Civic Intelligence

Gundersen Lutheran Administrative Services Inc.

990 • Fiscal year 2023 • EIN 39-1606449

Oct 01, 2022 to Sep 30, 2023 • Filed on Aug 15, 2024

1910 South AveLA Crosse, WI 54601

(608) 782-7300

Siviq Scores

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

Liabilities / Assets

96th percentile

1.04x

Higher debt load relative to assets than 96% of similar nonprofits.

2023 filings • 501(c)3 • $1B+ nonprofits • Source year 2023

Liabilities / Revenue

76th percentile

1.22x

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

2023 filings • 501(c)3 • $1B+ nonprofits • Source year 2023

Net Margin

53rd percentile

5.0%

Higher net margin than 53% of similar nonprofits.

2023 filings • 501(c)3 • $1B+ nonprofits • Source year 2023

Top Officer Pay

3rd percentile

$0

Higher top officer pay than 3% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2023 filings • 501(c)3 • $1B+ nonprofits • Source year 2023

Asset Growth

24th percentile

0.1%

Faster asset growth than 24% of similar nonprofits.

2023 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2022 to 2023

Revenue Growth

18th percentile

-13%

Faster revenue growth than 18% of similar nonprofits.

2023 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2022 to 2023

Assets

Up

$1,008,817,960

Up $1,244,364 (+0.1%) from 2022

Net Assets

Up

-$43,811,818

Up $43,933,214 (+50%) from 2022

Liabilities

Down

$1,052,629,778

Down $42,688,850 (-3.9%) from 2022

Revenue

Down

$866,304,960

Down $127,435,376 (-13%) from 2022

Expenses

Down

$823,416,379

Down $177,874,541 (-18%) from 2022

Net Income

Up

$42,888,581

Up $50,439,165 (+668%) from 2022

Historical Trend

Balance Sheet Trend

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

$1.5B$1.0B$500M$0-$500MAssets 2010: $841,776,108Liabilities 2010: $834,726,487Net Assets 2010: $7,049,6212010Assets 2011: $996,513,087Liabilities 2011: $992,116,884Net Assets 2011: $4,396,2032011Assets 2012: $1,059,183,225Liabilities 2012: $1,067,433,042Net Assets 2012: -$8,249,8172012Assets 2013: $684,537,376Liabilities 2013: $690,717,939Net Assets 2013: -$6,180,5632013Assets 2014: $744,287,546Liabilities 2014: $750,682,209Net Assets 2014: -$6,394,6632014Assets 2015: $796,373,851Liabilities 2015: $797,732,726Net Assets 2015: -$1,358,8752015Assets 2016: $860,542,249Liabilities 2016: $877,494,737Net Assets 2016: -$16,952,4882016Assets 2017: $941,583,564Liabilities 2017: $956,164,090Net Assets 2017: -$14,580,5262017Assets 2018: $915,514,367Liabilities 2018: $928,337,722Net Assets 2018: -$12,823,3552018Assets 2019: $1,013,495,709Liabilities 2019: $1,026,978,780Net Assets 2019: -$13,483,0712019Assets 2020: $1,186,143,808Liabilities 2020: $1,200,329,600Net Assets 2020: -$14,185,7922020Assets 2021: $1,235,621,372Liabilities 2021: $1,192,791,645Net Assets 2021: $42,829,7272021Assets 2022: $1,007,573,596Liabilities 2022: $1,095,318,628Net Assets 2022: -$87,745,0322022Assets 2023: $1,008,817,960Liabilities 2023: $1,052,629,778Net Assets 2023: -$43,811,8182023Assets 2024: $1,116,323,421Liabilities 2024: $1,080,669,545Net Assets 2024: $35,653,8762024

