Civic Intelligence

Sid Peterson Memorial Hospital

990 • Fiscal year 2021 • EIN 74-2557820

Jul 01, 2020 to Jun 30, 2021 • Filed on Mar 08, 2022

551 Hill Country DriveKerrville, TX 78028

(830) 258-7795

Siviq Scores

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

Liabilities / Assets

50th percentile

0.29x

Higher debt load relative to assets than 50% of similar nonprofits.

2021 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2021

Liabilities / Revenue

45th percentile

0.47x

Higher debt load relative to revenue than 45% of similar nonprofits.

2021 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2021

Net Margin

51st percentile

9.0%

Higher net margin than 51% of similar nonprofits.

2021 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2021

Top Officer Pay

44th percentile

$648,950

Higher top officer pay than 44% of similar nonprofits.

Top officer pay equals 0.3% of source-year revenue.

2021 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2021

Asset Growth

41st percentile

10.0%

Faster asset growth than 41% of similar nonprofits.

2021 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2020 to 2021

Revenue Growth

47th percentile

9.7%

Faster revenue growth than 47% of similar nonprofits.

2021 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2020 to 2021

Assets

Up

$315,585,988

Up $28,680,624 (+10.0%) from 2020

Net Assets

Up

$223,559,929

Up $29,847,431 (+15%) from 2020

Liabilities

Down

$92,026,059

Down $1,166,807 (-1.3%) from 2020

Revenue

Up

$197,777,145

Up $17,470,592 (+9.7%) from 2020

Expenses

Up

$179,955,583

Up $16,381,220 (+10%) from 2020

Net Income

Up

$17,821,562

Up $1,089,372 (+6.5%) from 2020

Historical Trend

Balance Sheet Trend

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

$400M$300M$200M$100M$0Assets 2010: $191,428,058Liabilities 2010: $80,656,836Net Assets 2010: $110,771,2222010Assets 2011: $200,016,200Liabilities 2011: $80,863,328Net Assets 2011: $119,152,8722011Assets 2012: $200,261,636Liabilities 2012: $94,318,007Net Assets 2012: $105,943,6292012Assets 2013: $204,804,982Liabilities 2013: $87,737,912Net Assets 2013: $117,067,0702013Assets 2014: $219,291,446Liabilities 2014: $85,974,466Net Assets 2014: $133,316,9802014Assets 2015: $227,816,280Liabilities 2015: $82,811,122Net Assets 2015: $145,005,1582015Assets 2016: $220,551,976Liabilities 2016: $77,421,019Net Assets 2016: $143,130,9572016Assets 2017: $228,611,677Liabilities 2017: $72,666,218Net Assets 2017: $155,945,4592017Assets 2018: $237,394,171Liabilities 2018: $74,340,537Net Assets 2018: $163,053,6342018Assets 2019: $256,619,169Liabilities 2019: $73,308,552Net Assets 2019: $183,310,6172019Assets 2020: $286,905,364Liabilities 2020: $93,192,866Net Assets 2020: $193,712,4982020Assets 2021: $315,585,988Liabilities 2021: $92,026,059Net Assets 2021: $223,559,9292021Assets 2022: $274,567,180Liabilities 2022: $67,405,753Net Assets 2022: $207,161,4272022Assets 2023: $290,019,605Liabilities 2023: $68,786,255Net Assets 2023: $221,233,3502023Assets 2024: $323,259,705Liabilities 2024: $70,956,691Net Assets 2024: $252,303,0142024Assets 2025: $353,644,819Liabilities 2025: $67,294,586Net Assets 2025: $286,350,2332025

