Skaggs Community Hospital Association, Cox Medical Center Branson in Branson, Missouri (MO)

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Skaggs Community Hospital Association, Cox Medical Center Branson
Employer Identification Number (EIN)440584290
Name of OrganizationSkaggs Community Hospital Association
Secondary NameCox Medical Center Branson
In Care of NameDavid Strong
AddressPO BOX 650, Branson, MO 65615-0650
ActivitiesHospital
SubsectionScientific Organization
Ruling Date05/1948
DeductibilityContributions are deductible
FoundationHospital or medical research organization
OrganizationCorporation
Exempt Organization StatusUnconditional Exemption
Tax Period09/2013
Assets$50,000,000 to greater
Income$50,000,000 to greater
Filing Requirement990 (all other) or 990EZ return
Asset Amount$178,412,958
Amount of Income$79,046,809
Form 990 Revenue Amount$79,006,322
National Taxonomy of Exempt Entities (NTEE)Health - General and Rehabilitative: Hospital, General


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Amount of income in 2013: $79,046,809
Skaggs Community Hospital Association, Cox Medical Center Branson: 

 $79,046,809
Other organizations performing similar types of work: 

 $129,251,994

Assets in 2013: $178,412,958
Skaggs Community Hospital Association, Cox Medical Center Branson: 

 $178,412,958
Other organizations performing similar types of work: 

 $122,242,322

Expenses in 2013: $181,965,221
Skaggs Community Hospital Association, Cox Medical Center Branson: 

 $181,965,221
Other organizations performing similar types of work: 

 $119,720,646

Income to expenses ratio in 2013: 0.4
This organization: 

 0.4
Other organizations performing similar types of work: 

 1.1

Expenses allocated to program services in 2007: 81.8%
This organization: 

 81.8%
Other organizations performing similar types of work: 

 85.7%

Number of employees in 2013: 1,423
Skaggs Community Hospital Association, Cox Medical Center Branson: 

 1,423
Other organizations performing similar types of work: 

 1,105

Employees paid over $100,000 in 2013: 11.6%
This organization: 

 11.6%
Other organizations performing similar types of work: 

 0.0%

Grants share in income in 2013: 0.4%
Skaggs Community Hospital Association, Cox Medical Center Branson: 

 0.4%
Other organizations performing similar types of work: 

 0.2%

Financial snapshot ($)

