SACRED HEART HOSPITAL OF THE HOSPIT AL SISTERS-3RD ORDER OF ST FRANCIS: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- SACRED HEART HOSPITAL OF THE HOSPIT AL SISTERS-3RD ORDER OF ST FRANCIS (EIN 39-0807060)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-09
- IRS object ID
- 201911299349302326
- Schema version
- 2017v2.2
- 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 J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-09T16:31:16-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | 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 | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390807060 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sacred Heart Hospital of Hospital Sisters of Third Order of St Francis | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SACR | BusinessNameControlTxt |
| Phone | 7157176122 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 West Clairemont Avenue | AddressLine1Txt |
| City | Eau Claire | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54701 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PATTY ALLEN | PersonNm |
| Person Title | DIVISION CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Signature | 2019-05-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RACHEL SPURLOCK | PreparerPersonNm |
| PTIN | P00520729 | PTIN |
| Phone | 3128997000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Andy Bagnall | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 West Clairemont Avenue | AddressLine1Txt |
| City | Eau Claire | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $229,249,209 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.sacredhearteauclaire.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1890 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE THE MEANS WHEREBY SACRED HEART CAN CONTINUE THEIR APOSTOLIC MISSION TO SERVE THE SICK, THE AGED, THE POOR AND THE TERMINALLY ILL WITHOUT REGARD TO RACE, COLOR, CREED, OR NATIONAL ORIGIN. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 1542 | TotalEmployeeCnt |
| Total Volunteers | 234 | TotalVolunteersCnt |
| Total Gross UBI | $890,425 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$38,018 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $458,115 | PYContributionsGrantsAmt |
| CY Contributions Grants | $546,433 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $215,884,115 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $215,686,017 | CYProgramServiceRevenueAmt |
| PY Investment Income | $19,911,995 | PYInvestmentIncomeAmt |
| CY Investment Income | $12,135,535 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,222,357 | PYOtherRevenueAmt |
| CY Other Revenue | $881,224 | CYOtherRevenueAmt |
| PY Total Revenue | $237,476,582 | PYTotalRevenueAmt |
| CY Total Revenue | $229,249,209 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $88,723,656 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $79,444,082 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $108,263,477 | PYOtherExpensesAmt |
| CY Other Expenses | $112,771,823 | CYOtherExpensesAmt |
| PY Total Expenses | $196,987,133 | PYTotalExpensesAmt |
| CY Total Expenses | $192,215,905 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $40,489,449 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $37,033,304 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $672,990,279 | TotalAssetsBOYAmt |
| Total Assets EOY | $706,501,742 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $120,182,229 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $98,695,369 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $552,808,050 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $607,806,373 | NetAssetsOrFundBalancesEOYAmt |
| Mission | SEE SCHEDULE O - ORGANIZATION'S MISSION | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $141,995,411 | ExpenseAmt |
| Revenue | $214,817,124 | RevenueAmt |
| Desc | SEE SCHEDULE O - PART III LINE 4A | Desc |
| Total Program Service Expenses | $141,995,411 | 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 |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | 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 | false | 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 | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| 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 With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| 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 | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 65 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1542 | 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 | Yes (true) | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | 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 | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Patty Allen | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7157176121 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 WEST CLAIREMONT AVENUE | AddressLine1Txt |
