SA-71110A Annual Services Report

OMB No. 0607-0422: Approval Expires 12/31/2018

SERVICE ANNUAL SURVEY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

2015 ANNUAL SERVICES REPORT

Worksheet
FORM

SA-71110A
Due Date

Call 1-877-787-9860, option "1"
(8:00 a.m. - 5:00 p.m. ET, M-F)
or Visit
https://econhelp.census.gov/sas

WORKSHEET
DO NOT use this worksheet to respond to the survey, it is intended to assist you
with gathering and preparing your data prior to reporting online.
Please view the online report for specific instructions that may apply to your EIN
or firm.
Return to https://econhelp.census.gov/sas
_________________________________ when you are ready to report online.

YOUR RESPONSE IS REQUIRED
BY LAW. Title 13, United States
Code, Sections 131 and 182
authorizes this collection. Sections
224 and 225 requires businesses
and other organizations that
receive this questionnaire to
answer the questions and return
the report to the U.S. Census
Bureau. By Section 9 of the same
law, YOUR CENSUS REPORT
IS CONFIDENTIAL. It may be
seen only by persons sworn
to uphold the confidentiality of
Census Bureau information and
may be used only for statistical
purposes. Under the same law,
information that you report cannot
be used for taxation, regulation,
or investigation and are exempt
from release under the Freedom
of Information Act. Further, copies
of your response retained in
your files are immune from legal
process.

Return via Internet:
https://econhelp.census.gov/sas
Username:

Return via Mail:
U.S. Census Bureau
1201 East 10th Street
Jeffersonville, IN 47132-0001

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Need help or have questions?

(DRAFT)

To view Survey Results:
census.gov/services

GENERAL INSTRUCTIONS
• Any significant change in this firm's operations should be noted in 17 .
• For establishments sold or acquired in 2015, report data only for the period the establishments were operated by
this firm.
• Estimates are acceptable if book figures are not available.
• Enter "0" where applicable.
• Do not combine data for two or more detailed lines.
• Report data on an accrual basis, except for payroll.
$ Bil.
Mil.
Thou.
Dol.
• Dollars should be rounded to the nearest dollar.
1 030280456
• If a figure is $1,030,280,456 it should be reported as
Include:
• Data for all Services establishments (excluding data for Retail, Wholesale, Manufacturing, Mining, and
Construction operations) as defined by the survey coverage in 1 B.
• Data for auxiliary facilities primarily engaged in supporting services to those establishment(s) such as warehouses,
garages, central administrative offices, and repair services.
1

A. MAILING ADDRESS
Is this firm's name and mailing address the same as shown in the mailing address above?
Yes
0035

No - Enter corrections in the mailing address above

PENALTY FOR FAILURE TO REPORT

CONTINUE ON PAGE 2

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71111017

Password:

Form SA-71110A
1

Page 2

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B. SURVEY COVERAGE
Did this firm provide the business activities described below?

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Yes
0001

No - Specify this firm's business activity
0002

2

Not Applicable.

3

ORGANIZATIONAL CHANGE
A. Did this firm experience any acquisitions, sales, mergers, and/or divestitures in 2015?
Yes
0016

No - Go to

4

B. Which of the following organizational changes occurred in 2015?
Check all that apply. If more than one organizational change occurred during the reporting period, explain in
Month

Acquisition
0091

Merger

Date of organizational change . . . . . . . . . . . . . .

Year

0018

AND
Enter detailed information below

Divestiture
0017

Name of company

0019

EIN (9 digits)

Address (Number and street, P.O. Box, etc.)

71111025

City, town, village, etc.

State

ZIP Code

-

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Sale

Day

17 .

Form SA-71110A
4

Page 3

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REPORTING PERIOD
NOTE: Calendar year data are preferred. If it is not available, please report for the fiscal
year that includes at least six months of data for the 2015 calendar year.
What time period is covered by the data provided in this report?
Calendar year
0006

Fiscal or partial year - Report beginning and ending dates . . . . . . . . . . .

0007

Ending Date
Month

Day

Year

0008

5

TAX STATUS
A. Is this establishment operated on a not-for-profit basis?
Yes
0031

No - Go to

6

B. Was all or part of the income of this establishment or organization exempt from Federal income
taxes under section 501 of the Internal Revenue Code?
Yes
0030

No

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2015
Beginning Date
Month Day
Year

71111033

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CONTINUE ON PAGE 4

Form SA-71110A
6

Page 4

(DRAFT)

SALES, RECEIPTS, OR REVENUE
What were the revenues for this firm in 2015?

