Liabilities / Assets
86th percentile
Higher debt load relative to assets than 86% of similar nonprofits.
Sfh Wind Down Inc Dbtr Case 18 40630
EIN 58-0641240 • 501(c)3 • Columbus, GA
Profile
St. Francis, a community-owned healing ministry, exists to provide exceptional health care services, in partnership with physicians, for all those in need.
Siviq Scores
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
0.36x
Liabilities / Revenue
Score unavailable
Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.
Net Margin
Score unavailable
Net margin requires both revenue and expenses on the latest valid filing.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
12th percentile
Faster asset growth than 12% of similar nonprofits.
Revenue Growth
3rd percentile
Faster revenue growth than 3% of similar nonprofits.
Balance Sheet
Assets
Down$64,865
Down $228,253 (-78%) from 2016
Liabilities
Down$23,367
Down $272,244 (-92%) from 2016
Net Assets
Up$41,498
Up $43,991 (+1765%) from 2016
Revenue
Down$0
Down $186,507 (-100%) from 2016
Expenses
Down$97,144
Down $6,159,121 (-98%) from 2016
Net Income
Up-$97,144
Up $5,972,614 (+98%) from 2016
Trend Graphs
Filings
Most recent year
2017 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
- Assets
- $64,865
- Liabilities
- $23,367
- Net assets
- $41,498
- Revenue
- $0
- Expenses
- $97,144
- Net income
- -$97,144
Latest Filing Detail
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2017 to Dec 31, 2017
- Signed
- Apr 5, 2018
- Return Version
- 2017v2.2
- Gross Receipts
- $0
Mission and Program Overview
Mission
St. Francis, a community-owned faith-based organization, exists to provide exceptional health care services, in partnership with physicians, for all those in need.
Sfh wind down, inc. F/k/a st. Francis hospital, inc. Is currently winding down after sale of hospital assets and operations. See schedule o for additional detail.
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Other Assets Total | $293,118 | $64,865 | ▼ $228,253 |
| Total Assets | $293,118 | $64,865 | ▼ $228,253 |
| Liabilities | |||
| Other Liabilities | $106,611 | $0 | ▼ $106,611 |
| Accounts Payable and Accrued Expenses | $189,000 | $23,367 | ▼ $165,633 |
| Total Liabilities | $295,611 | $23,367 | ▼ $272,244 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $-2,493 | $41,498 | ▲ $43,991 |
| Total Net Assets Fund Balance | $-2,493 | $41,498 | ▲ $43,991 |
| Total Liabilities and Net Assets / Fund Balance | $293,118 | $64,865 | ▼ $228,253 |
Asset Categories
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Other Assets Org | $64,865 | - | - |
Compensation and Service Providers
Board Members and Trustees
| Name | Title |
|---|---|
| R Larry Cardin | Chairman |
| John Martin | Trustee |
| Mario Davis | Trustee |
| Michael Sims Md | Trustee |
| Robert M Gilson Jr | Trustee |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $0
- Program Service Revenue
- $0
- Investment Income
- $0
- Other Revenue
- $0
- Change in Net Assets
- $-97,144
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Other Expenses | $97,144 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Salaries, Compensation, and Employee Benefits | $0 |
| Total Fundraising Expense | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Fees for Services Legal | - | $73,777 | - | $73,777 |
| Fees for Services Other | - | $23,367 | - | $23,367 |
| Total Functional Expenses | $0 | $97,144 | $0 | $97,144 |
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
- 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
- No
- Management duties delegated
- No
Governance Explanations
Form 990, Part VI, Section B, Line 11B
“The board chairman and external counsel review and approve form 990 prior to finalizing.”
Form 990, Part VI, Section B, Line 12C
“Board members must file annually at the beginning of each fiscal year a disclosure statement setting forth any conflict of interest that such covered individual may have with the organization.”
