Civic Intelligence

Caresource Indiana Inc.

990 • Fiscal year 2021 • EIN 32-0121856

Jan 01, 2021 to Dec 31, 2021 • Filed on Nov 15, 2022

PO Box 8738Dayton, OH 45401-8738

(937) 531-3027

Siviq Scores

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

Liabilities / Assets

85th percentile

0.80x

Higher debt load relative to assets than 85% of similar nonprofits.

2021 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2021

Liabilities / Revenue

35th percentile

0.35x

Higher debt load relative to revenue than 35% of similar nonprofits.

2021 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2021

Net Margin

33rd percentile

2.6%

Higher net margin than 33% of similar nonprofits.

2021 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2021

Top Officer Pay

99th percentile

$10,823,391

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 1.1% of source-year revenue.

2021 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2021

Asset Growth

89th percentile

33%

Faster asset growth than 89% of similar nonprofits.

2021 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2020 to 2021

Revenue Growth

80th percentile

32%

Faster revenue growth than 80% of similar nonprofits.

2021 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2020 to 2021

Assets

Up

$434,368,652

Up $106,813,933 (+33%) from 2020

Net Assets

Up

$88,252,202

Up $26,240,590 (+42%) from 2020

Liabilities

Up

$346,116,450

Up $80,573,343 (+30%) from 2020

Revenue

Up

$990,208,142

Up $239,096,965 (+32%) from 2020

Expenses

Up

$963,967,552

Up $219,059,207 (+29%) from 2020

Net Income

Up

$26,240,590

Up $20,037,758 (+323%) from 2020

Historical Trend

Balance Sheet Trend

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

$600M$400M$200M$0Assets 2010: $1,922,516Liabilities 2010: $23,251Net Assets 2010: $1,899,2652010Assets 2011: $1,915,877Liabilities 2011: $6,114Net Assets 2011: $1,909,7632011Assets 2012: $1,912,737Liabilities 2012: $8,005Net Assets 2012: $1,904,7322012Assets 2013: $1,570,139Liabilities 2013: $8,311Net Assets 2013: $1,561,8282013Assets 2014: $2,974,336Liabilities 2014: $733,961Net Assets 2014: $2,240,3752014Assets 2015: $52,383,997Liabilities 2015: $44,288,463Net Assets 2015: $8,095,5342015Assets 2016: $68,699,557Liabilities 2016: $52,048,883Net Assets 2016: $16,650,6742016Assets 2017: $166,668,255Liabilities 2017: $127,181,162Net Assets 2017: $39,487,0932017Assets 2018: $231,216,052Liabilities 2018: $182,470,118Net Assets 2018: $48,745,9342018Assets 2019: $241,392,526Liabilities 2019: $155,583,746Net Assets 2019: $85,808,7802019Assets 2020: $327,554,719Liabilities 2020: $265,543,107Net Assets 2020: $62,011,6122020Assets 2021: $434,368,652Liabilities 2021: $346,116,450Net Assets 2021: $88,252,2022021Assets 2022: $478,256,817Liabilities 2022: $407,715,332Net Assets 2022: $70,541,4852022Assets 2023: $463,855,622Liabilities 2023: $303,059,245Net Assets 2023: $160,796,3772023Assets 2024: $437,371,962Liabilities 2024: $281,190,899Net Assets 2024: $156,181,0632024

