﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2010v3.2">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2011-07-20T14:46:27-05:00</Timestamp>
    <TaxPeriodEndDate>2010-12-31</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>CBIZ KIRKLAND RUSS MURPHY &amp; TAPP</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>13577 FEATHER SOUND DRIVE SUITE 400</AddressLine1>
        <City>CLEARWATER</City>
        <State>FL</State>
        <ZIPCode>33762</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2010-01-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>362193608</EIN>
      <Name>
        <BusinessNameLine1>SHRINERS HOSPITALS FOR CHILDREN</BusinessNameLine1>
      </Name>
      <NameControl>SHRI</NameControl>
      <Phone>8132810300</Phone>
      <USAddress>
        <AddressLine1>POST OFFICE BOX 31356</AddressLine1>
        <City>TAMPA</City>
        <State>FL</State>
        <ZIPCode>336313356</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>DOUGLAS MAXWELL</Name>
      <Title>PRESIDENT</Title>
      <Phone>8132810300</Phone>
      <DateSigned>2011-07-15</DateSigned>
      <AuthorizeThirdParty>1</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>NATHAN SMITH</Name>
      <Phone>7275721400</Phone>
    </Preparer>
    <TaxYear>2010</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="11">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <NameOfPrincipalOfficerPerson>DOUGLAS MAXWELL</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>2900 ROCKY POINT DRIVE</AddressLine1>
        <City>TAMPA</City>
        <State>FL</State>
        <ZIPCode>33607</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>4993350340</GrossReceipts>
      <GroupReturnForAffiliates>0</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>HTTP://WWW.SHRINERSHQ.ORG/</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1925</YearFormation>
      <StateLegalDomicile>CO</StateLegalDomicile>
      <ActivityOrMissionDescription>WE PROVIDE PEDIATRIC SPECIALTY CARE WITHOUT FINANCIAL OBLIGATION TO PATIENTS OR THEIR FAMILIES.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>20</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>20</NbrIndependentVotingMembers>
      <TotalNbrEmployees>5249</TotalNbrEmployees>
      <TotalNbrVolunteers>5000</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>0</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>342228433</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>222674207</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>0</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>4622016</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>-79249322</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>303705276</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>22086871</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>39410003</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>285065982</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>570411502</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>30000</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>50000</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>338296469</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>319832503</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>3253814</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>2017626</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>19122368</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>244340860</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>251481507</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>585921143</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>573381636</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>-300855161</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>-2970134</RevenuesLessExpensesCY>
      <TotalAssetsBOY>8051755849</TotalAssetsBOY>
      <TotalAssetsEOY>8198274933</TotalAssetsEOY>
      <TotalLiabilitiesBOY>1049001330</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>867428438</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>7002754519</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>7330846495</NetAssetsOrFundBalancesEOY>
      <InfoInScheduleOPartIII>X</InfoInScheduleOPartIII>
      <MissionDescription>SHRINERS HOSPITALS FOR CHILDREN OFFERS "CHARITY CARE" THROUGH AN INTERNATIONAL NETWORK OF PEDIATRIC HOSPITALS DEDICATED TO PROVIDING EXCELLENT PATIENT CARE, RESEARCH, AND EDUCATION FOR ORTHOPAEDIC CONDITIONS, BURNS, SPINAL CORD INJURIES AND CLEFT LIP AND PALATE. OUR SPECIALIZED MEDICAL CARE, BACKED BY THE SKILLS AND KNOWLEDGE OF THE STAFF IN 18 HOSPITALS, DELIVERS EXPERT, FAMILY-FOCUSED CARE AT NO CHARGE. ...AS A 501(C)3 NON-PROFIT ORGANIZATION, SHRINERS HOSPITALS RELIES ON THE GENEROUS DONATIONS OF SHRINERS AND THE GENERAL PUBLIC TO CARRY OUT OUR MISSION AND CHANGE THE LIVES OF CHILDREN EVERY DAY. FOR MORE INFORMATION ABOUT SUPPORTING SHRINERS HOSPITALS, PLEASE VISIT WWW.SHRINERSHQ.ORG OR CALL 1-800-241-GIFT.</MissionDescription>
      <SignificantNewProgramServices>0</SignificantNewProgramServices>
      <SignificantChange>1</SignificantChange>
      <Expense>90165008</Expense>
      <Revenue>893482</Revenue>
      <Description>TREATMENT OF PEDIATRIC BURN VICTIMS ADMISSIONS: 3,379.OUTPATIENT CLINIC VISITS: 19,081 AT 2 BURNS HOSPITALS AND ONE HOSPITAL THAT SPECIALIZES IN BOTH BURNS AND ORTHOPAEDIC SERVICES.</Description>
      <Activity2>
        <Expense>376262038</Expense>
        <Revenue>3728534</Revenue>
        <Description>TREATMENT OF ORTHOPAEDIC PATIENTS ADMISSIONS: 17,662. OUTPATIENT CLINIC VISITS: 193,994 AT 16 ORTHOPAEDIC HOSPITALS AND ONE HOSPITAL THAT SPECIALIZES IN BOTH ORTHOPAEDIC AND BURNS SERVICES.</Description>
      </Activity2>
      <Activity3>
        <Expense>21027694</Expense>
        <Description>MEDICAL RESEARCH IS CONDUCTED AND PROVIDES A STRONG, POSITIVE IMPACT ON THE CARE AND CURE OF CHILDREN WITH ORTHOPAEDIC PROBLEMS, BURN AND SPINAL CORD INJURIES. 111 RESEARCH PROJECTS WERE FUNDED, AND 31 RESEARCH FELLOWSHIPS WERE PROVIDED. SHRINERS HOSPITALS FOR CHILDREN IS COMMITTED TO THE SUSTAINED INVESTMENT IN CLINICALLY USEFUL RESEARCH SO THAT FUNDAMENTAL KNOWLEDGE CAN BE ACQUIRED, IMPROVING THE QUALITY OF LIFE FOR CHILDREN WITH ORTHOPAEDIC PROBLEMS, BURN AND SPINAL CORD INJURIES.</Description>
      </Activity3>
      <TotalProgramServiceExpense>487454740</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="RetDoc1039100001">1</DescribedIn501C3>
      <ScheduleBRequired>0</ScheduleBRequired>
      <PoliticalActivities>0</PoliticalActivities>
      <LobbyingActivities>0</LobbyingActivities>
      <DonorAdvisedFunds referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="RetDoc1040000001">0</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="RetDoc1040000001">0</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="RetDoc1040000001">1</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="RetDoc1040000001">1</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="RetDoc1040000001">1</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="RetDoc1040000001">0</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="RetDoc1040000001">0</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="RetDoc1040000001">1</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="RetDoc1040000001">0</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="RetDoc1040000001">0</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="RetDoc1040000001">1</ConsolidatedAuditFinancialStmt>
      <School>0</School>
      <ForeignOffice>0</ForeignOffice>
      <ForeignActivities referenceDocumentId="RetDoc1040500001">1</ForeignActivities>
      <MoreThan5000KToOrganizations referenceDocumentId="RetDoc1040500001">0</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals referenceDocumentId="RetDoc1040500001">0</MoreThan5000KToIndividuals>
      <ProfessionalFundraising referenceDocumentId="RetDoc1041200001">1</ProfessionalFundraising>
      <FundraisingActivities referenceDocumentId="RetDoc1041200001">1</FundraisingActivities>
      <Gaming referenceDocumentId="RetDoc1041200001">0</Gaming>
      <Hospital referenceDocumentId="RetDoc1041500001">1</Hospital>
      <FinancialStmtAttached>0</FinancialStmtAttached>
      <GrantsToOrganizations referenceDocumentId="RetDoc1041900001">1</GrantsToOrganizations>
      <GrantsToIndividuals referenceDocumentId="RetDoc1041900001">0</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="RetDoc1042400001">1</ScheduleJRequired>
      <TaxExemptBonds>0</TaxExemptBonds>
