Civic Intelligence

Franciscan Care Services Inc.

990 • Fiscal year 2017 • EIN 47-0486026

Jan 01, 2017 to Dec 31, 2017 • Filed on Nov 05, 2018

430 North Monitor StreetWest Point, NE 68788-1555

(402) 372-2404

Siviq Scores

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

Liabilities / Assets

38th percentile

0.18x

Higher debt load relative to assets than 38% of similar nonprofits.

2017 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2017

Liabilities / Revenue

49th percentile

0.39x

Higher debt load relative to revenue than 49% of similar nonprofits.

2017 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2017

Net Margin

70th percentile

12%

Higher net margin than 70% of similar nonprofits.

2017 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2017

Top Officer Pay

72nd percentile

$531,987

Higher top officer pay than 72% of similar nonprofits.

Top officer pay equals 1.4% of source-year revenue.

2017 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2017

Asset Growth

75th percentile

13%

Faster asset growth than 75% of similar nonprofits.

2017 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2016 to 2017

Revenue Growth

34th percentile

1.0%

Faster revenue growth than 34% of similar nonprofits.

2017 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2016 to 2017

Assets

Up

$80,878,525

Up $9,353,430 (+13%) from 2016

Net Assets

Up

$66,513,095

Up $8,839,101 (+15%) from 2016

Liabilities

Up

$14,365,430

Up $514,329 (+3.7%) from 2016

Revenue

Up

$36,743,221

Up $353,407 (+1.0%) from 2016

Expenses

Up

$32,490,854

Up $558,615 (+1.7%) from 2016

Net Income

Down

$4,252,367

Down $205,208 (-4.6%) from 2016

Historical Trend

Balance Sheet Trend

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

$150M$100M$50M$0Assets 2010: $44,365,757Liabilities 2010: $8,961,472Net Assets 2010: $35,404,2852010Assets 2011: $51,314,692Liabilities 2011: $13,605,330Net Assets 2011: $37,709,3622011Assets 2012: $59,849,731Liabilities 2012: $18,414,964Net Assets 2012: $41,434,7672012Assets 2013: $63,580,869Liabilities 2013: $18,117,513Net Assets 2013: $45,463,3562013Assets 2014: $66,324,457Liabilities 2014: $17,073,655Net Assets 2014: $49,250,8022014Assets 2015: $68,733,058Liabilities 2015: $15,709,832Net Assets 2015: $53,023,2262015Assets 2016: $71,525,095Liabilities 2016: $13,851,101Net Assets 2016: $57,673,9942016Assets 2017: $80,878,525Liabilities 2017: $14,365,430Net Assets 2017: $66,513,0952017Assets 2018: $65,168,569Liabilities 2018: $13,238,931Net Assets 2018: $51,929,6382018Assets 2019: $70,294,650Liabilities 2019: $12,983,537Net Assets 2019: $57,311,1132019Assets 2020: $90,915,746Liabilities 2020: $19,615,554Net Assets 2020: $71,300,1922020Assets 2021: $100,320,154Liabilities 2021: $20,267,560Net Assets 2021: $80,052,5942021Assets 2022: $89,392,942Liabilities 2022: $11,254,578Net Assets 2022: $78,138,3642022Assets 2023: $103,783,500Liabilities 2023: $14,015,571Net Assets 2023: $89,767,9292023Assets 2024: $115,080,397Liabilities 2024: $12,497,524Net Assets 2024: $102,582,8732024

