MEMORIAL HEALTH CARE SYSTEM INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: MEMORIAL HEALTH CARE SYSTEM INC (EIN 62-0532345)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-13
IRS object ID: 201131339349301233
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 C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-13T09:19:30-05:00	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	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	2009-07-01	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 de Sales 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/CEO	Title
Date Signed	2011-05-11	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	7208741500	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	Jim 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	467788860	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c	X	Organization501c
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	Nurture the healing ministry of the Church by bringing it new life, energy, and vitality. Fidelity to the gospel urges us to emphasize human dignity and social justice as we create healthier communities.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	21	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	18	NbrIndependentVotingMembers
Total Nbr Employees	4017	TotalNbrEmployees
Total Nbr Volunteers	575	TotalNbrVolunteers
Total Gross UBI	11227897	TotalGrossUBI
Net Unrelated Business Txbl Income	-309524	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1019783	ContributionsGrantsPriorYear
Contributions Grants Current Year	1376103	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	441102652	ProgramServiceRevenuePriorYear
Program Service Revenue CY	456274747	ProgramServiceRevenueCY
Investment Income Prior Year	-2753207	InvestmentIncomePriorYear
Investment Income Current Year	6761045	InvestmentIncomeCurrentYear
Other Revenue Prior Year	5884840	OtherRevenuePriorYear
Other Revenue Current Year	3260786	OtherRevenueCurrentYear
Total Revenue Prior Year	445254068	TotalRevenuePriorYear
Total Revenue Current Year	467672681	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	681604	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	572594	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	180035420	SalariesEtcPriorYear
Salaries Etc Current Year	180050828	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	239491167	OtherExpensePriorYear
Other Expenses Current Year	252441285	OtherExpensesCurrentYear
Total Expenses Prior Year	420208191	TotalExpensesPriorYear
Total Expenses Current Year	433064707	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	25045877	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	34607974	RevenuesLessExpensesCY
Total Assets BOY	436008005	TotalAssetsBOY
Total Assets EOY	434209411	TotalAssetsEOY
Total Liabilities BOY	69709822	TotalLiabilitiesBOY
Total Liabilities EOY	100912375	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	366298183	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	333297036	NetAssetsOrFundBalancesEOY
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.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	366301589	Expense
Grants	572594	Grants
Revenue	445811267	Revenue
Description	SEE SCHEDULE H	Description
Total Program Service Expense	366301589	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
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	true	Hospital
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
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	5	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	4017	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
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	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	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	Carol Newton	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	37404	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Reportable Comp From OrganizationReportableCompFromOrganization	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Charles Arant
Chairman	1.0	X	X
Leo Brown
Immediate past chairman	1.0	X	X
Eric Conn
Board Member	1.0	X
Michael Costello
Board Member	1.0	X
Arlene Donowitz
Board Member	1.0	X		386914	24063
Joan Frierson
Board Member	1.0	X
Robert Greving
Board Member	1.0	X
Dorothy Grisham
Board Member	1.0	X
Earline Hobbs SCN
Board Member	1.0	X
James Hobson
PRESIDENT/CEO	50.0	X	X	547100	78456
Katherine Lindgren
Secretary	1.0	X	X
Warren Logan Jr
Board Member	1.0	X
Christopher McKee
Board Member	1.0	X
beth O'BRIEN
Board Member/SVP OPERATIONS	1.0	X		721669	78185
Scott Ossewarde
Board Member	1.0	X
Judith Raley SCN
Board Member	1.0	X
Wayne Scott
Board Member	1.0	X
Carolyn Smeltzer
Board Member	1.0	X
BettyeLynn Smith
Board Member	1.0	X
Carolyn Thompson
Board Member	1.0	X
Betty Vannucci
Board Member	1.0	X
Carol Newton
VP/CFO	50.0		X		34378	276173
Teal Haven
ADMINISTRATOR	50.0				34140	189389	X
Jacqueline Jackson
VP SERVICE LINE ADMIN.	50.0				39600	243358	X
Debra Moore
SR. VP/ADMINISTRATION OF NORTH	50.0				43992	248023	X
Paula Register
PRESIDENT, MOUNTAIN MGMT. SVCS	50.0				28760	168912	X
Leigh Bertholf
VICE PRESIDENT/CRO	50.0			30441	38542	173218		X
Sarah Fellowes
VP Chief Medical Officer	50.0				34192	340840		X
ANasser Khalifeh
CHIEF PHYSICIST	50.0				38073	216811		X
Andrew McGill
VP Business Development	50.0				39571	223853		X
Kinsman Wright Jr
CHIEF CARDIAC OFFICER	50.0				38273	342871		X
Ruth Brinkley
former PRESIDENT/CEO				645156					X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2423448	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2331280	TotalReportableCompFrmRltdOrgs
Total Other Compensation	550225	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
Kinsey Probasco Hays
100 East 10th Street	Chattanooga	TN	37402	Construction	3707069
Sodexo Inc Affiliates
PO Box 536922	Atlanta	GA	30353	Dietery Services	2735681
Xanitos Inc
PO Box 95000-3290	Philadelphia	PA	19195	Cleaning Services	1914495
Angelica Corporation
9506 Ooltewah Industrial BLVD	Ooltewah	TN	37363	Laundry Services	1302367
Cardiovascular Group PC
2501 Citico Avenue	Chattanooga	TN	37404	cardiac services	1024386

