Civic Intelligence

Black Hall Dental PC

EIN 87-3777395 • 501(c)3 • Westbury, NY

Profile

Black hall dental, pc is part of northwell health, inc. ("northwell"), which strives to improve the health of the communities it serves and is committed to providing the highest quality clinical care; educating the current and future generations of healthcare professionals; searching for new advances in medicine through the conduct of biomedical research; promoting health education; and caring for the entire community regardless of the ability to pay.

972 BRUSH HOLLOW RD 5th FLWestbury, NY 11590

n/A

Siviq Scores

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

Liabilities / Assets

92nd percentile

0.92x

Higher debt load relative to assets than 92% of similar nonprofits.

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

Liabilities / Revenue

70th percentile

0.39x

Higher debt load relative to revenue than 70% of similar nonprofits.

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

Net Margin

37th percentile

0.0%

Higher net margin than 37% of similar nonprofits.

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

Top Officer Pay

69th percentile

$0

Higher top officer pay than 69% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2022

Asset Growth

97th percentile

162%

Faster asset growth than 97% of similar nonprofits.

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

Revenue Growth

99th percentile

675%

Faster revenue growth than 99% of similar nonprofits.

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

Assets

Up

$2,896,225

Up $1,791,961 (+162%) from 2023

Liabilities

Up

$2,672,910

Up $1,791,961 (+203%) from 2023

Net Assets

Flat

$223,315

Flat from 2023

Revenue

Up

$6,868,263

Up $5,981,863 (+675%) from 2023

Expenses

Up

$6,868,263

Up $6,205,178 (+936%) from 2023

Net Income

Down

$0

Down $223,315 (-100%) from 2023

Trend Graphs

Balance Sheet Trend

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

$3.0M$2.0M$1.0M$0Assets 2022: $0Liabilities 2022: $0Net Assets 2022: $02022Assets 2023: $1,104,264Liabilities 2023: $880,949Net Assets 2023: $223,3152023Assets 2024: $2,896,225Liabilities 2024: $2,672,910Net Assets 2024: $223,3152024

Highlighted filing

2024

Assets$2,896,225
Liabilities$2,672,910
Net Assets$223,315

Operations Trend

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

$8.0M$6.0M$4.0M$2.0M$0Revenue 2022: $0Expenses 2022: $0Net Income 2022: $02022Revenue 2023: $886,400Expenses 2023: $663,085Net Income 2023: $223,3152023Revenue 2024: $6,868,263Expenses 2024: $6,868,263Net Income 2024: $02024

Highlighted filing

2024

Revenue$6,868,263
Expenses$6,868,263
Net Income$0

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 4, 2025
Return Version
2024v5.2
Gross Receipts
$6,868,263
Mission and Program Overview

Mission

Black hall dental, pc is part of northwell health, inc. ("northwell"), which strives to improve the health of the communities it serves and is committed to providing the highest quality clinical care; educating the current and future generations of healthcare professionals; searching for new advances in medicine through the conduct of biomedical research; promoting health education; and caring for the entire community regardless of the ability to pay.

Black hall dental, pc strives to improve the health of the communities it serves and is committed to providing the highest quality clinical care.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$117,900$1,128,868▲ $1,010,968
Prepaid Expenses and Deferred Charges$4,485$28,591▲ $24,106
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Savings and Temporary Cash Investments$0$0→ $0
Accounts Receivable$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$1,104,264$2,896,225▲ $1,791,961
Other Assets Total$981,879$1,738,766▲ $756,887
Liabilities
Other Liabilities$768,946$1,554,537▲ $785,591
Accounts Payable and Accrued Expenses$112,003$1,118,373▲ $1,006,370
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$880,949$2,672,910▲ $1,791,961
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$223,315$223,315→ $0
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$223,315$223,315→ $0
Total Liabilities and Net Assets / Fund Balance$1,104,264$2,896,225▲ $1,791,961

