FRANCISCAN HEALTH VENTURES: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: FRANCISCAN HEALTH VENTURES (EIN 43-1882377)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-11
IRS object ID: 201111319349302816
Schema version: 2009v1.7
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 D
Schedule I
Schedule J
Schedule L
Schedule N
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-11T16:06:27-05:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GRANT THORNTON LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	2001 MARKET STREET SUITE 3100	AddressLine1
City	PHILADELPHIA	City
State	PA	State
ZIP Code	19103	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	431882377	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	St John's Medical Group	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	STJO	NameControl
Phone	4176252217	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2727 McClelland Blvd	AddressLine1
City	Joplin	City
State	MO	State
ZIP Code	64804	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	TERRY CONRAD	Name
Title	treasurer	Title
Date Signed	2011-05-11	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	grant thornton llp	Name
Phone	2155614200	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Beverly Derrickson	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	2727 MCCLELLAND BLVD	AddressLine1
City	Joplin	City
State	MO	State
ZIP Code	64804	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	21437404	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	WWW.MERCYCLINICS.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2000	YearFormation
State Legal Domicile	MO	StateLegalDomicile
Activity Or Mission Description	To be a multi-specialty physician group providing exceptional care to benefit our patients, healthcare system, and provider group.	ActivityOrMissionDescription
Termination Or Contraction	X	TerminationOrContraction
Nbr Voting Members Governing Body	9	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	0	NbrIndependentVotingMembers
Total Nbr Employees	334	TotalNbrEmployees
Total Nbr Volunteers	5	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	21642804	ContributionsGrantsPriorYear
Contributions Grants Current Year	8808181	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	37713539	ProgramServiceRevenuePriorYear
Program Service Revenue CY	12369318	ProgramServiceRevenueCY
Investment Income Prior Year	92663	InvestmentIncomePriorYear
Investment Income Current Year	37743	InvestmentIncomeCurrentYear
Other Revenue Prior Year	60936	OtherRevenuePriorYear
Other Revenue Current Year	222162	OtherRevenueCurrentYear
Total Revenue Prior Year	59509942	TotalRevenuePriorYear
Total Revenue Current Year	21437404	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	118156	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	143462	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	43730460	SalariesEtcPriorYear
Salaries Etc Current Year	14765914	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	16854165	OtherExpensePriorYear
Other Expenses Current Year	5843395	OtherExpensesCurrentYear
Total Expenses Prior Year	60702781	TotalExpensesPriorYear
Total Expenses Current Year	20752771	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-1192839	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	684633	RevenuesLessExpensesCY
Total Assets BOY	6428536	TotalAssetsBOY
Total Assets EOY	2320268	TotalAssetsEOY
Total Liabilities BOY	5045406	TotalLiabilitiesBOY
Total Liabilities EOY	252505	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1383130	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	2067763	NetAssetsOrFundBalancesEOY
Mission Description	THE ORGANIZATION'S MISSION 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 FORWARD THE CREATION OF HEALTHIER COMMUNITIES.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	true	SignificantChange
Expense	18431688	Expense
Grants	143462	Grants
Revenue	12591480	Revenue
Description	SEE Schedule O	Description
Total Program Service Expense	18431688	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	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
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
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	false	Hospital
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	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	true	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	true	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	17	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	334	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
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
Form8899 Filed	true	Form8899Filed
Form1098 C Filed	true	Form1098CFiled
Nbr Voting Governing Body Members	9	NbrVotingGoverningBodyMembers
Number Independent Voting Members	0	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	true	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	false	LocalChapters
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	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	MO	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	SHELLY HUNTER	NamePerson
Telephone Number	4176252220	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2727 MCCLELLAND BLVD	AddressLine1
City	Joplin	City
State	MO	State
ZIP Code	64804	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
WC Dandridge MD
DIRECTOR	5.0	X	0	362076	40222
Bennie Crossland
BOARD SECRETARY/TREASURER	1.0	X	0	0	0	X
Kent Reckewy
DIRECTOR	1.0	X	0	0	0
Robert Walkenhorst
DIRECTOR	1.0	X	0	0	0
D Sean Smith MD
DIRECTOR	40.0	X	387068	0	32588
Peter Warner MD
DIRECTOR	40.0	X	106245	0	13382
James Hoff MD
BOARD MEMBER	40.0	X	1047953	0	32589
DR ROBERT DODSON
KEY EMPLOYEE	40.0	X	496275	0	28312
RAFEAL GAYTAN
KEY EMPLOYEE	40.0	X	695116	0	28963
STEPHEN SLAWSON
KEY EMPLOYEE	40.0	X	588401	0	30139
THOMAS WARD
KEY EMPLOYEE	40.0	X	523053	0	9257
LAURIE DELANO
DIRECTOR	1.0	X	0	0	0
GEORGE CARALIS
CHAIRPERSON OF THE BOARD	20.0		0	0	0	X
BEVERLY DERRICKSON
VICE CHAIR/CEO	40.0		140630	0	19767	X
Adam Paoni
KEY EMPLOYEE	40.0		21896	0	939		X
Richard Wolf
PHYSICIAN	40.0		1070232	0	29869			X
Bashar Marji
PHYSICIAN	40.0		235507	0	919			X
William Craig
PHYSICIAN	40.0		750001	0	33863			X
Brian Curtis
PHYSICIAN	40.0		1270367	0	29130			X
Ronnie Smalling
PHYSICIAN	40.0		977950	0	29233			X
Donovan Stinnet
FORMER CHIEF MED OFFICER	40.0		0	138527	9696				X
DEBRA LINNES
PRESIDENT CEO	40.0		0	386928	39007				X
Paul Kern
FORMER KEY EMPLOYEE	40.0		0	102204	10507				X
CHRISTOPHER MEOLI
FORMER KEY EMPLOYEE	40.0		109149	0	10540				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	8419843	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	989735	TotalReportableCompFrmRltdOrgs
Total Other Compensation	428922	TotalOtherCompensation
Number Individuals GT100 K	87	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
MANAGEMENT SERVICES NETWORK LLC
9313 E 34TH STREET NORTH SUITE 100	WICHITA	KS	67226	Locum Coverage	234643
Mid America Accounts
PO Box 790	JOPLIN	MO	64801	COLLECTIONS	205796
Weatherby Locums Inc
3230 West Commercial	FORT LAUDERDALE	FL	33309	LOCUM COVERAGE	188705
Buchele Associates Surg
3103 McClelland Blvd	JOPLIN	MO	64804	CONTRACTED SURGEON	150493
Per Se Technologies
PO Box 406918	ATLANTA	GA	30384	Locum Coverage	179049

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	8	NumberOfContractorsGT100K
Related Organizations	8808181	RelatedOrganizations
Total Contributions	8808181	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES	900099	12364674	12364674
RELATED RENTAL REVENUE	900099	4644	4644

