Civic Intelligence

Tanner Medical Center Inc.

990 • Fiscal year 2014 • EIN 58-1790149

Jul 01, 2013 to Jun 30, 2014 • Filed on May 15, 2015

705 Dixie Street30117-3818

(770) 836-9580

Siviq Scores

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

Liabilities / Assets

48th percentile

0.34x

Higher debt load relative to assets than 48% of similar nonprofits.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2014

Liabilities / Revenue

51st percentile

0.58x

Higher debt load relative to revenue than 51% of similar nonprofits.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2014

Net Margin

74th percentile

15%

Higher net margin than 74% of similar nonprofits.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2014

Top Officer Pay

69th percentile

$1,243,526

Higher top officer pay than 69% of similar nonprofits.

Top officer pay equals 0.5% of source-year revenue.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2014

Asset Growth

82nd percentile

15%

Faster asset growth than 82% of similar nonprofits.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2013 to 2014

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2014

Assets

Up

$457,465,089

Up $57,958,062 (+15%) from 2013

Net Assets

Up

$302,389,681

Up $46,349,104 (+18%) from 2013

Liabilities

Up

$155,075,408

Up $11,608,958 (+8.1%) from 2013

Revenue

$268,461,698

No earlier filing loaded for comparison.

Expenses

Up

$229,359,627

Up $23,584,605 (+11%) from 2013

Net Income

$39,102,071

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

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

$1.5B$1.0B$500M$0Assets 2010: $361,667,704Liabilities 2010: $94,661,739Net Assets 2010: $267,005,9652010Assets 2011: $361,709,831Liabilities 2011: $152,898,983Net Assets 2011: $208,810,8482011Assets 2012: $377,671,558Liabilities 2012: $156,486,698Net Assets 2012: $221,184,8602012Assets 2013: $399,507,027Liabilities 2013: $143,466,450Net Assets 2013: $256,040,5772013Assets 2014: $457,465,089Liabilities 2014: $155,075,408Net Assets 2014: $302,389,6812014Assets 2015: $486,301,092Liabilities 2015: $139,900,837Net Assets 2015: $346,400,2552015Assets 2016: $603,588,461Liabilities 2016: $219,101,619Net Assets 2016: $384,486,8422016Assets 2017: $657,782,173Liabilities 2017: $213,192,855Net Assets 2017: $444,589,3182017Assets 2018: $719,724,624Liabilities 2018: $219,340,229Net Assets 2018: $500,384,3952018Assets 2019: $776,893,468Liabilities 2019: $224,242,937Net Assets 2019: $552,650,5312019Assets 2020: $876,761,987Liabilities 2020: $280,378,860Net Assets 2020: $596,383,1272020Assets 2021: $1,025,880,697Liabilities 2021: $319,542,032Net Assets 2021: $706,338,6652021Assets 2022: $974,724,631Liabilities 2022: $287,262,906Net Assets 2022: $687,461,7252022Assets 2023: $1,045,378,541Liabilities 2023: $318,471,799Net Assets 2023: $726,906,7422023Assets 2024: $1,123,143,594Liabilities 2024: $304,597,537Net Assets 2024: $818,546,0572024

Highlighted filing

2014

Assets$457,465,089
Liabilities$155,075,408
Net Assets$302,389,681

Operations Trend

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

$600M$400M$200M$0Expenses 2010: $316,149,0622010Expenses 2011: $191,007,6512011Expenses 2012: $202,600,4222012Expenses 2013: $205,775,0222013Revenue 2014: $268,461,698Expenses 2014: $229,359,627Net Income 2014: $39,102,0712014Revenue 2015: $289,939,056Expenses 2015: $243,655,509Net Income 2015: $46,283,5472015Revenue 2016: $310,084,819Expenses 2016: $260,539,600Net Income 2016: $49,545,2192016Revenue 2017: $316,689,859Expenses 2017: $268,765,190Net Income 2017: $47,924,6692017Revenue 2018: $345,275,765Expenses 2018: $291,062,368Net Income 2018: $54,213,3972018Revenue 2019: $365,261,188Expenses 2019: $312,755,397Net Income 2019: $52,505,7912019Revenue 2020: $384,270,645Expenses 2020: $325,604,473Net Income 2020: $58,666,1722020Revenue 2021: $412,043,057Expenses 2021: $360,764,797Net Income 2021: $51,278,2602021Revenue 2022: $443,274,974Expenses 2022: $404,288,602Net Income 2022: $38,986,3722022Revenue 2023: $448,470,338Expenses 2023: $424,165,284Net Income 2023: $24,305,0542023Revenue 2024: $501,646,564Expenses 2024: $430,951,023Net Income 2024: $70,695,5412024

