Ssm St Clare Health Center in St Louis, Missouri (MO)

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Ssm St Clare Health Center
Employer Identification Number (EIN)431343281
Name of OrganizationSsm St Clare Health Center
Address10101 Woodfield Lane, St Louis, MO 63132-2937
ActivitiesChurch, synagogue, etc, Hospital, Publishing activities
SubsectionCharitable Organization, Religious Organization
Ruling Date03/1946
DeductibilityContributions are deductible
FoundationChurch
OrganizationAssociation
Exempt Organization StatusUnconditional Exemption
Tax Period12/2013
Assets$50,000,000 to greater
Income$50,000,000 to greater
Filing Requirement990 - Not required to file (church)
Asset Amount$834,067,599
Amount of Income$1,179,575,580
Form 990 Revenue Amount$1,177,895,683
National Taxonomy of Exempt Entities (NTEE)Health - General and Rehabilitative: Community Health Systems


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Amount of income in 2013: $1,179,575,580
This organization: 

 $1,179,575,580
Other organizations performing similar types of work: 

 $58,371,666

Assets in 2013: $834,067,599
This organization: 

 $834,067,599
Other organizations performing similar types of work: 

 $115,495,398

Expenses in 2013: $1,145,406,464
Ssm St Clare Health Center: 

 $1,145,406,464
Other organizations performing similar types of work: 

 $46,510,321

Income to expenses ratio in 2013: 1.0
This organization: 

 1.0
Other organizations performing similar types of work: 

 1.0

Expenses allocated to program services in 2007: 92.7%
Ssm St Clare Health Center: 

 92.7%
Other organizations performing similar types of work: 

 86.6%

Number of employees in 2013: 11,411
This organization: 

 11,411
Other organizations performing similar types of work: 

 360

Employees paid over $100,000 in 2013: 3.8%
Ssm St Clare Health Center: 

 3.8%
Other organizations performing similar types of work: 

 0.0%

Grants share in income in 2013: 0.2%
This organization: 

 0.2%
Other organizations performing similar types of work: 

