Civic Intelligence

St Anthony Regional Hospital and Nursing Home

990 • Fiscal year 2017 • EIN 42-0733472

Jul 01, 2016 to Jun 30, 2017 • Filed on Apr 30, 2018

311 South Clark Street PO Box 628Carroll, IA 51401

(712) 794-5246

Siviq Scores

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

Liabilities / Assets

30th percentile

0.15x

Higher debt load relative to assets than 30% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Liabilities / Revenue

33rd percentile

0.29x

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

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Net Margin

61st percentile

7.0%

Higher net margin than 61% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Top Officer Pay

47th percentile

$443,490

Higher top officer pay than 47% of similar nonprofits.

Top officer pay equals 0.5% of source-year revenue.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Asset Growth

54th percentile

7.0%

Faster asset growth than 54% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2016 to 2017

Revenue Growth

68th percentile

11%

Faster revenue growth than 68% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2016 to 2017

Assets

Up

$155,354,796

Up $10,115,002 (+7.0%) from 2016

Net Assets

Up

$131,749,885

Up $7,864,156 (+6.3%) from 2016

Liabilities

Up

$23,604,911

Up $2,250,846 (+11%) from 2016

Revenue

Up

$82,145,583

Up $8,087,890 (+11%) from 2016

Expenses

Up

$76,366,662

Up $5,207,864 (+7.3%) from 2016

Net Income

Up

$5,778,921

Up $2,880,026 (+99%) from 2016

Historical Trend

Balance Sheet Trend

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

$300M$200M$100M$0Assets 2010: $113,486,595Liabilities 2010: $26,907,443Net Assets 2010: $86,579,1522010Assets 2011: $122,380,058Liabilities 2011: $25,845,594Net Assets 2011: $96,534,4642011Assets 2012: $126,551,178Liabilities 2012: $23,117,178Net Assets 2012: $103,434,0002012Assets 2013: $132,472,507Liabilities 2013: $21,650,597Net Assets 2013: $110,821,9102013Assets 2014: $140,493,049Liabilities 2014: $21,134,812Net Assets 2014: $119,358,2372014Assets 2015: $145,455,995Liabilities 2015: $21,348,840Net Assets 2015: $124,107,1552015Assets 2016: $145,239,794Liabilities 2016: $21,354,065Net Assets 2016: $123,885,7292016Assets 2017: $155,354,796Liabilities 2017: $23,604,911Net Assets 2017: $131,749,8852017Assets 2018: $165,256,320Liabilities 2018: $28,352,996Net Assets 2018: $136,903,3242018Assets 2019: $167,687,985Liabilities 2019: $29,465,938Net Assets 2019: $138,222,0472019Assets 2020: $196,663,793Liabilities 2020: $51,215,791Net Assets 2020: $145,448,0022020Assets 2021: $221,133,827Liabilities 2021: $50,037,293Net Assets 2021: $171,096,5342021Assets 2022: $193,905,686Liabilities 2022: $40,040,787Net Assets 2022: $153,864,8992022Assets 2023: $198,229,212Liabilities 2023: $42,900,019Net Assets 2023: $155,329,1932023

Highlighted filing

2017

Assets$155,354,796
Liabilities$23,604,911
Net Assets$131,749,885

Operations Trend

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

$150M$100M$50M$0-$50MExpenses 2010: $52,029,9462010Expenses 2011: $54,189,6772011Expenses 2012: $60,310,0372012Revenue 2013: $61,300,388Expenses 2013: $59,625,809Net Income 2013: $1,674,5792013Revenue 2014: $66,052,603Expenses 2014: $59,721,675Net Income 2014: $6,330,9282014Revenue 2015: $73,343,760Expenses 2015: $66,059,683Net Income 2015: $7,284,0772015Revenue 2016: $74,057,693Expenses 2016: $71,158,798Net Income 2016: $2,898,8952016Revenue 2017: $82,145,583Expenses 2017: $76,366,662Net Income 2017: $5,778,9212017Revenue 2018: $81,086,021Expenses 2018: $76,932,325Net Income 2018: $4,153,6962018Revenue 2019: $77,962,693Expenses 2019: $80,293,839Net Income 2019: -$2,331,1462019Revenue 2020: $84,081,626Expenses 2020: $78,920,910Net Income 2020: $5,160,7162020Revenue 2021: $96,228,816Expenses 2021: $85,326,912Net Income 2021: $10,901,9042021Revenue 2022: $92,000,421Expenses 2022: $92,346,461Net Income 2022: -$346,0402022Revenue 2023: $94,394,627Expenses 2023: $100,659,213Net Income 2023: -$6,264,5862023