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	30	NumberOfContractorsGT100K
Related Organizations	1376103	RelatedOrganizations
Total Contributions	1376103	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Patient Services	900099	450264857	441107129	9157728
Rental Income	900099	2452156	2452156
Pharmacy Services	446110	1305752		1305752
Laboratory Services	621500	1199755	1199755
Dietary	722320	602517	602517

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	449710	TotalRevenueColumn
Related Or Exempt Function Income	449710	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	456274747	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3754576	TotalRevenueColumn
Unrelated Business Revenue	272082	UnrelatedBusinessRevenue
Exclusion	$3,482,494	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	32055	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	17579	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	14476	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	14476	TotalRevenueColumn
Exclusion	$14,476	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	3098403	Securities
Other	6666	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	98600	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	3098403	Securities
Other	-91934	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	3006469	TotalRevenueColumn
Exclusion	$3,006,469	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	1747184	492335	$1,254,849
Child Care	624410	640706		$640,706
Leased Employees	561300	333885		$333,885

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	524535	TotalRevenueColumn
Exclusion	$524,535	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	3246310	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	467672681	TotalRevenueColumn
Related Or Exempt Function Income	445811267	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	11227897	UnrelatedBusinessRevenue
Exclusion	$9,257,414	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	454413	Total
Program Services	454413	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	118181	Total
Program Services	118181	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	1273520	Total
Program Services	1273520	ProgramServices

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	136139116	Total
Program Services	115860676	ProgramServices
Management And General	20278440	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	7287344	Total
Program Services	6211926	ProgramServices
Management And General	1075418	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	25307624	Total
Program Services	21572894	ProgramServices
Management And General	3734730	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	10043224	Total
Program Services	8960766	ProgramServices
Management And General	1082458	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	232815	Total
Management And General	232815	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	289923	Total
Management And General	289923	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	33255429	Total
Program Services	28434475	ProgramServices
Management And General	4820954	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1701920	Total
Management And General	1701920	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	126564908	Total
Program Services	123749687	ProgramServices
Management And General	2815221	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	14592679	Total
Management And General	14592679	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	8029212	Total
Program Services	7425396	ProgramServices
Management And General	603816	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	627109	Total
Management And General	627109	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	78575	Total
Management And General	78575	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	1813907	Total
Program Services	1813907	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	7896168	Total
Management And General	7896168	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	21679572	Total
Program Services	17634615	ProgramServices
Management And General	4044957	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3469762	Total
Program Services	3469762	ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Bad debts	26905594	26905594
Income/sales/property taxes	625383		625383
Repairs and maintenance	2124345	2124345
Dues & subscriptions	686077		686077
Recruiting and relocation	291432	291432