INSTRUCTIONS FOR TAXABLE FIRMS
Include:
• Amounts received for work subcontracted to others.
• For locations that were sold or acquired during a year, only report for the periods that this firm operated the
locations.
• Revenue from services performed by domestic locations of foreign parent firms, subsidiaries, branches, etc.
Exclude:
• Rents from and revenue of separately operated departments, concessions, etc., which are leased to others.
• Commissions from vending machine operators.
• Revenue of foreign subsidiaries (those located outside the U.S., i.e., outside the 50 states, District of Columbia, U.S.
Commonwealth Territories, or U.S. Possessions).
INSTRUCTIONS FOR TAX-EXEMPT FIRMS
Include:
• Program service revenue for services provided in the applicable period, whether or not payment was received in the
applicable period.
• Gross sales of merchandise minus returns and allowances.
• Income from interest, dividends, gross rents (including display space rentals and share of receipts from departments
operated by other companies), royalties, and other investments.
• Gross contributions, gifts, and grants (whether or not restricted for use in operations).
• Commissions earned from the sale of merchandise owned by others (including commissions from vending machine
operators).
• Gross receipts from fundraising activities.

Mark "X"
if None

71111041

1.

Operating Revenue
a. Admissions revenue (excluding admissions taxes) - Gross
box office receipts from the sale of admissions tickets exclusive of
any state or local admissions taxes (include theater or facilities
owners' share, if any). Include receipts from all home, hall or tour
subscriptions, and other concerts or performances for which paid
attendance may be determined by ticket sales, including minimum
guarantee and percentage arrangements. Dinner theaters should
include all combined admission/dinner receipts on this line . . .
b. All other operating revenue - The sale of food, refreshments,
and alcoholic beverages that are not included in the admissions
price; contract fees from providing entertainment; revenue from
royalties, licensing fees, and residual fees from literary works,
musical recordings and compositions, filmed entertainment,
or other cultural works; and rental fees for the use of facilities.
Exclude rental revenue and commissions from concessions
and coin-operated machines operated by others and sales and
admissions taxes. If this item is greater than 20% of the
total operating revenue, specify the primary source of the
revenue below

$ Bil.

Mil.

2015
Thou.

Dol.

3002

1799

CONTINUE WITH

6

ON PAGE 5

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Exclude:
• Gross receipts of departments or concessions operated by other companies.
• Amounts transferred to operating funds from capital or reserve funds.

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Include:
• Report gross billings, except where noted elsewhere on the form.
• Dues and assessments from members and affiliates.
• E-commerce revenue.
Exclude:
• Transfers made within the company.
• Taxes collected directly from customers or clients and paid directly to a local, state, or federal tax agency.

Form SA-71110A
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SALES, RECEIPTS, OR REVENUE - Continued
Mark "X"
if None

2.

$ Bil.

Mil.

2015
Thou.

Dol.

Non-Operating Revenue (Lines 2a through 2c to be completed by
tax-exempt firms only)

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a. Contributions, gifts, and grants received
. . . . . . . . . . . .
b. Investment and property income - Include interest and
dividends. Exclude gains (losses) from assets sold . . . . . . . . .
c. All other non-operating revenue - Revenue not reported in
lines 2a or 2b. If this item is greater than 20% of the total
non-operating revenue, specify the primary source of
revenue below

1741

1742

1809

3.

TOTAL REVENUE
Sum of lines 1a through 2c . . . . . . . . . . . . . . . . . . . . . . . . .

7

Not Applicable.

8

E-COMMERCE

1800

E-commerce is the sale of goods and services where the buyer places an order, or the price and terms of the sale
are negotiated, over an Internet, mobile device (M-Commerce), extranet, EDI network, electronic mail, or other
comparable online system. Payment may or may not be made online.
A. Did this firm have any e-commerce revenue in 2015?
Yes
0011

No - Go to

13

$ Bil.

B. What was the total e-commerce revenue in 2015? . . . . . . . . . .

Mil.

2015
Thou.

Dol.

2000

9 – 12 Not Applicable.

An exported service is a service performed for a customer or client (individual, government, business
establishment, etc.) located outside the United States (i.e., outside the 50 States, District of Columbia, U.S.
Commonwealth Territories, or U.S. Possessions).
Include:
• Services performed for unaffiliated and affiliated foreign firms (i.e., foreign parent firms, subsidiaries, branches, etc.).
Exclude:
• Services provided to domestic subsidiaries of foreign firms.
A. Did the revenue reported in

6

include any revenue from exports?

Yes

71111058

0009

No - Go to

14

$ Bil.

B. What was this firm's revenue from exports in 2015? . . . . . . . . .

Mil.

2015
Thou.

Dol.

