Liabilities / Assets
61st percentile
Higher debt load relative to assets than 61% of similar nonprofits.
Pronto International
990 • Fiscal year 2019 • EIN 46-1318242
Siviq Scores
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
0.08x
Liabilities / Revenue
60th percentile
Higher debt load relative to revenue than 60% of similar nonprofits.
Net Margin
58th percentile
Higher net margin than 58% of similar nonprofits.
Top Officer Pay
92nd percentile
Higher top officer pay than 92% of similar nonprofits.
Top officer pay equals 15.9% of source-year revenue.
Asset Growth
67th percentile
Faster asset growth than 67% of similar nonprofits.
Revenue Growth
15th percentile
Faster revenue growth than 15% of similar nonprofits.
Balance Sheet
Assets
Up$627,207
Up $64,413 (+11%) from 2018
Net Assets
Up$579,006
Up $53,961 (+10%) from 2018
Liabilities
Up$48,201
Up $10,452 (+28%) from 2018
Revenue And Expenses
Revenue
Down$780,579
Down $208,644 (-21%) from 2018
Expenses
Down$726,618
Down $109,044 (-13%) from 2018
Net Income
Down$53,961
Down $99,600 (-65%) from 2018
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2019 to Dec 31, 2019
- Signed
- Nov 12, 2020
- Return Version
- 2019v5.0
- Gross Receipts
- $798,340
Mission and Program Overview
Mission
PRONTO International aims to optimize care during birth. We develop and implement innovative training strategies for health care providers that act as a catalyst for individual, team, and system change.
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Cash and Non-Interest-Bearing Accounts | $550,221 | $385,364 | ▼ $164,857 |
| Accounts Receivable | $1,826 | $233,804 | ▲ $231,978 |
| Inventories for Sale or Use | $9,647 | $6,938 | ▼ $2,709 |
| Savings and Temporary Cash Investments | $1,100 | $1,101 | ▲ $1 |
| Total Assets | $562,794 | $627,207 | ▲ $64,413 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $37,749 | $48,201 | ▲ $10,452 |
| Total Liabilities | $37,749 | $48,201 | ▲ $10,452 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $310,034 | $368,006 | ▲ $57,972 |
| Net Assets With Donor Restrictions | $215,011 | $211,000 | ▼ $4,011 |
| Total Net Assets Fund Balance | $525,045 | $579,006 | ▲ $53,961 |
| Total Liabilities and Net Assets / Fund Balance | $562,794 | $627,207 | ▲ $64,413 |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Total |
|---|---|---|---|---|
| Heidi Breeze-Harris | Executive Director | FT | $123,873 | $123,873 |
Board Members and Trustees
| Name | Title |
|---|---|
| Dilys Walker | Board President |
| Susanna Cohen | Board Vice President |
| Jen Fahey | Board Secretary |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $765,277
- Program Service Revenue
- $0
- Investment Income
- $1
- Other Revenue
- $15,301
- All Other Contributions
- $260,748
- Change in Net Assets
- $53,961
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Other Expenses | $425,401 |
| Salaries, Compensation, and Employee Benefits | $301,217 |
| Total Fundraising Expense | $43,844 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Fees for Services Other | $174,867 | $5,212 | $2,262 | $182,341 |
| Other Salaries and Wages | $132,260 | $10,721 | $11,014 | $153,995 |
| Travel | $126,945 | $1,123 | $2,143 | $130,211 |
| Current Officers, Directors, Trustees, and Key Employees | $80,410 | $27,359 | $16,104 | $123,873 |
| Other Expenses | $47,979 | $0 | $0 | $47,979 |
| Office Expenses | $22,825 | $12,075 | $177 | $35,077 |
| Payroll Taxes | $17,871 | $3,200 | $2,278 | $23,349 |
| Occupancy | $1,210 | $6,895 | - | $8,105 |
| Fees for Services Accounting | - | $7,212 | - | $7,212 |
| Advertising | $660 | $75 | $4,743 | $5,478 |
| Conferences and Meetings | $72 | $326 | $4,410 | $4,808 |
| Fees for Services Legal | $686 | $995 | - | $1,681 |
| Insurance | - | $1,501 | - | $1,501 |
| Information Technology | $0 | $295 | $713 | $1,008 |
| Total Functional Expenses | $605,785 | $76,989 | $43,844 | $726,618 |
International Activity
International Summary
- Offices
- 0
- Employees
- 2
- Spending
- $577,979
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
| Region | Activity | Services | Offices | Employees | Spending |
|---|---|---|---|---|---|
