Good Samaritan Hospital in Kearney, Nebraska (NE)

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Good Samaritan Hospital
Employer Identification Number (EIN)470379755
Name of OrganizationGood Samaritan Hospital
Address10 E 31st St, Kearney, NE 68847-2926
ActivitiesHospital
SubsectionScientific Organization
Ruling Date03/1946
DeductibilityContributions are deductible
FoundationHospital or medical research organization
OrganizationCorporation
Exempt Organization StatusUnconditional Exemption
Tax Period06/2013
Assets$50,000,000 to greater
Income$50,000,000 to greater
Filing Requirement990 (all other) or 990EZ return
Asset Amount$368,225,432
Amount of Income$227,988,202
Form 990 Revenue Amount$227,726,472
National Taxonomy of Exempt Entities (NTEE)Health - General and Rehabilitative: Hospital, General


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Amount of income in 2013: $227,988,202
This organization: 

 $227,988,202
Other organizations performing similar types of work: 

 $129,251,994

Assets in 2013: $368,225,432
This organization: 

 $368,225,432
Other organizations performing similar types of work: 

 $122,242,322

Expenses in 2013: $207,717,596
Good Samaritan Hospital: 

 $207,717,596
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: 83.4%
Good Samaritan Hospital: 

 83.4%
Other organizations performing similar types of work: 

 85.7%

Number of employees in 2013: 1,740
This organization: 

 1,740
Other organizations performing similar types of work: 

 1,105

Employees paid over $100,000 in 2013: 3.9%
This organization: 

 3.9%
Other organizations performing similar types of work: 

 0.0%

Grants share in income in 2013: 1.3%
This organization: 

