MEMORIAL HEALTH CARE SYSTEM INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: MEMORIAL HEALTH CARE SYSTEM INC (EIN 62-0532345)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2012-05-14
IRS object ID: 201241359349302014
Schema version: 2010v3.7
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-05-14T10:02:35-04:00	Timestamp
Tax Period End Date	2011-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CATHOLIC HEALTH INITIATIVES	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	198 INVERNESS DRIVE WEST	AddressLine1
City	ENGLEWOOD	City
State	CO	State
ZIP Code	80112	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	620532345	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Memorial Health Care System	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MEMO	NameControl
Phone	4234957878	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2525 DeSales Avenue	AddressLine1
City	Chattanooga	City
State	TN	State
ZIP Code	37404	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	James Hobson	Name
Title	President and CEO	Title
Date Signed	2012-05-10	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JENNIFER WEYER	Name
Phone	7208741500	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	James Hobson	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	2525 DE SALES AVENUE	AddressLine1
City	Chattanooga	City
State	TN	State
ZIP Code	37377	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	526409467	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	www.memorial.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1952	YearFormation
State Legal Domicile	TN	StateLegalDomicile
Activity Or Mission Description	Emphasize human dignity and social justice as we create healthier communities by providing health care services regardless of ability to pay, for those in Chattanooga, TN and the surrounding area.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	21	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	18	NbrIndependentVotingMembers
Total Nbr Employees	3915	TotalNbrEmployees
Total Nbr Volunteers	650	TotalNbrVolunteers
Total Gross UBI	10553895	TotalGrossUBI
Net Unrelated Business Txbl Income	-2340539	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1376103	ContributionsGrantsPriorYear
Contributions Grants Current Year	3218619	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	456274747	ProgramServiceRevenuePriorYear
Program Service Revenue CY	507339970	ProgramServiceRevenueCY
Investment Income Prior Year	6761045	InvestmentIncomePriorYear
Investment Income Current Year	11416598	InvestmentIncomeCurrentYear
Other Revenue Prior Year	3260786	OtherRevenuePriorYear
Other Revenue Current Year	4418090	OtherRevenueCurrentYear
Total Revenue Prior Year	467672681	TotalRevenuePriorYear
Total Revenue Current Year	526393277	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	572594	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	681473	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	180050828	SalariesEtcPriorYear
Salaries Etc Current Year	198942187	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	252441285	OtherExpensePriorYear
Other Expenses Current Year	283856457	OtherExpensesCurrentYear
Total Expenses Prior Year	433064707	TotalExpensesPriorYear
Total Expenses Current Year	483480117	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	34607974	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	42913160	RevenuesLessExpensesCY
Total Assets BOY	434209411	TotalAssetsBOY
Total Assets EOY	465603214	TotalAssetsEOY
Total Liabilities BOY	100912375	TotalLiabilitiesBOY
Total Liabilities EOY	86842385	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	333297036	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	378760829	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	The mission of Memorial Health Care System and Catholic Health Initiatives is to nurture the healing ministry of the Church by bringing it new life, energy and viability in the 21st century. Fidelity to the Gospel urges us to emphasize human dignity and social justice as we move toward the creation of healthier communities. communities.	MissionDescription
Significant New Program Services	true	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	419870453	Expense
Grants	681473	Grants
Revenue	497314182	Revenue
Description	SEE SCHEDULE H	Description
Total Program Service Expense	419870453	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	true	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	6	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	3915	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	21	NbrVotingGoverningBodyMembers
Number Independent Voting Members	18	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	true	LocalChapters
Policies Reference Chapters	true	PoliciesReferenceChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	TN	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Cheryl Sadro	NamePerson
Telephone Number	4234957878	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2525 de Sales Avenue	AddressLine1
City	Chattanooga	City
State	TN	State
ZIP Code	37377	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
CHARLES ARANT
CHAIRMAN	1.0	X	X
LEO BROWN
IMMEDIATE PAST CHAIRMAN	1.0	X	X	1568
ERIC CONN
BOARD MEMBER	1.0	X
MICHAEL COSTELLO
BOARD MEMBER	1.0	X
JOAN FRIERSON
BOARD MEMBER	1.0	X
ROBERT GREVING
BOARD MEMBER	1.0	X
EARLINE HOBBS SCN
BOARD MEMBER	1.0	X
JAMES HOBSON
PRESIDENT/CEO	50.0	X	X		534481	76095
KATHERINE LINDGREN
Vice Chair	1.0	X	X
WARREN LOGAN JR
BOARD MEMBER	1.0	X
CHRISTOPHER MCKEE
BOARD MEMBER	1.0	X
MARY ELIZABETH O'BRIEN
SVP OPERATIONS CHI	1.0	X			953385	83485
SCOTT OSSEWARDE
BOARD MEMBER	1.0	X
JUDITH RALEY SCN
Secretary	1.0	X
WAYNE SCOTT
BOARD MEMBER	1.0	X
CAROLYN SMELTZER
BOARD MEMBER	1.0	X
CAROLYNN THOMPSON
BOARD MEMBER	1.0	X
BETTY VANNUCCI
BOARD MEMBER	1.0	X
John Nash
Board Member	1.0	X		7128
Aaron Web
Board Member	1.0	X
James Pesnell
Board Member	1.0	X
CAROL NEWTON
VP/CFO	50.0		X	305922		34770
JACQUELINE JACKSON
VP SERVICE LINE ADMIN	50.0			276218		39834	X
DEBRA MOORE
SVP/ADMINISTRATION OF NORTH	50.0			257726		42569	X
SARAH FELLOWES
VP CHIEF MEDICAL OFFICER	50.0			357972		35136		X
ANDREW MCGILL
VP BUSINESS DEVELOPMENT	50.0			270718		40644		X
ANASSER KHALIFEH
CHIEF PHYSICIST	50.0			229538		39314		X
Gordon Utgard
Project Manager	50.0			222874		22879		X
Diona Brown
CNO	50.0			206971		30788		X
ARLENE DONOWITZ
Board Member	1.0			22669	457460	24008			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2159304	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1945326	TotalReportableCompFrmRltdOrgs
Total Other Compensation	469522	TotalOtherCompensation
Number Individuals GT100 K	80	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Xanitos Inc
PO Box 95000-3290	Philadelphia	PA	19195	Cleaning Services	4119535
Kinsey Probasco Hays
100 East 10th Street	Chattanooga	TN	37402	Construction	4019535
Sodexo Inc Affiliates
PO Box 536922	Atlanta	GA	30353	Dietary Services	3218482
Angelica Corporation
9506 Ooltewah Industrial Blvd	Ooltewah	TN	37363	Laundry Services	1729523
JJ Contractors
700 W Main Street	Chattanooga	TN	374024703	Construction	1704449

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	39	NumberOfContractorsGT100K
Related Organizations	3218619	RelatedOrganizations
Noncash Contributions	5612	NoncashContributions
Total Contributions	3218619	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Patient Services	900099	500877444	492221848	8655596
Rental Income	900099	3318351	3318351
Laboratory Services	621500	1286646	1286646
Pharmacy Services	446110	1370192		1370192
Research	900099	121932	121932

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	365405	TotalRevenueColumn
Related Or Exempt Function Income	365405	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	507339970	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3751073	TotalRevenueColumn
Unrelated Business Revenue	10351	UnrelatedBusinessRevenue
Exclusion	$3,740,722	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	32837	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	16190	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	16647	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	16647	TotalRevenueColumn
Exclusion	$16,647	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	7630393	Securities
Other	35132	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	7630393	Securities
Other	35132	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	7665525	TotalRevenueColumn
Exclusion	$7,665,525	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
Services Sold	900099	1758080	517756	$1,240,324
Child Care	624410	635669		$635,669
Leased Employees	561300	381624		$381,624

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1626070	TotalRevenueColumn
Exclusion	$1,626,070	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	4401443	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	526393277	TotalRevenueColumn
Related Or Exempt Function Income	497314182	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	10553895	UnrelatedBusinessRevenue
Exclusion	$15,306,581	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	545909	Total
Program Services	545909	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	135564	Total
Program Services	135564	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	863822	Total
Management And General	863822	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	153645849	Total
Program Services	131703964	ProgramServices
Management And General	21941885	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	8314473	Total
Program Services	7090765	ProgramServices
Management And General	1223708	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	25233707	Total
Program Services	21509199	ProgramServices
Management And General	3724508	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	10884336	Total
Program Services	9282401	ProgramServices
Management And General	1601935	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	481571	Total
Management And General	481571	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	839041	Total
Management And General	839041	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	54570509	Total
Program Services	46394492	ProgramServices
Management And General	8176017	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	0	Total

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	126088243	Total
Program Services	116142579	ProgramServices
Management And General	9945664	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	9582038	Total
Program Services	8952247	ProgramServices
Management And General	629791	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	706127	Total
Management And General	706127	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	89827	Total
Management And General	89827	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	1436997	Total
Program Services	1436997	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	8421516	Total
Management And General	8421516	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	22363866	Total
Program Services	21071572	ProgramServices
Management And General	1292294	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2926920	Total
Program Services	2926920	ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Bad Debts	35835279	35835279
Dues & subscriptions	601956		601956
Income/sales/property taxes	14983386	14216257	767129
Repairs and maintenance	2326904	2326904
Recruitment and relocation	342477		342477