| City | EAU CLAIRE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54701 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 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 | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| JULIE MANAS | ||||||||||
| PRES / CEO WESTERN WI DIV Through Jan 2018 | 40.0 | 20.0 | Yes (X) | Yes (X) | $0 | $564,604 | $150,029 | |||
| ANDREW J BAGNALL | ||||||||||
| PRES/CEO WESTERN WI DIV Beg Feb 2018 | 20.0 | 40.0 | Yes (X) | Yes (X) | $0 | $356,440 | $91,569 | |||
| JOAN COFFMAN | ||||||||||
| PRESIDENT (partial year) | 1.0 | 59.0 | Yes (X) | Yes (X) | $0 | $526,119 | $107,030 | |||
| CHARISSE OLAND | ||||||||||
| PRESIDENT (Started 11/27/17) | 20.0 | 21.0 | Yes (X) | Yes (X) | $0 | $21,172 | $3,005 | |||
| DAVID KIEFER | ||||||||||
| CHAIRPERSON | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JAMES E DOCKSEY | ||||||||||
| Vice Chair | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| GERALD JACOBSON | ||||||||||
| Secretary | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| LON BLASER DO | ||||||||||
| BOARD MEMBER | 1.0 | 3.0 | Yes (X) | $0 | $0 | $0 | ||||
| PETER MANNIX | ||||||||||
| Board Member | 1.0 | 60.0 | Yes (X) | $0 | $464,721 | $154,860 | ||||
| Patti Darley | ||||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| SR BERNADINE GUTOWSKI OSF | ||||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Jeff Halloin | ||||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| GREG HEILER MD | ||||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| PATRICIA ALLEN | ||||||||||
| DIV CFO - Starting July 2017 | 20.0 | 30.0 | Yes (X) | $246,448 | $0 | $15,060 | ||||
| DAVE NELSON | ||||||||||
| DIV CFO - Through Aug 2017 | 30.0 | 30.0 | Yes (X) | $220,720 | $0 | $70,507 | ||||
| ANN M CARR | ||||||||||
| TREASURER | 0.3 | 59.7 | Yes (X) | $0 | $318,511 | $120,197 | ||||
| Judith Balcitis | ||||||||||
| Chief Nursing Officer | 60.0 | 0 | $216,989 | $0 | $20,855 | Yes (X) | ||||
| MONICA MCDONALD | ||||||||||
| PHYSICIAN | 40.0 | 0 | $893,613 | $0 | $72,638 | Yes (X) | ||||
| JOHN WACIUMA | ||||||||||
| PHYSICIAN | 40.0 | 0 | $728,590 | $0 | $56,886 | Yes (X) | ||||
| Erik Dickson | ||||||||||
| Chief Physician Executive | 40.0 | 0 | $338,424 | $0 | $32,181 | Yes (X) | ||||
| Erica Barrette | ||||||||||
| Physician | 40.0 | 0 | $264,147 | $0 | $28,600 | Yes (X) | ||||
| LANCE J LEVENDOWSKI | ||||||||||
| PHYSICIAN | 40.0 | 0 | $245,678 | $0 | $54,029 | Yes (X) | ||||
| FAYE DEICH | ||||||||||
| Chief Operating Officer | 60.0 | 0 | $246,322 | $0 | $13,084 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,400,931 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,251,567 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $990,530 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 72 | 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 |
|---|---|---|---|---|---|
| SAMUELS GROUP | |||||
| 311 FINANCIAL WAY | WAUSAU | WI | 54401 | CONSTRUCTION | $2,866,301 |
| Compass One Healthcare | |||||
| PO Box 102289 | Atlanta | GA | 30368 | Management and Food service | $1,396,250 |
| Medical Staffing Solutions | |||||
| PO Box 101 | Rice Lake | WI | 54868 | Staffing services | $1,081,123 |
| Eau Claire Anesthesiologists LTD | |||||
| 1101 West Clairemont Ave | Eau Claire | WI | 54701 | Professional Services | $509,603 |
| Oakleaf Clinics - Eau Claire Med Clinic | |||||
| 3802 Oakwood Mall Drive | Eau Claire | WI | 54701 | PROVIDER STAFFING | $453,107 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 27 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $546,433 | RelatedOrganizationsAmt |
| Total Contributions | $546,433 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT REVENUE | 900099 | $214,636,012 | $214,636,012 | |
| REFERENCE LAB SERVICES | 621500 | $868,893 | $868,893 | |
| DEPARTMENTAL REVENUE | 900099 | $181,112 | $181,112 |
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 | $215,686,017 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,322,931 | TotalRevenueColumnAmt |
| Exclusion | $3,322,931 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $441,786 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $441,786 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $441,786 | TotalRevenueColumnAmt |
| Exclusion | $441,786 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $8,812,604 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $8,812,604 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,812,604 | TotalRevenueColumnAmt |
| Exclusion | $8,812,604 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| EMPLOYEE & SENIOR CAFETERIA | 722514 | $184,378 | $184,378 | |
| GIFT SHOP | 453220 | $233,528 | $233,528 | |
