Beth Israel Deaconess Hospital - Needham Inc in Needham, Massachusetts (MA)

Beth Israel Deaconess Hospital - Needham Inc
Employer Identification Number (EIN)	043229679
Name of Organization	Beth Israel Deaconess Hospital - Needham Inc
Address	148 Chestnut St, Needham, MA 02492-2505
Activities	Hospital, Other health services
Subsection	Charitable Organization
Ruling Date	08/1994
Deductibility	Contributions are deductible
Foundation	Hospital or medical research organization
Organization	Corporation
Exempt Organization Status	Unconditional Exemption
Tax Period	09/2013
Assets	$50,000,000 to greater
Income	$50,000,000 to greater
Filing Requirement	990 - Not required to file (instrumentalities of states or political subdivisions)
Asset Amount	$78,166,309
Amount of Income	$65,918,954
Form 990 Revenue Amount	$65,694,491
National Taxonomy of Exempt Entities (NTEE)	Health - General and Rehabilitative: Hospital, General

Non-representatives - add comments:

Amount of income in 2013: $65,918,954

Beth Israel Deaconess Hospital - Needham Inc:	$65,918,954
Other organizations performing similar types of work:	$17,721,162

Assets in 2013: $78,166,309

This organization:	$78,166,309
Other organizations performing similar types of work:	$15,703,352

Expenses in 2013: $63,127,248

This organization:	$63,127,248
Other organizations performing similar types of work:	$16,206,641

Income to expenses ratio in 2013: 1.0

This organization:	1.0
Other organizations performing similar types of work:	1.2

Expenses allocated to program services in 2007: 92.6%

Beth Israel Deaconess Hospital - Needham Inc:	92.6%
Other organizations performing similar types of work:	86.7%

Number of employees in 2013: 622

This organization:	622
Other organizations performing similar types of work:	197

Employees paid over $100,000 in 2013: 6.8%

Beth Israel Deaconess Hospital - Needham Inc:	6.8%
Other organizations performing similar types of work:	0.0%

Grants share in income in 2013: 2.4%

Beth Israel Deaconess Hospital - Needham Inc:	2.4%
Other organizations performing similar types of work:	0.5%

Financial snapshot ($)

Revenue for 2013

Assets at the end of 2013

Functional expenses for 2013

	2012	2013
Checklist
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?	Yes	Yes
Is the organization required to complete Schedule B, Schedule of Contributors?	Yes	Yes
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office?	No	No
Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year?	Yes	Yes
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?	No	No
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?	No	No
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures?	No	No
Did the organization maintain collections of works of art, historical treasures, or other similar assets?	No	No
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?	No	No
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments?	Yes	Yes
Did the organization report an amount for land, buildings, and equipment?	Yes	Yes
Did the organization report an amount for investments-other securities that is 5% or more of its total assets?	Yes	Yes
Did the organization report an amount for investments-program related that is 5% or more of its total assets?	No	No
Did the organization report an amount for other assets that is 5% or more of its total assets?	No	No
Did the organization report an amount for other liabilities?	Yes	Yes
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)?	No	No
Did the organization obtain separate, independent audited financial statements for the tax year?	No	No
Was the organization included in consolidated, independent audited financial statements for the tax year?	Yes	Yes
Is the organization a school described in section 170(b)(1)(A)(ii)?	No	No
Did the organization maintain an office, employees, or agents outside of the United States?	No	No
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?	Yes	Yes
Did the organization report more than $5,000 of grants or other assistance to or for any foreign organization?	No	No
Did the organization report more than $5,000 of aggregate grants or other assistance to or for foreign individuals?	No	No
Did the organization report a total of more than $15,000 of expenses for professional fundraising services?	Yes	Yes
Did the organization report more than $15,000 total of fundraising event gross income and contributions?	Yes	Yes
Did the organization report more than $15,000 of gross income from gaming activities?	No	No
Did the organization operate one or more hospital facilities?	Yes	Yes
Did the organization attach a copy of its audited financial statements?	Yes	Yes
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government?	No	No
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals?	No	No
Did the organization answer 'Yes' about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees?	Yes	Yes
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?	Yes	Yes
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?	Yes	Yes
Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds?	No	No
Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year?	No	No
Did the organization engage in an excess benefit transaction with a disqualified person during the year?	No	No
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?	No	No
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?	No	No
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?	No	No
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?	No	Yes
A family member of a current or former officer, director, trustee, or key employee?	Yes	Yes
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?	Yes	No
Did the organization receive more than $25,000 in non-cash contributions?	No	No
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?	No	No
Did the organization liquidate, terminate, or dissolve and cease operations?	No	No
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?	No	No
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?	No	No
Was the organization related to any tax-exempt or taxable entity?	Yes	Yes
Did the organization have a controlled entity within the meaning of section 512(b)(13)?	No	No
Did the organization make any transfers to an exempt non-charitable related organization?	No	No
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?	No	No

