HOSPITAL SISTERS HEALTH SYSTEM: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: HOSPITAL SISTERS HEALTH SYSTEM (EIN 37-1058692)
Tax period: 2022-07-01 to 2023-06-30
Filed: 2024-05-10
IRS object ID: 202431319349303528
Schema version: 2022v5.0
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 F
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-05-10T13:14:29+00:00	ReturnTs
Tax Period End	2023-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	350921680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	225 West Wacker Drive Suite 2600	AddressLine1Txt
City	Chicago	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	606061224	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	371058692	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Hospital Sisters Health System	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	HOSP	BusinessNameControlTxt
Phone	2175234747	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4936 Laverna Road	AddressLine1Txt
City	Springfield	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	62707	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Michael Scialdone	PersonNm
Person Title	SVP, System CFO	PersonTitleTxt
Signature	2024-05-10	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Michael	PersonFirstNm
Person Last	Scialdone	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Mallory Fairless	PreparerPersonNm
PTIN	P01321579	PTIN
Phone	3128997000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Damond Boatwright	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4936 Laverna Road	AddressLine1Txt
City	Springfield	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	62707	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$339,284,535	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.HSHS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1978	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	TO PROMOTE AND SUPPORT, DIRECTLY OR INDIRECTLY, BY DONATION, LOAN, OR OTHERWISE, THE INTERESTS AND PURPOSES OF THE HOSPITAL SISTERS OF THE 3RD ORDER OF ST. FRANCIS.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	2014	TotalEmployeeCnt
Total Volunteers	9	TotalVolunteersCnt
Total Gross UBI	$373,571	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
CY Contributions Grants	$464,381	CYContributionsGrantsAmt
PY Program Service Revenue	$255,241,792	PYProgramServiceRevenueAmt
CY Program Service Revenue	$268,609,588	CYProgramServiceRevenueAmt
PY Investment Income	$46,673,961	PYInvestmentIncomeAmt
CY Investment Income	$54,021,218	CYInvestmentIncomeAmt
PY Other Revenue	-$2,902,931	PYOtherRevenueAmt
CY Other Revenue	$16,189,348	CYOtherRevenueAmt
PY Total Revenue	$299,012,822	PYTotalRevenueAmt
CY Total Revenue	$339,284,535	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$160,504,266	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$170,561,422	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$125,123,001	PYOtherExpensesAmt
CY Other Expenses	$137,880,340	CYOtherExpensesAmt
PY Total Expenses	$285,627,267	PYTotalExpensesAmt
CY Total Expenses	$308,441,762	CYTotalExpensesAmt
PY Revenues Less Expenses	$13,385,555	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$30,842,773	CYRevenuesLessExpensesAmt
Total Assets BOY	$378,298,559	TotalAssetsBOYAmt
Total Assets EOY	$382,133,042	TotalAssetsEOYAmt
Total Liabilities BOY	$80,602,946	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$58,190,147	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$297,695,613	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$323,942,895	NetAssetsOrFundBalancesEOYAmt
Mission	TO REVEAL AND EMBODY CHRIST'S HEALING LOVE FOR ALL PEOPLE THROUGH A HEALTH CARE MINISTRY BY PROMOTING AND SUPPORTING, DIRECTLY OR INDIRECTLY, BY DONATION, LOAN, OR OTHERWISE, THE INTERESTS AND PURPOSES OF THE HOSPITAL SISTERS OF THE 3RD ORDER OF ST. FRANCIS.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$289,371,518	ExpenseAmt
Revenue	$284,425,365	RevenueAmt
Desc	HOSPITAL SISTERS HEALTH SYSTEM (HSHS) SERVES AS THE PARENT ORGANIZATION FOR VARIOUS INCORPORATED MINISTRY ORGANIZATIONS WITH THE DESIGNATED MEMBERS OF HSHS BEING HOSPITAL SISTERS MINISTRIES, WHICH CONSISTS OF INDIVIDUALS WHO FROM TIME TO TIME ARE DULY APPOINTED BY THE PROVINCIAL COUNCIL OF THE HOSPITAL SISTERS OF ST. FRANCIS. THE MISSION OF HSHS IS TO PROVIDE A STRUCTURE AND THE MEANS WHEREBY THE HOSPITAL SISTERS CONTINUE THEIR HEALING MINISTRY. HSHS PROVIDES PROFESSIONAL AND TECHNICAL EXPERTISE IN THE MANAGEMENT OF THE AFFILIATED ORGANIZATIONS.	Desc
Total Program Service Expenses	$289,371,518	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	1200	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2014	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LINDA DACE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6182342120	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3051 Hollis Drive	AddressLine1Txt
City	Springfield	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	62704	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BILL BLUM
2022 CHAIR	1.3	0.3	Yes (X)	Yes (X)	$0	$0	$0
DAMOND BOATWRIGHT
PRESIDENT & CEO	58.5	1.5	Yes (X)	Yes (X)	$1,693,985	$0	$270,956
J Michael Houston
VICE CHAIR	1.3	0.3	Yes (X)	Yes (X)	$0	$0	$0
JANICE WIEGMAN PHD
2022 & 2023 Secretary	1.3	0.3	Yes (X)	Yes (X)	$0	$0	$0
WILLIAM MURRAY
Chair (until 10/31/22)	0.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Jeff Halloin
BOARD MEMBER	2.3	0.3	Yes (X)		$0	$0	$0
JOHN SHEEHAN
BOARD MEMBER	1.3	0.3	Yes (X)		$0	$0	$0
MATTHEW LAMBERT MD
BOARD MEMBER	1.3	0.3	Yes (X)		$0	$0	$0
SR CHRISTA ANN STRUEWING OSF
BOARD MEMBER	1.3	0.3	Yes (X)		$0	$0	$0
WILLIAM S LYKE
Board Member	1.3	0.3	Yes (X)		$0	$0	$0
Kimberly Hodgkinson
CFO/Foundation Treasurer	52.8	7.3		Yes (X)	$508,183	$0	$58,066
MICHAEL W COTTRELL
CFO (until 7/1/22)	59.5	0.5		Yes (X)	$987,241	$0	$22,748
TODD Smart
Treasurer	54.3	5.8		Yes (X)	$329,569	$0	$81,262
AMY BULPITT
SVP - Chief Legal Officer	59.0	1.0			$1,005,574	$0	$89,553	Yes (X)
ANDREW J BAGNALL
PRESIDENT & Division CEO - Wisconsin (UNTIL 11/1/22)	0.0	60.0			$842,889	$0	$32,735	Yes (X)
DAVID BEACH
HSHS CHIEF HR OFFICER	55.0	0			$771,092	$0	$174,961	Yes (X)
MARC SHELTON MD
Vice President & Chief Physician Executive (until 4/3/23)	50.0	10.0			$1,330,720	$0	$163,339	Yes (X)
RAYMOND GENSINGER JR
CIO (until Jan 2023)	60.0	0			$751,926	$0	$185,829	Yes (X)
EVERT J KUIPER
Former Division CEO - Illinois (until Jan 2022)	0.0	0.0			$526,246	$0	$6,227		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,747,425	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,085,677	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	227	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
OPTUM 360 LLC
2771 MOMENTUM PLACE	CHICAGO	IL	606895327	CODING SERVICES	$3,737,763
CORPORATE RELOCATION INTERNATIONAL
1432 WAINWRIGHT WAY	CARROLTON	TX	75007	RELOCATION SERVICES	$2,572,975	STE 100
MAXIM HEALTHCARE SERVICES
12558 COLLECTIONS CENTER DRIVE	CHICAGO	IL	60693	CODING SERVICES	$2,378,063
CROWE HEALTHCARE RISK CONSULTING LLC
PO BOX 74750	CHICAGO	IL	606944750	PROFESSIONAL SERVICES	$1,801,444
ASPIRION
PO BOX 1437	COLUMBUS	GA	31902	PROFESSIONAL SERVICES	$1,560,443

