Sentara Hospitals in Norfolk, Virginia (VA)

Sentara Hospitals
Employer Identification Number (EIN)	541547408
Name of Organization	Sentara Hospitals
Address	1615 Poplar Hall Dr, Norfolk, VA 23502
Activities	Hospital
Subsection	Charitable Organization
Ruling Date	08/1990
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	$1,139,263,060
Amount of Income	$1,919,010,532
Form 990 Revenue Amount	$1,914,329,707
National Taxonomy of Exempt Entities (NTEE)	Health - General and Rehabilitative: Hospitals and Related Primary Medical Care Facilities

Non-representatives - add comments:

Amount of income in 2013: $1,919,010,532

Sentara Hospitals:	$1,919,010,532
Other organizations performing similar types of work:	$81,685,551

Assets in 2013: $1,139,263,060

Sentara Hospitals:	$1,139,263,060
Other organizations performing similar types of work:	$54,276,000

Expenses in 2013: $1,767,637,519

Sentara Hospitals:	$1,767,637,519
Other organizations performing similar types of work:	$114,353,241

Income to expenses ratio in 2013: 1.1

Sentara Hospitals:	1.1
Other organizations performing similar types of work:	1.0

Expenses allocated to program services in 2007: 82.9%

Sentara Hospitals:	82.9%
Other organizations performing similar types of work:	85.6%

Number of employees in 2013: 12,602

Sentara Hospitals:	12,602
Other organizations performing similar types of work:	592

Employees paid over $100,000 in 2013: 6.3%

Sentara Hospitals:	6.3%
Other organizations performing similar types of work:	0.0%

Grants share in income in 2013: 0.7%

This organization:	0.7%
Other organizations performing similar types of work:	0.3%

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)?	Yes	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	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	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?	Yes	Yes
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?	Yes	Yes
Did the organization answer 'Yes' about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees?	Yes	Yes
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002?	No	No
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?	No	No
Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds?	No	No
Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year?	No	No
Did the organization engage in an excess benefit transaction with a disqualified person during the year?	No	No
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?	No	No
Did the organization report any amount for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?	No	No
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons?	No	No
Was the organization a party to a business transaction with one of the following parties
A current or former officer, director, trustee, or key employee?	No	No
A family member of a current or former officer, director, trustee, or key employee?	Yes	Yes
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner?	Yes	Yes
Did the organization receive more than $25,000 in non-cash contributions?	No	No
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?	No	No
Did the organization liquidate, terminate, or dissolve and cease operations?	No	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?	Yes	Yes
Was the organization related to any tax-exempt or taxable entity?	Yes	Yes
Did the organization have a controlled entity within the meaning of section 512(b)(13)?	Yes	Yes
Did the organization make any transfers to an exempt non-charitable related organization?	Yes	Yes
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		1,218	1,293
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		11,421	12,602
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	$9,403,038	$10,254,501
Total reportable compensation from related organizations	$13,168,417	$9,410,721
Total estimated amount of other compensation from the organization and related organizations	$4,042,933	$2,051,818
Total number of individuals who received more than $100,000 of reportable compensation from the organization	587	577
Total number of independent contractors who received more than $100,000 of compensation from the organization	198	214

