Civic Intelligence

Catholic Health System Inc

990 • Fiscal year 2018 • EIN 22-2565278

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

144 Genesee StBuffalo, NY 14203

(716) 828-2974

Siviq Scores

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

Liabilities / Assets

76th percentile

0.61x

Higher debt load relative to assets than 76% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2018

Liabilities / Revenue

80th percentile

1.16x

Higher debt load relative to revenue than 80% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2018

Net Margin

26th percentile

0.0%

Higher net margin than 26% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2018

Top Officer Pay

64th percentile

$1,246,847

Higher top officer pay than 64% of similar nonprofits.

Top officer pay equals 0.8% of source-year revenue.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2018

Asset Growth

31st percentile

0.2%

Faster asset growth than 31% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2017 to 2018

Revenue Growth

28th percentile

0.3%

Faster revenue growth than 28% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2017 to 2018

Assets

Up

$294,187,862

Up $526,490 (+0.2%) from 2017

Net Assets

Up

$115,366,658

Up $5,726,263 (+5.2%) from 2017

Liabilities

Down

$178,821,204

Down $5,199,773 (-2.8%) from 2017

Revenue

Up

$153,582,409

Up $436,495 (+0.3%) from 2017

Expenses

Up

$153,582,408

Up $221,678 (+0.1%) from 2017

Net Income

Up

$1

Up $214,817 (+100%) from 2017

Historical Trend

Balance Sheet Trend

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

$800M$600M$400M$200M$0-$200MAssets 2010: $63,587,294Liabilities 2010: $76,314,893Net Assets 2010: -$12,727,5992010Assets 2011: $84,019,304Liabilities 2011: $92,724,172Net Assets 2011: -$8,704,8682011Assets 2012: $99,537,969Liabilities 2012: $103,533,592Net Assets 2012: -$3,995,6232012Assets 2013: $112,223,659Liabilities 2013: $92,159,810Net Assets 2013: $20,063,8492013Assets 2014: $190,071,792Liabilities 2014: $166,558,179Net Assets 2014: $23,513,6132014Assets 2015: $300,714,094Liabilities 2015: $237,249,210Net Assets 2015: $63,464,8842015Assets 2016: $273,046,853Liabilities 2016: $182,890,481Net Assets 2016: $90,156,3722016Assets 2017: $293,661,372Liabilities 2017: $184,020,977Net Assets 2017: $109,640,3952017Assets 2018: $294,187,862Liabilities 2018: $178,821,204Net Assets 2018: $115,366,6582018Assets 2019: $400,353,180Liabilities 2019: $290,948,389Net Assets 2019: $109,404,7912019Assets 2020: $410,380,173Liabilities 2020: $297,308,768Net Assets 2020: $113,071,4052020Assets 2021: $560,744,041Liabilities 2021: $426,474,269Net Assets 2021: $134,269,7722021Assets 2022: $542,054,979Liabilities 2022: $397,686,691Net Assets 2022: $144,368,2882022Assets 2023: $578,839,630Liabilities 2023: $438,651,511Net Assets 2023: $140,188,1192023Assets 2024: $602,177,294Liabilities 2024: $453,700,319Net Assets 2024: $148,476,9752024

Highlighted filing

2018

Assets$294,187,862
Liabilities$178,821,204
Net Assets$115,366,658

Operations Trend

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

$300M$200M$100M$0-$100MExpenses 2010: $93,068,0942010Expenses 2011: $104,090,9862011Expenses 2012: $118,107,2552012Revenue 2013: $123,604,348Expenses 2013: $123,604,348Net Income 2013: $02013Revenue 2014: $128,271,200Expenses 2014: $127,617,225Net Income 2014: $653,9752014Revenue 2015: $153,668,454Expenses 2015: $140,199,728Net Income 2015: $13,468,7262015Revenue 2016: $152,915,642Expenses 2016: $152,915,642Net Income 2016: $02016Revenue 2017: $153,145,914Expenses 2017: $153,360,730Net Income 2017: -$214,8162017Revenue 2018: $153,582,409Expenses 2018: $153,582,408Net Income 2018: $12018Revenue 2019: $181,097,796Expenses 2019: $181,097,795Net Income 2019: $12019Revenue 2020: $186,329,869Expenses 2020: $186,791,960Net Income 2020: -$462,0912020Revenue 2021: $189,273,233Expenses 2021: $189,273,233Net Income 2021: $02021Revenue 2022: $190,955,369Expenses 2022: $200,509,421Net Income 2022: -$9,554,0522022Revenue 2023: $198,087,566Expenses 2023: $198,171,666Net Income 2023: -$84,1002023Revenue 2024: $210,097,611Expenses 2024: $213,153,270Net Income 2024: -$3,055,6592024

Highlighted filing

2018

Revenue$153,582,409
Expenses$153,582,408
Net Income$1
Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Dec 31, 2018
Signed
Nov 1, 2019
Return Version
2018v3.1
Gross Receipts
$153,582,409
Mission and Program Overview

Mission

The Mission of the Catholic Health System, as part of the Catholic Health System (CHS) in Western New York, is to provide quality healthcare services in a (an) (acute care, long term care, home care) setting. Committed to a common mission, the providers of the Catholic Health System continue the healing ministry of Jesus, seeking to improve the health of individuals and communities. We provide high quality service that has reverence, compassion, justice, and excellence. The 2021 Community Service Plan can be found at https://www.chsbuffalo.org/about-us/community.