      <ExcessBenefitTransaction>0</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>0</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>0</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>0</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>0</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>0</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>0</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions referenceDocumentId="RetDoc1042900001">1</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt referenceDocumentId="RetDoc1042900001">0</DeductibleContributionsOfArt>
      <Terminated>0</Terminated>
      <PartialLiquidation>0</PartialLiquidation>
      <DisregardedEntity referenceDocumentId="RetDoc1043400001">0</DisregardedEntity>
      <RelatedEntity referenceDocumentId="RetDoc1043400001">1</RelatedEntity>
      <RelatedOrgControlledEntity>0</RelatedOrgControlledEntity>
      <TransactionRelatedEntity referenceDocumentId="RetDoc1043400001">0</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId="RetDoc1043400001">0</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPartnership>
      <ScheduleORequired>1</ScheduleORequired>
      <InfoInScheduleOPartV>X</InfoInScheduleOPartV>
      <NumberFormsTransmittedWith1096>1139</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>1</ComplianceWithBackupWitholding>
      <NumberOfEmployees>5249</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>1</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>0</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>1</ForeignFinancialAccount>
      <NameOfForeignCountry>BR</NameOfForeignCountry>
      <NameOfForeignCountry>BU</NameOfForeignCountry>
      <NameOfForeignCountry>CA</NameOfForeignCountry>
      <NameOfForeignCountry>CH</NameOfForeignCountry>
      <NameOfForeignCountry>CO</NameOfForeignCountry>
      <NameOfForeignCountry>CY</NameOfForeignCountry>
      <NameOfForeignCountry>EZ</NameOfForeignCountry>
      <NameOfForeignCountry>DA</NameOfForeignCountry>
      <NameOfForeignCountry>EN</NameOfForeignCountry>
      <NameOfForeignCountry>GR</NameOfForeignCountry>
      <NameOfForeignCountry>HU</NameOfForeignCountry>
      <NameOfForeignCountry>IC</NameOfForeignCountry>
      <NameOfForeignCountry>IS</NameOfForeignCountry>
      <NameOfForeignCountry>JA</NameOfForeignCountry>
      <NameOfForeignCountry>JO</NameOfForeignCountry>
      <NameOfForeignCountry>KS</NameOfForeignCountry>
      <NameOfForeignCountry>LG</NameOfForeignCountry>
      <NameOfForeignCountry>LH</NameOfForeignCountry>
      <NameOfForeignCountry>MY</NameOfForeignCountry>
      <NameOfForeignCountry>NI</NameOfForeignCountry>
      <NameOfForeignCountry>PE</NameOfForeignCountry>
      <NameOfForeignCountry>PL</NameOfForeignCountry>
      <NameOfForeignCountry>RS</NameOfForeignCountry>
      <NameOfForeignCountry>LO</NameOfForeignCountry>
      <NameOfForeignCountry>TU</NameOfForeignCountry>
      <NameOfForeignCountry>VE</NameOfForeignCountry>
      <ProhibitedTaxShelterTrans>0</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>0</TaxablePartyNotification>
      <NonDeductibleContributions>0</NonDeductibleContributions>
      <QuidProQuoContributions>1</QuidProQuoContributions>
      <QuidProQuoDisclosure>1</QuidProQuoDisclosure>
      <Form8282PropertyDisposedOf>0</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>0</FundsToPayPremiums>
      <PremiumsPaid>0</PremiumsPaid>
      <Form8899Filed>1</Form8899Filed>
      <Form1098CFiled>1</Form1098CFiled>
      <IndoorTanningServices>0</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>20</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>20</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>0</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>0</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>0</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>0</MaterialDiversionOrMisuse>
      <MembersOrStockholders>1</MembersOrStockholders>
      <ElectionOfBoardMembers>1</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>1</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>1</MinutesOfGoverningBody>
      <MinutesOfCommittees>1</MinutesOfCommittees>
      <OfficerMailingAddress>0</OfficerMailingAddress>
      <LocalChapters>0</LocalChapters>
      <Form990ProvidedToGoverningBody>1</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>1</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>1</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>1</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>1</WhistleblowerPolicy>
      <DocumentRetentionPolicy>1</DocumentRetentionPolicy>
      <CompensationProcessCEO>1</CompensationProcessCEO>
      <CompensationProcessOther>1</CompensationProcessOther>
      <InvestmentInJointVenture>0</InvestmentInJointVenture>
      <StatesWhereCopyOfReturnIsFiled>AL</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>AK</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>AZ</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>AR</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>CA</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>CO</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>CT</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>DE</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>FL</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>GA</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>HI</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>ID</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>IL</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>IN</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>IA</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>KS</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>KY</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>LA</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>ME</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>MD</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>MA</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>MI</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>MN</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>MS</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>MO</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>MT</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>NE</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>NV</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>NH</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>NJ</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>NM</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>NY</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>NC</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>ND</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>OH</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>OK</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>OR</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>PA</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>RI</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>SC</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>SD</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>TN</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>TX</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>UT</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>VT</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>VA</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>WA</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>WV</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>WI</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>WY</StatesWhereCopyOfReturnIsFiled>
      <OtherWebsite>X</OtherWebsite>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NameBusiness>
          <BusinessNameLine1>SHARON RUSSELL</BusinessNameLine1>
        </NameBusiness>
        <TelephoneNumber>8132810300</TelephoneNumber>
        <AddressUS>
          <AddressLine1>2900 ROCKY POINT DRIVE</AddressLine1>
          <City>TAMPA</City>
          <State>FL</State>
          <ZIPCode>33607</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>RALPH SEMB</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>10.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JACK JONES</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>15.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>111540</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CHARLES CLAYPOOL</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GARY DUNWOODY</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RAOUL L FREVAL</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DOUGLAS MAXWELL</NamePerson>
