Civic Intelligence

St. Francis Physician Services Inc.

990 • Fiscal year 2019 • EIN 13-4290167

Sep 01, 2018 to Aug 31, 2019 • Filed on Jul 14, 2020

One St Francis DriveGreenville, SC 29601

(864) 255-1000

Siviq Scores

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

Liabilities / Assets

99th percentile

1.90x

Higher debt load relative to assets than 99% of similar nonprofits.

2019 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2019

Liabilities / Revenue

62nd percentile

0.71x

Higher debt load relative to revenue than 62% of similar nonprofits.

2019 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2019

Net Margin

5th percentile

-41%

Higher net margin than 5% of similar nonprofits.

2019 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2019

Top Officer Pay

95th percentile

$2,597,608

Higher top officer pay than 95% of similar nonprofits.

Top officer pay equals 1.5% of source-year revenue.

2019 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2019

Asset Growth

96th percentile

60%

Faster asset growth than 96% of similar nonprofits.

2019 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2018 to 2019

Revenue Growth

9th percentile

-26%

Faster revenue growth than 9% of similar nonprofits.

2019 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2018 to 2019

Assets

Up

$63,796,845

Up $23,933,505 (+60%) from 2018

Net Assets

Down

-$57,602,459

Down $70,235,340 (-556%) from 2018

Liabilities

Up

$121,399,304

Up $94,168,845 (+346%) from 2018

Revenue

Down

$171,778,195

Down $61,104,188 (-26%) from 2018

Expenses

Up

$242,013,535

Up $10,131,270 (+4.4%) from 2018

Net Income

Down

-$70,235,340

Down $71,235,458 (-7123%) from 2018

Historical Trend

Balance Sheet Trend

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

$400M$200M$0-$200M-$400MAssets 2011: $11,820,364Liabilities 2011: $117,772,431Net Assets 2011: -$105,952,0672011Assets 2012: $28,945,699Liabilities 2012: $169,351,048Net Assets 2012: -$140,405,3492012Assets 2013: $29,457,688Liabilities 2013: $209,070,938Net Assets 2013: -$179,613,2502013Assets 2014: $33,421,446Liabilities 2014: $255,669,533Net Assets 2014: -$222,248,0872014Assets 2015: $36,648,425Liabilities 2015: $306,750,679Net Assets 2015: -$270,102,2542015Assets 2016: $36,818,909Liabilities 2016: $25,157,211Net Assets 2016: $11,661,6982016Assets 2017: $40,923,811Liabilities 2017: $29,291,048Net Assets 2017: $11,632,7632017Assets 2018: $39,863,340Liabilities 2018: $27,230,459Net Assets 2018: $12,632,8812018Assets 2019: $63,796,845Liabilities 2019: $121,399,304Net Assets 2019: -$57,602,4592019Assets 2020: $69,560,234Liabilities 2020: $114,477,216Net Assets 2020: -$44,916,9822020Assets 2021: $81,598,441Liabilities 2021: $79,227,882Net Assets 2021: $2,370,5592021Assets 2022: $44,306,906Liabilities 2022: $53,464,081Net Assets 2022: -$9,157,1752022Assets 2023: $98,309,458Liabilities 2023: $62,575,710Net Assets 2023: $35,733,7482023Assets 2024: $123,714,139Liabilities 2024: $51,754,208Net Assets 2024: $71,959,9312024