 1.3%
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
20122013
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?NoNo
Is the organization required to complete Schedule B, Schedule of Contributors?YesYes
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office?NoNo
Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year?NoNo
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19?NoNo
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts?NoNo
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures?NoNo
Did the organization maintain collections of works of art, historical treasures, or other similar assets?NoNo
Did the organization report an amount for escrow or custodial account liability; serve as a custodian or provide credit counseling, debt management, credit repair, or debt negotiation services?NoNo
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments?NoNo
Did the organization report an amount for land, buildings, and equipment?YesYes
Did the organization report an amount for investments-other securities that is 5% or more of its total assets?YesYes
Did the organization report an amount for investments-program related that is 5% or more of its total assets?NoNo
Did the organization report an amount for other assets that is 5% or more of its total assets?NoNo
Did the organization report an amount for other liabilities?YesYes
Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)?YesYes
Did the organization obtain separate, independent audited financial statements for the tax year?NoNo
Was the organization included in consolidated, independent audited financial statements for the tax year?YesYes
Is the organization a school described in section 170(b)(1)(A)(ii)?NoNo
Did the organization maintain an office, employees, or agents outside of the United States?NoNo
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more?NoNo
Did the organization report more than $5,000 of grants or other assistance to or for any foreign organization?NoNo
Did the organization report more than $5,000 of aggregate grants or other assistance to or for foreign individuals?NoNo
Did the organization report a total of more than $15,000 of expenses for professional fundraising services?NoNo
Did the organization report more than $15,000 total of fundraising event gross income and contributions?NoNo
Did the organization report more than $15,000 of gross income from gaming activities?NoNo
Did the organization operate one or more hospital facilities?YesYes
Did the organization attach a copy of its audited financial statements?YesYes
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government?YesYes
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals?YesYes
Did the organization answer 'Yes' about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees?YesYes
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002?NoNo
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?NoNo
Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds?NoNo
Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year?NoNo
Did the organization engage in an excess benefit transaction with a disqualified person during the year?NoNo
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?NoNo
Did the organization report any amount for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?NoNo
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons?NoNo
Was the organization a party to a business transaction with one of the following parties
A current or former officer, director, trustee, or key employee?NoNo
A family member of a current or former officer, director, trustee, or key employee?NoNo
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner?NoNo
Did the organization receive more than $25,000 in non-cash contributions?NoNo
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?NoNo
Did the organization liquidate, terminate, or dissolve and cease operations?NoNo
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?NoNo
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?YesNo
Was the organization related to any tax-exempt or taxable entity?YesYes
Did the organization have a controlled entity within the meaning of section 512(b)(13)?YesYes
Did the organization make any transfers to an exempt non-charitable related organization?NoNo
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes?NoNo
Statements Regarding Other IRS Filings and Tax Compliance
201120122013
The number reported in Box 3 of Form 109656
The number of Forms W-2G00
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?YesYes
The number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return1,7471,740
Did the organization file all required federal employment tax returns?YesYes
Did the organization have unrelated business gross income of $1,000 or more during the year?YesYesYes
Has it filed a Form 990-T for this year?YesYes
