Civic Intelligence

Chenango Memorial Hospital Inc.

990 • Fiscal year 2018 • EIN 15-0532180

Jan 01, 2018 to Dec 31, 2018 • Filed on Nov 15, 2019

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

69th percentile

0.71x

Higher debt load relative to assets than 69% of similar nonprofits.

2018 filings • NTEE E • $50M-$100M nonprofits • Source year 2018

Liabilities / Revenue

60th percentile

0.44x

Higher debt load relative to revenue than 60% of similar nonprofits.

2018 filings • NTEE E • $50M-$100M nonprofits • Source year 2018

Net Margin

73rd percentile

5.1%

Higher net margin than 73% of similar nonprofits.

2018 filings • NTEE E • $50M-$100M nonprofits • Source year 2018

Top Officer Pay

75th percentile

$1,534,963

Higher top officer pay than 75% of similar nonprofits.

Top officer pay equals 2.0% of source-year revenue.

2018 filings • NTEE E • $50M-$100M nonprofits • Source year 2018

Asset Growth

75th percentile

7.9%

Faster asset growth than 75% of similar nonprofits.

2018 filings • NTEE E • $50M-$100M nonprofits • Annualized from 2017 to 2018

Revenue Growth

72nd percentile

11%

Faster revenue growth than 72% of similar nonprofits.

2018 filings • NTEE E • $50M-$100M nonprofits • Annualized from 2017 to 2018

Assets

Up

$48,051,242

Up $3,504,822 (+7.9%) from 2017

Net Assets

Up

$13,919,082

Up $3,530,491 (+34%) from 2017

Liabilities

Down

$34,132,160

Down $25,669 (-0.1%) from 2017

Revenue

Up

$77,548,506

Up $7,370,414 (+11%) from 2017

Expenses

Up

$73,576,566

Up $1,818,031 (+2.5%) from 2017

Net Income

Up

$3,971,940

Up $5,552,383 (+351%) from 2017

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

2018

Assets$48,051,242
Liabilities$34,132,160
Net Assets$13,919,082

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

2018

Revenue$77,548,506
Expenses$73,576,566
Net Income$3,971,940
Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Dec 31, 2018
Signed
Nov 15, 2019
Return Version
2018v3.1
Gross Receipts
$77,561,742
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.

(see schudule 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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$15,295,096$19,645,926▲ $4,350,830
Cash and Non-Interest-Bearing Accounts$9,368,290$8,524,544▼ $843,746
Accounts Receivable$6,349,218$7,052,002▲ $702,784
Pledges and Grants Receivable$7,014,144$6,175,049▼ $839,095
Prepaid Expenses and Deferred Charges$440,970$511,644▲ $70,674
Inventories for Sale or Use$350,815$434,694▲ $83,879
Investments Other Securities$122,970$111,116▼ $11,854
Total Assets$44,546,420$48,051,242▲ $3,504,822
Other Assets Total$5,604,917$5,596,267▼ $8,650
Liabilities
Other Liabilities$24,850,170$24,655,468▼ $194,702
Accounts Payable and Accrued Expenses$5,632,752$6,878,072▲ $1,245,320
Mortgage Notes Payable Secured by Investment Property$3,674,907$2,598,620▼ $1,076,287
Total Liabilities$34,157,829$34,132,160▼ $25,669
Net Assets / Fund Balance
Unrestricted Net Assets$2,777,245$7,118,253▲ $4,341,008
Permanently Rstr Net Assets$7,014,144$6,175,050▼ $839,094
Temporarily Rstr Net Assets$597,202$625,779▲ $28,577
Total Net Assets Fund Balance$10,388,591$13,919,082▲ $3,530,491
Total Liabilities and Net Assets / Fund Balance$44,546,420$48,051,242▲ $3,504,822