Field	Value	IRS element (for citing)
Total Program Service Revenue	12369318	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	37743	TotalRevenueColumn
Exclusion	$37,743	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

Net Gain Or Loss Investments NetGainOrLossInvestments

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

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 (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PRODUCT SERVICES	446199	3996	3996
MISCELLANEOUS REVENUE	900099	218166	218166

Field	Value	IRS element (for citing)
Total Other Revenue	222162	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	21437404	TotalRevenueColumn
Related Or Exempt Function Income	12591480	RelatedOrExemptFunctionIncome
Exclusion	$37,743	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	143462	Total
Program Services	143462	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

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	3618293	Total
Program Services	3303139	ProgramServices
Management And General	315154	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	9594826	Total
Program Services	8759117	ProgramServices
Management And General	835709	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	471772	Total
Management And General	471772	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	629592	Total
Program Services	1164619	ProgramServices
Management And General	-535027	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	451431	Total
Program Services	401232	ProgramServices
Management And General	50199	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	0	Total

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	360	Total
Management And General	360	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	1053385	Total
Program Services	963637	ProgramServices
Management And General	89748	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	0	Total

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	414467	Total
Program Services	341148	ProgramServices
Management And General	73319	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1215	Total
Program Services	1169	ProgramServices
Management And General	46	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	455425	Total
Program Services	385517	ProgramServices
Management And General	69908	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	17197	Total
Program Services	10003	ProgramServices
Management And General	7194	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	1118	Total
Program Services	331	ProgramServices
Management And General	787	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	0	Total

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	818	Total
Program Services	818	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	478973	Total
Program Services	478973	ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
BAD DEBT	1931175	1931175
RESTRUCTURING LOSSES	940257		940257
RECRUITMENT	330990	330900	90
EDUCATION	80954	80954
DUES & SUBSCRIPTIONS	50716	49149	1567	0

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	86345	Total
Program Services	86345	ProgramServices
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	20752771	Total
Program Services	18431688	ProgramServices
Management And General	2321083	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	2194	BOY
EOY	122391	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	433429	BOY
EOY	2197877	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	4368298	BOY
EOY	0	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	110396	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	1058322	BOY
EOY	0	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	419339	BOY
EOY	0	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	2791780	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	2791780	LandBldgEquipmentAccumDeprec

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	36558	BOY
EOY	0	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	6428536	BOY
EOY	2320268	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	3136268	BOY
EOY	252505	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	5992	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	1903146	BOY
EOY	0	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	5045406	BOY
EOY	252505	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1383130	BOY
EOY	2067763	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1383130	BOY
EOY	2067763	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	6428536	BOY
EOY	2320268	EOY

Field	Value	IRS element (for citing)
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

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	53588	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	71067	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	86819	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	21642804	CurrentTaxYearMinus1Year
Current Tax Year	8808181	CurrentTaxYear
Total	30662459	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	37256827	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	36901279	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	36691887	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	37713539	CurrentTaxYearMinus1Year
Current Tax Year	12369318	CurrentTaxYear
Total	160932850	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	37310415	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	36972346	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	36778706	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	59356343	CurrentTaxYearMinus1Year
Current Tax Year	21177499	CurrentTaxYear
Total	191595309	Total

Field	Value	IRS element (for citing)
Public Support Total509	191595309	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	28383	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	36470	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	84470	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	112068	CurrentTaxYearMinus1Year
Current Tax Year	37743	CurrentTaxYear
Total	299134	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	28383	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	36470	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	84470	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	112068	CurrentTaxYearMinus1Year
Current Tax Year	37743	CurrentTaxYear
Total	299134	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	37338798	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	37008816	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	36863176	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	59468411	CurrentTaxYearMinus1Year
Current Tax Year	21215242	CurrentTaxYear
Total	191894443	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99844	PublicSupportPercentage509
Prior Year Support Percentage	0.99858	PriorYearSupportPercentage
Investment Income Percentage	0.00156	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00142	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

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 D IRS990ScheduleD

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

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1919	OtherCostOrOtherBasis
Depreciation	1919	Depreciation
Book Value	0	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	105290	OtherCostOrOtherBasis
Depreciation	105290	Depreciation
Book Value	0	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2637594	OtherCostOrOtherBasis
Depreciation	2637594	Depreciation
Book Value	0	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	46977	OtherCostOrOtherBasis
Depreciation	46977	Depreciation
Book Value	0	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	0	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability
Total Of Amounts	0	TotalOfAmounts
Total Revenue	21437404	TotalRevenue
Total Expenses	20752771	TotalExpenses
Excess Or Deficit For Year	684633	ExcessOrDeficitForYear
Excess Or Deficit Per FS	684633	ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	FIN 48 Footnote (Now known as ASC 740)	Identifier
Return Reference	SCHEDULE D, PART X	ReturnReference
Explanation	St. John's Medical Group's FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI'S FIN 48 FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2010 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. MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS."	Explanation

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	St John's Regional Medical Center	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2727 MCCLELLAND BLVD	AddressLine1
City	JOPLIN	City
State	MO	State
ZIP Code	64804	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	445045809	EINOfRecipient
IRC Section	501(C)(3)	IRCSection
Amount Of Cash Grant	141292	AmountOfCashGrant
Purpose Of Grant	GENERAL SUPPORT	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Procedures for monitoring the use of grants	Identifier
Return Reference	Schedule I Part I Q2	ReturnReference
Explanation	The grants are transfers to affiliates and each donation is tracked based on its restriction.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	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	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
WC Dandridge MD
0	358828	0	1459	0	1789	0	0	0	40222	0	402298	0	0
D Sean Smith MD
327028	0	21375	0	38665	0	0	0	32588	0	419656	0	0	0
James Hoff MD
808360	0	239593	0	0	0	0	0	32589	0	1080542	0	0	0
Richard Wolf
881780	0	187900	0	552	0	0	0	29869	0	1100101	0	0	0
Bashar Marji
39962	0	195545	0	0	0	0	0	919	0	236426	0	0	0
William Craig
720448	0	29001	0	552	0	0	0	33863	0	783864	0	0	0
Brian Curtis
1270367	0	0	0	0	0	0	0	29130	0	1299497	0	0	0
Ronnie Smalling
749450	0	166268	0	62232	0	0	0	29233	0	1007183	0	0	0
Donovan Stinnet
0	131988	0	5000	0	1539	0	0	0	9696	0	148223	0	0
Paul Kern
0	102204	0	0	0	0	0	0	0	10507	0	112711	0	0
DEBRA LINNES
0	-3492	0	0	0	390420	0	0	0	39007	0	425935	0	0
BEVERLY DERRICKSON
139292	0	0	0	1338	0	0	0	19767	0	160397	0	0	0
DR ROBERT DODSON
441281	0	54994	0	0	0	0	0	28312	0	524587	0	0	0
RAFEAL GAYTAN
487045	0	207519	0	552	0	0	0	28963	0	724079	0	0	0
CHRISTOPHER MEOLI
89066	0	20083	0	0	0	0	0	10540	0	119689	0	0	0
STEPHEN SLAWSON
515374	0	73027	0	0	0	0	0	30139	0	618540	0	0	0
THOMAS WARD
460072	0	62981	0	0	0	0	0	9257	0	532310	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
POST-TERMINATION PAYMENTS	SCHEDULE J, PART I, Q. 4A	Post-termination payments are addressed in the executive employment agreements for Catholic Health Initiative's ("CHI") 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.
METHODS USED TO ESTABLISH CEO COMPENSATION	SCHEDULE J, PART I, Q. 3	Compensation for the top management official of St. John's Medical Group was established and paid by a related organization, catholic health initiatives (CHI). CHI used the following methods to establish the top management official's compensation: 1) compensation committee; 2) independent compensation consultant; 3) compensation survey or study; and 4) approval by the board or compensation committee; 5) written employment contract.