	2011	2012	2013
Statements Regarding Other IRS Filings and Tax Compliance
The number reported in Box 3 of Form 1096		142	158
The number of Forms W-2G		0	0
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?		No	Yes
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 return		615	622
Did the organization file all required federal employment tax returns?		Yes	Yes
Did the organization have unrelated business gross income of $1,000 or more during the year?	Yes	Yes	Yes
Has it filed a Form 990-T for this year?		Yes	Yes
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)?		No	No
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?		No	No
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?		No	No
Did the organization file Form 8886-T?		No	No
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?		Yes	No
Did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?		Yes	No
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?		Yes	Yes
Did the organization notify the donor of the value of the goods or services provided?		Yes	Yes
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?		No	No
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?		No	No
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?		No	No
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?		No	No
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?		No	No
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?		No	No
Did the sponsoring organization make any taxable distributions under section 4966?		No	No
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?		No	No
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?		No	No
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?		No	No
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?		No	No
Has it filed a Form 720 to report these payments?		No	No

	2012	2013
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
Total reportable compensation from the organization	$1,386,254	$2,068,002
Total reportable compensation from related organizations	$3,805,535	$4,325,874
Total estimated amount of other compensation from the organization and related organizations	$433,969	$521,294
Total number of individuals who received more than $100,000 of reportable compensation from the organization	8	10
Total number of independent contractors who received more than $100,000 of compensation from the organization	5	32

	2011	2012	2013
Statement of Revenue
Total revenue	$55,345,677	$61,349,374	$65,694,491
Contributions, Gifts, Grants and Other Similar Amounts	$855,835	$1,012,028	$1,604,943
Program Service Revenue	$54,275,962	$59,964,351	$63,638,979
621400		$32,481,302	$37,472,714
621990		$12,242,741	$10,946,470
621110		$9,047,801	$9,734,579
621990		$5,892,876	$5,097,788
900099		$185,155	$231,411
All other program service revenue		$114,476	$156,017
Other Revenue
Investment income (including dividends, interest, and other similar amounts)	$82,328	$111,499	$125,241
Income from investment of tax-exempt bond proceeds	$0	$0	$0
Royalties	$0	$0	$0
Net rental loss	$-137,127	$-4,266	$-6,649
Gross rents (Real / Personal)	$140,953 / $0	$4,512 / $0	$8,710 / $0
Less: rental expenses (Real / Personal)	$278,080 / $0	$8,778 / $0	$15,359 / $0
Rental income or (loss) (Real / Personal)	$-137,127 / $0	$-4,266 / $0	$-6,649 / $0
Net gain/loss from sales of assets other than inventory	$37,982	$35,926	$-11,388
Gross amount from sales of assets other than inventory (Securities / Other)	$38,241 / $-259	$35,875 / $51	$73,862 / $677
Less: cost or other basis and sales expenses (Securities / Other)	$0 / $0	$0 / $0	$0 / $85,927
Gain or (loss) (Securities / Other)	$38,241 / $-259	$35,875 / $51	$73,862 / $-85,250
Net income/loss from fundraising events	$-6,390	$-42,025	$43,649
Gross income from fundraising events	$110,116	$106,162	$165,618
Less: direct expenses	$116,506	$148,187	$121,969
Net income/loss from gaming activities	$3,668	$0	$2,952
Gross income from gaming activities	$4,668	$0	$4,160
Less: direct expenses	$1,000	$0	$1,208
Net income/loss from sales of inventory	$0	$0	$0
Miscellaneous Revenue	$233,419	$271,861	$296,764
722210		$150,278	$191,291
900099		$68,710	$46,340
Gift, Novelty, and Souvenir Stores		$25,571	$16,267
All other revenue		$27,302	$42,866

