Civic Intelligence

Dickson Community Clinic Inc.

990 • Fiscal year 2020 • EIN 20-2882653

Jan 01, 2020 to Dec 31, 2020 • Filed on Nov 15, 2021

111 Highway 70 EDickson, TN 37055

(615) 441-1486

Siviq Scores

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

Liabilities / Assets

74th percentile

0.09x

Higher debt load relative to assets than 74% of similar nonprofits.

2020 filings • 501(c)3 • <$500k nonprofits • Source year 2020

Liabilities / Revenue

70th percentile

0.05x

Higher debt load relative to revenue than 70% of similar nonprofits.

2020 filings • 501(c)3 • <$500k nonprofits • Source year 2020

Net Margin

41st percentile

0.0%

Higher net margin than 41% of similar nonprofits.

2020 filings • 501(c)3 • <$500k nonprofits • Source year 2020

Top Officer Pay

76th percentile

$0

Higher top officer pay than 76% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2020 filings • 501(c)3 • <$500k nonprofits • Source year 2020

Asset Growth

91st percentile

154%

Faster asset growth than 91% of similar nonprofits.

2020 filings • 501(c)3 • <$500k nonprofits • Annualized from 2019 to 2020

Revenue Growth

88th percentile

49%

Faster revenue growth than 88% of similar nonprofits.

2020 filings • 501(c)3 • <$500k nonprofits • Annualized from 2019 to 2020

Assets

Up

$184,950

Up $112,124 (+154%) from 2019

Net Assets

Up

$168,384

Up $114,461 (+212%) from 2019

Liabilities

Down

$16,566

Down $2,337 (-12%) from 2019

Revenue

Up

$363,934

Up $119,219 (+49%) from 2019

Expenses

Up

$363,912

Up $103,098 (+40%) from 2019

Net Income

Up

$22

Up $16,121 (+100%) from 2019

Historical Trend

Balance Sheet Trend

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

$800K$600K$400K$200K$0Assets 2011: $26,248Liabilities 2011: $510Net Assets 2011: $25,7382011Assets 2012: $49,992Liabilities 2012: $0Net Assets 2012: $49,9922012Assets 2013: $88,126Liabilities 2013: $0Net Assets 2013: $88,1262013Assets 2014: $70,641Liabilities 2014: $0Net Assets 2014: $70,6412014Assets 2015: $43,500Liabilities 2015: $0Net Assets 2015: $43,5002015Assets 2016: $70,873Liabilities 2016: $0Net Assets 2016: $70,8732016Assets 2017: $68,486Liabilities 2017: $15,648Net Assets 2017: $52,8382017Assets 2018: $101,704Liabilities 2018: $31,682Net Assets 2018: $70,0222018Assets 2019: $72,826Liabilities 2019: $18,903Net Assets 2019: $53,9232019Assets 2020: $184,950Liabilities 2020: $16,566Net Assets 2020: $168,3842020Assets 2021: $328,599Liabilities 2021: $33,602Net Assets 2021: $294,9972021Assets 2022: $456,587Liabilities 2022: $70,547Net Assets 2022: $386,0402022Assets 2023: $527,610Liabilities 2023: $69,146Net Assets 2023: $458,4642023Assets 2024: $645,778Liabilities 2024: $30,607Net Assets 2024: $615,1712024

Highlighted filing

2020

Assets$184,950
Liabilities$16,566
Net Assets$168,384

Operations Trend

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

$1.0M$500K$0-$500KRevenue 2011: $379,072Expenses 2011: $379,445Net Income 2011: -$3732011Expenses 2012: $181,6172012Expenses 2013: $198,6222013Revenue 2014: $226,895Expenses 2014: $225,656Net Income 2014: $1,2392014Revenue 2015: $218,996Expenses 2015: $246,137Net Income 2015: -$27,1412015Revenue 2016: $210,020Expenses 2016: $182,647Net Income 2016: $27,3732016Revenue 2017: $184,339Expenses 2017: $202,374Net Income 2017: -$18,0352017Revenue 2018: $231,633Expenses 2018: $294,381Net Income 2018: -$62,7482018Revenue 2019: $244,715Expenses 2019: $260,814Net Income 2019: -$16,0992019Revenue 2020: $363,934Expenses 2020: $363,912Net Income 2020: $222020Revenue 2021: $392,594Expenses 2021: $265,981Net Income 2021: $126,6132021Revenue 2022: $447,160Expenses 2022: $356,117Net Income 2022: $91,0432022Revenue 2023: $768,435Expenses 2023: $707,339Net Income 2023: $61,0962023Revenue 2024: $627,696Expenses 2024: $470,989Net Income 2024: $156,7072024