        <Title>PRESIDENT, TRUSTEE CHAIRMAN</Title>
        <AverageHoursPerWeek>35.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GEORGE MITCHELL</NamePerson>
        <Title>CHAIRMAN OF THE BOARD, IMPERIAL POTENTATE</Title>
        <AverageHoursPerWeek>15.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>3900</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GENE BRACEWELL</NamePerson>
        <Title>TREASURER</Title>
        <AverageHoursPerWeek>35.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>7140</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>1260</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MICHAEL SEVERE</NamePerson>
        <Title>FIRST V.P., TRUSTEE VICE CHAIR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>3600</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ALAN MADSEN</NamePerson>
        <Title>SECOND V.P., IMPERIAL CHIEF RABBAN</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>3600</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOHN CINOTTO</NamePerson>
        <Title>SECRETARY</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BOBBY SIMMONS</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DALE STAUSS</NamePerson>
        <Title>ASSISTANT SECRETARY</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JERRY GANTT</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CHRIS SMITH</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GARY BERGENSKE</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JIM CAIN</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JEFFREY SOWDER</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>WAYNE LACHUT</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>W BRANDT BEDE MD</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KEITH GARDNER</NamePerson>
        <Title>CHIEF OPERATING OFFICER</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>348617</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>23421</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RICHARD MCCALL MD</NamePerson>
        <Title>CHIEF OF STAFF</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>424678</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>130251</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PETER ARMSTRONG MD</NamePerson>
        <Title>VP, MEDICAL AFFAIRS</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>457712</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>94845</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DOUGLAS BARNES</NamePerson>
        <Title>CHIEF OF STAFF</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>438157</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>389804</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LAWRENCE VOGEL</NamePerson>
        <Title>ASSISTANT COS</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>271296</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>371580</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DENNIS ROY</NamePerson>
        <Title>ORTHOPEDIC SURGEON</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>391032</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>216936</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>2338632</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>123900</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>1226837</TotalOtherCompensation>
      <NumberIndividualsGT100K>327</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>ANDERSON CONSTRUCTION</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>6712 N CUTTER CIRCLE</AddressLine1>
            <City>PORTLAND</City>
            <State>OR</State>
            <ZIPCode>97217</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CONSTRUCTION SERVICES</DescriptionOfServices>
        <Compensation>27772170</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>JE DUNN NORTHWEST INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>437 NORTH COLUMBIA BLVD</AddressLine1>
            <City>PORTLAND</City>
            <State>OR</State>
            <ZIPCode>97217</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CONSTRUCTION SERVICES</DescriptionOfServices>
        <Compensation>21821022</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>UC DAVIS MEDICAL CENTER</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>2315 STOCKTON BLVD</AddressLine1>
            <City>SACRAMENTO</City>
            <State>CA</State>
            <ZIPCode>95817</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>MEDICAL SERVICES</DescriptionOfServices>
        <Compensation>6474543</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>WASHINGTON UNIVERSITY</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>ONE BROOKINGS DRIVE</AddressLine1>
            <City>ST LOUIS</City>
            <State>MO</State>
            <ZIPCode>63130</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>MEDICAL SERVICES</DescriptionOfServices>
        <Compensation>4167902</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>PRICEWATERHOUSE COOPERS</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>50 HURT PLZ SE STE 1700</AddressLine1>
            <City>ATLANTA</City>
            <State>GA</State>
            <ZIPCode>30303</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PROFESSIONAL SERVICES</DescriptionOfServices>
        <Compensation>3798538</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>85</NumberOfContractorsGT100K>
      <MembershipDues>1723345</MembershipDues>
      <GovernmentGrants>1524197</GovernmentGrants>
      <AllOtherContributions>219426665</AllOtherContributions>
      <NoncashContributions>31397</NoncashContributions>
      <TotalContributions>222674207</TotalContributions>
      <ProgramServiceRevenue>
        <Description>PATIENT SERVICE</Description>
        <BusinessCode>621110</BusinessCode>
        <TotalRevenueColumn>4622016</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>4622016</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>4622016</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>162242183</TotalRevenueColumn>
        <ExclusionAmount>162242183</ExclusionAmount>
      </InvestmentIncome>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>5592284</TotalRevenueColumn>
        <ExclusionAmount>5592284</ExclusionAmount>
      </RoyaltiesRevenue>
      <GrossRents>
        <Real>4871426</Real>
      </GrossRents>
      <RentalIncomeOrLoss>
        <Real>4871426</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>4871426</TotalRevenueColumn>
        <ExclusionAmount>4871426</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>4563858741</Securities>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>4422395648</Securities>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>141463093</Securities>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>141463093</TotalRevenueColumn>
        <ExclusionAmount>141463093</ExclusionAmount>
      </NetGainOrLossInvestments>
      <GrossIncomeFundraisingEvents>7789472</GrossIncomeFundraisingEvents>
      <FundraisingDirectExpenses>543190</FundraisingDirectExpenses>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>7246282</TotalRevenueColumn>
        <ExclusionAmount>7246282</ExclusionAmount>
      </NetIncomeFromFundraisingEvents>
      <OtherRevenueMisc>
        <Description>OTHER INCOME</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>21700011</TotalRevenueColumn>
        <ExclusionAmount>21700011</ExclusionAmount>
      </OtherRevenueMisc>
      <TotalOtherRevenue>21700011</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>570411502</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>4622016</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>343115279</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>50000</Total>
        <ProgramServices>50000</ProgramServices>
      </GrantsToDomesticOrgs>
      <CompCurrentOfficersDirectors>
        <Total>3565469</Total>
        <ProgramServices>3060163</ProgramServices>
        <ManagementAndGeneral>505306</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>241363757</Total>
        <ProgramServices>222567136</ProgramServices>
        <ManagementAndGeneral>16096039</ManagementAndGeneral>
        <Fundraising>2700582</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>23599044</Total>
        <ProgramServices>21810052</ProgramServices>
        <ManagementAndGeneral>1788992</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>34110525</Total>