Highlighted filing

2021

Assets$315,585,988
Liabilities$92,026,059
Net Assets$223,559,929

Operations Trend

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

$300M$200M$100M$0Expenses 2010: $93,851,9012010Expenses 2011: $98,552,4722011Expenses 2012: $103,217,2302012Expenses 2013: $99,927,2302013Revenue 2014: $114,312,837Expenses 2014: $104,950,381Net Income 2014: $9,362,4562014Revenue 2015: $140,337,450Expenses 2015: $118,697,624Net Income 2015: $21,639,8262015Revenue 2016: $131,420,434Expenses 2016: $128,534,861Net Income 2016: $2,885,5732016Revenue 2017: $154,093,403Expenses 2017: $143,182,753Net Income 2017: $10,910,6502017Revenue 2018: $157,155,841Expenses 2018: $147,607,666Net Income 2018: $9,548,1752018Revenue 2019: $186,440,685Expenses 2019: $161,596,583Net Income 2019: $24,844,1022019Revenue 2020: $180,306,553Expenses 2020: $163,574,363Net Income 2020: $16,732,1902020Revenue 2021: $197,777,145Expenses 2021: $179,955,583Net Income 2021: $17,821,5622021Revenue 2022: $217,464,020Expenses 2022: $194,800,502Net Income 2022: $22,663,5182022Revenue 2023: $192,414,654Expenses 2023: $174,830,522Net Income 2023: $17,584,1322023Revenue 2024: $213,272,098Expenses 2024: $181,252,546Net Income 2024: $32,019,5522024Revenue 2025: $238,296,160Expenses 2025: $204,716,921Net Income 2025: $33,579,2392025

Highlighted filing

2021

Revenue$197,777,145
Expenses$179,955,583
Net Income$17,821,562
Jump To
Filing Snapshot
Filing Period
Jul 1, 2020 to Jun 30, 2021
Signed
Mar 8, 2022
Return Version
2020v4.2
Gross Receipts
$220,352,368
Mission and Program Overview

Mission

Peterson regional medical center provides exceptional, compassionate, patient-centered healthcare.

The hospital's mission is to provide world class care today, tomorrow, always in delivering exceptional, compassionate, patient-centered care.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$116,558,144$169,239,498▲ $52,681,354
Land, Buildings, and Equipment, Net$90,855,501$85,058,829▼ $5,796,672
Cash and Non-Interest-Bearing Accounts$50,925,742$29,963,495▼ $20,962,247
Accounts Receivable$20,083,016$22,463,741▲ $2,380,725
Inventories for Sale or Use$4,445,967$4,930,853▲ $484,886
Prepaid Expenses and Deferred Charges$2,719,825$2,352,896▼ $366,929
Savings and Temporary Cash Investments$0$0→ $0
Total Assets$286,905,364$315,585,988▲ $28,680,624
Other Assets Total$1,317,169$1,576,676▲ $259,507
Liabilities
Tax Exempt Bond Liabilities$50,382,135$47,882,341▼ $2,499,794
Accounts Payable and Accrued Expenses$40,811,365$40,410,374▼ $400,991
Other Liabilities$1,999,366$3,733,344▲ $1,733,978
Total Liabilities$93,192,866$92,026,059▼ $1,166,807
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$193,430,343$223,287,058▲ $29,856,715
Net Assets With Donor Restrictions$282,155$272,871▼ $9,284
Total Net Assets Fund Balance$193,712,498$223,559,929▲ $29,847,431
Total Liabilities and Net Assets / Fund Balance$286,905,364$315,585,988▲ $28,680,624

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$58,820,553$52,868,212$111,688,765
Equipment$20,846,858$64,759,851$85,606,709
Land$4,135,055-$4,135,055
Other Land Buildings$1,095,423-$1,095,423
Leasehold Improvements$160,940$776,178$937,118

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2020$132,017-▲ $2,437-$134,138
2019$131,038-▲ $1,294-$132,017
2018$127,969-▲ $3,384-$131,038
2017$127,017-▲ $1,266-$127,969
2016$125,808-▲ $1,532-$127,017
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Cory EdmonsonChief Executive OfficerFT$472,218$176,732$648,950
Lisa MedovichCFOFT$325,918$157,440$483,358
Mack BlantonChief Medical OfficerFT$322,826$45,759$368,585
Joe PiszczorVP of OperationsFT$214,480$85,989$300,469
Kaeli DresslerCNOFT$209,503$74,340$283,843
Brian RobicheauxChief Information OfficerFT$191,550$64,486$256,036
Karen ClarkDirector of Materials MgmtFT$184,337$55,457$239,794
Susan RoigClinical CoordinatorFT$145,112$40,881$185,993
Tracy DavisVP of Population HealthFT$142,512$28,226$170,738

