Avera Mckennan, Avera Mckennan Hosp & Univ Heal Cen in Sioux Falls, South Dakota (SD)

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Avera Mckennan, Avera Mckennan Hosp & Univ Heal Cen
Employer Identification Number (EIN)460224743
Name of OrganizationAvera Mckennan
Secondary NameAvera Mckennan Hosp & Univ Heal Cen
Address1325 S Cliff Ave, Sioux Falls, SD 57105-1007
ActivitiesHospital
SubsectionCharitable Organization
Ruling Date07/1942
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$827,983,677
Amount of Income$759,202,729
Form 990 Revenue Amount$757,517,961
National Taxonomy of Exempt Entities (NTEE)Health - General and Rehabilitative: Hospitals and Related Primary Medical Care Facilities


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Amount of income in 2013: $759,202,729
This organization: 

 $759,202,729
Other organizations performing similar types of work: 

 $6,375,943

Assets in 2013: $827,983,677
This organization: 

 $827,983,677
Other organizations performing similar types of work: 

 $3,096,979

Expenses in 2013: $732,171,306
This organization: 

 $732,171,306
Other organizations performing similar types of work: 

 $6,363,536

Income to expenses ratio in 2013: 1.0
Avera Mckennan, Avera Mckennan Hosp & Univ Heal Cen: 

 1.0
Other organizations performing similar types of work: 

 1.1

Expenses allocated to program services in 2007: 84.1%
Avera Mckennan, Avera Mckennan Hosp & Univ Heal Cen: 

 84.1%
Other organizations performing similar types of work: 

 88.1%

Number of employees in 2013: 6,976
This organization: 

 6,976
Other organizations performing similar types of work: 

 83

Employees paid over $100,000 in 2013: 9.2%
Avera Mckennan, Avera Mckennan Hosp & Univ Heal Cen: 

 9.2%
Other organizations performing similar types of work: 

 0.0%

Grants share in income in 2013: 0.5%
Avera Mckennan, Avera Mckennan Hosp & Univ Heal Cen: 