| Sub-Saharan Africa | Program Services | In sub-Saharan Africa, PRONTO trained participants to effectively facilitate simulated clinical cases to improve outcomes for mothers and babies. We also provided an implementation curriculum to allow participants to conduct facility-based simulations in labor wards, operating theaters, or other spaces where the clinical emergencies occur. | 0 | 1 | $355,136 |
| South Asia | Program Services | In Bihar and Uttar Pradesh, India PRONTO is partnered with various organizations to integrate PRONTO's simulation and team training methods into nurse mentoring programs. PRONTO's train-the-trainer method creatings simulation facilitators able to run high-fidelity, low-cost simulations at the facility level. PRONTO trainers trained nurse supervisors who train nurse mentors to facilitate simulated emergency obstetric and newborn clinical cases. PRONTO works with partners to develop implementation schedules to conduct facility-based simulations within health facilities. In Timor-Leste, PRONTO partnered with Health Alliance International to train participants to facilitate simulated clinical cases to improve outcomes for mothers and babies. PRONTO provided a simulation and team-training curriculum for facilitators to follow during their intervention which allows participants to conduct simulations in labor wards, operating theaters, or other spaces where clinical emergencies occur. | 0 | 1 | $222,843 |
| Central America and the Caribbean | Fundraising | Payment was received in 2019 in support of work done in Guatemala in 2018. | 0 | 0 | $0 |
Fundraising, Events, and Gaming
- Fundraising activities
- No
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| 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
- Backup withholding compliance
- 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
- 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
Governance Explanations
Form 990, Part VI, Section A, Line 8B
“PRONTO International does not have any board committees or subcommittees.”
Form 990, Part VI, Section B, Line 11B
“A draft of the form 990 is reviewed by the paid preparer, as well as an outside CPA firm and the Executive Director. It is then provided to all board members via email prior to submitting the return with the Internal Revenue Service.”
Form 990, Part VI, Section B, Line 12C
“Annually, every member of the board is required to complete a conflict of interest questionnaire. If a potential conflict of interest arises, it is reviewed by the disinterested board members who then determine if an actual conflict of interest exists. If a conflict of interest does exist, the governing board shall determine by majority vote of the disinterested directors whether the transaction or arrangement is in PRONTO International's best interest, and whether it is fair and reasonable.”
Form 990, Part VI, Section B, Line 15
“The compensation for the Executive Director is set by the board of directors, all of whom are independent, using data on compensation rates for comparable positions. This process was last undertaken in July 2019. There are not other paid officers or key employees.”
Form 990, Part VI, Section C, Line 19
“PRONTO International's governing documents, conflict of interest policy, and financial statements are available upon request.”
Filing and Contact Details
Filer
- Filer Name
- Pronto International
- EIN
- 46-1318242
- Phone
- 2067550044
- Address
- 5419 Greenwood Ave N, Seattle, WA 98103
Signing Officer
- Name
- Heidi Breeze-Harris
- Title
- Executive Director
- Phone
- 2067550044
- Signed
- 2020-11-12
- Discuss with paid preparer
- Yes
Organization Details
- Principal Officer
- Heidi Breeze-Harris
- Formed
- 2013
- Legal Domicile
- Wa
- Voting Board Members
- 3
- Independent Board Members
- 3
- Employees
- 4
- Volunteers
- 4
Preparer
- Firm
- Rising Sun Accounting
- Address
- 12007 33rd Ave NE, Seattle, WA 98125
- Preparer
- Samuel Dahlin
- Phone
- 2069395442
Supplemental Narrative
Additional Explanations
Form 990, Part I, Line 6
“Volunteers: There were three uncompensated board members who served during 2019. In addition one other volunteer did data entry, storage unit cleaning, transcription, and program support.”