Highlighted filing

2023

Assets$1,008,817,960
Liabilities$1,052,629,778
Net Assets-$43,811,818

Operations Trend

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

$1.5B$1.0B$500M$0-$500MExpenses 2010: $580,406,5222010Expenses 2011: $594,756,3752011Expenses 2012: $619,688,0222012Revenue 2013: $652,435,146Expenses 2013: $650,365,892Net Income 2013: $2,069,2542013Revenue 2014: $682,529,668Expenses 2014: $682,743,768Net Income 2014: -$214,1002014Revenue 2015: $703,374,540Expenses 2015: $698,338,752Net Income 2015: $5,035,7882015Revenue 2016: $727,673,279Expenses 2016: $743,266,892Net Income 2016: -$15,593,6132016Revenue 2017: $716,131,915Expenses 2017: $754,611,175Net Income 2017: -$38,479,2602017Revenue 2018: $841,805,664Expenses 2018: $801,543,247Net Income 2018: $40,262,4172018Revenue 2019: $771,144,528Expenses 2019: $830,430,899Net Income 2019: -$59,286,3712019Revenue 2020: $809,694,082Expenses 2020: $858,970,030Net Income 2020: -$49,275,9482020Revenue 2021: $953,342,080Expenses 2021: $912,392,752Net Income 2021: $40,949,3282021Revenue 2022: $993,740,336Expenses 2022: $1,001,290,920Net Income 2022: -$7,550,5842022Revenue 2023: $866,304,960Expenses 2023: $823,416,379Net Income 2023: $42,888,5812023Revenue 2024: $1,171,831,507Expenses 2024: $1,150,241,528Net Income 2024: $21,589,9792024

Highlighted filing

2023

Revenue$866,304,960
Expenses$823,416,379
Net Income$42,888,581
Jump To
Filing Snapshot
Filing Period
Oct 1, 2022 to Sep 30, 2023
Signed
Aug 15, 2024
Return Version
2023v5.1
Gross Receipts
$867,616,443
Mission and Program Overview

Mission

To support gundersen health system's health care and other orgs missions throughout our services area, managing the larger portion of buisiness svcs, education and investing.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$734,403,415$715,158,334▼ $19,245,081
Land, Buildings, and Equipment, Net$136,531,126$130,642,641▼ $5,888,485
Savings and Temporary Cash Investments$35,438,480$66,872,626▲ $31,434,146
Other Notes and Loans Receivable, Net$28,471,988$33,193,171▲ $4,721,183
Prepaid Expenses and Deferred Charges$27,885,004$23,025,696▼ $4,859,308
Cash and Non-Interest-Bearing Accounts$18,339,297$15,303,984▼ $3,035,313
Inventories for Sale or Use$12,499,384$13,296,896▲ $797,512
Receivables From Officers Etc$67,828$30,585▼ $37,243
Receivable From Disqualified Prsn$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Loans From Officers Directors$0$0→ $0
Total Assets$1,007,573,596$1,008,817,960▲ $1,244,364
Other Assets Total$13,937,074$11,294,027▼ $2,643,047
Liabilities
Other Liabilities$618,832,412$555,576,305▼ $63,256,107
Tax Exempt Bond Liabilities$343,535,000$335,685,000▼ $7,850,000
Accounts Payable and Accrued Expenses$132,951,216$161,368,473▲ $28,417,257
Total Liabilities$1,095,318,628$1,052,629,778▼ $42,688,850
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-87,745,032$-43,811,818▲ $43,933,214
Total Net Assets Fund Balance$-87,745,032$-43,811,818▲ $43,933,214
Total Liabilities and Net Assets / Fund Balance$1,007,573,596$1,008,817,960▲ $1,244,364

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$80,929,658$44,996,014$125,925,672
Equipment$28,233,795$94,693,567$122,927,362
Other Land Buildings$10,379,434$50,587,205$60,966,639
Land$11,099,754-$11,099,754
Leasehold Improvements$0$0$0
Compensation and Service Providers

Board Members and Trustees

NameTitle
-Board of Trustees - Chief Executive Officer, Chairman
-Board of Trustees - President
-Admin Vice President, Community
-Board of Trustees - Chief Nursing Officer and Admin Vice President
-Medical Vice President, Ambulatory Services
-Board of Trustees - Chief Medical Officer
-Board of Trustees - Chief Operating Officer
-Board of Trustees - Medical Chief Operating Officer
-Admin VP, Acute Care and Nursing & Systems Practices
-Admin VP, Ambulatory Services
-Admin VP, Cross-functional Care
-Chief Financial Officer and Treasurer Thru 8/23
-Interim Chief Financial Officer and Treasurer Begin 8/23
-Interim Medical VP, Cross-functional Care Begin 9/23
-Medical VP, Acute Care and Nursing & Systems Practices
-Medical VP, Community and CMO-critical Access Hospitals
-Medical VP, Cross-functional Care Thru 10/23
-Secretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Fowler And Hammer INCConstruction Contractor313 MONITOR STREET, La Crosse, WI 54603-
Hayes Locums LLCContracted DoctorPOX BOX 88122, Chicago, IL 60680-1122-
Kraus Anderson Construction CoConstruction Contractor501 SOUTH EIGHTH STREET, Minneapolis, MN 55404-
Sirius Computer Solutions INCComputer ContractorPO BOX 202289, Dallas, TX 75320-2289-
Wieser Brothers INCConstruction Contractor200 TWILITE STREET, La Crescent, MN 55947-
Revenue and Support

