Civic Intelligence

University Physiatrics Associates Inc

EIN 35-1945677 • 501(c)3 • Indianapolis, IN

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Profile

Promotion of medical education and the provision of medical services.

355 W 16th St 4th Floor 4700Indianapolis, IN 46202

n/A

Siviq Scores

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

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2024

Liabilities / Revenue

20th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Net Margin

1st percentile

-742%

Higher net margin than 1% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Top Officer Pay

40th percentile

$0

Higher top officer pay than 40% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Asset Growth

2nd percentile

-100%

Faster asset growth than 2% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Revenue Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2023 to 2024

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $1,939,955 (-100%) from 2023

Liabilities

Flat

$0

Flat from 2023

Net Assets

Down

$0

Down $1,939,955 (-100%) from 2023

Operations
Liabilities / Revenue20th percentileNet Margin1st percentile

Revenue

Up

$248,256

Up $278,477 (+921%) from 2023

Expenses

Up

$2,090,290

Up $2,049,263 (+4995%) from 2023

Net Income

Down

-$1,842,034

Down $1,770,786 (-2485%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth2nd percentile

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

$2.0M$1.5M$1.0M$500K$0Assets 2010: $601,647Liabilities 2010: $0Net Assets 2010: $601,6472010Assets 2011: $695,442Liabilities 2011: $0Net Assets 2011: $695,4422011Assets 2013: $1,915,978Liabilities 2013: $0Net Assets 2013: $1,915,9782013Assets 2014: $1,998,701Liabilities 2014: $0Net Assets 2014: $1,998,7012014Assets 2015: $1,689,196Liabilities 2015: $0Net Assets 2015: $1,689,1962015Assets 2016: $1,650,619Liabilities 2016: $268,871Net Assets 2016: $1,381,7482016Assets 2017: $1,519,467Liabilities 2017: $143,697Net Assets 2017: $1,375,7702017Assets 2018: $1,543,190Liabilities 2018: $140,271Net Assets 2018: $1,402,9192018Assets 2019: $1,574,681Liabilities 2019: $138,186Net Assets 2019: $1,436,4952019Assets 2020: $1,556,526Liabilities 2020: $138,186Net Assets 2020: $1,418,3402020Assets 2021: $1,961,332Liabilities 2021: $0Net Assets 2021: $1,961,3322021Assets 2022: $1,859,977Liabilities 2022: $0Net Assets 2022: $1,859,9772022Assets 2023: $1,939,955Liabilities 2023: $0Net Assets 2023: $1,939,9552023Assets 2024: $0Liabilities 2024: $0Net Assets 2024: $02024

Highlighted filing

2024

Assets$0
Liabilities$0
Net Assets$0
Open 2024 Filing

Operations Trend

Revenue GrowthScore unavailable

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

$4.0M$2.0M$0-$2.0MExpenses 2010: $1,712,7662010Expenses 2011: $2,024,7702011Expenses 2013: $2,596,3382013Revenue 2014: $2,190,295Expenses 2014: $2,129,958Net Income 2014: $60,3372014Revenue 2015: $268,991Expenses 2015: $581,463Net Income 2015: -$312,4722015Revenue 2016: $71,039Expenses 2016: $378,487Net Income 2016: -$307,4482016Revenue 2017: $50,203Expenses 2017: $27,790Net Income 2017: $22,4132017Revenue 2018: $46,323Expenses 2018: $26,899Net Income 2018: $19,4242018Revenue 2019: $47,514Expenses 2019: $23,225Net Income 2019: $24,2892019Revenue 2020: $50,114Expenses 2020: $61,971Net Income 2020: -$11,8572020Revenue 2021: $413,368Expenses 2021: $27,956Net Income 2021: $385,4122021Revenue 2022: $146,169Expenses 2022: $28,893Net Income 2022: $117,2762022Revenue 2023: -$30,221Expenses 2023: $41,027Net Income 2023: -$71,2482023Revenue 2024: $248,256Expenses 2024: $2,090,290Net Income 2024: -$1,842,0342024