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	90	CntrctRcvdGreaterThan100KCnt
Related Organizations	$464,381	RelatedOrganizationsAmt
Total Contributions	$464,381	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
AFFILIATE MGMT FEES	561110	$266,798,447	$266,608,115	$190,332
RQIL FEES	561110	$1,407,096	$1,407,096
OTHER AFFILIATE REVENUE	561110	$404,045	$404,045

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$268,609,588	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$53,381,119	TotalRevenueColumnAmt
Exclusion	$53,381,119	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$640,099	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$640,099	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$640,099	TotalRevenueColumnAmt
Exclusion	$640,099	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
ADMINISTRATIVE REVENUE	561110	$9,162,937	$8,979,698	$183,239
HEALTH CARE PLAN	561110	$6,943,598	$6,943,598
FLEX PLAN	561110	$82,813	$82,813

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$16,189,348	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$339,284,535	TotalRevenueColumnAmt
Related Or Exempt Func Income	$284,425,365	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$373,571	UnrelatedBusinessRevenueAmt
Exclusion	$54,021,218	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,952,010	TotalAmt
Program Services	$3,556,809	ProgramServicesAmt
Management And General	$395,201	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$121,407,824	TotalAmt
Program Services	$109,267,042	ProgramServicesAmt
Management And General	$12,140,782	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$9,516,070	TotalAmt
Program Services	$8,991,312	ProgramServicesAmt
Management And General	$524,758	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$26,834,156	TotalAmt
Program Services	$24,900,629	ProgramServicesAmt
Management And General	$1,933,527	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,851,362	TotalAmt
Program Services	$8,267,878	ProgramServicesAmt
Management And General	$583,484	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,813,487	TotalAmt
Program Services	$1,632,138	ProgramServicesAmt
Management And General	$181,349	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,071,304	TotalAmt
Program Services	$964,174	ProgramServicesAmt
Management And General	$107,130	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$228,164	TotalAmt
Program Services	$205,348	ProgramServicesAmt
Management And General	$22,816	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$316,507	TotalAmt
Program Services	$284,856	ProgramServicesAmt
Management And General	$31,651	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$32,301,748	TotalAmt
Program Services	$31,418,143	ProgramServicesAmt
Management And General	$883,605	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$599,024	TotalAmt
Program Services	$539,121	ProgramServicesAmt
Management And General	$59,903	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,582,325	TotalAmt
Program Services	$5,411,622	ProgramServicesAmt
Management And General	$170,703	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$51,158,660	TotalAmt
Program Services	$50,127,245	ProgramServicesAmt
Management And General	$1,031,415	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,755,111	TotalAmt
Program Services	$3,610,579	ProgramServicesAmt
Management And General	$144,532	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$491,357	TotalAmt
Program Services	$466,737	ProgramServicesAmt
Management And General	$24,620	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$930,434	TotalAmt
Program Services	$868,250	ProgramServicesAmt
Management And General	$62,184	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$353,179	TotalAmt
Program Services	$352,159	ProgramServicesAmt
Management And General	$1,020	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$28,262,163	TotalAmt
Program Services	$28,133,628	ProgramServicesAmt
Management And General	$128,535	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,203,206	TotalAmt
Program Services	$2,950,913	ProgramServicesAmt
Management And General	$252,293	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Recruiting	$1,259,478	$1,133,530	$125,948
Dues and Memberships	$460,924	$420,511	$40,413
Licenses and taxes	$711,582	$640,424	$71,158
Equip. rental and maintenance	$257,507	$234,788	$22,719

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,124,180	TotalAmt
Program Services	$4,993,682	ProgramServicesAmt
Management And General	$130,498	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$308,441,762	TotalAmt
Program Services	$289,371,518	ProgramServicesAmt
Management And General	$19,070,244	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$9,206,963	BOYAmt
EOY	$10,449,544	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$3,098,150	BOYAmt
EOY	$7,496,653	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$556,638	BOYAmt
EOY	$253,328	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$15,116,424	BOYAmt
EOY	$17,338,178	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$418,620,537	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$305,925,795	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$124,936,459	BOYAmt
EOY	$112,694,742	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$148,462,907	BOYAmt
EOY	$152,122,803	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$64,425,996	BOYAmt
EOY	$71,452,407	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$12,495,022	BOYAmt
EOY	$10,325,387	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$378,298,559	BOYAmt
EOY	$382,133,042	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$54,416,340	BOYAmt
EOY	$54,429,191	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	-$60,571	BOYAmt
EOY	-$66,757	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$26,247,177	BOYAmt
EOY	$3,827,713	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$80,602,946	BOYAmt
EOY	$58,190,147	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$297,695,613	BOYAmt
EOY	$323,942,895	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$297,695,613	BOYAmt
EOY	$323,942,895	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$378,298,559	BOYAmt
EOY	$382,133,042	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$30,842,773	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$3,494,441	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$8,089,932	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type3 Func Int	Yes (X)	SupportingOrgType3FuncIntInd
Supported Organizations	15	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (15 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt	Business Name Line2SupportedOrganizationName/BusinessNameLine2Txt
SACRED HEART HOSPITAL OF HOSPITAL SISTERS OF THIRD ORDER OF ST FRANCIS
390807060	3	Yes (true)	$0	$20,195,292
ST ANTHONY'S MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER O
370661233	3	Yes (true)	$0	$15,928,824	F ST FRANCIS
ST ELIZABETH'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FR
370663567	3	Yes (true)	$0	$30,595,536	ANCIS
ST FRANCIS HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS
370661236	3	Yes (true)	$0	$5,322,972
ST JOHN'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS
370661238	3	Yes (true)	$0	$54,411,024
ST JOSEPH'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANC
371208459	3	Yes (true)	$0	$6,849,360	IS
ST JOSEPH'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANC
370663568	3	Yes (true)	$0	$4,473,024	IS
ST JOSEPH'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANC
390810545	3	Yes (true)	$0	$7,324,764	IS
ST MARY'S HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST
370661244	3	Yes (true)	$0	$17,380,188	FRANCIS
ST MARY'S HOSPITAL MEDICAL CENTER
390818682	3	Yes (true)	$0	$16,802,172
ST NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANC
390808480	3	Yes (true)	$0	$12,421,932	IS
ST VINCENT HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCI
390817529	3	Yes (true)	$0	$44,043,516	S
ST CLARE MEMORIAL HOSPITAL INC
390848401	3	Yes (true)	$0	$2,677,248
HSHS HOLY FAMILY HOSPITAL
370792770	3	Yes (true)	$0	$1,849,344
HSHS Good Shepherd Hospital Inc
370512290	3	Yes (true)	$0	$1,112,988

Field	Value	IRS element (for citing)
Supported Organizations Total	15	SupportedOrganizationsTotalCnt
Support Sum	$0	SupportSumAmt
Other Support Sum	$241,388,184	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	Yes (true)	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	false	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	false	SupportedOrgSectionC456Ind
Supported Org Not Organized US	false	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	false	OrganizationChangeSuprtOrgInd
Support Non Supported Org	false	SupportNonSupportedOrgInd
Payment Substantial Contribtr	false	PaymentSubstantialContribtrInd
Loan Disqualified Person	false	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	false	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	false	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	false	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	false	ExcessBusinessHoldingsRulesInd
Contribution Controller	false	ContributionControllerInd
Contribution Family	false	ContributionFamilyInd
Contribution35 Controlled	false	Contribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

Field	Value	IRS element (for citing)
Timely Provided Documents	Yes (true)	TimelyProvidedDocumentsInd
Officers Close Relationship	Yes (true)	OfficersCloseRelationshipInd
Supported Org Voice Investment	Yes (true)	SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