Revenue Composition

Contributions and Grants
$671,591
Program Service Revenue
$840,315,631
Investment Income
$25,048,489
Other Revenue
$269,249
Change in Net Assets
$42,888,581
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$714,961,755
Other Expenses$107,619,175
Grants and Similar Amounts Paid$835,449
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$517,837,680$29,113,896-$546,951,576
Other Employee Benefits$65,397,541$2,260,690-$67,658,231
Pension Plan Contributions$61,523,815$4,335,309-$65,859,124
Payroll Taxes$32,388,630$2,102,194-$34,490,824
Information Technology$28,343,883$1,222,781-$29,566,664
Fees for Services Other$18,899,353$4,363,040$0$23,262,393
Depreciation Depletion$15,726,132$663,438-$16,389,570
Office Expenses$8,030,958$414,837-$8,445,795
Occupancy$7,056,110$1,144,802-$8,200,912
Interest$7,744,131--$7,744,131
Other Expenses$695,904$864,698-$1,560,602
Fees for Service Investment Mgmnt Fees$31,460$1,466,616-$1,498,076
Advertising$61,650$891,976-$953,626
Fees for Services Legal$54,916$881,017-$935,933
Grants to Domestic Orgs$835,449--$835,449
Insurance$768,608$5,355-$773,963
Conferences and Meetings$492,129$149,373-$641,502
Fees for Services Accounting$33,901$560,056-$593,957
Travel$331,803$226,064-$557,867
All Other Expenses$476,908$0$0$476,908
Fees for Services Lobbying$245,804$0-$245,804
Comp Disqual Persons$1,000--$1,000
Current Officers, Directors, Trustees, and Key Employees-$1,000-$1,000
Total Functional Expenses$771,472,250$51,944,129$0$823,416,379
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Saint Clare Health MissionLa Crosse, WI501 (c) 3Operations Support$100,500
Varc IncViroqua, WI501 (c) 3Operations Support$90,000
La Crosse Medical Health Science ConsortiumLa Crosse, WI501 (c) 3Operations Support$74,249
Minnesota State ColleWinona, MN501 (c) 3Operations Support$50,000
Great Rivers United WayOnalaska, WI501 (c) 3Operations Support$40,000
La Crosse Area Chamber of CommerceLa Crosse, WI501 (c) 6Operations Support$36,100
Karuna IncLa Crosse, WI501 (c) 3Operations Support$35,000
Wafer IncLa Crosse, WI501 (c) 3Operations Support$27,000
Hope Restores CorpLa Crosse, WI501 (c) 3Operations Support$25,000
Sunflower Child DevlpDecorah, IA501 (c) 3Operations Support$25,000
The Good Fight Comm CtrLa Crosse, WI501 (c) 3Operations Support$25,000
SemcacRushford, MN501 (c) 3Operations Support$23,000
La Crosse City TreasurerLa Crosse, WIGovernment entityOperations Support$20,000
La Crosse Symphony OrchestraLa Crosse, WI501 (c) 3Operations Support$20,000
American Red Cross WiMadison, WI501 (c) 3Operations Support$10,000
Coulee Region HumaneOnalaska, WI501 (c) 3Operations Support$10,000
Safe Families for ChildrenElkhorn, WI501 (c) 3Operations Support$10,000
Wo Wafer IncLa Crosse, WI501 (c) 3Operations Support$9,375
Veterans Assistance FdnTomah, WI501 (c) 3Operations Support$8,000
WOMEN'S FUND OF GREATER LA CROSSELa Crosse, WI501 (c) 3Operations Support$7,000
Northeast Iowa Food BankWaterloo, IA501 (c) 3Operations Support$6,000
La Crosse Area Development CorporationLa Crosse, WI501 (c) 6Operations Support$5,500
Rivers Alliance IncLa Crosse, WI501 (c) 3Operations Support$5,250
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
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Fmaily Member of Jennifer Kleven, M.d., DirectorEmploymentNo$396,076
-Family Member of Kelley Bahr, M.D., OFFICEREmploymentNo$291,719
-Family Member of Jon Zlabek, OFFICEREmploymentNo$42,015