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2259799	Total
Program Services	299404	ProgramServices
Management And General	1960396	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	483480117	Total
Program Services	419870453	ProgramServices
Management And General	63609664	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	11030	BOY
EOY	15033	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	29222905	BOY
EOY	20204417	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	4000	BOY
EOY	4000	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	87583692	BOY
EOY	66041371	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	639776	BOY
EOY	411788	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	13218053	BOY
EOY	14458558	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	817213	BOY
EOY	2013183	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	449595576	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	263466738	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	153403147	BOY
EOY	186128838	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	141939721	BOY
EOY	168005059	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	7042487	BOY
EOY	7042487	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	327387	BOY
EOY	1278480	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	434209411	BOY
EOY	465603214	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	57773587	BOY
EOY	48283242	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	575707	BOY
EOY	404877	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	2470712	BOY
EOY	2837709	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	40092369	BOY
EOY	35316557	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	100912375	BOY
EOY	86842385	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	333297036	BOY
EOY	378780829	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
EOY	-20000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	333297036	BOY
EOY	378760829	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	434209411	BOY
EOY	465603214	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	42913160	ReconcilationRevenueExpenses
Reconcilation Other Changes	2550633	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	true	GrantsOtherOrganizations
Grants Other Organizations	$19,542	GrantsOtherOrganizationsAmount
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$10,071	DirectContactLegislatorsAmount
Rallies Demonstrations	true	RalliesDemonstrations
Rallies Demonstrations	$3,288	RalliesDemonstrationsAmount
Other Activities	true	OtherActivities
Other Activities	$124,544	OtherActivitiesAmount
Total Lobbying Expenditures IIB	157445	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	990 Schedule C, Part II-B, Q 1j	Identifier
Return Reference	Lobbying Activities Explanation	ReturnReference
Explanation	B. Paid staff attended community forums, various community activities, strategic planning sessions and attended other legislative meetings and conventions. F. The portion of the organizations' dues that are related to lobbying are as follows: American Hospital Association ("AHA") - $1,435, Catholic Health Association ("CHA") - $4,316 and Tennessee Hospital Association ("THA") - $13,791. G. Attended "THA" legislative day/meetings, a Government Affairs Conference, the Catholic Legislative Advocacy Conference, and the Catholic Day on the Hill. H. Liz Jenkins, healthy community coordinator , attends several meetings per year at non-profit organizations in the community that have a health focus and attended the CHI Violence Prevention workshop. Others also attended THA Grassroots Advocacy/meetings, TN Public Health Association meetings and other THA meetings. I. The Ingram Group, Derryberry Public Relations - Health Care Advocacy, public relations, healthy community and strategic planning.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	18910711	OtherCostOrOtherBasis
Book Value	11507581	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	186454453	OtherCostOrOtherBasis
Depreciation	96420057	Depreciation
Book Value	90034396	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	897800	OtherCostOrOtherBasis
Depreciation	358478	Depreciation
Book Value	539121	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	213836304	OtherCostOrOtherBasis
Depreciation	159539039	Depreciation
Book Value	54297265	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	29496509	OtherCostOrOtherBasis
Depreciation	7149164	Depreciation
Book Value	29750475	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	186128838	TotalOfBookValueLandBuildings
Financial Derivatives		FinancialDerivatives
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities (2 entries)

DescriptionDescription	Book ValueBookValue
CHI OIP - Fixed Income	79908886
CHI OIP - Equity Securities	88096173

Field	Value	IRS element (for citing)
Total Of Book Value Securities	168005059	TotalOfBookValueSecurities
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
UNCLAIMED PROPERTY	$43,615
ENVIRONMENTAL REMEDIATION LIABILITY	$717,940
CHI DEBT PROGRAM	$34,555,002

Field	Value	IRS element (for citing)
Total Of Amounts	35316557	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Form 990, Sch. D, Part X, line 2	Identifier
Explanation	Memorial Health CAre System's financial information is included in the consolidated audited financial statements of Catholic Health Initiatives (CHI), a related organization. CHI's FIN 48 (ASC 740) footnote for the year ended June 30, 2011 reads as follows: "CHI is a tax-exempt Colorado corporation and has been granted an exemption from federal income tax under Section 501(c)(3) of the Internal Revenue Code. CHI owns certain taxable subsidiaries and engages in certain activities that are unrelated to its exempt purpose and therefore subject to income tax. As of June 30, 2011, CHI has current net deferred tax assets of $2.1 Million and a noncurrent net deferred tax liability of $5.4 million related to these taxable activities. Management reviews its tax positions annually and has determined that there are no material uncertain tax positions that require recognition in the consolidated financial statements."	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	false	FPGReferenceFreeCare
FPG Reference Discounted Care	false	FPGReferenceDiscountedCare
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	7016	PersonsServed
Total Community Benefit Expense	6119825	TotalCommunityBenefitExpense
Net Community Benefit Expense	6119825	NetCommunityBenefitExpense
Percent Of Total Expense	0.01370	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	15150	PersonsServed
Total Community Benefit Expense	32958566	TotalCommunityBenefitExpense
Direct Offsetting Revenue	23459000	DirectOffsettingRevenue
Net Community Benefit Expense	9499566	NetCommunityBenefitExpense
Percent Of Total Expense	0.02120	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	22166	PersonsServed
Total Community Benefit Expense	39078391	TotalCommunityBenefitExpense
Direct Offsetting Revenue	23459000	DirectOffsettingRevenue
Net Community Benefit Expense	15619391	NetCommunityBenefitExpense
Percent Of Total Expense	0.03490	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	17	NumberOfActivitiesOrPrograms
Persons Served	9760	PersonsServed
Total Community Benefit Expense	1699325	TotalCommunityBenefitExpense
Direct Offsetting Revenue	73319	DirectOffsettingRevenue
Net Community Benefit Expense	1626006	NetCommunityBenefitExpense
Percent Of Total Expense	0.00360	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	80	PersonsServed
Total Community Benefit Expense	140830	TotalCommunityBenefitExpense
Net Community Benefit Expense	140830	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Persons Served	11225	PersonsServed
Total Community Benefit Expense	3182362	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1418530	DirectOffsettingRevenue
Net Community Benefit Expense	1763832	NetCommunityBenefitExpense
Percent Of Total Expense	0.00390	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	704229	TotalCommunityBenefitExpense
Direct Offsetting Revenue	121392	DirectOffsettingRevenue
Net Community Benefit Expense	582837	NetCommunityBenefitExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	9	NumberOfActivitiesOrPrograms
Persons Served	763	PersonsServed
Total Community Benefit Expense	1049704	TotalCommunityBenefitExpense
Net Community Benefit Expense	1049704	NetCommunityBenefitExpense
Percent Of Total Expense	0.00230	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	38	NumberOfActivitiesOrPrograms
Persons Served	21828	PersonsServed
Total Community Benefit Expense	6776450	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1613241	DirectOffsettingRevenue
Net Community Benefit Expense	5163209	NetCommunityBenefitExpense
Percent Of Total Expense	0.01140	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	38	NumberOfActivitiesOrPrograms
Persons Served	43994	PersonsServed
Total Community Benefit Expense	45854841	TotalCommunityBenefitExpense
Direct Offsetting Revenue	25072241	DirectOffsettingRevenue
Net Community Benefit Expense	20782600	NetCommunityBenefitExpense
Percent Of Total Expense	0.04630	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	399	PersonsServed
Total Community Building Expense	648508	TotalCommunityBuildingExpense
Net Community Building Expense	648508	NetCommunityBuildingExpense
Percent Of Total Expense	0.00140	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	28506	TotalCommunityBuildingExpense
Net Community Building Expense	28506	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	410333	TotalCommunityBuildingExpense
Net Community Building Expense	410333	NetCommunityBuildingExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	8	NumberOfActivitiesOrPrograms
Persons Served	399	PersonsServed
Total Community Building Expense	1087347	TotalCommunityBuildingExpense
Net Community Building Expense	1087347	NetCommunityBuildingExpense
Percent Of Total Expense	0.00240	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$10,301,443	BadDebtExpenseAmount
Amount Reimbursed By Medicare	247376825	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	278906905	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-31530080	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (4 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
Memorial Mission Sur
ambulatory surgery center	0.29300	0.70700
Berywood Office Prop
physician office building	0.63000	0.37000
Mountain Management
Management Services	1.00000
Caduceus Med Assoc
Health Care Services	1.00000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours
Memorial Hospital
1	2525 DeSales Avenue	Chattanooga	TN	37404	X	X	X
Memorial North Park Hospital
2	2051 Hamill Road	Hixson	TN	37343	X	X	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber
Memorial Hospital
1
Memorial North Park Hospital
2

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	7	NumberOfOtherFacilities

Other Facilities OtherFacilities (7 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Memorial Mission Surgery Center
2525 DeSales Avenue	Chattanooga	TN	37404	Ambulatory Surgery Center 29.3% ownership
Memorial Home Health
6028 Shallowford Road	Chattanooga	TN	37421	Home Health
Memorial Ooltewah Imaging Center
6401 Mountain View Road	Ooltewah	TN	37363	Outpatient Imaging Center
Memorial Heart Institute
2501 Citico Avenue	Chattanooga	TN	37404	Cardiac Physician Practice
Memorial Heart Institute
2051 Hamill Road	Hixson	TN	37343	Cardiac Physician Practice
Memorial Heart Institute
400 Berywood Trail Suite A	Cleveland	TN	37312	Cardiac Physician Practice
Memorial Heart Institute
979 East 3rd Street Suite C925 Medi	Chattanooga	TN	37403	Cardiac Physician Practice