	2011	2012	2013
Statement of Functional Expenses
Total functional expenses	$55,514,716	$58,879,901	$63,127,248
Grants and other assistance to domestic organizations and domestic governments		$0	$0
Grants and other assistance to domestic individuals		$0	$0
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	$290,870	$732,491	$2,402,093
Compensation not included above, to disqualified persons		$0	$0
Other salaries and wages	$20,968,049	$21,961,507	$22,085,358
Pension plan accruals and contributions		$728,571	$778,268
Other employee benefits		$3,007,349	$2,938,285
Payroll taxes	$1,568,294	$1,615,832	$1,729,516
Fees for services (non-employees)
Management		$54,137	$39,012
Legal		$43,214	$35,294
Accounting		$156,933	$112,000
Lobbying		$0	$0
Professional fundraising services	$262,115	$326,764	$500,588
Investment management fees		$0	$0
Other		$7,883,886	$9,341,691
Advertising and promotion		$121,480	$163,173
Office expenses		$10,239,402	$11,357,167
Information technology		$1,004,858	$1,252,378
Royalties		$0	$0
Occupancy		$1,897,528	$2,133,235
Travel		$15,054	$88,108
Payments of travel or entertainment expenses for any federal, state, or local public officials		$0	$0
Conferences, conventions, and meetings		$0	$0
Interest		$1,628,934	$1,603,484
Payments to affiliates		$0	$0
Depreciation, depletion, and amortization		$3,522,025	$3,776,088
Insurance		$218,779	$252,522
Other expenses		$1,975,810	$1,366,833
Other expenses		$1,414,074	$654,925
Other expenses		$176,519	$238,865
Other expenses		$154,754	$181,517
Other expenses		$0	$96,848

	2011	2012	2013
Balance Sheet
Total assets	$67,187,044	$74,102,914	$78,166,309
Cash - non-interest-bearing		$281,556	$740,309
Savings and temporary cash investments		$0	$0
Pledges and grants receivable, net		$884,217	$1,146,064
Accounts receivable, net		$5,872,554	$6,263,764
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		$42,814	$37,632
Inventories for sale or use		$1,796,060	$1,847,607
Prepaid expenses and deferred charges		$151,550	$273,851
Land, buildings, and equipment: cost or other basis		$45,141,449	$44,986,183
Investments - publicly traded securities		$1,397,791	$4,634,856
Investments - other securities		$15,258,167	$14,741,240
Investments - program-related		$0	$0
Intangible assets		$0	$0
Other assets		$3,276,756	$3,494,803
Total liabilities	$39,881,787	$43,228,448	$43,595,407
Accounts payable and accrued expenses		$6,341,562	$7,267,154
Grants payable		$0	$0
Deferred revenue		$0	$0
Tax-exempt bond liabilities	$31,746,749	$31,143,473	$30,515,198
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)		$5,743,413	$5,813,055
Total net assets or fund balances	$27,305,257	$30,874,466	$34,570,902
Unrestricted net assets		$26,713,820	$29,520,017
Temporarily restricted net assets		$2,544,525	$3,434,764
Permanently restricted net assets		$1,616,121	$1,616,121
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 supported	0
Sum of amounts of support	$0

