Loudoun Hospital Center, Inova Loudoun Hospital in Falls Church, Virginia (VA)

Loudoun Hospital Center, Inova Loudoun Hospital
Employer Identification Number (EIN)	540525802
Name of Organization	Loudoun Hospital Center
Secondary Name	Inova Loudoun Hospital
Address	8110 Gatehouse Rd Ste 400w, Falls Church, VA 22042-1254
Activities	Hospital
Subsection	Charitable Organization
Ruling Date	05/1941
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 - Not required to file (all other)
Asset Amount	$495,060,309
Amount of Income	$270,154,725
Form 990 Revenue Amount	$269,874,115
National Taxonomy of Exempt Entities (NTEE)	Health - General and Rehabilitative: Hospital, General

Non-representatives - add comments:

Amount of income in 2013: $270,154,725

This organization:	$270,154,725
Other organizations performing similar types of work:	$129,251,994

Assets in 2013: $495,060,309

Loudoun Hospital Center, Inova Loudoun Hospital:	$495,060,309
Other organizations performing similar types of work:	$122,242,322

Expenses in 2012: $217,971,778

Loudoun Hospital Center, Inova Loudoun Hospital:	$217,971,778
Other organizations performing similar types of work:	$119,720,646

Income to expenses ratio in 2012: 1.2

This organization:	1.2
Other organizations performing similar types of work:	1.1

Expenses allocated to program services in 2007: 84.8%

Loudoun Hospital Center, Inova Loudoun Hospital:	84.8%
Other organizations performing similar types of work:	85.7%

Number of employees in 2012: 1,603

This organization:	1,603
Other organizations performing similar types of work:	1,105

Employees paid over $100,000 in 2012: 7.0%

This organization:	7.0%
Other organizations performing similar types of work:	0.0%

Grants share in income in 2012: 0.2%

This organization:	0.2%
Other organizations performing similar types of work:	0.2%

Financial snapshot ($)

Revenue for 2012

Functional expenses for 2012

Statements Regarding Other IRS Filings and Tax Compliance (for 2012)
Did the organization have unrelated business gross income of $1,000 or more during the year?	No
Initiation fees and capital contributions	$0
Gross receipts for public use of club facilities	$0
Gross income from members or shareholders	$0
Gross income from other sources	$0

Statement of Revenue (for 2012)
Total revenue	$260,004,946
Contributions, Gifts, Grants and Other Similar Amounts	$447,250
Program Service Revenue	$251,984,485
Other Revenue
Investment income (including dividends, interest, and other similar amounts)	$3,958,988
Income from investment of tax-exempt bond proceeds	$0
Royalties	$0
Net rental income	$0
Net gain from sales of assets other than inventory	$1,624,239
Gross amount from sales of assets other than inventory (Securities / Other)	$1,984,481 / $0
Less: cost or other basis and sales expenses (Securities / Other)	$360,242 / $0
Gain or (loss) (Securities / Other)	$1,624,239 / $0
Net income from fundraising events	$0
Net income from gaming activities	$0
Net income from sales of inventory	$0
Miscellaneous Revenue	$1,989,984

Statement of Functional Expenses (for 2012)
Total functional expenses	$217,971,778
Compensation of current officers, directors, trustees, and key employees	$2,498,889
Other salaries and wages	$76,306,903
Payroll taxes	$5,673,430
Professional fundraising services	$0
Other	$133,492,556

Balance Sheet (for 2012)
Total assets	$466,120,656
Total liabilities	$29,651,969
Tax-exempt bond liabilities	$0
Secured mortgages and notes payable to unrelated third parties	$649,388
Unsecured notes and loans payable to unrelated third parties	$0
Other	$29,002,581
Total net assets or fund balances	$436,468,687
Retained earnings, endowment, accumulated income, or other funds	$0

Reason for Public Charity Status (for 2012)
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)

