Civic Intelligence

Mchs - Southwest Minnesota Region

990 • Fiscal year 2014 • EIN 41-1236756

Jan 01, 2014 to Dec 31, 2014 • Filed on Nov 04, 2015

1025 Marsh StreetMankato, MN 56002

(507) 538-1297

Siviq Scores

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

Liabilities / Assets

33rd percentile

0.22x

Higher debt load relative to assets than 33% of similar nonprofits.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2014

Liabilities / Revenue

18th percentile

0.20x

Higher debt load relative to revenue than 18% of similar nonprofits.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2014

Net Margin

48th percentile

6.0%

Higher net margin than 48% of similar nonprofits.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2014

Top Officer Pay

55th percentile

$932,100

Higher top officer pay than 55% of similar nonprofits.

Top officer pay equals 0.3% of source-year revenue.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2014

Asset Growth

84th percentile

15%

Faster asset growth than 84% of similar nonprofits.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2013 to 2014

Revenue Growth

62nd percentile

7.7%

Faster revenue growth than 62% of similar nonprofits.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2013 to 2014

Assets

Up

$312,055,365

Up $41,814,934 (+15%) from 2013

Net Assets

Up

$243,267,226

Up $20,824,571 (+9.4%) from 2013

Liabilities

Up

$68,788,139

Up $20,990,363 (+44%) from 2013

Revenue

Up

$344,155,419

Up $24,712,236 (+7.7%) from 2013

Expenses

Up

$323,351,306

Up $20,111,109 (+6.6%) from 2013

Net Income

Up

$20,804,113

Up $4,601,127 (+28%) from 2013

Historical Trend

Balance Sheet Trend

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

$400M$300M$200M$100M$0Assets 2010: $209,573,383Liabilities 2010: $37,904,295Net Assets 2010: $171,669,0882010Assets 2011: $231,186,118Liabilities 2011: $41,510,343Net Assets 2011: $189,675,7752011Assets 2012: $248,126,557Liabilities 2012: $41,948,311Net Assets 2012: $206,178,2462012Assets 2013: $270,240,431Liabilities 2013: $47,797,776Net Assets 2013: $222,442,6552013Assets 2014: $312,055,365Liabilities 2014: $68,788,139Net Assets 2014: $243,267,2262014

Highlighted filing

2014

Assets$312,055,365
Liabilities$68,788,139
Net Assets$243,267,226

Operations Trend

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

$400M$300M$200M$100M$0Expenses 2010: $259,821,7462010Expenses 2011: $276,696,1182011Expenses 2012: $302,344,9252012Revenue 2013: $319,443,183Expenses 2013: $303,240,197Net Income 2013: $16,202,9862013Revenue 2014: $344,155,419Expenses 2014: $323,351,306Net Income 2014: $20,804,1132014

Highlighted filing

2014

Revenue$344,155,419
Expenses$323,351,306
Net Income$20,804,113
Jump To
Filing Snapshot
Filing Period
Jan 1, 2014 to Dec 31, 2014
Signed
Nov 4, 2015
Return Version
2014v5.0
Gross Receipts
$344,730,811
Mission and Program Overview

Mission

To inspire hope and contribute to health and well-being by providing the best care to every patient through integrated clinical practice, education and research.

HOSPITAL AND CLINICS

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$109,492,206$148,969,550▲ $39,477,344
Land, Buildings, and Equipment, Net$97,603,047$92,636,365▼ $4,966,682
Accounts Receivable$40,411,430$42,012,469▲ $1,601,039
Inventories for Sale or Use$4,899,083$2,187,541▼ $2,711,542
Prepaid Expenses and Deferred Charges$2,174,349$896,182▼ $1,278,167
Cash and Non-Interest-Bearing Accounts$5,921$322,913▲ $316,992
Pledges and Grants Receivable$291,234$150,143▼ $141,091
Savings and Temporary Cash Investments$74,822$0▼ $74,822
Receivables From Officers Etc$23,333$0▼ $23,333
Intangible Assets$0$0→ $0
Total Assets$270,240,431$312,055,365▲ $41,814,934
Other Assets Total$15,265,006$24,880,202▲ $9,615,196
Liabilities
Other Liabilities$7,800,534$48,633,426▲ $40,832,892
Accounts Payable and Accrued Expenses$37,219,996$19,657,845▼ $17,562,151
Deferred Revenue$487,030$439,462▼ $47,568
Mortgage Notes Payable Secured by Investment Property$2,290,216$57,406▼ $2,232,810
Total Liabilities$47,797,776$68,788,139▲ $20,990,363
Net Assets / Fund Balance
Unrestricted Net Assets$222,442,655$243,267,226▲ $20,824,571
Total Net Assets Fund Balance$222,442,655$243,267,226▲ $20,824,571
Total Liabilities and Net Assets / Fund Balance$270,240,431$312,055,365▲ $41,814,934

