Civic Intelligence

Saint Thomas Health

990 • Fiscal year 2017 • EIN 58-1716804

Jul 01, 2016 to Jun 30, 2017 • Filed on Oct 25, 2017

4220 Harding RdNashville, TN 37205

(314) 733-8000

Siviq Scores

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

Liabilities / Assets

86th percentile

0.81x

Higher debt load relative to assets than 86% of similar nonprofits.

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

Liabilities / Revenue

26th percentile

0.28x

Higher debt load relative to revenue than 26% of similar nonprofits.

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

Net Margin

10th percentile

-8.8%

Higher net margin than 10% of similar nonprofits.

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

Top Officer Pay

94th percentile

$3,165,801

Higher top officer pay than 94% of similar nonprofits.

Top officer pay equals 1.0% of source-year revenue.

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

Asset Growth

1st percentile

-86%

Faster asset growth than 1% of similar nonprofits.

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

Revenue Growth

69th percentile

11%

Faster revenue growth than 69% of similar nonprofits.

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

Assets

Down

$111,026,716

Down $696,142,214 (-86%) from 2016

Net Assets

Down

$21,520,521

Down $733,278,088 (-97%) from 2016

Liabilities

Up

$89,506,195

Up $37,135,874 (+71%) from 2016

Revenue

Up

$322,430,222

Up $32,013,545 (+11%) from 2016

Expenses

Up

$350,858,327

Up $34,068,380 (+11%) from 2016

Net Income

Down

-$28,428,105

Down $2,054,835 (-7.8%) from 2016

Historical Trend

Balance Sheet Trend

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

$3.0B$2.0B$1.0B$0-$1.0BAssets 2010: $79,222,667Liabilities 2010: $187,219,594Net Assets 2010: -$107,996,9272010Assets 2011: $75,714,094Liabilities 2011: $221,152,744Net Assets 2011: -$145,438,6502011Assets 2012: $746,471,376Liabilities 2012: $928,126,937Net Assets 2012: -$181,655,5612012Assets 2013: $1,967,221,337Liabilities 2013: $2,201,244,333Net Assets 2013: -$234,022,9962013Assets 2014: $783,604,320Liabilities 2014: $45,729,000Net Assets 2014: $737,875,3202014Assets 2015: $851,549,951Liabilities 2015: $45,085,131Net Assets 2015: $806,464,8202015Assets 2016: $807,168,930Liabilities 2016: $52,370,321Net Assets 2016: $754,798,6092016Assets 2017: $111,026,716Liabilities 2017: $89,506,195Net Assets 2017: $21,520,5212017Assets 2018: $92,671,155Liabilities 2018: $74,017,679Net Assets 2018: $18,653,4762018Assets 2019: $83,708,469Liabilities 2019: $50,331,110Net Assets 2019: $33,377,3592019Assets 2020: $77,035,198Liabilities 2020: $74,524,930Net Assets 2020: $2,510,2682020Assets 2021: $139,380,675Liabilities 2021: $88,753,787Net Assets 2021: $50,626,8882021Assets 2022: $103,404,738Liabilities 2022: $56,346,913Net Assets 2022: $47,057,8252022Assets 2023: $115,302,526Liabilities 2023: $43,503,723Net Assets 2023: $71,798,8032023Assets 2024: $82,199,988Liabilities 2024: $40,676,246Net Assets 2024: $41,523,7422024

Highlighted filing

2017

Assets$111,026,716
Liabilities$89,506,195
Net Assets$21,520,521

Operations Trend

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

$400M$300M$200M$100M$0-$100MExpenses 2010: $236,510,6382010Revenue 2011: $233,504,608Expenses 2011: $256,670,180Net Income 2011: -$23,165,5722011Expenses 2012: $254,588,8752012Expenses 2013: $255,721,3902013Revenue 2014: $251,813,793Expenses 2014: $267,460,370Net Income 2014: -$15,646,5772014Revenue 2015: $278,760,998Expenses 2015: $283,974,446Net Income 2015: -$5,213,4482015Revenue 2016: $290,416,677Expenses 2016: $316,789,947Net Income 2016: -$26,373,2702016Revenue 2017: $322,430,222Expenses 2017: $350,858,327Net Income 2017: -$28,428,1052017Revenue 2018: $276,831,985Expenses 2018: $306,208,121Net Income 2018: -$29,376,1362018Revenue 2019: $272,134,544Expenses 2019: $311,996,344Net Income 2019: -$39,861,8002019Revenue 2020: $222,206,995Expenses 2020: $224,921,508Net Income 2020: -$2,714,5132020Revenue 2021: $233,929,694Expenses 2021: $229,163,056Net Income 2021: $4,766,6382021Revenue 2022: $241,312,060Expenses 2022: $264,378,416Net Income 2022: -$23,066,3562022Revenue 2023: $193,894,320Expenses 2023: $172,803,809Net Income 2023: $21,090,5112023Revenue 2024: $118,063,235Expenses 2024: $119,782,135Net Income 2024: -$1,718,9002024