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Part I, Line 3c	Question A: If applicable, describe the income-based criteria for determining eligibility for free or discounted care under the organization's financial assistance policy. When Catholic Health Initiatives (the ultimate parent organization to Memorial Health Care System) established its charity care policy it was determined that using a household income scale based on the HUD very low income guidelines more accurately reflects the socioeconomic dispersions among the 69 urban and rural communities in 19 states served by CHI hospitals and health care facilities. Memorial Health Care System bases its charity care eligibility on HUD's 130% of Very Low Income Guidelines based on geography, and affords the uninsured and underinsured the ability to obtain charity care write-offs, based on a sliding scale, ranging from 25%-100% of charges. Coinciding with HUD's annual update to the published income limits, Memorial Health Care System appropriately updates the sliding scale. An individual's income under the HUD guidelines is a significant factor in determining eligibility for charity care. However, in determining whether to extend discounted or free care to a patient, the patient's assets are also taken into consideration. For example, a patient suffering a catastrophic illness may have an income above the income limits, but high expenses and a low level of liquid assets such that the payment of medical bills would be seriously detrimental to the patient's basic financial (and ultimately physical) well-being and survival. Such a patient may be extended discounted or free care based upon the facts and circumstances.
Part I, Line 6a	Question: If the organization's community benefit report is contained in a report prepared by a related organization, rather than a separate report prepared by the organization, identify the related organization. MHCS Prepares its own annual written community benefits report. Its community benefit report is not contained in that of a related organization.
Part I, Line 7g	Question: To the extent that an organization includes any costs associated with physician clinics as subsidized health services in Part I, line 7g it must describe that it has done so and report in Part VI such costs included in part I, line 7g, line 1 There are no Physician Clinics included in subsidized health services.
Part I, Line 7, Column (f)	Question: If applicable, state the bad debt expense included on Form 990 Part IX, line 25, column (A) but subtracted for purposes of calculating the percentage in this column. Total bad debt expense reported on Form 990 Part IX, line 25, Column A was $ 35,835,279.
Part I, Line 7	Question A: Provide an explanation of the costing methodology used to calculate the amounts reported in the table. If a cost accounting system was used, indicate whether the cost accounting system addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured or self pay). Question B: Also indicate whether a cost-to-charge ratio was used for any of the figures reported in the table. Describe whether this cost-to-charge ratio was derived from Worksheet 2, and, if not, what kind of cost-to-charge ratio was used and how it was derived. If some other costing methodology was used besides a cost accounting system, cost-to-charge ratio, or a combination of the two, describe the method used. The cost-to-charge ratio for the year ended 6/30/11 was computed using the following formula: Operating expense (before restructuring, impairment and other losses) divided by gross patient revenue. This resulted in a cost-to-charge ratio of 29.04%. Worksheet 2 was not used to derive the cost-to-charge ratio.
Part III, Section A, Line 4	Question A: Provide the rationale and the costing methodology used to determine the amount reported in Part III lines 2 and 3. Describe how the organization accounts for discounts and payments on patient accounts in determining bad debt expense. Question B: Also describe the method the organization uses to determine the amount that reasonably could be attributable to patients who likely would qualify for financial assistance under the hospital's charity care policy, if sufficient information has been available to make a determination as to their eligibility. Also, provide if applicable, the text of the footnote to the organization's financial statements that describes bad debt expense. If the organization's financial statements include a footnote on these issues that also includes other information, report only the relevant portions of the footnote. If the organization's financial statements do not contain such a footnote, state that the organization's financial statements do not include such a footnote and explain how the financial statements account for bad debt, if at all. (A) Memorial Health Care System (MHCS) is included in the audited financial statements of its parent organization, Catholic Health Initiatives, and does not issue separate audited financial statements, thus there is no footnote. Bad debt expense reported on the MHCS unaudited financial statements represents an estimate of bad debts based on historical collection results. It does not represent actual write-offs incurred during the period. The provision for bad debts is based upon management's assessment of historical and expected net collections considering historical business and economic conditions, trends in health care coverage, and other collection indicators. Management periodically assesses the adequacy of the allowances for uncollectible accounts based upon historical write-off experience by payor category. The results of these reviews are used to modify, as necessary, the provision for bad debts and to establish appropriate allowances for uncollectible net patient accounts receivable. After satisfaction of amounts due from insurance, MHCS follows established guidelines for placing certain patient balances with collection agencies. (B) Costing methodology for amounts reported on line 2 is determined using the organization's cost/charge ratio of 29.04%. When discounts are extended to self-pay patients, these patient account discounts are recorded as a reduction in revenue, not as bad debt expense. All patients that do not have insurance receive a discount that is calculated each year as 150% of the cost to charge ratio in accordance with Tennessee State Code. This discount is applied to the patients account prior to billing and is treated as an adjustment to net patient revenue in the same manner as a managed care discount. The provision of this discount to all patients without insurance lowers the amount that is billed to the patient and reduces the amount of any subsequent bad debt expense. In fiscal year 2011, self pay discounts at cost totaled $7.3 million. Memorial Health Care System uses a number of processes as described in Part VI, Item 3 below to identify who can and cannot afford to pay. Patients who are unable to pay are identified in advance of billing or during the billing and collection process, particularly those who are medically indigent or underinsured. At any time in the process that a patient is determined to be eligible for charity care, the patient is re-classified from bad debt and all billing and collection efforts are discontinued. In spite of the best efforts of Memorial Health Care System, some patients do not self-identify as needing assistance or provide enough information to allow the hospital to determine their eligibility and remain classified as bad debt. We are unable to accurately estimate the amount of bad debt expense (at cost) that is attributable to patients that would qualify for charity care.
Part III, Section B, Line 8	Question A: Describe the costing methodology used to determine the Medicare allowable costs reported in the organization's Medicare Cost Report, as reflected in the amount reported in Part III, line 6. Question C: Describe, if applicable, the extent to which any shortfall reported in Part III, line 7 should be treated as a community benefit, and the rationale for the organization's position. Using essentially the same Medicare cost report principles as to the allocation of general services costs and "apportionment" methods, the "CHI Workbook" calculates a payers' gross allowable costs by service (so as to facilitate a corresponding comparison between gross allowable costs and ultimate payments received). The term "gross allowable costs" means costs before any deductibles or co-insurance are subtracted. Memorial Health Care System's ultimate reimbursement will be reduced by any applicable copayment/ deductible. Where Medicare is the secondary insurer, amounts due from the insured's primary payer were not subtracted from Medicare allowable costs because the amounts are typically immaterial. (A (pt.2)) Although not presented on the Medicare cost report, in order to facilitate a more accurate understanding of the "true" cost of services (for "shortfall" purposes) the CHI Workbook allows a health care facility not to offset costs that Medicare considers to be non-allowable, but for which the facility can legitimately argue are related to the care of the facility's patients. In addition, although not reportable on the Medicare cost report, the CHI workbook includes the cost of services that are paid via a set fee-schedule rather than being reimbursed based on costs (e.g. outpatient clinical laboratory). Finally, the CHI Workbook allows a facility to include other health care services performed by a separate facility (such as a physician practice) that are maintained on separate books and records (as opposed to the main facility's books and records which has its costs of service included within a cost report). True costs of Medicare computed using this methodology: Total Medicare Revenue: 247,376,825 Total Medicare costs: 278,906,905 Surplus of Shortfall (31,530,081) (B) Memorial Health Care System believes that excluding Medicare losses from community benefit makes the overall community benefit report more credible for these reasons: Unlike subsidized areas such as burn units or behavioral-health services, Medicare is not a differentiating feature of tax-exempt health care organizations. In fact, for-profit hospitals focus on attracting patients with Medicare coverage. Significant effort and resources are devoted to ensuring that hospitals are reimbursed appropriately by the Medicare program. The Medicare Payment Advisory Commission (MedPAC), an independent Congressional agency, carefully studies Medicare payment and the access to care that Medicare beneficiaries receive. The commission recommends payment adjustments to Congress accordingly. Though Medicare losses are not included by Catholic hospitals as community benefit, the Catholic Health Association guidelines allow hospitals to count as community benefit some programs that specifically serve the Medicare population. For instance, if hospitals operate programs for patients with Medicare benefits that respond to identified community needs, generate losses for the hospital, and meet other criteria, these programs can be included in the CHA framework in Category C as "subsidized health services." Medicare losses are different from Medicaid losses, which are counted in the CHA community benefit framework, because Medicaid reimbursements generally do not receive the level of attention paid to Medicare reimbursement. Medicaid payment is largely driven by what states can afford to pay, and is typically substantially less than what Medicare pays.
Part III, Section C, Line 9b	Question: If the organization has a written debt collection policy and answered "yes" to Part III, line 9b, describe the collection practices set forth in the policy that apply to patients who it knows qualify for charity care or financial assistance, whether or not such practices apply specifically to such patients or more broadly to also cover other types of patients. At any time during the collection cycle it is determined that a patient qualifies for charity care of financial assistance, the collection cycle stops until the account balance is adjusted for the level of charity care approved. This practice applies to all patients. Memorial Health Care System will perform a reasonable review of each account, prior to turning an account over to a third-party collection agent and prior to instituting any legal action for non-payment, to assure that the patient and patient guarantor are not eligible for any assistance program and do not qualify for coverage through the charity care program. After having been turned over to a third-party collection agent, any account that subsequently is determined to meet the charity care policy shall be returned immediately by the third-party agent to the Hospital for appropriate follow-up. All of Catholic Health Initiatives' hospitals' contracts with third party collection agencies include the following standards: - Neither CHI hospitals nor their collection agencies will request bench or arrest warrants as a result of non-payment; - Neither CHI hospitals nor their collection agencies will seek liens that would require the sale or foreclosure of a primary residence; and - No Catholic Health Initiatives' collection agency may seek court action without hospital approval. Finally, collection agencies are trained on the Catholic Health Initiatives Mission, Core Values and Standard of Conduct to make sure all patients are treated with dignity and respect.
Part VI, Item 2 - Needs Assessment	Question: Describe how the organization assesses the health care needs of the communities it serves. Memorial Health Care System assessed the needs of the community served by Memorial Hospital and Memorial North Park Hospital during the year by consulting with Board members, other health related organizations, and community outreach organizations. Initially eight counties were included in the original needs assessment. Later the scope was narrowed to Hamilton County and needs were prioritized accordingly. Obesity, diabetes, hypertension, and heart disease were identified as priority health needs to target. Many programs have been developed to address these issues in our community. MHCS conducted community focus groups in eight neighborhoods adjacent to Memorial Hospital to identify the major health issues. From the top ten health disparities data available at the Center for Disease Control and Prevention, residents selected diabetes, hypertension and obesity as their leading chronic diseases requiring intervention. In collaboration with the East Chattanooga Improvement, Inc. and the Chattanooga Parks and Recreation Department, Memorial established exercise classes, nutrition and diabetes classes along with weight management classes for participants whose ages have ranged from 7 thru 87 years of age. Exercise classes began three years ago with 25 participants, and have now grown to 120 residents who exercise five days a week at three city recreation centers. Fourteen of the original 25 remain in the program, and two have loss 100 pounds. Significant improvement has also occurred in participants' blood pressure with most now in the healthy range. The city has plans to soon expand the exercise classes to additional recreation centers helping ensure the sustainability of the healthy lifestyle program.