Revenue for 2013

Assets at the end of 2013

Functional expenses for 2013

Checklist
20122013
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?No
Is the organization required to complete Schedule B, Schedule of Contributors?Yes
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office?No
Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year?No
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19?No
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
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures?No
Did the organization maintain collections of works of art, historical treasures, or other similar assets?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
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments?No
Did the organization report an amount for land, buildings, and equipment?Yes
Did the organization report an amount for investments-other securities that is 5% or more of its total assets?Yes
Did the organization report an amount for investments-program related that is 5% or more of its total assets?No
Did the organization report an amount for other assets that is 5% or more of its total assets?No
Did the organization report an amount for other liabilities?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
Did the organization obtain separate, independent audited financial statements for the tax year?No
Was the organization included in consolidated, independent audited financial statements for the tax year?No
Is the organization a school described in section 170(b)(1)(A)(ii)?No
Did the organization maintain an office, employees, or agents outside of the United States?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
Did the organization report more than $5,000 of grants or other assistance to or for any foreign organization?No
Did the organization report more than $5,000 of aggregate grants or other assistance to or for foreign individuals?No
Did the organization report a total of more than $15,000 of expenses for professional fundraising services?No
Did the organization report more than $15,000 total of fundraising event gross income and contributions?No
Did the organization report more than $15,000 of gross income from gaming activities?No
Did the organization operate one or more hospital facilities?Yes
Did the organization attach a copy of its audited financial statements?Yes
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government?Yes
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals?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
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002?Yes
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?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
Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year?No
Did the organization engage in an excess benefit transaction with a disqualified person during the year?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
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
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
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
A family member of a current or former officer, director, trustee, or key employee?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
Did the organization receive more than $25,000 in non-cash contributions?No
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?No
Did the organization liquidate, terminate, or dissolve and cease operations?No
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?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
Was the organization related to any tax-exempt or taxable entity?Yes
Did the organization have a controlled entity within the meaning of section 512(b)(13)?No
Did the organization make any transfers to an exempt non-charitable related organization?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
Statements Regarding Other IRS Filings and Tax Compliance
201120122013
The number reported in Box 3 of Form 1096150
The number of Forms W-2G0
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?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 return1,423
Did the organization file all required federal employment tax returns?Yes
Did the organization have unrelated business gross income of $1,000 or more during the year?YesYesNo
Has it filed a Form 990-T for this year?No
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
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?No
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?No
Did the organization file Form 8886-T?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
Did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?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
Did the organization notify the donor of the value of the goods or services provided?No
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?No