 0.5%
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?YesYes
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?YesYes
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)?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?YesNo
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?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?YesNo
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?YesYes
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?YesNo
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?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 1096408419
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?YesYes
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 return6,5736,976
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$7,801,430$8,053,783
Total reportable compensation from related organizations$1,138,180$1,143,121
Total estimated amount of other compensation from the organization and related organizations$465,296$536,300
Total number of individuals who received more than $100,000 of reportable compensation from the organization483548
Total number of independent contractors who received more than $100,000 of compensation from the organization7495
Statement of Revenue
201120122013
Total revenue$677,060,881$719,405,956$757,517,961
Contributions, Gifts, Grants and Other Similar Amounts$7,931,949$2,006,604$3,708,700
Program Service Revenue$662,236,185$710,238,566$747,902,697
General Medical and Surgical Hospitals $653,105,834$684,906,990
621500$39,265,416$41,334,307
423000$10,660,617$9,404,758
900099$1,471,715$6,445,799
900099$595,687$2,148,839
All other program service revenue$5,139,297$3,662,004
Other Revenue
Investment income (including dividends, interest, and other similar amounts)$328,471$130,715$81,575
Income from investment of tax-exempt bond proceeds$0$0$0
Royalties$0$0$0
Net rental income$96,101$74,361$359,395
Gross rents (Real / Personal)$939,780 / $0$1,015,464 / $0$1,457,459 / $0
Less: rental expenses (Real / Personal)$843,679 / $0$941,103 / $0$1,098,064 / $0
Rental income or (loss) (Real / Personal)$96,101 / $0$74,361 / $0$359,395 / $0
Net gain/loss from sales of assets other than inventory$4,724,032$5,348,127$3,924,667
Gross amount from sales of assets other than inventory (Securities / Other)$4,658,124 / $119,280$5,319,453 / $28,674$4,511,371 / $0
Less: cost or other basis and sales expenses (Securities / Other)$0 / $53,372$0 / $0$0 / $586,704
Gain or (loss) (Securities / Other)$4,658,124 / $65,908$5,319,453 / $28,674$4,511,371 / $-586,704
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$0$0$0
Miscellaneous Revenue$1,744,143$1,607,583$1,540,927
900099$891,266$837,424
621500$698,071$527,097
900099$18,246$176,406
All other revenue$0$0
Statement of Functional Expenses
201120122013
Total functional expenses$628,705,077$682,305,139$732,171,306
Grants and other assistance to domestic organizations and domestic governments$3,463,944$3,708,926
Grants and other assistance to domestic individuals$125,000$113,750
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$2,035,669$2,319,959$2,368,719
Compensation not included above, to disqualified persons$0$349,463
Other salaries and wages$271,397,519$296,903,173$322,242,742
Pension plan accruals and contributions$16,668,374$19,626,875
Other employee benefits$36,532,443$37,400,337
Payroll taxes$16,716,492$18,844,961$20,352,010
Fees for services (non-employees)
Management$167,179$316,561
Legal$641,500$497,125
Accounting$66,946$106,130
Lobbying$35,343$37,848
Professional fundraising services$61,855$67,066$0
Investment management fees$0$0
Other$88,765,546$97,856,155
Advertising and promotion$3,617,795$3,545,710
Office expenses$9,879,677$11,949,845
Information technology$7,747,684$8,403,615
Royalties$0$0
Occupancy$20,090,967$21,150,569
Travel$3,279,993$3,235,504
Payments of travel or entertainment expenses for any federal, state, or local public officials$0$0
Conferences, conventions, and meetings$1,982,068$2,100,832
Interest$8,103,423$7,987,206
Payments to affiliates$0$0
Depreciation, depletion, and amortization$34,620,097$36,030,899
Insurance$1,064,988$1,307,714
Other expenses$100,661,292$105,489,715
Other expenses$18,283,341$16,988,522
