COMMONSPIRIT WASHINGTON: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: COMMONSPIRIT WASHINGTON (EIN 91-0564491)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-13
IRS object ID: 201131339349305623
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 M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-13T18:00:30-05:00	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	910564491	EIN

Name Name

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

Field	Value	IRS element (for citing)
Name Control	FRAN	NameControl
Phone	2535524105	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1717 SOUTH J STREET	AddressLine1
City	TACOMA	City
State	WA	State
ZIP Code	98405	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	mike fitzgerald	Name
Title	cfo	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	Joe Wilczek	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1717 S J STREET	AddressLine1
City	Tacoma	City
State	WA	State
ZIP Code	98402	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1094058235	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c	X	Organization501c
Web Site	www.fhshealth.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1891	YearFormation
State Legal Domicile	WA	StateLegalDomicile
Activity Or Mission Description	FHS was founded on the principle to provide compassionate care to everyone regardless of ability to pay or social status. FHS includes multiple facilities and hospice, and an expanding network of clinics.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	19	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	19	NbrIndependentVotingMembers
Total Nbr Employees	4812	TotalNbrEmployees
Total Nbr Volunteers	725	TotalNbrVolunteers
Total Gross UBI	6655947	TotalGrossUBI
Contributions Grants Prior Year	8518211	ContributionsGrantsPriorYear
Contributions Grants Current Year	4334645	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	904304978	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1050152405	ProgramServiceRevenueCY
Investment Income Prior Year	-3332765	InvestmentIncomePriorYear
Investment Income Current Year	6564982	InvestmentIncomeCurrentYear
Other Revenue Prior Year	32233037	OtherRevenuePriorYear
Other Revenue Current Year	32917803	OtherRevenueCurrentYear
Total Revenue Prior Year	941723461	TotalRevenuePriorYear
Total Revenue Current Year	1093969835	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	34552638	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	51414498	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	389731161	SalariesEtcPriorYear
Salaries Etc Current Year	446770765	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	463031567	OtherExpensePriorYear
Other Expenses Current Year	524371029	OtherExpensesCurrentYear
Total Expenses Prior Year	887315366	TotalExpensesPriorYear
Total Expenses Current Year	1022556292	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	54408095	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	71413543	RevenuesLessExpensesCY
Total Assets BOY	786760795	TotalAssetsBOY
Total Assets EOY	826915507	TotalAssetsEOY
Total Liabilities BOY	306204768	TotalLiabilitiesBOY
Total Liabilities EOY	276698941	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	480556027	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	550216566	NetAssetsOrFundBalancesEOY
Mission Description	The organization's mission is to nurture the healing ministry of the Church by bringing it new life, energy and viability in the 21st century. Fidelity to the Gospel urges us to emphasize human dignity and social justice as we move toward the creation of healthier communities.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	827761389	Expense
Grants	51414498	Grants
Revenue	1050152408	Revenue
Description	SEE Schedule h	Description
Total Program Service Expense	827761389	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	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	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	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	4812	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	19	NbrVotingGoverningBodyMembers
Number Independent Voting Members	19	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	WA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Mike Fitzgerald	NamePerson
Telephone Number	2536804005	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1717 South J Street	AddressLine1
City	Tacoma	City
State	WA	State
ZIP Code	98405	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (44 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Other CompensationOtherCompensation	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
Diana Bader
Board Member	2.0	X
Roy Brooks
Board Vice Chair	2.0	X	X
Jude Connelly
Board Member	2.0	X
James Dawson
Board Member	2.0	X
Diane Dimmer
Board Member	2.0	X
Steve Harlow
Board Member	2.0	X
Dale Howard
Board Member	2.0	X
Jonathon Jin
Board Member	2.0	X
Richard Larson
Board Member	2.0	X
Kathy McAuley
Board Member	2.0	X
Kim Moore
Board Member	2.0	X
Sylvia Parker
Board Member	2.0	X
Jack Peterson
Board Member	2.0	X
Susan Reiter
Board Member	2.0	X
Sumner Schoenike
Board Member	2.0	X
Carolyn Schultz
Board Chair	2.0	X	X
Guthrie Turner
Board Member	2.0	X
Barbara Watanabe
Board Member	2.0	X
Margaret Whelan
Board Member	2.0	X
Tom Keskey
BOARD MEMBER	2.0	X
KIMBERLY BULLARD
Corporate Secretary	40.0		X	72696	15178
MIKE FITZGERALD
Treasurer/CFO	40.0		X	506741	78505
Joseph Wilczek
PRESIDENT CEO	60.0		X		97641	1008685
SYDNEY BERSANTE
SJMC PRESIDENT	40.0			372585	63155		X
FRANCES BLACKWELL
VP-OUTPATIENT SVCS	40.0			214275	25133		X
LAURIE BROWN
VP-CHIEF NURSING OFFICER	40.0			207476	32222		X
META DOOLEY
SR VP-STRT PLN/DEVEL	40.0			283376	59395		X
JAMES GOOD
CONSULTANT	40.0			252317	41033		X
ANTHONY HAFTEL
VP-ASC CHF MED OFCR	40.0			293210	39394		X
DIANNA KIELIAN
SR VP-MISSION/ETHICS	40.0			225765	46497		X
DAVID LAWSON
SR VP-HUMAN RESOURCES	40.0			307417	54725		X
MICHAEL LIEPMAN
VP-GUEST/FACIL SVCS	40.0			192859	31888		X
EVERETT NEWCOMB
SR VP-CHIEF MED OFCR	40.0			275072	35220		X
CLIFF ROBERTSON
COO	40.0			497833	41923		X
GREGORY SEMERDJIAN MD
SR VP-CHIEF MED OFCR	40.0				45990	585097	X
WILLARD WAGNER
VP-MARKTG/COMMUNCTN	40.0			242185	41153		X
KATHY BRESSLER
ST. CLAIRE HOSPITAL PRESIDENT	40.0			277872	59733		X
Anthony Mclean
ST. FRANCIS HOSPITAL PRESIDENT	40.0			320074	52832		X
Carole Peet
ST. ANTHONY PRESIDENT	40.0			269598	51587		X
GEORGE JOHNSTON
PHYSICIAN	40.0			513429	36944			X
BAHIRATHAN KRISHNADASAN
PHYSICIAN	40.0			503767	37922			X
THOMAS MOLLOY
PHYSICIAN	40.0			526265	42339			X
MOHAMMED MURAYWID
PHYSICIAN-INPT TM	40.0			476097	31885			X
NALLATHIMMAYYAG REDDY
PHYSICIAN-INPT TM	40.0			366595	33927			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	7197504	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1593782	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1096221	TotalOtherCompensation
Number Individuals GT100 K	535	NumberIndividualsGT100K
Formers Listed	false	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
MEDICAL STAFFING NETWORK INC
PO Box 840721	Dallas	TX	75284	agency	18760633
SELLEN CONSTRUCTION COMPANY INC
227 Westlake Avenue North	Seattle	WA	98109	General contractor	12221887
FAVORITE NURSES FAVORITE TEMPS
PO Box 803356	Kansas City	MO	64180	Agency	3550657
ALLIED BARTON SECURITY SVC
PO Box 828854	Philadelphia	PA	19185	Security	3278054
HOSPITAL CENTRAL SERVICES ASSOCIATI
1300 East Columbia Street	Seattle	WA	98122	laundry service	3241375

