Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1b · Membership dues

  $885,483

• 1c · Fundraising events

  $3,532,536

• 1e · Government grants (contributions)

  $20,083,573

• 1f · All other contributions, gifts and grants

  $537,077,262

• 1g · Noncash contributions included above

  $1,937,635

• 2a · Program service revenue: PATIENT SERVICE

  total $163,973,117 · related or exempt $163,973,117

• 3 · Investment income

  total $189,941,829 · unrelated business $3,135,690 · excluded $186,806,139

• 5 · Royalties

  total $219,074 · excluded $219,074

• 6a · Gross rents

  real property $23,667,550

• 6b · Less rental expenses

  real property $0

• 6c · Rental income or loss

  real property $23,667,550

• 6d · Net rental income or loss

  total $23,667,550 · excluded $23,667,550

• 7a · Gross sales of assets other than inventory

  securities $1,995,660,260

• 7b · Less cost or other basis and sales expenses

  securities $1,881,155,596 · other assets $20,859,000

• 7c · Gain or loss

  securities $114,504,664 · other assets -$20,859,000

• 7d · Net gain or loss

  total $93,645,664 · excluded $93,645,664

• 8a · Fundraising events: gross income

  $1,083,049

• 8a · Fundraising events: contributions included on line 1c

  $3,532,536

• 8b · Fundraising events: direct expenses

  $3,904,495

• 8c · Net income from fundraising events

  total -$2,821,446 · excluded -$2,821,446

• 10a · Gross sales of inventory

  $2,145,249

• 10b · Cost of goods sold

  $2,308,130

• 10c · Net income from sales of inventory

  total -$162,881 · excluded -$162,881

• 11d · All other revenue

  total $4,045,486 · related or exempt $1,638,980 · excluded $2,406,506

• 11e · Other revenue, total

  $4,045,486

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $25,043,734 · program services $25,043,734

• 3 · Grants to foreign organizations and individuals

  total $45,015,012 · program services $45,015,012

• 5 · Compensation of officers, directors and key employees

  total $1,973,399 · program services $1,775,873 · management and general $181,731 · fundraising $15,795

• 7 · Other salaries and wages

  total $337,205,164 · program services $278,089,613 · management and general $53,814,204 · fundraising $5,301,347

• 8 · Pension plan contributions

  total $29,370,129 · program services $24,133,494 · management and general $4,775,901 · fundraising $460,734

• 9 · Other employee benefits

  total $49,781,719 · program services $40,911,266 · management and general $8,090,007 · fundraising $780,446

• 10 · Payroll taxes

  total $22,199,045 · program services $18,243,465 · management and general $3,607,557 · fundraising $348,023

• 11e · Fees: professional fundraising services

  total $25,247,225 · fundraising $25,247,225

• 11f · Fees: investment management

  total $17,728,982 · program services $2,029,455 · management and general $15,699,527

• 11g · Fees: other

  total $183,872,871 · program services $117,586,482 · management and general $28,028,467 · fundraising $38,257,922

• 12 · Advertising and promotion

  total $57,245,225 · program services $481,366 · management and general $3,266 · fundraising $56,760,593

• 13 · Office expenses

  total $20,495,330 · program services $14,223,943 · management and general $5,482,648 · fundraising $788,739

• 14 · Information technology

  total $26,870,057 · program services $1,131,863 · management and general $25,724,437 · fundraising $13,757

• 16 · Occupancy

  total $17,162,921 · program services $15,377,097 · management and general $1,785,824

• 17 · Travel

  total $5,000,199 · program services $2,277,844 · management and general $2,319,469 · fundraising $402,886

• 19 · Conferences, conventions and meetings

  total $1,172,180 · program services $605,715 · management and general $327,766 · fundraising $238,699

• 20 · Interest

  total $509,647 · program services $276,815 · management and general $232,832

• 22 · Depreciation, depletion and amortization

  total $45,848,336 · program services $36,611,957 · management and general $9,236,379

• 23 · Insurance

  total $6,591,517 · program services $6,252,276 · management and general $339,241

• 24a · Other expenses: MEDICAL SUPPLIES

  total $75,025,033 · program services $74,944,560 · management and general $67,417 · fundraising $13,056

• 24b · Other expenses: PGA EVENT EXPENSES

  total $5,540,000 · program services $5,540,000

• 24c · Other expenses: TAXES AND FEES - TPP

  total $3,682,383 · program services $3,682,383

• 24d · Other expenses: PATIENT COSTS

  total $2,218,199 · program services $2,218,199

• 24e · All other expenses

  total $6,009,900 · program services $3,528,804 · management and general $1,826,019 · fundraising $655,077

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $4,041,387 · end of year $706,190

