University Of Maryland Medical System Corporation, Umms Accounts Payable in Baltimore, Maryland (MD)

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Table of contents:

• Overview
• Detailed Reports
  • Checklist
  • Statements Regarding Other IRS Filings and Tax Compliance
  • Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
  • Statement of Revenue
  • Statement of Functional Expenses
  • Balance Sheet
  • Reason for Public Charity Status
  • Revenue, Expenses, and Changes in Net Assets or Fund Balances
  • Statement of Functional Expenses
  • Balance Sheets
  • Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
  • Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
  • Current Officers, Directors, Trustees, and Key Employees
  • Other Information
  • Analysis of Income-Producing Activities
  • Information Regarding Taxable Subsidiaries and Disregarded Entities
  • Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees
  • Statements About Activities
  • Reason for Non-Private Foundation Status
  • Support Schedule
  • Lobbying Expenditures by Electing Public Charities
  • Unrelated Trade or Business Income
  • Deductions Not Taken Elsewhere
• Organizations performing similar types of work

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University Of Maryland Medical System Corporation, Umms Accounts Payable
Employer Identification Number (EIN)	521362793
Name of Organization	University Of Maryland Medical System Corporation
Secondary Name	Umms Accounts Payable
In Care of Name	S Michelle Lee
Address	250 W Pratt St Ste 1002, Baltimore, MD 21201-6807
Activities	Rescue and emergency service, Other health services
Subsection	Charitable Organization
Ruling Date	06/1984
Deductibility	Contributions are deductible
Foundation	Organization which operates for benefit of college or university and is owned or operated by a governmental unit
Organization	Corporation
Exempt Organization Status	Unconditional Exemption
Tax Period	06/2013
Assets	$50,000,000 to greater
Income	$50,000,000 to greater
Filing Requirement	990 (all other) or 990EZ return
Asset Amount	$2,831,661,723
Amount of Income	$1,749,943,873
Form 990 Revenue Amount	$1,607,701,050
National Taxonomy of Exempt Entities (NTEE)	Health - General and Rehabilitative: Hospital, General

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Amount of income in 2013: $1,749,943,873

This organization:	$1,749,943,873
Other organizations performing similar types of work:	$129,251,994

Assets in 2013: $2,831,661,723

University Of Maryland Medical System Corporation, Umms Accounts Payable:	$2,831,661,723
Other organizations performing similar types of work:	$122,242,322

Expenses in 2013: $1,608,566,792

This organization:	$1,608,566,792
Other organizations performing similar types of work:	$119,720,646

Income to expenses ratio in 2013: 1.1

This organization:	1.1
Other organizations performing similar types of work:	1.1

Expenses allocated to program services in 2007: 86.0%

University Of Maryland Medical System Corporation, Umms Accounts Payable:	86.0%
Other organizations performing similar types of work:	85.7%

Number of employees in 2013: 9,923

This organization:	9,923
Other organizations performing similar types of work:	1,105

Employees paid over $100,000 in 2013: 10.8%

This organization:	10.8%
Other organizations performing similar types of work:	0.0%

Grants share in income in 2013: 0.5%

University Of Maryland Medical System Corporation, Umms Accounts Payable:	0.5%
Other organizations performing similar types of work:	0.2%

Financial snapshot ($)

Revenue for 2013

Assets at the end of 2013

Functional expenses for 2013

Checklist
	2012	2013
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?	No	No
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?	No	No
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?	No	No
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	No
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?	Yes	Yes
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)?	Yes	Yes
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?	No	No
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?	No	No
Did the organization report more than $15,000 total of fundraising event gross income and contributions?	No	No
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?	Yes	Yes
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?	No	No
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	No
A family member of a current or former officer, director, trustee, or key employee?	No	No
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	Yes
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?	Yes	Yes
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)?	Yes	Yes
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

Statements Regarding Other IRS Filings and Tax Compliance
	2011	2012	2013
The number reported in Box 3 of Form 1096		751	673
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?		Yes	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		9,866	9,923
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)?		Yes	Yes
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?		No	No
Did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?		No	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?		No	No
Did the organization notify the donor of the value of the goods or services provided?		No	No
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

Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
	2012	2013
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
Total reportable compensation from the organization	$12,319,561	$12,403,494
Total reportable compensation from related organizations	$0	$0
Total estimated amount of other compensation from the organization and related organizations	$670,875	$663,369
Total number of individuals who received more than $100,000 of reportable compensation from the organization	820	821
Total number of independent contractors who received more than $100,000 of compensation from the organization	384	251

Statement of Revenue
	2011	2012	2013
Total revenue	$1,407,098,305	$1,409,946,737	$1,607,701,050
Contributions, Gifts, Grants and Other Similar Amounts	$8,112,000	$8,542,000	$8,002,747
Program Service Revenue	$1,276,195,314	$1,342,688,343	$1,546,907,736
900099		$1,311,241,649	$1,510,489,306
900099		$31,446,694	$36,418,430
All other program service revenue		$0	$0
Other Revenue
Investment income (including dividends, interest, and other similar amounts)	$22,546,315	$8,343,515	$-7,251,737
Income from investment of tax-exempt bond proceeds	$0	$0	$0
Royalties	$0	$0	$0
Net rental income	$1,574,022	$1,570,642	$2,691,628
Gross rents (Real / Personal)	$3,258,726 / $0	$3,258,132 / $0	$4,295,628 / $0
Less: rental expenses (Real / Personal)	$1,684,704 / $0	$1,687,490 / $0	$1,604,000 / $0
Rental income or (loss) (Real / Personal)	$1,574,022 / $0	$1,570,642 / $0	$2,691,628 / $0
Net gain/loss from sales of assets other than inventory	$19,497,050	$4,238,981	$5,397,715
Gross amount from sales of assets other than inventory (Securities / Other)	$205,408,382 / $0	$134,548,169 / $0	$146,036,538 / $0
Less: cost or other basis and sales expenses (Securities / Other)	$185,911,332 / $0	$130,309,188 / $0	$140,638,823 / $0
Gain or (loss) (Securities / Other)	$19,497,050 / $0	$4,238,981 / $0	$5,397,715 / $0
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	$79,173,604	$44,563,256	$51,952,961
900099		$3,467,771	$20,260,730
900099		$37,322,000	$11,440,231
900099		$-5,134,717	$3,488,536
All other revenue		$3,773,485	$16,763,464

Statement of Functional Expenses
	2011	2012	2013
Total functional expenses	$1,264,783,491	$1,300,501,937	$1,608,566,792
Grants and other assistance to domestic organizations and domestic governments		$371,750	$261,219
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	$9,379,974	$10,426,964	$9,589,868
Compensation not included above, to disqualified persons		$0	$0
Other salaries and wages	$445,671,522	$476,276,469	$584,996,558
Pension plan accruals and contributions		$15,435,337	$18,533,783
Other employee benefits		$56,398,567	$64,704,344
Payroll taxes	$33,263,852	$34,993,117	$40,752,695
Fees for services (non-employees)
Management		$0	$3,866,286
Legal		$3,316,679	$2,923,050
Accounting		$1,329,188	$2,427,221
Lobbying		$36,968	$75,619
Professional fundraising services	$0	$0	$0
Investment management fees		$0	$0
Other		$149,516,016	$167,777,091
Advertising and promotion		$3,912,212	$6,525,993
Office expenses		$5,086,964	$9,738,962
Information technology		$24,344,540	$33,109,603
Royalties		$0	$0
Occupancy		$0	$15,839,747
Travel		$975,838	$1,053,772
Payments of travel or entertainment expenses for any federal, state, or local public officials		$0	$0
Conferences, conventions, and meetings		$980,552	$491,742
Interest		$34,737,975	$31,614,532
Payments to affiliates		$0	$0
Depreciation, depletion, and amortization		$68,624,650	$81,943,791
Insurance		$23,093,448	$33,743,468
Other expenses		$75,641,873	$96,650,981
Other expenses		$246,739,282	$300,296,207
Other expenses		$21,768,495	$36,275,148
Other expenses		$7,753,121	$27,116,111
Other expenses		$38,741,932	$38,259,001

