Civic Intelligence

Patient Empowerment Network

990 • Fiscal year 2015 • EIN 27-1295230

Jan 01, 2015 to Dec 31, 2015 • Filed on May 31, 2016

PO Box 1646Bellevue, WA 98009

(434) 953-6394

Siviq Scores

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

Liabilities / Assets

16th percentile

0.00x

Higher debt load relative to assets than 16% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2015

Liabilities / Revenue

14th percentile

0.00x

Higher debt load relative to revenue than 14% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2015

Net Margin

23rd percentile

-7.7%

Higher net margin than 23% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2015

Top Officer Pay

54th percentile

$71,250

Higher top officer pay than 54% of similar nonprofits.

Top officer pay equals 6.9% of source-year revenue.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2015

Asset Growth

5th percentile

-25%

Faster asset growth than 5% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2014 to 2015

Revenue Growth

87th percentile

45%

Faster revenue growth than 87% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2014 to 2015

Assets

Down

$239,973

Down $79,209 (-25%) from 2014

Net Assets

Down

$239,685

Down $79,237 (-25%) from 2014

Liabilities

Up

$288

Up $28 (+11%) from 2014

Revenue

Up

$1,032,308

Up $322,117 (+45%) from 2014

Expenses

Up

$1,111,545

Up $554,498 (+100%) from 2014

Net Income

Down

-$79,237

Down $232,381 (-152%) from 2014

Historical Trend

Balance Sheet Trend

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

$1.5M$1.0M$500K$0-$500KAssets 2013: $165,827Liabilities 2013: $49Net Assets 2013: $165,7782013Assets 2014: $319,182Liabilities 2014: $260Net Assets 2014: $318,9222014Assets 2015: $239,973Liabilities 2015: $288Net Assets 2015: $239,6852015Assets 2016: $254,832Liabilities 2016: $322Net Assets 2016: $254,5102016Assets 2017: $290,608Liabilities 2017: $1,268Net Assets 2017: $289,3402017Assets 2018: $221,744Liabilities 2018: $1,295Net Assets 2018: $220,4492018Assets 2019: $228,186Liabilities 2019: $152Net Assets 2019: $228,0342019Assets 2021: $991,155Liabilities 2021: $675,587Net Assets 2021: $315,5682021Assets 2022: $1,181,068Liabilities 2022: $778,129Net Assets 2022: $402,9392022Assets 2024: $370,227Liabilities 2024: $737,950Net Assets 2024: -$367,7232024

Highlighted filing

2015

Assets$239,973
Liabilities$288
Net Assets$239,685

Operations Trend

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

$3.0M$2.0M$1.0M$0-$1.0MRevenue 2013: $235,643Expenses 2013: $73,048Net Income 2013: $162,5952013Revenue 2014: $710,191Expenses 2014: $557,047Net Income 2014: $153,1442014Revenue 2015: $1,032,308Expenses 2015: $1,111,545Net Income 2015: -$79,2372015Revenue 2016: $1,260,293Expenses 2016: $1,245,389Net Income 2016: $14,9042016Revenue 2017: $1,246,500Expenses 2017: $1,190,134Net Income 2017: $56,3662017Revenue 2018: $767,116Expenses 2018: $832,932Net Income 2018: -$65,8162018Revenue 2019: $835,776Expenses 2019: $828,191Net Income 2019: $7,5852019Revenue 2021: $1,494,101Expenses 2021: $1,405,581Net Income 2021: $88,5202021Revenue 2022: $2,140,713Expenses 2022: $2,067,969Net Income 2022: $72,7442022Revenue 2024: $2,063,537Expenses 2024: $2,755,396Net Income 2024: -$691,8592024

Highlighted filing

2015

Revenue$1,032,308
Expenses$1,111,545
Net Income-$79,237
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
May 31, 2016
Return Version
2015v2.1
Gross Receipts
$1,032,308
Mission and Program Overview

Mission

To fortify the health care consumers with the knowledge and tools to feel

To fortify the health care consumers with the knowledge and tools to feel more confident playing a central role in decisions that affect their health, putting them more in control of their health and health care.