Form 990, Part III, Line 2
“A number of new programs are listed in Part III, this is a result of our growing operations and client base: In 2019, PRONTO International began offering our Simulation and Team Training programs in a number of new locations, including Mozambique, Nigeria, and Uttar Pradesh; in addition, the East Africa Sustainability Program and PRONTOPack Program expanded to independent programs in Part III.”
Form 990, Part III, Line 3
“The Preterm Birth Initiative that ran in Kenya and Uganda for the past 5 years wrapped up in 2019.”
Form 990, Part IX, Line 11G
“Program Sustainability: $76,000; Other Training & Implementation Services: $50,233; PRONTO Trainers $26,434; Board Governance and Organization Policy Development: $17,500; Curriculum Development: $7,200; Other Professional Services: $4,974”
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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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| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 3200 |
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| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 23349 |
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| IRS990/PrincipalOfficerNm | 0 | Heidi Breeze-Harris |
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| IRS990/ProgSrvcAccomActy2Grp/Desc | 0 | Bihar, India: In 2019, PRONTO International continued a long-standing collaboration with CARE India in Bihar. PRONTO continued to support the nurse mentoring program called AMANAT Jyoti, where 60 Nurse Mentor Supervisors (NMS) trained approximately 700 AMANAT mentors in 353 Primary Health Care Centers. These mentors were Auxiliary Nurse Midwives (ANMs) and General Nurse Midwives (GNMs). PRONTO conducted Fidelity Monitoring during the TOT of AMANAT mentors by the NMSs. PRONTO staff visited the facilities to provide supportive supervision as the AMANAT mentors delivered simulation training to the staff nurses in their own facilities. PRONTO staff videotaped the simulations and activities conducted as part of Fidelity Monitoring which were later coded for assessment. PRONTO also developed a curriculum for Outreach training to be delivered to staff nurses at sub-centers in villages. PRONTO was also involved in developing a new Induction training for the new staff nurses to be hired by the Bihar government. PRONTO started work on the Sustained Engagement platform and conducted a pilot with a few CARE CTEs (Clinical Training Experts) and Nurse Mentors for its first module. |
| IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt | 0 | 169954 |
| IRS990/ProgSrvcAccomActy2Grp/GrantAmt | 0 | 0 |
| IRS990/ProgSrvcAccomActy2Grp/RevenueAmt | 0 | 0 |
| IRS990/ProgSrvcAccomActy3Grp/Desc | 0 | Nigeria: In August 2019, PRONTO, in partnership with Clinton Health Access Initiative (CHAI), conducted a Simulation Facilitator Training (SFT) in Minna, Nigeria. The training brought together 30 participants (20 project mentors and 10 representatives from the Niger State government) to introduce simulation and team-training, impart simulation and debriefing skills, and review the project intervention schedule. Following the SFT, the project mentors began utilizing PRONTO simulation and team-training during regular mentorship visits at health facilities in Niger State, aimed at increasing healthcare provider confidence in managing obstetric and neonatal emergencies, promoting respectful maternity care, and forming cohesive interprofessional healthcare provider teams. |
| IRS990/ProgSrvcAccomActy3Grp/ExpenseAmt | 0 | 41625 |
| IRS990/ProgSrvcAccomActy3Grp/GrantAmt | 0 | 0 |
| IRS990/ProgSrvcAccomActy3Grp/RevenueAmt | 0 | 0 |
| IRS990/ProgSrvcAccomActyOtherGrp/Desc | 0 | East Africa Sustainability: As part our work on the sustainability of the PRONTO mentorship training program beyond initial project investments, the PRONTO invested its own resources into furthering the integration of simulation and team training and the mentorship model into the harmonized national Emergency Obstetric and Newborn Care (EmONC) curriculum for Kenya. This process followed PRONTO's long engagement in Kenya as part of the Preterm Birth Initiative where PRONTO's simulation and team training and mentorship approach was shown to be feasible for the system, acceptable by providers and facilities, and yielded powerful growth in skills and confidence of providers and important positive outcomes for mothers and preterm infants. PRONTO's investment included participating in formal stakeholder curriculum development sessions with a range of national partners as well as working with Ministry of Health teams to ensure the PRONTO methodology could be integrated into the work of the county Reproductive Heath Coordinators. |