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1576475	Total
Management And General	1576475	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	433064707	Total
Program Services	366301589	ProgramServices
Management And General	66763118	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	13680	BOY
EOY	11030	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	32899629	BOY
EOY	29222905	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	9000	BOY
EOY	4000	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	113863861	BOY
EOY	87583692	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	665596	BOY
EOY	639776	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	12685604	BOY
EOY	13218053	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	393936	BOY
EOY	817213	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	396885118	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	243481971	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	132092499	BOY
EOY	153403147	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	98967561	BOY
EOY	141939721	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	9768599	BOY
EOY	7042487	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	34648040	BOY
EOY	327387	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	436008005	BOY
EOY	434209411	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	19361854	BOY
EOY	57773587	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	552663	BOY
EOY	575707	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	3098128	BOY
EOY	2470712	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	46697177	BOY
EOY	40092369	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	69709822	BOY
EOY	100912375	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	366298183	BOY
EOY	333297036	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	366298183	BOY
EOY	333297036	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	436008005	BOY
EOY	434209411	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
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	$20,037	GrantsOtherOrganizationsAmount
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$12,069	DirectContactLegislatorsAmount
Rallies Demonstrations	true	RalliesDemonstrations
Rallies Demonstrations	$8,377	RalliesDemonstrationsAmount
Other Activities	true	OtherActivities
Other Activities	$2,537	OtherActivitiesAmount
Total Lobbying Expenditures IIB	43020	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	990 Sch C Supplemental	Identifier
Return Reference	Lobbying Activities Explanation	ReturnReference
Explanation	Part II - B, line 1 B. Paid staff attended community forums, various community activities, strategic planning, attended other legislative meetings, conventions and legislators. f. THA % lobbying $10,474 AHA % lobbying $5,568 CHA % lobbying $3,995 G. THA legislative day/meetings, Government Affairs Conference, Catholic Legislative Advocacy Conference, Catholic Day on the Hill h. Liz Jenkins, community advocate, attends several meetings per year concerning associations, attended CHI Violence Prevention workshop. Others also attend THA Grassroots Advocacy/meetings, CHI advocacy meetings, TN Public Health Association meetings, THA meetings, etc. i. Robin Derryberry $2,537-political advocacy, public relations, healthy community, 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)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	11247403	OtherCostOrOtherBasis
Book Value	11247403	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	168025272	OtherCostOrOtherBasis
Depreciation	91126745	Depreciation
Book Value	76898527	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	8285400	OtherCostOrOtherBasis
Depreciation	7166024	Depreciation
Book Value	1119377	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	191390564	OtherCostOrOtherBasis
Depreciation	145189202	Depreciation
Book Value	46201362	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	17936478	OtherCostOrOtherBasis
Book Value	17936478	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	153403147	TotalOfBookValueLandBuildings
Financial Derivatives		FinancialDerivatives
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	CHI OPER INVESTMENT PROGRAM	Description
Book Value	141939721	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	141939721	TotalOfBookValueSecurities
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
UNCLAIMED PROPERTY	$58,103
ENVIRONMENTAL REMEDIATION LIABILITY	$690,327
CHI DEBT PROGRAM	$39,343,939

Field	Value	IRS element (for citing)
Total Of Amounts	40092369	TotalOfAmounts
Total Revenue	467672681	TotalRevenue
Total Expenses	433064707	TotalExpenses
Excess Or Deficit For Year	34607974	ExcessOrDeficitForYear
Net Unrealized GL On Investments	6644867	NetUnrealizedGLOnInvestments
Other	-$74,253,987	OtherAmount
Total Adjustments	-67609120	TotalAdjustments
Excess Or Deficit Per FS	-33001146	ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier

ExplanationExplanation

Form 990, Sch. D, Part XI, Line 8

Capital Resource Pool Contribution ($415,776) CHI Connect Depreciation $1,292,294 Equity transfers to affiliates ($75,130,505)

Form 990, Sch. D, Part X, line 2

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 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."

