Civic Intelligence

Moab Free Health Clinic

EIN 26-2082745 • 501(c)3 • Moab, UT

Profile

The moab free health clinic is a nonprofit organization established in 2008 to ensure that all members of the moab community have access to medical care and health resources regardless of race, religion, age, gender, health care coverage, or financial need.

121 W 200 S Suite AMoab, UT 84532

moabfreehealthclinic.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

78th percentile

0.46x

Higher debt load relative to assets than 78% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Liabilities / Revenue

91st percentile

2.17x

Higher debt load relative to revenue than 91% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Net Margin

75th percentile

22%

Higher net margin than 75% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Top Officer Pay

39th percentile

$103,249

Higher top officer pay than 39% of similar nonprofits.

Top officer pay equals 6.6% of source-year revenue.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Asset Growth

65th percentile

9.4%

Faster asset growth than 65% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2023 to 2024

Revenue Growth

8th percentile

-34%

Faster revenue growth than 8% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets78th percentile

Assets

Up

$7,275,285

Up $622,818 (+9.4%) from 2023

Liabilities

Up

$3,375,310

Up $113,724 (+3.5%) from 2023

Net Assets

Up

$3,899,975

Up $509,094 (+15%) from 2023

Operations
Liabilities / Revenue91st percentileNet Margin75th percentile

Revenue

Down

$1,557,430

Down $816,172 (-34%) from 2023

Expenses

Up

$1,215,334

Up $109,826 (+9.9%) from 2023

Net Income

Down

$342,096

Down $925,998 (-73%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth65th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$8.0M$6.0M$4.0M$2.0M$0Assets 2013: $27,497Net Assets 2013: $27,4972013Assets 2014: $110,946Liabilities 2014: $3,604Net Assets 2014: $107,3422014Assets 2015: $220,246Liabilities 2015: $3,604Net Assets 2015: $216,6422015Assets 2016: $661,697Liabilities 2016: $4,953Net Assets 2016: $656,7442016Assets 2017: $883,767Liabilities 2017: $2,525Net Assets 2017: $881,2422017Assets 2018: $1,121,956Liabilities 2018: $4,506Net Assets 2018: $1,117,4502018Assets 2019: $1,112,738Liabilities 2019: $8,123Net Assets 2019: $1,104,6152019Assets 2020: $1,311,658Liabilities 2020: $16,322Net Assets 2020: $1,295,3362020Assets 2021: $1,540,350Liabilities 2021: $3,773Net Assets 2021: $1,536,5772021Assets 2022: $6,063,778Liabilities 2022: $4,005,335Net Assets 2022: $2,058,4432022Assets 2023: $6,652,467Liabilities 2023: $3,261,586Net Assets 2023: $3,390,8812023Assets 2024: $7,275,285Liabilities 2024: $3,375,310Net Assets 2024: $3,899,9752024

Highlighted filing

2024

Assets$7,275,285
Liabilities$3,375,310
Net Assets$3,899,975
Open 2024 Filing

Operations Trend

Revenue Growth8th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$3.0M$2.0M$1.0M$0-$1.0MRevenue 2013: $59,049Expenses 2013: $54,595Net Income 2013: $4,4542013Revenue 2014: $179,851Expenses 2014: $100,006Net Income 2014: $79,8452014Revenue 2015: $269,051Expenses 2015: $159,751Net Income 2015: $109,3002015Revenue 2016: $633,729Expenses 2016: $193,627Net Income 2016: $440,1022016Revenue 2017: $438,812Expenses 2017: $214,314Net Income 2017: $224,4982017Revenue 2018: $605,896Expenses 2018: $369,688Net Income 2018: $236,2082018Revenue 2019: $363,486Expenses 2019: $376,321Net Income 2019: -$12,8352019Revenue 2020: $592,123Expenses 2020: $401,312Net Income 2020: $190,8112020Revenue 2021: $810,231Expenses 2021: $617,559Net Income 2021: $192,6722021Revenue 2022: $1,599,995Expenses 2022: $932,852Net Income 2022: $667,1432022Revenue 2023: $2,373,602Expenses 2023: $1,105,508Net Income 2023: $1,268,0942023Revenue 2024: $1,557,430Expenses 2024: $1,215,334Net Income 2024: $342,0962024