Part VI, Item 3 - Patient education of eligibility for assistance	Question: Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization's charity care policy. Memorial Health Care System includes information concerning its financial assistance policy on its website. In addition, Memorial Health Care System prominently displays information concerning its charity care policy in both English and Spanish in all waiting areas throughout the hospitals, including the emergency rooms and other patient intake areas, as well as in Memorial Health Care System outpatient facilities. In addition, Memorial Health Care System Registrars and Financial Counselors are trained to provide consultation to those who have no insurance or potentially inadequate insurance concerning their financial options including application for Medicaid and for financial assistance under Memorial Health Care System's charity care policy. Once all EMTALA requirements are met, patients who are identified as uninsured during the registration process (and not covered by Medicare or Medicaid) are provided with a packet of information that addresses the financial assistance policy and procedures including an application for assistance. Memorial Health Care System Registrars and Financial Counselors read the organization's medical assistance policy to those who appear to be incapable of reading, and provide translators for non English-speaking individuals. Memorial Health Care System's staff will also assist the patient / guarantor with completing the Financial Assistance Application and applying for other available coverage (such as Medicaid), if necessary. After all EMTALA requirements are met, during the registration process uninsured patients are screened in the Emergency Department for possible eligibility for the Medicaid program. A TennCare application is faxed to the Department of Human Services if the screening determined that the patient might have a category that would qualify them for Medicaid. The patient is given instructions on how to follow-up with the Department of Human services to complete the application process. Counselors assist Medicare eligible patients in enrollment by providing referrals to the appropriate government agencies. During the billing and collection process, all statements to the patient, including those mailed from the third party collection agency, alert the patient that financial assistance is available if they need it and instructs them on how to obtain an application.
Part VI, Item 4 & 5	Question 4: Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves. Describe how the organization's community building activities, as reported in Part II, promote the health of the communities the organization serves. Question 5: Provide any other information important to describing how the organization's hospitals or other health care facilities further its exempt purpose by promoting health of the community (e.g. open medical staff, community board, use of surplus funds, etc). Introduction Memorial Health Care System Inc ("MHCS") is part of Catholic Health Initiatives ("CHI"), a national health care system established to foster a more effective ministry of faith-based healthcare in the United States. The mission of MHCS and CHI is to nurture the healing ministry of the Church by brining it new life, energy and viability in the 21st century. Both MHCS and CHI are committed to fidelity to the Gospel, with emphasis on human dignity and social justice in the creation of healthier communities. MHCS is primarily made up of two hospitals, Memorial Hospital and Memorial North Park Hospital. Memorial Hospital opened its doors on January 2, 1952 in response to concerns about the severe shortage of hospital beds in the community. From the beginning, when Memorial Hospital was established and the Sisters of Charity of Nazareth put forth their commitment to provide leadership to the operations of the hospital, the care of the poor and quality health care for the entire community was central to our mission. Memorial North Park Hospital joined MHCS when it was purchased February 1, 1998 and has adopted the same commitment to excellent health care to everyone in the community. MHCS is one of the Southeast's leading medical systems and the regions preeminent provider of cardiac and cancer care with centers of excellence in surgery and orthopedics. MHCS hospitals have been named one of the nation's 100 Top Hospitals six times by Thomson Reuters, the health care industry's leading source of information on hospital quality. According to Thomson's research, facilities named to the annual 100 Top Hospitals roster outperform their peers in quality, safety and efficiency. Tax Exempt Purpose MHCS is a faith based, tax-exempt 501(c)(3) organization that provides medical care to all regardless of their ability to pay. MHCS's tax exempt status is substantiated by its inclusion in the Official Catholic Directory as a tax-exempt hospital. Community services have always been a significant part of MHCS. Each year, services and programs offered to the community are evaluated and expanded to promote increased access to healthcare and healthier communities that targets chronic disease prevention and management for vulnerable and underserved populations. To enhance the health status of Chattanoogans, MHCS focuses on the whole person including the person's spiritual, emotional, and physical well-being. In FY 2010 MHCS hired an outside consultant to perform a Community Needs Assessment on the 8 County MHCS Region. This data will be used to determine the current immediate health needs of this region and will aid in the development of a community benefit plan. In accordance with its mission and philosophy, MHCS commits substantial resources to sponsor a broad range of services to both the poor as well as the broader community. Benefits for the poor include the cost of providing services to individuals who are unable to afford health care due to inadequate resources and/or those that are uninsured or underinsured. Benefits for the poor include traditional charity care, unpaid costs of Medicaid, subsidized or free health services, and cash and in-kind donations to organizations that serve the poor. The amounts reported reflect the costs of these services, net of contributions, government payments and other revenues received as direct assistance. Community benefits provided to the broader community includes the costs of providing services to other populations who may not qualify as poor but may need special services and support. Benefits to the broader community include: health promotion and education; health fairs and screenings; unpaid costs of training health professionals such as medical residents, nursing students and students in allied health professions; cash and in-kind donations to organizations that serve the broader community; and the unpaid costs of testing medical equipment and controlled studies of therapeutic protocols. In fiscal year 2011, MHCS provided community benefits and community building activities to approximately 44,483 people at a total cost of $46,942,188. Donations, grants, and other receipts totaling $25,072,241 were available as direct offsets to these costs. Emergency Room MHCS operates a 24-hour emergency room 365 days per year at both Memorial and Memorial North Park Hospitals. Both emergency rooms are open to all individuals regardless of ability to pay. During FY 2011, over 78,000 patients visited one of these emergency rooms. Memorial Hospital's emergency room is a Level 3 Certified Chest Pain Center. This is important for a hospital that focuses on cardiac care where every minute counts when patients are experiencing chest pain. Uncompensated Care Charity care is the cost of care of uninsured or underinsured, low-income patients who are not expected to pay all of a bill, or who are able to pay only a portion using an income-related scale. Those receiving charity care are not eligible for public programs such as TennCare. MHCS has a charity care policy, which assures that all persons receive medically necessary hospital services regardless of their ability to pay. MHCS provides a significant level of charity care each year. In FY 2011, the cost of charity care was $6,119,825. Additionally, MHCS provided unreimbursed costs in the amount of $9,499,566 for patients who qualified for the TennCare program. In FY 2011, MHCS classified charity and unreimbursed TennCare costs for reporting purposes in a manner consistent with a standardized approach developed by CHI for reporting and budgeting benefits provided to the community. Community Outreach for the Poor Prescription Drug Program MHCS provides prescription drugs to those Chattanoogans who cannot afford to purchase them. In FY 2011 MHCS provided $113,372 in free prescription drugs to 780 people. Pharmaceutical Assistance Program MHCS has partnered with Dispensary of Hope, a national organization that helps qualifying uninsured patients obtain necessary medications and other pharmaceutical assistance programs. MHCS is one of 80 Dispensary of Hope sites that redistribute pharmaceuticals that have been received as a donation from physicians, distributors, and manufacturers. Patients are made aware of this program through physicians, case managers, nurses and other caregivers. MHCS was able to assist 687 individuals, who received their prescription drugs through Dispensary of Hope. MHCS incurred $150,682 in expenses related to this program. Homeless Health Care Clinic The Homeless Health Care Clinic provides comprehensive health care to homeless men, women, and children. The clinic staff goes to abandoned buildings, campsites and shelters looking for homeless people who may need medical attention. Many homeless people are afraid to talk to people or leave their familiar surroundings. The clinic provides them with blankets and warm clothes in the winter and water in the summer. Memorial Hospital assists the homeless by providing free lab tests costing $55,317 and funds a nursing position in the amount of $40,000. Free Laboratory Tests MHCS provides free lab tests to the Samaritan Center, Homeless Health Care Clinic, Volunteers in Medicine, Project Access, Northshore Clinic, and Westside Clinic for those patients without insurance or adequate means to pay. Lab tests provided in FY 2011 totaled $301,407 and served 8,553 people. Catholic Charities MHCS provided $41,000 in FY 2011 to Catholic Charities to help fund their Interfaith Senior Services, Family Support Services, and their Counseling Program. These funds are used to help provide transportation services to frail and low income elderly individuals. Project Access Project Access is a referral network that offers access to medical care for low-income residents of Hamilton County who do not have insurance. Patients enrolled in this program must be below 150% of the poverty level and cannot be eligible for health insurance or other medical benefits such as Medicare or TennCare. Project Access helps patients get specialty health care that primary clinics may not be able to provide. Individuals that qualify are eligible for specialty care for three months and primary care for six months. Patients are also provided a prescription card that will allow them to get their medication with a $5.00 co-pay. Memorial Hospital participates as a provider in this network. Costs associa	Community Information and Promotion of Community Health
Part VI, Item 6 - Affiliated Health Care System	Question: If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served. Memorial Health Care System, along with its affiliated outpatient facilities are part of Catholic Health Initiatives. Catholic Health Initiatives (CHI) is a national faith-based nonprofit health care organization with headquarters in Englewood, Colorado. CHI's exempt purpose is to serve as an integral part of its national system of hospitals and other charitable entities, which are described as market-based organizations, or MBOs. An MBO is a direct provider of care or services within a defined market area that may be an integrated health system and/or a stand-alone hospital or other facility or service provider. CHI serves as the parent corporation of its MBOs which are comprised of 73 hospitals; 40 long-term care, assisted- and residential-living facilities; two community health-services organizations; two accredited nursing colleges; and home health agencies. Together, these facilities provided $612 million in charity care and community benefit in the 2011 fiscal year, including services for the poor, free clinics, education and research. CHI provides strategic planning and management services as well as centralized "shared services" for the MBOs. The provision of centralized management and shared services - including areas such as accounting, human resources, payroll and supply chain -- provides economies of scale and purchasing power to the MBOs. The cost savings achieved through CHI's centralization enable MBOs to dedicate additional resources to high-quality health care and community outreach services to the most vulnerable members of our society. Memorial Health Care System operates with its wholly owned affiliates and community partners, along with its fundraising arm, Memorial Health Care System Foundation, to serve the health care needs of the Chattanooga, Tennessee communities.
Part VI, Item 8 - States Community Benfit Report is Filed in	Question: If applicable, identify all states with which the organization, or a related organization, files a community benefit report. Memorial Health Care System files a community benefit report with the State of Tennessee.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (17 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Method Of ValuationMethodOfValuation
Catholic Charities of East Tennessee
859 McCallie Avenue	Chattanooga	TN	37403	621377551	501c3	41000	FMV
American Heart Association
7272 Greenville Avenue	Dallas	TX	75231	620532345	501c3	22500	FMV
Access One EAP Partnership
1800 McCallie Avenue	Chattanooga	TN	37404	620911679	501c3	10000	FMV
Allied Arts of Greater Chattanooga
406 Frazier Avenue	Chattanooga	TN	37405	237005188	501c3	6000	FMV
Chattanooga Area Chamber of Commerce
811 Broad Str Ste 100	Chattanooga	TN	37402	620154480	501c3	25955	FMV
United Way
630 Market Street	Chattanooga	TN	37405	620565962	501c3	48429	FMV
Friends of the Festival
180 Hamm Road	Chattanooga	TN	37405	621112739	501c3	16761	FMV
Notre Dame High School
2701 Vermont Avenue	Chattanooga	TN	37404	500207635	501c3	10000	FMV
American Diabetes Association
1701 N Beauregard St	Alexandria	VA	22311	131623888	501c3	6000	FMV
Chattanooga State Tech Community College
4501 Amnicola Hwy	Chattanooga	TN	37406	620725362	501c3	50000	FMV
American Cancer Society
850 Fort Wood St	Chattanooga	TN	37403	237040934	501c3	11000	FMV
Susan G Komen For the Cure
PO Box 11208	Chattanooga	TN	37401	752875175	501c3	10000	FMV
Siskin Hospital for Physical Rehab
3rd Street	Chattanooga	TN	37403	621220402	501c3	13156	FMV
Goodwill Industries
3500 Dodds Avenue	Chattanooga	TN	37407	620544853	501c3	10000	FMV
Hamilton County Government
921 East Third Street	Chattanooga	TN	37403	626000636	501c3	40000	FMV
Univerisity of Tennessee MOCS
PO Box 843038	Kansas City	MO	64184	626001636	501c3	40950	FMV
Creative Discovery Museum
321 Chestnut Street	Chattanooga	TN	37405	621509462	501c3	10000	FMV

