Civic Intelligence

Chenango Memorial Hospital Inc.

990 • Fiscal year 2017 • EIN 15-0532180

Jan 01, 2017 to Dec 31, 2017 • Filed on Nov 05, 2018

179 North Broad StreetNorwich, NY 13815

(607) 337-4111

Siviq Scores

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

Liabilities / Assets

68th percentile

0.77x

Higher debt load relative to assets than 68% of similar nonprofits.

2017 filings • NTEE E • $50M-$100M nonprofits • Source year 2017

Liabilities / Revenue

56th percentile

0.49x

Higher debt load relative to revenue than 56% of similar nonprofits.

2017 filings • NTEE E • $50M-$100M nonprofits • Source year 2017

Net Margin

29th percentile

-2.3%

Higher net margin than 29% of similar nonprofits.

2017 filings • NTEE E • $50M-$100M nonprofits • Source year 2017

Top Officer Pay

82nd percentile

$2,164,148

Higher top officer pay than 82% of similar nonprofits.

Top officer pay equals 3.1% of source-year revenue.

2017 filings • NTEE E • $50M-$100M nonprofits • Source year 2017

Asset Growth

36th percentile

1.1%

Faster asset growth than 36% of similar nonprofits.

2017 filings • NTEE E • $50M-$100M nonprofits • Annualized from 2016 to 2017

Revenue Growth

22nd percentile

-6.0%

Faster revenue growth than 22% of similar nonprofits.

2017 filings • NTEE E • $50M-$100M nonprofits • Annualized from 2016 to 2017

Assets

Up

$44,546,420

Up $490,447 (+1.1%) from 2016

Net Assets

Up

$10,388,591

Up $304,479 (+3.0%) from 2016

Liabilities

Up

$34,157,829

Up $185,968 (+0.5%) from 2016

Revenue

Down

$70,178,092

Down $4,482,349 (-6.0%) from 2016

Expenses

Down

$71,758,535

Down $1,350,923 (-1.8%) from 2016

Net Income

Down

-$1,580,443

Down $3,131,426 (-202%) from 2016

Historical Trend

Balance Sheet Trend

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

$150M$100M$50M$0-$50MAssets 2010: $29,550,692Liabilities 2010: $28,576,268Net Assets 2010: $974,4242010Assets 2011: $33,030,740Liabilities 2011: $35,146,459Net Assets 2011: -$2,115,7192011Assets 2012: $34,995,961Liabilities 2012: $32,005,060Net Assets 2012: $2,990,9012012Assets 2013: $38,460,010Liabilities 2013: $23,047,754Net Assets 2013: $15,412,2562013Assets 2014: $40,673,587Liabilities 2014: $29,285,571Net Assets 2014: $11,388,0162014Assets 2015: $41,421,667Liabilities 2015: $30,594,033Net Assets 2015: $10,827,6342015Assets 2016: $44,055,973Liabilities 2016: $33,971,861Net Assets 2016: $10,084,1122016Assets 2017: $44,546,420Liabilities 2017: $34,157,829Net Assets 2017: $10,388,5912017Assets 2018: $48,051,242Liabilities 2018: $34,132,160Net Assets 2018: $13,919,0822018Assets 2019: $56,498,249Liabilities 2019: $35,860,172Net Assets 2019: $20,638,0772019Assets 2020: $77,155,015Liabilities 2020: $47,438,013Net Assets 2020: $29,717,0022020Assets 2021: $91,078,549Liabilities 2021: $43,726,451Net Assets 2021: $47,352,0982021Assets 2022: $91,116,827Liabilities 2022: $39,316,179Net Assets 2022: $51,800,6482022Assets 2023: $99,102,707Liabilities 2023: $38,358,264Net Assets 2023: $60,744,4432023Assets 2024: $114,199,096Liabilities 2024: $39,375,699Net Assets 2024: $74,823,3972024

