Christus Health in Irving, Texas (TX)

Christus Health
Employer Identification Number (EIN)	760590551
Name of Organization	Christus Health
In Care of Name	Kim Reynolds
Address	919 Hidden Rdg, Irving, TX 75038-3813
Activities	Special school for the blind, handicapped, etc, Hospital, Publishing activities
Subsection	Charitable Organization, Religious Organization
Ruling Date	03/1946
Deductibility	Contributions are deductible
Foundation	Organizations operated solely for the benefit of and in conjunction with organizations described in 10 through 16 above
Organization	Association
Exempt Organization Status	Unconditional Exemption
Tax Period	06/2013
Assets	$50,000,000 to greater
Income	$50,000,000 to greater
Filing Requirement	990 (all other) or 990EZ return
Asset Amount	$2,696,321,439
Amount of Income	$1,654,479,614
Form 990 Revenue Amount	$646,842,520
National Taxonomy of Exempt Entities (NTEE)	Health - General and Rehabilitative: Community Health Systems

Non-representatives - add comments:

Amount of income in 2013: $1,654,479,614

This organization:	$1,654,479,614
Other organizations performing similar types of work:	$58,371,666

Assets in 2013: $2,696,321,439

Christus Health:	$2,696,321,439
Other organizations performing similar types of work:	$115,495,398

Expenses in 2013: $522,325,479

This organization:	$522,325,479
Other organizations performing similar types of work:	$46,510,321

Income to expenses ratio in 2013: 3.2

Christus Health:	3.2
Other organizations performing similar types of work:	1.0

Expenses allocated to program services in 2007: 60.8%

Christus Health:	60.8%
Other organizations performing similar types of work:	86.6%

Number of employees in 2013: 1,828

Christus Health:	1,828
Other organizations performing similar types of work:	360

Employees paid over $100,000 in 2013: 24.7%

This organization:	24.7%
Other organizations performing similar types of work:	0.0%

Financial snapshot ($)

Revenue for 2013

Assets at the end of 2013

Functional expenses for 2013

Support schedule

	2012	2013
Checklist
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?	No	No
Is the organization required to complete Schedule B, Schedule of Contributors?	Yes	No
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office?	No	No
Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year?	No	No
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19?	No	No
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts?	No	No
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures?	No	No
Did the organization maintain collections of works of art, historical treasures, or other similar assets?	No	No
Did the organization report an amount for escrow or custodial account liability; serve as a custodian or provide credit counseling, debt management, credit repair, or debt negotiation services?	No	No
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments?	No	No
Did the organization report an amount for land, buildings, and equipment?	Yes	Yes
Did the organization report an amount for investments-other securities that is 5% or more of its total assets?	Yes	Yes
Did the organization report an amount for investments-program related that is 5% or more of its total assets?	Yes	No
Did the organization report an amount for other assets that is 5% or more of its total assets?	Yes	No
Did the organization report an amount for other liabilities?	Yes	Yes
Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)?	Yes	Yes
Did the organization obtain separate, independent audited financial statements for the tax year?	No	No
Was the organization included in consolidated, independent audited financial statements for the tax year?	Yes	Yes
Is the organization a school described in section 170(b)(1)(A)(ii)?	No	No
Did the organization maintain an office, employees, or agents outside of the United States?	No	No
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more?	No	No
Did the organization report more than $5,000 of grants or other assistance to or for any foreign organization?	No	No
Did the organization report more than $5,000 of aggregate grants or other assistance to or for foreign individuals?	No	No
Did the organization report a total of more than $15,000 of expenses for professional fundraising services?	No	No
Did the organization report more than $15,000 total of fundraising event gross income and contributions?	No	No
Did the organization report more than $15,000 of gross income from gaming activities?	No	No
Did the organization operate one or more hospital facilities?	No	No
Did the organization attach a copy of its audited financial statements?	No	No
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government?	Yes	Yes
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals?	No	No
Did the organization answer 'Yes' about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees?	Yes	Yes
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002?	Yes	Yes
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?	Yes	Yes
Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds?	No	No
Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year?	No	No
Did the organization engage in an excess benefit transaction with a disqualified person during the year?	No	No
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?	No	No
Did the organization report any amount for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?	No	No
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons?	No	No
Was the organization a party to a business transaction with one of the following parties
A current or former officer, director, trustee, or key employee?	No	No
A family member of a current or former officer, director, trustee, or key employee?	No	No
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner?	Yes	Yes
Did the organization receive more than $25,000 in non-cash contributions?	Yes	No
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?	No	No
Did the organization liquidate, terminate, or dissolve and cease operations?	No	No
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?	No	No
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?	No	No
Was the organization related to any tax-exempt or taxable entity?	Yes	Yes
Did the organization have a controlled entity within the meaning of section 512(b)(13)?	Yes	Yes
Did the organization make any transfers to an exempt non-charitable related organization?	No	No
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes?	No	No