Schedule L IRS990ScheduleL

Loan Table LoanTable (2 entries)

Purpose Of LoanPurposeOfLoan	Loan From OrganizationLoanFromOrganization	Original PrincipalOriginalPrincipalAmount	Balance DueBalanceDue	DefaultDefault	Approved By BoardApprovedByBoard	Written AgreementWrittenAgreement
Ronnie Smalling-
Signing loan	X	$125,000	0	false	true	true
D Sean Smith-
Retention loan	X	$120,000	44045	false	true	true

Field	Value	IRS element (for citing)
Total Balance Due	44045	TotalBalanceDue

Schedule N IRS990ScheduleN

Field	Value	IRS element (for citing)
Liquidation Table		LiquidationTable

Disposition Table DispositionTable (2 entries)

Description Of AssetDescriptionOfAsset	Date Of DistributionDateOfDistribution	FMV Of AssetFMVOfAsset	Method Of FMV DeterminationMethodOfFMVDetermination	EINEIN	Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	IRC SectionIRCSection
SISTERS OF MERCY HEALTH SYSTEM
EQUIPMENT	2009-10-01	88106	ACTUAL COST	431423050	14528 SOUTH OUTER 30 ROAD SUITE 10	CHESTERFIELD	MO	63017	501(C)(3)
SISTERS OF MERCY HEALTH SYSTEM
PREPAID EXPENSE	2009-10-01	1216255	ACTUAL COST	431423050	14528 SOUTH OUTER 30 ROAD SUITE 10	CHESTERFIELD	MO	63017	501(C)(3)

Field	Value	IRS element (for citing)
Director Of Successor2	true	DirectorOfSuccessor2
Employee Of Successor2	true	EmployeeOfSuccessor2
Owner Of Successor2	false	OwnerOfSuccessor2
Receive Compensation2	false	ReceiveCompensation2

