Civic Intelligence

Community Health Foundation of Kay County Inc.

990 • Fiscal year 2017 • EIN 73-1520034

Oct 01, 2016 to Sep 30, 2017 • Filed on Feb 13, 2018

P O Box 828Ponca City, OK 74602

(580) 765-0581

Siviq Scores

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

Liabilities / Assets

15th percentile

0.00x

Higher debt load relative to assets than 15% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Liabilities / Revenue

19th percentile

0.00x

Higher debt load relative to revenue than 19% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Net Margin

6th percentile

-52%

Higher net margin than 6% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Top Officer Pay

40th percentile

$30,000

Higher top officer pay than 40% of similar nonprofits.

Top officer pay equals 20.1% of source-year revenue.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Asset Growth

62nd percentile

7.3%

Faster asset growth than 62% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2016 to 2017

Revenue Growth

15th percentile

-16%

Faster revenue growth than 15% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2016 to 2017

Assets

Up

$3,940,127

Up $268,299 (+7.3%) from 2016

Net Assets

Up

$3,939,429

Up $268,300 (+7.3%) from 2016

Liabilities

Down

$698

Down $1 (-0.1%) from 2016

Revenue

Down

$149,559

Down $28,560 (-16%) from 2016

Expenses

Down

$227,449

Down $23,649 (-9.4%) from 2016

Net Income

Down

-$77,890

Down $4,911 (-6.7%) from 2016

Historical Trend

Balance Sheet Trend

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

$6.0M$4.0M$2.0M$0Assets 2011: $2,964,096Liabilities 2011: $769Net Assets 2011: $2,963,3272011Assets 2012: $3,265,637Liabilities 2012: $754Net Assets 2012: $3,264,8832012Assets 2013: $3,588,785Liabilities 2013: $797Net Assets 2013: $3,587,9882013Assets 2014: $3,803,587Liabilities 2014: $888Net Assets 2014: $3,802,6992014Assets 2015: $3,515,650Liabilities 2015: $1,311Net Assets 2015: $3,514,3392015Assets 2016: $3,671,828Liabilities 2016: $699Net Assets 2016: $3,671,1292016Assets 2017: $3,940,127Liabilities 2017: $698Net Assets 2017: $3,939,4292017Assets 2018: $3,948,597Liabilities 2018: $930Net Assets 2018: $3,947,6672018Assets 2019: $3,922,631Liabilities 2019: $495Net Assets 2019: $3,922,1362019Assets 2020: $3,953,454Liabilities 2020: $5,977Net Assets 2020: $3,947,4772020Assets 2021: $4,491,748Liabilities 2021: $1,147Net Assets 2021: $4,490,6012021Assets 2022: $3,500,003Liabilities 2022: $694Net Assets 2022: $3,499,3092022Assets 2023: $3,659,022Liabilities 2023: $733Net Assets 2023: $3,658,2892023Assets 2024: $4,157,502Liabilities 2024: $767Net Assets 2024: $4,156,7352024Assets 2025: $4,285,504Liabilities 2025: $760Net Assets 2025: $4,284,7442025

Highlighted filing

2017

Assets$3,940,127
Liabilities$698
Net Assets$3,939,429

Operations Trend

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

$1.0M$500K$0-$500KRevenue 2011: $127,686Expenses 2011: $228,282Net Income 2011: -$100,5962011Revenue 2012: $144,889Expenses 2012: $225,919Net Income 2012: -$81,0302012Expenses 2013: $202,9772013Revenue 2014: $188,131Expenses 2014: $229,664Net Income 2014: -$41,5332014Revenue 2015: $255,644Expenses 2015: $272,134Net Income 2015: -$16,4902015Revenue 2016: $178,119Expenses 2016: $251,098Net Income 2016: -$72,9792016Revenue 2017: $149,559Expenses 2017: $227,449Net Income 2017: -$77,8902017Revenue 2018: $215,705Expenses 2018: $262,398Net Income 2018: -$46,6932018Revenue 2019: $168,249Expenses 2019: $193,780Net Income 2019: -$25,5312019Revenue 2020: $284,506Expenses 2020: $259,165Net Income 2020: $25,3412020Revenue 2021: $755,992Expenses 2021: $212,868Net Income 2021: $543,1242021Revenue 2022: $363,138Expenses 2022: $272,733Net Income 2022: $90,4052022Revenue 2023: $71,702Expenses 2023: $262,528Net Income 2023: -$190,8262023Revenue 2024: $98,196Expenses 2024: $260,910Net Income 2024: -$162,7142024Revenue 2025: $247,537Expenses 2025: $274,714Net Income 2025: -$27,1772025

Highlighted filing

2017

Revenue$149,559
Expenses$227,449
Net Income-$77,890
Jump To
Filing Snapshot
Filing Period
Oct 1, 2016 to Sep 30, 2017
Signed
Feb 13, 2018
Return Version
2016v3.0
Gross Receipts
$149,559
Mission and Program Overview

Mission

To enable the citizens of the Kay County regional area to have better access to medical services and programs by assisting various medical care providers.