• 2 · Savings and temporary cash investments

  beginning of year $37,308,190 · end of year $17,461,114

• 4 · Accounts receivable

  beginning of year $35,331,481 · end of year $55,735,098

• 8 · Inventories for sale or use

  beginning of year $10,607,527 · end of year $9,842,589

• 9 · Prepaid expenses and deferred charges

  beginning of year $28,342,200 · end of year $28,476,591

• 10a · Land, buildings and equipment: cost or other basis

  $1,281,215,037

• 10b · Land, buildings and equipment: accumulated depreciation

  $745,998,160

• 10c · Land, buildings and equipment, net

  beginning of year $559,956,307 · end of year $535,216,877

• 11 · Investments: publicly traded securities

  beginning of year $8,987,852,769 · end of year $7,523,986,865

• 12 · Investments: other securities

  beginning of year $330,725,155 · end of year $375,173,261

• 15 · Other assets

  beginning of year $1,861,159,850 · end of year $1,499,631,433

• 17 · Accounts payable and accrued expenses

  beginning of year $174,724,854 · end of year $111,605,938

• 19 · Deferred revenue

  beginning of year $1,526,492 · end of year $1,092,398

• 21 · Escrow or custodial account liability

  beginning of year $44,605,005 · end of year $40,279,795

• 25 · Other liabilities

  beginning of year $967,395,565 · end of year $697,667,910

• 27 · Net assets without donor restrictions

  beginning of year $9,195,323,950 · end of year $7,810,707,977

• 28 · Net assets with donor restrictions

  beginning of year $1,471,749,000 · end of year $1,384,876,000

The filer's explanations (Part III)

PART I, LINE 1A

FIRST CLASS TRAVEL IS AVAILABLE ONLY TO BOARD MEMBERS AND EXECUTIVE STAFF AND ONLY IF THE FLIGHT IS LONGER THAN ONE AND A HALF HOURS. A COMPANION ONLY QUALIFIES FOR TRAVEL IF HE OR SHE IS A COMPANION OF A BOARD MEMBER AND IS ACTIVELY PARTICIPATING IN SHRINE BUSINESS DURING THE TRIP. FOR SOME KEY EMPLOYEES, IF RELOCATION IS REQUIRED, A TEMPORARY HOUSING ALLOWANCE MAY BE PROVIDED AS A MEANS TO RECRUIT TOP INDIVIDUALS.

PART I, LINES 4A-B

AT TIMES, WHEN NECESSARY TO STREAMLINE RESOURCES OR DUE TO CHANGES IN CARE DELIVERY MODELS, SHRINERS MAY NEED TO ELIMINATE POSITIONS AND, WITH THOSE ELIMINATIONS, PAY SEVERANCE. SEVERANCE IS BASED ON YEARS OF SERVICE, POSITION HELD AND COMPENSATION. DURING 2022, MAUREEN MACIEL AND EMILY NAUS RECEIVED SEVERANCE PAYMENTS OF $325,785 AND $75,000, RESPECTIVELY. THE ORGANIZATION OFFERS A DEFINED BENEFIT SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (DB SERP). EMPLOYEES WHO ARE VESTED IN THE ORGANIZATION'S RETIREMENT PLAN AND EARN OVER THE SALARY CAP QUALIFY FOR A DB SERP BENEFIT. PARTICIPANTS VEST AT AGE 62. UPON RETIREMENT, THE DB SERP BENEFIT IS PAYABLE AS A LUMP SUM. PARTICIPANTS OF THE SERP DURING 2022 INCLUDE ELLEN RANEY, EMILY NAUS, MAUREEN MACIEL, AND SCOTT KOZIN, WHO RECEIVED DISTRIBUTIONS OF $2,664,737, $1,005,253, $702,596, AND $112,664, RESPECTIVELY.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

• PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - NORTHWEST LLC

  ORTHOPEDICS & PROSTHETICS · DE · income $5,245,207 · assets $3,043,799

  Directly controlled by SHRINERS HOSPITALS FOR CHILDREN

• PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - WEST LLC

  ORTHOPEDICS & PROSTHETICS · DE · income $4,904,858 · assets $2,208,349

  Directly controlled by SHRINERS HOSPITALS FOR CHILDREN

• PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - MIDWEST LLC

  ORTHOPEDICS & PROSTHETICS · DE · income $3,648,879 · assets $2,522,748

  Directly controlled by SHRINERS HOSPITALS FOR CHILDREN

• PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - NORTHEAST LLC

  ORTHOPEDICS & PROSTHETICS · DE · income $3,775,463 · assets $2,437,379

  Directly controlled by SHRINERS HOSPITALS FOR CHILDREN

• PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - SOUTHEAST LLC

  ORTHOPEDICS & PROSTHETICS · DE · income $3,188,389 · assets $1,788,282

  Directly controlled by SHRINERS HOSPITALS FOR CHILDREN

• PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - HONOLULU LLC

  ORTHOPEDICS & PROSTHETICS · DE · income $1,014,441 · assets $455,693

  Directly controlled by SHRINERS HOSPITALS FOR CHILDREN