Highlighted filing

2021

Assets$434,368,652
Liabilities$346,116,450
Net Assets$88,252,202

Operations Trend

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

$1.5B$1.0B$500M$0-$500MExpenses 2010: $26,0952010Expenses 2011: $17,5212011Expenses 2012: $15,8532012Revenue 2013: $3,225Expenses 2013: $46,129Net Income 2013: -$42,9042013Revenue 2014: $1,947Expenses 2014: $323,400Net Income 2014: -$321,4532014Revenue 2015: $57,072,388Expenses 2015: $62,817,229Net Income 2015: -$5,744,8412015Revenue 2016: $94,959,613Expenses 2016: $116,404,473Net Income 2016: -$21,444,8602016Revenue 2017: $358,614,607Expenses 2017: $350,778,188Net Income 2017: $7,836,4192017Revenue 2018: $795,707,884Expenses 2018: $786,449,043Net Income 2018: $9,258,8412018Revenue 2019: $641,719,004Expenses 2019: $594,936,324Net Income 2019: $46,782,6802019Revenue 2020: $751,111,177Expenses 2020: $744,908,345Net Income 2020: $6,202,8322020Revenue 2021: $990,208,142Expenses 2021: $963,967,552Net Income 2021: $26,240,5902021Revenue 2022: $1,036,113,607Expenses 2022: $1,049,992,612Net Income 2022: -$13,879,0052022Revenue 2023: $1,218,667,752Expenses 2023: $1,112,999,592Net Income 2023: $105,668,1602023Revenue 2024: $1,324,786,071Expenses 2024: $1,304,987,103Net Income 2024: $19,798,9682024

Highlighted filing

2021

Revenue$990,208,142
Expenses$963,967,552
Net Income$26,240,590
Jump To
Filing Snapshot
Filing Period
Jan 1, 2021 to Dec 31, 2021
Signed
Nov 15, 2022
Return Version
2021v4.2
Gross Receipts
$990,208,142
Mission and Program Overview

Mission

CareSource Indiana Inc.'s mission is to make a lasting difference in members' lives by improving their health and well-being. The organization's vision is to transform lives through innovative health and life services. CareSource Indiana Inc. is a health maintenance organization licensed by the state of Indiana and serves members through Marketplace, Medicaid, Healthy Indiana, and Hoosier Healthwise plans.

To Make a Lasting Difference in our members' lives by improving their health and well-being. CareSource Indiana Inc. is a Nonprofit HMO licensed by the State of Indiana.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$273,199,992$365,662,007▲ $92,462,015
Accounts Receivable$41,448,356$61,242,990▲ $19,794,634
Investments in Publicly Traded Securities$12,237,107$6,935,959▼ $5,301,148
Prepaid Expenses and Deferred Charges$669,264$527,696▼ $141,568
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Land, Buildings, and Equipment, Net$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$327,554,719$434,368,652▲ $106,813,933
Other Assets Total$0$0→ $0
Liabilities
Deferred Revenue$146,318,623$200,408,454▲ $54,089,831
Accounts Payable and Accrued Expenses$97,585,964$120,951,119▲ $23,365,155
Other Liabilities$21,638,520$24,756,877▲ $3,118,357
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$265,543,107$346,116,450▲ $80,573,343
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$62,011,612$88,252,202▲ $26,240,590
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$62,011,612$88,252,202▲ $26,240,590
Total Liabilities and Net Assets / Fund Balance$327,554,719$434,368,652▲ $106,813,933
Compensation and Service Providers

Board Members and Trustees

NameTitle
David FinkelEVP, Markets & Chair (To 4/21)
Scott MarkovichEVP, Mkts & Chair (Eff 4/21)
Pamela MorrisFormer President & CEO
Erhardt PreitauerPresident & CEO
Steve SmithermanPresident, Market & Secretary
Daniel McCabeChief Administrative Officer
Lawrence SmartChief Financial Ofr (Eff 1/21)
David GoltzChief Financial Ofr (To 1/21)
Jai PillaiChief Operating Officer
William Coffin JrVP Mkt Finance & Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Express Scripts IncPharmacy Services21653 Network Place, Chicago, IL 60673$181,161,017
LCP Transportation LLCTransportation Svcs4308 Guion Rd, Indianapolis, IN 46254$2,607,367
Superior Vision Services IncMedical Services939 Elkridge Landing 200, Linthicum, MD 21090$1,567,372
DentaQuest Group IncMedical Services465 Medford Street, Charlestown, MA 02129$1,181,051
National Imaging Associates IncMedical ServicesPO Box 785341 Magellan BH HP Lockb, Philadelphia, PA 19178$535,722
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$989,801,374
Investment Income
$406,768
Other Revenue
$0
Change in Net Assets
$26,240,590
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$963,967,552
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$2,622,417$21,243,471-$23,865,888
Other Expenses$6,423,386$15,060,857-$15,060,857
Office Expenses$236,385$14,630,499-$14,866,884
All Other Expenses$619,099$5,132,715-$5,751,814
Advertising$420$4,418,498-$4,418,918
Occupancy-$2,660,166-$2,660,166
Interest-$1,300,000-$1,300,000
Fees for Services Legal$5,232$491,394-$496,626
Insurance-$281,649-$281,649
Fees for Services Accounting$15,872$120,854-$136,726
Travel$5,411$119,287-$124,698
Fees for Services Lobbying$687$40,019-$40,706
Information Technology$39$1,532-$1,571
Total Functional Expenses$846,574,316$117,393,236$0$963,967,552
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
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

