HAYES GREEN BEACH MEMORIAL HOSPITAL

Address
321 EAST HARRIS STREET
CHARLOTTE, MI 48813
Contact
Website: http://www.hgbhealth.com
Phone: +1 (517) 543-1050
Nonprofit
NTEE: E22 - Hospital, General
EIN: 38-2007629

Mission

HAYES GREEN BEACH MEMORIAL HOSPITAL PROVIDES NEEDED MEDICAL CARE TO THE COMMUNITY REGARDLESS OF THE INDIVIDUALS ABILITY TO PAY. THESE SERVICES ARE PROVIDED TO HOSPITAL INPATIENTS AND OUTPATIENTS IN ADDITION TO 24-HOUR EMERGENCY ROOM AND AMBULANCE SERVICES.
 201720162015
Basic features of the organization
Year of formation1972
Subsection501(c)(3)
Organization typeCorporation
Metropolitan statistical area4040
Human resources, including compensation
Summary compensation info
Total compensation of current key personnel$557,768.00$505,273.00$543,030.00
Sum of reportable (W2/1099) compensation$3,319,817.00$3,119,072.00$2,838,440.00
Number of employees572552542
Number of people compensated >$100k292522
Number of volunteers135132132
Number of highly compensated contractors15168
Personnel
Brett, Mark
TitleTRUSTEE  
Name of key/compensated personMARK BRETT  
Average hours per week working for org1.00  
Reportable compensation from org$0.00  
Other comp, non-reportable, from org and related orgs$0.00  
PositionIndividual trustee or director  
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00  
Average hours per week working for related orgs0.00  
Capps, Kim
TitleCHIEF FINANCChief Financial OfficerChief Financial Officer
Name of key/compensated personKIM CAPPSKim CappsKim Capps
Average hours per week working for org40.004040
Reportable compensation from org$179,038.00$172,625.00$162,167.00
Other comp, non-reportable, from org and related orgs$700.00$20,000.00$0.00
PositionOfficerOfficerOfficer
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00
Average hours per week working for related orgs0.0000
Cohen, Matthew
Title  Physician
Name of key/compensated person  Matthew Cohen
Average hours per week working for org  40
Reportable compensation from org  $369,463.00
Other comp, non-reportable, from org and related orgs  $17,808.00
Position  Highly compensated employee
Corresponding comp from related orgs
Reportable compensation from related orgs   $0.00
Average hours per week working for related orgs  0
Dobbs, Ed
TitleBOARD CHAIRMTrusteeTrustee
Name of key/compensated personED DOBBSEd DobbsEd Dobbs
Average hours per week working for org1.0011
Reportable compensation from org$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00
PositionIndividual trustee or director, OfficerIndividual trustee or directorIndividual trustee or director
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00
Average hours per week working for related orgs0.0000
Eveland, Thomas
TitleTRUSTEESecretarySecretary
Name of key/compensated personTHOMAS EVELANDThomas EvelandThomas Eveland
Average hours per week working for org1.0011
Reportable compensation from org$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00
PositionIndividual trustee or directorIndividual trustee or director, OfficerIndividual trustee or director, Officer
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00
Average hours per week working for related orgs0.0000
Fhaner, Eileen
TitleTRUSTEETrusteeTrustee
Name of key/compensated personEILEEN FHANEREileen FhanerEileen Fhaner
Average hours per week working for org1.0011
Reportable compensation from org$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00
PositionIndividual trustee or directorIndividual trustee or directorIndividual trustee or director
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00
Average hours per week working for related orgs0.0000
Friar, Kimberly
TitlePHYSICIANPhysician 
Name of key/compensated personKIMBERLY FRIARKimberly Friar 
Average hours per week working for org40.0040 
Reportable compensation from org$444,757.00$383,677.00 
Other comp, non-reportable, from org and related orgs$15,386.00$15,080.00 
PositionHighly compensated employeeHighly compensated employee 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00 
Average hours per week working for related orgs0.000 
Grundstrom, Charles
TitleTRUSTEEVice ChairVice Chair
Name of key/compensated personCHARLES GRUNDSTROMCharles GrundstromCharles Grundstrom
Average hours per week working for org1.0011
Reportable compensation from org$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00
PositionIndividual trustee or directorIndividual trustee or director, OfficerIndividual trustee or director, Officer
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00
Average hours per week working for related orgs0.0000
Johnson, Kimberly
Title  Physician
