Civic Intelligence

Thedacare Inc.

990 • Fiscal year 2017 • EIN 39-1509362

Jan 01, 2017 to Dec 31, 2017 • Filed on Nov 09, 2018

122 East College AvenueAppleton, WI 54911

(920) 735-5560

Siviq Scores

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

Liabilities / Assets

98th percentile

1.46x

Higher debt load relative to assets than 98% of similar nonprofits.

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

Liabilities / Revenue

91st percentile

3.55x

Higher debt load relative to revenue than 91% of similar nonprofits.

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

Net Margin

6th percentile

-19%

Higher net margin than 6% of similar nonprofits.

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

Top Officer Pay

81st percentile

$1,746,080

Higher top officer pay than 81% 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

69th percentile

11%

Faster asset growth than 69% of similar nonprofits.

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

Revenue Growth

80th percentile

19%

Faster revenue growth than 80% of similar nonprofits.

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

Assets

Up

$816,169,819

Up $77,842,621 (+11%) from 2016

Net Assets

Down

-$375,155,714

Down $12,013,390 (-3.3%) from 2016

Liabilities

Up

$1,191,325,533

Up $89,856,011 (+8.2%) from 2016

Revenue

Up

$335,393,064

Up $54,053,190 (+19%) from 2016

Expenses

Up

$399,996,116

Up $45,125,814 (+13%) from 2016

Net Income

Up

-$64,603,052

Up $8,927,376 (+12%) from 2016

Historical Trend

Balance Sheet Trend

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

$2.0B$1.0B$0-$1.0BAssets 2010: $241,298,868Liabilities 2010: $459,587,454Net Assets 2010: -$218,288,5862010Assets 2011: $433,132,372Liabilities 2011: $696,190,372Net Assets 2011: -$263,058,0002011Assets 2012: $486,244,062Liabilities 2012: $760,776,189Net Assets 2012: -$274,532,1272012Assets 2013: $539,996,111Liabilities 2013: $740,845,487Net Assets 2013: -$200,849,3762013Assets 2014: $701,674,312Liabilities 2014: $910,144,606Net Assets 2014: -$208,470,2942014Assets 2015: $728,987,843Liabilities 2015: $1,029,103,495Net Assets 2015: -$300,115,6522015Assets 2016: $738,327,198Liabilities 2016: $1,101,469,522Net Assets 2016: -$363,142,3242016Assets 2017: $816,169,819Liabilities 2017: $1,191,325,533Net Assets 2017: -$375,155,7142017Assets 2018: $832,833,769Liabilities 2018: $1,376,872,636Net Assets 2018: -$544,038,8672018Assets 2019: $865,028,252Liabilities 2019: $1,446,524,287Net Assets 2019: -$581,496,0352019Assets 2020: $920,144,650Liabilities 2020: $1,505,607,361Net Assets 2020: -$585,462,7112020Assets 2021: $691,025,693Liabilities 2021: $1,231,541,508Net Assets 2021: -$540,515,8152021Assets 2022: $1,136,849,886Liabilities 2022: $1,859,846,836Net Assets 2022: -$722,996,9502022Assets 2023: $1,208,993,624Liabilities 2023: $1,933,436,807Net Assets 2023: -$724,443,1832023Assets 2024: $1,333,239,937Liabilities 2024: $1,980,259,471Net Assets 2024: -$647,019,5342024