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	39	NumberOfContractorsGT100K
Related Organizations	4052501	RelatedOrganizations
Government Grants	162239	GovernmentGrants
All Other Contributions	119905	AllOtherContributions
Noncash Contributions	68130	NoncashContributions
Total Contributions	4334645	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient Services	900099	1048816862	1048816862
Rental Income	900099	1335543	1335543

Field	Value	IRS element (for citing)
Total Program Service Revenue	1050152405	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3147183	TotalRevenueColumn
Unrelated Business Revenue	377	UnrelatedBusinessRevenue
Exclusion	$3,146,806	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 Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	3502699	Securities
Other	3500	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	88400	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	3502699	Securities
Other	-84900	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	3417799	TotalRevenueColumn
Exclusion	$3,417,799	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
Laboratory Services	621500	15620747	1482259	$14,138,488
Pharmacy Services	446110	6846669	4107528	$2,739,141
Cafeteria	722100	4119789		$4,119,789

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	6330598	TotalRevenueColumn
Unrelated Business Revenue	1065783	UnrelatedBusinessRevenue
Exclusion	$5,261,815	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	32917803	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1093969835	TotalRevenueColumn
Related Or Exempt Function Income	1050152405	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	6655947	UnrelatedBusinessRevenue
Exclusion	$32,823,838	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	51414498	Total
Program Services	51414498	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	5217288	Total
Management And General	5217288	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	349191078	Total
Program Services	302447924	ProgramServices
Management And General	46743154	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	17227871	Total
Program Services	14702062	ProgramServices
Management And General	2525809	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	49010034	Total
Program Services	41563815	ProgramServices
Management And General	7446219	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	26124494	Total
Program Services	21624438	ProgramServices
Management And General	4500056	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	88977	Total
Management And General	88977	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	0	Total

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	97294726	Total
Program Services	47397424	ProgramServices
Management And General	49897302	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	6398173	Total
Management And General	6398173	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	168066515	Total
Program Services	151499855	ProgramServices
Management And General	16566660	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	13785739	Total
Program Services	11014630	ProgramServices
Management And General	2771109	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1374275	Total
Program Services	919802	ProgramServices
Management And General	454473	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	86790	Total
Program Services	39960	ProgramServices
Management And General	46830	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	9850577	Total
Program Services	9850577	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	19393534	Total
Management And General	19393534	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	43086685	Total
Program Services	32055699	ProgramServices
Management And General	11030986	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	10316606	Total
Management And General	10316606	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral	Program ServicesProgramServices
Unrelated Business Taxes	8547	8547
Bad debts	131378322		131378322
Income/sales/property taxes	9637350	41656	9595694
Repairs and maintenance	5197465	4790949	406516
Dues & subscriptions	829457		829457

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	7577291	Total
Program Services	1020716	ProgramServices
Management And General	6556575	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1022556292	Total
Program Services	827761389	ProgramServices
Management And General	194794903	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	5961798	BOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	43051563	BOY
EOY	27309309	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	176188705	BOY
EOY	178476689	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	355573	BOY
EOY	2750110	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	26833571	BOY
EOY	30580360	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	661402	BOY
EOY	948774	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	831899346	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	387984191	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	452169568	BOY
EOY	443915155	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	58824195	BOY
EOY	123840616	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	22714420	BOY
EOY	19094494	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	786760795	BOY
EOY	826915507	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	105010709	BOY
EOY	92483503	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	2817379	BOY
EOY	2563020	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	198376680	BOY
EOY	181652418	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	306204768	BOY
EOY	276698941	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	480556027	BOY
EOY	550216566	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	480556027	BOY
EOY	550216566	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	786760795	BOY
EOY	826915507	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	$82,261	GrantsOtherOrganizationsAmount
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$54,031	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	136292	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	1B AND 1G: META DOOLEY AND GREG SEMERDJIAN TRAVELED TO WASHINGTON DC. TACOMA TRAUMA LOBBY TRIP ($6,735.34) 1G) INVOICES PAID TO EVERGREEN ASSOCIATES FOR PUBLIC AFFAIRS AND FEDERAL LIASON SERVICES ($47,295.66) 1F) THE ENTITY'S CONTROLLING ORGANIZATION, CATHOLIC HEALTH INITIATIVES, PAYS ANNUAL DUES TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND CATHOLIC HOSPITAL ASSOCIATION (CHA), A PORTION OF WHICH IS ALLOCATED TO LOBBYING. $20,568 ($11,975 - AHA; $8,593 - CHA) OF THE AMOUNT SHOWN ON LINE 1F ABOVE REPRESENTS THIS ENTITY'S SHARE OF ALLOCATED LOBBYING EXPENSES. ALSO INCLUDED ON LINE 1F IS THE PORTION OF WASHINGTON STATE HOSPITAL ASSOCIATION MEMBERSHIP DUES DETERMINED TO BE RELATED TO LOBBYING ACTIVITIES PER MEDICARE DEFINITION ($61,693).	Explanation

Schedule D IRS990ScheduleD

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

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	25182099	OtherCostOrOtherBasis
Book Value	25182099	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	358378209	OtherCostOrOtherBasis
Depreciation	86317119	Depreciation
Book Value	272061090	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	26317581	OtherCostOrOtherBasis
Depreciation	10737955	Depreciation
Book Value	15579626	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	405708650	OtherCostOrOtherBasis
Depreciation	290929120	Depreciation
Book Value	114779530	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	16312806	OtherCostOrOtherBasis
Book Value	16312806	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	443915151	TotalOfBookValueLandBuildings
Financial Derivatives		FinancialDerivatives
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities (2 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
CHI OIP - Fixed Income	64625968	F
CHI OIP - Equity Securities	59214648	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	123840616	TotalOfBookValueSecurities
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
INTERCOMPANY PAYABLES	$180,635,827
ENVIRONMENTAL REMEDIATION LIABILITY	$831,218
UNCLAIMED PROPERTY	$185,373