	2011	2012	2013
Statements Regarding Other IRS Filings and Tax Compliance
The number reported in Box 3 of Form 1096		4,585	4,455
The number of Forms W-2G		0	0
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?		Yes	Yes
The number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return		2,024	1,828
Did the organization file all required federal employment tax returns?		Yes	Yes
Did the organization have unrelated business gross income of $1,000 or more during the year?	Yes	Yes	Yes
Has it filed a Form 990-T for this year?		Yes	Yes
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?		Yes	Yes
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?		No	No
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?		No	No
Did the organization file Form 8886-T?		No	No
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?		No	No
Did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?		No	No
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?		No	No
Did the organization notify the donor of the value of the goods or services provided?		No	No
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?		No	No
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?		No	No
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?		No	No
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?		No	No
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?		No	No
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?		No	No
Did the sponsoring organization make any taxable distributions under section 4966?		No	No
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?		No	No
Initiation fees and capital contributions	$0	$0	$0
Gross receipts for public use of club facilities	$0	$0	$0
Gross income from members or shareholders	$0	$0	$0
Gross income from other sources	$0	$0	$0
Is the organization filing Form 990 in lieu of Form 1041?		No	No
The amount of tax-exempt interest received or accrued during the year		$0	$0
Is the organization licensed to issue qualified health plans in more than one state?		No	No
The amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans		$0	$0
The amount of reserves on hand		$0	$0
Did the organization receive any payments for indoor tanning services during the tax year?		No	No
Has it filed a Form 720 to report these payments?		No	No

	2012	2013
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
Total reportable compensation from the organization	$15,970,472	$15,393,344
Total reportable compensation from related organizations	$123,238	$307,790
Total estimated amount of other compensation from the organization and related organizations	$2,247,753	$2,676,148
Total number of individuals who received more than $100,000 of reportable compensation from the organization	282	166
Total number of independent contractors who received more than $100,000 of compensation from the organization	325	285

	2011	2012	2013
Statement of Revenue
Total revenue	$498,279,843	$538,899,421	$646,842,520
Contributions, Gifts, Grants and Other Similar Amounts	$257,890	$3,016,026	$0
Program Service Revenue	$405,975,609	$468,328,626	$584,899,633
621400		$174,136,309	$157,588,990
561000		$41,726,505	$40,746,368
541900		$156,973,794	$151,636,680
900099		$27,667,888	$105,623,520
900099		$20,786,713	$21,993,150
All other program service revenue		$47,037,417	$107,310,925
Other Revenue
Investment income (including dividends, interest, and other similar amounts)	$65,887,016	$60,011,975	$17,695,527
Income from investment of tax-exempt bond proceeds	$0	$0	$0
Royalties	$869,452	$879,589	$1,337,465
Net rental income	$469	$20,990	$59,643
Gross rents (Real / Personal)	$214,311 / $0	$239,532 / $0	$95,756 / $0
Less: rental expenses (Real / Personal)	$213,842 / $0	$218,542 / $0	$36,113 / $0
Rental income or (loss) (Real / Personal)	$469 / $0	$20,990 / $0	$59,643 / $0
Net gain/loss from sales of assets other than inventory	$22,759,428	$3,965,937	$31,344,398
Gross amount from sales of assets other than inventory (Securities / Other)	$575,434,356 / $0	$349,373,457 / $0	$1,036,643,771 / $0
Less: cost or other basis and sales expenses (Securities / Other)	$552,340,967 / $333,961	$345,401,440 / $6,080	$1,005,289,429 / $9,944
Gain or (loss) (Securities / Other)	$23,093,389 / $-333,961	$3,972,017 / $-6,080	$31,354,342 / $-9,944
Net income/loss from fundraising events	$0	$0	$0
Net income/loss from gaming activities	$0	$0	$0
Net income/loss from sales of inventory	$1,585,026	$1,912,582	$4,634,989
Gross sales of inventory, less returns and allowances	$3,630,074	$4,144,053	$6,936,597
Less: cost of goods sold	$2,045,048	$2,231,471	$2,301,608
Miscellaneous Revenue	$944,953	$763,696	$6,870,865
812900		$452,144	$431,283
Fitness and Recreational Sports Centers		$94,767	$85,620
722210		$69,245	$44,408
All other revenue		$147,540	$6,309,554

	2011	2012	2013
Statement of Functional Expenses
Total functional expenses	$495,295,676	$530,960,534	$522,325,479
Grants and other assistance to domestic organizations and domestic governments		$5,784,122	$9,074,043
Grants and other assistance to domestic individuals		$0	$0
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals		$0	$48,000
Benefits paid to or for members		$0	$0
Compensation of current officers, directors, trustees, and key employees	$9,724,707	$14,108,273	$14,603,343
Compensation not included above, to disqualified persons		$1,740,686	$1,049,465
Other salaries and wages	$95,373,131	$97,420,776	$113,904,614
Pension plan accruals and contributions		$-2,192,393	$-16,922,037
Other employee benefits		$5,213,862	$-4,822,496
Payroll taxes	$6,562,824	$6,820,064	$8,016,722
Fees for services (non-employees)
Management		$0	$0
Legal		$1,992,811	$4,118,076
Accounting		$2,536,872	$2,612,946
Lobbying		$490,093	$1,031,655
Professional fundraising services	$0	$0	$0
Investment management fees		$3,667,560	$3,635,456
Other		$245,815,009	$248,386,578
Advertising and promotion		$587,626	$1,373,232
Office expenses		$29,255,418	$22,700,328
Information technology		$632,235	$0
Royalties		$0	$0
Occupancy		$18,798,070	$24,475,709
Travel		$5,437,063	$7,020,364
Payments of travel or entertainment expenses for any federal, state, or local public officials		$0	$0
Conferences, conventions, and meetings		$4,081,411	$2,873,649
Interest		$34,008,145	$31,610,827
Payments to affiliates		$0	$0
Depreciation, depletion, and amortization		$6,983,054	$16,512,990
Insurance		$9,254,969	$10,277,397
Other expenses		$12,541	$15,338,456
Other expenses		$9,576,954	$2,785,526
Other expenses		$10,171,343	$1,191,770
Other expenses		$18,000,000	$44,605
Other expenses		$763,970	$1,384,261