Name of key/compensated person  Kimberly Johnson
Average hours per week working for org  40
Reportable compensation from org  $366,945.00
Other comp, non-reportable, from org and related orgs  $17,336.00
Position  Highly compensated employee
Corresponding comp from related orgs
Reportable compensation from related orgs   $0.00
Average hours per week working for related orgs  0
Kubica, Sharon
TitleTRUSTEETrusteeTrustee
Name of key/compensated personSHARON KUBICASharon KubicaSharon Kubica
Average hours per week working for org1.0011
Reportable compensation from org$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00
PositionIndividual trustee or directorIndividual trustee or directorIndividual trustee or director
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00
Average hours per week working for related orgs0.0000
Latchaw, Martin
TitleTRUSTEETrusteeTrustee
Name of key/compensated personMARTIN LATCHAWMartin LatchawMartin Latchaw
Average hours per week working for org1.0011
Reportable compensation from org$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00
PositionIndividual trustee or directorIndividual trustee or directorIndividual trustee or director
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00
Average hours per week working for related orgs0.0000
Magers, Erica
TitlePHYSICIANPhysicianPhysician
Name of key/compensated personERICA MAGERSErica MagersErica Magers
Average hours per week working for org40.004040
Reportable compensation from org$519,407.00$500,710.00$463,849.00
Other comp, non-reportable, from org and related orgs$14,836.00$15,220.00$17,246.00
PositionHighly compensated employeeHighly compensated employeeHighly compensated employee
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00
Average hours per week working for related orgs0.0000
Od, Fred
TitleTRUSTEETrustee, Chairmen of the BoardTrustee, Chairmen of the Board
Name of key/compensated personFRED DARIN ODFred Darin ODFred Darin OD
Average hours per week working for org1.0011
Reportable compensation from org$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00
PositionIndividual trustee or directorIndividual trustee or director, OfficerIndividual trustee or director, Officer
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00
Average hours per week working for related orgs0.0000
Otten, Todd
TitlePHYSICIANPhysicianPhysician
Name of key/compensated personTODD OTTENTodd OttenTodd Otten
Average hours per week working for org40.004040
Reportable compensation from org$454,373.00$407,234.00$445,436.00
Other comp, non-reportable, from org and related orgs$15,656.00$15,090.00$17,336.00
PositionHighly compensated employeeHighly compensated employeeHighly compensated employee
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00
Average hours per week working for related orgs0.0000
Pascotto, Jeremy
TitlePHYSICIANPhysician 
Name of key/compensated personJEREMY PASCOTTOJeremy Pascotto 
Average hours per week working for org40.0040 
Reportable compensation from org$645,928.00$600,497.00 
Other comp, non-reportable, from org and related orgs$12,367.00$5,437.00 
PositionHighly compensated employeeHighly compensated employee 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00 
Average hours per week working for related orgs0.000 
Pray, Leonore
TitleSECRETARYTrusteeTrustee
Name of key/compensated personLEONORE PRAYLeonore PrayLeonore Pray
Average hours per week working for org1.0011
Reportable compensation from org$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00
PositionIndividual trustee or director, OfficerIndividual trustee or directorIndividual trustee or director
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00
Average hours per week working for related orgs0.0000
Randall, Scot
TitlePHYSICIANPhysicianPhysician
Name of key/compensated personSCOT RANDALLScot RandallScot Randall
Average hours per week working for org40.004040
Reportable compensation from org$584,877.00$595,559.00$589,824.00
Other comp, non-reportable, from org and related orgs$15,818.00$15,681.00$17,808.00
PositionHighly compensated employeeHighly compensated employeeHighly compensated employee
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00
Average hours per week working for related orgs0.0000
Reece, David
TitleVICE CHAIRTrusteeTrustee
Name of key/compensated personDAVID REECEDavid ReeceDavid Reece
Average hours per week working for org1.0011
Reportable compensation from org$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00
PositionIndividual trustee or director, OfficerIndividual trustee or directorIndividual trustee or director