Balance Sheet
	2011	2012	2013
Total assets	$2,280,537,688	$2,519,210,125	$2,831,661,723
Cash - non-interest-bearing		$148,071,794	$148,014,528
Savings and temporary cash investments		$0	$360,013
Pledges and grants receivable, net		$0	$0
Accounts receivable, net		$155,572,337	$202,704,699
Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees		$0	$0
Loans and other receivables from other disqualified persons, persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations		$0	$0
Notes and loans receivable, net		$0	$1,813,170
Inventories for sale or use		$19,187,961	$24,709,638
Prepaid expenses and deferred charges		$123,514,960	$8,259,492
Land, buildings, and equipment: cost or other basis		$789,549,530	$1,023,744,490
Investments - publicly traded securities		$206,186,206	$217,770,000
Investments - other securities		$143,620,000	$128,788,735
Investments - program-related		$0	$0
Intangible assets		$0	$2,846,364
Other assets		$933,507,337	$1,072,650,594
Total liabilities	$1,540,119,298	$1,807,273,094	$1,815,324,769
Accounts payable and accrued expenses		$206,279,457	$269,705,556
Grants payable		$0	$0
Deferred revenue		$0	$142,338
Tax-exempt bond liabilities	$1,026,148,276	$1,011,752,435	$891,132,419
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	$31,735,836	$119,608,402	$294,580,855
Other liabilities (including federal income tax, payables to related third parties, and other liabilities)		$469,632,800	$359,763,601
Total net assets or fund balances	$740,418,390	$711,937,031	$1,016,336,954
Unrestricted net assets		$639,847,548	$936,658,016
Temporarily restricted net assets		$71,676,897	$79,266,352
Permanently restricted net assets		$412,586	$412,586
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

Revenue, Expenses, and Changes in Net Assets or Fund Balances
	2000	2001	2002	2003	2004	2005	2006	2007
Total revenue	$621,425,991	$669,245,601	$722,677,968	$786,544,241	$877,536,712	$983,621,554	$1,099,903,056	$1,124,634,493
Contributions, gifts, grants, and similar amounts received	$24,504,377	$20,214,654	$9,376,504	$12,055,382	$9,418,055	$7,535,065	$8,680,710	$10,655,000
Contributions to donor advised funds							$0	$0
Direct public support	$0	$0	$0	$0	$0	$0	$0	$0
Indirect public support	$0	$0	$2,569,042	$5,091,625	$2,454,298	$2,917,684	$1,980,710	$3,891,000
Government contributions (grants)	$24,504,377	$20,214,654	$6,807,462	$6,963,757	$6,963,757	$4,617,381	$6,700,000	$6,764,000
Program service revenue including government fees and contracts	$576,285,755	$622,039,624	$656,810,393	$767,529,490	$833,176,181	$929,888,995	$1,034,316,182	$1,064,095,761
Membership dues and assessments	$0	$0	$0	$0	$0	$0	$0	$0
Interest on savings and temporary cash investments	$0	$0	$0	$0	$0	$0	$0	$0
Dividends and interest from securities	$810	$3,840,076	$7,172,473	$5,261,506	$5,919,928	$6,402,421	$15,736,158	$3,414,221
Net rental income or (loss)	$0	$408,865	$334,835	$413,221	$888,036	$1,822,562	$2,840,268	$2,803,375
Gross rents	$0	$408,865	$334,835	$413,221	$888,036	$1,822,562	$2,840,268	$2,803,375
Less: rental expenses	$0	$0	$0	$0	$0	$0	$0	$0
Other investment income	$0	$0	$0	$0	$0	$0	$0	$7,600,000
Gain or (loss) from sales of assets other than inventory	$0	$9,640	$-30,722	$-17,765,827	$16,600	$319,456	$0	$0
Gross amount from sales of assets other than inventory	$0	$16,140	$0	$0	$16,600	$319,456	$0	$0
Less: cost or other basis and sales expenses	$0	$6,500	$30,722	$17,765,827	$0	$0	$0	$0
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	$20,635,049	$22,732,742	$49,014,485	$19,050,469	$28,117,912	$37,653,055	$38,329,738	$36,066,136
Total expenses	$597,161,487	$635,692,115	$677,693,425	$740,518,911	$816,066,553	$964,908,595	$1,055,610,863	$1,182,350,778
Program services	$432,045,929	$435,209,208	$568,013,839	$639,802,054	$709,430,003	$838,504,517	$899,845,271	$1,016,955,483
Management and general	$165,115,558	$200,482,907	$109,679,586	$100,716,857	$106,636,550	$126,404,078	$155,765,592	$165,395,295
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	$272,362,217	$307,481,693	$351,967,137	$397,557,957	$458,969,811	$512,594,751	$599,820,580	$536,881,325
Excess or (deficit) for the year	$24,264,504	$33,553,486	$44,984,543	$46,025,330	$61,470,159	$18,712,959	$44,292,193	$-57,716,285
Net assets or fund balances at beginning of year	$264,079,856	$272,362,217	$307,481,693	$351,967,137	$397,557,957	$458,969,811	$512,594,751	$599,820,580
Other changes in net assets or fund balances	$-15,982,143	$1,565,990	$-499,099	$-434,510	$-58,305	$34,911,981	$42,933,636	$-5,222,970