Highlighted filing

2017

Assets$44,546,420
Liabilities$34,157,829
Net Assets$10,388,591

Operations Trend

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

$150M$100M$50M$0-$50MExpenses 2010: $59,581,0502010Expenses 2011: $63,938,4062011Expenses 2012: $67,584,5682012Revenue 2013: $73,818,971Expenses 2013: $71,225,775Net Income 2013: $2,593,1962013Revenue 2014: $76,317,245Expenses 2014: $73,811,068Net Income 2014: $2,506,1772014Revenue 2015: $75,701,997Expenses 2015: $72,449,645Net Income 2015: $3,252,3522015Revenue 2016: $74,660,441Expenses 2016: $73,109,458Net Income 2016: $1,550,9832016Revenue 2017: $70,178,092Expenses 2017: $71,758,535Net Income 2017: -$1,580,4432017Revenue 2018: $77,548,506Expenses 2018: $73,576,566Net Income 2018: $3,971,9402018Revenue 2019: $78,551,520Expenses 2019: $72,103,410Net Income 2019: $6,448,1102019Revenue 2020: $89,278,874Expenses 2020: $75,701,611Net Income 2020: $13,577,2632020Revenue 2021: $88,943,242Expenses 2021: $78,335,295Net Income 2021: $10,607,9472021Revenue 2022: $90,798,708Expenses 2022: $87,686,631Net Income 2022: $3,112,0772022Revenue 2023: $100,079,974Expenses 2023: $93,929,658Net Income 2023: $6,150,3162023Revenue 2024: $111,514,379Expenses 2024: $100,761,685Net Income 2024: $10,752,6942024

Highlighted filing

2017

Revenue$70,178,092
Expenses$71,758,535
Net Income-$1,580,443
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Nov 5, 2018
Return Version
2017v2.3
Gross Receipts
$70,190,304
Mission and Program Overview

Mission

(see schedule o)chenango memorial hospital, inc. (the hospital) is a not-for-profit corporation organized to operate acute and skilled nursing facilities in norwich, new york. The hospital provides inpatient, outpatient, and emergency care services for residents of chenango and surrounding counties.

Chenango memorial hospital, inc. (the hospital) is a not-for-profit corporation organized to operate acute and skilled nursing facilities in norwich, new york. The hospital provides inpatient, outpatient, and emergency care services for residents of chenango and surrounding counties.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$14,203,345$15,295,096▲ $1,091,751
Cash and Non-Interest-Bearing Accounts$8,534,380$9,368,290▲ $833,910
Pledges and Grants Receivable$6,586,742$7,014,144▲ $427,402
Accounts Receivable$7,945,070$6,349,218▼ $1,595,852
Prepaid Expenses and Deferred Charges$1,097,051$440,970▼ $656,081
Inventories for Sale or Use$441,035$350,815▼ $90,220
Investments Other Securities$111,386$122,970▲ $11,584
Total Assets$44,055,973$44,546,420▲ $490,447
Other Assets Total$5,136,964$5,604,917▲ $467,953
Liabilities
Other Liabilities$24,916,283$24,850,170▼ $66,113
Accounts Payable and Accrued Expenses$5,900,408$5,632,752▼ $267,656
Mortgage Notes Payable Secured by Investment Property$3,155,170$3,674,907▲ $519,737
Total Liabilities$33,971,861$34,157,829▲ $185,968
Net Assets / Fund Balance
Permanently Rstr Net Assets$6,586,742$7,014,144▲ $427,402
Unrestricted Net Assets$2,689,377$2,777,245▲ $87,868
Temporarily Rstr Net Assets$807,993$597,202▼ $210,791
Total Net Assets Fund Balance$10,084,112$10,388,591▲ $304,479
Total Liabilities and Net Assets / Fund Balance$44,055,973$44,546,420▲ $490,447

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$6,686,222$30,902,661$37,588,883
Buildings$7,737,086$20,121,690$27,858,776
Leasehold Improvements$451,248$1,416,945$1,868,193
Other Land Buildings$224,887-$224,887
Land$195,653-$195,653
Other Assets Org$710,739--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2017$7,394,735$596,045▲ $429,683$809,117$7,611,346
2016$6,965,521$628,485▲ $182,234$381,505$7,394,735
2015$7,323,240$683,410▼ $572,769$468,360$6,965,521
2014$7,565,583$653,567▼ $163,148$732,762$7,323,240
2013$7,182,868$589,327▲ $690,743$897,355$7,565,583
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
JAMES K O'BRIEN MDPresident of Medical StaffFT$437,377$66,033$503,410
Rohan JayasenaPresident of Medical StaffFT$316,980$138,694$455,674
Drake Lamen MdPresident/CEO/CMOFT$310,006$96,378$406,384
Timothy CoreyDoctorFT$317,432$69,369$386,801
Phyllis Sheriff-whiteVP of Medical StaffFT$285,332$62,689$348,021
James R Simcoe MdFormer Pres of Medical StaFT$220,447$57,861$278,308
Yesu MattaDoctorFT$186,092$59,229$245,321
Kevin B Decker DdsFormer Pres of Medical StaFT$205,491$32,796$238,287
Christina KisackyVP of OperationsFT$142,049$58,219$200,268
Margaret SwartwoodControllerFT$135,341$50,613$185,954
Ron CerowAdministratorFT$116,541$48,721$165,262
Anne EnglishDirector of Human ResourceFT$108,793$47,768$156,561
Barbara GruchalskaDentistFT$125,731$22,795$148,526
Wendy SurdovalVP of Quality MgmtFT$119,292$28,850$148,142

