Munson Medical Center in Traverse City, Michigan (MI)

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Munson Medical Center
Employer Identification Number (EIN)381362830
Name of OrganizationMunson Medical Center
Address1105 Sixth St, Traverse City, MI 49684-2349
ActivitiesHospital
SubsectionCharitable Organization
Ruling Date11/1943
DeductibilityContributions are deductible
FoundationHospital or medical research organization
OrganizationCorporation
Exempt Organization StatusUnconditional Exemption
Tax Period06/2013
Assets$50,000,000 to greater
Income$50,000,000 to greater
Filing Requirement990 (all other) or 990EZ return
Asset Amount$644,627,684
Amount of Income$512,037,725
Form 990 Revenue Amount$510,908,753
National Taxonomy of Exempt Entities (NTEE)Health - General and Rehabilitative: Hospital, General


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Amount of income in 2013: $512,037,725
Munson Medical Center: 

 $512,037,725
Other organizations performing similar types of work: 

 $17,721,162

Assets in 2013: $644,627,684
This organization: 

 $644,627,684
Other organizations performing similar types of work: 

 $15,703,352

Expenses in 2013: $468,225,374
Munson Medical Center: 

 $468,225,374
Other organizations performing similar types of work: 

 $16,206,641

Income to expenses ratio in 2013: 1.1
This organization: 

 1.1
Other organizations performing similar types of work: 

 1.2

Expenses allocated to program services in 2007: 90.7%
This organization: 

 90.7%
Other organizations performing similar types of work: 

 86.7%

Number of employees in 2013: 4,248
Munson Medical Center: 

 4,248
Other organizations performing similar types of work: 

 197

Employees paid over $100,000 in 2013: 5.7%
Munson Medical Center: 

 5.7%
Other organizations performing similar types of work: 

 0.0%

Grants share in income in 2013: 2.7%
This organization: 

 2.7%
Other organizations performing similar types of work: 

 0.5%

Financial snapshot ($)

