Civic Intelligence

Vns Choice

990 • Fiscal year 2017 • EIN 13-3951057

Jan 01, 2017 to Dec 31, 2017 • Filed on Nov 13, 2018

220 East 42nd Street 6th FloorNew York, NY 10017

(212) 690-5716

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

97th percentile

1.10x

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

2017 filings • 501(c)3 • $1B+ nonprofits • Source year 2017

Liabilities / Revenue

18th percentile

0.28x

Higher debt load relative to revenue than 18% of similar nonprofits.

2017 filings • 501(c)3 • $1B+ nonprofits • Source year 2017

Net Margin

9th percentile

-2.2%

Higher net margin than 9% of similar nonprofits.

2017 filings • 501(c)3 • $1B+ nonprofits • Source year 2017

Top Officer Pay

41st percentile

$1,488,739

Higher top officer pay than 41% of similar nonprofits.

Top officer pay equals 0.1% of source-year revenue.

2017 filings • 501(c)3 • $1B+ nonprofits • Source year 2017

Asset Growth

74th percentile

13%

Faster asset growth than 74% of similar nonprofits.

2017 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2016 to 2017

Revenue Growth

15th percentile

-0.3%

Faster revenue growth than 15% of similar nonprofits.

2017 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2016 to 2017

Assets

Up

$373,482,901

Up $43,178,823 (+13%) from 2016

Net Assets

Down

-$38,909,352

Down $30,261,481 (-350%) from 2016

Liabilities

Up

$412,392,253

Up $73,440,304 (+22%) from 2016

Revenue

Down

$1,462,292,816

Down $4,017,946 (-0.3%) from 2016

Expenses

Up

$1,495,007,940

Up $34,099,537 (+2.3%) from 2016

Net Income

Down

-$32,715,124

Down $38,117,483 (-706%) from 2016

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$1.0B$500M$0-$500MAssets 2010: $174,678,600Liabilities 2010: $102,711,441Net Assets 2010: $71,967,1592010Assets 2011: $234,513,143Liabilities 2011: $119,247,823Net Assets 2011: $115,265,3202011Assets 2012: $294,387,005Liabilities 2012: $165,572,859Net Assets 2012: $128,814,1462012Assets 2013: $274,275,132Liabilities 2013: $232,049,167Net Assets 2013: $42,225,9652013Assets 2014: $382,904,096Liabilities 2014: $390,277,435Net Assets 2014: -$7,373,3392014Assets 2015: $319,172,089Liabilities 2015: $333,802,745Net Assets 2015: -$14,630,6562015Assets 2016: $330,304,078Liabilities 2016: $338,951,949Net Assets 2016: -$8,647,8712016Assets 2017: $373,482,901Liabilities 2017: $412,392,253Net Assets 2017: -$38,909,3522017Assets 2018: $359,023,193Liabilities 2018: $384,364,678Net Assets 2018: -$25,341,4852018Assets 2019: $477,470,893Liabilities 2019: $443,746,880Net Assets 2019: $33,724,0132019Assets 2020: $760,078,791Liabilities 2020: $592,737,805Net Assets 2020: $167,340,9862020Assets 2021: $728,219,204Liabilities 2021: $468,455,647Net Assets 2021: $259,763,5572021Assets 2022: $753,073,990Liabilities 2022: $489,611,796Net Assets 2022: $263,462,1942022Assets 2023: $735,944,441Liabilities 2023: $351,573,009Net Assets 2023: $384,371,4322023Assets 2024: $831,109,499Liabilities 2024: $425,909,984Net Assets 2024: $405,199,5152024

