Civic Intelligence

C2C Innovative Solutions Inc.

990 • Fiscal year 2024 • EIN 47-3641754

Jan 01, 2024 to Dec 31, 2024 • Filed on Nov 07, 2025

3107 Oak Creek Drive 200Austin, TX 78727

(512) 334-1622

Siviq Scores

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

Liabilities / Assets

73rd percentile

0.58x

Higher debt load relative to assets than 73% of similar nonprofits.

2024 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

72nd percentile

1.00x

Higher debt load relative to revenue than 72% of similar nonprofits.

2024 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

90th percentile

45%

Higher net margin than 90% of similar nonprofits.

2024 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

82nd percentile

$1,088,022

Higher top officer pay than 82% of similar nonprofits.

Top officer pay equals 0.8% of source-year revenue.

2024 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2024

Asset Growth

99th percentile

277%

Faster asset growth than 99% of similar nonprofits.

2024 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

97th percentile

202%

Faster revenue growth than 97% of similar nonprofits.

2024 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Up

$245,601,419

Up $180,486,626 (+277%) from 2023

Net Assets

Up

$101,954,566

Up $66,255,989 (+186%) from 2023

Liabilities

Up

$143,646,853

Up $114,230,637 (+388%) from 2023

Revenue

Up

$143,390,829

Up $95,899,877 (+202%) from 2023

Expenses

Up

$78,421,604

Up $29,069,187 (+59%) from 2023

Net Income

Up

$64,969,225

Up $66,830,690 (+3590%) from 2023

Historical Trend

Balance Sheet Trend

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

$300M$200M$100M$0Assets 2015: $18,538,852Liabilities 2015: $7,592,837Net Assets 2015: $10,946,0152015Assets 2016: $29,411,707Liabilities 2016: $6,724,793Net Assets 2016: $22,686,9142016Assets 2017: $21,788,849Liabilities 2017: $8,359,490Net Assets 2017: $13,429,3592017Assets 2018: $30,115,798Liabilities 2018: $5,845,215Net Assets 2018: $24,270,5832018Assets 2019: $35,440,248Liabilities 2019: $5,745,960Net Assets 2019: $29,694,2882019Assets 2020: $37,848,537Liabilities 2020: $4,136,557Net Assets 2020: $33,711,9802020Assets 2021: $42,788,543Liabilities 2021: $4,306,519Net Assets 2021: $38,482,0242021Assets 2022: $49,638,612Liabilities 2022: $13,189,740Net Assets 2022: $36,448,8722022Assets 2023: $65,114,793Liabilities 2023: $29,416,216Net Assets 2023: $35,698,5772023Assets 2024: $245,601,419Liabilities 2024: $143,646,853Net Assets 2024: $101,954,5662024

Highlighted filing

2024

Assets$245,601,419
Liabilities$143,646,853
Net Assets$101,954,566

Operations Trend

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

$150M$100M$50M$0-$50MRevenue 2015: $11,368,425Expenses 2015: $9,775,720Net Income 2015: $1,592,7052015Revenue 2016: $57,631,027Expenses 2016: $47,664,692Net Income 2016: $9,966,3352016Revenue 2017: $54,405,147Expenses 2017: $63,621,908Net Income 2017: -$9,216,7612017Revenue 2018: $54,356,212Expenses 2018: $43,483,621Net Income 2018: $10,872,5912018Revenue 2019: $41,284,880Expenses 2019: $35,897,268Net Income 2019: $5,387,6122019Revenue 2020: $35,889,777Expenses 2020: $31,917,123Net Income 2020: $3,972,6542020Revenue 2021: $38,806,145Expenses 2021: $34,018,606Net Income 2021: $4,787,5392021Revenue 2022: $42,946,386Expenses 2022: $44,909,702Net Income 2022: -$1,963,3162022Revenue 2023: $47,490,952Expenses 2023: $49,352,417Net Income 2023: -$1,861,4652023Revenue 2024: $143,390,829Expenses 2024: $78,421,604Net Income 2024: $64,969,2252024