Revenue for 2013

Assets at the end of 2013

Functional expenses for 2013

Checklist
20122013
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?NoNo
Is the organization required to complete Schedule B, Schedule of Contributors?YesYes
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office?NoNo
Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year?NoNo
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19?NoNo
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts?NoNo
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures?NoNo
Did the organization maintain collections of works of art, historical treasures, or other similar assets?NoNo
Did the organization report an amount for escrow or custodial account liability; serve as a custodian or provide credit counseling, debt management, credit repair, or debt negotiation services?NoNo
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments?NoNo
Did the organization report an amount for land, buildings, and equipment?YesYes
Did the organization report an amount for investments-other securities that is 5% or more of its total assets?NoNo
Did the organization report an amount for investments-program related that is 5% or more of its total assets?NoNo
Did the organization report an amount for other assets that is 5% or more of its total assets?NoNo
Did the organization report an amount for other liabilities?YesYes
Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)?NoNo
Did the organization obtain separate, independent audited financial statements for the tax year?NoNo
Was the organization included in consolidated, independent audited financial statements for the tax year?YesYes
Is the organization a school described in section 170(b)(1)(A)(ii)?NoNo
Did the organization maintain an office, employees, or agents outside of the United States?NoNo
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more?NoNo
Did the organization report more than $5,000 of grants or other assistance to or for any foreign organization?NoNo
Did the organization report more than $5,000 of aggregate grants or other assistance to or for foreign individuals?NoNo
Did the organization report a total of more than $15,000 of expenses for professional fundraising services?NoNo
Did the organization report more than $15,000 total of fundraising event gross income and contributions?NoNo
Did the organization report more than $15,000 of gross income from gaming activities?NoNo
Did the organization operate one or more hospital facilities?YesYes
Did the organization attach a copy of its audited financial statements?YesYes
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government?YesYes
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals?YesYes
Did the organization answer 'Yes' about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees?YesYes
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002?YesYes
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?NoNo
Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds?NoNo
Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year?NoNo
Did the organization engage in an excess benefit transaction with a disqualified person during the year?NoNo
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?NoNo
Did the organization report any amount for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?NoNo
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons?NoNo
Was the organization a party to a business transaction with one of the following parties
A current or former officer, director, trustee, or key employee?NoNo
A family member of a current or former officer, director, trustee, or key employee?YesYes
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner?YesYes
Did the organization receive more than $25,000 in non-cash contributions?NoNo
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?NoNo
Did the organization liquidate, terminate, or dissolve and cease operations?NoNo
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?NoNo
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?NoNo
Was the organization related to any tax-exempt or taxable entity?YesYes
Did the organization have a controlled entity within the meaning of section 512(b)(13)?YesYes
Did the organization make any transfers to an exempt non-charitable related organization?NoNo
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes?NoNo