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$840,294$127,432$967,726
Buildings$286,454$11,093$297,547
Other Land Buildings$2,120-$2,120
Other Assets Org$1,485,608--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Ralph Epstein DdsDental AnesthesiologistFT$340,396$32,589$372,985
Touba Abdyan DdsDentistFT$146,442$83,154$229,596
Theresa Fan DdsDentistFT$182,937$37,338$220,275
Yael Adhami DdsDentistFT$136,069$83,819$219,888
Leonard Patella DdsDentistFT$136,434$76,638$213,072

Board Members and Trustees

NameTitle
David HirschPresident, Secretary & Treasur
Laurence KraemerAsst Sec, EVP & Gen Counsel
Michael DowlingCEO
Michele CusackCFO
Deborah SchiffEvp
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$3,785,266
Investment Income
$0
Other Revenue
$3,082,997
Change in Net Assets
$0

Audited Revenue Reconciliation

Revenue per Audited Statements
$6,868,263
Revenue Not Reported on Form 990
$1,033
Total Revenue per Audited Statements
$6,869,296
Total Revenue per Form 990
$6,868,263
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$4,964,620
Other Expenses$1,903,643
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$3,584,702$398,300-$3,983,002
Office Expenses$885,559$98,395-$983,954
Other Employee Benefits$517,638$57,515-$575,153
Occupancy$381,234$42,359-$423,593
Payroll Taxes$256,175$28,464-$284,639
Pension Plan Contributions$109,643$12,183-$121,826
Depreciation Depletion$105,243$11,694-$116,937
Advertising$59,772$6,641-$66,413
Other Expenses$34,327$3,814-$38,141
Insurance$15,664--$15,664
Conferences and Meetings$12,816--$12,816
Fees for Services Management$3,767$419-$4,186
Travel$122--$122
Total Functional Expenses$6,151,486$716,777$0$6,868,263

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$6,869,296
Total Expenses per Audited Statements$6,869,296
Total Expenses per Form 990$6,868,263
Expenses Not Reported on Financial Statements$-1,033
Other Expense Adjustments$-1,033
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Operating Lease Liability$1,485,608
Deferred Rent Liability$68,929
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
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
Yes
Management duties delegated
No

Governance Explanations

Part VI, Section B - Policies, Line 11

The annual Return of Organization Exempt From Income Tax (Form 990) for Northwell Health, Inc. and Affiliated entities are prepared with input from various departments including Corporate Compliance, Finance, Human Resources, and Legal. Before filing the returns, the documents are electronically made available to all trustees through a secure online portal. Members of the Executive Committee are then informed the returns are ready for review. The Executive Committee, which is a committee made up of members from the Board of Trustees, may exercise all of the authority of the Board of Trustees except as such authority is limited by applicable law and except to the extent, if any, that such authority would be inconsistent with any provision of these By-laws or is limited by any resolution to such effect adopted by the Board of Trustees.

Part VI, Section B - Policies, Line 12C

Northwell Health, Inc. ("Northwell") has several control mechanisms to mitigate conflicts of interest. Northwell's Code of Ethical Conduct contains a detailed section educating individuals about how to avoid potential conflicts of interest. Specifically, our Code of Ethical Conduct requires individuals to conduct Northwell business in a manner that places the interests of Northwell ahead of their personal interests. In addition, Northwell has a Conflicts of Interest Policy Statement further elaborating upon individuals' disclosure and recusal obligations. Individuals that are in a position to influence the business or other decisions of Northwell are required to fill out a conflicts of interest disclosure form on a regular basis. The Corporate Compliance Office reviews all disclosures of possible conflicts, including matters disclosed in any conflicts of interest disclosure report and takes any actions deemed required or appropriate to manage or resolve any actual or potential conflicts of interest. In appropriate cases these disclosures and responsive actions will be reported to Northwell's Audit and Corporate Compliance Committee and other applicable committees. In addition, Northwell provides training to individuals on an annual basis regarding conflicts of interest and other compliance related topics. If an individual violates the Code of Ethical Conduct or any related policy such as the Conflicts of Interest Policy Statement, appropriate disciplinary action is taken based upon the facts and circumstances of the situation.

