Civic Intelligence

Ashtabula County Medical Center

990 • Fiscal year 2018 • EIN 34-0726081

Jan 01, 2018 to Dec 31, 2018 • Filed on Nov 14, 2019

Organization ProfileWWW.ACMCHEALTH.ORG

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2420 Lake AvenueAshtabula, OH 44004

(440) 997-2262

Siviq Scores

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

Liabilities / Assets

57th percentile

0.37x

Higher debt load relative to assets than 57% of similar nonprofits.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2018

Liabilities / Revenue

40th percentile

0.35x

Higher debt load relative to revenue than 40% of similar nonprofits.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2018

Net Margin

59th percentile

6.9%

Higher net margin than 59% of similar nonprofits.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2018

Top Officer Pay

83rd percentile

$1,184,941

Higher top officer pay than 83% of similar nonprofits.

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

2018 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2018

Asset Growth

30th percentile

-0.6%

Faster asset growth than 30% of similar nonprofits.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2017 to 2018

Revenue Growth

46th percentile

4.5%

Faster revenue growth than 46% of similar nonprofits.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2017 to 2018

Balance Sheet
Liabilities / Assets57th percentile

Assets

Up

$147,662,470

Up $11,179,751 (+8.2%) from 2016

Net Assets

Up

$92,795,445

Up $19,441,467 (+27%) from 2016

Liabilities

Down

$54,867,025

Down $8,261,716 (-13%) from 2016

Revenue And Expenses
Liabilities / Revenue40th percentileNet Margin59th percentile

Revenue

Up

$157,910,147

Up $3,887,704 (+2.5%) from 2016

Expenses

Up

$147,087,833

Up $9,486,983 (+6.9%) from 2016

Net Income

Down

$10,822,314

Down $5,599,279 (-34%) from 2016

Historical Trend

Balance Sheet Trend

Asset Growth30th percentile

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

$400M$300M$200M$100M$0Assets 2010: $72,037,415Liabilities 2010: $34,747,560Net Assets 2010: $37,289,8552010Assets 2011: $82,290,893Liabilities 2011: $55,284,537Net Assets 2011: $27,006,3562011Assets 2012: $95,767,852Liabilities 2012: $63,550,074Net Assets 2012: $32,217,7782012Assets 2013: $107,823,161Liabilities 2013: $57,113,142Net Assets 2013: $50,710,0192013Assets 2014: $115,240,737Liabilities 2014: $63,924,729Net Assets 2014: $51,316,0082014Assets 2015: $113,927,164Liabilities 2015: $61,331,440Net Assets 2015: $52,595,7242015Assets 2016: $136,482,719Liabilities 2016: $63,128,741Net Assets 2016: $73,353,9782016Assets 2018: $147,662,470Liabilities 2018: $54,867,025Net Assets 2018: $92,795,4452018Assets 2020: $199,172,517Liabilities 2020: $89,050,209Net Assets 2020: $110,122,3082020Assets 2021: $214,087,858Liabilities 2021: $76,503,362Net Assets 2021: $137,584,4962021Assets 2022: $274,103,659Liabilities 2022: $133,081,867Net Assets 2022: $141,021,7922022Assets 2024: $305,203,035Liabilities 2024: $141,314,477Net Assets 2024: $163,888,5582024

Highlighted filing

2018

Assets$147,662,470
Liabilities$54,867,025
Net Assets$92,795,445
Open 2018 Filing

Operations Trend

Revenue Growth46th percentile

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

$200M$150M$100M$50M$0-$50MExpenses 2010: $88,842,3572010Expenses 2011: $91,937,3132011Expenses 2012: $93,679,6622012Revenue 2013: $102,783,241Expenses 2013: $100,092,137Net Income 2013: $2,691,1042013Revenue 2014: $114,411,798Expenses 2014: $108,674,974Net Income 2014: $5,736,8242014Revenue 2015: $124,844,358Expenses 2015: $117,045,072Net Income 2015: $7,799,2862015Revenue 2016: $154,022,443Expenses 2016: $137,600,850Net Income 2016: $16,421,5932016Revenue 2018: $157,910,147Expenses 2018: $147,087,833Net Income 2018: $10,822,3142018Revenue 2020: $158,791,321Expenses 2020: $160,050,722Net Income 2020: -$1,259,4012020Revenue 2021: $174,056,236Expenses 2021: $168,789,460Net Income 2021: $5,266,7762021Revenue 2022: $178,995,250Expenses 2022: $169,197,613Net Income 2022: $9,797,6372022Revenue 2024: $188,739,601Expenses 2024: $187,968,629Net Income 2024: $770,9722024