Statements Regarding Other IRS Filings and Tax Compliance
201120122013
The number reported in Box 3 of Form 1096369410
The number of Forms W-2G00
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?NoNo
The number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return4,1744,248
Did the organization file all required federal employment tax returns?YesYes
Did the organization have unrelated business gross income of $1,000 or more during the year?YesYesYes
Has it filed a Form 990-T for this year?YesYes
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?NoNo
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?NoNo
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?NoNo
Did the organization file Form 8886-T?NoNo
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?NoNo
Did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?NoNo
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?NoNo
Did the organization notify the donor of the value of the goods or services provided?NoNo
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?NoNo
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?NoNo
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?NoNo
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?NoNo
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?NoNo
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?NoNo
Did the sponsoring organization make any taxable distributions under section 4966?NoNo
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?NoNo
Initiation fees and capital contributions$0$0$0
Gross receipts for public use of club facilities $0$0$0
Gross income from members or shareholders$0$0$0
Gross income from other sources$0$0$0
Is the organization filing Form 990 in lieu of Form 1041?NoNo
The amount of tax-exempt interest received or accrued during the year$0$0
Is the organization licensed to issue qualified health plans in more than one state?NoNo
The amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans$0$0
The amount of reserves on hand$0$0
Did the organization receive any payments for indoor tanning services during the tax year?NoNo
Has it filed a Form 720 to report these payments?NoNo
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
20122013
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
Total reportable compensation from the organization$3,697,101$3,615,580
Total reportable compensation from related organizations$1,340,484$1,358,304
Total estimated amount of other compensation from the organization and related organizations$697,885$700,968
Total number of individuals who received more than $100,000 of reportable compensation from the organization126134
Total number of independent contractors who received more than $100,000 of compensation from the organization104110
Statement of Revenue
201120122013
Total revenue$463,245,436$473,528,966$510,908,753
Contributions, Gifts, Grants and Other Similar Amounts$1,661,786$2,890,667$13,692,326
Program Service Revenue$445,989,729$455,632,762$476,205,605
621990$242,214,383$240,286,585
621990$207,769,174$231,568,040
621990$3,041,798$2,442,098
621990$2,195,423$1,686,543
Lessors of Nonresidential Buildings (except Miniwarehouses) $411,984$173,211
All other program service revenue$0$49,128
Other Revenue
Investment income (including dividends, interest, and other similar amounts)$5,228,819$6,186,385$6,914,448
Income from investment of tax-exempt bond proceeds$0$0$0
Royalties$0$0$0
Net rental income$248,062$291,925$498,144
Gross rents (Real / Personal)$248,062 / $0$291,925 / $0$498,144 / $0
Less: rental expenses (Real / Personal)$0 / $0$0 / $0$0 / $0
Rental income or (loss) (Real / Personal)$248,062 / $0$291,925 / $0$498,144 / $0
Net gain/loss from sales of assets other than inventory$5,544,312$3,971,234$8,930,979
Gross amount from sales of assets other than inventory (Securities / Other)$5,502,373 / $57,438$3,982,573 / $136,300$9,579,553 / $446,220
Less: cost or other basis and sales expenses (Securities / Other)$0 / $15,499$0 / $147,639$389,794 / $705,000
Gain or (loss) (Securities / Other)$5,502,373 / $41,939$3,982,573 / $-11,339$9,189,759 / $-258,780
Net income/loss from fundraising events$0$0$0
Net income/loss from gaming activities$0$0$0
Net income/loss from sales of inventory$2,240$2,999$1,749
Gross sales of inventory, less returns and allowances$46,060$61,256$35,927
Less: cost of goods sold$43,820$58,257$34,178