| SHARED SERVICE INCOME | 621500 | $21,532 | $21,532 |
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 | $439,438 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $229,249,209 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $214,817,124 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $890,425 | UnrelatedBusinessRevenueAmt |
| Exclusion | $12,995,227 | 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 | $790,579 | TotalAmt |
| Management And General | $790,579 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,924,008 | TotalAmt |
| Program Services | $46,265,874 | ProgramServicesAmt |
| Management And General | $14,658,134 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $389,799 | TotalAmt |
| Program Services | $292,232 | ProgramServicesAmt |
| Management And General | $97,567 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,660,756 | TotalAmt |
| Program Services | $9,491,769 | ProgramServicesAmt |
| Management And General | $3,168,987 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,678,940 | TotalAmt |
| Program Services | $3,507,801 | ProgramServicesAmt |
| Management And General | $1,171,139 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $385,124 | TotalAmt |
| Management And General | $385,124 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,970,693 | TotalAmt |
| Management And General | $1,970,693 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,070,676 | TotalAmt |
| Program Services | $23,980,375 | ProgramServicesAmt |
| Management And General | $14,090,301 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $723,921 | TotalAmt |
| Program Services | $10,204 | ProgramServicesAmt |
| Management And General | $713,717 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,392,650 | TotalAmt |
| Program Services | $10,392,650 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,346,244 | TotalAmt |
| Program Services | $26,202 | ProgramServicesAmt |
| Management And General | $2,320,042 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $190,518 | TotalAmt |
| Program Services | $75,542 | ProgramServicesAmt |
| Management And General | $114,976 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,082 | TotalAmt |
| Program Services | $27,702 | ProgramServicesAmt |
| Management And General | $5,380 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $732,302 | TotalAmt |
| Management And General | $732,302 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,507,998 | TotalAmt |
| Program Services | $4,173,850 | ProgramServicesAmt |
| Management And General | $7,334,148 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $566,775 | TotalAmt |
| Program Services | $336,109 | ProgramServicesAmt |
| Management And General | $230,666 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $32,501,113 | $31,799,098 | $702,015 |
| MEDICAID ASSESSMENT | $5,134,204 | $5,134,204 | |
| Maintenance and Repairs | $3,135,415 | $2,850,921 | $284,494 |
| Provision for Bad Debt | $1,311,239 | $1,311,239 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,769,869 | TotalAmt |
| Program Services | $2,319,639 | ProgramServicesAmt |
| Management And General | $1,450,230 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $192,215,905 | TotalAmt |
| Program Services | $141,995,411 | ProgramServicesAmt |
| Management And General | $50,220,494 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,168,055 | BOYAmt |
| EOY | $9,052,244 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,582,940 | BOYAmt |
| EOY | $21,306,123 | 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) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,742,785 | BOYAmt |
| EOY | $5,339,687 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $496,698 | BOYAmt |
| EOY | $747,709 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $256,519,299 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $165,876,738 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,653,000 | BOYAmt |
| EOY | $90,642,561 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $533,582,338 | BOYAmt |
| EOY | $566,867,270 | 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 | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,764,463 | BOYAmt |
| EOY | $12,546,148 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $672,990,279 | BOYAmt |
| EOY | $706,501,742 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,965,037 | BOYAmt |
| EOY | $22,981,211 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,697,793 | BOYAmt |
| EOY | $48,688,074 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,519,399 | BOYAmt |
| EOY | $27,026,084 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $120,182,229 | BOYAmt |
| EOY | $98,695,369 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $543,632,121 | BOYAmt |