Highlighted filing

2014

Revenue$268,461,698
Expenses$229,359,627
Net Income$39,102,071
Jump To
Filing Snapshot
Filing Period
Jul 1, 2013 to Jun 30, 2014
Signed
May 15, 2015
Return Version
2013v4.0
Gross Receipts
$366,523,456
Mission and Program Overview

Mission

To provide a continuum of quality healthcare services within our resource capabilities. To serve as a leader in a collaborative effort with the community to provide health education, support services, and care for the county and surrounding area.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$184,646,156$205,541,998▲ $20,895,842
Land, Buildings, and Equipment, Net$161,681,409$160,121,147▼ $1,560,262
Savings and Temporary Cash Investments$22,040,016$39,099,132▲ $17,059,116
Accounts Receivable$22,646,719$23,336,143▲ $689,424
Prepaid Expenses and Deferred Charges$1,244,949$4,516,597▲ $3,271,648
Inventories for Sale or Use$3,252,372$3,085,599▼ $166,773
Other Notes and Loans Receivable, Net$2,977,148$2,748,841▼ $228,307
Loans From Officers Directors$443,372--
Cash and Non-Interest-Bearing Accounts$634,144$251,291▼ $382,853
Investments Other Securities$384,114$240,051▼ $144,063
Total Assets$399,507,027$457,465,089▲ $57,958,062
Other Assets Total-$18,524,290-
Liabilities
Tax Exempt Bond Liabilities$105,873,510$101,866,268▼ $4,007,242
Accounts Payable and Accrued Expenses$24,602,956$47,198,085▲ $22,595,129
Other Liabilities$12,546,612$6,011,055▼ $6,535,557
Total Liabilities$143,466,450$155,075,408▲ $11,608,958
Net Assets / Fund Balance
Unrestricted Net Assets$250,323,995$296,053,244▲ $45,729,249
Temporarily Rstr Net Assets$4,055,094$4,674,949▲ $619,855
Permanently Rstr Net Assets$1,661,488$1,661,488→ $0
Total Net Assets Fund Balance$256,040,577$302,389,681▲ $46,349,104
Total Liabilities and Net Assets / Fund Balance$399,507,027$457,465,089▲ $57,958,062

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$109,769,085$76,856,512$186,625,597
Equipment$38,406,142$78,873,406$117,279,548
Other Land Buildings$7,127,060-$7,127,060
Land$3,944,119-$3,944,119
Leasehold Improvements$874,741$1,631,848$2,506,589

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2013$5,716,582$1,503,783▲ $259,962-$6,336,437
2012$5,680,421$33,000▲ $198,196-$5,716,582
2011$5,499,780-▲ $342,277-$5,680,421
2010$5,223,886$41,729▲ $234,165-$5,499,780
2009$3,781,371$1,218,318▲ $224,197-$5,223,886
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Loy HowardCEOPT$403,723$311,304$715,027
Williams Waters MdCMOPT$294,988$77,399$375,792
Wayne SenfeldSr. VP, BusPT$195,587$172,596$368,183
Larry SteedCOOPT$216,082$119,279$337,443
Vaughn Clagette MdVice PresidePT$149,630$143,306$292,936
Deborah MatthewsAdmin, CarroFT$239,417$22,335$261,752
Vaughn Clagette MdVice President-$198,917$83,968$261,752
Cynthia MastersVP, Svc IntePT$134,897$120,650$255,547
Maria RussoCIOPT$171,921$67,281$239,801
Lee ShersethFormer CFOPT$127,665$118,988$232,661
Stephanie YatesVP, ComplianPT$99,061$123,318$222,379
Jake ChesserMedical PhysFT$187,581$32,455$220,036
Susan FoxVP, TmgPT$182,305$36,912$220,036
Wayne SenfeldSr. VP, Bus Dev-$161,912$48,414$211,705
Denise TaylorCDOPT$132,269$59,544$198,340
Jane HornsbyChief SonogrFT$167,750$26,475$194,225
Jake ChesserMedical Physicist-$163,293$69,976$194,225
Shellie SherrodRecruiterFT$141,567$30,211$186,747
Jane HornsbyChief Sonographer-$159,250$37,420$181,701
Mark Gustafson MdPhysicianFT$110,871$16,772$175,944
William HinesCAOPT$149,630$58,108$168,438
Deborah MatthewsAdmin, Carrollton-$117,540$25,366$146,939
Carol CrewsVP, FinancePT$107,367$33,445$134,812
Cynthia MastersVP, Svc Integration-$85,737$36,604$117,351
Debbie HollensteinFormer VP, M-$52,690$55,246$107,936
Dale DreilingFormer Sr. V-$53,124$47,102$100,226
Stephanie YatesVP, Compliance-$68,590$16,594$98,222
Dale DreilingFormer Sr. VP, Tmg-$52,690$9,373$62,063
Lynn BarrettPharmacistFT$8,848$4,506$57,630