Highlighted filing

2024

Revenue$1,557,430
Expenses$1,215,334
Net Income$342,096
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$7,275,285
Liabilities
$3,375,310
Net assets
$3,899,975
Revenue
$1,557,430
Expenses
$1,215,334
Net income
$342,096
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.28$3.38$3.90$1.56$1.22$0.34
2023Detailed filing. Detailed filing data is available for this year.$6.65$3.26$3.39$2.37$1.11$1.27
2022Detailed filing. Detailed filing data is available for this year.$6.06$4.01$2.06$1.60$0.93$0.67
2021Detailed filing. Detailed filing data is available for this year.$1.54$0.00$1.54$0.81$0.62$0.19
2020Detailed filing. Detailed filing data is available for this year.$1.31$0.02$1.30$0.59$0.40$0.19
2019Detailed filing. Detailed filing data is available for this year.$1.11$0.01$1.10$0.36$0.38$0.01
2018Detailed filing. Detailed filing data is available for this year.$1.12$0.00$1.12$0.61$0.37$0.24
2017Detailed filing. Detailed filing data is available for this year.$0.88$0.00$0.88$0.44$0.21$0.22
2016Detailed filing. Detailed filing data is available for this year.$0.66$0.00$0.66$0.63$0.19$0.44
2015Detailed filing. Detailed filing data is available for this year.$0.22$0.00$0.22$0.27$0.16$0.11
2014Detailed filing. Detailed filing data is available for this year.$0.11$0.00$0.11$0.18$0.10$0.08
2013Detailed filing. Detailed filing data is available for this year.$0.03$0.03$0.06$0.05$0.00
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Sep 18, 2025
Return Version
2024v5.0
Gross Receipts
$1,557,430
Mission and Program Overview

Mission

To ensure that all members of the moab community are able to access healthcare regardless of race, religion, age, gender, health care coverage, or financial need

The moab free health clinic, established in 2008 and expanded in 2023 to include the moab community resource center, is a nonprofit organization committed to ensuring that all members of the moab community have access to quality healthcare and social resources.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$5,649,559$5,734,677▲ $85,118
Rtn Earn Endowment Incm Other Fnds$3,390,881$3,899,975▲ $509,094
Investments in Publicly Traded Securities$735,171$811,764▲ $76,593
Cash and Non-Interest-Bearing Accounts$245,398$680,390▲ $434,992
Accounts Receivable$9,778$24,422▲ $14,644
Inventories for Sale or Use-$18,000-
Savings and Temporary Cash Investments$12,031$6,032▼ $5,999
Total Assets$6,652,467$7,275,285▲ $622,818
Other Assets Total$530--
Liabilities
Mortgage Notes Payable Secured by Investment Property$3,255,000$3,072,042▼ $182,958
Accounts Payable and Accrued Expenses$6,586$279,765▲ $273,179
Deferred Revenue-$23,503-
Total Liabilities$3,261,586$3,375,310▲ $113,724
Net Assets / Fund Balance
Total Net Assets Fund Balance$3,390,881$3,899,975▲ $509,094
Total Liabilities and Net Assets / Fund Balance$6,652,467$7,275,285▲ $622,818

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$5,080,616$524,702$5,605,318
Land$597,539-$597,539
Equipment$56,522$69,757$126,279
Other Land Buildings-$1,221$1,221
Compensation and Service Providers
Top Officer Pay39th percentile

