Civic Intelligence

Wellspan Medical Group

990 • Fiscal year 2017 • EIN 23-2730785

Jul 01, 2016 to Jun 30, 2017 • Filed on May 07, 2018

PO Box 2767York, PA 17405

(717) 851-3055

Siviq Scores

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

Liabilities / Assets

81st percentile

0.69x

Higher debt load relative to assets than 81% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2017

Liabilities / Revenue

9th percentile

0.10x

Higher debt load relative to revenue than 9% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2017

Net Margin

40th percentile

2.3%

Higher net margin than 40% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2017

Top Officer Pay

87th percentile

$2,150,216

Higher top officer pay than 87% of similar nonprofits.

Top officer pay equals 0.5% of source-year revenue.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2017

Asset Growth

84th percentile

17%

Faster asset growth than 84% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2016 to 2017

Revenue Growth

76th percentile

15%

Faster revenue growth than 76% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2016 to 2017

Assets

Up

$56,784,338

Up $8,200,301 (+17%) from 2016

Net Assets

Up

$17,526,809

Up $9,382,581 (+115%) from 2016

Liabilities

Down

$39,257,529

Down $1,182,280 (-2.9%) from 2016

Revenue

Up

$412,159,421

Up $54,654,516 (+15%) from 2016

Expenses

Up

$402,759,899

Up $43,349,087 (+12%) from 2016

Net Income

Up

$9,399,522

Up $11,305,429 (+593%) from 2016

Historical Trend

Balance Sheet Trend

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

$200M$150M$100M$50M$0Assets 2010: $31,119,410Liabilities 2010: $17,104,318Net Assets 2010: $14,015,0922010Assets 2011: $31,673,702Liabilities 2011: $17,318,837Net Assets 2011: $14,354,8652011Assets 2012: $35,358,741Liabilities 2012: $20,929,740Net Assets 2012: $14,429,0012012Assets 2013: $33,746,095Liabilities 2013: $24,335,309Net Assets 2013: $9,410,7862013Assets 2014: $40,371,455Liabilities 2014: $25,742,069Net Assets 2014: $14,629,3862014Assets 2015: $44,818,403Liabilities 2015: $34,893,288Net Assets 2015: $9,925,1152015Assets 2016: $48,584,037Liabilities 2016: $40,439,809Net Assets 2016: $8,144,2282016Assets 2017: $56,784,338Liabilities 2017: $39,257,529Net Assets 2017: $17,526,8092017Assets 2018: $68,219,873Liabilities 2018: $44,664,349Net Assets 2018: $23,555,5242018Assets 2019: $81,376,635Liabilities 2019: $43,261,412Net Assets 2019: $38,115,2232019Assets 2020: $128,785,364Liabilities 2020: $103,916,840Net Assets 2020: $24,868,5242020Assets 2021: $140,592,269Liabilities 2021: $131,874,645Net Assets 2021: $8,717,6242021Assets 2022: $159,949,293Liabilities 2022: $138,236,543Net Assets 2022: $21,712,7502022Assets 2023: $198,830,607Liabilities 2023: $138,295,101Net Assets 2023: $60,535,5062023Assets 2024: $148,252,237Liabilities 2024: $104,077,289Net Assets 2024: $44,174,9482024

Highlighted filing

2017

Assets$56,784,338
Liabilities$39,257,529
Net Assets$17,526,809

Operations Trend

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

$1.5B$1.0B$500M$0-$500MExpenses 2010: $192,135,2732010Expenses 2011: $212,671,4172011Expenses 2012: $223,092,0302012Expenses 2013: $253,772,9262013Revenue 2014: $282,653,549Expenses 2014: $277,365,681Net Income 2014: $5,287,8682014Revenue 2015: $317,037,694Expenses 2015: $321,719,883Net Income 2015: -$4,682,1892015Revenue 2016: $357,504,905Expenses 2016: $359,410,812Net Income 2016: -$1,905,9072016Revenue 2017: $412,159,421Expenses 2017: $402,759,899Net Income 2017: $9,399,5222017Revenue 2018: $559,442,088Expenses 2018: $553,281,098Net Income 2018: $6,160,9902018Revenue 2019: $614,317,277Expenses 2019: $599,962,964Net Income 2019: $14,354,3132019Revenue 2020: $640,975,998Expenses 2020: $653,409,896Net Income 2020: -$12,433,8982020Revenue 2021: $745,783,571Expenses 2021: $761,993,720Net Income 2021: -$16,210,1492021Revenue 2022: $767,764,154Expenses 2022: $835,042,653Net Income 2022: -$67,278,4992022Revenue 2023: $858,656,894Expenses 2023: $949,316,339Net Income 2023: -$90,659,4452023Revenue 2024: $1,032,540,613Expenses 2024: $1,164,479,139Net Income 2024: -$131,938,5262024

