Civic Intelligence

Tanner Medical Center Group Return

990 • Fiscal year 2018 • EIN 80-0785570

Jul 01, 2017 to Jun 30, 2018 • Filed on May 15, 2019

705 Dixie StreetCarrollton, GA 30117-3818

(770) 836-9580

Siviq Scores

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

Liabilities / Assets

73rd percentile

0.60x

Higher debt load relative to assets than 73% of similar nonprofits.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2018

Liabilities / Revenue

44th percentile

0.39x

Higher debt load relative to revenue than 44% of similar nonprofits.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2018

Net Margin

45th percentile

2.8%

Higher net margin than 45% of similar nonprofits.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2018

Top Officer Pay

93rd percentile

$2,020,384

Higher top officer pay than 93% of similar nonprofits.

Top officer pay equals 0.8% of source-year revenue.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2018

Asset Growth

92nd percentile

26%

Faster asset growth than 92% of similar nonprofits.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2017 to 2018

Revenue Growth

80th percentile

22%

Faster revenue growth than 80% of similar nonprofits.

2018 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2017 to 2018

Assets

Up

$159,249,932

Up $32,483,423 (+26%) from 2017

Net Assets

Down

$63,424,080

Down $20,498,400 (-24%) from 2017

Liabilities

Up

$95,825,852

Up $52,981,823 (+124%) from 2017

Revenue

Up

$242,772,183

Up $42,962,853 (+22%) from 2017

Expenses

Up

$236,053,018

Up $39,044,286 (+20%) from 2017

Net Income

Up

$6,719,165

Up $3,918,567 (+140%) from 2017

Historical Trend

Balance Sheet Trend

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

$800M$600M$400M$200M$0-$200MAssets 2010: $361,667,704Liabilities 2010: $94,661,739Net Assets 2010: $267,005,9652010Assets 2011: $60,161,759Liabilities 2011: $60,929,947Net Assets 2011: -$768,1882011Assets 2012: $104,992,146Liabilities 2012: $9,709,740Net Assets 2012: $95,282,4062012Assets 2013: $109,265,611Liabilities 2013: $9,501,203Net Assets 2013: $99,764,4082013Assets 2014: $111,039,771Liabilities 2014: $20,324,071Net Assets 2014: $90,715,7002014Assets 2015: $118,374,034Liabilities 2015: $36,218,684Net Assets 2015: $82,155,3502015Assets 2016: $117,293,059Liabilities 2016: $36,171,177Net Assets 2016: $81,121,8822016Assets 2017: $126,766,509Liabilities 2017: $42,844,029Net Assets 2017: $83,922,4802017Assets 2018: $159,249,932Liabilities 2018: $95,825,852Net Assets 2018: $63,424,0802018Assets 2019: $170,390,180Liabilities 2019: $104,585,338Net Assets 2019: $65,804,8422019Assets 2020: $430,161,441Liabilities 2020: $372,457,247Net Assets 2020: $57,704,1942020Assets 2021: $469,761,069Liabilities 2021: $392,485,840Net Assets 2021: $77,275,2292021Assets 2022: $578,865,891Liabilities 2022: $391,890,719Net Assets 2022: $186,975,1722022Assets 2023: $610,272,320Liabilities 2023: $378,336,474Net Assets 2023: $231,935,8462023Assets 2024: $715,813,110Liabilities 2024: $425,624,619Net Assets 2024: $290,188,4912024