	2011	2012	2013
Statement of Revenue
Total revenue	$1,850,024,127	$1,842,204,289	$1,914,329,707
Contributions, Gifts, Grants and Other Similar Amounts	$14,647,317	$16,531,589	$13,691,692
Program Service Revenue	$1,825,966,271	$1,814,539,868	$1,889,889,700
900099		$1,763,275,952	$1,834,944,931
621500		$21,119,984	$19,691,130
900099		$15,028,571	$17,969,960
900099		$11,421,726	$13,518,681
900099		$3,693,635	$3,764,998
All other program service revenue		$0	$0
Other Revenue
Investment income (including dividends, interest, and other similar amounts)	$2,416,399	$1,943,526	$1,881,664
Income from investment of tax-exempt bond proceeds	$0	$0	$0
Royalties	$0	$0	$0
Net rental income	$1,986,379	$3,461,310	$3,553,429
Gross rents (Real / Personal)	$2,073,117 / $0	$3,471,155 / $0	$3,600,693 / $0
Less: rental expenses (Real / Personal)	$86,738 / $0	$9,845 / $0	$47,264 / $0
Rental income or (loss) (Real / Personal)	$1,986,379 / $0	$3,461,310 / $0	$3,553,429 / $0
Net gain/loss from sales of assets other than inventory	$-534,003	$141,900	$296,650
Gross amount from sales of assets other than inventory (Securities / Other)	$1,094,895 / $1,055,875	$3,681,216 / $62,156	$4,737,291 / $192,920
Less: cost or other basis and sales expenses (Securities / Other)	$998,163 / $1,686,610	$3,403,566 / $197,906	$4,467,812 / $165,749
Gain or (loss) (Securities / Other)	$96,732 / $-630,735	$277,650 / $-135,750	$269,479 / $27,171
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	$5,541,764	$5,586,096	$5,016,572
900099		$4,189,118	$3,711,263
900099		$837,844	$962,698
900099		$219,239	$183,888
All other revenue		$339,895	$158,723

	2011	2012	2013
Statement of Functional Expenses
Total functional expenses	$1,694,911,848	$1,661,412,896	$1,767,637,519
Grants and other assistance to domestic organizations and domestic governments		$18,022,700	$27,018,660
Grants and other assistance to domestic individuals		$204,028	$247,046
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	$7,593,203	$7,682,208	$7,186,903
Compensation not included above, to disqualified persons		$73,775	$11,593
Other salaries and wages	$581,095,719	$575,851,455	$610,601,821
Pension plan accruals and contributions		$51,461,454	$58,824,847
Other employee benefits		$59,684,034	$64,204,305
Payroll taxes	$42,983,857	$42,460,979	$45,079,401
Fees for services (non-employees)
Management		$17,381,237	$19,457,805
Legal		$1,495,861	$1,264,908
Accounting		$32,108	$10,376
Lobbying		$0	$0
Professional fundraising services	$0	$0	$0
Investment management fees		$0	$0
Other		$137,372,481	$150,253,448
Advertising and promotion		$311,049	$505,632
Office expenses		$73,844,364	$83,845,871
Information technology		$19,333,295	$19,851,898
Royalties		$0	$0
Occupancy		$33,223,849	$41,007,269
Travel		$2,200,974	$2,771,305
Payments of travel or entertainment expenses for any federal, state, or local public officials		$0	$0
Conferences, conventions, and meetings		$734,343	$862,310
Interest		$11,691,879	$11,314,938
Payments to affiliates		$0	$0
Depreciation, depletion, and amortization		$100,152,716	$99,611,570
Insurance		$3,797,322	$5,258,615
Other expenses		$327,973,053	$344,908,920
Other expenses		$141,248,231	$163,056,796
Other expenses		$17,841,992	$397,600
Other expenses		$-167,641	$20,715,626
Other expenses		$17,505,150	$-10,631,944