Miscellaneous Revenue$4,570,488$4,552,994$4,665,502
722210$3,685,235$3,770,385
621990$509,284$475,212
All Other Health and Personal Care Stores $358,475$419,905
All other revenue$0$0
Statement of Functional Expenses
201120122013
Total functional expenses$425,963,453$435,797,549$468,225,374
Grants and other assistance to domestic organizations and domestic governments$20,000$300,000
Grants and other assistance to domestic individuals$253,071$423,296
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals$0$0
Benefits paid to or for members$0$0
Compensation of current officers, directors, trustees, and key employees$2,798,979$1,919,331$1,812,458
Compensation not included above, to disqualified persons$0$0
Other salaries and wages$162,924,810$166,783,640$170,541,268
Pension plan accruals and contributions$11,793,642$19,054,355
Other employee benefits$27,627,282$27,862,618
Payroll taxes$11,882,331$12,155,678$12,741,536
Fees for services (non-employees)
Management$0$0
Legal$404,021$181,841
Accounting$251,231$173,951
Lobbying$8,411$21,599
Professional fundraising services$0$0$0
Investment management fees$0$0
Other$39,503,062$51,805,655
Advertising and promotion$774,623$721,797
Office expenses$5,321,677$5,319,960
Information technology$9,892,657$10,660,417
Royalties$0$0
Occupancy$8,097,145$8,351,168
Travel$965,517$977,613
Payments of travel or entertainment expenses for any federal, state, or local public officials$0$0
Conferences, conventions, and meetings$523,925$522,328
Interest$5,466,493$5,669,342
Payments to affiliates$0$0
Depreciation, depletion, and amortization$26,713,692$26,995,290
Insurance$2,627,161$1,681,123
Other expenses$101,207,305$112,467,177
Other expenses$20,171,176$19,424,599
Other expenses$5,784,576$5,971,641
Other expenses$2,400,379$1,175,490
Other expenses$-14,868,146$-16,631,148
Balance Sheet
201120122013
Total assets$572,910,970$587,352,193$644,627,684
Cash - non-interest-bearing$1,084,341$50,193
Savings and temporary cash investments$78,438,418$100,334,093
Pledges and grants receivable, net$669,040$624,449
Accounts receivable, net$58,804,499$67,536,302
Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees$0$0
Loans and other receivables from other disqualified persons, persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations$0$0
Notes and loans receivable, net$0$0
Inventories for sale or use$10,929,153$11,882,176
Prepaid expenses and deferred charges$6,234,932$6,845,339
Land, buildings, and equipment: cost or other basis$240,636,094$236,480,866
Investments - publicly traded securities$170,730,714$188,024,381
Investments - other securities$14,935,549$28,032,624
Investments - program-related$0$0
Intangible assets$517,604$449,717
Other assets$4,371,849$4,367,544
Total liabilities$266,902,186$312,256,159$275,686,748
Accounts payable and accrued expenses$34,324,376$39,555,331
Grants payable$0$0
Deferred revenue$64,860$117,929
Tax-exempt bond liabilities$129,001,841$128,713,437$127,037,476
Escrow or custodial account liability$0$0
Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons$0$0
Secured mortgages and notes payable to unrelated third parties$0$0$0
Unsecured notes and loans payable to unrelated third parties$0$0$0
Other liabilities (including federal income tax, payables to related third parties, and other liabilities)$149,153,486$108,976,012
Total net assets or fund balances$306,008,784$275,096,034$368,940,936
Unrestricted net assets$265,592,590$347,274,449
Temporarily restricted net assets$9,503,444$21,666,487
Permanently restricted net assets$0$0
Capital stock or trust principal, or current funds$0$0
Paid-in or capital surplus, or land, building, or equipment fund$0$0
Retained earnings, endowment, accumulated income, or other funds$0$0$0
Reason for Public Charity Status (for 2013)
The organization is not a private foundation because it is:A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii)
Number of organizations supported0
Sum of amounts of support$0
Revenue, Expenses, and Changes in Net Assets or Fund Balances
20002001200220032004200520062007
Total revenue$233,544,537$246,052,816$272,418,860$297,192,237$309,753,165$342,626,670$364,267,803$393,556,057
Contributions, gifts, grants, and similar amounts received$2,684,983$2,778,605$2,131,998$3,484,788$5,992,004$4,522,816$3,046,215$2,662,905
Contributions to donor advised funds$0$0
Direct public support$1,636,664$1,556,865$510,943$1,845,693$5,758,700$4,401,588$2,896,215$373,781
