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Nonprofiteer
← ADENA HEALTH SYSTEM

Form 990 for tax year 2023

Filed by ADENA HEALTH SYSTEM.

Totals

Total revenue
$670,036,465
Total expenses
$684,454,300
Contributions and grants received
$3,465,419
Grants paid
$1,643,732
Program service revenue
$623,884,851
Investment income
$16,094,218
Other revenue
$26,591,977
Total assets, end of year
$806,490,536
Total liabilities, end of year
$415,441,458
Net assets or fund balances, end of year
$391,049,078
Program services expenses (Part IX)
$564,596,097
Management and general expenses
$119,858,203
Fundraising expenses
$0
Program service expenses (Part III)
$564,596,097

Program services were 82.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $539,316

  • 1e · Government grants (contributions)

    $1,153,103

  • 1f · All other contributions, gifts and grants

    $1,773,000

  • 2a · Program service revenue: NET PATIENT SVC REV

    total $623,884,851 · related or exempt $623,884,851

  • 3 · Investment income

    total -$161,424 · excluded -$161,424

  • 6a · Gross rents

    real property $157,790

  • 6b · Less rental expenses

    real property $30,870

  • 6c · Rental income or loss

    real property $126,920

  • 6d · Net rental income or loss

    total $126,920 · excluded $126,920

  • 7a · Gross sales of assets other than inventory

    securities $61,483,710 · other assets $35,628

  • 7b · Less cost or other basis and sales expenses

    securities $45,263,696 · other assets $0

  • 7c · Gain or loss

    securities $16,220,014 · other assets $35,628

  • 7d · Net gain or loss

    total $16,255,642 · excluded $16,255,642

  • 11a · Other revenue: OUTPATIENT PHARMACY SALES

    total $22,615,710 · related or exempt $22,547,645 · unrelated business $68,065

  • 11b · Other revenue: CAFETERIA REVENUE

    total $2,527,093 · excluded $2,527,093

  • 11c · Other revenue: DAVITA DIALYSIS

    total $737,522 · excluded $737,522

  • 11d · All other revenue

    total $584,732 · excluded $584,732

  • 11e · Other revenue, total

    $26,465,057

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $1,643,732 · program services $1,643,732

  • 5 · Compensation of officers, directors and key employees

    total $7,439,801 · program services $6,198,595 · management and general $1,241,206

  • 7 · Other salaries and wages

    total $278,121,971 · program services $231,721,986 · management and general $46,399,985

  • 8 · Pension plan contributions

    total $12,448,698 · program services $10,650,242 · management and general $1,798,456

  • 9 · Other employee benefits

    total $4,582,750 · program services $3,920,683 · management and general $662,067

  • 10 · Payroll taxes

    total $54,711,728 · program services $44,242,777 · management and general $10,468,951

  • 11b · Fees: legal

    total $2,736,156 · management and general $2,736,156

  • 11c · Fees: accounting

    total $334,606 · management and general $334,606

  • 11g · Fees: other

    total $86,347,164 · program services $51,111,726 · management and general $35,235,438

  • 12 · Advertising and promotion

    total $1,127,717 · program services $460,757 · management and general $666,960

  • 13 · Office expenses

    total $6,288,191 · program services $5,379,740 · management and general $908,451

  • 16 · Occupancy

    total $37,680,075 · program services $29,819,524 · management and general $7,860,551

  • 17 · Travel

    total $652,843 · program services $367,645 · management and general $285,198

  • 19 · Conferences, conventions and meetings

    total $1,267,015 · program services $713,513 · management and general $553,502

  • 20 · Interest

    total $12,156,536 · program services $9,896,243 · management and general $2,260,293

  • 22 · Depreciation, depletion and amortization

    total $26,351,098 · program services $19,344,029 · management and general $7,007,069

  • 23 · Insurance

    total $4,478,490 · program services $3,387,956 · management and general $1,090,534

  • 24a · Other expenses: MEDICAL EQUIPMENT & SUP

    total $105,338,014 · program services $105,338,014

  • 24b · Other expenses: BAD DEBT EXPENSE

    total $22,113,589 · program services $22,113,589

  • 24c · Other expenses: HCAP ASSESSMENT

    total $13,817,944 · program services $13,817,944

  • 24d · Other expenses: CAFETERIA/CATERING

    total $3,554,104 · program services $3,346,813 · management and general $207,291

  • 24e · All other expenses

    total $1,262,078 · program services $1,120,589 · management and general $141,489

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $14,824 · end of year $15,300