Highlighted filing

2018

Assets$159,249,932
Liabilities$95,825,852
Net Assets$63,424,080

Operations Trend

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

$1.0B$500M$0-$500MRevenue 2010: $0Expenses 2010: $316,149,062Net Income 2010: -$316,149,0622010Expenses 2011: $66,666,1472011Revenue 2012: $188,935,030Expenses 2012: $189,026,845Net Income 2012: -$91,8152012Expenses 2013: $173,150,4692013Revenue 2014: $169,860,681Expenses 2014: $178,909,389Net Income 2014: -$9,048,7082014Revenue 2015: $167,172,850Expenses 2015: $175,733,200Net Income 2015: -$8,560,3502015Revenue 2016: $187,504,597Expenses 2016: $188,538,065Net Income 2016: -$1,033,4682016Revenue 2017: $199,809,330Expenses 2017: $197,008,732Net Income 2017: $2,800,5982017Revenue 2018: $242,772,183Expenses 2018: $236,053,018Net Income 2018: $6,719,1652018Revenue 2019: $259,426,093Expenses 2019: $258,265,016Net Income 2019: $1,161,0772019Revenue 2020: $262,352,566Expenses 2020: $270,453,214Net Income 2020: -$8,100,6482020Revenue 2021: $338,508,721Expenses 2021: $318,937,686Net Income 2021: $19,571,0352021Revenue 2022: $394,067,150Expenses 2022: $284,367,207Net Income 2022: $109,699,9432022Revenue 2023: $443,885,449Expenses 2023: $398,924,775Net Income 2023: $44,960,6742023Revenue 2024: $522,712,016Expenses 2024: $464,459,371Net Income 2024: $58,252,6452024

Highlighted filing

2018

Revenue$242,772,183
Expenses$236,053,018
Net Income$6,719,165
Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
May 15, 2019
Return Version
2017v2.3
Gross Receipts
$242,869,064
Mission and Program Overview

Mission

To serve communities throughout west georgia and east alabama by offering a wide range of primary care and specialty practices.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$90,301,302$115,517,185▲ $25,215,883
Accounts Receivable$21,691,573$25,208,236▲ $3,516,663
Cash and Non-Interest-Bearing Accounts$6,970,347$9,889,367▲ $2,919,020
Intangible Assets$3,636,000$3,636,000→ $0
Inventories for Sale or Use$2,450,741$2,853,828▲ $403,087
Prepaid Expenses and Deferred Charges$301,314$298,793▼ $2,521
Savings and Temporary Cash Investments-$130,626-
Total Assets$126,766,509$159,249,932▲ $32,483,423
Other Assets Total$1,415,232$1,715,897▲ $300,665
Liabilities
Other Liabilities$33,847,961$85,775,006▲ $51,927,045
Accounts Payable and Accrued Expenses$8,996,068$10,050,846▲ $1,054,778
Total Liabilities$42,844,029$95,825,852▲ $52,981,823
Net Assets / Fund Balance
Unrestricted Net Assets$83,922,480$63,424,080▼ $20,498,400
Total Net Assets Fund Balance$83,922,480$63,424,080▼ $20,498,400
Total Liabilities and Net Assets / Fund Balance$126,766,509$159,249,932▲ $32,483,423

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$56,413,635$47,936,571$104,350,206
Equipment$13,452,382$33,093,202$46,545,584
Other Land Buildings$31,394,101-$31,394,101
Land$11,599,303-$11,599,303
Leasehold Improvements$2,657,764$1,504,610$4,162,374
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Shazib Khawaja MdPhysicianFT$1,038,126$125,070$1,281,856
William HinesContract CAOPT$650,797$434,633$1,072,877
Christopher Arant MdDirector/phyFT$1,022,158$41,717$1,063,875
Christopher Arant MdDirector/physician-$946,427$117,448$1,063,875
Loy HowardCEOPT$364,544$510,453$874,997
Timothy Albert MdPhysicianFT$595,517$181,891$720,587
William Waters MdCMOPT$295,149$370,626$665,775
Wayne SenfeldSr. VP, BusPT$254,669$374,090$628,759
Onaje Greene MdPhysicianFT$575,952$70,307$608,449
David GriffinPhysicianFT$392,925$26,672$573,434
Ben Camp MdVP, MedicalPT$198,700$299,938$498,638
Bonnie Boles MdAdmin Vr/higFT$348,362$29,942$378,304
Bonnie Boles MdAdmin Vr/higgins-$306,511$188,119$378,304
Mike AlexanderPast Admin,FT$276,660$11,119$287,779
Mike AlexanderPast Admin, Higgins-$116,800$57,383$287,779
Paula GreshamAdmin WillowFT$246,344$26,672$273,016
Rajat Jhanjee MdPhysicianFT$207,152$26,672$273,016
Paula GreshamAdmin Willowbrooke-$207,152$46,939$273,016
Wayne SenfeldSr. VP, Bus Dev-$158,016$109,716$267,222
Jim GriffithCOOPT$164,826$73,321$238,510
Carol CrewsCFOPT$177,258$56,551$237,201
Vaughn Clagette MdPast VP (8-1PT$82,273$131,593$213,866
Ben Camp MdVP, Medical Affairs-$161,349$46,696$211,921
Susan FoxSVP, TmgPT$131,720$61,833$172,611
Deborah MatthewsCNOPT$130,424$37,370$170,519
Denise TaylorCCHPT$113,717$56,691$163,515
Vaughn Clagette MdPast VP (8-17)-$77,866$243,730$92,213

