Civic Intelligence

Adventist Health Systemtexas Inc

EIN 74-2578952 • 501(c)3 • Burleson, TX

Profile

Adventist Health System Sunbelt Healthcare Corporation and all its subsidiary organizations were established by the Seventh-Day Adventist Church to bring a ministry of healing and health to the communities served. Our mission is to extend the healing ministry of Christ.The filing organization and healthcare system whose parent is Adventist Health System Sunbelt Healthcare Corporation is known as AdventHealth. AdventHealth seeks to be widely respected as a consumer-focused organization that engages individuals in their health by delivering wholistic, best practice care across a connected, comprehensive continuum of services. With Christ as our example, AdventHealth cares for and nurtures people: our employees, our communities, our healthcare professionals, and those who trust us for care and healing.

Refreshing map…

11801 S FreewayBurleson, TX 76028

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

97th percentile

1.25x

Higher debt load relative to assets than 97% of similar nonprofits.

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

Liabilities / Revenue

15th percentile

0.09x

Higher debt load relative to revenue than 15% of similar nonprofits.

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

Net Margin

34th percentile

0.0%

Higher net margin than 34% of similar nonprofits.

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

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

89th percentile

26%

Faster asset growth than 89% of similar nonprofits.

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

Revenue Growth

45th percentile

5.5%

Faster revenue growth than 45% of similar nonprofits.

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

Assets

Up

$12,743,749

Up $2,646,268 (+26%) from 2023

Liabilities

Up

$15,897,167

Up $2,646,268 (+20%) from 2023

Net Assets

Flat

-$3,153,418

Flat from 2023

Revenue

Up

$180,634,877

Up $9,411,982 (+5.5%) from 2023

Expenses

Up

$180,634,877

Up $9,411,982 (+5.5%) from 2023

Net Income

Flat

$0

Flat from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$20M$15M$10M$5.0M$0-$5.0MAssets 2010: $0Liabilities 2010: $0Net Assets 2010: $02010Assets 2011: $0Liabilities 2011: $0Net Assets 2011: $02011Assets 2012: $11,568,020Liabilities 2012: $14,722,309Net Assets 2012: -$3,154,2892012Assets 2013: $6,955,543Liabilities 2013: $10,108,961Net Assets 2013: -$3,153,4182013Assets 2014: $1,724,628Liabilities 2014: $4,878,046Net Assets 2014: -$3,153,4182014Assets 2015: $2,819,428Liabilities 2015: $5,972,846Net Assets 2015: -$3,153,4182015Assets 2016: $3,728,112Liabilities 2016: $6,881,530Net Assets 2016: -$3,153,4182016Assets 2017: $2,287,642Liabilities 2017: $5,441,060Net Assets 2017: -$3,153,4182017Assets 2018: $2,871,942Liabilities 2018: $6,025,360Net Assets 2018: -$3,153,4182018Assets 2019: $3,440,083Liabilities 2019: $6,593,501Net Assets 2019: -$3,153,4182019Assets 2020: $5,435,958Liabilities 2020: $8,589,376Net Assets 2020: -$3,153,4182020Assets 2021: $7,604,065Liabilities 2021: $10,757,483Net Assets 2021: -$3,153,4182021Assets 2022: $8,988,723Liabilities 2022: $12,142,141Net Assets 2022: -$3,153,4182022Assets 2023: $10,097,481Liabilities 2023: $13,250,899Net Assets 2023: -$3,153,4182023Assets 2024: $12,743,749Liabilities 2024: $15,897,167Net Assets 2024: -$3,153,4182024

