Texas Health Presbyterian Hospital Dallas in Dallas, Texas (TX)

Texas Health Presbyterian Hospital Dallas
Employer Identification Number (EIN)	751047527
Name of Organization	Texas Health Presbyterian Hospital Dallas
In Care of Name	David Jackson
Address	8200 Walnut Hill Ln, Dallas, TX 75231-4426
Activities	Hospital
Subsection	Charitable Organization
Ruling Date	05/1967
Deductibility	Contributions are deductible
Foundation	Hospital or medical research organization
Organization	Corporation
Exempt Organization Status	Unconditional Exemption
Tax Period	12/2013
Assets	$50,000,000 to greater
Income	$50,000,000 to greater
Filing Requirement	990 (all other) or 990EZ return
Asset Amount	$1,198,152,334
Amount of Income	$653,540,524
Form 990 Revenue Amount	$652,021,026
National Taxonomy of Exempt Entities (NTEE)	Health - General and Rehabilitative: Community Health Systems

Non-representatives - add comments:

Amount of income in 2013: $653,540,524

Texas Health Presbyterian Hospital Dallas:	$653,540,524
Other organizations performing similar types of work:	$58,371,666

Assets in 2013: $1,198,152,334

Texas Health Presbyterian Hospital Dallas:	$1,198,152,334
Other organizations performing similar types of work:	$115,495,398

Expenses in 2013: $593,927,214

Texas Health Presbyterian Hospital Dallas:	$593,927,214
Other organizations performing similar types of work:	$46,510,321

Income to expenses ratio in 2013: 1.1

Texas Health Presbyterian Hospital Dallas:	1.1
Other organizations performing similar types of work:	1.0

Expenses allocated to program services in 2007: 89.4%

Texas Health Presbyterian Hospital Dallas:	89.4%
Other organizations performing similar types of work:	86.6%

Number of employees in 2013: 3,880

Texas Health Presbyterian Hospital Dallas:	3,880
Other organizations performing similar types of work:	360

Employees paid over $100,000 in 2013: 8.0%

This organization:	8.0%
Other organizations performing similar types of work:	0.0%

Grants share in income in 2013: 0.9%

This organization:	0.9%
Other organizations performing similar types of work:	0.0%

Financial snapshot ($)

Revenue for 2013

Assets at the end of 2013

Functional expenses for 2013

	2012	2013
Checklist
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?	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	Yes
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	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)?	No	No
Did the organization obtain separate, independent audited financial statements for the tax year?	No	No
Was the organization included in consolidated, independent audited financial statements for the tax year?	Yes	Yes
Is the organization a school described in section 170(b)(1)(A)(ii)?	No	No
Did the organization maintain an office, employees, or agents outside of the United States?	No	No
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more?	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?	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?	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?	No	No
Did the organization receive more than $25,000 in non-cash contributions?	No	No
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?	No	No
Did the organization liquidate, terminate, or dissolve and cease operations?	No	No
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?	No	No
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?	No	No
Was the organization related to any tax-exempt or taxable entity?	Yes	Yes
Did the organization have a controlled entity within the meaning of section 512(b)(13)?	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		292	304
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		4,055	3,880
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	$4,769,782	$5,722,498
Total reportable compensation from related organizations	$4,137,979	$4,212,545
Total estimated amount of other compensation from the organization and related organizations	$923,656	$1,005,258
Total number of individuals who received more than $100,000 of reportable compensation from the organization	200	231
Total number of independent contractors who received more than $100,000 of compensation from the organization	84	81