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	4154	PersonsServed
Total Community Benefit Expense	5291207	TotalCommunityBenefitExpense
Net Community Benefit Expense	5291207	NetCommunityBenefitExpense
Percent Of Total Expense	0.01300	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	9638	PersonsServed
Total Community Benefit Expense	14504555	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8349079	DirectOffsettingRevenue
Net Community Benefit Expense	6155476	NetCommunityBenefitExpense
Percent Of Total Expense	0.01520	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	13792	PersonsServed
Total Community Benefit Expense	19795762	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8349079	DirectOffsettingRevenue
Net Community Benefit Expense	11446683	NetCommunityBenefitExpense
Percent Of Total Expense	0.02820	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	20	NumberOfActivitiesOrPrograms
Persons Served	8643	PersonsServed
Total Community Benefit Expense	2357633	TotalCommunityBenefitExpense
Direct Offsetting Revenue	99067	DirectOffsettingRevenue
Net Community Benefit Expense	2258566	NetCommunityBenefitExpense
Percent Of Total Expense	0.00560	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	173	PersonsServed
Total Community Benefit Expense	605612	TotalCommunityBenefitExpense
Net Community Benefit Expense	605612	NetCommunityBenefitExpense
Percent Of Total Expense	0.00150	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	13285	PersonsServed
Total Community Benefit Expense	3609686	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1228235	DirectOffsettingRevenue
Net Community Benefit Expense	2381451	NetCommunityBenefitExpense
Percent Of Total Expense	0.00590	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	6	PersonsServed
Total Community Benefit Expense	452399	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2000	DirectOffsettingRevenue
Net Community Benefit Expense	450399	NetCommunityBenefitExpense
Percent Of Total Expense	0.00110	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	9	NumberOfActivitiesOrPrograms
Persons Served	2112	PersonsServed
Total Community Benefit Expense	1592470	TotalCommunityBenefitExpense
Net Community Benefit Expense	1592470	NetCommunityBenefitExpense
Percent Of Total Expense	0.00390	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	44	NumberOfActivitiesOrPrograms
Persons Served	24219	PersonsServed
Total Community Benefit Expense	8617800	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1329302	DirectOffsettingRevenue
Net Community Benefit Expense	7288498	NetCommunityBenefitExpense
Percent Of Total Expense	0.01800	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	44	NumberOfActivitiesOrPrograms
Persons Served	38011	PersonsServed
Total Community Benefit Expense	28413562	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9678381	DirectOffsettingRevenue
Net Community Benefit Expense	18735181	NetCommunityBenefitExpense
Percent Of Total Expense	0.04620	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	847	PersonsServed
Total Community Building Expense	800754	TotalCommunityBuildingExpense
Net Community Building Expense	800754	NetCommunityBuildingExpense
Percent Of Total Expense	0.00200	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	274461	TotalCommunityBuildingExpense
Net Community Building Expense	274461	NetCommunityBuildingExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	366681	TotalCommunityBuildingExpense
Net Community Building Expense	366681	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	847	PersonsServed
Total Community Building Expense	1441896	TotalCommunityBuildingExpense
Net Community Building Expense	1441896	NetCommunityBuildingExpense
Percent Of Total Expense	0.00360	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$7,130,078	BadDebtExpenseAmount
Amount Reimbursed By Medicare	170412238	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	179597888	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-9185650	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 V Form990ScheduleHPartV (4 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	OtherOther
Memorial Hospital
2525 de Sales Avenue	Chattanooga	TN	37404	X	X	X
Memorial North Park Hospital
2051 Hamill Road	Hixson	TN	37343	X	X	X
Memorial Mission Surgery Center
2525 de Sales Avenue	Chattanooga	TN	37404	X			30% owned ASC
Memorial Home Health
6227 Lee Highway	Chattanooga	TN	37421				home health