	2000	2001	2002	2003	2004	2006	2007
Revenue, Expenses, and Changes in Net Assets or Fund Balances
Total revenue	$83,934,914	$99,978,606	$114,543,976	$129,978,115	$144,690,186	$188,443,929	$199,603,320
Contributions, gifts, grants, and similar amounts received	$602,981	$256,709	$732,000	$1,311,986	$694,398	$1,204,669	$1,012,792
Contributions to donor advised funds						$0	$0
Direct public support	$602,981	$256,709	$732,000	$922,780	$645,223	$1,204,669	$0
Indirect public support	$0	$0	$0	$0	$0	$0	$949,562
Government contributions (grants)	$0	$0	$0	$389,206	$49,175	$0	$63,230
Program service revenue including government fees and contracts	$76,755,531	$94,587,220	$110,977,090	$123,892,296	$135,065,772	$170,153,438	$185,636,410
Membership dues and assessments	$0	$0	$0	$0	$0	$0	$0
Interest on savings and temporary cash investments	$614,916	$2,082,568	$393,921	$767,968	$1,116,752	$748,516	$7,921,790
Dividends and interest from securities	$1,423,431	$456,832	$1,070,936	$1,060,129	$2,600,488	$5,630,286	$39,204
Net rental income or (loss)	$-100,924	$-65	$568,247	$725,651	$923,265	$1,167,681	$0
Gross rents	$134,830	$134,037	$718,247	$725,651	$923,265	$1,167,681	$0
Less: rental expenses	$235,754	$134,102	$150,000	$0	$0	$0	$0
Other investment income	$0	$0	$0	$1,300,150	$44,074	$3,662,830	$936,773
Gain or (loss) from sales of assets other than inventory	$3,055,493	$254,000	$-579,356	$-1,149,654	$17,149	$1,634,433	$2,219,833
Gross amount from sales of assets other than inventory	$3,055,493	$254,000	$0	$0	$17,149	$1,634,433	$2,219,833
Less: cost or other basis and sales expenses	$0	$0	$579,356	$1,149,654	$0	$0	$0
Net income or (loss) from special events and activities	$0	$-20,818	$-240,295	$-159,681	$-128,909	$-137,158	$0
Gross revenue	$0	$57,370	$165,729	$150,243	$110,364	$120,379	$0
Less: direct expenses other than fundraising expenses	$0	$78,188	$406,024	$309,924	$239,273	$257,537	$0
Gross profit or (loss) from sales of inventory	$0	$0	$0	$0	$0	$0	$0
Gross sales of inventory, less returns and allowances	$0	$0	$0	$0	$0	$0	$0
Less: cost of goods sold	$0	$0	$0	$0	$0	$0	$0
Other revenue	$1,583,486	$2,362,160	$1,621,433	$2,229,270	$4,357,197	$4,379,234	$1,836,518
Total expenses	$73,751,484	$86,440,050	$106,981,516	$120,962,775	$151,129,499	$164,832,944	$170,651,122
Program services	$58,804,433	$69,915,445	$84,254,252	$94,492,266	$107,617,942	$131,140,625	$144,747,949
Management and general	$14,345,217	$16,524,605	$22,727,264	$26,470,509	$43,511,557	$33,684,835	$25,903,173
Fundraising	$0	$0	$0	$0	$0	$7,484	$0
Payments to affiliates	$601,834	$0	$0	$0	$0	$0	$0
Net assets or fund balances at end of year	$49,478,009	$61,986,470	$76,319,954	$90,542,216	$212,105,739	$240,951,866	$286,041,122
Excess or (deficit) for the year	$10,183,430	$13,538,556	$7,562,460	$9,015,340	$-6,439,313	$23,610,985	$28,952,198
Net assets or fund balances at beginning of year	$45,476,043	$49,478,009	$61,986,470	$76,319,954	$90,542,216	$217,014,090	$240,951,866
Other changes in net assets or fund balances	$-6,181,464	$-1,030,095	$6,771,024	$5,206,922	$128,002,836	$326,791	$16,137,058