Highlighted filing

2017

Assets$816,169,819
Liabilities$1,191,325,533
Net Assets-$375,155,714

Operations Trend

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

$600M$400M$200M$0-$200MExpenses 2010: $256,147,9322010Revenue 2011: $264,521,249Expenses 2011: $266,684,185Net Income 2011: -$2,162,9362011Expenses 2012: $279,601,7602012Revenue 2013: $292,270,308Expenses 2013: $294,393,326Net Income 2013: -$2,123,0182013Revenue 2014: $304,800,800Expenses 2014: $295,849,781Net Income 2014: $8,951,0192014Revenue 2015: $277,563,509Expenses 2015: $323,539,272Net Income 2015: -$45,975,7632015Revenue 2016: $281,339,874Expenses 2016: $354,870,302Net Income 2016: -$73,530,4282016Revenue 2017: $335,393,064Expenses 2017: $399,996,116Net Income 2017: -$64,603,0522017Revenue 2018: $338,349,418Expenses 2018: $430,111,591Net Income 2018: -$91,762,1732018Revenue 2019: $398,205,794Expenses 2019: $453,645,584Net Income 2019: -$55,439,7902019Revenue 2020: $356,821,046Expenses 2020: $369,249,187Net Income 2020: -$12,428,1412020Revenue 2021: $439,639,874Expenses 2021: $397,371,471Net Income 2021: $42,268,4032021Revenue 2022: $372,166,724Expenses 2022: $412,618,147Net Income 2022: -$40,451,4232022Revenue 2023: $365,643,869Expenses 2023: $500,558,723Net Income 2023: -$134,914,8542023Revenue 2024: $210,835,328Expenses 2024: $236,139,295Net Income 2024: -$25,303,9672024

Highlighted filing

2017

Revenue$335,393,064
Expenses$399,996,116
Net Income-$64,603,052
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Nov 9, 2018
Return Version
2017v2.3
Gross Receipts
$335,412,967
Mission and Program Overview

Mission

To provide the highest quality health care, delivered in the most efficient and cost-effective ways, and accessible to all members of the community.

Improving the health of our community.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$345,714,009$404,340,822▲ $58,626,813
Investments Other Securities$136,669,200$167,724,100▲ $31,054,900
Land, Buildings, and Equipment, Net$162,762,423$167,186,294▲ $4,423,871
Accounts Receivable$34,419,236$36,207,403▲ $1,788,167
Savings and Temporary Cash Investments$37,811,529$28,258,901▼ $9,552,628
Prepaid Expenses and Deferred Charges$13,152,753$7,435,030▼ $5,717,723
Inventories for Sale or Use$463,208$543,588▲ $80,380
Total Assets$738,327,198$816,169,819▲ $77,842,621
Other Assets Total$7,334,840$4,473,681▼ $2,861,159
Liabilities
Other Liabilities$644,744,228$747,019,799▲ $102,275,571
Tax Exempt Bond Liabilities$282,649,936$277,315,813▼ $5,334,123
Deferred Revenue$100,935,263$98,854,068▼ $2,081,195
Accounts Payable and Accrued Expenses$73,140,095$68,135,853▼ $5,004,242
Total Liabilities$1,101,469,522$1,191,325,533▲ $89,856,011
Net Assets / Fund Balance
Temporarily Rstr Net Assets$221,603$0▼ $221,603
Permanently Rstr Net Assets$10,000$10,000→ $0
Unrestricted Net Assets$-363,373,927$-375,165,714▼ $11,791,787
Total Net Assets Fund Balance$-363,142,324$-375,155,714▼ $12,013,390
Total Liabilities and Net Assets / Fund Balance$738,327,198$816,169,819▲ $77,842,621

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$115,398,595$40,928,352$156,326,947
Equipment$26,893,433$125,664,883$152,558,316
Land$13,843,782-$13,843,782
Other Land Buildings$10,799,255-$10,799,255
Leasehold Improvements$251,229$756,736$1,007,965
Other Securities$18,543,296--
Closely Held Equity Interests$149,180,804--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Erickson Eric MdPhysicianFT$1,709,315$36,765$1,746,080
Kleist Kenneth MdPhysicianFT$1,199,193$38,942$1,238,135
Blomberg Joshua MdPhysicianFT$928,469$282,555$1,211,024
Jones David MdPhysicianFT$888,857$118,084$1,006,941
Zirgibel Brian MdPhysicianFT$816,250$91,337$907,587
Edelmangary MdBoard Member/physicianFT$444,717$37,056$481,773
Moard Douglas MdBoard Member/physicianFT$291,666$39,867$331,533
Redman-schell JenniferVP Sr Phys, Behav, TransPT$205,425$55,643$261,068
Gruner DeanFormer Board Member/CEOPT$140,099$112,374$252,473
Olson TimFormer CFO - SystemPT$151,573$74,744$226,317
Andrabi Imran MdPresident and CEO - SystemPT$131,492$56,002$187,494
Pistone MaureenVP Sr Hr ServicesPT$100,241$37,176$137,417
Arquilla TomChief Strategy OfficerPT$65,315$30,323$95,638
Ausloos JodiInterim CIOPT$71,482$16,338$87,820
Thompson MarkCFO & COO - SystemPT$26,701$53,626$80,327