	2007
Revenue, Expenses, and Changes in Net Assets or Fund Balances
Total revenue	$47,276,011
Contributions, gifts, grants, and similar amounts received	$935,770
Contributions to donor advised funds	$0
Direct public support	$902,630
Indirect public support	$0
Government contributions (grants)	$33,140
Program service revenue including government fees and contracts	$45,120,671
Membership dues and assessments	$0
Interest on savings and temporary cash investments	$138,271
Dividends and interest from securities	$9,908
Net rental income or (loss)	$0
Gross rents	$0
Less: rental expenses	$0
Other investment income	$0
Gain or (loss) from sales of assets other than inventory	$51,767
Gross amount from sales of assets other than inventory	$51,767
Less: cost or other basis and sales expenses	$0
Net income or (loss) from special events and activities	$69,642
Gross revenue	$169,994
Less: direct expenses other than fundraising expenses	$100,352
Gross profit or (loss) from sales of inventory	$0
Gross sales of inventory, less returns and allowances	$0
Less: cost of goods sold	$0
Other revenue	$949,982
Total expenses	$44,945,501
Program services	$41,631,070
Management and general	$3,190,093
Fundraising	$124,338
Payments to affiliates	$0
Net assets or fund balances at end of year	$20,009,350
Excess or (deficit) for the year	$2,330,510
Net assets or fund balances at beginning of year	$17,009,259
Other changes in net assets or fund balances	$669,581

	Total	Program services	Management and general	Fundraising
Statement of Functional Expenses (for 2007)
Total functional expenses	$44,945,501	$41,631,070	$3,190,093	$124,338
Grants paid from donor advised funds		$0
Other grants and allocations		$0
Specific assistance to individuals		$0
Benefits paid to or for members		$0
Compensation of current officers, directors, key employees, etc.	$410,060	$142,383	$267,677	$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	$19,094,575	$18,165,963	$860,612	$68,000
Pension plan contributions not included above	$563,477	$529,828	$33,649	$0
Employee benefits not included above	$2,513,426	$2,343,016	$170,410	$0
Payroll taxes	$1,315,855	$1,225,958	$89,897	$0
Professional fundraising fees	$0	$0	$0	$0
Accounting fees	$85,646	$85,646	$0	$0
Legal fees	$27,910	$22,951	$4,959	$0
Supplies	$7,379,582	$7,215,776	$163,620	$186
Telephone	$153,578	$135,030	$15,330	$3,218
Postage and shipping	$171,896	$144,504	$26,992	$400
Occupancy	$1,299,887	$947,966	$348,689	$3,232
Equipment rental and maintenance	$2,615,268	$2,496,689	$115,583	$2,996
Printing and publications	$0	$0	$0	$0
Travel	$25,730	$15,818	$9,041	$871
Conferences, conventions, and meetings	$0	$0	$0	$0
Interest	$0	$0	$0	$0
Depreciation, depletion, etc.	$1,831,089	$1,518,189	$312,316	$584
Other expenses not covered above	$7,457,522	$6,641,353	$771,318	$44,851

	2007
Balance Sheets
Total assets	$61,702,472
Cash - non-interest-bearing	$266,448
Savings and temporary cash investments	$99,810
Accounts receivable less allowance for doubtful accounts	$4,993,300
Pledges receivable less allowance for doubtful accounts	$879,157
Grants receivable	$0
Receivables from current and former officers, directors, trustees, and key employees	$0
Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)	$0
Other notes and loans receivable less allowance for doubtful accounts	$0
Inventories for sale or use	$906,664
Prepaid expenses and deferred charges	$187,514
Investments - publicly-traded securities	$33,333,332
Investments - other securities	$0
Investments - land, buildings, and equipment less accumulated depreciation	$0
Investments - other	$0
Land, buildings, and equipment less accumulated depreciation	$20,652,936
Other assets, including program-related investments	$383,311
Total liabilities	$41,693,122
Accounts payable and accrued expenses	$4,948,021
Grants payable	$0
Deferred revenue	$0
Loans from officers, directors, trustees, and key employees	$0
Tax-exempt bond liabilities	$32,851,574
Mortgages and other notes payable	$0
Other liabilities	$3,893,527
Total liabilities and net assets/fund balances	$61,702,472
Total net assets or fund balances	$20,009,350

	2007
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
Total revenue	$47,276,011
Total revenue, gains, and other support per audited financial statements	$1,582,267,000
Other expenses	$1,536,586,444
Net unrealized gains on investments	$0
Donated services and use of facilities	$0
Recoveries of prior year grants	$0
Other	$1,536,586,444
Other revenue	$1,595,455
Investment expenses	$0
Other	$1,595,455