Highlighted filing

2019

Assets$63,796,845
Liabilities$121,399,304
Net Assets-$57,602,459

Operations Trend

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

$600M$400M$200M$0-$200MExpenses 2011: $140,460,9272011Expenses 2012: $168,683,8692012Expenses 2013: $181,541,8152013Revenue 2014: $141,942,816Expenses 2014: $184,577,653Net Income 2014: -$42,634,8372014Revenue 2015: $148,130,242Expenses 2015: $195,984,411Net Income 2015: -$47,854,1692015Revenue 2016: $494,471,486Expenses 2016: $212,707,534Net Income 2016: $281,763,9522016Revenue 2017: $232,429,343Expenses 2017: $232,458,278Net Income 2017: -$28,9352017Revenue 2018: $232,882,383Expenses 2018: $231,882,265Net Income 2018: $1,000,1182018Revenue 2019: $171,778,195Expenses 2019: $242,013,535Net Income 2019: -$70,235,3402019Revenue 2020: $171,105,289Expenses 2020: $254,103,776Net Income 2020: -$82,998,4872020Revenue 2021: $169,771,066Expenses 2021: $248,812,653Net Income 2021: -$79,041,5872021Revenue 2022: $85,104,956Expenses 2022: $154,136,210Net Income 2022: -$69,031,2542022Revenue 2023: $32,154,931Expenses 2023: $63,010,189Net Income 2023: -$30,855,2582023Revenue 2024: $36,888,174Expenses 2024: $57,789,494Net Income 2024: -$20,901,3202024

Highlighted filing

2019

Revenue$171,778,195
Expenses$242,013,535
Net Income-$70,235,340
Jump To
Filing Snapshot
Filing Period
Sep 1, 2018 to Aug 31, 2019
Signed
Jul 14, 2020
Return Version
2018v3.1
Gross Receipts
$171,778,195
Mission and Program Overview

Mission

The mission is to bring compassion to health care and to be good help to those in need, especially those who are poor and dying. As a system of caregivers, we commit ourselves to help bring people and communities to health and wholeness. St. Francis Physician Services, Inc. serves this mission as the vehicle for physician employment relationships in the Bon Secours St. Francis Health System, Inc.

Primary, urgent, and specialty care

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$12,909,389$11,882,456▼ $1,026,933
Land, Buildings, and Equipment, Net$1,405,538$4,459,372▲ $3,053,834
Prepaid Expenses and Deferred Charges$8,516,967$1,674,416▼ $6,842,551
Cash and Non-Interest-Bearing Accounts$46,875$35,175▼ $11,700
Intangible Assets$22,857$5,714▼ $17,143
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Loans From Officers Directors-$0-
Total Assets$39,863,340$63,796,845▲ $23,933,505
Other Assets Total$16,961,714$45,739,712▲ $28,777,998
Liabilities
Other Liabilities$18,947,522$110,277,727▲ $91,330,205
Accounts Payable and Accrued Expenses$8,282,937$11,121,577▲ $2,838,640
Total Liabilities$27,230,459$121,399,304▲ $94,168,845
Net Assets / Fund Balance
Unrestricted Net Assets$12,632,881$-57,602,459▼ $70,235,340
Total Net Assets Fund Balance$12,632,881$-57,602,459▼ $70,235,340
Total Liabilities and Net Assets / Fund Balance$39,863,340$63,796,845▲ $23,933,505

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$3,747,759$3,241,709$6,989,468
Buildings$609,297$12,964$622,261
Other Land Buildings$102,316$11,519$113,835
Other Assets Org$29,015,703--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-Orthopedic SurgeonFT$1,015,878$463,424$1,479,302
-CardiologistFT$712,335$625,974$1,338,309
-CEO - SFPS (End 10/18)FT$496,507$482,082$978,589
-Board Member (Beg 01/19)-$308,898$187,006$495,904
-Board Member (End 12/18)-$253,897$145,163$399,060
-Board Member-$248,589$54,173$302,762
-COO-BSMG (End 12/18)FT$225,037$73,983$299,020
-Treasurer/VP FinanceFT$201,094$47,395$248,489
-Interim COO (Ended 08/19)FT$142,149$20,786$162,935
-Secretary (End 11/18)FT$55,651$12,553$68,204

Board Members and Trustees

NameTitle
-Chairman
-Board President
-CEO BSSFHS (End 03/19); CEO-SFPS (11/18 - 03/19)
-CFO - BSSFHS (Beg 08/19)
-COO (Begin 08/19)
-EVP SFPS (Beg 04/19)
-Former CEO
-Treasurer/CFO - BSSFHS (End 07/19)