Highlighted filing

2017

Assets$80,878,525
Liabilities$14,365,430
Net Assets$66,513,095

Operations Trend

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

$80M$60M$40M$20M$0-$20MExpenses 2010: $21,609,3922010Expenses 2011: $22,940,2202011Expenses 2012: $26,547,7792012Revenue 2013: $32,253,209Expenses 2013: $29,071,003Net Income 2013: $3,182,2062013Revenue 2014: $35,956,881Expenses 2014: $31,596,486Net Income 2014: $4,360,3952014Revenue 2015: $37,082,093Expenses 2015: $31,152,099Net Income 2015: $5,929,9942015Revenue 2016: $36,389,814Expenses 2016: $31,932,239Net Income 2016: $4,457,5752016Revenue 2017: $36,743,221Expenses 2017: $32,490,854Net Income 2017: $4,252,3672017Revenue 2018: $37,317,448Expenses 2018: $47,809,781Net Income 2018: -$10,492,3332018Revenue 2019: $36,296,567Expenses 2019: $34,532,128Net Income 2019: $1,764,4392019Revenue 2020: $45,791,249Expenses 2020: $36,055,635Net Income 2020: $9,735,6142020Revenue 2021: $47,622,735Expenses 2021: $40,040,189Net Income 2021: $7,582,5462021Revenue 2022: $50,923,740Expenses 2022: $44,903,992Net Income 2022: $6,019,7482022Revenue 2023: $55,545,631Expenses 2023: $49,139,219Net Income 2023: $6,406,4122023Revenue 2024: $62,284,038Expenses 2024: $56,395,806Net Income 2024: $5,888,2322024

Highlighted filing

2017

Revenue$36,743,221
Expenses$32,490,854
Net Income$4,252,367
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Nov 5, 2018
Return Version
2017v2.3
Gross Receipts
$36,769,799
Mission and Program Overview

Mission

The mission of franciscan care services inc. Is to live and to promote the healing mission of jesus christ by providing quality health care and health related inpatient, outpatient, home health, physician and assisted living services to anyone in northeast nebraska, regardless of their ability to pay.

The mission of franciscan care services inc. Is to live and to promote the healing mission of jesus christ.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$26,519,939$31,894,560▲ $5,374,621
Investments in Publicly Traded Securities$21,184,977$24,657,049▲ $3,472,072
Savings and Temporary Cash Investments$14,771,903$12,199,619▼ $2,572,284
Accounts Receivable$4,863,872$4,507,822▼ $356,050
Cash and Non-Interest-Bearing Accounts$1,138,159$1,077,600▼ $60,559
Investments Other Securities$1,030,832$768,187▼ $262,645
Inventories for Sale or Use$679,371$659,769▼ $19,602
Prepaid Expenses and Deferred Charges$182,017$224,236▲ $42,219
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 Program Related$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$71,525,095$80,878,525▲ $9,353,430
Other Assets Total$1,154,025$4,889,683▲ $3,735,658
Liabilities
Tax Exempt Bond Liabilities$9,761,701$9,097,757▼ $663,944
Accounts Payable and Accrued Expenses$3,921,270$5,195,777▲ $1,274,507
Deferred Revenue$168,130$71,896▼ $96,234
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Other Liabilities$0$0→ $0
Escrow Account Liability$0$0→ $0
Total Liabilities$13,851,101$14,365,430▲ $514,329
Net Assets / Fund Balance
Unrestricted Net Assets$57,673,994$63,863,095▲ $6,189,101
Temporarily Rstr Net Assets$0$2,650,000▲ $2,650,000
Permanently Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$57,673,994$66,513,095▲ $8,839,101
Total Liabilities and Net Assets / Fund Balance$71,525,095$80,878,525▲ $9,353,430

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$12,379,179$25,627,068$38,006,247
Buildings$10,950,366$10,760,289$21,710,655
Other Land Buildings$8,052,313$0$8,052,313
Land$512,702-$512,702
Other Assets Org$707,302--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Kenneth Pitz MDPhysicianFT$460,783$72,895$533,678
Scott Green MDPhysicianFT$315,905$171,835$487,740
Rhett Eckmann MDPhysicianFT$302,017$159,409$461,426
Brian Hass MDPhysicianFT$299,774$146,485$446,259
Michael Bittles MDPhysicianFT$389,874$55,930$445,804
Terry NelsonRehab ManagerFT$183,939$70,728$254,667
Jerry WordekemperCEO & TrusteeFT$150,131$97,590$247,721
Dennis DinslageV.P. Fiscal & Support ServicesFT$138,383$70,246$208,629