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

Other Reported Liabilities

LiabilityAmount
Related Party Payable$24,756,877
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 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
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Questions 6

CareSource is the sole member of CareSource Indiana, Inc. CareSource is recognized as exempt from Federal Income Taxation under Internal Revenue Code ("IRC") Section 501(c)(3).

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

CareSource, the sole member of CareSource Indiana, Inc., has the authority to appoint CareSource Indiana, Inc.'s board.

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

The form 990 was provided to the following individuals for review prior to the time of filing the form 990: the organization's audit committee, each voting member of the governing body of the organization, the ceo, cfo, vp treasury, director tax, manager tax, an outside cpa firm, outside legal counsel, and general counsel.

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

Annually, each director, principal officer and member of a committee with board-delegated powers ("interested person") shall confirm that they have received a copy of the CareSource Conflicts of Interest policy and have read, understood, and agree to comply with the policy. Interested Persons have an obligation to immediately report any Conflicts of Interest (including any relationships, positions, or circumstances that could contribute to a Conflict of Interest). All relevant information reported through the Conflict-of-Interest Policy will be sent to the Chairman of the Board for review. If the Interested Person with the Conflict of Interest is the Chairman of the Board, then the required disclosure must be provided to the Chief Legal Officer of CareSource. If it is not entirely clear whether a Conflict of Interest exists, then the person with the potential conflict must disclose the circumstances to CareSource's Chief Legal Officer. The Chief Legal Officer will consult with the Corporation's Corporate Compliance Officer or the Chairman of the Board to determine whether there exists a Conflict of Interest that is subject to this policy. Before Board action or other action by CareSource on a Transaction that involves a Conflict of Interest, an Interested Person who knows he or she has a Conflict of Interest must have disclosed to the Board all facts material to the Conflict of Interest. The Chairman of the Board may postpone Board or other corporate action on a Transaction until the Interested Person provides written information relating to the Conflict of Interest. An Interested Person who knows he or she has a Conflict of Interest must not participate in the Board's discussion of the Transaction except to disclose material facts and respond to questions. The Interested Person must not attempt to influence the Board's action on the Transaction, either at or outside the meeting. Prior to voting, the Board must be given an opportunity to discuss the Transaction without the person who has the Conflict of Interest being present. A Transaction involving a Conflict of Interest may be approved by the Board of CareSource if the material facts as to the Transaction and the Conflict of Interest are fully disclosed or known to the Board and the Board in good faith determines after reasonable investigation that (a) the Board is aware of all material facts concerning the Transaction and the Interest person's interest in the Transaction; (b) CareSource is entering into the Transaction for its own benefit; (c) the Transaction is fair and reasonable as to CareSource; and (d) CareSource could not have obtained a more advantageous arrangement with reasonable effort under the circumstances. The Person with the Conflict of Interest must not vote on the Transaction and must not be present in the room when the vote is taken. circumstances. The Person with the Conflict of Interest must not vote on the Transaction and must not be present in the room when the vote is taken.