Highlighted filing

2024

Revenue$143,390,829
Expenses$78,421,604
Net Income$64,969,225
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 7, 2025
Return Version
2024v5.2
Gross Receipts
$146,833,828
Mission and Program Overview

Mission

Provide best value administrative services and quality management principles that promote continuous improvement.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$25,498,846$198,990,651▲ $173,491,805
Investments in Publicly Traded Securities$15,524,763$23,368,119▲ $7,843,356
Cash and Non-Interest-Bearing Accounts$15,053,005$13,693,691▼ $1,359,314
Accounts Receivable$5,857,006$5,440,718▼ $416,288
Prepaid Expenses and Deferred Charges$308,965$1,487,612▲ $1,178,647
Intangible Assets$365,264$365,264→ $0
Land, Buildings, and Equipment, Net$86,199$88,184▲ $1,985
Total Assets$65,114,793$245,601,419▲ $180,486,626
Other Assets Total$2,420,745$2,167,180▼ $253,565
Liabilities
Accounts Payable and Accrued Expenses$24,722,959$138,975,682▲ $114,252,723
Other Liabilities$4,693,257$4,671,171▼ $22,086
Total Liabilities$29,416,216$143,646,853▲ $114,230,637
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$35,698,577$101,954,566▲ $66,255,989
Total Net Assets Fund Balance$35,698,577$101,954,566▲ $66,255,989
Total Liabilities and Net Assets / Fund Balance$65,114,793$245,601,419▲ $180,486,626

Asset Categories

AssetBook ValueDepreciationBasis
Leasehold Improvements$55,622$1,721,227$1,776,849
Equipment$32,562$863,596$896,158
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Jeffrey N PetersonPresidentFT$470,660$377,415$848,075
Frank Delli Carpini MdChief Medical OfficerFT$378,422$193,407$571,829
Michael Owens MdMedical Director IiFT$297,707$146,062$443,769
Dylan Deatrich MdMedical Director IFT$227,267$138,458$365,725
David FeigPhysician Reviewer IiFT$206,030$98,813$304,843
Brian Andrew StotlerProgram Director IiFT$178,703$118,047$296,750
Lisa WardSecretary/general CounselFT$198,862$90,847$289,709
Barbara YakimowiczProgram Director IiFT$189,490$88,619$278,109
Aaron PleinesProgram Director IiFT$172,311$98,862$271,173
Robert MarcusMedical Director IPT$186,929$82,723$269,652
Fabian AlzateDirector, Business DevelopFT$165,864$97,952$263,816
Nicholette WarnerProgram Director IFT$176,655$77,819$254,474
Jean CheneyProgram Director IFT$128,966$70,389$199,355
Madelyn GruberFormer Program Director IPT$97,137$50,608$147,745
Donald P ForgioneTrustee-$14,048-$14,048
Louis PoliseTrustee-$13,226-$13,226
Gary CraytonTrustee-$8,836-$8,836

Board Members and Trustees

NameTitle
Thomas ManleyChairman
Pamela HoernisTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Tmf Health Quality InstituteManagement Services3107 OAK CREEK DRIVE, Austin, TX 78727$15,497,603
J29 IncSubcontractor-processing Of Appeals1111 BENFIELD BLVD SUITE 114, Millersville, MD 21108$14,633,269
Federal Hearings & Appeals Services INCSubcontractor- Processing Of Appeals117 WEST MAIN STREET, Plymouth, PA 18651$1,307,351
Hm Health Solutions INCPrinting And Mailing Services8501 WESTSIDE INDUSTRIAL DR, Jacksonville, FL 32219$409,433
Amkin West Bay LLCRent301 WEST BAY STREET SUITE 210, Jacksonville, FL 32202$370,607
Revenue and Support