Highlighted filing

2018

Revenue$157,910,147
Expenses$147,087,833
Net Income$10,822,314
Open 2018 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Dec 31, 2018
Signed
Nov 14, 2019
Return Version
2018v3.1
Gross Receipts
$157,940,491
Mission and Program Overview

Mission

To provide the best possible medical care through all phases of life to those seeking help. The ashtabula county medical center health care team is committed to preserving the human rights and dignity of those who receive our care and those who provide it.

To provide quality healthcare to positively impact the health of our community.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$62,961,682$59,677,710▼ $3,283,972
Land, Buildings, and Equipment, Net$26,442,813$31,280,601▲ $4,837,788
Accounts Receivable$19,275,809$20,766,998▲ $1,491,189
Cash and Non-Interest-Bearing Accounts$23,410,920$18,341,038▼ $5,069,882
Investments Other Securities$3,009,392$3,146,515▲ $137,123
Savings and Temporary Cash Investments$1,822,512$2,143,007▲ $320,495
Inventories for Sale or Use$1,432,789$2,065,875▲ $633,086
Prepaid Expenses and Deferred Charges$1,456,389$1,960,965▲ $504,576
Total Assets$148,606,583$147,662,470▼ $944,113
Other Assets Total$8,794,277$8,279,761▼ $514,516
Liabilities
Other Liabilities$44,041,849$37,818,339▼ $6,223,510
Accounts Payable and Accrued Expenses$14,629,623$16,983,075▲ $2,353,452
Deferred Revenue$112,545$65,611▼ $46,934
Mortgage Notes Payable Secured by Investment Property$22,468$0▼ $22,468
Total Liabilities$58,806,485$54,867,025▼ $3,939,460
Net Assets / Fund Balance
Unrestricted Net Assets$89,785,796$92,781,143▲ $2,995,347
Temporarily Rstr Net Assets$14,302$14,302→ $0
Total Net Assets Fund Balance$89,800,098$92,795,445▲ $2,995,347
Total Liabilities and Net Assets / Fund Balance$148,606,583$147,662,470▼ $944,113

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$13,744,316$42,871,445$56,615,761
Buildings$12,840,026$23,584,265$36,424,291
Leasehold Improvements$935,398$3,310,609$4,246,007
Land$2,519,092-$2,519,092
Other Land Buildings$1,241,769-$1,241,769
Other Assets Org$242,883--
Compensation and Service Providers
Top Officer Pay83rd percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Alexander Taich MdPhysicianFT$1,166,361$18,580$1,184,941
Laxman R Cingireddi MdPhysicianFT$821,195$17,114$838,309
Pazhaniaandi Tirounilacandin MdPhysicianFT$741,298$17,701$758,999
Brandon L Raudenbush MdPhysicianFT$666,560$49,312$715,872
Nathaniel S Franley MdPhysicianFT$613,188$79,719$692,907
Sathish Adigopula MdBoard Member/vice-chief of StaffFT$573,199$17,930$591,129
Daniel Keaton Md Board MemberChief of Staff (through 12/18)FT$190,420$14,214$204,634

Board Members and Trustees

NameTitle
Susan Stocker PhdChairperson (through 2/14/18)
Michael HabowskiPresident/CEO
Nancy KisterVice-chairperson
Bill DingledineBoard Member
Craig SernikBoard Member
Elena MarquettiBoard Member
Jim TimonereBoard Member
Marlene SartiniBoard Member
Peg CarloBoard Member
Rev Vernon PaloBoard Member
Richard ParkerBoard Member
Roger CorlettBoard Member
Jason HergenroederBoard Member/CCF Representative
Kelly HancockBoard Member/CCF Representative
Jacquelyn DifioreCNO
Joe GiangolaSecretary/treasurer
Don KepnerVP Finance/CFO