Form990 Schedule N Part III Form990ScheduleNPartIII

Field	Value	IRS element (for citing)
Identifier	SHEDULE N PART II Q 2E	Identifier
Explanation	ST. JOHN'S MEDICAL GROUP SOLD SUBSTANTIALLY ALL OF ITS ASSETS TO THE SISTERS OF MERCY HEALTH SYSTEM ON OCTOBER 31, 2009. ALL OF THE OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES THAT ARE LISTED ON PART VII ON THIS FORM 990 WILL HOLD THE SAME POSITIONS AFTER THE TRANSISTION TO THE SISTER OF MERCY HEALTH SYSTEM.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Significant changes to program services	Form 990, Part III, Line 3	St. John's Medical Group has ceased conducting business, effective October 31, 2009. Accordingly, the information contained in this Form 990 represents St. John's Medical Group's wind-up period.
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	FORM 990, PART III, LINE 4A	Introduction: St. John's Medical Group is a network of physician practices affiliated with St. John's Regional Medical Center and HealthFirst Network. St. John's Medical Group was granted tax-exempt status in 2000. The network includes primary care, OB/GYN, and specialty practices. All offices are conveniently located throughout Joplin, Webb City, Carthage, Neosho, Baxter Springs, Columbus, and Pittsburg. Community service has always been at the core of St. John's Medical Group's activities. Quantifiable community benefit programs include traditional charity care, unpaid costs of public programs, non-billed services, training and education of health care professionals, donations, and community-building activities. In addition to quantifiable community benefits, we recognize our corporate responsibility to provide leadership in promoting the health and general well being of the community we serve. The programs and services described throughout this report not only serve the community but also reduce the burdens on government. Community Benefit ApproacH & Community Health Needs Assessment: Since the late 1980's St. John's Medical Group has been intimately involved in community health collaboration, helped spearhead the original team to look at area health issues, AND set priorities and plans for improvement. St. John's Medical Group continues our deep commitment and involvement in the community health collaboratiON today and has a dedicated staff to assist our community benefit efforts. Process: St. John's Medical Group'S Community Benefit Plan is based on our understanding of unique communities' needs derived from collaborative needs assessments, focus groups, and surveys conducted with our community partners. The Jasper and Newton Counties Community Health Collaborative (CHC) was formed in 1999 as a collaborative entity of health and human service providers with a general desire to reduce duplication of efforts. THIS PROGRAM PROVIDES FOR a more efficient use of limited resources. Additionally, it was generally recognized that the health of the community was not the responsibility of any one entity, but rather required the coordinated efforts of many entities, public and private, to realize an improved health status of a community. The CHC has been working for several years to measure and improve the health status of the community. The Jasper and Newton Counties Community Health Collaborative completed an in-depth Community Health Status Report in January 2006. The report reflects the compilation and analysis of extensive data sources to identify issues having a significant impact on the health and general well being of area residents. Summary of Assessment Findings: Ten key factors having the greatest impact on the overall wellness of the area emerged in the Community Health Status review. The ten issues were then prioritized through a group prioritization process. Community stakeholders were invited to prioritize the issues of most importance to them, keeping in mind how aware the community was of each issue and how difficult the issue was to change. As a result, the issues fell into the following order of priority. 1. Healthy Behaviors 2. Child and Maternal Health 3. Smoking and Tobacco 4. Access to Health Care Services 5. Disease and Mortality 6. Unintentional Injuries 7. Environment 8. Personal and Family Safety 9. Income, Employment, and Education 10. Alcohol and Drugs Financial Assistance Policies & Programs: Not-for-profit organizations (501(c)(3)) have a responsibility to offer service that benefits their communities, sufficientLY UTILIZING what would be their tax burden if they were a for-profit corporation. St. John's Medical Group provides care, without regard to ability to pay, to individuals with limited financial resources. If patients need healthcare services, but lack the means to pay, we provide patient financial counseling services. Financial counseling services include HELPING patients enroll in Medicare, Medicaid, or other local health care financial assistance PROGRAMS. If they are not qualified under those programs, we provide financial assistance information, including our policy, procedures, AND an application. WE THEN help them complete the application with direct staff support as needed. Qualified patients will have all or part of their bill forgiven. Additionally, we assist those patients who are uninsured, but do not qualify for Charity Care, in paying for their health care needs by applying a discount to service charges.
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	FORM 990, PART III, LINE 4A CONTINUED	Community Outreach for the Poor: St. John's Medical Group offers services and programs that are designed to help the underprivileged population in our community. These programs and services not only help with the health of individual patients, but also create a positive impact on our community as a whole. Community Health Education & Prescription Medication Assistance Program: In order to help with the often overwhelming costs associated with prescription medications, the Prescription Medication Assistance Program provides prescription medications for needy patients in our surrounding communities. Education for patients and their families regarding the use of the prescribed medications is also included in this program. Community Based Clinical Services Rural Health Community Clinics: St. John's Medical Group provides clinical staff and physician time to help the freestanding Community Clinic of Carthage and Parsons, Kansas. Community-Building Activities: Christmas in August: Staff members coordinate and distribute back to school clothes, school supplies and money to help identified economically disadvantaged families in the Joplin community. School supplies were provided for 217 children at West Central School in Joplin. Holiday Food Baskets: St. John's coordinates and distributes food and gift baskets for identified economically disadvantaged families throughout the year, including Thanksgiving and Christmas. Many of us in departments across the entire organization prepare gifts of food, clothing, and toys for area families during St. Johns Holiday Outreach project that is done in cooperation with our Chamber Business Partner, Joplin High School. We do this each year, and we know it does make a difference to families in need. Community Outreach for the Broader Community: In addition to its programs and services specifically targeted to the poor in the surrounding area, St. John's Medical Group strives to be a leader in initiatives designed to benefit the community as a whole. Community Health Education, Community Health Fairs: Community Health Fairs are offered to provide no cost health related educational information or screenings. The Farm Show, Life Fair, and the Women's Health Fair are just a few of the health fairs we offer. Four States Farm, Show The Four States Farm Show: assists residents in rural and agricultural communities with a variety of health screenings and safety education. Preventive Health Promotion & Education: THESE Presentations educate audiences on preventive health issues. These programs include regular education and outreach in local TV and radio markets, as well as presentations to schools and civic groups. Community Based Clinical Services Sports Physicals: Members of our medical staff provide free physicals for area school children, a requirement for their participation in school athletic programs. Health Professions Education, Other Health Professionals Medical Education: Support St. John's Medical Group provides educational opportunities and clinical settings for the training of health professionals. In-Kind Donations, Community Boards & Involvement: St. John's Medical Group's staff supports a variety of not-for-profit organizations through board and committee service. Other Non-Profit Fund Raising Activities: St. John's Medical Group employees assist many non-profit organizations to raise funds by participating in their fund raising events. Community Building Activities, High School Student Shadow Program High: school students interested in a health related profession shadow a clinically trained person to gain insight into the career. Community Services & Non-Profit Organization Support: St. John's supports patients and health care organizations in the four-state area by assisting with donations and networkING activities to organizations that belong to healthy communities.
SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS	FORM 990, PART VI, Q. 4	ST JOHN'S MEDICAL GROUP AMENDED ITS ARTICLES OF INCORPORATION, EFFECTIVE NOVEMBER 5, 2010, TO INCLUDE THE PROVISION THAT IN FURTHERANCE OF ITS EXEMPT PURPOSE, IT WILL OWN, MANAGE, AND DISPOSE OF ITS REMAINING ASSETS AFTER THE SALE OF SUBSTANTIALLY ALL OF ITS ASSETS ON OCTOBER 31, 2009.
MEMBERS OR SHAREHOLDERS	Form 990, Part VI, Q. 6	THE SOLE MEMBER OF THE ORGANIZATION IS St. John's Regional Medical Center, Joplin, Missouri, A Missouri NONPROFIT CORPORATION.
MEMBER ELECT ONE OR MORE MEMBERS OF GOVERNING BOARD	Form 990, part VI, q. 7a	THE SOLE MEMBER HAS THE POWER TO APPOINT, REPLACE OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS.
Governing Powers	Form 990, Part VI, Q. 7B	The organization's corporate member is St. John's Regional Medical Center ("SJRMC"). Pursuant to Section 5.4 of the organization's bylaws, the Corporate Member shall have the right to approve any of the actions set forth below: -Substantial change in the mission or philosophy of the St. John's Medical Group ("SJMG") -Amendment of the corporate documents of SJMG -Approve members of the SJMG board -Removal of a member of the governing body of SJMG -Approval of issuance of debt by SJMG -Approval of participation of SJMG in a joint venture -Approval of formation of a new corporation by SJMG -Approval of a merger involving SJMG -Approval of the sale of all or substantially all of the assets of SJMG -Adoption of long range and strategic plans for SJMG -Adoption of operating and capital budgets and amendments of SJMG Pursuant to Section 5.5 of the organization's bylaws, SJRMC or 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.
Process, if any, the organization uses to review Form 990	Form 990, Part VI, Q. 11A	Once the return is prepared, the return is reviewed by the Chief Financial Officer. The Chief Financial Officer presents the return to St. John's Medical Group's board at its board meeting. Subsequent to review by the board and Chief Financial Officer, 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.
Procedures for Monitoring and Enforcing the COI Policy	Form 990, Part VI, Q. 12c	All Board members annually complete the Conflict of Interest (COI) statement. The COI is reviewed by the CRO and any discrepancy is discussed with the Board Member and rectified. Before each Board meeting, the Board members are asked if they have any conflicts with any topics to be discussed. If there is a conflict that Board member will not participate in that part of the meeting. Key Employees, Managers, directors and above are required annually to disclose any conflicts of interest and disclose any situations that could become a conflict of interest. We have a monthly compliance meeting where potential conflicts can be addressed.
Process for Determining Executive Compensation	Form 990, Part VI, Q. 15A	The organization's CEO's compensation is paid by CHI. 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 CHI's senior most executives (including each MBO CEO) are reviewed on an individual basis 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, 2010. In addition, in December 2009, Hay Group completed a comprehensive review of all CHI positions at the level of Vice President and above to determine and validate appropriate compensation levels.
PROCESS FOR DETERMINING COMPENSATION	FORM 990, PART VI, Q. 15B	Any executive compensation paid to officers, directors or trustees was set by a compensation committee utilizing an independent consultant and comparability studies and the appropriate board oversight to determine compensation.
Governing Documents, Conflict of Interest Policy, and Financial Statements	Form 990, Part VI, Q. 19	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.COM. The organization's conflict of interest policy and governing documents are not publicly available.
ESTIMATE OF HOURS DEVOTED TO RELATED ORGANIZATIONS	FORM 990, PART VII	COMPENSATION REPORTED ON FORM 990, PART VII COLUMN E WAS PAID TO THESE INDIVIDUALS BY RELATED ORGANIZATIONS IN EXCHANGE FOR THE FULFILLMENT OF THEIR DUTIES AS FULL-TIME, 60 HOUR-PER-WEEK EMPLOYEES.
LOAN TO AND/OR FROM INTEREST PERSONS	SCHEDULE L, PART II	D SEAN SMITH, MD HAD A $44,045 RETENTION LOAN THAT WAS TRANSFERRED WITH ALL OTHER PHYSICIAN LOANS TO MERCY AT THE END OF OCTOBER 2009. RONNIE SMALLING'S LOAN WAS PAID IN FULL BY ST JOHN'S MEDICAL GROUP DURING THE FISCAL YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (132 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
St Joseph Community Health Services
300 Central SW Suite 300	Albuquerque	NM	87102	710897107	Community	NM	501(c)(3)	11a	CHI
St Joseph Community Health Foundation
300 Central SW Suite 300	Albuquerque	NM	87102	850253087	Foundation	NM	501(c)(3)	7	SJCHS
St Francis of Baker City
3325 Pocahontas Road	Baker City	OR	97814	930412495	Hospital	OR	501(c)(3)	3	CHI
St Elizabeth Health Care Foundation
3325 Pocahontas Road	Baker City	OR	97814	943164869	Foundation	OR	501(c)(3)	7	SEHS
Flaget Memorial Hospital Foundation Inc
4305 New Shepherdsville Road	Bardstown	KY	40004	562351341	Fundraising	KY	501(c)(3)	11a	FH
Flaget Healthcare DBA Flaget Memorial
4305 New Shepherdsville Road	Bardstown	KY	40004	611345363	Hospital	KY	501(c)(3)	3	CHI
Lakewood Health Center
600 Main Avenue South	Baudette	MN	56623	410758434	LTerm Care	MN	501(c)(3)	3	CHI
Appletree Court
601 Oak Street	Breckenridge	MN	56520	411850500	Senior Homes	MN	501(c)(3)	9	SFH
Healthcare and Wellness Foundation
2400 St Francis Drive	Breckenridge	MN	56520	760761782	Foundation	MN	501(c)(3)	11a	SFMC
St Francis Home
2400 St Francis Drive	Breckenridge	MN	56520	410729978	LTerm Care	MN	501(c)(3)	9	CHI
St Francis Medical Center
2400 St Francis Drive	Breckenridge	MN	56520	410695598	Healthcare	MN	501(c)(3)	3	CHI
Carrington Health Center
800 North 4th Street	Carrington	ND	58421	450227311	Healthcare	ND	501(c)(3)	3	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
Good Samaritan College of Nursing & Heal
375 Dixmyth Ave	Cincinnati	OH	45220	311778403	Education	KY	501(c)(3)	2	GHS
Total Healthcare
PO Box 7021	Colorado Springs	CO	80933	840927232	Healthcare	CO	501(c)(3)	3	CHI Colorado
Memorial Health Care System Inc
2525 De Sales Avenue	Chattanooga	TN	37404	620532345	Hospital	TN	501(c)(3)	3	CHI
Memorial Health Care System Foundation
2525 De Sales Avenue	Chattanooga	TN	37404	621839548	Foundation	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
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 Foundation of Cincinnati
619 Oak Street Accounting-3 West	Cincinnati	OH	45206	311206047	Foundation	OH	501(c)(3)	11a	GSH
The Good Samaritan Hospital of Cincinnat
619 Oak Street Accounting-3 West	Cincinnati	OH	45206	310537486	Hospital	OH	501(c)(3)	3	TRI-HEALTH
Saint Clare's Hospital
66 Ford Road	Denville	NJ	07834	223319886	Hospital	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
TriHealth Physician Institute
619 Oak Street Accounting-3 West	Cincinnati	OH	45206	311074519	Physicians	OH	501(c)(3)	11a	GSH
Catholic Health Initiatives Colorado Fou
961 East Colorado Avenue	Colorado Springs	CO	80903	840902211	Foundation	CO	501(c)(3)	7	CHI Colorado
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
Catholic Health Initiatives
1999 Broadway Suite 4000	Denver	CO	80202	470617373	Healthcare	CO	501(c)(3)	9	CHI
Catholic Health Care Federation
1999 Broadway Suite 4000	Denver	CO	80202	208473567	Jurdic Person	CO	501(c)(3)	11a	CHI
Global Health Initiatives
1999 Broadway Suite 4000	Denver	CO	80202	201536108	Ministries	CO	501(c)(3)	11a	CHI
Health SET
4200 West Conejos Place 436	Denver	CO	80204	841102943	Low Inc.Care	CO	501(c)(3)	7	CHI Colorado
Bishop Drumm Retirement Center
1111 6th Avenue	Des Moines	IA	50314	420725196	LTerm Care	IA	501(c)(3)	9	CHI-IA Corp
Mercy Medical Center - Des Moines AKA
1111 6th Avenue	Des Moines	IA	50314	420680448	Hospital	IA	501(c)(3)	3	CHI-IA Corp
House of Mercy
1111 6th Avenue	Des Moines	IA	50314	421323808	Shelter	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 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	Foundation	IA	501(c)(3)	7	CHI-IA Corp
Mercy Medical Center - Centerville FKA
1 St Josephs Drive	Centerville	IA	52544	420680308	Hospital	IA	501(c)(3)	3	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 Hospital of Devils Lake
1031 East Seventh Street	Devils Lake	ND	58301	450227012	Healthcare	ND	501(c)(3)	3	CHI
Saint Joseph's Hospital Foundation
30 West 7th Street	Dickinson	ND	58601	363418207	Foundation	ND	501(c)(3)	11a	SJHHC
St Joseph's Hospital and Health Center
