l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93490133012299 Return of Organization Exempt From Income Tax OMB No 1545-0047 Form 990 Under section 501 (c), 527, or 4947( a)(1) of the Internal Revenue Code ( except black lung benefit trust or private foundation) 2 00 7_ Department of the Open -The organization may have to use a copy of this return to satisfy state reporting requirements Treasury Inspection Internal Revenue Service A For the 2007 calendar year, or tax year beginning 07 -01-2007 and ending 06 -30-2008 C Name of organization D Employer identification number B Check if applicable Please Christus Health F- Address change use IRS 76-0590551 label or Number and street (or P 0 box if mail is not delivered to street address) Room/suite E Telephone number F Name change print or type . See 2707 NORTH LOOP WEST (281) 936-3000 1 Initial return Specific Instruc - City or town, state or country, and ZIP + 4 F Accounting method fl Cash F- Accrual F_ Final return tions . HOUSTON, TX 77008 (- Other (specify) 0- (- Amended return (Application pending * Section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable H and I are not applicable to section 527 organizations trusts must attach a completed Schedule A (Form 990 or 990-EZ). H(a) Is this a group return for affiliates? F_ Yes F- No H(b) If "Yes" enter number of affiliates 0- G Web site: - wwwchristushe alth org H(c) Are all affiliates included? F Yes F No (If "No," attach a list See instructions ) I Organization type (check only one) 1- F9!!+ 501(c) (3) -4 (insert no ) (- 4947(a)(1) or F_ 527 H(d) Is this a separate return filed by an organization K Check here 1- 1 if the organization is not a 509(a)(3) supporting organization and its gross receipts are covered by a group ruling? F- Yes F_ No normally not more than 25,000 A return is not required, but if the organization chooses to file a return, be sure to file a complete return I Group Exemption Number - 0928 M Check - 1 if the organization is not required to L Gross receipts Add lines 6b, 8b, 9b, and 10b to line 12 - 9,289,680,501 attach Sch B (Form 990, 990-EZ, or 990-PF) n i Revenue . Expenses . and Chances in Net Assets or Fund Balances (See the instructions.) 1 Contributions, gifts, grants, and similar amounts received a Contributions to donor advised funds la b Direct public support (not included on line 1a) . lb 21,753 c Indirect public support (not included on line 1a) . 1c 34,551 d Government contributions (grants) (not included on line 1a) ld 56,304 e Total (add lines la through 1d) (cash $ 49,678 noncash $ 6 ,626 1e 2 Program service revenue including government fees and contracts (from Part VII, line 93) 2 319,449,235 3 Membership dues and assessments 3 4 Interest on savings and temporary cash investments 4 6,327,970 5 Dividends and interest from securities 5 28,830,189 6a Gross rents 6a b Less rental expenses 6b c Net rental income or (loss) subtract line 6b from line 6a . 6c 7 Other investment income (describe S) . 7 19,331,273 8a Gross amount from sales of assets (A) Securities (B) Other a other than inventory 7,516,319,876 8a 1,392,933,924 b Less cost or other basis and sales expenses 7,483,600,094 8b 1,392,867,948 c Gain or (loss) (attach schedule) . 32,719,782 Sc 65,976 d Net gain or (loss) Combine line 8c, column s (A) and (B) . 8d 32,785,758 9 Special events and activities (attach schedule) If any amount is from gaming , check here 0-F a Gross revenue (not including $ of contributions reported on line 1b) . 9a b Less direct expenses other than fundraising expenses . 9b c Net income or (loss) from special events Subtract line 9b from line 9a . c 10a Gross sales of inventory, less returns and allowances . 10a b Less cost of goods sold 10b c Gross profit or (loss) from sales of inventory (attach schedule) Subtract line 10b from line 10a 10c 11 Other revenue (from Part VII, line 103) 11 6,431,730 12 Total revenue Add lines le, 2, 3, 4, 5, 6c, 7, 8d, 9c, 10c, and 11 12 413,212,459 13 Program services (from line 44, column (B)) . 13 242,615,572 14 Management and general (from line 44, column (C)) . 14 156,390,780 FU 15 Fundraising (from line 44, column (D)) 15 CL w 16 Payments to affiliates (attach schedule) 16 17 Total expenses Add lines 16 and 44, column (A) . 17 399,006,352 18 Excess or (deficit) for the year Subtract line 17 from line 12 . 18 14,206,107 19 Net assets or fund balances at beginning of year (from line 73, column (A)) 19 648,388,679 20 Other changes in net assets or fund balances (attach explanation) . 