Highest Paid Contractors

ContractorServicesLocationCompensation
AmerisourcebergenMedical25199 NETWORK PLACE, Chicago, IL 60673$12,661,021
Cleveland Clinic FoundationAdministrative And Clinical ServicesPO BOX 931760, Cleveland, OH 44193$10,224,375
Cardinal Health Medical Products And SerMedicalPO BOX 70539, Chicago, IL 60673$2,935,040
Anesthesia Consultants EftMedical5168 STANSBURG ROAD, Solon, OH 44139$2,655,637
Aramark CorpCafeteria And Dietary Services27310 NETWORK PLACE, Chicago, IL 60673$1,897,516
Revenue and Support

Revenue Composition

Contributions and Grants
$10,927,688
Program Service Revenue
$144,371,460
Investment Income
$2,185,731
Other Revenue
$425,268
All Other Contributions
$77,688
Change in Net Assets
$10,822,314
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$79,118,964
Other Expenses$67,668,786
Grants and Similar Amounts Paid$300,083
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$51,301,496$11,261,304-$62,562,800
Fees for Services Other$10,487,960$2,302,234-$12,790,194
Other Employee Benefits$7,095,466$1,557,541-$8,653,007
Fees for Services Management$3,747,566$822,637-$4,570,203
Payroll Taxes$3,431,106$753,170-$4,184,276
Depreciation Depletion$3,388,094$743,728-$4,131,822
Pension Plan Contributions$1,849,904$406,076-$2,255,980
Other Expenses$1,704,882$374,242-$2,079,124
Insurance$1,552,274$340,743-$1,893,017
Occupancy$1,460,217$320,536-$1,780,753
Current Officers, Directors, Trustees, and Key Employees$1,199,579$263,322-$1,462,901
Payments to Affiliates-$1,323,250-$1,323,250
All Other Expenses$843,867$185,239-$1,029,106
Office Expenses$724,203$158,971-$883,174
Advertising$335,274$73,597-$408,871
Grants to Domestic Orgs$300,083--$300,083
Fees for Services Legal$171,939$37,743-$209,682
Fees for Services Accounting$85,793$18,832-$104,625
Travel$62,523$13,724-$76,247
Interest$31$7-$38
Total Functional Expenses$121,191,251$25,896,582$0$147,087,833
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Ashtabula Regional Home Health ServicesAshtabula, OH501(c)(3)General Operating Support$300,000
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
Brittany GilbertFamily Member of Peg Carlo, Acmc TrusteeEmployment Agreement With AcmcNo$68,138
Kimberly GiangolaFamily Member of Joseph Giangola, Acmc TrusteeEmployment Agreement With AcmcNo$30,381
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Investment From Cleveland Clinic Foundation$15,000,000
Reserve for Self-insurance Liabilities$11,136,988
Accrued Pension Liability$5,535,866
Deferred Compensation$2,642,535
Third-party Payables$2,179,700
Distribution Payable to the Cleveland Clinic Foundation$1,323,250
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 3

“The cleveland clinic foundation holds and exercises a management agreement with acmc.”

Form 990, Part VI, Section A, Line 6

“The cleveland clinic foundation is the sole special member of ashtabula county medical center.”

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

“The board members are appointed by the cleveland clinic foundation, the special member.”

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

“The following matters require the approval of the cleveland clinic foundation, the special member: (a) changes to the articles of incorporation or the code of regulations that would have a material adverse impact on the special member's rights; (b) any affiliation of acmc or its subsidiaries or affiliates with any other hospital, hospital system, or health care system which includes hospitals as part of such system; (c) any material change to acmc's operation or purpose such that acmc's principal activity ceases to be an acute care inpatient hospital of no less than 200 licensed beds; (d) selection of acmc's president/ceo; and (e) review and coordination with acmc of all managed care and employer contracts.”

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

“The form 990 report is published to the board of directors' website prior to filing.”