	2011	2012	2013
Balance Sheet
Total assets	$2,964,448,887	$2,840,593,115	$2,696,321,439
Cash - non-interest-bearing		$86,024,881	$2,703,843
Savings and temporary cash investments		$88,340,000	$10,620,547
Pledges and grants receivable, net		$0	$0
Accounts receivable, net		$9,461,334	$10,028,157
Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees		$0	$0
Loans and other receivables from other disqualified persons, persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations		$0	$0
Notes and loans receivable, net		$949,394,947	$915,381,902
Inventories for sale or use		$915,785	$801,466
Prepaid expenses and deferred charges		$35,009,296	$48,874,861
Land, buildings, and equipment: cost or other basis		$89,613,536	$92,511,395
Investments - publicly traded securities		$856,407,788	$988,700,512
Investments - other securities		$197,147,318	$395,670,563
Investments - program-related		$300,754,320	$97,144,443
Intangible assets		$49,041,435	$31,943,296
Other assets		$178,482,475	$101,940,454
Total liabilities	$2,642,659,527	$2,765,609,486	$2,515,045,098
Accounts payable and accrued expenses		$171,659,695	$218,537,661
Grants payable		$0	$0
Deferred revenue		$235,332	$5,046,868
Tax-exempt bond liabilities	$1,178,742,211	$1,205,106,732	$1,120,636,992
Escrow or custodial account liability		$0	$0
Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons		$0	$0
Secured mortgages and notes payable to unrelated third parties	$0	$0	$0
Unsecured notes and loans payable to unrelated third parties	$99,286,750	$0	$0
Other liabilities (including federal income tax, payables to related third parties, and other liabilities)		$1,388,607,727	$1,170,823,577
Total net assets or fund balances	$321,789,360	$74,983,629	$181,276,341
Unrestricted net assets		$67,374,665	$179,919,437
Temporarily restricted net assets		$153,543	$154,499
Permanently restricted net assets		$7,455,421	$1,202,405
Capital stock or trust principal, or current funds		$0	$0
Paid-in or capital surplus, or land, building, or equipment fund		$0	$0
Retained earnings, endowment, accumulated income, or other funds	$0	$0	$0

Reason for Public Charity Status (for 2013)
The organization is not a private foundation because it is:	An organization that normally receives: (1) more than 33 1/3 % of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions - subject to certain exceptions, and (2) no more than 33 1/3 % of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975
Number of organizations supported	0
Sum of amounts of support	$0

	2009 - 2013 Total
Support Schedule for Organizations Described in Section 509(a)(2) (for 2009 - 2013)
Public support	$901,909,634
Subtotal	$901,909,634
Gifts, grants, contributions, and membership fees received	$3,729,054
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose	$875,025,149
Gross receipts from activities that are not an unrelated trade or business under section 513	$23,155,431
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf	$0
The value of services or facilities furnished by a governmental unit to the organization without charge	$0
Less	$0
Amounts received from disqualified persons	$0
Amounts received from other than disqualified persons that exceed the greater of $5,000 or 1% of the total support	$0
Total support	$1,009,938,814
Public support	$901,909,634
Subtotal	$97,222,074
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources	$97,222,074
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975	$0
Net income from unrelated business activities, whether or not the business is regularly carried on	$0
Other income	$10,807,106