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Officers, Directors, Trustees, and Key Employees$67,828$30,585▼ $37,243
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Intercompany Payable$520,010,943
Teb Pre/(disc) Current and Lt$16,543,937
Lt Cimp Liability$11,671,224
Operating Lease Obligations$4,393,909
Loss on Swap Contracts$2,801,004
Deferred Compensation$89,666
Deferred Revenue$56,500
Security Deposit Payable$9,122
Sales Tax Payable-

Bond Issues

BondIssuerIssuedIssue PricePurpose
AWhefa Series 2021a Issuance2021-08-12$117,839,194SEE PART VI
CWhefa Series 2009 Issuance2012-10-01$78,715,000SEE PART VI
AWhefa Series 2022 Issuance2022-11-15$68,505,000SEE PART VI
DWhefa Series 2008b Issuance2012-10-01$61,400,000SEE PART VI
BWhefa Series 2016 Issuance2016-02-12$40,000,000SEE PART VI
CWhefa Series 2020a Issuance2020-03-24$25,002,968SEE PART VI
BWhefa Series 2015 Issuance2015-12-23$12,000,000SEE PART VI

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$117,893,194$116,690,906$0$1,202,288
C$78,715,000$78,715,000$14,300,000-
A$68,505,000$68,255,000$8,160,000-
D$61,400,000$61,400,000$0-
B$40,000,000$40,000,000$24,520,000$250,000
C$25,003,152---
B$12,044,550---

Bond Financing Compliance

No rebate due
No
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
Yes
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
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
Yes
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 15 A AND B - PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL

The compensation of the ceo is determined annually by a committee made up of the community members of the board of trustees. Their determination is made after a review of market data obtained from several organizations and ceo performance. Meeting minutes are taken and kept at the meetings where such discussions take place. Recommendations for compensation for the organizations' key management employees are developed annually by the ceo, after a review of performance and comparable market data. The proposed salaries are independently reviewed by an outside auditing firm. The compensation recommendations, audit reports, along with the market data, are presented to a committee made up of the community members of the board of trustees. The compensation amounts are not effective until the board committee approves them. Meeting minutes are taken and kept at the meetings where the board reviews and approves the compensation of the key employees.

Form 990, Part VI, Line 4 Significant changes to organizational documents

In july and august 2023, the bylaws and articles of incorporation, respectively of gundersen lutheran administrative services, inc. ("corporation") were amended to specify the powers retained by gundersen lutheran health system, inc.. The chief executive officer of gundersen lutheran health system, inc. Retains authority to approve any significant changes to the corporation. Subject to the reserved powers specified in the bylaws, the affairs of the corporation shall be managed by its board of trustees.

Form 990, Part VI, Line 6 Classes of members or stockholders

Gundersen lutheran health system, inc. Is the sole member of this organization.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

The corporate member, gundersen lutheran health system, inc., has the power to appoint board members

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

Gundersen lutheran health system, inc., the parent corporation and sole member of the corporation, shall have the power, to recommend and review, as appropriate, and approve certain matters. Articles of incorporation may be amended by vote of the sole member of the corporation.

Form 990, Part VI, Line 11B Review of form 990 by governing body

The form 990 will be available for all board members before filing and upon further review by the cfo, vice-president of finance or director of finance, the 990s are approved and filed.

Form 990, Part VI, Line 12C Conflict of interest policy

Gundersen lutheran administrative services, inc. Monitors conflicts on an annual basis by reviewing disclosures on completed conflict of interest statements.

Form 990, Part VI, Line 19 Required documents available to the public

Requests for all documents are made through the legal department, and the appropriate documents are made available for inspection in the legal department.

Form 990, Part VII, Section A, Line 1A COMPENSATION REPORTING

Due to the short year return in which there was no calendar year that ends with or within the short year, no reportable compensation is shown for individuals listed on part vii of the 990 return. As such, no key employees, highest compensated employees, or independent contractors are listed per the reporting instructions.