Field	Value	IRS element (for citing)
Parent Supported Org	Yes (X)	ParentSupportedOrgInd
Appoint Elect Majority Officer	Yes (true)	AppointElectMajorityOfficerInd
Exercise Direction Policies	Yes (true)	ExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule A, Part I, Line 12g AMOUNT OF OTHER SUPPORT	HOSPITAL SISTERS HEALTH SYSTEM ("HSHS") ADMINISTERS THE WORKERS COMPENSATION FUND, HEALTH CARE FUND, FLEX PLAN, AND INVESTMENT FUND FOR HSHS AND THE RELATED HOSPITALS AND EXEMPT ORGANIZATIONS. HSHS UTILIZES THESE FUNDS TO PROVIDE CENTRALIZED MANAGEMENT, HUMAN RESOURCES, REVENUE CYCLE AND COMPUTER SERVICES TO ITS AFFILIATED HOSPITALS AND OTHER RELATED AFFILIATES. THE HOSPITALS AND OTHER RELATED AFFILIATES PAY A MANAGEMENT FEE TO HSHS FOR THESE SERVICES. THE AMOUNTS REPORTED IN PART I, LINE 12G, COLUMN (VI) REPRESENTS THE AMOUNT OF MANAGEMENT FEES PAID BY EACH LOCAL HOSPITAL SYSTEM.
Schedule A, Part IV, Section D, Line 3 Supp. Org. Have Significant Voice In Investment Policies	THE OVERALL INVESTMENT OBJECTIVE OF HSHS IS TO INVEST ITS ASSETS IN A PRUDENT MANNER THAT WILL ACHIEVE AN EXPECTED RATE OF RETURN, MANAGE RISK EXPOSURE, AND FOCUS ON DOWNSIDE PROTECTION. HSHS' INVESTED ASSETS WILL MAINTAIN SUFFICIENT LIQUIDITY TO FUND A PORTION OF HSHS' ANNUAL OPERATING ACTIVITIES AND STRUCTURE THE INVESTED ASSETS TO MAINTAIN A HIGH PERCENTAGE OF AVAILABLE LIQUIDITY. HSHS DIVERSIFIES ITS INVESTMENTS AMONG VARIOUS ASSET CLASSES INCORPORATING MULTIPLE STRATEGIES AND MANAGERS. THE HSHS BOARD APPROVES THE INVESTMENT POLICY STATEMENT ("IPS"). HSHS HAS AN INVESTMENT SUBCOMMITTEE COMPRISED OF INDIVIDUALS EXPERIENCED IN INVESTMENTS AND INVESTMENT RELATED MATTERS. THE INVESTMENT SUBCOMMITTEE OVERSEES THE INVESTMENT PROGRAM IN ACCORDANCE WITH THE IPS. THE SUBCOMMITTEE INCLUDES BOTH THOSE WHO SERVE ON THE HSHS BOARD OF DIRECTORS, THOSE WHO SERVE ON THE BOARD OF SUPPORTED ORGANIZATIONS AND OTHERS. THE SUBCOMMITTEE, MANAGEMENT, AND THE INVESTMENT CONSULTANT DEVELOP INVESTMENT POLICIES, RECOMMEND ASSET ALLOCATION AND INVESTMENT MANAGER CHANGES, MONITOR AND REVIEW INVESTMENT PERFORMANCE, RISK, AND ADHERENCE TO THE IPS.
Schedule A, Part IV, Section E, Line 3a Power To Appoint/Elect Majority of Officer/Director/Trustee	HSHS HAS THE RESERVED POWERS TO APPOINT AND REMOVE ANY ONE OR MORE OF THE MEMBERS OF THE BOARD OF DIRECTORS OF THE SUPPORTED ORGANIZATIONS.
Schedule A, Part IV, Section E, Line 3b Substantial Direction Over Policies/Programs/Activities	AS THE PARENT CORPORATION HSHS, EXERTS CONTROL OVER THE POLICIES, PROGRAMS AND ACTIVITIES OF ITS SUPPORTED ORGANIZATIONS THROUGH VARIOUS RESERVED POWERS AND THE PROVISION OF OVERALL STRATEGIC PLANNING AND DIRECTION TO ITS SUPPORTED ORGANIZATIONS. SPECIFICALLY, HSHS PROVIDES CONSULTATION, MANAGEMENT, AND COORDINATION AND SHARED PROGRAMS FOR ITS SUPPORTED ORGANIZATIONS. HSHS ALSO PROVIDES RELIGIOUS, EDUCATIONAL, CHARITABLE AND OTHER SUCH ACTIVITIES, SERVICES AND PROGRAMS AS ARE RELATED TO EDUCATIONAL/SOCIAL SERVICE AND HEALTH CARE INSTITUTIONS.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$239,991	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$14,624	OtherActivitiesAmt
Total Lobbying Expenditures	$254,615	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	HSHS ENGAGES IN LEGISLATIVE ADVOCACY TO SUPPORT THE ORGANIZATION'S MISSION AND TO PROMOTE HEALTH CARE ACCESS FOR ALL. A PORTION OF DESIGNATED STAFF TIME IS COMMITTED TO ADVOCACY ON LAWS AND REGULATIONS AT THE FEDERAL, STATE, AND LOCAL LEVELS. HSHS ALSO RETAINS SOME OUTSIDE ORGANIZATIONS TO ASSIST WITH THIS LOBBYING. THE DOLLAR FIGURE SHOWN INCLUDES COMPENSATION COSTS FOR THE PORTION OF TIME SPENT BY STAFF MEMBERS ON PUBLIC POLICY ADVOCACY, AMOUNTS PAID TO ORGANIZATIONS THAT ASSIST WITH THIS LOBBYING, AND AN ESTIMATE OF OTHER OFFICE EXPENSES RELATED TO THESE ACTIVITIES. THIS AMOUNT ALSO INCLUDES MAILINGS TO LEGISLATORS, DIRECT CONTACT WITH THEM OR THEIR STAFFS, OTHER OFFICIALS AND THE GENERAL PUBLIC,THESE ARE NOT REPORTED SEPARATELY BECAUSE OF THE SMALL DOLLAR AMOUNTS INVOLVED.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,612,868	OtherCostOrOtherBasisAmt
Book Value	$1,612,868	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$21,055,880	OtherCostOrOtherBasisAmt
Depreciation	$11,023,488	DepreciationAmt
Book Value	$10,032,392	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,979,366	OtherCostOrOtherBasisAmt
Depreciation	$1,116,373	DepreciationAmt
Book Value	$862,993	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$61,872,612	OtherCostOrOtherBasisAmt
Depreciation	$47,176,084	DepreciationAmt
Book Value	$14,696,528	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$332,099,811	OtherCostOrOtherBasisAmt
Depreciation	$246,609,850	DepreciationAmt
Book Value	$85,489,961	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$112,694,742	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Investment in Health Care Plan	$70,339,218	F
Investment in Flex Plan	$1,113,189	F

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$71,452,407	TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	RELATED HOSPITALS IT NOTES PAYABLE	Desc
Amt	$3,827,713	Amt