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?NoNo
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?NoNo
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?NoNo
Did the organization file Form 8886-T?NoNo
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?NoNo
Did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?NoNo
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?NoNo
Did the organization notify the donor of the value of the goods or services provided?NoNo
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?NoNo
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?NoNo
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?NoNo
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?NoNo
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?NoNo
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?NoNo
Did the sponsoring organization make any taxable distributions under section 4966?NoNo
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?NoNo
Initiation fees and capital contributions$0$0$0
Gross receipts for public use of club facilities $0$0$0
Gross income from members or shareholders$0$0$0
Gross income from other sources$0$0$0
Is the organization filing Form 990 in lieu of Form 1041?NoNo
The amount of tax-exempt interest received or accrued during the year$0$0
Is the organization licensed to issue qualified health plans in more than one state?NoNo
The amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans$0$0
The amount of reserves on hand$0$0
Did the organization receive any payments for indoor tanning services during the tax year?NoNo
Has it filed a Form 720 to report these payments?NoNo
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
20122013
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
Total reportable compensation from the organization$2,302,212$1,979,067
Total reportable compensation from related organizations$2,337,855$3,170,557
Total estimated amount of other compensation from the organization and related organizations$512,681$531,411
Total number of individuals who received more than $100,000 of reportable compensation from the organization3433
Total number of independent contractors who received more than $100,000 of compensation from the organization3235
Statement of Revenue
201120122013
Total revenue$229,861,143$226,668,565$227,726,472
Contributions, Gifts, Grants and Other Similar Amounts$1,083,663$1,392,485$3,037,646
Program Service Revenue$214,592,483$214,955,979$210,414,933
900099$212,754,122$208,385,228
900099$1,113,025$898,291
900099$868,755$849,909
900099$150,162$126,119
Educational Support Services$69,915$42,686
All other program service revenue$0$112,700
Other Revenue
Investment income (including dividends, interest, and other similar amounts)$3,356,090$3,611,048$3,789,351
Income from investment of tax-exempt bond proceeds$0$0$0
Royalties$0$0$0
Net rental income$0$0$347,900
Gross rents (Real / Personal)$0 / $0$0 / $0$347,900 / $0
Less: rental expenses (Real / Personal)$0 / $0$0 / $0$0 / $0
Rental income or (loss) (Real / Personal)$0 / $0$0 / $0$347,900 / $0
Net gain/loss from sales of assets other than inventory$7,564,793$2,105,346$6,550,511
Gross amount from sales of assets other than inventory (Securities / Other)$7,480,746 / $166,582$2,216,988 / $14,499$5,831,220 / $981,021
Less: cost or other basis and sales expenses (Securities / Other)$0 / $82,535$0 / $126,141$0 / $261,730
Gain or (loss) (Securities / Other)$7,480,746 / $84,047$2,216,988 / $-111,642$5,831,220 / $719,291
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$3,264,114$4,603,707$3,586,131
900099$1,269,757$1,381,803
722100$941,481$945,407
Child Day Care Services $458,845$455,129
All other revenue$1,933,624$803,792
Statement of Functional Expenses
201120122013
Total functional expenses$194,876,137$203,250,017$207,717,596
Grants and other assistance to domestic organizations and domestic governments$14,604,240$526,337
Grants and other assistance to domestic individuals$44,781$27,651
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$825,582$934,952$1,257,160
Compensation not included above, to disqualified persons$0$0
Other salaries and wages$58,820,302$57,775,159$55,901,855
Pension plan accruals and contributions$3,098,778$3,220,656
Other employee benefits$11,753,283$10,574,174
Payroll taxes$4,291,006$4,313,423$4,091,907
Fees for services (non-employees)
Management$0$0
Legal$1,793$370,560
Accounting$0$0
Lobbying$0$0
Professional fundraising services$0$0$0
Investment management fees$0$0
Other$34,236,296$31,195,628
Advertising and promotion$715,655$652,959
Office expenses$6,898,336$6,314,847
Information technology$0$9,163,397
Royalties$0$0
Occupancy$2,702,323$3,308,591
Travel$697,224$560,321
Payments of travel or entertainment expenses for any federal, state, or local public officials$0$0
Conferences, conventions, and meetings$70,235$66,552
Interest$0$442,340