| EOY | $597,976,430 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,770,115 | BOYAmt |
| EOY | $3,349,558 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,405,814 | BOYAmt |
| EOY | $6,480,385 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $552,808,050 | BOYAmt |
| EOY | $607,806,373 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $672,990,279 | BOYAmt |
| EOY | $706,501,742 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $37,033,304 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $12,289,535 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $5,675,484 | 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 | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $8,536 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $8,536 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | SACRED HEART HOSPITAL (THE HOSPITAL) IS A MEMBER OF THE CATHOLIC HEALTH ASSOCIATION ("CHA"), THE ILLINOIS HOSPITAL ASSOCIATION ("IHA"), THE NATIONAL ASSOCIATION FOR HOME CARE AND HOSPICE, AND THE AMERICAN HOSPITAL ASSOCIATION ("AHA"). AS A MEMBER OF THESE ORGANIZATIONS, THE HOSPITAL PAYS DUES, WITH PART OF THESE DUES BEING ATTRIBUTABLE TO LOBBYING FEES PAID BY THE ORGANIZATIONS. THE AMOUNT LISTED IS THE AMOUNT ATTRIBUTABLE TO THE HOSPITAL FROM ITS DUES PAID. THE ASSOCIATIONS THE HOSPITAL PAYS ARE AS FOLLOWS: - AMERICAN HOSPITAL ASSOCIATION ("AHA") AT 22.98% LOBBYING EXPENSE - CATHOLIC HEALTH ASSOCIATION ("CHA") AT 3.93% LOBBYING EXPENSE - ILLINOIS HOSPITAL ASSOCIATION ("IHA") AT 38.00% LOBBYING EXPENSE - NATIONAL ASSOCIATION FOR HOME CARE & HOSPICE AT 15.00% LOBBYING EXPENSE THE TOTAL AMOUNT OF ANNUAL DUES PAID TO EACH ASSOCIATION IS MULTIPLIED BY THE PERCENTAGE OF DUES ALLOCATED TO LOBBYING EXPENSE TO CALCULATE THE TOTAL LOBBYING EXPENDITURES PAID. |
| Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | SACRED HEART HOSPITAL (THE HOSPITAL) IS A MEMBER OF THE CATHOLIC HEALTH ASSOCIATION ("CHA"), THE ILLINOIS HOSPITAL ASSOCIATION ("IHA"), THE NATIONAL ASSOCIATION FOR HOME CARE AND HOSPICE, AND THE AMERICAN HOSPITAL ASSOCIATION ("AHA"). AS A MEMBER OF THESE ORGANIZATIONS, THE HOSPITAL PAYS DUES, WITH PART OF THESE DUES BEING ATTRIBUTABLE TO LOBBYING FEES PAID BY THE ORGANIZATIONS. THE AMOUNT LISTED IS THE AMOUNT ATTRIBUTABLE TO THE HOSPITAL FROM ITS DUES PAID. THE ASSOCIATIONS THE HOSPITAL PAYS ARE AS FOLLOWS: - AMERICAN HOSPITAL ASSOCIATION ("AHA") AT 22.98% LOBBYING EXPENSE - CATHOLIC HEALTH ASSOCIATION ("CHA") AT 3.93% LOBBYING EXPENSE - ILLINOIS HOSPITAL ASSOCIATION ("IHA") AT 38.00% LOBBYING EXPENSE - NATIONAL ASSOCIATION FOR HOME CARE & HOSPICE AT 15.00% LOBBYING EXPENSE THE TOTAL AMOUNT OF ANNUAL DUES PAID TO EACH ASSOCIATION IS MULTIPLIED BY THE PERCENTAGE OF DUES ALLOCATED TO LOBBYING EXPENSE TO CALCULATE THE TOTAL LOBBYING EXPENDITURES PAID. |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,601,504 | OtherCostOrOtherBasisAmt |
| Book Value | $1,601,504 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $137,815,405 | OtherCostOrOtherBasisAmt |
| Depreciation | $74,224,098 | DepreciationAmt |
| Book Value | $63,591,307 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,648,295 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,920,640 | DepreciationAmt |
| Book Value | $727,655 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $107,213,232 | OtherCostOrOtherBasisAmt |
| Depreciation | $88,732,000 | DepreciationAmt |
| Book Value | $18,481,232 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,240,863 | OtherCostOrOtherBasisAmt |
| Book Value | $6,240,863 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $90,642,561 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| OTHER LONG-TERM LIABILITIES | $1,067,400 |
| ACCRUED PENSION LIABILITY | $15,282,594 |
| INTEREST RATE SWAP PROGRAMS | $10,676,090 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $27,026,084 | 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. 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 than not 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, 2018 and 2017 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, 2018 and 2017, HSHS does not have any liabilities for unrecognized tax benefits. