Civic Intelligence

Kauai Region Medical Group

EIN 85-1039176 • 501(c)3 • Waimea, HI

Profile

The Corporation operates as a supporting organization to the Hawaii Health Systems Corporation (HHSC), which is an agency and instrumentality of the State of Hawaii. HHSC operates public health facilities in the State of Hawaii. The Corporation lessens the burdens of HHSC by providing medical services and employing specialty physicians, that HHSC would otherwise need to employ itself, to rural areas of the island of Kauai.

4643 Waimea Canyon DriveWaimea, HI 96796

www.hhsc.org

Siviq Scores

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

Liabilities / Assets

96th percentile

1.19x

Higher debt load relative to assets than 96% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Liabilities / Revenue

60th percentile

0.24x

Higher debt load relative to revenue than 60% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Net Margin

49th percentile

3.8%

Higher net margin than 49% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Top Officer Pay

94th percentile

$470,796

Higher top officer pay than 94% of similar nonprofits.

Top officer pay equals 5.0% of source-year revenue.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Asset Growth

95th percentile

80%

Faster asset growth than 95% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2023 to 2024

Revenue Growth

82nd percentile

44%

Faster revenue growth than 82% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets96th percentile

Assets

Up

$1,903,685

Up $845,717 (+80%) from 2023

Liabilities

Up

$2,259,483

Up $481,696 (+27%) from 2023

Net Assets

Up

-$355,798

Up $364,021 (+51%) from 2023

Operations
Liabilities / Revenue60th percentileNet Margin49th percentile

Revenue

Up

$9,492,008

Up $2,919,467 (+44%) from 2023

Expenses

Up

$9,127,987

Up $1,770,222 (+24%) from 2023

Net Income

Up

$364,021

Up $1,149,245 (+146%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth95th percentile

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

$3.0M$2.0M$1.0M$0-$1.0MAssets 2020: $0Liabilities 2020: $0Net Assets 2020: $02020Assets 2021: $540,271Liabilities 2021: $509,936Net Assets 2021: $30,3352021Assets 2022: $1,546,014Liabilities 2022: $1,480,609Net Assets 2022: $65,4052022Assets 2023: $1,057,968Liabilities 2023: $1,777,787Net Assets 2023: -$719,8192023Assets 2024: $1,903,685Liabilities 2024: $2,259,483Net Assets 2024: -$355,7982024

Highlighted filing

2024

Assets$1,903,685
Liabilities$2,259,483
Net Assets-$355,798
Open 2024 Filing

Operations Trend

Revenue Growth82nd percentile

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

$10M$5.0M$0-$5.0MRevenue 2020: $0Expenses 2020: $0Net Income 2020: $02020Revenue 2021: $1,415,102Expenses 2021: $1,384,767Net Income 2021: $30,3352021Revenue 2022: $4,898,727Expenses 2022: $4,863,657Net Income 2022: $35,0702022Revenue 2023: $6,572,541Expenses 2023: $7,357,765Net Income 2023: -$785,2242023Revenue 2024: $9,492,008Expenses 2024: $9,127,987Net Income 2024: $364,0212024

Highlighted filing

2024

Revenue$9,492,008
Expenses$9,127,987
Net Income$364,021
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$1,903,685
Liabilities
$2,259,483
Net assets
-$355,798
Revenue
$9,492,008
Expenses
$9,127,987
Net income
$364,021
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$1.90$2.26$0.36$9.49$9.13$0.36
2023Detailed filing. Detailed filing data is available for this year.$1.06$1.78$0.72$6.57$7.36$0.79
2022Detailed filing. Detailed filing data is available for this year.$1.55$1.48$0.07$4.90$4.86$0.04
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.54$0.51$0.03$1.42$1.38$0.03
2020Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.00$0.00$0.00
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 14, 2025
Return Version
2023v6.0
Gross Receipts
$9,492,008
Mission and Program Overview

Mission

The Corporation operates as a supporting organization to the Hawaii Health Systems Corporation (HHSC), which is an agency and instrumentality of the State of Hawaii. HHSC operates public health facilities in the State of Hawaii. The Corporation lessens the burdens of HHSC by providing medical services and employing specialty physicians, that HHSC would otherwise need to employ itself, to rural areas of the island of Kauai.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$1,055,258$1,895,312▲ $840,054
Prepaid Expenses and Deferred Charges$1,210$6,873▲ $5,663
Savings and Temporary Cash Investments$1,500$1,500→ $0
Total Assets$1,057,968$1,903,685▲ $845,717
Liabilities
Other Liabilities$1,777,787$2,259,483▲ $481,696
Total Liabilities$1,777,787$2,259,483▲ $481,696
Net Assets / Fund Balance
Net Assets With Donor Restrictions$0$0→ $0
Net Assets Without Donor Restrictions$-719,819$-355,798▲ $364,021
Total Net Assets Fund Balance$-719,819$-355,798▲ $364,021
Total Liabilities and Net Assets / Fund Balance$1,057,968$1,903,685▲ $845,717
Compensation and Service Providers
Top Officer Pay94th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Elisabeth Biuk-aghaiSurgeonFT$332,696$151,408$484,104
Jennifer WeymouthSurgeonFT$303,500$142,646$446,146
Surachat ChatkuptOb/gynFT$321,875$60,023$381,898
Heidi PurcellOb/gynFT$305,621$58,622$364,243
Zakera NanabawaOb/gynFT$294,508$58,886$353,394
Stephen ColemanGastroenterologistFT$312,913$26,805$339,718
Erin CarringtonPhysician AssistantFT$103,400-$103,400