Highlighted filing

2017

Revenue$412,159,421
Expenses$402,759,899
Net Income$9,399,522
Jump To
Filing Snapshot
Filing Period
Jul 1, 2016 to Jun 30, 2017
Signed
May 7, 2018
Return Version
2016v3.0
Gross Receipts
$412,159,421
Mission and Program Overview

Mission

The WellSpan Medical Group was founded and operates on the belief that a large, well-organized group practice, based on primary and preventive care, and working collaboratively as part of an integrated health care delivery system, can deliver a superior standard of care. Its mission is to promote and to provide quality, cost-effective health care services which seek to improve the health status of the community. The Medical Group provides care without regard for an individual's health status or ability to pay.

WellSpan Medical Group, in coordination with York Hospital, Gettysburg Hospital, and WellSpan Surgery and Rehabilitation Hospital provides medical and surgical care to patients in and around York and Adams County, Pennsylvania without regard to the ability to pay.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$30,281,826$36,838,486▲ $6,556,660
Land, Buildings, and Equipment, Net$16,001,706$18,835,451▲ $2,833,745
Inventories for Sale or Use$449,236$529,849▲ $80,613
Prepaid Expenses and Deferred Charges$153,526$280,669▲ $127,143
Savings and Temporary Cash Investments$1,351,413$38,813▼ $1,312,600
Cash and Non-Interest-Bearing Accounts$18,593$26,140▲ $7,547
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Intangible Assets-$0-
Total Assets$48,584,037$56,784,338▲ $8,200,301
Other Assets Total$327,737$234,930▼ $92,807
Liabilities
Accounts Payable and Accrued Expenses$40,246,977$36,856,009▼ $3,390,968
Other Liabilities-$2,327,779-
Deferred Revenue$192,832$73,741▼ $119,091
Total Liabilities$40,439,809$39,257,529▼ $1,182,280
Net Assets / Fund Balance
Unrestricted Net Assets$8,074,056$17,462,596▲ $9,388,540
Temporarily Rstr Net Assets$70,172$64,213▼ $5,959
Total Net Assets Fund Balance$8,144,228$17,526,809▲ $9,382,581
Total Liabilities and Net Assets / Fund Balance$48,584,037$56,784,338▲ $8,200,301

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$9,287,796$14,738,369$24,026,165
Leasehold Improvements$9,547,655$10,824,637$20,372,292
Buildings-$34,525$34,525

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2016$70,172$18,418-$24,377$64,213
2015$29,567$40,605--$70,172
2014$27,066$2,501--$29,567
2013$22,364$4,702--$27,066
2012$32,928$5,904-$16,468$22,364
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Charles H Chodroff MDDirector-$707,127$743,163$1,450,290
Arnold SalottoNeurosurgeonFT$748,765$567,521$1,316,286
Mark Smith MDDirectorFT$552,521$586,154$1,226,175
Michael F O'ConnorCFO-WellSpan H.-$983,480$67,197$1,127,677
Kevin Mosser MDCEO-WSH/Direct-$727,382$275,220$1,002,602
Joel WinerNeurosurgeonFT$419,681$506,532$926,213
Harris Baderak DODirector-$575,791$346,623$922,414
Karen Jones MDPres/Secr.FT$509,340$100,556$609,896
Joseph KrzeminskiNeurosurgeonFT$435,117$103,322$538,439
Lee Maddox MDDirectorFT$234,362$216,882$286,744
Catherine HeilmanMDFormer ChairFT$196,564$64,649$261,213
Carleen Warner MDChairmanFT$116,770$89,844$206,614
Angie Heiland MDVice ChairFT$156,324$49,915$206,239

Board Members and Trustees

NameTitle
Gilbert SagerDirector
Jeffrey Lobach EsqDirector
Robert Pargament MDDirector
Steve HovisDirector
Steven DelaverisDirector
William Nicholson MDCardiac Interven.
Percival Buenaventura MDCardio. Surgeon
Thomas McGann MDExec VP - Clinical Practice