Board Members and Trustees

NameTitle
Kathie J DeierleinPresident- Auxillary
Catherine M Scarlett1st Vice Chairman
Matthew J Salanger2nd Vice Chairman
Eric G LarsenChairman (1st Vice Chair)
Bruce S ErathTrustee
Dave MacdougallTrustee
John M CarriggTrustee
Ric FestariniTrustee
Robert W NassarTrustee
Steven PalmatierTrustee
Thomas C EmersonTrustee
John M KwasnikSecretary
Aaron J ValentineTreasurer
David FinneyVP, Nursing

Highest Paid Contractors

ContractorServicesLocationCompensation
Crothall HealthcareHousekeeping Svcs13028 COLLECTIONS CENTER, Chicago, IL 60693$1,055,021
Seco Physical And Occupational TherapyTherapy SvcsPO BOX 1046, Norwich, NY 13815$1,008,344
Weatherby Locums INCLocum SvcsPO BOX 972633, Dallas, TX 75397-2633$421,897
Syracuse Time And Alarm CoConstruction Svcs2201 BURNET AVE, Syracuse, NY 13206$179,708
Louis N Picciano And SonConstruction Svcs320 N JENSEN ROAD PO BOX 448, Vestal, NY 13851-0448$167,547
Revenue and Support

Revenue Composition

Contributions and Grants
$620,928
Program Service Revenue
$68,810,537
Investment Income
$365,474
Other Revenue
$381,153
All Other Contributions
$384,554
Change in Net Assets
$-1,580,443

Audited Revenue Reconciliation

Revenue per Audited Statements
$70,153,415
Revenue Not Reported on Financial Statements
$24,677
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$24,677
Total Revenue per Audited Statements
$70,153,415
Total Revenue per Form 990
$70,178,092
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$41,384,570
Salaries, Compensation, and Employee Benefits$30,346,045
Grants and Similar Amounts Paid$27,920
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$17,468,508$2,556,528-$20,025,036
Fees for Services Other$13,593,112--$13,593,112
Other Employee Benefits$3,108,642$559,967-$3,668,609
Current Officers, Directors, Trustees, and Key Employees$2,766,374--$2,766,374
Depreciation Depletion$2,730,663--$2,730,663
Pension Plan Contributions$1,941,934$402,964-$2,344,898
All Other Expenses$1,699,756$287,272-$1,987,028
Payroll Taxes$1,340,781$200,347-$1,541,128
Occupancy$938,438$183,838-$1,122,276
Fees for Services Management-$755,444-$755,444
Insurance$523,830--$523,830
Office Expenses$144,768$179,157-$323,925
Interest$302,611--$302,611
Information Technology$152,471$3,043-$155,514
Fees for Services Accounting-$82,536-$82,536
Travel$48,847$33,123-$81,970
Fees for Services Legal-$54,301-$54,301
Grants to Domestic Orgs$25,500--$25,500
Fees for Services Lobbying-$12,292-$12,292
Other Expenses$11,905$1,442,041-$11,905
Advertising$30$7,061-$7,091
Grants to Domestic Individuals$2,420--$2,420
Total Functional Expenses$64,998,621$6,759,914$0$71,758,535

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$71,758,535
Expenses per Audited Statements$71,729,993
Total Expenses per Audited Statements$71,729,993
Expenses Not Reported on Financial Statements$28,542
Other Expense Adjustments$28,542
Expenses Not Reported on Form 990$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Cmh Auxiliary to Cmh HospitalNorwich, NY501 (c) (3)For Cardiac Equipment$25,500
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
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Long Term Pension Liability$16,372,937
Due to Third-party Payors$3,803,988
Due to Affiliates$1,880,460
Other Liabilities$1,408,969
Capital Lease Obligations$1,383,816
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
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

United health services, inc. Is the sole member of chenango memorial hospital, inc.