Form 990, Part VI, Section B, Line 15
“The hospital's prior policy is below. As referenced throughout and in schedule o, the organization is no longer operating as a hospital and is currently in process of dissolution. The process for reviewing and evaluating senior leadership compensation is overseen by the compensation committee of the board of trustees. The following highlights the key items related to this process: 1) each december, each member of the board is asked to complete an evaluation form for the ceo based on the annual goals previously approved by the board. 2) in january, management will provide the compensation committee with the following: a. Information related to achievement of annual goals and the proposed incentive award to senior leadership and associates b. Market comparative compensation information for each key position c. Ceo's recommendation as it relates to senior leadership compensation 3) the compensation committee will review the information and provide a written report to be distributed to the board for the january board meeting that includes the following items: a. Review of self-assessment by senior leadership on accomplishment of goals b. Goals for the upcoming year for senior leadership and associates c. Ceo recommendations for senior leadership compensation d. Ceo recommendations for current year incentive compensation awards for senior leadership and associates e. Evaluation of ceo performance f. Assessment of ceo compensation, including market comparative compensation information g. Assessment of senior leadership compensation adjustments h. Assessment of associate recognition recommendations this report will be reviewed during an executive session of the board each january.”
Form 990, Part VI, Section C, Line 19
“Documents are provided upon request.”
Filing and Contact Details
Filer
- Filer Name
- Sfh Wind Down Inc Fka
- EIN
- 58-0641240
- Phone
- 4045047605
- Address
- 2122 MANCHESTER PKWY PO BOX 7000, COLUMBUS, GA 31908-7000
Signing Officer
- Name
- Greg Hembree
- Title
- Board Chairman
- Phone
- 4045047605
- Signed
- 2018-04-05
- Discuss with paid preparer
- Yes
Organization Details
- Principal Officer
- R Larry Cardin
- Formed
- 1950
- Legal Domicile
- Ga
- Voting Board Members
- 5
- Independent Board Members
- 5
- Employees
- 0
- Volunteers
- 0
Preparer
- Firm
- Pya P C
- Address
- 2220 SUTHERLAND AVE, KNOXVILLE, TN 37919
- Preparer
- Deborah O Ernsberger
- Phone
- 8656730844
Supplemental Narrative
Additional Explanations
Form 990, Part IX, Line 11G
“2018 expense accrual: program service expenses 0. Management and general expenses 23,367. Fundraising expenses 0. Total expenses 23,367.”
FORM 990, PART XI, LINE 9:
“Prior period adjustments 141,135.”
Raw XML Appendix322 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/Desc | 0 | THE FOLLOWING PROGRAM SERVICE ACCOMPLISHMENTS APPLIED TO ST. FRANCIS HOSPITAL, INC. WHILE IT OPERATED AS A HOSPITAL PRIOR TO THE SALE OF ITS ASSETS AND THE CESSATION OF OPERATIONS. "THE HOSPITAL IS A 292-LICENSED BED GENERAL ACUTE CARE HOSPITAL WITH A HOSPITAL-BASED 84-LICENSED BED BEHAVIORAL HEALTH CENTER SERVING SOUTHWEST GEORGIA AND EAST CENTRAL ALABAMA. ADDITIONALLY, THE HOSPITAL PROVIDES ASSISTED LIVING FOR 60 LICENSED RESIDENTIAL UNITS. ST. FRANCIS IS HOME TO 300 PHYSICIANS OFFERING A FULL RANGE OF INPATIENT, OUTPATIENT AND EMERGENCY ROOM SERVICES, INCLUDING THE AREA'S ONLY OPEN HEART SURGERY PROGRAM."AS OF DECEMBER 31, 2017, SFH WIND DOWN, INC. F/K/A ST. FRANCIS HOSPITAL, INC. HAS SEVERAL UNLIQUIDATED CLAIMS RELATING TO THE SALE OF THE HOSPITAL ASSETS, RELATING TO THE DISPOSITION OF EXCLUDED ASSETS, AND ASSERTED IN PENDING LITIGATION. SUCH CLAIMS MAY BE DISPUTED OR OTHERWISE CONTESTED. |