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?No
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?No
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?No
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?No
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?No
Did the sponsoring organization make any taxable distributions under section 4966?No
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?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
The amount of tax-exempt interest received or accrued during the year$0
Is the organization licensed to issue qualified health plans in more than one state?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
The amount of reserves on hand$0
Did the organization receive any payments for indoor tanning services during the tax year?No
Has it filed a Form 720 to report these payments?No
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
20122013
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
Total reportable compensation from the organization$4,213,106
Total reportable compensation from related organizations$2,030,447
Total estimated amount of other compensation from the organization and related organizations$689,180
Total number of individuals who received more than $100,000 of reportable compensation from the organization65
Total number of independent contractors who received more than $100,000 of compensation from the organization100
Statement of Revenue
201120122013
Total revenue$182,946,356$183,989,596$188,419,879
Contributions, Gifts, Grants and Other Similar Amounts$815,832$587,515$745,045
Program Service Revenue$180,655,469$181,820,734$186,099,475
624100$176,343,852
624100$2,299,206
Cafeterias, Grill Buffets, and Buffets $742,122
Gift, Novelty, and Souvenir Stores $476,769
561000$221,012
All other program service revenue$6,016,514
Other Revenue
Investment income (including dividends, interest, and other similar amounts)$315,821$323,544$335,571
Income from investment of tax-exempt bond proceeds$0$0$0
Royalties$0$0$0
Net rental income$1,199,821$1,125,858$1,183,718
Gross rents (Real / Personal)$1,247,647 / $0$1,273,937 / $0$1,278,697 / $0
Less: rental expenses (Real / Personal)$47,826 / $0$148,079 / $0$94,979 / $0
Rental income or (loss) (Real / Personal)$1,199,821 / $0$1,125,858 / $0$1,183,718 / $0
Net gain/loss from sales of assets other than inventory$-40,587$99,296$182,040
Gross amount from sales of assets other than inventory (Securities / Other)$1,704,182 / $1,920$1,179,071 / $21,089$754,879 / $74,456
Less: cost or other basis and sales expenses (Securities / Other)$1,719,312 / $27,377$1,087,701 / $13,163$631,136 / $16,159
Gain or (loss) (Securities / Other)$-15,130 / $-25,457$91,370 / $7,926$123,743 / $58,297
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$0$32,649$-125,970
900099$-125,970
All other revenue$0
Statement of Functional Expenses
201120122013
Total functional expenses$183,623,789$183,474,529$181,965,221
Grants and other assistance to domestic organizations and domestic governments$125,526
Grants and other assistance to domestic individuals$247,000
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals$0
Benefits paid to or for members$0
Compensation of current officers, directors, trustees, and key employees$1,575,282$741,585$1,205,944
Compensation not included above, to disqualified persons$239,654
Other salaries and wages$54,903,331$55,547,051$57,590,888
Pension plan accruals and contributions$1,618,618
Other employee benefits$7,725,727
Payroll taxes$3,817,329$3,981,619$4,182,044
Fees for services (non-employees)
Management$0
Legal$191,294
Accounting$199,100
Lobbying$0
Professional fundraising services$0$0$0
Investment management fees$0
Other$24,958,390
Advertising and promotion$646,323
Office expenses$4,099,293
Information technology$2,096,114
Royalties$0
Occupancy$3,520,468
Travel$157,171
Payments of travel or entertainment expenses for any federal, state, or local public officials$0
Conferences, conventions, and meetings$468,444
Interest$2,350,627
Payments to affiliates$0
Depreciation, depletion, and amortization$7,896,540
Insurance$1,900,078
Other expenses$29,236,303
Other expenses$22,486,632
Other expenses$8,284,824
Other expenses$391,620
Other expenses$146,599
Balance Sheet
201120122013
Total assets$113,507,476$108,670,196$152,039,918
Cash - non-interest-bearing$6,234,707
Savings and temporary cash investments$20,507,318
Pledges and grants receivable, net$0
Accounts receivable, net$18,459,913
Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees$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
Notes and loans receivable, net$0
Inventories for sale or use$2,195,639
Prepaid expenses and deferred charges$1,279,879
Land, buildings, and equipment: cost or other basis$74,939,348
Investments - publicly traded securities$13,890,288
Investments - other securities$8,006,679