Highlighted filing

2017

Assets$373,482,901
Liabilities$412,392,253
Net Assets-$38,909,352

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$3.0B$2.0B$1.0B$0-$1.0BExpenses 2010: $489,881,0592010Expenses 2011: $543,726,9872011Expenses 2012: $867,382,4542012Revenue 2013: $1,299,961,888Expenses 2013: $1,390,784,860Net Income 2013: -$90,822,9722013Revenue 2014: $1,388,401,860Expenses 2014: $1,460,753,503Net Income 2014: -$72,351,6432014Revenue 2015: $1,375,280,172Expenses 2015: $1,377,297,673Net Income 2015: -$2,017,5012015Revenue 2016: $1,466,310,762Expenses 2016: $1,460,908,403Net Income 2016: $5,402,3592016Revenue 2017: $1,462,292,816Expenses 2017: $1,495,007,940Net Income 2017: -$32,715,1242017Revenue 2018: $1,472,944,135Expenses 2018: $1,455,629,288Net Income 2018: $17,314,8472018Revenue 2019: $1,863,896,325Expenses 2019: $1,808,063,978Net Income 2019: $55,832,3472019Revenue 2020: $1,960,226,919Expenses 2020: $1,836,041,271Net Income 2020: $124,185,6482020Revenue 2021: $1,922,324,713Expenses 2021: $1,832,589,558Net Income 2021: $89,735,1552021Revenue 2022: $2,047,539,744Expenses 2022: $2,000,629,000Net Income 2022: $46,910,7442022Revenue 2023: $2,337,109,744Expenses 2023: $2,241,630,575Net Income 2023: $95,479,1692023Revenue 2024: $2,505,432,104Expenses 2024: $2,498,980,822Net Income 2024: $6,451,2822024

Highlighted filing

2017

Revenue$1,462,292,816
Expenses$1,495,007,940
Net Income-$32,715,124
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Nov 13, 2018
Return Version
2017v2.3
Gross Receipts
$1,544,180,512
Mission and Program Overview

Mission

SEE SCHEDULE O.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$40,929,508$130,733,401▲ $89,803,893
Investments in Publicly Traded Securities$107,592,546$81,847,721▼ $25,744,825
Accounts Receivable$97,820,706$72,295,584▼ $25,525,122
Prepaid Expenses and Deferred Charges$6,733,314$8,896,570▲ $2,163,256
Land, Buildings, and Equipment, Net$7,946,514$7,612,848▼ $333,666
Intangible Assets$3,250,000$3,250,000→ $0
Other Notes and Loans Receivable, Net$2,424$3,224▲ $800
Savings and Temporary Cash Investments$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
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$330,304,078$373,482,901▲ $43,178,823
Other Assets Total$66,029,066$68,843,553▲ $2,814,487
Liabilities
Other Liabilities$282,866,522$370,776,694▲ $87,910,172
Accounts Payable and Accrued Expenses$56,085,427$41,615,559▼ $14,469,868
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$338,951,949$412,392,253▲ $73,440,304
Net Assets / Fund Balance
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Unrestricted Net Assets$-8,647,871$-38,909,352▼ $30,261,481
Total Net Assets Fund Balance$-8,647,871$-38,909,352▼ $30,261,481
Total Liabilities and Net Assets / Fund Balance$330,304,078$373,482,901▲ $43,178,823

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$6,767,996$5,638,863$12,406,859
Equipment$718,677$3,955,353$4,674,030
Leasehold Improvements$126,175$1,879,659$2,005,834
Other Assets Org$68,843,553--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Christopher T Olivia MdBoard Member (as of 01/2017)-$525,894$271,535$797,429
Hany AbdelaalPresident, Vns ChoiceFT$304,428$94,384$398,812
Mazin FarrajVP, Medicare Market DevFT$297,618$83,792$381,410
John MurthaCOO, Choice (end 07/2017)FT$226,407$126,455$352,862
Dina SorokaVP Finance, Health PlansFT$141,805$151,969$293,774
Lisa GeorgeVP, Clin Srvs/sr. Med DirectorFT$225,389$57,828$283,217
James SweeneyVP, Operations, ChoiceFT$194,738$75,540$270,278
Osvaldo LeonDir., Finance, Vnsny ChoiceFT$230,823$34,769$265,592

Board Members and Trustees

NameTitle
Andrew N Schiff MdChair
Betty M GrossBoard Member
John P RaffertyBoard Member
Joseph D MarkBoard Member
Mary R Nina HendersonBoard Member
Michelle LopezBoard Member
Peter L HutchingsBoard Member
Phyllis J Mills Bsn RnBoard Member
Robert C DaumBoard Member
Kwan Lan Tom MaoSecretary & Treasurer
Nancy VitaleVP, Member Svcs & Ops Admin