Highlighted filing

2017

Revenue$322,430,222
Expenses$350,858,327
Net Income-$28,428,105
Jump To
Filing Snapshot
Filing Period
Jul 1, 2016 to Jun 30, 2017
Signed
Oct 25, 2017
Return Version
2016v3.0
Gross Receipts
$322,430,222
Mission and Program Overview

Mission

Rooted in the loving ministry of jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. Our catholic health ministry is dedicated to spiritually-centered, holistic care which sustains and improves the health of individuals and communities. We are advocates for a compassionate and just society through our actions and our words.

Coordinates the management of a non-profit hospital and healthcare delivery system to improve the health and well-being of all people in the communities we serve.

Balance Sheet Detail
LineBeginningEndChange
Assets
Intangible Assets$25,155,797$16,563,363▼ $8,592,434
Land, Buildings, and Equipment, Net$17,226,549$14,944,870▼ $2,281,679
Investments Program Related$8,603,239$11,321,849▲ $2,718,610
Prepaid Expenses and Deferred Charges$14,647,011$3,544,217▼ $11,102,794
Accounts Receivable$4,289,862$3,360,273▼ $929,589
Inventories for Sale or Use$1,083,471$1,201,546▲ $118,075
Savings and Temporary Cash Investments$1,000,365$0▼ $1,000,365
Cash and Non-Interest-Bearing Accounts$142,775$11,885▼ $130,890
Receivable From Disqualified Prsn$0--
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Loans From Officers Directors$0--
Total Assets$807,168,930$111,026,716▼ $696,142,214
Other Assets Total$735,019,861$60,078,713▼ $674,941,148
Liabilities
Other Liabilities$24,527,072$68,290,819▲ $43,763,747
Accounts Payable and Accrued Expenses$27,639,846$20,784,231▼ $6,855,615
Deferred Revenue$203,403$431,145▲ $227,742
Total Liabilities$52,370,321$89,506,195▲ $37,135,874
Net Assets / Fund Balance
Unrestricted Net Assets$754,798,609$21,422,026▼ $733,376,583
Temporarily Rstr Net Assets$0$98,495▲ $98,495
Total Net Assets Fund Balance$754,798,609$21,520,521▼ $733,278,088
Total Liabilities and Net Assets / Fund Balance$807,168,930$111,026,716▼ $696,142,214

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$9,554,972$26,992,065$36,547,037
Other Land Buildings$3,051,955$861,167$3,913,122
Buildings$1,468,821$1,512,787$2,981,608
Leasehold Improvements$869,122$1,448,630$2,317,752
Investment Program Related Org$11,321,849--
Other Assets Org$88,647--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-Board Member & President/CEO StheFT$609,999$695,397$1,305,396
-PhysicianFT$592,633$620,900$1,213,533
-CCO - Mnstry Mkt TnFT$401,475$330,817$732,292
-CFO - Mnstry Mkt TnFT$384,656$255,554$640,210
-Evp & COO (end 3/2016)-$148,888$51,716$200,604
-COO - Mnstry Mkt Tn (end 6/2017)FT$175,688$22,902$198,590
-Former Officer (end 3/2016)-$1,140$1,140$1,140

Board Members and Trustees

NameTitle
-Chairman
-Vice-chairman
-Board Member
-Board Member (end 12/2016)
-CNO - Mnstry Mkt Tn (start 1/2017)
-Former Officer (end 4/2012)
-Secretary
-Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Univeristy Of Tennessee- HscPhysician Services62 S DUNLAP STREET, SUITE 120, Memphis, TN 38163-4903$4,455,329
Middle Tennessee Emergency Physicians PCPhysician ServicesONE VANTAGE WAY, SUITE B-240, Nashville, TN 37228$1,856,772
Arup LaboratoriesLab Testing Services500 CHIPETA WAY, SUITE 400, Salt Lake City, UT 84108$1,229,014
Medspeed LLCCouriour Service650 W GRAND, Elmhurst, IL 60126$845,464
Credit Solutions LLCPatients Billing Services2277 THUNDERSTICK DRIVE, Lexington, KY 40505-9002$415,907
Revenue and Support