Other expenses$3,766,383$4,108,329
Other expenses$431,759$662,915
Other expenses$4,174,238$4,233,290
Balance Sheet
201120122013
Total assets$762,444,106$800,980,977$827,983,677
Cash - non-interest-bearing$0$0
Savings and temporary cash investments$28,110,750$25,389,142
Pledges and grants receivable, net$2,439,599$2,382,202
Accounts receivable, net$92,528,140$93,735,966
Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees$20,833$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$3,360,181$3,220,401
Inventories for sale or use$14,389,349$14,929,302
Prepaid expenses and deferred charges$8,098,767$10,595,030
Land, buildings, and equipment: cost or other basis$343,607,662$358,612,850
Investments - publicly traded securities$8,322,781$8,554,927
Investments - other securities$207,116,305$229,497,375
Investments - program-related$12,187,088$11,817,238
Intangible assets$44,273,450$45,416,755
Other assets$36,526,072$23,832,489
Total liabilities$336,399,684$348,719,013$342,106,191
Accounts payable and accrued expenses$65,431,052$69,147,875
Grants payable$0$0
Deferred revenue$791,440$1,464,257
Tax-exempt bond liabilities$211,970,759$224,989,669$221,217,723
Escrow or custodial account liability$818,999$823,621
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$26,333,662$22,024,359$17,706,579
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)$34,663,494$31,746,136
Total net assets or fund balances$426,044,422$452,261,964$485,877,486
Unrestricted net assets$440,185,934$471,655,159
Temporarily restricted net assets$9,934,388$11,590,650
Permanently restricted net assets$2,141,642$2,631,677
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
2000200220032004200520062007
Total revenue$244,325,661$318,999,062$361,389,773$396,322,348$434,602,214$482,286,635$526,992,699
Contributions, gifts, grants, and similar amounts received$1,410,975$1,081,441$2,066,010$2,373,802$3,495,658$2,227,918$2,626,109
Contributions to donor advised funds$0$0
Direct public support$581,957$328,506$1,196,395$1,757,332$3,016,656$1,796,748$2,048,814
Indirect public support$111,113$71,482$76,267$80,749$109,508$138,348$135,112
Government contributions (grants)$717,905$681,453$793,348$535,721$369,494$292,822$442,183
Program service revenue including government fees and contracts$242,707,669$311,899,510$348,132,050$383,649,693$418,335,061$467,893,959$513,263,081
Membership dues and assessments$0$0$0$0$0$0$0
Interest on savings and temporary cash investments$1,141,529$399,073$203,664$324,293$595,691$680,130$499,683
Dividends and interest from securities$452,974$453,640$293,500$466,803$314,278$1,363,577$1,460,937
Net rental income or (loss)$-296,803$-31,787$-133,902$663,635$47,490$125,456$19,433
Gross rents$1,690,932$1,011,249$740,324$2,026,230$1,011,885$1,062,370$1,107,311
Less: rental expenses$1,987,735$1,043,036$874,226$1,362,595$964,395$936,914$1,087,878
Other investment income$0$5,502,092$2,470,000$0$0$0$6,381,096
Gain or (loss) from sales of assets other than inventory$-1,926,809$-1,903,854$6,230,587$6,594,077$10,137,261$7,679,853$799,395
Gross amount from sales of assets other than inventory$30,883$9,437,598$6,565,631$7,908,558$10,588,721$11,787,292$4,189,279
Less: cost or other basis and sales expenses$1,957,692$11,341,452$335,044$1,314,481$451,460$4,107,439$3,389,884
Net income or (loss) from special events and activities$0$0$0$0$0$0$0
Gross revenue$0$0$0$0$0$0$0
Less: direct expenses other than fundraising expenses$0$0$0$0$0$0$0
Gross profit or (loss) from sales of inventory$0$0$0$0$0$0$0
Gross sales of inventory, less returns and allowances$0$0$0$0$0$0$0
Less: cost of goods sold$0$0$0$0$0$0$0
Other revenue$836,126$1,598,947$2,127,864$2,250,045$1,676,775$2,315,742$1,942,965
Total expenses$232,093,586$303,906,779$339,491,917$372,125,156$408,978,445$448,216,667$509,307,052
Program services$202,061,308$248,670,038$281,508,905$310,922,041$342,912,948$379,499,730$428,228,054
Management and general$30,032,278$55,029,725$57,720,098$60,819,456$65,602,939$68,102,298$80,124,336
Fundraising$0$207,016$262,914$383,659$462,558$614,639$954,662
Payments to affiliates$0$0$0$0$0$0$0
Net assets or fund balances at end of year$191,951,742$217,328,957$238,341,772$262,288,206$285,663,157$322,199,470$328,461,076