Highlighted filing

2024

Revenue$248,256
Expenses$2,090,290
Net Income-$1,842,034
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$248,256
Expenses
$2,090,290
Net income
-$1,842,034
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.25$2.09$1.84
2023Detailed filing. Detailed filing data is available for this year.$1.94$0.00$1.94$0.03$0.04$0.07
2022Detailed filing. Detailed filing data is available for this year.$1.86$0.00$1.86$0.15$0.03$0.12
2021Detailed filing. Detailed filing data is available for this year.$1.96$0.00$1.96$0.41$0.03$0.39
2020Detailed filing. Detailed filing data is available for this year.$1.56$0.14$1.42$0.05$0.06$0.01
2019Detailed filing. Detailed filing data is available for this year.$1.57$0.14$1.44$0.05$0.02$0.02
2018Detailed filing. Detailed filing data is available for this year.$1.54$0.14$1.40$0.05$0.03$0.02
2017Detailed filing. Detailed filing data is available for this year.$1.52$0.14$1.38$0.05$0.03$0.02
2016Detailed filing. Detailed filing data is available for this year.$1.65$0.27$1.38$0.07$0.38$0.31
2015Detailed filing. Detailed filing data is available for this year.$1.69$0.00$1.69$0.27$0.58$0.31
2014Detailed filing. Detailed filing data is available for this year.$2.00$0.00$2.00$2.19$2.13$0.06
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.92$0.00$1.92$2.60
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.70$0.00$0.70$2.02
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.60$0.00$0.60$1.71
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 14, 2025
Return Version
2023v6.0
Gross Receipts
$1,612,695
Mission and Program Overview

Mission

Promotion of medical education and the provision of medical services.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$1,403,847$0▼ $1,403,847
Cash and Non-Interest-Bearing Accounts$259,043$0▼ $259,043
Accounts Receivable$252,551$0▼ $252,551
Savings and Temporary Cash Investments$24,514$0▼ $24,514
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$1,939,955$0▼ $1,939,955
Other Assets Total-$0-
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$1,939,955$0▼ $1,939,955
Total Net Assets Fund Balance$1,939,955$0▼ $1,939,955
Total Liabilities and Net Assets / Fund Balance$1,939,955$0▼ $1,939,955
Compensation and Service Providers
Top Officer Pay40th percentile

Board Members and Trustees

NameTitle
Flora HammondPresident
Natalie OstromVice President
Angela Carbone MeyerBoard Member
Nathan PrahlowBoard Member
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$26,347
Investment Income
$221,909
Other Revenue
$0
Change in Net Assets
$-1,842,034
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$1,811,432
Other Expenses$269,531
Salaries, Compensation, and Employee Benefits$9,327
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$1,811,432--$1,811,432
Other Salaries and Wages$6,990--$6,990
Fees for Service Investment Mgmnt Fees-$5,463-$5,463
Office Expenses$3,745--$3,745
Fees for Services Accounting-$2,750-$2,750
Other Employee Benefits$2,337--$2,337
Travel$2,070--$2,070
Fees for Services Other-$682-$682
Other Expenses$247--$247
Total Functional Expenses$2,081,395$8,895$0$2,090,290
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Indiana University School of MedicineIndianapolis, IN501(c)(3)TO FURTHER INDIANA UNIVERSITY'S MISSION, AND PROVIDE FOR THE ONGOING SUPPORT OF THE DEPARTMENT OF PHYSICAL MEDICINE AND REHABILITATION BY ESTABLISHING THE PRACTICE PLAN CLOSEOUT, UNIVERSITY PHYSIATRIC ASSOCIATES, INC. FUND.$1,811,432
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

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
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
No
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, Part VI, Section B, Line 11B

“Management reviews the form 990 prior to filing with the irs.”

Form 990, Part VI, Section B, Line 12C

“The board has a written conflict of interest policy and asks the members and officers of the board to communicate any potential conflicts.”

Form 990, Part VI, Section C, Line 19

“The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
University Physiatrics Associates Inc
EIN
35-1945677
Phone
3172780200
Address
355 W 16TH ST 4TH FLOOR 4700, INDIANAPOLIS, IN 46202

Signing Officer

Name
Flora Hammond
Title
President
Phone
3172780200
Signed
2025-05-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Flora Hammond
Formed
1995
Legal Domicile
In
Voting Board Members
4
Independent Board Members
4
Employees
3
Volunteers
0