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$40,178,556$74,528,047$114,706,603
Buildings$42,866,473$44,070,215$86,936,688
Land$8,126,417-$8,126,417
Other Land Buildings$1,464,919-$1,464,919
Other Assets Org$328,655--
Other Securities$101,112--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Gremel Md Dennis DPhysicianFT$755,655$82,577$838,232
Evans Md Eric aPhysicianFT$747,108$89,265$836,373
Chyatte Md DouglasPhysicianFT$689,730$36,686$726,416
Cannella Md Dominic MPhysicianFT$688,549$36,602$725,151
Crespo Md Jose BPhysicianFT$647,301$76,054$723,355
Pearson Md Susan EChief Medical OfficerFT$591,027$29,569$620,596
Kutcher Md Gregory RDirector/president/CEOFT$522,638$42,206$564,844
Whited Md Brian LFormer Key EmployeeFT$427,369$56,240$483,609
Grace Richard WDirector/secy/CAOFT$329,333$108,878$438,211
Tarasovitch James JCFOFT$293,754$89,220$382,974
Reeves Md Andrew LFormer Key EmployeeFT$330,526$45,909$376,435
Campbell Md Stephen SChief Medical OfficerFT$325,912$45,495$371,407
Kowal Do Gerald KFormer Key EmployeeFT$311,146$38,610$349,756
Borowski Thomas JCompliance Officer/interim Site AdminFT$229,687$37,431$267,118
Borowski Thomas JCompliance Officer/interim Site Admi-$229,161$37,957$267,118
Gager BrianSite AdministratorFT$195,998$55,127$251,125
Fratzke Mark SCOO, Chief Nursing Officer (jan-july)FT$189,890$17,986$207,876
Fratzke Mark SCOO, Chief Nursing Officer (jan-july-$158,481$49,395$207,876
Hanson Victoria MVP Practice AdministrationFT$158,750$39,264$198,014

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Mayo Foundation For Medical Education &Procurement/support Services200 FIRST STREET SW, Rochester, MN 55905$14,194,830
Mayo ClinicAdmin & Medical Services200 FIRST STREET SW, Rochester, MN 55905$9,997,465
Precyse Solutions LLCTranscription Services1275 DRUMMERS LANE SUITE 200, Wayne, PA 19087$1,229,730
University Of Mn RegentsPhysicians & Residents516 DELAWARE ST SE, Minneapolis, MN 55455$1,034,183
Sodexo INC And AffiliatesNutrition Supply & Mgmt Services10 EARHART DRIVE, Williamsbill, NY 14221$985,872
Revenue and Support

Revenue Composition

Contributions and Grants
$3,035,905
Program Service Revenue
$337,573,640
Investment Income
$1,560,066
Other Revenue
$1,985,808
All Other Contributions
$59,775
Change in Net Assets
$20,804,113
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$208,307,952
Other Expenses$114,955,630
Total Fundraising Expense$689,832
Grants and Similar Amounts Paid$87,724
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$142,310,135$20,306,988$363,926$162,981,049
Fees for Services Other$23,349,884$3,936,714$85,549$27,372,147
Other Employee Benefits$21,549,768$3,335,945$76,734$24,962,447
Depreciation Depletion$10,142,018$999,576$342$11,141,936
Payroll Taxes$8,855,647$1,438,308$25,830$10,319,785
Office Expenses$5,175,091$4,095,812$66,413$9,337,316
Occupancy$5,757,669$2,242,368$25,577$8,025,614
Pension Plan Contributions$4,778,904$696,120$12,630$5,487,654
Current Officers, Directors, Trustees, and Key Employees$516,033$2,786,134-$3,302,167
Travel$1,796,949$387,754$13,340$2,198,043
Other Expenses$2,061,856--$2,061,856
All Other Expenses$1,075,777$401,154$4,380$1,481,311
Insurance$373,182$942,191-$1,315,373
Comp Disqual Persons$771,242$483,608-$1,254,850
Advertising$8,500$452,337$1,887$462,724
Fees for Services Legal$3,000$248,400$5,495$256,895
Information Technology$128,631$65,109-$193,740
Fees for Services Accounting-$82,054$7,142$89,196
Grants to Domestic Orgs$85,724--$85,724
Fees for Services Management$22,729$43,209$322$66,260
Conferences and Meetings$15,879$6,610$11$22,500
Interest-$16,995-$16,995
Fees for Services Lobbying$8,190--$8,190
Grants to Domestic Individuals$2,000--$2,000
Royalties$461-$254$715
Total Functional Expenses$279,694,088$42,967,386$689,832$323,351,306
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Ready for KindergartenNorth Mankato, MNState of MnKindergarten Prep Program$8,645
Greater Mankato Area United Way IncMankato, MN501(c)(3)In Support of Exempt Purpose$8,400
Mankato Family YmcaMankato, MN501(c)(3)In Support of Exempt Purpose$6,500
American Cancer SocietyAtlanta, GA501(c)(3)In Support of Exempt Purpose$6,000