Excess or (deficit) for the year$12,232,075$15,092,283$21,897,856$24,197,192$25,623,769$34,069,968$17,685,647
Net assets or fund balances at beginning of year$192,000,776$198,515,796$217,328,957$238,341,772$262,288,206$285,663,157$322,199,470
Other changes in net assets or fund balances$-12,281,109$3,720,878$-885,041$-250,758$-2,248,818$2,466,345$-11,424,041
Statement of Functional Expenses (for 2007)
TotalProgram servicesManagement and generalFundraising
Total functional expenses$509,307,052$428,228,054$80,124,336$954,662
Grants paid from donor advised funds$0
Other grants and allocations$2,276,987
Specific assistance to individuals$0
Benefits paid to or for members$0
Compensation of current officers, directors, key employees, etc.$1,304,878$925,097$379,781$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$236,384,475$208,037,947$27,993,543$352,985
Pension plan contributions not included above$10,929,977$9,691,739$1,210,260$27,978
Employee benefits not included above$33,123,837$27,914,937$5,172,883$36,017
Payroll taxes$14,551,917$12,742,224$1,784,828$24,865
Professional fundraising fees$0$0$0$0
Accounting fees$0$0$0$0
Legal fees$134,121$1,129$132,992$0
Supplies$76,028,804$74,471,078$1,541,570$16,156
Telephone$2,043,733$954,606$1,088,296$831
Postage and shipping$1,384,487$790,044$577,206$17,237
Occupancy$13,049,439$11,569,465$1,428,642$51,332
Equipment rental and maintenance$12,122,176$10,823,558$1,296,853$1,765
Printing and publications$885,204$737,394$119,294$28,516
Travel$303,118$169,837$124,575$8,706
Conferences, conventions, and meetings$0$0$0$0
Interest$6,123,796$6,123,796$0$0
Depreciation, depletion, etc.$20,021,905$15,331,703$4,686,081$4,121
Other expenses not covered above$78,638,198$45,666,513$32,587,532$384,153
Balance Sheets
2000200220032004200520062007
Total assets$326,801,759$373,346,658$420,114,954$445,533,306$493,870,739$535,263,118$635,243,952
Cash - non-interest-bearing$8,081,280$0$0$0$0$0$0
Savings and temporary cash investments$106,679,048$19,051,735$15,435,357$14,986,076$13,532,702$15,580,823$19,170,199
Accounts receivable less allowance for doubtful accounts$51,768,361$49,598,997$51,690,784$58,112,057$62,843,992$72,243,582$88,517,436
Pledges receivable less allowance for doubtful accounts$0$0$0$0$0$2,856,002$3,448,865
Grants receivable$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
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$0$2,868,899$2,676,171$0$3,716,746$0
Inventories for sale or use$3,910,321$4,916,904$4,808,215$5,594,373$6,420,539$6,876,366$7,656,052
Prepaid expenses and deferred charges$7,414,978$4,185,609$5,944,791$5,234,269$7,078,006$8,135,660$5,929,144
Investments - publicly-traded securities$114,232,321$175,051,084
Investments - other securities$0$100,480,412$123,703,229$117,087,476$140,268,350$20,929,164$11,370,027
Investments - land, buildings, and equipment less accumulated depreciation$0$0$0$0$7,477,684$10,294,763$6,276,578
Investments - other$7,819,195$25,120,995$23,478,890$25,164,259$29,516,716$31,534,295$30,045,077
Land, buildings, and equipment less accumulated depreciation$135,707,843$137,023,356$153,998,791$170,434,739$180,912,316$202,513,860$236,562,294
Other assets, including program-related investments$5,420,733$32,968,650$38,185,998$46,243,886$45,820,434$46,349,536$51,217,196
Total liabilities$134,850,017$156,017,701$181,773,182$183,245,100$208,207,582$213,063,648$306,782,876
Accounts payable and accrued expenses$36,084,365$37,671,836$38,489,459$41,806,140$46,227,484$67,875,179$76,480,497
Grants payable$0$0$0$0$0$0$0
Deferred revenue$0$832,029$1,432,208$2,387,282$2,089,742$1,792,386$1,684,320
Loans from officers, directors, trustees, and key employees$0$0$0$0$0$0$0
Tax-exempt bond liabilities$88,577,350$106,764,616$126,233,781$121,974,100$142,168,497$140,523,590$220,773,234
Mortgages and other notes payable$5,745,281$1,287,313$1,256,979$0$0$0$230,244
Other liabilities$4,443,021$9,461,907$14,360,755$17,077,578$17,721,859$2,872,493$7,614,581
Total liabilities and net assets/fund balances$326,801,759$373,346,658$420,114,954$445,533,306$493,870,739$535,263,118$635,243,952