Board Members and Trustees

NameTitle
Daniel JacksonChairman
Jeffrey Lindsey DmdVice Chairma
Anna BerryDirector
Howard RayDirector
Kyle MarreroDirector
Lynn ClarkeDirector
Steve AdamsDirector
Timothy WarrenDirector
Robert Pitts MdPast Drctr (
Mary CovingtonSecretary
Gelon WasdinTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Rk Redding Construction INCConstruction412 SANGAMORE ROAD, Bremen, GA 30110-0426$3,555,005
Multiple Sclerosis CenterMs Mgmt/rent3200 DOWNWOOD CIRCLE NW SUITE 550, Atlanta, GA 30327-1624$2,581,244
Southern Therapy Services INCTherapy Svcs120 EAST CENTER STREET, Carrollton, GA 30117-3303$2,409,623
Ra-lin & Associates INCConstruction101 PARKWOOD CIRCLE, Carrollton, GA 30117-8756$1,542,992
West Georgia Hospitalist LLCHospitalist4551 JENKINS WAY, Douglasville, GA 30135$1,100,330
Revenue and Support

Revenue Composition

Contributions and Grants
$1,178,791
Program Service Revenue
$240,712,796
Investment Income
$-96,881
Other Revenue
$977,477
Change in Net Assets
$6,719,165
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$128,183,272
Salaries, Compensation, and Employee Benefits$107,869,746
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$92,513,289$1,503,454-$94,016,743
Fees for Services Other$15,581,267$799,813-$16,381,080
Office Expenses$9,770,671$179,601-$9,950,272
Depreciation Depletion$8,345,725$151,344-$8,497,069
Payroll Taxes$5,658,833$253,717-$5,912,550
Current Officers, Directors, Trustees, and Key Employees-$4,033,580-$4,033,580
Pension Plan Contributions$3,762,989$47,070-$3,810,059
Occupancy$1,543,513$152,966-$1,696,479
Other Expenses$1,226,382$79,949-$1,306,331
Fees for Services Management$1,215,000--$1,215,000
Insurance$922,139--$922,139
All Other Expenses$713,568$27,448-$741,016
Travel$308,597$38,549-$347,146
Conferences and Meetings$307,605$25,556-$333,161
Other Employee Benefits$40,115$16,123-$56,238
Comp Disqual Persons-$40,576-$40,576
Advertising$25,443--$25,443
Total Functional Expenses$228,744,286$7,308,732$0$236,053,018
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

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Vp/doctorHospitalistNo$896,700
-Director/doctorManagement ServicesNo$233,050
-Vp/doctorManagement ServicesNo$128,000
-Board MemberAmbulance ServicesNo$123,100
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Related Parties$83,925,185
Third Party Settlements$1,849,821
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
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
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 7A

The organization's directors are the directors of tanner medical center, inc. (tmc), a 501(c)(3) tax exempt entity and related organization. The directors are elected as provided by the bylaws of tmc. A director serves only so long as they serve as tmc director. Persons removed from the tmc governing board shall automatically be removed from the organization's governing board.