| IRS990/ProgSrvcAccomActyOtherGrp/Desc | 1 | Preterm Birth Initiative- Kenya and Uganda: In 2019, PRONTO continued to partner with the Preterm Birth Initiative (PTBi) with the University of California - San Francisco, on large implementation projects in East Africa (Kenya and Uganda). In Kenya, facility-based mentoring was ongoing during the first half of 2019. In May 2019, the mentors trained in 2016 as part of the initial launch wrapped up the program in the intervention sites and began working with the control facilities. The mentors, along with support from PRONTO International, conducted a Simulation Facilitator Training in June 2019 to train staff from the intervention facilities and the control facilities in preparation for programmatic handover to the facilities. These facilities also received a PRONTOPack and low-tech simulation training kit. This training focused on simulation, facilitation, and debriefing skills. In Uganda, all training activities concluded and final monitoring and evaluation took place. |
| IRS990/ProgSrvcAccomActyOtherGrp/Desc | 2 | Timor-Leste: In February 2019, PRONTO, in partnership with Health Alliance International (HAI), conducted an Advanced Simulation Facilitator Training (aSFT) in Dili, Timor-Leste. The aSFT deepened the simulation facilitation and debriefing skills of the 20-person cohort of Timorese healthcare providers initially trained in 2018 and introduced a more clinically complex curriculum. Following the aSFT, these 20 HAI midwives and facility-based clinicians continued conducting simulation and team-training activities in 9 community health centers once a month. The project concluded in October 2019. Over the course of the project (August 2018 - October 2019), healthcare providers at the 9 participating community health centers saw their emergency obstetric and newborn care knowledge increase from 55.54% to 89.94%, as measured by a pre and post-knowledge assessment. |
| IRS990/ProgSrvcAccomActyOtherGrp/Desc | 3 | Uttar Pradesh, India: In 2019 PRONTO continued the collaboration with India Health Action Trust (IHAT) to complete the final assessment of simulation training in 15 facilities in 5 HPDs (High Priority Districts). The PRONTO team travelled to the 15 facilities to conduct end-line simulation assessments to understand the effect of simulation training in these facilities. PRONTO also signed a new collaboration agreement with IHAT to expand simulation training to 204 facilities in the 25 HPDs. PRONTO worked with IHAT to finalize the 204 facilities and worked on the implementation plan over the next 24 months. |
| IRS990/ProgSrvcAccomActyOtherGrp/Desc | 4 | PRONTOPack: Excluding program-related purchases, PRONTO sold 39 PRONTOPacksTM, 4 PartoPantsTM, and donated 1 PRONTOPackTM, in 2019. 2019's PRONTOPackTM sales expanded to 2 new countries and 5 new states. Of those that were sold, 6 PRONTOPacksTM were sold to international customers, of which, 5 of those customers received a discounted price for their work in limited-resource settings. The majority of 2019's sales were to hospitals and universities within the United States. |
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| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTxt | 0 | South Asia |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTxt | 1 | Sub-Saharan Africa |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTxt | 2 | Central America and the Caribbean |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/SpecificServicesProvidedTxt | 0 | In Bihar and Uttar Pradesh, India PRONTO is partnered with various organizations to integrate PRONTO's simulation and team training methods into nurse mentoring programs. PRONTO's train-the-trainer method creatings simulation facilitators able to run high-fidelity, low-cost simulations at the facility level. PRONTO trainers trained nurse supervisors who train nurse mentors to facilitate simulated emergency obstetric and newborn clinical cases. PRONTO works with partners to develop implementation schedules to conduct facility-based simulations within health facilities. In Timor-Leste, PRONTO partnered with Health Alliance International to train participants to facilitate simulated clinical cases to improve outcomes for mothers and babies. PRONTO provided a simulation and team-training curriculum for facilitators to follow during their intervention which allows participants to conduct simulations in labor wards, operating theaters, or other spaces where clinical emergencies occur. |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/SpecificServicesProvidedTxt | 1 | In sub-Saharan Africa, PRONTO trained participants to effectively facilitate simulated clinical cases to improve outcomes for mothers and babies. We also provided an implementation curriculum to allow participants to conduct facility-based simulations in labor wards, operating theaters, or other spaces where the clinical emergencies occur. |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/SpecificServicesProvidedTxt | 2 | Payment was received in 2019 in support of work done in Guatemala in 2018. |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/TypeOfActivitiesConductedTxt | 0 | Program Services |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/TypeOfActivitiesConductedTxt | 1 | Program Services |