Preparer

Firm
Ksm Business Services Inc
Address
PO BOX 40857, INDIANAPOLIS, IN 46240
Preparer
Steven a Warner
Phone
3175802000
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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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IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt039720
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt036776
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt032929
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt024745
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt0356079
IRS990ScheduleA/InvestmentIncomeCYPct00.43900
IRS990ScheduleA/InvestmentIncomePYPct00.26020
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus2YearsAmt02750
IRS990ScheduleA/OtherIncome509Grp/TotalAmt02750
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct00.55760
IRS990ScheduleA/PublicSupportPY509Pct00.73530
IRS990ScheduleA/PublicSupportTotal509Amt0452347
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsPY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt026347
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt02166
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt0106642
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt0274304
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt042888
IRS990ScheduleA/Total509Grp/TotalAmt0452347
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt0248256
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt041886
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt0146168
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt0307233
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt067633
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt0811176
IRS990/ScheduleBRequiredInd00
IRS990ScheduleI/GrantRecordsMaintainedInd01
IRS990ScheduleI/RecipientTable/CashGrantAmt01811432
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501(C)(3)
IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt00
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0TO FURTHER INDIANA UNIVERSITY'S MISSION, AND PROVIDE FOR THE ONGOING SUPPORT OF THE DEPARTMENT OF PHYSICAL MEDICINE AND REHABILITATION BY ESTABLISHING THE PRACTICE PLAN CLOSEOUT, UNIVERSITY PHYSIATRIC ASSOCIATES, INC. FUND.
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0INDIANA UNIVERSITY SCHOOL OF MEDICINE
IRS990ScheduleI/RecipientTable/RecipientEIN0351955872
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt0550 N UNIVERSITY BLVD
IRS990ScheduleI/RecipientTable/USAddress/CityNm0INDIANAPOLIS
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0IN
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd046202
IRS990ScheduleI/RecipientTable/ValuationMethodUsedDesc0FMV
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0THE GRANT WAS ONLY GIVEN TO INDIANA UNIVERSITY SCHOOL OF MEDICINE PER THE PRACTICE PLAN CLOSEOUT, UNIVERSITY PHYSIATRIC ASSOCIATES, INC. GIFT AGREEMENT.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 2:
IRS990/ScheduleJRequiredInd00
IRS990ScheduleN/AssetsDistributedInd01
IRS990ScheduleN/AttorneyGeneralNotifiedInd01
IRS990ScheduleN/BondsOutstandingInd00
IRS990ScheduleN/DirectorOfSuccessorInd00
IRS990ScheduleN/EmployeeOfSuccessorInd00
IRS990ScheduleN/LiabilitiesPaidInd01
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0PRACTICE PLAN CHECKING AND INVESTMENT ACCOUNTS
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine1Txt0INDIANA UNIVERSITY SCHOOL OF MEDICINE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02024-06-03
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN0351955872
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt01811432
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0501(C)(3)
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0BALANCE IN CHECKING AND INVESTMENT ACCOUNTS.
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt0550 N UNIVERSITY BLVD
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0INDIANAPOLIS
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd0IN
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd046202
IRS990ScheduleN/OwnerOfSuccessorInd00
IRS990ScheduleN/ReceiveCompensationInd00
IRS990ScheduleN/RequiredToNotifyAGInd01
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0MANAGEMENT REVIEWS THE FORM 990 PRIOR TO FILING WITH THE IRS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE BOARD HAS A WRITTEN CONFLICT OF INTEREST POLICY AND ASKS THE MEMBERS AND OFFICERS OF THE BOARD TO COMMUNICATE ANY POTENTIAL CONFLICTS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION C, LINE 19
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0IN
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd01
IRS990/TotalAssetsBOYAmt01939955
IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt01939955
IRS990/TotalAssetsGrp/EOYAmt00
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt03
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt08895
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt02081395
IRS990/TotalFunctionalExpensesGrp/TotalAmt02090290
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt01939955
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt02081395
IRS990/TotalProgramServiceRevenueAmt026347
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt0221909
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt026347
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0248256
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt01939955
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/ProgramServicesAmt02070
IRS990/TravelGrp/TotalAmt02070
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0355 W 16TH ST 4TH FLOOR 4700
IRS990/USAddress/CityNm0INDIANAPOLIS
IRS990/USAddress/StateAbbreviationCd0IN
IRS990/USAddress/ZIPCd046202
IRS990/VotingMembersGoverningBodyCnt04
IRS990/VotingMembersIndependentCnt04
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0FLORA HAMMOND
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum03172780200
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-05-14
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0UNIVERSITY PHYSIATRICS ASSOCIATES INC
ReturnHeader/Filer/BusinessNameControlTxt0UNIV
ReturnHeader/Filer/EIN0351945677
ReturnHeader/Filer/PhoneNum03172780200
ReturnHeader/Filer/USAddress/AddressLine1Txt0355 W 16TH ST 4TH FLOOR 4700
ReturnHeader/Filer/USAddress/CityNm0INDIANAPOLIS
ReturnHeader/Filer/USAddress/StateAbbreviationCd0IN
ReturnHeader/Filer/USAddress/ZIPCd046202
ReturnHeader/IRSResponsiblePrtyInfoCurrInd01
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0352123203
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0KSM BUSINESS SERVICES INC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0PO BOX 40857
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0INDIANAPOLIS
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0IN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd046240
ReturnHeader/PreparerPersonGrp/PhoneNum03175802000
ReturnHeader/PreparerPersonGrp/PreparationDt02025-05-14
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0STEVEN A WARNER
ReturnHeader/ReturnTs02025-05-15T15:07:50-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02023-07-01
ReturnHeader/TaxPeriodEndDt02024-06-30
ReturnHeader/TaxYr02023

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