  • 2 · Savings and temporary cash investments

    beginning of year $4,288,560 · end of year $4,100,406

  • 4 · Accounts receivable

    beginning of year $111,146,126 · end of year $100,949,597

  • 8 · Inventories for sale or use

    beginning of year $14,015,914 · end of year $14,404,163

  • 9 · Prepaid expenses and deferred charges

    beginning of year $6,583,860 · end of year $8,046,860

  • 10a · Land, buildings and equipment: cost or other basis

    $575,992,682

  • 10b · Land, buildings and equipment: accumulated depreciation

    $305,648,428

  • 10c · Land, buildings and equipment, net

    beginning of year $272,249,679 · end of year $270,344,254

  • 11 · Investments: publicly traded securities

    beginning of year $318,325,126 · end of year $359,318,889

  • 13 · Investments: program-related

    beginning of year $572,359 · end of year $515,580

  • 15 · Other assets

    beginning of year $49,934,850 · end of year $48,795,487

  • 17 · Accounts payable and accrued expenses

    beginning of year $65,531,350 · end of year $70,077,880

  • 19 · Deferred revenue

    beginning of year $2,964,494 · end of year $3,214,874

  • 20 · Tax-exempt bond liabilities

    beginning of year $283,223,781 · end of year $276,163,714

  • 23 · Secured mortgages and notes payable

    beginning of year $15,000,000 · end of year $19,700,000

  • 25 · Other liabilities

    beginning of year $44,927,139 · end of year $46,284,990

  • 27 · Net assets without donor restrictions

    beginning of year $361,285,245 · end of year $386,794,840

  • 28 · Net assets with donor restrictions

    beginning of year $4,199,289 · end of year $4,254,238

Mission and programs · 2023

Mission

THE ADENA HEALTH SYSTEM'S MISSION IS "CALLED TO SERVE OUR COMMUNITIES AND VISION IS "TO BE OUR REGION'S MOST TRUSTED PARTNER FOR HEALTHCARE".

Activities or mission (Part I)

THE REPORTING ORGANIZATION IS A REGIONAL HEALTHCARE SYSTEM WITH ONE HOSPITAL AND SEVERAL AMBULATORY CENTERS, IN ADDITION TO MULTIPLE PHYSICIAN PRACTICES. AHS OFFERS A WIDE SCOPE OF DIAGNOSTIC AND REHABILITATIVE SERVICES BOTH FOR INPATIENTS AND OUTPATIENTS, INCLUDING COMPREHENSIVE CARDIOLOGY AND CANCER CARE. FURTHERMORE, AHS IS THE SOLE MEMBER OF THREE CRITICAL ACCESS HOSPITALS, ADENA PIKE MEDICAL CENTER, ADENA GREENFIELD MEDICAL CENTER, AND ADENA FAYETTE MEDCIAL CENTER, THAT FILE SEPARATELY.

  • HEALTH CARE PROGRAMS, GENERAL/OTHER: ROUTINE HOSPITAL SERVICES. ADENA REGIONAL MEDICAL CENTER PROVIDED CARE FOR 11,225 INPATIENTS.EMERGENCY SERVICES - TREATMENT OF EMERGENCY ACCIDENT AND ILLNESS AS WELL AS LESS URGENT CONDITIONS IN THE ABSENCE OF A FAMILY PHYSICIAN. THERE WERE 40,323 EMERGENT VISITS IN 2023.

    Expenses $564,596,097 · Grants $1,643,732 · Revenue $646,432,496

As filed on the 2023 return.