Highest Paid Contractors

ContractorServicesLocationCompensation
Partners In CareHome Health Aides1250 BROADWAY 9TH FLOOR, New York, NY 10001$201,389,431
Premier Home Health Care ServicesHome Health Aides445 HAMILTON AVE 10TH FLOOR, White Plains, NY 10601$74,663,605
Alliance For Health INCHome Health AidesPO BOX 34676, Newark, NJ 07101$45,430,722
Personal Touch Home Care Of NyHome Health Aides222-15 NORTHERN BLVD, Bayside, NY 11361$29,915,907
People Care INCHome Health Aides116 WEST 32ND STREET 15TH FLOOR, New York, NY 10001$26,071,099
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$1,453,534,922
Investment Income
$8,047,451
Other Revenue
$710,443
Change in Net Assets
$-32,715,124
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,416,036,387
Salaries, Compensation, and Employee Benefits$78,971,553
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$1,265,375,704$43,449,538-$1,308,825,242
Other Salaries and Wages$20,054,486$39,605,247-$59,659,733
Other Expenses$26,164,254$88,722-$26,164,254
Other Employee Benefits$3,225,194$6,369,378-$9,594,572
Interest-$9,206,372-$9,206,372
Occupancy$681,677$5,084,172-$5,765,849
Payroll Taxes$1,521,259$3,004,308-$4,525,567
Pension Plan Contributions$1,270,790$2,509,660-$3,780,450
Depreciation Depletion$298,264$2,224,552-$2,522,816
Information Technology$260,848$1,945,494-$2,206,342
Office Expenses$221,930$1,655,232-$1,877,162
Current Officers, Directors, Trustees, and Key Employees$402,113$794,126-$1,196,239
Insurance-$1,167,841-$1,167,841
Advertising-$821,656-$821,656
All Other Expenses$71,594$702,400-$773,994
Fees for Services Legal-$634,973-$634,973
Travel$56,291$419,838-$476,129
Fees for Services Accounting-$338,765-$338,765
Conferences and Meetings$30,031$223,980-$254,011
Fees for Service Investment Mgmnt Fees-$218,638-$218,638
Comp Disqual Persons$72,269$142,723-$214,992
Total Functional Expenses$1,341,337,404$153,670,536$0$1,495,007,940
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
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Susan UnderwoodDAUGHTER of B.M. GROSSEmploymentNo$214,992

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
Due to Affiliates$185,967,545
Accrued Medical Claims$133,898,848
Premium Deficiency Reserve$26,164,154
3rd Party Payable$24,746,147
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
Yes
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

Form 990, Part VI, Section A, Line 6

Vns continuing care development corporation is the sole corporate member.

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

The member may elect the directors.

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

Vns continuing care development corporation is the sole corporate member. The member holds annual meetings to elect the directors, and the member may take action as required or permitted under the organization's bylaws or under any provision of law.

Form 990, Part VI, Section B, Line 11

The audit committee of vnsny and its affiliated organizations reviewed the form 990. A complete copy of the organization's final form 990, including all required schedules, as ultimately filed with the irs, was provided to each voting member of the board before its filing with the irs.

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

The taxpayer does not have a seperate policy but has adopted the policies and procedures of vnsny. The procedures undertaken at the vnsny level are described below. The chief and privacy compliance officer reviews the disclosure statements completed annually by each officer, director, and key employee, and consults with the executive vice president, general counsel & chief risk officer as appropriate. Any potential conflicts are vetted with the ceo, executive vice president, general counsel & chief risk officer and, as appropriate, the chair of the board. Specific follow-up action is taken on a case-by-case basis.

Form 990, Part VI, Section B, Lines 13 & 14

The taxpayer does not have a separate whistleblower or document retention and destruction policy, but does follow the policies and procedures of vnsny.