Board Members and Trustees

NameTitle
Bill KreikemeierChairman
Jerome SteffenVice Chairman
Steve SwansonVice Chairman
Chad Ortmeier DDSTrustee
Gary KaupTrustee
Kari Penrosetrustee
Mary JanataTrustee
Regina UhingTrustee
Sr Barbara MatheTrustee
Jackie RidderSecretary
Dave SteffensmeierTreasurer
Steve AusdemoreTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Mcs ConstructionConstruction Service1020 CENTENNIAL RD, West Point, NE 68788$4,266,208
CernerIt Software Suppport2800 ROCKCREEK PARKWAY, Kansas City, MO 64117$839,332
Kat Anesthesia LLCAnesthesia Services606 VISTA AVENUE, West Point, NE 68788$592,284
Cypress Benefit AdministratorHealth Plan AdminPO BOX 7020, Appleton, WI 54912-7020$518,128
Holland Bashman ArchitectsArchitect Services119 SOUTH 49 AVENUE, Omaha, NE 68132$329,145
Revenue and Support

Revenue Composition

Contributions and Grants
$261,678
Program Service Revenue
$35,129,469
Investment Income
$1,335,333
Other Revenue
$16,741
All Other Contributions
$15,828
Change in Net Assets
$4,252,367

Audited Revenue Reconciliation

Revenue per Audited Statements
$36,738,155
Revenue Not Reported on Financial Statements
$5,066
Revenue Not Reported on Form 990
$1,936,734
Other Revenue Adjustments
$5,066
Total Revenue per Audited Statements
$38,674,889
Total Revenue per Form 990
$36,743,221
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$19,560,867
Other Expenses$12,929,987
Total Fundraising Expense$11,948
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$13,346,909$1,504,076-$14,850,985
Depreciation Depletion$2,429,798$590,558-$3,020,356
Fees for Services Other$2,532,837$427,299-$2,960,136
Other Employee Benefits$2,128,367$522,445-$2,650,812
Office Expenses$1,321,504$154,812-$1,476,316
Occupancy$931,699$137,759-$1,069,458
Payroll Taxes$840,531$105,325-$945,856
Current Officers, Directors, Trustees, and Key Employees$621,539$89,478-$711,017
Information Technology$553,403$134,974-$688,377
Pension Plan Contributions$320,101$82,096-$402,197
Advertising$145,738$1,365-$147,103
Travel$115,575$19,699-$135,274
Insurance-$92,659-$92,659
Fees for Services Accounting-$87,830-$87,830
Conferences and Meetings$59,459$4,466-$63,925
Fees for Services Legal-$24,604-$24,604
Fees for Services Lobbying-$4,000-$4,000
Other Expenses$139,972$1,149$11,948$1,149
Total Functional Expenses$28,469,269$4,009,637$11,948$32,490,854

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$32,490,854
Expenses per Audited Statements$32,478,906
Total Expenses per Audited Statements$32,478,906
Expenses Not Reported on Financial Statements$11,948
Other Expense Adjustments$11,948
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

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Dan HakelSee Part VEmploymentYes$131,964
Brenda WisnieskiSee Part VEmploymentNo$42,150
Jill HakelSee Part VEmploymentNo$36,944
Agnes DinslageSee Part VEmploymentNo$27,951
Barbara SteffenSee Part VEmploymentNo$26,276
Marguerite KaupSee Part VEmploymentNo$23,941
Nancy NelsonSee Part VEmploymentNo$19,852

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

Bond Issues

BondIssuerIssuedIssue PricePurpose
AHospital Authority No 1 of Cuming County Ne2016-10-01$10,000,000SEE SCHEDULE K, PART VI

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$10,000,000$10,000,000$834,680$0

Bond Financing Compliance

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
Backup withholding compliance
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
No
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, Section A, Line 6

The organization is a not-for-profit corporation whose member is franciscan sisters of christian charity sponsored ministries, inc.

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

The franciscan sisters of christian charity sponsored ministries, inc. A wisconsin non-stock, not for profit corporation has the following reserved powers over franciscan care services inc.: a) approval of the philosophy, mission and values statements of the corporation. B) amendment of articles of incorporation and by-laws of the corporation. C) appointment and removal of members to the board of directors. D) approval of the creation and dissolution of this corporation or any subsidiary corporations, as well as approval of any merger, consolidation, affiliation, joint venture or other form of corporate reorganization of this corporation or any subsidiary of which this corporation is the member or controlling shareholder. E) appointment, evaluation and discharge of the president of the corporation. F) approval of borrowing in excess of the limit established by the member. G) approval of purchase, mortgage or sale of real estate, or lease of real estate, by or to the corporation for longer than one year. H) implementation of sponsor appointment, salary negotiation, and reassignment processes for franciscan sister personnel within this corporation. I) approval of capital and operating budgets. J) requirement of a certified audit of corporate funds at any time and approval of the fiscal auditor of the corporation annually. K) approval of all insurance carriers and insurance coverage for the corporation. L) approval of long-range or strategic plans of the corporation.