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$318,922$239,685▼ $79,237
Cash and Non-Interest-Bearing Accounts$313,780$215,877▼ $97,903
Other Notes and Loans Receivable, Net-$23,425-
Prepaid Expenses and Deferred Charges$5,402--
Land, Buildings, and Equipment, Net-$671-
Total Assets$319,182$239,973▼ $79,209
Liabilities
Unsecured Notes Loans Payable$260$288▲ $28
Total Liabilities$260$288▲ $28
Net Assets / Fund Balance
Total Net Assets Fund Balance$318,922$239,685▼ $79,237
Total Liabilities and Net Assets / Fund Balance$319,182$239,973▼ $79,209

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$671-$671
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Joan JusticeExecutive DirectorFT$71,250$71,250

Board Members and Trustees

NameTitle
Scott RiccioBoard Chair & President
Francis La PollBoard Member
Nick AllenBoard Member
Randall BroadBoard Member & Secretary
Jack AielloBoard Member & Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Patient Power LLCVideo ProductionPO BOX 1666, Bellevue, WA 98009$737,184
Revenue and Support

Revenue Composition

Contributions and Grants
$1,032,308
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
All Other Contributions
$1,032,308
Change in Net Assets
$-79,237
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$978,156
Salaries, Compensation, and Employee Benefits$81,240
Grants and Similar Amounts Paid$52,149
Total Fundraising Expense$41,550
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$901,610$0$0$901,610
Current Officers, Directors, Trustees, and Key Employees$0$35,625$35,625$71,250
Foreign Grants$52,149--$52,149
Office Expenses$376$23,327$930$24,633
Fees for Services Legal$390$15,186$0$15,576
Travel$14,171$591$0$14,762
Fees for Services Accounting$0$8,081$0$8,081
Payroll Taxes$0$2,915$2,915$5,830
Information Technology$0$5,437$0$5,437
Other Salaries and Wages$0$2,080$2,080$4,160
Insurance$0$2,347$0$2,347
Other Expenses$420$0$0$420
Total Functional Expenses$974,406$95,589$41,550$1,111,545
International Activity

International Summary

Offices
0
Employees
4
Spending
$78,146

International Compliance

Foreign grant records maintained
Yes
Activity in boycott countries
No
Foreign corporation ownership
No
Foreign partnership interest
No
Interest in foreign trust
No
Passive foreign investment company interest
No
Transfers to foreign corporations
Yes

International Activities

RegionActivityServicesOfficesEmployeesSpending
EuropeGrant to PEF-01$52,149
EuropeLegal Fees - loan to PEFLegal Services01$12,947
EuropeProgram Services -InterviewsVideo Production01$12,275
EuropeProgram ServicesWriting Services01$775
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
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-ENTITY 35%+ OWNED BY ANDREW SCHORRVideo Production ServicesNo$737,184
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
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
Filing and Contact Details

Filer

Filer Name
Patient Empowerment Network
EIN
27-1295230
Phone
4349536394
Address
PO BOX 1646, BELLEVUE, WA 98009

Signing Officer

Name
Joan Justice
Title
Executive Director
Phone
4349536394
Signed
2016-05-31
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Scott Riccio
Formed
2009
Legal Domicile
Wa
Voting Board Members
5
Independent Board Members
5
Employees
3
Volunteers
5

Preparer

Firm
Shelby Fbouchercpa Inc Ps
Address
5321 CANVASBACK RD, BLAINE, WA 98230
Preparer
Shelby F Boucher
Phone
3607992370
Supplemental Narrative

Additional Explanations

Pt X

Part X, Line 7, Legal and other expenses paid to help start up a nonprofit in Europe - "PEF" Patient Empowerment Foundation (also noted on Schedule F).

Pt X

Part X, Line 24, Visa balance

Pt VI, Line 8B

Part VI, Line 8b, The organization does not have any committees with authority to act on behalf of the board.

Pt VI, Line 8B

Part VI, Line 8b, PEN has no committees.

Pt VI, Line 11B

Part VI, Line 11b, CPA forwarded a copy of Form 990 via email to each board member upon completion and prior to e-filing.