The Mission of the Catholic Health System, as part of the Catholic Health System (CHS) in Western New York, is to provide quality healthcare services in a acute care, long term care, and home care setting. Committed to a common mission, the providers of the Catholic Health System continue the healing ministry of Jesus, seeking to improve the health of individuals and communities. We provide high quality service that has reverence, compassion, justice, and excellence. The 2018 Community Service Plan can be found at https://www.chsbuffalo.org/about-us/community.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$84,154,230$78,802,609▼ $5,351,621
Savings and Temporary Cash Investments$53,980,882$44,854,187▼ $9,126,695
Investments in Publicly Traded Securities$13,202,109$20,841,641▲ $7,639,532
Prepaid Expenses and Deferred Charges$5,628,528$6,654,472▲ $1,025,944
Cash and Non-Interest-Bearing Accounts$1,575,446$25,538▼ $1,549,908
Inventories for Sale or Use$8,309$9,977▲ $1,668
Total Assets$293,661,372$294,187,862▲ $526,490
Other Assets Total$135,111,868$142,999,438▲ $7,887,570
Liabilities
Other Liabilities$75,856,409$74,113,494▼ $1,742,915
Tax Exempt Bond Liabilities$73,946,589$70,215,689▼ $3,730,900
Accounts Payable and Accrued Expenses$29,169,387$29,443,521▲ $274,134
Mortgage Notes Payable Secured by Investment Property$5,048,592$5,015,000▼ $33,592
Deferred Revenue-$33,500-
Total Liabilities$184,020,977$178,821,204▼ $5,199,773
Net Assets / Fund Balance
Unrestricted Net Assets$106,181,477$111,907,740▲ $5,726,263
Temporarily Rstr Net Assets$3,412,671$3,412,671→ $0
Permanently Rstr Net Assets$46,247$46,247→ $0
Total Net Assets Fund Balance$109,640,395$115,366,658▲ $5,726,263
Total Liabilities and Net Assets / Fund Balance$293,661,372$294,187,862▲ $526,490

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$30,349,308$34,024,293$64,373,601
Buildings$41,803,743$4,867,851$46,671,594
Leasehold Improvements$5,752,310$2,687,660$8,439,970
Other Land Buildings$897,248$372,112$1,269,360
Other Assets Org$29,589,764--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Joseph McdonaldPresident & CEOFT$124,093$1,122,754$1,246,847
Mark SullivanPresident & CEOFT$695,527$524,428$1,219,955
James a Dunlop JrExecutive VP, Chief FinancFT$547,002$245,427$792,429
Michael MoleySenior VP, Human ResourcesFT$354,293$293,326$647,619
DR BRIAN D'ARCYSenior VP, Medical AffairsFT$515,961$86,861$602,822
Dr Michael GalangSenior VP, Chief InformatiFT$413,567$153,665$567,232
Dr Michael EdbauerChief Clinical OfficerPT$173,522$353,432$526,954
Joyce MarkiewiczPresident & CEO Home and Community Based CareFT$425,967$78,638$504,605
Joyce MarkiewiczPresident & CEO Home and Community B-$407,828$96,777$504,605
Lee Guterman MdPhysicianFT$391,822$54,217$446,039
Nancy SheehanSenior VP, Legal Services/FT$374,956$65,813$440,769
Maria FotiSenior VP, Strategic PlannFT$299,755$137,696$437,451
Thomas Smith MdPhysicianFT$375,991$27,662$403,653
William J Lagaly DoPhysicianFT$315,907$51,058$366,965
Lee C Ruotsi MdPhysician/medical DirectorFT$305,424$52,680$358,104
Dr David SerraPhysicianFT$297,737$44,113$341,850

Highest Paid Contractors

ContractorServicesLocationCompensation
Ecg Management ConsultantsConsulting Services11512 EL CAMINO REAL SUITE 200, San Diego, CA 92130$5,514,003
Trimedx LLCEquipment Services5451 LAKEVIEW PKWY S DRIVE, Indianapolis, IN 46268$1,625,489
The Advisory BoardConsulting Services655 NEW YORK AVE NW, Washington, DC 20001$1,271,622
Scc Soft ComputerConsulting Services5400 TECH DATA DRIVE, Clearwater, FL 33760$1,234,539
15 Fingers LLCMarketing Services599 DELAWARE AVE SUITE 215, Buffalo, NY 14202$1,080,506
Revenue and Support