 0.0%

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)?YesYes
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?YesYes
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?YesYes
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?YesYes
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)?YesYes
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?YesNo
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?NoNo
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?NoNo
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?NoNo
Did the organization receive more than $25,000 in non-cash contributions?YesYes
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?YesYes
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?YesNo
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 109600
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 return11,79311,411
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$5,246,639$4,956,815
Total reportable compensation from related organizations$9,439,950$9,815,466
Total estimated amount of other compensation from the organization and related organizations$5,867,748$1,038,518
Total number of individuals who received more than $100,000 of reportable compensation from the organization288325
Total number of independent contractors who received more than $100,000 of compensation from the organization82107
Statement of Revenue
201120122013
Total revenue$1,182,960,312$1,172,904,654$1,177,895,683
Contributions, Gifts, Grants and Other Similar Amounts$2,080,747$3,670,483$2,451,426
Program Service Revenue$1,164,980,473$1,156,240,763$1,161,532,452
621110$1,118,657,945$1,131,841,077
621110$37,582,818$29,691,375
All other program service revenue$0$0
Other Revenue
Investment income (including dividends, interest, and other similar amounts)$610,488$458,073$373,294
Income from investment of tax-exempt bond proceeds$0$0$0
Royalties$0$0$0
Net rental income$3,569,095$2,920,719$1,908,997
Gross rents (Real / Personal)$4,088,403 / $0$3,507,962 / $0$3,218,298 / $0
Less: rental expenses (Real / Personal)$519,308 / $0$587,243 / $0$1,309,301 / $0
Rental income or (loss) (Real / Personal)$3,569,095 / $0$2,920,719 / $0$1,908,997 / $0
Net gain/loss from sales of assets other than inventory$1,127,488$359,283$109,184
Gross amount from sales of assets other than inventory (Securities / Other)$708,982 / $418,506$326,014 / $33,269$98,015 / $11,169
Less: cost or other basis and sales expenses (Securities / Other)$0 / $0$0 / $0$0 / $0
Gain or (loss) (Securities / Other)$708,982 / $418,506$326,014 / $33,269$98,015 / $11,169
Net income/loss from fundraising events$24,309$43,668$0
Net income/loss from gaming activities$0$0$0
Net income/loss from sales of inventory$99,449$20,633$102,187
Gross sales of inventory, less returns and allowances$864,843$401,498$472,783
Less: cost of goods sold$765,394$380,865$370,596
Miscellaneous Revenue$10,468,263$9,191,032$11,418,143
Pharmacies and Drug Stores $4,485,950$4,914,574
621500$354,841$190,282
All other revenue$4,350,241$6,313,287
Statement of Functional Expenses
201120122013
Total functional expenses$1,130,551,107$1,111,551,731$1,145,406,464
Grants and other assistance to domestic organizations and domestic governments$805,852$889,583
Grants and other assistance to domestic individuals$0$42,111
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$5,774,588$6,028,069$4,795,418
Compensation not included above, to disqualified persons$0$0
Other salaries and wages$380,296,050$381,228,485$387,920,786
Pension plan accruals and contributions$33,923,644$35,251,208
Other employee benefits$63,583,857$68,263,026
Payroll taxes$24,641,980$24,995,988$24,753,196
Fees for services (non-employees)
Management$24,736,409$29,260,584
Legal$3,856,361$2,995,958
Accounting$416,931$499,277
Lobbying$0$0
Professional fundraising services$0$0$0
Investment management fees$0$0
Other$97,905,461$108,165,764
Advertising and promotion$4,585,930$5,514,220
Office expenses$49,293,760$45,936,257
Information technology$58,145,982$64,164,761
Royalties$0$0
Occupancy$30,051,482$29,889,874
Travel$1,938,322$2,069,375
Payments of travel or entertainment expenses for any federal, state, or local public officials$0$0
Conferences, conventions, and meetings$357,582$290,106
Interest$8,559,015$8,257,936
Payments to affiliates$0$0
Depreciation, depletion, and amortization$49,505,797$49,417,849
Insurance$-3,879,862$-5,088,029
Other expenses$204,061,895$210,481,331
Other expenses$67,916,536$68,297,645
Other expenses$2,320,744$2,270,546