30 West 7th Street	Dickinson	ND	58601	450226429	Healthcare	ND	501(c)(3)	3	CHI
Mercy Regional Medical Center of Durango
1010 Three Springs Blvd	Durango	CO	81301	840405515	Hospital	CO	501(c)(3)	3	CHI
CHI Kentucky Inc
3900 Olympic Blvd Suite 400	Erlanger	KY	41018	202741651	Healthcare	KY	501(c)(3)	11a	CHI
Villa Nazareth Inc
801 Page Drive	Fargo	ND	58103	450226714	LT Care	ND	501(c)(3)	9	CHI
St Catherine Hospital
401 East Spruce Street	Garden City	KS	67846	480543721	Hospital	KS	501(c)(3)	3	CHI
St Catherine Hospital Development Found
401 East Spruce Street	Garden City	KS	67846	200598702	Foundation	KS	501(c)(3)	11a	SCH
Saint Francis Medical Center Foundation
PO Box 9804	Grand Island	NE	68802	470630267	Foundation	NE	501(c)(3)	7	SFMC
Saint Francis Medical Center
PO Box 9804	Grand Island	NE	68802	470376601	HealthCare	NE	501(c)(3)	3	CHI Nebraska
Central Kansas Medical Center
3515 Broadway	Great Bend	KS	67530	480543724	Hospital	KS	501(c)(3)	3	CHI
St Joseph Memorial Hospital
923 Carroll Ave	Larned	KS	67550	481253246	Hospital	KS	501(c)(3)	3	CKMC
MNMCH Inc
220 North Pennsylvania	Columbus	KS	66725	481216238	Hospital	KS	501(c)(3)	3	SJRMC
Mercy Lifecare Systems
2727 McClelland Blvd	Joplin	MO	64804	431305163	Property Mgmt	MO	501(c)(3)	11a	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	Foundation	MO	501(c)(3)	7	SJRMC
St John's Regional Medical Center
2727 McClelland Blvd	Joplin	MO	64804	440545809	Hospital	MO	501(c)(3)	3	CHI
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	Foundation	NE	501(c)(3)	7	GSH
St Joseph Health Ministries
2135 Noll Drive Suite C	Lancaster	PA	17603	232342997	Health	PA	501(c)(3)	11a	SJHM
St Joseph Health Ministries Foundation
2135 Noll Drive Suite C	Lancaster	PA	17603	232605579	Fundraising	PA	501(c)(3)	11a	SJHM
St Joseph Health Services Inc
2135 Noll Drive Suite C	Lancaster	PA	17603	201425375	Dental care	PA	501(c)(3)	11a	SJHM
Continuing Care Hospital
150 North Eagle Creek Drive	Lexington	KY	40509	611400619	LTACH	KY	501(c)(3)	3	SJHS
Saint Joseph Berea Hospital Foundation
305 Estill Street	Berea	KY	40403	260152877	Foundation	KY	501(c)(3)	7	SJHS
Saint Joseph Health System Inc
150 N Eagle Creek Dr	Lexington	KY	40509	611334601	Hospital	KY	501(c)(3)	3	CHI
St Joseph Hospital Foundation Inc
One St Joseph Drive	Lexington	KY	40504	611159649	Foundation	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
Visiting Nurse Association of Saint Clar
191 Woodport Road	Sparta	NJ	07871	221768334	Home Health	NJ	501(c)(3)	9	SCHS
Saint Elizabeth Foundation
555 South 70th Street	Lincoln	NE	68510	470625523	Foundation	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
CHI Nebraska
555 South 70th Street	Lincoln	NE	68510	363233121	Healthcare	NE	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
The Physician Network
8055 O Street Suite 300	Lincoln	NE	68510	470780857	Healthcare	NE	501(c)(3)	11a	CHI Nebraska
Lisbon Area Health Services
905 Main Street	Lisbon	ND	58054	820558836	Healthcare	ND	501(c)(3)	3	CHI
Alverna Apartments
300 SE 8th Avenue	Little Falls	MN	56345	411351177	Lterm Care	MN	501(c)(3)	9	CHI
Unity Family Healthcare
815 2nd Street SE	Little Falls	MN	56345	410721642	Healthcare	MN	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 Infirmary Medical Center
2 St Vincent Circle	Little Rock	AR	72205	710236917	Healthcare	AR	501(c)(3)	3	CHI
St Vincent Medical Group
2 St Vincent Circle	Little Rock	AR	72205	710830696	Healthcare	AR	501(c)(3)	9	SVIMC
Maria-Joseph Center
4830 Salem Avenue	Dayton	OH	45416	310935118	Healthcare	OH	501(c)(3)	9	SHP
Saint Joseph London Foundation Inc
310 East Ninth Street	London	KY	40741	260438748	Foundation	KY	501(c)(3)	11a	SJHS
Samaritan Behavioral Health
601 S Edwin C Moses Blvd	Dayton	OH	45408	020633634	Hospital	OH	501(c)(3)	3	SHP
Mercy Medical Center
1512 12th Avenue Road	Nampa	ID	83686	820200896	Hospital	ID	501(c)(3)	3	CHI
Mercy Medical Center Foundation
1512 12th Avenue Road	Nampa	ID	83686	261737256	Foundation	ID	501(c)(3)	11a	Mercy Med Ct
Mercy Physician Group Inc
1512 12th Avenue Road	Nampa	ID	83686	208192593	Phys Group	ID	501(c)(3)	9	Mercy Med Ct
St Mary's Hospital
1314 3rd Avenue	Nebraska City	NE	68410	470443636	Hospital	NE	501(c)(3)	3	CHI Nebraska
St Mary's Hospital Foundation
1314 3rd Avenue	Nebraska City	NE	68410	470707604	Foundation	NE	501(c)(3)	7	SMH
Oakes Community Hospital
314 South 8th Street	Oakes	ND	58474	450231675	Hospital	ND	501(c)(3)	3	CHI
Oakes Community Hospital Foundation
314 South 8th Street	Oakes	ND	58474	710966606	Foundation	ND	501(c)(3)	11a	OCH
St Dominic at Ontario
351 SW 9th Street	Ontario	OR	97914	930433692	Hospital	OR	501(c)(3)	3	CHI
Holy Rosary Medical Center Foundation
351 SW 9th Street	Ontario	OR	97914	202683560	Foundation	OR	501(c)(3)	11a	HRMC
St Joseph's Area Health Services
600 Pleasant Avenue	Park Rapids	MN	56470	410695603	Hospital	MN	501(c)(3)	3	CHI
St Anthony Hospital
1601 SE Court Avenue	Pendleton	OR	97801	930391614	Hospital	OR	501(c)(3)	3	CHI
St Anthony Hospital Foundation
1601 SE Court Avenue	Pendleton	OR	97801	930992727	Foundation	OR	501(c)(3)	11a	SA Hospital
Gettysburg Medical Center
606 East Garfield Avenue	Gettysburg	SD	57442	460234354	Hospital	SD	501(c)(3)	3	SMHC
St Mary's Healthcare Center
801 East Sioux Avenue	Pierre	SD	57501	460230199	Healthcare	SD	501(c)(3)	3	CHI
Mt St Joseph Inc
3060 SE Stark Street	Portland	OR	97214	930386870	Nursing Care	OR	501(c)(3)	9	CHI
Pueblo Stepup
1925 East Orman Avenue Suite G52	Pueblo	CO	81004	841234295	Community	CO	501(c)(3)	7	CHI
Bornemann Healthcare Corporation
2500 Bernville Road PO Box 316	Reading	PA	19603	232187242	Healthcare	PA	501(c)(3)	11a	CHI
St Joseph Medical Center Foundation
2500 Bernville Road PO Box 316	Reading	PA	19603	232649362	Foundation	PA	501(c)(3)	11a	SJRHN
St Joseph Medical Group
2500 Bernville Road PO Box 316	Reading	PA	19603	208544021	Healthcare	PA	501(c)(3)	9	BHC
St Joseph Regional Health Network
2500 Bernville Road PO Box 316	Reading	PA	19603	231352211	Healthcare	PA	501(c)(3)	3	CHI
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	Foundation	OR	501(c)(3)	7	MMC
Mercy Medical Center
2700 Stewart Parkway	Roseburg	OR	97470	930386868	Hospital	OR	501(c)(3)	3	CHI
Franciscan Villa of South Milwaukee Inc
3601 South Chicago Avenue	South Milwaukee	WI	53172	391093829	Healthcare	WI	501(c)(3)	9	CHI
Enumclaw Community Hospital
1450 Battersby Avenue	Enumclaw	WA	98022	910715805	Hospital	WA	501(c)(3)	3	FHS
Franciscan Foundation
1717 South J Street	Tacoma	WA	98405	911145592	Fundraising	WA	501(c)(3)	9	FHS
Franciscan Health System FKA Franciscan
1717 South J Street	Tacoma	WA	98405	910564491	Healthcare	WA	501(c)(3)	3	CHI
Franciscan Medical Group
1708 South Yakima Avenue	Tacoma	WA	98405	911939739	Healthcare	WA	501(c)(3)	9	FHS
St Joseph Medical Center Foundation In
7601 Osler Drive	Towson	MD	21204	521681044	Fundraising	MD	501(c)(3)	7	SJMC
St Joseph Medical Center Inc
7601 Osler Drive	Towson	MD	21204	520591461	Hospital	MD	501(c)(3)	3	CHI
St Joseph Physician Enterprises
7601 Osler Drive	Towson	MD	21204	521311775	Physicians	MD	501(c)(3)	11a	CHI
Samaritan Health Foundation
2222 Philadelphia Drive	Dayton	OH	45406	237296923	Foundation	OH	501(c)(3)	7	SHP
Mercy Hospital of Valley City
570 Chautauqua Boulevard	Valley City	ND	58072	450226553	Hospital	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	Foundation	ND	501(c)(3)	11a	MMC
Samaritan Health Partners
2222 Philadelphia Drive	Dayton	OH	45406	311107411	Healthcare	OH	501(c)(3)	11a	CHI
St Vincent Foundation
Two St Vincent Circle	Little Rock	AR	72205	510169537	Fundraising	AR	501(c)(3)	11a	SVIMC
Auxiliary of Holy Rosary Hospital Inc
351 SW 9th Street	Ontario	OR	97914	943059469	Hospital	OR	501(c)(3)	9	HRMC
The Mercy Hospital of Devils Lake Fdn
1031 East Seventh Street	Devils Lake	ND	58301	352367360	Foundation	ND	501(c)(3)	11a	MHDL
Alegent Health - Bergan Mercy Health Sys
7500 Mercy Road	Omaha	NE	68124	470484764	Hospital	NE	501(c)(3)	3	CHI
Alegent Health - Mercy Hospital Corning
PO Box 368	Corning	IA	50841	420782518	Hospital	IA	501(c)(3)	3	AHBMHS
Mercy Health Care Foundation
PO Box 368	Corning	IA	50841	421461064	Foundation	NE	501(c)(3)	11a	AHMH
Mercy Hospital Foundation Council Bluff
800 Mercy Drive	Council Bluffs	IA	51503	421178204	Foundation	IA	501(c)(3)	11a	AHBMHS
CHI Institute For Research and Innovatio
198 Inverness Drive West	Englewood	CO	80112	271050565	Healthcare	CO	501(c)(3)	11a	CHI
CHI Colorado
188 Inverness Drive West	Englewood	CO	80112	840405257	Healthcare	CO	501(c)(3)	3	CHI
Saint Joseph Mount Sterling Foundation
50 Sterling Avenue	Mount Sterling	KY	40353	272884584	Foundation	KY	501(c)(3)	7	SJHS
Centennial Medical Group Inc
2700 Stewart Parkway	Roseburg	OR	97470	900433062	Physicians	OR	501(c)(3)	9	MMC
CHI National Foundation
198 Inverness Drive West	Englewood	CO	80112	270930004	Foundation	CO	501(c)(3)	11a	CHI
Saint Clare's Health Services Inc
25 Pocono Road	Denville	NJ	07834	223639733	Management	NJ	501(c)(3)	7	CHI
Good Samaritan Hospital
2222 Philadelphia Drive	Dayton	OH	45406	310536981	Hospital	OH	501(c)(3)	3	SHP