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| IRS990/MissionDesc | 0 | SFH WIND DOWN, INC. F/K/A ST. FRANCIS HOSPITAL, INC. IS CURRENTLY WINDING DOWN AFTER SALE OF HOSPITAL ASSETS AND OPERATIONS. SEE SCHEDULE O FOR ADDITIONAL DETAIL. PREVIOUSLY, ST. FRANCIS HOSPITAL WAS A COMMUNITY-OWNED HEALING MINISTRY, EXISTING TO PROVIDE EXCEPTIONAL HEALTH CARE SERVICES, IN PARTNERSHIP WITH PHYSICIANS, FOR ALL THOSE IN NEED. |
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| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | THE BOARD CHAIRMAN AND EXTERNAL COUNSEL REVIEW AND APPROVE FORM 990 PRIOR TO FINALIZING. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | BOARD MEMBERS MUST FILE ANNUALLY AT THE BEGINNING OF EACH FISCAL YEAR A DISCLOSURE STATEMENT SETTING FORTH ANY CONFLICT OF INTEREST THAT SUCH COVERED INDIVIDUAL MAY HAVE WITH THE ORGANIZATION. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | THE HOSPITAL'S PRIOR POLICY IS BELOW. AS REFERENCED THROUGHOUT AND IN SCHEDULE O, THE ORGANIZATION IS NO LONGER OPERATING AS A HOSPITAL AND IS CURRENTLY IN PROCESS OF DISSOLUTION. THE PROCESS FOR REVIEWING AND EVALUATING SENIOR LEADERSHIP COMPENSATION IS OVERSEEN BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE FOLLOWING HIGHLIGHTS THE KEY ITEMS RELATED TO THIS PROCESS: 1) EACH DECEMBER, EACH MEMBER OF THE BOARD IS ASKED TO COMPLETE AN EVALUATION FORM FOR THE CEO BASED ON THE ANNUAL GOALS PREVIOUSLY APPROVED BY THE BOARD. 2) IN JANUARY, MANAGEMENT WILL PROVIDE THE COMPENSATION COMMITTEE WITH THE FOLLOWING: A. INFORMATION RELATED TO ACHIEVEMENT OF ANNUAL GOALS AND THE PROPOSED INCENTIVE AWARD TO SENIOR LEADERSHIP AND ASSOCIATES B. MARKET COMPARATIVE COMPENSATION INFORMATION FOR EACH KEY POSITION C. CEO'S RECOMMENDATION AS IT RELATES TO SENIOR LEADERSHIP COMPENSATION 3) THE COMPENSATION COMMITTEE WILL REVIEW THE INFORMATION AND PROVIDE A WRITTEN REPORT TO BE DISTRIBUTED TO THE BOARD FOR THE JANUARY BOARD MEETING THAT INCLUDES THE FOLLOWING ITEMS: A. REVIEW OF SELF-ASSESSMENT BY SENIOR LEADERSHIP ON ACCOMPLISHMENT OF GOALS B. GOALS FOR THE UPCOMING YEAR FOR SENIOR LEADERSHIP AND ASSOCIATES C. CEO RECOMMENDATIONS FOR SENIOR LEADERSHIP COMPENSATION D. CEO RECOMMENDATIONS FOR CURRENT YEAR INCENTIVE COMPENSATION AWARDS FOR SENIOR LEADERSHIP AND ASSOCIATES E. EVALUATION OF CEO PERFORMANCE F. ASSESSMENT OF CEO COMPENSATION, INCLUDING MARKET COMPARATIVE COMPENSATION INFORMATION G. ASSESSMENT OF SENIOR LEADERSHIP COMPENSATION ADJUSTMENTS H. ASSESSMENT OF ASSOCIATE RECOGNITION RECOMMENDATIONS THIS REPORT WILL BE REVIEWED DURING AN EXECUTIVE SESSION OF THE BOARD EACH JANUARY. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | DOCUMENTS ARE PROVIDED UPON REQUEST. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | 2018 EXPENSE ACCRUAL: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 23,367. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,367. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 5 | PRIOR PERIOD ADJUSTMENTS 141,135. |
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| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | FORM 990, PART IX, LINE 11G |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 5 | FORM 990, PART XI, LINE 9: |