Board Members and Trustees

NameTitle
Lance SegawaPresident
Ronald FujimotoVice President
Thomas RoyerDirector
Christine AsatoSecretary and Treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$9,491,070
Investment Income
$938
Other Revenue
$0
Change in Net Assets
$364,021
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$7,500,676
Other Expenses$1,627,311
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$6,655,000--$6,655,000
Fees for Services Management-$1,009,734-$1,009,734
Other Employee Benefits$425,674--$425,674
Payroll Taxes$420,002--$420,002
Insurance$329,480--$329,480
Fees for Services Other$182,969--$182,969
Other Expenses$52,372$0$0$52,372
Travel$23,072--$23,072
Fees for Services Legal-$5,244-$5,244
Office Expenses$2,816$938-$3,754
Conferences and Meetings$350--$350
Total Functional Expenses$8,101,874$1,026,113$0$9,127,987
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
Related Party Payables$1,591,671
Accrued Vacation$346,138
Accrued Payroll$184,772
Accrued Payroll Taxes$136,902
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
No
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 2

“The directors of the Corporation: Lance Segawa, Ronald Fujimoto, and Christine Asato, are all employees to the Hawaii Health Systems Corporation (HHSC), Kauai Region, and maintain professional business relationships among each other.”

Form 990, Part VI, Section A, Line 3

“The Corporation is contracted with Hawaii Health Systems Corporation (HHSC) to provide comprehensive management, operational and administrative services related to the business and operations of the Corporation. These service areas include: policies and procedures, bookkeeping and accounting, recordkeeping, recruitment, insurance, planning and budgeting, contracting, day-to-day operations, payroll processing of Corporation employees, premises, standards of care, subcontractors, and other ventures.”

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

“Form 990 was fully reviewed by the finance department of the Corporation's 100% controlling entity, Hawaii Health Systems Corporation (HHSC), and reviewed by the Treasurer of the Corporation, Christine Asato, CPA.”

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

“The Corporation conducts periodic reviews of each director, principal officer, and member with governing board delegated powers to ensure the Corporation operates in a manner consistent with charitable purposes and does not engage in activities that could jeopardize its tax-exempt status.”

Form 990, Part VI, Section C, Line 19

“The Corporation's governing documents, conflicts of interest policy, and financial statements can be made available to the public upon request and approval.”

Filing and Contact Details

Filer

Filer Name
Kauai Region Medical Group
EIN
85-1039176
Phone
8083389407
Address
4643 WAIMEA CANYON DRIVE, WAIMEA, HI 96796

Signing Officer

Name
Christine Asato
Title
Treasurer
Phone
8083389407
Signed
2025-05-14

Organization Details

Principal Officer
Lance Segawa
Formed
2020
Legal Domicile
Hi
Voting Board Members
4
Independent Board Members
1
Employees
49
Volunteers
0
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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/OtherLiabilitiesGrp/BOYAmt01777787
IRS990/OtherLiabilitiesGrp/EOYAmt02259483
IRS990/OtherRevenueTotalAmt00
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IRS990/OtherSalariesAndWagesGrp/TotalAmt06655000
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/ProgramServicesAmt0420002
IRS990/PayrollTaxesGrp/TotalAmt0420002
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt01210
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt06873
IRS990/PrincipalOfficerNm0LANCE SEGAWA
IRS990/PriorPeriodAdjustmentsAmt00
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0541900
IRS990/ProgramServiceRevenueGrp/Desc0CONTRACTED PHYSICIAN SERVICES
IRS990/ProgramServiceRevenueGrp/ExclusionAmt00
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt09491070
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IRS990/PYBenefitsPaidToMembersAmt00
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IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt035
IRS990/PYOtherExpensesAmt01060505
IRS990/PYOtherRevenueAmt06572506
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IRS990/PYTotalExpensesAmt07357765
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt06572541
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0364021
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/RentalIncomeOrLossGrp/PersonalAmt00
IRS990/RentalIncomeOrLossGrp/RealAmt00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt09491070
IRS990/RoyaltiesRevenueGrp/ExclusionAmt00
IRS990/RoyaltiesRevenueGrp/RelatedOrExemptFuncIncomeAmt00
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IRS990/RoyaltiesRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt01500
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IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd00
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IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd01
IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd00
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IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd00
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IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd00
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IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/OperateBenefitNonSuprtOrgInd00
IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/PowerAppointMajorityDirTrstInd01
IRS990ScheduleA/IRSWrittenDeterminationInd0X
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/SupportedOrganizationsCnt01
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IRS990ScheduleA/SupportedOrgInformationGrp/EIN0943270595
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IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd06
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IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0HAWAII HEALTH SYSTEMS CORPORATION
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType1Ind0X
IRS990ScheduleA/SupportSumAmt00
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0184772
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt1136902
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt2346138
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt31591671
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0ACCRUED PAYROLL
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IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc2ACCRUED VACATION
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc3RELATED PARTY PAYABLES
IRS990ScheduleD/TotalLiabilityAmt02259483
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/BoardOrCommitteeApprovalInd0X
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IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt4305621
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt6321875
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt8312913
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount322500
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount415000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount510000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount615000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount725000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount80
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt110000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt210000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt50
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt60
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt70
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt80
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0411250
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1325833
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt2233243
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt50
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt60
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt70
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt80
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt3376708
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt4350863
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt5350400
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt6320788
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt70
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt80
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt0485000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt1334000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt2251000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt50
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt60
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt70

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