Mercy Health Youngstown Llc in Youngstown, Ohio (OH)

Mercy Health Youngstown Llc
Employer Identification Number (EIN)	340505560
Name of Organization	Mercy Health Youngstown Llc
Address	250 E Federal St Ste 301, Youngstown, OH 44503-1832
Activities	Hospital
Subsection	Religious Organization
Ruling Date	03/1946
Deductibility	Contributions are deductible
Foundation	Hospital or medical research organization
Organization	Corporation
Exempt Organization Status	Unconditional Exemption
Tax Period	12/2013
Assets	$0
Income	$50,000,000 to greater
Filing Requirement	990 (all other) or 990EZ return
Asset Amount	$356,504,974
Amount of Income	$631,017,629
Form 990 Revenue Amount	$630,656,781
National Taxonomy of Exempt Entities (NTEE)	Health - General and Rehabilitative: Hospital, General

Non-representatives - add comments:

Amount of income in 2013: $631,017,629

Mercy Health Youngstown Llc:	$631,017,629
Other organizations performing similar types of work:	$129,251,994

Assets in 2013: $356,504,974

Mercy Health Youngstown Llc:	$356,504,974
Other organizations performing similar types of work:	$122,242,322

Expenses in 2013: $592,137,975

This organization:	$592,137,975
Other organizations performing similar types of work:	$119,720,646

Income to expenses ratio in 2013: 1.1

Mercy Health Youngstown Llc:	1.1
Other organizations performing similar types of work:	1.1

Expenses allocated to program services in 2007: 86.5%

Mercy Health Youngstown Llc:	86.5%
Other organizations performing similar types of work:	85.7%

Number of employees in 2013: 5,474

This organization:	5,474
Other organizations performing similar types of work:	1,105

Employees paid over $100,000 in 2013: 3.0%

Mercy Health Youngstown Llc:	3.0%
Other organizations performing similar types of work:	0.0%

Grants share in income in 2013: 1.8%

Mercy Health Youngstown Llc:	1.8%
Other organizations performing similar types of work:	0.2%

Financial snapshot ($)

Revenue for 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)?	No	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?	No	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?	No	No
Did the organization report an amount for land, buildings, and equipment?	Yes	No
Did the organization report an amount for investments-other securities that is 5% or more of its total assets?	No	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	No
Did the organization report an amount for other liabilities?	Yes	No
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?	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?	Yes	Yes
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals?	Yes	Yes
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?	No	No
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?	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	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	Yes
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

	2011	2012	2013
Statements Regarding Other IRS Filings and Tax Compliance
The number reported in Box 3 of Form 1096		0	0
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	No
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		5,520	5,474
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?		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

	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	$8,414,517	$7,594,970
Total reportable compensation from related organizations	$2,331,574	$1,743,995
Total estimated amount of other compensation from the organization and related organizations	$921,667	$344,167
Total number of individuals who received more than $100,000 of reportable compensation from the organization	174	166
Total number of independent contractors who received more than $100,000 of compensation from the organization	0	0

	2011	2012	2013
Statement of Revenue
Total revenue	$565,080,064	$598,698,396	$630,656,781
Contributions, Gifts, Grants and Other Similar Amounts	$7,560,582	$6,681,004	$11,494,202
Program Service Revenue	$540,977,949	$562,206,198	$590,890,895
621990		$554,850,889	$582,544,185
Lessors of Nonresidential Buildings (except Miniwarehouses)		$2,394,466	$2,246,776
900099		$2,124,525	$2,308,896
611600		$857,602	$1,051,379
621400		$1,068,398	$809,000
All other program service revenue		$910,318	$1,930,659
Other Revenue
Investment income (including dividends, interest, and other similar amounts)	$4,599,175	$4,010,508	$3,145,005
Income from investment of tax-exempt bond proceeds	$0	$0	$0
Royalties	$0	$0	$0
Net rental income	$0	$0	$0
Net gain/loss from sales of assets other than inventory	$264,223	$7,365,984	$11,524,810
Gross amount from sales of assets other than inventory (Securities / Other)	$286,347 / $68,745	$7,361,734 / $4,250	$11,523,235 / $1,575
Less: cost or other basis and sales expenses (Securities / Other)	$0 / $90,869	$0 / $0	$0 / $0
Gain or (loss) (Securities / Other)	$286,347 / $-22,124	$7,361,734 / $4,250	$11,523,235 / $1,575
Net income/loss from fundraising events	$11,525	$33,347	$22,037
Gross income from fundraising events	$84,750	$113,833	$134,467
Less: direct expenses	$73,225	$80,486	$112,430
Net income/loss from gaming activities	$0	$0	$0
Net income/loss from sales of inventory	$241,975	$229,158	$109,006
Gross sales of inventory, less returns and allowances	$532,920	$523,956	$357,424
Less: cost of goods sold	$290,945	$294,798	$248,418
Miscellaneous Revenue	$11,424,635	$18,172,197	$13,470,826
722210		$2,361,209	$2,339,360
722210		$157,012	$167,615
900099		$8,670,943	$8,192,861
All other revenue		$6,983,033	$2,770,990

