Civic Intelligence

Mhm Support Services

990 • Fiscal year 2015 • EIN 20-2553101

Jul 01, 2014 to Jun 30, 2015 • Filed on May 12, 2016

Refreshing map…

14528 South Outer Forty Rd ste 100Chesterfield, MO 63017

(314) 579-6100

Siviq Scores

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

Liabilities / Assets

99th percentile

1.77x

Higher debt load relative to assets than 99% of similar nonprofits.

2015 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2015

Liabilities / Revenue

75th percentile

0.95x

Higher debt load relative to revenue than 75% of similar nonprofits.

2015 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2015

Net Margin

10th percentile

-5.1%

Higher net margin than 10% of similar nonprofits.

2015 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2015

Top Officer Pay

98th percentile

$6,765,633

Higher top officer pay than 98% of similar nonprofits.

Top officer pay equals 1.0% of source-year revenue.

2015 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2015

Asset Growth

5th percentile

-11%

Faster asset growth than 5% of similar nonprofits.

2015 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2014 to 2015

Revenue Growth

65th percentile

8.0%

Faster revenue growth than 65% of similar nonprofits.

2015 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2014 to 2015

Assets

Down

$356,920,995

Down $41,915,602 (-11%) from 2014

Net Assets

Down

-$273,563,099

Down $35,475,281 (-15%) from 2014

Liabilities

Down

$630,484,094

Down $6,440,321 (-1.0%) from 2014

Revenue

Up

$665,816,955

Up $49,355,020 (+8.0%) from 2014

Expenses

Up

$699,534,667

Up $33,011,118 (+5.0%) from 2014

Net Income

Up

-$33,717,712

Up $16,343,902 (+33%) from 2014

Historical Trend

Balance Sheet Trend

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

$2.0B$1.0B$0-$1.0B-$2.0BAssets 2010: $398,396,796Liabilities 2010: $306,510,000Net Assets 2010: $91,886,7962010Assets 2011: $571,497,942Liabilities 2011: $400,569,236Net Assets 2011: $170,928,7062011Assets 2012: $497,713,976Liabilities 2012: $359,238,431Net Assets 2012: $138,475,5452012Assets 2013: $414,961,144Liabilities 2013: $584,564,566Net Assets 2013: -$169,603,4222013Assets 2014: $398,836,597Liabilities 2014: $636,924,415Net Assets 2014: -$238,087,8182014Assets 2015: $356,920,995Liabilities 2015: $630,484,094Net Assets 2015: -$273,563,0992015Assets 2016: $402,586,876Liabilities 2016: $579,847,076Net Assets 2016: -$177,260,2002016Assets 2017: $317,823,920Liabilities 2017: $634,571,833Net Assets 2017: -$316,747,9132017Assets 2018: $383,759,637Liabilities 2018: $708,403,517Net Assets 2018: -$324,643,8802018Assets 2019: $376,241,500Liabilities 2019: $895,507,263Net Assets 2019: -$519,265,7632019Assets 2020: $863,957,773Liabilities 2020: $1,773,261,492Net Assets 2020: -$909,303,7192020Assets 2021: $614,659,607Liabilities 2021: $1,875,064,663Net Assets 2021: -$1,260,405,0562021Assets 2022: $689,585,405Liabilities 2022: $1,419,726,373Net Assets 2022: -$730,140,9682022Assets 2023: $801,938,139Liabilities 2023: $1,229,932,034Net Assets 2023: -$427,993,8952023

Highlighted filing

2015

Assets$356,920,995
Liabilities$630,484,094
Net Assets-$273,563,099

Operations Trend

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

$1.5B$1.0B$500M$0-$500MExpenses 2010: $365,636,3642010Expenses 2011: $429,483,7532011Expenses 2012: $552,761,4942012Expenses 2013: $593,991,9882013Revenue 2014: $616,461,935Expenses 2014: $666,523,549Net Income 2014: -$50,061,6142014Revenue 2015: $665,816,955Expenses 2015: $699,534,667Net Income 2015: -$33,717,7122015Revenue 2016: $644,374,341Expenses 2016: $700,813,252Net Income 2016: -$56,438,9112016Revenue 2017: $715,118,639Expenses 2017: $693,955,228Net Income 2017: $21,163,4112017Revenue 2018: $867,709,519Expenses 2018: $866,715,868Net Income 2018: $993,6512018Revenue 2019: $965,404,009Expenses 2019: $1,050,087,426Net Income 2019: -$84,683,4172019Revenue 2020: $1,018,170,808Expenses 2020: $1,105,061,927Net Income 2020: -$86,891,1192020Revenue 2021: $1,289,803,506Expenses 2021: $1,122,130,994Net Income 2021: $167,672,5122021Revenue 2022: $1,227,902,351Expenses 2022: $1,266,030,520Net Income 2022: -$38,128,1692022Revenue 2023: $1,376,481,170Expenses 2023: $1,453,247,210Net Income 2023: -$76,766,0402023