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Cardinal Health-7000 CARDINAL PLACE, Dublin, OH 43017$3,938,011
Zimmer US INC-1800 W CENTER ST, Warsaw, IN 46580-2304$2,545,589
Sound Physicians-1498 PACIFIC AVENUE SUITE 400, Tacoma, WA 98402$2,342,456
Fisher Healthcare Acct 642745-001-2150 WOODWARD ST, Austin, TX 78744$1,643,115
Health Carousel LLC-3805 EDWARDS RD 700, Cinicinnati, OH 45209$1,421,718
Revenue and Support

Revenue Composition

Contributions and Grants
$310,000
Program Service Revenue
$186,818,696
Investment Income
$7,865,842
Other Revenue
$2,782,607
All Other Contributions
$10,000
Change in Net Assets
$17,821,562

Audited Revenue Reconciliation

Revenue per Audited Statements
$199,677,993
Revenue Not Reported on Financial Statements
$-1,900,848
Revenue Not Reported on Form 990
$-9,280,002
Other Revenue Adjustments
$-2,262,706
Total Revenue per Audited Statements
$190,397,991
Total Revenue per Form 990
$197,777,145
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$101,796,675
Salaries, Compensation, and Employee Benefits$78,031,451
Total Fundraising Expense$311,694
Grants and Similar Amounts Paid$127,457
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$54,644,490$6,357,729$46,666$61,048,885
Fees for Services Other$9,781,453$2,253,091$43,299$12,077,843
Other Employee Benefits$7,885,478$2,544,725$505$10,430,708
Depreciation Depletion$6,801,101$2,832,186-$9,633,287
Payroll Taxes$3,610,565$492,092$8,417$4,111,074
Information Technology$2,192,615$1,563,644$10,306$3,766,565
Current Officers, Directors, Trustees, and Key Employees$1,209,027$1,169,105$62,652$2,440,784
Interest$1,385,820$819,095$8,855$2,213,770
Occupancy$1,480,903$244,189$16$1,725,108
Other Expenses$1,077,370$425,794$28,725$1,531,889
All Other Expenses$1,020,904$120,050$1,368$1,142,322
Advertising$133,743$619,422$77,109$830,274
Insurance$329,241$77,407-$406,648
Fees for Service Investment Mgmnt Fees-$361,858-$361,858
Fees for Services Accounting$94,903$189,976$8,975$293,854
Fees for Services Legal$114,645$108,749$4,771$228,165
Grants to Domestic Individuals$86,127--$86,127
Grants to Domestic Orgs$41,330--$41,330
Conferences and Meetings$22,869$4,330$56$27,255
Total Functional Expenses$158,799,853$20,844,036$311,694$179,955,583

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$179,955,583
Total Expenses per Audited Statements$150,028,614
Expenses per Audited Statements$147,515,909
Expenses Not Reported on Financial Statements$32,439,674
Other Expense Adjustments$32,077,816
Expenses Not Reported on Form 990$2,512,705
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Kerr ConnectKerrville, TX501(c)(3)General Support$10,000
Kerr County United WayKerrville, TX501(c)(3)General Support$10,000
Kerrvile Fire DepartmentKerrville, TXN/aGeneral Support$8,162
Chirstian Assistance MinistriesKerrville, TX501(c)(3)General Support$6,584
Dietert CenterKerrville, TX501(c)(3)General Support$6,584
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Deferred Payroll Tax$1,494,060
Self- Insurance Fund$1,467,600
Professional Liability$609,366
Righ of Use Liability$162,318

Bond Issues

BondIssuerIssuedIssue PricePurpose
ACity of Kerrville TX Health Facilities Dev Corp2015-11-24$59,726,042TO REFINANCE 2005 BONDS

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$59,726,042--$1,053,005

Bond Financing Compliance

No rebate due
No
Rebate not yet due
Yes
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
No
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 35% controlled entity
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
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

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

Process to review the form 990: the external audit firm prepares the form 990 and the form is reviewed by the organization's internal accountants prior to filing.