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	17	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII (6 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant	Method Of ValuationMethodOfValuation
Transportation assistance	10	268	FMV
Lymphedema therapy assistance	30	11146	FMV
We Care Weekend for cancer survivors & their famil	60	15661	FMV
Radiologist interpretations paid through grant	1600	51702	FMV
Educational assistance	30	35250	FMV
Disaster relief	100	21537	FMV

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Schedule I Part I Q2	Identifier
Return Reference	Procedures for monitoring the use of grants	ReturnReference
Explanation	Grant requests are coordinated through the Memorial Health Care System Foundation. The beneficiary of the grant is responsible for using the funds in accordance with the grant requirements. All grant spending is reviewed by Fiscal Services and the Foundation before grant spending is reimbursed through the Foundation. Periodic reporting is coordinated between the beneficiary, Fiscal Services, and the Foundation.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg
JAMES HOBSON
433620	78201	22660	59243	16852	610576
MARY ELIZABETH O'BRIEN
590267	334408	28710	73013	10472	1036870
CAROL NEWTON
						283418	10000	12504	27578	7192	340692
ARLENE DONOWITZ
245208	211352	900	22678	1330	481468	8276		14393			22669
JACQUELINE JACKSON
						250133	10000	16085	32394	7440	316052
DEBRA MOORE
						246671	10000	1055	30028	12541	300295
SARAH FELLOWES
						347140	10000	832	20228	14908	393108
ANDREW MCGILL
						260146	10000	572	22954	17690	311362
ANASSER KHALIFEH
						220342		9196	20028	19286	268852
Gordon Utgard
						169646	26131	27097	14196	8683	245753
Diona Brown
						196206	10000	765	24860	5928	237759

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Schedule J, Part I, Line 3	Methods used to establish CEO Compensation	Compensation for the top management official of memorial helath care system was established and paid by catholic health initiatives (CHI), a related organization. CHI used the following to establish the top management official's compensation: 1) compensation committee; 2) independent compensation consultant; 3) written employment contracts; 4) compensation survey or study; 5) approval by the board or compensation committee.
Schedule J, Part I, Line 4a	Severence payment	Post-termination payments are addressed in the executive employment agreements for Catholic Health Initiative's ("CHI") and related organizations' employees at the level of vice president and above, including the MBO CEOs. These employment agreements require that in order for the executive to receive post-termination payments, these individuals must execute a general release and settlement agreement. Post-termination payment arrangements are periodically reviewed for overall reasonableness in light of the executive's overall compensation package. No such termination benefits were made to this group of individuals.
Schedule J, Part I, Line 4b	Deferred Compensation	During the 2010 calendar year Catholic Health Initiatives ("CHI"), a related organization, maintained a supplemental non-qualified deferred compensation plan for MBO CEOs and other CHI employees at the level of Senior Vice President and above. The following reportable individuals were eligible to participate in that plan: James Hobson, Mary Elizabeth O'Brien During 2010 the following contributions were made by chi to the deferred compensation plan: James Hobson $39,015 Mary Elizabeth O'Brien $52,785
Schedule J, Part I, Line 7	Incentive Compensation	Memorial Health Care System (MHCS) issued bonuses based on individual performance and specified events.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (15 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
990 Part III, Q 2	New Significant Program Services	Memorial Health Care System ("MHCS") has purchased a local Cardiac Physician Group named Memorial Heart Institute, LLC dba The Chattanooga Heart Institute, a Single Member LLC of MHCS. The purchase was effective 1/1/11. The new entity is Memorial Heart Institute, LLC which is a SMLLC of MHCS.
990 Part VI, Section A, Q 1a	Executive Committee Composition and Authority	Pursuant to Section 8.6 of the Bylaws of Memorial Health Care System, the Executive Committee is composed of the board chair, the board vice chair, the Immediate past chairperson of the board, the President and CEO, the Secretary, with one or two other directors. Each individual appointed to the Executive Committee shall serve for a term of one year or until his or her successor is duly appointed by the Board of Directors. Pursuant to Section 8.1 of the Corporation's bylaws, committees, such as the executive committee, that are granted the authority to act on behalf of the board of directors may include only directors of the corporation. Further, pursuant to Section 8.6 of the Corporation's bylaws, the executive committee has and may exercise such powers as may be delegated to it by the board of directors. The Executive Committee also possesses the power to transact routine business of the corporation in the interim period between regularly scheduled meetings of the board of directors.
990 Part VI, Section A, Q 6	Members or Stockholders	ACCORDING TO THE BYLAWS OF MEMORIAL HEALTH CARE SYSTEM, THE ENTITIES SOLE MEMBER IS CATHOLIC HEALTH INITIATIVES ("CHI"), A COLORADO NONPROFIT CORPORATION.
990 Part VI, Section A, Q 7a	Electing Directors	ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30th OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. THE CORPORATE MEMBER MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS.
990 Part VI, Section A, Q 7b	Governing Powers	Memorial Health Care System's ("MHCS"), corporate member is Catholic Health Initiatives ("CHI"). Pursuant to Section 5.4 of MHCS's bylaws, the Corporate Member shall have the specific rights set forth in the governance matrix. Pursuant to the governance matrix the following rights are reserved to the CHI Board directly or through powers delegated to the CHI Chief Executive Officer: * Substantial change in the mission or philosophy of MHCS * Amendment of the corporate documents of MHCS * Approve members of the MHCS board * Removal of a member of the governing body of MHCS * Approval of issuance of debt by MHCS * Approval of participation of MHCS in a joint venture * Approval of formation of a new corporation by MHCS * Approval of a merger involving MHCS * Approval of the sale of all or substantially all of the assets of MHCS * To require the transfer of assets by MHCS to CHI to accomplish CHI's goals and objectives, and to satisfy CHI debts. * Adoption of long range and strategic plans for MHCS. In addition, pursuant to Section 5.5.2 of the organization's bylaws, CHI may, in exercise of its approval powers, grant or withhold approval in whole or in part, or may, in its complete discretion, after consultation with the Board and the President and Chief Executive Officer of the organization, recommend such other or different actions as it deems appropriate.
990 Part VI, Section B, Q 11b	Process the organization uses to review Form 990	MHCS's Form 990 is prepared and reviewed by the internal tax department of its parent organization, CHI. The return is then reviewed by MHCS's Fiscal Services department and its Chief Financial Officer. Prior to filing, the return is made available to each member of the board of directors with opportunities for them to ask questions or make comments. Subsequent to Board Review, the Tax Department files the return with the appropriate federal and state agencies, making any non-substantive changes necessary to effect e-filing. any such changes are not re-submitted to the Board.
990 Part VI, Section B, Q 12a	Conflict of Interest Policy	The Board of Directors has its own COI Policy that differs from the one that MHCS employees follow. The policy that MHCS employees follow has not been approved by the BOD.
990 Part VI, Section B, Q 12c	Procedures for monitoring and enforcing the COI policy	The Conflict of Interest Policy of MHCS covers all directors and officers who hold the title of vice president and above. The policy applies to all affiliates of the Corporation and is intended to supplement, but not replace, any applicable laws governing conflicts of interest applicable to nonprofit corporations. If a director or officer has a potential or actual conflict with the Corporation and/or any of its Affiliates, such director or officer is deemed to also have a potential or actual conflict with respect to the Corporation and all of its Affiliates. Each director must promptly and fully report to the Board Chair situations that may create a conflict of interest when he or she becomes aware of such situations. Disclosure must be made to the Corporation's President and CEO who will report such disclosure to the Board Chair. A written record of the disclosure will be made. The CEO shall annually send to all directors and officers a copy of the Conflict of Interest Policy and Disclosure Statement. At the beginning of the Board meeting and all committee meetings, members are asked to declare any conflicts of interest that need to be disclosed. The Board of Directors shall carefully scrutinize, and must in good faith approve or disapprove, any transaction in which the Corporation and/or any of its Affiliates is a party, and in which one or more of the Corporation's directors or officers has either a material financial interest or is a director or officer of the other party. By a majority vote of the disinterested directors, the Board shall take whatever action is deemed appropriate under the circumstances with respect to the director or officer in order to best protect the interests of the Corporation, including possible disciplinary or corrective action.
990 Part VI, Section B, Q 14	Document Retention and Destruction Policy	The Document Retention and Destruction policy is more of an operational policy. These type of policies usually do not go the too BOD. This has not been approved by the BOD.
990 Part VI, Section B, Q 15a	Process for Determining Compensation	The organization's CEO's compensation is paid by CHI. CHI has a defined compensation philosophy. Both the executive and non-executive compensation structures and ranges are reviewed annually in comparison to market data. CHI uses The Hay Group as the independent third party to assess executive compensation programs and to ensure the reasonableness of actual salaries and total compensation packages. Compensation of the senior most executives is reviewed annually. The Hay Group reviews both cash and total compensation for overall reasonableness, for adherence to CHI's compensation philosophy, and for comparability to the not-for-profit healthcare market. This independent review is delivered by Hay Group to the HR committee of the CHI Board of Stewardship Trustees annually at their September meeting and minutes are shared with the full board at the December meeting. The last review was September, 2011. In addition, in December 2009, Hay Group completed a comprehensive review of all positions at the level of vice president and above to determine and validate appropriate compensation levels.
990 Part VI, Section B, Q 15b	Process for Determining Compensation	On an annual basis MHCS engages an external consultant to review the compensation of its executives. The review is performed to ensure that executive salaries are within comparable market ranges for that position. The results of the review are presented to the Executive Compensation Human Resources Committee for review and recommendation to the Board of Directors for approval.
990 Part VI, Section B, Q 16b	Joint Venture Policy	MHCS has not formally adopted a written policy or written procedure regarding joint ventures. However CHI's system-wide joint venture model operating agreement incorporates controls over the venture sufficient to ensure that (1) the exempt organization at all times retains control over the venture sufficient to ensure that the partnership furthers the exempt purpose of the organization; (2) in any partnership in which the exempt organization is a partner, achievement of exempt purposes is prioritized over maximization of profits for the partners; (3) the partnership does not engage in any activities that would jeopardize the exempt organization's exemption; (4) returns of capital, allocations, and distributions must be made in proportion to the partners' respective ownership interests; and (5) all contracts entered into by the partnership with the exempt organization must be at arm's-length, with prices set at fair market value. Any joint venture agreements that do not conform to the model agreement are generally reviewed by counsel.
990 Part VI, Section C, Q 19	Availability of Governing Documents, COI Policy, Financial Statements	The Organizing Documents and Conflict of Interest Policy are not available to the public. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.ORG. The Financial Statements are also available through Annual Reports filed with the state of Tennessee.
990 Part VII	Estimate of Hours Devoted to Related Organizations	COMPENSATION REPORTED ON FORM 990, PART VII WAS PAID TO THESE INDIVIDUALS BY RELATED ORGANIZATIONS IN EXCHANGE FOR THE FULFILLMENT OF THEIR DUTIES AS FULL-TIME, 50 HOUR-PER-WEEK EMPLOYEES.
990 Part XI, Q 5		Net Unrealized Gains/Losses $15,121,659 CHI Connect Depriciation $ 1,292,294 Capital Resource Pool Contributions ($ 668,532) Contributions of Services ($14,330,088) Acquisition of Berrywood & Non Controlling Interest $ 1,135,301 Net Change $ 2,550,634