Indirect public support$122,900$36,556$221,549$111,500$96,782$4,354$150,000$462,177
Government contributions (grants)$925,419$1,185,184$1,399,506$1,527,595$136,522$116,874$0$1,826,947
Program service revenue including government fees and contracts$225,240,118$248,011,108$267,458,688$286,625,779$297,435,205$324,422,996$347,008,456$376,406,200
Membership dues and assessments$0$0$0$0$0$0$0$0
Interest on savings and temporary cash investments$30,812$132,867$220,794$137,074$662,600$1,719,329$2,538,235$1,440,587
Dividends and interest from securities$1,918,075$1,992,683$1,625,451$3,444,978$651,641$3,416,985$3,021,937$3,541,276
Net rental income or (loss)$600,922$586,094$668,838$613,774$491,111$526,334$554,461$316,057
Gross rents$600,922$586,094$668,838$613,774$491,111$526,334$554,461$316,057
Less: rental expenses$0$0$0$0$0$0$0$0
Other investment income$52,929$-374,146$245,030$-507,404$-179,288$243,163$585,021$1,685,296
Gain or (loss) from sales of assets other than inventory$830,248$-9,490,241$-2,352,829$837,014$1,547,859$4,603,171$3,984,561$3,503,159
Gross amount from sales of assets other than inventory$9,302,809$1,637,430$70,195$837,014$10,842,377$4,628,130$3,991,755$3,519,737
Less: cost or other basis and sales expenses$8,472,561$11,127,671$2,423,024$0$9,294,518$24,959$7,194$16,578
Net income or (loss) from special events and activities$0$0$0$0$0$0$0$0
Gross revenue$0$0$0$0$0$0$0$0
Less: direct expenses other than fundraising expenses$0$0$0$0$0$0$0$0
Gross profit or (loss) from sales of inventory$0$0$0$0$0$0$0$764
Gross sales of inventory, less returns and allowances$0$0$0$0$0$0$0$15,289
Less: cost of goods sold$0$0$0$0$0$0$0$14,525
Other revenue$2,186,450$2,415,846$2,420,890$2,556,234$3,152,033$3,171,876$3,528,917$3,999,813
Total expenses$226,364,327$247,721,662$265,708,332$290,915,032$296,180,588$315,759,457$334,642,827$365,807,511
Program services$200,733,410$221,866,780$238,650,216$260,297,943$269,527,869$288,379,134$304,836,538$331,634,275
Management and general$20,430,502$21,637,794$22,814,224$23,184,365$24,099,375$26,629,830$29,366,410$34,142,774
Fundraising$250,415$217,088$243,892$257,379$278,344$300,493$439,879$30,462
Payments to affiliates$4,950,000$4,000,000$4,000,000$7,175,345$2,275,000$450,000$0$0
Net assets or fund balances at end of year$161,529,551$154,348,045$142,302,133$154,112,882$169,589,413$211,396,694$221,944,356$243,302,599
Excess or (deficit) for the year$7,180,210$-1,668,846$6,710,528$6,277,205$13,572,577$26,867,213$29,624,976$27,748,546
Net assets or fund balances at beginning of year$176,059,892$161,529,551$154,348,045$142,302,133$154,112,882$169,589,413$211,396,694$221,944,356
Other changes in net assets or fund balances$-21,710,551$-5,512,660$-18,756,440$5,533,544$1,903,954$14,940,068$-19,077,314$-6,390,303
Statement of Functional Expenses (for 2007)
TotalProgram servicesManagement and generalFundraising
Total functional expenses$365,807,511$331,634,275$34,142,774$30,462
Grants paid from donor advised funds$0
Other grants and allocations$0
Specific assistance to individuals$0
Benefits paid to or for members$0
Compensation of current officers, directors, key employees, etc.$784,666$0$755,783$28,883
Compensation of former officers, directors, key employees, etc.$0$0$0$0
Compensation and other distributions, not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)$0$0$0$0
Salaries and wages of employees not included above$146,831,456$129,812,545$17,018,911$0
Pension plan contributions not included above$11,139,447$9,906,190$1,233,257$0
Employee benefits not included above$23,402,353$20,633,455$2,768,898$0
Payroll taxes$10,718,492$9,437,444$1,279,469$1,579
Professional fundraising fees$0$0$0$0
Accounting fees$136,066$0$136,066$0
Legal fees$195,474$0$195,474$0
Supplies$86,952,140$85,673,184$1,278,956$0
Telephone$1,052,225$954,497$97,728$0
Postage and shipping$352,933$145,137$207,796$0
Occupancy$5,714,894$5,410,270$304,624$0
Equipment rental and maintenance$991,703$969,928$21,775$0
Printing and publications$587,958$179,482$408,476$0
Travel$1,332,366$941,014$391,352$0
Conferences, conventions, and meetings$0$0$0$0
Interest$6,622,924$6,007,804$615,120$0
Depreciation, depletion, etc.$19,306,682$17,513,091$1,793,591$0
Other expenses not covered above$49,685,732$44,050,234$5,635,498$0
Balance Sheets
20002001200220032004200520062007