Highlighted filing

2017

Revenue$82,145,583
Expenses$76,366,662
Net Income$5,778,921
Jump To
Filing Snapshot
Filing Period
Jul 1, 2016 to Jun 30, 2017
Signed
Apr 30, 2018
Return Version
2016v3.0
Gross Receipts
$112,159,791
Mission and Program Overview

Mission

St. Anthony Regional Hospital is inspired by faith and committed to excellence. We are dedicated to improving the health of the people we serve. We will lead in providing high quality, high value healthcare services responsive to the needs of our patients and the region. We are committed to the health ministry of our sponsors, the Franciscan Sisters of Perpetual Adoration.

Consistently providing high quality healthcare services to met patient and community needs.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$63,061,990$65,128,979▲ $2,066,989
Investments in Publicly Traded Securities$51,580,897$58,084,112▲ $6,503,215
Accounts Receivable$12,048,209$15,441,457▲ $3,393,248
Inventories for Sale or Use$1,977,648$1,984,980▲ $7,332
Prepaid Expenses and Deferred Charges$429,459$570,479▲ $141,020
Savings and Temporary Cash Investments$1,938,636$569,137▼ $1,369,499
Investments Other Securities$1,729,743$452,709▼ $1,277,034
Other Notes and Loans Receivable, Net$17$31▲ $14
Total Assets$145,239,794$155,354,796▲ $10,115,002
Other Assets Total$12,473,195$13,122,912▲ $649,717
Liabilities
Tax Exempt Bond Liabilities$12,881,000$13,034,768▲ $153,768
Accounts Payable and Accrued Expenses$5,986,067$8,281,162▲ $2,295,095
Other Liabilities$1,068,198$1,244,899▲ $176,701
Mortgage Notes Payable Secured by Investment Property$1,418,800$1,044,082▼ $374,718
Total Liabilities$21,354,065$23,604,911▲ $2,250,846
Net Assets / Fund Balance
Unrestricted Net Assets$119,178,876$126,371,872▲ $7,192,996
Temporarily Rstr Net Assets$4,606,853$5,278,013▲ $671,160
Permanently Rstr Net Assets$100,000$100,000→ $0
Total Net Assets Fund Balance$123,885,729$131,749,885▲ $7,864,156
Total Liabilities and Net Assets / Fund Balance$145,239,794$155,354,796▲ $10,115,002

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$48,598,833$42,824,858$91,423,691
Equipment$9,069,378$29,281,578$38,350,956
Other Land Buildings$6,766,834$2,197,964$8,964,798
Land$693,934-$693,934
Other Assets Org$11,878,013--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2016$12,173,907$143,951▲ $1,764,112$679,220$13,393,000
2015$11,720,664$357,317▲ $138,893$33,467$12,173,907
2014$9,950,534$1,706,686▲ $510,919$443,975$11,720,664
2013$7,852,058$1,626,938▲ $1,547,970$1,072,432$9,950,534
2012$4,622,373$3,018,705▲ $739,105$525,625$7,852,058
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Richard C Sazama MDPhysicianFT$417,444$26,046$443,490
Edward H Smith JrCEO/PresidentFT$286,977$114,617$401,594
Nelson H Lo MDPhysicianFT$368,042$32,500$400,542
Maria Hernandez-ZachariasPhysicianFT$343,951$23,805$367,756
Jwong H LingPhysicianFT$299,343$10,285$309,628
Tina F Schechinger MDPhysicianFT$217,046$43,306$260,352
John MunsonCFO/Vice PresidentFT$157,668$34,625$192,293

