Major Hospital in Shelbyville, Indiana (IN)

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Major Hospital
Employer Identification Number (EIN)351118234
Name of OrganizationMajor Hospital
In Care of NameRalph Mercuri
Address150 W Washington St, Shelbyville, IN 46176-1236
SubsectionCharitable Organization
Ruling Date09/2013
DeductibilityContributions are deductible
FoundationHospital or medical research organization
OrganizationAssociation
Exempt Organization StatusUnconditional Exemption
Tax Period12/2011
Assets$50,000,000 to greater
Income$50,000,000 to greater
Filing Requirement990 - Not required to file (instrumentalities of states or political subdivisions)
Asset Amount$113,216,701
Amount of Income$105,153,429
Form 990 Revenue Amount$90,479,252
National Taxonomy of Exempt Entities (NTEE)Health - General and Rehabilitative: Hospital, General


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Amount of income in 2011: $105,153,429
Major Hospital: 

 $105,153,429
Other organizations performing similar types of work: 

 $17,721,162

Assets in 2011: $113,216,701
Major Hospital: 

 $113,216,701
Other organizations performing similar types of work: 

 $15,703,352

Expenses in 2009: $72,141,218
Major Hospital: 

 $72,141,218
Other organizations performing similar types of work: 

 $16,206,641

Income to expenses ratio in 2009: 1.5
Major Hospital: 

 1.5
Other organizations performing similar types of work: 

 1.2

Expenses allocated to program services in 2007: 87.0%
Major Hospital: 

 87.0%
Other organizations performing similar types of work: 

 86.7%

Number of employees in 2009: 712
Major Hospital: 

 712
Other organizations performing similar types of work: 

 197

Employees paid over $100,000 in 2009: 5.6%
This organization: 

 5.6%
Other organizations performing similar types of work: 

 0.0%

Grants share in income in 2009: 0.4%
This organization: 

 0.4%
Other organizations performing similar types of work: 

 0.5%

Financial snapshot ($)