Field	Value	IRS element (for citing)
Total Liability	$3,827,713	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	HSHS and the Foundation are Illinois not-for-profit organizations as described in Section 501(c) (3) of the Internal Revenue Code (the Code) and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Kiara, Inc. is an Illinois for-profit corporation that recognizes income taxes under the asset-and-liability method. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the consolidated financial statement carrying amounts of existing assets and liabilities and their respective tax basis and operating loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using the enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. The net operating loss carryforwards result in a deferred tax asset of $3,385 and $3,548 at June 30, 2023 and 2022, respectively. In assessing the realizability of deferred tax assets, management considers whether it is more likely than not that some portion or all of the deferred tax assets will not be realized. The ultimate realization of deferred tax assets is dependent upon the generation of future taxable income during the periods in which those temporary differences become deductible. Management considers projected future taxable income and tax planning strategies in making this assessment. Based upon the level of historical taxable losses and projections for future taxable losses over the periods for which the deferred tax assets are deductible, management believes it is more likely Kiara, Inc. will not realize the majority of the benefits of these deductible differences. Full valuation allowances have been applied against the deferred tax assets attributable to the net operating loss carryforwards not realized as of June 30, 2023 and 2022 in the accompanying consolidated financial statements due to the uncertainty of realization. HSHS recognizes the tax benefit from an uncertain tax position only if it is more likely than not the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. As of June 30, 2023 and 2022, HSHS does not have any liabilities for unrecognized tax benefits.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$369,200,899	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$369,200,899	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$369,200,899	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements	FormAndLineReferenceDesc
Explanation	CENTRAL AMERICA AND THE CARIBBEAN-Accrual	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DAMOND BOATWRIGHT
PRESIDENT & CEO	$1,234,564	$0	$301,083	$0	$158,338	$0	$255,073	$0	$15,883	$0	$1,964,941	$0	$0	$0
MICHAEL W COTTRELL
CFO (until 7/1/22)	$387,887	$0	$158,142	$0	$441,212	$0	$4,570	$0	$18,178	$0	$1,009,989	$0	$112,843	$0
TODD Smart
Treasurer	$267,686	$0	$38,335	$0	$23,548	$0	$45,254	$0	$36,008	$0	$410,831	$0	$0	$0
Kimberly Hodgkinson
CFO/Foundation Treasurer	$338,668	$0	$40,000	$0	$129,515	$0	$46,924	$0	$11,142	$0	$566,249	$0	$0	$0
EVERT J KUIPER
Former Division CEO - Illinois (until Jan 2022)	$51,437	$0	$0	$0	$474,809	$0	$3,413	$0	$2,814	$0	$532,473	$0	$196,540	$0
ANDREW J BAGNALL
PRESIDENT & Division CEO - Wisconsin (UNTIL 11/1/22)	$416,871	$0	$146,870	$0	$279,148	$0	$5,318	$0	$27,417	$0	$875,624	$0	$134,905	$0
DAVID BEACH
HSHS CHIEF HR OFFICER	$488,248	$0	$102,982	$0	$179,862	$0	$148,441	$0	$26,520	$0	$946,053	$0	$75,132	$0
AMY BULPITT
SVP - Chief Legal Officer	$571,980	$0	$123,250	$0	$310,344	$0	$88,321	$0	$1,232	$0	$1,095,127	$0	$188,611	$0
RAYMOND GENSINGER JR
CIO (until Jan 2023)	$508,358	$0	$88,972	$0	$154,596	$0	$167,751	$0	$18,078	$0	$937,755	$0	$102,205	$0
MARC SHELTON MD
Vice President & Chief Physician Executive (until 4/3/23)	$859,848	$0	$181,018	$0	$289,854	$0	$131,320	$0	$32,019	$0	$1,494,059	$0	$129,148	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule J, Part I, Line 1a Tax indemnification and gross-up payments

DURING THE YEAR, THE FOLLOWING INTERESTED PERSONS RECEIVED A TAX GROSS-UP PAYMENT. THE RELATED AMOUNTS WERE TREATED AS TAXABLE COMPENSATION TO THE RECIPIENT. DAMOND BOATWRIGHT KIMBERLY HODGKINSON

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan

HSHS EXECUTIVES ELIGIBLE TO PARTICIPATE IN SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) ARE DEFINED IN THE SERP PLAN DOCUMENTS. THE SERP WAS ESTABLISHED TO PROVIDE ADDITIONAL RETIREMENT BENEFITS TO ENSURE REASONABLE MARKET COMPETITIVE BENEFITS IN ACCORDANCE WITH THE HSHS EXECUTIVE COMPENSATION PHILOSOPHY ESTABLISHED BY THE HSHS COMPENSATION COMMITTEE. THE PLAN PROVIDES A DEFINED RETIREMENT CONTRIBUTION TO PARTICIPANTS COMMENCING ON JANUARY 1, 2008, EQUAL TO A PERCENTAGE OF COMPENSATION AS DEFINED IN THE SERP PLAN DOCUENTS FOR THE PLAN YEAR. PARTICIPANTS CONSTRUCTIVELY RECEIVE A DISTRIBUTION FROM THE PLAN NO LATER THAN MARCH 15TH OF THE CALENDAR YEAR FOLLOWING THE CALENDAR YEAR IN WHICH AN AMOUNT IS VESTED AND TAXABLE PURSUANT TO A VESTING SCHEDULE AS SPECIFIED IN THE PLAN DOCUMENT. THE ACTUAL DISTRIBUTION OF THE VESTED BENEFIT UNDER THE PLAN IS PAID IN A SINGLE LUMP SUM TO THE PARTICIPANT OR THE PARTICIPANT'S BENEFICIARY UPON THE EARLIER OF THE PARTICIPANT'S TERMINATION OF EMPLOYMENT, DEATH, OR TOTAL AND PERMANENT DISABILITY. THE FOLLOWING INTERESTED PERSONS CONSTRUCTIVELY RECEIVED DEFERRALS TO THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2022 THESE DEFERRALS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). David Beach -- $71,734 Damond Boatwright -- $230,862 Amy Bulpitt -- $83,003 Raymond Gensinger -- $78,229 KIMBERLY HODGKINSON -- $40,920 Marc Shelton -- $126,002 Todd Smart -- $25,135 THE FOLLOWING INTERESTED PERSONS RECEIVED DISTRIBUTIONS FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2022 THESE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III) AND SCHEDULE J, PART II, COLUMN (F), AS APPLICABLE. Andrew Bagnall -- $134,905 David Beach -- $75,132 Amy Bulpitt -- $188,611 Michael Cottrell -- $249,228 Raymond Gensinger -- $102,205 Evert Kuiper -- $196,540 Marc Shelton -- $129,148

