Civic Intelligence

Arnot Medical Services PLLC

990 • Fiscal year 2016 • EIN 45-3800308

Jan 01, 2016 to Dec 31, 2016 • Filed on Jun 21, 2017

102 Ivy StreetElmira, NY 14901

(607) 271-7272

Siviq Scores

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

Liabilities / Assets

1st percentile

0.00x

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

2016 filings • NTEE E • $50M-$100M nonprofits • Source year 2016

Liabilities / Revenue

1st percentile

0.00x

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

2016 filings • NTEE E • $50M-$100M nonprofits • Source year 2016

Net Margin

4th percentile

-75%

Higher net margin than 4% of similar nonprofits.

2016 filings • NTEE E • $50M-$100M nonprofits • Source year 2016

Top Officer Pay

66th percentile

$1,078,139

Higher top officer pay than 66% of similar nonprofits.

Top officer pay equals 1.7% of source-year revenue.

2016 filings • NTEE E • $50M-$100M nonprofits • Source year 2016

Asset Growth

93rd percentile

30%

Faster asset growth than 93% of similar nonprofits.

2016 filings • NTEE E • $50M-$100M nonprofits • Annualized from 2015 to 2016

Revenue Growth

85th percentile

23%

Faster revenue growth than 85% of similar nonprofits.

2016 filings • NTEE E • $50M-$100M nonprofits • Annualized from 2015 to 2016

Assets

Up

$15,342,038

Up $3,517,636 (+30%) from 2015

Net Assets

Up

$15,342,038

Up $3,517,636 (+30%) from 2015

Liabilities

Flat

$0

Flat from 2015

Revenue

Up

$62,400,518

Up $11,696,473 (+23%) from 2015

Expenses

Up

$109,449,812

Up $5,309,145 (+5.1%) from 2015

Net Income

Up

-$47,049,294

Up $6,387,328 (+12%) from 2015

Historical Trend

Balance Sheet Trend

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

$20M$15M$10M$5.0M$0Assets 2014: $12,221,764Liabilities 2014: $0Net Assets 2014: $12,221,7642014Assets 2015: $11,824,402Liabilities 2015: $0Net Assets 2015: $11,824,4022015Assets 2016: $15,342,038Liabilities 2016: $0Net Assets 2016: $15,342,0382016Assets 2017: $8,446,194Liabilities 2017: $0Net Assets 2017: $8,446,1942017Assets 2018: $7,351,712Liabilities 2018: $0Net Assets 2018: $7,351,7122018Assets 2019: $3,703,912Liabilities 2019: $0Net Assets 2019: $3,703,9122019Assets 2020: $2,423,080Liabilities 2020: $0Net Assets 2020: $2,423,0802020Assets 2021: $3,393,991Liabilities 2021: $0Net Assets 2021: $3,393,9912021Assets 2022: $3,578,906Liabilities 2022: $0Net Assets 2022: $3,578,9062022Assets 2023: $2,590,071Liabilities 2023: $0Net Assets 2023: $2,590,0712023Assets 2024: $2,422,621Liabilities 2024: $0Net Assets 2024: $2,422,6212024

Highlighted filing

2016

Assets$15,342,038
Liabilities$0
Net Assets$15,342,038

Operations Trend

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

$150M$100M$50M$0-$50M-$100MRevenue 2014: $58,811,419Expenses 2014: $98,253,991Net Income 2014: -$39,442,5722014Revenue 2015: $50,704,045Expenses 2015: $104,140,667Net Income 2015: -$53,436,6222015Revenue 2016: $62,400,518Expenses 2016: $109,449,812Net Income 2016: -$47,049,2942016Revenue 2017: $53,109,683Expenses 2017: $73,912,004Net Income 2017: -$20,802,3212017Revenue 2018: $57,182,569Expenses 2018: $74,530,854Net Income 2018: -$17,348,2852018Revenue 2019: $35,754,751Expenses 2019: $58,375,800Net Income 2019: -$22,621,0492019Revenue 2020: $32,114,613Expenses 2020: $49,765,677Net Income 2020: -$17,651,0642020Revenue 2021: $26,825,153Expenses 2021: $39,587,202Net Income 2021: -$12,762,0492021Revenue 2022: $23,341,376Expenses 2022: $36,947,003Net Income 2022: -$13,605,6272022Revenue 2023: $23,017,232Expenses 2023: $39,320,958Net Income 2023: -$16,303,7262023Revenue 2024: $27,269,856Expenses 2024: $42,022,380Net Income 2024: -$14,752,5242024

Highlighted filing

2016

Revenue$62,400,518
Expenses$109,449,812
Net Income-$47,049,294
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Jun 21, 2017
Return Version
2016v3.0
Gross Receipts
$62,400,518
Mission and Program Overview