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00
Average hours per week working for related orgs0.0000
Rush, Matthew
TitlePRESIDENT/CETrustee/President/CEOTrustee/President/CEO
Name of key/compensated personMATTHEW RUSHMatthew RushMatthew Rush
Average hours per week working for org40.004040
Reportable compensation from org$332,332.00$332,332.00$308,998.00
Other comp, non-reportable, from org and related orgs$66,134.00$66,134.00$76,992.00
PositionIndividual trustee or director, OfficerIndividual trustee or director, OfficerIndividual trustee or director, Officer
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00
Average hours per week working for related orgs 00
Swan, Dennis
TitleTRUSTEETrusteeTrustee
Name of key/compensated personDENNIS SWANDennis SwanDennis Swan
Average hours per week working for org1.0011
Reportable compensation from org$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00
PositionIndividual trustee or directorIndividual trustee or directorIndividual trustee or director
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00
Average hours per week working for related orgs0.0000
Wheaton, Denise
TitleTREASURERTrustee,TreasurerTrustee,Treasurer
Name of key/compensated personDENISE WHEATONDenise WheatonDenise Wheaton
Average hours per week working for org1.0011
Reportable compensation from org$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00
PositionIndividual trustee or director, OfficerIndividual trustee or director, OfficerIndividual trustee or director, Officer
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00
Average hours per week working for related orgs0.0000
Wildern, Harper
TitleTRUSTEE  
Name of key/compensated personHARPER WILDERN  
Average hours per week working for org1.00  
Reportable compensation from org$0.00  
Other comp, non-reportable, from org and related orgs$0.00  
PositionIndividual trustee or director  
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00  
Average hours per week working for related orgs0.00  
Zink, Barrett
TitleTRUSTEE/PHYSTrustee/PhysicianTrustee/Physician
Name of key/compensated personBARRETT ZINK DOBarrett Zink DOBarrett Zink DO
Average hours per week working for org40.004040
Reportable compensation from org$159,105.00$126,438.00$131,758.00
Other comp, non-reportable, from org and related orgs$13,452.00$13,705.00$14,899.00
PositionIndividual trustee or directorIndividual trustee or directorIndividual trustee or director
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00
Average hours per week working for related orgs 00
Purpose: mission, activities & accomplishments
Mission or significant activitiesHAYES GREEN BEACH MEMORIAL HOSPITAL PROVIDES NEEDED MEDICAL CARE TO THE COMMUNITY REGARDLESS OF THE INDIVIDUALS ABILITY TO PAY. THESE SERVICES ARE PROVIDED TO HOSPITAL INPATIENTS AND OUTPATIENTS IN ADDITION TO 24-HOUR EMERGENCY ROOM AND AMBULANCE SERVICES.Hayes Green Beach Memorial Hospital provides needed medical care to the community regardless of the individuals ability to pay. These services are provided to hospital inpatients and outpatients in addition to 24 hour emergency room and ambulance services.Hayes Green Beach Memorial Hospital provides needed medical care to the community regardless of the individuals ability to pay. These services are provided to hospital inpatients and outpatients in addition to 24 hour emergency room and ambulance services.
Program expenses (total)$38,163,775.00$36,708,438.00$35,943,117.00
Programs, including revenue & expenses
INPATIENT CARE: HAYES GREEN BEACH MEMORIAL HOSPITAL OFFERS INPATIENT ACUTE CARE SERVICES WITH ADMISSIONS OF 661 PATIENTS PROVIDING 1,665 DAYS OF CARE.
Program expenses$3,753,013.00$3,523,255.00$3,449,800.00
Grants and allocations made $0.00$0.00
Program revenue$6,082,212.00$5,967,879.00$4,983,574.00
Program descriptionINPATIENT CARE: HAYES GREEN BEACH MEMORIAL HOSPITAL OFFERS INPATIENT ACUTE CARE SERVICES WITH ADMISSIONS OF 661 PATIENTS PROVIDING 1,665 DAYS OF CARE.Inpatient care: Hayes Green Beach Memorial Hospital offers inpatient acute care services with admissions of 668 providing 1,746 days of care.Inpatient care: Hayes Green Beach Memorial Hospital offers inpatient acute care services with admissions of 636 providing 1,809 days of care.
OUTPATIENT CARE: INCLUDES LABORATORY, RADIOLOGY, PHYSICAL THERAPY, RESPIRATORY THERAPY, URGENT CARE AND 24-HOUR EMERGENCY CARE TO 86,224 OUTPATIENTS. THESE INCLUDED 11,794 EMERGENCY ROOM VISITS, 15,469 URGENT CARE VISITS, 32,103 RADIOLOGY PROCEDURES, 142,996 LABORATORY TESTS AND 53,209 THERAPY PROCEDURES. IN ADDITION, 5,005 AMBULANCE RUNS WERE PROVIDED.
