Return of Organization Exempt from Income

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Return of Organization Exempt from Income l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93490314000176 Return of Organization Exempt From Income Tax OMB No 1545-0047 Form 990 Under section 501 (c), 527, or 4947( a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation) 2 00 5_ Department of the Open -The organization may have to use a copy of this return to satisfy state reporting requirements Treasury Inspection Internal Revenue Service A For the 2005 calendar year, or tax year beginning 01 -01-2005 and ending 12 -31-2005 C Name of organization D Employer identification number B Check if applicable Please St Vincent Mercy Medical Center 34-4428250 1 Address change use IRS l a b el or Number and street (or P 0 box if mail is not delivered to street address) Room/suite F Name change print or type. See 2213 Cherry Street 1 Initial return Specific E Telep hone number Instruc - City or town, state or country, and ZIP + 4 (419) 251-8934 F_ Final return tions . Toledo, OH 43608 (- Amended return --k-A r /'-..-L, r A,-.-...-.I F_ Application pending fl Other ( specify) * Section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable H and I are not applicable to section 527 organizations trusts must attach a completed Schedule A (Form 990 or 990-EZ). H(a) Is this a group return for affiliates? F Yes F No H(b) If "Yes" enter number of affiliates 0- G Web site : - WWW Mercy web org H(c) Are all affiliates included? F Yes F No (If "No," attach a list See instructions ) I Organization type (check only one) 1- F9!!+ 501(c) (3) -4 (insert no ) (- 4947(a)(1) or F_ 527 H(d) Is this a separate return filed by an organization K Check here - 1 if the organization's gross receipts are normally not more than $25,000 The covered by a group ruling? F Yes F_ No organization need not file a return with the IRS, but if the organization received a Form 990 Package in the mail, it should file a return without financial data Some states require a complete return. I Group Exemption Number - 0928 M Check - 1 if the organization is not required to L Gross receipts Add lines 6b, 8b, 9b, and 10b to line 12 - 431,952,016 attach Sch B (Form 990, 990-EZ, or 990-PF) KCVC11uC Cx C115C5 dllu %.lldll C9 111 mct N55Ci5 ur r'ullu DdId11GC5 JCC III(-- Illbll ULILIUllb. 1 Contributions, gifts, grants, and similar amounts received a Direct public support la b Indirect public support lb 586,574 c Government contributions (grants) . 1c 586,574 d Total (add lines la through 1c) (cash $ 586,574 noncash $ ) 1d 2 Program service revenue including government fees and contracts (from Part VII, line 93) 2 412,427,803 3 Membership dues and assessments 3 4 Interest on savings and temporary cash investments 4 2,029,829 5 Dividends and interest from securities 5 9,502,813 6a Gross rents 6a 975,662 b Less rental expenses 6b 0 c Net rental income or (loss) (subtract line 6b from line 6a) . 6c 975,662 7 Other investment income (describe - ) 7 8a Gross amount from sales of assets (A) Securities (B) Other u other than inventory . 8a Ch 550,261 b Less cost or other basis and sales expenses 8b 612,913 c Gain or (loss) (attach schedule) . Sc -62,652 d Net gain or (loss) (combine line 8c, columns (A) and (B)) . 8d -62,652 9 Special events and activities (attach schedule) If any amount is from gaming , check here 0-F a Gross revenue (not including $ of contributions reported on line 1a ) 9a b Less direct expenses other than fundraising expenses . 9b c Net income or (loss) from special events (subtract line 9b from line 9a) . 9c 10a Gross sales of inventory, less returns and allowances . 10a b Less cost of goods sold 10b c Gross profit or (loss) from sales of inventory (attach schedule) (subtract line 10b from line 10a) 10c 11 Other revenue (from Part VII, line 103) 11 5,879,074 12 Total revenue (add lines 1d, 2, 3, 4, 5, 6c, 7, 8d, 9c, 10c, and 11) . 12 431,339,103 13 Program services (from line 44, column (B)) . 13 359,533,952 14 Management and general (from line 44, column (C)) . 14 46,082,227 75 15 Fundraising (from line 44, column (D)) 15 w 16 Payments to affiliates (attach schedule) 16 17 Total expenses (add lines 16 and 44, column (A)) . 17 405,616,179 ,A 18 Excess or (deficit) for the year (subtract line 17 from line 12) . 18 25,722,924 19 Net assets or fund balances at beginning of year (from line 73, column (A)) 19 255,159,563 20 Other changes in net assets or fund balances (attach explanation) 20 -11,113,756 21 Net assets or fund balances at end of year (combine lines 18, 19, and 20) . 