Employees

NameTitleFull / Part TimeBaseTotal
Katherine JaglaExecutive DiFT$103,249$103,249

Board Members and Trustees

NameTitle
Danette JohnsonPresident
Dr Sean BuckBoard Member
Kelly BehBoard Member
Leticia BentleyBoard Member
Cassie PaupSecretary
Antje RathTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$1,269,718
Program Service Revenue
$0
Investment Income
$24,378
Other Revenue
$263,334
All Other Contributions
$1,037,301
Change in Net Assets
$342,096
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$693,861
Other Expenses$521,473
Total Fundraising Expense$91,581
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$418,196$31,911$52,948$503,055
Depreciation Depletion$195,274$27,636$20,861$243,771
Current Officers, Directors, Trustees, and Key Employees$77,437$25,812-$103,249
Occupancy$30,892$52,093$3,300$86,285
All Other Expenses$26,218$17,303$5,513$49,034
Payroll Taxes$31,482$4,455$3,363$39,300
Other Employee Benefits$28,806$4,077$3,077$35,960
Office Expenses-$31,649$244$31,893
Fees for Services Accounting-$28,308-$28,308
Fees for Services Other$14,713--$14,713
Insurance$11,449$1,620$1,223$14,292
Other Expenses$12,974$12,420-$12,420
Pension Plan Contributions$9,851$1,394$1,052$12,297
Total Functional Expenses$885,075$238,678$91,581$1,215,334
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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
No
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
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 11B

“Form 990 will be provided to the board of directors prior to filing”

Form 990, Page 6, Part VI, Line 12C

“Every year, board members are required to disclose any conflicts of interest they may have with the organization”

Form 990, Page 6, Part VI, Line 15A

“The executive director's salary is reviewed and set annually by the board of directors. The board factors in performance of the executive director, comparable salaries for similar positions, the clinic's current financal position and budget, changes in job responsiblities, and cost of living adjustments.”

Form 990, Page 6, Part VI, Line 19

“AVAILABLE UPON REQUEST”

Filing and Contact Details

Filer

Filer Name
Moab Free Health Clinic
EIN
26-2082745
Phone
4352591113
Address
121 W 200 S SUITE A, MOAB, UT 84532

Signing Officer

Name
Danette Johnson
Title
President
Phone
4352591113
Signed
2025-09-18
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Danette Johnson
Formed
2008
Legal Domicile
Ut
Voting Board Members
6
Independent Board Members
6
Employees
16
Volunteers
50

Preparer

Firm
Soronen Donley Patterson CPA Pc
Address
706 S 9TH ST 1, GRAND JUNCTION, CO 81501-3736
Preparer
Willy Corey CPA
Phone
9702418346
Supplemental Narrative

Additional Explanations

FORM 990 - ORGANIZATION'S MISSION

“The moab free health clinic, established in 2008 and expanded in 2023 to include the moab community resource center, is a nonprofit organization committed to ensuring that all members of the moab community have access to quality healthcare and social resources.”