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

Process for monitoring compliance with conflict of interest policy: the organization internally reviews transactions for possible conflict on a routine basis throughout the year. All board members are covered under this policy. The board reviews all possible conflicts.

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

Review of ceo or top management. Official compensation: the board of directors used an outside agency to conduct a market survey. The results of the survey were used to determine the ceo's salary for the year.

Form 990, Part VI, Section C, Line 19

Governing documents available to the public: the organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Sid Peterson Memorial Hospital
EIN
74-2557820
Phone
8302587795
Address
551 HILL COUNTRY DRIVE, KERRVILLE, TX 78028

Signing Officer

Name
Lisa Medovich
Title
CFO
Phone
8302587728
Signed
2022-03-08
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Corey Edmondson
Formed
1990
Legal Domicile
TX
Voting Board Members
11
Independent Board Members
11
Employees
1,401
Volunteers
0

Preparer

Firm
Massey Itschner & Co Pc
Address
707 HILL COUNTRY DR SUITE 118, KERRVILLE, TX 78028
Preparer
Casey T Mikeska
Phone
8302575330
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Classification difference -284,967. Transfer to affiliates -10,486,978.

FORM 990, PART XII, LINE 2C:

Process has not changed from previous year.

Financial Statement Notes

PART XI, LINE 2D - OTHER ADJUSTMENTS:

Bad debt expense offsetting audit revenue -32,077,816.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

Rental expense included in revenue -1,117,121. Ucc/dispro expense -1,395,585. Net assets released from restriction 250,000.

PART XII, LINE 2D - OTHER ADJUSTMENTS:

Ucc/dispro expense 1,395,585. Rental expense included in revenue for 990 1,117,121. Rounding -1.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

Bad debt expense offsetting audit revenue 32,077,816.