	2000	2001	2002	2003	2004	2005	2006	2007
Revenue, Expenses, and Changes in Net Assets or Fund Balances
Total revenue	$281,619,958	$208,798,828	$214,804,993	$362,668,439	$414,416,401	$432,576,033	$391,321,196	$413,212,459
Contributions, gifts, grants, and similar amounts received	$1,676,760	$95,247	$2,863	$727	$150	$0	$329,181	$56,304
Contributions to donor advised funds							$0	$0
Direct public support	$676,760	$95,247	$2,863	$727	$150	$0	$329,181	$21,753
Indirect public support	$0	$0	$0	$0	$0	$0	$0	$34,551
Government contributions (grants)	$1,000,000	$0	$0	$0	$0	$0	$0	$0
Program service revenue including government fees and contracts	$239,540,312	$196,811,655	$209,003,160	$231,938,863	$336,156,328	$298,628,330	$296,844,808	$319,449,235
Membership dues and assessments	$0	$0	$0	$0	$0	$0	$0	$0
Interest on savings and temporary cash investments	$6,145,614	$2,728,806	$5,667,192	$4,682,912	$0	$0	$4,864,673	$6,327,970
Dividends and interest from securities	$37,805,956	$35,281,161	$32,894,572	$30,898,711	$34,488,128	$64,354,843	$22,244,305	$28,830,189
Net rental income or (loss)	$0	$0	$0	$0	$0	$0	$0	$0
Gross rents	$0	$0	$0	$0	$0	$0	$0	$0
Less: rental expenses	$0	$0	$0	$0	$0	$0	$0	$0
Other investment income	$0	$0	$0	$0	$0	$0	$18,743,042	$19,331,273
Gain or (loss) from sales of assets other than inventory	$-3,853,904	$-26,118,041	$-34,324,327	$82,939,662	$43,771,795	$69,592,860	$44,396,824	$32,785,758
Gross amount from sales of assets other than inventory	$3,328,147,136	$3,844,383,687	$5,200,687,182	$8,475,983,546	$43,771,795	$9,725,228,384	$3,748,011,487	$8,909,253,800
Less: cost or other basis and sales expenses	$3,332,001,040	$3,870,501,728	$5,235,011,509	$8,393,043,884	$0	$9,655,635,524	$3,703,614,663	$8,876,468,042
Net income or (loss) from special events and activities	$0	$0	$0	$0	$0	$0	$0	$0
Gross revenue	$0	$0	$0	$0	$0	$0	$0	$0
Less: direct expenses other than fundraising expenses	$0	$0	$0	$0	$0	$0	$0	$0
Gross profit or (loss) from sales of inventory	$0	$0	$0	$0	$0	$0	$0	$0
Gross sales of inventory, less returns and allowances	$0	$0	$0	$0	$0	$0	$0	$0
Less: cost of goods sold	$0	$0	$0	$0	$0	$0	$0	$0
Other revenue	$305,220	$0	$1,561,533	$12,207,564	$0	$0	$3,898,363	$6,431,730
Total expenses	$268,398,494	$221,211,767	$230,511,944	$254,724,725	$354,124,908	$337,126,494	$317,070,229	$399,006,352
Program services	$101,189,843	$124,168,763	$128,846,563	$158,036,910	$248,225,569	$192,418,580	$208,753,934	$242,615,572
Management and general	$167,208,651	$97,043,004	$101,665,381	$96,687,815	$105,899,339	$144,707,914	$108,316,295	$156,390,780
Fundraising	$0	$0	$0	$0	$0	$0	$0	$0
Payments to affiliates	$0	$0	$0	$0	$0	$0	$0	$0
Net assets or fund balances at end of year	$337,243,619	$214,516,334	$165,002,059	$277,158,268	$261,109,869	$404,117,942	$648,388,679	$494,980,101
Excess or (deficit) for the year	$13,221,464	$-12,412,939	$-15,706,951	$107,943,714	$60,291,493	$95,449,539	$74,250,967	$14,206,107
Net assets or fund balances at beginning of year	$391,042,965	$337,243,619	$214,516,334	$165,002,059	$277,158,268	$261,109,869	$404,117,942	$648,388,679
Other changes in net assets or fund balances	$-67,020,810	$-110,314,346	$-33,807,324	$4,212,495	$-76,339,892	$47,558,534	$170,019,770	$-167,614,685

	Total	Program services	Management and general	Fundraising
Statement of Functional Expenses (for 2007)
Total functional expenses	$399,006,352	$242,615,572	$156,390,780	$0
Grants paid from donor advised funds		$0
Other grants and allocations		$12,312,269
Specific assistance to individuals		$0
Benefits paid to or for members		$0
Compensation of current officers, directors, key employees, etc.	$7,711,809	$0	$7,711,809	$0
Compensation of former officers, directors, key employees, etc.	$0	$0	$0	$0
Compensation and other distributions, not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)	$0	$0	$0	$0
Salaries and wages of employees not included above	$84,823,252	$36,857,343	$47,965,909	$0
Pension plan contributions not included above	$2,475,969	$1,026,504	$1,449,465	$0
Employee benefits not included above	$14,007,613	$4,964,017	$9,043,596	$0
Payroll taxes	$4,027,598	$2,579,632	$1,447,966	$0
Professional fundraising fees	$0	$0	$0	$0
Accounting fees	$2,374,065	$0	$2,374,065	$0
Legal fees	$863,057	$7,581	$855,476	$0
Supplies	$4,200,009	$1,526,801	$2,673,208	$0
Telephone	$8,836,409	$8,586,994	$249,415	$0
Postage and shipping	$1,612,087	$10,297	$1,601,790	$0
Occupancy	$3,055,514	$883,177	$2,172,337	$0
Equipment rental and maintenance	$56,916,953	$31,834,883	$25,082,070	$0
Printing and publications	$819,361	$250,272	$569,089	$0
Travel	$5,627,013	$2,130,076	$3,496,937	$0
Conferences, conventions, and meetings	$2,972,541	$190,736	$2,781,805	$0
Interest	$22,388,589	$1,364,649	$21,023,940	$0
Depreciation, depletion, etc.	$13,750,514	$9,863,575	$3,886,939	$0
Other expenses not covered above	$150,231,730	$128,226,766	$22,004,964	$0