Listed in Part VII

  • Sheilah Gray

    TRUSTEE/CHAIR

    Total calculated
    $0
    Hours/week
    2

  • Joseph Watson

    TRUSTEE/CHAIR

    Total calculated
    $0
    Hours/week
    2

  • Robert French

    TRUSTEE/VICE CHAIR

    Total calculated
    $0
    Hours/week
    2

  • Jennifer McKell

    TRUSTEE/VICE CHAIR

    Total calculated
    $0
    Hours/week
    2

  • Steve Hirsch

    TRUSTEE/TREASURER

    Total calculated
    $0
    Hours/week
    2

  • Barton Henshaw

    TRUSTEE/SECRETARY

    Total calculated
    $0
    Hours/week
    2

  • Carvel Simmons

    TRUSTEE/SECRETARY

    Total calculated
    $0
    Hours/week
    2

  • Ronald Coffey

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • Anthony Fish

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • Jerry Phillips

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • Brian Ream

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • Kevin Shoemaker

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • Beth Workman

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • Jeff Graham

    CEO

    Total calculated
    $1,068,566
    From this org
    $1,010,366
    From related orgs
    $0
    Other
    $58,200
    Hours/week
    50 + 4 related

    Schedule J breakdown matched by us

    Base
    $956,818
    Bonus
    $39,688
    Other
    $13,860
    Deferred
    $23,080
    Nontaxable benefits
    $35,120
    Filer's total
    $1,068,566

  • James McManus

    AHS CHIEF FINANCIAL OFFICER

    Total calculated
    $747,455
    From this org
    $621,511
    From related orgs
    $0
    Other
    $125,944
    Hours/week
    53 + 1 related

    Schedule J breakdown matched by us

    Base
    $547,954
    Bonus
    $35,472
    Other
    $38,085
    Deferred
    $74,012
    Nontaxable benefits
    $51,932
    Filer's total
    $747,455

  • Katherine Edrington

    COO

    Total calculated
    $653,968
    From this org
    $621,194
    From related orgs
    $0
    Other
    $32,774
    Hours/week
    50 + 4 related

    Schedule J breakdown matched by us

    Base
    $605,161
    Bonus
    $13,933
    Other
    $2,100
    Deferred
    $17,691
    Nontaxable benefits
    $15,083
    Filer's total
    $653,968

  • Craig Babbitt

    CHIEF LEGAL OFFICER

    Total calculated
    $597,140
    From this org
    $494,821
    From related orgs
    $0
    Other
    $102,319
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $441,135
    Bonus
    $7,813
    Other
    $45,873
    Deferred
    $65,500
    Nontaxable benefits
    $36,819
    Filer's total
    $597,140

  • Richard D Mizer

    PRESIDENT OF AMG

    Total calculated
    $521,519
    From this org
    $440,203
    From related orgs
    $0
    Other
    $81,316
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $388,472
    Bonus
    $3,629
    Other
    $48,102
    Deferred
    $58,868
    Nontaxable benefits
    $22,448
    Filer's total
    $521,519

  • Kristin Boggs

    CHIEF COMPLIANCE OFFICER

    Total calculated
    $482,456
    From this org
    $421,210
    From related orgs
    $0
    Other
    $61,246
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $340,102
    Bonus
    $6,991
    Other
    $74,117
    Deferred
    $56,792
    Nontaxable benefits
    $4,454
    Filer's total
    $482,456

  • Heather Sprague

    CHIEF HUMAN RESOURCE OFFICER

    Total calculated
    $513,736
    From this org
    $436,802
    From related orgs
    $0
    Other
    $76,934
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $387,878
    Bonus
    $8,314
    Other
    $40,610
    Deferred
    $17,244
    Nontaxable benefits
    $59,690
    Filer's total
    $513,736

  • Jamie Smith

    CHIEF INFORMATION OFFICER

    Total calculated
    $428,643
    From this org
    $344,991
    From related orgs
    $0
    Other
    $83,652
    Hours/week
    50 + 1 related

    Schedule J breakdown matched by us

    Base
    $305,428
    Bonus
    $4,328
    Other
    $35,235
    Deferred
    $48,138
    Nontaxable benefits
    $35,514
    Filer's total
    $428,643

  • Molly M Grooms

    CHIEF NURSING OFFICER

    Total calculated
    $398,051
    From this org
    $346,276
    From related orgs
    $0
    Other
    $51,775
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $308,991
    Bonus
    $2,747
    Other
    $34,538
    Deferred
    $48,879
    Nontaxable benefits
    $2,896
    Filer's total
    $398,051

  • John Gabis

    PRESIDENT OF AMG

    Total calculated
    $413,394
    From this org
    $373,748
    From related orgs
    $0
    Other
    $39,646
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $365,780
    Bonus
    $2,677
    Other
    $5,291
    Deferred
    $14,646
    Nontaxable benefits
    $25,000
    Filer's total
    $413,394