Pt VI, Line 12C

Part VI, Line 12c, The Conflict of Interest policy states that any director, principal officer or member of a committee with governing board delegated powers, who has a direct or indirect financial interest is an interested person and must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of committees with governing board delegated powers considering the proposed transaction or arrangement. After disclosure of the financial interest and all material facts, the interested person with the potential conflict of interest shall leave the governing board or committee meeting while the determination of a conflict of interest is discussed and voted upon. If the governing board or committee has reasonable cause to believe a member has failed to disclose actual or possible conflicts of interest, it shall inform the member of the basis for such belief and afford the member an opportunity to explain the alleged failure to disclose. If after hearing the response and making further investigation the board or committee determines the member is in violation of the COI policy it shall take the appropriate disciplinary and corrective action.

Pt VI, Line 19

Part VI, Line 19, Upon Request

Pt VI, Line 15A

Part VI, Line 15a: The process for determining compensation of the Organization's Executive Director was based on an analysis of the Guidestar Report, Charity Navigator, etc. found on the internet for Executive Director compensation amounts. The data was discussed and compensation approved by the independent Board of Directors.

Other

Part I, Line 6a, All board members volunteered their board services.

Other

Part IX, Line 11g - Other Fees for Services (non employees) totaling $901,610. All Direct Program Services including Commissions $3,000; Contract Labor $16,297; Editing & Copyrighting $13,360; Honoraria $7,000; Interpretation Services $700; Transcription Services $6,324; Venue, Catering & Audiovisual $4,573; Video Editing $28,415; Video Production $792,696; Videographer $27,570; Writing Services (blogs) $1,675.

Other

Amended return for page 1 signed by Executive Director rather than Board Chair as original filed return stated.