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

Tmc's accounting department gathers information for the preparation of the form 990 and consults with the cfo and tmc 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 tmc 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 recuse 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 taken for transparency, such as advertising the bidding process in the newspaper. All services are compared to fair market value.

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 pubic who make their request at the administrative office of the organization.

Filing and Contact Details

Filer

Filer Name
Tanner Medical Center Group Return
EIN
80-0785570
Phone
7708369580
Address
705 DIXIE STREET, CARROLLTON, GA 30117-3818

Signing Officer

Name
Carol Crews
Title
CFO
Phone
7708369580
Signed
2019-05-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Loy Howard
Formed
1999
Legal Domicile
Ga
Voting Board Members
11
Independent Board Members
9
Employees
0
Volunteers
94

Preparer

Firm
Draffin & Tucker Llp
Address
PO BOX 71309, ALBANY, GA 31708-1309
Preparer
Jacqueline G Atkins
Phone
2298837878
Supplemental Narrative

Additional Explanations

Form 990

Page 1, line h(b)-affliated group tanner medical center alabama, inc. (fei 47-5348597) has filed a form 1023, application for recognition of exemption under section 501(c)(3), requesting retroactive recognition of tax exempt status from the date the organization was incorporated. The organization was incorporated on september 14, 2015. The application for recognition of tax exempt status was filed in november 2017 which is the month the organization began operating and is within 27 months of the date of its incorporation. The organization was originally and inadvertently included in the group exemption for tanner medical center, inc. (fei 80-0785570). In order to obtain its stand-alone exemption status, the organization has requested that it be removed from the group ruling from the date of its inclusion.

Form 990, Part XI, Line 9

Permanent equity transfers - clinics -27,217,565 eight clinics which filed separate form 990s were added to the group in fye 6/30/18. The decrease represents the net assets balance as of fye 6/30/17 for all eight clinics now consolidated in the group return.

Financial Statement Notes

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 managements 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, 2018 and 2017 or for the years then ended. The medical centers 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.