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Income Based Criteria	If applicable, describe the income-based criteria for determining eligibility for free or discounted care under the organization's charity care policy. Also describe whether the organization uses the asset test or other threshold regardless of income to determine eligibility for free or discounted care. When Catholic Health Initiatives (the ultimate parent organization to Memorial Health Care System) established its charity care policy it was determined that establishing 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. In comparing HUD guidelines to the Federal Poverty Guidelines ("FPG"), we find that on average HUD guidelines compute to approximately 200% to 250% (and sometimes 300%) of FPG. 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.	IncomeBasedCriteria
Annual Community Benefit Expln	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.	AnnualCommunityBenefitExpln
Costing Method Used	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). 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 6/30/10 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 26.50%. Worksheet 2 was not used to derive the cost-to-charge ratio.	CostingMethodUsed
Subsidized Health Services Expln	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.	SubsidizedHealthServicesExpln
Percent Of Total Expense Expln	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 $ 26,905,594.	PercentOfTotalExpenseExpln
Bad Debt Footnote	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. 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. 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, CHI follows established guidelines for placing certain patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by each facility. (B) Costing methodology for amounts reported on line 2 is determined using the organization's cost/charge ratio of 26.50%. 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 from billed that is calculated each year as the average of the discounts provided to managed care companies 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 2010, self pay discounts at cost totaled $5.28 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, in advance of billing, in order to classify patients as charity care. Patients who are unable to pay are also identified 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.	BadDebtFootnote
Shortfall As Community Benefit	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. 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: $209,251,134 Total Medicare costs: $227,000,217 ------------ Surplus of Shortfall $(17,749,088) (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.	ShortfallAsCommunityBenefit
Debt Collection Policy	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. if At any time during the collection cycle it is determined that a patient qualifies for charity care or 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.	DebtCollectionPolicy
Number Of Facility Type Expln	List the number of each type of facility, other than those required to be licensed, registered or similarly recognized as a health care facility under state law (for example, 2 rehabilitation clinics, 4 diagnostic centers, 3 skilled nursing facilities, etc) Memorial Health Care System(MHCS) owns two hospitals, Memorial Hospital and Memorial North Park, and a home health agency that are separately licensed health care facilities. MHCS also has a 30% ownership interest in an ambulatory surgery center, Memorial Mission Surgery Center.	NumberOfFacilityTypeExpln
Needs Assessment	Describe how the organization assesses the health care needs of the communities it serves. 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. 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. Our 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 FY2010 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 2010, MHCS provided community benefits and community building activities to approximately 38,858 people at a total cost of $29,855,458. Donations, grants, and other receipts totaling $9,678,381 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 2010, over 75,000 patients visited one of these emergency rooms. Each year Chattanooga's local newspapers polls it readership on their choices for various services and Memorial Hospital's Emergency Room has been selected as the emergency room of choice for the past two years. 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 2010, the cost of charity care was $5,291,207. Additionally, MHCS provided unreimbursed costs in the amount of $6,155,476 for patients who qualified for the Tenncare program. In FY 2010, 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 2010 MHCS provided $102,630 in free prescription drugs to 844 people. 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 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 2010 totaled $944,710 and served 7,882 people. Catholic Charities MHCS provided $33,000 in FY 2010 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. Medassist Medassit is a contract company that provides MHCS with a representative to evaluate uninsured patients to see if they are eligible for Medicare or Medicaid. The FY2010 expenses related with this service were $66,695. 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 associated with this program are reported in the Prescription Drug Program, Free Laboratory Tests and the Cost of Charity Care. Emergency Sitting Services MHCS provides emerge	NeedsAssessment
Patient Education Assistance	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 in 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.	PatientEducationAssistance
Community Information	Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves. Please refer to the Needs Assessment Narrative, Part VI, Item 2. above.	CommunityInformation
Community Building Activities	Describe how the organization's community building activities, as reported in Part II, promote the health of the communities the organization serves. Please refer to the Needs Assessment Narrative, Part VI, Item 2. above.	CommunityBuildingActivities
Other Information	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). Please refer to the Needs Assessment Narrative, Part VI, Item 2. above.	OtherInformation
Affiliated Health Care System	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; and two community health-services organizations. Together, these facilities provided $590 million in charity care and community benefit in the 2010 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. Cost savings associated with centralized services for the fiscal year ended June 30, 2010 include more than $105 million in supply chain expense, approximately $30 million for insurance costs and approximately $3.9 million as the result of a system-wide effort to coordinate and negotiate technology and equipment purchases. 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, the Memorial Health Care System Foundation, to serve the health care needs of the Chattanooga, Tennessee communities.	AffiliatedHealthCareSystem
Reports Filed With States	TN	ReportsFiledWithStates