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part IV, Line 10 Endowment Funds	The organization maintains net assets without donor restrictions on its balance sheet. Such funds are held by Hospital Sisters of St. Francis Foundation, Inc., a related tax-exempt organization. While these funds are held to further one or more exempt purposes of the filing organization, they are not maintained exclusively for the filing organization. The board of directors of Hospital Sisters of St. Francis Foundation, Inc. maintains ownership and ultimately authority and discretion over the use of these funds. Based on the above, the related amounts have not been reported as endowment funds on Part V of Schedule D.
Form 990, Part VI, Line 13 WHISTLEBLOWER POLICY	PROVISIONS WITHIN THE CORPORATE COMPLIANCE PROGRAM AND CONFLICT OF INTEREST POLICY PROVIDE PROTECTIONS FOR WHISTLEBLOWER TYPE ACTIVITIES.
Form 990, Part VI, Line 1a Governing body delegated broad authority to an executive committee	PER ARTICLE 5.5 OF THE ORGANIZATION'S BY-LAWS, THE GOVERNING BODY DELEGATES BROAD AUTHORITY TO AN EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL BE VESTED WITH AND MAY IN ITS DISCRETION EXERCISE THE FULL POWERS, DUTIES, RESPONSIBILITIES, AND AUTHORITY OF THE BOARD EXCEPT WHERE PROHIBITED BY LAW AND SUBJECT TO ANY LIMITATIONS IMPOSED BY THE BYLAWS OR THE BOARD OF DIRECTORS. AS PROVIDED IN THE BY-LAWS, THE EXECUTIVE COMMITTEE SHALL CONSIST OF FOUR TO SIX MEMBERS, INCLUDING THE CHAIRPERSON OF THE BOARD, THE VICE CHAIRPERSON, THE PRESIDENT AND OTHER MEMBERS SELECTED FROM AMONG THE DIRECTORS BY THE BOARD.
Form 990, Part VI, Line 16b Written Policy or procedure for joint ventures	HOSPITAL SISTERS HEALTH SYSTEM ADOPTED A JOINT VENTURE COMPLIANCE PROGRAM POLICY EFFECTIVE ON JANUARY 1, 2012 FOR ALL SYSTEM HOSPITALS, INCLUDING ST. ANTHONY'S HOSPITAL. THE OVERALL PURPOSE OF THE POLICY IS TO PROVIDE PRACTICAL GUIDELINES FOR ETHICAL BUSINESS CONDUCT, TO ACHIEVE COMPLIANCE, AND TO DETECT AND PREVENT VIOLATIONS OF APPLICABLE LAWS. THE POLICY REQUIRES ST. ANTHONY HOSPITAL, AND ALL HSHS HOSPITALS, TO EVALUATE THEIR PARTICIPATION IN JOINT VENTURE ARRANGEMENTS, INCLUDING UNDER APPLICABLE FEDERAL TAX LAWS, AND TO SAFEGUARD ST. ANTHONY HOSPITAL'S TAX EXEMPT STATUS WITH RESPECT TO ANY JOINT VENTURE ARRANGEMENTS.
Form 990, Part VI, Line 4 Significant changes to organizational documents	THE BYLAWS WERE AMENDED WITH THE FOLLOWING SIGNIFICANT CHANGES: 1. DIRECTORS HAVE AN AGE CAP OF 75 YEARS. 2. THE MEMBER GAINED ONE ADDITIONAL RESERVED POWER TO APPROVE MATERIAL ACTIONS WITH RESPECT TO EMPLOYEE RETIREMENT PLANS SPONSORED BY THE CORPORATION OR ANY AFFILIATE. 3. THE MEMBER ONLY FILLS PRESIDENT VACANCIES, REMOVING THE ABILITY TO FILL SECRETARY AND TREASURER VACANCIES.
Form 990, Part VI, Line 6 Classes of members or stockholders	The Members of this corporation shall be Hospital Sisters Ministries, which shall consist of the individuals who from time to time are duly appointed by the Provincial Council of the Hospital Sisters of St. Francis to be members of the Hospital Sisters Ministries and shall have all powers granted to members of not-for-profit corporations under the laws of the State of Illinois, the Corporation's Articles of Incorporation and Bylaws.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	Pursuant to Section 2.3 of the HSHS Bylaws, the member, Hospital Sisters Ministries, which shall consist of the individuals who from time to time are duly appointed by the Provincial Council of the Hospital Sisters of St. Francis, shall have the right to appoint and remove the HSHS board of directors, officers of the board and president.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	The governance and operations of the Corporation shall be subject in all respects to the Members' right to exercise the reserved powers set forth in this section (the "Reserved Powers") with respect to the Corporation and organizations of which the Corporation is either, directly or indirectly, a controlling member or a controlling shareholder (the "Affiliates"). The Members shall have the exclusive right to exercise the Reserved Powers, and the Board of Directors of the Corporation shall have no power or authority over the Corporation which would in any way conflict with the Members' exclusive right to exercise the Reserved Powers. The Reserved Powers shall include all rights granted to the Members of a notfor-profit corporation by law and the right to: (a) Adopt, approve amendments to, or amend any statement of philosophy, mission, mission integration or values or any name, logo, or mark of the Corporation or of any Affiliate; (b) Adopt, approve amendments to, or amend the Articles of Incorporation of the Corporation or of any Affiliate; (c) Adopt, approve amendments to, or amend the Bylaws of the Corporation or of any Affiliate; (d) Appoint and remove the Board of Directors, any one or more of the Directors of the Corporation or of Hospital Sisters Services, Inc. ("HSSI"), and the Chairperson and President of the Corporation or of HSSI; (e) Approve the recommendation of the Board of Directors to appoint or remove the Board of Directors, any one or more Directors of the Corporation or of HSSI, or the Chairperson and President of the Corporation or of HSSI. (f) With respect to the Corporation or any Affiliate, approve the purchase, sale, alienation, exchange, lease or encumbrance of any real, tangible or intangible property of the Corporation or of any Affiliate, which property has a value in excess of limits set from time to time by the Members; (g) Approve debt incurred by the Corporation or any Affiliate in an amount in excess of limits set from time to time by the Members; (h) Approve deviations by the Corporation from the annual capital and operating budgets in an amount or percentage specified by the Members from time to time; (i) Approve the consolidated strategic plan and goals of the Corporation; (j) Approve the sale of substantially all of the assets of the Corporation or of any Affiliate; (k) Approve the merger or dissolution of the Corporation or of any Affiliate; (l) Adopt or amend the plan for ministry education and governance for the Corporation and its Affiliates; (m) Approve the Corporation's Mission Accountability Reports and those of any Affiliate; (n) Approve material actions with respect to employee retirement plans sponsored by the Corporation or any Affiliate; and (o) Adopt policies to implement the Reserved Powers of the Members.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE ORGANIZATION ENGAGES CROWE LLP TO ASSIST IN THE OVERALL REVIEW AND ELECTRONIC SUBMISSION OF ITS FORM 990. CROWE LLP PROVIDES GUIDANCE IN IDENTIFYING CRITICAL ERRORS IN THE RETURN SUBMISSION AND FEEDBACK ON QUANTITATIVE AND QUALITATIVE RESPONSES. ADDITIONALLY, THE ORGANIZATION'S CFO PERFORMS A THOROUGH REVIEW OF THE RETURN, AND REVIEWS IT WITH THE ORGANIZATION'S CEO, AND/OR SENIOR LEADERS, BEFORE PRESENTING IT IN ITS ENTIRETY TO THE BOARD FOR QUESTIONING AND REVIEW PRIOR TO THE RETURN'S SIGNING AND SUBMISSION TO THE IRS.
Form 990, Part VI, Line 12c Conflict of interest policy	A REVISED CORPORATE COMPLIANCE PROGRAM AND CONFLICT OF INTEREST POLICY HAVE BEEN USED SINCE JANUARY, 2009 TO ESTABLISH THE PRACTICE OF MANAGING CONFLICTS OF INTEREST USING A SYSTEM-WIDE PROTOCOL FOR DISCLOSURE STATEMENTS. IN ACCORDANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY, ALL COVERED PERSONS HAVE A DUTY TO COMPLY WITH THE CONFLICT OF INTEREST POLICY FOR ANY CONTRACT, TRANSACTION, RELATIONSHIP, OR ACTIVITY CONTEMPLATED, ENTERED INTO, OR CONDUCTED AT HSHS. THE POLICY DEFINES COVERED PERSONS AS BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS, BOARD DESIGNEES, SENIOR MANAGEMENT, MEMBERS OF ANY COMMITTEE THAT OVERSEES THE APPROVAL OF PHARMACEUTICALS AND MEDICAL DEVICES, AND ANY OTHER INDIVIDUAL WHO HOLDS A POSITION OF TRUST. ON AN ANNUAL BASIS, HSHS DISCLOSES A COPY OF THE CONFLICT OF INTEREST POLICY, (AND ALL CORRESPONDING PROCEDURES, GUIDELINES, FORMS, AND TOOLS), TO ALL COVERED PERSONS, AND ADVISES ALL COVERED PERSONS IN WRITING OF ANY SUBSTANTIVE CHANGES TO THIS POLICY AND SUCH RELATED MATERIALS. THE COVERED PERSONS ARE REQUIRED TO REVIEW AND COMPLETE THE CORRESPONDING CONFLICT OF INTEREST STATEMENT. THE SYSTEM OFFICE VICE PRESIDENT, SYSTEM RESPONSIBILITY OR MEMBERS OF THE AUDIT AND INTEGRITY COMMITTEE ("COMMITTEE") ARE AVAILABLE TO ANSWER ANY QUESTIONS A COVERED PERSON MAY HAVE. IN ADDITION, IF, AT ANY TIME AFTER SUBMITTING AN ANNUAL CONFLICT OF INTEREST STATEMENT, A COVERED PERSON BECOMES AWARE OF AN INTEREST THAT HE OR SHE WOULD HAVE HAD TO DISCLOSE AT THE ANNUAL INTERVAL, THE COVERED PERSON SHALL PROMPTLY DISCLOSE THE INTEREST TO THE COMMITTEE USING THE HSHS CONFLICT OF INTEREST DISCLOSURE STATEMENT. COMPLETED CONFLICT OF INTEREST STATEMENTS ARE SUBMITTED TO THE COMMITTEE OF HSHS WHICH IS RESPONSIBLE FOR IDENTIFYING, ASSESSING, AND MANAGING CONFLICTS OF INTEREST THAT ARISE IN THE COURSE OF CONDUCTING THE AFFAIRS OF HSHS. IF THE COMMITTEE DETERMINES THAT A CONFLICT OF INTEREST EXISTS, HSHS SHALL NOT ENGAGE IN, OR ENTER INTO A PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY UNLESS THE COMMITTEE OR, WHERE NECESSARY, THE BOARD OF DIRECTORS (ACTING THROUGH ITS DISINTERESTED MEMBERS), HAS INVESTIGATED ALTERNATIVES TO THE PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY AND, IN THE ABSENCE OF ALTERNATIVES THAT ARE IN THE BEST INTERESTS OF HSHS, HAS DETERMINED: 1. THAT, REGARDLESS OF WHETHER THE COVERED PERSON PARTICIPATES IN THE IMPLEMENTATION OF THE PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY; 2. THE CONTRACT, TRANSACTION, ARRANGEMENT, OR ACTIVITY IS IN THE BEST INTERESTS OF HSHS; 3. THE CONTRACT, TRANSACTION, ARRANGEMENT, OR ACTIVITY IS FAIR AND REASONABLE FROM THE PERSPECTIVE OF HSHS; AND 4. HSHS CANNOT OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION, ARRANGEMENT OR ACTIVITY WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. IN DETERMINING WHETHER A CONTRACT, TRANSACTION, OR ARRANGEMENT IS FAIR AND REASONABLE TO HSHS, THE COMMITTEE SHALL CONSIDER, WHERE APPLICABLE: 1. APPRAISALS OR OTHER INDEPENDENT VALUATIONS OF