	Total	Program services	Management and general	Fundraising
Statement of Functional Expenses (for 2007)
Total functional expenses	$170,651,122	$144,747,949	$25,903,173	$0
Grants paid from donor advised funds		$0
Other grants and allocations		$0
Specific assistance to individuals		$0
Benefits paid to or for members		$0
Compensation of current officers, directors, key employees, etc.	$0	$0	$0	$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	$73,363,989	$67,032,403	$6,331,586	$0
Pension plan contributions not included above	$3,218,051	$2,930,481	$287,570	$0
Employee benefits not included above	$5,810,183	$5,290,976	$519,207	$0
Payroll taxes	$5,266,001	$4,713,766	$552,235	$0
Professional fundraising fees	$0	$0	$0	$0
Accounting fees	$0	$0	$0	$0
Legal fees	$532,838	$207,094	$325,744	$0
Supplies	$24,706,695	$24,234,885	$471,810	$0
Telephone	$750,984	$593,951	$157,033	$0
Postage and shipping	$83,604	$77,170	$6,434	$0
Occupancy	$4,986,043	$2,684,749	$2,301,294	$0
Equipment rental and maintenance	$2,144,379	$1,820,533	$323,846	$0
Printing and publications	$690,189	$615,701	$74,488	$0
Travel	$179,616	$131,752	$47,864	$0
Conferences, conventions, and meetings	$161,793	$55,702	$106,091	$0
Interest	$2,385,684	$2,017,210	$368,474	$0
Depreciation, depletion, etc.	$12,632,379	$8,263,764	$4,368,615	$0
Other expenses not covered above	$33,738,694	$24,077,812	$9,660,882	$0

	2000	2001	2002	2003	2004	2006	2007
Balance Sheets
Total assets	$126,824,058	$168,063,665	$192,484,858	$203,279,696	$322,755,411	$343,727,495	$387,958,081
Cash - non-interest-bearing	$1,650,723	$2,205,886	$6,246,678	$4,555,527	$6,542,024	$13,536,966	$10,142,082
Savings and temporary cash investments	$15,699,916	$28,627,641	$27,978,271	$36,452,849	$30,973,360	$0	$0
Accounts receivable less allowance for doubtful accounts	$6,056,619	$15,990,458	$18,678,277	$22,389,296	$17,224,451	$20,193,000	$21,250,294
Pledges receivable less allowance for doubtful accounts	$213,768	$210,888	$152,262	$86,262	$86,262	$1,952	$0
Grants receivable	$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
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	$262,031	$193,547	$957,222	$752,646	$1,008,529	$1,446,174	$766,508
Inventories for sale or use	$1,216,803	$1,455,129	$1,944,290	$2,411,769	$2,447,615	$2,148,397	$2,513,715
Prepaid expenses and deferred charges	$5,766,832	$7,211,004	$7,782,195	$7,589,946	$3,807,090	$2,339,940	$3,375,817
Investments - publicly-traded securities						$0	$0
Investments - other securities	$40,153,458	$50,997,150	$41,547,611	$37,170,526	$0	$0	$0
Investments - land, buildings, and equipment less accumulated depreciation	$0	$15,000	$0	$0	$0	$0	$0
Investments - other	$0	$0	$0	$0	$152,456,888	$159,196,770	$175,358,191
Land, buildings, and equipment less accumulated depreciation	$54,858,922	$61,154,810	$87,195,900	$90,539,084	$106,142,902	$137,712,758	$154,370,452
Other assets, including program-related investments	$944,986	$2,152	$2,152	$1,331,791	$2,066,290	$7,151,538	$20,181,022
Total liabilities	$77,346,049	$106,077,195	$116,164,904	$112,737,480	$110,649,672	$102,775,629	$101,916,959
Accounts payable and accrued expenses	$10,413,182	$13,474,494	$17,610,324	$21,282,473	$17,363,090	$17,283,622	$21,350,705
Grants payable	$0	$0	$0	$0	$0	$0	$0
Deferred revenue	$0	$0	$0	$0	$0	$0	$0
Loans from officers, directors, trustees, and key employees	$0	$0	$0	$0	$0	$0	$0
Tax-exempt bond liabilities	$62,264,832	$79,324,648	$78,101,611	$76,530,903	$75,200,000	$72,500,000	$69,700,000
Mortgages and other notes payable	$3,389,163	$12,137,917	$11,150,999	$10,137,913	$12,329,266	$10,136,820	$8,548,898
Other liabilities	$1,278,872	$1,140,136	$9,301,970	$4,786,191	$5,757,316	$2,855,187	$2,317,356
Total liabilities and net assets/fund balances	$126,824,058	$168,063,665	$192,484,858	$203,279,696	$322,755,411	$343,727,495	$387,958,081
Total net assets or fund balances	$49,478,009	$61,986,470	$76,319,954	$90,542,216	$212,105,739	$240,951,866	$286,041,122