	2000	2001	2002	2003	2004	2005	2006	2007
Balance Sheets
Total assets	$1,247,360,320	$1,168,875,229	$1,177,302,222	$1,300,546,668	$1,415,093,293	$1,605,656,151	$2,471,831,350	$2,556,476,045
Cash - non-interest-bearing	$4,568,463	$5,109,999	$1,090,035	$690,930	$971,479	$70,305,139	$0	$165,376
Savings and temporary cash investments	$389,832	$0	$0	$0	$0	$174,835,925	$0	$0
Accounts receivable less allowance for doubtful accounts	$2,765,639	$1,565,340	$9,223,172	$2,296,487	$697,898	$0	$0	$0
Pledges receivable less allowance for doubtful accounts	$0	$0	$0	$0	$0	$0	$0	$0
Grants receivable	$0	$0	$0	$0	$0	$0	$0	$0
Receivables from current and former officers, directors, trustees, and key employees	$0	$0	$0	$0	$0	$0	$0	$0
Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)							$0	$0
Other notes and loans receivable less allowance for doubtful accounts	$855,944,204	$870,079,865	$909,685,877	$1,024,853,246	$1,152,399,438	$829,599,421	$119,809,511	$117,673,154
Inventories for sale or use	$0	$0	$0	$0	$0	$0	$0	$273,714
Prepaid expenses and deferred charges	$37,538,879	$10,180,846	$41,935,784	$35,161,467	$16,946,611	$21,752,640	$11,078,017	$15,625,995
Investments - publicly-traded securities							$1,475,981,588	$681,327,958
Investments - other securities	$100,128,205	$64,766,268	$32,584,225	$32,752,693	$23,594,401	$148,499,933	$355,512,231	$320,701,970
Investments - land, buildings, and equipment less accumulated depreciation	$0	$0	$0	$0	$59,188,733	$0	$0	$0
Investments - other	$112,531,278	$110,392,104	$108,003,554	$118,481,606	$119,495,842	$136,886,652	$186,567,946	$259,398,218
Land, buildings, and equipment less accumulated depreciation	$55,685,891	$17,942,754	$29,052,723	$41,460,069	$0	$145,022,134	$162,144,993	$120,727,078
Other assets, including program-related investments	$77,807,929	$88,838,053	$45,726,852	$44,850,170	$41,798,891	$78,754,307	$160,737,064	$1,040,582,582
Total liabilities	$910,116,701	$954,358,895	$1,012,300,163	$1,023,388,400	$1,153,983,424	$1,201,538,209	$1,823,442,671	$2,061,495,944
Accounts payable and accrued expenses	$56,740,538	$45,058,312	$112,659,016	$109,824,020	$192,450,522	$185,108,734	$58,491,543	$141,479,074
Grants payable	$0	$0	$0	$0	$0	$0	$0	$0
Deferred revenue	$3,731,781	$1,164,732	$1,200,713	$309,046	$158,538	$268,691	$276,034	$390,119
Loans from officers, directors, trustees, and key employees	$0	$0	$0	$0	$0	$0	$0	$0
Tax-exempt bond liabilities	$766,502,646	$754,603,163	$794,577,756	$781,532,253	$766,913,207	$851,928,638	$838,834,745	$1,118,828,090
Mortgages and other notes payable	$11,214,113	$60,684,403	$4,375,000	$0	$4,965,036	$55,058,718	$51,932,742	$48,809,332
Other liabilities	$71,927,623	$92,848,285	$99,487,678	$131,723,081	$189,496,121	$109,173,428	$873,907,607	$751,989,329
Total liabilities and net assets/fund balances	$1,247,360,320	$1,168,875,229	$1,177,302,222	$1,300,546,668	$1,415,093,293	$1,605,656,151	$2,471,831,350	$2,556,476,045
Total net assets or fund balances	$337,243,619	$214,516,334	$165,002,059	$277,158,268	$261,109,869	$404,117,942	$648,388,679	$494,980,101

	2000	2001	2002	2003	2004	2005	2006	2007
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
Total revenue	$281,619,958	$208,798,828	$214,804,993	$362,668,439	$414,416,401	$432,576,033	$391,321,196	$413,212,459
Total revenue, gains, and other support per audited financial statements	$256,591,761	$199,653,908	$226,317,358	$355,013,480	$407,406,970	$348,842,936	$389,928,400	$142,447,614
Other expenses	$-22,452,809	$-5,776,765	$12,432,530	$0	$-6,856,887	$58,341,002	$101,647,852	$-153,848,994
Net unrealized gains on investments	$-22,452,809	$0	$5,584,039	$0	$-7,361,501	$41,561,968	$96,228,414	$-100,052,081
Donated services and use of facilities	$0	$0	$0	$0	$0	$0	$0	$0
Recoveries of prior year grants	$0	$0	$0	$0	$0	$0	$0	$0
Other	$0	$-5,776,765	$6,848,491	$0	$504,614	$16,779,034	$5,419,438	$-53,796,913
Other revenue	$2,575,388	$3,368,155	$920,165	$7,654,959	$152,544	$142,074,099	$103,040,648	$116,915,851
Investment expenses	$0	$0	$0	$0	$152,544	$0	$0	$0
Other	$2,575,388	$3,368,155	$920,165	$7,654,959	$0	$142,074,099	$103,040,648	$116,915,851