Payments to affiliates$3,782,004$14,790,648
Depreciation, depletion, and amortization$10,933,318$12,685,474
Insurance$594,691$725,677
Other expenses$9,505,493$8,376,906
Other expenses$35,602,440$37,943,768
Other expenses$23,372$3,793,544
Other expenses$3,016,518$60,081
Other expenses$1,945,703$1,666,563
Balance Sheet
201120122013
Total assets$337,318,563$352,550,852$368,225,432
Cash - non-interest-bearing$4,551$4,950
Savings and temporary cash investments$13,528,737$17,677,778
Pledges and grants receivable, net$0$0
Accounts receivable, net$31,570,749$29,972,633
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$1,041,804$87,755
Inventories for sale or use$7,033,096$7,293,623
Prepaid expenses and deferred charges$289,557$334,670
Land, buildings, and equipment: cost or other basis$127,207,559$129,982,925
Investments - publicly traded securities$271$710
Investments - other securities$160,905,737$173,091,551
Investments - program-related$0$0
Intangible assets$2,301,156$2,301,156
Other assets$8,667,635$7,477,681
Total liabilities$57,558,769$54,264,723$43,638,201
Accounts payable and accrued expenses$23,972,237$15,006,987
Grants payable$0$0
Deferred revenue$0$0
Tax-exempt bond liabilities$0$0$0
Escrow or custodial account liability$0$0
Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons$0$0
Secured mortgages and notes payable to unrelated third parties$243,626$20,354$0
Unsecured notes and loans payable to unrelated third parties$29,807,013$0$0
Other liabilities (including federal income tax, payables to related third parties, and other liabilities)$30,272,132$28,631,214
Total net assets or fund balances$279,759,794$298,286,129$324,587,231
Unrestricted net assets$298,286,129$324,587,231
Temporarily restricted net assets$0$0
Permanently restricted net assets$0$0
Capital stock or trust principal, or current funds$0$0
Paid-in or capital surplus, or land, building, or equipment fund$0$0
Retained earnings, endowment, accumulated income, or other funds$0$0$0
Reason for Public Charity Status (for 2013)
The organization is not a private foundation because it is:A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii)
Number of organizations supported0
Sum of amounts of support$0
Revenue, Expenses, and Changes in Net Assets or Fund Balances
20002001200220032004200520062007
Total revenue$130,235,245$137,338,152$139,737,569$157,463,554$160,061,241$176,345,154$180,944,803$192,266,655
Contributions, gifts, grants, and similar amounts received$1,569,980$1,199,635$2,248,029$1,318,810$3,372,039$1,888,908$1,786,027$1,119,520
Contributions to donor advised funds$0$0
Direct public support$1,146$1,225$1,116$650$525$485$3,503$200,211
Indirect public support$1,568,834$1,198,410$2,246,913$1,318,160$3,371,514$1,888,423$1,782,524$879,075
Government contributions (grants)$0$0$0$0$0$0$0$40,234
Program service revenue including government fees and contracts$126,552,489$136,493,686$139,675,701$150,109,521$150,410,746$164,104,847$171,433,115$183,939,579
Membership dues and assessments$0$0$0$0$0$0$0$0
Interest on savings and temporary cash investments$127,065$139,847$129,489$166,642$162,988$1,227,800$835,097$1,029,246
Dividends and interest from securities$2,985,504$2,187,711$1,600,676$1,925,241$1,851,700$2,007,118$2,102,128$2,273,650
Net rental income or (loss)$204,071$197,883$0$0$0$0$0$3,251
Gross rents$975,667$1,014,443$0$0$0$0$0$12,100
Less: rental expenses$771,596$816,560$0$0$0$0$0$8,849
Other investment income$0$0$0$0$0$0$0$0
Gain or (loss) from sales of assets other than inventory$-1,209,240$-2,983,841$-4,002,893$3,894,111$4,239,033$7,097,259$4,676,675$3,815,137
Gross amount from sales of assets other than inventory$234,083$30,925$35,103$4,178,824$4,239,033$11,410,951$4,763,704$3,972,302
Less: cost or other basis and sales expenses$1,443,323$3,014,766$4,037,996$284,713$0$4,313,692$87,029$157,165
Net income or (loss) from special events and activities$5,376$5,564$5,766$5,670$8,106$1,154$-62$0
Gross revenue$5,529$5,616$5,766$6,420$8,946$2,304$3,764$0
Less: direct expenses other than fundraising expenses$153$52$0$750$840$1,150$3,826$0
Gross profit or (loss) from sales of inventory$0$97,667$80,801$43,559$16,629$18,068$111,823$86,272
Gross sales of inventory, less returns and allowances$0$354,082$367,221$43,559$315,355$301,287$294,918$295,897
Less: cost of goods sold$0$256,415$286,420$0$298,726$283,219$183,095$209,625
Other revenue$0$0$0$0$0$0$0$0
Total expenses$117,036,974$121,104,274$129,497,539$145,425,058$146,388,679$154,982,778$172,475,535$177,755,956
Program services$93,593,280$99,133,793$106,450,962$120,361,974$120,575,596$128,450,970$144,573,976$148,271,351
Management and general$23,443,694$21,970,481$21,337,141$23,184,188$23,884,586$24,476,434$25,288,724$26,636,525
Fundraising$0$0$0$0$0$0$0$0
Payments to affiliates$0$0$1,709,436$1,878,896$1,928,497$2,055,374$2,612,835$2,848,080