Highlighted filing

2015

Revenue$665,816,955
Expenses$699,534,667
Net Income-$33,717,712
Jump To
Filing Snapshot
Filing Period
Jul 1, 2014 to Jun 30, 2015
Signed
May 12, 2016
Return Version
2014v6.0
Gross Receipts
$665,816,955
Mission and Program Overview

Mission

As the sisters of mercy before us, we bring to life the healing ministry of jesus through our compassionate care and exceptional service.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$321,546,221$306,218,931▼ $15,327,290
Other Notes and Loans Receivable, Net$14,733,002$19,577,466▲ $4,844,464
Prepaid Expenses and Deferred Charges$20,843,057$18,469,874▼ $2,373,183
Inventories for Sale or Use$10,748,070$10,008,077▼ $739,993
Cash and Non-Interest-Bearing Accounts$0$512,632▲ $512,632
Savings and Temporary Cash Investments$0$500,000▲ $500,000
Pledges and Grants Receivable$4,399$215,675▲ $211,276
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Accounts Receivable$28,783,048$-319,761▼ $29,102,809
Total Assets$398,836,597$356,920,995▼ $41,915,602
Other Assets Total$2,178,800$1,738,101▼ $440,699
Liabilities
Accounts Payable and Accrued Expenses$358,540,665$468,699,615▲ $110,158,950
Other Liabilities$272,072,950$155,814,320▼ $116,258,630
Deferred Revenue$5,585,132$5,287,676▼ $297,456
Grants Payable$725,668$682,483▼ $43,185
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$636,924,415$630,484,094▼ $6,440,321
Net Assets / Fund Balance
Temporarily Rstr Net Assets$3$3→ $0
Permanently Rstr Net Assets$0$0→ $0
Unrestricted Net Assets$-238,087,821$-273,563,102▼ $35,475,281
Total Net Assets Fund Balance$-238,087,818$-273,563,099▼ $35,475,281
Total Liabilities and Net Assets / Fund Balance$398,836,597$356,920,995▼ $41,915,602

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$148,093,498$578,548,942$726,642,440
Other Land Buildings$76,603,317$1,525,862$78,129,179
Buildings$50,511,788$6,510,283$57,022,071
Land$25,447,693-$25,447,693
Leasehold Improvements$5,562,635$14,953,602$20,516,237
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Beekman Sheri DFormer key employee-$51,161$797,165$848,326
Gunter MarcusCOO-Mercy ClinicsFT$491,182$296,674$787,856
Hale MD PhD ThomasExecutive medical directorFT$502,754$282,837$785,591
Smith MD TimothyVP-ResearchFT$488,072$208,378$696,450
Trulove RonChief reimbursement & revenueFT$328,179$361,911$690,090
Veremakis ChristopherMed director, Mercy VirtualFT$377,595$301,466$679,061
Waskiewicz Anthony SVP - Chief investment officerPT$373,110$222,290$595,400
Eoloff Eric JPresident, Mercy labsFT$334,563$195,986$530,549
Gilham CharlesFormer key employee-$110,855$403,429$514,284
Thompson CurtisChief contracting officerFT$294,945$189,893$484,838
Pursley JanetVP-Care managementPT$287,445$183,027$470,472
Starke MD Keith MChief Quality OfficerFT$245,776$221,130$466,906
Rosburg CynthiaChief HR OfficerFT$237,845$152,494$390,339
Hannasch SusanFormer key employee-$221,883$136,318$358,201
Bader TerryVP-Design & ConstructionFT$217,811$119,922$337,733
Krawat Anton MVP-Chief compliance officerFT$128,170$64,959$193,129
Knodel LindaSenior VP-Chief nursing off.PT$97,021$15,243$112,264
Vitiello JonathanSenior VP-Financial operationsPT$49,240$12,890$62,130