	2000	2001	2002	2003	2004	2006	2007
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
Total revenue	$83,934,914	$99,978,606	$114,543,976	$129,978,115	$144,690,186	$188,443,929	$199,603,320
Total revenue, gains, and other support per audited financial statements	$78,465,517	$97,763,000	$115,176,000	$133,323,000	$136,839,965	$2,011,923,000	$2,140,719,000
Other expenses	$-5,469,397	$-2,427,000	$52,000	$3,687,888	$0	$1,823,479,071	$1,941,115,680
Net unrealized gains on investments	$-5,742,905	$-2,427,000	$52,000	$3,687,888	$0	$0	$0
Donated services and use of facilities	$0	$0	$0	$0	$0	$0	$0
Recoveries of prior year grants	$0	$0	$0	$0	$0	$0	$0
Other	$273,508	$0	$0	$0	$0	$1,823,479,071	$1,941,115,680
Other revenue	$0	$-211,394	$-580,024	$343,003	$7,850,221	$0	$0
Investment expenses	$0	$0	$0	$0	$0	$0	$0
Other	$0	$-211,394	$-580,024	$343,003	$7,850,221	$0	$0

	2000	2001	2002	2003	2004	2006	2007
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
Total expenses	$73,751,484	$86,440,050	$106,981,516	$120,962,775	$151,129,499	$164,832,944	$170,651,122
Total expenses and losses per audited financial statements	$73,382,888	$86,574,152	$107,156,000	$120,992,000	$143,040,005	$1,733,972,000	$1,846,643,000
Other revenue	$233,238	$134,102	$174,484	$29,225	$0	$1,569,139,056	$1,675,991,878
Donated services and use of facilities	$0	$0	$0	$0	$0	$0	$0
Prior year adjustments	$0	$0	$0	$0	$0	$0	$0
Losses	$0	$0	$0	$0	$0	$0	$0
Other	$233,238	$134,102	$174,484	$29,225	$0	$1,569,139,056	$1,675,991,878
Other expenses	$601,834	$0	$0	$0	$8,089,494	$0	$0
Investment expenses	$0	$0	$0	$0	$0	$0	$0
Other	$601,834	$0	$0	$0	$8,089,494	$0	$0

Current Officers, Directors, Trustees, and Key Employees

Total number of officers, directors, and trustees permitted to vote on organization business at board meetings	17
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?	No
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	1,381

	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		$0		$12,954,118	$185,636,410
Program service revenue
Program service revenue 1	000000	$0	00	$0	$180,512,103
Program service revenue 2	000000	$0	00	$0	$5,124,307
Program service revenue 3	000000	$0	00	$0	$0
Program service revenue 4	000000	$0	00	$0	$0
Program service revenue 5	000000	$0	00	$0	$0
Medicare/Medicaid payments	000000	$0	00	$0	$0
Fees and contracts from government agencies	000000	$0	00	$0	$0
Membership dues and assessments	000000	$0	00	$0	$0
Interest on savings and temporary cash investments	000000	$0	Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)	$7,921,790	$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)	$39,204	$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	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)	$936,773	$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))	$2,219,833	$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	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))	$1,836,518	$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)
311632830	100%	$0	$0
000000000	0%	$0	$0
000000000	0%	$0	$0
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)
$373,996	$74,799	$0
$262,776	$52,555	$0
$221,500	$44,300	$0
$206,723	$41,345	$0
$175,991	$35,198	$0

Total number of other employees paid over $50,000	525

Total number of other employees paid over $50,000

525

Statements About Activities (for 2007)
Expenses paid or incurred in connection with the lobbying activities	$68,500
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	2005	2006
Support Schedule
Total	$0	$0	$0	$0	$0	$0	$0
Gifts, grants, and contributions received	$0	$0	$0	$0	$0	$0	$0
Membership fees received	$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
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
Net income from unrelated business activities not included above	$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
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
Other income	$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