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 600 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,435,102 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,435,102 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0179 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,720,993 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $22,076,053 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,644,940 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0450 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,383,019 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,445,858 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $937,161 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0049 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $37,539,114 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,521,911 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,017,203 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0677 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,419,909 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $237,792 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,182,117 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0061 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,157,818 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,851,788 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,306,030 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0068 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,047,585 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,477,972 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,569,613 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0186 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $143,716 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $143,716 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0007 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $14,769,028 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,567,552 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,201,476 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0323 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $52,308,142 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,089,463 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,218,679 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1000 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,138 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,138 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $11,138 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,138 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,311,239 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $383,000 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $81,080,165 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $107,841,923 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$26,761,758 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SACRED HEART HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 WEST CLAIREMONT AVENUE | AddressLine1Txt |
| City | EAU CLAIRE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | http://www.sacredhearteauclaire.org | WebsiteAddressTxt |
| State License | 17 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | BEHAVIORAL HEALTH DIALYSIS INPATIENT REHAB | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SACRED HEART HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 17 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://www.sacredhearteauclaire.org/A-Healthy-You/3D-Community-Health | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | http://eauclaire.wi.networkofcare.org | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 17 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://www.sacredhearteauclaire.org/A-Healthy-You/3D-Community-Health | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 600.0 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | http://www.hshs.org/fap | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | http://www.hshs.org/fap | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | http://www.hshs.org/fap | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 3E | YES, THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA PROCESS. |
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - HSHS Sacred Heart Hospital. CHNA COMMITTEE: THE FY2018 COMMUNITY HEALTH AND ASSESSMENT PARTNERSHIP COMMITTEE WAS COMPRISED OF REPRESENTATIVES FROM NINE COMMUNITY ORGANIZATIONS IN CHIPPEWA AND EAU CLAIRE, WI COUNTIES. MEMBERSHIP INCLUDED THE CHIEF HEALTH OFFICERS FROM BOTH THE CHIPPEWA COUNTY AND EAU CLAIRE COUNTY PUBLIC HEALTH DEPARTMENTS. ALSO ON THE COMMITTEE WERE THE EXECUTIVE DIRECTOR AND THE DIRECTOR OF COMMUNITY HEALTH FROM THE UNITED WAY OF THE GREATER CHIPPEWA VALLEY, ALONG WITH DIRECTORS OF COMMUNITY HEALTH FROM HSHS SACRED HEART AND ST. JOSEPH'S HOSPITAL AND MAYO CLINIC HEALTH SYSTEM. IN ADDITION, THE COMMITTEE ALSO INCLUDED THE POLICY AND SYSTEMS MANAGER OF THE EAU CLAIRE COUNTY HEALTH DEPARTMENT, THE ADMINISTRATOR OF MARSHFIELD CLINIC HEALTH SYSTEM AND A COMMUNITY HEALTH EDUCATOR FROM HSHS. THE COMMITTEE ALSO INVITED INPUT ON THE CHNA PROCESS FROM LOCAL HEALTH COALITIONS, EAU CLAIRE HEALTHY COMMUNITIES AND CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP. THE COALITIONS HAVE MEMBERSHIP THAT REPRESENTS ALL 12 COMMUNITY SECTORS. CHNA DATA COLLECTION: THE CHNA PROCESS INCLUDED A VARIETY OF DATA COLLECTION METHODS TO CONNECT WITH