	2000	2001	2002	2003	2004	2005	2006	2007
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
Total expenses	$268,398,494	$221,211,767	$230,511,944	$254,724,725	$354,124,908	$337,126,494	$317,070,229	$399,006,352
Total expenses and losses per audited financial statements	$264,816,423	$245,146,183	$223,778,301	$233,503,321	$345,936,802	$213,870,204	$206,039,915	$282,073,375
Other revenue	$0	$33,698,715	$718,484	$0	$0	$29,924,891	$0	$-17,126
Donated services and use of facilities	$0	$0	$0	$0	$0	$0	$0	$0
Prior year adjustments	$0	$0	$0	$0	$0	$0	$0	$0
Losses	$0	$0	$0	$0	$0	$0	$0	$0
Other	$0	$33,698,715	$718,484	$0	$0	$29,924,891	$0	$-17,126
Other expenses	$3,582,071	$9,764,299	$7,452,127	$21,221,404	$8,188,106	$153,181,181	$111,030,314	$116,915,851
Investment expenses	$0	$0	$0	$0	$152,544	$0	$0	$0
Other	$3,582,071	$9,764,299	$7,452,127	$21,221,404	$8,035,562	$153,181,181	$111,030,314	$116,915,851

Average hours per week devoted to position	Compensation	Contributions to employee benefit plans & deferred compensation plans	Expense account and other allowances
Current Officers, Directors, Trustees, and Key Employees
1	$300	$0	$0
1	$750	$0	$0
1	$300	$0	$0
1	$1,139	$0	$0
1	$9,000	$0	$0
1	$9,000	$0	$0
1	$300	$0	$0
1	$1,139	$0	$0
1	$9,300	$0	$0
1	$144	$0	$0
1	$750	$0	$0
1	$750	$0	$0
1	$750	$0	$0
40	$1,469,233	$28,862	$12,000
40	$1,052,487	$136,832	$9,000
40	$144,636	$12,099	$0
40	$83,997	$10,515	$0
40	$81,811	$10,401	$0
40	$397,102	$68,053	$0
40	$511,513	$100,058	$9,000
40	$317,431	$70,630	$9,000
40	$422,400	$43,857	$9,000
40	$319,024	$61,451	$9,000
40	$273,183	$46,441	$0
40	$428,600	$100,861	$9,000
40	$673,446	$200,975	$9,000
40	$394,086	$70,079	$0

Total number of officers, directors, and trustees permitted to vote on organization business at board meetings	15
Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?	Yes
Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?	No
Does the organization have a written conflict of interest policy?	Yes

Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?	Yes
Was there a liquidation, dissolution, termination, or substantial contraction during the year?	No
Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?	Yes
Direct and indirect political expenditures	$0
Did the organization file Form 1120-POL for this year?	No
Were substantially all dues nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Dues, assessments, and similar amounts from members	$0
Section 162(e) lobbying and political expenditures	$0
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices	$0
Taxable amount of lobbying and political expenditures	$0
Does the organization elect to pay the section 6033(e) tax on the amount above?
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?
Initiation fees and capital contributions	$0
Gross receipts for public use of club facilities	$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?	Yes
Amount of tax imposed on the organization during the year under: section 4911	$0
Amount of tax imposed on the organization during the year under: section 4912	$0
Amount of tax imposed on the organization during the year under: section 4955	$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?	No
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958	$0
Amount of tax above, reimbursed by the organization	$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?	No
Did the organization acquire a direct or indirect interest in any applicable insurance contract?	No
Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?	No
Number of employees employed in the pay period that includes March 12, 2006	1,298

	Unrelated business income		Excluded by section 512, 513, or 514		Related or exempt function income
Analysis of Income-Producing Activities (for 2007)
	Business code	Amount	Exclusion code	Amount	Related or exempt function income
Total		$2,562,601		$93,493,639	$317,099,915
Program service revenue
Program service revenue 1	000000	$0	00	$0	$147,567,472
Program service revenue 2	000000	$0	00	$0	$119,588,776
Program service revenue 3	Administrative and support services	$2,439,703	00	$0	$31,020,346
Program service revenue 4	Administrative and support services	$104,507	00	$0	$9,413,300
Program service revenue 5	Other professional, scientific, and technical services	$8,877	00	$0	$9,306,254
	Administrative and support services	$2,439,703		$0	$31,020,346
	Other professional, scientific, and technical services	$8,877		$0	$53,037
		$0		$0	$147,567,472
	Administrative and support services	$104,507		$0	$9,413,300
		$0		$0	$5,982,244
		$0		$0	$2,204,108
		$0		$0	$1,044,879
		$0		$0	$119,588,776
		$0		$0	$21,986
Medicare/Medicaid payments	000000	$0	00	$0	$0
Fees and contracts from government agencies	000000	$0	00	$0	$0
Membership dues and assessments	000000	$0	00	$0	$0
Interest on savings and temporary cash investments	000000	$0	Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)	$6,327,970	$0
Dividends and interest from securities	000000	$0	Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)	$28,830,189	$0
Net rental income or (loss) from real estate
debt-financed property	000000	$0	00	$0	$0
not debt-financed property	000000	$0	00	$0	$0
Net rental income or (loss) from personal property	000000	$0	00	$0	$0
Other investment income	000000	$0	Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)	$19,331,273	$0
Gain or (loss) from sales of assets other than inventory	000000	$0	Gain (or loss, to the extent allowed) from the sale of investments and other non-inventory property and from certain property acquired from financial institutions that are in conservatorship or receivership (sections 512(b)(5) and 512(b)(16)(A))	$32,785,758	$0
Net income or (loss) from special events	000000	$0	00	$0	$0
Gross profit or (loss) from sales of inventory	000000	$0	00	$0	$0
Other revenue	Fitness and recreational sports centers	$9,514	Income from an activity that is not regularly carried on (section 512(a)(1))	$6,218,449	$203,767