Board Members and Trustees

NameTitle
McCurry MichaelExec VP/Chief operating off.
Combs Randall JFormer officer
Wheeler PhilipSecy & Sr VP/General Counsel
Ford FredSenior VP - Ambulatory care
Mercer CynthiaSenior VP - Chief Admin. Off.
O'Toole BrianSenior VP - Mission
Moore VanceSenior VP-Operations
Sock ShannonTreasurer & CFO, Exec VP
Hoffman GilbertVP-Chief information officer

Highest Paid Contractors

ContractorServicesLocationCompensation
Clayco Construction CoConstruction2199 Innerbelt Business Ctr Dr, St Louis, MO 63114$13,165,096
Epic Systems CorporationSoftware ConsultingPO BOX 88314, Milwaukee, WI 53288$8,205,751
Xtend HealthcareCollection services500 W Main St Suite 14, Hendersonville, TN 37075$7,899,984
Microsoft CorporationSoftware consultingPO Box 844510, Dallas, TX 75284$6,687,448
Ge Health CareMaintenancePO BOX 843553, Dallas, TX 75284$5,737,137
Revenue and Support

Revenue Composition

Contributions and Grants
$1,215,174
Program Service Revenue
$632,417,720
Investment Income
$7,220,487
Other Revenue
$24,963,574
All Other Contributions
$256,989
Change in Net Assets
$-33,717,712
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$356,623,721
Other Expenses$341,646,877
Grants and Similar Amounts Paid$1,264,069
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$294,613,693$0$0$294,613,693
Depreciation Depletion$83,768,640$0$0$83,768,640
Information Technology$65,096,303$0$0$65,096,303
Fees for Services Other$57,186,942--$57,186,942
Office Expenses$38,566,420$0$0$38,566,420
Other Employee Benefits$35,891,780$0$0$35,891,780
Payroll Taxes$19,574,635$0$0$19,574,635
Occupancy$13,440,362$0$0$13,440,362
All Other Expenses$11,830,433--$11,830,433
Advertising$8,059,689$0$0$8,059,689
Travel$6,545,746$0$0$6,545,746
Fees for Services Legal$5,328,267$0$0$5,328,267
Current Officers, Directors, Trustees, and Key Employees$4,359,120$0$0$4,359,120
Other Expenses$3,600,689$0$0$3,600,689
Fees for Services Accounting$2,136,350$0$0$2,136,350
Pension Plan Contributions$1,322,778$0$0$1,322,778
Grants to Domestic Orgs$1,239,969--$1,239,969
Comp Disqual Persons$861,715$0$0$861,715
Fees for Services Lobbying$297,778$0$0$297,778
Conferences and Meetings$114,341$0$0$114,341
Grants to Domestic Individuals$24,100--$24,100
Interest$-1,151,516$0$0$-1,151,516
Insurance$-4,931,275$0$0$-4,931,275
Total Functional Expenses$699,534,667$0$0$699,534,667
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
ARKANSAS CHILDREN'S HOSPITALLittle Rock, AR501(c)(3)Support Mission$148,200
Aha Amer Heart AssocDallas, TX501(c)(3)Support Mission$125,000
Archdiocese of St Louis Catholic CharitiesSt Louis, MO501(c)(3)Support Mission$125,000
Gateway to HopeSt Louis, MO501(c)(3)support mission$103,000
Stl Symphony OrchestraSt Louis, MO501(c)(3)Support Mission$81,970
City Arch River 2015 FoundationSt Louis, MO501(c)(3)Support Mission$72,500
Coca Ctr of Creative ArtsSt Louis, MO501(c)(3)Support Mission$65,000
Civic ProgressSt Louis, MO501(c)(3)support mission$40,000
United Way of Greater St LouisSt Louis, MO501(c)(3)Support Mission$37,000
Mercy Family CenterMetairie, LA501(c)(3)Support Mission$35,374
Mercy Health Foundation StlSt Louis, MO501(c)(3)support mission$31,000
NCCS NATL CHILDREN'S CANCER SOCIETYSt Louis, MO501(c)(3)Support Mission$30,000
Mercy Health Foundation Nw ArkansasRogers, AR501(c)(3)Support Mission$27,500
City of Chesterfield Dept DivChesterfield, MOGov'tSupport Mission$25,000
St Edward Mercy FoundationFort Smith, AR501(c)(3)Support Mission$25,000
Casa De MisericordiaLaredo, TX501(c)(3)Support Mission$20,000
Hosp Sr Mission OutreachSpringfield, IL501(c)(3)Support Mission$14,800
Mercy Health Foundation Oklahoma CityOklahoma City, OK501(c)(3)Support Mission$14,000
Mercy Ministries of LaredoLaredo, TX501(c)(3)support mission$12,500
Stl Art Museum FoundationSt Louis, MO501(c)(3)Support Mission$12,500
Stl Sports FoundationSt Louis, MO501(c)(3)Support Mission$11,500
Soc of St Vincent De Paul StlSt Louis, MO501(c)(3)support mission$11,000
Boy Scouts of America Greater St LouisSt Louis, MO501(c)(3)Support Mission$10,000
Catholic Relief ServicesBaltimore, MD501(c)(3)Support Mission$10,000
Epworth Children and FamilySt Louis, MO501(c)(3)support mission$10,000
Fair Stl FoundationSt Louis, MO501(c)(3)support mission$10,000
Independence CenterSt Louis, MO501(c)(3)Support Mission$10,000
Marian Public SchoolSt Louis, MO501(c)(3)Support Mission$10,000
Otsl Opera Theatre of StlSt Louis, MO501(c)(3)support mission$10,000
Stl Police FoundationSt Louis, MO501(c)(3)Support Mission$10,000
Stl Sci Ctr FoundationSt Louis, MO501(c)(3)Support Mission$10,000
Thompson Found for AutismSt Louis, MO501(c)(3)support mission$10,000
Webster UniversitySt Louis, MO501(c)(3)support mission$10,000
Stl ZooSt Louis, MO501(c)(3)support mission$7,500
Grand CenterSt Louis, MO501(c)(3)support mission$6,000
Wfstl Womens Found Greater StlBrentwood, MO501(c)(3)support mission$6,000
Doorways Interfaith ResidenceSt Louis, MO501(c)(3)support mission$5,500
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
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Joseph DrozdaFamily of former key empEmploymentNo$277,437
Ryan BaderFamily member of key empEmploymentNo$144,047
Janine FordFamily of former OfficerEmploymentNo$133,951
Lisa BeekmanFamily of former key empEmploymentNo$91,055
Brooke SchulteFamily of former key empEmploymentNo$83,747
Anna CombsFamily of former OfficerEmploymentNo$79,037
Donna StarkeFamily member of key empEmploymentNo$52,441