	2011	2012	2013
Statement of Revenue
Total revenue	$569,589,993	$613,256,042	$652,021,026
Contributions, Gifts, Grants and Other Similar Amounts	$7,441,098	$7,484,106	$6,188,075
Program Service Revenue	$549,867,106	$589,912,836	$632,899,934
0		$561,924,689	$602,352,174
621400		$20,187,603	$21,400,227
0		$7,542,164	$6,092,588
0		$178,183	$1,950,445
0		$44,046	$985,882
All other program service revenue		$36,151	$118,618
Other Revenue
Investment income (including dividends, interest, and other similar amounts)	$81,005	$25,220	$58,663
Income from investment of tax-exempt bond proceeds	$0	$0	$0
Royalties	$0	$295	$162
Net rental income	$1,033,370	$984,652	$944,095
Gross rents (Real / Personal)	$1,033,370 / $0	$984,652 / $0	$944,095 / $0
Less: rental expenses (Real / Personal)	$0 / $0	$0 / $0	$0 / $0
Rental income or (loss) (Real / Personal)	$1,033,370 / $0	$984,652 / $0	$944,095 / $0
Net gain/loss from sales of assets other than inventory	$-5,071,555	$2,077,113	$-162,873
Gross amount from sales of assets other than inventory (Securities / Other)	$0 / $129,718	$0 / $4,285,840	$34,392 / $1,322,233
Less: cost or other basis and sales expenses (Securities / Other)	$0 / $5,201,273	$0 / $2,208,727	$0 / $1,519,498
Gain or (loss) (Securities / Other)	$0 / $-5,071,555	$0 / $2,077,113	$34,392 / $-197,265
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	$16,238,969	$12,771,820	$12,092,970
0		$3,651,598	$3,615,234
Pharmacies and Drug Stores		$3,191,657	$3,331,623
541900		$1,807,689	$1,595,786
All other revenue		$4,120,876	$3,550,327

	2011	2012	2013
Statement of Functional Expenses
Total functional expenses	$538,838,431	$553,982,187	$593,927,214
Grants and other assistance to domestic organizations and domestic governments		$73,500	$81,553
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	$3,763,199	$2,812,161	$4,225,560
Compensation not included above, to disqualified persons		$0	$0
Other salaries and wages	$191,287,009	$186,134,826	$187,807,790
Pension plan accruals and contributions		$9,299,141	$8,776,349
Other employee benefits		$29,621,737	$26,560,957
Payroll taxes	$13,945,071	$13,661,522	$13,621,580
Fees for services (non-employees)
Management		$64,270,029	$67,674,015
Legal		$1,290,978	$98,048
Accounting		$0	$0
Lobbying		$0	$0
Professional fundraising services	$0	$0	$0
Investment management fees		$474,091	$556,305
Other		$33,543,534	$50,655,778
Advertising and promotion		$839,343	$756,871
Office expenses		$6,951,354	$5,389,242
Information technology		$3,542,165	$3,231,599
Royalties		$0	$0
Occupancy		$8,247,553	$7,527,691
Travel		$501,239	$371,510
Payments of travel or entertainment expenses for any federal, state, or local public officials		$0	$0
Conferences, conventions, and meetings		$271,180	$267,987
Interest		$10,635,092	$10,868,549
Payments to affiliates		$0	$0
Depreciation, depletion, and amortization		$29,877,104	$31,116,137
Insurance		$1,133,257	$1,560,415
Other expenses		$109,117,557	$134,316,529
Other expenses		$24,617,816	$20,212,584
Other expenses		$6,977,194	$8,183,846
Other expenses		$5,562,854	$5,155,774
Other expenses		$4,526,960	$4,910,545