Total assets$318,578,024$311,404,739$322,878,555$346,279,523$370,952,934$442,305,642$462,717,733$484,426,778
Cash - non-interest-bearing$547,960$474,658$4,284,961$749,943$513,188$696,236$517,278$180,295
Savings and temporary cash investments$2,699,572$12,447,094$10,158,245$20,525,509$49,028,718$48,941,084$44,021,538$35,895,931
Accounts receivable less allowance for doubtful accounts$27,095,908$26,800,719$25,237,204$24,953,156$24,212,014$40,987,446$41,641,342$52,390,094
Pledges receivable less allowance for doubtful accounts$188,531$165,274$133,311$760,020$2,325,588$2,144,007$1,462,039$522,932
Grants receivable$0$0$0$0$0$94,697$0$0
Receivables from current and former officers, directors, trustees, and key employees$0$0$0$0$0$0$0$0
Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)$0$0
Other notes and loans receivable less allowance for doubtful accounts$0$42,734$0$0$0$0$0$0
Inventories for sale or use$3,379,155$5,209,642$4,622,901$5,150,639$6,130,172$7,159,979$8,848,474$10,112,684
Prepaid expenses and deferred charges$4,736,846$4,382,136$4,915,290$5,212,537$5,060,191$5,625,677$5,915,982$6,647,297
Investments - publicly-traded securities$0$0
Investments - other securities$0$0$0$0$0$0$0$0
Investments - land, buildings, and equipment less accumulated depreciation$0$0$0$0$0$0$0$0
Investments - other$120,690,570$101,905,096$94,512,980$106,474,177$113,698,184$154,682,896$154,361,450$156,132,601
Land, buildings, and equipment less accumulated depreciation$147,425,816$159,650,849$168,182,225$175,094,107$169,681,533$181,973,620$201,772,635$221,377,218
Other assets, including program-related investments$11,813,666$326,537$10,831,438$7,359,435$303,346$0$4,176,995$1,167,726
Total liabilities$157,048,473$157,056,694$180,576,422$192,166,641$201,363,521$230,908,948$240,773,377$241,124,179
Accounts payable and accrued expenses$23,493,651$26,508,521$26,913,364$28,481,280$38,812,739$40,103,903$25,613,953$41,188,657
Grants payable$0$0$0$0$0$0$0$0
Deferred revenue$6,973,201$7,853,794$8,834,370$9,986,055$12,148,504$14,922,089$756,680$16,030,236
Loans from officers, directors, trustees, and key employees$0$0$0$0$0$0$0$0
Tax-exempt bond liabilities$123,580,954$120,908,144$120,627,597$118,550,097$115,941,913$145,574,894$142,708,493$139,527,092
Mortgages and other notes payable$556,282$1,039,483$1,199,518$8,774,960$104,898$65,583$22,793$0
Other liabilities$2,444,385$746,752$23,001,573$26,374,249$34,355,467$30,242,479$71,671,458$44,378,194
Total liabilities and net assets/fund balances$318,578,024$311,404,739$322,878,555$346,279,523$370,952,934$442,305,642$462,717,733$484,426,778
Total net assets or fund balances$161,529,551$154,348,045$142,302,133$154,112,882$169,589,413$211,396,694$221,944,356$243,302,599
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
20002001200220032004200520062007
Total revenue$233,544,537$246,052,816$272,418,860$297,192,237$309,753,165$342,626,670$364,267,803$0
Total revenue, gains, and other support per audited financial statements$233,544,537$246,052,816$272,418,860$297,192,237$309,753,165$342,626,670$365,074,203$0
Other expenses$0$0$0$0$0$0$806,400$0
Net unrealized gains on investments$0$0$0$0$0$0$0$0
Donated services and use of facilities$0$0$0$0$0$0$0$0
Recoveries of prior year grants$0$0$0$0$0$0$0$0
Other$0$0$0$0$0$0$806,400$0
Other revenue$0$0$0$0$0$0$0$0
Investment expenses$0$0$0$0$0$0$0$0
Other$0$0$0$0$0$0$0$0
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
20002001200220032004200520062007
Total expenses$226,364,327$247,721,662$265,708,332$290,915,032$296,180,588$315,759,457$334,642,827$0
Total expenses and losses per audited financial statements$221,414,327$243,721,662$261,708,332$283,739,687$293,905,587$315,309,456$334,642,827$0
Other revenue$0$0$0$0$0$0$0$0
Donated services and use of facilities$0$0$0$0$0$0$0$0
Prior year adjustments$0$0$0$0$0$0$0$0
Losses$0$0$0$0$0$0$0$0
Other$0$0$0$0$0$0$0$0
Other expenses$4,950,000$4,000,000$4,000,000$7,175,345$2,275,001$450,001$0$0
Investment expenses$0$0$0$0$0$0$0$0
Other$4,950,000$4,000,000$4,000,000$7,175,345$2,275,001$450,001$0$0
Current Officers, Directors, Trustees, and Key Employees
Average hours per week devoted to positionCompensationContributions to employee benefit plans & deferred compensation plansExpense account and other allowances
6$12,500$0$0
6$12,500$0$0
4$12,500$0$0
6$12,500$0$0
4$6,250$0$0
4$12,500$0$0
4$22,500$0$0
4$12,500$0$0
40$434,340$142,786$540
8$24,500$0$0