International Summary

Offices
0
Employees
28
Spending
$49,831

International Compliance

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
No

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central America and the CaribbeanTravel - International Business & Conferences-06$20,946
South AsiaTravel - International Business & Conferences-09$15,407
Europe (including Iceland & Greenland)Travel - International Business & Conferences-06$7,628
North AmericaTravel - International Business & Conferences-07$5,850
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$4,793
Fundraising Direct Expenses$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Officers, Directors, Trustees, and Key Employees$23,333$0▼ $23,333
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$38,930,483
Deferred Compensation Reserve$8,455,886
Leased Building Obligation$1,247,057
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
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
Yes
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 2

The following individuals are employed by a related organization: morris m.d., marie e. Herrmann m.d., martin j. Resulting in a business relationship with the following individuals who are associated with the related organization as an officer, director, or trustee: gaalswyk, mark. Brolsma, greg. Koch, mark b. Morris m.d., marie e. Tarasovitch, james j. Kutcher m.d., gregory r. Kowald, o., gerald r. Grace, richard w. The following individuals are employed by a related organization: spinner m.d., robert j. Nesse m.d., robert e. Koch, mark b. Hebl m.d., james r. Cragun m.d., kevin t. Resulting in a business relationship with the following individual who is associated with the related organization as an officer, director, or trustee: nesse m.d., robert e.

Form 990, Part VI, Section A, Line 3

Mayo clinic, mayo foundation for medical education and research, and other related companies provide management services to the entire system of entities. Since the entities are related organizations, compensation for the officers, directors, key employees, and highest compensated employees has been disclosed in part vii and schedule j as required.

Form 990, Part VI, Section A, Line 6

The sole member of the corporation is mayo clinic.

Form 990, Part VI, Section A, Line 7A

The sole member elects the member directors. The sole member elects the community directors that have been approved by the board of directors and nominated by various nominating groups.

Form 990, Part VI, Section A, Line 7B

The bylaws provide the sole corporate member certain reserved powers in areas such as debt, amendment of the bylaws, mergers, and new services.

Form 990, Part VI, Section B, Line 11

The form 990 is prepared by mayo corporate tax with assistance from site accounting staff. The tax return goes through two levels of review within the corporate tax unit. It is then reviewed by the region chief financial officer and finance director, along with site finance staff. A copy of the form 990 is then provided to each member of the filing organization's governing body via us mail, e-mail, or distribution at a board meeting. All questions are addressed prior to filing the form 990.

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

Mayo clinic and its affiliates have a comprehensive conflict of interest policy applicable to all of the affiliated entities and to all directors, officers, and employees of those entities. All current and former officers, directors, trustees, key employees and highest compensated employees who we anticipate will be listed on a form 990 are asked to complete an "annual tax and compliance disclosure" form. This information is reviewed by both the corporate tax department and the office of conflict of interest review. All disclosures of current or proposed activity that require action under the policy are the subject of ongoing review and action through the office of conflict of interest review and the conflict of interest review board. Involved individuals are informed of all required action. Many types of relationships that could create conflicts of interest are prohibited. Other types of relationships are permitted subject to compliance with the management plan established by the conflict of interest review board. A common management strategy for permitted activities is to require bilateral recusal and appropriate documentation in the minutes of mayo clinic (and/or affiliate) and the outside entity. Additional conflict of interest policies and procedures exist for certain entities concerning research contracts and other types of potential conflicts.