Form 990, Part VI, Section B, Line 15A & 15B

The taxpayer does not have a seperate policy but has adopted the policies and procedures of vnsny. The procedures undertaken at the vnsny level are described below. Vnsny reviews its overall executive compensation program on a periodic basis. The last comprehensive review took place in 2016. The process for determining the individual compensation levels of vnsny's top management, including the ceo, and all officers meets the three requirements of the rebuttable presumption under treas. Reg. 53.4958-6. A compensation committee is appointed by the board of directors for the purpose of assisting the board to fulfill its responsibility to vnsny and the community to ensure the compensation is in accordance with vnsny's policies. The committee is comprised of four directors who are independent of management and vnsny and free of any conflicts of interest that would interfere with their exercise of independent judgment. Prior to making compensation decisions, the committee obtains and relies upon appropriate data as to comparability. The committee retains an independent compensation consultant and utilizes local and national compensation surveys to assist in setting compensation levels. The compensation committee adequately and on a timely basis documents the basis for setting compensation with the making of the determination.

Form 990, Part VI, Section C, Line 19

Documents are available upon request.

Filing and Contact Details

Filer

Filer Name
Vns Choice
EIN
13-3951057
In Care Of
% JIMMY SINGH
Phone
2126905716
Address
220 EAST 42ND STREET 6TH FLOOR, NEW YORK, NY 10017

Signing Officer

Name
Daniel Savitt
Title
Evp & CFO
Phone
2126095175
Signed
2018-11-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Hany Abdelaal
Formed
1995
Legal Domicile
Ny
Voting Board Members
11
Independent Board Members
10
Employees
899
Volunteers
10

Preparer

Firm
Kpmg Llp
Address
One Financial Plaza, Hartford, CT 06103-2608
Preparer
Mary-evelyn Antonetti
Phone
8605223200
Supplemental Narrative

Additional Explanations

Form 990, Part I, Line 1

BRIEF DESCRIPTION OF ORGANIZATION MISSION The mission of VNS Choice, as an affiliate, IS TO HELP ENROLLEES CONTINUE TO LIVE INDEPENDENTLY IN THEIR OWN HOMES AND COMMUNITIES; PROMOTE CHOICE IN HEALTH AND LONG TERM CARE AND TO PROVIDE INNOVATIVE HEALTH AND LONG TERM CARE SOLUTIONS THAT ARE BENEFICIAL, COST EFFECTIVE, AND SERVE EACH ENROLLEE'S NEEDS.

Form 990, Part III, Line 1

Description of organization mission HELP MEMBERS CONTINUE TO LIVE INDEPENDENTLY IN THEIR OWN HOME AND COMMUNITIES FOR AS LONG AS POSSIBLE; PROMOTE CHOICE IN HEALTH AND LONG TERM CARE BY DIRECTLY INVOLVING MEMBERS IN THEIR CARE, AND BY OFFERING A WIDE RANGE OF FLEXIBLE SERVICES TO MEET MEMBERS' NEEDS; AND PROVIDE INNOVATIVE HEALTH AND LONG TERM CARE SOLUTIONS THAT ARE BENEFICIAL, COST EFFECTIVE, AND SERVE EACH MEMBER'S NEEDS. VNS CHOICE SHARES THE EMBEDDED VALUES OF MAINTAINING INDEPENDENCE AND DIGNITY THROUGH CHOICE WITH VNSNY AND ITS RELATED 501(C)(3) CORPORATIONS AND RECEIVES SIGNIFICANT ASSISTANCE FROM VNSNY FOR ITS PROGRAMS. THIS ASSISTANCE INCLUDES GRANTS OF PHILANTHROPIC DOLLARS (MONIES FROM DONORS AND FROM VNSNY'S OWN RESERVES) FOR ITS CHARITABLE INITIATIVES. IN 2017, VNSNY AND ITS AFFILIATES - TOGETHER WITH ITS GENEROUS SUPPORTERS AND COMMUNITY PARTNERS - PROVIDED OVER $47 MILLION IN CHARITABLE CARE AND COMMUNITY BENEFITS PROGRAMS. THESE WIDE-RANGING PROGRAMS IMPROVED THE LIVES OF TENS OF THOUSANDS OF NEW YORKERS, YOUNG AND OLD, AND PROVIDED FREE AND DISCOUNTED DIRECT HOME CARE SERVICES TO MORE THAN 8,500 UNDER- AND UNINSURED INDIVIDUALS. (SEE VNSNY FORM 990 FOR COMPLETE LIST OF CHARITABLE PROGRAMS.)