Other expenses$910,241$1,067,682
Balance Sheet
201120122013
Total assets$793,272,947$822,220,803$834,067,599
Cash - non-interest-bearing$0$0
Savings and temporary cash investments$45,609,754$45,914,676
Pledges and grants receivable, net$0$0
Accounts receivable, net$166,380,964$182,529,090
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$17,896,056$18,496,807
Prepaid expenses and deferred charges$5,122,499$5,323,694
Land, buildings, and equipment: cost or other basis$511,195,026$494,818,877
Investments - publicly traded securities$0$0
Investments - other securities$24,538,955$28,407,668
Investments - program-related$0$0
Intangible assets$3,066,293$3,123,883
Other assets$48,411,256$55,452,904
Total liabilities$437,730,789$457,761,466$477,324,282
Accounts payable and accrued expenses$99,842,403$109,167,177
Grants payable$0$0
Deferred revenue$831,742$808,742
Tax-exempt bond liabilities$0$0$0
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)$357,087,321$367,348,363
Total net assets or fund balances$355,542,158$364,459,337$356,743,317
Unrestricted net assets$354,735,781$346,863,653
Temporarily restricted net assets$7,201,793$7,357,924
Permanently restricted net assets$2,521,764$2,521,740
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$536,533,010$589,374,177$661,484,102$735,575,213$770,575,625$909,299,734$977,250,623$979,227,752
Contributions, gifts, grants, and similar amounts received$893,898$2,580,277$1,341,200$1,436,294$2,846,911$1,704,411$2,076,985$1,974,457
Contributions to donor advised funds$0$0
Direct public support$104,972$1,166,933$88,164$98,297$379,295$212,023$430,492$541,396
Indirect public support$788,926$1,413,344$1,253,036$1,337,997$2,467,616$1,492,388$1,646,493$1,433,061
Government contributions (grants)$0$0$0$0$0$0$0$0
Program service revenue including government fees and contracts$517,601,204$568,259,406$644,053,270$717,903,884$749,419,220$872,169,503$952,080,022$947,269,350
Membership dues and assessments$84,195$74,055$84,590$88,924$90,139$99,217$100,587$130,426
Interest on savings and temporary cash investments$412,419$691,369$519,768$118,810$85,068$2,454$5,167$5,414
Dividends and interest from securities$6,135,877$185,393$305,595$555,618$984,312$1,565,858$3,728,522$1,176,856
Net rental income or (loss)$1,663,276$1,428,477$1,386,989$2,020,302$2,098,114$2,033,118$1,458,864$1,690,339
Gross rents$5,231,861$5,492,345$6,300,176$6,457,456$6,285,529$4,758,005$3,806,892$3,399,213
Less: rental expenses$3,568,585$4,063,868$4,913,187$4,437,154$4,187,415$2,724,887$2,348,028$1,708,874
Other investment income$729,029$3,496,919$1,504,802$1,728,440$651,956$198,932$11,367$0
Gain or (loss) from sales of assets other than inventory$-75,741$13,690$-548,985$-328,402$1,466,821$16,893,294$802,378$6,839,712
Gross amount from sales of assets other than inventory$782,495$175,865$189,958$314,249$1,841,956$20,906,974$2,446,944$8,393,343
Less: cost or other basis and sales expenses$858,236$162,175$738,943$642,651$375,135$4,013,680$1,644,566$1,553,631
Net income or (loss) from special events and activities$59,050$65,073$145,591$75,274$68,467$71,037$75,670$68,852
Gross revenue$169,728$169,005$229,848$185,386$175,849$191,187$234,410$171,036
Less: direct expenses other than fundraising expenses$110,678$103,932$84,257$110,112$107,382$120,150$158,740$102,184
Gross profit or (loss) from sales of inventory$371,438$377,077$450,776$532,550$523,242$278,687$259,647$217,022
Gross sales of inventory, less returns and allowances$1,346,084$1,054,389$1,144,353$1,162,072$1,300,460$1,105,038$1,080,138$908,149
Less: cost of goods sold$974,646$677,312$693,577$629,522$777,218$826,351$820,491$691,127
Other revenue$8,658,365$12,202,441$12,240,506$11,443,519$12,341,375$14,283,223$16,651,414$19,855,324
Total expenses$520,749,271$572,224,262$634,315,699$703,048,356$737,207,787$859,555,484$970,018,717$974,049,006
Program services$474,444,615$513,036,608$582,215,828$649,540,336$676,701,340$791,491,235$904,721,922$903,332,245
Management and general$46,055,686$58,984,910$51,767,797$53,068,485$60,114,742$67,864,158$65,137,305$70,614,035
Fundraising$248,970$202,744$332,074$439,535$391,705$200,091$159,490$102,726
Payments to affiliates$0$0$0$0$0$0$0$0
Net assets or fund balances at end of year$205,394,028$204,929,565$212,596,945$242,820,882$272,977,335$299,983,919$273,226,335$252,553,180
Excess or (deficit) for the year$15,783,739$17,149,915$27,168,403$32,526,857$33,367,838$49,744,250$7,231,906$5,178,746