20 -167,614,685 21 Net assets or fund balances at end of year Combine lines 18, 19, and 20 21 494,980,101 For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions . Cat No 11282Y Form 990 (2007) Form 990 (2007) Page 2 Statement of All organizations must complete column (A) Columns (B), (C), and (D) are required for section Functional Expenses 501(c)(3) and (4) organizations and section 4947(a)(1) nonexempt charitable trusts but optional for others (See the instructions.) Do not include amounts reported on line (B) Program (C) Management ( A) Total (D) Fundraising 6b, 8b, 9b, 1Ob, or 16 of Part I. services and general 22a Grants paid from donor advised funds (attach Schedule) (cash $ 0 noncash $ 0 If this amount includes foreign grants, check here F 22a 22b Other grants and allocations (attach schedule) (cash $ 12,312,269 noncash $ 0 If this amount includes foreign grants, check here - F 22b 12,312,269 12,312,269 23 Specific assistance to individuals (attach schedule) 23 24 Benefits paid to or for members (attach schedule) 24 25a Compensation of current officers, directors, key employees etc Listed in Part V-A (attach schedule) 25a 7,638,685 7,638,685 b Compensation of former officers, directors, key employees etc listed in Part V-B (attach schedule ) . 25b c Compensation and other distributions not icluded above to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) (attach schedule) 25c 26 Salaries and wages of employees not included on lines 25a, b and c 26 84,823,252 36,857,343 47,965,909 27 Pension plan contributions not included on lines 25a, b and c 27 2,475,969 1,026,504 1,449,465 28 Employee benefits not included on lines 25a - 27 28 14,007,613 4,964,017 9,043,596 29 Payroll taxes 29 4,027,598 2,579,632 1,447,966 30 Professional fundraising fees 30 31 Accounting fees 31 2,374,065 2,374,065 32 Legal fees 32 863,057 7,581 855,476 33 Supplies 33 4,200,009 1,526,801 2,673,208 34 Telephone 34 8,836,409 8,586,994 249,415 35 Postage and shipping 35 1,612,087 10,297 1,601,790 36 Occupancy 36 3,055,514 883,177 2,172,337 37 Equipment rental and maintenance 37 56,916,953 31,834,883 25,082,070 38 Printing and publications 38 819,361 250,272 569,089 39 Travel 39 5,627,013 2,130,076 3,496,937 40 Conferences, conventions, and meetings 40 2,972,541 190,736 2,781,805 41 Interest 41 22,388,589 1,364,649 21,023,940 42 Depreciation, depletion, etc (attach schedule) 42 13,750,514 9,863,575 3,886,939 43 Other expenses not covered above (itemize) a See Additional Data Table 43a b 43b c 43c d 43d e 43e f 43f g 43g 44 Total functional expenses . Add lines 22a through 43g (Organizations completing columns (B)-(D), carry these totals to lines 13-15) 44 399,006,352 242,615,572 156,390,780 0 Joint Costs . Check - fl if you are following SOP 98-2 Are any joint costs from a combined educational campaign and fundraising solicitation reported in (B) Program services ' fl Yes F No If "Yes," enter ( i) the aggregate amount of these joint costs $ 0 , (ii) the amount allocated to Program services $ 0 (iii) the amount allocated to Management and general $ 0 , and (iv) the amount allocated to Fundraising $0 Form 990 (2007) Form 990 (2007) Page 3 f iii Statement of Program Service Accomplishments (See the instructions.) Form 990 is available for public inspection and, for some people, serves as the primary or sole source of information about a particular organization How the public perceives an organization in such cases may be determined by the information presented on its return Therefore, please make sure the return is complete and accurate and fully describes, in Part III, the organization's programs and accomplishments Program Service What is the organization's primary exempt purpose's 0- SUPPORT HEALTHCARE FACILITIES Expenses All organizations must describe their exempt purpose achievements in a clear and concise manner State the number of clients served, (Required for 501(c)(3) and publications issued, etc Discuss achievements that are not measurable (Section 501(c)(3) and (4) organizations and 4947(a)(1) nonexempt (4) orgs , and 4947(a)(1) charitable trusts must also enter the amount of grants and allocations to others trusts, but optional for others ) a See Additional Data Table (Grants and allocations $ If this amount includes foreign grants, check here - F b (Grants and allocations $ If this amount includes foreign grants, check here - F c (Grants and allocations $ If this amount includes foreign grants, check here - fl d (Grants and allocations $ If this amount includes foreign grants, check here 0- e Other program services ( attach schedule) (Grants and allocations $ ) If this amount includes foreign grants, check here - F- f Total of Program Service Expenses (should equal line 44, column (B), Program services) 0- 242,615,572 Form 990 (2007) Form 990 (2007) Page 4 Balance Sheets (See the instructions.) Note : Where required, attached schedules and amounts within the description (A) (B) column should be for end-of-year amounts only.