Revenue Composition

Contributions and Grants
$33,919,247
Program Service Revenue
$105,702,271
Investment Income
$3,769,311
Other Revenue
$0
Change in Net Assets
$64,969,225
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$37,517,891
Other Expenses$34,800,746
Grants and Similar Amounts Paid$6,102,967
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$24,414,903$8,678,139-$33,093,042
Other Salaries and Wages$23,949,432$4,157,199-$28,106,631
Grants to Domestic Orgs$6,102,967--$6,102,967
Current Officers, Directors, Trustees, and Key Employees$2,301,893$435,678-$2,737,571
Other Employee Benefits$1,977,381$343,238-$2,320,619
Pension Plan Contributions$1,856,580$322,270-$2,178,850
Payroll Taxes$1,852,635$321,585-$2,174,220
Office Expenses$863,661$21,436-$885,097
Occupancy$530,964$9,743-$540,707
Conferences and Meetings$19,463$62,081-$81,544
Fees for Service Investment Mgmnt Fees-$57,528-$57,528
Fees for Services Legal-$34,882-$34,882
Depreciation Depletion$11,609--$11,609
Other Expenses$418$1,138-$1,138
Total Functional Expenses$63,881,906$14,539,698$0$78,421,604
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Tmf Health Quality InstituteAustin, TX501(c)(3)Grant$6,000,000
Ronald Mcdonald HouseJacksonville, FL501(c)(3)Donation$14,500
ST JUDE CHILDREN'SMemphis, TN501(c)(3)Donation$10,000
Wounded Warrior ProjectJacksonville, FL501(c)(3)Donation$10,000
Dreams Come TrueJacksonville, FL501(c)(3)Donation$7,200
Daniel Memorial IncJacksonville, FL501(c)(3)Donation$5,500
Gabriel House of CareJacksonville, FL501(c)(3)Donation$5,100
American Red CrossBoone, IA501(c)(3)Donation$5,050
American Cancer SocietyTampa, FL501(c)(3)Donation$5,005
Cecil Field Pow Mia Memorial IncJacksonville, FL501(c)(3)Donation$5,001
City Rescue MissionJacksonville, FL501(c)(3)Donation$5,001
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Payable to Tmf Health Quality Institute$2,338,189
Operating Lease Liability$2,332,982
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
Audit committee
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
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

Tmf health quality institute is the only member.

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

Members elect trustees from a slate of candidates chosen by the nominating committee.

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

The appointed board member of c2c innovative solutions, inc.'s board of trustees will receive a redacted copy of the irs form 990 tax return prior to its filing with the irs. The appointed board member and the cfo will review the form. The review will include the following: * discussion of new irs requirements and revisions to the form 990 from the previous year. * a brief description of schedules and related attachments all members of the board of trustees will receive a printed or electronic copy of the redacted form 990 prior to filing of the irs form 990. During the next scheduled board meeting, the board will discuss the irs form 990. There will be an opportunity for all board members to ask questions regarding the tax return, any discussions of the completed irs form 990 will be documented in the minutes.

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

Each year, board members, officers and key employees are required to provide c2c with a disclosure of entities and relationships that could give rise to a potential conflict of interest. This information is provided to and reviewed by c2c's compliance officer. Before c2c enters into a contract or other financial relationship with a third party, the contract or substance of the financial relationship is submitted to c2c's compliance officer who conducts a conflicts of interest assessment. If c2c's compliance officer is satisfied that the contract or other relationship would not result in a conflict of interest or the appearance of a conflict of interest, c2c will proceed with the contract or relationship. If a conflict or the appearance of a conflict is determined, c2c will not proceed with the contract or relationship unless an acceptable mitigation plan can be developed and implemented.

Form 990, Part VI, Section B, Line 15

The board of trustees obtains information from sources it deems relevant and necessary to determine reasonable compensation for officers and key employees. In addition to c2c's chief human resources officer, an independent consultant is obtained periodically, to review appropriate levels of compensation for all these people and make recommendations to the board. The consultant was last obtained in 2024. The president reviews the recommendations of the chief human resources officer and any independent consultant and advises the board of the determination concerning the compensation of all officers and key employees other than the president. The board may accept the president's determination or modify it. The board sets what it determines to be appropriate compensation for the president. The process and information reviewed in making these determinations is documented contemporaneously.

Form 990, Part VI, Section C, Line 19

The governing documents, the conflict of interest policy and the financial statements are available upon request.