Form 990, Part VI, Section C, Question 19

The company's Form 1023 is available for public inspection upon request, and Form 990 is available for public inspection upon request in accordance with IRC Section 6104(d). The company's Form 990 is also available on the U.S. nonprofit database website at www.guidestar.org. The Company's statutory financial statements are available on the SNL Financial LC website at www.snl.com for a nominal fee. The company's articles of incorporation are available on the Indiana Secretary of State's website at www.in.gov/SOS/ for a nominal fee.

Filing and Contact Details

Filer

Filer Name
CareSource Indiana Inc
EIN
32-0121856
In Care Of
% JANET FERNANDES
Phone
9375313027
Address
PO Box 8738, Dayton, OH 45401-8738

Signing Officer

Name
Lawrence Smart
Title
CFO
Phone
9375313027
Signed
2022-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Erhardt Preitauer
Formed
2004
Legal Domicile
In
Voting Board Members
3
Independent Board Members
0
Employees
0
Volunteers
0

Preparer

Firm
Rsm US Llp
Address
6 S PATTERSON BLVD, DAYTON, OH 45402
Preparer
Karen O Crim
Phone
9372980201
Supplemental Narrative

Additional Explanations

Form 990, Part III, Question 2

CareSource Indiana Inc. began offering Dual Eligible Special Needs and Medicare Advantage Plans in 2021.

Form 990, Part V, Lines 1A

In early 2020, CSIN changed the payer of its provider claims payments, resulting in a reduction of the number of Forms 1099 that were reported on Form 990, Part V, Line 1A.

Financial Statement Notes

FIN 48 (ASC 740) Footnote

As outlined in CareSource's Audited Consolidated Financial Statements, which include the activity of CareSource Indiana Inc.: The Company annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the consolidated financial statements. Currently, tax years 2018-2020 are open for audit by the Internal Revenue Service.