Board Members and Trustees

NameTitle
Timm TerryChair
Kotek JimVice Chair & Secretary
Bergstrom TimBoard Member
Brennan Patrick MdBoard Member
Burstein MarkBoard Member
Davis JohnBoard Member
Koeper David MdBoard Member
Lamontagne GrantBoard Member
Meyer JimBoard Member
Timberlake KarenBoard Member
Van Laanen MariaBoard Member
Walsh Cyril P MdBoard Member
Turk Norma MdBoard Member/physician
Henson PamelaFormer Board Member
Klister PaulFormer Board Member

Highest Paid Contractors

ContractorServicesLocationCompensation
Radiation Oncology SpecialistsMedical Services424 E WISCONSIN AVE, Appleton, WI 54912$3,001,151
Daily Care HospitalistsMedical ServicesPO BOX 11934, Green Bay, WI 54307-1934$1,413,340
Laughlin Constable INCAdvertisingPO BOX 8435, Carol Stream, IL 60197-8435$791,552
Heartland Business Systems LLCIt Services75 REMITTANCE DRIVE DEPT 3286, Chicago, IL 60675$543,053
Truven Health Analytics INCBusiness ServicesPO BOX 95334, Chicago, IL 60694$524,203
Revenue and Support

Revenue Composition

Contributions and Grants
$1,007,240
Program Service Revenue
$282,495,530
Investment Income
$22,144,629
Other Revenue
$29,745,665
All Other Contributions
$238,885
Change in Net Assets
$-64,603,052
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$259,377,394
Other Expenses$138,395,567
Grants and Similar Amounts Paid$2,223,155
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$191,068,688$12,409,994-$203,478,682
Fees for Services Other$47,633,871$6,557,454-$54,191,325
Other Employee Benefits$26,559,896$10,638,267-$37,198,163
Office Expenses$19,280,240$350,421-$19,630,661
Occupancy$12,366,600$3,587,121-$15,953,721
Payroll Taxes$9,292,799$2,721,209-$12,014,008
Depreciation Depletion$8,449,942$1,772,583-$10,222,525
Pension Plan Contributions$3,172,079$1,355,810-$4,527,889
Advertising$2,509,734$565,104-$3,074,838
Interest$1,999,184$883,132-$2,882,316
Grants to Domestic Orgs$2,223,155--$2,223,155
Current Officers, Directors, Trustees, and Key Employees$1,074,373$1,084,279-$2,158,652
Conferences and Meetings$1,528,681$84,515-$1,613,196
Travel$1,322,463$123,844-$1,446,307
Insurance$1,097,583$147,745-$1,245,328
Fees for Service Investment Mgmnt Fees$967,299$241,825-$1,209,124
Fees for Services Legal$997,227$77,394-$1,074,621
Other Expenses$515,550$77,516-$593,066
Fees for Services Management$118,231$25,826-$144,057
Total Functional Expenses$354,820,887$45,175,229$0$399,996,116
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Thedacare Family of Foundations IncAppleton, WI501(c)(3)General$1,392,646
Community FoundationAppleton, WI501(c)(3)General$200,000
United Way of the Fox CitiesNeenah, WI501(c)(3)General$96,437
YmcaAppleton, WI501(c)(3)General$93,200
Partnership Community Health CenterAppleton, WI501(c)(3)General$74,263
Boys and Girls ClubShawano, WI501(c)(3)General$43,000
Rural Health InitiativeShawano, WI501(c)(3)General$41,300
Harbor HouseAppleton, WI501(c)(3)General$33,333
Uw Oshkosh LLCOshkosh, WIGovernmentGeneral$30,000
Florida Hospital AssociationTallahassee, FL501(c)(3)General$25,000
Texas Hospital AssociationGrapevine, TX501(c)(3)General$25,000
New London School DistrictNew London, WIGovernmentGeneral$10,200
New North IncDe Pere, WI501(c)(3)General$10,000

International Summary

Offices
0
Employees
0
Spending
$103,556,365

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
No
Foreign partnership interest
No
Interest in foreign trust
No
Passive foreign investment company interest
Yes
Transfers to foreign corporations
No