Form 990, Part VI, Section B, Line 15

The filing organization is an affiliate of mayo clinic. Mayo clinic and its affiliates have a coordinated process for reviewing and approving compensation and benefits for physicians, executive and senior administrative leadership, along with allied health staff. In addition to any review and approval that may take place at the local entity or regional level, the following independent approval process occurs annually prior to implementation of the respective compensation increase. The salaries and benefit programs of the chief executive officer (ceo) and the chief administrative officer (cao) were reviewed and approved by the process described below for senior administrative leadership. The compensation and benefit programs for senior administrative leadership for all campuses, including the mayo clinic health system locations, are reviewed and approved by the mayo clinic board of trustees governance and nominating committee. The mayo clinic board of trustees governance and nominating committee is comprised of nine of the external independent members of the mayo clinic board of trustees. This group reviews and approves the compensation and benefit programs for physicians from all campuses, as well as certain senior administrative and executive leadership (including all persons believed to be disqualified persons). This process establishes acceptable ranges for various positions, levels, and specialties. The committee uses comparability data (including third-party benchmarking surveys) in its review and documents decisions in its minutes.

Form 990, Part VI, Section C, Line 19

The filing organization's governing documents are not available to the public. The conflict of interest policy is available upon request and also on the mayoclinic.org website. The filing organization is a hospital affiliated with mayo clinic. As such, mayo clinic's consolidated audited financial statements are attached to the filing organization's form 990 and would be available upon request of the form 990.

Filing and Contact Details

Filer

Filer Name
Mayo Clinic Health System-mankato
EIN
41-1236756
Phone
5075381297
Address
1025 MARSH STREET, MANKATO, MN 56002

Signing Officer

Name
James J Tarasovitch
Title
CFO
Phone
5073856449
Signed
2015-11-04

Organization Details

Principal Officer
Gregory R Kutcher Md
Formed
1968
Legal Domicile
Mn
Voting Board Members
16
Independent Board Members
8
Employees
5,139
Volunteers
306
Supplemental Narrative

Financial Statement Notes

PART X, LINE 2:

At december 31, 2014 and 2013, the reserve for unrecognized tax benefits was not significant, and as a result, there is no longer a reserve for unrecognized tax benefits recorded for the filing organization.