Net assets or fund balances at end of year$119,352,801$127,398,786$141,541,322$157,218,626$171,013,180$186,409,539$200,116,479$204,798,949
Excess or (deficit) for the year$13,198,271$16,233,878$10,240,030$12,038,496$13,672,562$21,362,376$8,469,268$14,510,699
Net assets or fund balances at beginning of year$108,841,136$119,352,801$127,398,786$141,541,322$157,218,626$171,013,180$186,409,539$200,116,479
Other changes in net assets or fund balances$-2,686,606$-8,187,893$3,902,506$3,638,808$121,992$-5,966,017$5,237,672$-9,828,229
Statement of Functional Expenses (for 2007)
TotalProgram servicesManagement and generalFundraising
Total functional expenses$174,907,876$148,271,351$26,636,525$0
Grants paid from donor advised funds$0
Other grants and allocations$2,305,569
Specific assistance to individuals$22,143
Benefits paid to or for members$0
Compensation of current officers, directors, key employees, etc.$1,594,319$294,301$1,300,018$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$61,332,466$52,257,422$9,075,044$0
Pension plan contributions not included above$3,208,416$2,733,152$475,264$0
Employee benefits not included above$11,211,125$9,550,416$1,660,709$0
Payroll taxes$4,373,871$3,725,968$647,903$0
Professional fundraising fees$0$0$0$0
Accounting fees$65,813$0$65,813$0
Legal fees$77,629$0$77,629$0
Supplies$35,930,821$35,194,883$735,938$0
Telephone$498,648$249,324$249,324$0
Postage and shipping$322,698$161,349$161,349$0
Occupancy$2,614,287$2,060,058$554,229$0
Equipment rental and maintenance$4,976,074$3,800,586$1,175,488$0
Printing and publications$484,920$146,220$338,700$0
Travel$827,215$515,221$311,994$0
Conferences, conventions, and meetings$247,720$114,344$133,376$0
Interest$2,400,197$2,044,655$355,542$0
Depreciation, depletion, etc.$11,736,644$10,117,707$1,618,937$0
Other expenses not covered above$30,677,301$22,978,033$7,699,268$0
Balance Sheets
20002001200220032004200520062007
Total assets$173,649,583$181,630,145$200,237,383$237,183,556$246,177,974$258,274,160$264,580,810$268,478,372
Cash - non-interest-bearing$78,505$67,200$56,606$72,568$67,157$58,840$82,097$89,022
Savings and temporary cash investments$2,595,585$1,102,700$3,208,754$3,448,957$3,050,454$5,798,049$4,738,253$9,496,348
Accounts receivable less allowance for doubtful accounts$28,239,862$27,055,522$21,764,844$23,728,830$24,099,413$28,317,477$28,691,063$28,926,809
Pledges receivable less allowance for doubtful accounts$0$0$4,434,989$1,709,577$1,709,577$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$7,616$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$926,627$1,737,148$1,711,221$1,688,471$1,443,110$681,570$463,264$462,023
Inventories for sale or use$2,856,728$3,077,240$4,661,711$5,339,911$5,716,838$6,070,066$7,320,891$8,007,138
Prepaid expenses and deferred charges$575,346$735,587$986,472$1,130,987$1,162,484$1,077,057$700,628$748,686
Investments - publicly-traded securities$10,631$9,435
Investments - other securities$75,004,650$80,259,732$84,248,789$95,359,187$98,233,920$107,253,848$112,772,067$119,323,025
Investments - land, buildings, and equipment less accumulated depreciation$6,565,432$6,165,356$0$0$0$0$0$0
Investments - other$2,374,503$2,363,033$4,964,477$5,021,440$4,934,588$5,026,916$5,292,146$3,919,190
Land, buildings, and equipment less accumulated depreciation$54,432,345$59,066,627$74,184,520$99,674,101$96,606,131$95,088,269$95,869,254$89,109,633
Other assets, including program-related investments$0$0$15,000$9,527$9,154,302$8,894,452$8,640,516$8,387,063
Total liabilities$54,296,782$54,231,359$58,696,061$79,964,930$75,164,794$71,864,621$64,464,331$63,679,423
Accounts payable and accrued expenses$16,690,999$15,771,360$19,427,809$19,910,621$14,549,461$18,244,148$14,802,690$18,631,728
Grants payable$100,000$90,000$0$0$0$0$0$0
Deferred revenue$2,806,548$1,522,662$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$0$0$0$0$0$0$0$0
Mortgages and other notes payable$34,699,235$36,847,337$39,268,252$60,054,309$60,615,333$53,620,473$49,661,641$45,047,695
Other liabilities$0$0$0$0$0$0$0$0
Total liabilities and net assets/fund balances$173,649,583$181,630,145$200,237,383$237,183,556$246,177,974$258,274,160$264,580,810$268,478,372
Total net assets or fund balances$119,352,801$127,398,786$141,541,322$157,218,626$171,013,180$186,409,539$200,116,479$204,798,949
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
20002001200220032004200520062007
Total revenue$0$0$0$0$0$0$0$0
Total revenue, gains, and other support per audited financial statements$0$0$0$0$0$0$0$0
Other expenses$0$0$0$0$0$0$0$0
Net unrealized gains on investments$0$0$0$0$0$0$0$0
Donated services and use of facilities$0$0$0$0$0$0$0$0
Recoveries of prior year grants$0$0$0$0$0$0$0$0
Other$0$0$0$0$0$0$0$0
Other revenue$0$0$0$0$0$0$0$0
Investment expenses$0$0$0$0$0$0$0$0
Other$0$0$0$0$0$0$0$0
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
