AnnualReport2021

FINANCIAL HIGHLIGHTS SHRINERS HOSPITALS d CHILDREN

(in thousands)

Dec. 31, 2019

Dec. 31, 2020

ASSETS Cash and cash equivalents

$

40,980

17,295

Cash and cash equivalents held as collateral under securities lending transactions Patient accounts receivable, net of allowance for doubtful accounts

531,229

727,723

28,467

27,363

Other current assets

74,340

71,466

Patient transportation funds held by Shriners temples

70,477

76,396

LONG-TERM INVESTMENTS

Long-term investments

8,711,893

9,469,504

Estates in process

249,788

250,704

Land, buildings, and equipment, net of accumulated depreciation

9

841,056

875,945

10,583,119

11,481,507

$

Total assets

8

LIABILITIES AND NET ASSETS Liabilities: Accounts payable and accrued expenses

7

$

394,424

353,437

Liabilities under securities lending transactions

531,229

727,723

6

41,681

41,558

Other liabilities

967,334

1,122,718

Total liabilities

5

Net assets: Without donor restrictions (net of accumulative foreign currency adjustment of $9,351 and $9,425, in 2019 and 2018, respectively):

4

$

8,935,449

8,239,945

1,375,840

1,423,340

With donor restrictions

Charitable Gift Annuities $43,474 Misc. Investments $35,952

9,615,785

Total net assets

10,358,789

3

10,583,119

11,481,507

$

Total liabilities and net assets

Marketable Securities $8,499,363

TOTAL REVENUES AND OTHER SUPPORT Investment income

Beneficial Interest $617,907

2

$

299,968

289,727

RE & Minerals $272,808

Bequests

167,612

194,624

1

Donations

166,475

204,906

Fundraising and special events

65,439

70,430

0

Net patient service revenue

153,586

152,467

Total $9,469,504

46,365

32,935

Other

899,445

945,089

Total revenues and other support

OPERATING EXPENSES Hospitals

INVESTMENT INCOME

$

711,200

698,681

Research

30,429

27,664

Trust Income $23,040

Revenue cycle

15,193

15,613

Information systems

39,095

37,531

Rents & Royalties $9,604

Headquarters, administrative, and board related

87,618

86,708

Realized Gains on Investments $115,499

Other $2,117

85,901

86,281

Fundraising and special events

969,436

Total operating expenses

952,478

Decrease in net assets from operating and other activities

(7,389)

(69,991)

OTHER CHANGES IN NET ASSETS Gain (Loss) on investments

Total $289,727

1,010,907

738,334

Change in patient transportation funds held by Shriners temples Pension-related changes other than net periodic pension costs

3,003

5,919

(32,194)

17,262

(13,673)

(11,122)

Other, net

968,043

Total non-operating gains

750,393

Interest & Dividends (less fees) $139,467

898,052

743,004

(Decrease) in net assets

$

2020-2021 YEAR IN REVIEW

67