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $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
Insurance Reserves$106,841,173
Due to Affiliates$23,037,279
Workers Compensation Reserve$13,190,868
Deferred Compensation$8,211,378
Unrestricted Minority Interest$4,533,622
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 family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Questions 6, 7A & 7B

Description of classes of members or stockholders the filing organization has a sole corporate member, mercy health. The following corporate powers and responsibilities are reserved solely to the sole corporate member: -to approve and establish the mission and philosophy according to which the corporation and all organizations controlled by the corporation shall operate; -to adopt or amend the articles of incorporation and bylaws of the corporation in accordance with articles ix and x of these bylaws and to amend the organizational documents of any organization controlled by the corporation; -to appoint or remove, with or without cause, any member of the board of directors of the corporation; -to appoint or remove, with or without cause, the ceo of the corporation or any organization controlled by the corporation; -to approve or amend the overall strategic, long range, business plans, goals, and objectives of the corporation or any organization controlled by the corporation; -to approve or amend the consolidated operating and capital budgets for the corporation or any organization controlled by the corporation and changes in budgets in excess of an amount established from time to time by mercy health; -to authorize and approve the lease or sale of any of the assets of the corporation or any organization controlled by the corporation in excess of an amount established from time to time by mercy health; -to encumber any or all of the assets of the corporation or any organization controlled by the corporation; -to authorize and approve the incurrence of debt by the corporation or any organization controlled by the corporation (other than debt incurred for the acquisition of goods in the ordinary course of business) and to grant any security interests, place any encumbrances, enter into any covenants, and execute any documents and take any actions necessary or appropriate in connection with the incurrence of such debt; and -to merge, dissolve, or abandon the corporation or any organization controlled by the corporation, subject to approval by the board as required pursuant to the missouri nonprofit corporation act.

Form 990, Part VI, Question 11B

Dscr the process used by management &/or governing body to review 990 the form 990 is prepared by an independent accounting firm, using information provided by the filing organization. A draft form 990 is reviewed by the filing organization's tax compliance team; members of this team are from various departments, including finance, legal, and tax. After questions arising from the various reviews are addressed and incorporated into the form 990, a revised draft is provided to the filing organization's leadership team, including the ceo, cfo, and general counsel for review. Once reviewed and approved by the filing organization's leadership team, the form 990 is then signed and filed with the irs.