Investments - program-related$1,494,580
Intangible assets$1,468,164
Other assets$3,563,403
Total liabilities$63,197,947$58,180,699$61,582,892
Accounts payable and accrued expenses$10,550,126
Grants payable$0
Deferred revenue$40,036
Tax-exempt bond liabilities$37,120,000$35,845,000$34,505,000
Escrow or custodial account liability$0
Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons$0
Secured mortgages and notes payable to unrelated third parties$11,566,337$10,772,758$14,930,581
Unsecured notes and loans payable to unrelated third parties$0$0$0
Other liabilities (including federal income tax, payables to related third parties, and other liabilities)$1,557,149
Total net assets or fund balances$50,309,529$50,489,497$90,457,026
Unrestricted net assets$81,050,076
Temporarily restricted net assets$1,494,580
Permanently restricted net assets$7,912,370
Capital stock or trust principal, or current funds$0
Paid-in or capital surplus, or land, building, or equipment fund$0
Retained earnings, endowment, accumulated income, or other funds$0$0$0
Reason for Public Charity Status (for 2013)
The organization is not a private foundation because it is:A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii)
Number of organizations supported0
Sum of amounts of support$0
Revenue, Expenses, and Changes in Net Assets or Fund Balances
20002001200220032004200520062007
Total revenue$72,545,762$79,282,150$95,974,932$113,774,707$117,571,770$126,121,989$139,030,170$160,033,943
Contributions, gifts, grants, and similar amounts received$458,234$283,141$970,311$246,796$514,983$987,705$479,174$886,896
Contributions to donor advised funds$0$0
Direct public support$458,234$283,141$970,311$216,334$187,058$987,705$385,185$586,921
Indirect public support$0$0$0$30,462$327,925$0$86,689$299,975
Government contributions (grants)$0$0$0$0$0$0$7,300$0
Program service revenue including government fees and contracts$69,758,763$76,459,579$92,373,366$110,984,961$114,692,966$122,020,743$137,419,962$157,034,322
Membership dues and assessments$0$0$0$0$0$0$0$0
Interest on savings and temporary cash investments$1,144,935$664,060$428,555$273,268$423,613$672,176$1,102,828$979,745
Dividends and interest from securities$0$0$0$0$0$0$0$0
Net rental income or (loss)$0$0$0$0$0$0$0$1,024,499
Gross rents$0$0$0$0$0$0$0$1,024,499
Less: rental expenses$0$0$0$0$0$0$0$0
Other investment income$18,343$190,962$0$0$0$0$0$0
Gain or (loss) from sales of assets other than inventory$0$-164,015$-207,793$15,138$24,209$18,548$28,206$108,481
Gross amount from sales of assets other than inventory$0$134,154$0$15,138$36,249$11,204,611$2,367,977$5,335,394
Less: cost or other basis and sales expenses$0$298,169$207,793$0$12,040$11,186,063$2,339,771$5,226,913
Net income or (loss) from special events and activities$0$0$12,861$0$0$0$0$0
Gross revenue$0$0$21,405$0$0$0$0$0
Less: direct expenses other than fundraising expenses$0$0$8,544$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$1,165,487$1,848,423$2,397,632$2,254,544$1,915,999$2,422,817$0$0
Total expenses$70,721,515$78,860,429$99,668,247$110,878,817$115,943,275$124,334,525$144,335,306$159,366,397
Program services$50,386,796$57,822,716$71,019,505$79,501,732$83,475,659$102,070,659$117,664,451$130,391,947
Management and general$20,334,719$21,037,713$28,648,742$31,377,085$32,467,616$22,263,866$26,670,855$28,974,450
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$57,889,503$57,579,620$53,251,908$58,345,791$60,165,132$62,931,420$58,701,928$58,309,640
Excess or (deficit) for the year$1,824,247$421,721$-3,693,315$2,895,890$1,628,495$1,787,464$-5,305,136$667,546
Net assets or fund balances at beginning of year$56,345,681$57,889,503$57,579,620$53,251,908$58,345,791$60,165,132$62,931,420$58,701,928
Other changes in net assets or fund balances$-280,425$-731,604$-634,397$2,197,993$190,846$978,824$1,075,644$-1,059,834
Statement of Functional Expenses (for 2007)
TotalProgram servicesManagement and generalFundraising
Total functional expenses$159,366,397$130,391,947$28,974,450$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.$2,277,068$434,843$1,842,225$0
Compensation of former officers, directors, key employees, etc.$69,210$0$69,210$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$49,383,216$44,633,708$4,749,508$0
Pension plan contributions not included above$2,082,553$1,880,801$201,752$0
Employee benefits not included above$5,556,213$5,235,719$320,494$0
Payroll taxes$3,593,507$3,245,379$348,128$0
Professional fundraising fees$0$0$0$0
Accounting fees$136,759$0$136,759$0
Legal fees$183,911$0$183,911$0
Supplies$19,977,712$19,767,422$210,290$0
Telephone$358,993$277,605$81,388$0
Postage and shipping$131,292$101,527$29,765$0
Occupancy$0$0$0$0
Equipment rental and maintenance$1,542,513$1,192,809$349,704$0
Printing and publications$0$0$0$0
Travel$185,525$143,465$42,060$0
Conferences, conventions, and meetings$375,852$290,642$85,210$0