	2011	2012	2013
Statement of Functional Expenses
Total functional expenses	$541,836,191	$567,840,154	$592,137,975
Grants and other assistance to domestic organizations and domestic governments		$55,000	$97,500
Grants and other assistance to domestic individuals		$22,025	$15,165
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	$3,989,336	$4,818,281	$3,585,290
Compensation not included above, to disqualified persons		$0	$0
Other salaries and wages	$211,463,306	$222,104,284	$232,605,020
Pension plan accruals and contributions		$2,774,573	$2,522,380
Other employee benefits		$37,817,995	$38,475,612
Payroll taxes	$14,778,034	$15,259,749	$15,445,939
Fees for services (non-employees)
Management		$0	$0
Legal		$165,180	$0
Accounting		$388,057	$375,684
Lobbying		$11,940	$4,876
Professional fundraising services	$0	$0	$0
Investment management fees		$0	$0
Other		$49,551,599	$52,643,536
Advertising and promotion		$2,484,800	$1,733,313
Office expenses		$7,060,337	$6,876,272
Information technology		$30,044,068	$34,887,896
Royalties		$0	$0
Occupancy		$11,917,144	$13,188,273
Travel		$812,660	$1,016,545
Payments of travel or entertainment expenses for any federal, state, or local public officials		$0	$0
Conferences, conventions, and meetings		$525,354	$494,814
Interest		$8,610,025	$6,620,758
Payments to affiliates		$0	$0
Depreciation, depletion, and amortization		$31,187,281	$29,904,545
Insurance		$5,842,886	$5,550,213
Other expenses		$105,875,203	$113,394,660
Other expenses		$11,792,297	$10,039,502
Other expenses		$7,470,673	$7,579,328
Other expenses		$11,248,743	$15,080,854

	2011	2012	2013
Balance Sheet
Total assets	$632,807,917	$642,787,281	$0
Total liabilities	$240,782,451	$219,114,167	$0
Total net assets or fund balances	$392,025,466	$423,673,114	$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