Form990 Schedule R Part III Form990ScheduleRPartIII (17 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
Superior Medical Imaging LLC
5000 North 26th Street	Lincoln	NE	68521	262884555	OP Diagnostics	NE	SERMC	Related	-155495	993429	false	$272	false
Central Nebraska Rehab Services
3004 W Faidley Ave	Grand Island	NE	68802	810653461	Physical Therapy	NE	CHI	Related	1816979	2933623	false	$5,050	false
Mercy West Endoscopy LLC
1601 NW 114th St Suite 244	Clive	IA	50325	900129077	Ambulatory Surg	IA	CHI-IA Corp	Related	1917716	1695121	false		false
Audubon Land Company LLC
5390 N Academy Blvd Suite 300	Colorado Springs	CO	80918	841513085	Real Estate	CO	THC	Related	67577	9001605	false		false
Breckenridge Medical Clinic LLC
555 South Park Avenue Plaza 11	Breckenridge	CO	80424	651295958	Medical Clinic	CO	THC	Related			false		false
Penrad Imaging
1390 Kelly Johnson Blvd	Colorado Springs	CO	80920	841072619	Medical Imaging	CO	THC	Related	1922441	8248492	false		false
St Anthony Regional Mtn Cancer Center
4231 W 16th Avenue	Denver	CO	80112	371568013	Cancer Center	CO	THC	Related	60513	318803	false		false
St Francis Land Company
5390 N Academy Blvd Suite 300	Colorado Springs	CO	80918	263134100	Real Estate	CO	THC	Related	-180979	14886022	false		false
OrthoColorado LLC
11650 West 2nd Place	Lakewood	CO	80255	371577105	Ortho Hospital	CO	THC	Related	-5375165	15265510	false		false
Mercy Outpatient Surgery Center LLC
1512 12th Avenue Road	Nampa	ID	83686	841380439	Surgery Center	ID	MMC	Related	-812036	949357	false	$4,620	true
Peninsula Radiation Oncology
314 Martin Luther King Jr Way 11	Tacoma	WA	98405	870808610	Healthcare Srvc	WA	FHS	Related	-516076	3860362	false		false
Healthcare Support Services LLC
PO Box 9804	Grand Island	NE	68802	721546196	Laundry	NE	CHI	Related	199968	3913481	false	$58,436	false
Bluegrass Regional Imaging Center
1218 South Broadway Suite 310	Lexington	KY	40504	611386736	Diagnostic	KY	SJ HospitalLex	Related	242456	3773725	false		false
North River Surgery Center LLC
2209 Wildwood Avenue	Sherwood	AR	72120	710799771	Ambul Surg Ctr	AR	SVIMC	Related	213989	1696001	false		false
CHI Operating Investment Program LP
198 Inverness Drive West	Englewood	CO	80112	470727942	Investments	CO	CHI	Investment	58022	4069968	false	$14,031	true
Ruxton Surgicenter LLC
8322 Bellona Avenue Suite 201	Baltimore	MD	21204	522095835	Surgery Center	MD	SJMC	Related	-75716	3421084	false		true
Central Nebraska Home Care Services
PO Box 1146-4510 Second Avenue	Kearney	NE	68848	470692112	Healthcare Srvc	NE	HSEINC	Related	-102982	1021500	false		true