	2007
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
Total expenses	$44,945,501
Total expenses and losses per audited financial statements	$1,538,599,000
Other revenue	$1,493,653,499
Donated services and use of facilities	$0
Prior year adjustments	$0
Losses	$0
Other	$1,493,653,499
Other expenses	$0
Investment expenses	$0
Other	$0

Average hours per week devoted to position	Compensation	Contributions to employee benefit plans & deferred compensation plans	Expense account and other allowances
Current Officers, Directors, Trustees, and Key Employees
50	$189,269	$3,677	$0
50	$140,005	$2,378	$0
50	$74,185	$546	$0

Total number of officers, directors, and trustees permitted to vote on organization business at board meetings	15
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)?	No
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, 2006	509

	Unrelated business income		Excluded by section 512, 513, or 514		Related or exempt function income
Analysis of Income-Producing Activities (for 2007)
	Business code	Amount	Exclusion code	Amount	Related or exempt function income
Total		$658,106		$545,887	$45,136,248
Program service revenue
Program service revenue 1	000000	$0	00	$0	$45,120,671
Program service revenue 2	000000	$0	00	$0	$0
Program service revenue 3	000000	$0	00	$0	$0
Program service revenue 4	000000	$0	00	$0	$0
Program service revenue 5	000000	$0	00	$0	$0
Medicare/Medicaid payments	000000	$0	00	$0	$0
Fees and contracts from government agencies	000000	$0	00	$0	$0
Membership dues and assessments	000000	$0	00	$0	$0
Interest on savings and temporary cash investments	000000	$0	Dividends, 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)	$138,271	$0
Dividends and interest from securities	000000	$0	Dividends, 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)	$9,908	$0
Net rental income or (loss) from real estate
debt-financed property	000000	$0	00	$0	$0
not debt-financed property	000000	$0	00	$0	$0
Net rental income or (loss) from personal property	000000	$0	00	$0	$0
Other investment income	000000	$0	00	$0	$0
Gain or (loss) from sales of assets other than inventory	Securities, commodity contracts, and other financial investments and related activities	$367	Gain (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))	$51,400	$0
Net income or (loss) from special events	000000	$0	Income from an activity that is not regularly carried on (section 512(a)(1))	$69,642	$0
Gross profit or (loss) from sales of inventory	000000	$0	00	$0	$0
Other revenue	Administrative and support services	$657,739	Section 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))	$276,666	$15,577

EIN of corporation, partnership, or disregarded entity	Percentage of ownership interest	Total income	End-of-year assets
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2007)
043265117	50%	$53,719	$64,721
	0%	$0	$0
	0%	$0	$0
	0%	$0	$0

Compensation	Contributions to employee benefit plans & deferred compensation	Expense account and other allowances
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2007)
$314,441	$21,961	$0
$258,311	$13,964	$0
$246,559	$11,425	$0
$212,240	$15,673	$0
$170,445	$9,668	$0

Total number of other employees paid over $50,000	0

Total number of other employees paid over $50,000

Statements About Activities (for 2007)
Expenses paid or incurred in connection with the lobbying activities	$7,821
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 is	Hospital, or a cooperative hospital service organization

	2006
Support Schedule
Total	$0
Gifts, grants, and contributions received	$0
Membership fees received	$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
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
Net income from unrelated business activities not included above	$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf	$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
Other income	$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

	Income	Expenses	Net
Unrelated Trade or Business Income (for 2008)
Total	$6,581,061	$0	$658,106
Gross receipts or sales less returns and allowances	$0	$0	$0
Cost of goods sold	$0	$0	$0
Gross profit	$0	$0	$0
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	$6,581,061	$0	$658,106

Deductions Not Taken Elsewhere (for 2008)
Total deductions	$7,014,091
Compensation of officers, directors, and trustees	$0
Salaries and wages	$689,142
Repairs and maintenance	$12,267
Bad debts	$0
Interest	$0
Taxes and licenses	$0
Charitable contributions	$0
Depreciation	$0
Depletion	$0
Contributions to deferred compensation plans	$0
Employee benefit programs	$0
Excess exempt expenses	$0
Excess readership costs	$0
Other deductions	$0
Unrelated business taxable income	$-4,303
Unrelated business taxable income before net operating loss deduction	$-43,303
Net operating loss deduction	$0
Unrelated business taxable income before specific deduction	$-43,303
Specific deduction	$0