Statement of Functional Expenses (for 2007)
	Total	Program services	Management and general	Fundraising
Total functional expenses	$1,182,350,778	$1,016,955,483	$165,395,295	$0
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.	$10,823,326	$0	$10,823,326	$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	$435,555,415	$373,936,918	$61,618,497	$0
Pension plan contributions not included above	$14,599,710	$11,626,566	$2,973,144	$0
Employee benefits not included above	$38,427,651	$27,576,959	$10,850,692	$0
Payroll taxes	$27,221,995	$21,323,777	$5,898,218	$0
Professional fundraising fees	$0	$0	$0	$0
Accounting fees	$1,186,038	$796,953	$389,085	$0
Legal fees	$1,484,716	$761,205	$723,511	$0
Supplies	$199,089,016	$194,468,810	$4,620,206	$0
Telephone	$4,103,945	$2,738,364	$1,365,581	$0
Postage and shipping	$993,828	$417,937	$575,891	$0
Occupancy	$18,517,195	$12,219,198	$6,297,997	$0
Equipment rental and maintenance	$28,621,805	$15,030,800	$13,591,005	$0
Printing and publications	$3,992,657	$428,880	$3,563,777	$0
Travel	$450,146	$216,412	$233,734	$0
Conferences, conventions, and meetings	$1,074,105	$176,749	$897,356	$0
Interest	$37,512,619	$33,278,671	$4,233,948	$0
Depreciation, depletion, etc.	$72,074,523	$64,094,817	$7,979,706	$0
Other expenses not covered above	$286,622,088	$257,862,467	$28,759,621	$0

Balance Sheets
	2000	2001	2002	2003	2004	2005	2006	2007
Total assets	$728,170,278	$852,152,287	$904,401,871	$1,043,304,059	$1,132,654,820	$1,254,423,890	$1,616,369,037	$1,427,955,465
Cash - non-interest-bearing	$62,767,344	$77,131,159	$20,601,300	$26,843,245	$68,246,127	$66,528,393	$50,319,574	$90,513,986
Savings and temporary cash investments	$0	$0	$0	$0	$0	$0	$0	$0
Accounts receivable less allowance for doubtful accounts	$92,569,974	$60,969,940	$53,662,886	$108,768,637	$146,343,187	$159,108,220	$165,569,328	$178,154,720
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	$0	$0	$0	$0	$0	$0	$0	$0
Inventories for sale or use	$11,391,742	$11,305,995	$10,466,575	$11,685,203	$12,088,803	$13,851,340	$16,280,827	$17,361,529
Prepaid expenses and deferred charges	$14,980,580	$19,313,915	$12,776,327	$20,695,832	$21,203,985	$24,823,684	$33,935,035	$27,898,383
Investments - publicly-traded securities							$229,739,724	$215,393,207
Investments - other securities	$8,860,730	$29,507,157	$135,042,156	$173,959,818	$180,993,000	$208,530,923	$0	$0
Investments - land, buildings, and equipment less accumulated depreciation	$0	$0	$0	$0	$0	$0	$0	$0
Investments - other	$16,852,974	$19,580,005	$18,336,092	$19,952,973	$24,007,507	$32,118,450	$140,631,799	$77,054,600
Land, buildings, and equipment less accumulated depreciation	$368,087,228	$416,887,936	$470,915,728	$444,567,940	$470,170,414	$559,940,574	$616,893,763	$639,895,032
Other assets, including program-related investments	$152,659,706	$217,456,180	$182,600,807	$236,830,411	$209,601,797	$189,522,306	$362,998,987	$181,684,008
Total liabilities	$455,808,061	$544,670,594	$552,434,734	$645,746,102	$673,685,009	$741,829,139	$1,016,548,457	$891,074,140
Accounts payable and accrued expenses	$103,633,168	$111,014,251	$110,633,949	$142,505,175	$169,599,407	$179,730,560	$190,374,128	$209,203,704
Grants payable	$0	$0	$0	$0	$0	$0	$0	$0
Deferred revenue	$0	$0	$0	$0	$0	$0	$0	$0
Loans from officers, directors, trustees, and key employees	$0	$0	$0	$0	$0	$0	$0	$0
Tax-exempt bond liabilities	$319,057,225	$411,490,113	$407,299,377	$453,653,915	$447,621,333	$443,313,548	$700,656,756	$530,658,786
Mortgages and other notes payable	$16,666,445	$2,803,599	$4,600,000	$0	$0	$0	$0	$0
Other liabilities	$16,451,223	$19,362,631	$29,901,408	$49,587,012	$56,464,269	$118,785,031	$125,517,573	$151,211,650
Total liabilities and net assets/fund balances	$728,170,278	$852,152,287	$904,401,871	$1,043,304,059	$1,132,654,820	$1,254,423,890	$1,616,369,037	$1,427,955,465
Total net assets or fund balances	$272,362,217	$307,481,693	$351,967,137	$397,557,957	$458,969,811	$512,594,751	$599,820,580	$536,881,325

Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
	2000	2001	2002	2003	2004	2005	2006	2007
Total revenue	$621,425,991	$669,245,601	$722,677,968	$786,544,241	$877,536,712	$983,621,554	$1,099,903,056	$1,124,634,493
Total revenue, gains, and other support per audited financial statements	$603,806,922	$669,636,051	$720,108,926	$799,218,443	$875,082,414	$980,703,870	$1,097,922,346	$1,120,743,493
Other expenses	$185,210	$390,450	$0	$17,765,827	$0	$0	$0	$0
Net unrealized gains on investments	$185,210	$390,450	$0	$0	$0	$0	$0	$0
Donated services and use of facilities	$0	$0	$0	$0	$0	$0	$0	$0
Recoveries of prior year grants	$0	$0	$0	$0	$0	$0	$0	$0
Other	$0	$0	$0	$17,765,827	$0	$0	$0	$0
Other revenue	$17,804,279	$0	$2,569,042	$5,091,625	$2,454,298	$2,917,684	$1,980,710	$3,891,000
Investment expenses	$0	$0	$0	$0	$0	$0	$0	$0
Other	$17,804,279	$0	$2,569,042	$5,091,625	$2,454,298	$2,917,684	$1,980,710	$3,891,000

Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
	2000	2001	2002	2003	2004	2005	2006	2007
Total expenses	$597,161,487	$635,692,115	$677,693,425	$740,518,911	$816,066,553	$964,908,595	$1,055,610,863	$1,182,350,778
Total expenses and losses per audited financial statements	$597,161,487	$635,692,115	$677,693,425	$758,286,665	$816,066,553	$964,908,595	$1,055,610,863	$1,178,459,778
Other revenue	$0	$0	$0	$17,765,827	$0	$0	$0	$-3,891,000
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	$17,765,827	$0	$0	$0	$-3,891,000
Other expenses	$0	$0	$0	$-1,927	$0	$0	$0	$0
Investment expenses	$0	$0	$0	$0	$0	$0	$0	$0
Other	$0	$0	$0	$-1,927	$0	$0	$0	$0

Current Officers, Directors, Trustees, and Key Employees
Average hours per week devoted to position	Compensation	Contributions to employee benefit plans & deferred compensation plans	Expense account and other allowances
40	$2,184,614	$771,618	$0
40	$846,034	$297,189	$0
40	$775,527	$108,787	$0
40	$488,464	$92,803	$0
40	$305,943	$63,123	$0
40	$385,863	$54,373	$0
40	$701,140	$74,305	$0
40	$489,618	$83,656	$0
40	$386,109	$68,348	$0
40	$340,614	$54,114	$0
40	$482,514	$64,753	$0
40	$248,217	$53,601	$0
40	$417,333	$60,088	$0
40	$596,953	$96,709	$0
40	$487,134	$81,459	$0
40	$282,723	$45,496	$0
40	$361,574	$58,366	$0
40	$371,586	$56,426	$0
40	$307,625	$57,010	$0
40	$363,741	$65,694	$0