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Memorial Hospital Auxiliary
2525 De Sales Avenue	Chattanooga	TN	37404	621839548	Support MHCSF	TN	41740	117491	MHCSF
Memorial Health Partners
6028 Shallowford Road	Chattanooga	TN	37421	621784262	Contract Svcs	TN			MHCS
Memorial Heart Institute LLC dba
2525 De Sales Avenue	Chattanooga	TN	37404	273799362	Physician Svc	TN	-3170986	12652091	MHCS

Form990 Schedule R Part II Form990ScheduleRPartII (125 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Catholic Health Initiatives
198 Inverness Drive West	Englewood	CO	80112	470617373	Healthcare	CO	501(c)(3)	9	CHI
Bornemann Healthcare Corporation
2500 Bernville Road PO Box 316	Reading	PA	19603	232187242	Healthcare	PA	501(c)(3)	11a	CHI
CHI Institute For Research and Innovatio
198 Inverness Drive West	Englewood	CO	80112	271050565	Healthcare	CO	501(c)(3)	11a	CHI
CHI National Foundation
198 Inverness Drive West	Englewood	CO	80112	270930004	Fundraising	CO	501(c)(3)	11a	CHI
CHI National Services
198 Inverness Drive West	Englewood	CO	80112	452532084	Healthcare	CO	501(c)(3)	9	CHI
CHI National Home Care
198 Inverness Drive West	Englewood	CO	80112	451261716	Healthcare	CO	501(c)(3)	11a	CHI
Global Health Initiatives
198 Inverness Drive West	Englewood	CO	80112	201536108	Ministries	CO	501(c)(3)	11a	CHI
St Joseph Physician Enterprises
7601 Osler Drive	Towson	MD	21204	521311775	Physicians	MD	501(c)(3)	11a	CHI
St Vincent Infirmary Medical Center
2 St Vincent Circle	Little Rock	AR	72205	710236917	Healthcare	AR	501(c)(3)	3	CHI
St Anthony's Hospital Association
4 Hospital Drive	Morrilton	AR	72110	710245507	Healthcare	AR	501(c)(3)	3	SVIMC
St Vincent Foundation
Two St Vincent Circle	Little Rock	AR	72205	510169537	Fundraising	AR	501(c)(3)	11a	SVIMC
St Vincent Medical Group
2 St Vincent Circle	Little Rock	AR	72205	710830696	Healthcare	AR	501(c)(3)	9	SVIMC
CHI Colorado
188 Inverness Drive West	Englewood	CO	80112	840405257	Healthcare	CO	501(c)(3)	3	CHI
Mercy Regional Medical Center of Durango
1010 Three Springs Blvd	Durango	CO	81301	840405515	Healthcare	CO	501(c)(3)	3	CHI
Catholic Health Initiatives Colorado Fou
961 East Colorado Avenue	Colorado Springs	CO	80903	840902211	Fundraising	CO	501(c)(3)	7	CHI Colorado
Health SET
4200 West Conejos Place 436	Denver	CO	80204	841102943	Low Inc.Care	CO	501(c)(3)	7	CHI Colorado
Pueblo Stepup
1925 East Orman Avenue Suite G52	Pueblo	CO	81004	841234295	Community	CO	501(c)(3)	7	CHI
SET of Colorado Springs Inc
825 E Pikes Peak Avenue Bldg 29	Colorado Springs	CO	80903	841183335	LTerm Care	CO	501(c)(3)	7	CHI Colorado
Total Healthcare
PO Box 7021	Colorado Springs	CO	80933	840927232	Healthcare	CO	501(c)(3)	3	CHI Colorado
CHI-Iowa Corp
1111 6th Avenue	Des Moines	IA	50314	420680448	Healthcare	IA	501(c)(3)	3	MHN
Bishop Drumm Retirement Center
1111 6th Avenue	Des Moines	IA	50314	420725196	LTerm Care	IA	501(c)(3)	9	CHI-IA Corp
House of Mercy
1111 6th Avenue	Des Moines	IA	50314	421323808	Shelter	IA	501(c)(3)	7	CHI-IA Corp
Mercy Clinics Inc
1111 6th Avenue	Des Moines	IA	50314	421193699	Physician	IA	501(c)(3)	9	CHI-IA Corp
Mercy College of Health Sciences
1111 6th Avenue	Des Moines	IA	50314	421511682	Education	IA	501(c)(3)	2	CHI-IA Corp
Mercy Foundation of Des Moines IA
1111 6th Avenue	Des Moines	IA	50314	237358794	Fundraising	IA	501(c)(3)	7	CHI-IA Corp
Mercy Auxiliary of Central Iowa
1111 6th Avenue	Des Moines	IA	50314	426076069	Auxiliary	IA	501(c)(3)	11a	CHI-IA Corp
Mercy Professional Practice Associates
1111 6th Avenue	Des Moines	IA	50314	421470935	Physician	IA	501(c)(3)	9	CHI-IA Corp
Mercy Medical Center - Centerville FKA
1 St Josephs Drive	Centerville	IA	52544	420680308	Healthcare	IA	501(c)(3)	3	CHI-IA Corp
St Rose Ambulatory and Surgery Center F
3515 Broadway	Great Bend	KS	67530	480543724	Surgery Cntr	KS	501(c)(3)	3	CHI
St Catherine Hospital
401 East Spruce Street	Garden City	KS	67846	480543721	Healthcare	KS	501(c)(3)	3	CHI
St Catherine Hospital Development Found
401 East Spruce Street	Garden City	KS	67846	200598702	Fundraising	KS	501(c)(3)	11a	SCH
CHI Kentucky Inc
3900 Olympic Blvd Suite 400	Erlanger	KY	41018	202741651	Healthcare	KY	501(c)(3)	11a	CHI
Saint Joseph Health System Inc
150 N Eagle Creek Dr	Lexington	KY	40509	611334601	Healthcare	KY	501(c)(3)	3	CHI
Continuing Care Hospital
150 North Eagle Creek Drive	Lexington	KY	40509	611400619	LTACH	KY	501(c)(3)	3	SJHS
Flaget Healthcare DBA Flaget Memorial
4305 New Shepherdsville Road	Bardstown	KY	40004	611345363	Healthcare	KY	501(c)(3)	3	CHI
Flaget Memorial Hospital Foundation Inc
4305 New Shepherdsville Road	Bardstown	KY	40004	562351341	Fundraising	KY	501(c)(3)	11a	FH
Saint Joseph London Foundation Inc
310 East Ninth Street	London	KY	40741	260438748	Fundraising	KY	501(c)(3)	11a	SJHS
Saint Joseph Berea Hospital Foundation
305 Estill Street	Berea	KY	40403	260152877	Fundraising	KY	501(c)(3)	7	SJHS
St Joseph Hospital Foundation Inc
305 Estill Street	Lexington	KY	40504	611159649	Fundraising	KY	501(c)(3)	11a	SJHS
Saint Joseph Medical Foundation Inc
One St Joseph Drive	Lexington	KY	40504	311539059	Phy Practices	KY	501(c)(3)	3	SJHS
Saint Joseph Mount Sterling Foundation
50 Sterling Avenue	Mount Sterling	KY	40353	272884584	Fundraising	KY	501(c)(3)	7	SJHS
St Joseph Medical Center Inc
7601 Osler Drive	Towson	MD	21204	520591461	Healthcare	MD	501(c)(3)	3	CHI
St Joseph Medical Center Foundation In
7601 Osler Drive	Towson	MD	21204	521681044	Fundraising	MD	501(c)(3)	7	SJMC
Alverna Apartments
300 SE 8th Avenue	Little Falls	MN	56345	411351177	Lterm Care	MN	501(c)(3)	9	CHI
Lakewood Health Center
600 Main Avenue South	Baudette	MN	56623	410758434	LTerm Care	MN	501(c)(3)	3	CHI
St Francis Home
2400 St Francis Drive	Breckenridge	MN	56520	410729978	LTerm Care	MN	501(c)(3)	9	CHI
Appletree Court
601 Oak Street	Breckenridge	MN	56520	411850500	Senior Homes	MN	501(c)(3)	9	SFH
St Francis Medical Center
2400 St Francis Drive	Breckenridge	MN	56520	410695598	Healthcare	MN	501(c)(3)	3	CHI
Healthcare and Wellness Foundation
2400 St Francis Drive	Breckenridge	MN	56520	760761782	Fundraising	MN	501(c)(3)	11a	SFMC
St Joseph's Area Health Services
600 Pleasant Avenue	Park Rapids	MN	56470	410695603	Healthcare	MN	501(c)(3)	3	CHI
Unity Family Healthcare
815 2nd Street SE	Little Falls	MN	56345	410721642	Healthcare	MN	501(c)(3)	3	CHI
St John's Regional Medical Center
2727 McClelland Blvd	Joplin	MO	64804	440545809	Healthcare	MO	501(c)(3)	3	CHI
Mercy Lifecare Systems
2727 McClelland Blvd	Joplin	MO	64804	431305163	Property Mgmt	MO	501(c)(3)	11a	SJRMC
MNMCH Inc
220 North Pennsylvania	Columbus	KS	66725	481216238	Healthcare	KS	501(c)(3)	3	SJRMC
St John's Medical Group
2727 McClelland Blvd	Joplin	MO	64804	431882377	Phys Practice	MO	501(c)(3)	9	SJRMC
St John's Mercy Regional Foundation
2727 McClelland Blvd	Joplin	MO	64804	431308084	Fundraising	MO	501(c)(3)	7	SJRMC
Alegent Health - Bergan Mercy Health Sys
7500 Mercy Road	Omaha	NE	68124	470484764	Healthcare	NE	501(c)(3)	3	CHI
Alegent Health - Mercy Hospital Corning
PO Box 368	Corning	IA	50841	420782518	Healthcare	IA	501(c)(3)	3	AHBMHS
Mercy Health Care Foundation
PO Box 368	Corning	IA	50841	421461064	Fundraising	NE	501(c)(3)	11a	AHMH
Mercy Hospital Foundation Council Bluff
800 Mercy Drive	Council Bluffs	IA	51503	421178204	Fundraising	IA	501(c)(3)	11a	AHBMHS
CHI Nebraska
555 South 70th Street	Lincoln	NE	68510	363233121	Healthcare	NE	501(c)(3)	11a	CHI
The Physician Network
8055 O Street Suite 300	Lincoln	NE	68510	470780857	Phys Practice	NE	501(c)(3)	11a	CHI Nebraska
Good Samaritan Hospital
PO Box 1990	Kearney	NE	68848	470379755	HealthCare	NE	501(c)(3)	3	CHI Nebraska
Good Samaritan Hospital Foundation
PO Box 1810	Kearney	NE	68848	470659443	Fundraising	NE	501(c)(3)	7	GSH
Catholic Health Care Federation
198 Inverness Drive West	Englewood	CO	80112	208473567	Jurdic Person	CO	501(c)(3)	11a	CHI
Saint Elizabeth Regional Medical Center
555 South 70th Street	Lincoln	NE	68510	470379836	Healthcare	NE	501(c)(3)	3	CHI Nebraska
Saint Elizabeth Foundation
555 South 70th Street	Lincoln	NE	68510	470625523	Fundraising	NE	501(c)(3)	7	SERMC
Saint Elizabeth Health Services
555 South 70th Street	Lincoln	NE	68510	363233120	Healthcare	NE	501(c)(3)	3	SERMC
Saint Francis Medical Center
PO Box 9804	Grand Island	NE	68802	470376601	HealthCare	NE	501(c)(3)	3	CHI Nebraska
Saint Francis Medical Center Foundation
PO Box 9804	Grand Island	NE	68802	470630267	Fundraising	NE	501(c)(3)	7	SFMC
St Mary's Hospital
1314 3rd Avenue	Nebraska City	NE	68410	470443636	Healthcare	NE	501(c)(3)	3	CHI Nebraska
St Mary's Hospital Foundation
1314 3rd Avenue	Nebraska City	NE	68410	470707604	Fundraising	NE	501(c)(3)	7	SMH
Saint Clare's Health Services Inc
25 Pocono Road	Denville	NJ	07834	223639733	Management	NJ	501(c)(3)	7	CHI
Saint Clare's Community Care
66 Ford Road	Denville	NJ	07834	222876836	Healthcare	NJ	501(c)(3)	11b	SCHS
Saint Clare's Foundation Inc
66 Ford Road	Denville	NJ	07834	222502997	Fundraising	NJ	501(c)(3)	7	SCHS
Saint Clare's Hospital
66 Ford Road	Denville	NJ	07834	223319886	Healthcare	NJ	501(c)(3)	3	CHI
St Francis Life Care Corporation
19 Pocono Road	Denville	NJ	07834	222536017	Elderly Care	NJ	501(c)(3)	9	SCHS
Visiting Nurse Association of Saint Clar
191 Woodport Road	Sparta	NJ	07871	221768334	Home Health	NJ	501(c)(3)	9	SCHS
St Joseph Community Health Services
300 Central Ave SW Suite 3000W	Albuquerque	NM	87102	710897107	Community	NM	501(c)(3)	11a	CHI
CHI Health Connect at Home - Fargo
4816 Amber Valley Parkway	Fargo	ND	58104	271966847	Healthcare	ND	501(c)(3)	3	CHI
Carrington Health Center
800 North 4th Street	Carrington	ND	58421	450227311	Healthcare	ND	501(c)(3)	3	CHI
Lisbon Area Health Services
905 Main Street	Lisbon	ND	58054	820558836	Healthcare	ND	501(c)(3)	3	CHI
Mercy Hospital of Devils Lake
1031 East Seventh Street	Devils Lake	ND	58301	450227012	Healthcare	ND	501(c)(3)	3	CHI
The Mercy Hospital of Devils Lake Fdn
1031 East Seventh Street	Devils Lake	ND	58301	352367360	Fundraising	ND	501(c)(3)	11a	MHDL
Mercy Hospital of Valley City
570 Chautauqua Boulevard	Valley City	ND	58072	450226553	Healthcare	ND	501(c)(3)	3	CHI
Mercy Medical Center
1301 15th Avenue West	Williston	ND	58801	450231183	Healthcare	ND	501(c)(3)	3	CHI
Mercy Medical Foundation
1301 15th Avenue West	Williston	ND	58801	450381803	Fundraising	ND	501(c)(3)	11a	MMC
Oakes Community Hospital
314 South 8th Street	Oakes	ND	58474	450231675	Healthcare	ND	501(c)(3)	3	CHI
Oakes Community Hospital Foundation
314 South 8th Street	Oakes	ND	58474	710966606	Fundraising	ND	501(c)(3)	11a	OCH
St Joseph's Hospital and Health Center
30 West 7th Street	Dickinson	ND	58601	450226429	Healthcare	ND	501(c)(3)	3	CHI
Saint Joseph's Hospital Foundation
30 West 7th Street	Dickinson	ND	58601	363418207	Fundraising	ND	501(c)(3)	11a	SJHHC
Villa Nazareth Inc
801 Page Drive	Fargo	ND	58103	450226714	LT Care	ND	501(c)(3)	9	CHI
Samaritan Health Partners
2222 Philadelphia Drive	Dayton	OH	45406	311107411	Healthcare	OH	501(c)(3)	11a	CHI
Samaritan Behavioral Health
601 S Edwin C Moses Blvd	Dayton	OH	45408	020633634	Healthcare	OH	501(c)(3)	3	SHP
Samaritan Health Foundation
2222 Philadelphia Drive	Dayton	OH	45406	237296923	Fundraising	OH	501(c)(3)	7	SHP
The Good Samaritan Hospital of Cincinnat
619 Oak Street Accounting-3 West	Cincinnati	OH	45206	310537486	Healthcare	OH	501(c)(3)	3	TRI-HEALTH
The Community Limited Care Dialysis Cent
619 Oak Street Accounting-3 West	Cincinnati	OH	45206	237419853	Dialysis	OH	501(c)(2)	none	GSH
Good Samaritan College of Nursing & Heal
375 Dixmyth Ave	Cincinnati	OH	45220	311778403	Education	KY	501(c)(3)	2	GHS
Good Samaritan Foundation of Cincinnati
619 Oak Street Accounting-3 West	Cincinnati	OH	45206	311206047	Fundraising	OH	501(c)(3)	11a	GSH
Hospital Association for St Joseph Hosp
7601 Osler Drive	Towson	MD	21204	526050777	Healthcare	MD	501(c)(3)	9	SJMC
Mercy Medical Center
2700 Stewart Parkway	Roseburg	OR	97470	930386868	Healthcare	OR	501(c)(3)	3	CHI
Centennial Medical Group Inc
2700 Stewart Parkway	Roseburg	OR	97470	900433062	Physicians	OR	501(c)(3)	9	MMC
Linus Oakes Inc
2700 Stewart Parkway	Roseburg	OR	97470	930821381	Senior Living	OR	501(c)(3)	9	MMC
Mercy Foundation Inc
2700 Stewart Parkway	Roseburg	OR	97470	936088946	Fundraising	OR	501(c)(3)	7	MMC
Mt St Joseph Inc
3060 SE Stark Street	Portland	OR	97214	930386870	Nursing Care	OR	501(c)(3)	9	CHI
St Anthony Hospital
1601 SE Court Avenue	Pendleton	OR	97801	930391614	Healthcare	OR	501(c)(3)	3	CHI
St Anthony Hospital Foundation
1601 SE Court Avenue	Pendleton	OR	97801	930992727	Fundraising	OR	501(c)(3)	11a	SA Hospital
St Dominic at Ontario
351 SW 9th Street	Ontario	OR	97914	930433692	Healthcare	OR	501(c)(3)	3	CHI
St Francis of Baker City
3325 Pocahontas Road	Baker City	OR	97814	930412495	Healthcare	OR	501(c)(3)	3	CHI
St Joseph Health Ministries
1929 Lincoln Hwy E Ste 150	Lancaster	PA	17602	232342997	Health	PA	501(c)(3)	11a	CHI
St Joseph Health Ministries Foundation
1929 Lincoln Hwy E Ste 150	Lancaster	PA	17602	232605579	Fundraising	PA	501(c)(3)	11a	SJHM
St Joseph Health Services Inc
1929 Lincoln Hwy E Ste 150	Lancaster	PA	17602	201425375	Dental care	PA	501(c)(3)	11a	SJHM
St Joseph Regional Health Network
2500 Bernville Road PO Box 316	Reading	PA	19603	231352211	Healthcare	PA	501(c)(3)	3	CHI
St Joseph Medical Group
2500 Bernville Road PO Box 316	Reading	PA	19603	208544021	Healthcare	PA	501(c)(3)	9	BHC
St Joseph Medical Center Foundation
2500 Bernville Road PO Box 316	Reading	PA	19603	232649362	Fundraising	PA	501(c)(3)	11a	SJRHN
St Mary's Healthcare Center
801 East Sioux Avenue	Pierre	SD	57501	460230199	Healthcare	SD	501(c)(3)	3	CHI
Gettysburg Medical Center
606 East Garfield Avenue	Gettysburg	SD	57442	460234354	Healthcare	SD	501(c)(3)	3	SMHC
Memorial Health Care System Inc
2525 De Sales Avenue	Chattanooga	TN	37404	620532345	Healthcare	TN	501(c)(3)	3	CHI
Memorial Health Care System Foundation
2525 De Sales Avenue	Chattanooga	TN	37404	621839548	Fundraising	TN	501(c)(3)	7	MHCS
Memorial Health Partners Foundation Inc
6028 Shallowford Road	Chattanooga	TN	37421	030417049	Healthcare	TN	501(c)(3)	9	MHCS
Franciscan Health System FKA Franciscan
1717 South J Street	Tacoma	WA	98405	910564491	Healthcare	WA	501(c)(3)	3	CHI
Enumclaw Regional Hospital Association
1450 Battersby Avenue	Enumclaw	WA	98022	910715805	Healthcare	WA	501(c)(3)	3	FHS
Franciscan Foundation
1717 South J Street	Tacoma	WA	98405	911145592	Fundraising	WA	501(c)(3)	9	FHS
Franciscan Medical Group
1708 South Yakima Avenue	Tacoma	WA	98405	911939739	Healthcare	WA	501(c)(3)	9	FHS
Franciscan Villa of South Milwaukee Inc
3601 South Chicago Avenue	South Milwaukee	WI	53172	391093829	Healthcare	WI	501(c)(3)	9	CHI