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$6,018,439$32,821,102$38,839,541
Buildings$8,539,448$20,880,661$29,420,109
Other Land Buildings$4,445,038-$4,445,038
Leasehold Improvements$447,348$1,501,024$1,948,372
Land$195,653-$195,653
Other Assets Org$837,551--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2018$7,611,346$664,482▼ $844,488$630,511$6,800,829
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
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Drake Lamen MdPresident/CEO/CMOFT$317,702$116,140$433,842
Yesu MattaDoctorFT$210,581$70,474$281,055
Kevin B Decker DdsFormer Pres of Medical StaFT$208,814$41,446$250,260
Christina KisackyVP of Operations-$147,199$52,911$200,110
Margaret SwartwoodControllerFT$138,209$42,907$181,116
Ron CerowAdministratorFT$118,497$46,027$164,524
Anne EnglishDirector of Human ResourceFT$118,093$45,074$163,167
Wendy SurdovalVP of Quality MgmtFT$106,529$45,044$151,573
Richard StoneDirector of Supp Serv-fauc MaintFT$113,300$35,535$148,835
Shawn NewvineSurg Serv Line DirectorFT$102,577$34,343$136,920
Patricia RomaNursing SupervisorFT$105,814$28,110$133,924
Aaron J ValentineFormer Treasurer-$102,029$30,154$132,183

Board Members and Trustees

NameTitle
Eric G LarsenChairman
Katharine Mirabito VossPresident of CMH Auxilliary
Phyllis Sheriff-whitePresident of Medical Staff
Catherine M Scarlett1st Vice Chairman
John M Carrigg2nd Vice Chair
Matthew J SalangerFormer 2nd Vice Chairman
Bruce S ErathTrustee
Dave MacdougallTrustee
Elizabeth K BolandTrustee
Joseph R StaglianoTrustee
Ric FestariniTrustee
Steven PalmatierTrustee
Thomas C EmersonTrustee
David FinneyFormer VP, Nursing
John M KwasnikSecretary
Robert W NassarTreasurer
Kristina K Hummer DoVP of Medical Staff

Highest Paid Contractors

ContractorServicesLocationCompensation
Crothall HealthcareHousekeeping Svcs13028 COLLECTIONS CENTER, Chicago, IL 60693$1,744,579
Seco Physical And Occupational TherapyTherapy SvcsPO BOX 1046, Norwich, NY 13815$1,042,273
Amn Healthcare INCLocum SvcsPO BOX 56157, Los Angeles, CA 90074$392,897
J And K Plumbing And Heating CoConstruction SvcsPO BOX 25 WESTVIEW STATION, Binghamton, NY 13905$207,545
Farmington CompanyConstruction SvcsPO BOX 527, Farmington, CT 06034-0527$172,762
Revenue and Support

Revenue Composition

Contributions and Grants
$646,131
Program Service Revenue
$72,882,337
Investment Income
$376,087
Other Revenue
$3,643,951
All Other Contributions
$333,225
Change in Net Assets
$3,971,940

Audited Revenue Reconciliation

Revenue per Audited Statements
$74,275,687
Revenue Not Reported on Financial Statements
$3,272,819
Revenue Not Reported on Form 990
$-429,551
Other Revenue Adjustments
$3,272,819
Total Revenue per Audited Statements
$73,846,136
Total Revenue per Form 990
$77,548,506
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$43,418,293
Salaries, Compensation, and Employee Benefits$30,135,822
Grants and Similar Amounts Paid$22,451
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$17,823,703$2,604,917-$20,428,620
Fees for Services Other$10,976,013$2,604,954-$13,580,967
Other Employee Benefits$3,089,875$549,684-$3,639,559
Current Officers, Directors, Trustees, and Key Employees$3,107,272--$3,107,272
Depreciation Depletion$2,814,940--$2,814,940
All Other Expenses$1,945,885$504,951-$2,450,836
Payroll Taxes$1,354,881$202,454-$1,557,335
Pension Plan Contributions$1,121,495$281,541-$1,403,036
Occupancy$1,014,214$185,835-$1,200,049
Fees for Services Management$75$823,962-$824,037
Insurance$598,228--$598,228
Office Expenses$138,882$144,280-$283,162
Interest$263,409--$263,409
Information Technology$181,562$3,717-$185,279
Travel$56,669$32,503-$89,172
Fees for Services Accounting-$76,046-$76,046
Fees for Services Legal-$34,152-$34,152
Grants to Domestic Orgs$22,000--$22,000
Other Expenses$13,784$2,057,936-$13,784
Fees for Services Lobbying-$13,180-$13,180
Advertising-$6,426-$6,426
Grants to Domestic Individuals$451--$451
Total Functional Expenses$63,450,028$10,126,538$0$73,576,566