Highest Paid Contractors

ContractorServicesLocationCompensation
Weatherby Locums IncTemporary HelpPO Box 972633, Dallas, TX 75397$7,447,084
Locumtenenscom LLCTemporary HelpPO Box 40547, Atlanta, GA 30384$543,783
Mission Search Contract ServicesTemporary Help2203 N Louis Ave Suite 1225, Tampa, FL 33607$500,139
Star Building ServicesJanitorial Services106 Quigley Blvd PO BOx 11410, Wilmington, DE 19850$335,934
Briscoes Cleaning ServicesCleaning Services108 Highland Road, York, PA 17403$227,583
Revenue and Support

Revenue Composition

Contributions and Grants
$55,354,517
Program Service Revenue
$355,753,322
Investment Income
$648,723
Other Revenue
$402,859
All Other Contributions
$63,991
Change in Net Assets
$9,399,522

Audited Revenue Reconciliation

Revenue per Audited Statements
$356,866,651
Revenue Not Reported on Financial Statements
$55,292,770
Revenue Not Reported on Form 990
$3,255
Other Revenue Adjustments
$55,292,770
Total Revenue per Audited Statements
$356,869,906
Total Revenue per Form 990
$412,159,421
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$340,913,208
Other Expenses$61,846,691
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$266,945,481$7,546,196-$274,491,677
Other Employee Benefits$37,648,206$1,687,565-$39,335,771
Payroll Taxes$13,666,848$547,546-$14,214,394
Occupancy$10,621,817$301,492-$10,923,309
Pension Plan Contributions$8,948,382$87,164-$9,035,546
Fees for Services Other$7,032,048--$7,032,048
Insurance$5,474,486$190,118-$5,664,604
Current Officers, Directors, Trustees, and Key Employees$2,774,145$1,061,675-$3,835,820
Depreciation Depletion$3,345,425$93,730-$3,439,155
All Other Expenses$3,176,106$238,493-$3,414,599
Fees for Services Management-$2,140,510-$2,140,510
Office Expenses$1,842,513$103,006-$1,945,519
Other Expenses$963,322$420,538-$1,383,860
Travel$888,856$270,987-$1,159,843
Information Technology-$752,071-$752,071
Conferences and Meetings$625,759$31,464-$657,223
Fees for Services Accounting-$102,530-$102,530
Advertising$34,444$11,550-$45,994
Fees for Services Legal-$4,705-$4,705
Total Functional Expenses$386,677,390$16,082,509$0$402,759,899

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$402,759,899
Total Expenses per Audited Statements$402,759,899
Total Expenses per Form 990$402,759,899
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
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Mary ChodroffPartner LobachProvides Legal Serv WSHNo$1,454,478
-Family Member JonesWMG employeeNo$86,342
Sean CampbellChodroff Family MembWMG EmployeeNo$26,975

Loans and Receivables

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

Other Reported Liabilities

LiabilityAmount
Notes Payable- WSH$2,327,779
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
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
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, Line 2: Description of Business or Family Relationship of Officers, Directors, Et

Jeffrey Lobach is a director on the WellSpan Medical Group board. His law partner, Paul Minnich is a board member of the WellSpan Health and an officer and board member of the WellSpan Specialty Services Board.

Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder

WellSpan Health, a not for profit corporation, is the sole member.

Form 990, Part VI, Line 7B: Describe Decisions of Governing Body Approval by Members or Shareholders

The Member of the Corporation shall meet at any place, date, and time designated by the Member, for the transaction of the general business of the Corporation. Action of the Member shall generally be taken by a written consent in lieu of a meeting.Any action which may be taken at a meeting of the Member may be taken without a meeting if a consent or consents in writing, setting forth the action so taken, shall be signed by the Member and filed with the Secretary of the Corporation.

Form 990, Part VI, Line 11B: Form 990 Review Process

Management provided an electronic copy of the form 990 to each voting member of the organization's governing body, prior to its filing with the IRS. The organization's finance management team provided a presentation to the Audit Committee on the organization's 990 return.

Form 990, Part VI, Line 12C: Explanation of Monitoring and Enforcement of Conflicts

Officers, directors, and key employees fill out a WellSpan Health Conflict of Interest Disclosure Statement questionnaire annually. The questionnaire is administered by the Internal Audit Department of WellSpan Health, the Parent Company.There shall be full disclosure by any Director having a business or personal interest or relationship which may be in conflict with the interests of the Corporation. After such disclosure the Director shall abide by the determination of the Board of Directors as to whether a conflict exists, the extent to which, if at all, the Director will be permitted to be present during the Board of Directors' discussion of the matter in which the Director may be interested, and whether the Director will be permitted to participate in such discussion and cast a vote in such matter.