	2011	2012	2013
Balance Sheet
Total assets	$1,082,186,427	$1,117,692,895	$1,139,263,060
Cash - non-interest-bearing		$0	$0
Savings and temporary cash investments		$0	$0
Pledges and grants receivable, net		$1,159,821	$827,302
Accounts receivable, net		$245,209,092	$233,399,044
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		$722,346	$188,097
Inventories for sale or use		$34,558,720	$37,923,740
Prepaid expenses and deferred charges		$14,340,704	$9,836,297
Land, buildings, and equipment: cost or other basis		$712,507,165	$739,867,299
Investments - publicly traded securities		$5,518,549	$1,762,926
Investments - other securities		$0	$0
Investments - program-related		$0	$0
Intangible assets		$21,303,478	$21,178,478
Other assets		$82,373,020	$94,279,877
Total liabilities	$166,401,802	$170,304,993	$159,712,676
Accounts payable and accrued expenses		$46,106,241	$42,041,155
Grants payable		$0	$0
Deferred revenue		$1,893,416	$1,714,473
Tax-exempt bond liabilities	$32,565,000	$26,948,334	$22,433,334
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	$699,987	$413,890	$107,112
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)		$94,943,112	$93,416,602
Total net assets or fund balances	$915,784,625	$947,387,902	$979,550,384
Unrestricted net assets		$940,653,605	$972,506,472
Temporarily restricted net assets		$4,737,248	$5,010,658
Permanently restricted net assets		$1,997,049	$2,033,254
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	$522,290,142	$576,603,660	$893,778,858	$1,013,657,220	$1,096,518,726	$1,233,436,554	$1,357,229,186	$1,523,570,016
Contributions, gifts, grants, and similar amounts received	$1,926,617	$376,732	$5,009,779	$1,044,048	$1,401,857	$1,607,588	$1,441,333	$1,996,829
Contributions to donor advised funds							$0	$0
Direct public support	$1,926,617	$376,732	$5,009,779	$1,044,048	$1,401,857	$1,607,588	$1,441,333	$1,996,829
Indirect public support	$0	$0	$0	$0	$0	$0	$0	$0
Government contributions (grants)	$0	$0	$0	$0	$0	$0	$0	$0
Program service revenue including government fees and contracts	$494,581,978	$527,255,189	$883,315,581	$994,869,448	$1,070,916,799	$1,205,067,126	$1,314,987,197	$1,465,591,862
Membership dues and assessments	$0	$0	$0	$0	$0	$0	$0	$0
Interest on savings and temporary cash investments	$0	$0	$0	$0	$0	$0	$0	$0
Dividends and interest from securities	$15,655,899	$16,112,787	$11,953,539	$13,901,181	$12,574,210	$17,160,987	$27,862,308	$43,612,134
Net rental income or (loss)	$109,372	$156,209	$452,848	$455,743	$447,772	$479,401	$571,139	$925,057
Gross rents	$109,372	$156,209	$452,848	$455,743	$447,772	$479,401	$571,139	$925,057
Less: rental expenses	$0	$0	$0	$0	$0	$0	$0	$0
Other investment income	$12,708	$43,720	$0	$0	$0	$0	$0	$0
Gain or (loss) from sales of assets other than inventory	$6,840,478	$29,261,895	$-11,575,259	$-1,553,211	$9,555,474	$5,717,206	$8,487,063	$7,337,833
Gross amount from sales of assets other than inventory	$8,002,440	$29,866,947	$435,350	$18,150	$685,479,968	$678,278,250	$9,085,154	$7,520,655
Less: cost or other basis and sales expenses	$1,161,962	$605,052	$12,010,609	$1,571,361	$675,924,494	$672,561,044	$598,091	$182,822
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	$3,163,090	$3,397,128	$4,622,370	$4,940,011	$1,622,614	$3,404,246	$3,880,146	$4,106,301
Total expenses	$453,814,572	$490,037,216	$837,651,373	$944,593,263	$1,015,061,901	$1,121,474,651	$1,222,085,731	$1,395,378,897
Program services	$372,834,059	$403,706,203	$689,460,206	$777,324,624	$834,370,992	$929,750,883	$1,004,680,113	$1,156,438,079
Management and general	$80,980,513	$86,331,013	$148,191,167	$167,268,639	$180,690,909	$191,723,768	$217,405,618	$238,940,818
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	$529,090,203	$555,363,234	$733,744,267	$880,695,660	$975,670,747	$1,055,917,649	$1,233,880,767	$1,506,263,418
Excess or (deficit) for the year	$68,475,570	$86,566,444	$56,127,485	$69,063,957	$81,456,825	$111,961,903	$135,143,455	$128,191,119
Net assets or fund balances at beginning of year	$469,278,186	$529,090,203	$555,363,234	$733,744,267	$880,695,660	$975,670,747	$1,055,917,649	$1,233,880,767
Other changes in net assets or fund balances	$-8,663,553	$-60,293,413	$122,253,548	$77,887,436	$13,518,262	$-31,715,001	$42,819,663	$144,191,532