2100

CONTINUE ON PAGE 6

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13 EXPORT REVENUE

Form SA-71110A

Page 6

(DRAFT)

14 OPERATING EXPENSES
What were the operating expenses for this firm in 2015?

Gross annual payroll
Include salaries and wages, commissions, dismissal pay, bonuses, employee contributions to Social Security, income
tax withholding, union dues, group insurance premiums, savings bonds, cash equivalent in-kind, allowances, holiday
pay, vacation pay, sick leave, stock purchase plans, and employee contributions to pension plans. Exclude the cost of
leased employees, employer's cost for fringe benefits, and temporary staff obtained from temporary help services. For
unincorporated businesses, exclude profit or other compensation of proprietors or partners.
All other operating expenses
Include travel and entertainment; postage, shipping or delivery services; warehousing and storage services; royalties;
security services; janitorial and grounds maintenance services; purchased transportation with operators; and other
expenses not reported elsewhere.
Mark "X"
if None

Personnel Costs
a. Gross annual payroll - Total annual Medicare salaries and
wages for all employees as reported on this firm's IRS Form 941,
Employer's Quarterly Federal Tax Return, line 5(c) for the four
quarters that correspond to the survey period or IRS Form 944
Employer's Annual Federal Tax Return, line 4(c). Include the
spread on stock options that are taxable to employees as wages .
b. Employer's cost for fringe benefits - Employer's cost for
legally required programs and programs not required by law:
1. Health insurance - Insurance premiums for hospital plans,
medical plans, and single service plans (e.g., dental, vision,
prescription drugs). Include premium equivalents for selfinsured plans and fees paid to third-party administrators
(TPAs). Exclude employee contributions . . . . . . . . . . . . .
2. Pension plans:
a. Defined benefit pension plans - Costs for both qualified
and unqualified defined pension plans. Pension plans
that specify the benefit to be paid to employees upon
retirement, generally either a specific amount or a
percentage of compensation. Employer contributions
are based on actuarial computations that include the
employee's compensation and years of service and are not
allocated to specific accounts maintained for employees . .
b. Defined contribution plans - Costs under defined
contribution plans. Pension plans that define the employer
contributions to a separate account provided for each
employee. The employee "benefit" at retirement depends
on the amount contributed and the results of the account's
activity. Examples include profit sharing plans, money
purchase (e.g., 401k, 403b) and stock bonus plans (e.g.,
ESOPs) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. Payroll taxes, employer paid insurance premiums
(except health), and other employer benefits - Include
legally-required fringe benefits (e.g., Social Security, workers'
compensation insurance, unemployment tax, state disability
insurance programs, Medicare). Include benefits for life
insurance, "quality of life" benefits (e.g., childcare assistance,
subsidized commuting), employer contributions to pre-tax
benefit accounts (e.g., health savings accounts), education
assistance, and other benefits not specified above. Exclude
disbursements from trusts or funds to satisfy health insurance
claims . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CONTINUE WITH

14

Mil.

2015
Thou.

Dol.

1821

1841

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71111066

1.

$ Bil.

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Exclude:
• Transfers made within the company.
• Capitalized expenses.
• Interest.
• Bad debt.
• Impairment.
• Income tax.

1842

1843

1844

ON PAGE 7
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Form SA-71110A

Page 7

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14 OPERATING EXPENSES - Continued
Mark "X"
if None

1.

CONTINUE WITH

14

2015
Thou.

Dol.

1823

1824

1825

1826

1845

1846

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71111074

3.

Mil.

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2.

Personnel Costs - Continued
c. Temporary staff and leased employee expense - Total costs
paid to Professional Employer Organizations (PEOs) and staffing
agencies for personnel. Include all charges for payroll, benefits,
and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed Materials, Parts, and Supplies (not for resale)
a. Expensed equipment - Expensed computer hardware and other
equipment (e.g., copiers, fax machines, telephones, shop and lab
equipment, CPUs, monitors). Report packaged software in line 3a.
Report leased and rented equipment in line 3i . . . . . . . . . . . .
b. Expensed purchases of other materials, parts, and
supplies - Materials and supplies used in providing services to
others; materials and parts used in repairs; office and janitorial
supplies; small tools; containers and other packaging materials;
and motor fuels
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expensed Purchased Services
a. Expensed purchases of software - Purchases of prepackaged,
custom coded, or vendor customized software. Include software
developed or customized by others, web-design services and
purchases, licensing agreements, upgrades of software, and
maintenance fees related to software upgrades and alterations . .
b. Data processing and other purchased computer services Include web hosting, computer facilities management services,
computer input preparation, data storage, computer time rental,
optical scanning services, and other computer-related advice
and services, including training. Exclude expensed integrated
systems, repair and maintenance of computer equipment, payroll
processing and credit card transaction fees, and expenses for
telecommunication services (e.g., Internet, connectivity, telephone)
c. Purchased communication services - Telephone, cellular, and
fax services; computer-related communications (e.g., Internet,
connectivity, online), and other wired and wireless communication
services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. Purchased repairs and maintenance to machinery and
equipment - Expensed repair and maintenance services to
machinery, vehicles, equipment, and computer hardware.
Exclude materials, parts, and supplies used for repairs and
maintenance performed by this firm's employees . . . . . . . . . .
e. Purchased repairs and maintenance to buildings,
structures, and offices - Include repair and maintenance to
integral parts of buildings (e.g., elevators, heating systems).
Exclude materials, parts, and supplies used for repairs and
maintenance performed by this firm's employees. Report janitorial
and grounds maintenance services in line 4c . . . . . . . . . . . . .
f. Purchased electricity - If the cost of electricity is included in
lease or rental payments, report in line 3j . . . . . . . . . . . . . . .
g. Purchased fuels (except motor fuels) - Fuel for heating,
power, or generating electricity (e.g., natural gas, propane, oil,
coal). If the costs are included in lease or rental payments, report
in line 3j . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
h. Water, sewer, refuse removal, and other utility payments Include the cost of hazardous waste removal. If the costs of these
utilities are included in lease or rental payments, report in line 3j
i. Lease and rental payments for machinery, equipment, and
other tangible items - Include lease and rental of transportation
equipment without operators and penalties incurred for broken
leases. Exclude capital and financing lease agreements and
licensing/leasing of software . . . . . . . . . . . . . . . . . . . . . . .
j. Lease and rental payments for land, buildings, structures,
store spaces, and offices - Include penalties incurred for
broken leases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
k. Purchased advertising and promotional services - Include
marketing and public relations services . . . . . . . . . . . . . . . .