Raw XML AppendixShowing 400 of 2,459 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/Desc0PATIENT CARE (SCHEDULE O):PATIENT CARE:MAYO CLINIC HEALTH SYSTEM IS A FAMILY OF CLINICS, HOSPITALS AND HEALTH CARE FACILITIES SERVING COMMUNITIES IN MINNESOTA, IOWA, WISCONSIN AND GEORGIA. AS PART OF MAYO CLINIC, THE HEALTH SYSTEM OFFERS CARE DESIGNED FOR THE WHOLE BODY CLOSE TO THE PATIENT'S HOME, WHEN THEY NEED IT. A MULTIDISCIPLINARY TEAM OF EXPERTS HAS READY ACCESS TO KNOWLEDGE, RESOURCES, AND EXPERTISE OF MAYO CLINIC AND COLLABORATES ON PROVIDING EXACTLY THE CARE THE PATIENT NEEDS. MAYO CLINIC HEALTH SYSTEM SITES EMPLOY APPROXIMATELY 1,000 PHYSICIANS AND 15,000 ALLIED HEALTH STAFF. IN ADDITION, MAYO CLINIC PHYSICIANS FROM MULTIPLE SPECIALTIES REGULARLY SEE PATIENTS AT HEALTH SYSTEM FACILITIES. BESIDES HAVING HEALTH CARE FACILITIES IN NEARLY 70 COMMUNITIES, MAYO CLINIC HEALTH SYSTEM INCLUDES 19 OWNED HOSPITALS, FIVE OWNED NURSING HOMES, PHYSICIAN SERVICE AGREEMENTS WITH ONE ADDITIONAL HOSPITAL, AND CONTRACT MANAGEMENT AGREEMENTS WITH TWO ADDITIONAL HOSPITALS AND ONE NURSING HOME. SINCE ITS INCEPTION IN 1992, MAYO CLINIC HEALTH SYSTEM HAS GROWN INTO ONE OF THE MOST SUCCESSFUL REGIONAL HEALTH CARE SYSTEMS IN THE UNITED STATES. MORE THAN 600,000 UNIQUE PATIENTS ACCOUNT FOR MORE THAN 2.6 MILLION VISITS ANNUALLY IN MAYO CLINIC HEALTH SYSTEM. IT IS ALSO A NATIONAL LEADER IN QUALITY AND SAFETY EFFORTS. MAYO CLINIC HEALTH SYSTEM - MANKATO (MCHS-MANKATO) IS A MEMBER OF THE MAYO CLINIC HEALTH SYSTEM.IN 2014, MCHS-MANKATO ADMITTED MORE THAN 10,000 PATIENTS, SERVED OVER 300,000 OUTPATIENTS AND SERVED OVER 225,000 CLINIC PATIENT VISITS.PHYSICIAN CLINICS: MCHS-MANKATO OPERATES SEVERAL PRIMARY CARE AND MULTI-SPECIALTY CLINICS TO SERVE THE NEEDS OF THE AREA. THESE CLINICS INCLUDE APPROXIMATELY 150 PHYSICIAN AND MID-LEVEL PROVIDERS. THESE CLINICS ARE LOCATED IN MANKATO, NORTH MANKATO, LAKE CRYSTAL, ST. PETER, AND LE SUEUR.MCHS-MANKATO EMPLOYS BOARD CERTIFIED EMERGENCY ROOM PHYSICIANS TO STAFF THE MCHS-MANKATO ER 24 HOURS A DAY, 7 DAYS A WEEK.MCHS-MANKATO CONTRACTS WITH MAYO CLINIC IN ROCHESTER FOR PHYSICIAN SERVICES IN CARDIOLOGY, MEDICAL ONCOLOGY, AND RADIATION ONCOLOGY. WITHOUT THESE ARRANGEMENTS, MANKATO AREA PATIENTS WOULD HAVE TO TRAVEL GREATER DISTANCES FROM HOME TO RECEIVE THESE SPECIALTY SERVICES.MCHS-MANKATO PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS/RESIDENTS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. CHARITY CARE IS ALSO PROVIDED FOR PATIENTS THAT ARE FINANCIALLY UNABLE TO PAY FOR SERVICES PROVIDED.THE COST OF CHARITY CARE PROVIDED IN 2014 WAS APPROXIMATELY $1,723,000.THE COST OF UNCOMPENSATED CARE PROVIDED TO LOW INCOME PATIENTS THROUGH MEDICAID WAS APPROXIMATELY $25,009,000. THIS AMOUNT INCLUDES A MEDICAID SURCHARGE OF $2,061,856 AND $3,687,605 PAID TO MINNESOTACARE (A PROGRAM THAT PROVIDES HEALTH CARE FOR LOW INCOME POPULATIONS.)THE COST OF UNCOMPENSATED CARE PROVIDE THROUGH MEDICARE WAS APPROXIMATELY $41,596,000.MCHS-MANKATO ALSO PROVIDES DISCOUNTS TO UNINSURED PATIENTS. THE TOTAL DISCOUNTS GIVEN IN 2014 WERE $515,000. HOSPITAL AUXILIARY:THE HOSPITAL AUXILIARY OPERATES UNDER MCHS-MANKATO'S TAX EXEMPT STATUS. THE AUXILIARY'S MAIN SOURCES OF INCOME ARE THE OPERATION OF A GIFT SHOP AND FUNDRAISING.THE AUXILIARY AND ITS VOLUNTEERS HAVE ENHANCED THE HEALING ENVIRONMENT AND SERVICES OFFERED TO PATIENTS, VISITORS AND STAFF OF THE HOSPITAL. AUXILIARY MEMBERSHIP TOTALED OVER 300 PEOPLE AND THESE MEMBERS CONTRIBUTE THOUSANDS OF HOURS OF SERVICE EACH YEAR. THE MAJOR SERVICES PROVIDED BY AUXILIARY MEMBER VOLUNTEERS ARE AS FOLLOWS: - THE GIFT SHOP, PATRONIZED BY PATIENTS, VISITORS MAKING PURCHASES FOR PATIENTS, AND EMPLOYEES, CONTRIBUTES IMPORTANTLY TO THE EXEMPT PURPOSE OF MCHS-MANKATO BY IMPROVING PHYSICAL COMFORT AND MENTAL WELL BEING OF PATIENTS, THEREBY ENCOURAGING THEIR RECOVERY; AND ALSO KEEPING EMPLOYEES AND MEDICAL STAFF ON THE HOSPITAL PREMISES, THEREBY INCREASING THE HOSPITAL'S EFFICIENCY. - VOLUNTEERS HAVE ASSEMBLED LARGE NUMBERS OF MAILINGS FOR HO
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IRS990/Form990PartVIISectionAGrp/TitleTxt28PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt29FORMER KEY EMPLOYEE
IRS990/Form990PartVIISectionAGrp/TitleTxt30FORMER KEY EMPLOYEE

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