| IRS990ScheduleF/AccountActivitiesOutsideUSGrp/TypeOfActivitiesConductedTxt | 2 | Fundraising |
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| IRS990ScheduleF/SupplementalInformationDetail/ExplanationTxt | 0 | The expenditures reported on Schedule F, Part I, Line 3 are on the Accrual Basis of accounting. |
| IRS990ScheduleF/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | Schedule F, Part I, Line 3 |
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| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | Volunteers: There were three uncompensated board members who served during 2019. In addition one other volunteer did data entry, storage unit cleaning, transcription, and program support. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | A number of new programs are listed in Part III, this is a result of our growing operations and client base: In 2019, PRONTO International began offering our Simulation and Team Training programs in a number of new locations, including Mozambique, Nigeria, and Uttar Pradesh; in addition, the East Africa Sustainability Program and PRONTOPack Program expanded to independent programs in Part III. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | The Preterm Birth Initiative that ran in Kenya and Uganda for the past 5 years wrapped up in 2019. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | PRONTO International does not have any board committees or subcommittees. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | A draft of the form 990 is reviewed by the paid preparer, as well as an outside CPA firm and the Executive Director. It is then provided to all board members via email prior to submitting the return with the Internal Revenue Service. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 5 | Annually, every member of the board is required to complete a conflict of interest questionnaire. If a potential conflict of interest arises, it is reviewed by the disinterested board members who then determine if an actual conflict of interest exists. If a conflict of interest does exist, the governing board shall determine by majority vote of the disinterested directors whether the transaction or arrangement is in PRONTO International's best interest, and whether it is fair and reasonable. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 6 | The compensation for the Executive Director is set by the board of directors, all of whom are independent, using data on compensation rates for comparable positions. This process was last undertaken in July 2019. There are not other paid officers or key employees. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 7 | PRONTO International's governing documents, conflict of interest policy, and financial statements are available upon request. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 8 | Program Sustainability: $76,000; Other Training & Implementation Services: $50,233; PRONTO Trainers $26,434; Board Governance and Organization Policy Development: $17,500; Curriculum Development: $7,200; Other Professional Services: $4,974 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | Form 990, Part I, Line 6 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | Form 990, Part III, Line 2 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | Form 990, Part III, Line 3 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | Form 990, Part VI, Section A, Line 8b |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | Form 990, Part VI, Section B, Line 11b |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 5 | Form 990, Part VI, Section B, Line 12c |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 6 | Form 990, Part VI, Section B, Line 15 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 7 | Form 990, Part VI, Section C, Line 19 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 8 | Form 990, Part IX, Line 11g |
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| IRS990/TotalAssetsEOYAmt | 0 | 627207 |
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Document Assets
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Filings
Displayed year
2019 • Form 990Detailed filing. Detailed filing data is available for this year.
- Assets
- $627,207
- Liabilities
- $48,201
- Net assets
- $579,006
- Revenue
- $780,579
- Expenses
- $726,618
- Net income
- $53,961