Revenue Composition

Contributions and Grants
$1,499,026
Program Service Revenue
$311,237,230
Investment Income
$-2,468
Other Revenue
$9,696,434
Change in Net Assets
$-28,428,105
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$210,688,511
Salaries, Compensation, and Employee Benefits$140,168,857
Grants and Similar Amounts Paid$959
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$91,586,303$22,896,576-$114,482,879
Fees for Services Other$13,447,946$285,189$0$13,733,135
Other Employee Benefits$10,558,920$2,639,730-$13,198,650
Depreciation Depletion$11,249,694$1,249,966-$12,499,660
All Other Expenses$8,784,908$108,444$0$8,893,352
Advertising$6,806,822--$6,806,822
Payroll Taxes$5,302,016$1,325,504-$6,627,520
Occupancy$4,945,848$549,539-$5,495,387
Office Expenses$3,738,447$934,612-$4,673,059
Fees for Services Legal-$3,190,209-$3,190,209
Current Officers, Directors, Trustees, and Key Employees$2,461,674$615,418-$3,077,092
Pension Plan Contributions$2,226,173$556,543-$2,782,716
Information Technology$2,225,070$247,230-$2,472,300
Fees for Services Accounting-$2,463,445-$2,463,445
Other Expenses$2,024,434$13,085,489-$2,024,434
Travel$708,566$177,142-$885,708
Insurance$500,392$55,599-$555,991
Conferences and Meetings$261,038$65,260-$326,298
Grants to Domestic Orgs$959--$959
Interest$-406,259$-45,140-$-451,399
Total Functional Expenses$300,457,572$50,400,755$0$350,858,327
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
Insider Transactions and Loans

Loans and Receivables

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

Other Reported Liabilities

LiabilityAmount
Ascension Health Savings Plan Liability$43,526,027
Deferred Compensation Liability$15,490,531
Accrued Pension and Retirement Benefits$7,485,171
Intercompany Debt to Ascension Health Alliance$1,161,246
Self Insurance Liability$579,325
Deferred Rent$48,519
Misc. Liabilities-
Capital Lease Obligations-
Intercompany Payables-
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
No
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, Line 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL

The process of determining the amount of compensation paid to the organization's ceo, executive director or top management official is performed by ascension health, inc. And its subsidiary organizations. Ascension health is the sole corporate member of saint thomas health. The process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The executive compensation committee reviewed and approved the compensation. In the review of the compensation, the organization's ceo, executive director or top management official's salary was compared to individuals at other organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the minutes. The individual was not present when their compensation was decided.

Form 990, Part VI, Line 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES

The process of determining the amount of compensation paid to the organization's officers and key employees is performed by ascension health and its subsidiary organizations. Ascension health is the sole corporate member of saint thomas health. The process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The executive compensation committee reviewed and approved the compensation. In the review of the compensation, the officers' salaries were compared to individuals at other organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the minutes. Individuals were not present when their compensation was decided.

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

Saint Thomas Health has a single corporate member, Ascension Health.

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

Saint Thomas Health has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of Saint Thomas Health.

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

Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix.

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

During the return preparation process, the tax department works with other functional areas including finance, accounting, treasury, legal, human resources, and corporate compliance for advice, information and assistance in order to prepare a complete and accurate return. Upon completion, the form 990 is reviewed by the organization's internal tax department which consists of attorneys and cpas. A complete final copy of the return is provided to the organization's president, financial officer, and/or other key officers in lieu of the full board.

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

The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflict of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.

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

The organization will provide any documents open to public inspection upon request.

Form 990, Part VIII, Line 2F Other Program Service Revenue

Dispensary of Hope - Total Revenue: 1171330, Related or Exempt Function Revenue: 1171330, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; i/c rent revenue - Total Revenue: 14885, Related or Exempt Function Revenue: 14885, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;

Form 990, Part VIII, Line 11D Other Miscellaneous Revenue

Other Revenue - Total Revenue: 1243060, Related or Exempt Function Revenue: 1243060, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Education - Total Revenue: 48877, Related or Exempt Function Revenue: 48877, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Shared savings revenue - Total Revenue: 835193, Related or Exempt Function Revenue: 835193, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;

Filing and Contact Details

Filer

Filer Name
Saint Thomas Health
EIN
58-1716804
Phone
3147338000
Address
4220 Harding Rd, Nashville, TN 37205

Signing Officer

Name
Tonya Mershon
Title
Tax Officer
Signed
2017-10-25

Organization Details

Formed
1986
Legal Domicile
Tn
Voting Board Members
13
Independent Board Members
12
Employees
1,829
Volunteers
12
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 4D Description of other program services

(Expenses $ 2,432,954 including grants of $)(Revenue $ 1,171,330) THE DISPENSARY OF HOPE IS THE NATION'S ONLY FULLY-LICENSED, CHARITABLE, MEDICATION DISTRIBUTOR THAT WORKS ACROSS THE ENTIRE SPECTRUM OF HEALTH CARE. THROUGH INNOVATIVE STEWARDSHIP OF THE PHARMACEUTICAL SUPPLY-CHAIN, THE DISPENSARY OF HOPE DISTRIBUTES MEDICATIONS FROM MANUFACTURERS, DISTRIBUTORS, AND PROVIDERS TO CHARITABLE CLINICS AND PHARMACIES SERVING THE POOR AND UNINSURED.