Total net assets or fund balances$191,951,742$217,328,957$238,341,772$262,288,206$285,663,157$322,199,470$328,461,076
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
2000200220032004200520062007
Total revenue$0$318,999,062$361,389,773$396,322,348$434,602,214$482,286,635$526,992,699
Total revenue, gains, and other support per audited financial statements$0$329,493,670$367,810,118$402,618,017$441,630,670$487,994,437$535,837,520
Other expenses$0$14,562,059$8,594,879$8,703,344$13,626,144$15,125,223$15,070,180
Net unrealized gains on investments$0$0$0$0$0$0$0
Donated services and use of facilities$0$0$0$0$0$0$0
Recoveries of prior year grants$0$0$0$0$0$0$0
Other$0$14,562,059$8,594,879$8,703,344$13,626,144$15,125,223$15,070,180
Other revenue$0$4,067,451$2,174,534$2,407,675$6,597,688$9,417,421$6,225,359
Investment expenses$0$0$0$0$0$0$0
Other$0$4,067,451$2,174,534$2,407,675$6,597,688$9,417,421$6,225,359
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
2000200220032004200520062007
Total expenses$0$303,906,779$339,491,917$372,125,156$408,978,445$448,216,667$509,307,052
Total expenses and losses per audited financial statements$0$317,473,865$346,571,729$378,821,808$419,782,736$459,193,863$520,278,409
Other revenue$0$14,650,862$7,851,974$7,332,168$11,286,047$11,349,033$12,058,197
Donated services and use of facilities$0$0$0$0$0$0$0
Prior year adjustments$0$0$0$0$0$0$0
Losses$0$0$0$0$0$0$0
Other$0$14,650,862$7,851,974$7,332,168$11,286,047$11,349,033$12,058,197
Other expenses$0$1,083,776$772,162$635,516$481,756$371,837$1,086,840
Investment expenses$0$0$0$0$0$0$0
Other$0$1,083,776$772,162$635,516$481,756$371,837$1,086,840
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
40$171,933$24,051$0
40$334,420$23,555$0
40$307,587$63,551$0
40$302,336$70,245$7,200
Total number of officers, directors, and trustees permitted to vote on organization business at board meetings19
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?Yes
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, 20064,787
Analysis of Income-Producing Activities (for 2007)
Unrelated business incomeExcluded by section 512, 513, or 514Related or exempt function income
Business codeAmountExclusion codeAmount
Total$6,034,309$3,789,955$514,542,326
Program service revenue
Program service revenue 1Medical and diagnostic laboratories$4,173,14100$0$479,245,720
Program service revenue 2Medical and diagnostic laboratories$607,35800$0$13,680,813
Program service revenue 3000000$000$0$2,836,509
Program service revenue 4000000$000$0$2,570,400
Program service revenue 5Merchant wholesalers, durable goods$321,35200$0$9,827,788
Medical and diagnostic laboratories$4,173,141$0$479,245,720
$0$0$1,534,766
Medical and diagnostic laboratories$607,358$0$13,680,813
$0$0$2,385,314
$0$0$543,160
$0$0$2,836,509
$0$0$2,113,550
$0$0$303,548
$0$0$1,874,847
Merchant wholesalers, durable goods$321,352$0$1,072,603
$0$0$2,570,400
Medicare/Medicaid payments000000$000$0$0
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)$499,683$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)$1,460,937$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)$19,433$0
Net rental income or (loss) from personal property000000$000$0$0
Other investment income000000$000$0$6,381,096
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))$799,395$0
Net income or (loss) from special events000000$000$0$0
Gross profit or (loss) from sales of inventory000000$000$0$0
Other revenueMedical and diagnostic laboratories$932,458Dividends, 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)$1,010,507$0
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2007)
EIN of corporation, partnership, or disregarded entityPercentage of ownership interestTotal incomeEnd-of-year assets
46048819877%$6,541,179$6,544,613
47087498350%$4,082,997$2,659,639
73165204950%$0$967,172
460385178100%$2,408,103$924,412
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
$2,125,492$23,151$0
$1,033,511$92,502$0
$798,117$91,132$0
$773,290$65,738$0
$764,413$47,559$0
Total number of other employees paid over $50,0001,253
Statements About Activities (for 2007)
Expenses paid or incurred in connection with the lobbying activities$55,816
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
1999200120022003200420052006