Mission

Ams was formed to support the charitable purposes of arnot medical center which include providing physician services designed to improve the quality of health care available to the residents of chemung county, new york and other areas served by the hospital. Furthermore, amss purpose is to participate in activities to promote and improve the overall health of, and to otherwise meet the medical care needs of, the community and to advance, promote, foster and support clinical research. The formation of ams was largely motivated by the goal of an integrated medical service system; namely to encourage the hospital and physicians to work in conjunction with each other to improve access to, and to provide better care for patients in the community. Ams provides nondiscriminatory services to medicare and medicaid recipients and provides financial assistance on a case-by-case basis for patients who earn 300% or less of the federal poverty guidelines for the applicable family size.

Ams was formed to support the charitable purposes of hospital which include providing physician services designed to improve the quality of health care available to the residents of chemung county, new york and other areas served by the hospital. Furthermore, amss purpose is to participate in activities to promote and improve the overall health of, and to otherwise meet the medical care needs of, the community and to advance, promote, foster and support clinical research. The formation of ams was largely motivated by the goal of an integrated medical service system; namely to encourage the hospital and physicians to work in conjunction with each other to improve access to, and to provide better care for patients in the community. Ams provides nondiscriminatory services to medicare and medicaid recipients and provides financial assistance on a case-by-case basis for patients who earn 300% or less of the federal poverty guidelines for the applicable family size.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$11,824,402$15,342,038▲ $3,517,636
Total Assets$11,824,402$15,342,038▲ $3,517,636
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$11,824,402$15,342,038▲ $3,517,636
Total Net Assets Fund Balance$11,824,402$15,342,038▲ $3,517,636
Total Liabilities and Net Assets / Fund Balance$11,824,402$15,342,038▲ $3,517,636
Compensation and Service Providers

Employees

NameTitleOtherTotal
Harold Hoffmeier MdAdvisor$125,876$125,876
Tina Burt NpAdvisor$124,056$124,056
Sharon Ferguson NpAdvisor$113,564$113,564
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$62,400,518
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-47,049,294
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$109,449,812
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$102,258,921--$102,258,921
Office Expenses$4,805,690--$4,805,690
Insurance$1,771,760--$1,771,760
Travel$613,441--$613,441
Total Functional Expenses$109,449,812$0$0$109,449,812
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
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
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 6

Robert k. Lambert, m.d., president of arnot health, inc., is the sole member.

Form 990, Page 6, Part VI, Line 7A

The approval of the hospital is required to elect or appoint one or more members of the governing body.

Form 990, Page 6, Part VI, Line 7B

All governance decisions are subject to the approval of the hospital.

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

The 990 and accompanying schedules are reviewed by the officers of arnot medical services and the executive committee of the hospitals board prior to filing. The form is provided to each board members prior to filing.

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

Annual disclosure statements are filed by all interested persons, which includes any director, officer or member of a committee with board delegated powers, or key employees. All disclosure statements are reviewed by the audit committee of the board of directors. Interested persons are required to report any additional or new potential conflicts throughout the year. Interested persons are prohibited from participation in voting and decision making in related transactions.

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

Compensation for the president and vice-presidents of the hospital, including dr. Debara, the president of arnot medical services, are set pursuant to a policy and compensation philosophy adopted by the board. The board has a compensation committee consisting of outside directors. The compensation committee uses a consultant to advice on compensation for the officers. The compensation consultant collects and reports compensation on similar positions in similar non-profit hospitals from upstate new york and western pennsylvania. The compensation committee recommends adjustments to the executive committee of the board which reviews the recommendations and approves or disapproves without employees in the room. This action then is reviewed with the entire board also in executive session.

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

Compensation for the president and vice-presidents of the hospital, including dr. Debara, the president of arnot medical services, are set pursuant to a policy and compensation philosophy adopted by the board. The board has a compensation committee consisting of outside directors. The compensation committee uses a consultant to advice on compensation for the officers. The compensation consultant collects and reports compensation on similar positions in similar non-profit hospitals from upstate new york and western pennsylvania. The compensation committee recommends adjustments to the executive committee of the board which reviews the recommendations and approves or disapproves without employees in the room. This action then is reviewed with the entire board also in executive session.

Form 990, Page 6, Part VI, Line 18

Upon request the 990 form will be made available to the public and also via guidestar.com. Financial statements are posted to the electronic municipal market access website.