Highest Paid Contractors

ContractorServicesLocationCompensation
Marsh Bell Construction Co INCConstruction ServicesPO BOX 51190, Piedmont, SC 29673$1,376,465
ComphealthContract LaborPO BOX 972651, Dallas, TX 75397$1,100,472
Moss Adams LLPProfessional Consulting999 THIRD AVE STE 800, Seattle, WA 98104-4019$643,830
Jackson & Coker Locum TenemsContract LaborPO BOX 277638, Atlanta, GA 30384-7638$588,477
SRS Software IncSoftware Services155 Chestnut Ridge Rd, Montvale, NJ 07645$390,539
Revenue and Support

Revenue Composition

Contributions and Grants
$30,227,443
Program Service Revenue
$140,572,801
Investment Income
$0
Other Revenue
$977,951
Change in Net Assets
$-70,235,340
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$170,164,396
Other Expenses$71,847,139
Grants and Similar Amounts Paid$2,000
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$124,042,795$13,782,533-$137,825,328
Fees for Services Other$22,564,110$2,369,905$0$24,934,015
Occupancy$13,742,695$1,526,966-$15,269,661
Other Employee Benefits$12,797,675$1,421,964-$14,219,639
Payroll Taxes$7,142,804$793,645-$7,936,449
Current Officers, Directors, Trustees, and Key Employees$4,626,841$514,093-$5,140,934
Pension Plan Contributions$4,537,841$504,205-$5,042,046
All Other Expenses$2,019,776$224,419$0$2,244,195
Insurance$1,871,158$207,906-$2,079,064
Office Expenses$1,601,134$177,904-$1,779,038
Other Expenses$1,306,004$145,111-$1,451,115
Information Technology$1,191,466$132,385-$1,323,851
Depreciation Depletion$1,187,883$131,987-$1,319,870
Conferences and Meetings$606,731$67,415-$674,146
Fees for Services Legal-$247,665-$247,665
Travel$170,180$18,909-$189,089
Interest$181,614--$181,614
Advertising$19,473$2,164-$21,637
Grants to Domestic Individuals$2,000--$2,000
Total Functional Expenses$219,744,359$22,269,176$0$242,013,535
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
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-MORE THAN 35% BY BM, EDWARD HEIDTMANRentNo$260,299

Loans and Receivables

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

Other Reported Liabilities

LiabilityAmount
Deferred Rent$63,868,933
Intercompany Payable$28,689,989
Hpl/gl Liability$15,982,191
Patient Credit Balances$1,736,614
Lease Liability-
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 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
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, Line 6 Classes of members or stockholders

Bon Secours Mercy Health, Inc. is the sole member of Bon Secours St. Francis Health System, Inc., which in turn is the sole member of St. Francis Physician Services, Inc.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

The governing body of St. Francis Physician Services, Inc. is appointed by its member Bon Secours St. Francis Health System, Inc. and subject to approval by Bon Secours Mercy Health, Inc.

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

Certain matters require approval of the BSMH corporate member, BSMH governing body, or BSMH CEO. The regulations of the organization describe the level of approval required for various decisions.

Form 990, Part VI, Line 11B Review of form 990 by governing body

The Form 990 is prepared by BSMH's Tax Department and is then reviewed by management. Upon review, a copy of the final version of the Form 990 is provided to all members of the governing body prior to filing.

Form 990, Part VI, Line 12C Conflict of interest policy

The organization regularly and consistently monitors compliance with the conflict of interest policy. On an annual basis, all persons subject to the policy, including all officers, directors and key employees are required to make certain disclosures. These include disclosures related to certain personal, financial and organizational relationships that may present a conflict, or the appearance of a conflict of interest with the organization. All disclosures go through a three-part review process: (1) disclosures are reviewed first by the corporate responsibility officer (CRO); (2) a governance team comprised of the CEO, board president, board chair, CRO, and the BSMH CRO participate in a second review of all disclosures during which recommendations are made as to the resolution of any conflicts or potential conflicts. Depending on the facts and circumstances, resolutions may include ongoing disclosure, recusal or removal of the conflict; and (3) all disclosures and recommendations are reviewed by a board committee (audit and compliance committee reviews the disclosures of management and the governance committee reviews the disclosures of the board and board committee members).