Program expenses$25,571,230.00$24,666,606.00$24,152,341.00
Grants and allocations made $0.00$0.00
Program revenue$35,239,580.00$35,333,204.00$34,890,419.00
Program descriptionOUTPATIENT CARE: INCLUDES LABORATORY, RADIOLOGY, PHYSICAL THERAPY, RESPIRATORY THERAPY, URGENT CARE AND 24-HOUR EMERGENCY CARE TO 86,224 OUTPATIENTS. THESE INCLUDED 11,794 EMERGENCY ROOM VISITS, 15,469 URGENT CARE VISITS, 32,103 RADIOLOGY PROCEDURES, 142,996 LABORATORY TESTS AND 53,209 THERAPY PROCEDURES. IN ADDITION, 5,005 AMBULANCE RUNS WERE PROVIDED.Outpatient care: which includes laboratory, radiology, physical therapy, respiratory therapy, urgent care and 24 hour emergency care to 83,472 out patients. These included 12,139 emergency room visits, 13,720 urgent care visits, 30,546 radiology procedures, 131,718 laboratory tests and 48,993 therapy procedures. In addition 4,792 ambulance runs were provided.Outpatient care: which includes laboratory, radiology, physical therapy, respiratory therapy, urgent care and 24 hour emergency care to 83,040 out patients. These included 12,048 emergency room visits, 13,447 urgent care visits, 30,588 radiology procedures, 140,156 laboratory tests and 47,860 therapy procedures. In addition 4,548 ambulance runs and 2,113 home care visits were provided.
PHYSICIAN PRACTICE VISITS OF 57,509 WERE PROVIDED IN FAMILY PRACTICE, INTERNAL MEDICINE, ORTHOPEDICS, GENERAL SURGERY, AND PAIN MANAGEMENT.
Program expenses$8,839,532.00$8,518,577.00$8,340,976.00
Grants and allocations made $0.00$0.00
Program revenue$7,957,499.00$7,569,223.00$7,143,456.00
Program descriptionPHYSICIAN PRACTICE VISITS OF 57,509 WERE PROVIDED IN FAMILY PRACTICE, INTERNAL MEDICINE, ORTHOPEDICS, GENERAL SURGERY, AND PAIN MANAGEMENT.Physician practice visits of 55,918 were provided in family practice, internal medicine, orthopedics, general surgery and pain management.Physician practice visits of 53,872 were provided in family practice, internal medicine, orthopedics and general surgery.
Financial data
Expense categories (totals)
Sum (total functional expenses)$53,974,193.00$51,101,953.00$49,883,047.00
Program services (total functional expenses)$38,163,775.00$36,708,438.00$35,943,117.00
Management & general (total functional expenses)$15,549,402.00$14,130,365.00$13,685,202.00
Fundraising (total functional expenses)$261,016.00$263,150.00$254,728.00
Revenue
Total revenue$55,516,482.00$50,925,001.00$49,261,145.00
Program service revenue (total)$49,279,291.00$48,870,306.00$47,017,449.00
Revenue from contributions (total)$309,148.00$337,364.00$347,410.00
Revenue from noncash contributions $0.00$0.00
Investment income$293,433.00$304,760.00$348,048.00
Total unrelated business revenue$0.00$0.00$0.00
Other revenue, current yr$5,634,610.00$1,412,571.00$1,548,238.00
Net unrelated business taxable revenue $0.00$0.00
Total revenue from grants, etc., current yr$309,148.00$337,364.00$347,410.00
Gross receipts$55,594,046.00$51,069,192.00$49,315,536.00
Sources of contributions
Revenue from federated campaigns $0.00$0.00
Contributions revenue from membership dues $0.00$0.00
Revenue from fundraising events $0.00$15,849.00
Contributions from related organizations $0.00$0.00
Revenue from gov't grants $0.00$0.00
Revenue from all other contributions$309,148.00$337,364.00$331,561.00
Other types of revenue
Royalties (total) $0.00$0.00
Miscellaneous revenue (total)$5,508,850.00$1,305,224.00$1,363,275.00
Income from dividends, interest, and similar investments$293,433.00$304,760.00$250,809.00
Net rental income$107,803.00$89,913.00$184,963.00
Net income from fundraising events$17,957.00$17,434.00 
Fees for services
Lobbying fees (total) $2,990.00$2,848.00
Legal fees (total)$62,800.00$111,387.00$34,115.00
Fundraising service fees (total)$0.00$0.00$0.00
General management fees (total)$81,888.00$0.00 
Investment management fees (total)$35,000.00$35,000.00$35,000.00
Accounting service fees (total)$2,990.00$65,360.00$38,072.00
Assets and liabilities
Total assets$78,760,254.00$69,976,653.00$71,978,013.00
Total assets, beginning of year$69,976,653.00$71,978,013.00$72,493,961.00
Total liabilities$37,907,606.00$37,797,995.00$39,103,923.00
Total liabilities, beginning of year$37,797,995.00$39,103,923.00$39,166,733.00