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

“Each trustee, principal officer, member of a committee with board-delegated powers, and key employee shall annually sign a statement, which affirms that such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the corporation is a charitable organization and that in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. If a person covered by the conflict of interest policy believes he or she has a potential conflict of interest, that person is to disclose the conflict to the board. After disclosure of the financial interest and all material facts, and after any discussion with the interested person, he or she shall leave the board or committee meeting while the determination of a conflict of interest is discussed and voted upon. The remaining board or committee members shall decide if a conflict of interest exists. The disclosing person may make a presentation regarding the proposed transaction/potential conflict of interest at the board or committee meeting, but after such presentation, he or she shall leave the meeting during the discussion of, and the vote on, the proposed transaction or arrangement that results in the conflict of interest. The chairperson of the board or committee shall, if appropriate, appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. After exercising due diligence, the board or committee shall determine whether the corporation can obtain a more advantageous transaction or arrangement with reasonable efforts from a person or entity that would not give rise to a conflict of interest. If a more advantageous transaction or arrangement is not reasonably attainable under circumstances that would not give rise to a conflict of interest, the board or committee shall determine by a majority vote of the disinterested trustees whether the transaction or arrangement is in the corporation's best interest and for its own benefit and whether the transaction is fair and reasonable to the corporation and shall make its decision as to whether to enter into the transaction or arrangement in conformity with such determination. If the board or committee has reasonable cause to believe that a member has failed to disclose actual or possible conflicts of interest, it shall inform the member of the basis for such belief and afford the member an opportunity to explain the alleged failure to disclose. If, after hearing the response of the member and making such further investigation as may be warranted in the circumstances, the board or committee determines that the member has in fact failed to disclose an actual or possible conflict of interest, it shall take appropriate disciplinary and corrective action.”

Form 990, Part VI, Section B, Line 15

“Salaries are reviewed approximately every two years. Salaries are compared to local, regional, and national market rates and in conjunction with the ceo and cfo to determine compensation. When openings for key positions become available, the human resources department examines the market rates to determine a starting salary.”

Form 990, Part VI, Section C, Line 19

“All requests are sent to the ceo for distribution.”

Form 990, Part VII, Section A

“The following officers working full-time for acmc are employed by the cleveland clinic and are compensated through employment agreements with the cleveland clinic: michael habowski, president/ceo; don kepner, vp finance/cfo; jacquelyn difiore, cno. In addition, other executives work full time for acmc and are employed by the cleveland clinic, those executives are lew hutchison, vp of operations and quality and jonathan forbes, director of human resources.”

Filing and Contact Details

Filer

Filer Name
Ashtabula County Medical Center
EIN
34-0726081
Phone
4409972262
Address
2420 LAKE AVENUE, ASHTABULA, OH 44004

Signing Officer

Name
Don Kepner
Title
VP Finance/CFO
Phone
4409972262
Signed
2019-11-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Michael Habowski
Formed
1902
Legal Domicile
Oh
Voting Board Members
17
Independent Board Members
12
Employees
1,319
Volunteers
187

Preparer

Firm
Cliftonlarsonallen Llp
Address
4505 STEPHEN CIRCLE NW STE 200, CANTON, OH 44718
Preparer
Lisa Hilling
Phone
3304972000
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

“Equity income in affliate 137,123. Effect of recognition provision at measurement date of pension obligation -2,559,527.”

Federal Elections

“Section 1.263(a)-1(f) de minimis safe harbor election ashtabula county medical center 2420 lake avenue ashtabula, oh 44004 employer identification number: 34-0726081 for the year ending december 31, 2018. Ashtabula county medical center is making the de minimis safe harbor election under reg. Sec. 1.263(a)-1(f).”

Financial Statement Notes

PART X, LINE 2:

“When tax returns are filed, it is highly certain that some positions taken would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the position taken or the amount of the position that would be ultimately sustained. In accordance with the income taxes topic of the financial accounting standards board (fasb) accounting standards codification, the benefit of a tax position is recognized in the financial statements in the period during which, based on all available evidence, management believes it is more likely than not that the position will be sustained upon examination, including the resolution of appeals or litigation processes, if any. Tax positions taken are not offset or aggregated with other positions. Tax positions that meet the more-likely-than-not recognition threshold are measured as the largest amount of tax benefit that is more than 50% likely of being realized upon settlement with the applicable taxing authority. The portion of the benefits associated with tax positions taken that exceeds the amount measured as described above is recorded as a liability for unrecognized tax benefits along with any associated interest and penalties that would be payable to the taxing authorities upon examination.”