	Total	Program services	Management and general	Fundraising
Statement of Functional Expenses (for 2007)
Total functional expenses	$1,395,378,897	$1,156,438,079	$238,940,818	$0
Grants paid from donor advised funds		$0
Other grants and allocations		$15,193,967
Specific assistance to individuals		$0
Benefits paid to or for members		$0
Compensation of current officers, directors, key employees, etc.	$5,219,992	$4,280,394	$939,598	$0
Compensation of former officers, directors, key employees, etc.	$103,007	$84,466	$18,541	$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)	$110,883	$90,924	$19,959	$0
Salaries and wages of employees not included above	$511,339,404	$420,337,125	$91,002,279	$0
Pension plan contributions not included above	$28,199,880	$23,123,902	$5,075,978	$0
Employee benefits not included above	$36,923,717	$30,277,448	$6,646,269	$0
Payroll taxes	$36,839,997	$30,208,798	$6,631,199	$0
Professional fundraising fees	$0	$0	$0	$0
Accounting fees	$0	$0	$0	$0
Legal fees	$845,163	$693,034	$152,129	$0
Supplies	$300,656,910	$246,538,666	$54,118,244	$0
Telephone	$4,551,278	$3,732,048	$819,230	$0
Postage and shipping	$2,258,979	$1,852,363	$406,616	$0
Occupancy	$23,658,050	$19,399,601	$4,258,449	$0
Equipment rental and maintenance	$28,420,805	$23,305,060	$5,115,745	$0
Printing and publications	$0	$0	$0	$0
Travel	$0	$0	$0	$0
Conferences, conventions, and meetings	$0	$0	$0	$0
Interest	$20,712,071	$16,983,898	$3,728,173	$0
Depreciation, depletion, etc.	$96,299,267	$78,965,399	$17,333,868	$0
Other expenses not covered above	$284,045,527	$241,370,986	$42,674,541	$0

	2000	2001	2002	2003	2004	2005	2006	2007
Balance Sheets
Total assets	$686,777,154	$769,908,390	$1,044,384,746	$1,194,838,073	$1,293,205,284	$1,399,208,459	$1,390,852,153	$1,708,574,247
Cash - non-interest-bearing	$0	$0	$0	$0	$0	$0	$0	$0
Savings and temporary cash investments	$11,059,823	$25,213,154	$0	$0	$0	$0	$0	$0
Accounts receivable less allowance for doubtful accounts	$84,415,559	$93,060,634	$133,894,157	$167,048,234	$151,110,184	$158,474,247	$173,346,727	$179,445,752
Pledges receivable less allowance for doubtful accounts	$0	$0	$0	$0	$0	$0	$0	$0
Grants receivable	$0	$0	$0	$0	$0	$0	$0	$0
Receivables from current and former officers, directors, trustees, and key employees	$0	$0	$0	$0	$0	$0	$0	$0
Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)							$0	$0
Other notes and loans receivable less allowance for doubtful accounts	$0	$0	$0	$718,381	$249,546	$196,609	$103,118	$366,270
Inventories for sale or use	$7,154,694	$7,069,076	$12,906,342	$14,422,973	$15,608,409	$16,140,342	$21,849,725	$25,365,870
Prepaid expenses and deferred charges	$1,332,333	$1,487,546	$3,531,644	$4,701,267	$4,500,816	$5,751,682	$5,706,247	$4,975,626
Investments - publicly-traded securities							$567,992,954	$627,191,855
Investments - other securities	$0	$0	$407,562,541	$491,427,363	$539,994,380	$573,530,246	$75,877,941	$75,461,705
Investments - land, buildings, and equipment less accumulated depreciation	$2,657,429	$2,657,429	$5,148,577	$5,148,577	$5,148,577	$5,148,577	$5,148,577	$5,148,577
Investments - other	$376,409,641	$363,766,825	$2,878,720	$2,976,294	$8,026,656	$11,397,751	$14,632,156	$17,755,613
Land, buildings, and equipment less accumulated depreciation	$197,346,952	$196,949,631	$385,446,937	$401,725,717	$422,612,522	$486,788,870	$502,919,771	$651,313,903
Other assets, including program-related investments	$6,400,723	$79,704,095	$93,015,828	$106,669,267	$145,954,194	$141,780,135	$23,274,937	$121,549,076
Total liabilities	$157,686,951	$214,545,156	$310,640,479	$314,142,413	$317,534,537	$343,290,810	$156,971,386	$202,310,829
Accounts payable and accrued expenses	$25,267,798	$37,306,566	$27,926,808	$26,493,814	$24,035,157	$36,967,551	$32,224,489	$41,003,470
Grants payable	$0	$0	$0	$0	$0	$0	$0	$0
Deferred revenue	$181,422	$0	$0	$1,044,000	$399,180	$401,604	$419,568	$1,013,600
Loans from officers, directors, trustees, and key employees	$0	$0	$0	$0	$0	$0	$0	$0
Tax-exempt bond liabilities	$0	$56,565,000	$95,995,000	$91,850,000	$38,275,000	$36,380,000	$34,390,000	$32,305,000
Mortgages and other notes payable	$58,555,203	$0	$0	$2,340,000	$2,229,611	$2,064,027	$1,865,882	$3,160,598
Other liabilities	$73,682,528	$120,673,590	$186,718,671	$192,414,599	$252,595,589	$267,477,628	$88,071,447	$124,828,161
Total liabilities and net assets/fund balances	$686,777,154	$769,908,390	$1,044,384,746	$1,194,838,073	$1,293,205,284	$1,399,208,459	$1,390,852,153	$1,708,574,247
Total net assets or fund balances	$529,090,203	$555,363,234	$733,744,267	$880,695,660	$975,670,747	$1,055,917,649	$1,233,880,767	$1,506,263,418