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central America and the CaribbeanInvestmentsN/a00$103,556,365
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$747,019,799

Bond Issues

BondIssuerIssuedIssue PricePurpose
BWhefa Rev Bond 20152015-01-07$140,628,056Refunding and facility contstruction reno
AWhefa Rev Bond 2009a2009-06-16$88,469,772Facility construction renovation and remodeling
DWhefa Rev Bond 2012a2012-10-19$49,745,000REFUNDING
BWhefa Rev Bond 2009b2009-06-16$36,717,948REFUNDING
CWhefa Rev Bond 20102010-05-25$25,508,288REFUNDING
AWhefa Rev Bond 2014a2014-08-06$11,554,244REFUNDING

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
B$140,972,887--$1,236,782
A$88,469,772$34,558,000$2,010,000$1,018,634
D$49,745,000$11,463,643$500,000$279,179
B$36,717,948$25,175,981$2,815,000$425,525
C$25,508,288$49,465,821$1,540,000$332,397
A$11,554,244$46,470,904$1,775,000$90,600

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
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
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
No
Management duties delegated
No

Governance Explanations

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

A draft of the form 990 is provided to the organization's designated committee of the board of directors for review and discussion. The final version of the form 990 is emailed to the entire board before the return is filed.

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

Questionnaires are sent to all managers, trustees, and officers annually. Completed forms are returned to the compliance officer. The compliance officer reviews the questionnaires and follows up with any questions about the managers' answers on the conflict of interest forms. All employees and board members are covered under the conflict of interest policy. The corporate compliance committee reviews the potential conflict and the cfo/board of trustees review all conflicts. After disclosure of the conflict, the employee shall not participate in the decision whether to engage in the transaction in which the employee has an interest.

Form 990, Part VI, Section B, Line 15

Thedacare hires an outside consulting firm to conduct a thorough market review of executive compensation every other year. Internally, a compensation committee reaffirms the compensation policy, reviews data from consultants, and with input from the senior vice president of human resources, advises, validates, and approves a range for ceo compensation. The committee also ratifies the at-risk compensation plan.

Form 990, Part VI, Section C, Line 19

Thedacare inc. Does not make its governing documents, conflict of interest policy and internal financial statements available to the public.

Filing and Contact Details

Filer

Filer Name
Thedacare Inc
EIN
39-1509362
Phone
9207355560
Address
122 EAST COLLEGE AVENUE, APPLETON, WI 54911

Signing Officer

Name
Mark Thompson
Title
CFO & COO
Phone
9207355560
Signed
2018-11-09
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Mark Thompson
Formed
1985
Legal Domicile
Wi
Voting Board Members
16
Independent Board Members
12
Employees
7,795
Volunteers
17

Preparer

Firm
Wipfli Llp
Address
PO BOX 12237, GREEN BAY, WI 54307-2237
Preparer
Terri Rexrode CPA Mst
Phone
9206620016
Supplemental Narrative

Additional Explanations

FORM 990, PART I, LINE 5:

Number of employees: thedacare inc. Centralizes payroll and tax withholding functions for a number of affiliated entities, with all filings under thedacare's federal identification number.

Form 990, Part V, Line 4A

Thedacare, inc. Has a financial interest in foreign hedge funds. Pursuant to the irs definition of foreign financial accounts, a foreign hedge fund is not reportable for purposes of form 114. Thus, thedacare, inc. Has answered "yes" to part v, question 4a on the 2017 form 990; however, no form 114 is required.

Form 990, Part IX, Line 11G

Other purchased services: program service expenses 25,693,878. Management and general expenses 3,966,596. Fundraising expenses 0. Total expenses 29,660,474. Contract labor: program service expenses 8,799,538. Management and general expenses 88,571. Fundraising expenses 0. Total expenses 8,888,109. Patient services: program service expenses 9,222,622. Management and general expenses 2,502,287. Fundraising expenses 0. Total expenses 11,724,909. Hospice care: program service expenses 3,917,833. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,917,833.

FORM 990, PART XI, LINE 9:

Pension related changes -12,387,342. Funds restriction reclass -180,548. Equity reclass to/from contributions 115,446.

FORM 990, PART XII, LINE 2C:

Oversight of audit: this process has not changed from the prior year.