To enable the citizens of the kay county regionalarea to have better access to medical services and programs by assisting various medical care providers.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$3,386,521$3,847,839▲ $461,318
Cash and Non-Interest-Bearing Accounts$284,768$91,903▼ $192,865
Land, Buildings, and Equipment, Net$539$385▼ $154
Savings and Temporary Cash Investments-$0-
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$3,671,828$3,940,127▲ $268,299
Other Assets Total-$0-
Liabilities
Accounts Payable and Accrued Expenses$699$698▼ $1
Total Liabilities$699$698▼ $1
Net Assets / Fund Balance
Unrestricted Net Assets$3,671,129$3,939,429▲ $268,300
Total Net Assets Fund Balance$3,671,129$3,939,429▲ $268,300
Total Liabilities and Net Assets / Fund Balance$3,671,828$3,940,127▲ $268,299

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$385$2,340-
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Maribeth SubramaniamExecutive DirectorPT$30,000$30,000

Board Members and Trustees

NameTitle
Ted Kaspar DoChairman
Rick MccumberVice Chair
Ben LundquistDirector
CARLA O'NEILLDirector
Erin LibertonDirector
Jeanne StaraDirector
Jeremy OwenDirector
Judy EckholtDirector
Robyn ArmstrongDirector
Melissa YoungTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$13,368
Program Service Revenue
$0
Investment Income
$136,191
Other Revenue
$0
All Other Contributions
$13,368
Change in Net Assets
$-77,890
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$172,003
Salaries, Compensation, and Employee Benefits$32,295
Other Expenses$23,151
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Individuals$172,003--$172,003
Current Officers, Directors, Trustees, and Key Employees-$30,000-$30,000
Fees for Service Investment Mgmnt Fees-$17,634-$17,634
Insurance-$2,381-$2,381
Payroll Taxes-$2,295-$2,295
Fees for Services Accounting-$1,840-$1,840
Office Expenses-$678-$678
Occupancy-$464-$464
Depreciation Depletion-$154-$154
Total Functional Expenses$172,003$55,446$0$227,449
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
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
No
Backup withholding compliance
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 11B: Form 990 Review Process

Executive director and treasurer review the return after its completion and report their findings to the board prior to filing.

Form 990, Part VI, Line 12C: Explanation of Monitoring and Enforcement of Conflicts

Members of the board annually list organizations they are involved with that could create a conflict of interest.to dae, there are no known issues between any of these organizations and the community health foundation requiring any action.

Form 990, Part VI, Line 15A: Compensation Review & Approval Process - CEO, Top Management

Approval by board members.

Form 990, Part VI, Line 19: Other Organization Documents Publicly Available

All governing documents are available and open to the public upon request.

Filing and Contact Details

Filer

Filer Name
Community Health Foundation
EIN
73-1520034
Address
P O BOX 828, PONCA CITY, OK 74602

Signing Officer

Name
Maribeth Subramaniam
Title
Executive Director
Signed
2018-02-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Maribeth Subramaniam
Formed
1997
Legal Domicile
Ok
Voting Board Members
11
Independent Board Members
11
Employees
1

