In the first decade of the twentieth century, the establishment of the Independence and Lamoni stakes (1901) and the kingdom concern of President Frederick M. Smith combined with other favorable factors to quicken church-wide interest in the Gathering. The building of Zionic institutions is vital to any significant gathering. By 1906 Graceland College had weathered her fist ten difficult years, the Saints' Home was giving good ministry, and leading women were showing interest in a children's home.

At the pre-Conference sessions of April 1906, the First Presidency recommended to the Quorum of Twelve that a sanitarium be established with Dr. Joseph Luff of that quorum as its presiding officer. The Twelve favored the basic proposal, but expressed concern regarding the assignment of an apostle to the responsibilities proposed for Dr. Luff. The Quorum stated that they would "gladly engage in an effort to learn the Master's will" in this matter. The prayerful inquiries resulting from this action prepared the way for the following revelation given through President Joseph Smith. It was presented to the General Conference, April 14, 1906, at Independence, Missouri, and accepted by unanimous vote.

Thus saith the Spirit unto the Church:

[Sec 127:1a] It is the will of the Lord that a sanitarium, a place of refuge and help for the sick and afflicted, be established by the church, at Independence, Missouri, as my servant Joseph Smith has already stated to you.

[Sec 127:1b] This should be done as soon as it is found to be practicable, and without unnecessary delay.

[Sec 127:1c] The Presiding Bishop and his counselors and the Bishopric of the Independence Stake should take counsel together in locating and establishing this sanitarium.

[Sec 127:2a] It is also expedient that these should be assisted by the advice and counsel of one of my servants who is acquainted with the laws of health and the practice of medicine, and who may have charge when the institution is established.

[Sec 127:2b] It is in accordance with the instruction given to my servant Joseph Smith that my servant Joseph Luff, who has been giving his attention to the study of medicine and has been preparing himself for usefulness in this direction, be associated with this sanitarium as a medical director and physician to the church and be put in charge,

[Sec 127:2c] that he may be an assistant to those who seek the aid of this institution of the church, in his spiritual office and his calling as a physician,

[Sec 127:2d] with those who from time to time may be called to administer in laying hands upon the afflicted and sick, where they may be removed from the influences and environments unfavorable to the exercise of proper faith unto the healing of the sick.

[Sec 127:2e] And this my servant Joseph Luff may do and retain and exercise his apostleship.

[Sec 127:3] There should also be a home for children established, and the efforts of the Daughters of Zion should be approved and carried unto completion as soon as is consistent with the necessary demands of the work of the church in other directions.

[Sec 127:4a] In the establishment of the sanitarium and the home for children, debt should not be contracted nor too large nor expensive buildings be built at the outset.

[Sec 127:4b] Those to whom this work is assigned should exercise the necessary degree of wisdom that the work be effectual for the intent and purposes designed.

[Sec 127:5a] It is necessary that some one or more be sent to the South Sea Islands. The heaving of the sea beyond its bounds has been trying to the faith of many of the Saints in that far-off region.

[Sec 127:5b] They should be visited and comforted and encouraged.

[Sec 127:5c] Some one of experience and knowledge of the situation should be sent, accompanied by another, who should be prepared to make a stay of years, if necessary, in the mission to those islands.

[Sec 127:5d] My servant Joseph F. Burton, though aged, will be an efficient officer and representative of the faith, and, choosing some one to go with him, may be intrusted with this difficult mission.

[Sec 127:6] It is the will of the Lord that the mission to Utah and the west should be continued, and suitable representatives of the church be sent and maintained there under the conditions prevailing at the present time. It is essential that the church have proper representatives there.

[Sec 127:7a] As the Saints have heretofore been instructed in reference to the gathering, they are now again admonished that the gathering must not be in haste, nor without due preparation,

[Sec 127:7b] and must be done in accordance with the revelation given to the church upon Fishing River and in accordance with the counsel and advice of the elders of the church whose duty it has been made to counsel and advise the Saints.

[Sec 127:7c] The spirit of speculation, the exhibition of greed for gain is unseemly in the Saints and officers of the church, and should be avoided. It has the appearance of evil.

[Sec 127:7d] Heed should be paid to the admonitions of those who from time to time preach and write upon the gathering to remove the principle of selfishness from the hearts of the Saints and especially from those upon whom rests the burden of the church and its ministrations abroad.

[Sec 127:8a] Inasmuch as misunderstanding has occurred in regard to the meaning of a revelation hitherto given through my servant Joseph Smith in regard to who should be called to preside in case my servant should be taken away or fall by transgression,

[Sec 127:8b] it is now declared that in case of the removal of my servant now presiding over the church by death or transgression, my servant Frederick M. Smith, if he remain faithful and steadfast, should be chosen, in accordance with the revelations which have been hitherto given to the church concerning the priesthood.

[Sec 127:8c] Should my servant Frederick M. Smith prove unstable and unfaithful, another may be chosen, according to the law already given.

Independence, Missouri, April 14, 1906