        <ProgramServices>29687710</ProgramServices>
        <ManagementAndGeneral>4422815</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>17193708</Total>
        <ProgramServices>15932859</ProgramServices>
        <ManagementAndGeneral>1260849</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>943902</Total>
        <ManagementAndGeneral>943902</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>240945</Total>
        <ManagementAndGeneral>240945</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesProfFundraising>
        <Total>2017626</Total>
        <Fundraising>2017626</Fundraising>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>12010453</Total>
        <ManagementAndGeneral>12010453</ManagementAndGeneral>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>69665449</Total>
        <ProgramServices>57296925</ProgramServices>
        <ManagementAndGeneral>8157727</ManagementAndGeneral>
        <Fundraising>4210797</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>2924087</Total>
        <ProgramServices>413753</ProgramServices>
        <ManagementAndGeneral>2464596</ManagementAndGeneral>
        <Fundraising>45738</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>1221799</Total>
        <ProgramServices>954625</ProgramServices>
        <ManagementAndGeneral>219187</ManagementAndGeneral>
        <Fundraising>47987</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>3347915</Total>
        <ProgramServices>341406</ProgramServices>
        <ManagementAndGeneral>3006509</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
        <Total>28231794</Total>
        <ProgramServices>22344638</ProgramServices>
        <ManagementAndGeneral>5884934</ManagementAndGeneral>
        <Fundraising>2222</Fundraising>
      </Occupancy>
      <Travel>
        <Total>4416391</Total>
        <ProgramServices>2592353</ProgramServices>
        <ManagementAndGeneral>1590753</ManagementAndGeneral>
        <Fundraising>233285</Fundraising>
      </Travel>
      <ConferencesMeetings>
        <Total>681729</Total>
        <ManagementAndGeneral>606025</ManagementAndGeneral>
        <Fundraising>75704</Fundraising>
      </ConferencesMeetings>
      <DepreciationDepletion>
        <Total>38131669</Total>
        <ProgramServices>32494181</ProgramServices>
        <ManagementAndGeneral>5637488</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>5840378</Total>
        <ProgramServices>5723979</ProgramServices>
        <ManagementAndGeneral>116399</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>MEDICAL SUPPLIES</Description>
        <Total>67597755</Total>
        <ProgramServices>67597755</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PGA EVENT EXPENSES</Description>
        <Total>8131049</Total>
        <Fundraising>8131049</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DUES AND REGISTRATIONS</Description>
        <Total>1835312</Total>
        <ProgramServices>1688939</ProgramServices>
        <ManagementAndGeneral>146373</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PATIENT COSTS</Description>
        <Total>1834601</Total>
        <ProgramServices>1256163</ProgramServices>
        <ManagementAndGeneral>578438</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>FOOD SUPPLIES</Description>
        <Total>1316909</Total>
        <ProgramServices>1316909</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>3109370</Total>
        <ProgramServices>325194</ProgramServices>
        <ManagementAndGeneral>1126798</ManagementAndGeneral>
        <Fundraising>1657378</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>573381636</Total>
        <ProgramServices>487454740</ProgramServices>
        <ManagementAndGeneral>66804528</ManagementAndGeneral>
        <Fundraising>19122368</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>2657128</BOY>
        <EOY>2966948</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>3747063</BOY>
        <EOY>7536575</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>7359909</BOY>
        <EOY>5252278</EOY>
      </PledgesAndGrantsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>3388829</BOY>
        <EOY>20340713</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>6029322</BOY>
        <EOY>6052215</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>1128063911</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>503085588</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>604106212</BOY>
        <EOY>624978323</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>5733844181</BOY>
        <EOY>5981349414</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsProgramRelated>
        <BOY>162694829</BOY>
        <EOY>187687976</EOY>
      </InvestmentsProgramRelated>
      <OtherAssetsTotal>
        <BOY>1527928376</BOY>
        <EOY>1362110491</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>8051755849</BOY>
        <EOY>8198274933</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>230577915</BOY>
        <EOY>236269702</EOY>
      </AccountsPayableAccruedExpenses>
      <EscrowAccountLiability>
        <BOY>36539928</BOY>
        <EOY>36008585</EOY>
      </EscrowAccountLiability>
      <OtherLiabilities>
        <BOY>781883487</BOY>
        <EOY>595150151</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>1049001330</BOY>
        <EOY>867428438</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>5677075587</BOY>
        <EOY>5983080147</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>380318685</BOY>
        <EOY>377403553</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>945360247</BOY>
        <EOY>970362795</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>7002754519</BOY>
        <EOY>7330846495</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>8051755849</BOY>
        <EOY>8198274933</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-2970134</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>331062110</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <AgentTrusteeEtc>0</AgentTrusteeEtc>
      <IncludedOnFS>1</IncludedOnFS>
      <CurrentYear>
        <BeginningOfYearBalance>6299536273</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>696982199</InvestmentEarningsOrLosses>
        <OtherExpenditures>397524048</OtherExpenditures>
        <EndOfYearBalance>6598994424</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>5604239809</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>995576563</InvestmentEarningsOrLosses>
        <OtherExpenditures>300280099</OtherExpenditures>
        <EndOfYearBalance>6299536273</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>8060241165</BeginningOfYearBalance>
        <OtherExpenditures>424544778</OtherExpenditures>
        <EndOfYearBalance>5604239809</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <BoardDesignatedEOYBalance>0.80000</BoardDesignatedEOYBalance>
      <PermanentEndowmentEOYBalance>0.15000</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.06000</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>0</EndowmentsHeldByRelatedOrgs>
      <Land>
        <OtherCostOrOtherBasis>18138235</OtherCostOrOtherBasis>
        <BookValue>18138235</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>715920257</OtherCostOrOtherBasis>
        <Depreciation>280931826</Depreciation>
        <BookValue>434988431</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>10216015</OtherCostOrOtherBasis>
        <Depreciation>8112182</Depreciation>
        <BookValue>2103833</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>281077631</OtherCostOrOtherBasis>
        <Depreciation>214041580</Depreciation>
        <BookValue>67036051</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>102711773</OtherCostOrOtherBasis>
        <BookValue>102711773</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>624978323</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>BENEFICIAL INTERESTS IN TRUSTS</Description>
        <BookValue>427669867</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>ESTATES IN PROCESS</Description>
        <BookValue>289590331</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>PATIENT TRANSPORTATION FUNDS</Description>
        <BookValue>47412976</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>COLLATERAL CASH AND SECURITIES</Description>
        <BookValue>595150150</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>RECEIVABLES FROM INCOME TRUSTS</Description>
        <BookValue>2287167</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>1362110491</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>LIABILITY UNDER SEC. LENDING</Description>