Revenue for 2009

Functional expenses for 2009

Statements Regarding Other IRS Filings and Tax Compliance (for 2009)
Did the organization have unrelated business gross income of $1,000 or more during the year?No
Initiation fees and capital contributions$0
Gross receipts for public use of club facilities $0
Gross income from members or shareholders$0
Gross income from other sources$0
Statement of Revenue (for 2009)
Total revenue$81,640,656
Contributions, Gifts, Grants and Other Similar Amounts$356,328
Program Service Revenue$79,467,510
Other Revenue
Investment income (including dividends, interest, and other similar amounts)$1,244,726
Income from investment of tax-exempt bond proceeds$0
Royalties$0
Net rental income$81,873
Gross rents (Real / Personal)$81,873 / $0
Less: rental expenses (Real / Personal)$0 / $0
Rental income or (loss) (Real / Personal)$81,873 / $0
Net loss from sales of assets other than inventory$-427,975
Gross amount from sales of assets other than inventory (Securities / Other)$0 / $1,106,106
Less: cost or other basis and sales expenses (Securities / Other)$501,965 / $1,032,116
Gain or (loss) (Securities / Other)$-501,965 / $73,990
Net income from fundraising events$0
Net income from gaming activities$0
Net income from sales of inventory$0
Miscellaneous Revenue$918,194
Statement of Functional Expenses (for 2009)
Total functional expenses$72,141,218
Compensation of current officers, directors, trustees, and key employees$779,936
Other salaries and wages$25,596,803
Payroll taxes$1,932,961
Professional fundraising services$0
Other$43,831,518
Balance Sheet (for 2009)
Total assets$104,326,507
Total liabilities$38,287,695
Tax-exempt bond liabilities$29,678,000
Secured mortgages and notes payable to unrelated third parties$275,782
Unsecured notes and loans payable to unrelated third parties$0
Other$8,333,913
Total net assets or fund balances$66,038,812
Retained earnings, endowment, accumulated income, or other funds$66,038,812
Reason for Public Charity Status (for 2009)
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)
Revenue, Expenses, and Changes in Net Assets or Fund Balances
20002001200220032004200520062007
Total revenue$38,176,493$43,272,231$46,447,334$50,010,881$52,774,905$56,211,628$66,252,409$79,460,169
Contributions, gifts, grants, and similar amounts received$20,219$13,000$264,390$16,345$91,738$244,827$119,287$312,381
Contributions to donor advised funds$0$0
Direct public support$20,219$13,000$12,090$16,345$91,738$169,827$17,737$244,759
Indirect public support$0$0$252,300$0$0$0$32,550$7,622
Government contributions (grants)$0$0$0$0$0$75,000$69,000$60,000
Program service revenue including government fees and contracts$36,390,814$41,742,027$44,543,164$49,230,738$51,475,264$54,384,228$63,305,673$75,988,465
Membership dues and assessments$0$0$0$0$0$0$0$0
Interest on savings and temporary cash investments$1,447,771$1,166,642$1,237,411$89,632$74,822$31,543$14,196$115,899
Dividends and interest from securities$0$0$0$837,732$893,662$1,130,273$2,339,485$1,801,873
Net rental income or (loss)$0$0$0$0$0$0$0$0
Gross rents$0$0$0$0$0$0$0$0
Less: rental expenses$0$0$0$0$0$0$0$0
Other investment income$0$0$0$9,610$0$0$0$0
Gain or (loss) from sales of assets other than inventory$2,050$2,400$1,290$-493,733$-133,798$-344,741$-356,444$509,456
Gross amount from sales of assets other than inventory$2,050$2,400$1,290$0$0$205,584$248,311$14,493,918
Less: cost or other basis and sales expenses$0$0$0$493,733$133,798$550,325$604,755$13,984,462
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$0
Gross sales of inventory, less returns and allowances$0$0$0$0$0$0$0$0
Less: cost of goods sold$0$0$0$0$0$0$0$0
Other revenue$315,639$348,162$401,079$320,557$373,217$765,498$830,212$732,095
Total expenses$33,432,695$39,263,528$41,608,513$47,806,103$49,160,986$58,159,016$61,102,148$71,695,423
Program services$31,416,376$36,974,895$39,110,943$44,950,931$46,125,821$54,325,825$53,826,376$62,375,018
Management and general$2,016,319$2,288,633$2,497,570$2,855,172$3,035,165$3,833,191$7,275,772$9,320,405
Fundraising$0$0$0$0$0$0$0$0
Payments to affiliates$0$0$0$0$0$0$0$0
Net assets or fund balances at end of year$38,629,462$41,954,752$46,005,076$49,146,334$52,930,308$51,022,723$56,406,451$64,430,253
Excess or (deficit) for the year$4,743,798$4,008,703$4,838,821$2,204,778$3,613,919$-1,947,388$5,150,261$7,764,746
Net assets or fund balances at beginning of year$34,513,802$38,629,462$41,954,752$46,005,076$49,146,334$52,930,308$51,022,723$56,406,451
Other changes in net assets or fund balances$-628,138$-683,413$-788,497$936,480$170,055$39,803$233,467$259,056
Statement of Functional Expenses (for 2007)
TotalProgram servicesManagement and generalFundraising
Total functional expenses$71,695,423$62,375,018$9,320,405$0
Grants paid from donor advised funds$0
Other grants and allocations$3,172,923
Specific assistance to individuals$0
Benefits paid to or for members$0
Compensation of current officers, directors, key employees, etc.$1,247,685$1,097,963$149,722$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$23,496,310$20,676,753$2,819,557$0
Pension plan contributions not included above$811,037$713,713$97,324$0
Employee benefits not included above$3,192,172$2,809,111$383,061$0
Payroll taxes$1,722,850$1,516,108$206,742$0
Professional fundraising fees$0$0$0$0
Accounting fees$93,255$78,334$14,921$0
Legal fees$0$0$0$0
Supplies$9,157,717$8,058,791$1,098,926$0
Telephone$125,882$110,776$15,106$0
Postage and shipping$0$0$0$0
Occupancy$877,661$737,235$140,426$0
Equipment rental and maintenance$540,773$454,249$86,524$0
Printing and publications$138,410$121,801$16,609$0
Travel$0$0$0$0
Conferences, conventions, and meetings$0$0$0$0
Interest$1,319,876$1,121,895$197,981$0
Depreciation, depletion, etc.$4,501,667$3,781,400$720,267$0
Other expenses not covered above$21,297,205$17,923,966$3,373,239$0
Balance Sheets
20002001200220032004200520062007
Total assets$44,983,175$53,887,083$56,390,869$88,979,278$92,749,455$90,634,052$93,688,416$98,541,454