	2000	2001	2002	2003	2004	2005	2006	2007
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
Total revenue	$522,290,142	$576,603,660	$893,778,858	$1,013,657,220	$1,096,518,726	$1,233,436,554	$1,357,229,186	$1,523,570,016
Total revenue, gains, and other support per audited financial statements	$524,026,972	$520,140,584	$859,608,752	$1,084,175,571	$1,120,116,911	$1,239,791,398	$1,387,839,673	$1,519,805,517
Other expenses	$2,418,747	$-55,717,450	$-29,609,503	$71,587,851	$26,309,271	$10,100,625	$34,555,629	$1,041,358
Net unrealized gains on investments	$-2,193,253	$-55,717,450	$-29,609,503	$71,587,851	$26,309,271	$10,100,625	$34,555,629	$1,000,253
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	$4,612,000	$0	$0	$0	$0	$0	$0	$41,105
Other revenue	$681,917	$745,626	$4,560,603	$1,069,500	$2,711,086	$3,745,781	$3,945,142	$4,805,857
Investment expenses	$0	$0	$0	$0	$0	$0	$0	$0
Other	$681,917	$745,626	$4,560,603	$1,069,500	$2,711,086	$3,745,781	$3,945,142	$4,805,857

	2000	2001	2002	2003	2004	2005	2006	2007
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
Total expenses	$453,814,572	$490,037,216	$837,651,373	$944,593,263	$1,015,061,901	$1,121,474,651	$1,222,085,731	$1,395,378,897
Total expenses and losses per audited financial statements	$447,669,650	$479,855,914	$823,456,905	$930,034,153	$1,003,567,411	$1,110,637,550	$1,206,843,945	$1,379,130,908
Other revenue	$0	$0	$-2,000	$0	$0	$223,676	$344,091	$0
Donated services and use of facilities	$0	$0	$0	$0	$0	$0	$0	$0
Prior year adjustments	$0	$0	$0	$0	$0	$0	$0	$0
Losses	$0	$0	$0	$0	$0	$0	$0	$0
Other	$0	$0	$-2,000	$0	$0	$223,676	$344,091	$0
Other expenses	$6,144,922	$10,181,302	$14,192,468	$14,559,110	$11,494,490	$11,060,777	$15,585,877	$16,247,989
Investment expenses	$0	$0	$0	$0	$0	$0	$0	$0
Other	$6,144,922	$10,181,302	$14,192,468	$14,559,110	$11,494,490	$11,060,777	$15,585,877	$16,247,989

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	$194,444	$88,124	$910
40	$446,291	$339,977	$12,940
40	$398,525	$239,136	$13,880
40	$327,750	$166,725	$0
40	$206,620	$80,084	$0
40	$189,938	$83,591	$0
40	$201,942	$107,376	$0
40	$296,299	$75,249	$720
40	$269,527	$163,476	$910
10	$94,282	$59,180	$3,484
40	$213,586	$78,553	$0
40	$155,200	$40,409	$0
40	$188,280	$82,457	$0
40	$151,753	$67,167	$0
40	$127,601	$52,696	$910