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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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AffiliateListing/AffiliateListingGrp/BusinessName/BusinessNameLine1Txt0TMC INTERNAL MEDICINE OF VILLA RICA
AffiliateListing/AffiliateListingGrp/BusinessName/BusinessNameLine1Txt1TMC CAROUSEL PEDIATRICS INC
AffiliateListing/AffiliateListingGrp/BusinessName/BusinessNameLine1Txt2TMC-TANNER NEUROLOGY ASSOCIATES INC
AffiliateListing/AffiliateListingGrp/BusinessName/BusinessNameLine1Txt3TANNER MEDICAL GROUP INC
AffiliateListing/AffiliateListingGrp/BusinessName/BusinessNameLine1Txt4TANNER PRIMARY CARE OF HEFLIN
AffiliateListing/AffiliateListingGrp/BusinessName/BusinessNameLine1Txt5TANNER PRIMARY CARE OF WEDOWEE INC
AffiliateListing/AffiliateListingGrp/BusinessName/BusinessNameLine1Txt6TMC HIGGINS GENERAL HOSPITAL INC
AffiliateListing/AffiliateListingGrp/BusinessName/BusinessNameLine1Txt7TMC VILLA RICA HOSPITAL INC
AffiliateListing/AffiliateListingGrp/BusinessName/BusinessNameLine1Txt8TMC-HOSPICE CARE INC
AffiliateListing/AffiliateListingGrp/BusinessName/BusinessNameLine1Txt9TMC-HOME HEALTH INC
AffiliateListing/AffiliateListingGrp/BusinessName/BusinessNameLine1Txt10TMC-BEHAVIORAL HEALTH OF WEST GEORGIA
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AffiliateListing/AffiliateListingGrp/BusinessName/BusinessNameLine1Txt16TMC TALLAPOOSA FAMILY HEALTH CARE CENTER INC
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IRS990/Form990PartVIISectionAGrp/PersonNm0CHRISTOPHER ARANT MD
IRS990/Form990PartVIISectionAGrp/PersonNm1DANIEL JACKSON
IRS990/Form990PartVIISectionAGrp/PersonNm2JEFFREY LINDSEY DMD
IRS990/Form990PartVIISectionAGrp/PersonNm3MARY COVINGTON
IRS990/Form990PartVIISectionAGrp/PersonNm4GELON WASDIN
IRS990/Form990PartVIISectionAGrp/PersonNm5STEVE ADAMS
IRS990/Form990PartVIISectionAGrp/PersonNm6ANNA BERRY
IRS990/Form990PartVIISectionAGrp/PersonNm7KYLE MARRERO
IRS990/Form990PartVIISectionAGrp/PersonNm8HOWARD RAY
IRS990/Form990PartVIISectionAGrp/PersonNm9TIMOTHY WARREN
IRS990/Form990PartVIISectionAGrp/PersonNm10LYNN CLARKE
IRS990/Form990PartVIISectionAGrp/PersonNm11ROBERT PITTS MD
IRS990/Form990PartVIISectionAGrp/PersonNm12LOY HOWARD
IRS990/Form990PartVIISectionAGrp/PersonNm13WILLIAM WATERS MD
IRS990/Form990PartVIISectionAGrp/PersonNm14WILLIAM HINES
IRS990/Form990PartVIISectionAGrp/PersonNm15WAYNE SENFELD
IRS990/Form990PartVIISectionAGrp/PersonNm16JIM GRIFFITH
IRS990/Form990PartVIISectionAGrp/PersonNm17CAROL CREWS
IRS990/Form990PartVIISectionAGrp/PersonNm18DEBORAH MATTHEWS
IRS990/Form990PartVIISectionAGrp/PersonNm19DENISE TAYLOR
IRS990/Form990PartVIISectionAGrp/PersonNm20BEN CAMP MD
IRS990/Form990PartVIISectionAGrp/PersonNm21SUSAN FOX
IRS990/Form990PartVIISectionAGrp/PersonNm22BONNIE BOLES MD
IRS990/Form990PartVIISectionAGrp/PersonNm23MIKE ALEXANDER
IRS990/Form990PartVIISectionAGrp/PersonNm24PAULA GRESHAM
IRS990/Form990PartVIISectionAGrp/PersonNm25VAUGHN CLAGETTE MD
IRS990/Form990PartVIISectionAGrp/PersonNm26SHAZIB KHAWAJA MD
IRS990/Form990PartVIISectionAGrp/PersonNm27TIMOTHY ALBERT MD
IRS990/Form990PartVIISectionAGrp/PersonNm28ONAJE GREENE MD

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$716$426$290$523$464$58.3
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$610$378$232$444$399$45.0
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$579$392$187$394$284$110
2021Detailed filing. Detailed filing data is available for this year.$470$392$77.3$339$319$19.6
2020Detailed filing. Detailed filing data is available for this year.$430$372$57.7$262$270$8.10
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$170$105$65.8$259$258$1.16
2018Detailed filing. Detailed filing data is available for this year.$159$95.8$63.4$243$236$6.72
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$127$42.8$83.9$200$197$2.80
2016Detailed filing. Detailed filing data is available for this year.$117$36.2$81.1$188$189$1.03
2015Detailed filing. Detailed filing data is available for this year.$118$36.2$82.2$167$176$8.56
2014Summary only. Only limited summary data is available for this year.$111$20.3$90.7$170$179$9.05
2013XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$109$9.50$99.8$173
2012Summary only. Only limited summary data is available for this year.$105$9.71$95.3$189$189$0.09
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$60.2$60.9$0.77$66.7
2010Summary only. Only limited summary data is available for this year.$362$94.7$267$0.00$316$316