SEVERAL DIFFERENT DEMOGRAPHIC GROUPS IN THE COMMUNITY AND TO DEVELOP A THOROUGH UNDERSTANDING OF HEALTH ISSUES FACING THE CHIPPEWA VALLEY. THESE METHODS INCLUDED PRIMARY QUALITATIVE DATA COLLECTION THROUGH AN ONLINE AND HARDCOPY COMMUNITY HEALTH SURVEY (AN ABBREVIATED HARDCOPY SURVEY WAS CREATED FOR RESIDENTS WITH LIMITED HEALTH LITERACY), SURVEY OUTREACH WITH UNDERREPRESENTED DEMOGRAPHIC GROUPS, COMMUNITY CONVERSATIONS (TO PRIORITIZE HEALTH FOCUS AREAS), AND COALITION MEETINGS (TO FURTHER EVALUATE THE TOP FIVE HEALTH FOCUS AREAS). A TRANSLATOR WAS PRESENT DURING SURVEY OUTREACH SESSIONS TO ASSIST COMMUNITY RESIDENTS FACING A LANGUAGE BARRIER. THE LINK TO THE WEB SURVEY WAS WIDELY DISTRIBUTED THROUGH THE NETWORKS OF EACH OF THE PARTNER ORGANIZATIONS AS WELL AS MORE THAN 70 COMMUNITY ORGANIZATIONS INCLUDING PUBLIC AND PRIVATE SCHOOLS. COMMUNITY ORGANIZATIONS INCLUDED THE SALVATION ARMY, AGING AND DISABILITY RESOURCE CENTER, BOYS & GIRLS CLUB OF THE GREATER CHIPPEWA VALLEY, FAMILY RESOURCE CENTER, WESTERN DAIRYLAND HEAD START, LOCAL CHURCHES AND FOOD PANTRIES, UNIVERSITY OF WISCONSIN-EXTENSION, EAU CLAIRE AREA HMONG MUTUAL ASSISTANCE ASSOCIATION, FAMILY PROMISE OF THE CHIPPEWA VALLEY, CHIPPEWA VALLEY FAMILY YMCA, EAU CLAIRE CHAMBER OF COMMERCE, CATHOLIC CHARITIES, BOLTON REFUGE HOUSE, HOPE GOSPEL MISSION, PUBLIC AND PRIVATE SCHOOLS, AND OTHERS. THE SURVEY LAUNCH WAS ANNOUNCED BY A PRESS RELEASE AND WAS WIDELY ADVERTISED IN LOCAL NEWSPAPERS, TELEVISION MEDIA OUTLETS, SOCIAL MEDIA, AND FLYERS THROUGHOUT THE COUNTY. SPECIAL EFFORT WAS MADE TO ENSURE THE SURVEY WAS AVAILABLE TO UNDERREPRESENTED GROUPS WHO CAN BE AT THE HIGHEST RISK OF SUFFERING FROM HEALTH DISPARITIES. HARDCOPY SURVEYS WERE ALSO MADE AVAILABLE THROUGHOUT THE COUNTY BY REQUEST FROM THE PROJECT MANAGER. A TOTAL OF 1,876 EAU CLAIRE COUNTY RESIDENTS COMPLETED THE SURVEY, AND RESULTS ARE REPORTABLE AT A 95% CONFIDENCE LEVEL. SURVEY RESPONDENTS REPRESENTED A WIDE RANGE OF COUNTY RESIDENTS, INCLUDING A VARIETY OF INCOME AND EDUCATIONAL LEVELS, AGE, AND HOUSEHOLD SIZE. TWENTY-FIVE PERCENT OF RESPONDENTS IDENTIFIED AS HEALTHCARE PROVIDERS AND 5% EMERGENCY SERVICES PERSONNEL, INDICATING MANY RESIDENTS NOT EMPLOYED IN A HEALTHCARE RELATED FIELD ALSO PARTICIPATED IN THE SURVEY. ANALYSIS OF THE SURVEY DEMOGRAPHICS IN EAU CLAIRE COUNTY INDICATED THAT A LOW NUMBER OF RESPONSES WERE RECEIVED FROM THE OVER 70 AGE GROUP, AS WELL AS FROM COMMUNITY MEMBERS WITH HIGHEST EDUCATION LEVEL DESIGNATION OF SOME EDUCATION OR HIGH SCHOOL. THEREFORE, TARGETED SESSIONS WERE HELD TO ENGAGE THESE TWO GROUPS AND GATHER INFORMATION ON BARRIERS AND RESOURCES NEEDED FOR MAKING HEALTHY CHOICES IN THE COMMUNITY. THESE SESSIONS WERE HELD IN DECEMBER 2017 THROUGHOUT THE COUNTY: CHIPPEWA VALLEY CORRECTIONAL TREATMENT FACILITY, EAU CLAIRE AREA HMONG MUTUAL ASSISTANCE ASSOCIATION, L.E. PHILLIPS SENIOR CENTER, AGNES TABLE, THE COMMUNITY TABLE, AND WIC CLINIC IN AUGUSTA. A KEY INFORMANT SESSION WAS ALSO HELD WITH AN EAU CLAIRE CITY-COUNTY HEALTH DEPARTMENT PUBLIC HEALTH NURSE WHO SERVES THE EAU CLAIRE COUNTY AMISH POPULATION. EACH SESSION WAS CONDUCTED BY AT LEAST ONE COMMUNITY HEALTH NEEDS ASSESSMENT PARTNER ORGANIZATION REPRESENTATIVE. SESSION PARTICIPANTS HAD THE CHOICE TO COMPLETE THE COMMUNITY HEALTH SURVEY ONLINE OR HARDCOPY. AN ABBREVIATED ASSESSMENT WAS OFFERED AS AN OPTION DURING THE OUTREACH. OVERALL, 127 SURVEYS WERE COMPLETED THROUGH THE TARGETED OUTREACH SESSIONS. SECONDARY DATA GATHERED THROUGHOUT THE CHNA PROCESS, INSIGHT FROM THE COMMUNITY, AND COALITION CONVERSATIONS WITH MEMBERS OF THE COMMUNITY HEALTH COALITIONS FOR CHIPPEWA AND EAU CLAIRE COUNTIES PROVIDED ADDITIONAL PERSPECTIVE ON THE DISPARITIES AMONG POPULATIONS WITHIN CHIPPEWA COUNTY. |
| Schedule H, Part V, Section B, Line 6a Facility , 1 | Facility , 1 - HSHS Sacred Heart Hospital. THE FY2018 CHNA WAS CONDUCTED WITH SISTER-HOSPITAL HSHS ST. JOSEPH'S HOSPITAL, CHIPPEWA FALLS, WI, MAYO CLINIC HEALTH SYSTEM, AND MARSHFIELD CLINIC MEDICAL CENTER, OF EAU CLAIRE, WI. |
| Schedule H, Part V, Section B, Line 6b Facility , 1 | Facility , 1 - HSHS Sacred Heart Hospital. EAU CLAIRE CITY - COUNTY HEALTH DEPARTMENT, EAU CLAIRE COUNTY, WISCONSIN EAU CLAIRE HEALTHY COMMUNITIES COALITION, EAU CLAIRE COUNTY, WISCONSIN CHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTH, CHIPPEWA COUNTY, WISCONSIN CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP, CHIPPEWA COUNTY, WISCONSIN UNITED WAY OF THE GREATER CHIPPEWA VALLEY, CHIPPEWA AND EAU CLAIRE COUNTY, WISCONSIN |