EIN of corporation, partnership, or disregarded entity	Percentage of ownership interest	Total income	End-of-year assets
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2007)
980407545	100%	$30,127,093	$152,299,915
760590551	51%	$105,870,000	$148,871,000
000000000	0%	$0	$0
000000000	0%	$0	$0

Compensation	Contributions to employee benefit plans & deferred compensation	Expense account and other allowances
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2007)
$224,822	$35,621	$0
$206,191	$45,128	$0
$222,965	$26,612	$0
$202,331	$40,640	$0
$207,861	$34,823	$0

Total number of other employees paid over $50,000	783

Total number of other employees paid over $50,000

783

Statements About Activities (for 2007)
Expenses paid or incurred in connection with the lobbying activities	$461,308
Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures?	No
Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?	No
Did the organization maintain any donor advised funds?	No
Did the organization make any taxable distributions under section 4966?	No
Did the organization make a distribution to a donor, donor advisor, or related person?	No
The total number of donor advised funds owned at the end of the tax year	$0
The aggregate value of assets held in all donor advised funds owned at the end of the tax year	$0
The total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts	$0
The aggregate value of assets held in all funds or accounts included above at the end of the tax year	$0

Reason for Non-Private Foundation Status
The organization is not a private foundation because it is	Organization that normally receives: less than 1/3 of its support from gross investment income and unrelated taxable business income and more than 1/3 of its support from contribution, membership fees

	1999	2000	2001	2002	2003	2004	2005	2006
Support Schedule
Total	$0	$0	$0	$0	$0	$0	$0	$346,885,907
Gifts, grants, and contributions received	$0	$0	$0	$0	$0	$0	$0	$329,181
Membership fees received	$0	$0	$0	$0	$0	$0	$0	$0
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose	$0	$0	$0	$0	$0	$0	$0	$296,844,808
Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975	$0	$0	$0	$0	$0	$0	$0	$49,483,431
Net income from unrelated business activities not included above	$0	$0	$0	$0	$0	$0	$0	$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf	$0	$0	$0	$0	$0	$0	$0	$0
The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge	$0	$0	$0	$0	$0	$0	$0	$0
Other income	$0	$0	$0	$0	$0	$0	$0	$228,487

Lobbying Expenditures by Electing Public Charities (for 2007)
Total exempt purpose expenditures	$0
Total lobbying expenditures	$0
Total lobbying expenditures to influence public opinion (grassroots lobbying)	$0
Total lobbying expenditures to influence a legislative body (direct lobbying)	$0
Other exempt purpose expenditures	$0
Lobbying nontaxable amount	$0
Grassroots nontaxable amount	$0

	Income	Expenses	Net
Unrelated Trade or Business Income (for 2008)
Total	$2,364,054	$0	$2,364,054
Gross receipts or sales less returns and allowances	$2,142,723	$0	$0
Cost of goods sold	$3,669	$0	$0
Gross profit	$2,139,054	$0	$2,139,054
Capital gain net income	$0	$0	$0
Net gain	$0	$0	$0
Capital loss deduction for trusts	$0	$0	$0
Income (loss) from partnerships and S corporations	$0	$0	$0
Rent income	$0	$0	$0
Unrelated debt-financed income	$0	$0	$0
Interest, annuities, royalties, and rents from controlled organizations	$0	$0	$0
Investment income of a section 501(c)(7), (9), or (17) organization	$0	$0	$0
Exploited exempt activity income	$0	$0	$0
Advertising income	$0	$0	$0
Other income	$225,000	$0	$225

Deductions Not Taken Elsewhere (for 2008)
Total deductions	$3,437,785
Compensation of officers, directors, and trustees	$0
Salaries and wages	$623,094
Repairs and maintenance	$405,887
Bad debts	$0
Interest	$0
Taxes and licenses	$31,528
Charitable contributions	$0
Depreciation	$459,049
Depletion	$0
Contributions to deferred compensation plans	$0
Employee benefit programs	$57,529
Excess exempt expenses	$0
Excess readership costs	$0
Other deductions	$1,860,698
Unrelated business taxable income	$-1,073,731
Unrelated business taxable income before net operating loss deduction	$-1,073,731
Net operating loss deduction	$0
Unrelated business taxable income before specific deduction	$-1,073,731
Specific deduction	$0

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17	Advanced Primary Care Physicians	501 Bath Rd, Bristol, PA 19007-3101	PA	2012-02	$694,036
18	Susquehanna Health Systems Inc	401 Broad Ave, Susquehanna, PA 18847-1611	PA	1998-02	$16,150
19	St Lukes Community Development Corporation - Pmc	6624 Fannin St, Houston, TX 77030-2312	TX	2014-01	$419
20	Bemc Med Pro Fees, Banner Health	1441 N 12th Street, Phoenix, AZ 85006	AZ		$0