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (16 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant
Catholic Charities of East Tennessee
859 McCallie Avenue	Chattanooga	TN	37403	621377551	501c3	36050
American Heart Association
7272 Greenville Avenue	Dallas	TX	75231	620532345	501c3	32500
Access One EAP Partnership
1800 McCallie Avenue	Chattanooga	TN	37404	620911679	501c3	10000
Chattanooga Area Chamber of Commerce
811 Broad Street Suite 100	Chattanooga	TN	37402	620154480	501c6	25400
United Way
630 Market Street	Chattanooga	TN	37405	620565962	501c3	23750
Friends of the Festival
180 Hamm Road	Chattanooga	TN	37405	621112739		10875
Notre Dame High School
2701 Vermont Avenue	Chattanooga	TN	37404	500207635	501c3	9900
Homeless Health Care Center
PO Box 1746	Chattanooga	TN	37401	626000636	501c3	40000
Diocese of Knoxville
PO Box 11127	Knoxville	TN	37939	621357183	501c3	25000
American Cancer Society
850 Fort Wood St	Chattanooga	TN	37403	237040934	501c3	12000
Susan G Komen For the Cure
PO Box 11208	Chattanooga	TN	37401	752875175	501c3	10000
Siskin Hospital for Physical Rehab
3rd Street	Chattanooga	TN	37403	621220402	501c3	7352
Goodwill Industries
3500 Dodds Avenue	Chattanooga	TN	37407	620544853	501c3	10000
Chattanooga Lookouts
201 Power Aly PO Box 11002	Chattanooga	TN	37402	620963840		10700
Catholic Health Initiatives
198 inverness drive west	Denver	CO	80112	470617373	501c3	10000
Memorial Healtcare System Foundation
2525 de Sales Avenue	Chattanooga	TN	37404	621839548	501c3	30000

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	13	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	3	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (5 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
Transportation assistance	40	6107
Lymphedema therapy assistance	27	8488
We Care Weekend for cancer survivors & their famil	60		27938	book	lodging,meals, etc
Radiologist interpretations paid through grant	950	30798
Educational assistance	30	44850

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)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Housing Allowance Or Residence	X	HousingAllowanceOrResidence
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Severance Payment	true	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 (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs	Bonus Related OrgsBonusRelatedOrgs	Deferred Comp Related OrgsDeferredCompRelatedOrgs
Leigh Bertholf
143842	28944	10000	19376	1497	19271	19271	192489	49712
Ruth Brinkley
				645156				645156	645156
Arlene Donowitz
	245708					24063		410977		141206
Sarah Fellowes
340028			811		34192		375032
Teal Haven
83392			105997		34140		223529
James Hobson
	436417			65214		40206		625556		45469	38250
Jacqueline Jackson
242820			538		39600		282958
ANasser Khalifeh
216339			472		38073		254884
Andrew McGill
214984			8870		39571		263424
Debra Moore
247468			555		43992		292015
Carol Newton
275763			410		34378		310551
beth O'BRIEN
	553502			62827		30935		799854		105340	47250
Paula Register
168697			215		28760		197672
Kinsman Wright Jr
301788		38500	2583		38273		381144