Highlighted filing

2024

Assets$12,743,749
Liabilities$15,897,167
Net Assets-$3,153,418

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$200M$150M$100M$50M$0Expenses 2010: $02010Expenses 2011: $02011Expenses 2012: $45,365,5972012Revenue 2013: $74,026,957Expenses 2013: $74,026,957Net Income 2013: $02013Revenue 2014: $80,422,121Expenses 2014: $80,422,121Net Income 2014: $02014Revenue 2015: $86,546,335Expenses 2015: $86,546,335Net Income 2015: $02015Revenue 2016: $90,829,265Expenses 2016: $90,829,265Net Income 2016: $02016Revenue 2017: $90,999,726Expenses 2017: $90,999,726Net Income 2017: $02017Revenue 2018: $93,429,158Expenses 2018: $93,429,158Net Income 2018: $02018Revenue 2019: $98,822,258Expenses 2019: $98,822,258Net Income 2019: $02019Revenue 2020: $109,602,636Expenses 2020: $109,602,636Net Income 2020: $02020Revenue 2021: $145,119,144Expenses 2021: $145,119,144Net Income 2021: $02021Revenue 2022: $150,326,234Expenses 2022: $150,326,234Net Income 2022: $02022Revenue 2023: $171,222,895Expenses 2023: $171,222,895Net Income 2023: $02023Revenue 2024: $180,634,877Expenses 2024: $180,634,877Net Income 2024: $02024

Highlighted filing

2024

Revenue$180,634,877
Expenses$180,634,877
Net Income$0

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.7$15.9$3.15$181$181$0.00
2023Detailed filing. Detailed filing data is available for this year.$10.1$13.3$3.15$171$171$0.00
2022Detailed filing. Detailed filing data is available for this year.$8.99$12.1$3.15$150$150$0.00
2021Detailed filing. Detailed filing data is available for this year.$7.60$10.8$3.15$145$145$0.00
2020Detailed filing. Detailed filing data is available for this year.$5.44$8.59$3.15$110$110$0.00
2019Detailed filing. Detailed filing data is available for this year.$3.44$6.59$3.15$98.8$98.8$0.00
2018Detailed filing. Detailed filing data is available for this year.$2.87$6.03$3.15$93.4$93.4$0.00
2017Detailed filing. Detailed filing data is available for this year.$2.29$5.44$3.15$91.0$91.0$0.00
2016Detailed filing. Detailed filing data is available for this year.$3.73$6.88$3.15$90.8$90.8$0.00
2015Detailed filing. Detailed filing data is available for this year.$2.82$5.97$3.15$86.5$86.5$0.00
2014Detailed filing. Detailed filing data is available for this year.$1.72$4.88$3.15$80.4$80.4$0.00
2013Detailed filing. Detailed filing data is available for this year.$6.96$10.1$3.15$74.0$74.0$0.00
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$11.6$14.7$3.15$45.4
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.00$0.00$0.00$0.00
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.00$0.00$0.00$0.00
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Oct 21, 2025
Return Version
2024v5.2
Gross Receipts
$180,634,877
Mission and Program Overview

Mission

Adventist Health System Sunbelt Healthcare Corporation and all of its subsidiary organizations were established by the Seventh-Day Adventist Church to bring a ministry of healing and health to the communities served. Our mission is to extend the healing ministry of Christ.

Lease of hospital personnel to supported tax-exempt hospital organizations.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$1,792,290$276,539▼ $1,515,751
Total Assets$10,097,481$12,743,749▲ $2,646,268
Other Assets Total$8,305,191$12,467,210▲ $4,162,019
Liabilities
Accounts Payable and Accrued Expenses$13,250,899$15,897,167▲ $2,646,268
Total Liabilities$13,250,899$15,897,167▲ $2,646,268
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-3,153,418$-3,153,418→ $0
Total Net Assets Fund Balance$-3,153,418$-3,153,418→ $0
Total Liabilities and Net Assets / Fund Balance$10,097,481$12,743,749▲ $2,646,268

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$-3,591--
Compensation and Service Providers

Employees

NameTitleBaseOtherTotal
CouchJordanDirector of Strat and Operations$183,384$67,706$251,090
LookingbillKristenAVP Amb & Phys Enterprise$188,639$59,590$248,229
SomefunOluwatoyinClinical Pharmacist$209,950$37,101$247,051
BarnesFarrahTeam Ldr Excellence Program$211,273$19,828$231,101
CastellanosEstherClinical Pharmacist$211,920$9,724$221,644

Board Members and Trustees

NameTitle
Johnson PennyDirector/President/CEO
Randolph KarstenDirector
Sutton JesseDirector/CFO
Banks DavidDirector/Secretary
Bacon KennethFormer Officer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$180,634,877
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$0
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$180,634,877
Grants and Similar Amounts Paid$0
Other Expenses$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$136,779,803--$136,779,803
Other Employee Benefits$28,645,288--$28,645,288
Payroll Taxes$10,761,377--$10,761,377
Pension Plan Contributions$4,448,409--$4,448,409
Total Functional Expenses$180,634,877$0$0$180,634,877
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
Audit committee
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
No
Other officer compensation reviewed
No
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 6

Adventist Health System/Texas, Inc. (the filing organization) has one member. The sole member of the filing organization is Adventist Health System Sunbelt Healthcare Corporation. Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) is a Florida, not-for-profit corporation that is exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). There are no other classes of membership in the filing organization.