Form 990, Part VI, Line 15A: Compensation Review & Approval Process - CEO, Top Management

see following explanation for 15b. Description for compensation and approval of CEO, executive director or top management is included here.

Form 990, Part VI, Line 15B: Compensation Review and Approval Process for Officers and Key Employees

The Compensation Committee of WellSpan Health is responsible for rewarding and reinforcing key executives for the achievement of annual and long-term performance objectives. The Compensation Committee shall consist of not more than six (6) persons, of whom two (2) shall be the Chairman and Vice Chairman of the Board of the Corporation, and the remaining members shall be such other persons as may be appointed by the Chairman of the Board of the Corporation, with the approval of the Board of Directors; provided, however, that the Compensation Committee shall not include any persons who are employed by the System. The Chairman of the Board of Gettysburg Hospital shall participate. The role of the Compensation Committee is to set the Executive Compensation Philosophy for the system and ensure adherence, evaluate performance and establish compensation for the WellSpan President, evaluate team performance of the executive team and establish awards, review and approve senior executive base salary ranges, and oversee employed physician compensation programs. The Committee will approve salary ranges for each executive position and review incumbent salaries annually. The Committee will be responsible for reviewing the President's salary each year, and if warranted, authorizing an adjustment to maintain competitiveness. The President will have the authority to make salary adjustments for subordinate positions. The Committee is responsible for approving and authorizing payment of the performance awards. The Committee will approve and authorize payment of the President's performance awards. Integrated Healthcare Strategies, Inc., based in Minneapolis Minnesota is the external consultant to the committee. This consultant focuses exclusively on executive and physician compensation in the health care industry. In summary, the executive and physician compensation review process consists of the following: 1) Cash compensation reviewed annually 2) Cash compensation reviewed by external consultant biennially 3) external total compensation (cash, incentives, benefits, perquisites) reviewed by external consultant periodically 4) Process is integrated with compensation analysis for other WellSpan positions 5) Committee decisions are documented in minutes maintained in Human Resources.

Form 990, Part VI, Line 19: Other Organization Documents Publicly Available

Governing documents, policies, and financial statements are available upon request.

Filing and Contact Details

Filer

Filer Name
Wellspan Medical Group
EIN
23-2730785
Phone
7178513055
Address
PO BOX 2767, YORK, PA 17405

Signing Officer

Name
Michael F O'Connor
Title
CFO
Signed
2018-05-07
Discuss with paid preparer
No

Organization Details

Principal Officer
Kevin Mosser MD
Formed
1993
Legal Domicile
Pa
Voting Board Members
12
Independent Board Members
2
Employees
3,528
Volunteers
9

Preparer

Firm
WellSpan Health
Address
3350 WHITEFORD ROAD, YORK, PA 17402
Preparer
See Attached
Phone
7038930600
Supplemental Narrative

Additional Explanations

Client Note 1

Client Note 1 - Paid Preparer ExplanationDue to a software limitation, we wish to clarify that WellSpan Health is the ERO.The paid preparer is:BDO USA, LLP13-53815908401 Greensboro Drive, Suite 800McLean, VA 22102(703) 893-0600The preparers name is Jeffrey Schragg, PTIN P00234543

Other Changes In Net Assets Or Fund Balances - Other Increases

Net assets released for PPE = $4180

Other Changes In Net Assets Or Fund Balances - Other Decreases

Net Assets Released from Restriction = -$24376

Signature Block - Paid Preparer Explanation

Paid Preparer ExplanationDue to a software limitation, we wish to clarify that WellSpan Health is the ERO.The paid preparer is:BDO USA, LLP13-53815908401 Greensboro Drive, Suite 800McLean, VA 22102(703) 893-0600The preparers name is Jeffrey Schragg, PTIN P00234543

Financial Statement Notes

Part V, Line 4: Intended uses of the endowment fund.

The funds were used to improve the health and welfare of the residents of York and Adams counties of Pennsylvania.