Board Members and Trustees

NameTitle
Fred DolezalChairman
Tom GronstalVice-Chairman
Howard J DreesBoard Member
Peggy WhiteBoard Member
Sr Donna VenticherBoard Member
Sr Maris KerwinBoard Member
Sr Theresa KellerBoard Member
Wayne SeamanBoard Member
Sr Romana KlaubaufSecretary
Nick BaddingTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Medical OncologyOncology Services1221 Pleasant St, Des Moines, IA 50309$551,064
Deloitte and Touche LLPAccounting ServicesPO Box 844708, Dallas, TX 75284-4708$148,500
Kimberly R Sevening DBA Hope Group LLCComputer Services24327 Douglas Cir, Waterloo, NE 68069$146,300
Jeffery R Peterson DBA JP FlooringCarpet and Flooring Services1411 Amy Ave, Caroll, IA 51401$141,710
Dr Jed HagenPathology Services2313 Skyline Dr, Carroll, IA 51401$128,000
Revenue and Support

Revenue Composition

Contributions and Grants
$1,356,314
Program Service Revenue
$75,621,692
Investment Income
$5,654,894
Other Revenue
$-487,317
Change in Net Assets
$5,778,921

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported Amount
Other Non Cash Contri Table1$400,042
Total Noncash Contributions1$400,042

Audited Revenue Reconciliation

Revenue per Audited Statements
$83,394,667
Revenue Not Reported on Financial Statements
$-1,249,084
Revenue Not Reported on Form 990
$2,329,060
Other Revenue Adjustments
$-1,536,830
Total Revenue per Audited Statements
$85,723,727
Total Revenue per Form 990
$82,145,583
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$39,674,142
Other Expenses$36,686,520
Grants and Similar Amounts Paid$6,000
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$30,782,891$889,651-$31,672,542
Fees for Services Other$6,730,685$1,203,939-$7,934,624
Depreciation Depletion$5,897,146--$5,897,146
Other Employee Benefits$4,354,465$200,864-$4,555,329
Payroll Taxes$2,154,188$84,876-$2,239,064
Office Expenses$2,012,184$190,790-$2,202,974
Occupancy$1,951,819$9,435-$1,961,254
Pension Plan Contributions$611,095$68,235-$679,330
Interest$590,875--$590,875
Current Officers, Directors, Trustees, and Key Employees-$527,877-$527,877
Information Technology$448,134--$448,134
Travel$286,912$62,103-$349,015
Insurance$312,837--$312,837
Fees for Service Investment Mgmnt Fees-$287,746-$287,746
Advertising$33,667$252,264-$285,931
Fees for Services Accounting-$186,990-$186,990
Fees for Services Legal-$151,464-$151,464
Grants to Domestic Orgs$5,000--$5,000
Grants to Domestic Individuals$1,000--$1,000
Other Expenses$1,887,276$371-$371
Total Functional Expenses$72,135,227$4,231,435$0$76,366,662

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$77,859,571
Total Expenses per Form 990$76,366,662
Expenses per Audited Statements$76,078,916
Expenses Not Reported on Form 990$1,780,655
Expenses Not Reported on Financial Statements$287,746
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
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Entity more than 35% controlled by H. Drees (Board Member) and family.Plumbing/Heating ServicesNo$158,689
-Entity more than 35% controlled by N. Badding (Officer) and family.Construction ServicesNo$103,266
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Deferred compensation$1,244,899

Bond Issues

BondIssuerIssuedIssue PricePurpose
ACarroll County IA2006-11-22$6,672,573Construction of Hospital Addition
BCity of Carroll IA2006-11-22$5,402,508Construction of Hospital Addition
CCity of Carroll IA2012-11-26$4,820,000Refund Bonds Issued 12/20/2001

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$6,969,080$4,770,000$3,220,000$133,451
B$5,637,070-$1,928,000$107,254
C$4,820,000--$50,000

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
Yes
Exception to rebate
No
Corrective action procedures
No
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
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 2

Sister Romana Klaubauf, Sister Theresa Keller, Sister Maris Kerwin, and Sister Donna Venticher have a business relationship through their membership in The Franciscan Sisters of Perpetual Adoration.

Form 990, Part VI, Section A, line 6

The members of the St. Anthony Regional Hospital are the sisters of the religious community known as the Congregation of the Sisters of the Third Order of St. Francis of Perpetual Adoration (FSPA). The members have the power to elect the board of directors, amend the articles of incorporation and bylaws of the organizations, and dissolve the organization.