Highlighted filing

2020

Revenue$363,934
Expenses$363,912
Net Income$22
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Nov 15, 2021
Return Version
2020v4.0
Gross Receipts
$369,679
Mission and Program Overview

Mission

Health care and medications for patients without health insurance coverage

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$52,020$126,847▲ $74,827
Pledges and Grants Receivable$15,758$58,103▲ $42,345
Prepaid Expenses and Deferred Charges$5,048--
Total Assets$72,826$184,950▲ $112,124
Liabilities
Accounts Payable and Accrued Expenses$18,903$16,566▼ $2,337
Total Liabilities$18,903$16,566▼ $2,337
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$16,423$130,884▲ $114,461
Net Assets With Donor Restrictions$37,500$37,500→ $0
Total Net Assets Fund Balance$53,923$168,384▲ $114,461
Total Liabilities and Net Assets / Fund Balance$72,826$184,950▲ $112,124

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings-$13,063$13,063
Compensation and Service Providers

Board Members and Trustees

Revenue and Support

Revenue Composition

Contributions and Grants
$293,842
Program Service Revenue
$75,837
Investment Income
$0
Other Revenue
$-5,745
All Other Contributions
$152,783
Change in Net Assets
$22

Audited Revenue Reconciliation

Revenue per Audited Statements
$363,934
Revenue Not Reported on Form 990
$120,184
Total Revenue per Audited Statements
$484,118
Total Revenue per Form 990
$363,934
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$182,297
Salaries, Compensation, and Employee Benefits$181,615
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$163,170--$163,170
Occupancy$34,774--$34,774
Payroll Taxes$11,903--$11,903
Fees for Services Management-$9,383-$9,383
Other Expenses$6,991$542-$6,991
Other Employee Benefits$6,542--$6,542
Office Expenses-$4,691-$4,691
Insurance-$3,084-$3,084
Total Functional Expenses$346,212$17,700$0$363,912

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$369,657
Expenses per Audited Statements$363,912
Total Expenses per Form 990$363,912
Expenses Not Reported on Form 990$5,745
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$5,745
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Golf Tournament$16,530-$5,745-
Total Events$16,530-$5,745$-5,745
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
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
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Page 6, Part VI, Line 2

Kerry ross dickson medical associates director employee christie strong dickson medical associates director employee john sayler dickson medical associates director employee

Form 990, Page 6, Part VI, Line 3

The organization has a management services agreement with dickson medical associates.

Form 990, Page 6, Part VI, Line 11B

The managing organization, dickson medical associates, reviewed the completed form 990 for accuracy and verified that it reflects the activities of the dickson community clinic. Once approved by the managing organization, it was disseminated to the board of the dickson community clinic.

Form 990, Page 6, Part VI, Line 19

All governing documents are available upon request.

Filing and Contact Details

Filer

Filer Name
Dickson Community Clinic
EIN
20-2882653
Phone
6154411486
Address
111 HIGHWAY 70 E, DICKSON, TN 37055

Signing Officer

Name
Jeff Gordon Md
Title
Vice President
Phone
6154067232
Signed
2021-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jeff Gordon Md
Formed
2005
Legal Domicile
Tn
Voting Board Members
13
Independent Board Members
13
Employees
0
Volunteers
17

Preparer

Firm
Blankenship CPA Group Pllc
Address
308 E COLLEGE ST, DICKSON, TN 37055
Preparer
Scott a Felts CPA
Phone
6154465106
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