	2000	2001	2002	2003	2004	2005	2006	2007
Revenue, Expenses, and Changes in Net Assets or Fund Balances
Total revenue	$317,695,763	$335,709,795	$356,939,459	$440,532,499	$450,377,527	$486,252,958	$472,403,324	$496,579,992
Contributions, gifts, grants, and similar amounts received	$2,094,223	$2,470,596	$3,166,426	$2,705,336	$2,305,360	$3,249,026	$3,001,140	$3,169,137
Contributions to donor advised funds							$0	$0
Direct public support	$294,093	$584,399	$1,473,568	$1,220,800	$751,543	$527,815	$1,014,103	$454,024
Indirect public support	$1,185,684	$1,171,927	$955,401	$727,328	$1,513,703	$2,709,274	$1,414,462	$1,332,702
Government contributions (grants)	$614,446	$714,270	$737,457	$757,208	$40,114	$11,937	$572,575	$1,382,411
Program service revenue including government fees and contracts	$296,774,326	$341,802,266	$382,791,157	$388,369,248	$414,851,850	$460,809,311	$438,171,861	$473,164,505
Membership dues and assessments	$0	$0	$0	$0	$0	$0	$0	$0
Interest on savings and temporary cash investments	$694,298	$353,056	$133,192	$468,371	$625,898	$1,244,971	$7,076	$511,864
Dividends and interest from securities	$6,533,092	$5,405,673	$4,203,345	$3,890,175	$3,998,900	$4,270,656	$5,488,657	$5,258,077
Net rental income or (loss)	$530,084	$563,436	$518,878	$520,483	$818,879	$0	$0	$0
Gross rents	$530,084	$563,436	$518,878	$520,483	$818,879	$0	$0	$0
Less: rental expenses	$0	$0	$0	$0	$0	$0	$0	$0
Other investment income	$0	$0	$0	$0	$0	$0	$0	$0
Gain or (loss) from sales of assets other than inventory	$11,058,010	$-14,883,403	$-33,867,498	$44,621,426	$17,912,352	$12,784,238	$21,449,091	$7,818,199
Gross amount from sales of assets other than inventory	$11,058,010	$1,920	$18,755	$44,654,067	$18,130,963	$12,784,238	$21,456,170	$9,467,855
Less: cost or other basis and sales expenses	$0	$14,885,323	$33,886,253	$32,641	$218,611	$0	$7,079	$1,649,656
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	$11,730	$-1,829	$-6,041	$-42,540	$274,120	$-28,082	$163,890	$185,282
Gross sales of inventory, less returns and allowances	$182,684	$200,870	$234,655	$0	$274,120	$259,691	$375,652	$395,669
Less: cost of goods sold	$170,954	$202,699	$240,696	$42,540	$0	$287,773	$211,762	$210,387
Other revenue	$0	$0	$0	$0	$9,590,168	$3,922,838	$4,121,609	$6,472,928
Total expenses	$293,082,957	$329,078,934	$372,010,347	$381,931,383	$417,674,133	$456,458,604	$476,687,696	$489,630,175
Program services	$263,703,289	$299,223,549	$321,647,290	$325,648,566	$366,533,231	$395,874,876	$412,523,094	$423,291,167
Management and general	$29,318,034	$29,830,948	$50,340,144	$56,282,817	$51,140,902	$60,583,728	$63,785,664	$66,339,008
Fundraising	$61,634	$24,437	$22,913	$0	$0	$0	$378,938	$0
Payments to affiliates	$0	$0	$0	$0	$0	$0	$0	$0
Net assets or fund balances at end of year	$276,453,343	$293,497,687	$236,058,095	$330,573,681	$362,058,509	$385,305,749	$375,520,638	$356,504,974
Excess or (deficit) for the year	$24,612,806	$6,630,861	$-15,070,888	$58,601,116	$32,703,394	$29,794,354	$-4,284,372	$6,949,817
Net assets or fund balances at beginning of year	$268,642,788	$276,453,343	$293,497,687	$236,058,095	$330,573,681	$362,058,509	$385,305,749	$375,520,638
Other changes in net assets or fund balances	$-16,802,251	$10,413,483	$-42,368,704	$35,914,470	$-1,218,566	$-6,547,114	$-5,500,739	$-25,965,481

	Total	Program services	Management and general	Fundraising
Statement of Functional Expenses (for 2007)
Total functional expenses	$489,630,175	$423,291,167	$66,339,008	$0
Grants paid from donor advised funds		$0
Other grants and allocations		$1,077,642
Specific assistance to individuals		$0
Benefits paid to or for members		$0
Compensation of current officers, directors, key employees, etc.	$956,355	$822,465	$133,890	$0
Compensation of former officers, directors, key employees, etc.	$258,911	$222,664	$36,247	$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	$181,822,654	$156,367,483	$25,455,171	$0
Pension plan contributions not included above	$2,125,307	$1,827,764	$297,543	$0
Employee benefits not included above	$33,358,817	$28,688,583	$4,670,234	$0
Payroll taxes	$12,457,532	$10,713,478	$1,744,054	$0
Professional fundraising fees	$0	$0	$0	$0
Accounting fees	$390,993	$0	$390,993	$0
Legal fees	$974,074	$0	$974,074	$0
Supplies	$90,453,897	$77,790,351	$12,663,546	$0
Telephone	$1,261,601	$1,084,977	$176,624	$0
Postage and shipping	$1,531,063	$1,316,714	$214,349	$0
Occupancy	$8,160,753	$7,018,248	$1,142,505	$0
Equipment rental and maintenance	$5,759,448	$4,953,125	$806,323	$0
Printing and publications	$972,455	$836,311	$136,144	$0
Travel	$1,180,618	$1,015,331	$165,287	$0
Conferences, conventions, and meetings	$0	$0	$0	$0
Interest	$8,158,990	$7,016,731	$1,142,259	$0
Depreciation, depletion, etc.	$28,142,478	$24,202,531	$3,939,947	$0
Other expenses not covered above	$110,586,587	$98,336,769	$12,249,818	$0