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

Form 990 is reviewed prior to submission by the member (franciscan sisters of christian charity sponsored ministries, inc.) and the finance committee of the franciscan care services, inc. Board of directors. A copy of form 990 will be available for all board members to review at their monthly board meeting before the 990 is filed. Form 990 is made available in the administrative office for any individual requesting to inspect it as required by internal revenue code section 6104.

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

The corporate compliance officer (cco) and several members of the corporate compliance committee attend board, administrative, and department manager meetings. The cco ensures that all board, medical staff, administration staff, department managers, and individuals who have purchasing authority review the conflict of interest policy annually and disclose any conflicts that might exist. Each individual is also asked to identify any family members that are an employee of fcs, inc. Or employed by a business with which fcs conducts business. Any new conflicts that arise during the year need to be reported to the compliance officer immediately. If a conflict exists at the board level, the person or the cco or committee member identifies that the conflict exists and then the board determines if the person can take part in the deliberations or needs to leave the room. The person would not be able to vote and it is identified in the minutes of the meeting. At the administrative level, the staff member identifies the conflict and the administrative team determines if the person can take part in the discussion or needs to leave the room. This is also the policy at the medical staff and manager meetings.

Form 990, Part VI, Section B, Line 15A & 15B

Franciscan care services, inc. Strives to provide a fair and competitive compensation package for its executive. This package shall include, but is not limited to salary, incentive bonus, life insurance, health benefits, and a matching defined contribution to a 403(b) retirement plan. The salary range and total compensations shall be based upon surveys of the geographic west north central states average for the position as reported by an independent executive compensation market analysis for liked sized organizations and the executive compensation survey for nebraska hospitals provided by the nebraska hospital association. Bonuses are given based upon achievement of strategic goals agreed upon by the franciscan care services board of directors and the president of the franciscan sisters of christian charity sponsored ministries, inc. These bonuses are based upon a percentage of salary and are not to exceed 25%. The president/ceo's compensation is set by the executive committee of the board of directors and the sponsored ministries president after a performance appraisal conducted by the executive committee of the fcs board (serving as the compensation committee) and the president of franciscan sisters of christian charity sponsored ministries, inc. All members of the board provide their input through a written appraisal presented to the compensation committee. Minutes of the meeting are kept by the sponsored ministries president. All other executives are reviewed by the franciscan care services, inc. President/ceo, who sets their compensation based upon the above surveys and principles.

Form 990, Part VI, Section C, Line 19

No documents available to the public.

Filing and Contact Details

Filer

Filer Name
Franciscan Care Services Inc
EIN
47-0486026
In Care Of
% DENNIS DINSLAGE
Phone
4023722404
Address
430 NORTH MONITOR STREET, WEST POINT, NE 68788-1555

Signing Officer

Name
Jerry Wordekemper
Title
President
Signed
2018-11-05
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jerry Wordekemper
Formed
1964
Legal Domicile
Ne
Voting Board Members
12
Independent Board Members
7
Employees
294
Volunteers
225

Preparer

Firm
Kpmg Llp
Address
1212 North 96th Street Suite 300, Omaha, NE 68114
Preparer
Donald Neal Jr
Phone
4023481450
Supplemental Narrative

Additional Explanations

FORM 990, PART IV, LINE 12A

Checklist of Required Schedules The organization's financial statements were audited on a separate basis but also consolidated at the organization's parent level. The organization uses the separate audited financial statements for tax return purposes.

FORM 990, PRT XI, LINE 9:

In 2017, st. Josephs retirement community foundation received $2,650,000 of restricted donations for the construction of a nursing home facility. Franciscan care services is recognizing its interest in the restricted net assets of the foundation.

Financial Statement Notes

Schedule D, Part X, Line 2

FIN 48 FOOTNOTE ON AUDITED FINANCIAL STATEMENTS: The Internal Revenue Service has ruled that the Organization is exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code (the "Code") and exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Income tax provisions for the Organization are not material to the financial statements.