Filing and Contact Details

Filer

Filer Name
C2c Innovative Solutions Inc
EIN
47-3641754
Phone
5123341622
Address
3107 OAK CREEK DRIVE 200, AUSTIN, TX 78727

Signing Officer

Name
Pamela L Hoernis
Title
Treasurer
Phone
5123341622
Signed
2025-11-07
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jeff Peterson
Formed
2015
Legal Domicile
TX
Voting Board Members
5
Independent Board Members
3
Employees
587
Volunteers
0

Preparer

Firm
Cherry Bekaert Advisory LLC
Address
221 W 6TH STREET STE 1900, AUSTIN, TX 78701
Preparer
Stephanie Lew
Phone
5124796000
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Management services: program service expenses 6,824,355. Management and general expenses 8,673,248. Fundraising expenses 0. Total expenses 15,497,603. Subcontractors: program service expenses 17,590,548. Management and general expenses 4,891. Fundraising expenses 0. Total expenses 17,595,439.

Financial Statement Notes

PART X, LINE 2:

C2c is a non-profit corporation and is exempt from federal income tax under section 501(c)(3) of the internal revenue code. Unrelated business taxable income was nominal for c2c as of december 31, 2024 and 2023. C2c assesses uncertainties in income tax recognition in its financial statements and uses a threshold of more likely than not for recognition and derecognition of tax provisions taken or expected to be taken. C2c has not recorded any uncertain tax positions as of december 31, 2024 or 2023.