Pledges & accounts receivable, net$607,013.00$429,961.00$587,360.00
Temporarily restricted net assets$576,977.00$499,329.00$673,983.00
Permanently restricted net assets, end of yr$1,087,603.00$1,036,315.00$1,094,452.00
Net assets$40,852,648.00$32,178,658.00$32,874,090.00
Net assets, beginning of year$32,178,658.00$32,874,090.00$33,327,228.00
Other liabilities$2,054,422.00$828,276.00$961,215.00
Other assets$155,269.00$215,269.00$35,280.00
Investments: publicly traded securities$13,071,690.00$11,954,701.00$10,485,121.00
Cash: non-interest bearing$11,108,579.00$2,765,731.00$2,966,785.00
Cash: non-interest bearing, beginning of year$2,765,731.00$2,966,785.00$472,312.00
Inventories for sale or use$1,095,210.00$1,141,800.00$1,148,435.00
Other financial variables
Revenue less expenses$1,542,289.00-$176,952.00-$621,902.00
Advertising (total)$157,248.00$161,234.00$140,540.00
Savings & temp cash investment$4,261,438.00$4,241,000.00$6,570,579.00
Accounts receivable, net$7,712,112.00$6,158,740.00$6,416,115.00
Prepaid expenses & deferred charges$3,218,211.00$3,732,544.00$3,985,739.00
Accounts payable & accrued expenses$3,508,830.00$3,697,289.00$3,987,636.00
Secured mortgages and notes payable$32,344,354.00$33,272,430.00$34,155,072.00
Total net assets or fund balances$40,852,648.00$32,178,658.00$32,874,090.00
Depreciation, depletion, amortization$3,492,972.00$3,258,031.00$3,343,286.00
Payment to affiliates $0.00 
Governance and accountability
Number of voting members151313
Number of independent voting members131111
Financial sheets auditedTrueTrueTrue
Tax year start date2016-04-012015-04-012014-04-01
Tax year end date2017-03-312016-03-312015-03-31
Accounting methodAccrualAccrualAccrual
Indicators for schedules (selected)
Attached copy of audited financialsTrueTrueTrue
LobbiedTrueTrueTrue
Operate hospital facilitiesTrueTrueTrue
Hospital data
Facility count111
Hospital facilities
HAYES GREEN BEACH MEMORIAL HOSPITAL
Facility nameHAYES GREEN BEACH MEMORIAL HOSPITAL  
Facility line number1  
Facility's websiteWWW.HGBHEATH.COM  
Address 321 EAST HARRIS STREET  
StateMI  
Zip code48813  
State license number1060000163  
Type(s) of facility
Licensed facilityTrue  
Critical access hospitalTrue  
ER - 24 hoursTrue  
Other facility typePHYS PRAC, INTERNAL MED, FAMIL  
Hayes Green Beach Memorial Hospital
Facility name Hayes Green Beach Memorial HospitalHayes Green Beach Memorial Hospital
Facility line number 11
Facility's website www.hgbhealth.com 
Address  321 East Harris Street321 East Harris Street
State MIMI
Zip code 4881348813
State license number 10600001631060000163
Type(s) of facility
Licensed facility TrueTrue
Critical access hospital TrueTrue
ER - 24 hours TrueTrue
Other facility type Physician practices, Internal Medicine, Family Practice, Pain Management and General Surgery.Physician practices, Internal Medicine, Family Practice and Surgical's.
Community benefits and community building
Has financial assistance policyTrueTrueTrue
Provide discounts to medically indigentTrueTrueTrue
Financial assistance at cost, net community benefit $406,212.00$306,341.00$574,079.00
Financial assistance at cost, percent of total $0.01$0.01$0.01
Medicaid, net community benefit expense$1,101,687.00$2,011,729.00$2,209,269.00
Medicaid, percent of total expense$0.02$0.04$0.05
Community health improvement, net community benefit expense$152,488.00$145,476.00$94,151.00
Community health improvement, percent of total expense$0.00$0.00$0.00
Total benefits, net community benefit expense$1,660,387.00$2,463,546.00$2,877,499.00
Total community benefits as percent of total expense$0.03$0.05$0.06
Bad debt expense$1,934,400.00$1,801,679.00$2,268,352.00
Bad debt due to charity$96,720.00$90,084.00$113,418.00
Revenue from Medicare$9,810,400.00$9,244,029.00$9,398,226.00
Medicare allowable costs$9,722,049.00$9,157,987.00$9,313,004.00
Medicare surplus or shortfall$88,351.00$86,042.00$85,222.00
Metadata about the filing
E-return type990990990
Date e-filing submitted2018-03-132017-04-102016-02-16
IRS schema version2016v3.12015v2.12014v5.0
Filing identifier201820459349301182201643199349308914201533179349303778
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