Board Members and Trustees

NameTitle
Daniel JacksonChairman
Stephen Kahler MdVice-chairma
Gelon WasdinDirector
Jerry ClaytonDirector
Larry BoggsDirector
Nita PriceDirector
Robert B Pitts MdDirector
Steve AdamsDirector
Timothy WarrenDirector
Debbie HollensteinFormer VP, Marketing
Mary CovingtonSecretary
Jeffrey Lindsey DmdTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Premier INCHealth Quality-$3,905,133
AramarkClinical Engin-$2,690,664
Laboratory Corporation Of AmericaLab Services-$1,908,734
Oracle TranscriptionTranscription-$1,217,352
Southern Therapy Services INCPhysical Therap-$1,215,985
Revenue and Support

Revenue Composition

Contributions and Grants
$941,891
Program Service Revenue
$197,463,860
Investment Income
$14,731,372
Other Revenue
$55,324,575
All Other Contributions
$400
Change in Net Assets
$39,102,071
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$115,619,479
Salaries, Compensation, and Employee Benefits$113,699,248
Grants and Similar Amounts Paid$40,900
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$55,130,426$23,555,745-$78,686,171
Office Expenses$20,667,347$3,572,032-$24,239,379
Other Employee Benefits$22,987,645$69,876-$23,057,521
Fees for Services Other$16,671,751$6,195,125-$22,866,876
Depreciation Depletion$16,040,388$4,312,764-$20,353,152
Insurance$37,373$7,781,965-$7,819,338
Payroll Taxes$4,203,633$1,403,111-$5,606,744
Interest-$4,435,194-$4,435,194
Current Officers, Directors, Trustees, and Key Employees-$3,238,282-$3,238,282
Pension Plan Contributions$2,283,056$827,474-$3,110,530
Occupancy$2,325,690$625,319-$2,951,009
Other Expenses$2,501,321$77,408-$2,578,729
Advertising$312,002$746,498-$1,058,500
Fees for Services Legal-$1,010,249-$1,010,249
Conferences and Meetings$199,354$483,197-$682,551
All Other Expenses$429,960$215,899-$645,859
Fees for Service Investment Mgmnt Fees-$539,810-$539,810
Fees for Services Accounting-$426,742-$426,742
Travel$222,485$54,421-$276,906
Fees for Services Management$249,743--$249,743
Fees for Services Lobbying$135,583--$135,583
Grants to Domestic Orgs$40,900--$40,900
Total Functional Expenses$160,165,230$69,194,397$0$229,359,627
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
58-1790152-501c3Funding Projects$40,900
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

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Vaughn ClagetteVp/doctorHospitalistNo$847,582
Robert PittsDirector/doctorManagement ServicesNo$215,350
Vaughn ClagetteVp/doctorManagement ServicesNo$128,000
Steve AdamsDirectorAmbulance ServiceNo$54,356

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$443,372--
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Related Parties$4,213,233
Due to Third Parties$1,797,822

Bond Issues

BondIssuerIssuedIssue PricePurpose
B58-17901492010-08-31$81,569,188CONSTRUCTION
A58-17901492008-03-11$32,970,000CONSTRUCTION

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
B$81,569,188-$9,270,227$657,030
A$32,837,800-$3,402,693$837,414

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
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
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
Yes
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
No
Management duties delegated
Yes

Governance Explanations

Form 990, Page 6, Part VI, Line 3

Cypress healthcare partners, llc, an unrelated organization, is a consulting firm providing management services to tanner. Cypress healthcare partners, llc assigned william hines as chief administrative officer. Service provided by william hines includes directing various departmental operations (tmc engineering, dietary, human resources etc.), managing physician practices, and hospice and home health operations.