Form 990, Page 6, Part VI, Line 19

No documents available to the public

Filing and Contact Details

Filer

Filer Name
Arnot Medical Services Pllc
EIN
45-3800308
Address
102 IVY STREET, ELMIRA, NY 14901

Signing Officer

Name
Robert Lambert Md
Title
Member
Signed
2017-06-21

Organization Details

Principal Officer
Roberto De Bara Md
Formed
2012
Legal Domicile
Ny
Voting Board Members
18
Independent Board Members
0
Employees
0

Preparer

Preparer
John R Alexander
Supplemental Narrative

Additional Explanations

FORM 990 - ORGANIZATION'S MISSION

Ams was formed to support the charitable purposes of hospital which include providing physician services designed to improve the quality of health care available to the residents of chemung county, new york and other areas served by the hospital. Furthermore, amss purpose is to participate in activities to promote and improve the overall health of, and to otherwise meet the medical care needs of, the community and to advance, promote, foster and support clinical research. The formation of ams was largely motivated by the goal of an integrated medical service system; namely to encourage the hospital and physicians to work in conjunction with each other to improve access to, and to provide better care for patients in the community. Ams provides nondiscriminatory services to medicare and medicaid recipients and provides financial assistance on a case-by-case basis for patients who earn 300% or less of the federal poverty guidelines for the applicable family size.

Form 990, Part IX, Line 11G

Leased employees 73,667,743 0 0 leased employees fica 3,500,492 0 0 leased employees health ins 6,652,560 0 0 leased employees pension 1,557,720 0 0 leased employees ui, disab, w 1,290,228 0 0 professional fees 5,514,039 0 0 medical supplies 2,898,886 0 0 non-medical supplies 709,882 0 0 purchased services 4,839,440 0 0 utilities 438,183 0 0 depreciation 1,189,748 0 0 total 102,258,921 0 0

Form 990, Part XI, Line 9

Advance from arnot agden medical center 50,566,930 depreciation shown on financials 0 total 50,566,930