Form 990, Part VI, Question 12C

Description of process to monitor transactions for conflicts of interest officers, directors, key employees and other disqualified persons are required to complete a conflict of interest questionnaire annually and did so in the normal course for the year ended june 30, 2015. This process is administered at the mercy health level by mercy's business risk (internal audit) department. The questionnaires are reviewed with leadership at the local level and potential conflicts discussed and resolved. The conflicts and their respective resolutions are shared at the mercy level with a team including mercy's chief financial officer, chief compliance officer and other members of finance, legal and hr. Summary results are reviewed with mercy's stewardship committee (formerly finance, audit and compliance committee) of the board of directors.

Form 990, Part VI, Questions 15A & 15B

Officers & positions for which process was used & year process was begun for those classified as officers (and thus disqualified persons), the organization relies upon mercy health, which uses the following to establish the compensation: external market salary surveys, external market salary studies, engagement of an independent compensation consultant, and review/approval of compensation by the compensation committee of the board of mercy health. For those classified as key employees, the organization uses the following to establish the compensation: external market salary surveys, external market salary studies, and review/approval of executive management. Compensation reviews are completed on an annual basis and a review was completed during the reporting year.

Form 990, Part VI, Question 19

Avail of gov docs, conflict of interest policy, & fin stmt to gen public governing documents, conflict of interest policy, and financial statements are made available upon request but are not published publicly.

Form 990, Part VII, Section A, Column B

Average hours per week the hours per week disclosed in part vii is the average hours the listed person worked or devoted per week while employed or associated with the filing organization and related organizations (if applicable).

Filing and Contact Details

Filer

Filer Name
MHM Support Services
EIN
20-2553101
In Care Of
% Shannon Sock
Phone
3145796100
Address
14528 South Outer Forty Rd ste 100, Chesterfield, MO 63017

Signing Officer

Name
Shannon Sock
Title
Executive VP & CFO
Signed
2016-05-12

Organization Details

Principal Officer
Shannon Sock
Formed
2004
Legal Domicile
Mo
Voting Board Members
7
Independent Board Members
0
Employees
5,173
Volunteers
0

Preparer

Firm
Ernst & Young US Llp
Address
1900 SCRIPPS CENTER 312 WALNUT ST, CINCINNATI, OH 45202
Preparer
Tricia M Johnson
Phone
5136121400
Supplemental Narrative

Additional Explanations

Form 990, Part V, Question 1A

Form 1099/1096 filing vendors for the filing organization are paid by mercy health (ein 43-1423050). As such, required form 1099 and form 1096 reporting is made for the entire health system (with limited exceptions) under the mercy health ein. The number disclosed in part v, 1a relates to research participants paid by mhm support services.

Form 990, Part XI, Line 9

Other change in net assets transfers to/from affiliates $ (782,521) miscellaneous $7,856 total ($774,665)

Form 990, Part XII, Question 2C

Audit of financial statements the filing organization's financial statements were included in the mercy health annual financial statement audit. Mercy health and subsidiaries received an unqualified opinion from the external auditors for fiscal 2015 (the tax year currently being reported). However, no separate audit opinion was issued on the financial statements of the filing organization. The ultimate responsibility for oversight of the financial statement audit and selection of the external auditor lies with the stewardship committee (formerly finance, audit, and compliance committee) of the mercy health board of directors. Audit results are communicated to this committee: stewardship committee (formerly finance, audit, and compliance committee) of the mercy health board of directors. Audit results are communicated to this committee.

Form 990, Part XII, Question 3A and 3B

Single audit act and omb circular a-133 mercy health undergoes a consolidated a-133 audit every year and did so for the fiscal year ending june 30, 2015. Each entity that receives federal funds during the year is included on the schedule of expenditures of federal awards (sefa) and is also included in the population available for audit. The filing entity received federal funds during the year ended june 30, 2015, was included on the mercy health consolidated sefa, and therefore, was also included in the population available for audit.

Financial Statement Notes

Form 990, Schedule D, Part X, Line 2

Asc 740 footnote primarily all of the mercy health entities are recognized by the internal revenue service as exempt from federal income tax under section 501(a) of the internal revenue code as charitable organizations qualifying under internal revenue code section 501(c)(3), by virtue of irs determination letters or inclusion in the official catholic directory. Mercy completed an analysis of its tax positions in accordance with applicable accounting guidance and determined that no amounts were required to be recognized in the consolidated financial statements at june 30, 2015 or 2014.

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IRS990/Form990PartVIISectionAGrp/TitleTxt0Senior VP - Ambulatory care
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Filings

Peer Organizations

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