  • Donald Diener

    PRESIDENT OF ARMC

    Total calculated
    $389,611
    From this org
    $290,422
    From related orgs
    $0
    Other
    $99,189
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $286,217
    Bonus
    $0
    Other
    $4,205
    Deferred
    $67,727
    Nontaxable benefits
    $31,462
    Filer's total
    $389,611

  • Ty McBee

    VP OF STRATEGIC OPERATIONS

    Total calculated
    $253,756
    From this org
    $228,972
    From related orgs
    $0
    Other
    $24,784
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $223,347
    Bonus
    $4,514
    Other
    $1,111
    Deferred
    $11,580
    Nontaxable benefits
    $13,204
    Filer's total
    $253,756

  • Dr Shaheed Koury

    CHIEF CLINICAL OFFICER

    Total calculated
    $752,112
    From this org
    $625,200
    From related orgs
    $0
    Other
    $126,912
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $547,451
    Bonus
    $52,677
    Other
    $25,072
    Deferred
    $76,153
    Nontaxable benefits
    $50,759
    Filer's total
    $752,112

  • Atiq Rehman

    PHYSICIAN

    Total calculated
    $3,288,238
    From this org
    $1,571,885
    From related orgs
    $1,644,119
    Other
    $72,234
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $993,491 + $1,644,119 related
    Bonus
    $554,523
    Other
    $23,871
    Deferred
    $19,939
    Nontaxable benefits
    $52,295
    Filer's total
    $1,644,119 + $1,644,119 related

  • Roger Wiltfong

    PHYSICIAN

    Total calculated
    $2,925,488
    From this org
    $1,399,401
    From related orgs
    $1,462,744
    Other
    $63,343
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $383,685 + $1,462,744 related
    Bonus
    $998,341
    Other
    $17,375
    Deferred
    $16,500
    Nontaxable benefits
    $46,843
    Filer's total
    $1,462,744 + $1,462,744 related

  • James Fleming

    PHYSICIAN

    Total calculated
    $2,381,166
    From this org
    $1,120,385
    From related orgs
    $1,190,583
    Other
    $70,198
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $487,079 + $1,190,583 related
    Bonus
    $532,901
    Other
    $100,405
    Deferred
    $20,160
    Nontaxable benefits
    $50,038
    Filer's total
    $1,190,583 + $1,190,583 related

  • Waheed Gul

    PHYSICIAN

    Total calculated
    $2,103,976
    From this org
    $967,011
    From related orgs
    $1,051,988
    Other
    $84,977
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $637,987 + $1,051,988 related
    Bonus
    $275,273
    Other
    $53,751
    Deferred
    $23,000
    Nontaxable benefits
    $61,977
    Filer's total
    $1,051,988 + $1,051,988 related

  • Kelly Gallina

    PHYSICIAN

    Total calculated
    $2,023,474
    From this org
    $934,413
    From related orgs
    $1,011,737
    Other
    $77,324
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $308,615 + $1,011,737 related
    Bonus
    $603,156
    Other
    $22,642
    Deferred
    $16,500
    Nontaxable benefits
    $60,824
    Filer's total
    $1,011,737 + $1,011,737 related

  • Reggina Yandila

    FORMER TRUSTEE/PHYSICIAN

    Total calculated
    $760,940
    From this org
    $334,797
    From related orgs
    $380,470
    Other
    $45,673
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $154,372 + $380,470 related
    Bonus
    $132,880
    Other
    $47,545
    Deferred
    $10,605
    Nontaxable benefits
    $35,068
    Filer's total
    $380,470 + $380,470 related

  • Lisa Carlson

    FORMER CFO

    Total calculated
    $271,076
    From this org
    $270,056
    From related orgs
    $0
    Other
    $1,020
    Hours/week
    50 + 4 related

    Schedule J breakdown matched by us

    Base
    $28,082
    Bonus
    $291
    Other
    $241,683
    Deferred
    $931
    Nontaxable benefits
    $89
    Filer's total
    $271,076

  • Anthony Freeman

    FORMER CHIEF MEDICAL OFFICER

    Total calculated
    $692,175
    From this org
    $614,096
    From related orgs
    $0
    Other
    $78,079
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $469,949
    Bonus
    $0
    Other
    $144,147
    Deferred
    $21,276
    Nontaxable benefits
    $56,803
    Filer's total
    $692,175