Form 990, Part VI, Line 15B Process to establish compensation of other employees

The compensation committee of the board of Bon Secours Mercy Health, Inc. (BSMH) engages in a comprehensive process for the oversight and management of remuneration for executive employees and disqualified parties of BSMH. The compensation committee consists of a group of independent board members and engages an independent external compensation consultant to ensure they receive appropriate analysis of market and follow the practices necessary to obtain full compliance with the IRS' rebuttable presumption of reasonableness. The committee establishes and maintains a compensation philosophy; reviews pay practices against local, regional and national healthcare organizations and approves all remunerative decisions for this group of individuals. The committee reviews and receives assurances that all levels of pay within the organization are reasonable based on performance and validates incentives are met. These decisions are documented in the BSMH board of directors' and compensation committee minutes. Compensation Process Other Officers/ Key Employees: For those key employees and highest paid employees that are not reviewed by the BSMH compensation committee, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. In the review, the other officers or key employees of the organization were compared to other hospitals' employees in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded by human resources.

Form 990, Part VI, Line 19 Required documents available to the public

The conflict of interest policy and financial statements are posted on the BSMH website.

Form 990, Part VII, Section A ADDITIONAL DISCLOSURE

Board Member positions are generally voluntary in nature. Compensated employees of the filing organization and other related organizations who also hold board positions are compensated only in relation to their St. Francis Physician Services, Inc. 13-4290167 employment.

Filing and Contact Details

Filer

Filer Name
St Francis Physician Services Inc
EIN
13-4290167
Phone
8642551000
Address
One St Francis Drive, Greenville, SC 29601
Doing Business As
Bon Secours Express Care

Signing Officer

Name
William Kusnierz
Title
CFO-bssfhs
Signed
2020-07-14

Organization Details

Formed
2004
Legal Domicile
Sc
Voting Board Members
11
Independent Board Members
4
Employees
1,597
Volunteers
4
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G Other Fees

Physician Fees - Total Expense: 1201996, Program Service Expense: 1201996, Management and General Expenses: , Fundraising Expenses: ; Purchased Services - Intercompany - Total Expense: 723562, Program Service Expense: 651206, Management and General Expenses: 72356, Fundraising Expenses: ; Billing and Collections - Total Expense: 216266, Program Service Expense: 194639, Management and General Expenses: 21627, Fundraising Expenses: ; Security Services - Total Expense: 22899, Program Service Expense: 20609, Management and General Expenses: 2290, Fundraising Expenses: ; Maintenance and Service Agreements - Total Expense: 2111421, Program Service Expense: 1900279, Management and General Expenses: 211142, Fundraising Expenses: ; BSMH Management Dues - Total Expense: 16825439, Program Service Expense: 15142895, Management and General Expenses: 1682544, Fundraising Expenses: ; Consulting - Total Expense: 691190, Program Service Expense: 622071, Management and General Expenses: 69119, Fundraising Expenses: ; Other Purchased Services - Total Expense: 3108272, Program Service Expense: 2797445, Management and General Expenses: 310827, Fundraising Expenses: ; Contract Nursing and Clerical - Total Expense: 32970, Program Service Expense: 32970, Management and General Expenses: , Fundraising Expenses: ;