        <Amount>595150151</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>595150151</TotalOfAmounts>
      <TotalRevenue>570411502</TotalRevenue>
      <TotalExpenses>573381636</TotalExpenses>
      <ExcessOrDeficitForYear>-2970134</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>394823666</NetUnrealizedGLOnInvestments>
      <OtherAmount>-63761556</OtherAmount>
      <TotalAdjustments>331062110</TotalAdjustments>
      <ExcessOrDeficitPerFS>328091976</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>954934028</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>394823666</NetUnrealizedGainsInvestments>
      <OtherRevenues>-12010453</OtherRevenues>
      <RevenueNotRptdF990>382813213</RevenueNotRptdF990>
      <RevenueSubtotal>572120815</RevenueSubtotal>
      <OtherRevenuesNotIncluded>-1709313</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>-1709313</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>570411502</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>561567642</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>543190</OtherExpensesIncluded>
      <ExpensesNotRptdF990>543190</ExpensesNotRptdF990>
      <ExpensesSubtotal>561024452</ExpensesSubtotal>
      <InvestmentExpensesNotIncluded2>12010453</InvestmentExpensesNotIncluded2>
      <OtherExpensesNotIncluded>346731</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>12357184</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>573381636</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:</Identifier>
        <ReturnReference>PART V, LINE 4:</ReturnReference>
        <Explanation>THE ENDOWMENT FUNDS (INCLUDING UNRESTRICTED FUND BALANCES) ARE THE PRIMARY SOURCE OF SUPPORT FROM WHICH SHRINERS HOSPITALS FOR CHILDREN PERFORMS ITS PROGRAM SERVICES TO ACHIEVE ITS PRIMARY EXEMPT PURPOSE.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>INVESTMENT MGMT FEES RECLASSIFIED TO EXPENSES -12,010,453.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>SPECIAL EVENTS EXPENSES RECLASSIFIED FROM EXPENSES -543,190. INVESTMENT INCOME/(LOSS) RECLASSIFIED FROM OTHER CHANGES IN FUND BALANCE -1,166,123.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>SPECIAL EVENTS EXPENSES RECLASSIFIED TO NET WITH REVENUES 543,190.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>BANK FEES RECLASSIFIED FROM OTHER CHANGES IN FUND BALANCE 346,731.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Explanation>PART XI, LINE 8 : CHANGE IN MINIMUM PENSION LIABILITY : (5,915,142) TRANSFERS: SHRINERS HOSPITALS FOR CHILDREN, A MASSACHUSETTS CORPORATION = (38,546,048) SHRINERS HOSPITALS FOR CHILDREN, A CANADIAN CORPORATION = (9,343,774) HOSPITAL SHRINERS PARA NINOS = (12,530,809) SUBTOTAL TRANSFERS : (60,420,631) CHANGE IN PATIENT TRANSPORTATION FUNDS HELD BY SHRINE TEMPLES : 3,933,691 OTHER CHANGE IN FUND BALANCE : (1,359,474) TOTAL : (63,761,556) PART IV, LINE 2B EXPLANATION: THE AMOUNT INCLUDED ON FORM 990, PART X, LINE 21 CONSISTS OF ANNUITY LIABILITIES ASSOCIATED WITH CHARITABLE REMAINDER TRUSTS HELD BY SHRINERS HOSPITALS FOR CHILDREN, WHICH ARE DETERMINED BASED ON PRESENT VALUE OF THE ESTIMATED FUTURE PAYMENTS TO BE PAID TO THE DESIGNATED BENEFICIARIES. DEFERRED INCOME IS RECOGNIZED ON GIFTS TO SHRINERS HOSPITALS FOR CHILDREN POOLED INCOME FUNDS WHICH REPRESENT THE DISCOUNTED VALUE OF THE ASSETS FOR THE ESTIMATED TIME PERIOD UNTIL THE DONOR'S DEATH.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="RetDoc1040500001">
      <GrantRecordsMaintained>1</GrantRecordsMaintained>
      <AcctsActvsOutUSTable>
        <Region>MEXICO</Region>
        <NumberOfOffices>0</NumberOfOffices>
        <NumberOfEmployees>0</NumberOfEmployees>
        <TypeOfActivitiesConducted>FUNDING TO HOSPITAL SHRINERS PARA NINOS, A RELATED NONPROFIT ORGANIZATION.</TypeOfActivitiesConducted>
        <TotalExpenditures>12530809</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
        <Region>CANADA</Region>
        <NumberOfOffices>0</NumberOfOffices>
        <NumberOfEmployees>0</NumberOfEmployees>
        <TypeOfActivitiesConducted>FUNDING TO SHRINERS HOSPITALS FOR CHILDREN, A RELATED NONPROFIT ORGANIZATION.</TypeOfActivitiesConducted>
        <TotalExpenditures>9343774</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <SubtotalNumberOfEmployees>0</SubtotalNumberOfEmployees>
      <ContNumberOfEmployees>0</ContNumberOfEmployees>
      <TotalNumberOfEmployees>0</TotalNumberOfEmployees>
      <SubtotalAmountSpent>21874583</SubtotalAmountSpent>
      <ContAmountSpent>0</ContAmountSpent>
      <TotalAmountSpent>21874583</TotalAmountSpent>
      <TransferToForeignCorp>0</TransferToForeignCorp>
      <InterestInForeignTrust>0</InterestInForeignTrust>
      <OwnForeignCorp>0</OwnForeignCorp>
      <PassiveForeignInvestCo>0</PassiveForeignInvestCo>
      <ForeignPartnership>0</ForeignPartnership>
      <BoycottCountries>0</BoycottCountries>
      <Form990ScheduleFPartV>
        <Identifier>PROCEDURE FOR MONITORING GRANTS OUTSIDE THE U.S.:</Identifier>
        <Explanation>SCHEDULE F, PART I, LINE 2: THE FOREIGN ORGANIZATIONS RECEIVING FUNDING ARE ENTIRELY CONTROLLED BY THIS ORGANIZATION'S OFFICERS. THE SAME PROTOCOLS FOR THIS ORGANIZATION'S PROGRAM SERVICE INITIATIVES APPLY TO THE FOREIGN ORGANIZATIONS.</Explanation>
      </Form990ScheduleFPartV>
    </IRS990ScheduleF>
    <IRS990ScheduleG documentId="RetDoc1041200001">
      <MailSolicitations>X</MailSolicitations>
      <EmailSolicitations>X</EmailSolicitations>
      <PhoneSolicitations>X</PhoneSolicitations>
      <InPersonSolicitations>X</InPersonSolicitations>
      <SolicitationOfNonGovtGrants>X</SolicitationOfNonGovtGrants>
      <SpecialFundraisingEvents>X</SpecialFundraisingEvents>
      <AgreementRefFundraising>0</AgreementRefFundraising>
      <LicensedStates>AL</LicensedStates>
      <LicensedStates>AK</LicensedStates>
      <LicensedStates>AZ</LicensedStates>
      <LicensedStates>AR</LicensedStates>
      <LicensedStates>CA</LicensedStates>
      <LicensedStates>CO</LicensedStates>
      <LicensedStates>CT</LicensedStates>
      <LicensedStates>DE</LicensedStates>
      <LicensedStates>DC</LicensedStates>
      <LicensedStates>FL</LicensedStates>
      <LicensedStates>GA</LicensedStates>
      <LicensedStates>HI</LicensedStates>
      <LicensedStates>ID</LicensedStates>
      <LicensedStates>IL</LicensedStates>
      <LicensedStates>IN</LicensedStates>
      <LicensedStates>IA</LicensedStates>
      <LicensedStates>KS</LicensedStates>
      <LicensedStates>KY</LicensedStates>
      <LicensedStates>LA</LicensedStates>
      <LicensedStates>ME</LicensedStates>
      <LicensedStates>MD</LicensedStates>
      <LicensedStates>MA</LicensedStates>
      <LicensedStates>MI</LicensedStates>
      <LicensedStates>MN</LicensedStates>
      <LicensedStates>MS</LicensedStates>
      <LicensedStates>MO</LicensedStates>
      <LicensedStates>MT</LicensedStates>
      <LicensedStates>NE</LicensedStates>
      <LicensedStates>NV</LicensedStates>
      <LicensedStates>NH</LicensedStates>
      <LicensedStates>NJ</LicensedStates>
      <LicensedStates>NM</LicensedStates>
      <LicensedStates>NY</LicensedStates>
      <LicensedStates>NC</LicensedStates>
      <LicensedStates>ND</LicensedStates>
      <LicensedStates>OH</LicensedStates>
      <LicensedStates>OK</LicensedStates>
      <LicensedStates>OR</LicensedStates>
      <LicensedStates>PA</LicensedStates>
      <LicensedStates>RI</LicensedStates>
      <LicensedStates>SC</LicensedStates>
      <LicensedStates>SD</LicensedStates>
      <LicensedStates>TN</LicensedStates>
      <LicensedStates>TX</LicensedStates>
      <LicensedStates>UT</LicensedStates>
      <LicensedStates>VT</LicensedStates>
      <LicensedStates>VA</LicensedStates>
      <LicensedStates>WA</LicensedStates>
      <LicensedStates>WV</LicensedStates>
      <LicensedStates>WI</LicensedStates>
      <LicensedStates>WY</LicensedStates>
      <EventsInformation>
        <NameOfEvent1>PAPER CRUSADE</NameOfEvent1>
        <GrossReceiptsEvent1>2959128</GrossReceiptsEvent1>
        <GrossRevenueEvent1>2959128</GrossRevenueEvent1>
        <OtherDirectExpensesEvent1>206351</OtherDirectExpensesEvent1>
        <NameOfEvent2>FOOTBALL GAME</NameOfEvent2>
        <GrossReceiptsEvent2>1236989</GrossReceiptsEvent2>
        <GrossRevenueEvent2>1236989</GrossRevenueEvent2>
        <OtherDirectExpensesEvent2>86260</OtherDirectExpensesEvent2>
        <TotalNumberOfOtherEvents>30</TotalNumberOfOtherEvents>