Part VI, Section B - Policies, Line 15

The by-laws of Northwell Health, Inc. ("Northwell") create a committee of the board with full powers of the board to review and approve the compensation of officers and other key employees. The committee consists of approximately 6 trustees who have no connection to Northwell except as trustees and they have no conflicts as to matters they consider. The committee meets several times a year as needed but always meets in November/December to review and determine officer and key employee compensation for the following year. For purposes of their review the committee considers the recommendations of the CEO for all persons other than the CEO. For purposes of the review each year the committee receives information from an outside independent compensation consultant as to compensation for comparable positions in comparable organizations and makes its decisions on this basis, with the overall objective of paying base salary at the 50th percentile. Any contracts or other compensation for officers or key employees are separately considered and normally only approved after receipt of a "fairness opinion" from the independent consultant. All the work and process of the committee is structured to fall within the applicable safe harbor regulations.

Part VI, Section C - Disclosures, Line 19

Currently the organization provides governance documents, conflict of interest policies and financial statements to the public upon request.

Part VII, Section A - Line 1A, Column (B)

This organization is affiliated with Northwell Health, Inc. ("Northwell"). The Officers, Directors and Trustees listed on Schedule J hold similar positions with both this organization and other affiliates of Northwell, and they do not separately allocate their time to this organization and such other affiliates. The hours shown for all such persons reflect time devoted to Northwell and its affiliates, including this organization. For Directors and Trustees, the hours shown reflect the estimated average weekly time. For officers, Key Employees and Highest Compensated Employees, the hours shown reflect the weekly hours used when determining compensation payments for services rendered and are, generally, less than the actual weekly hours devoted to Northwell and its affiliates.

Part VI, Section A - Governing Body, Line 7

Northwell Healthcare, Inc. ("Northwell Healthcare") is the sole corporate member of the organization. Northwell Healthcare has the right to elect or appoint member of the organization's governing body and has the right to approve or ratify certain corporate decisions. This organization and Northwell Healthcare are part of Northwell Health, Inc., an integrated health care delivery system.

Filing and Contact Details

Filer

Filer Name
Black Hall Dental PC
EIN
87-3777395
In Care Of
% NORTHWELL HEALTH INC
Phone
5163216058
Address
972 BRUSH HOLLOW RD 5th FL, Westbury, NY 11590

Signing Officer

Name
Michele L Cusack
Title
Evp & CFO
Phone
5163216058
Signed
2025-11-04

Organization Details

Principal Officer
Michele L Cusack
Formed
2021
Legal Domicile
Ny
Voting Board Members
1
Independent Board Members
0
Employees
46
Volunteers
0
Supplemental Narrative

Financial Statement Notes

Part X, Line 2

Certain entities included in Northwell's consolidated financial statements are taxable entities under federal or state laws. GAAP requires that the asset and liability method of accounting for income taxes be utilized by these organizations and for unrelated business activities of the tax-exempt entities included in Northwell's consolidated financial statements. Under the asset and liability method, deferred income taxes are recognized for the tax consequences of temporary differences by applying enacted statutory tax rates applicable to future years to differences between the financial statement carrying amounts and the tax basis of existing assets and liabilities. At December 31, 2024 and 2023, Northwell has net deferred tax assets of approximately $189,000,000 and $170,000,000, respectively, which have been fully offset by a related valuation allowance. The deferred tax asset and related valuation allowance are recorded within other current assets in the accompanying consolidated statements of financial position. A valuation allowance is provided when it is more likely than not that some portion or all of a deferred tax asset will not be realized. Significant components of Northwell's deferred tax assets relate to net operating loss (NOL) carryforwards. Certain entities have NOL carryforwards aggregating approximately $643,000,000 and $573,000,000 at December 31, 2024 and 2023, respectively. NOL carryforwards generated prior to 2018 will expire in varying amounts through 2037 and are available to offset future taxable income of the respective entity. NOLs generated after 2017 can be carried forward indefinitely, but with limitations on their usage.