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

The Franciscan Sisters of Perpetual Adoration, as members of the St. Anthony Regional Hospital, elect and approve the board of directors for St. Anthony Regional Hospital.

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

All decisions, including dissolution of the organization, made by the Board of Directors of St. Anthony Regional Hospital are subject to the approval of the Franciscan Sisters of Perpetual Adoration.

Form 990, Part VI, Section B, line 11B

St. Anthony Regional Hospital gathers the necessary information for the completion of the Form 990 within the finance department and with assistance from the human resources and operation departments. The form was prepared by an independent accounting firm. Drafts of the form were reviewed by the CFO and the Audit committee. After the internal reviews were complete, the final version of the form 990 was given to each member of the Board of Directors prior to filing the return.

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

The Officers and Board Members annually disclose in writing, "any interest which would be inconsistent with the expeditious, proper, and impartial performance of duties." Defining disclosable conflict or duality of interest as any matter in which the corporations are "interested which affects the financial interest or employment of such member, a member of his/her family by blood or marriage, or any business enterprise in which he/she or such family member is employed or has a financial interest." Officers and Board Members are required to disclose the facts surrounding any possible conflict of interest throughout the year. If a conflict of interest is disclosed by an Officer or Board Member, during a board meeting the Officer or Board Member will not participate in any discussions or deliberations regarding the matter and would abstain from any voting decisions on this matter during the meeting. All conflict of interests that are disclosed will be reported in the minutes of the board meetings.

Form 990, Part VI, Section B, line 15

At the direction of the Board of Directors the CEO gathers compensation information (salary and benefits) from various sources including Iowa Hospital Association and benefit consultants for like-sized organizations. The Executive Committee then determines the annual compensation for the CEO, other officers, and any key employees for the total board approval. The compensation process for the CEO is completed in August annually. The other officers compensation is completed in March annually.

Form 990, Part VI, Section C, line 19

St. Anthony Regional Hospital mails its consolidated audited financial statements to financial institutions, governmental institutions, board members, and the Iowa Hospital Association. The Form 990 is available at guidestar.org. St. Anthony Regional Hospital discloses financial statements to bondholders, the IHA, and the Iowa Attorney General's office. St. Anthony Regional Hospital's governing documents, conflict of interest policy, and financial statements are available to the public upon request.

Filing and Contact Details

Filer

Filer Name
St Anthony Regional Hospital
EIN
42-0733472
Phone
7127945246
Address
311 South Clark Street PO Box 628, Carroll, IA 51401

Signing Officer

Name
John Munson
Title
CFO
Phone
7127945246
Signed
2018-04-30
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Edward H Smith Jr
Formed
1905
Legal Domicile
Ia
Voting Board Members
10
Independent Board Members
8
Employees
827
Volunteers
542

Preparer

Firm
Deloitte Tax LLP
Address
50 South Sixth Street Suite 2800, Minneapolis, MN 55402
Preparer
Kristina Rasmussen
Phone
6123974000
Supplemental Narrative

Additional Explanations

Form 990, Part IX, line 11G

Physician Fees: Program service expenses 1,950,921. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,950,921. Patient Service Fees: Program service expenses 986,274. Management and general expenses 0. Fundraising expenses 0. Total expenses 986,274. Contract Labor: Program service expenses 2,501,710. Management and general expenses 485. Fundraising expenses 0. Total expenses 2,502,195. Laundry Fees: Program service expenses 323,285. Management and general expenses 0. Fundraising expenses 0. Total expenses 323,285. Consulting Fees: Program service expenses 34,009. Management and general expenses 36,385. Fundraising expenses 0. Total expenses 70,394. Professional Fees: Program service expenses 597,199. Management and general expenses 957,215. Fundraising expenses 0. Total expenses 1,554,414. Recruiting Fees: Program service expenses 337,287. Management and general expenses 209,854. Fundraising expenses 0. Total expenses 547,141.

Form 990, Part XI, line 9:

Transfer to Foundation - Reimbursed Expenses -242,306. Change in beneficial interest of Net Assets of Foundation 671,160. Income From Partnership -1,519.