THE FAIR MARKET VALUE OF THE CONTRACT, TRANSACTION, OR ARRANGEMENT; 2. INFORMATION REGARDING COMPARABLE CONTRACTS, TRANSACTIONS, OR ARRANGEMENTS BETWEEN UNRELATED PARTIES; 3. OFFERS FROM COMPARABLE COMPETING ENTITIES; AND/OR 4. STUDIES OF COMPARABLE COMPENSATION ARRANGEMENTS. IN ANY CASE IN WHICH THE COMMITTEE FINDS, AFTER TAKING THE STEPS DESCRIBED ABOVE, THAT HSHS SHOULD PARTICIPATE IN A PROPOSED TRANSACTION OR ARRANGEMENT DESPITE THE EXISTENCE OF A CONFLICT OF INTEREST, THE COMMITTEE SHALL DEVELOP, IMPLEMENT, MONITOR, AND ENFORCE COMPLIANCE WITH A CONFLICT MANAGEMENT PLAN FOR MANAGING THE CONFLICT OF INTEREST AS IT CONSIDERS NECESSARY FOR SUCH FINDINGS TO REMAIN VALID THROUGHOUT THE LIFE OF THE CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY. ALL CONFLICT MANAGEMENT PLANS SHALL: 1. STATE THAT THE COMMITTEE WILL OVERSEE, MONITOR, AND ENFORCE COMPLIANCE WITH THE PLAN THROUGHOUT THE COURSE OF THE STUDY, AND SPECIFY MEANS FOR DOING SO, INCLUDING, WITHOUT LIMITATION, THAT THE APPROPRIATE INDIVIDUALS MUST PROVIDE THE COMMITTEE WITH WRITTEN REPORTS PERTAINING TO COMPLIANCE WITH THE CONFLICT MANAGEMENT PLAN, THAT THE COMMITTEE SHALL HAVE THE RIGHT TO AUDIT THE STUDY FOR SUCH COMPLIANCE, AND THE RIGHT TO IMPOSE SANCTIONS FOR NON-COMPLIANCE; 2. STATE THAT THE PLAN MUST BE SHARED WITH COVERED PERSON WHOSE INTERESTS IT WAS DEVELOPED TO MANAGE; 3. STATE THAT THE PLAN MUST BE SHARED WITH, AND PERIODIC REPORTS ON COMPLIANCE WITH THE PLAN MUST BE PROVIDED TO THE BOARD, SENIOR MANAGEMENT AND/OR GOVERNMENT AGENCIES; AND 4. PROVIDE FOR SUCH OTHER MANAGEMENT STEPS AND MECHANISMS THE COMMITTEE CONSIDERS NECESSARY AND APPROPRIATE. IN ADDITION TO THE COMMITTEE, THE SYSTEM OFFICE VICE PRESIDENT OF SYSTEM RESPONSIBILITY AND RISK & COMPLIANCE MAY RETAIN SUCH INDEPENDENT ADVISORS OR EXPERTS AS DEEMED NECESSARY TO ASSIST IN MAKING ITS DETERMINATIONS AND DECISIONS. IF THE COMMITTEE DETERMINES THAT THE CONTEMPLATED TRANSACTION, RELATIONSHIP, ARRANGEMENT OR ACTIVITY CANNOT PROCEED DUE TO A CONFLICT OF INTEREST, THE COMMITTEE SHALL INFORM THE APPLICABLE COVERED PERSON OR DECISION-MAKING BODY OF SUCH DETERMINATION WITHIN ONE WEEK OF THE COMMITTEE MEETING AT WHICH THE CONTEMPLATED TRANSACTION WAS DISCUSSED. THE COMMITTEE SHALL DOCUMENT ITS REJECTION OF THE CONTEMPLATED TRANSACTION IN THE COMMITTEE'S MEETING MINUTES.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	THE COMPENSATION COMMITTEE (COMMITTEE) IS COMPRISED OF INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. THE COMMITTEE DEVELOPS A COMPENSATION PHILOSOPHY FOR THE SYSTEM AND ALL AFFILIATES. THE COMMITTEE SELECTS AND HIRES THE INDEPENDENT COMPENSATION CONSULTANT TO DEVELOP COMPARABILITY DATA AND ADVISE THE COMMITTEE DURING ITS DELIBERATIONS REGARDING ALL ELEMENTS OF TOTAL COMPENSATION FOR ALL HSHS EXECUTIVES, (the top management official, other officers and key employees). SULLIVAN COTTER, THE CONSULTANTS UTILIZED BY THE COMMITTEE, USE DATA FROM MULTIPLE TAX-EXEMPT PEER GROUP SOURCES TO DETERMINE SALARY RANGES, INCENTIVE OPPORTUNITY RANGES AND BENEFITS FOR THE HSHS executives. SULLIVAN COTTER THEN ASSISTS THE COMMITTEE IN PREPARING CONTEMPORANEOUS DOCUMENTATION OF ALL ACTIONS. EACH COMMITTEE MEETING IS CONDUCTED WITH THE INTENT TO CREATE A REBUTTABLE PRESUMPTION OF REASONABLENESS FOR ALL ELEMENTS OF EXECUTIVE TOTAL COMPENSATION. THE CHAIRMAN MAKES THIS DECLARATION AND ALSO INQUIRES IF THERE ARE ANY CONFLICTS OF INTEREST BY ANY ATTENDEES. ANY CONFLICTS ARE DISCLOSED AND THE COMMITTEE THEN ACTS IN A MANNER TO AVOID ANY CONFLICTED INDIVIDUAL PARTICIPATING IN ANY MANNER WHERE A CONFLICT MIGHT EXIST. AT THE END OF THE MEETING, THE COMMITTEE PREPARES CONTEMPORANEOUS MINUTES THAT RECORD ALL ACTIONS TAKEN DURING THE MEETING.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	PLEASE SEE RESPONSE TO FORM 990, PART VI, LINE 15A.
Form 990, Part VI, Line 19 Required documents available to the public	BOARD-APPROVED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC AT THIS TIME.
Form 990, Part VII, Section A COMPENSATION ARRANGEMENT	HOSPITAL SISTERS HEALTH SYSTEM EMPLOYS THE MANAGEMENT/OFFICERS OF THE VARIOUS ENTITIES WHICH ARE CENTRALLY SUPPORTED FOR THE BENEFIT OF THE HOSPITALS IT SUPPORTS.
Form 990, Part IX, Line 11g Other Fees	Contract Labor - Total Expense: 3400467, Program Service Expense: 3135003, Management and General Expenses: 265464, Fundraising Expenses: ; Consulting & Management Fee - Total Expense: 6877345, Program Service Expense: 6462080, Management and General Expenses: 415265, Fundraising Expenses: ; Other Professional Fees - Total Expense: 305443, Program Service Expense: 274899, Management and General Expenses: 30544, Fundraising Expenses: ; Collection Agency - Total Expense: 4134913, Program Service Expense: 4134202, Management and General Expenses: 711, Fundraising Expenses: ; Transcription Services - Total Expense: 1808231, Program Service Expense: 1808231, Management and General Expenses: , Fundraising Expenses: ; Coding Services - Total Expense: 4271511, Program Service Expense: 4271511, Management and General Expenses: , Fundraising Expenses: ; Other Purchased Services - Total Expense: 9999507, Program Service Expense: 9978251, Management and General Expenses: 21256, Fundraising Expenses: ; Special Projects - Total Expense: 1304626, Program Service Expense: 1174231, Management and General Expenses: 130395, Fundraising Expenses: ; Purchased Services - Medical - Total Expense: 199705, Program Service Expense: 179735, Management and General Expenses: 19970, Fundraising Expenses: ;
Form 990, Part X, Line 11 POOLED INVESTMENT ACCOUNT	HOSPITAL SISTERS HEALTH SYSTEM CASH RESERVES ARE INVESTED IN A POOLED INVESTMENT ACCOUNT. PARTICIPATION IN THE POOLED FUND IS LIMITED TO THE 501(C)(3) HOSPITALS AND RELATED HEALTH SERVICES ORGANIZATIONS SPONSORED BY HSHS. THE POOLED ACCOUNT CONSISTS OF CASH, AND EQUITY AND DEBT SECURITIES THAT ARE PUBLICLY TRADED. IN ACCORDANCE WITH THE PROVISIONS OF SFAS NO. 124 "ACCOUNTING FOR CERTAIN INVESTMENTS HELD BY NOT-FOR-PROFIT ORGANIZATIONS," INVESTMENTS IN EQUITY SECURITIES WITH READILY DETERMINABLE VALUES, AND ALL INVESTMENTS IN DEBT SECURITIES, ARE REPORTED AT FAIR VALUE ON THE BALANCE SHEET. INCOME, REALIZED AND UNREALIZED GAINS AND LOSSES ARE NOT IDENTIFIED TO THE PARTICIPANTS.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	CHANGE IN PENSION FUND STATUS - -18637785; EQUITY IN EARNINGS OF KIARA - 601901; TRANSERS FROM AFFILIATES - 9945952;
Schedule O AFFILIATED SYSTEM DISCLOSURE	Headquartered in Springfield, Illinois, Hospital Sisters Health System (HSHS) is a highly integrated, multi-institutional health care system comprised of 15 hospitals and more than 200 physician practice sites in Illinois and Wisconsin. HSHS is sponsored by Hospital Sisters Ministries (HSM), which is a public juridic person of the Roman Catholic Church. HSHS continues the health care ministries begun by its founders, the Hospital Sisters of St. Francis, more than 140 years ago, in rural and midsized communities throughout Illinois and Wisconsin. HSHS provides compassionate, holistic, high quality, and cost-effective health care through its acute care hospitals, physician practices, home health programs, palliative and hospice programs, and community outreach services. In addition, HSHS affiliated hospitals include critical access facilities that offer essential health services that otherwise would not be available in many communities. Our mission calls us to reveal and embody Christ's healing love for all people, and we extend our high quality Franciscan health care ministry beyond the walls of our hospitals by providing community health improvement services with special emphasis on the poor and vulnerable. In addition to providing community health improvement services to the broader community, HSHS cares for everyone who comes to its facilities, regardless of their ability to pay. In tandem with a variety of cross sector community partners, HSHS's Community Benefit initiatives are strategically planned and professionally implemented to improve access to health care services; enhance the health of the community; advance medical or general health care knowledge; and relieve or reduce the burden of government to improve health. The COVID-19 pandemic caused an unprecedented disruption in healthcare services across the United States. HSHS responded with services that benefited our communities, including free telehealth screenings, free testing, and coordination with other healthcare providers in the communities we serve to best ensure access to needed care. In FY2023, HSHS collectively provided $222.3 million in Community Benefit (8.2% of total hospital expenses). Of the total Community Benefit provided, HSHS spent $5.8 million provided for Financial Assistance (aka Charity Care) and $146.3 million for unreimbursed care provided as part of the Medicaid program. In addition, HSHS hospitals committed significant resources to treat Medicare patients. The cost of providing services to primarily elderly beneficiaries of the Medicare program - in excess of governmental and managed care contract payments - was $304.5 million. HSHS hospitals also recorded $74.3 million in uncollectible accounts. While HSHS does not count the latter two amounts as Community Benefit, they nonetheless reflect our commitment to serving all persons in need of care. In addition to the dollars invested in our Community Benefit programs, HSHS continues to reinvest any surplus revenue from operations and investments into new medical technology, facility infrastructure and health care services in our communities. By doing so, we ensure our ability to meet the ongoing demand for high quality, efficient and easily accessible health care.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
KIARA CLINICAL INTEGRATION NETWORK LLC
4936 LAVERNA ROAD	SPRINGFIELD	IL	62707	261417684	HEALTHCARE	IL	-$105,950	$447,864	HSSI
PHYSICIAN CLINICAL INTEGRATION NETWORK LLC
4936 LAVERNA ROAD	SPRINGFIELD	IL	62707	371668647	HEALTHCARE	IL	$554,315	$15,980,466	KCIN
HSHS ACO LLC
4936 LAVERNA ROAD	SPRINGFIELD	IL	62707	320465666	HEALTHCARE & SOCIAL ASSISTANCE	IL	$1,805,698	$3,189,003	KCIN