Interest$1,802,213$1,393,632$408,581$0
Depreciation, depletion, etc.$7,269,807$5,621,665$1,648,142$0
Other expenses not covered above$64,440,053$46,172,730$18,267,323$0
Balance Sheets
20002001200220032004200520062007
Total assets$94,430,164$95,252,612$91,457,706$99,064,462$100,280,890$120,871,311$118,558,382$117,046,217
Cash - non-interest-bearing$0$0$0$0$0$0$0$0
Savings and temporary cash investments$3,166,921$1,701,147$2,974,230$8,601,073$8,358,216$9,330,203$12,173,279$9,328,820
Accounts receivable less allowance for doubtful accounts$10,780,544$12,715,347$13,962,172$16,541,551$16,421,962$21,386,515$18,373,599$20,233,833
Pledges receivable less allowance for doubtful accounts$0$0$641,000$0$0$0$0$0
Grants receivable$0$0$0$0$0$0$0$0
Receivables from current and former officers, directors, trustees, and key employees$0$0$0$0$0$0$0$0
Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)$0$0
Other notes and loans receivable less allowance for doubtful accounts$0$0$0$0$0$0$0$0
Inventories for sale or use$906,379$808,252$1,153,423$1,890,608$2,197,601$2,554,336$2,530,901$2,634,022
Prepaid expenses and deferred charges$960,709$1,458,817$1,357,695$1,389,948$1,569,911$1,794,307$2,008,137$2,297,468
Investments - publicly-traded securities$25,467,668$21,304,164
Investments - other securities$26,024,714$24,587,307$19,778,748$20,698,161$20,879,925$33,385,692$7,798,628$7,460,431
Investments - land, buildings, and equipment less accumulated depreciation$0$0$0$0$0$0$0$0
Investments - other$685,389$0$0$0$0$1,427,736$760,981$448,492
Land, buildings, and equipment less accumulated depreciation$51,905,508$53,981,742$51,590,438$49,663,913$50,145,949$50,637,417$49,213,230$52,649,398
Other assets, including program-related investments$0$0$0$279,208$707,326$355,105$231,959$689,589
Total liabilities$36,540,661$37,672,992$38,205,798$40,718,671$40,115,758$57,939,891$59,856,454$58,736,577
Accounts payable and accrued expenses$7,632,690$7,393,343$8,719,811$10,235,019$9,425,662$13,078,356$14,214,627$14,288,484
Grants payable$0$0$0$0$0$0$0$0
Deferred revenue$0$0$0$250,000$0$0$0$0
Loans from officers, directors, trustees, and key employees$0$0$0$0$0$0$0$0
Tax-exempt bond liabilities$0$0$0$0$0$0$41,705,000$40,630,000
Mortgages and other notes payable$28,907,971$30,279,649$29,259,829$30,007,494$30,191,111$44,658,427$1,117,321$2,376,383
Other liabilities$0$0$226,158$226,158$498,985$203,108$2,819,506$1,441,710
Total liabilities and net assets/fund balances$94,430,164$95,252,612$91,457,706$99,064,462$100,280,890$120,871,311$118,558,382$117,046,217
Total net assets or fund balances$57,889,503$57,579,620$53,251,908$58,345,791$60,165,132$62,931,420$58,701,928$58,309,640
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
20002001200220032004200520062007
Total revenue$72,545,762$79,282,150$95,974,932$113,774,707$117,571,770$126,121,989$139,030,170$160,033,943
Total revenue, gains, and other support per audited financial statements$72,382,252$79,138,155$95,647,111$115,095,448$117,525,549$126,053,462$138,969,694$159,951,387
Other expenses$0$0$-196,772$1,413,767$45,852$11,702$0$0
Net unrealized gains on investments$0$0$-196,772$1,304,635$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$109,132$45,852$11,702$0$0
Other revenue$163,510$143,995$131,049$93,026$92,073$80,229$60,476$82,556
Investment expenses$0$0$0$0$0$0$0$0
Other$163,510$143,995$131,049$93,026$92,073$80,229$60,476$82,556
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
20002001200220032004200520062007
Total expenses$70,721,515$78,860,429$99,668,247$110,878,817$115,943,275$124,334,525$144,335,306$159,366,397
Total expenses and losses per audited financial statements$70,558,005$78,716,434$99,537,198$110,785,791$115,851,902$124,254,314$144,274,830$159,785,996
Other revenue$0$0$0$0$0$0$0$502,155
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$502,155
Other$0$0$0$0$0$0$0$0
Other expenses$163,510$143,995$131,049$93,026$91,373$80,211$60,476$82,556
Investment expenses$0$0$0$0$0$0$0$0
Other$163,510$143,995$131,049$93,026$91,373$80,211$60,476$82,556
Current Officers, Directors, Trustees, and Key Employees
Average hours per week devoted to positionCompensationContributions to employee benefit plans & deferred compensation plansExpense account and other allowances
40$275,219$18,205$12,791
40$119,791$13,252$280
40$216,159$22,877$320
40$168,575$16,806$0
40$111,786$20,796$280
40$225,494$27,780$480
40$258,920$29,154$480
40$95,674$1,079$17,577
40$208,732$17,355$3,509
40$101,231$9,645$3,429
40$175,921$21,480$480
40$71,028$6,691$3,792
Total number of officers, directors, and trustees permitted to vote on organization business at board meetings14
Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?No
Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?No
Does the organization have a written conflict of interest policy?Yes