Field	Value	IRS element (for citing)
Total Of Amounts	181652418	TotalOfAmounts
Total Revenue	1093969835	TotalRevenue
Total Expenses	1022556292	TotalExpenses
Excess Or Deficit For Year	71413543	ExcessOrDeficitForYear
Net Unrealized GL On Investments	4600859	NetUnrealizedGLOnInvestments
Prior Period Adjustments	307981	PriorPeriodAdjustments
Other	-$6,661,844	OtherAmount
Total Adjustments	-1753004	TotalAdjustments
Excess Or Deficit Per FS	69660539	ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
REPORTING OF LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48	SCH D, PART X	FRANCISCAN HEALTH SYSEM'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."
OTHER ADJUSTMENTS	SCH D, PART XI, LINE 8	Capital Resource Pool Contributions $-8,661,000 CHI Connect Depreciation $ 1,999,156 --------------- Net Adjustment $-6,661,844 ===============

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)
Total Community Benefit Expense	20587583	TotalCommunityBenefitExpense
Net Community Benefit Expense	20587583	NetCommunityBenefitExpense
Percent Of Total Expense	0.02300	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	30344944	TotalCommunityBenefitExpense
Net Community Benefit Expense	30344944	NetCommunityBenefitExpense
Percent Of Total Expense	0.03410	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	50932527	TotalCommunityBenefitExpense
Net Community Benefit Expense	50932527	NetCommunityBenefitExpense
Percent Of Total Expense	0.05710	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	111	NumberOfActivitiesOrPrograms
Persons Served	36098	PersonsServed
Total Community Benefit Expense	2738709	TotalCommunityBenefitExpense
Direct Offsetting Revenue	179969	DirectOffsettingRevenue
Net Community Benefit Expense	2558740	NetCommunityBenefitExpense
Percent Of Total Expense	0.00290	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	23	NumberOfActivitiesOrPrograms
Persons Served	1060	PersonsServed
Total Community Benefit Expense	437697	TotalCommunityBenefitExpense
Net Community Benefit Expense	437697	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	7	NumberOfActivitiesOrPrograms
Persons Served	48195	PersonsServed
Total Community Benefit Expense	6858631	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2177709	DirectOffsettingRevenue
Net Community Benefit Expense	4680922	NetCommunityBenefitExpense
Percent Of Total Expense	0.00530	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	37	NumberOfActivitiesOrPrograms
Persons Served	4517	PersonsServed
Total Community Benefit Expense	641965	TotalCommunityBenefitExpense
Net Community Benefit Expense	641965	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	178	NumberOfActivitiesOrPrograms
Persons Served	89870	PersonsServed
Total Community Benefit Expense	10677002	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2357678	DirectOffsettingRevenue
Net Community Benefit Expense	8319324	NetCommunityBenefitExpense
Percent Of Total Expense	0.00940	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	178	NumberOfActivitiesOrPrograms
Persons Served	89870	PersonsServed
Total Community Benefit Expense	61609529	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2357678	DirectOffsettingRevenue
Net Community Benefit Expense	59251851	NetCommunityBenefitExpense
Percent Of Total Expense	0.06650	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Total Community Building Expense	618	TotalCommunityBuildingExpense
Net Community Building Expense	618	NetCommunityBuildingExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	56	PersonsServed
Total Community Building Expense	64447	TotalCommunityBuildingExpense
Net Community Building Expense	64447	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Building Expense	229378	TotalCommunityBuildingExpense
Net Community Building Expense	229378	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	9	NumberOfActivitiesOrPrograms
Persons Served	56	PersonsServed
Total Community Building Expense	294443	TotalCommunityBuildingExpense
Net Community Building Expense	294443	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$30,051,143	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	231469224	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	298630177	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-67160953	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost Accounting System	X	CostAccountingSystem

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	Teaching HospitalTeachingHospital	Er24 HoursEr24Hours
St Joseph Medical Center
1717 South J Street	Tacoma	WA	98405	X	X	X	X
St Francis Hospital
34515 9th Avenue South	Federal Way	WA	98003	X	X	X	X
St Clare Hospital
11315 Bridgeport Way SW	Lakewood	WA	98499	X	X		X
St Anthony Hospital
11567 Canterwood Blvd NW	Gig Harbor	WA	98332	X	X		X