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

The sole member, united health services, inc, shall elect trustees at the annual meeting of the organization.

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

Uhs inc, (the member as defined by the cmh bi-laws) must provide prior written approval for various actions by the cmh board of directors.

Form 990, Part VI, Section B, Line 11B

The 990 preparation and filing is the responsibility of the hospitals board of directors who delegates the timely and accurate completion of the 990 to management. The finance division prepared the 990 forms which were reviewed by the organization's public accountants, controller, assistant vp of finance, corporate cfo and independent auditors prior to filing. A summary of key elements of the 990 is shared with the board of directors for informational purposes.

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

Directors, officers and key employees submit conflict of interest statements annually which are reviewed by the ceo, board chairman and the organization's audit committee.

Form 990, Part VI, Section B, Line 15

It is the philosophy of the hospital that all staff including executive staff be compensated fairly for their work. Base salary levels, incentive/bonus programs and benefit plans shall take into account the local, regional and national markets to allow uhs hospitals to recruit, motivate, reward, recognize and retain highly talented executives with the skill sets required to fulfill its mission. The executive compensation program must focus executives' attention on uhs's strategic initiatives and mission critical performance objectives that will lead to the organization's and system's success. To carry out this compensation philosophy, the uhs hospitals (which includes chenango memorial hospital) board of directors' executive compensation committee reviews annually a comprehensive report prepared by an external executive compensation consulting firm, sullivan cotter associates to determine the appropriateness of the base and total compensation levels for the senior management staff. This annual report focuses on two key areas; 1) the competitiveness of the senior management staff's base and total compensation (including benefits) vs. National benchmark data for comparably sized health care systems and hospitals (based upon 'total revenue' metrics), and 2) a 'reasonableness assessment' consistent with u.s. Treasury department regulations governing executive compensation for not-for-profit organizations. The data from this report assists the executive compensation committee in determining the appropriateness of the senior managements' current base and total compensation levels and the need for any adjustments for that calendar year.

Form 990, Part VI, Section C, Line 19

The organization provides form 1023, form 990 and other information required under internal revenue service regulations to the public, upon request.

Filing and Contact Details

Filer

Filer Name
Chenango Memorial Hospital Inc
EIN
15-0532180
Phone
6073374111
Address
179 NORTH BROAD STREET, NORWICH, NY 13815

Signing Officer

Name
Drake Lamen Md
Title
President/CEO
Phone
6073374111
Signed
2018-11-05
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Drake Lamen Md
Formed
1910
Legal Domicile
Ny
Voting Board Members
15
Independent Board Members
10
Employees
587
Volunteers
102

Preparer

Firm
Fust Charles Chambers Llp
Address
5784 WIDEWATERS PARKWAY, SYRACUSE, NY 13214
Preparer
Angela M Franco
Phone
3154463600
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 2

Chenango memorial hospital purchased the podiatry practice that had been in norwich for 30 years. The podiatrists (2) are approaching retirement and chenango memorial hospital wanted to ensure podiatry services remained in the county. The long term plan was to add podiatry surgeries to our list of services so patients wouldn't need to travel to binghamton or elsewhere. That initiative was accomplished when a podiatry surgeon joined cmh in june 2018. Chenango county has one of the highest rates of diabetes in nys so cmh felt it essential that we retain this service for those particular patients. The practice has already experienced marked growth (5,228 visits vs budget of 3,200) and is expected to have over 6,000 visits in 2019.

Form 990, Part IX, Line 11G

Program service expenses: program service expenses 13,593,112. Management and general expenses 0. Fundraising expenses 0. Total expenses 13,593,112.

FORM 990, PART XI, LINE 9:

Cumulative effect of auxiliary income and expense 3,865. Change in interest in chenango memorial hospital foundation 684,096. Pension changes other than net periodic benefit costs 757,975. Change in value of funds held in trust by others 427,402.

Form 990 Part XII Line 2C

Neither the process for the oversight of the audit nor the process for the selection of the independent accountant has changed during the year. The board of directors assumes responsibility for oversight of the audit and selection of independent accountants.

Financial Statement Notes

PART V, LINE 4:

The intended use of endowment funds is a combination of designated special purposes and general use by the hospital.