Schedule D, Part XI, Line 4B

Auxiliary gift shop sales 34,766 auxiliary gift shop cogs (26,578) --------- net gain from sales 8,188 auxiliary funds raised 5,808 auxiliary donation to hospital (8,930) --------- total 5,066 =========

Schedule D, Part XII, Line 4B

Auxiliary operating expenses 11,948

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IRS990/Desc0FRANCISCAN CARE SERVICES MISSION IS TO PROVIDE QUALITY HEALTH CARE AND HEALTH RELATED INPATIENT, OUTPATIENT, HOME HEALTH AND PHYSICIAN SERVICES TO THE PEOPLE OF NORTHEASTERN NEBRASKA. THE CRITICAL ACCESS HOSPITAL PROVIDES A 24 HOUR EMERGENCY ROOM AND DOES NOT DISCRIMINATE AGAINST ANY PATIENT REGARDLESS OF THEIR ABILITY TO PAY. OUR CHARITY CARE POLICY FOLLOWS RECOMMENDED STANDARDS WHICH ARE BASED UPON THE FEDERAL POVERTY GUIDELINES. THIS POLICY IS COMMUNICATED TO OUR PATIENTS ON OUR WEBSITE AND AT OUR REGISTRATION DESKS. PATIENTS SERVED DURING THE YEAR: TOTAL MEDICARE MEDICAID IN-PATIENTS DISCHARGED 392 250 24 PATIENT DAYS - ACUTE 1,386 1,002 47 - SWING BED 869 818 NONE - NURSERY 123 NONE 37 OUT-PATIENT & HOME HEALTH 47,360 19,591 1,351 PHYSICIAN CLINIC VISITS 25,484 7,485 1,947 THE HOSPITAL RECEIVES GENEROUS SUPPORT FROM THE COMMUNITY NOT ONLY FINANCIALLY BUT ALSO FROM ABOUT 167 VOLUNTEERS WHO DONATED APPROXIMATELY 3,290 HOURS OF THEIR VALUABLE TIME.
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IRS990/Form990PartVIISectionAGrp/TitleTxt0CEO & Trustee
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IRS990/MissionDesc0THE MISSION OF FRANCISCAN CARE SERVICES INC. IS TO LIVE AND TO PROMOTE THE HEALING MISSION OF JESUS CHRIST BY PROVIDING QUALITY HEALTH CARE AND HEALTH RELATED INPATIENT, OUTPATIENT, HOME HEALTH, PHYSICIAN AND ASSISTED LIVING SERVICES TO ANYONE IN NORTHEAST NEBRASKA, REGARDLESS OF THEIR ABILITY TO PAY.
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Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$115$12.5$103$62.3$56.4$5.89
2023Detailed filing. Detailed filing data is available for this year.$104$14.0$89.8$55.5$49.1$6.41
2022Detailed filing. Detailed filing data is available for this year.$89.4$11.3$78.1$50.9$44.9$6.02
2021Detailed filing. Detailed filing data is available for this year.$100$20.3$80.1$47.6$40.0$7.58
2020Detailed filing. Detailed filing data is available for this year.$90.9$19.6$71.3$45.8$36.1$9.74
2019Detailed filing. Detailed filing data is available for this year.$70.3$13.0$57.3$36.3$34.5$1.76
2018Detailed filing. Detailed filing data is available for this year.$65.2$13.2$51.9$37.3$47.8$10.5
2017Detailed filing. Detailed filing data is available for this year.$80.9$14.4$66.5$36.7$32.5$4.25
2016Detailed filing. Detailed filing data is available for this year.$71.5$13.9$57.7$36.4$31.9$4.46
2015Detailed filing. Detailed filing data is available for this year.$68.7$15.7$53.0$37.1$31.2$5.93
2014Detailed filing. Detailed filing data is available for this year.$66.3$17.1$49.3$36.0$31.6$4.36
2013Detailed filing. Detailed filing data is available for this year.$63.6$18.1$45.5$32.3$29.1$3.18
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$59.8$18.4$41.4$26.5
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$51.3$13.6$37.7$22.9
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$44.4$8.96$35.4$21.6