	2011	2012	2013
Balance Sheet
Total assets	$1,085,318,625	$1,143,905,735	$1,198,152,334
Cash - non-interest-bearing		$2,802,117	$12,639,522
Savings and temporary cash investments		$0	$1,860,944
Pledges and grants receivable, net		$0	$0
Accounts receivable, net		$70,147,306	$105,991,464
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		$860,082	$3,839,389
Inventories for sale or use		$11,395,311	$12,575,143
Prepaid expenses and deferred charges		$1,038,839	$1,783,970
Land, buildings, and equipment: cost or other basis		$334,529,891	$342,095,263
Investments - publicly traded securities		$0	$0
Investments - other securities		$1,872,121	$1,954,529
Investments - program-related		$15,149,375	$0
Intangible assets		$0	$4,651,890
Other assets		$706,110,693	$710,760,220
Total liabilities	$66,389,493	$71,972,280	$116,668,465
Accounts payable and accrued expenses		$67,516,186	$88,364,966
Grants payable		$0	$0
Deferred revenue		$0	$1,027,996
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	$0	$0	$227,977
Unsecured notes and loans payable to unrelated third parties	$0	$0	$399,774
Other liabilities (including federal income tax, payables to related third parties, and other liabilities)		$4,456,094	$26,647,752
Total net assets or fund balances	$1,018,929,132	$1,071,933,455	$1,081,483,869
Unrestricted net assets		$1,071,910,856	$1,081,476,392
Temporarily restricted net assets		$22,599	$7,477
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 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	$629,803,199	$708,517,367	$432,868,591	$485,230,997	$535,101,692	$526,665,594	$545,213,598	$572,706,306
Contributions, gifts, grants, and similar amounts received	$6,705,023	$4,206,562	$2,442,057	$2,821,231	$2,412,170	$4,097,493	$3,907,898	$23,837,465
Contributions to donor advised funds							$0	$0
Direct public support	$53,097	$821,829	$131,752	$337,153	$137,399	$15,166	$1,324,890	$1,457,821
Indirect public support	$6,651,926	$3,384,733	$2,310,305	$2,484,078	$2,263,449	$4,082,327	$2,583,008	$22,379,644
Government contributions (grants)	$0	$0	$0	$0	$11,322	$0	$0	$0
Program service revenue including government fees and contracts	$608,160,718	$679,098,391	$421,841,360	$465,406,447	$515,362,235	$499,398,036	$515,756,121	$515,062,965
Membership dues and assessments	$0	$0	$0	$0	$0	$0	$0	$61,926
Interest on savings and temporary cash investments	$0	$0	$76,180	$79,889	$87,701	$110,261	$101,009	$174,260
Dividends and interest from securities	$2,918,810	$12,655,612	$0	$0	$0	$0	$0	$0
Net rental income or (loss)	$8,568,173	$7,718,969	$132,048	$0	$0	$0	$0	$0
Gross rents	$48,921,487	$50,136,714	$132,048	$0	$0	$0	$0	$0
Less: rental expenses	$40,353,314	$42,417,745	$0	$0	$0	$0	$0	$0
Other investment income	$-49,221	$12,472,829	$52,136	$7,897,449	$6,853,067	$11,106,103	$11,996,929	$14,928,084
Gain or (loss) from sales of assets other than inventory	$145,308	$-11,906,125	$29,125	$-36,222	$-18,524	$-19,621	$-116,297	$4,306,892
Gross amount from sales of assets other than inventory	$1,096,870	$201,273,998	$151,764	$72,211	$317,233	$250,938	$104,215	$6,870,331
Less: cost or other basis and sales expenses	$951,562	$213,180,123	$122,639	$108,433	$335,757	$270,559	$220,512	$2,563,439
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	$3,354,388	$4,271,129	$8,295,685	$9,062,203	$10,405,043	$11,973,322	$13,567,938	$14,334,714
Total expenses	$597,030,096	$679,694,594	$410,645,317	$444,966,526	$466,390,333	$472,608,235	$522,879,530	$528,387,010
Program services	$541,008,556	$610,009,151	$405,564,142	$401,976,145	$419,812,096	$421,520,867	$440,608,271	$472,328,585
Management and general	$56,021,540	$69,685,443	$5,081,175	$42,990,381	$46,578,237	$51,087,368	$82,271,259	$56,058,425
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	$410,289,350	$343,066,226	$610,090,078	$646,549,453	$715,937,803	$767,428,716	$790,425,068	$834,802,356
Excess or (deficit) for the year	$32,773,103	$28,822,773	$22,223,274	$40,264,471	$68,711,359	$54,057,359	$22,334,068	$44,319,296
Net assets or fund balances at beginning of year	$373,848,383	$410,289,348	$343,066,226	$610,090,078	$646,549,453	$715,937,803	$767,428,716	$790,425,068
Other changes in net assets or fund balances	$3,667,864	$-96,045,895	$244,800,578	$-3,805,096	$676,991	$-2,566,446	$662,284	$57,992

	Total	Program services	Management and general	Fundraising
Statement of Functional Expenses (for 2007)
Total functional expenses	$528,387,010	$472,328,585	$56,058,425	$0
Grants paid from donor advised funds		$0
Other grants and allocations		$123,441
Specific assistance to individuals		$0
Benefits paid to or for members		$0
Compensation of current officers, directors, key employees, etc.	$1,425,043	$0	$1,425,043	$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	$195,093,319	$192,811,195	$2,282,124	$0
Pension plan contributions not included above	$7,635,746	$7,576,594	$59,152	$0
Employee benefits not included above	$25,706,267	$25,505,557	$200,710	$0
Payroll taxes	$13,620,859	$13,509,727	$111,132	$0
Professional fundraising fees	$0	$0	$0	$0
Accounting fees	$0	$0	$0	$0
Legal fees	$1,605,002	$0	$1,605,002	$0
Supplies	$113,487,147	$113,487,147	$0	$0
Telephone	$1,019,459	$284,334	$735,125	$0
Postage and shipping	$754,677	$731,847	$22,830	$0
Occupancy	$9,163,030	$8,944,349	$218,681	$0
Equipment rental and maintenance	$12,291,558	$12,270,543	$21,015	$0
Printing and publications	$417,227	$414,652	$2,575	$0
Travel	$609,083	$603,794	$5,289	$0
Conferences, conventions, and meetings	$211,129	$140,083	$71,046	$0
Interest	$6,370,676	$6,370,676	$0	$0
Depreciation, depletion, etc.	$21,670,837	$21,633,824	$37,013	$0
Other expenses not covered above	$117,182,510	$67,920,822	$49,261,688	$0