Revenue Composition

Contributions and Grants
$1,456,829
Program Service Revenue
$152,275,787
Investment Income
$1,188,097
Other Revenue
$-1,338,304
All Other Contributions
$8,660
Change in Net Assets
$1

Audited Revenue Reconciliation

Revenue per Audited Statements
$153,582,409
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$153,582,409
Total Revenue per Form 990
$153,582,409
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$94,041,295
Other Expenses$59,541,113
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$66,078,396$181,451-$66,259,847
Information Technology$25,653,317--$25,653,317
Other Employee Benefits$10,412,680$48,945-$10,461,625
Depreciation Depletion$7,488,850--$7,488,850
Fees for Services Other$1,376,358$5,767,806-$7,144,164
Current Officers, Directors, Trustees, and Key Employees$4,643,323$2,343,358-$6,986,681
Payroll Taxes$5,345,073--$5,345,073
Pension Plan Contributions$4,913,571$74,498-$4,988,069
Interest$3,153,836--$3,153,836
Advertising$2,291,611$5,262-$2,296,873
Occupancy$1,152,018$52,412-$1,204,430
Fees for Services Legal$190,600$704,598-$895,198
Other Expenses$79,236$468,752-$547,988
Fees for Services Accounting$515,996--$515,996
Insurance$498,800--$498,800
All Other Expenses$358,499$2,617-$361,116
Travel$292,700$39,684-$332,384
Office Expenses$180,485$1,502-$181,987
Conferences and Meetings$52,022$37,759-$89,781
Fees for Services Lobbying$89,335--$89,335
Total Functional Expenses$143,136,216$10,446,192$0$153,582,408

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$153,582,409
Total Expenses per Audited Statements$153,582,409
Total Expenses per Form 990$153,582,409
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
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
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Kathleen ZapfelSister-in-law of Board of Director Member, Msgr Robert ZapfelHuman Resource Employee of Catholic Health SystemNo$63,506
Julie SullivanDaughter of Chief Executive OfficerHuman Resource Employee of Catholic Health SystemNo$54,655
Scott MarkiewiczSon of Key Employee, Joyce MarkiewiczSupervisor, Father Baker ManorNo$52,480
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Accrued Pension$58,833,633
Due to Related Facilities$13,097,425
Insurance Ibnr$2,182,436

Bond Issues

BondIssuerIssuedIssue PricePurpose
ABuffalo and Erie County Industrial Land Development Corporation2015-04-30$75,540,000See Part VI

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$83,526,118--$2,434,992

Bond Financing Compliance

No rebate due
No
Rebate not yet due
Yes
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
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
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

CHS has two members: Trinity Health, and the Diocese of Buffalo, NY. Each member is able to participate equally in electing the governing body, approving significant decisions of the governing body, and in receiving a share of net assets upon dissolution, according to the CHS Bylaws.

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

According to the CHS Bylaws, each member is equally allowed to appoint one representative and one alternative representative to serve on the Corporate Member Council and to serve as a voting director on the Catholic Health System Board of Directors.

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

Yes, the corporate members do have reserve powers.

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

Yes, an electronic copy of the Form 990 was provided to the CHS Boards of Directors before it was filed. The CHS Board of Directors has delegated the responsibility to review the 990 to the Audit Committee. The CHS Audit Committee reviewed in detail selected information for all CHS entities that file a 990. Reviewed with the Audit Committee: 1. Core Form Part IV: Checklist of required schedules 2. Core Form Part VI: Governance, Management and Disclosure 3. Core Form Part VII: Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees and Independent Contractors 4. Schedule H: Hospitals 5. Schedule K: Supplemental information on Tax Exempt Bonds 6. Schedule J: Compensation Information 7. Schedule L: Transactions with Interested Persons 8. Schedule R: Related Organizations and Unrelated Partnerships 9. Process for which remaining Core Form was completed, utilizing audited financial information

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

All officers, directors, and key employees complete a Conflict of Interest Disclosure Statement (COIDS) in order to fulfill the annual requirements. COIDS are distributed to all parties, as per applicable policy, and once complete are followed up with as follows: 1. Associate and Physician completed COIDS are reviewed and signed off by the manager. If a disclosure is noted, it is discussed with the manager, and the document is forwarded to the Compliance officer who reviews and follows up as appropriate. Once review/follow up is completed the Compliance Officer will sign the COIDS, maintain a copy in the compliance office and return the original to HR for filing in the Personnel file. 2. All board member COIDS are returned to Compliance Officer for review and follow up as warranted. The compliance officer will sign each COIDS and retain on file in the compliance office in a confidential manner.