Former Officers, Directors, Trustees, and Key Employees That Received Compensation or Other Benefits
Loans and AdvancesCompensationContributions to employee benefit plans & deferred compensation plansExpense account and other allowances
$0$38,305$12,137$13,160
$0$0$5,608$0
Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?Yes
Was there a liquidation, dissolution, termination, or substantial contraction during the year?No
Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?Yes
Direct and indirect political expenditures$0
Did the organization file Form 1120-POL for this year?No
Were substantially all dues nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Dues, assessments, and similar amounts from members$0
Section 162(e) lobbying and political expenditures$0
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices$0
Taxable amount of lobbying and political expenditures$0
Does the organization elect to pay the section 6033(e) tax on the amount above?
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?
Initiation fees and capital contributions$0
Gross receipts for public use of club facilities$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?Yes
Amount of tax imposed on the organization during the year under: section 4911$0
Amount of tax imposed on the organization during the year under: section 4912$0
Amount of tax imposed on the organization during the year under: section 4955$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?No
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958$0
Amount of tax above, reimbursed by the organization$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?No
Did the organization acquire a direct or indirect interest in any applicable insurance contract?No
Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?No
Number of employees employed in the pay period that includes March 12, 20061,134
Analysis of Income-Producing Activities (for 2007)
Unrelated business incomeExcluded by section 512, 513, or 514Related or exempt function income
Business codeAmountExclusion codeAmount
Total$11,318$2,112,725$157,023,004
Program service revenue
Program service revenue 1Miscellaneous store retailers$11,31800$0$157,023,004
Program service revenue 2000000$000$0$0
Program service revenue 3000000$000$0$0
Program service revenue 4000000$000$0$0
Program service revenue 5000000$000$0$0
Medicare/Medicaid payments000000$000$0$0
Fees and contracts from government agencies000000$000$0$0
Membership dues and assessments000000$000$0$0
Interest on savings and temporary cash investments000000$0Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)$979,745$0
Dividends and interest from securities000000$000$0$0
Net rental income or (loss) from real estate
debt-financed property000000$000$0$0
not debt-financed property000000$0Real property rental income that does not depend on the income or profits derived by the person leasing the property and is excluded by section 512(b)(3)$1,024,499$0
Net rental income or (loss) from personal property000000$000$0$0
Other investment income000000$000$0$0
Gain or (loss) from sales of assets other than inventory000000$0Gain (or loss, to the extent allowed) from the sale of investments and other non-inventory property and from certain property acquired from financial institutions that are in conservatorship or receivership (sections 512(b)(5) and 512(b)(16)(A))$108,481$0
Net income or (loss) from special events000000$000$0$0
Gross profit or (loss) from sales of inventory000000$000$0$0
Other revenue000000$000$0$0
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2007)
EIN of corporation, partnership, or disregarded entityPercentage of ownership interestTotal incomeEnd-of-year assets
14195208963%$339,605$6,420,930
43170074750%$136,000$121,125
320231590100%$0$0
352275232100%$0$0
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2007)
CompensationContributions to employee benefit plans & deferred compensationExpense account and other allowances
$803,292$115,126$480
$622,056$25,763$480
$578,133$33,348$480
$503,376$14,613$0
$458,158$29,043$0
Total number of other employees paid over $50,000267
Statements About Activities (for 2007)
Expenses paid or incurred in connection with the lobbying activities$14,083
Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures?No
Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?No
Did the organization maintain any donor advised funds?No
Did the organization make any taxable distributions under section 4966?No
Did the organization make a distribution to a donor, donor advisor, or related person?No
The total number of donor advised funds owned at the end of the tax year$0
The aggregate value of assets held in all donor advised funds owned at the end of the tax year$0
The total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts$0
The aggregate value of assets held in all funds or accounts included above at the end of the tax year$0