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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0DARRYL HOFFMAN MD
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm3ROBERTO DE BARA MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm4LOUIS RILEY MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm5SEAN STRYKER MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm6ALEKSANDER RUPIK MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm7KENNETH SUBIN MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm8KIM KAFFENBARGER MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm9COVENEY FITSIMMONS MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm10KIM PANOSIAN MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm11BRUNO MAZZA
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm12VIDYASAGAR MUKREDDY
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm14PAUL P TINSLEY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm15MATTHEW R BRAND
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm16EARL ROBINSON MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm17JOHN ALVES MD
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt3PRESIDENT
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0AMS WAS FORMED TO SUPPORT THE CHARITABLE PURPOSES OF HOSPITAL WHICH INCLUDE PROVIDING PHYSICIAN SERVICES DESIGNED TO IMPROVE THE QUALITY OF HEALTH CARE AVAILABLE TO THE RESIDENTS OF CHEMUNG COUNTY, NEW YORK AND OTHER AREAS SERVED BY THE HOSPITAL. FURTHERMORE, AMSS PURPOSE IS TO PARTICIPATE IN ACTIVITIES TO PROMOTE AND IMPROVE THE OVERALL HEALTH OF, AND TO OTHERWISE MEET THE MEDICAL CARE NEEDS OF, THE COMMUNITY AND TO ADVANCE, PROMOTE, FOSTER AND SUPPORT CLINICAL RESEARCH. THE FORMATION OF AMS WAS LARGELY MOTIVATED BY THE GOAL OF AN INTEGRATED MEDICAL SERVICE SYSTEM; NAMELY TO ENCOURAGE THE HOSPITAL AND PHYSICIANS TO WORK IN CONJUNCTION WITH EACH OTHER TO IMPROVE ACCESS TO, AND TO PROVIDE BETTER CARE FOR PATIENTS IN THE COMMUNITY. AMS PROVIDES NONDISCRIMINATORY SERVICES TO MEDICARE AND MEDICAID RECIPIENTS AND PROVIDES FINANCIAL ASSISTANCE ON A CASE-BY-CASE BASIS FOR PATIENTS WHO EARN 300% OR LESS OF THE FEDERAL POVERTY GUIDELINES FOR THE APPLICABLE FAMILY SIZE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1ROBERT K. LAMBERT, M.D., PRESIDENT OF ARNOT HEALTH, INC., IS THE SOLE MEMBER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE APPROVAL OF THE HOSPITAL IS REQUIRED TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3ALL GOVERNANCE DECISIONS ARE SUBJECT TO THE APPROVAL OF THE HOSPITAL.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE 990 AND ACCOMPANYING SCHEDULES ARE REVIEWED BY THE OFFICERS OF ARNOT MEDICAL SERVICES AND THE EXECUTIVE COMMITTEE OF THE HOSPITALS BOARD PRIOR TO FILING. THE FORM IS PROVIDED TO EACH BOARD MEMBERS PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5ANNUAL DISCLOSURE STATEMENTS ARE FILED BY ALL INTERESTED PERSONS, WHICH INCLUDES ANY DIRECTOR, OFFICER OR MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS, OR KEY EMPLOYEES. ALL DISCLOSURE STATEMENTS ARE REVIEWED BY THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. INTERESTED PERSONS ARE REQUIRED TO REPORT ANY ADDITIONAL OR NEW POTENTIAL CONFLICTS THROUGHOUT THE YEAR. INTERESTED PERSONS ARE PROHIBITED FROM PARTICIPATION IN VOTING AND DECISION MAKING IN RELATED TRANSACTIONS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6COMPENSATION FOR THE PRESIDENT AND VICE-PRESIDENTS OF THE HOSPITAL, INCLUDING DR. DEBARA, THE PRESIDENT OF ARNOT MEDICAL SERVICES, ARE SET PURSUANT TO A POLICY AND COMPENSATION PHILOSOPHY ADOPTED BY THE BOARD. THE BOARD HAS A COMPENSATION COMMITTEE CONSISTING OF OUTSIDE DIRECTORS. THE COMPENSATION COMMITTEE USES A CONSULTANT TO ADVICE ON COMPENSATION FOR THE OFFICERS. THE COMPENSATION CONSULTANT COLLECTS AND REPORTS COMPENSATION ON SIMILAR POSITIONS IN SIMILAR NON-PROFIT HOSPITALS FROM UPSTATE NEW YORK AND WESTERN PENNSYLVANIA. THE COMPENSATION COMMITTEE RECOMMENDS ADJUSTMENTS TO THE EXECUTIVE COMMITTEE OF THE BOARD WHICH REVIEWS THE RECOMMENDATIONS AND APPROVES OR DISAPPROVES WITHOUT EMPLOYEES IN THE ROOM. THIS ACTION THEN IS REVIEWED WITH THE ENTIRE BOARD ALSO IN EXECUTIVE SESSION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7COMPENSATION FOR THE PRESIDENT AND VICE-PRESIDENTS OF THE HOSPITAL, INCLUDING DR. DEBARA, THE PRESIDENT OF ARNOT MEDICAL SERVICES, ARE SET PURSUANT TO A POLICY AND COMPENSATION PHILOSOPHY ADOPTED BY THE BOARD. THE BOARD HAS A COMPENSATION COMMITTEE CONSISTING OF OUTSIDE DIRECTORS. THE COMPENSATION COMMITTEE USES A CONSULTANT TO ADVICE ON COMPENSATION FOR THE OFFICERS. THE COMPENSATION CONSULTANT COLLECTS AND REPORTS COMPENSATION ON SIMILAR POSITIONS IN SIMILAR NON-PROFIT HOSPITALS FROM UPSTATE NEW YORK AND WESTERN PENNSYLVANIA. THE COMPENSATION COMMITTEE RECOMMENDS ADJUSTMENTS TO THE EXECUTIVE COMMITTEE OF THE BOARD WHICH REVIEWS THE RECOMMENDATIONS AND APPROVES OR DISAPPROVES WITHOUT EMPLOYEES IN THE ROOM. THIS ACTION THEN IS REVIEWED WITH THE ENTIRE BOARD ALSO IN EXECUTIVE SESSION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8UPON REQUEST THE 990 FORM WILL BE MADE AVAILABLE TO THE PUBLIC AND ALSO VIA GUIDESTAR.COM. FINANCIAL STATEMENTS ARE POSTED TO THE ELECTRONIC MUNICIPAL MARKET ACCESS WEBSITE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9NO DOCUMENTS AVAILABLE TO THE PUBLIC
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt10LEASED EMPLOYEES 73,667,743 0 0 LEASED EMPLOYEES FICA 3,500,492 0 0 LEASED EMPLOYEES HEALTH INS 6,652,560 0 0 LEASED EMPLOYEES PENSION 1,557,720 0 0 LEASED EMPLOYEES UI, DISAB, W 1,290,228 0 0 PROFESSIONAL FEES 5,514,039 0 0 MEDICAL SUPPLIES 2,898,886 0 0 NON-MEDICAL SUPPLIES 709,882 0 0 PURCHASED SERVICES 4,839,440 0 0 UTILITIES 438,183 0 0 DEPRECIATION 1,189,748 0 0 TOTAL 102,258,921 0 0
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt11ADVANCE FROM ARNOT AGDEN MEDICAL CENTER 50,566,930 DEPRECIATION SHOWN ON FINANCIALS 0 TOTAL 50,566,930
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990 - ORGANIZATION'S MISSION
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PAGE 6, PART VI, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PAGE 6, PART VI, LINE 15B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8FORM 990, PAGE 6, PART VI, LINE 18
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc10FORM 990, PART IX, LINE 11G
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc11FORM 990, PART XI, LINE 9
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