Civic Intelligence

Universal Medical Services Inc.

990 • Fiscal year 2019 • EIN 26-1084365

Jan 01, 2019 to Dec 31, 2019 • Filed on Nov 12, 2020

1801 Nicollet Avenue SouthMinneapolis, MN 55403

(612) 823-2947

Siviq Scores

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

Liabilities / Assets

90th percentile

0.85x

Higher debt load relative to assets than 90% of similar nonprofits.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2019

Liabilities / Revenue

45th percentile

0.07x

Higher debt load relative to revenue than 45% of similar nonprofits.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2019

Net Margin

37th percentile

-0.4%

Higher net margin than 37% of similar nonprofits.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2019

Top Officer Pay

88th percentile

$180,000

Higher top officer pay than 88% of similar nonprofits.

Top officer pay equals 4.6% of source-year revenue.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2019

Asset Growth

44th percentile

1.3%

Faster asset growth than 44% of similar nonprofits.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2017 to 2019

Revenue Growth

73rd percentile

19%

Faster revenue growth than 73% of similar nonprofits.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2017 to 2019

Assets

Up

$302,608

Up $7,865 (+2.7%) from 2017

Net Assets

Up

$44,643

Up $77,895 (+234%) from 2017

Liabilities

Down

$257,965

Down $70,030 (-21%) from 2017

Revenue

Up

$3,917,355

Up $1,138,226 (+41%) from 2017

Expenses

Up

$3,934,353

Up $1,462,225 (+59%) from 2017

Net Income

Down

-$16,998

Down $323,999 (-106%) from 2017

Historical Trend

Balance Sheet Trend

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

$3.0M$2.0M$1.0M$0-$1.0M-$2.0MAssets 2011: $469,585Liabilities 2011: $597,562Net Assets 2011: -$127,9772011Assets 2012: $703,502Liabilities 2012: $566,884Net Assets 2012: $136,6182012Assets 2013: $874,610Liabilities 2013: $622,210Net Assets 2013: $252,4002013Assets 2016: $252,172Liabilities 2016: $1,252,616Net Assets 2016: -$1,000,4442016Assets 2017: $294,743Liabilities 2017: $327,995Net Assets 2017: -$33,2522017Assets 2019: $302,608Liabilities 2019: $257,965Net Assets 2019: $44,6432019Assets 2020: $1,547,088Liabilities 2020: $437,059Net Assets 2020: $1,110,0292020Assets 2021: $2,202,446Liabilities 2021: $405,678Net Assets 2021: $1,796,7682021Assets 2022: $2,384,128Liabilities 2022: $44,870Net Assets 2022: $2,339,2582022Assets 2023: $2,669,987Liabilities 2023: $409,932Net Assets 2023: $2,260,0552023Assets 2024: $2,967,811Liabilities 2024: $281,072Net Assets 2024: $2,686,7392024

Highlighted filing

2019

Assets$302,608
Liabilities$257,965
Net Assets$44,643

Operations Trend

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

$8.0M$6.0M$4.0M$2.0M$0-$2.0MExpenses 2011: $1,464,8982011Expenses 2012: $1,869,7722012Revenue 2013: $2,227,167Expenses 2013: $2,111,385Net Income 2013: $115,7822013Revenue 2016: $2,396,264Expenses 2016: $2,292,391Net Income 2016: $103,8732016Revenue 2017: $2,779,129Expenses 2017: $2,472,128Net Income 2017: $307,0012017Revenue 2019: $3,917,355Expenses 2019: $3,934,353Net Income 2019: -$16,9982019Revenue 2020: $6,026,437Expenses 2020: $4,961,052Net Income 2020: $1,065,3852020Revenue 2021: $6,370,898Expenses 2021: $5,684,157Net Income 2021: $686,7412021Revenue 2022: $6,575,163Expenses 2022: $6,032,674Net Income 2022: $542,4892022Revenue 2023: $6,555,549Expenses 2023: $6,634,753Net Income 2023: -$79,2042023Revenue 2024: $7,211,777Expenses 2024: $6,785,093Net Income 2024: $426,6842024

Highlighted filing

2019

Revenue$3,917,355
Expenses$3,934,353
Net Income-$16,998
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Nov 12, 2020
Return Version
2019v5.1
Gross Receipts
$3,917,355
Mission and Program Overview

Mission

Our mission is to provide high quality, accessible, primary health care, selected specialty services, and public health services to our community.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$259,445$236,360▼ $23,085
Land, Buildings, and Equipment, Net$38,792$66,248▲ $27,456
Total Assets$298,237$302,608▲ $4,371
Liabilities
Other Liabilities$220,000$255,364▲ $35,364
Accounts Payable and Accrued Expenses$16,779$2,601▼ $14,178
Total Liabilities$236,779$257,965▲ $21,186
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$61,458$44,643▼ $16,815
Total Net Assets Fund Balance$61,458$44,643▼ $16,815
Total Liabilities and Net Assets / Fund Balance$298,237$302,608▲ $4,371