Raw XML AppendixShowing 400 of 995 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/Form990PartVIISectionAGrp/OtherCompensationAmt20
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1361551
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1561841
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1639246
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IRS990/Form990PartVIISectionAGrp/PersonNm3THOMAS MANLEY
IRS990/Form990PartVIISectionAGrp/PersonNm4JEFFREY N PETERSON
IRS990/Form990PartVIISectionAGrp/PersonNm5PAMELA HOERNIS
IRS990/Form990PartVIISectionAGrp/PersonNm6LISA WARD
IRS990/Form990PartVIISectionAGrp/PersonNm7FABIAN ALZATE
IRS990/Form990PartVIISectionAGrp/PersonNm8JEAN CHENEY
IRS990/Form990PartVIISectionAGrp/PersonNm9BRIAN ANDREW STOTLER
IRS990/Form990PartVIISectionAGrp/PersonNm10NICHOLETTE WARNER
IRS990/Form990PartVIISectionAGrp/PersonNm11BARBARA YAKIMOWICZ
IRS990/Form990PartVIISectionAGrp/PersonNm12AARON PLEINES
IRS990/Form990PartVIISectionAGrp/PersonNm13FRANK DELLI CARPINI MD
IRS990/Form990PartVIISectionAGrp/PersonNm14MICHAEL OWENS MD
IRS990/Form990PartVIISectionAGrp/PersonNm15DYLAN DEATRICH MD
IRS990/Form990PartVIISectionAGrp/PersonNm16DAVID FEIG
IRS990/Form990PartVIISectionAGrp/PersonNm17ROBERT MARCUS
IRS990/Form990PartVIISectionAGrp/PersonNm18MADELYN GRUBER
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt110
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt160
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt180
IRS990/Form990PartVIISectionAGrp/TitleTxt0TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt1TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt2TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt3CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt4PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt5TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt6SECRETARY/GENERAL COUNSEL
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR, BUSINESS DEVELOP
IRS990/Form990PartVIISectionAGrp/TitleTxt8PROGRAM DIRECTOR I
IRS990/Form990PartVIISectionAGrp/TitleTxt9PROGRAM DIRECTOR II
IRS990/Form990PartVIISectionAGrp/TitleTxt10PROGRAM DIRECTOR I
IRS990/Form990PartVIISectionAGrp/TitleTxt11PROGRAM DIRECTOR II
IRS990/Form990PartVIISectionAGrp/TitleTxt12PROGRAM DIRECTOR II
IRS990/Form990PartVIISectionAGrp/TitleTxt13CHIEF MEDICAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt14MEDICAL DIRECTOR II
IRS990/Form990PartVIISectionAGrp/TitleTxt15MEDICAL DIRECTOR I
IRS990/Form990PartVIISectionAGrp/TitleTxt16PHYSICIAN REVIEWER II
IRS990/Form990PartVIISectionAGrp/TitleTxt17MEDICAL DIRECTOR I
IRS990/Form990PartVIISectionAGrp/TitleTxt18FORMER PROGRAM DIRECTOR I
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IRS990/MinutesOfCommitteesInd01
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IRS990/MissionDesc0PROVIDE BEST VALUE ADMINISTRATIVE SERVICES AND QUALITY MANAGEMENT PRINCIPLES THAT PROMOTE CONTINUOUS IMPROVEMENT.
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IRS990/MoreThan5000KToOrgInd00
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IRS990/OfficeExpensesGrp/ProgramServicesAmt0863661
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IRS990/PrincipalOfficerNm0JEFF PETERSON
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IRS990/ProgramServiceRevenueGrp/BusinessCd0524298
IRS990/ProgramServiceRevenueGrp/BusinessCd1524298
IRS990/ProgramServiceRevenueGrp/Desc0IDRE REVENUE
IRS990/ProgramServiceRevenueGrp/Desc1PROJECT REVENUE
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IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt1992385
IRS990/ProgSrvcAccomActy2Grp/Desc0C2C INNOVATIVE SOLUTIONS INC. (C2C) SERVES AS A FEDERAL CONTRACTOR FOR THE MEDICARE PROGRAM SINCE THE INCEPTION OF THE SECOND-LEVEL APPEAL PROCESS IN SEPTEMBER 2004. AS A QUALIFIED INDEPENDENT CONTRACTOR (QIC), C2C ADJUDICATES SECOND-LEVEL MEDICARE APPEALS CALLED RECONSIDERATIONS FOR SEVERAL JURISDICTIONS WITH NATIONAL SCOPE.
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt023903637
IRS990/ProgSrvcAccomActy3Grp/Desc0C2C IS A SUBCONTRACTOR TO THE PRIME CONTRACTOR FOR THE CENTERS FOR MEDICARE & MEDICAID SERVICES, PROVIDER ENROLLMENT APPEALS & REBUTTALS PROGRAM.
IRS990/ProgSrvcAccomActy3Grp/ExpenseAmt0425122
IRS990/ProgSrvcAccomActy3Grp/RevenueAmt0651872
IRS990/ProgSrvcAccomActyOtherGrp/Desc0PROGRAM 4 - C2C SERVES AS AN INTERNAL REVIEW ORGANIZATION FOR VARIOUS STATES; C2C SERVES AS A PROFESSIONAL SERVICES CONTRACTOR TO SUPPORT CMS IN THE LEVEL III ADMINISTRATOR REVIEW OF MEDICARE ADVANTAGE (MA) RISK ADJUSTMENT DATA VALIDATION (RADV) APPEALS AND C2C WAS CERTIFIED BY THE CENTERS FOR MEDICARE & MEDICAID SERVICES TO SERVE AS A SELECTED DISPUTE RESOLUTION ENTITY UNDER THE NO SURPRISES ACT TO RESOLVE DISPUTES BETWEEN UNINSURED OR SELF-PAY INDIVIDUALS AND PROVIDERS, THIS HELPS PROTECT CONSUMERS FROM SURPRISE MEDICAL BILLS..
IRS990/ProgSrvcAccomActyOtherGrp/Desc1PROGRAM 5 - DONATIONS TO OTHER PUBLIC CHARITIES. THE CURRENT YEAR ACTIVITY INCLUDED A TRANSFER TO TMF HEALTH QUALITY INSITUTE.
IRS990/ProgSrvcAccomActyOtherGrp/ExpenseAmt0650936
IRS990/ProgSrvcAccomActyOtherGrp/ExpenseAmt16102967
IRS990/ProgSrvcAccomActyOtherGrp/GrantAmt06102967
IRS990/ProgSrvcAccomActyOtherGrp/RevenueAmt0340513
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt031645969

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