Form 990, Part III, Line 4D Description of other program services

(Expenses $ 1,577,196 including grants of $)(Revenue $ 1,373,250) SAINT THOMAS RESEARCH INSTITUTE IS A COMMUNITY-BASED CLINICAL RESEARCH SITE BASED IN NASHVILLE, TENNESSEE. FOCUSED ON HIGH QUALITY RESEARCH PRACTICES, THE INSTITUTE WORKS EFFECTIVELY WITH SPONSORS, PHYSICIANS, AND PATIENTS TO IMPROVE THE HEALTH OF THE COMMUNITY BY CONDUCTING RESEARCH. ACTING AS A PARTNER AND SYSTEM-WIDE RESOURCE, SAINT THOMAS RESEARCH INSTITUTE LAUNCHES STUDIES AND ENROLLS PATIENTS QUICKLY, WHICH ALLOWS PHYSICIANS TO SPEND MORE TIME WITH THEIR PATIENTS.

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

Transfer To/From Ascension for Pension - -181057; Transfer To/From Ascension - 20263263; Intracompany Write-Downs - -26840384; TRANSFER TO ALPHA FUND AS OF 7/1/2016 - -XXX-XX-XXXX;

Form 990, Part XII, Line 2B audited financial statements

The activity of Saint Thomas Health is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of Saint Thomas Health is completed. Therefore, the audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of Saint Thomas Health.

Form 990, Part XII, Line 2C oversight of audit or selection of independent accountant

SAINT THOMAS HEALTH is included in the consolidated financial statements of Ascension Health Alliance. The Finance and Audit committee of Ascension Health Alliance's Board assumes responsibility for the consolidated organization as a whole.

Financial Statement Notes

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

The System accounts for uncertainty in income tax provisions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The System has determined that no material unrecognized tax benefits or liabilities exist as of June 30, 2017.

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IRS990/Desc0SAINT THOMAS HEALTH IS THE PARENT OF A FIVE HOSPITAL HEALTH SYSTEM IN NASHVILLE, TN. AS SUCH, IT COORDINATES THE MANAGEMENT OF A NON-PROFIT HOSPITAL AND HEALTHCARE DELIVERY SYSTEM. THE COMMUNITY BENEFITS FROM THIS COORDINATION BY HAVING AVAILABLE A CONTINUUM OF CARE WHICH ALLOWS FOR THE INTRODUCTION OF THE MOST APPROPRIATE AND COST EFFECTIVE CARE.
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IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt13SAMAR ALI
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt14LISA DAVIS
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IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt16AMY D WILSON
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IRS990/Form990PartVIISectionAGrp/TitleTxt0BOARD MEMBER & PRESIDENT/CEO STHE
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IRS990/Form990PartVIISectionAGrp/TitleTxt12BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt13BOARD MEMBER (END 12/2016)
IRS990/Form990PartVIISectionAGrp/TitleTxt14CFO - MNSTRY MKT TN
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IRS990/Form990PartVIISectionAGrp/TitleTxt17EVP & COO (END 3/2016)
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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.$82.2$40.7$41.5$118$120$1.72
2023Summary only. Only limited summary data is available for this year.$115$43.5$71.8$194$173$21.1
2022Summary only. Only limited summary data is available for this year.$103$56.3$47.1$241$264$23.1
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$139$88.8$50.6$234$229$4.77
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$77.0$74.5$2.51$222$225$2.71
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$83.7$50.3$33.4$272$312$39.9
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$92.7$74.0$18.7$277$306$29.4
2017Detailed filing. Detailed filing data is available for this year.$111$89.5$21.5$322$351$28.4
2016Detailed filing. Detailed filing data is available for this year.$807$52.4$755$290$317$26.4
2015Detailed filing. Detailed filing data is available for this year.$852$45.1$806$279$284$5.21
2014Detailed filing. Detailed filing data is available for this year.$784$45.7$738$252$267$15.6
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,967$2,201$234$256
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$746$928$182$255
2011Summary only. Only limited summary data is available for this year.$75.7$221$145$234$257$23.2
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$79.2$187$108$237