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| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt | 0 | PHYSICIAN |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt | 0 | SFHAS WIND DOWN INC FKA ST FRANCIS AFFILIATED SERVICES INC |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt | 0 | PO BOX 7000 |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/CityNm | 0 | COLUMBUS |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/StateAbbreviationCd | 0 | GA |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/ZIPCd | 0 | 319087000 |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd | 0 | 1 |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt | 0 | SFHI |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt | 0 | ST FRANCIS HOSPITAL FOUNDATION INC |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN | 0 | 581995070 |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt | 0 | 501(C)(3) |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd | 0 | GA |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt | 0 | FOUNDATION |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt | 0 | LINE 12B, II |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt | 0 | PO BOX 7000 |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm | 0 | COLUMBUS |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd | 0 | GA |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd | 0 | 319087000 |
| IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd | 0 | 0 |
| IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd | 0 | 0 |
| IRS990ScheduleR/PaidEmployeesSharingInd | 0 | 0 |
| IRS990ScheduleR/PerformOfServicesByOtherOrgInd | 0 | 0 |
| IRS990ScheduleR/PerformOfServicesForOthOrgInd | 0 | 0 |
| IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd | 0 | 0 |
| IRS990ScheduleR/ReimbursementPaidByOtherOrgInd | 0 | 0 |
| IRS990ScheduleR/ReimbursementPaidToOtherOrgInd | 0 | 0 |
| IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd | 0 | 0 |
| IRS990ScheduleR/RentalOfFcltsFromOthOrgInd | 0 | 0 |
| IRS990ScheduleR/SharingOfFacilitiesInd | 0 | 0 |
| IRS990ScheduleR/TransferFromOtherOrgInd | 0 | 0 |
| IRS990ScheduleR/TransferToOtherOrgInd | 0 | 0 |
| IRS990/SchoolOperatingInd | 0 | 0 |
| IRS990/SignificantChangeInd | 0 | 0 |
| IRS990/SignificantNewProgramSrvcInd | 0 | 0 |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 0 | GA |
| IRS990/SubjectToProxyTaxInd | 0 | 0 |
| IRS990/TaxablePartyNotificationInd | 0 | 0 |
| IRS990/TaxExemptBondsInd | 0 | 0 |
| IRS990/TempOrPermanentEndowmentsInd | 0 | 0 |
| IRS990/TerminateOperationsInd | 0 | 0 |
| IRS990/TotalAssetsBOYAmt | 0 | 293118 |
| IRS990/TotalAssetsEOYAmt | 0 | 64865 |
| IRS990/TotalAssetsGrp/BOYAmt | 0 | 293118 |
| IRS990/TotalAssetsGrp/EOYAmt | 0 | 64865 |
| IRS990/TotalCompGreaterThan150KInd | 0 | 0 |
| IRS990/TotalEmployeeCnt | 0 | 0 |
| IRS990/TotalFunctionalExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt | 0 | 97144 |
| IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/TotalFunctionalExpensesGrp/TotalAmt | 0 | 97144 |
| IRS990/TotalGrossUBIAmt | 0 | 0 |
| IRS990/TotalLiabilitiesBOYAmt | 0 | 295611 |
| IRS990/TotalLiabilitiesEOYAmt | 0 | 23367 |
| IRS990/TotalLiabilitiesGrp/BOYAmt | 0 | 295611 |
| IRS990/TotalLiabilitiesGrp/EOYAmt | 0 | 23367 |
| IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt | 0 | -2493 |
| IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt | 0 | 41498 |
| IRS990/TotalOtherCompensationAmt | 0 | 0 |
| IRS990/TotalReportableCompFromOrgAmt | 0 | 0 |