        <GrossReceiptsOtherEvents>3593355</GrossReceiptsOtherEvents>
        <GrossRevenueOtherEvents>3593355</GrossRevenueOtherEvents>
        <OtherDirectExpensesOtherEvents>250579</OtherDirectExpensesOtherEvents>
        <GrossReceiptsTotal>7789472</GrossReceiptsTotal>
        <GrossRevenueTotalEvents>7789472</GrossRevenueTotalEvents>
        <OtherDirectExpensesTotalEvents>543190</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>543190</DirectExpenseSummaryEvents>
        <NetIncomeSummary>7246282</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <CharityCarePolicy>1</CharityCarePolicy>
      <WrittenPolicy>1</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>0</FPGReferenceFreeCare>
      <FPGReferenceDiscountedCare>0</FPGReferenceDiscountedCare>
      <FreeDiscCareMedicallyIndigent>1</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>1</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>0</ExpensesExceededBudget>
      <AnnualCommunityBenefitReport>1</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>1</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>466427046</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>4622016</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>461805030</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.80540</PercentOfTotalExpense>
      </CharityCareAtCost>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>466427046</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>4622016</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>461805030</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.80540</PercentOfTotalExpense>
      </TotalCharityCare>
      <Research>
        <TotalCommunityBenefitExpense>21027694</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>21027694</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03670</PercentOfTotalExpense>
      </Research>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>21027694</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>21027694</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03670</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>487454740</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>4622016</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>482832724</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.84210</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>0</BadDebtExpenseReported>
      <WrittenDebtCollectionPolicy>0</WrittenDebtCollectionPolicy>
      <NumberOfHospitalFacilities>19</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>SHRINERS HOSPITAL FOR CHILDREN</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>2211 NORTH OAK PARK AVENUE</AddressLine1>
          <City>CHICAGO</City>
          <State>IL</State>
          <ZIPCode>607073392</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <ChildrensHospital>X</ChildrensHospital>
        <TeachingHospital>X</TeachingHospital>
        <ResearchFacility>X</ResearchFacility>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>2</FacilityNumber>
        <Name>
          <BusinessNameLine1>SHRINERS HOSPITAL FOR CHILDREN</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>3229 BURNET AVENUE</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>452293095</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <ChildrensHospital>X</ChildrensHospital>
        <TeachingHospital>X</TeachingHospital>
        <ResearchFacility>X</ResearchFacility>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>3</FacilityNumber>
        <Name>
          <BusinessNameLine1>SHRINERS HOSPITAL FOR CHILDREN</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1645 WEST 8TH STREET</AddressLine1>
          <City>ERIE</City>
          <State>PA</State>
          <ZIPCode>16505</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <ChildrensHospital>X</ChildrensHospital>
        <TeachingHospital>X</TeachingHospital>
        <ResearchFacility>X</ResearchFacility>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>4</FacilityNumber>
        <Name>
          <BusinessNameLine1>SHRINERS HOSPITAL FOR CHILDREN</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>815 MARKET STREET</AddressLine1>
          <City>GALVESTON</City>
          <State>TX</State>
          <ZIPCode>77550</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <ChildrensHospital>X</ChildrensHospital>
        <TeachingHospital>X</TeachingHospital>
        <ResearchFacility>X</ResearchFacility>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>5</FacilityNumber>
        <Name>
          <BusinessNameLine1>SHRINERS HOSPITAL FOR CHILDREN</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>950 WEST FARIS ROAD</AddressLine1>
          <City>GREENVILLE</City>
          <State>SC</State>
          <ZIPCode>29605</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <ChildrensHospital>X</ChildrensHospital>
        <TeachingHospital>X</TeachingHospital>
        <ResearchFacility>X</ResearchFacility>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>6</FacilityNumber>
        <Name>
          <BusinessNameLine1>SHRINERS HOSPITAL FOR CHILDREN</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1310 PUNAHOU STREET</AddressLine1>
          <City>HONOLULU</City>
          <State>HI</State>
          <ZIPCode>968261099</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <ChildrensHospital>X</ChildrensHospital>
        <TeachingHospital>X</TeachingHospital>
        <ResearchFacility>X</ResearchFacility>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>7</FacilityNumber>
        <Name>
          <BusinessNameLine1>SHRINERS HOSPITAL FOR CHILDREN</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>6977 MAIN STREET</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>770303701</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <ChildrensHospital>X</ChildrensHospital>
        <TeachingHospital>X</TeachingHospital>
        <ResearchFacility>X</ResearchFacility>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>8</FacilityNumber>
        <Name>
          <BusinessNameLine1>SHRINERS HOSPITAL FOR CHILDREN</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1900 RICHMOND ROAD</AddressLine1>
          <City>LEXINGTON</City>
          <State>KY</State>
          <ZIPCode>40502</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <ChildrensHospital>X</ChildrensHospital>
        <TeachingHospital>X</TeachingHospital>
        <ResearchFacility>X</ResearchFacility>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>9</FacilityNumber>
        <Name>
          <BusinessNameLine1>SHRINERS HOSPITAL FOR CHILDREN</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>3160 GENEVA STREET</AddressLine1>
          <City>LOS ANGELES</City>
          <State>CA</State>
          <ZIPCode>90020</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <ChildrensHospital>X</ChildrensHospital>
        <TeachingHospital>X</TeachingHospital>
        <ResearchFacility>X</ResearchFacility>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>10</FacilityNumber>
        <Name>
          <BusinessNameLine1>SHRINERS HOSPITAL FOR CHILDREN</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>2425 STOCKTON BOULEVARD</AddressLine1>
          <City>SACRAMENTO</City>
          <State>CA</State>
          <ZIPCode>95817</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <ChildrensHospital>X</ChildrensHospital>
        <TeachingHospital>X</TeachingHospital>
        <ResearchFacility>X</ResearchFacility>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>11</FacilityNumber>
        <Name>
          <BusinessNameLine1>SHRINERS HOSPITAL FOR CHILDREN</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>3551 NORTH BROAD STREET</AddressLine1>
          <City>PHILADELPHIA</City>
          <State>PA</State>
          <ZIPCode>191404131</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <ChildrensHospital>X</ChildrensHospital>
        <TeachingHospital>X</TeachingHospital>
        <ResearchFacility>X</ResearchFacility>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>12</FacilityNumber>
        <Name>
          <BusinessNameLine1>SHRINERS HOSPITAL FOR CHILDREN</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>3101 SW SAM JACKSON PARK RD</AddressLine1>
          <City>PORTLAND</City>
          <State>OR</State>
          <ZIPCode>972393095</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <ChildrensHospital>X</ChildrensHospital>
        <TeachingHospital>X</TeachingHospital>
        <ResearchFacility>X</ResearchFacility>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>13</FacilityNumber>