	2000	2001	2002	2003	2004	2005	2006	2007
Balance Sheets
Total assets	$465,379,918	$474,087,368	$460,892,101	$552,048,560	$562,671,620	$580,152,888	$649,595,530	$622,478,859
Cash - non-interest-bearing	$52,858	$23,710	$22,000	$21,483	$9,776,234	$0	$11,509,688	$13,106,512
Savings and temporary cash investments	$40,083,139	$80,812,868	$24,162,741	$26,670,334	$5,186,457	$3,436,722	$17,519,394	$0
Accounts receivable less allowance for doubtful accounts	$50,010,844	$50,130,190	$51,997,733	$67,573,128	$66,007,298	$94,797,200	$104,031,809	$114,516,559
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	$4,464,837	$0	$0	$0	$0	$0
Inventories for sale or use	$5,481,738	$7,048,808	$6,645,184	$7,203,229	$10,231,058	$13,330,258	$12,550,135	$13,234,540
Prepaid expenses and deferred charges	$15,287,136	$19,477,202	$16,549,783	$47,467,678	$2,528,696	$3,558,315	$1,874,803	$4,109,251
Investments - publicly-traded securities							$1,324,575	$1,790,198
Investments - other securities	$202,424,475	$155,123,058	$184,180,067	$209,307,120	$177,415,456	$168,145,213	$0	$0
Investments - land, buildings, and equipment less accumulated depreciation	$0	$0	$0	$0	$0	$0	$0	$0
Investments - other	$9,212,746	$8,038,732	$682,668	$399,945	$35,814,416	$38,149,988	$227,108,403	$188,593,652
Land, buildings, and equipment less accumulated depreciation	$140,444,247	$151,571,308	$170,473,662	$189,275,721	$190,948,776	$199,240,274	$218,180,068	$251,304,032
Other assets, including program-related investments	$2,382,735	$1,861,492	$1,713,426	$4,129,922	$64,763,229	$59,494,918	$55,496,655	$35,824,115
Total liabilities	$188,926,575	$180,589,681	$224,834,006	$221,474,879	$200,613,111	$194,847,139	$274,074,892	$265,973,885
Accounts payable and accrued expenses	$45,998,304	$41,970,158	$81,518,574	$57,888,378	$42,247,409	$37,541,881	$73,469,454	$63,821,846
Grants payable	$0	$0	$0	$0	$0	$0	$0	$0
Deferred revenue	$0	$0	$0	$0	$0	$467,518	$373,372	$340,160
Loans from officers, directors, trustees, and key employees	$0	$0	$0	$0	$0	$0	$0	$0
Tax-exempt bond liabilities	$135,298,106	$133,007,335	$130,658,565	$156,898,353	$124,833,693	$0	$0	$0
Mortgages and other notes payable	$800,533	$237,685	$9,143,687	$4,600,098	$31,757,416	$149,781,476	$192,578,140	$185,161,486
Other liabilities	$6,829,632	$5,374,503	$3,513,180	$2,088,050	$1,774,593	$7,056,264	$7,653,926	$16,650,393
Total liabilities and net assets/fund balances	$465,379,918	$474,087,368	$460,892,101	$552,048,560	$562,671,620	$580,152,888	$649,595,530	$622,478,859
Total net assets or fund balances	$276,453,343	$293,497,687	$236,058,095	$330,573,681	$362,058,509	$385,305,749	$375,520,638	$356,504,974

	2000	2001	2002	2003	2004	2005	2006	2007
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
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

	2000	2001	2002	2003	2004	2005	2006	2007
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
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

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	$168,693	$5,458	$419
50	$485,483	$93,121	$6,869
1	$58,059	$22,507	$1,329
1	$0	$0	$1,422
1	$0	$0	$1,121
1	$0	$0	$1,356
50	$52,889	$2,330	$1,599
1	$0	$0	$923
1	$0	$0	$1,441
1	$50,120	$0	$1,216

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?	Yes
Does the organization have a written conflict of interest policy?	Yes

Loans and Advances	Compensation	Contributions to employee benefit plans & deferred compensation plans	Expense account and other allowances
Former Officers, Directors, Trustees, and Key Employees That Received Compensation or Other Benefits
$0	$253,567	$653	$4,691