Raw XML AppendixShowing 400 of 1,124 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ActivityOrMissionDesc0THE HOSPITAL'S MISSION IS TO PROVIDE WORLD CLASS CARE TODAY, TOMORROW, ALWAYS IN DELIVERING EXCEPTIONAL, COMPASSIONATE, PATIENT-CENTERED CARE.
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IRS990/Desc0PETERSON REGIONAL MEDICAL CENTER IS A PRIVATE, NOT-FOR-PROFIT COMMUNITY HOSPITAL IN KERRVILLE, TEXAS. KERRVILLE IS LOCATED IN KERR COUNTY, APPROXIMATELY 60 MILES NORTHWEST OF SAN ANTONIO AND 80 MILES SOUTH WEST OF AUSTIN. PETERSON REGIONAL MEDICAL CENTER SERVES THE COMMUNITIES AND RESIDENTS IN THE FOLLOWING COUNTIES: KERR, BANDERA, GILLESPIE, KIMBLE, EDWARDS AND REAL. PETERSON REGIONAL MEDICAL CENTER ANCHORS A 35-ACRE CAMPUS INCLUDING A 124-BED ACUTE CARE HOSPITAL PROVIDING SERVICES INCLUDING: 24/7EMERGENCY DEPARTMENT, WOMEN'S SERVICES (INCLUDING MATERNAL/NEWBORN), ACUTE INPATIENT REHABILITATION, ORTHOPEDICS, GENERAL SURGERY, DIAGNOSTIC IMAGING, INTENSIVE CARE UNIT, AND LABORATORY. ON THE SAME CAMPUS IS AN AMBULATORY CARE CENTER PROVIDING OUTPATIENT REHAB SERVICES, OUTPATIENT SURGERY, OUTPATIENT DIAGNOSTIC IMAGING AND HYPERBARIC WOUND CARE. PETERSON HOSPICE SERVICE AND PETERSON HOME CARE SERVICES ARE ALSO MEMBERS OF THE PETERSON REGIONAL FAMILY OF SERVICES BUT LOCATED OFF-SITE.
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IRS990/Form990PartVIISectionAGrp/PersonNm13JOE PISZCZOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt0CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt1VICE CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8VICE CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11CNO
IRS990/Form990PartVIISectionAGrp/TitleTxt12CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt13VP OF OPERATIONS
IRS990/Form990PartVIISectionAGrp/TitleTxt14CHIEF MEDICAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt15CHIEF INFORMATION OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt16VP OF POPULATION HEALTH
IRS990/Form990PartVIISectionAGrp/TitleTxt17CHIEF EXECUTIVE OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt18DIRECTOR OF MATERIALS MGMT
IRS990/Form990PartVIISectionAGrp/TitleTxt19CLINICAL COORDINATOR
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IRS990/FormationYr01990
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IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
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IRS990/OnBehalfOfIssuerInd00
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IRS990/OrganizationFollowsFASB117Ind0X
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IRS990/OtherAssetsTotalGrp/EOYAmt01576676
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IRS990/OtherExpensesGrp/Desc0BAD DEBT EXPENSE
IRS990/OtherExpensesGrp/Desc1MEDICAL SUPPLIES
IRS990/OtherExpensesGrp/Desc2EQUIPMENT REPAIRS & MAI
IRS990/OtherExpensesGrp/Desc3OTHER EXPENSES
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IRS990/OtherExpensesGrp/FundraisingAmt155
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IRS990/OtherExpensesGrp/ManagementAndGeneralAmt0303998
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt1356596
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt2425794
IRS990/OtherExpensesGrp/ProgramServicesAmt032077816
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IRS990/OtherExpensesGrp/ProgramServicesAmt24969131
IRS990/OtherExpensesGrp/ProgramServicesAmt31077370
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IRS990/OtherExpensesGrp/TotalAmt130154239
IRS990/OtherExpensesGrp/TotalAmt25325782
IRS990/OtherExpensesGrp/TotalAmt31531889
IRS990/OtherLiabilitiesGrp/BOYAmt01999366
IRS990/OtherLiabilitiesGrp/EOYAmt03733344
IRS990/OtherRevenueMiscGrp/BusinessCd0900099
IRS990/OtherRevenueMiscGrp/Desc0MISCELLANEOUS
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IRS990/OtherRevenueTotalAmt02887496

Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$354$67.3$286$238$205$33.6
2024Detailed filing. Detailed filing data is available for this year.$323$71.0$252$213$181$32.0
2023Detailed filing. Detailed filing data is available for this year.$290$68.8$221$192$175$17.6
2022Detailed filing. Detailed filing data is available for this year.$275$67.4$207$217$195$22.7
2021Detailed filing. Detailed filing data is available for this year.$316$92.0$224$198$180$17.8
2020Detailed filing. Detailed filing data is available for this year.$287$93.2$194$180$164$16.7
2019Detailed filing. Detailed filing data is available for this year.$257$73.3$183$186$162$24.8
2018Summary only. Only limited summary data is available for this year.$237$74.3$163$157$148$9.55
2017Summary only. Only limited summary data is available for this year.$229$72.7$156$154$143$10.9
2016Detailed filing. Detailed filing data is available for this year.$221$77.4$143$131$129$2.89
2015Detailed filing. Detailed filing data is available for this year.$228$82.8$145$140$119$21.6
2014Detailed filing. Detailed filing data is available for this year.$219$86.0$133$114$105$9.36
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$205$87.7$117$99.9
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$200$94.3$106$103
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$200$80.9$119$98.6
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$191$80.7$111$93.9