Form 990, Part VI, Section B, line 15

CHS, in determining the compensation for the CEO, utilizes a process of review and approval, governed by the Board of Directors that includes an outside nationally recognized independent compensation consultant experienced in compensation and benefit matters for non-profit healthcare organizations, and comparability data. In 2018, the Catholic Health System utilized a Compensation Committee of the Board of Directors to monitor the Executive Compensation as per the Executive Compensation Philosophy and Strategy for the CHS CEO and top Senior Executives.

Form 990, Part VI, Section C, line 19

We make our form 990 open for public inspection upon request. Our financial statements, governing documents and conflict of interest policy are provided upon request according to applicable federal and state laws.

Filing and Contact Details

Filer

Filer Name
Catholic Health System
EIN
22-2565278
Phone
7168282974
Address
144 GENESEE ST, BUFFALO, NY 14203

Signing Officer

Name
David P Macholz
Title
VP Finance, Corp Controller
Phone
7168282974
Signed
2019-11-01

Organization Details

Principal Officer
Mark Sullivan
Formed
1998
Legal Domicile
Ny
Voting Board Members
25
Independent Board Members
21
Employees
1,499
Volunteers
5
Supplemental Narrative

Additional Explanations

Form 990, Part XI, line 9:

Pension liability 5519683. Capital equity contributions/distributions (intercompany) -3650877. Grant revenue for capital 3857457. Acquired investment

Financial Statement Notes

Part X, Line 2:

The financial statements do not include a provision for income taxes, as chs is a tax-exempt organization under section 501(c)3 of the internal revenue code. The tax-exempt organizations are subject to federal taxes on unrelated business income under section 511 of the internal revenue code which are reported as other expenses in the financial statements.

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IRS990/Desc0The Catholic Health System (CHS) provides administrative support services to the Catholic Health System entities which include: Acute Care, Continuing Care, Home Care, and Primary Care services. The program services are support services that are provided for the benefits of the health care delivery system. These include Compliance, Facility Planning, Finance, Human Resources, Information Technology, Legal Services, Marketing, Revenue Management Center, and other services. More information can be found on the Catholic Health System website www.CHSBUFFALO.ORG.
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IRS990/Form990PartVIISectionAGrp/PersonNm36THOMAS SMITH MD
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IRS990/Form990PartVIISectionAGrp/TitleTxt0DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt1DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3VICE CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt4CHAIRMAN OF THE BOARD
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8PRESIDENT & CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt12DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt13DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt14DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt15SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt16DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt17DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt18TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt19PRESIDENT & CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt20DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt21DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt22DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt23DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt24DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt25EXECUTIVE VP, CHIEF FINANC
IRS990/Form990PartVIISectionAGrp/TitleTxt26SENIOR VP, MEDICAL AFFAIRS
IRS990/Form990PartVIISectionAGrp/TitleTxt27PRESIDENT & CEO HOME AND COMMUNITY BASED CARE
IRS990/Form990PartVIISectionAGrp/TitleTxt28SENIOR VP, CHIEF INFORMATI
IRS990/Form990PartVIISectionAGrp/TitleTxt29SENIOR VP, LEGAL SERVICES/
IRS990/Form990PartVIISectionAGrp/TitleTxt30SENIOR VP, STRATEGIC PLANN
IRS990/Form990PartVIISectionAGrp/TitleTxt31SENIOR VP, HUMAN RESOURCES
IRS990/Form990PartVIISectionAGrp/TitleTxt32CHIEF CLINICAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt33PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt34PHYSICIAN/MEDICAL DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt35PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt36PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt37PHYSICIAN
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/Form990TFiledInd01
IRS990/FormationYr01998
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Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$602$454$148$210$213$3.06
2023Detailed filing. Detailed filing data is available for this year.$579$439$140$198$198$0.08
2022Detailed filing. Detailed filing data is available for this year.$542$398$144$191$201$9.55
2021Detailed filing. Detailed filing data is available for this year.$561$426$134$189$189$0.00
2020Detailed filing. Detailed filing data is available for this year.$410$297$113$186$187$0.46
2019Detailed filing. Detailed filing data is available for this year.$400$291$109$181$181$0.00
2018Detailed filing. Detailed filing data is available for this year.$294$179$115$154$154$0.00
2017Detailed filing. Detailed filing data is available for this year.$294$184$110$153$153$0.21
2016Detailed filing. Detailed filing data is available for this year.$273$183$90.2$153$153$0.00
2015Detailed filing. Detailed filing data is available for this year.$301$237$63.5$154$140$13.5
2014Detailed filing. Detailed filing data is available for this year.$190$167$23.5$128$128$0.65
2013Detailed filing. Detailed filing data is available for this year.$112$92.2$20.1$124$124$0.00
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$99.5$104$4.00$118
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$84.0$92.7$8.70$104
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$63.6$76.3$12.7$93.1