Total number of officers, directors, and trustees permitted to vote on organization business at board meetings	18
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?	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, 2006	6,171

Analysis of Income-Producing Activities (for 2007)
	Unrelated business income		Excluded by section 512, 513, or 514		Related or exempt function income
	Business code	Amount	Exclusion code	Amount
Total		$3,996,281		$6,217,596	$1,103,765,616
Program service revenue
Program service revenue 1	000000	$0	00	$0	$1,064,095,761
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	00	$0	$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)	$3,414,221	$0
Net rental income or (loss) from real estate
debt-financed property	000000	$0	00	$0	$0
not debt-financed property	000000	$0	Real 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)	$2,803,375	$0
Net rental income or (loss) from personal property	000000	$0	00	$0	$0
Other investment income	000000	$0	00	$0	$7,600,000
Gain or (loss) from sales of assets other than inventory	000000	$0	00	$0	$0
Net income or (loss) from special events	000000	$0	00	$0	$0
Gross profit or (loss) from sales of inventory	000000	$0	00	$0	$0
Other revenue	Pharmacies and drug stores	$3,996,281	00	$0	$32,069,855

Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2007)
EIN of corporation, partnership, or disregarded entity	Percentage of ownership interest	Total income	End-of-year assets
522040338	50%	$3,011,824	$1,580,188
522283591	50%	$3,018,984	$1,127,690
521914892	90%	$4,146,514	$567,462
541451021	100%	$5,288	$48,136

Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2007)
Compensation	Contributions to employee benefit plans & deferred compensation	Expense account and other allowances
$276,274	$50,099	$0
$259,721	$40,672	$0
$239,087	$51,104	$0
$245,216	$34,441	$0
$234,342	$44,039	$0

Total number of other employees paid over $50,000

3,321

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 is	Hospital, or a cooperative hospital service organization

Support Schedule
	1999	2000	2001	2002	2003	2004	2005	2006
Total	$0	$0	$0	$0	$0	$0	$0	$0
Gifts, grants, and contributions received	$0	$0	$0	$0	$0	$0	$0	$0
Membership fees received	$0	$0	$0	$0	$0	$0	$0	$0
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose	$0	$0	$0	$0	$0	$0	$0	$0
Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975	$0	$0	$0	$0	$0	$0	$0	$0
Net income from unrelated business activities not included above	$0	$0	$0	$0	$0	$0	$0	$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf	$0	$0	$0	$0	$0	$0	$0	$0
The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge	$0	$0	$0	$0	$0	$0	$0	$0
Other income	$0	$0	$0	$0	$0	$0	$0	$0

Lobbying Expenditures by Electing Public Charities (for 2007)
Total exempt purpose expenditures	$0
Total lobbying expenditures	$0
Total lobbying expenditures to influence public opinion (grassroots lobbying)	$0
Total lobbying expenditures to influence a legislative body (direct lobbying)	$0
Other exempt purpose expenditures	$0
Lobbying nontaxable amount	$0
Grassroots nontaxable amount	$0

Unrelated Trade or Business Income (for 2008)
	Income	Expenses	Net
Total	$3,996,281	$1,942,778	$2,053,503
Gross receipts or sales less returns and allowances	$236,831	$0	$0
Cost of goods sold	$153,721	$0	$0
Gross profit	$83,110	$0	$83,110
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	$1,210,124	$1,942,778	$-732,654
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	$2,703,047	$0	$2,703,047

Deductions Not Taken Elsewhere (for 2008)
Total deductions	$2,444,182
Compensation of officers, directors, and trustees	$0
Salaries and wages	$1,761,842
Repairs and maintenance	$0
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	$682,340
Unrelated business taxable income	$-390,679
Unrelated business taxable income before net operating loss deduction	$-390,679
Net operating loss deduction	$0
Unrelated business taxable income before specific deduction	$-390,679
Specific deduction	$0