Financial Statement Notes

Part V, Line 4:

All restricted endowed funds held at St. Anthony Foundation are used for the benefit of St. Anthony Regional Hospital for pastoral care and scholarships.

Part X, Line 2:

The Internal Revenue Service has determined that the Hospital is an organization exempt from income tax under the Internal Revenue Code; and accordingly, no provision for income taxes is recorded in the consolidated statement of activities. Accounting for income taxes provides that a tax benefit from an uncertain tax position may be recognized when it is more likely than not that the position will be sustained upon examination, including resolutions of any related appeals or litigation processes, based on the technical merits. The Hospital recorded no liabilities for unrecognized tax benefits as of June 30, 2017 and 2016. The Hospital is engaged in certain activities that result in unrelated business income recorded within other revenue in the consolidated statements of activities.

Part XI, Line 2D - Other Adjustments:

Change in beneficial interest of Net Assets of Foundation 671,160.

Part XI, Line 4B - Other Adjustments:

Rental Expenses -1,536,163. Realized Loss on Sale of Assets -2,186. Income from Partnerships 1,519.

Part XII, Line 2D - Other Adjustments:

Rental Expenses 1,536,163. Realized Loss on Sale of Assets 2,186. Transfer to Foundation - Reimbursed Expenses 242,306.

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IRS990/Desc0St. Anthony Regional Hospital is a 99 bed acute care facility and St. Anthony Nursing Home has 79 beds in Carroll, IA. In the year ended June 30, 2017, St. Anthony Regional Hospital and Nursing Home provided health care services to approximately 2,732 inpatients, 77,822 outpatients, and 41,239 clinic visits. St. Anthony Regional Hospital provided services for 1,667 acute care inpatients, and provided psychiatric, swing bed, and nursing home services for the remainder of inpatients. Outpatient services were provided to patients through ancillary departments, emergency room, and clinics.See Schedule O.St. Anthony Hospital provides services of cardiac rehabilitation, dialysis, hospice care, laboratory, observation, chemotherapy, pathology, radiology, respiratory therapy, physical therapy, occupational therapy, speech therapy, diabetes, medcial oncology, radiation therapy, and surgical services. St. Anthony's largest patient service area is laboratory. In the year ended June 30, 2017, St. Anthony serviced 17,884 patients in laboratory, 7,375 in emergency room, 6,925 in radiology. The activities pursued by St. Anthony Regional Hospital and Nursing Home in the provision of health care services are consistent with its exempt purpose.
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IRS990/Form990PartVIISectionAGrp/TitleTxt2Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt3Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt4Board Member
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IRS990/Form990PartVIISectionAGrp/TitleTxt12Physician
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IRS990/MissionDesc0St. Anthony Regional Hospital is inspired by faith and committed to excellence. We are dedicated to improving the health of the people we serve. We will lead in providing high quality, high value healthcare services responsive to the needs of our patients and the region. We are committed to the health ministry of our sponsors, the Franciscan Sisters of Perpetual Adoration.
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IRS990/PrincipalOfficerNm0Edward H Smith Jr
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Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2023Summary only. Only limited summary data is available for this year.$198$42.9$155$94.4$101$6.26
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$194$40.0$154$92.0$92.3$0.35
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$221$50.0$171$96.2$85.3$10.9
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$197$51.2$145$84.1$78.9$5.16
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$168$29.5$138$78.0$80.3$2.33
2018Summary only. Only limited summary data is available for this year.$165$28.4$137$81.1$76.9$4.15
2017Detailed filing. Detailed filing data is available for this year.$155$23.6$132$82.1$76.4$5.78
2016Detailed filing. Detailed filing data is available for this year.$145$21.4$124$74.1$71.2$2.90
2015Detailed filing. Detailed filing data is available for this year.$145$21.3$124$73.3$66.1$7.28
2014Detailed filing. Detailed filing data is available for this year.$140$21.1$119$66.1$59.7$6.33
2013Summary only. Only limited summary data is available for this year.$132$21.7$111$61.3$59.6$1.67
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$127$23.1$103$60.3
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$122$25.8$96.5$54.2
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$113$26.9$86.6$52.0
Peer Organizations

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