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Id	Name	Address	State	Established	Total Income
Organizations performing similar types of work
1	Centra Health Inc	1920 Atherholt Rd, Lynchburg, VA 24501-1104	VA	1963-03	$1,369,635,635
2	Tufts Medical Center Parent Inc, Group Return	800 Washington Street Box 468, Boston, MA 02111-1552	MA	2008-05	$718,450,671
3	St Marys Hospital Of Richmond Inc	8580 Magellan Parkway Building Iv, Richmond, VA 23227-1149	VA	1962-06	$666,376,103
4	Sentara Rmh Medical Center	2010 Health Campus Dr, Rockingham, VA 22801-8679	VA	1930-06	$517,307,760
5	Maryview Hospital	3636 High St, Portsmouth, VA 23707-3236	VA	1946-07	$385,713,475
6	Riverside Healthcare Association Inc, Riverside Hospital Inc	608 Denbigh Blvd Ste 701, Newport News, VA 23608-4457	VA	2010-04	$376,312,745
7	Carilion New River Valley Medical Center	PO BOX 12385, Roanoke, VA 24025-2385	VA	1941-11	$368,172,632
8	Inova Alexandria Hospital	8110 Gatehouse Rd Ste 400w, Falls Church, VA 22042-1254	VA	1956-02	$340,395,893
9	Augusta Health Care Inc, Augusta Medical Center	78 Medical Center Dr, Fishersville, VA 22939-2332	VA	1989-05	$279,356,193
10	Loudoun Hospital Center, Inova Loudoun Hospital	8110 Gatehouse Rd Ste 400w, Falls Church, VA 22042-1254	VA	1941-05	$270,154,725
11	Bon Secours St Francis Medical Center Inc	8580 Magellan Parkway Building Iv, Richmond, VA 23227-1149	VA	2000-10	$259,057,941
12	Syracuse Community Health Center Inc	819 S Salina St, Syracuse, NY 13202-3527	NY	1992-09	$24,912,238
13	Wenatchee Valley Hospital	820 N Chelan Ave, Wenatchee, WA 98801-2028	WA	2014-06	$119,952,304
14	Weeks Medical Center	173 Middle St, Lancaster, NH 03584-3508	NH	1946-12	$44,728,107
15	Indiana University Health Morgan Hospital Inc	2209 John R Wooden R Drive, Martinsville, IN 46151	IN	2011-09	$39,950,032
16	Steward St Elizabeths Medical Center Of Boston Inc	30 Perwal St, Westwood, MA 02090-1928	MA	1946-03	$24,402,508
17	St Lukes Jerome Ltd	190 E Bannock St, Boise, ID 83712-6241	ID	2014-05	$18,622,834
18	Dimmit Regional Hospital	PO BOX 1016, Carrizo Spgs, TX 78834-7016	TX	2014-08	$18,383,438
19	Jones County Regional Healthcare System	1601 Columbia St, Stamford, TX 79553-6863	TX	2014-09	$10,742,038
20	Swisher Memorial Healthcare System	539 Se 2nd Strcct, Tulia, TX 79088	TX	2014-08	$10,124,837

Number of organizations performing similar types of work

Alaska	3
Alabama	19
Arkansas	22
Arizona	15
California	112
Colorado	25
Connecticut	29
District of Columbia	2
Delaware	6
Florida	53
Georgia	52
Hawaii	5
Iowa	27
Idaho	9
Illinois	104
Indiana	48
Kansas	25
Kentucky	32
Louisiana	22
Massachusetts	44
Maryland	41
Maine	19
Michigan	58
Minnesota	34
Missouri	50

Mississippi	19
Montana	11
North Carolina	47
North Dakota	12
Nebraska	20
New Hampshire	21
New Jersey	50
New Mexico	7
Nevada	4
New York	130
Ohio	96
Oklahoma	17
Oregon	24
Pennsylvania	131
Rhode Island	10
South Carolina	15
South Dakota	9
Tennessee	25
Texas	57
Virginia	37
Vermont	8
Washington	22
Wisconsin	67
West Virginia	24
International	10

Total

1,729

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