Preparer

Firm
Van Cleave and Associates Pc
Address
747 N 14TH ST, PONCA CITY, OK 74601
Preparer
C L Van Cleave CPA CFP
Phone
5807628535
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IRS990/OrgFiledInLieuOfForm1041Ind0false
IRS990/OtherAssetsTotalGrp/EOYAmt00
IRS990/OtherEmployeeBenefitsGrp/TotalAmt00
IRS990/OtherRevenueTotalAmt00
IRS990/OtherSalariesAndWagesGrp/TotalAmt00
IRS990/OthNotesLoansReceivableNetGrp/EOYAmt00
IRS990/PartialLiquidationInd0false
IRS990/PaymentsToAffiliatesGrp/TotalAmt00
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt02295
IRS990/PayrollTaxesGrp/TotalAmt02295
IRS990/PensionPlanContributionsGrp/TotalAmt00
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt00
IRS990/PrincipalOfficerNm0MARIBETH SUBRAMANIAM
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgSrvcAccomActy2Grp/Desc0SCHOLARSHIPS ARE AWARDED TO HIGH SCHOOL, TRADE SCHOOL AND COLLEGE STUDENTS WHO WILL PRACTICE IN THE KAY COUNTY AND SURROUNDING AREA UPON GRADUATION.
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt038100
IRS990/ProgSrvcAccomActy2Grp/GrantAmt038100
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt07730
IRS990/PYExcessBenefitTransInd0false
IRS990/PYGrantsAndSimilarPaidAmt0202763
IRS990/PYInvestmentIncomeAmt0170389
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt00
IRS990/PYOtherExpensesAmt023493
IRS990/PYRevenuesLessExpensesAmt0-72979
IRS990/PYSalariesCompEmpBnftPaidAmt024842
IRS990/PYTotalExpensesAmt0251098
IRS990/PYTotalRevenueAmt0178119
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt0-77890
IRS990/RegularMonitoringEnfrcInd0true
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RoyaltiesGrp/TotalAmt00
IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt00
IRS990/SavingsAndTempCashInvstGrp/EOYAmt00
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt013368
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt07730
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt039836
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt049659
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt019257
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt0129850
IRS990ScheduleA/GovtFurnSrvcFcltsVl170Grp/TotalAmt00
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt0136191
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt0170389
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt0202798
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt0138472
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt085231
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt0733081
IRS990ScheduleA/OtherIncome170Grp/TotalAmt00
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.15050
IRS990ScheduleA/PublicSupportPY170Pct00.13940
IRS990ScheduleA/PublicSupportTotal170Amt0129850
IRS990ScheduleA/SubstantialContributorsTotAmt00
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft170Grp/TotalAmt00
IRS990ScheduleA/TenPctFactsCrcmstncsTestCYInd0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt013368
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt07730
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt039836
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt049659
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt019257
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0129850
IRS990ScheduleA/TotalSupportAmt0862931
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/TotalAmt00
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt0385
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt02340
IRS990ScheduleD/OtherLandBuildingsGrp/InvestmentCostOrOtherBasisAmt02725
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0385
IRS990ScheduleI/GrantRecordsMaintainedInd0false
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/CashGrantAmt0172003
IRS990ScheduleI/Total501c3OrgCnt00
IRS990ScheduleI/TotalOtherOrgCnt00
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0EXECUTIVE DIRECTOR AND TREASURER REVIEW THE RETURN AFTER ITS COMPLETION AND REPORT THEIR FINDINGS TO THE BOARD PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1MEMBERS OF THE BOARD ANNUALLY LIST ORGANIZATIONS THEY ARE INVOLVED WITH THAT COULD CREATE A CONFLICT OF INTEREST.TO DAE, THERE ARE NO KNOWN ISSUES BETWEEN ANY OF THESE ORGANIZATIONS AND THE COMMUNITY HEALTH FOUNDATION REQUIRING ANY ACTION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2APPROVAL BY BOARD MEMBERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3ALL GOVERNING DOCUMENTS ARE AVAILABLE AND OPEN TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Line 11b: Form 990 Review Process
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0OK
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxableDistributionsInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt03671828
IRS990/TotalAssetsEOYAmt03940127
IRS990/TotalAssetsGrp/BOYAmt03671828
IRS990/TotalAssetsGrp/EOYAmt03940127
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt013368
IRS990/TotalEmployeeCnt01
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt055446
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0172003
IRS990/TotalFunctionalExpensesGrp/TotalAmt0227449
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0699
IRS990/TotalLiabilitiesEOYAmt0698
IRS990/TotalLiabilitiesGrp/BOYAmt0699
IRS990/TotalLiabilitiesGrp/EOYAmt0698
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt03671129
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt03939429
IRS990/TotalProgramServiceExpensesAmt0172003
IRS990/TotalProgramServiceRevenueAmt00
IRS990/TotalReportableCompFromOrgAmt030000
IRS990/TotalRevenueGrp/ExclusionAmt0136191
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0149559
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt03671828
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt03940127
IRS990/TransactionWithControlEntInd0false
IRS990/TravelGrp/TotalAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt03671129
IRS990/UnrestrictedNetAssetsGrp/EOYAmt03939429
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0P O BOX 828
IRS990/USAddress/CityNm0PONCA CITY
IRS990/USAddress/StateAbbreviationCd0OK
IRS990/USAddress/ZIPCd074602
IRS990/VotingMembersGoverningBodyCnt011
IRS990/VotingMembersIndependentCnt011
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0false

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$4.29$0.00$4.28$0.25$0.27$0.03
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.16$0.00$4.16$0.10$0.26$0.16
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.66$0.00$3.66$0.07$0.26$0.19
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.50$0.00$3.50$0.36$0.27$0.09
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.49$0.00$4.49$0.76$0.21$0.54
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.95$0.01$3.95$0.28$0.26$0.03
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.92$0.00$3.92$0.17$0.19$0.03
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.95$0.00$3.95$0.22$0.26$0.05
2017Detailed filing. Detailed filing data is available for this year.$3.94$0.00$3.94$0.15$0.23$0.08
2016Detailed filing. Detailed filing data is available for this year.$3.67$0.00$3.67$0.18$0.25$0.07
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.52$0.00$3.51$0.26$0.27$0.02
2014XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.80$0.00$3.80$0.19$0.23$0.04
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.59$0.00$3.59$0.20
2012Summary only. Only limited summary data is available for this year.$3.27$0.00$3.26$0.14$0.23$0.08
2011Summary only. Only limited summary data is available for this year.$2.96$0.00$2.96$0.13$0.23$0.10