Financial Statement Notes

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

Schedule D, Part X, Line 2 requires that the organization provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under ASC 740. ASC 740 addresses the accounting for uncertainty in income taxes recognized in an entity's financial statements and prescribes a threshold of more-likely-than-not for recognition and derecognition of tax positions taken or expected to be taken in a tax return. The adoption of ASC 740 by Bon Secours Mercy Health, Inc. on September 1, 2007 did not have a material impact on BSMH's consolidated financial statements. As the organization does not conduct a separate audit of its financial statements, below is the related statement from the Bon Secours Mercy Health, Inc. consolidated audited financial statements: The Company and most of its subsidiaries (including certain joint venture entities) are exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code of 1986, as amended. The Company accounts for uncertain tax positions in accordance with ASC Topic 740, Income Taxes. Their related income is exempt from federal income tax under Section 501(A). The Company accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The Company has determined that no significant unrecognized tax benefits or liabilities exist as of December 31, 2018. Accounting for uncertainty in income taxes, ASC Topic 740-10 prescribes a comprehensive model for how an organization should measure, recognize, present and disclose in its financial statements uncertain tax positions that an organization has taken or expects to take on a tax return. The Company is subject to routine audits by taxing jurisdictions; with currently the IRS audit of Mercy for 2016 tax period in progress. The Company believes it is no longer subject to income tax examinations for years prior to 2013. As of December 31, 2018, the Company has no uncertain tax positions. The Company's taxable subsidiaries had $169,666 of gross net operating loss carryforwards as of December 31, 2018, which expire in varying periods through 2037 and are available to offset future taxable income. The Company accounts for income taxes under the asset and liability method. Under this method, deferred tax assets and liabilities are recognized for the estimated future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases. Deferred tax assets and liabilities are measured using enacted tax rates expected to be in effect during the year in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. Interest and penalties related to income taxes are accounted for as income tax expense. The Company's deferred tax assets are fully reserved at December 31, 2018 as the Company considers it more likely than not that these amounts will not be recognized. On December 22, 2017, the President signed into law H.R. 1, originally known as the Tax Cuts and Jobs Act. The Act significantly revises the U.S. corporate income tax by, lowering the statutory corporate tax rate from 35% to 21% and eliminating certain deductions. The new law also includes several provisions that result in substantial changes to the tax treatment of tax-exempt organizations and their donors. The Company has reviewed these provisions and the potential impact and concluded the enactment of H.R. 1 will not have a material effect on the operations of the organization.

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IRS990/Desc0St. Francis Physician Services (SFPS) operates as an affiliate model in the provision of services to the residents of Greenville, South Carolina and the surrounding communities including primary care, urgent care, and various specialties. A member of Bon Secours St Francis Health System, Inc., SFPS continues to expand to meet the needs of the community residents. The various practices that comprise SFPS are strategically located with the area to most effectively meet the needs of the community.
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IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt8Reed Mathias MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt9Todd LanTZ MD
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IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt11Kenneth Baca
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt12SR KATHRYN CLAUSS
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt13Tilman MCDonald MD
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IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt15WILLIAM KUSNIERZ
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IRS990/Form990PartVIISectionAGrp/TitleTxt0EVP SFPS (Beg 04/19)
IRS990/Form990PartVIISectionAGrp/TitleTxt1Board President
IRS990/Form990PartVIISectionAGrp/TitleTxt2CEO BSSFHS (End 03/19); CEO-SFPS (11/18 - 03/19)
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IRS990/Form990PartVIISectionAGrp/TitleTxt5Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt6Board Member (End 12/18)
IRS990/Form990PartVIISectionAGrp/TitleTxt7Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt8Board Member
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IRS990/Form990PartVIISectionAGrp/TitleTxt12Board Member
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IRS990/Form990PartVIISectionAGrp/TitleTxt24Orthopedic Surgeon
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IRS990/Form990PartVIISectionAGrp/TitleTxt26Cardiologist
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Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$124$51.8$72.0$36.9$57.8$20.9
2023Summary only. Only limited summary data is available for this year.$98.3$62.6$35.7$32.2$63.0$30.9
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$44.3$53.5$9.16$85.1$154$69.0
2021Summary only. Only limited summary data is available for this year.$81.6$79.2$2.37$170$249$79.0
2020Summary only. Only limited summary data is available for this year.$69.6$114$44.9$171$254$83.0
2019Detailed filing. Detailed filing data is available for this year.$63.8$121$57.6$172$242$70.2
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$39.9$27.2$12.6$233$232$1.00
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$40.9$29.3$11.6$232$232$0.03
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$36.8$25.2$11.7$494$213$282
2015Summary only. Only limited summary data is available for this year.$36.6$307$270$148$196$47.9
2014Detailed filing. Detailed filing data is available for this year.$33.4$256$222$142$185$42.6
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$29.5$209$180$182
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$28.9$169$140$169
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$11.8$118$106$140