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Organizations performing similar types of work
Id	Name	Address	State	Established	Total Income
1	The Johns Hopkins Hospital	3910 Keswick Rd S Bldg 4th Fl Ste 4, Baltimore, MD 21211-2226	MD	1948-02	$2,290,915,968
2	University Of Maryland Medical System Corporation, Umms Accounts Payable	250 W Pratt St Ste 1002, Baltimore, MD 21201-6807	MD	1984-06	$1,749,943,873
3	Sinai Hospital Of Baltimore Inc	2401 W Belvedere Ave, Baltimore, MD 21215-5216	MD	1936-02	$742,738,492
4	Tufts Medical Center Parent Inc, Group Return	800 Washington Street Box 468, Boston, MA 02111-1552	MA	2008-05	$718,450,671
5	Johns Hopkins Bayview Medical Center Inc	3910 Keswick Rd S Bldg 4th Fl Ste 4, Baltimore, MD 21211-2226	MD	1984-07	$610,515,673
6	Peninsula Regional Medical Center	100 E Carroll St, Salisbury, MD 21801-5422	MD	1942-12	$515,717,351
7	Anne Arundel Medical Center Inc	2001 Medical Pkwy, Annapolis, MD 21401-3280	MD	1955-05	$493,413,708
8	Franklin Square Hospital Center Inc	9000 Franklin Square Drive, Baltimore, MD 21237-3901	MD	1938-02	$458,855,565
9	St Agnes Healthcare Inc	900 S Caton Ave, Baltimore, MD 21229-5201	MD	1946-03	$433,880,108
10	Holy Cross Hospital Of Silver Spring Incorporated	1500 Forest Glen Rd, Silver Spring, MD 20910-1484	MD	2013-12	$431,947,550
11	Mercy Medical Center Inc	301 St Paul Place, Baltimore, MD 21202	MD	1949-09	$430,766,117
12	Syracuse Community Health Center Inc	819 S Salina St, Syracuse, NY 13202-3527	NY	1992-09	$24,912,238
13	Wenatchee Valley Hospital	820 N Chelan Ave, Wenatchee, WA 98801-2028	WA	2014-06	$119,952,304
14	Weeks Medical Center	173 Middle St, Lancaster, NH 03584-3508	NH	1946-12	$44,728,107
15	Indiana University Health Morgan Hospital Inc	2209 John R Wooden R Drive, Martinsville, IN 46151	IN	2011-09	$39,950,032
16	Steward St Elizabeths Medical Center Of Boston Inc	30 Perwal St, Westwood, MA 02090-1928	MA	1946-03	$24,402,508
17	St Lukes Jerome Ltd	190 E Bannock St, Boise, ID 83712-6241	ID	2014-05	$18,622,834
18	Dimmit Regional Hospital	PO BOX 1016, Carrizo Spgs, TX 78834-7016	TX	2014-08	$18,383,438
19	Jones County Regional Healthcare System	1601 Columbia St, Stamford, TX 79553-6863	TX	2014-09	$10,742,038
20	Swisher Memorial Healthcare System	539 Se 2nd Strcct, Tulia, TX 79088	TX	2014-08	$10,124,837

Number of organizations performing similar types of work
Alaska 3 Alabama 19 Arkansas 22 Arizona 15 California 112 Colorado 25 Connecticut 29 District of Columbia 2 Delaware 6 Florida 53 Georgia 52 Hawaii 5 Iowa 27 Idaho 9 Illinois 104 Indiana 48 Kansas 25 Kentucky 32 Louisiana 22 Massachusetts 44 Maryland 41 Maine 19 Michigan 58 Minnesota 34 Missouri 50	Mississippi 19 Montana 11 North Carolina 47 North Dakota 12 Nebraska 20 New Hampshire 21 New Jersey 50 New Mexico 7 Nevada 4 New York 130 Ohio 96 Oklahoma 17 Oregon 24 Pennsylvania 131 Rhode Island 10 South Carolina 15 South Dakota 9 Tennessee 25 Texas 57 Virginia 37 Vermont 8 Washington 22 Wisconsin 67 West Virginia 24 International 10
Total	1,729

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