| Schedule H, Part V, Section B, Line 7 Facility , 1 | Facility , 1 - HSHS Sacred Heart Hospital. THE CHNA RESULTS WERE DISCUSSED IN DETAIL AT TWO COMMUNITY CONVERSATIONS THAT TOOK PLACE IN FEBRUARY 2018 IN THE CITIES OF EAU CLAIRE AND AUGUSTA. THE PURPOSE OF THESE SESSIONS WAS TO ENCOURAGE THE PUBLIC TO PRIORITIZE THE 14 HEALTH FOCUS AREAS THAT WERE INITIALLY PRESENTED IN THE COMMUNITY HEALTH SURVEY. IDENTICAL TO THE SURVEY, THE COMMUNITY CONVERSATIONS WERE WIDELY PUBLICIZED THROUGH LOCAL PRINT, BROADCAST, AND SOCIAL MEDIA AS WELL AS THROUGH THE PROFESSIONAL NETWORKS OF EACH OF THE CHNA PARTNER ORGANIZATIONS AND THE COMMUNITY ORGANIZATIONS THAT ASSISTED IN SURVEY DISTRIBUTION. COMMUNITY CONVERSATIONS WERE HELD WEEK NIGHTS AND IN A PUBLIC LOCATION (E.G. LOCAL PUBLIC LIBRARY OR COMMUNITY CENTER). OVERALL, 30 RESIDENTS ATTENDED THE COMMUNITY CONVERSATIONS IN EAU CLAIRE COUNTY. COMMUNITY REPRESENTATION WAS DIVERSE-ATTENDEES REPRESENTED HEALTHCARE, PUBLIC SCHOOLS, UNIVERSITY STUDENTS AND FACULTY, LOCAL GOVERNMENT, AND THE GENERAL PUBLIC. EACH COMMUNITY CONVERSATION CONSISTED OF A DATA PRESENTATION THAT HIGHLIGHTED SURVEY RESULTS AND LOCAL HEALTH DATA FOR EACH OF THE 14 HEALTH FOCUS AREAS. NEXT, PARTICIPANTS DISCUSSED THE SURVEY RESULTS AND SECONDARY DATA POINTS IN SMALL GROUPS GUIDED BY THE COMMUNITY CONVERSATION PRIORITIZATION CRITERIA HANDOUT. THESE FACILITATED GROUP DISCUSSIONS ALLOWED THE PUBLIC TO ANALYZE DATA FROM MULTIPLE SOURCES. PARTICIPANTS WERE ABLE TO DEVELOP A MORE COMPLETE PORTRAIT OF HEALTH BY CONSIDERING BOTH THE PUBLIC PERCEPTION OF HEALTH AND THE SECONDARY DATA COLLECTED BY LOCAL AND NATIONAL AGENCIES. DATA WAS PRESENTED ORALLY AND ON CLEAR, CONCISE FACT SHEETS TO AID IN THOROUGH UNDERSTANDING OF THE DATA SOURCES DURING GROUP DISCUSSION. THE CHNA RESULTS WERE ALSO ANNOUNCED BY THE HOSPITAL AND PARTNERING AGENCIES VIA A PRESS RELEASE AND SUBSEQUENTLY MULTIPLE MEDIA INTERVIEWS FOLLOWED DISCUSSING THE RESULTS AND POTENTIAL IMPLEMENTATION PLANS, INCLUDING A THIRTY MINUTE RADIO INTERVIEW FEATURING THE DIRECTOR OF THE HOSPITAL'S COMMUNITY HEALTH DEPARTMENT. THIS INTERVIEW WAS WIDELY BROADCASTED OVER A PERIOD OF SEVERAL WEEKS. THE CHNA HAS BEEN UTILIZED BY SEVERAL COMMUNITY PARTNERS TO GUIDE THEIR COMMUNITY HEALTH IMPROVEMENT PLANS (CHIP), INCLUDING THE CHIP FOR EAU CLAIRE COUNTY CITY- COUNTY HEALTH DEPARTMENT AND EAU CLAIRE HEALTHY COMMUNITIES COALITION. THE LINK FOR THE HOSPITAL WEBPAGE WHERE THE CHNA IS LOCATED IS OFTEN REQUESTED AND SENT TO AREA ORGANIZATIONS. THE CHNA RESULTS ARE ALSO DISCUSSED AT A VARIETY OF EVENTS AND PRESENTATIONS THAT THE HOSPITAL'S COMMUNITY HEALTH DEPARTMENT IS INVOLVED IN. EXAMPLES OF SOME OF THESE INCLUDE PRESENTATIONS TO AREA SERVICE CLUBS, AREA MENTOR CLUBS, AT THE ONSET OF MENTAL HEALTH FIRST AID AND QPR TRAININGS, AND HOSPITAL BOARD AND OTHER COMMITTEE MEETINGS. |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - HSHS Sacred Heart Hospital. The organization's most recently conducted CHNA was completed for the fiscal year ended 6/30/18. The related implementation strategy that was adopted is for the period July 1, 2018 through June 30, 2021. The information below pertains to the 3rd year cycle of the implementation strategy from the CHNA conducted in the fiscal year 2015. BASED ON THE FY2015 CHNA PLANNING AND DEVELOPMENT PROCESS, THE FOLLOWING TOP THREE COMMUNITY HEALTH NEEDS WERE IDENTIFIED AND HAVE BEEN THE PRIMARY FOCUS AREAS FOR HSHS SACRED HEART HOSPITAL'S (SHEC) COMMUNITY BENEFIT IN FY2016, FY2017 AND FY2018: 1). MENTAL HEALTH 2). ALCOHOL MISUSE 3). OBESITY 1). MENTAL HEALTH - HSHS SACRED HEART HOSPITAL (SHEC) LED THE IMPLEMENTATION AND/OR CONTINUATION OF MULTIPLE EFFORTS TO IMPROVE THE MENTAL HEALTH AND EMOTIONAL WELLBEING OF RESIDENTS OF THE AREA THAT THE HOSPITAL SERVES. THE SHEC COMMUNITY BENEFIT IMPLEMENTATION PLAN INCLUDES SEVERAL EVIDENCE-BASED STRATEGIES TO POSITIVELY IMPACT THE TOP IDENTIFIED NEED FOR BOTH CHIPPEWA AND EAU CLAIRE COUNTIES WHICH WAS MENTAL HEALTH. THESE STRATEGIES WERE SELECTED WITH THE UNDERSTANDING THAT BEHAVIORAL HEALTH AND MENTAL ILLNESS ARE AFFECTED BY A MULTITUDE OF FACTORS AT THE INTRAPERSONAL, INTERPERSONAL, COMMUNITY, AND SOCIETAL LEVELS, WITH NO FACTOR SINGLY EXPLAINING THE PREVENTION, CARE AND TREATMENT, OR REHABILITATION OF MENTAL ILLNESS. SUCCESSFUL BEHAVIORAL HEALTH INTERVENTIONS MUST CONSIDER MENTAL HEALTH WITHIN THE BROADER CONTEXT OF COMMUNITY AND SOCIETY, AND HARNESS INNOVATIVE AND MULTIDISCIPLINARY PARTNERSHIPS TO IMPACT CHANGE AND POPULATION HEALTH. A. SUICIDE PREVENTION INITIATIVE - SHEC'S 3D COMMUNITY HEALTH DEPARTMENT IS LEADING SUICIDE PREVENTION ACTIVITIES ACROSS MULTIPLE SECTORS AND SETTINGS IN COLLABORATION WITH CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP, THE PUBLIC HEALTH DEPARTMENT OF CHIPPEWA COUNTY, EAU CLAIRE HEALTHY COMMUNITIES, EAU CLAIRE CITY- COUNTY HEALTH DEPARTMENT, AND MULTIPLE OTHER COMMUNITY PARTNERS TO PROMOTE AWARENESS THAT SUICIDE IS A PREVENTABLE PUBLIC HEALTH PROBLEM. STRATEGIES INCLUDE COMMUNITY TRAININGS OF AN EVIDENCE-BASED SUICIDE PREVENTION PROGRAM, QPR (QUESTION, PERSUADE & REFER). ONE OF THE STRATEGIES WAS TO "BLANKET" THE AREA WITH QPR GATEKEEPER TRAINING - THE 3 SIMPLE STEPS ANYONE CAN LEARN TO HELP SAVE A LIFE FROM SUICIDE. PER THE SURGEON GENERAL'S NATIONAL STRATEGY FOR SUICIDE PREVENTION, A GATEKEEPER IS SOMEONE IN A POSITION TO RECOGNIZE A CRISIS AND THE WARNING SIGNS THAT SOMEONE MAY BE CONTEMPLATING SUICIDE. 