20002001200220032004200520062007
Total expenses$0$0$0$0$0$0$0$0
Total expenses and losses per audited financial statements$0$0$0$0$0$0$0$0
Other revenue$0$0$0$0$0$0$0$0
Donated services and use of facilities$0$0$0$0$0$0$0$0
Prior year adjustments$0$0$0$0$0$0$0$0
Losses$0$0$0$0$0$0$0$0
Other$0$0$0$0$0$0$0$0
Other expenses$0$0$0$0$0$0$0$0
Investment expenses$0$0$0$0$0$0$0$0
Other$0$0$0$0$0$0$0$0
Current Officers, Directors, Trustees, and Key Employees
Average hours per week devoted to positionCompensationContributions to employee benefit plans & deferred compensation plansExpense account and other allowances
2$1,643$0$0
60$213,668$34,148$0
60$162,052$29,216$411
60$187,057$55,758$0
60$112,200$13,866$0
60$146,612$49,329$0
60$198,696$42,841$771
60$278,378$67,674$0
Total number of officers, directors, and trustees permitted to vote on organization business at board meetings17
Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?Yes
Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?Yes
Does the organization have a written conflict of interest policy?Yes
Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?Yes
Was there a liquidation, dissolution, termination, or substantial contraction during the year?No
Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?Yes
Direct and indirect political expenditures$0
Did the organization file Form 1120-POL for this year?No
Were substantially all dues nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Dues, assessments, and similar amounts from members$0
Section 162(e) lobbying and political expenditures$0
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices$0
Taxable amount of lobbying and political expenditures$0
Does the organization elect to pay the section 6033(e) tax on the amount above?
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?
Initiation fees and capital contributions$0
Gross receipts for public use of club facilities$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?Yes
Amount of tax imposed on the organization during the year under: section 4911$0
Amount of tax imposed on the organization during the year under: section 4912$0
Amount of tax imposed on the organization during the year under: section 4955$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?No
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958$0
Amount of tax above, reimbursed by the organization$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?No
Did the organization acquire a direct or indirect interest in any applicable insurance contract?No
Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?No
Number of employees employed in the pay period that includes March 12, 20061,592
Analysis of Income-Producing Activities (for 2007)
Unrelated business incomeExcluded by section 512, 513, or 514Related or exempt function income
Business codeAmountExclusion codeAmount
Total$136,174$8,512,991$182,497,970
Program service revenue
Program service revenue 1000000$000$0$116,384,362
Program service revenue 2000000$0Section 501(c)(3) organization - Income from an activity carried on primarily for the convenience of the organization's members, students, patients, visitors, officers, or employees (hospital parking lot or museum cafeteria, for example) (section 513(a)(2))$870,956$0
Program service revenue 3000000$0Section 501(c)(3) organization - Income from an activity carried on primarily for the convenience of the organization's members, students, patients, visitors, officers, or employees (hospital parking lot or museum cafeteria, for example) (section 513(a)(2))$425,075$0
Program service revenue 4Medical and diagnostic laboratories$107,08700$0$0
Program service revenue 5Accounting, tax preparation, bookkeeping, and payroll services$28,336Income from an activity that is not regularly carried on (section 512(a)(1))$10,155$0
$0$0$116,384,362
$03$870,956$0
$03$425,075$0
$01$10,155$0
Accounting, tax preparation, bookkeeping, and payroll services$26,454$0$0
Caterers$1,356$0$0
All other health and personal care stores$526$0$0
Medical and diagnostic laboratories$107,087$0$0
Medicare/Medicaid payments000000$000$0$66,113,608
Fees and contracts from government agencies000000$000$0$0
Membership dues and assessments000000$000$0$0
Interest on savings and temporary cash investmentsUnrelated debt-financed activities other than rental of real estate$751Dividends, 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)$1,028,495$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)$2,273,650$0
Net rental income or (loss) from real estate
debt-financed property000000$000$0$0
not debt-financed property000000$0Real property rental income that does not depend on the income or profits derived by the person leasing the property and is excluded by section 512(b)(3)$3,251$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))$3,815,137$0
Net income or (loss) from special events000000$000$0$0