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Id	Name	Address	State	Established	Total Income
Organizations performing similar types of work
1	Hallmark Health System Inc	170 Governors Ave, Medford, MA 02155-1643	MA	1999-03	$340,337,380
2	St Lukes - St Vincents Healthcareinc	4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623	FL	1946-03	$180,178,901
3	Beth Israel Deaconess Hospital - Needham Inc	148 Chestnut St, Needham, MA 02492-2505	MA	1994-08	$65,918,954
4	Sharp Healthcare Foundation	8695 Spectrum Center Blvd, San Diego, CA 92123-1489	CA	1980-07	$27,646,995
5	Tioga Medical Center	PO BOX 159, Tioga, ND 58852-0159	ND	1960-07	$11,541,525
6	San Gorgonio Pass Memorial Hospital District	600 N Hglnd Spgs Ave, Banning, CA 92220-3090	CA	1985-03	$10,551,951
7	Northwestern Memorial Healthcare, Group	251 E Huron 541 N Fairbanks, Chicago, IL 60611	IL	2011-06	$1,885,329,845
8	Advocate Health Care Network, Advocate Condell Medical Center	3075 Highland Pkwy Fl 6, Downers Grove, IL 60515-5563	IL	1988-09	$362,812,415
9	Maury Regional Hospital, Dba Maury Regional Medical Center	1224 Trotwood Ave, Columbia, TN 38401-4802	TN	2014-02	$291,391,278
10	Southcoast Physicians Group Inc	Suite 180, Fairhaven, MA 02719	MA	1987-12	$125,346,425
11	Friends Of Bostons Beth Israel Hospital Inc	330 Brookline Ave, Boston, MA 02215-5400	MA	1943-04	$717,499
12	Fisher House Of Boston Inc	1 Foxhill Dr, Walpole, MA 02081-4406	MA	2008-08	$498,852
13	Cape Cod Cardiac Cath Inc	27 Park St, Hyannis, MA 02601-5230	MA	2000-10	$393,679
14	Island Trust For Medical Care, Deblois Gerald Etal Ttee	PO BOX 2540, Edgartown, MA 02539-2540	MA	1997-04	$21,362
15	American Music Therapy Association, New England Regional Chapter	1280 Washington St Apt 502, Boston, MA 02118-2151	MA	2000-09	$0
16	Cape Cod Healthcare Inc, Cape Cod Hospital	25 Communication Way, Hyannis, MA 02601-8137	MA	1985-12	$0
17	Cape Cod Healthcare Inc, Falmouth Hospital Association Inc	25 Communication Way, Hyannis, MA 02601-8137	MA	1985-12	$0
18	Southern Sudan Medical Project Inc	27 Brook Rd, Weston, MA 02493	MA	2008-03	$0
19	Umass Memorial Health Care Inc, Marlborough Hospital	281 Lincoln St, Worcester, MA 01605-2138	MA	2000-07	$0
20	World Health Equity Inc	7 Gable Ridge Rd, Westborough, MA 01581-2216	MA	2015-03	$0

Number of organizations performing similar types of work

Alaska	1
Alabama	5
Arkansas	8
Arizona	6
California	42
Colorado	11
Connecticut	7
District of Columbia	1
Delaware	1
Florida	25
Georgia	14
Hawaii	3
Iowa	10
Idaho	2
Illinois	25
Indiana	21
Kansas	10
Kentucky	8
Louisiana	4
Massachusetts	13
Maryland	8
Maine	7
Michigan	15
Minnesota	12
Missouri	15
Mississippi	14

Montana	9
North Carolina	23
North Dakota	10
Nebraska	10
New Jersey	10
New Mexico	2
Nevada	4
New York	36
Ohio	13
Oklahoma	10
Oregon	11
Pennsylvania	22
Rhode Island	1
South Carolina	6
South Dakota	6
Tennessee	8
Texas	24
Utah	4
Virginia	13
Vermont	4
Washington	15
Wisconsin	24
West Virginia	6
Wyoming	2
International	5

Total

566

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