Cash - non-interest-bearing$0$0$0$0$0$0$0$0
Savings and temporary cash investments$1,683,525$2,971,311$2,627,951$1,876,190$3,880,113$5,237,707$8,289,084$10,692,117
Accounts receivable less allowance for doubtful accounts$5,201,651$4,499,640$5,686,557$6,415,121$5,903,485$6,212,372$8,572,956$9,185,758
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$6,963,288$6,724,964$6,483,323$6,246,905$6,070,243$5,677,788$5,514,101$5,078,044
Inventories for sale or use$610,388$744,757$667,973$751,419$828,139$901,682$1,079,695$1,221,231
Prepaid expenses and deferred charges$395,649$443,873$547,074$1,014,663$1,017,846$1,077,385$1,041,434$720,644
Investments - publicly-traded securities$30,389,880$34,682,864
Investments - other securities$13,428,379$22,220,899$23,264,519$21,993,259$27,465,270$30,060,188$0$0
Investments - land, buildings, and equipment less accumulated depreciation$0$0$0$0$5,643,710$6,255,275$6,256,081$6,145,076
Investments - other$336,651$619,151$906,651$1,347,651$75,143$357,093$216,184$344,694
Land, buildings, and equipment less accumulated depreciation$16,259,440$15,590,017$16,144,505$19,810,567$32,180,387$33,530,292$32,187,502$29,359,378
Other assets, including program-related investments$104,203$72,471$62,316$29,523,503$9,685,119$1,324,270$141,499$1,111,648
Total liabilities$6,353,713$11,932,331$10,385,793$39,832,944$39,819,147$39,611,329$37,281,965$34,111,201
Accounts payable and accrued expenses$2,409,275$2,384,319$2,515,817$3,431,634$3,036,146$4,401,408$5,504,393$5,737,389
Grants payable$0$0$0$0$0$0$0$0
Deferred revenue$0$0$0$0$159,792$0$0$0
Loans from officers, directors, trustees, and key employees$0$0$0$0$0$0$0$0
Tax-exempt bond liabilities$0$0$0$0$0$0$0$0
Mortgages and other notes payable$1,887,668$7,771,621$6,687,582$35,558,822$35,823,209$34,431,378$31,101,029$27,696,462
Other liabilities$2,056,770$1,776,391$1,182,394$842,488$800,000$778,543$676,543$677,350
Total liabilities and net assets/fund balances$44,983,175$53,887,083$56,390,869$88,979,278$92,749,455$90,634,052$93,688,416$98,541,454
Total net assets or fund balances$38,629,462$41,954,752$46,005,076$49,146,334$52,930,308$51,022,723$56,406,451$64,430,253
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
20002001200220032004200520062007
Total revenue$0$0$0$50,010,881$52,774,905$56,211,628$66,252,409$79,460,169
Total revenue, gains, and other support per audited financial statements$0$0$0$50,947,361$52,951,875$56,251,431$62,020,469$71,339,236
Other expenses$0$0$0$936,480$176,970$39,803$0$259,056
Net unrealized gains on investments$0$0$0$936,480$176,970$39,803$0$259,056
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$4,231,940$8,379,989
Investment expenses$0$0$0$0$0$0$0$0
Other$0$0$0$0$0$0$4,231,940$8,379,989
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
20002001200220032004200520062007
Total expenses$0$0$0$47,806,103$49,160,986$58,159,016$61,102,148$71,695,423
Total expenses and losses per audited financial statements$0$0$0$47,806,103$49,160,986$58,159,016$56,409,915$63,315,434
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$4,692,233$8,379,989
Investment expenses$0$0$0$0$0$0$0$0
Other$0$0$0$0$0$0$4,692,233$8,379,989
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
60$321,302$59,340$9,600
60$199,593$17,573$0
60$206,135$322$0
60$199,244$17,528$0
60$187,066$15,982$0
2$2,000$0$0
2$2,000$0$0
2$2,000$0$0
2$2,000$0$0
2$2,000$0$0
2$2,000$0$0
2$2,000$0$0
Total number of officers, directors, and trustees permitted to vote on organization business at board meetings7
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?No
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?No
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, 2006621
Analysis of Income-Producing Activities (for 2007)
Unrelated business incomeExcluded by section 512, 513, or 514Related or exempt function income
Business codeAmountExclusion codeAmount
Total$0$3,159,323$75,988,465
Program service revenue
Program service revenue 1000000$000$0$75,988,465
Program service revenue 2000000$000$0$0
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$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)$115,899$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)$1,801,873$0
Net rental income or (loss) from real estate
debt-financed property000000$000$0$0
not debt-financed property000000$000$0$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))$509,456$0
Net income or (loss) from special events000000$000$0$0
Gross profit or (loss) from sales of inventory000000$000$0$0
Other revenue000000$0Income from an activity that is not regularly carried on (section 512(a)(1))$732,095$0
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2007)
EIN of corporation, partnership, or disregarded entityPercentage of ownership interestTotal incomeEnd-of-year assets
35198490395%$1,209,445$2,969,924
20285641950%$716,659$156,306
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
$128,347$0$0
$113,805$6,853$0
$113,484$6,662$0
$112,668$6,120$0
$108,487$7,839$0
Total number of other employees paid over $50,000180
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
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13Shelby Community Health Center1640 E State Road 44 Ste B, Shelbyville, IN 46176-4030IN2003-11$405,683
14Spine Institute Foundation Inc13431 Old Meridian St Ste 200, Carmel, IN 46032-1498IN2009-05$13,750
15American Music Therapy Association, Great Lakes Regional Chapter501 Chester Ave, Valparaiso, IN 46383-5117IN2000-09$0
16Community Health Services Of Indiana Inc7330 Shadeland Sta Ste 200, Indianapolis, IN 46256-3985IN2013-07$0
17Hendricks County Hospital1000 E Main St, Danville, IN 46122-1948IN1982-03$0
18Indianapolis Citizen Advocacy415 W 46th St, Indianapolis, IN 46208-3603IN2002-08$0
19Jay County Hospital500 W Votaw St, Portland, IN 47371-1322IN$0
20Orange County HospitalPO BOX 499, Paoli, IN 47454-0499IN1978-03$0
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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