	2000	2001	2002	2003	2004	2005	2006	2007
Balance Sheets
Total assets	$835,413,831	$1,448,604,344	$660,345,834	$702,001,240	$762,303,515	$820,830,493	$867,445,560	$946,154,369
Cash - non-interest-bearing	$0	$0	$0	$0	$0	$0	$0	$0
Savings and temporary cash investments	$0	$117,456,217	$0	$0	$0	$0	$0	$0
Accounts receivable less allowance for doubtful accounts	$77,768,736	$71,921,577	$61,252,160	$71,999,215	$69,460,077	$64,391,158	$60,005,220	$62,732,285
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	$12,506,894	$8,146,684	$894,637	$1,203,679	$1,372,024	$1,090,146	$927,146	$842,638
Inventories for sale or use	$13,412,874	$13,247,590	$9,080,741	$10,877,762	$10,734,644	$10,790,429	$10,489,924	$11,456,002
Prepaid expenses and deferred charges	$2,711,046	$5,456,482	$2,421,206	$2,745,624	$2,967,298	$3,053,215	$2,709,884	$23,136,005
Investments - publicly-traded securities							$0	$0
Investments - other securities	$0	$0	$0	$0	$0	$0	$0	$0
Investments - land, buildings, and equipment less accumulated depreciation	$0	$0	$0	$0	$0	$0	$0	$0
Investments - other	$21,817,792	$175,685,504	$5,587,817	$5,793,887	$6,783,564	$11,329,541	$11,640,729	$14,325,142
Land, buildings, and equipment less accumulated depreciation	$603,918,769	$576,260,993	$186,755,021	$193,941,291	$198,406,745	$219,879,592	$204,946,647	$217,424,659
Other assets, including program-related investments	$103,277,720	$480,429,297	$394,354,252	$415,439,782	$472,579,163	$510,296,412	$576,726,010	$616,237,638
Total liabilities	$425,124,483	$1,105,538,118	$50,255,756	$55,451,787	$46,365,712	$53,401,777	$77,020,492	$111,352,013
Accounts payable and accrued expenses	$294,775,517	$157,714,529	$34,720,808	$34,840,276	$34,964,751	$40,715,655	$33,725,514	$59,079,104
Grants payable	$0	$0	$0	$0	$0	$0	$0	$0
Deferred revenue	$10,125,667	$586,363	$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	$739,389,377	$0	$0	$0	$0	$0	$0
Mortgages and other notes payable	$4,541,248	$21,372,020	$0	$0	$0	$0	$0	$0
Other liabilities	$115,682,051	$186,475,829	$15,534,948	$20,611,511	$11,400,961	$12,686,122	$43,294,978	$52,272,909
Total liabilities and net assets/fund balances	$835,413,831	$1,448,604,344	$660,345,834	$702,001,240	$762,303,515	$820,830,493	$867,445,560	$946,154,369
Total net assets or fund balances	$410,289,348	$343,066,226	$610,090,078	$646,549,453	$715,937,803	$767,428,716	$790,425,068	$834,802,356

	2000	2001	2002	2003	2004	2005	2006	2007
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
Total revenue	$629,803,199	$708,517,367	$432,868,591	$485,230,997	$535,101,692	$526,665,594	$545,213,598	$572,706,306
Total revenue, gains, and other support per audited financial statements	$1,459,982,000	$1,492,460,000	$1,731,764,000	$1,784,547,000	$1,909,201,000	$523,234,419	$543,549,540	$547,250,806
Other expenses	$795,256,836	$744,393,925	$1,299,893,271	$1,301,209,138	$1,375,548,369	$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	$795,256,836	$744,393,925	$1,299,893,271	$1,301,209,138	$1,375,548,369	$0	$0	$0
Other revenue	$-34,921,965	$-39,548,708	$997,862	$1,893,135	$1,449,061	$3,431,175	$1,664,058	$25,455,500
Investment expenses	$0	$0	$0	$0	$0	$0	$0	$0
Other	$-34,921,965	$-39,548,708	$997,862	$1,893,135	$1,449,061	$3,431,175	$1,664,058	$25,455,500