Form 990, Page 6, Part VI, Line 11B

The organization's accounting department gathers information for the preparation of the form 990 and consults with the cfo and compliance officer on certain matters. Prior to filing with the irs, a draft copy as prepared by the external accounting firm is reviewed by the cfo for accuracy. Once corrections are made, the final version is distributed to all voting board members via electronic means prior to filing with the irs.

Form 990, Page 6, Part VI, Line 12C

The policy covers all employees, suppliers, medical staff and volunteers. Conflicts are reviewed by the compliance officer for resolution. The compliance officer then consults with the executive team and the ceo for final resolution. Per the policy, any person with a conflict will excuse themselves from the decision making process completely. Board members physically leave the room when discussions occur that are potential conflicts. Tanner bids out services and if a company owned by a board member chooses to bid, there are additional steps for transparency, such as advertising the bidding process in the newspaper. All services are compared to fair market value. Transactions involving any potential conflict of interest are handled by the attorney to make sure all steps are taken to comply with the conflict of interest policy.

Form 990, Page 6, Part VI, Line 15A

The organization's compensation committee reviews recommendations and approves compensation packages for all senior management. Tmc uses an outside nationally known compensation and benefits firm that uses survey information, reviews job standards, etc. For all senior management. The outside firm analyzes comparable compensation data for similarly qualified persons in functionally comparable positions at similarly situated organizations and presents the data to the compensation committee. With respect to deliberations and decisions regarding the compensation arrangement, official minutes are kept. The executive assistant to the ceo maintains the minutes. This process last completed in 2013.

Form 990, Page 6, Part VI, Line 19

The organization makes available its governing documents, conflict of interest policy and financial statements to members of the public who make their request at the administrative office of the organization.

Filing and Contact Details

Filer

EIN
58-1790149
Phone
7708369580

Signing Officer

Name
Carol S Crews
Title
CFO
Phone
7708369580
Signed
2015-05-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Loy M Howard CEO
Formed
1988
Legal Domicile
Ga
Voting Board Members
12
Independent Board Members
9
Employees
3,107
Volunteers
150

Preparer

Preparer
Jacqueline G Atkins
Phone
2298837878
Supplemental Narrative

Additional Explanations

FORM 990 - ORGANIZATION'S MISSION

To provide a continuum of quality healthcare services within our resource capabilities. To serve as a leader in a collaborative effort with the community to provide health education, support services, and care for the county and surrounding area.

Form 990, Page 2, Part III, Line 2

Tanner medical center closed the skilled nursing facility during the previous tax year and opened an inpatient rehabilitation facility in its place.

Form 990, Page 2, Part III, Line 4A

Advanced wound center, employee assistance program (tanner eap) and more. More information on tanner medical center, inc. Is available in the health system's annual community benefit report, which can be downloaded at http://www.tanner.org/main/healthlivingmagazine.aspx tanner medical center, inc. Is a not-for-profit healthcare system. The medical center provides inpatient, outpatient and emergency care services to residents of west georgia and surrounding areas. Admitting physicians are primarily practitioners in the local area and employed physicians. Tanner medical center, inc. Includes the following: tanner medical center/carrollton, established to provide comprehensive healthcare services through the operation of a 180-bed acute care hospital and a 20-bed inpatient rehabilitation facility in carrollton, georgia.

Financial Statement Notes

Schedule D, Page 2, Part V, Line 4

Endowment funds help support health care services including mammograms for the indigent, cancer patient assistance, capital improvements, education and scholarships, hospice care, cardiology assistance, and children's assistance.