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 Franciscan Health 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. Franciscan Health 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. 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 may also be taken into consideration. For example, a patient suffering a catastrophic illness may have a reasonable level of income, but 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. Franciscan Health System prepares its own annual written community benefit 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. A cost accounting system was not used to compute amounts in the table; rather costs in the table were computed using the organization's cost-to-charge ratio. The cost-to-charge ratio covers all patient segments. 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. Based on that formula, the result is a 27.2% cost-to-charge ratio. 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 $131,378,322.	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. Costing methodology for amounts reported on line 2 is determined using the organization's cost/charge ratio. When discounts are extended to self-pay patients, these patient account discounts are recorded as a reduction in revenue, not as bad debt expense. Franciscan Health System does not believe that any portion of bad debt expense could reasonably be attributed to patients who qualify for financial assistance since amounts due from those individuals' accounts will be reclassified from bad debt expense to charity care within 30 days following the date that the patient is determined to qualify for charity care. Franciscan Health System does not issue separate company audited financial statements, thus there is no separate footnote. However, Franciscan Health System is included in the consolidated audited financial statements of catholic health initiatives (chi). the chi footnote reads as follows: "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."	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. A).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. Franciscan Health System 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. (B). Franciscan Health System, Inc. 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, especially in the case of well-paid services that include cardiac and orthopedics. 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. Franciscan Health Systems' debt collection policy provides that Franciscan Health System ("FHS") will perform a reasonable review of each inpatient 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 (e.g. Medicaid) and do not qualify for coverage through FHS community assistance policy. After having been turned over to a third-party collection agent, any patient account that is subsequently determined to meet the FHS community assistance policy is required to be returned immediately by the third-party collection agent to FHS for appropriate follow-up. FHS requires its third-party collection agents to include a message on all statements indicating that if a patient or patient guarantor meets certain stipulated income requirements, the patient or patient guarantor may be eligible for financial assistance. 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
Needs Assessment	Line 2: Describe how the organization assesses the health care needs of the communities it serves. Line 4: Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves. Line 5: Describe how the organization's community building activities, as reported in Part II, promote the health of the communities the organization serves. Line 6: 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). Community Benefit Annual Report FY 2010 Summary Introduction St. Joseph Hospital was founded in 1891 by the Sisters of St. Francis to provide healthcare to the lumbering community in Tacoma, Washington. In 1990, St. Joseph Hospital, St. Clare Hospital, and St. Francis Hospital joined to become Franciscan Health System ("FHS"). FHS is affiliated with Catholic Health Initiatives as a market-based organization, and shares CHI's mission: 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 for persons of all ages. In keeping with our mission, FHS provides care for all regardless of ability to pay. In fiscal year 2010, FHS gave $59.6 million to underprivileged individuals and the broader community in charity care, community education and outreach, and unpaid costs of Medicaid. Quality healthcare is delivered in a service area of over one million residents in Pierce, King and Kitsap counties. Facilities include five hospitals, St. Joseph Medical Center, St. Francis Hospital, St. Clare Hospital, St. Anthony Hospital, and Enumclaw Regional Hospital ( a separate legal entity), seventy medical and specialty clinics, and a residential hospice facility. Uncompensated Care Franciscan Health System provides a significant amount of uncompensated care each year. In fiscal year 2010, the cost of traditional charity care provided was $20.5 million. FHS also incurred $30.3 million in unreimbursed costs for services provided to Medicaid patients. Frequently, the costs of providing services to. participants of Medicaid are greater than the payments received from the program. The same is true for Medicare. FHS incurred $47.1 million in unreimbursed costs for Medicare Community Outreach for Persons who are Poor Lakewood Community Dental Van Dental care provided to low-income or unemployed adults without access to other low-cost dental services. The Dental Van is a partnership with CloverPark Technical College, Medical Teams International and St. Clare Hospital. The dental van also provides care for the underserved in the Federal Way community at St. Francis Hospital. Collectively 170 adults were served for in-kind dental services totaling over $75,000. Sober Living House The Sober Living House is a joint effort with Franciscan Health System, Pierce County Metropolitan Development Council, Multicare Health System, Tacoma Police Dept, EMS, and the City of Tacoma to relieve the pressures in the local emergency rooms in caring for the chronic homeless inebriant, whereby as soon as an individual is assessed, treated and discharged they are transferred to the Sober Living facility to "sober up" and receive the appropriate care including meals, counseling and opportunity for treatment. Pharmacy Indigent Care Program FHS provides prescription medications to persons who do not have the means to purchase them. Provisions of these medications helps the recipients to recover more quickly from their illnesses better manage chronic conditions and avoid costly hospitalizations. In fiscal year 2010 prescription drugs valued at $90,000 were provided to 1063 individuals. This amount includes the pharmaceuticals provided for the free Neighborhood Clinic that is staffed by all volunteer physicians and nurses. Hilltop Spring Clean-up Every spring St. Joe's Neighbors, a subcommittee of Hilltop Action Coalition has a Spring Cleanup that teams Hilltop residents and SJMC employees and families who go out into the neighborhood to pick up litter and clean up the streets. This year we had 32 employees and 42 residents join. It is a great opportunity to show the pride we all have in our neighborhood. Women, Infant and Children (WIC) Nutrition Program This program provides food coupons and nutritional counseling for women and their children. Well child check-ups are performed along with immunizations. Children are seen up to the age of five. Over 9000 clients are served annually. Children's Immunizations FHS has provided 3,186 free vaccines to over 1006 children at a value of $110,000. This program helps prevent illness and fulfills the public health requirement of children between the ages of 2 years old and 19 years old. Mammogram Assistance FHS sponsors a program that provides free mammograms to women who lack insurance or the ability to pay. Hospitality Kitchen Resident Chaplain Program This special program offers ministerial guidance for homeless and mentally ill individuals. Community Outreach for the Broader Community Autumn Leaf Festival The Autumn Leaf Health & Safety Festival is a collaborative effort between St. Clare Hospital, and many community partners. Over seventy-seven programs were exhibited from a variety of health services including those from within Franciscan Health System. There were over 900 Lakewood residents who attended, including children who needed immunizations to begin the school year. Sports physicals were provided by the Franciscan Medical Group physicians. A variety of screenings were offered during the festival including cholesterol, diabetes, prostate, skin cancer and blood pressure checks. Partnership with Bethlehem Baptist Nurses Ministries and Health Coalition for Communities of Color Bethlehem Baptist Nurses Ministry - 5th Annual Women of Color Cancer Awareness - A Program that addresses issues of prevention, support for current patients, and celebrating survivors of cancer in a culturally relevant manner featuring speakers, food and entertainment. Over 150 women attended. Health Coalition for Communities of Color Heart Health Fair - this event provided information on nutrition, exercise and how to prevent and manage heart issues. More than 75 people attended. Jack and Jill Youth Health Fair - Interactive booths with information on youth related health topics including nutrition, exercise, dental health, HIV/AIDS, drugs and tobacco. More than 50 youth and adults attended. Hospice SOUL Program Service Opportunities for Understanding Life (SOUL) provides potentially life-changing opportunities for youths in our hospice-care setting. McCarver Elementary School Partnership - Thanksgiving - employees donated over $6000.00 in Safeway and Fred Meyer gift cards for families in need to provide food for the Thanksgiving holiday. - Christmas - Through our McCarver Giving Tree we collected enough toys to provide all the families in need with Christmas gifts for their families. Well over 200 toys and games were donated by our generous employees. - Pizza with the Principal - Sponsored pizza, drinks and dessert monthly for those students who had earned pride points during the month for exhibiting good behavior and citizenship. Each time the students were awarded pride points they were entered into a drawing for the opportunity to have pizza with the principal. - Family Night - connected the dietary management staff with the teachers from McCarver, coordinating this event to provide nutritional information to families during one of the Family Nights. There were close to 100 people in attendance. Congregational Health Ministries Partnership The Congregational Health Ministries Partnership is a network of dedicated health ministers and parish nurses in churches. This network provides opportunities to integrate health and faith in the local church while at the same time tending to the total wellness of parish members' minds, bodies, and spirits. An average of 675 hours of service per month is provided by parish nurses. During the second quarter of FY10 the parish nurses/health ministers provided over 1300 of flu vaccinations for adults and children. End of Life Program Franciscan Health System and the Korean Women's Association launched a unique program to help the region's Asian and Pacific Islander populations navigate cultural and language barriers to end-of-life services. Partnerships Adopted Tyee Park Elementary in Lakewood to make a difference and help keep Lakewood's Promise by providing caring adults and kids a healthy start. Twenty-two people have volunteered their time to date. Walking program expanded to include a partnership with Lakewold Gardens for walking. Hike for Your Health/Passport to Adventure Kick off part	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. Franciscan Health System provided several ways to inform patients of their eligibility for financial assistance: 1.At the time of admission, if individual indicates they are unable to pay, a financial counselor assists them with making application for appropriate assistance. The FHS website has a contact number for individuals needing assistance. Information is readily posted in all emergency rooms.	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. Franciscan Health 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 MBO's. 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 MBO's 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 MBO's. 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 MBO's. 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 more than $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 MBO's to dedicate additional resources to high-quality health care and community outreach services to the most vulnerable members of our society. Franciscan Health System operates with its wholly owned affiliates and community partners, along with its fundraising arm, the Franciscan Foundation, to serve the health care needs of the Tacoma, Washington communities.	AffiliatedHealthCareSystem