Form990 Schedule R Part III Form990ScheduleRPartIII (20 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	Code VCodeVAmount	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
CHI Operating Investment Program LP
198 Inverness Drive West	Englewood	CO	80112	470727942	Investments	CO	CHI	Investment	139679805	2069974790	false	$371,292	true	1.00000
North River Surgery Center LLC
2209 Wildwood Avenue	Sherwood	AR	72120	710799771	Ambul Surg Ctr	AR	SVIMC	Related	198313	1758688	false		false	0.57450
Audubon Land Company LLC
5390 N Academy Blvd Suite 300	Colorado Springs	CO	80918	841513085	Real Estate	CO	THC	Related	-157673	14390550	false		false	0.50100
OrthoColorado LLC
11650 West 2nd Place	Lakewood	CO	80255	371577105	Ortho Hospital	CO	THC	Related	-3249314	10905384	false		false	0.60000
Penrad Imaging
1390 Kelly Johnson Blvd	Colorado Springs	CO	80920	841072619	Medical Imaging	CO	THC	Related	1857228	5457224	false		false	0.70000
St Anthony Regional Mtn Cancer Center
4231 W 16th Avenue	Denver	CO	80112	371568013	Cancer Center	CO	THC	Related	-290552		false		false	0.51000
St Francis Land Company
5390 N Academy Blvd Suite 300	Colorado Springs	CO	80918	263134100	Real Estate	CO	THC	Related	-180979	14886022	false		false	0.51000
Bluegrass Regional Imaging Center
1218 South Broadway Suite 310	Lexington	KY	40504	611386736	Diagnostic	KY	SJ HospitalLex	Related			false		false	0.65000
St Joseph-PAML LLC
424 Lewis Hargett Circle Ste 160	Lexington	KY	40503	452116736	Mgmt Svcs	KY	SJHS	Related			false		true	0.62500
Saint Joseph SCA Holdings LLC
424 Lewis Hargett Circle Ste 160	Lexington	KY	40503	453801157	OP Surgery	DE	SJHS	Related			false		true	0.51000
Surgery Center of Lexington LLC
1451 Harrodsburg Road	Lexington	KY	40504	621179539	Surgery Center	DE	SJHS	Related	808840	4236901	false		true	0.51000
Ruxton Surgicenter LLC
8322 Bellona Avenue Suite 201	Baltimore	MD	21204	522095835	Surgery Center	MD	SJMC	Related			false		true	0.51000
Avantas LLC
1207 South 13 Street	Omaha	NE	68108	392045003	Healthcare	NE	AHMH	Unrelated			false		false	0.95000
Healthcare Support Services LLC
PO Box 9804	Grand Island	NE	68802	721546196	Laundry	NE	CHI	Related	196124	3913481	false	-$58,436	false	1.00000
Central Nebraska Home Care Services
PO Box 1146-4510 Second Avenue	Kearney	NE	68848	470692112	Healthcare Srvc	NE	HSEINC	Related	-99941	1021498	false	-$48,712	true	1.00000
Superior Medical Imaging LLC
5000 North 26th Street	Lincoln	NE	68521	262884555	OP Diagnostics	NE	SERMC	Related			false		false	0.51000
Central Nebraska Rehab Services
3004 W Faidley Ave	Grand Island	NE	68802	810653461	Physical Therapy	NE	CHI	Related	1857991	2262775	false		false	0.51000
St Francis Medical Center Associates
1717 South J Street	Tacoma	WA	98405	911352698	Med. Office	WA	FHS	Related	116948	1652280	false		false	0.54210
Peninsula Radiation Oncology
314 Martin Luther King Jr Way 11	Tacoma	WA	98405	870808610	Healthcare Srvc	WA	FHS	Related	131195	3052504	false		false	0.60000
Berywood Office Properties LLC
400 Berywood Trail	Cleveland	TN	37312	621875199	Phys Office	TN	MHCS	Related			false		true	0.63000