Number of organizations performing similar types of work

Alaska	1
Alabama	5
Arizona	8
California	23
Colorado	15
Connecticut	6
Florida	22
Georgia	16
Hawaii	2
Iowa	3
Illinois	19
Indiana	7
Kansas	2
Kentucky	6
Louisiana	3
Massachusetts	15
Maryland	13
Maine	3
Michigan	15
Minnesota	9
Missouri	12
Mississippi	2
Montana	1

North Carolina	7
North Dakota	1
Nebraska	7
New Hampshire	3
New Jersey	8
New Mexico	1
Nevada	2
New York	12
Ohio	26
Oklahoma	6
Oregon	2
Pennsylvania	32
Rhode Island	4
South Carolina	7
Tennessee	10
Texas	20
Utah	1
Virginia	10
Vermont	3
Washington	4
Wisconsin	6
West Virginia	6
International	2

Total

388

Affiliation	Name	Address	State	Established	Total Income
20 biggest affiliated organizations
Subordinate	Saint Francis Hospital Inc	6600 S Yale Ave, Tulsa, OK 74136-3347	OK	1946-03	$3,970,090,877
Subordinate	Franciscan Alliance Inc	1515 W Dragoon Trl, Mishawaka, IN 46544-4710	IN	1946-03	$2,596,912,525
Subordinate	Peacehealth, Ketchikan Medical Center	1115 Se 164th Ave Dept 332, Vancouver, WA 98683-8003	WA	1965-01	$2,090,551,281
Subordinate	Osf Healthcare System	800 Ne Glen Oak Ave, Peoria, IL 61603-3200	IL	1946-03	$1,896,415,307
Subordinate	St Elizabeth Medical Center Inc	1 Medical Village Dr, Edgewood, KY 41017-3403	KY	1946-03	$1,877,972,561
Subordinate	Providence Health System-Southern California	PO BOX 389672, Seattle, WA 98138-9672	WA	1946-03	$1,724,724,506
Subordinate	Christus Health	919 Hidden Rdg, Irving, TX 75038-3813	TX	1946-03	$1,654,479,614
Subordinate	Catholic Health Initiatives	198 Inverness Dr W, Englewood, CO 80112-5202	CO	1946-03	$1,639,118,386
Subordinate	Catholic Health Initiatives Colorado, St Anthony North Hospital	3025 S Parker Road Suite 510, Aurora, CO 80014-2911	CO	1946-03	$1,621,612,108
Subordinate	St Vincent Hospital & Health Care	2001 W 86th St, Indianapolis, IN 46260-1991	IN	1946-03	$1,327,567,131
Subordinate	Catholic Healthcare West Southern California	PO BOX 1507, San Gabriel, CA 91778-1507	CA	1946-03	$1,248,417,601
Subordinate	Providence Medical Research Center	101 W 8th Ave, Spokane, WA 99204-2307	WA	1946-03	$1,231,839,049
Subordinate	Franciscan Health System	1717 S J St, Tacoma, WA 98405-4933	WA	1946-03	$1,205,494,228
Subordinate	Mount Carmel Health System	6150 E Broad St, Columbus, OH 43213-1574	OH	1946-03	$1,198,797,166
Subordinate	Ssm St Clare Health Center	10101 Woodfield Lane, St Louis, MO 63132-2937	MO	1946-03	$1,179,575,580
Subordinate	University Of Dayton, Phi Sigma Rho	337 Stonemill Road, Dayton, OH 45409	OH	1976-07	$1,170,175,935
Subordinate	Mercy Hospitals East Communities, Mercy Hospital St Louis	645 Maryville Centre Dr Ste 100, Saint Louis, MO 63141-5846	MO	1946-03	$1,107,258,738
Subordinate	Presence Hospitals Prv	9223 W Saint Francis Rd, Frankfort, IL 60423-8330	IL	1946-03	$1,104,334,849
Subordinate	Mercy Hospital Springfield	645 Maryville Centre Dr Ste 100, Saint Louis, MO 63141-5846	MO	1946-03	$965,658,386
Subordinate	St Francis Hospital United States Catholic Conference	100 Port Washington Blvd, Roslyn, NY 11576-1347	NY	1946-03	$949,972,252

Number of affiliated organizations

Alaska	87
Alabama	75
Arkansas	52
Arizona	235
California	1,063
Colorado	200
Connecticut	195
District of Columbia	121
Delaware	35
Florida	465
Georgia	158
Hawaii	41
Iowa	402
Idaho	30
Illinois	817
Indiana	365
Kansas	230
Kentucky	119
Louisiana	416
Massachusetts	600
Maryland	399
Maine	72
Michigan	426
Minnesota	309
Missouri	520
Mississippi	60

Montana	57
North Carolina	98
North Dakota	148
Nebraska	299
New Hampshire	97
New Jersey	457
New Mexico	121
Nevada	55
New York	1,371
Ohio	598
Oklahoma	90
Oregon	141
Pennsylvania	860
Rhode Island	94
South Carolina	43
South Dakota	112
Tennessee	80
Texas	852
Utah	18
Virginia	137
Vermont	62
Washington	195
Wisconsin	621
West Virginia	92
Wyoming	19
International	36