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Business Name Line2DisregardedEntityName/BusinessNameLine2Txt
HOSPITAL SISTERS HEALTHCARE-WEST INC
2661 COUNTY HIGHWAY 1	CHIPPEWA FALLS	WI	54729	510157933	HEALTHCARE	WI	501(c)(3)	Type I	HSSI	Yes (true)
HOSPITAL SISTERS MISSION OUTREACH CORPORATION
4936 LAVERNA ROAD	SPRINGFIELD	IL	62707	352271729	RECYCLING MEDICAL SUPPLIES	IL	501(c)(3)		HSHS	Yes (true)
HOSPITAL SISTERS OF ST FRANCIS FOUNDATION INC
4936 LAVERNA ROAD	SPRINGFIELD	IL	62707	371186514	HEALTHCARE	IL	501(c)(3)	7	HSHS	Yes (true)
HOSPITAL SISTERS SERVICES INC
4936 LAVERNA ROAD	SPRINGFIELD	IL	62707	371163402	HEALTHCARE	IL	501(c)(3)	Type III-FI	HSHS	Yes (true)
HSHS GOOD SHEPHERD HOSPITAL INC
200 SOUTH CEDAR STREET	SHELBYVILLE	IL	62565	370512290	HEALTHCARE	IL	501(c)(3)	3	HSSI	Yes (true)
HSHS HOLY FAMILY HOSPITAL
200 HEALTHCARE DRIVE	GREENVILLE	IL	62246	370792770	HEALTHCARE	IL	501(c)(3)	3	HSSI	Yes (true)
HSHS MEDICAL GROUP INC
3051 HOLLIS DRIVE	SPRINGFIELD	IL	62704	263956318	HEALTHCARE	IL	501(c)(3)	Type III-FI	HSSI	Yes (true)
HSHS WISCONSIN MEDICAL GROUP INC
3051 HOLLIS DRIVE	SPRINGFIELD	IL	62704	264515959	HEALTHCARE	WI	501(c)(3)	Type III-FI	HSSI	Yes (true)
ORANGE CROSS AMBULANCE INC
919 ASHLAND AVENUE	SHEBOYGAN	WI	53081	391860942	HEALTHCARE	WI	501(c)(3)	10	ST NICHOLAS	Yes (true)
PRAIRIE CARDIOVASCULAR CONSULTANTS LTD
3051 HOLLIS DRIVE	SPRINGFIELD	IL	62704	371071858	HEALTHCARE	IL	501(c)(3)	10	HSSI	Yes (true)
PRAIRIE EDUCATION & RESEARCH COOPERATIVE
800 E CARPENTER STREET 62	SPRINGFIELD	IL	62769	371157915	HEALTHCARE	IL	501(c)(3)	4	HSSI	Yes (true)
SACRED HEART HOSPITAL OF HOSPITAL SISTERS OF THIRD ORDER OF ST FRANCIS
990 WEST CLAIREMONT AVENUE	EAU CLAIRE	WI	54701	390807060	HEALTHCARE	WI	501(c)(3)	3	HSSI	Yes (true)
SHELBY MEMORIAL HOSPITAL EMPLOYEE BENEFIT TRUST
200 SOUTH CEDAR STREET	SHELBYVILLE	IL	62565	371778753	TRUST	IL	501(a)		HSSI	Yes (true)
SOUTHERN ILLINOIS CARDIOVASCULAR SERVICE INC
ONE ST ELIZABETHS BLVD	OFALLON	IL	62269	371276333	HEALTHCARE	IL	501(c)(3)	3	ST ELIZABETH'S HOSPITAL	false
ST ANTHONY'S MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER O
503 N MAPLE STREET	EFFINGHAM	IL	62401	370661233	HEALTHCARE	IL	501(c)(3)	3	HSSI	Yes (true)	F ST FRANCIS
ST FRANCIS HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS
1215 FRANCISCAN DRIVE	LITCHFIELD	IL	62056	370661236	HEALTHCARE	IL	501(c)(3)	3	HSSI	Yes (true)
ST JOSEPH'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANC
9515 HOLY CROSS LANE	BREESE	IL	62230	371208459	HEALTHCARE	IL	501(c)(3)	3	HSSI	Yes (true)	IS
ST JOSEPH'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANC
2661 COUNTY HIGHWAY 1	CHIPPEWA FALLS	WI	54729	390810545	HEALTHCARE	WI	501(c)(3)	3	HSSI	Yes (true)	IS
ST JOSEPH'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANC
12866 TROXLER AVENUE	HIGHLAND	IL	62249	370663568	HEALTHCARE	IL	501(c)(3)	3	HSSI	Yes (true)	IS
ST MARY'S HOSPITAL MEDICAL CENTER OF GREEN BAY INC - HOSPITAL SISTERS
1762 SHAWANO AVENUE	GREEN BAY	WI	54303	390818682	HEALTHCARE	WI	501(c)(3)	3	HSSI	Yes (true)
ST VINCENT HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCI
835 S VAN BUREN	GREEN BAY	WI	51301	390817529	HEALTHCARE	WI	501(c)(3)	3	HSSI	Yes (true)	S
ST CLARE MEMORIAL HOSPITAL INC
855 S MAIN STREET	OCONTO FALLS	WI	54154	390848401	HEALTHCARE	WI	501(c)(3)	3	HSSI	Yes (true)
ST ELIZABETH'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FR
ONE ST ELIZABETHS BLVD	OFALLON	IL	62269	370663567	HEALTHCARE	IL	501(c)(3)	3	HSSI	Yes (true)	ANCIS
ST JOHN'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS
800 EAST CARPENTER STREET	SPRINGFIELD	IL	62769	370661238	HEALTHCARE	IL	501(c)(3)	3	HSSI	Yes (true)
ST MARY'S HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST
1800 E LAKE SHORE DRIVE	DECATUR	IL	62521	370661244	HEALTHCARE	IL	501(c)(3)	3	HSSI	Yes (true)	FRANCIS
ST NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANC
3100 SUPERIOR AVENUE	SHEBOYGAN	WI	53081	390808480	HEALTHCARE	WI	501(c)(3)	3	HSSI	Yes (true)	IS
UNITY LIMITED PARTNERSHIP
2366 OAK RIDGE CIRCLE	DE PERE	WI	54115	391750729	HEALTHCARE	WI	501(c)(3)	10	HSSI	Yes (true)
UTLAUT MEMORIAL FOUNDATION INC
200 HEALTHCARE DRIVE	GREENVILLE	IL	62246	371140166	FUNDRAISING	IL	501(c)(3)	Type II	HSSI	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	OwnershipOwnershipPct	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
SPRINGFIELD URGENT CARE REAL ESTATE LLC
PO BOX 19456	SPRINGFIELD	IL	627949456	030413258	RENTAL REAL ESTATE	IL	LASANTE INC	N/A	0
PRAIRIE HEART INSTITUTE MANAGEMENT COMPANY LLC
4936 LAVERNA ROAD	SPRINGFIELD	IL	62707	261479945	MEDICAL	IL	HSHS	Related	1	-$7,032	$12,572	false	Yes (true)
SOUTHWEST ILLINOIS HEALTH SERVICES REAL ESTATE LLP
4000 NORTH ILLINOIS STREET	SWANSEA	IL	62226	823633320	REAL ESTATE	IL	St John's	Related	0.5	-$126,650	$1,434,911	false	false
REHABILITATION HOSPITAL OF WESTERN WISCONSIN LLC
9001 Liberty Parkway	Birmingham	AL	35242	871489748	Medical	DE	HSHS	Related	0.5	-$80,505	$4,187,830	false	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
KIARA INC
4936 LAVERNA ROAD	SPRINGFIELD	IL	62707	371163401	HEALTHCARE	IL	HSHS	C Corporation	$601,904	$18,670,450	1	Yes (true)
LASANTE WISCONSIN INC
4936 LAVERNA ROAD	SPRINGFIELD	IL	62707	391572196	HEALTHCARE	IL	KIARA INC	C Corporation				Yes (true)
LASANTE INC
4936 LAVERNA ROAD	SPRINGFIELD	IL	62707	371163400	HEALTHCARE	IL	KIARA INC	C Corporation				Yes (true)
PREVEA HEALTH SERVICES INC
2710 EXECUTIVE DRIVE	GREEN BAY	WI	54304	391839351	HEALTHCARE	WI	HSSI	C Corporation	-$1,641,640	$24,425,128	0.5	Yes (true)
PREVEA CLINIC INC
2710 EXECUTVE DRIVE	GREEN BAY	WI	54304	391839349	HEALTHCARE	WI	PHSI	C Corporation				Yes (true)
RENAISSANCE QUALITY INSURANCE LTD
				980669953	INSURANCE		HSSI	C Corporation	$0	$156,895,227	1	Yes (true)	PO BOX 1159	GRAND CAYMAN	CJ	KY11102	CJ
OJV INC
4936 LAVERNA ROAD	SPRINGFIELD	IL	62707	460873384	HEALTHCARE	IL	LASANTE INC	C Corporation				Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
KIARA INC
L	$190,332	CASH
HOSPITAL SISTERS SERVICES INC
R	$24,725,083	CASH