Schedule D, Page 3, Part X

The medical center is a not-for-profit corporation that has been recognized as tax-exempt pursuant to section 501(c)(3) of the internal revenue code. The medical center applies accounting policies that prescribe when to recognize and how to measure the financial statement effects of income tax positions taken or expected to be taken on its income tax returns. These rules require management to evaluate the likelihood that, upon examination by the relevant taxing jurisdictions, those income tax positions would be sustained. Based on that evaluation, the medical center only recognizes the maximum benefit of each income tax position that is more than 50% likely of being sustained. To the extent that all or a portion of the benefits of an income tax position are not recognized, a liability would be recognized for the unrecognized benefits, along with any interest and penalties that would result from disallowance of the position. Should any such penalties and interest be incurred, they would be recognized as operating expenses. Based on the results of management's evaluation, no liability is recognized in the accompanying balance sheet for unrecognized income tax positions. Further, no interest or penalties have been accrued or charged to expense as of june 30, 2014 and 2013 or for the years then ended. The medical center's tax returns are subject to possible examination by the taxing authorities. For federal income tax purposes, the tax returns essentially remain open for possible examination for a period of three years after the respective filing deadlines of those returns. Tanner medical group is part of a tax-exempt organization pursuant to section 501(c)(3) of the internal revenue code. The affiliated business services provided are, however, subject to unrelated business income taxes and a form 990-t, exempt organization business income tax return is filed for these services. As of 2014 and 2013, tanner medical group has not recorded income tax expense due to net operating losses.

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IRS990/Desc0TANNER HEALTH SYSTEM, INC. PROVIDES HEALTHCARE TO THE POPULATION OF NORTHWEST GEORGIA AND EAST ALABAMA. SERVICES ARE FOR BOTH INPATIENT SERVICE AND OUTPATIENT ANCILLARY SERVICES INCLUDING PHYSICIAN OFFICES. AS A NOT FOR PROFIT CORPORATION, TANNER PROVIDES SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR THESE SERVICES. AS OF JUNE 30, 2014, TANNER MEDICAL CENTER, INC. IS A REGIONAL HEALTHCARE PROVIDER WITH MORE THAN 300 PHYSICIANS REPRESENTING 35 UNIQUE MEDICAL SPECIALTIES. TANNER PROVIDES A WIDE RANGE OF COMPREHENSIVE MEDICAL SERVICES FOR RESIDENTS IN A REGION OF WEST GEORGIA AND EAST ALABAMA. TANNER'S FACILITIES INCLUDE THE 202-BED ACUTE CARE TANNER MEDICAL CENTER/CARROLLTON; THE ROY RICHARDS, SR. CANCER CENTER, TANNER HEART AND VASCULAR CENTER, TANNER BREAST HEALTH, THE TANNER ADVANCED WOUND CENTER, EMPLOYEE ASSISTANCE PROGRAM (TANNER EAP) AND MORE. MORE INFORMATION ON TANNER MEDICAL CENTER, INC. IS AVAILABLE IN THE HEALTH SYSTEM'S ANNUAL COMMUNITY BENEFIT REPORT, WHICH CAN BE DOWNLOADED AT HTTP://WWW.TANNER.ORG/MAIN/HEALTHLIVINGMAGAZINE.ASPX TANNER MEDICAL CENTER, INC. IS A NOT-FOR-PROFIT HEALTHCARE SYSTEM. THE MEDICAL CENTER PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO RESIDENTS OF WEST GEORGIA AND SURROUNDING AREAS. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA AND EMPLOYED PHYSICIANS. TANNER MEDICAL CENTER, INC. INCLUDES THE FOLLOWING: TANNER MEDICAL CENTER/CARROLLTON, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTHCARE SERVICES THROUGH THE OPERATION OF A 180-BED ACUTE CARE HOSPITAL AND A 20-BED INPATIENT REHABILITATION FACILITY IN CARROLLTON, GEORGIA.
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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.$1,123$305$819$502$431$70.7
2023Summary only. Only limited summary data is available for this year.$1,045$318$727$448$424$24.3
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$975$287$687$443$404$39.0
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,026$320$706$412$361$51.3
2020Summary only. Only limited summary data is available for this year.$877$280$596$384$326$58.7
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$777$224$553$365$313$52.5
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$720$219$500$345$291$54.2
2017Summary only. Only limited summary data is available for this year.$658$213$445$317$269$47.9
2016Detailed filing. Detailed filing data is available for this year.$604$219$384$310$261$49.5
2015Detailed filing. Detailed filing data is available for this year.$486$140$346$290$244$46.3
2014Detailed filing. Detailed filing data is available for this year.$457$155$302$268$229$39.1
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$400$143$256$206
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$378$156$221$203
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$362$153$209$191
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$362$94.7$267$316