Total$0$0$0$0$0$0$0
Gifts, grants, and contributions received$0$0$0$0$0$0$0
Membership fees received$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
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
Net income from unrelated business activities not included above$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
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
Other income$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$6,034,307$0$6,034,307
Gross receipts or sales less returns and allowances$5,712,956$0$0
Cost of goods sold$0$0$0
Gross profit$5,712,956$0$5,712,956
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$321,351$40$321,351
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$4,804,359
Compensation of officers, directors, and trustees$0
Salaries and wages$2,409,906
Repairs and maintenance$0
Bad debts$0
Interest$0
Taxes and licenses$0
Charitable contributions$0
Depreciation$79,719
Depletion$0
Contributions to deferred compensation plans$0
Employee benefit programs$701,337
Excess exempt expenses$0
Excess readership costs$0
Other deductions$1,613,397
Unrelated business taxable income$1,228,948
Unrelated business taxable income before net operating loss deduction$1,229,948
Net operating loss deduction$0
Unrelated business taxable income before specific deduction$1,229,948
Specific deduction$0
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Organizations performing similar types of work
IdNameAddressStateEstablishedTotal Income
1Methodist Hospital6565 Fannin St Gb240, Houston, TX 77030-2703TX2010-09$3,577,667,496
2Group Health Cooperative320 Westlake Ave N Ste 100, Seattle, WA 98109-5233WA1971-06$3,327,200,218
3North Shore University Hospital972 Brush Hollow Rd, Westbury, NY 11590-1740NY1965-07$2,402,479,357
4Long Island Jewish Medical Center972 Brush Hollow Road 5th Fl, Westbury, NY 11590-1740NY1955-12$1,908,519,311
5Carilion Medical CenterPO BOX 12385, Roanoke, VA 24025-2385VA1980-05$1,856,246,897
6North Broward Hospital District303 Se 3rd Street, Fl Lauderdale, FL 33316FL1978-03$1,335,056,317
7Sharp Memorial Hospital8695 Spectrum Center Blvd, San Diego, CA 92123-1489CA1984-01$1,082,922,018
8Community Health Network Inc1500 N Ritter Ave, Indianapolis, IN 46219-3095IN1965-08$930,095,596
9Avera Mckennan, Avera Mckennan Hosp & Univ Heal Cen1325 S Cliff Ave, Sioux Falls, SD 57105-1007SD1942-07$759,202,729
10West Penn Allegheny Health System Inc320 E North Ave, Pittsburgh, PA 15212-4756PA1990-03$739,094,809
11Fulton Dekalb Hospital Authority, Grady Health System50 Hurt Plz Se Ste 803, Atlanta, GA 30303-2945GA1970-01$629,922,710
12Ochsner Community Hospitals1514 Jefferson Hwy, New Orleans, LA 70121-2429LA2006-11$507,866,900
13Genesis Health System1227 E Rusholme St, Davenport, IA 52803-2459IA1994-05$486,427,137
14Aultman Hospital2600 Sixth Street Sw, Canton, OH 44710-1702OH1934-08$470,014,381
15Upmc Altoona, Alt Hosp620 Howard Ave, Altoona, PA 16601-4804PA1942-12$456,015,732
16Southside Hospital972 Brush Hollow Rd, Westbury, NY 11590-1740NY1933-03$429,123,918
17Thedacare Inc122 E College Ave, Appleton, WI 54911-5794WI1985-01$397,776,707
18Bennett County Hospital And Nursing HomePO BOX 70, Martin, SD 57551-0070SD2006-05$6,753,795
19Destiny Healthcare International, Destiny Family Medical Clinic1417 S Minnesota Ave, Sioux Falls, SD 57105-1715SD2005-10$464,371
20Dells Area Health Center909 N Iowa Ave, Dell Rapids, SD 57022-1231SD1960-05$112,696
Number of organizations performing similar types of work
Alaska2
Alabama8
Arkansas12
Arizona14
California41
Colorado10
Connecticut7
District of Columbia3
Delaware1
Florida34
Georgia35
Hawaii1
Iowa16
Idaho8
Illinois24
Indiana28
Kansas28
Kentucky18
Louisiana15
Massachusetts14
Maryland8
Maine8
Michigan30
Minnesota17
Missouri22
Mississippi13
Montana11
North Carolina20
North Dakota2
Nebraska5
New Hampshire4
New Jersey20
New Mexico5
Nevada4
New York68
Ohio26
Oklahoma12
Oregon5
Pennsylvania38
Rhode Island2
South Carolina12
South Dakota6
Tennessee16
Texas82
Utah4
Virginia10
Vermont1
Washington16
Wisconsin17
West Virginia3
Wyoming7
International10
Total823
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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