4$12,500$0$0
4$12,500$0$0
4$12,500$0$0
4$12,500$0$0
4$27,500$0$0
Total number of officers, directors, and trustees permitted to vote on organization business at board meetings20
Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?No
Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?Yes
Does the organization have a written conflict of interest policy?Yes
Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?Yes
Was there a liquidation, dissolution, termination, or substantial contraction during the year?No
Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?Yes
Direct and indirect political expenditures$0
Did the organization file Form 1120-POL for this year?No
Were substantially all dues nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Dues, assessments, and similar amounts from members$0
Section 162(e) lobbying and political expenditures$0
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices$0
Taxable amount of lobbying and political expenditures$0
Does the organization elect to pay the section 6033(e) tax on the amount above?
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?
Initiation fees and capital contributions$0
Gross receipts for public use of club facilities$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?Yes
Amount of tax imposed on the organization during the year under: section 4911$0
Amount of tax imposed on the organization during the year under: section 4912$0
Amount of tax imposed on the organization during the year under: section 4955$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?No
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958$0
Amount of tax above, reimbursed by the organization$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?No
Did the organization acquire a direct or indirect interest in any applicable insurance contract?No
Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?No
Number of employees employed in the pay period that includes March 12, 20063,291
Analysis of Income-Producing Activities (for 2007)
Unrelated business incomeExcluded by section 512, 513, or 514Related or exempt function income
Business codeAmountExclusion codeAmount
Total$764$12,312,048$378,580,340
Program service revenue
Program service revenue 1000000$000$0$187,759,901
Program service revenue 2000000$000$0$2,398,452
Program service revenue 3000000$000$0$1,230,269
Program service revenue 4000000$000$0$214,428
Program service revenue 5000000$000$0$0
Medicare/Medicaid payments000000$000$0$184,803,150
Fees and contracts from government agencies000000$000$0$0
Membership dues and assessments000000$000$0$0
Interest on savings and temporary cash investments000000$0Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)$1,440,587$0
Dividends and interest from securities000000$0Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)$3,541,276$0
Net rental income or (loss) from real estate
debt-financed property000000$000$0$0
not debt-financed property000000$0Real property rental income that does not depend on the income or profits derived by the person leasing the property and is excluded by section 512(b)(3)$316,057$0
Net rental income or (loss) from personal property000000$000$0$0
Other investment income000000$000$0$1,685,296
Gain or (loss) from sales of assets other than inventory000000$0Gain (or loss, to the extent allowed) from the sale of investments and other non-inventory property and from certain property acquired from financial institutions that are in conservatorship or receivership (sections 512(b)(5) and 512(b)(16)(A))$3,503,159$0
Net income or (loss) from special events000000$000$0$0
Gross profit or (loss) from sales of inventoryCaterers$76400$0$0
Other revenue000000$0Section 501(c)(3) organization - Income from an activity carried on primarily for the convenience of the organization's members, students, patients, visitors, officers, or employees (hospital parking lot or museum cafeteria, for example) (section 513(a)(2))$3,510,969$488,844
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2007)
EIN of corporation, partnership, or disregarded entityPercentage of ownership interestTotal incomeEnd-of-year assets
38355168150%$14,164,427$4,105,568
382872821100%$3,900,118$4,036,582
38283000557%$1,092,776$3,684,732
38356727878%$213,089$322,322
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2007)
CompensationContributions to employee benefit plans & deferred compensationExpense account and other allowances