Filing and Contact Details

Filer

Filer Name
Gundersen Lutheran Administrative Services Inc
EIN
39-1606449
Phone
6087827300
Address
1910 SOUTH AVE, LA CROSSE, WI 54601

Signing Officer

Name
Scott Rathgaber Md
Title
CEO
Signed
2024-08-15
Discuss with paid preparer
Yes

Organization Details

Formed
1987
Legal Domicile
Wi
Voting Board Members
6
Independent Board Members
0
Employees
0
Volunteers
291

Preparer

Firm
Ernst & Young US Llp
Address
155 N WACKER DRIVE, CHICAGO, IL 60606
Preparer
Emily Upstrom
Phone
3128792000
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 1 ORGANIZATION'S MISSION

To support gundersen lutheran health system, inc.'s programs of health care, medical education, medical research and community health promotion activities within the meaning of section 509(a)(3) of the irc; borrowing and lending of funds and property, engaging in financial transactions with and/or on behalf of the gundersen lutheran health system, inc., along with general services provided to gundersen clinic, ltd. And gundersen lutheran medical center, inc.

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Equity transfers to affiliates - -922036; swap market adj - -719;

Financial Statement Notes

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

Income tax matters (in thousands) the system qualifies as a tax-exempt organization under section 501(c)(3) of the internal revenue code (the code), with the exception of gundersen lutheran envision, llc and gundersen edge, llc, which are for-profit entities. At september 30, 2023 and november 30, 2022, net deferred tax assets of $7,057 and $7,351, respectively, wich primaryly are related to ner operating loss carryforwards, have valuation allowances of $7,057 and $7,351, respectively, recorded against them due to the uncertainty of realizing those benefits in the future. At september 30, 2023, the system's federal net operating loss carryforwards were approximately $26,700, and the state net operating loss carryforwards were approximately $24,600, which will expire between 2032 and 2041. The system has reviewed its tax positions for all open years and has concluded that no liabilities exist for uncertain tax positions. The system's income tax returns are no longer subject to examination for 2018 and prior years.

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IRS990/Form990PartVIISectionAGrp/TitleTxt0Board of Trustees - Chief Nursing Officer and Admin Vice President
IRS990/Form990PartVIISectionAGrp/TitleTxt1Board of Trustees - Chief Operating Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt2Board of Trustees - President
IRS990/Form990PartVIISectionAGrp/TitleTxt3Board of Trustees - Chief Executive Officer, Chairman
IRS990/Form990PartVIISectionAGrp/TitleTxt4Board of Trustees - Medical Chief Operating Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt5Board of Trustees - Chief Medical Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt6Medical VP, Acute Care and Nursing & Systems Practices
IRS990/Form990PartVIISectionAGrp/TitleTxt7SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt8CHIEF FINANCIAL OFFICER AND TREASURER THRU 8/23
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IRS990/Form990PartVIISectionAGrp/TitleTxt10MEDICAL VICE PRESIDENT, AMBULATORY SERVICES
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IRS990/Form990PartVIISectionAGrp/TitleTxt14ADMIN VP, ACUTE CARE AND NURSING & SYSTEMS PRACTICES
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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.$1,116$1,081$35.7$1,172$1,150$21.6
2023Detailed filing. Detailed filing data is available for this year.$1,009$1,053$43.8$866$823$42.9
2022Detailed filing. Detailed filing data is available for this year.$1,008$1,095$87.7$994$1,001$7.55
2021Detailed filing. Detailed filing data is available for this year.$1,236$1,193$42.8$953$912$40.9
2020Detailed filing. Detailed filing data is available for this year.$1,186$1,200$14.2$810$859$49.3
2019Detailed filing. Detailed filing data is available for this year.$1,013$1,027$13.5$771$830$59.3
2018Detailed filing. Detailed filing data is available for this year.$916$928$12.8$842$802$40.3
2017Detailed filing. Detailed filing data is available for this year.$942$956$14.6$716$755$38.5
2016Detailed filing. Detailed filing data is available for this year.$861$877$17.0$728$743$15.6
2015Detailed filing. Detailed filing data is available for this year.$796$798$1.36$703$698$5.04
2014Detailed filing. Detailed filing data is available for this year.$744$751$6.39$683$683$0.21
2013Detailed filing. Detailed filing data is available for this year.$685$691$6.18$652$650$2.07
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,059$1,067$8.25$620
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$997$992$4.40$595
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$842$835$7.05$580