Gross profit or (loss) from sales of inventory000000$0Section 501(c)(3) organization - Income from an activity carried on primarily for the convenience of the organization's members, students, patients, visitors, officers, or employees (hospital parking lot or museum cafeteria, for example) (section 513(a)(2))$86,272$0
Other revenue000000$000$0$0
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2007)
EIN of corporation, partnership, or disregarded entityPercentage of ownership interestTotal incomeEnd-of-year assets
47082091626%$9,096,059$6,591,794
72154619650%$2,222,897$3,800,052
47083161450%$3,345,894$3,240,543
47077813450%$1,030,360$1,155,181
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
$439,938$20,528$0
$252,571$87,034$0
$272,435$25,852$0
$218,147$79,695$0
$240,705$42,621$0
Total number of other employees paid over $50,000395
Statements About Activities (for 2007)
Expenses paid or incurred in connection with the lobbying activities$11,418
Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures?No
Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?No
Did the organization maintain any donor advised funds?No
Did the organization make any taxable distributions under section 4966?No
Did the organization make a distribution to a donor, donor advisor, or related person?No
The total number of donor advised funds owned at the end of the tax year$0
The aggregate value of assets held in all donor advised funds owned at the end of the tax year$0
The total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts$0
The aggregate value of assets held in all funds or accounts included above at the end of the tax year$0
Reason for Non-Private Foundation Status
The organization is not a private foundation because it isHospital, or a cooperative hospital service organization
Support Schedule
19992000200120022003200420052006
Total$0$0$0$0$0$0$0$0
Gifts, grants, and contributions received$0$0$0$0$0$0$0$0
Membership fees received$0$0$0$0$0$0$0$0
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose$0$0$0$0$0$0$0$0
Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975$0$0$0$0$0$0$0$0
Net income from unrelated business activities not included above$0$0$0$0$0$0$0$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf$0$0$0$0$0$0$0$0
The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge$0$0$0$0$0$0$0$0
Other income$0$0$0$0$0$0$0$0
Lobbying Expenditures by Electing Public Charities (for 2007)
Total exempt purpose expenditures$0
Total lobbying expenditures$0
Total lobbying expenditures to influence public opinion (grassroots lobbying)$0
Total lobbying expenditures to influence a legislative body (direct lobbying)$0
Other exempt purpose expenditures$0
Lobbying nontaxable amount$0
Grassroots nontaxable amount$0
Unrelated Trade or Business Income (for 2008)
IncomeExpensesNet
Total$941,931$0$94,193
Gross receipts or sales less returns and allowances$0$0$0
Cost of goods sold$31,212$0$0
Gross profit$104,211$0$104,211
Capital gain net income$0$0$0
Net gain$0$0$0
Capital loss deduction for trusts$0$0$0
Income (loss) from partnerships and S corporations$-10,018$0$-10,018
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$20,091
Exploited exempt activity income$0$0$0
Advertising income$0$0$0
Other income$0$0$0
Deductions Not Taken Elsewhere (for 2008)
Total deductions$88,590
Compensation of officers, directors, and trustees$0
Salaries and wages$45,143
Repairs and maintenance$2,184
Bad debts$0
Interest$0
Taxes and licenses$0
Charitable contributions$0
Depreciation$4,088
Depletion$0
Contributions to deferred compensation plans$0
Employee benefit programs$15,044
Excess exempt expenses$0
Excess readership costs$0
Other deductions$22,121
Unrelated business taxable income$0
Unrelated business taxable income before net operating loss deduction$5,613
Net operating loss deduction$5,613
Unrelated business taxable income before specific deduction$0
Specific deduction$0
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Organizations performing similar types of work
IdNameAddressStateEstablishedTotal Income
1Tufts Medical Center Parent Inc, Group Return800 Washington Street Box 468, Boston, MA 02111-1552MA2008-05$718,450,671
2Nebraska Methodist Hospital8511 W Dodge Rd, Omaha, NE 68114-3403NE1947-05$494,826,607
3Bryan Medical Center1600 S 48th St, Lincoln, NE 68506-1283NE1956-02$354,042,591
4Alegent Health-Immanuel Medical Center, Alegent Health6901 N 72nd St, Omaha, NE 68122-1709NE1944-08$269,810,134
5Saint Elizabeth Regional Medical Center555 S 70th St, Lincoln, NE 68510-2462NE1946-03$268,104,588
6Unmc Physicians988145 Nebraska Medical Ctr, Omaha, NE 68198-8145NE1995-06$249,961,294
7Good Samaritan Hospital10 E 31st St, Kearney, NE 68847-2926NE1946-03$227,988,202
8Regional West Medical Center4021 Avenue B, Scottsbluff, NE 69361-4602NE1941-08$202,087,199