	2000	2001	2002	2003	2004	2005	2006	2007
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
Total expenses	$597,030,096	$679,694,594	$410,645,317	$444,966,526	$466,390,333	$472,608,235	$522,879,530	$528,387,010
Total expenses and losses per audited financial statements	$1,420,161,000	$1,446,602,000	$1,638,479,000	$1,782,324,000	$1,836,878,000	$472,627,857	$518,684,277	$519,133,813
Other revenue	$823,130,904	$766,907,406	$1,227,833,683	$1,338,425,041	$1,370,802,667	$19,622	$-116,297	$-4,306,848
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	$823,130,904	$766,907,406	$1,227,833,683	$1,338,425,041	$1,370,802,667	$19,622	$-116,297	$-4,306,848
Other expenses	$0	$0	$0	$1,067,567	$315,000	$0	$4,078,956	$4,946,349
Investment expenses	$0	$0	$0	$0	$0	$0	$0	$0
Other	$0	$0	$0	$1,067,567	$315,000	$0	$4,078,956	$4,946,349

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
40	$201,751	$36,465	$9,294
40	$94,438	$3,777	$1,252
40	$228,798	$23,290	$5,917
40	$155,249	$24,406	$9,050
40	$241,737	$36,384	$9,050
40	$503,070	$217,000	$11,810

Total number of officers, directors, and trustees permitted to vote on organization business at board meetings	12
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

Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?	Yes
Was there a liquidation, dissolution, termination, or substantial contraction during the year?	No
Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?	Yes
Direct and indirect political expenditures	$0
Did the organization file Form 1120-POL for this year?	No
Were substantially all dues nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Dues, assessments, and similar amounts from members	$0
Section 162(e) lobbying and political expenditures	$0
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices	$0
Taxable amount of lobbying and political expenditures	$0
Does the organization elect to pay the section 6033(e) tax on the amount above?
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?
Initiation fees and capital contributions	$0
Gross receipts for public use of club facilities	$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?	No
Amount of tax imposed on the organization during the year under: section 4911	$0
Amount of tax imposed on the organization during the year under: section 4912	$0
Amount of tax imposed on the organization during the year under: section 4955	$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?	No
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958	$0
Amount of tax above, reimbursed by the organization	$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?	No
Did the organization acquire a direct or indirect interest in any applicable insurance contract?	No
Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?	No
Number of employees employed in the pay period that includes March 12, 2006	4,211

	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		$16,264,246		$15,433,340	$517,171,255
Program service revenue
Program service revenue 1	000000	$0	00	$0	$369,373,040
Program service revenue 2	000000	$0	00	$0	$937,989
Program service revenue 3	000000	$0	00	$0	$265,362
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	$144,486,574
Fees and contracts from government agencies	000000	$0	00	$0	$0
Membership dues and assessments	000000	$0	00	$0	$61,926
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)	$174,260	$0
Dividends and interest from securities	000000	$0	00	$0	$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	All other ambulatory health care services	$14,208,184	00	$0	$719,900
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))	$4,306,892	$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	Medical and diagnostic laboratories	$2,056,062	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))	$10,952,188	$1,326,464

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)
770628004	50%	$48,990,610	$24,369,760
752008026	50%	$34,135,024	$12,462,087
260422749	50%	$3,487,932	$11,391,653
000000000	0%	$0	$0

Compensation	Contributions to employee benefit plans & deferred compensation	Expense account and other allowances
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2007)
$498,050	$14,843	$12,650
$315,742	$23,412	$250
$233,747	$20,266	$0
$209,038	$18,245	$0
$199,132	$18,954	$0