Form990 Schedule R Part IV Form990ScheduleRPartIV (30 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 Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Legal Domicile Foreign CountryLegalDomicileForeignCountry
Mercy Health Services Corporation
2727 McClelland Blvd	Joplin	MO	64804	431457881	DME	MO	St John's RMC	C Corp	-1033832	2093683	1.00000
Mountain Management Services Inc
6028D Shallowford Road	Chattanooga	TN	37422	621570739	mgmt svc org	TN	MHCS	C Corp	348642	4530845	1.00000
MedQuest
1301 15th Avenue West	Williston	ND	58801	450392137	Sale of DME	ND	MHof Williston	C Corp	-16794	911494	1.00000
St Anthony Development Company
1415 Southgate	Pendleton	OR	97801	931216943	Athletic Club	OR	St Anthony H	C Corp	41861	3047938	1.00000
GOOD SAMARITAN OUTREACH SERVICES
PO BOX 1990	KEARNEY	NE	68848	470659440	MEDICAL CLINIC	NE	CHI Nebraska	C Corp	-2491623	840232	1.00000
HEALTH SYSTEMS ENTERPRISES INC
PO BOX 1990	KEARNEY	NE	68848	470664558	MANAGEMENT	NE	GSH	C Corp	10957	1559747	1.00000
Mercy Park Apartments Ltd
1111 6th Avenue	Des Moines	IA	50314	421202422	Housing	IA	CHI-IA Corp	C Corp	227244	1806199	1.00000
Des Moines Medical Center Inc
1111 6th Avenue	Des Moines	IA	50314	420837382	Real Estate	IA	CHI-IA Corp	C Corp		1123173	0.92980
Comcare Services
4231 W 16th Avenue	Denver	CO	80204	840904813	Inactive	CO	CHIC	C Corp			1.00000
Mednow Inc
1512 12th Avenue Road	Nampa	ID	83686	820389927	Outpat Pharmacy	ID	Mercy Med Ctr	C Corp	-672954	5348476	1.00000
Saint Clare's Primary Care Inc
66 Ford Road	Denville	NJ	07834	222441202	Billing Services	NJ	SCCC	C Corp	-350630	2590487	1.00000
Healthcare Mgmt Services Org Inc
1149 Market St	Tacoma	WA	98402	911865474	Health Org.	WA	FHS	C Corp			1.00000
Physician Health System Network
1149 Market St	Tacoma	WA	98402	911746721	Health Org.	WA	FHS	C Corp			1.00000
Mercy Services Corp
2700 Stewart Parkway	Roseburg	OR	97470	930824308	Retail Sales	OR	Mercy Medical	C Corp	-499409	1403001	1.00000
Caduceus Medical Associates Inc
6028 Shallowford Road Suite D	Chattanooga	TN	37422	621570736	Healthcare	TN	MHCS	C Corp		1008	1.00000
CENTRAL KANSAS HEALTH SERVICES ASSOCIATI
3515 Broadway	Great Bend	KS	67530	481042853	MEDICAL EQUIPMENT	KS	CKMC	C Corp		110125	1.00000
St Vincent Community Health Services In
Two St Vincent Circle	Little Rock	AR	72205	710710785	Healthcare	AR	SVIMC	C Corp	2404944	10195000	1.00000
Alternative Insurance Management Service
3900 Olympic Boulevard Suite 400	Erlanger	KY	41018	841112049	Management Servic	CO	CHI	C Corp		3272176	1.00000
Nazareth Assurance Company
76 St Paul Street Suite 500	Burlington	VT	05401	030304831	Insurance	VT	CHI	C Corp			1.00000
Franciscan Services Inc
198 Inverness Drive West	Englewood	CO	80112	232487967	Healthcare	CO	CHI	C Corp	194756	12598258	1.00000
SJH Services Corporation
198 Inverness Drive West	Englewood	CO	80112	232307408	Healthcare	CO	FSI	C Corp	314346	3423012	1.00000
St Joseph Development Company Inc
1717 South J Street	Tacoma	WA	98405	911480569	Rental	WA	FSI	C Corp	1677122	11984725	1.00000
Towson Management Inc
7601 Osler Drive	Towson	MD	21204	521710750	Management Servic	MD	FSI	C Corp	99315	498383	1.00000
Captive Management Initiatives
				980663022	Captive Managemen		CHI	C Corp			1.00000	CJ
First Initiatives Insurance Ltd
				980203038	Insurance		CHI	C Corp			1.00000	CJ
Center for Translational Research
198 Inverness Drive West	Englewood	CO	80112	272269511	Healthcare	CO	CHI	C Corp	-840949	1746201	1.00000
Samaritan Family Care Inc
40 W Fourth St 1700	Dayton	OH	45402	311299450	Healthcare	OH	SHP	LLC	-1199836	4894397	1.00000
SJL Physician Management Services Inc
424 Lewis Hargett Cr 160	Lexington	KY	40503	999999999	Management	KY	SJHS	C Corp			1.00000
CGH Realty Company Inc
215 N 12th St	Reading	PA	19603	232326801	Real Estate	PA	SJHM	C Corp	1007	42415	1.00000
St Joseph Office Park Association
1401 HarrodsBurg Road Bldg B70	Lexington	KY	40504	611079899	Management	KY	SJHS	C Corp	10217	572843	0.85000

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	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	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	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 (4 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
St John's Regional Medical Center
o	8643899
Mercy Lifecare Systems
i	164282
St John's Regional Medical Center
p	141292
MERCY HEALTH SERVICES CORP
P	2170