Net assets or fund balances at beginning of year$151,016,785$205,394,028$204,929,565$212,596,945$242,820,882$272,977,335$299,983,919$273,226,335
Other changes in net assets or fund balances$38,593,504$-17,614,378$-19,501,023$-2,302,920$-3,211,385$-22,737,666$-33,989,490$-25,851,901
Statement of Functional Expenses (for 2007)
TotalProgram servicesManagement and generalFundraising
Total functional expenses$974,049,006$903,332,245$70,614,035$102,726
Grants paid from donor advised funds$0
Other grants and allocations$251,128
Specific assistance to individuals$0
Benefits paid to or for members$0
Compensation of current officers, directors, key employees, etc.$0$0$0$0
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$378,629,034$362,938,840$15,690,194$0
Pension plan contributions not included above$27,476,839$24,292,790$3,184,049$0
Employee benefits not included above$48,406,835$46,566,355$1,840,480$0
Payroll taxes$27,252,420$23,891,186$3,361,234$0
Professional fundraising fees$0$0$0$0
Accounting fees$516,611$0$516,611$0
Legal fees$1,643,358$0$1,643,358$0
Supplies$162,746,432$160,650,213$2,070,434$25,785
Telephone$1,207,515$943,352$263,431$732
Postage and shipping$1,147,536$504,857$642,276$403
Occupancy$17,028,198$15,602,375$1,425,706$117
Equipment rental and maintenance$20,982,663$20,182,707$798,875$1,081
Printing and publications$1,953,509$529,984$1,418,058$5,467
Travel$2,580,363$1,116,126$1,428,223$36,014
Conferences, conventions, and meetings$654,773$401,826$251,172$1,775
Interest$8,666,854$8,642,715$24,139$0
Depreciation, depletion, etc.$32,472,724$30,807,758$1,656,884$8,082
Other expenses not covered above$240,432,214$206,010,033$34,398,911$23,270
Balance Sheets
20002001200220032004200520062007
Total assets$427,103,956$523,909,295$579,496,652$544,345,083$566,844,465$590,209,282$708,482,210$723,345,966
Cash - non-interest-bearing$0$0$0$0$0$0$0$0
Savings and temporary cash investments$10,788,762$22,501,589$39,437,328$9,821,486$6,407,410$0$0$0
Accounts receivable less allowance for doubtful accounts$96,181,649$94,438,819$99,067,737$101,162,179$103,080,435$111,453,384$115,737,048$122,044,029
Pledges receivable less allowance for doubtful accounts$0$0$0$0$0$0$0$0
Grants receivable$0$0$0$0$0$0$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$2,416,528$21,722,560$24,123,323$12,045,419$12,134,607$3,800,821$4,037,837$4,026,458
Inventories for sale or use$9,289,103$9,654,540$11,120,059$11,965,730$12,507,049$14,242,905$16,212,476$15,332,245
Prepaid expenses and deferred charges$4,599,335$7,142,286$13,104,939$17,794,548$19,583,624$20,619,705$20,506,311$16,432,438
Investments - publicly-traded securities$0$0
Investments - other securities$0$14,037,244$0$17,044,118$0$47,719,759$37,330,261$38,535,385
Investments - land, buildings, and equipment less accumulated depreciation$0$0$0$0$0$0$0$0
Investments - other$0$0$13,423,325$0$19,889,866$0$0$0
Land, buildings, and equipment less accumulated depreciation$191,730,572$192,894,269$197,443,201$204,846,601$225,738,956$263,236,671$292,486,377$353,336,834
Other assets, including program-related investments$112,098,007$161,517,988$181,776,740$169,665,002$167,502,518$129,136,037$222,171,900$173,638,577
Total liabilities$221,709,928$318,979,730$366,899,707$301,524,201$293,867,130$290,225,363$435,255,875$470,792,786
Accounts payable and accrued expenses$68,888,207$118,358,341$114,384,600$72,993,515$66,962,318$72,166,859$71,030,865$79,415,664
Grants payable$0$0$0$0$0$0$0$0
Deferred revenue$1,825,702$0$0$0$0$0$0$3,152,532
Loans from officers, directors, trustees, and key employees$0$0$0$0$0$0$0$0
Tax-exempt bond liabilities$0$146,736,676$137,697,521$134,243,291$130,595,066$135,766,494$270,920,491$263,771,279
Mortgages and other notes payable$131,567,523$531,660$25,147,933$25,573,038$32,853,892$33,253,401$54,726,993$73,464,529
Other liabilities$19,428,496$53,353,053$89,669,653$68,714,357$63,455,854$49,038,609$38,577,526$50,988,782
Total liabilities and net assets/fund balances$427,103,956$523,909,295$579,496,652$544,345,083$566,844,465$590,209,282$708,482,210$723,345,966
Total net assets or fund balances$205,394,028$204,929,565$212,596,945$242,820,882$272,977,335$299,983,919$273,226,335$252,553,180
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
20002001200220032004200520062007
Total revenue$0$0$0$0$0$0$0$0
Total revenue, gains, and other support per audited financial statements$0$0$0$0$0$0$0$0
Other expenses$0$0$0$0$0$0$0$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$0$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$0$0$0$0$0$0$0$0