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (10 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance	Purpose Of GrantPurposeOfGrant
Bellarmine Preparatory School
2300 South Washington Street	Tacoma	WA	98402	911109930	501(c)(3)	23720
Pierce County Medical Society
223 Tacoma Ave South	Tacoma	WA	98402	910366010	501(c)(3)	60722
Metropolitan Development Center
721 Fawcett StreetSuite 201	Tacoma	WA	98402	910780533	501(c)(3)	98674
Franciscan Ministries Foundation
609 South Convent Road	Ashton	PA	19014	232784568	501(c)(3)	47439
Washington Poison Control
155 NE 100th Street	Seattle	WA	98125	943214587	501(c)(3)	7116
Medical Teams International
4000 Kruse Way Place 2-100	Lake Oswego	OR	97025	930878944	501(c)(3)	9488
CHUMA International
2601 Williamatte Drive SE	Lacey	WA	98516	510216586	501(c)(3)		28628	unused medical equip
Franciscan Foundation
1149 Market Street	Tacoma	WA	98402	911145592	501(c)(3)	1872028
Franciscan Medical Group
1149 Market Street	Tacoma	WA	98402	911939739	501(c)(3)	45170849
St Elizabeth Hospital
1455 Battersby Avenue	Enumclaw	WA	98022	910715805	501(c)(3)	4071340			TRANSFER TO SEH

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	10	TotalNbrOf501C3AndGovtGrants

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	Grants made to Franciscan Medical Group and Franciscan Foundation are in the form of transfers to affiliates and are tracked based on the grant restriction. FHS only grants to 501(c)(3) and 501(c)(6) organizations to ensure the funds will be used properly.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (23 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs	Deferred Comp Related OrgsDeferredCompRelatedOrgs
SYDNEY BERSANTE
327062	33384	12140	27666	35489	435740
FRANCES BLACKWELL
190601	18390	5283		25133	239408
LAURIE BROWN
174862	17776	14838		32222	239698
META DOOLEY
246381	26064	10931	21600	37795	342771
MIKE FITZGERALD
403504	43526	59711	34636	43869	585246
JAMES GOOD
213644	22968	15706		41033	293350
ANTHONY HAFTEL
261942	27774	3494		39394	332604
GEORGE JOHNSTON
467714	40000	5715		36944	550373
DIANNA KIELIAN
190487	20267	15012	16568	29929	272262
BAHIRATHAN KRISHNADASAN
414946	88085	737		37922	541689
DAVID LAWSON
235685	24624	47107	20038	34687	362142
MICHAEL LIEPMAN
100574		92285		31888	224747
THOMAS MOLLOY
485080	40000	1185		42339	568604
MOHAMMED MURAYWID
243160	232530	407		31885	507982
EVERETT NEWCOMB
239728		35344		35220	310292
NALLATHIMMAYYAG REDDY
225858	139555	1182		33927	400522
CLIFF ROBERTSON
425312	47988	24533	38700	41923	578456
GREGORY SEMERDJIAN MD
						337349	50203	197545	45990	631087	173523
WILLARD WAGNER
192666	18306	31213		41153	283338
Joseph Wilczek
						685312	168899	154473	37984	1106326	124459	59657
KATHY BRESSLER
227914	26015	23942	19860	39873	337605
Anthony Mclean
286655	22399	11020	24750	28082	372906
Carole Peet
223375	23886	22337	19350	32237	321185

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
BENEFITS TO REPORTABLE INDIVIDUALS	SCH J, PART I, Q 1A	The organization offers a work/life balance allowance to Vice Presidents and above that can be used for a multitude of things, including but not limited to healthclub membership. These benefits are treated as taxable income to the individuals and require the individual to submit receipts pursuant to the written policy regarding reimbursement.
EXECUTIVE COMPENSATION	SCH. J, PART I, Q. 3	COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY CATHOLIC HEALTH INITIATIVES, (CHI), A RELATED ORGANIZATION. CHI USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) WRITTEN EMPLOYMENT CONTRACTS; (4) COMPENSATION SURVEY OR STUDY; (5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
POST-TERMINATION PAYMENTS	SCH. J, PART I, Q. 4A	POST-TERMINATION PAYMENTS ARE ADDRESSED IN THE EXECUTIVE EMPLOYMENT AGREEMENTS FOR CHI'S 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 REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM CHI DURING THE 2009 CALENDAR YEAR. POST-TERMINATION PAYMENTS FROM FRANCISCAN HEALTH SYSTEM ARE DETERMINED AT THE DISCRETION OF TOP MANAGEMENT OFFICIALS AND PAYOUT IS BASED UPON VARIOUS FACTORS INCLUDING TENURE AND POSITION. DURING THE CALENDAR YEAR 2009, THE FOLLOWING REPORTABLE INDIVIDUAL RECEIVED SEVERANCE PAY FROM FRANCISCAN HEALTH SYSTEM AND THE FOLLOWING AMOUNT WAS INCLUDED IN HIS REPORTABLE COMPENSATION ON SCHEDULE J: MICHAEL LIEPMAN; $85,730.
SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN	SCH. J, PART I, Q. 4B	DURING THE 2009 CALENDAR YEAR CHI MAINTAINED A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN FOR VICE PRESIDENTS AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALs Were ELIGIBLE TO PARTICIPATE: JOSEPH WILCZEK, GREGORY SEMERDJIAN and cliff robertson. THERE WERE CONTRIBUTIONS TO THE NON-QUALIFIED PLAN FOR THE 2009 CALENDAR YEAR ON BEHALF OF JOSEPH WILCZEK AND cliff robertson IN THE AMOUNTS OF; $59,657 AND $38,700 RESPECTIVELY. THE FOLLOWING INDIVIDUAL RECEIVED PAYMENTS FROM THE SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN DURING THE 2009 CALENDAR YEAR, AND THE FOLLOWING AMOUNT WAS INCLUDED IN THE INDIVIDUALS' REPORTABLE COMPENSATION FOR SCHEDULE J: JOSEPH WILCZEK; $124,459 AND GREGORY SEMERDJIAN; $173,523. DURING THE CALENDAR YEAR FRANCISCAN HEALTH SYSTEM MAINTAINED A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN FOR FRANCISCAN HEALTH SYSTEM SENIOR LEADERSHIP. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE: SYDNEY BERSANTE, META DOOLEY, MIKE FITZGERALD, DIANNA KIELIAN, DAVID LAWSON, KATHY BRESSLER, ANTHONY MCLEAN AND CAROLE PEET. THERE WERE CONTRIBUTIONS TO THE NON-QUALIFIED PLAN FOR THE 2009 CALENDAR YEAR ON BEHALF OF: SYDNEY BERSANTE; $27,666, META DOOLEY; $21,600, MIKE FITZGERALD; $34,636, DIANNA KIELIAN; $16,568, DAVID LAWSON; $20,038, KATHY BRESSLER; $19,860, ANTHONY MCLEAN; $24,750 AND CAROLE PEET; $19,350.

