICH ARE CONSISTENT WITH OUR ORGANIZATION'S SIZE AND ACCOUNT FOR THE OCCUPANTS' EXPERIENCE AND PERFORMANCE. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS ARE AVAILABLE UPON REQUEST |
| FORM 990, PART IX, LINE 11G | CONTRACTED & PURCHASED SERVICES AND CONSULTING: PROGRAM SERVICE EXPENSES 1,402,440. MANAGEMENT AND GENERAL EXPENSES 350,610. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,753,050. |
| FORM 990, PART XI, LINE 9: | CHANGE IN BENEFICIAL INTEREST OF LAKESIDE FOUNDATION -516. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| LAKESIDE MEMORIAL HOSPITAL | |||||||||
| 170 WEST AVENUE | BROCKPORT | NY | 14420 | 160743068 | PATIENT HEALTH CARE INCLUDING MEDICAL AND SURGICAL SERVICES (CLOSED IN 2013) | NY | 501(C)(3) | LINE 3 | 0 |
| LAKESIDE HEALTH SYSTEM INC | |||||||||
| 170 WEST AVENUE | BROCKPORT | NY | 14420 | 161396374 | LAKESIDE HEALTH SYSTEM INC. SERVES AS A PARENT CORPORATION | NY | 501(C)(3) | LINE 12A, I | 0 |
| LAKESIDE FOUNDATION INC | |||||||||
| 170 WEST AVENUE | BROCKPORT | NY | 14420 | 161374547 | LAKESIDE FOUNDATION'S PURPOSE IS TO SOLICIT, RECEIVE AND MAINTAIN FUNDS | NY | 501(C)(3) | LINE 7 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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