        <Name>
          <BusinessNameLine1>SHRINERS HOSPITAL FOR CHILDREN</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>FAIRFAX ROAD AT VIRGINIA STREET</AddressLine1>
          <City>SALT LAKE CITY</City>
          <State>UT</State>
          <ZIPCode>84103</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <ChildrensHospital>X</ChildrensHospital>
        <TeachingHospital>X</TeachingHospital>
        <ResearchFacility>X</ResearchFacility>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>14</FacilityNumber>
        <Name>
          <BusinessNameLine1>SHRINERS HOSPITAL FOR CHILDREN</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>3100 SAMFORD AVENUE</AddressLine1>
          <City>SHREVEPORT</City>
          <State>LA</State>
          <ZIPCode>71103</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <ChildrensHospital>X</ChildrensHospital>
        <TeachingHospital>X</TeachingHospital>
        <ResearchFacility>X</ResearchFacility>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>15</FacilityNumber>
        <Name>
          <BusinessNameLine1>SHRINERS HOSPITAL FOR CHILDREN</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>911 WEST 5TH AVENUE</AddressLine1>
          <City>SPOKANE</City>
          <State>WA</State>
          <ZIPCode>99204</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <ChildrensHospital>X</ChildrensHospital>
        <TeachingHospital>X</TeachingHospital>
        <ResearchFacility>X</ResearchFacility>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>16</FacilityNumber>
        <Name>
          <BusinessNameLine1>SHRINERS HOSPITAL FOR CHILDREN</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>2001 S LINDBERGH BOULEVARD</AddressLine1>
          <City>ST LOUIS</City>
          <State>MO</State>
          <ZIPCode>631313597</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <ChildrensHospital>X</ChildrensHospital>
        <TeachingHospital>X</TeachingHospital>
        <ResearchFacility>X</ResearchFacility>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>17</FacilityNumber>
        <Name>
          <BusinessNameLine1>SHRINERS HOSPITAL FOR CHILDREN</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>12502 USF PINE DRIVE</AddressLine1>
          <City>TAMPA</City>
          <State>FL</State>
          <ZIPCode>336129499</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <ChildrensHospital>X</ChildrensHospital>
        <TeachingHospital>X</TeachingHospital>
        <ResearchFacility>X</ResearchFacility>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>18</FacilityNumber>
        <Name>
          <BusinessNameLine1>SHRINERS HOSPITAL FOR CHILDREN</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>2025 EAST RIVER PARKWAY</AddressLine1>
          <City>MINNEAPOLIS</City>
          <State>MN</State>
          <ZIPCode>55414</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <ChildrensHospital>X</ChildrensHospital>
        <TeachingHospital>X</TeachingHospital>
        <ResearchFacility>X</ResearchFacility>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>19</FacilityNumber>
        <Name>
          <BusinessNameLine1>SHRINERS HOSPITAL FOR CHILDREN</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>POPS</AddressLine1>
          <City>OPEN</City>
          <State>FL</State>
          <ZIPCode>33701</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <ChildrensHospital>X</ChildrensHospital>
        <TeachingHospital>X</TeachingHospital>
        <ResearchFacility>X</ResearchFacility>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>NOT REQUIRED</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>0</EligibilityCriteriaExplained>
        <UsesFPGFree>0</UsesFPGFree>
        <UsesFPGDiscounted>0</UsesFPGDiscounted>
        <ExplainsBasis>0</ExplainsBasis>
        <ExplainsApplicationMethod>0</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>0</IncludesPublicityMeasures>
        <ActionsOnNonpayment>0</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>0</NondiscrimEmergencyCarePolicy>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 3C: SHRINERS HOSPITALS FOR CHILDREN DID NOT APPLY ANY INCOME-BASED CRITERIA, ASSET TEST, OR OTHER MEANS TEST OR THRESHOLD FOR PROVIDING FREE CARE TO PATIENTS IN 2010.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 7: A GENERAL LEDGER ACCOUNTING SYSTEM WAS USED TO CALCULATE THE AMOUNTS REPORTED IN PART I, LINE 7. THE SYSTEM ADDRESSES ALL PATIENT SEGMENTS (INPATIENT AND OUTPATIENT). A COST-TO-CHARGE RATIO IS NOT PART OF THE SYSTEM.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 4: BAD DEBT EXPENSE IS NOT APPLICABLE TO SHRINERS HOSPITALS FOR CHILDREN, AND AS SUCH, IS NOT PART OF THE FOOTNOTES IN ITS FINANCIAL STATEMENTS. SHRINERS HOSPITALS FOR CHILDREN PROVIDES PATIENT CARE WITHOUT COST TO THE PATIENT. AS SUCH, THERE ARE NO REVENUES AGAINST WHICH A BAD DEBT COULD ARISE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 1(A):SHRINERS HOSPITALS FOR CHILDREN'S (SHC) CHARITY CARE POLICY IS TO PROVIDE SPECIALIZED ORTHOPAEDIC AND BURN CARE TO CHILDREN WITHOUT REGARD TO ONE'S ABILITY TO PAY. THIS HAS BEEN SHC'S POLICY FOR OVER 85 YEARS. PRESENTLY, SHC IS IN THE PROCESS OF IMPLEMENTING OTHER ARRANGEMENTS THAT WILL ENABLE SHC TO MAINTAIN ITS STANDARDS OF EXCELLENCE IN PROVIDING SUPERIOR PATIENT CARE, WITHOUT DISTRURBING ITS FUNDAMENTAL PRINCIPLES AND MISSION IN MAKING SUCH CARE OPENLY AVAILABLE TO ALL CHILDREN. THESE OTHER ARRANGEMENTS INCLUDE PARTIAL REIMBURSEMENT UNDER MEDICARE/MEDICAID GOVERNMENT PROGRAMS, AND PATIAL REIMBURSEMENT UNDER PRIVATE INSURANCE ARRANGEMENTS. THESE OTHER ARRANGEMENTS MAY CAUSE CERTAIN SECTIONS OF THIS SCHEDULE H TO BE NOT COMPARABLE TO YEARS WHEN THESE ARRANGEMENTS WERE NOT IN FORCE. NEVERTHELESS, THE SPIRIT OF SHC'S MISSION, AS WELL AS ITS FOUNDING PRINCIPLES, WILL BE MAINTAINED UNDER ANY ALTERNATIVE ARRANGEMENT.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 7, COLUMNS (A) AND (B):SEE FORM 990, PART III, LINES 4(A) AND 4(B) FOR RELATED INFORMATION.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 8:THIS ENTITY AND ITS RELATED ENTITY FILE A COMMUNITY BENEFIT REPORT IN ALL 50 STATES.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 2: SHRINERS HOSPITALS FOR CHILDREN PROVIDES PEDIATRIC, ORTHOPAEDIC, AND BURN CARE AT NO COST TO ITS PATIENTS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 3: SHRINERS HOSPITALS FOR CHILDREN POSTS ITS CHARITY CARE POLICY IN ADMISSION AREAS, EMERGENCY ROOMS, AND OTHER AREAS OF FACILITIES WHERE ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT, AND PROVIDES A COPY OF ITS POLICY TO PATIENTS AS PART OF THE INTAKE PROCESS AND WITH DISCHARGE MATERIALS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 4: SHRINERS HOSPITALS FOR CHILDREN (THROUGH THIS ENTITY AND ITS RELATED ENTITY) SERVE CHILDREN IN NEED OF SPECIALIZED ORTHOPAEDIC AND BURN CARE ACROSS THE ENTIRE UNITED STATES.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>6300 NORTH RIVER ROAD</AddressLine1>
          <City>ROSEMONT</City>
          <State>IL</State>
          <ZIPCode>60018</ZIPCode>
        </AddressUS>
        <EINOfRecipient>362110592</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>40000</AmountOfCashGrant>
        <PurposeOfGrant>SPONSORSHIP GRANT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>UNIVERSITY OF IOWA HOSPITALS AND CLINICS</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>200 HAWKINS DRIVE</AddressLine1>
          <City>IOWA CITY</City>
          <State>IA</State>
          <ZIPCode>52242</ZIPCode>
        </AddressUS>
        <EINOfRecipient>426004813</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>CONTRIBUTION</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>MEDICAL COLLEGE OF GEORGIA</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1120 15TH STREET</AddressLine1>
          <City>AUGUSTA</City>
          <State>GA</State>
          <ZIPCode>30912</ZIPCode>
        </AddressUS>
        <EINOfRecipient>591892079</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>CONTRIBUTION</PurposeOfGrant>
      </RecipientTable>
      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURE FOR MONITORING GRANTS IN THE U.S.:</Identifier>
        <ReturnReference>PART I, LINE 2:</ReturnReference>
        <Explanation>SCHEDULE I, PART I, LINE 2: SHRINERS HOSPITALS FOR CHILDREN IS ACTIVELY INVOLVED WITH ALL GRANT RECIPIENTS. THROUGH THIS ACTIVE INVOLVEMENT, THE ORGANIZATIONS ARE MONITORED TO ENSURE THEIR GRANT PROCEEDS ARE BEING USED APPROPRIATELY.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <FirstClassOrCharterTravel>X</FirstClassOrCharterTravel>