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IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt0239685
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IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt0235643
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt0207
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt03372
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt01981721
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt00
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IRS990ScheduleA/PublicSupportCY170Pct00.35980
IRS990ScheduleA/PublicSupportCY509Pct00
IRS990ScheduleA/PublicSupportPY170Pct00.22510
IRS990ScheduleA/PublicSupportTotal170Amt0713048
IRS990ScheduleA/PublicSupportTotal509Amt00
IRS990ScheduleA/SubstantialContributorsTotAmt01268673
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt01032308
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0710191
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0235643
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0207
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt03372
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt01981721
IRS990ScheduleA/TotalSupportAmt01981721
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
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IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
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IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
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IRS990ScheduleD/EquipmentGrp/BookValueAmt0671
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt0671
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0671
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IRS990ScheduleF/AccountActivitiesOutsideUSGrp/EmployeeCnt11
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/EmployeeCnt21
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/EmployeeCnt31
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IRS990ScheduleF/AccountActivitiesOutsideUSGrp/OfficesCnt30
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTotalExpendituresAmt012275
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTotalExpendituresAmt112947
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTotalExpendituresAmt2775
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTotalExpendituresAmt352149
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTxt0Europe
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTxt1Europe
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTxt2Europe
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTxt3Europe
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/SpecificServicesProvidedTxt0Video Production
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/SpecificServicesProvidedTxt1Legal Services
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/SpecificServicesProvidedTxt2Writing Services
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/TypeOfActivitiesConductedTxt0Program Services -Interviews
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/TypeOfActivitiesConductedTxt1Legal Fees - loan to PEF
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/TypeOfActivitiesConductedTxt2Program Services
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/TypeOfActivitiesConductedTxt3Grant to PEF
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IRS990ScheduleF/ForeignPartnershipInd0false
IRS990ScheduleF/GrantRecordsMaintainedInd0true
IRS990ScheduleF/GrantsToOrgOutsideUSGrp/CashGrantAmt052149
IRS990ScheduleF/GrantsToOrgOutsideUSGrp/MannerOfCashDisbursementTxt0WIRED FUNDS
IRS990ScheduleF/GrantsToOrgOutsideUSGrp/PurposeOfGrantTxt0START UP FUNDING
IRS990ScheduleF/GrantsToOrgOutsideUSGrp/RegionTxt0Europe
IRS990ScheduleF/InterestInForeignTrustInd0false
IRS990ScheduleF/PassiveForeignInvestmestCoInd0false
IRS990ScheduleF/SubtotalEmployeesCnt04
IRS990ScheduleF/SubtotalOfficesCnt00
IRS990ScheduleF/SubtotalSpentAmt078146
IRS990ScheduleF/SupplementalInformationDetail/ExplanationTxt0The Organization hired a video production company to recruit, manage, film and create interview guides in the United Kingdom and manage teams onsite, logistics, etc. The content was uploaded to PP EU and PP EU Onctube which was then promoted and reported on. The entire operation was managed by the Organization's employee and approved by the board based on her reports on the operation.
IRS990ScheduleF/SupplementalInformationDetail/ExplanationTxt1Pt IV, Line 1, The Organization gave a grant of cash of $52,149 to a foreign organization named PEF (Patient Empowerment Foundation) in Europe to help get it started. PEF is a Geneva based, registered charitable foundation (CHE-301.369.308) established to support the education and empowerment of patients, family members and caregivers affected by cancer and other chronic diseases. Information is also disclosed on Pt II, Line 1.
IRS990ScheduleF/SupplementalInformationDetail/FormAndLineReferenceDesc0Pt I Line 2
IRS990ScheduleF/SupplementalInformationDetail/FormAndLineReferenceDesc1Other
IRS990ScheduleF/Total501c3OrgCnt01
IRS990ScheduleF/TotalEmployeeCnt04
IRS990ScheduleF/TotalOfficeCnt00
IRS990ScheduleF/TotalSpentAmt078146
IRS990ScheduleF/TransferToForeignCorpInd0true
IRS990/ScheduleJRequiredInd0false
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/NameOfInterested/BusinessName/BusinessNameLine1Txt0PATIENT POWER LLC
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt0ENTITY 35%+ OWNED BY ANDREW SCHORR
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/SharingOfRevenuesInd0false
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionAmt0737184
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc0VIDEO PRODUCTION SERVICES
IRS990ScheduleL/SupplementalInformationDetail/ExplanationTxt0Patient Power LLC is a more than 35% controlled entity owned by the founder of the Organization, Andrew Schorr, who is no longer a board member. Patient Power LLC is a substantial contributor as well.
IRS990ScheduleL/SupplementalInformationDetail/FormAndLineReferenceDesc0Pt IV, Line 1b
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Part X, Line 7, Legal and other expenses paid to help start up a nonprofit in Europe - "PEF" Patient Empowerment Foundation (also noted on Schedule F).
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Part X, Line 24, Visa balance
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Part VI, Line 8b, The organization does not have any committees with authority to act on behalf of the board.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3Part VI, Line 8b, PEN has no committees.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4Part VI, Line 11b, CPA forwarded a copy of Form 990 via email to each board member upon completion and prior to e-filing.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5Part VI, Line 12c, The Conflict of Interest policy states that any director, principal officer or member of a committee with governing board delegated powers, who has a direct or indirect financial interest is an interested person and must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of committees with governing board delegated powers considering the proposed transaction or arrangement. After disclosure of the financial interest and all material facts, the interested person with the potential conflict of interest shall leave the governing board or committee meeting while the determination of a conflict of interest is discussed and voted upon. If the governing board or committee has reasonable cause to believe a member has failed to disclose actual or possible conflicts of interest, it shall inform the member of the basis for such belief and afford the member an opportunity to explain the alleged failure to disclose. If after hearing the response and making further investigation the board or committee determines the member is in violation of the COI policy it shall take the appropriate disciplinary and corrective action.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6Part VI, Line 19, Upon Request
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7Part VI, Line 15a: The process for determining compensation of the Organization's Executive Director was based on an analysis of the Guidestar Report, Charity Navigator, etc. found on the internet for Executive Director compensation amounts. The data was discussed and compensation approved by the independent Board of Directors.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8Part I, Line 6a, All board members volunteered their board services.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9Part IX, Line 11g - Other Fees for Services (non employees) totaling $901,610. All Direct Program Services including Commissions $3,000; Contract Labor $16,297; Editing & Copyrighting $13,360; Honoraria $7,000; Interpretation Services $700; Transcription Services $6,324; Venue, Catering & Audiovisual $4,573; Video Editing $28,415; Video Production $792,696; Videographer $27,570; Writing Services (blogs) $1,675.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt10Amended return for page 1 signed by Executive Director rather than Board Chair as original filed return stated.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Pt X
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Pt X
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Pt VI, Line 8b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Pt VI, Line 8b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Pt VI, Line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Pt VI, Line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Pt VI, Line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7Pt VI, Line 15a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8Other
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9Other
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc10Other
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IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
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IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0974406
IRS990/TotalFunctionalExpensesGrp/TotalAmt01111545
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