Total number of officers, directors, and trustees permitted to vote on organization business at board meetings	3
Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?	No
Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?	Yes
Does the organization have a written conflict of interest policy?	Yes

Loans and Advances	Compensation	Contributions to employee benefit plans & deferred compensation plans	Expense account and other allowances
Former Officers, Directors, Trustees, and Key Employees That Received Compensation or Other Benefits
$0	$99,618	$3,344	$45

Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?	Yes
Was there a liquidation, dissolution, termination, or substantial contraction during the year?	No
Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?	Yes
Direct and indirect political expenditures	$0
Did the organization file Form 1120-POL for this year?	No
Were substantially all dues nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Dues, assessments, and similar amounts from members	$0
Section 162(e) lobbying and political expenditures	$0
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices	$0
Taxable amount of lobbying and political expenditures	$0
Does the organization elect to pay the section 6033(e) tax on the amount above?
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?
Initiation fees and capital contributions	$0
Gross receipts for public use of club facilities	$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?	Yes
Amount of tax imposed on the organization during the year under: section 4911	$0
Amount of tax imposed on the organization during the year under: section 4912	$0
Amount of tax imposed on the organization during the year under: section 4955	$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?	No
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958	$0
Amount of tax above, reimbursed by the organization	$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?	No
Did the organization acquire a direct or indirect interest in any applicable insurance contract?	No
Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?	No
Number of employees employed in the pay period that includes March 12, 2006	11,072

	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		$16,937,622		$53,403,325	$1,451,232,240
Program service revenue
Program service revenue 1	000000	$0	00	$0	$820,967,481
Program service revenue 2	Administrative and support services	$19,164	00	$0	$615,510,261
Program service revenue 3	Medical and diagnostic laboratories	$14,339,962	00	$0	$0
Program service revenue 4	000000	$0	00	$0	$7,275,012
Program service revenue 5	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)	$496	$7,479,486
		$0		$0	$2,293,206
	Administrative and support services	$19,164		$0	$615,510,261
		$0		$0	$820,967,481
		$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)	$496	$53,523
	Medical and diagnostic laboratories	$14,339,962		$0	$0
		$0		$0	$7,275,012
		$0		$0	$5,132,757
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	00	$0	$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)	$43,612,134	$0
Net rental income or (loss) from real estate
debt-financed property	000000	$0	00	$0	$0
not debt-financed property	000000	$0	Real 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)	$925,057	$0
Net rental income or (loss) from personal property	000000	$0	00	$0	$0
Other investment income	000000	$0	00	$0	$0
Gain or (loss) from sales of assets other than inventory	000000	$0	Gain (or loss, to the extent allowed) from the sale of investments and other non-inventory property and from certain property acquired from financial institutions that are in conservatorship or receivership (sections 512(b)(5) and 512(b)(16)(A))	$7,337,833	$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	Administrative and support services	$2,578,496	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))	$1,527,805	$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)
201338518	50%	$21,204,560	$22,534,784
204920880	51%	$2,534,459	$4,820,130
541760126	100%	$41,953	$4,042,070
541942862	50%	$3,505,278	$1,452,813

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)
$331,477	$109,783	$0
$322,268	$17,808	$0
$256,506	$68,038	$0
$249,728	$69,224	$0
$212,171	$98,877	$0

Total number of other employees paid over $50,000	4,058

Total number of other employees paid over $50,000

4,058

Statements About Activities (for 2007)
Expenses paid or incurred in connection with the lobbying activities	$0
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	$20,557,506	$77,370	$20,480,136
Gross receipts or sales less returns and allowances	$0	$0	$0
Cost of goods sold	$0	$0	$0
Gross profit	$0	$0	$0
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	$19,678	$77,370	$-57,692
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	$20,537,828	$0	$20,537,828