21 269,768,731 For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions . Cat No 11282Y Form 990 (2005) Form 990 (2005) Page 2 RIEULEM Statement of All organizations must complete column (A) Columns (B), (C), and (D) are required for section Functional Expenses 501(c)(3) and (4) organizations and section 4947(a)(1) nonexempt charitable trusts but optional for others (See the instructions ) Do not include amounts reported on line (B) Program (C) Management ( A) Total (D) Fundraising 6b, 8b, 9b, 1Ob, or 16 of Part I. services and general 22 Grants and allocations (attach schedule) (cash $4,507,368 noncash $ 0 If this amount includes foreign grants, check here F- 22 4,507,368 4,507,368 23 Specific assistance to individuals (attach schedule) 23 24 Benefits paid to or for members (attach schedule) 24 25 Compensation of officers, directors, etc 25 0 26 Other salaries and wages 26 135,532,522 125,882,382 9,650,140 27 Pension plan contributions 27 6,140,448 5,700,696 439,752 28 Other employee benefits 28 18,470,254 17,147,495 1,322,759 29 Payroll taxes 29 10,244,386 9,510,728 733,658 30 Professional fundraising fees . 30 31 Accounting fees 31 134,551 134,551 32 Legal fees 32 33 Supplies 33 78,282,152 77,040,939 1,241,213 34 Telephone 34 1,179,936 1,155,720 24,216 35 Postage and shipping 35 873,401 830,690 42,711 36 Occupancy 36 1,158,070 926,456 231,614 37 Equipment rental and maintenance 37 10,866,128 10,613,377 252,751 38 Printing and publications 38 297,460 205,607 91,853 39 Travel 39 482,850 423,644 59,206 40 Conferences, conventions, and meetings 40 10,710 10,710 41 Interest 41 6,350,484 6,350,484 42 Depreciation, depletion, etc (attach schedule) 42 22,778,894 22,778,894 43 Other expenses not covered above (itemize) a See Additional Data Table 43a b 43b c 43c d 43d e 43e f 43f g 43g 44 Total functional expenses . Add lines 22 through 43 (Organizations completing columns (B)-(D), carry these totals to lines 13-15) 44 405,616,179 359,533,952 46,082,227 0 Joint Costs . Check - fl if you are following SOP 98-2 Are any joint costs from a combined educational campaign and fundraising solicitation reported in (B) Program services ' fl Yes 17 No If "Yes," enter ( i) the aggregate amount of these joint costs $ , (ii) the amount allocated to Program services $ (iii) the amount allocated to Management and general $ , and (iv) the amount allocated to Fundraising $ Form 990 (2005) Form 990 ( 2005) Page 3 UT.TIWi Statement of Program Service Accomplishments (See the Instructions.) Form 990 is available for public inspection and, for some people, serves as the primary or sole source of information about a particular organization How the public perceives an organization in such cases may be determined by the information presented on its return Therefore, please make sure the return is complete and accurate and fully describes, in Part III, the organization's programs and accomplishments What is the organization's primary exempt purpose's THE PRIMARY EXEMPT PURPOSE OF ST VINCENT MERCY MEDICAL CENTER IS TO EXTEND THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED ST VINCENT MERCY Program Service MEDICAL CENTER ACCOMPLISHES THIS PURPOSE BY DEMONSTRATING BEHAVIORS REFLECTING OUR Expenses CORE VALUES OF COMPASSION, EXCELLENCE, HUMAN DIGNITY, JUSTICE, SACREDNESS OF LIFE AND (Required for 501(c)(3) and SERVICE (4) orgs , and 4947(a)(1) trusts, but optional for others All organizations must describe their exempt purpose achievements in a clear and concise manner State the number of clients served, publications issued, etc Discuss achievements that are not measurable (Section 501(c)(3) and (4) organizations and 4947(a)(1) nonexempt charitable trusts must also enter the amount of grants and allocations to others a SEE STATEMENT (Grants and allocations $ ) If this amount includes foreign grants, check here - F b SEE ATTACHMENT A (Grants and allocations $ 4,507,368) If this amount includes foreign grants, check here F- 359,533,952 c (Grants and allocations $ ) If this amount includes foreign grants, check here F- d (Grants and allocations $ ) If this amount includes foreign grants, check here F- e Other program services (attach schedule) (Grants and allocations $ ) If this amount includes foreign grants, check here - F- f Total of Program Service Expenses (should equal line 44, column (B), Program services) .
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