9Saint Francis Medical Center2620 W Faidley Ave, Grand Island, NE 68803-4205NE1946-03$172,280,003
10Faith Regional Health Services1500 Koenigstein Ave, Norfolk, NE 68701-3664NE1996-07$169,977,744
11North Platte Nebraska Hospital Corporation, Great Plains HealthPO BOX 1167, North Platte, NE 69103-1167NE1975-05$158,353,930
12Syracuse Community Health Center Inc819 S Salina St, Syracuse, NY 13202-3527NY1992-09$24,912,238
13Wenatchee Valley Hospital820 N Chelan Ave, Wenatchee, WA 98801-2028WA2014-06$119,952,304
14Weeks Medical Center173 Middle St, Lancaster, NH 03584-3508NH1946-12$44,728,107
15Indiana University Health Morgan Hospital Inc2209 John R Wooden R Drive, Martinsville, IN 46151IN2011-09$39,950,032
16Steward St Elizabeths Medical Center Of Boston Inc30 Perwal St, Westwood, MA 02090-1928MA1946-03$24,402,508
17St Lukes Jerome Ltd190 E Bannock St, Boise, ID 83712-6241ID2014-05$18,622,834
18Dimmit Regional HospitalPO BOX 1016, Carrizo Spgs, TX 78834-7016TX2014-08$18,383,438
19Jones County Regional Healthcare System1601 Columbia St, Stamford, TX 79553-6863TX2014-09$10,742,038
20Swisher Memorial Healthcare System539 Se 2nd Strcct, Tulia, TX 79088TX2014-08$10,124,837
Number of organizations performing similar types of work
Alaska3
Alabama19
Arkansas22
Arizona15
California112
Colorado25
Connecticut29
District of Columbia2
Delaware6
Florida53
Georgia52
Hawaii5
Iowa27
Idaho9
Illinois104
Indiana48
Kansas25
Kentucky32
Louisiana22
Massachusetts44
Maryland41
Maine19
Michigan58
Minnesota34
Missouri50
Mississippi19
Montana11
North Carolina47
North Dakota12
Nebraska20
New Hampshire21
New Jersey50
New Mexico7
Nevada4
New York130
Ohio96
Oklahoma17
Oregon24
Pennsylvania131
Rhode Island10
South Carolina15
South Dakota9
Tennessee25
Texas57
Virginia37
Vermont8
Washington22
Wisconsin67
West Virginia24
International10
Total1,729
20 biggest affiliated organizations
AffiliationNameAddressStateEstablishedTotal Income
SubordinateSaint Francis Hospital Inc6600 S Yale Ave, Tulsa, OK 74136-3347OK1946-03$3,970,090,877
SubordinateFranciscan Alliance Inc1515 W Dragoon Trl, Mishawaka, IN 46544-4710IN1946-03$2,596,912,525
SubordinatePeacehealth, Ketchikan Medical Center1115 Se 164th Ave Dept 332, Vancouver, WA 98683-8003WA1965-01$2,090,551,281
SubordinateOsf Healthcare System800 Ne Glen Oak Ave, Peoria, IL 61603-3200IL1946-03$1,896,415,307
SubordinateSt Elizabeth Medical Center Inc1 Medical Village Dr, Edgewood, KY 41017-3403KY1946-03$1,877,972,561
SubordinateProvidence Health System-Southern CaliforniaPO BOX 389672, Seattle, WA 98138-9672WA1946-03$1,724,724,506
SubordinateChristus Health919 Hidden Rdg, Irving, TX 75038-3813TX1946-03$1,654,479,614
SubordinateCatholic Health Initiatives198 Inverness Dr W, Englewood, CO 80112-5202CO1946-03$1,639,118,386
SubordinateCatholic Health Initiatives Colorado, St Anthony North Hospital3025 S Parker Road Suite 510, Aurora, CO 80014-2911CO1946-03$1,621,612,108
SubordinateSt Vincent Hospital & Health Care2001 W 86th St, Indianapolis, IN 46260-1991IN1946-03$1,327,567,131
SubordinateCatholic Healthcare West Southern CaliforniaPO BOX 1507, San Gabriel, CA 91778-1507CA1946-03$1,248,417,601
SubordinateProvidence Medical Research Center101 W 8th Ave, Spokane, WA 99204-2307WA1946-03$1,231,839,049
SubordinateFranciscan Health System1717 S J St, Tacoma, WA 98405-4933WA1946-03$1,205,494,228
SubordinateMount Carmel Health System6150 E Broad St, Columbus, OH 43213-1574OH1946-03$1,198,797,166
SubordinateSsm St Clare Health Center10101 Woodfield Lane, St Louis, MO 63132-2937MO1946-03$1,179,575,580
SubordinateUniversity Of Dayton, Phi Sigma Rho337 Stonemill Road, Dayton, OH 45409OH1976-07$1,170,175,935
SubordinateMercy Hospitals East Communities, Mercy Hospital St Louis645 Maryville Centre Dr Ste 100, Saint Louis, MO 63141-5846MO1946-03$1,107,258,738
SubordinatePresence Hospitals Prv9223 W Saint Francis Rd, Frankfort, IL 60423-8330IL1946-03$1,104,334,849
SubordinateMercy Hospital Springfield645 Maryville Centre Dr Ste 100, Saint Louis, MO 63141-5846MO1946-03$965,658,386
SubordinateSt Francis Hospital United States Catholic Conference100 Port Washington Blvd, Roslyn, NY 11576-1347NY1946-03$949,972,252
Number of affiliated organizations
Alaska87
Alabama75
Arkansas52
Arizona235
California1,063
Colorado200
Connecticut195
District of Columbia121
Delaware35
Florida465
Georgia158
Hawaii41
Iowa402
Idaho30
Illinois817
Indiana365
Kansas230
Kentucky119
Louisiana416
Massachusetts600
Maryland399
Maine72
Michigan426
Minnesota309
Missouri520
Mississippi60
Montana57
North Carolina98
North Dakota148
Nebraska299
New Hampshire97
New Jersey457
New Mexico121
Nevada55
New York1,371
Ohio598
Oklahoma90
Oregon141
Pennsylvania860
Rhode Island94
South Carolina43
South Dakota112
Tennessee80
Texas852
Utah18
Virginia137
Vermont62
Washington195
Wisconsin621
West Virginia92
Wyoming19
International36
Total14,245

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