Part XI, Line 2D - Revenue on Books Not on Return

Additional minimum pension liability 1,033 total 1,033

Part XII, Line 4B - Expense on Return Not on Books

Additional minimum pension liability (1,033) total (1,033)

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IRS990/Form990PartVIISectionAGrp/TitleTxt4Asst Sec, EVP & Gen Counsel
IRS990/Form990PartVIISectionAGrp/TitleTxt5Dentist
IRS990/Form990PartVIISectionAGrp/TitleTxt6Dental Anesthesiologist
IRS990/Form990PartVIISectionAGrp/TitleTxt7Dentist
IRS990/Form990PartVIISectionAGrp/TitleTxt8Dentist
IRS990/Form990PartVIISectionAGrp/TitleTxt9Dentist
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IRS990/FormationYr02021
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IRS990/FSAuditedInd0true
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IRS990/MissionDesc0BLACK HALL DENTAL, PC IS PART OF NORTHWELL HEALTH, INC. ("NORTHWELL"), WHICH STRIVES TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES AND IS COMMITTED TO PROVIDING THE HIGHEST QUALITY CLINICAL CARE; EDUCATING THE CURRENT AND FUTURE GENERATIONS OF HEALTHCARE PROFESSIONALS; SEARCHING FOR NEW ADVANCES IN MEDICINE THROUGH THE CONDUCT OF BIOMEDICAL RESEARCH; PROMOTING HEALTH EDUCATION; AND CARING FOR THE ENTIRE COMMUNITY REGARDLESS OF THE ABILITY TO PAY.
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IRS990/OtherExpensesGrp/ManagementAndGeneralAmt23814
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IRS990/OtherExpensesGrp/TotalAmt24646
IRS990/OtherExpensesGrp/TotalAmt338141
IRS990/OtherLiabilitiesGrp/BOYAmt0768946
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IRS990/OtherRevenueMiscGrp/Desc2MISCELLANEOUS INCOME
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IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt15326
IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt21213
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IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt15326
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt21213
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IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt0398300
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IRS990/OtherWebsiteInd0X
IRS990/OthNotesLoansReceivableNetGrp/BOYAmt00
IRS990/OthNotesLoansReceivableNetGrp/EOYAmt00
IRS990/PartialLiquidationInd0false
IRS990/PaymentsToAffiliatesGrp/TotalAmt00
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt028464
IRS990/PayrollTaxesGrp/ProgramServicesAmt0256175
IRS990/PayrollTaxesGrp/TotalAmt0284639
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt012183
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt0109643
IRS990/PensionPlanContributionsGrp/TotalAmt0121826
IRS990/PledgesAndGrantsReceivableGrp/BOYAmt00
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt04485
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt028591
IRS990/PrincipalOfficerNm0Michele L Cusack
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IRS990/ProgramServiceRevenueGrp/BusinessCd0621300
IRS990/ProgramServiceRevenueGrp/BusinessCd1621300
IRS990/ProgramServiceRevenueGrp/Desc0PHYSICIAN PRACTICE REVENUE
IRS990/ProgramServiceRevenueGrp/Desc1MEDICARE & MEDICAID
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt03122787
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt1662479
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IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt1662479
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYBenefitsPaidToMembersAmt00
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IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt00
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IRS990/RcvblFromDisqualifiedPrsnGrp/BOYAmt00
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IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReceivablesFromOfficersEtcGrp/BOYAmt00
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
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IRS990/RegularMonitoringEnfrcInd0true
IRS990/RelatedEntityInd0true
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IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd0false
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IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd0true
IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd0false
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IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/OperateBenefitNonSuprtOrgInd0false
IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/PowerAppointMajorityDirTrstInd0true
IRS990ScheduleA/IRSWrittenDeterminationInd0X
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/SupportedOrganizationsCnt01
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IRS990ScheduleA/SupportedOrgInformationGrp/EIN0131624070
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IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd03
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IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0LENOX HILL HOSPITAL
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IRS990ScheduleD/BuildingsGrp/BookValueAmt0286454
IRS990ScheduleD/BuildingsGrp/DepreciationAmt011093
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt0297547
IRS990ScheduleD/EquipmentGrp/BookValueAmt0840294

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