Reason for Non-Private Foundation Status
The organization is not a private foundation because it isHospital, or a cooperative hospital service organization
Support Schedule
19992000200120022003200420052006
Total$0$0$0$0$0$0$0$0
Gifts, grants, and contributions received$0$0$0$0$0$0$0$0
Membership fees received$0$0$0$0$0$0$0$0
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose$0$0$0$0$0$0$0$0
Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975$0$0$0$0$0$0$0$0
Net income from unrelated business activities not included above$0$0$0$0$0$0$0$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf$0$0$0$0$0$0$0$0
The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge$0$0$0$0$0$0$0$0
Other income$0$0$0$0$0$0$0$0
Lobbying Expenditures by Electing Public Charities (for 2007)
Total exempt purpose expenditures$0
Total lobbying expenditures$0
Total lobbying expenditures to influence public opinion (grassroots lobbying)$0
Total lobbying expenditures to influence a legislative body (direct lobbying)$0
Other exempt purpose expenditures$0
Lobbying nontaxable amount$0
Grassroots nontaxable amount$0
Unrelated Trade or Business Income (for 2009)
IncomeExpensesNet
Total$22,197$0$22,197
Gross receipts or sales less returns and allowances$22,197$0$0
Cost of goods sold$0$0$0
Gross profit$22,197$0$22,197
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 2009)
Total deductions$20,509
Compensation of officers, directors, and trustees$0
Salaries and wages$0
Repairs and maintenance$0
Bad debts$0
Interest$0
Taxes and licenses$0
Charitable contributions$0
Depreciation$0
Depletion$0
Contributions to deferred compensation plans$0
Employee benefit programs$0
Excess exempt expenses$0
Excess readership costs$0
Other deductions$20,391
Unrelated business taxable income$0
Unrelated business taxable income before net operating loss deduction$1,688
Net operating loss deduction$0
Unrelated business taxable income before specific deduction$0
Specific deduction$0
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Organizations performing similar types of work
IdNameAddressStateEstablishedTotal Income
1Lester E Cox Medical Center, Meyer Orthopedic & Rehab Hospital1423 N Jefferson Ave, Springfield, MO 65802-1917MO1944-08$1,196,966,112
2Mercy Hospitals East Communities, Mercy Hospital St Louis645 Maryville Centre Dr Ste 100, Saint Louis, MO 63141-5846MO1946-03$1,107,258,738
3Mercy Hospital Springfield645 Maryville Centre Dr Ste 100, Saint Louis, MO 63141-5846MO1946-03$965,658,386
4St Lukes Hospital Of Kansas City4401 Wronall Rd, Kansas City, MO 64111MO1935-03$860,588,168
5Barnes Jewish HospitalOne Barnes-Jewish Hosp Plz Ms 90-68, Saint Louis, MO 63110MO2002-03$784,110,076
6Tufts Medical Center Parent Inc, Group Return800 Washington Street Box 468, Boston, MA 02111-1552MA2008-05$718,450,671
7Heartland Regional Medical Center5325 Faraon St, Saint Joseph, MO 64506-3488MO1937-03$714,890,942
8Truman Medical Center Incorporated2301 Holmes St, Kansas City, MO 64108-2640MO1986-10$508,077,000
9Saint Francis Medical Center211 Saint Francis Dr, Cpe Girardeau, MO 63703-5049MO1946-03$495,228,571
10Freeman-Oak Hill Health System1102 W 32nd St, Joplin, MO 64804-3503MO1995-03$487,322,858
11St Anthonys Medical Center10010 Kennerly, St Louis, MO 63128MO1996-01$428,577,905
12Syracuse Community Health Center Inc819 S Salina St, Syracuse, NY 13202-3527NY1992-09$24,912,238
13Wenatchee Valley Hospital820 N Chelan Ave, Wenatchee, WA 98801-2028WA2014-06$119,952,304
14Weeks Medical Center173 Middle St, Lancaster, NH 03584-3508NH1946-12$44,728,107
15Indiana University Health Morgan Hospital Inc2209 John R Wooden R Drive, Martinsville, IN 46151IN2011-09$39,950,032
16Steward St Elizabeths Medical Center Of Boston Inc30 Perwal St, Westwood, MA 02090-1928MA1946-03$24,402,508
17St Lukes Jerome Ltd190 E Bannock St, Boise, ID 83712-6241ID2014-05$18,622,834
18Dimmit Regional HospitalPO BOX 1016, Carrizo Spgs, TX 78834-7016TX2014-08$18,383,438
19Jones County Regional Healthcare System1601 Columbia St, Stamford, TX 79553-6863TX2014-09$10,742,038
20Swisher Memorial Healthcare System539 Se 2nd Strcct, Tulia, TX 79088TX2014-08$10,124,837
Number of organizations performing similar types of work
Alaska3
Alabama19
Arkansas22
Arizona15
California112
Colorado25
Connecticut29
District of Columbia2
Delaware6
Florida53
Georgia52
Hawaii5
Iowa27
Idaho9
Illinois104
Indiana48
Kansas25
Kentucky32
Louisiana22
Massachusetts44
Maryland41
Maine19
Michigan58
Minnesota34
Missouri50
Mississippi19
Montana11
North Carolina47
North Dakota12
Nebraska20
New Hampshire21
New Jersey50
New Mexico7
Nevada4
New York130
Ohio96
Oklahoma17
Oregon24
Pennsylvania131
Rhode Island10
South Carolina15
South Dakota9
Tennessee25
Texas57
Virginia37
Vermont8
Washington22
Wisconsin67
West Virginia24
International10
Total1,729

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