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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/OtherExpensesGrp/Desc0LAB & PATHOLOGY TESTS
IRS990/OtherExpensesGrp/Desc1DENTAL
IRS990/OtherExpensesGrp/Desc2TRANSLATION & INTERP
IRS990/OtherExpensesGrp/Desc3CANYONLANDS VISTA PROJECT
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IRS990/OtherExpensesGrp/ProgramServicesAmt013917
IRS990/OtherExpensesGrp/ProgramServicesAmt113866
IRS990/OtherExpensesGrp/ProgramServicesAmt212974
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IRS990/OtherExpensesGrp/TotalAmt312420
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IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt031911
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt0418196
IRS990/OtherSalariesAndWagesGrp/TotalAmt0503055
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IRS990/OwnWebsiteInd0X
IRS990/PartialLiquidationInd0false
IRS990/PayrollTaxesGrp/FundraisingAmt03363
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt04455
IRS990/PayrollTaxesGrp/ProgramServicesAmt031482
IRS990/PayrollTaxesGrp/TotalAmt039300
IRS990/PensionPlanContributionsGrp/FundraisingAmt01052
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt01394
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt09851
IRS990/PensionPlanContributionsGrp/TotalAmt012297
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IRS990/PrincipalOfficerNm0DANETTE JOHNSON
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IRS990/PYExcessBenefitTransInd0false
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IRS990/PYOtherRevenueAmt0222797
IRS990/PYRevenuesLessExpensesAmt01268094
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IRS990/PYTotalExpensesAmt01105508
IRS990/PYTotalRevenueAmt02373602
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IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
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IRS990/SavingsAndTempCashInvstGrp/BOYAmt012031
IRS990/SavingsAndTempCashInvstGrp/EOYAmt06032
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0PART II, LINE 10
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IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt01457998
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt01477021
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt0601021
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt0500043
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt05305801
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt0263334
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt0206797
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt0110301
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt0797
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt01588
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt0582817
IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt057836
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus3YearsAmt0107086
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus4YearsAmt074450
IRS990ScheduleA/OtherIncome170Grp/TotalAmt0181536
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IRS990ScheduleA/PublicSupportPY170Pct00.88960
IRS990ScheduleA/PublicSupportTotal170Amt04966176
IRS990ScheduleA/SubstantialContributorsTotAmt0339625
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IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0601021
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt0500043
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt05305801
IRS990ScheduleA/TotalSupportAmt06070154
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IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
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IRS990ScheduleD/EquipmentGrp/BookValueAmt056522
IRS990ScheduleD/EquipmentGrp/DepreciationAmt069757
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt0126279
IRS990ScheduleD/LandGrp/BookValueAmt0597539
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt0597539
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt01221
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt01221
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE MOAB FREE HEALTH CLINIC, ESTABLISHED IN 2008 AND EXPANDED IN 2023 TO INCLUDE THE MOAB COMMUNITY RESOURCE CENTER, IS A NONPROFIT ORGANIZATION COMMITTED TO ENSURING THAT ALL MEMBERS OF THE MOAB COMMUNITY HAVE ACCESS TO QUALITY HEALTHCARE AND SOCIAL RESOURCES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1FORM 990 WILL BE PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2EVERY YEAR, BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST THEY MAY HAVE WITH THE ORGANIZATION
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE EXECUTIVE DIRECTOR'S SALARY IS REVIEWED AND SET ANNUALLY BY THE BOARD OF DIRECTORS. THE BOARD FACTORS IN PERFORMANCE OF THE EXECUTIVE DIRECTOR, COMPARABLE SALARIES FOR SIMILAR POSITIONS, THE CLINIC'S CURRENT FINANCAL POSITION AND BUDGET, CHANGES IN JOB RESPONSIBLITIES, AND COST OF LIVING ADJUSTMENTS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4AVAILABLE UPON REQUEST
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990 - ORGANIZATION'S MISSION
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 19
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IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
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IRS990/TotalContributionsAmt01269718
IRS990/TotalEmployeeCnt016
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt091581
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0238678
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0885075
IRS990/TotalFunctionalExpensesGrp/TotalAmt01215334
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt03261586
IRS990/TotalLiabilitiesEOYAmt03375310
IRS990/TotalLiabilitiesGrp/BOYAmt03261586
IRS990/TotalLiabilitiesGrp/EOYAmt03375310
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt03390881
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt03899975
IRS990/TotalProgramServiceExpensesAmt0885075
IRS990/TotalReportableCompFromOrgAmt0103249
IRS990/TotalRevenueGrp/ExclusionAmt0263334
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt024378
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt01557430
IRS990/TotalVolunteersCnt050
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IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt07275285
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IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
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IRS990/USAddress/CityNm0MOAB
IRS990/USAddress/StateAbbreviationCd0UT
IRS990/USAddress/ZIPCd084532
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IRS990/VotingMembersIndependentCnt06
IRS990/WebsiteAddressTxt0MOABFREEHEALTHCLINIC.ORG
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0DANETTE JOHNSON
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum04352591113
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-09-18
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0MOAB FREE HEALTH CLINIC
ReturnHeader/Filer/BusinessNameControlTxt0MOAB
ReturnHeader/Filer/EIN0262082745
ReturnHeader/Filer/PhoneNum04352591113
ReturnHeader/Filer/USAddress/AddressLine1Txt0121 W 200 S SUITE A
ReturnHeader/Filer/USAddress/CityNm0MOAB
ReturnHeader/Filer/USAddress/StateAbbreviationCd0UT
ReturnHeader/Filer/USAddress/ZIPCd084532
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0true
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0841196239
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0SORONEN DONLEY PATTERSON CPA PC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0706 S 9TH ST 1
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0GRAND JUNCTION
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0CO
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0815013736
ReturnHeader/PreparerPersonGrp/PhoneNum09702418346
ReturnHeader/PreparerPersonGrp/PreparationDt02025-09-18
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0WILLY COREY CPA
ReturnHeader/ReturnTs02025-09-29T10:15:21-04:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02024-01-01

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