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArt
Art Historical Treasures		ArtHistoricalTreasures
Art Fractional Interest		ArtFractionalInterest
Books And Publications		BooksAndPublications
Clothing And Household Goods		ClothingAndHouseholdGoods
Cars And Other Vehicles		CarsAndOtherVehicles
Boats And Planes		BoatsAndPlanes
Intellectual Property		IntellectualProperty
Securities Publicly Traded		SecuritiesPubliclyTraded
Securities Closely Held Stock		SecuritiesCloselyHeldStock
Securities Prtnrshp Trust Intrsts		SecuritiesPrtnrshpTrustIntrsts
Securities Miscellaneous		SecuritiesMiscellaneous
Qualified Contrib Hist Struct		QualifiedContribHistStruct
Qualified Contrib Other		QualifiedContribOther
Real Estate Residential		RealEstateResidential
Real Estate Commercial		RealEstateCommercial
Real Estate Other		RealEstateOther
Collectibles		Collectibles
Food Inventory		FoodInventory
Drugs And Medical Supplies		DrugsAndMedicalSupplies
Taxidermy		Taxidermy
Historical Artifacts		HistoricalArtifacts
Scientific Specimens		ScientificSpecimens
Archaeological Artifacts		ArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Description	LTV Transport Ventilator Packages	Description
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	68130	NoncashContribsRptdF990
Method Of Determining Revenues	Cost Method	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