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

The sole member of the filing organization is AHSSHC. The Board of Directors of the filing organization are appointed by the sole member, AHSSHC, who has the right to elect, appoint or remove any member of the Board of Directors of the filing organization.

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

AHSSHC, as the sole member of the filing organization, has certain reserved powers as set forth in the Bylaws of the filing organization. These reserved powers include the following: a) to approve and disapprove the executive and/or administrative leadership of the filing organization, and their salaries; b) to adopt, amend, restate, and repeal the Articles of Incorporation or Bylaws of the filing organization; c) to set limits and terms for the borrowing of funds; d) to approve or disapprove major building programs and/or purchase or sale of personal property or real property equal to or in excess of $250,000; e) to approve or disapprove the annual operating and capital budgets of the filing organization; f) to direct the placement of funds and capital of the filing organization; and g) to establish general guiding policies.

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

The filing organization's current year Form 990 was reviewed by its CEO and CFO prior to its filing with the IRS. The review conducted by the officers did not include the review of any supporting workpapers that were used in preparation of the current year Form 990, but did include a review of the entire Form 990 and all supporting schedules.

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

The Conflict of Interest Policy of the filing organization applies to members of its Board of Directors and its principal officers (to be known as Interested Persons). In connection with any actual or possible conflicts of interest, any member of the Board of Directors of the filing organization or any principal officer of the filing organization (i.e. Interested Persons) must disclose the existence of any financial interest with the filing organization and must be given the opportunity to disclose all material facts concerning the financial interest/arrangement to the Board of Directors of the filing organization or to any members of a committee with board delegated powers that is considering the proposed transaction or arrangement. Subsequent to any disclosure of any financial interest/arrangement and all material facts, and after any discussion with the relevant Board member or principal officer, the remaining members of the Board of Directors or committee with board delegated powers shall discuss, analyze, and vote upon the potential financial interest/arrangement to determine if a conflict of interest exists. According to the filing organization's Conflict of Interest Policy, an Interested Person may make a presentation to the Board of Directors (or committee with board delegated powers), but after such presentation, shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in a conflict of interest. Each Interested Person, as defined under the filing organization's Conflict of Interest Policy, shall annually sign a statement which affirms that such person has received a copy of the Conflict of Interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the filing organization is a charitable organization that must primarily engage in activities which accomplish one or more of its exempt purposes. The filing organization's Conflict of Interest Policy also requires that periodic reviews shall be conducted to ensure that the filing organization operates in a manner consistent with its charitable purposes.

Form 990, Part VI, Section B, line 15

The filing organization's CEO and other officers are not compensated by the filing organization. Such individuals are compensated by the related top-tier parent organization of the filing organization. Please see the discussion concerning the process followed by the related top-tier parent organization in determining executive compensation in our response to Schedule J, Line 3.

Form 990, Part VI, Section C, line 19

The filing organization is a part of the system of healthcare organizations known as AdventHealth. The audited consolidated financial statements of AdventHealth and of the AdventHealth "Obligated Group" are filed annually with the Municipal Securities Rulemaking Board (MSRB). The "Obligated Group" is a group of AHSSHC subsidiaries that are jointly and severally liable under a Master Trust Indenture that secures debt primarily issued on a tax-exempt basis. Unaudited quarterly financial statements prepared in accordance with Generally Accepted Accounting Principles (GAAP) are also filed with MSRB for AdventHealth on a consolidated basis and for the grouping of AdventHealth subsidiaries comprising the "Obligated Group". The filing organization does not generally make its governing documents or conflict of interest policy available to the public.