Total number of other employees paid over $50,000	1,735

Total number of other employees paid over $50,000

1,735

Statements About Activities (for 2007)
Expenses paid or incurred in connection with the lobbying activities	$100
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	$18,069,537	$0	$18,069,537
Gross receipts or sales less returns and allowances	$1,918,441	$0	$0
Cost of goods sold	$0	$0	$0
Gross profit	$1,918,441	$0	$1,918,441
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	$16,151,096	$16	$16,151,096
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	$1,930,550
Compensation of officers, directors, and trustees	$0
Salaries and wages	$536,468
Repairs and maintenance	$39,787
Bad debts	$0
Interest	$0
Taxes and licenses	$38,464
Charitable contributions	$120,149
Depreciation	$48,648
Depletion	$0
Contributions to deferred compensation plans	$0
Employee benefit programs	$90,812
Excess exempt expenses	$0
Excess readership costs	$0
Other deductions	$1,056,222
Unrelated business taxable income	$16,137,987
Unrelated business taxable income before net operating loss deduction	$16,138,987
Net operating loss deduction	$0
Unrelated business taxable income before specific deduction	$16,138,987
Specific deduction	$1,000

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Id	Name	Address	State	Established	Total Income
Organizations performing similar types of work
1	Memorial Hermann Health System	909 Frostwood Suite 2 100, Houston, TX 77024-2301	TX	1973-09	$3,349,562,421
2	Texas Health Resources	612 E Lamar Blvd Ste 600, Arlington, TX 76011-4127	TX	1997-07	$2,638,417,874
3	Christus Health	919 Hidden Rdg, Irving, TX 75038-3813	TX	1946-03	$1,654,479,614
4	Christus Spohn Health System Corporation	600 Elizabeth St, Corp Christi, TX 78404-2235	TX	1946-03	$761,162,659
5	Texas Health Presbyterian Hospital Dallas	8200 Walnut Hill Ln, Dallas, TX 75231-4426	TX	1967-05	$653,540,524
6	Baylor Health Care System	2001 Bryan St Ste 2300, Dallas, TX 75201-3063	TX	1982-06	$556,392,333
7	Covenant Health System	3615 19th St, Lubbock, TX 79410-1203	TX	1998-11	$552,925,902
8	Parkland Community Health Plan Inc	2777 N Stemmons Freeway, Dallas, TX 75207-2277	TX	1997-11	$519,705,987
9	Christus Health Ark-La-Tex	2600 Saint Michael Dr, Texarkana, TX 75503-5220	TX	1946-03	$261,186,564
10	Cook Childrens Health Care System	801 7th Ave, Fort Worth, TX 76104-2733	TX	1999-03	$179,561,056
11	St Vincents Health System Inc	4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623	FL	1946-03	$66,865,460
12	Health Quest Medical Practice P C	1351 Route 55 Ste 200, Lagrangeville, NY 12540-5128	NY	2011-03	$60,477,199
13	Mercy Hospital Cassville	645 Maryville Centre Dr Ste 100, Saint Louis, MO 63141-5846	MO	1946-03	$20,740,287
14	Mount Nittany Health System	1800 E Park Ave, State College, PA 16803-6709	PA	2012-06	$11,322,798
15	Atenas Community Health Center Achc Inc	PO BOX 455, Manati	international	2014-11	$9,883,196
16	Triad Health Systems Inc, Triad Medical Clinic	PO BOX 845, Warsaw, KY 41095-0845	KY	2008-01	$2,034,457
17	Advanced Primary Care Physicians	501 Bath Rd, Bristol, PA 19007-3101	PA	2012-02	$694,036
18	Susquehanna Health Systems Inc	401 Broad Ave, Susquehanna, PA 18847-1611	PA	1998-02	$16,150
19	St Lukes Community Development Corporation - Pmc	6624 Fannin St, Houston, TX 77030-2312	TX	2014-01	$419
20	Bemc Med Pro Fees, Banner Health	1441 N 12th Street, Phoenix, AZ 85006	AZ		$0

Number of organizations performing similar types of work

Alaska	1
Alabama	5
Arizona	8
California	23
Colorado	15
Connecticut	6
Florida	22
Georgia	16
Hawaii	2
Iowa	3
Illinois	19
Indiana	7
Kansas	2
Kentucky	6
Louisiana	3
Massachusetts	15
Maryland	13
Maine	3
Michigan	15
Minnesota	9
Missouri	12
Mississippi	2
Montana	1

North Carolina	7
North Dakota	1
Nebraska	7
New Hampshire	3
New Jersey	8
New Mexico	1
Nevada	2
New York	12
Ohio	26
Oklahoma	6
Oregon	2
Pennsylvania	32
Rhode Island	4
South Carolina	7
Tennessee	10
Texas	20
Utah	1
Virginia	10
Vermont	3
Washington	4
Wisconsin	6
West Virginia	6
International	2

Total

388

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