Field	Value	IRS element (for citing)
Identifier	SCH M PART I, LINE 25 COL(B)	Identifier
Return Reference	LINE 25, COL (B)	ReturnReference
Explanation	SCHEDULE M, LINE 25, COLUMN (B) INDICATES THE NUMBER OF CONTRIBUTIONS.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
EXECUTIVE COMMITTEE	FORM 990, PART VI, Q. 1A	The Executive Committee CONSISTS only OF directors of the Corporation and IS composed of the Chairperson of the Board, the Vice Chairperson of the Board, both of whom serve as ex officio voting members of the Executive Committee, and at least one member of a religious institute of the Catholic Church with a preference for the Sisters of St. Francis of Philadelphia. The Executive Committee HAS THE POWER TO TRANSACT THE ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIODS BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED THAT THEIR ACTIONS ARE CONSISTENT WITH ANY ACTIONS OR POLICIES OF THE BOARD OR THE CORPORATE MEMBER. ALL ACTIONS TAKEN ARE CONTEMPORANEOUSLY DOCUMENTED AND REPORTED TO THE BOARD AT THE EARLIEST MEETING.
MEMBERS OR SHAREHOLDERS	FORM 990, PART VI, Q. 6	THE SOLE MEMBER OF THE ORGANIZATION IS CATHOLIC HEALTH INITIATIVES, A COLORADO NONPROFIT CORPORATION.
MEMBER ELECT ONE OR MORE MEMBERS OF GOVERNING BOARD	FORM 990, PART VI, Q. 7A	THE SOLE MEMBER HAS THE POWER TO APPOINT, REPLACE OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS.
GOVERNING POWERS	FORM 990, PART VI, Q. 7B	The organization's corporate member is Catholic Health Initiatives ("CHI"). Pursuant to Article V, Section 5.4 of the organization'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 the Franciscan Health System (FHS) - Amendment of the corporate documents of FHS - Approve members of FHS board - Removal of a member of the governing body of FHS - Approval of issuance of debt by FHS - Approval of participation of FHS in a joint venture - Approval of formation of a new corporation by FHS - Approval of a merger involving FHS - Approval of the sale of all or substantially all of the assets of FHS - To require the transfer of assets by FHS to CHI to accomplish CHI's goals and objectives, and to satisfy CHI debts. - Adoption of long range and strategic plans for FHS. Pursuant to Article V, 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.
PROCESS, IF ANY, THE ORGANIZATION USES TO REVIEW FORM 990	FORM 990, PART VI, Q. 11	THE CFO REVIEWS THE FORM AND ANY NECESSARY CHANGES ARE INCLUDED IN THE FINAL VERSION THAT IS APPROVED FOR FILING WITH THE IRS. The CFO also provides the return to the board, and all board members have the opportunity to review the 990 prior to filing with the IRS. Subsequent to review, the tax department files the return with the appropriate federal agencies, making any non-substantive changes necessary to effect e-filing. Any such changes are not resubmitted to the board.
PROCEDURES FOR MONITORING AND ENFORCING THE COI POLICY	FORM 990, PART VI, Q. 12C	Each employee is educated regarding Conflicts of Interest at New Employee Orientation. on the annual performance review the following statement is initialed by employees: Conflict of Interest: I will comply with the standards and guidelines contained in the Conflict of Interest Policy. I understand that I am responsible for recognizing any situation in which a conflict of interest is present or might arise. I will immediately report any such situation to my Manager/Vice President and will take appropriate action to eliminate or prevent a conflict. Governance is required annually to declare conflicts of interests, along with Medical Staff leaders. When a conflict is acknowledged, the Individuals are prohibited from deliberations and decisions in the transaction. The Executive Committee of the Board reviews all governance conflicts of interests, and at each board meeting the Chairperson asks if there are any conflicts of interests related to current agenda items. Conflicts of Interests are reviewed by the CFO, CEO, Legal or at the most immediately senior level of management depending on the nature of the conflict of interest.
PROCESS FOR DETERMINING EXECUTIVE COMPENSATION	FORM 990, PART VI, LINE 15A	The organization's CEO's compensation is paid by CHI. CHI uses the Hay Group as the independent third party to assess executive compensation programs and to ensure the reasonableness of actual salaries and total compensation packages. Compensation of CHI's senior most executives (including each MBO CEO) are reviewed on an individual basis annually. The Hay Group reviews both cash and total compensation for overall reasonableness, for adherence to CHI's compensation philosophy, and for comparability to the not-for-profit healthcare market. This independent review is delivered by Hay Group to the HR Committee of the CHI Board of Stewardship Trustees annually at their September meeting and minutes are shared with the full board at the December meeting. The last review was September, 2010. In addition, in December 2009, Hay Group completed a comprehensive review of all CHI positions at the level of Vice President and above to determine and validate appropriate compensation levels.
PROCESS FOR DETERMINING COMPENSATION	FORM 990, PART VI, LINE 15B	All Executive Compensation arrangements with any person of substantial influence are subject to review and approval by the Board of Directors, or an authorized committee of the Board, in accordance with the Executive Compensation Review Policy. Executive compensation arrangements with any physician who is a person of substantial influence are not subject to this policy, but shall be reviewed and approved in accordance with the system's physician transaction review policy.
EVALUATION OF PARTICIPATION IN JOINT VENTURE ARRANGEMENTS	FORM 990, PART VI, Q 16B	Franciscan Health Systems HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER, CATHOLIC HEALTH INITIATIVES' ("CHI") SYSTEM-WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT (1) THE EXEMPT ORGANIZATIONS 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.
GOVERNING DOCUMENTS - COI POLICY - FINANCIAL STATEMENTS AVAILABLE	FORM 990, PART VI, Q. 19	THE Organization'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.COM. The organization's governing documents are available on the Washington Secretary of State's website. The organization's conflict of interest policy and governing documents are available to the public upon request.
ESTIMATE OF HOURS DEVOTED TO RELATED ORGANIZATIONS	FORM 990, PART VII	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 EMPLOYEES. REPORTABLE INDIVIDUALS EMPLOYED BY CHI AND FRANCISCAN HEALTH SYSTEM ARE COMPENSATED IN EXCHANGE FOR 60 AND 40 HOUR WORK WEEKS RESPECTIVELY.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (132 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1
St Joseph Community Health Services
300 Central SW Suite 300	Albuquerque	NM	87102	710897107	Community	NM	501(c)(3)	11a	CHI
St Joseph Community Health Foundation
300 Central SW Suite 300	Albuquerque	NM	87102	850253087	Foundation	NM	501(c)(3)	7	SJCHS