Deductions Not Taken Elsewhere (for 2008)
Total deductions	$19,030,123
Compensation of officers, directors, and trustees	$0
Salaries and wages	$4,357,932
Repairs and maintenance	$0
Bad debts	$0
Interest	$0
Taxes and licenses	$384,851
Charitable contributions	$161,001
Depreciation	$0
Depletion	$0
Contributions to deferred compensation plans	$0
Employee benefit programs	$608,440
Excess exempt expenses	$0
Excess readership costs	$0
Other deductions	$13,517,899
Unrelated business taxable income	$1,449,013
Unrelated business taxable income before net operating loss deduction	$1,450,013
Net operating loss deduction	$0
Unrelated business taxable income before specific deduction	$1,450,013
Specific deduction	$1,000

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Id	Name	Address	State	Established	Total Income
Organizations performing similar types of work
1	Inova Health Care Services	8110 Gatehouse Rd Ste 400w, Falls Church, VA 22042-1254	VA	1965-02	$2,146,968,047
2	Sentara Hospitals	1615 Poplar Hall Dr, Norfolk, VA 23502	VA	1990-08	$1,919,010,532
3	Takoma Regional Hospital Inc	401 Takoma Ave, Greeneville, TN 37743-4647	TN	2007-07	$50,650,644
4	Virtua Medical Group Pa	20 W Stow Rd Ste 8, Marlton, NJ 08053-3160	NJ	2011-08	$97,871,257
5	Reid Physician Associates Inc	1100 Reid Pkwy, Richmond, IN 47374-1157	IN	2010-01	$39,994,813
6	Mercy Hospital Aurora	645 Maryville Centre Dr Ste 100, Saint Louis, MO 63141-5846	MO	1946-03	$23,901,205
7	Harlem Medical Associates Pc	506 Lenoa Ave, New York, NY 10037-1802	NY	2014-03	$12,174,793
8	Amg Illinois Ltd	PO BOX 343910, Milwaukee, WI 53234-3910	WI	2014-03	$9,672,770
9	Medical Center Of Peach County Inc	691 Cherry Street Suite 700, Macon, GA 31201	GA	2012-10	$8,733,393
10	Burdett Care Center Inc	2215 Burdett Ave Ste 200, Troy, NY 12180	NY	2013-03	$7,155,164
11	St Louis Regional Psychiatric Stabilization Center	5355 Delmar Blvd, Saint Louis, MO 63112-3146	MO	2014-08	$6,956,942
12	Lancaster General Rehabilitationservices Inc	555 N Duke St, Lancaster, PA 17602-2250	PA	2012-12	$2,424,482
13	Clifton-Fine Health Care Corporation	1014 Oswegatchie Trail, Star Lake, NY 13690	NY	2013-08	$1,455,338
14	Eastern Maine Healthcare Systems, Norumbega Medical Specialists Ltd	43 Whiting Hill Road, Brewer, ME 04412	ME	2005-06	$1,204,765
15	Eastern Maine Healthcare Systems, Horizon's Health Services	Po Box 151, Presque Isle, ME 04769	ME	2005-06	$73,441
16	Centegra Hospital - Huntley	385 Millenium Drive, Crystal Lake, IL 60012	IL	2013-08	$0
17	Health Plan Consumer Advocates Inc, H P C Advocates Inc	232 Duranzo Aisle, Irvine, CA 92606-8360	CA	2001-07	$0
18	Humboldt Trinity Healthcare	Po Box 1116, Arcata, CA 95518-1116	CA	2015-02	$0
19	Medselect	1000 Pine St, Texarkana, TX 75501-5100	TX	2002-12	$0
20	One Cura Wellness Trust Inc	19800 Macarthur Blvd Ste 650, Irvine, CA 92612-8443	CA	2015-02	$0

Number of organizations performing similar types of work

Arizona	1
California	4
Georgia	1
Illinois	4
Indiana	3
Louisiana	1
Massachusetts	1
Maine	17
Michigan	2
Minnesota	1
Missouri	4
North Carolina	1

New Jersey	3
New York	4
Ohio	1
Oklahoma	3
Pennsylvania	4
South Carolina	1
Tennessee	3
Texas	7
Virginia	2
Washington	2
Wisconsin	2
West Virginia	1

Total

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