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IRS990/Desc0THEDACARE IS A TAX-EXEMPT, NON-PROFIT CORPORATION, AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE.THEDACARE IS A REGIONAL HEALTH SYSTEM OPERATING 7 HOSPITALS AND 35 MEDICAL CLINICS THROUGHOUT NORTHEAST AND CENTRAL WISCONSIN, SERVING 23 COMMUNITIES IN 9 COUNTIES.THEDACARE OPERATES ONE OF NINE NATIONALLY VERIFIED LEVEL II TRAUMA CENTERS IN THE STATE OF WISCONSIN THEDACARE REGIONAL MEDICAL CENTER-NEENAH AND THEDASTAR AIR MEDICAL, PROVIDING RAPID PATIENT HELICOPTER TRANSPORTS AND TRANSFERS FOR TRAUMA AND CRITICALLY ILL PATIENTS TO THE APPROPRIATE HEALTH CARE FACILITY.THEDACARE OFFERS A STRONG PRIMARY CARE NETWORK WITH MORE THAN 225 PROVIDERS DELIVERING CARE TO OUR 180,000 COMMUNITY MEMBERS, WHICH REPRESENTS 1,800 OFFICE VISITS PER DAY OR 663,000 VISITS ANNUALLY. ADDITIONAL HEALTH AND CARE SERVICES THROUGH EMPLOYED AND AFFILIATED PROVIDER RELATIONSHIPS INCLUDE ORTHOPEDIC CARE, CARDIOVASCULAR CARE, CANCER CARE, HEMATOLOGY, BARIATRICS CARE, BEHAVIORAL HEALTH, DIABETES CARE, SPINE AND NEUROLOGICAL CARE, STROKE CARE, NEPHROLOGY, OPTHAMOLOGY, UROLOGY, PULMONARY, WOMEN'S HEALTH AND MORE.MOST CLINICS ALSO OFFER DIAGNOSTIC SERVICES SUCH AS X-RAY, ULTRASOUND, MRI, CAT SCAN, MAMMOGRAPHY AND MEDICAL LABORATORY TESTING. IN ADDITON, WE OFFER CONVENIENT WALK-IN CARE, FASTCARE AND EVISITS FOR ENHANCED COMMUNITY ACCESS TO HEALTHCARE.THEDACARE IS COMMITTED TO COMMUNITY FOCUSED EFFORTS IDENTIFIED IN THE COMMUNITY NEEDS HEALTH ASSESSMENT IN COUNTIES WHERE SERVICES ARE PROVIDED. SPECIFIC COMMUNITY EFFORTS ARE DETAILED FOR EACH COUNTY IN EACH INDIVIDUAL HOSPITAL REPORT ENCLOSED IN THIS SUBMISSION. THEDACARE OPERATES ON A NON-DISCRIMINATORY BASIS REGARDLESS OF RACE, COLOR, SEX, RELIGION, OR NATIONAL ORIGIN. THEDACARE PROVIDES A VARIETY OF FINANCIAL ASSISTANCE OPTIONS TO PATIENTS WHO MEET ESTABLISHED CRITERIA. SERVICES ARE ALSO PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. THEDACARE OFFERS SCHOLARSHIPS, INTERPRETING AND EDUCATIONAL SERVICES, AND AS WELL AS VARIOUS OTHER COMMUNITY BENEFITS.
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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.$1,333$1,980$647$211$236$25.3
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,209$1,933$724$366$501$135
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,137$1,860$723$372$413$40.5
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$691$1,232$541$440$397$42.3
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$920$1,506$585$357$369$12.4
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$865$1,447$581$398$454$55.4
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$833$1,377$544$338$430$91.8
2017Detailed filing. Detailed filing data is available for this year.$816$1,191$375$335$400$64.6
2016Import issue. A filing source exists for this year, but detailed import did not complete cleanly.$738$1,101$363$281$355$73.5
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$729$1,029$300$278$324$46.0
2014XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$702$910$208$305$296$8.95
2013Detailed filing. Detailed filing data is available for this year.$540$741$201$292$294$2.12
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$486$761$275$280
2011Summary only. Only limited summary data is available for this year.$433$696$263$265$267$2.16
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$241$460$218$256