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$73,576,566
Expenses per Audited Statements$70,315,645
Total Expenses per Audited Statements$70,315,645
Expenses Not Reported on Financial Statements$3,260,921
Other Expense Adjustments$3,260,921
Expenses Not Reported on Form 990$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Cmh Auxiliary to Cmh HospitalNorwich, NY501 (c) (3)For Furniture and Equipment for Cardiology Clinic-
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
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Long Term Pension Liability$15,089,451
Due to Affiliates$3,743,089
Due to Third-party Payors$2,800,784
Other Liabilities$1,787,165
Capital Lease Obligations$1,234,979
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
2019-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Drake Lamen Md
Formed
1910
Legal Domicile
Ny
Voting Board Members
16
Independent Board Members
10
Employees
554
Volunteers
110

Preparer

Firm
Freed Maxick Cpas Pc
Address
424 MAIN STREET SUITE 800, BUFFALO, NY 14202-3508
Preparer
Mary Madonia
Phone
7168472651
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Physician service fees: program service expenses 10,976,013. Management and general expenses 2,604,954. Fundraising expenses 0. Total expenses 13,580,967.

FORM 990, PART XI, LINE 9:

Cumulative effect of auxiliary income and expense -18,755. Change in interest in chenango memorial hospital foundation -179,432. Pension changes other than net periodic benefit costs 600,829. Change in value of funds held in trust by others -839,095. Rental income included in contributions 6,857.

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 diretors 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, 2018 and 2017, 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 2015 through 2018. The hospital does not anticipate that the total unrecognized tax benefits will change in the next twelve months.

PART XI, LINE 2D - OTHER ADJUSTMENTS:

Change in interest in chenango foundations -179,432. Change in other than net periodic benefit cost 600,829. Change in value of funds held in trust by others -839,095.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

Auxiliary income 55,920. Rental income expenses recon -20,093. Bad debt expense 3,236,992.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

Auxiliary expenses 37,165. Rental income expenses recon -13,236. Bad debt expense 3,236,992.

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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, 2018 WAS 4,212. DISCHARGES WERE 1,427, AND AVERAGE LENGTH OF STAY WAS 2.95 DAYS. LONG TERM SKILLED NURSING DAYS WERE 23,049. THERE WERE 253 BIRTHS AND 374 INPATIENT SURGERIES PERFORMED AT CHENANGO MEMORIAL HOSPITAL IN 2018. IN 2018, CHENANGO MEMORIAL HOSPITAL GAVE FINANCIAL ASSISTANCE TO 80 INDIVIDUALS FOR WHICH $244,633 OF INPATIENT CARE (AT CHARGES) WAS PROVIDED.
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IRS990/Form990PartVIISectionAGrp/TitleTxt0PRESIDENT/CEO/CMO
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IRS990/Form990PartVIISectionAGrp/TitleTxt9TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt10TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt11PRESIDENT OF MEDICAL STAFF
IRS990/Form990PartVIISectionAGrp/TitleTxt12TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt13VP OF MEDICAL STAFF
IRS990/Form990PartVIISectionAGrp/TitleTxt14TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt15PRESIDENT OF CMH AUXILLIARY
IRS990/Form990PartVIISectionAGrp/TitleTxt16CONTROLLER
IRS990/Form990PartVIISectionAGrp/TitleTxt17ADMINISTRATOR
IRS990/Form990PartVIISectionAGrp/TitleTxt18DIRECTOR OF HUMAN RESOURCE
IRS990/Form990PartVIISectionAGrp/TitleTxt19VP OF QUALITY MGMT
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IRS990/Form990PartVIISectionAGrp/TitleTxt24DIRECTOR OF SUPP SERV-FAUC MAINT
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IRS990/Form990PartVIISectionAGrp/TitleTxt27FORMER PRES OF MEDICAL STA
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Document Assets

No mirrored PDF or thumbnail assets are attached yet.

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