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Sch J Part I Q 1a	For each benefit provided in line 1a, the Organization must disclose relevant information, which may include the type of benefit, the listed person who received the benefit (or class of individuals for who the benefit was provided), and whether or not the benefit was included in the individual's compensation. Memorial Health Care System's (MHCS) CEO is compensated by Catholic Health Initiatives (CHI), MHCS's Parent Company. The CEO was provided with employer-paid temporary housing in conjunction with the recruitment and relocation of the individual to MHCS in Chattanooga. These benefits are paid and grossed-up pursuant to a written policy. CHI's Human Resources Department offers this benefit only in circumstances where a suitable candidate cannot be recruited locally. All such benefits are included in the employee's form W-2.
Sch J Part I Q 3	Compensation for the top management official of memorial helath care system 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.	determination of executive compensation
sch 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. No such termination payments were made to this group of individuals. During the calendar year, The organization made the following post-termination payments: $80,180 - Teal Haven.	severance
Sch J Part I Q 4b	During the 2009 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, Beth O'brien During 2009 the following contributions were made by chi to the deferred compensation plan: James Hobson $38,250, Beth O'brien $47,250 During 2009 the following distributions were made by chi from the deferred compensation plan: ruth brinkley $645,156	non-qualified deferred compensation
Sch J Part I Q 7	MHCS issued bonuses based on individual performance and specified events.	incentive compensation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
990 Part VI 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 Line 6	Members or Stockholders	ACCORDING TO THE BYLAWS OF MEMORIAL HEALTH CARE SYSTEM, INC., THE ENTITY'S SOLE MEMBER IS CATHOLIC HEALTH INITIATIVES, A COLORADO NONPROFIT CORPORATION.
990 Part VI Line 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 Line 7b	Governing Powers	Memorial Health Care System, Inc.'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 Q 11a	Process the organization uses to review Form 990	The MHCS Form 990 is prepared and reviewed by the internal tax department of its parent organization, Catholic Health Initiatives. The return is then reviewed by MHCS Fiscal Services department and its Chief Financial Officer. The return is made available to each member of the board of directors prior to filing with opportunities provided for them to ask questions or make comments. Subsequent to internal 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 Q 12c	Procedures for monitoring and enforcing the COI policy	The Conflict of Interest Policy of Memorial Health Care System, Inc. (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 Line 15a	Process for Determining Compensation	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.
990 Part VI Line 15b	Process for Determining Compensation	On an annual basis Memorial Health Care System (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 Human Resources Committee of the Board of Directors for approval.
990 Part VI Line 16b	Joint Venture Policy	Memorial Health Care System 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 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 filed Joint 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Total IncomeTotalIncome	EOY AssetsEOYAssets
Memorial Health Partners
6028 Shallowford Road	Chattanooga	TN	37421	621784262	clinical prac	TN	MHCS
Memorial Hospital Auxiliary
2525 de Sales Avenue	Chattanooga	TN	37404	621839548	support MHCSF	TN	mhcsfoundati	42665	161501

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
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
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	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	false	SharingOfFacilities
Sharing Of Paid Employees	false	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 (15 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
MHPF Rent Payment to MHCS
a	778676
MTN Interest payment to Memorial
a	271728
MHPF Rental of Lab Space Equip Staff
i	1124964
MHPF Reimbursement of Exp pd by Mtn Mgmt
o	15015117
MHPF payments to Memorial for exp pd by MHCS
p	35588041
MTN payments to Memorial for exp pd by MHCS
p	25100000
Foundation Fundraising
l	237397
Foundation Net Assets released fr restriction
r	1138706
Exp paid on MHCS Foundations behalf
b	450531
Catholic Health Initiatives
l	65770464
Catholic Health Initiatives
o	8203982
MHPf
c	37681684
Catholic Health Initiatives
q	8793256
mhpf
p	4652641
capital contribution to mtn mgt
c	2433819