$ Bil.

1848

1849

1850

1851

1852

1853

1854

1830

ON PAGE 8
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Form SA-71110A

Page 8

(DRAFT)

14 OPERATING EXPENSES - Continued
Mark "X"
if None

3.

Mil.

2015
Thou.

Dol.

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4.

Expensed Purchased Services - Continued
l. Purchased professional and technical services - Include
management consulting, accounting, auditing, bookkeeping,
legal, actuarial, payroll processing, architectural, engineering, and
other professional services. Exclude salaries paid to your own
employees for these services . . . . . . . . . . . . . . . . . . . . . .
Other Operating Expenses
a. Depreciation and amortization charges - Include depreciation
charges taken against tangible assets owned and used by this
firm, tangible assets and improvements owned by this firm
within leaseholds, tangible assets obtained through capital lease
agreements, and amortization charges against intangible assets
(e.g., patents, copyrights). Exclude impairment . . . . . . . . . . .
b. Governmental taxes and license fees - Payments to
government agencies for taxes and licenses. Include business
and property taxes. Exclude income taxes and sales and excise
taxes collected from customers . . . . . . . . . . . . . . . . . . . . .
c. All other operating expenses - All other operating expenses
not reported above, unless specifically excluded in the general
instructions. Include office postage paid and package delivery.
Exclude purchases of merchandise for resale and non-operating
expenses. If this item is greater than 20% of the total
operating expenses, specify the primary source of the
expenses below

$ Bil.

1855

1831

1832

1859

5.

TOTAL OPERATING EXPENSES
Sum of lines 1a through 4c . . . . . . . . . . . . . . . . . . . . . . . . .

1900

15 INTEREST EXPENSE
1

Mark "X"
if None

Interest expense - Interest expenses incurred in the financing of
operations and long lived assets used in continuing operations . . .

B and operated on a tax-exempt

$ Bil.

Mil.

2015
Thou.

Dol.

1856

71111082

16 Not Applicable.

CONTINUE ON PAGE 9

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What was the interest expense for this firm's establishments as defined in
basis?
Exclude:
• Transfers made within the company.
• Capitalized expenses.
• Impairment.
• Bad debt.
• Income tax.

Form SA-71110A

Page 9

(DRAFT)

17 REMARKS - Please use this space to explain any significant year-to-year changes, to clarify responses, or indicate where
data were estimated.

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Name of person to contact regarding this report (Please print)

Area code

71111090

Telephone
E-mail address

Number

-

Title

Extension

Area code
Fax

Number

-

Website address

THANK YOU for completing your 2015 ANNUAL SERVICES REPORT.
We suggest you keep a copy for your records.
Public reporting burden for this collection of information is estimated to average 3-6 hours per response, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden, to: ECON Survey Comments 0607-0422, U.S. Census Bureau, 4600 Silver Hill Road, Room EMD-8K122, Washington,
DC 20233. You may e-mail comments to [email protected] . Be sure to use ECON Survey Comments 0607-0422 as the
subject. You are not required to respond to this collection of information if it does not display a valid approval number from the Office of
Management and Budget (OMB). The eight-digit OMB number is 0607-0422 and appears in the upper right corner of the electronic instrument
screen.

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18 CONTACT INFORMATION