Form 990, Part III - Program Service, Line 4A

Vns choice, a managed care organization licensed under article 44 of the new york state health laws, operates a managed long-term care ("mltc") and mltc plus programs. It is a capitated medicaid program that arranges for and manages individually tailored care for medicaid-eligibles who wish to live at home but because of multiple clinical diagnoses need day-to-day assistance. One of the largest mltc program in new york state, vns choice has over 14,381 members and serves all boroughs of new york city plus nassau, suffolk, westchester, dutchess, orange, rockland, sullivan, ulster and putnam counties. Vns choice mltc expanded its service area in 2013 to upstate new york and now has enrollment in multiple counties, including: albany, columbia, erie, greene, monroe, montgomery, rensselaer, saratoga, schnectady, schoharie, warren, washington, oneida, and onondaga counties. Form 990, part iii - program service, line 4d fully integrated dual advantage: in 2015, vns choice, a managed care organization licensed under article 44 of the new york state health laws, started operating an integrated medicare advantage/medicaid managed long-term care plan also known as fully integrated dual advantage(fida), which provides health coverage to individuals who are eligible for both medicare and mltc benefits. Fida serves all 5 boroughs of nyc and has over 1,437 enrollees.

Form 990, Part XI, Line 9

Other changes in net assets or fund balance family care services payable write-off $ (4,245)

Form 990 Part IX Line 11G

Description:contracted hha/ha providers total fees:xxx-xx-xxxx

Form 990 Part IX Line 11G

Description:contracted health svc provider total fees:xxx-xx-xxxx

Form 990 Part IX Line 11G

Description:other professional services total fees:42474417

Form 990 Part IX Line 11G

Description:temporary help total fees:1250155

Financial Statement Notes

Schedule D, Part X, Line 2

FIN 48 DISCLOSURE VNS CHOICE WAS INCLUDED IN THE VNS CHOICE AND SUBSIDIARY FINANCIAL STATEMENT AUDIT WITH VNS CHOICE COMMUNITY CARE AND THE FOLLOWING STATEMENT IS FROM THE VNS CHOICE AND SUBSIDIARY AUDITED FINANCIAL STATEMENTS. VNS Choice and its subsidiary have been determined by the Internal Revenue Service to be organizations described in Internal Revenue Code (the Code) Section 501(c)(3), and therefore are exempt from Federal income taxes on related income pursuant to Section 501(a) of the Code. VNSNY Choice recognizes income tax positions when it is more-likely than-not that the position will be sustainable based on the merits of the position. Management has concluded that there are no material uncertain tax positions or tax liabilities that need to be recorded as of December 31, 2017 and 2016. H.R. 1, originally known as the Tax Cuts and Jobs Act (the Act), was signed into law on December 22, 2017. The Act contains various provisions affecting not-for-profit entities. Tax-exempt entities are impacted in part by the inclusion of a new excise tax on excess compensation for covered employees and changes to unrelated business income. The Acts provisions may also impact donor incentives for charitable giving. Management of VNS CHOICE's preliminary assessment is that there is no impact on the consolidated financial statements as of December 31 2017 but is currently assessing the overall impact of the Act and its impact on the consolidated financial statements, including for 2018.

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IRS990/Form990PartVIISectionAGrp/TitleTxt8BOARD MEMBER
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IRS990/OtherExpensesGrp/Desc2SUBSCRIPTIONS
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Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$831$426$405$2,505$2,499$6.45
2023Summary only. Only limited summary data is available for this year.$736$352$384$2,337$2,242$95.5
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$753$490$263$2,048$2,001$46.9
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$728$468$260$1,922$1,833$89.7
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$760$593$167$1,960$1,836$124
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$477$444$33.7$1,864$1,808$55.8
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$359$384$25.3$1,473$1,456$17.3
2017Detailed filing. Detailed filing data is available for this year.$373$412$38.9$1,462$1,495$32.7
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$330$339$8.65$1,466$1,461$5.40
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$319$334$14.6$1,375$1,377$2.02
2014Detailed filing. Detailed filing data is available for this year.$383$390$7.37$1,388$1,461$72.4
2013Detailed filing. Detailed filing data is available for this year.$274$232$42.2$1,300$1,391$90.8
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$294$166$129$867
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$235$119$115$544
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$175$103$72.0$490