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule R, Part V, Line 2 TRANSACTIONS WITH RELATED PARTIES

ANY TRANSACTIONS LISTED ON SCHEDULE R, PART V, LINE 1 AND NOT ON SCHEDULE R, PART V, LINE 2 ARE BETWEEN RELATED 501(C)(3) AND DO NOT REQUIRE REPORTING ON THIS SECTION. FOR ALL ORGANIZATIONS REPORTED AS 512(B)(13) CONTROLLED IN SCHEDULE R, PART II, PLEASE SEE SCHEDULE A, PART IV FOR THE ONLY TRANSACTIONS BETWEEN THESE ORGANIZATIONS. HOSPITAL SISTERS HEALTH SYSTEM (HSHS) CHARGES A MANAGEMENT FEE TO THE RELATED ORGANIZATIONS FOR SERVICES RENDERED IN FULFILLING THE MISSION OF HSHS.

Schedule R, Part VII Related Organizations

Due to the increasingly complex organization structure of Hospital Sisters Health System and Affiliates, the filing organization has elected to report all organizations within Hospital Sisters Health System as related, regardless of ownership interest or "control" as defined by the instructions to Schedule R. The intent of this reporting is to promote transparency and increase consistency across the numerous Form 990 submissions by Hospital Sisters Health System and Affiliates.