St Francis of Baker City
3325 Pocahontas Road	Baker City	OR	97814	930412495	Hospital	OR	501(c)(3)	3	CHI
St Elizabeth Health Care Foundation
3325 Pocahontas Road	Baker City	OR	97814	943164869	Foundation	OR	501(c)(3)	7	SEHS
Flaget Memorial Hospital Foundation Inc
4305 New Shepherdsville Road	Bardstown	KY	40004	562351341	Fundraising	KY	501(c)(3)	11a	FH
Flaget Healthcare DBA Flaget Memorial
4305 New Shepherdsville Road	Bardstown	KY	40004	611345363	Hospital	KY	501(c)(3)	3	CHI
Lakewood Health Center
600 Main Avenue South	Baudette	MN	56623	410758434	LTerm Care	MN	501(c)(3)	3	CHI
Appletree Court
601 Oak Street	Breckenridge	MN	56520	411850500	Senior Homes	MN	501(c)(3)	9	SFH
Healthcare and Wellness Foundation
2400 St Francis Drive	Breckenridge	MN	56520	760761782	Foundation	MN	501(c)(3)	11a	SFMC
St Francis Home
2400 St Francis Drive	Breckenridge	MN	56520	410729978	LTerm Care	MN	501(c)(3)	9	CHI
St Francis Medical Center
2400 St Francis Drive	Breckenridge	MN	56520	410695598	Healthcare	MN	501(c)(3)	3	CHI
Carrington Health Center
800 North 4th Street	Carrington	ND	58421	450227311	Healthcare	ND	501(c)(3)	3	CHI
Saint Clare's Community Care
66 Ford Road	Denville	NJ	07834	222876836	Healthcare	NJ	501(c)(3)	11b	SCHS
Saint Clare's Foundation Inc
66 Ford Road	Denville	NJ	07834	222502997	Fundraising	NJ	501(c)(3)	7	SCHS
Good Samaritan College of Nursing & Heal
375 Dixmyth Ave	Cincinnati	OH	45220	311778403	Education	KY	501(c)(3)	2	GHS
Total Healthcare
PO Box 7021	Colorado Springs	CO	80933	840927232	Healthcare	CO	501(c)(3)	3	CHI Colorado
Memorial Health Care System Inc
2525 De Sales Avenue	Chattanooga	TN	37404	620532345	Hospital	TN	501(c)(3)	3	CHI
Memorial Health Care System Foundation
2525 De Sales Avenue	Chattanooga	TN	37404	621839548	Foundation	TN	501(c)(3)	7	MHCS
Memorial Health Partners Foundation Inc
6028 Shallowford Road	Chattanooga	TN	37421	030417049	Healthcare	TN	501(c)(3)	9	MHCS
The Community Limited Care Dialysis Cent
619 Oak Street Accounting-3 West	Cincinnati	OH	45206	237419853	Dialysis	OH	501(c)(2)	none	GSH
Good Samaritan Foundation of Cincinnati
619 Oak Street Accounting-3 West	Cincinnati	OH	45206	311206047	Foundation	OH	501(c)(3)	11a	GSH
The Good Samaritan Hospital of Cincinnat
619 Oak Street Accounting-3 West	Cincinnati	OH	45206	310537486	Hospital	OH	501(c)(3)	3	TRI-HEALTH
Saint Clare's Hospital
66 Ford Road	Denville	NJ	07834	223319886	Hospital	NJ	501(c)(3)	3	CHI
St Francis Life Care Corporation
19 Pocono Road	Denville	NJ	07834	222536017	Elderly Care	NJ	501(c)(3)	9	SCHS
TriHealth Physician Institute
619 Oak Street Accounting-3 West	Cincinnati	OH	45206	311074519	Physicians	OH	501(c)(3)	11a	GSH
Catholic Health Initiatives Colorado Fou
961 East Colorado Avenue	Colorado Springs	CO	80903	840902211	Foundation	CO	501(c)(3)	7	CHI Colorado
SET of Colorado Springs Inc
825 E Pikes Peak Avenue Bldg 29	Colorado Springs	CO	80903	841183335	LTerm Care	CO	501(c)(3)	7	CHI Colorado
Catholic Health Initiatives
1999 Broadway Suite 4000	Denver	CO	80202	470617373	Healthcare	CO	501(c)(3)	9	CHI
Catholic Health Care Federation
1999 Broadway Suite 4000	Denver	CO	80202	208473567	Jurdic Person	CO	501(c)(3)	11a	CHI
Global Health Initiatives
1999 Broadway Suite 4000	Denver	CO	80202	201536108	Ministries	CO	501(c)(3)	11a	CHI
Health SET
4200 West Conejos Place 436	Denver	CO	80204	841102943	Low Inc.Care	CO	501(c)(3)	7	CHI Colorado
Bishop Drumm Retirement Center
1111 6th Avenue	Des Moines	IA	50314	420725196	LTerm Care	IA	501(c)(3)	9	CHI-IA Corp
Mercy Medical Center - Des Moines AKA
1111 6th Avenue	Des Moines	IA	50314	420680448	Hospital	IA	501(c)(3)	3	CHI-IA Corp
House of Mercy
1111 6th Avenue	Des Moines	IA	50314	421323808	Shelter	IA	501(c)(3)	7	CHI-IA Corp
Mercy Auxiliary of Central Iowa
1111 6th Avenue	Des Moines	IA	50314	426076069	Auxiliary	IA	501(c)(3)	11a	CHI-IA Corp
Mercy Clinics Inc
1111 6th Avenue	Des Moines	IA	50314	421193699	Physician	IA	501(c)(3)	9	CHI-IA Corp
Mercy College of Health Sciences
1111 6th Avenue	Des Moines	IA	50314	421511682	Education	IA	501(c)(3)	2	CHI-IA Corp
Mercy Foundation of Des Moines IA
1111 6th Avenue	Des Moines	IA	50314	237358794	Foundation	IA	501(c)(3)	7	CHI-IA Corp
Mercy Medical Center - Centerville FKA
1 St Josephs Drive	Centerville	IA	52544	420680308	Hospital	IA	501(c)(3)	3	CHI-IA Corp
Mercy Professional Practice Associates
1111 6th Avenue	Des Moines	IA	50314	421470935	Physician	IA	501(c)(3)	9	CHI-IA Corp
Mercy Hospital of Devils Lake
1031 East Seventh Street	Devils Lake	ND	58301	450227012	Healthcare	ND	501(c)(3)	3	CHI
Saint Joseph's Hospital Foundation
30 West 7th Street	Dickinson	ND	58601	363418207	Foundation	ND	501(c)(3)	11a	SJHHC
St Joseph's Hospital and Health Center
30 West 7th Street	Dickinson	ND	58601	450226429	Healthcare	ND	501(c)(3)	3	CHI
Mercy Regional Medical Center of Durango
1010 Three Springs Blvd	Durango	CO	81301	840405515	Hospital	CO	501(c)(3)	3	CHI
CHI Kentucky Inc
3900 Olympic Blvd Suite 400	Erlanger	KY	41018	202741651	Healthcare	KY	501(c)(3)	11a	CHI
Villa Nazareth Inc
801 Page Drive	Fargo	ND	58103	450226714	LT Care	ND	501(c)(3)	9	CHI
St Catherine Hospital
401 East Spruce Street	Garden City	KS	67846	480543721	Hospital	KS	501(c)(3)	3	CHI
St Catherine Hospital Development Found
401 East Spruce Street	Garden City	KS	67846	200598702	Foundation	KS	501(c)(3)	11a	SCH
Saint Francis Medical Center Foundation
PO Box 9804	Grand Island	NE	68802	470630267	Foundation	NE	501(c)(3)	7	SFMC
Saint Francis Medical Center
PO Box 9804	Grand Island	NE	68802	470376601	HealthCare	NE	501(c)(3)	3	CHI Nebraska
Central Kansas Medical Center
3515 Broadway	Great Bend	KS	67530	480543724	Hospital	KS	501(c)(3)	3	CHI
St Joseph Memorial Hospital
923 Carroll Ave	Larned	KS	67550	481253246	Hospital	KS	501(c)(3)	3	CKMC
MNMCH Inc
220 North Pennsylvania	Columbus	KS	66725	481216238	Hospital	KS	501(c)(3)	3	SJRMC
Mercy Lifecare Systems
2727 McClelland Blvd	Joplin	MO	64804	431305163	Property Mgmt	MO	501(c)(3)	11a	SJRMC
St John's Medical Group
2727 McClelland Blvd	Joplin	MO	64804	431882377	Phys Practice	MO	501(c)(3)	9	SJRMC
St John's Mercy Regional Foundation
2727 McClelland Blvd	Joplin	MO	64804	431308084	Foundation	MO	501(c)(3)	7	SJRMC
St John's Regional Medical Center
2727 McClelland Blvd	Joplin	MO	64804	440545809	Hospital	MO	501(c)(3)	3	CHI
Good Samaritan Hospital
PO Box 1990	Kearney	NE	68848	470379755	HealthCare	NE	501(c)(3)	3	CHI Nebraska
Good Samaritan Hospital Foundation
PO Box 1810	Kearney	NE	68848	470659443	Foundation	NE	501(c)(3)	7	GSH
St Joseph Health Ministries
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	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	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	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
St Joseph Development Co
a	5000
Franciscan Foundation
c	4052501
St Joseph Development Co
j	890856
Franciscan Medical Group
b	45170849
ST ELIZABETH HOSPITAL
B	4071340
Fransciscan Foundation
b	1872028
Catholic Health Initiatives
l	110427952
Catholic Health Initiatives
o	17335364
Catholic Health Initiatives
q	26438198