Part VII, Section A:

For those Board of Director members and officer(s) who devote less than full-time to the filing organization (based upon the average number of hours per week shown in column (B) on page 7 of the return) the compensation amounts shown in columns (E) and (F) on page 7 were provided in conjunction with that person's responsibilities and roles in serving in an executive leadership position as an employee of Adventist Health System Sunbelt Healthcare Corporation.

Filing and Contact Details

Filer

Filer Name
Adventist Health SystemTexas Inc
EIN
74-2578952
Phone
8175512704
Address
11801 S Freeway, Burleson, TX 76028

Signing Officer

Name
Lynn C Addiscott
Title
Asst. Secretary
Phone
4073572317
Signed
2025-10-21

Organization Details

Principal Officer
Jesse Sutton
Formed
1989
Legal Domicile
TX
Voting Board Members
4
Independent Board Members
0
Employees
2,824
Volunteers
0
Supplemental Narrative

Additional Explanations

Part XII, Line 3B:

Although the taxpayer is not required to undergo an audit as set forth in the Single Audit Act and OMB Circular A-133, the taxpayer is part of a controlled group of organizations that comprise a consolidated financial statement audit. The controlled group's parent is Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), a 501(c)(3) organization. The system of healthcare entities owned and controlled by AHSSHC is known as AdventHealth. For the year ended December 31, 2024, AdventHealth will file a consolidated Single Audit which will include all entities that are part of the controlled group.

Financial Statement Notes

Part X, Line 2:

The filing organization is a subsidiary organization within AdventHealth. The consolidated financial statements of AdventHealth contain the following FIN 48 (ASC 740) footnote: Please note that dollar amounts are in thousands. Healthcare Corporation and its affiliated organizations, other than North American Health Services, Inc. and its subsidiary (NAHS), are exempt from state and federal income taxes. Accordingly, Healthcare Corporation and its tax-exempt affiliates are not subject to federal, state, or local income taxes except for any net unrelated business taxable income. NAHS is a wholly owned, for-profit subsidiary of Healthcare Corporation. NAHS and its subsidiary are subject to federal and state income taxes. NAHS files a consolidated federal income tax return and, where appropriate, consolidated state income tax returns. The provision for federal and state income tax for the years ended December 31, 2024 and 2023 is approximately $1,619 and $1,140, respectively. The Income Taxes Topic of the Accounting Standards Codification (ASC) 740, Income Taxes (ASC 740) prescribes the accounting for uncertainty in income tax positions recognized in financial statements. ASC 740 prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken, or expected to be taken, in a tax return. There were no material uncertain tax positions as of December 31, 2024 and 2023.