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$66,248$195,774-
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Theodore JamesCEOFT$180,000-$180,000
Theodore James--$180,000-$180,000
Jack Mutnick--$168,057$374$168,431
Jack MutnickDr.FT$166,717-$166,717
Juan LewisDr.FT$141,075-$141,075
Judith WanyamaMedical DirectorFT$122,741-$122,741

Board Members and Trustees

NameTitle
Abdirahman AdanBoard Member
Divine ArpelletBoard Member
Fred AdiyiaBoard Member
Idara UkoBoard Member
Safia MusseBoard Member
Shakleen ShakurBoard Member
Ugo EkoBoard Member
Dr Crispin SemakulaDr.
Gracious MsuyaSecretary
Daniel LoesTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$3,917,355
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-16,998
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$2,836,585
Other Expenses$1,097,768
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$1,862,428$205,371$0$2,067,799
All Other Expenses$777,599$0$0$777,599
Payroll Taxes$668,847$15,711$0$684,558
Occupancy$101,915$0$0$101,915
Information Technology$87,703$0$0$87,703
Other Employee Benefits$77,566$6,662$0$84,228
Office Expenses$70,659$0$0$70,659
Fees for Services Accounting$31,363$0$0$31,363
Fees for Services Legal$20,982$0$0$20,982
Conferences and Meetings$7,547$0$0$7,547
Total Functional Expenses$3,706,609$227,744$0$3,934,353
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Loans Payable$241,187
Taxes payable$14,177
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No
Filing and Contact Details

Filer

Filer Name
Universal Medical Services INC
EIN
26-1084365
Phone
6128232947
Address
1801 Nicollet Avenue South, Minneapolis, MN 55403
Doing Business As
Axis Medical Center

Signing Officer

Name
Dr Crispin Semakula
Title
Chairman
Phone
6128232947
Signed
2020-11-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Crispin J Semakula
Formed
2008
Legal Domicile
Mn
Voting Board Members
10
Independent Board Members
10
Employees
59
Volunteers
0

Preparer

Firm
Formulaic Services Inc
Address
2873 2nd St N, North St Paul, MN 55109
Preparer
Bill Cournoyer
Phone
6514397007
Supplemental Narrative

Additional Explanations

Pt VI, Line 11B

a copy is provided to all board members and it is reviewed in the board meeting

Pt VI, Line 12C

tHE GOVERNING BODY HAS PROCEDURES AND POLICIES IN PLACE TO MAKE SURE THAT THE ORGANIZATION IS IN COMPLIANCE

Pt VI, Line 15A

The board reviews compensation by comparing to peer organizations

Pt VI, Line 15B

The board reviews compensation by comparing to peer organizations

Form 990, Part IX, Line 24E

Lab 14113. 14113. 0. 0.

Form 990, Part IX, Line 24E

Medical Supplies 140447. 140447. 0. 0.

Form 990, Part IX, Line 24E

Bank Fee 504. 504. 0. 0.

Form 990, Part IX, Line 24E

Parking 4278. 4278. 0. 0.

Form 990, Part IX, Line 24E

Interpreting 187423. 187423. 0. 0.

Form 990, Part IX, Line 24E

IT Outside 1550. 1550. 0. 0.

Form 990, Part IX, Line 24E

Business License 69. 69. 0. 0.

Form 990, Part IX, Line 24E

Medical Consulting 73334. 73334. 0. 0.

Form 990, Part IX, Line 24E

Recruitment 2418. 2418. 0. 0.

Form 990, Part IX, Line 24E

Dues & Subscriptions 2632. 2632. 0. 0.

Form 990, Part IX, Line 24E

Emp Appreciation 4770. 4770. 0. 0.

Form 990, Part IX, Line 24E

Community Outreach 7788. 7788. 0. 0.

Form 990, Part IX, Line 24E

Utilities 48925. 48925. 0. 0.

Form 990, Part IX, Line 24E

repairs 1774. 1774. 0. 0.

Form 990, Part IX, Line 24E

Billing 146228. 146228. 0. 0.

Form 990, Part IX, Line 24E

Grant 8564. 8564. 0. 0.

Form 990, Part IX, Line 24E

Reference Materials 94. 94. 0. 0.

Form 990, Part IX, Line 24E

Provider Tax 85642. 85642. 0. 0.

Form 990, Part IX, Line 24E

Facility Exp 447. 447. 0. 0.

Form 990, Part IX, Line 24E

Insurance 42039. 42039. 0. 0.

Form 990, Part IX, Line 24E

Medical Records 3537. 3537. 0. 0.

Form 990, Part IX, Line 24E

Misc Clinic Exp 250. 250. 0. 0.

Form 990, Part IX, Line 24E

Other Exp 773. 773. 0. 0.