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	4,351

	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		$3,241,336		$20,149,667	$470,019,852
Program service revenue
Program service revenue 1	All other ambulatory health care services	$3,144,653	00	$0	$466,581,331
Program service revenue 2	000000	$0	00	$0	$954,485
Program service revenue 3	000000	$0	00	$0	$924,666
Program service revenue 4	000000	$0	00	$0	$624,611
Program service revenue 5	000000	$0	00	$0	$934,759
	All other ambulatory health care services	$3,144,653		$0	$466,581,331
		$0		$0	$432,541
		$0		$0	$244,301
		$0		$0	$924,666
		$0		$0	$954,485
		$0		$0	$136,999
		$0		$0	$120,918
		$0		$0	$624,611
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)	$511,864	$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)	$5,258,077	$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	000000	$0	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))	$7,818,199	$0
Net income or (loss) from special events	000000	$0	00	$0	$0
Gross profit or (loss) from sales of inventory	000000	$0	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))	$185,282	$0
Other revenue	Other personal services	$96,683	Income from an activity that is not regularly carried on (section 512(a)(1))	$6,376,245	$0

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)
300023795	51%	$1,109,095	$2,394,556
341789677	50%	$112,968	$636,655
341823901	100%	$435,117	$0
341898332	100%	$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)
$1,338,200	$48,756	$1,350
$686,281	$47,872	$336
$649,456	$44,738	$810
$617,800	$34,103	$1,380
$589,385	$50,228	$615

Total number of other employees paid over $50,000	1,115

Total number of other employees paid over $50,000

1,115

Statements About Activities (for 2007)
Expenses paid or incurred in connection with the lobbying activities	$117,448
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

	1999	2000	2001	2002	2003	2004	2005	2006
Support Schedule
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

	Income	Expenses	Net
Unrelated Trade or Business Income (for 2008)
Total	$2,665,345	$0	$2,665,345
Gross receipts or sales less returns and allowances	$2,679,349	$0	$0
Cost of goods sold	$14,004	$0	$0
Gross profit	$2,665,345	$0	$2,665,345
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	$0	$0	$0

Deductions Not Taken Elsewhere (for 2008)
Total deductions	$2,441,994
Compensation of officers, directors, and trustees	$0
Salaries and wages	$608,605
Repairs and maintenance	$0
Bad debts	$0
Interest	$0
Taxes and licenses	$0
Charitable contributions	$24,817
Depreciation	$85,067
Depletion	$0
Contributions to deferred compensation plans	$0
Employee benefit programs	$187,273
Excess exempt expenses	$0
Excess readership costs	$0
Other deductions	$1,536,232
Unrelated business taxable income	$222,351
Unrelated business taxable income before net operating loss deduction	$223,351
Net operating loss deduction	$0
Unrelated business taxable income before specific deduction	$223,351
Specific deduction	$0

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Id	Name	Address	State	Established	Total Income
Organizations performing similar types of work
1	Ohiohealth Corporation, Grant Riverside Doctor Hospital & D	180 E Broad St Fl 31, Columbus, OH 43215-3707	OH	1942-10	$7,190,582,686
2	Miami Valley Hospital	1 Wyoming St, Dayton, OH 45409-2722	OH	1942-06	$2,456,713,326
3	Toledo Hospital	2142 N Cove Blvd, Toledo, OH 43606-3895	OH	1933-02	$1,582,027,344
4	University Hospitals Cleveland Medical Center Inc	11100 Euclid Ave, Cleveland, OH 44106-1716	OH	1989-02	$871,274,000
5	Bethesda Hospital Inc	619 Oak St, Cincinnati, OH 45206-1613	OH	1954-10	$803,446,762
6	Christ Hospital	2139 Auburn Avenue Cbo 3-8, Cincinnati, OH 45219-2906	OH	1985-04	$757,200,193
7	University Of Cincinnati Medical Center Llc	234 Goodman St, Cincinnati, OH 45219-2364	OH	1996-11	$748,062,021
8	Tufts Medical Center Parent Inc, Group Return	800 Washington Street Box 468, Boston, MA 02111-1552	MA	2008-05	$718,450,671
9	Mount Carmel Health	6150 E Broad St, Columbus, OH 43213-1574	OH	1946-03	$699,196,875
10	Kettering College	2110 Leiter Rd, Miamisburg, OH 45342-3598	OH	1947-04	$682,488,958
11	Mercy Health Youngstown Llc	250 E Federal St Ste 301, Youngstown, OH 44503-1832	OH	1946-03	$631,017,629
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