PART X, LINE 2:

The hospital is a not-for-profit corporation as described in section 501(c)(3) of the internal revenue code and is exempt from federal income taxes on related income pursuant to section 501(a) of the internal revenue code. The hospital is subject to federal income taxes on unrelated business income under section 511 of the internal revenue code. As of december 31, 2017 and 2016, the hospital did not have any unrecognized tax benefits or any related accrued interest or penalties. The tax years open for examination by federal and state taxing authorities are 2014 through 2017. The hospital does not anticipate that the total unrecognized tax benefits will change in the next twelve months.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

Auxiliary income 36,889. Rental income expenses recon -12,212.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

Auxiliary expenses 40,754. Rental income expenses recon -12,212.

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IRS990/Desc0INPATIENT, ACUTE AND LONG TERM SKILLED NURSING SERVICES- CHENANGO MEMORIAL HOSPITAL FULFILLS ITS MISSION BY WORKING TOGETHER WITH THE COMMUNITY, PHYSICIANS AND OTHER HEALTH CARE PROVIDERS TO CONTINUOUSLY IMPROVE THE AVAILABILITY AND QUALITY OF SERVICES AND THE ABILITY TO PROVIDE A COMPREHENSIVE RANGE OF SHORT-TERM INPATIENT ACUTE SERVICES AND LONG-TERM SKILLED NURSING CARE. CHENANGO MEMORIAL HOSPITAL PROVIDES A WIDE RANGE OF MEDICAL-SURGICAL SERVICES, INCLUDING: OPHTHALMOLOGY, EMERGENCY MEDICINE, MATERNITY CARE, PULMONARY MEDICINE, AND PEDIATRICS. TOTAL INPATIENT DAYS FOR THE YEAR ENDED DECEMBER 31, 2017 WAS 4,261. DISCHARGES WERE 1,393, AND AVERAGE LENGTH OF STAY WAS 3.06 DAYS. LONG TERM SKILLED NURSING DAYS WERE 25,282. THERE WERE 248 BIRTHS AND 271 INPATIENT SURGERIES PERFORMED AT CHENANGO MEMORIAL HOSPITAL IN 2017. IN 2017, CHENANGO MEMORIAL HOSPITAL GAVE FINANCIAL ASSISTANCE TO 111 INDIVIDUALS FOR WHICH $147,747 OF INPATIENT CARE (AT CHARGES) WAS PROVIDED.
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IRS990/Form990PartVIISectionAGrp/TitleTxt2TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt3TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt42ND VICE CHAIRMAN
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IRS990/Form990PartVIISectionAGrp/TitleTxt11TRUSTEE
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IRS990/Form990PartVIISectionAGrp/TitleTxt13TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt14PRESIDENT OF MEDICAL STAFF
IRS990/Form990PartVIISectionAGrp/TitleTxt15TRUSTEE
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IRS990/MissionDesc0CHENANGO MEMORIAL HOSPITAL, INC. (THE HOSPITAL) IS A NOT-FOR-PROFIT CORPORATION ORGANIZED TO OPERATE ACUTE AND SKILLED NURSING FACILITIES IN NORWICH, NEW YORK. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF CHENANGO AND SURROUNDING COUNTIES.

Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$114$39.4$74.8$112$101$10.8
2023Detailed filing. Detailed filing data is available for this year.$99.1$38.4$60.7$100$93.9$6.15
2022Detailed filing. Detailed filing data is available for this year.$91.1$39.3$51.8$90.8$87.7$3.11
2021Detailed filing. Detailed filing data is available for this year.$91.1$43.7$47.4$88.9$78.3$10.6
2020Detailed filing. Detailed filing data is available for this year.$77.2$47.4$29.7$89.3$75.7$13.6
2019Detailed filing. Detailed filing data is available for this year.$56.5$35.9$20.6$78.6$72.1$6.45
2018Detailed filing. Detailed filing data is available for this year.$48.1$34.1$13.9$77.5$73.6$3.97
2017Detailed filing. Detailed filing data is available for this year.$44.5$34.2$10.4$70.2$71.8$1.58
2016Detailed filing. Detailed filing data is available for this year.$44.1$34.0$10.1$74.7$73.1$1.55
2015Detailed filing. Detailed filing data is available for this year.$41.4$30.6$10.8$75.7$72.4$3.25
2014Detailed filing. Detailed filing data is available for this year.$40.7$29.3$11.4$76.3$73.8$2.51
2013Detailed filing. Detailed filing data is available for this year.$38.5$23.0$15.4$73.8$71.2$2.59
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$35.0$32.0$2.99$67.6
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$33.0$35.1$2.12$63.9
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$29.6$28.6$0.97$59.6