Raw XML AppendixShowing 400 of 495 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/OfficeExpensesGrp/TotalAmt070659
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherEmployeeBenefitsGrp/FundraisingAmt00
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt06662
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt077566
IRS990/OtherEmployeeBenefitsGrp/TotalAmt084228
IRS990/OtherLiabilitiesGrp/BOYAmt0220000
IRS990/OtherLiabilitiesGrp/EOYAmt0255364
IRS990/OtherSalariesAndWagesGrp/FundraisingAmt00
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt0205371
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt01862428
IRS990/OtherSalariesAndWagesGrp/TotalAmt02067799
IRS990/PartialLiquidationInd0false
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/FundraisingAmt00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt015711
IRS990/PayrollTaxesGrp/ProgramServicesAmt0668847
IRS990/PayrollTaxesGrp/TotalAmt0684558
IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfficerNm0Crispin J Semakula
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/BusinessCd0621400
IRS990/ProgramServiceRevenueGrp/Desc0fee for Medical care
IRS990/ProgramServiceRevenueGrp/ExclusionAmt00
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt03917355
IRS990/ProgramServiceRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYExcessBenefitTransInd0false
IRS990/PYInvestmentIncomeAmt0295
IRS990/PYOtherExpensesAmt0931224
IRS990/PYOtherRevenueAmt017721
IRS990/PYProgramServiceRevenueAmt03160029
IRS990/PYRevenuesLessExpensesAmt094713
IRS990/PYSalariesCompEmpBnftPaidAmt02152108
IRS990/PYTotalExpensesAmt03083332
IRS990/PYTotalRevenueAmt03178045
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReconcilationRevenueExpnssAmt0-16998
IRS990/RegularMonitoringEnfrcInd0true
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0true
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RevenueAmt03917355
IRS990/RoyaltiesRevenueGrp/ExclusionAmt00
IRS990/RoyaltiesRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt00
IRS990/RoyaltiesRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990ScheduleA/HospitalInd0X
IRS990ScheduleA/InvestmentIncomeCYPct00
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/PublicSupportCY170Pct00
IRS990ScheduleA/PublicSupportCY509Pct00
IRS990ScheduleA/PublicSupportTotal509Amt00
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/EquipmentGrp/BookValueAmt066248
IRS990ScheduleD/EquipmentGrp/DepreciationAmt0195774
IRS990ScheduleD/EquipmentGrp/InvestmentCostOrOtherBasisAmt0262022
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0241187
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt114177
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0Loans Payable
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1Taxes payable
IRS990ScheduleD/TotalBookValueLandBuildingsAmt066248
IRS990ScheduleD/TotalLiabilityAmt0255364
IRS990ScheduleJ/AnyNonFixedPaymentsInd0false
IRS990ScheduleJ/BoardOrCommitteeApprovalInd0X
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd0false
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd0false
IRS990ScheduleJ/CompensationCommitteeInd0X
IRS990ScheduleJ/CompensationSurveyInd0X
IRS990ScheduleJ/EquityBasedCompArrngmInd0false
IRS990ScheduleJ/Form990OfOtherOrganizationsInd0X
IRS990ScheduleJ/InitialContractExceptionInd0false
IRS990/ScheduleJRequiredInd0true
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt0180000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt1168057
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount1374
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0Theodore James
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1Jack Mutnick
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt0180000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt1168431
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt10
IRS990ScheduleJ/SeverancePaymentInd0false
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd0false
IRS990ScheduleJ/WrittenEmploymentContractInd0X
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0a copy is provided to all board members and it is reviewed in the board meeting
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1tHE GOVERNING BODY HAS PROCEDURES AND POLICIES IN PLACE TO MAKE SURE THAT THE ORGANIZATION IS IN COMPLIANCE
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE BOARD REVIEWS COMPENSATION BY COMPARING TO PEER ORGANIZATIONS
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE BOARD REVIEWS COMPENSATION BY COMPARING TO PEER ORGANIZATIONS
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4Lab 14113. 14113. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5Medical Supplies 140447. 140447. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6Bank Fee 504. 504. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7Parking 4278. 4278. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8Interpreting 187423. 187423. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9IT Outside 1550. 1550. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt10Business License 69. 69. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt11Medical Consulting 73334. 73334. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt12Recruitment 2418. 2418. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt13Dues & Subscriptions 2632. 2632. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt14Emp Appreciation 4770. 4770. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt15Community Outreach 7788. 7788. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt16Utilities 48925. 48925. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt17repairs 1774. 1774. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt18Billing 146228. 146228. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt19Grant 8564. 8564. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt20Reference Materials 94. 94. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt21Provider Tax 85642. 85642. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt22Facility Exp 447. 447. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt23Insurance 42039. 42039. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt24Medical Records 3537. 3537. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt25Misc Clinic Exp 250. 250. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt26Other Exp 773. 773. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Pt VI, Line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Pt VI, Line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Pt VI, Line 15a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Pt VI, Line 15b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part IX, Line 24e
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Form 990, Part IX, Line 24e
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Form 990, Part IX, Line 24e
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7Form 990, Part IX, Line 24e
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8Form 990, Part IX, Line 24e
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9Form 990, Part IX, Line 24e
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc10Form 990, Part IX, Line 24e
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc11Form 990, Part IX, Line 24e
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc12Form 990, Part IX, Line 24e
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc13Form 990, Part IX, Line 24e
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc14Form 990, Part IX, Line 24e
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc15Form 990, Part IX, Line 24e

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