      <TravelForCompanions>X</TravelForCompanions>
      <WrittenPolicyReTAndEExpenses>1</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>1</SubstantiationRequired>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>1</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>KEITH GARDNER</NamePerson>
        <BaseCompensationFilingOrg>348617</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>16500</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>6921</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>372038</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RICHARD MCCALL MD</NamePerson>
        <BaseCompensationFilingOrg>424678</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>127603</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>2648</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>554929</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PETER ARMSTRONG MD</NamePerson>
        <BaseCompensationFilingOrg>457712</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>90747</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>4098</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>552557</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DOUGLAS BARNES</NamePerson>
        <BaseCompensationFilingOrg>438157</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>385081</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>4723</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>827961</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>LAWRENCE VOGEL</NamePerson>
        <BaseCompensationFilingOrg>271296</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>361860</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>9720</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>642876</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DENNIS ROY</NamePerson>
        <BaseCompensationFilingOrg>391032</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>212017</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>4919</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>607968</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <CarsAndOtherVehicles>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>27147</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </CarsAndOtherVehicles>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>FUN CENTER</Description>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>4250</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <AnyPropertyThatMustBeHeld>0</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>1</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>0</ThirdPartiesUsed>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>CHANGES IN PROGRAM SERVICES</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 3</ReturnReference>
        <Explanation>DURING 2010, THE ORGANIZATION ESTABLISHED A BILLING POLICY THAT APPLIES EXCLUSIVELY TO PRIVATE INSURANCE AND MEDICARE/MEDICAID. THE ORGANIZATION'S MISSION (TO PROVIDE CARE AT NO CHARGE TO PATIENTS AND THEIR FAMILIIES) REMAINS UNCHANGED. MOREOVER, COSTS IN EXCESS OF REIMBURSEMENTS THROUGH PRIVATE INSURANCE AND MEDICARE/MEDICAID ARE STILL PROVIDED AT NO CHARGE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 6</Identifier>
        <Explanation>THE ORGANIZATION IS ORGANIZED AS A NONPROFIT CORPORATION WITH MEMBERS. MEMBERS HAVE THE RIGHT TO ELECT PERSONS BELONGING TO THE GOVERNING BODY, AND TO APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BODY. COMPENSATION IS NOT PROVIDED FOR BEING A MEMBER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7A</Identifier>
        <Explanation>THE ORGANIZATION HAS APPROXIMATELY 1,400 MEMBERS WHOM ARE APPOINTED FROM THE TOTAL MEMBERSHIP OF SHRINERS INTERNATIONAL (A RELATED ORGANIZATION). MEMBERS MAY ELECT PERSONS ON THE ORGANIZATION'S GOVERNING BODY, AND MAY APPOVE SIGNIFICANT DECISIONS OF THE ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7B</Identifier>
        <Explanation>UNDER THE BYLAWS OF THE ORGANIZATION, SIGNIFICANT DECISIONS OF THE GOVERNING BODY REQUIRE APPROVAL BY THE ORGANIZATION'S 1,400 MEMBERS (SUCH AS CHANGES TO THE BYLAWS, OR SIGNIFICANT RESTRUCTURING OR EXTRAORDINARY EVENTS). THE ORGANIZATION'S MEMBERS ALSO MAY ELECT PERSONS TO SERVE ON THE ORGANIZATION'S GOVERNING BODY. THE ORGANIZATION'S MEMBERS DO NOT HAVE CONTROL OVER THE GENERAL OPERATIONS OR FINANCIAL MATTERS OF THE ORGANIZATION. ELECTIONS ARE HELD ANNUALLY BY THE MEMBERS AT VARYING LOCATIONS IN THE U.S.. VOTING IS DECIDED WITH SIMPLE MAJORITY, WHERE EACH MEMBER'S VOTE IS EQUAL WEIGHTED. ELECTED PERSONS SERVE A THREE-YEAR TERM ON THE BOARD OF TRUSTEES, A ONE-YEAR TERM ON THE BOARD OF DIRECTORS, A ONE-YEAR TERM FOR THE ORGANIZATION'S PRESIDENT, AND A ONE-YEAR TERM FOR THE ORGANIZATION'S TREASURER. THE ORGANIZATION'S OFFICERS ARE NOT ELECTED, AND INSTEAD ARE HIRED BY COMMITTEE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>AN OVERVIEW OF THE FORM AND SCHEDULES WAS PROVIDED TO EACH VOTING BOARD MEMBER, ALONG WITH A COPY OF THE 990 TO BE FILED WITH THE IRS, PRIOR TO ACTUAL FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY AND ALL MEMBERS ARE REQUIRED TO DISCLOSE ANY CONFLICTING INTERESTS OR STATE "NONE" ON THE ANNUAL CONFLICT OF INTEREST FORM.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>A SALARY &amp; PERSONNEL COMMITTEE IS INVOLVED WITH ALL COMPENSATION AND APPROVES WAGES FOR MANAGEMENT AND COMPARES THESE SALARIES TO VARIOUS MARKET INDICATORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THESE DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED GAINS ON INVESTMENTS: 394,823,666. CHANGE IN PENSION FUNDING OBLIGATION -5,915,142. TRANSFERS TO RELATED ENTITIES -60,420,631. CHANGE IN PATIENT TRANSPORTATION FUNDS HELD BY SHRINE TEMPLES 3,933,691. OTHER CHANGE IN FUNDS -1,359,474. TOTAL TO FORM 990, PART XI, LINE 5: 331,062,110.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XI, LINE 2C, AUDIT COMMITTEE OVERSIGHT PROCESS:</ReturnReference>
        <Explanation>THE ORGANIZATION HAS NOT CHANGED (DURING THE CURRENT YEAR) ITS OVERSIGHT PROCESS OR ITS SELECTION PROCESS REGARDING THE COMMITTEE RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE SHRINERS' HOSPITAL FOR CHILDREN</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>POST OFFICE BOX 31356</AddressLine1>
          <City>TAMPA</City>
          <State>FL</State>
          <ZIPCode>336313356</ZIPCode>
        </AddressUS>
        <EIN>042121377</EIN>
        <PrimaryActivities>HOSPITAL SYSTEM</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NO</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE IMPERIAL COUNCIL OF THE ANCIENT ARAB ORDER OF NOBLES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>POST OFFICE BOX 31356</AddressLine1>
          <City>TAMPA</City>
          <State>FL</State>
          <ZIPCode>336313356</ZIPCode>
        </AddressUS>
        <EIN>362158164</EIN>
        <PrimaryActivities>FOUNDED SHRINERS HOSPITALS FOR CHILDREN</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(10)</ExemptCodeSection>
        <PublicCharityStatus>N/A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NO</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SHRINERS HOSPITALS FOR CHILDREN EMPLOYEE DISASTER RELIEF FUND</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2900 ROCKY POINT DRIVE</AddressLine1>
          <City>TAMPA</City>
          <State>FL</State>
          <ZIPCode>33607</ZIPCode>
        </AddressUS>
        <EIN>263733381</EIN>
        <PrimaryActivities>DISASTER RELIEF</PrimaryActivities>
        <LegalDomicileState>DC</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NO</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ROLLINS HILLS WATER CORPORATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 31356</AddressLine1>
          <City>TAMPA</City>
          <State>FL</State>
          <ZIPCode>31356</ZIPCode>
        </AddressUS>
        <EIN>752813030</EIN>
        <PrimaryActivity>HOLDING COMPANY</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHRINERS HOSPITALS FOR CHILDREN</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>1</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>1</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>THE SHRINERS' HOSPITAL FOR CHILDREN</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>38546048</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SHRINERS INTERNATIONAL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>I</TransactionType>
        <AmountInvolved>2707269</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>