Form990 Schedule R Part IV Form990ScheduleRPartIV (45 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Share Of Total IncomeShareOfTotalIncome
Alternative Insurance Management Service
3900 Olympic Boulevard Suite 400	Erlanger	KY	41018	841112049	Management Servic	CO	CHI	C Corp	3267441	1.00000
Captive Management Initiatives
				980663022	Captive Managemen		CHI	C Corp		1.00000	CJ
Center for Translational Research
198 Inverness Drive West	Englewood	CO	80112	272269511	Healthcare	CO	CHI	C Corp	1668589	1.00000		-2247962
First Initiatives Insurance Ltd
				980203038	Insurance		CHI	C Corp		1.00000	CJ
Franciscan Services Inc
198 Inverness Drive West	Englewood	CO	80112	232487967	Healthcare	CO	CHI	C Corp	11914284	1.00000		-507578
SJH Services Corporation
198 Inverness Drive West	Englewood	CO	80112	232307408	Healthcare	CO	FSI	C Corp	3180100	1.00000		-518360
St Joseph Development Company Inc
1717 South J Street	Tacoma	WA	98405	911480569	Rental	WA	FSI	C Corp	12168022	1.00000		-36395
Towson Management Inc
7601 Osler Drive	Towson	MD	21204	521710750	Management Servic	MD	FSI	C Corp	498393	1.00000		-469016
Nazareth Assurance Company
76 St Paul Street Suite 500	Burlington	VT	05401	030304831	Insurance	VT	CHI	C Corp	123535	1.00000		-379
St Vincent Community Health Services In
Two St Vincent Circle	Little Rock	AR	72205	710710785	Healthcare	AR	SVIMC	C Corp	14049375	1.00000		2309129
Comcare Services
4231 W 16th Avenue	Denver	CO	80204	840904813	Inactive	CO	CHIC	C Corp		1.00000
Des Moines Medical Center Inc
1111 6th Avenue	Des Moines	IA	50314	420837382	Real Estate	IA	CHI-IA Corp	C Corp	1253452	0.92980
Mercy Park Apartments Ltd
1111 6th Avenue	Des Moines	IA	50314	421202422	Housing	IA	CHI-IA Corp	C Corp	1796053	1.00000		264489
Central Kansas Health Services Associati
3515 Broadway	Great Bend	KS	67530	481042853	MEDICAL EQUIPMENT	KS	CKMC	C Corp		1.00000
SJL Physician Management Services Inc
424 Lewis Hargett Cr 160	Lexington	KY	40503	270164198	Management	KY	SJHS	C Corp		1.00000
St Joseph Office Park Association
1401 HarrodsBurg Road Bldg B70	Lexington	KY	40504	611079899	Management	KY	SJHS	C Corp	882139	0.85000		16644
Mercy Health Services Corporation
2727 McClelland Blvd	Joplin	MO	64804	431457881	DME	MO	St John's RMC	C Corp	1369083	1.00000		-1533371
Good Samaritan Outreach Services
PO BOX 1990	Kearney	NE	68848	470659440	MEDICAL CLINIC	NE	CHI Nebraska	C Corp	355110	1.00000		-2921063
Health Systems Enterprises Inc
PO BOX 1990	Kearney	NE	68848	470664558	MANAGEMENT	NE	GSH	C Corp	1443049	1.00000		25289
Saint Clare's Primary Care Inc
66 Ford Road	Denville	NJ	07834	222441202	Billing Services	NJ	SCCC	C Corp	2177166	1.00000		-342970
MedQuest
1301 15th Avenue West	Williston	ND	58801	450392137	Sale of DME	ND	MHof Williston	C Corp	962554	1.00000		9852
Consolidated Health Services
1700 Edison Drive	Milford	OH	45150	311378212	Home Health	OH	CHI	C Corp	11595125	1.00000
American Nursing Care
1700 Edison Drive	Milford	OH	45150	311085414	Home Health	OH	CHS	C Corp	44470358	1.00000		1778617
Amerimed Inc
1700 Edison Drive	Milford	OH	45150	311158699	Home Health	OH	ANC	C Corp	11869657	1.00000		2395230
Patient Transport Services Inc
1700 Edison Drive	Milford	OH	45150	311100798	Home Health	OH	ANC	C Corp	5325941	1.00000		662425
Samaritan Family Care Inc
40 W Fourth St 1700	Dayton	OH	45402	311299450	Healthcare	OH	SHP	C Corp		1.00000
Mercy Services Corp
2700 Stewart Parkway	Roseburg	OR	97470	930824308	Retail Sales	OR	MMC	C Corp	954798	1.00000		-690267
St Anthony Development Company
1415 Southgate	Pendleton	OR	97801	931216943	Athletic Club	OR	St Anthony H	C Corp	3007554	1.00000		53891
CGH Realty Company Inc
215 N 12th St	Reading	PA	19603	232326801	Real Estate	PA	SJHM	C Corp	42415	1.00000		1007
Caduceus Medical Associates Inc
6028 Shallowford Road Suite D	Chattanooga	TN	37422	621570736	Healthcare	TN	MHCS	C Corp	1008	1.00000
Mountain Management Services Inc
6028D Shallowford Road	Chattanooga	TN	37422	621570739	mgmt svc org	TN	MHCS	C Corp	4667998	1.00000		-386020
Physician Health System Network
1149 Market St	Tacoma	WA	98402	911746721	Health Org.	WA	FHS	C Corp		1.00000
Healthcare Mgmt Services Org Inc
1149 Market St	Tacoma	WA	98402	911865474	Health Org.	WA	FHS	C Corp		1.00000
Harold W Rase 1995 Charitable Unittrust
30 West 7th Street	Dickinson	ND	58601	456090420	Investments	ND	SJHHC	Trust	21533	1.00000		1240
Harold W Rase 1996 Charitable Unittrust
30 West 7th Street	Dickinson	ND	58601	206037112	Investments	ND	SJHHC	Trust	15495	1.00000		900
Harold W Rase 1997 Charitable Unittrust
30 West 7th Street	Dickinson	ND	58601	206037104	Investments	ND	SJHHC	Trust	20261	1.00000		1025
Harold W Rase 1999 Charitable Unittrust
30 West 7th Street	Dickinson	ND	58601	206037099	Investments	ND	SJHHC	Trust	25027	1.00000		1313
James & Henrietta Nistler Unitrust
30 West 7th Street	Dickinson	ND	58601	206021899	Investments	ND	SJHHC	Trust	41455	1.00000		-16708
Joseph A Schuster Annuity Trust #1
400 Univerity Avenue	Des Moines	IA	50314	421195122	Investments	IA	MFDM	Trust	441488	1.00000		18924
Ray & Shirley David 1999 Unitrust
30 West 7th Street	Dickinson	ND	58601	206037077	Investments	ND	SJHHC	Trust	24194	1.00000		1250
Tom Deyle Charitable Remainder Unitrust
PO Box 1810	Kearney	NE	68848	476192393	Investments	NE	GSHF	Trust	166321	1.00000		4884
David Deyle Charitable Remainder Unitrus
PO Box 1810	Kearney	NE	68848	476192395	Investments	NE	GSHF	Trust	166425	1.00000		4880
Jeanne Deyle Charitable Remainder Unitru
PO Box 1810	Kearney	NE	68848	476192398	Investments	NE	GSHF	Trust	166320	1.00000		4880
Lodesca Miller Charitable Remainder Unit
PO Box 1810	Kearney	NE	68848	476186933	Investments	NE	GSHF	Trust	86367	1.00000		3387
Robert & Wanda Charitable Remainder Unit
PO Box 1810	Kearney	NE	68848	266191916	Investments	NE	GSHF	Trust	537775	1.00000		13030

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (16 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
MHP Foundation
a	3859
Memorial Health Care System Foundation
b	485192
Catholic Health Initiatives
c	117180
MHP Foundation
c	4461464
Mountain Management Services
c	9868624
Catholic Health Initiatives
i	67189509
MHP Foundation
i	2489365
Memorial Health Care System Foundation
l	203418
Memorial Health Care System Foundation
m	65474
Mountain Management Services
n	554794
Catholic Health Initiatives
o	7962614
MHP Foundation
o	14331886
MHP Foundation
p	28751848
Mountain Management Services
p	27932576
Catholic Health Initiatives
q	6543793
Memorial Health Care System Foundation
r	2990888