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0ASHTABULA COUNTY MEDICAL CENTER (ACMC) IS A PRIVATE, NOT-FOR-PROFIT, COMMUNITY-ORIENTED MEDICAL CENTER THAT PROVIDES THE BEST POSSIBLE MEDICAL CARE THROUGH ALL PHASES OF LIFE TO THOSE SEEKING HELP. IN 2018 WE MET OUR MISSION OF MEETING OUR COMMUNITY'S HEALTH CARE NEEDS AS EVIDENCED BY APPROXIMATELY 33,851 EMERGENCY DEPARTMENT VISITS, 6,122 INPATIENT DISCHARGES, 1,227 INPATIENT SURGERIES, 6,712 OUTPATIENT SURGERIES, 359 BIRTHS, AND 73,302 RADIOLOGY PROCEDURES.
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IRS990/Form990PartVIISectionAGrp/PersonNm1NANCY KISTER
IRS990/Form990PartVIISectionAGrp/PersonNm2JOE GIANGOLA
IRS990/Form990PartVIISectionAGrp/PersonNm3MICHAEL HABOWSKI
IRS990/Form990PartVIISectionAGrp/PersonNm4PEG CARLO
IRS990/Form990PartVIISectionAGrp/PersonNm5BILL DINGLEDINE
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IRS990/Form990PartVIISectionAGrp/PersonNm7REV VERNON PALO
IRS990/Form990PartVIISectionAGrp/PersonNm8MARLENE SARTINI
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IRS990/Form990PartVIISectionAGrp/PersonNm15DANIEL KEATON MD BOARD MEMBER
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IRS990/Form990PartVIISectionAGrp/PersonNm17DON KEPNER
IRS990/Form990PartVIISectionAGrp/PersonNm18JACQUELYN DIFIORE
IRS990/Form990PartVIISectionAGrp/PersonNm19ALEXANDER TAICH MD
IRS990/Form990PartVIISectionAGrp/PersonNm20NATHANIEL S FRANLEY MD
IRS990/Form990PartVIISectionAGrp/PersonNm21LAXMAN R CINGIREDDI MD
IRS990/Form990PartVIISectionAGrp/PersonNm22BRANDON L RAUDENBUSH MD
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IRS990/Form990PartVIISectionAGrp/TitleTxt3PRESIDENT/CEO
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IRS990/Form990PartVIISectionAGrp/TitleTxt12BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt13BOARD MEMBER/CCF REPRESENTATIVE
IRS990/Form990PartVIISectionAGrp/TitleTxt14BOARD MEMBER/CCF REPRESENTATIVE
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IRS990/Form990PartVIISectionAGrp/TitleTxt16BOARD MEMBER/VICE-CHIEF OF STAFF
IRS990/Form990PartVIISectionAGrp/TitleTxt17VP FINANCE/CFO
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IRS990/MembersOrStockholdersInd01
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0ASHTABULA COUNTY MEDICAL CENTER PROVIDES QUALITY HEALTHCARE TO POSITIVELY IMPACT THE HEALTH OF OUR COMMUNITY.
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IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt0158971
IRS990/OfficeExpensesGrp/ProgramServicesAmt0724203
IRS990/OfficeExpensesGrp/TotalAmt0883174
IRS990/OfficerMailingAddressInd00

Document Assets

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Filings

Displayed year

2018 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$147,662,470
Liabilities
$54,867,025
Net assets
$92,795,445
Revenue
$157,910,147
Expenses
$147,087,833
Net income
$10,822,314
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$305$141$164$189$188$0.77
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$274$133$141$179$169$9.80
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$214$76.5$138$174$169$5.27
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$199$89.1$110$159$160$1.26
2018Detailed filing. Detailed filing data is available for this year.$148$54.9$92.8$158$147$10.8
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$136$63.1$73.4$154$138$16.4
2015Detailed filing. Detailed filing data is available for this year.$114$61.3$52.6$125$117$7.80
2014Detailed filing. Detailed filing data is available for this year.$115$63.9$51.3$114$109$5.74
2013Detailed filing. Detailed filing data is available for this year.$108$57.1$50.7$103$100$2.69
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$95.8$63.6$32.2$93.7
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$82.3$55.3$27.0$91.9
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$72.0$34.7$37.3$88.8