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IRS990/Desc0CareSource Indiana Inc. ("CSIN"CareSource Indiana") is a nonprofit organization established under the state law of Indiana. CSIN is a member of the CareSource group of nonprofit organizations (the "CareSource Group"). The mission of the CareSource Group is to make a lasting difference in its members' lives by improving their health and well-being. CSIN firmly adheres to this mission, which it terms as the organization's "heartbeat," by providing services that go well beyond the delivery of medical benefits. CSIN serves members through the following: (1) a Qualified Health Plan offered through the Federal Health Insurance Marketplace, providing low-cost comprehensive coverage for individuals and families; (2) Medicare Advantage, contracting with Medicare to provide all Part A and Part B benefits; (3) Dual Eligible Special Needs Plans (D-SNPs), enrolling individuals who are entitled to both Medicare (title XVIII) and medical assistance from a state plan under Medicaid (title XIX); and (4) Hoosier Healthwise and Healthy Indiana Plan ("HIP") Medicaid expansion plans. CSIN is accredited through the National Committee for Quality Assurance ("NCQA") for its qualified Health Insurance Marketplace and Medicaid plans. Accreditation is the most comprehensive evaluation in the industry and the only assessment that bases results on clinical performance and consumer experience. CSIN focuses on prevention with a goal of improving member health, the quality of health care services received, and accessibility of health care services for its members. This is done through an innovative health and wellness methodology. CSIN has built a high performing provider network to operate as a Health Maintenance Organization ("HMO"). This provider network relies heavily upon federally qualified health centers ("FQHCs"). FQHCs are generally health care providers that have been recognized by the federal government as providing care to populations that have limited access to medical treatment due to conditions such as poverty and geographic location. Recognized for a commitment to serving at-risk populations, beginning Jan. 1, 2017, CSIN began coordinating care for recipients of state supported programs that provide health services to recipients, through Hoosier Healthwise and HIP. Hoosier Healthwise is available to pregnant women and children, and HIP covers adults 19 to 64 years of age whose incomes are less than 138% of the federal poverty level and do not meet certain eligibility requirements for other health coverage programs. CSIN offers two Medicare Advantage Plans in the State. CSIN primarily enrolls low-income individuals in these plans. CSIN's Qualified Health Plan on the Health Insurance Marketplace primarily serves low-income individuals and was designed for those low-income adults who are recently uninsured or have never been insured. The plan is affordable, with low monthly premiums, low copays, low annual deductibles, and free generic prescriptions for some members. Members have the choice of buying dental and vision plans in addition to their medical plan. Members can receive assistance through CSIN's many programs designed to remove barriers to health and well-being. CareSource Indiana can, therefore, further its mission as a means of improving the health and well-being of Indiana's low-income populations. In 2015, the CareSource Group created a pilot program called CareSource Life Services, which couples the largest low-income subsidy safety net, Medicaid, with a holistic approach to addressing economic well-being and social connectedness. Life Services coordinates a range of resources through community and employer partnerships. A key component of Life Services is JobConnect, an initiative that helps members to increase skills and attain connections to long-term employment. JobConnect is a program and member benefit designed to serve members that are seeking assistance with education and employment goals. JobConnect is a voluntary program t
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IRS990/Form990PartVIISectionAGrp/PersonNm3David Finkel
IRS990/Form990PartVIISectionAGrp/PersonNm4David Goltz
IRS990/Form990PartVIISectionAGrp/PersonNm5Scott Markovich
IRS990/Form990PartVIISectionAGrp/PersonNm6Lawrence Smart
IRS990/Form990PartVIISectionAGrp/PersonNm7Steve Smitherman
IRS990/Form990PartVIISectionAGrp/PersonNm8William Coffin Jr
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IRS990/Form990PartVIISectionAGrp/TitleTxt0President & CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt1Chief Operating Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt2Chief Administrative Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt3EVP, Markets & Chair (To 4/21)
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IRS990/Form990PartVIISectionAGrp/TitleTxt7President, Market & Secretary
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IRS990/Form990PartVIISectionAGrp/TitleTxt9Former President & CEO
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IRS990/MissionDesc0CARESOURCE INDIANA INC.'S MISSION IS TO MAKE A LASTING DIFFERENCE IN MEMBERS' LIVES BY IMPROVING THEIR HEALTH AND WELL-BEING. THE ORGANIZATION'S VISION IS TO TRANSFORM LIVES THROUGH INNOVATIVE HEALTH AND LIFE SERVICES. CARESOURCE INDIANA INC. IS A HEALTH MAINTENANCE ORGANIZATION LICENSED BY THE STATE OF INDIANA AND SERVES MEMBERS THROUGH MARKETPLACE, MEDICAID, MEDICARE ADVANTAGE, DUAL ELIGIBLE SPECIAL NEEDS, HEALTHY INDIANA, AND HOOSIER HEALTHWISE PLANS.
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IRS990/OtherExpensesGrp/Desc1PHARMACY EXPENSES
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IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt00
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt00
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt00
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IRS990ScheduleA/GovtFurnSrvcFcltsVl509Grp/TotalAmt00
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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$437$281$156$1,325$1,305$19.8
2023Detailed filing. Detailed filing data is available for this year.$464$303$161$1,219$1,113$106
2022Detailed filing. Detailed filing data is available for this year.$478$408$70.5$1,036$1,050$13.9
2021Detailed filing. Detailed filing data is available for this year.$434$346$88.3$990$964$26.2
2020Detailed filing. Detailed filing data is available for this year.$328$266$62.0$751$745$6.20
2019Detailed filing. Detailed filing data is available for this year.$241$156$85.8$642$595$46.8
2018Detailed filing. Detailed filing data is available for this year.$231$182$48.7$796$786$9.26
2017Detailed filing. Detailed filing data is available for this year.$167$127$39.5$359$351$7.84
2016Detailed filing. Detailed filing data is available for this year.$68.7$52.0$16.7$95.0$116$21.4
2015Detailed filing. Detailed filing data is available for this year.$52.4$44.3$8.10$57.1$62.8$5.74
2014Detailed filing. Detailed filing data is available for this year.$2.97$0.73$2.24$0.00$0.32$0.32
2013Detailed filing. Detailed filing data is available for this year.$1.57$0.01$1.56$0.00$0.05$0.04
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.91$0.01$1.90$0.02
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.92$0.01$1.91$0.02
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.92$0.02$1.90$0.03