Total expenses and losses per audited financial statements$0$0$0$0$0$0$0$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$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
Current Officers, Directors, Trustees, and Key Employees
Total number of officers, directors, and trustees permitted to vote on organization business at board meetings8
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, 20069,633
Analysis of Income-Producing Activities (for 2007)
Unrelated business incomeExcluded by section 512, 513, or 514Related or exempt function income
Business codeAmountExclusion codeAmount
Total$14,240,792$15,401,442$947,611,061
Program service revenue
Program service revenue 1000000$000$0$936,877,534
Program service revenue 2000000$000$0$10,391,816
Program service revenue 3000000$000$0$0
Program service revenue 4000000$000$0$0
Program service revenue 5000000$000$0$0
Medicare/Medicaid payments000000$000$0$0
Fees and contracts from government agencies000000$000$0$0
Membership dues and assessments000000$000$0$130,426
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)$5,414$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)$1,176,856$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)$1,690,339$0
Net rental income or (loss) from personal property000000$000$0$0
Other investment income000000$000$0$0
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))$6,839,712$0
Net income or (loss) from special events000000$0Income from an activity that is not regularly carried on (section 512(a)(1))$68,852$0
Gross profit or (loss) from sales of inventory000000$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))$217,022$0
Other revenuePharmacies and drug stores$14,240,792Section 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))$5,403,247$211,285
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2007)
EIN of corporation, partnership, or disregarded entityPercentage of ownership interestTotal incomeEnd-of-year assets
431708511100%$41,976,772$6,347,929
27004655950%$1,976,570$1,478,976
0000000000%$0$0
0000000000%$0$0
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
$420,096$119,727$0
$393,566$112,166$0
$492,963$2,932$0
$464,146$11,376$6,389
$366,733$104,519$0
Total number of other employees paid over $50,0002,714
Statements About Activities (for 2007)
Expenses paid or incurred in connection with the lobbying activities$0
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$4,916,370$0$4,916,370
Gross receipts or sales less returns and allowances$12,542,130$0$0
Cost of goods sold$7,625,760$0$0
Gross profit$4,916,370$0$4,916,370
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$4,842,101
Compensation of officers, directors, and trustees$0
Salaries and wages$1,493,814
Repairs and maintenance$784
Bad debts$0
Interest$0
Taxes and licenses$6,482
Charitable contributions$0
Depreciation$278,897
Depletion$0
Contributions to deferred compensation plans$0
Employee benefit programs$382,496
Excess exempt expenses$0
Excess readership costs$0
Other deductions$2,679,628
Unrelated business taxable income$0
Unrelated business taxable income before net operating loss deduction$74,269
Net operating loss deduction$74,269
Unrelated business taxable income before specific deduction$0
Specific deduction$0
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Organizations performing similar types of work
IdNameAddressStateEstablishedTotal Income
1Kaiser Foundation Hospitals2701 Nw Vaughn St Ste 490, Portland, OR 97210-5358OR1949-06$28,457,909,982
2Upmc Group600 Grant St Fl 58, Pittsburgh, PA 15219-2739PA1983-01$9,112,164,378
3Ihc Health Services Inc, Mckay-Dee Hospital36 S State St Ste 2300, Salt Lake Cty, UT 84111-1471UT1982-12$8,851,608,341
4Banner Health1441 N 12th St, Phoenix, AZ 85006-2837AZ1977-01$8,581,481,374
5The Cleveland Clinic Foundation6801 Brecksville Rd Rk1-85, Independence, OH 44131-5032OH1928-10$6,008,512,667
6Providence Health & Services Washington1801 Lind Ave Sw No 9016, Renton, WA 98057-3368WA2001-12$5,286,334,171
7Advocate Health And Hospitals Corporation, Michael Derose3075 Highland Pkwy Fl 6, Downers Grove, IL 60515-5563IL1937-08$5,002,042,755
8Allina Health SystemPO BOX 43, Minneapolis, MN 55440-0043MN1984-03$4,400,704,296
9Baptist Healthcare System Inc4007 Kresge Way, Louisville, KY 40207-4604KY1937-01$4,394,679,305
10Duke University Health System Inc615 Douglas St Ste 700, Durham, NC 27705-6616NC1998-06$3,462,865,893
11Ssm St Clare Health Center10101 Woodfield Lane, St Louis, MO 63132-2937MO1946-03$1,179,575,580