$424,656$46,153$486
$282,814$70,298$1,242
$270,424$59,748$810
$271,753$32,345$535
$221,655$47,086$1,210
Total number of other employees paid over $50,000902
Statements About Activities (for 2007)
Expenses paid or incurred in connection with the lobbying activities$9,090
Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures?No
Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?No
Did the organization maintain any donor advised funds?No
Did the organization make any taxable distributions under section 4966?No
Did the organization make a distribution to a donor, donor advisor, or related person?No
The total number of donor advised funds owned at the end of the tax year$0
The aggregate value of assets held in all donor advised funds owned at the end of the tax year$0
The total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts$0
The aggregate value of assets held in all funds or accounts included above at the end of the tax year$0
Reason for Non-Private Foundation Status
The organization is not a private foundation because it isHospital, or a cooperative hospital service organization
Support Schedule
19992000200120022003200420052006
Total$0$0$0$0$0$0$0$0
Gifts, grants, and contributions received$0$0$0$0$0$0$0$0
Membership fees received$0$0$0$0$0$0$0$0
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose$0$0$0$0$0$0$0$0
Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975$0$0$0$0$0$0$0$0
Net income from unrelated business activities not included above$0$0$0$0$0$0$0$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf$0$0$0$0$0$0$0$0
The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge$0$0$0$0$0$0$0$0
Other income$0$0$0$0$0$0$0$0
Lobbying Expenditures by Electing Public Charities (for 2007)
Total exempt purpose expenditures$0
Total lobbying expenditures$0
Total lobbying expenditures to influence public opinion (grassroots lobbying)$0
Total lobbying expenditures to influence a legislative body (direct lobbying)$0
Other exempt purpose expenditures$0
Lobbying nontaxable amount$0
Grassroots nontaxable amount$0
Unrelated Trade or Business Income (for 2008)
IncomeExpensesNet
Total$764$0$764
Gross receipts or sales less returns and allowances$15,289$0$0
Cost of goods sold$14,525$0$0
Gross profit$7,641$0$764
Capital gain net income$0$0$0
Net gain$0$0$0
Capital loss deduction for trusts$0$0$0
Income (loss) from partnerships and S corporations$0$0$0
Rent income$0$0$0
Unrelated debt-financed income$0$0$0
Interest, annuities, royalties, and rents from controlled organizations$0$0$0
Investment income of a section 501(c)(7), (9), or (17) organization$0$0$0
Exploited exempt activity income$0$0$0
Advertising income$0$0$0
Other income$0$0$0
Deductions Not Taken Elsewhere (for 2008)
Total deductions$76
Compensation of officers, directors, and trustees$0
Salaries and wages$0
Repairs and maintenance$0
Bad debts$0
Interest$0
Taxes and licenses$0
Charitable contributions$76
Depreciation$0
Depletion$0
Contributions to deferred compensation plans$0
Employee benefit programs$0
Excess exempt expenses$0
Excess readership costs$0
Other deductions$0
Unrelated business taxable income$0
Unrelated business taxable income before net operating loss deduction$688
Net operating loss deduction$0
Unrelated business taxable income before specific deduction$688
Specific deduction$1,000
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3Christiana Care Health Services IncPO BOX 2653, Wilmington, DE 19805-0653DE1965-09$1,947,070,818
4Mount Sinai Hospital, Mount Sinai Medical Center1 Gustave L Levy Place, New York, NY 10029-6574NY1938-04$1,936,225,774
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Number of organizations performing similar types of work
Alaska1
Alabama5
Arkansas8
Arizona6
California42
Colorado11
Connecticut7
District of Columbia1
Delaware1
Florida25
Georgia14
Hawaii3
Iowa10
Idaho2
Illinois25
Indiana21
Kansas10
Kentucky8
Louisiana4
Massachusetts13
Maryland8
Maine7
Michigan15
Minnesota12
Missouri15
Mississippi14
Montana9
North Carolina23
North Dakota10
Nebraska10
New Jersey10
New Mexico2
Nevada4
New York36
Ohio13
Oklahoma10
Oregon11
Pennsylvania22
Rhode Island1
South Carolina6
South Dakota6
Tennessee8
Texas24
Utah4
Virginia13
Vermont4
Washington15
Wisconsin24
West Virginia6
Wyoming2
International5
Total566

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