Part X : FIN48 Footnote

In June 2006, the Financial Accounting Standards Board (FASB) issued Interpretation NO. 48, Accounting for Uncertainty in Income Taxes-an interpretation of FASB Statement NO. 109, Accounting for Income Taxes (FIN 48), which creates a single model to address uncertainty in tax positions and clarifies the accounting for income taxes by prescribing the minimum recognition threshold a tax position is required to meet before being recognized in the financial statements. Under the requirements of FIN 48, tax-exempt organizations could now be required to record an obligation as the result of a tax position they have historically taken or various tax exposure items. Prior to FIN 48, the determination of when to record a liability for tax exposure was based on whether a liability was considered probable and reasonably estimable in accordance with SFAS No.5, Accounting for Contingencies. On July 1, 2007, the parent company, WellSpan Health, adopted FIN 48. WellSpan Health determined that it does not have any uncertain tax positions through June 30, 2017.

Part XI, Line 4B: Other revenue amounts included on 990 but not included in F/S

Grant-York Hospital $48400000 Grant-Gettyburg Hospital $6000000 Grant-Ephrata Community Hospital $285641 Restricted Contributions(Net) $18418 Grant - Good Samaritan Hospital $588711

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IRS990/Desc0WellSpan Medical Group, which does not contemplate pecuniary gain or profit, incidental or otherwise, was formed for the purposes of furthering the charitable purposes of WellSpan Health and promoting the provision of health care services in South Central Pennsylvania, including York and Adams Counties, by providing clinically effective health care services, including professional health care services, in a cost effective manner in settings appropriate to patient and payor needs under a variety of health care financing arrangements; enhancing the continuity and quality of health care services provided to patients; ensuring the continued local patient access to health care services; enhancing the health status of the communities served by WellSpan Health; effectively responding to changing payor requirements; achieving excellence in clinical innovations, service, quality, cost and outcomes; and achieving operating efficiencies, such as containing and reducing costs and avoiding unnecessary duplication of services and equipment, thereby utilizing resources more effectively.See Attached Federal Supplemental Information: WellSpan Health - 2017 Community Benefit Report
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IRS990/Form990PartVIISectionAGrp/TitleTxt5CEO-WSH/Direct
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IRS990/Form990PartVIISectionAGrp/TitleTxt11Director
IRS990/Form990PartVIISectionAGrp/TitleTxt12CFO-WellSpan H.
IRS990/Form990PartVIISectionAGrp/TitleTxt13Pres/Secr.
IRS990/Form990PartVIISectionAGrp/TitleTxt14Exec VP - Clinical Practice
IRS990/Form990PartVIISectionAGrp/TitleTxt15Neurosurgeon
IRS990/Form990PartVIISectionAGrp/TitleTxt16Neurosurgeon
IRS990/Form990PartVIISectionAGrp/TitleTxt17Neurosurgeon
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IRS990/MissionDesc0The WellSpan Medical Group was founded and operates on the belief that a large, well-organized group practice, based on primary and preventive care, and working collaboratively as part of an integrated health care delivery system, can deliver a superior standard of care. Its mission is to promote and to provide quality, cost-effective health care services which seek to improve the health status of the community. The Medical Group provides care without regard for an individual's health status or ability to pay.
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IRS990/OtherExpensesGrp/Desc0Direct Supplies
IRS990/OtherExpensesGrp/Desc1Outside Services
IRS990/OtherExpensesGrp/Desc2Housekeeping

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.$148$104$44.2$1,033$1,164$132
2023Detailed filing. Detailed filing data is available for this year.$199$138$60.5$859$949$90.7
2022Detailed filing. Detailed filing data is available for this year.$160$138$21.7$768$835$67.3
2021Detailed filing. Detailed filing data is available for this year.$141$132$8.72$746$762$16.2
2020Detailed filing. Detailed filing data is available for this year.$129$104$24.9$641$653$12.4
2019Detailed filing. Detailed filing data is available for this year.$81.4$43.3$38.1$614$600$14.4
2018Detailed filing. Detailed filing data is available for this year.$68.2$44.7$23.6$559$553$6.16
2017Detailed filing. Detailed filing data is available for this year.$56.8$39.3$17.5$412$403$9.40
2016Detailed filing. Detailed filing data is available for this year.$48.6$40.4$8.14$358$359$1.91
2015Detailed filing. Detailed filing data is available for this year.$44.8$34.9$9.93$317$322$4.68
2014Detailed filing. Detailed filing data is available for this year.$40.4$25.7$14.6$283$277$5.29
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$33.7$24.3$9.41$254
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$35.4$20.9$14.4$223
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$31.7$17.3$14.4$213
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$31.1$17.1$14.0$192