12Bjc Health System4901 Forest Park Ave Ste 1200, Saint Louis, MO 63108-1402MO2002-03$734,943,604
13Mhm Support Services645 Maryville Centre Dr Ste 100, Saint Louis, MO 63141-5846MO1946-03$594,449,097
14Ssm Health Care Corporation10101 Woodfield Ln Ste 100, Saint Louis, MO 63132-2944MO1946-03$414,817,743
15Mercy Health Springfield Communities1235 E Cherokee St, Springfield, MO 65804-2203MO1946-03$275,848,014
16Ascension Health4600 Edmundson Rd, Saint Louis, MO 63134-3806MO1946-03$153,585,828
17Mercy Kansas Communities Inc645 Maryville Centre Dr Ste 100, Saint Louis, MO 63141-5846MO1946-03$74,597,186
18Ascension Health Senior Care4600 Edmundson Rd, St Louis, MO 63134-3806MO1946-03$24,284,662
19Swope Community Enterprises4001 Blue Pkwy Ste 270, Kansas City, MO 64130-2350MO2004-03$23,775,651
20Christian Health Services Development Corporation4901 Forest Park Ave Ste 1200, Saint Louis, MO 63108-1402MO2002-03$1,936,341
Number of organizations performing similar types of work
Alaska1
Alabama5
Arizona8
California23
Colorado15
Connecticut6
Florida22
Georgia16
Hawaii2
Iowa3
Illinois19
Indiana7
Kansas2
Kentucky6
Louisiana3
Massachusetts15
Maryland13
Maine3
Michigan15
Minnesota9
Missouri12
Mississippi2
Montana1
North Carolina7
North Dakota1
Nebraska7
New Hampshire3
New Jersey8
New Mexico1
Nevada2
New York12
Ohio26
Oklahoma6
Oregon2
Pennsylvania32
Rhode Island4
South Carolina7
Tennessee10
Texas20
Utah1
Virginia10
Vermont3
Washington4
Wisconsin6
West Virginia6
International2
Total388
20 biggest affiliated organizations
AffiliationNameAddressStateEstablishedTotal Income
SubordinateSaint Francis Hospital Inc6600 S Yale Ave, Tulsa, OK 74136-3347OK1946-03$3,970,090,877
SubordinateFranciscan Alliance Inc1515 W Dragoon Trl, Mishawaka, IN 46544-4710IN1946-03$2,596,912,525
SubordinatePeacehealth, Ketchikan Medical Center1115 Se 164th Ave Dept 332, Vancouver, WA 98683-8003WA1965-01$2,090,551,281
SubordinateOsf Healthcare System800 Ne Glen Oak Ave, Peoria, IL 61603-3200IL1946-03$1,896,415,307
SubordinateSt Elizabeth Medical Center Inc1 Medical Village Dr, Edgewood, KY 41017-3403KY1946-03$1,877,972,561
SubordinateProvidence Health System-Southern CaliforniaPO BOX 389672, Seattle, WA 98138-9672WA1946-03$1,724,724,506
SubordinateChristus Health919 Hidden Rdg, Irving, TX 75038-3813TX1946-03$1,654,479,614
SubordinateCatholic Health Initiatives198 Inverness Dr W, Englewood, CO 80112-5202CO1946-03$1,639,118,386
SubordinateCatholic Health Initiatives Colorado, St Anthony North Hospital3025 S Parker Road Suite 510, Aurora, CO 80014-2911CO1946-03$1,621,612,108
SubordinateSt Vincent Hospital & Health Care2001 W 86th St, Indianapolis, IN 46260-1991IN1946-03$1,327,567,131
SubordinateCatholic Healthcare West Southern CaliforniaPO BOX 1507, San Gabriel, CA 91778-1507CA1946-03$1,248,417,601
SubordinateProvidence Medical Research Center101 W 8th Ave, Spokane, WA 99204-2307WA1946-03$1,231,839,049
SubordinateFranciscan Health System1717 S J St, Tacoma, WA 98405-4933WA1946-03$1,205,494,228
SubordinateMount Carmel Health System6150 E Broad St, Columbus, OH 43213-1574OH1946-03$1,198,797,166
SubordinateSsm St Clare Health Center10101 Woodfield Lane, St Louis, MO 63132-2937MO1946-03$1,179,575,580
SubordinateUniversity Of Dayton, Phi Sigma Rho337 Stonemill Road, Dayton, OH 45409OH1976-07$1,170,175,935
SubordinateMercy Hospitals East Communities, Mercy Hospital St Louis645 Maryville Centre Dr Ste 100, Saint Louis, MO 63141-5846MO1946-03$1,107,258,738
SubordinatePresence Hospitals Prv9223 W Saint Francis Rd, Frankfort, IL 60423-8330IL1946-03$1,104,334,849
SubordinateMercy Hospital Springfield645 Maryville Centre Dr Ste 100, Saint Louis, MO 63141-5846MO1946-03$965,658,386
SubordinateSt Francis Hospital United States Catholic Conference100 Port Washington Blvd, Roslyn, NY 11576-1347NY1946-03$949,972,252
Number of affiliated organizations
Alaska6
Alabama18
Arkansas12
Arizona27
California134
Colorado67
Connecticut47
District of Columbia25
Delaware6
Florida66
Georgia17
Hawaii8
Iowa53
Idaho7
Illinois176
Indiana43
Kansas43
Kentucky33
Louisiana55
Massachusetts70
Maryland69
Maine7
Michigan72
Minnesota62
Missouri111
Mississippi11
Montana2
North Carolina12
North Dakota15
Nebraska20
New Hampshire18
New Jersey59
New Mexico7
Nevada6
New York260
Ohio156
Oklahoma11
Oregon16
Pennsylvania120
Rhode Island10
South Carolina5
South Dakota16
Tennessee20
Texas72
Utah3
Virginia20
Vermont3
Washington36
Wisconsin101
West Virginia14
Wyoming3
International7
Total2,257

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