Affiliation	Name	Address	State	Established	Total Income
20 biggest affiliated organizations
Subordinate	Saint Francis Hospital Inc	6600 S Yale Ave, Tulsa, OK 74136-3347	OK	1946-03	$3,970,090,877
Subordinate	Franciscan Alliance Inc	1515 W Dragoon Trl, Mishawaka, IN 46544-4710	IN	1946-03	$2,596,912,525
Subordinate	Peacehealth, Ketchikan Medical Center	1115 Se 164th Ave Dept 332, Vancouver, WA 98683-8003	WA	1965-01	$2,090,551,281
Subordinate	Osf Healthcare System	800 Ne Glen Oak Ave, Peoria, IL 61603-3200	IL	1946-03	$1,896,415,307
Subordinate	St Elizabeth Medical Center Inc	1 Medical Village Dr, Edgewood, KY 41017-3403	KY	1946-03	$1,877,972,561
Subordinate	Providence Health System-Southern California	PO BOX 389672, Seattle, WA 98138-9672	WA	1946-03	$1,724,724,506
Subordinate	Christus Health	919 Hidden Rdg, Irving, TX 75038-3813	TX	1946-03	$1,654,479,614
Subordinate	Catholic Health Initiatives	198 Inverness Dr W, Englewood, CO 80112-5202	CO	1946-03	$1,639,118,386
Subordinate	Catholic Health Initiatives Colorado, St Anthony North Hospital	3025 S Parker Road Suite 510, Aurora, CO 80014-2911	CO	1946-03	$1,621,612,108
Subordinate	St Vincent Hospital & Health Care	2001 W 86th St, Indianapolis, IN 46260-1991	IN	1946-03	$1,327,567,131
Subordinate	Catholic Healthcare West Southern California	PO BOX 1507, San Gabriel, CA 91778-1507	CA	1946-03	$1,248,417,601
Subordinate	Providence Medical Research Center	101 W 8th Ave, Spokane, WA 99204-2307	WA	1946-03	$1,231,839,049
Subordinate	Franciscan Health System	1717 S J St, Tacoma, WA 98405-4933	WA	1946-03	$1,205,494,228
Subordinate	Mount Carmel Health System	6150 E Broad St, Columbus, OH 43213-1574	OH	1946-03	$1,198,797,166
Subordinate	Ssm St Clare Health Center	10101 Woodfield Lane, St Louis, MO 63132-2937	MO	1946-03	$1,179,575,580
Subordinate	University Of Dayton, Phi Sigma Rho	337 Stonemill Road, Dayton, OH 45409	OH	1976-07	$1,170,175,935
Subordinate	Mercy Hospitals East Communities, Mercy Hospital St Louis	645 Maryville Centre Dr Ste 100, Saint Louis, MO 63141-5846	MO	1946-03	$1,107,258,738
Subordinate	Presence Hospitals Prv	9223 W Saint Francis Rd, Frankfort, IL 60423-8330	IL	1946-03	$1,104,334,849
Subordinate	Mercy Hospital Springfield	645 Maryville Centre Dr Ste 100, Saint Louis, MO 63141-5846	MO	1946-03	$965,658,386
Subordinate	St Francis Hospital United States Catholic Conference	100 Port Washington Blvd, Roslyn, NY 11576-1347	NY	1946-03	$949,972,252

Number of affiliated organizations

Alaska	87
Alabama	75
Arkansas	52
Arizona	235
California	1,063
Colorado	200
Connecticut	195
District of Columbia	121
Delaware	35
Florida	465
Georgia	158
Hawaii	41
Iowa	402
Idaho	30
Illinois	817
Indiana	365
Kansas	230
Kentucky	119
Louisiana	416
Massachusetts	600
Maryland	399
Maine	72
Michigan	426
Minnesota	309
Missouri	520
Mississippi	60

Montana	57
North Carolina	98
North Dakota	148
Nebraska	299
New Hampshire	97
New Jersey	457
New Mexico	121
Nevada	55
New York	1,371
Ohio	598
Oklahoma	90
Oregon	141
Pennsylvania	860
Rhode Island	94
South Carolina	43
South Dakota	112
Tennessee	80
Texas	852
Utah	18
Virginia	137
Vermont	62
Washington	195
Wisconsin	621
West Virginia	92
Wyoming	19
International	36