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IRS990/MissionDesc0Adventist Health System Sunbelt Healthcare Corporation and all its subsidiary organizations were established by the Seventh-Day Adventist Church to bring a ministry of healing and health to the communities served. Our mission is to extend the healing ministry of Christ.The filing organization and healthcare system whose parent is Adventist Health System Sunbelt Healthcare Corporation is known as AdventHealth. AdventHealth seeks to be widely respected as a consumer-focused organization that engages individuals in their health by delivering wholistic, best practice care across a connected, comprehensive continuum of services. With Christ as our example, AdventHealth cares for and nurtures people: our employees, our communities, our healthcare professionals, and those who trust us for care and healing.
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0Adventist Health System/Texas, Inc., (the filing organization), Texas Health Huguley, Inc. and Texas Health Hospital Mansfield (the supported organizations) are part of a faith-based healthcare system of organizations whose parent is Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). The system is known as AdventHealth (AH). AHSSHC is an organization exempt from federal income tax under IRC Section 501(c)(3). AHSSHC and its subsidiary organizations operate 51 hospitals throughout the U.S., primarily in the Southeastern portion of the U.S. AHSSHC and its subsidiaries also operate other ancillary health care provider facilities, such as ambulatory surgery centers and diagnostic imaging centers. The first supported organization, Texas Health Huguley, Inc., came into existence as a result of a joint venture affiliation between AHSSHC and Texas Health Resources, Inc. an unrelated tax-exempt healthcare system, to own and operate Texas Health Huguley Hospital (THH), a 347 bed hospital in Burleson, Texas that opened in 1977. The clinical and operating staff payroll of THH were transferred to the filing organization as part of the affiliation. As such the filing organization continues to maintain the payroll of clinical and operating staff and leases all of those staff members to THH for the benefit of the supported organization. This staff leasing relationship between the two organizations creates a close and continuous relationship that dates back to the creation of the supported organization. The second supported organization, Texas Health Hospital Mansfield (THHM), is a 59 bed hospital in Mansfield, Texas, that opened in 2020 and is 100 percent owned by Texas Health Huguley, Inc. The clinical and operating staff payroll of THHM were transferred to the filing organization as of it's opening date. As such the filing organization maintains the payroll of clinical and operating staff and leases all of those staff members to THHM for the benefit of the supported organization. This staff leasing relationship between the two organizations creates a close and continuous relationship.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt1Adventist Health System/Texas, Inc., (the filing organization), Texas Health Huguley, Inc. (THH), and Texas Health Hospital Mansfield (THHM) (the supported organizations) are part of a faith-based healthcare system of organizations known as AdventHealth, whose parent is Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). The primary activity of the filing organization is to lease personnel to the supported organizations which operate a 347 bed and a 59 bed hospital respectively. In providing this support the filing organization employs and provides personnel services for approximately 2,800 workers who manage and operate the hospital facilities. The supported organizations have a significant voice in the filing organization's investment policies and in directing the use of the filing organization's income or assets throughout the year. All four members of the filing organization's Board of Directors are Board Members or officers of THH and three of the filing organization's Board Members are Board Members or officers of THHM. Per the filing organization's governing documents, the Board of Directors of the filing organization has the power to control and manage the property, business, and affairs of the filing organization, subject to certain reserved powers held by the Member. Through this overlap of Board members and officers the supported organization is continually involved in directing the use of the filing organization's assets and resources.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt2The filing organization supports Texas Health Huguley, Inc. and Texas Health Hospital Mansfield (the supported organizations). The primary activity of the filing organization is to lease personnel to its brother-sister affiliated 501(c)(3) entities, the supported organizations which operate a 347 bed hospital facility and a 59 bed hospital facility, respectively. The sole activity of the filing organization is the leasing of approximately 2,800 personnel to the hospital facilities which represent the entire clinical and operating staff of the Hospitals. The activity of leasing personnel to the supported organizations (the Hospitals) is in "direct furtherance" of the supported organizations' exempt activity as the personnel are assets used in carrying out the exempt purpose of providing hospital services to the community. As noted in our response for Schedule A, Part VI, Section D, Question 3 concerning how the filing organization is responsive to the needs and demands of the supported organization, both supported organizations have significant representation on the filing organization's Board of Directors. This overlap results in the filing organization being responsive to the needs of the supported organizations.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt3The activity of leasing personnel to its supported organizations is an activity that, but for the involvement of the filing organization, the supported organizations would be required to engage in. Were it not for the filing organization, the supported organizations would be required to employ their own personnel in order to conduct their business of operating a hospital facilities and providing these necessary services to the public.
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc2Part IV, Section E, Question 2a
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc3Part IV, Section E, Question 2b
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IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0Texas Health Huguley Inc
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt1Texas Health Hospital Mansfield
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0The filing organization is a subsidiary organization within AdventHealth. The consolidated financial statements of AdventHealth contain the following FIN 48 (ASC 740) footnote: Please note that dollar amounts are in thousands. Healthcare Corporation and its affiliated organizations, other than North American Health Services, Inc. and its subsidiary (NAHS), are exempt from state and federal income taxes. Accordingly, Healthcare Corporation and its tax-exempt affiliates are not subject to federal, state, or local income taxes except for any net unrelated business taxable income. NAHS is a wholly owned, for-profit subsidiary of Healthcare Corporation. NAHS and its subsidiary are subject to federal and state income taxes. NAHS files a consolidated federal income tax return and, where appropriate, consolidated state income tax returns. The provision for federal and state income tax for the years ended December 31, 2024 and 2023 is approximately $1,619 and $1,140, respectively. The Income Taxes Topic of the Accounting Standards Codification (ASC) 740, Income Taxes (ASC 740) prescribes the accounting for uncertainty in income tax positions recognized in financial statements. ASC 740 prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken, or expected to be taken, in a tax return. There were no material uncertain tax positions as of December 31, 2024 and 2023.
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