| IRS990/TotalRevenueGrp/ExclusionAmt | 0 | 0 |
| IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
| IRS990/TotalRevenueGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/TotalVolunteersCnt | 0 | 0 |
| IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt | 0 | 293118 |
| IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt | 0 | 64865 |
| IRS990/TotReportableCompRltdOrgAmt | 0 | 0 |
| IRS990/TransactionWithControlEntInd | 0 | 0 |
| IRS990/TrnsfrExmptNonChrtblRltdOrgInd | 0 | 0 |
| IRS990/TypeOfOrganizationCorpInd | 0 | X |
| IRS990/UnrelatedBusIncmOverLimitInd | 0 | 0 |
| IRS990/UnrestrictedNetAssetsGrp/BOYAmt | 0 | -2493 |
| IRS990/UnrestrictedNetAssetsGrp/EOYAmt | 0 | 41498 |
| IRS990/UponRequestInd | 0 | X |
| IRS990/USAddress/AddressLine1Txt | 0 | 2122 MANCHESTER PARKWAY |
| IRS990/USAddress/CityNm | 0 | COLUMBUS |
| IRS990/USAddress/StateAbbreviationCd | 0 | GA |
| IRS990/USAddress/ZIPCd | 0 | 319046878 |
| IRS990/VotingMembersGoverningBodyCnt | 0 | 5 |
| IRS990/VotingMembersIndependentCnt | 0 | 5 |
| IRS990/WhistleblowerPolicyInd | 0 | 1 |
| ReturnHeader/BuildTS | 0 | 2018-06-14 16:35:46Z |
| ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd | 0 | 1 |
| ReturnHeader/BusinessOfficerGrp/PersonNm | 0 | GREG HEMBREE |
| ReturnHeader/BusinessOfficerGrp/PersonTitleTxt | 0 | BOARD CHAIRMAN |
| ReturnHeader/BusinessOfficerGrp/PhoneNum | 0 | 4045047605 |
| ReturnHeader/BusinessOfficerGrp/SignatureDt | 0 | 2018-04-05 |
| ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt | 0 | SFH WIND DOWN INC FKA |
| ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt | 0 | ST FRANCIS HOSPITAL INC |
| ReturnHeader/Filer/BusinessNameControlTxt | 0 | SFHW |
| ReturnHeader/Filer/EIN | 0 | 580641240 |
| ReturnHeader/Filer/PhoneNum | 0 | 4045047605 |
| ReturnHeader/Filer/USAddress/AddressLine1Txt | 0 | 2122 MANCHESTER PKWY PO BOX 7000 |
| ReturnHeader/Filer/USAddress/CityNm | 0 | COLUMBUS |
| ReturnHeader/Filer/USAddress/StateAbbreviationCd | 0 | GA |
| ReturnHeader/Filer/USAddress/ZIPCd | 0 | 319087000 |
| ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId | 0 | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 |
| ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId | 0 | 3F53249C5077106C4F63AD39F3763F8640CF5E02 |
| ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd | 0 | P |
| ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt | 0 | 12.29.248.130 |
| ReturnHeader/FilingSecurityInformation/IPDt | 0 | 2018-04-05 |
| ReturnHeader/FilingSecurityInformation/IPTimezoneCd | 0 | ED |
| ReturnHeader/FilingSecurityInformation/IPTm | 0 | 19:04:02 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmEIN | 0 | 621517792 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt | 0 | PYA P C |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt | 0 | 2220 SUTHERLAND AVE |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm | 0 | KNOXVILLE |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd | 0 | TN |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd | 0 | 37919 |
| ReturnHeader/PreparerPersonGrp/PhoneNum | 0 | 8656730844 |
| ReturnHeader/PreparerPersonGrp/PreparerPersonNm | 0 | DEBORAH O ERNSBERGER |
| ReturnHeader/ReturnTs | 0 | 2018-04-05T19:04:03-05:00 |
| ReturnHeader/ReturnTypeCd | 0 | 990 |
| ReturnHeader/TaxPeriodBeginDt | 0 | 2017-01-01 |
| ReturnHeader/TaxPeriodEndDt | 0 | 2017-12-31 |
| ReturnHeader/TaxYr | 0 | 2017 |
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