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · Tax indemnification and gross-up payments
  • 1a · Health or social club dues or initiation fees
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 1A
ADENA HEALTH SYSTEM PROVIDES FOR A MEMBERSHIP TO THE LOCAL COUNTRY CLUB FOR ALL OFFICERS AND KEY EMPLOYEES. THIS BENEFIT IS GROSSED UP AND TAXED AND RECEIVED BY SEVEN OF THE OFFICERS AND KEY EMPLOYEES.
PART I, LINE 4B
THE ORGANIZATION HAS A 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING INDIVIDUALS PARTICIPATED IN OR RECEIVED PAYMENT FROM THE SERP IN 2023: LISA CARLSON $241,505 SERP EARNINGS JAMES MCMANUS $29,615 SERP EARNINGS CRAIG BABBITT $43,544 SERP EARNINGS RICHARD MIZER $38,895 SERP EARNINGS KRISTIN BOGGS $38,875 SERP EARNINGS JAMIE SMITH $34,610 SERP EARNINGS MOLLY GROOMS $33,855 SERP EARNINGS THE SERP ACCRUALS, INCLUDED IN PART II, COLUMN (C), ARE AMOUNTS CREDITED TO THE EXECUTIVE UNDER THE SECTION 457(F) DEFERRED COMPENSATION PLAN. JAMES MCMANUS $60,232 SERP ACCURAL DR. SHAHEED KOURY $59,652 SERP ACCRUAL CRAIG BABBITT $48,080 SERP ACCRUAL RICHARD MIZER $42,368 SERP ACCRUAL KRISTIN BOGGS $40,292 SERP ACCRUAL JAMIE SMITH $33,790 SERP ACCRUAL MOLLY GROOMS $33,263 SERP ACCRUAL
PART I, LINE 7
MANAGEMENT OF ADENA HEALTH SYSTEM HAVE A PORTION OF THEIR ANNUAL SALARY AT RISK UNDER AN INDUSTRY STANDARD VARIABLE COMPENSATION PLAN. IF THE OPERATING RESULTS OF AHS MEET A MARGIN TARGET IN ANY FISCAL YEAR, ADDITIONAL COMPENSATION IS PAID THAT IS CALCULATED USING THE OPERATING MARGIN ALONG WITH RESULTS IN EMPLOYEE ENGAGEMENT, PATIENT QUALITY, AND SATISFACTION USING A BALANCED SCORECARD FORMULA.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

The 10 largest by cash amount. The API serves every itemized grant.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • ADENA MEDICAL GROUP LLC

    HEALTHCARE PROVIDERS · OH · income $104,857,226 · assets $4,547,005

    Directly controlled by ADENA HEALTH SYSTEM

  • ADENA HOSPICE LLC

    HEALTHCARE PROVIDERS · OH · income $6,496,427 · assets $814,805

    Directly controlled by ADENA HEALTH SYSTEM

  • ADENA HOME HEALTH

    HEALTHCARE PROVIDERS · OH · income $5,981,612 · assets $859,549

    Directly controlled by ADENA HEALTH SYSTEM

  • ADENA HOME INFUSIONHOME RESPIRATORY

    HEALTHCARE PROVIDERS · OH · income $2,656,432 · assets $2,113,628

    Directly controlled by ADENA HEALTH SYSTEM

  • ADENA PHARMACY

    HEALTHCARE PROVIDERS · OH · income $15,549,109 · assets $3,549,888

    Directly controlled by ADENA HEALTH SYSTEM

  • ADENA HEALTHCARE COLLABORATIVE

    HEALTHCARE PROVIDERS · OH · income $0 · assets $0

    Directly controlled by ADENA HEALTH SYSTEM

  • MAXIMUM PROPERTIES LLC

    PROPERTY HOLDING · OH · income $0 · assets $5,927,804

    Directly controlled by ADENA HEALTH SYSTEM

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • ADENA CARE

    C · SEE SCHEDULE R, PART VII · OH · 100% owned · share of income -$77,338 · controlled entity

    Directly controlled by ADENA HEALTH SYSTEM

Provenance

Return type
form_990
Tax year
2023
Filed
14 November 2024
IRS schema version
2023v5.1
Source object
202443209349310319

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