Fundraising event expenses 5,745 fundraising event expenses -5,745

Financial Statement Notes

Schedule D, Page 4, Part XI, Line 2D

Fundraising event expenses 5,745

Schedule D, Page 4, Part XII, Line 2D

Fundraising event expenses 5,745

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IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus2YearsAmt013803
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus3YearsAmt06400
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus4YearsAmt018000
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt069753
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0NET FUND RAISING INCOME 0
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0PART III, LINE 12
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt0293842
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt0176191
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt0169985
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt092518
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt0124604
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt0857140
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt075837
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt082868
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt074014
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt024822
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt067660
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt0325201
IRS990ScheduleA/InvestmentIncomeCYPct00.00000
IRS990ScheduleA/InvestmentIncomePYPct00.00000
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct00.75580
IRS990ScheduleA/PublicSupportPY509Pct00.70950
IRS990ScheduleA/PublicSupportTotal509Amt0893642
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearAmt0106721
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus1YearAmt072896
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus2YearsAmt049057
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus3YearsAmt042025
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus4YearsAmt018000
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt0288699
IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearAmt087721
IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearMinus1YearAmt060346
IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearMinus2YearsAmt035254
IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearMinus3YearsAmt035625
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt0218946
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt0369679
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt0259059
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt0243999
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt0117340
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt0192264
IRS990ScheduleA/Total509Grp/TotalAmt01182341
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt0369679
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt0259059
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt0243999
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt0117340
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt0192264
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt01182341
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd0true
IRS990ScheduleD/DonatedServicesAndUseFcltsAmt0114439
IRS990ScheduleD/ExpensesNotReportedAmt05745
IRS990ScheduleD/ExpensesSubtotalAmt0363912
IRS990ScheduleD/OtherExpensesIncludedAmt05745
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt013063
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt013063
IRS990ScheduleD/OtherRevenueAmt05745
IRS990ScheduleD/RevenueNotReportedAmt0120184
IRS990ScheduleD/RevenueSubtotalAmt0363934
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0FUNDRAISING EVENT EXPENSES 5,745
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1FUNDRAISING EVENT EXPENSES 5,745
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE D, PAGE 4, PART XI, LINE 2D
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1SCHEDULE D, PAGE 4, PART XII, LINE 2D
IRS990ScheduleD/TotalExpensesPerForm990Amt0363912
IRS990ScheduleD/TotalRevenuePerForm990Amt0363934
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt0484118
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt0369657
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContributionsTotAmt016530
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt016530
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt05745
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0GOLF TOURNAMENT
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt016530
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt016530
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt0-5745
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt05745
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt05745
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0KERRY ROSS DICKSON MEDICAL ASSOCIATES DIRECTOR EMPLOYEE CHRISTIE STRONG DICKSON MEDICAL ASSOCIATES DIRECTOR EMPLOYEE JOHN SAYLER DICKSON MEDICAL ASSOCIATES DIRECTOR EMPLOYEE
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ORGANIZATION HAS A MANAGEMENT SERVICES AGREEMENT WITH DICKSON MEDICAL ASSOCIATES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE MANAGING ORGANIZATION, DICKSON MEDICAL ASSOCIATES, REVIEWED THE COMPLETED FORM 990 FOR ACCURACY AND VERIFIED THAT IT REFLECTS THE ACTIVITIES OF THE DICKSON COMMUNITY CLINIC. ONCE APPROVED BY THE MANAGING ORGANIZATION, IT WAS DISSEMINATED TO THE BOARD OF THE DICKSON COMMUNITY CLINIC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3ALL GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4FUNDRAISING EVENT EXPENSES 5,745 FUNDRAISING EVENT EXPENSES -5,745
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 6, PART VI, LINE 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART XI, LINE 9
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0TN
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt072826
IRS990/TotalAssetsEOYAmt0184950
IRS990/TotalAssetsGrp/BOYAmt072826
IRS990/TotalAssetsGrp/EOYAmt0184950
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt0293842
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt017700
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0346212
IRS990/TotalFunctionalExpensesGrp/TotalAmt0363912
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt018903
IRS990/TotalLiabilitiesEOYAmt016566
IRS990/TotalLiabilitiesGrp/BOYAmt018903
IRS990/TotalLiabilitiesGrp/EOYAmt016566
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt053923
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0168384
IRS990/TotalProgramServiceExpensesAmt0346212
IRS990/TotalProgramServiceRevenueAmt075837
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt075837

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.46$0.31$6.15$6.28$4.71$1.57
2023Summary only. Only limited summary data is available for this year.$5.28$0.69$4.58$7.68$7.07$0.61
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.57$0.71$3.86$4.47$3.56$0.91
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.29$0.34$2.95$3.93$2.66$1.27
2020Detailed filing. Detailed filing data is available for this year.$1.85$0.17$1.68$3.64$3.64$0.00
2019Summary only. Only limited summary data is available for this year.$0.73$0.19$0.54$2.45$2.61$0.16
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.02$0.32$0.70$2.32$2.94$0.63
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.68$0.16$0.53$1.84$2.02$0.18
2016Detailed filing. Detailed filing data is available for this year.$0.71$0.00$0.71$2.10$1.83$0.27
2015Detailed filing. Detailed filing data is available for this year.$0.44$0.00$0.44$2.19$2.46$0.27
2014Detailed filing. Detailed filing data is available for this year.$0.71$0.00$0.71$2.27$2.26$0.01
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.88$0.00$0.88$1.99
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.50$0.00$0.50$1.82
2011Summary only. Only limited summary data is available for this year.$0.26$0.01$0.26$3.79$3.79$0.00