3D COMMUNITY HEALTH HAS PROVIDED 11 GATEKEEPER TRAININGS TO 408 ADULTS IN FY18 AS WELL AS 24 SESSIONS TO 795 YOUTH IN THE SAME PERIOD. EIGHTY-NINE PERCENT OF ATTENDEES INDICATED AN INCREASED KNOWLEDGE OF COMMUNITY RESOURCES. MANY OF THOSE IN ATTENDANCE AT THE QPR TRAINING REQUESTED MORE INFORMATION ON HOW TO IDENTIFY SOMEONE STRUGGLING WITH A MENTAL HEALTH CRISIS AND WAYS TO APPROPRIATELY INTERVENE AS WELL AS MORE INFORMATION ABOUT SPECIFIC MENTAL HEALTH ILLNESSES. IN RESPONSE TO THESE REQUESTS THE HOSPITAL'S 3D COMMUNITY HEALTH DEPARTMENT: BODY.MIND.SPIRIT TOOK THEIR SUICIDE PREVENTION EFFORTS A STEP FURTHER AND BEGAN PROVIDING MENTAL HEALTH FIRST AID (MHFA) TRAINING THROUGHOUT THE CHIPPEWA VALLEY. THIRTEEN TRAININGS WERE PROVIDED IN FY18 WITH 336 INDIVIDUALS IN ATTENDANCE. PARTICIPANTS OF THE MHFA TRAININGS INDICATED AN AVERAGE CONTENT SCORE RATING OF 4.68 ON A 1 TO 5 RATING SCALE. ONE OF THE TRAININGS WAS SPECIFIC TO OLDER ADULTS AND LATER-LIFE ISSUES AND SIX CLASSES SPECIFIC TO ADULTS WHO INTERACT WITH YOUTH. ANOTHER EXAMPLE OF HOW SHEC IS TRYING TO POSITIVELY IMPACT POPULATION HEALTH IS TO BE A CONDUIT OF EDUCATION AND INFORMATION AROUND TRAUMA-INFORMED CARE, TRAUMA SENSITIVITY AND THE IMPACT OF ADVERSE CHILDHOOD EXPERIENCE (ACES) ON CHILDREN. ILLNESS- OR INJURY-RELATED POSTTRAUMATIC STRESS REACTIONS CAN IMPAIR A CHILD'S PSYCHOSOCIAL/ FUNCTIONAL RECOVERY AND LEAD TO POOR HEALTH OUTCOMES. A COMMUNITY THAT IS TRAUMA-INFORMED CAN BEST SUPPORT AND RESPOND MOST APPROPRIATELY TO THOSE WHO SUFFERED TRAUMA THUS LIMITING RE-TRAUMATIZATION AND PROMOTING BETTER OVERALL MENTAL WELL-BEING. 3D IS ALSO AN ACTIVE PARTICIPANT OF A COMMUNITY COLLABORATION THAT IS WORKING TO CREATE AWARENESS OF THE EFFECT OF TRAUMA AND ADVERSE CHILDHOOD EXPERIENCES (ACES) ON BRAIN DEVELOPMENT AND HOW TO CREATE RESILENCE IN YOUTH. THE COLLABORATIVE PROVIDED COMMUNITY AWARENESS PRESENTATIONS ON ACES TO 50 COMMUNITY MEMBERS. THE PRE- AND POST PROGRAM SURVEYS CONFIRM PARTICIPANTS' INCREASED KNOWLEDGE AND UNDERSTANDING OF THE HARMFUL EFFECTS OF ACES AND THE POTENTIAL NEGATIVE IMPACT ON SOCIETY. CHANGE IN THE ANNUAL COUNTY SUICIDE RATE IS ALSO TRACKED. THE NUMBER OF SUICIDES HAS SHOWN A STEADY DECLINE THE PAST SEVERAL YEARS FROM 26 IN 2015 TO 22 IN 2016 TO 16 IN 2017. SHEC IS ALSO ACTIVE IN BOTH THE CHIPPEWA COUNTY AND EAU CLAIRE COUNTY SUICIDE DEATH REVIEW TEAMS WHICH ARE STUDYING EACH DEATH TO MONITOR FOR POTENTIAL TRENDS AND RESPOND ACCORDINGLY. A COMMON THREAD OF THE SUICIDES REVIEWED INVOLVES RELATIONSHIP ISSUES SO STRATEGIES TO PROMOTE POSITIVE RELATIONSHIPS ARE BEING CONSIDERED FOR IMPLEMENTATION. B. SUICIDE COMMUNITY AWARENESS CAMPAIGN - SHEC'S 3D COMMUNITY HEALTH DEPARTMENT IS WORKING TO INCREASE COMMUNITY AWARENESS AND KNOWLEDGE OF THE FACTORS THAT OFFER PROTECTION FROM SUICIDAL BEHAVIORS AND PROMOTE WELLNESS AND RECOVERY BY PRESENTING EDUCATIONAL SESSIONS AROUND RESILIENCY AND STRESS MANAGEMENT. PRE- AND POST EVALUATIONS CONFIRM ATTENDEES GAIN KNOWLEDGE OF STRATEGIES THAT CAN BUILD RESILIENCE AND REDUCE STRESS. C. MENTAL HEALTH COMMUNITY AWARENESS CAMPAIGN - SHEC'S 3D COMMUNITY HEALTH DEPARTMENT, IN COLLABORATION WITH THE HOSPITAL'S MARKETING DEPARTMENT, CONTINUED MENTAL HEALTH COMMUNITY AWARENESS INITIATIVES DESIGNED TO REDUCE THE STIGMA AROUND MENTAL ILLNESS BY CHANGING KNOWLEDGE, ATTITUDES AND BEHAVIORS, UTILIZING SOCIAL MEDIA AND OTHER MEDIA, INITIATIVES FOCUS ON POSITIVE MESSAGES AND PROMOTE PUBLIC AWARENESS THAT MENTAL HEALTH AND PHYSICAL HEALTH ARE EQUAL AND INSEPARABLE COMPONENTS OF OVERALL HEALTH. ACTIVITIES ARE MEASURED BY CONSUMER REACH AND INTERACTIONS, UTILIZING DATA COLLECTION INCLUDING GOOGLE ANALYTICS, INSIGHTS FOR FACEBOOK AND SURVEYS OF COMMUNITY MEMBERS. FOR EXAMPLE, 3,154 INDIVIDUALS RESPONDED TO A FACEBOOK POST REGARDING ONE OF 3D COMMUNITY HEALTH'S DISCUSSIONS ON MENTAL HEALTH AND CHIPPEWA VALLEY GUEST AMY GRANT. THERE WERE 72 REACTIONS TO THE POST WITH 54 "LIKES," EIGHT SHARES, 11 COMMENTS (WHICH WERE ALL POSITIVE) AND 326 POST CLICKS. ANOTHER SOCIAL MEDIA POST ABOUT 3D COMMUNITY HEALTH ACCEPTING A DONATION TO CONTINUE MENTAL HEALTH EDUCATION AND SUICIDE PREVENTION REACHED 861 PEOPLE AND GARNERED 63 "LIKES," FIVE SHARES, FIVE COMMENTS (WHICH WERE ALL POSITIVE), AND 157 POST CLICKS. D. STATE BEHAVIORAL HEALTH ALIGNMENT- SHEC CONTINUES TO SUPPORT AND PARTICIPATE IN A COLLABORATIVE EFFORT BETWEEN THE SIX HSHS WESTERN AND EASTERN WISCONSIN HOSPITALS TO ALIGN BEHAVIORAL HEALTH SERVICES BETWEEN THE SIX HOSPITALS AND OTHER BEHAVIORAL HEALTH PARTNERS. ALIGNMENT AND COORDINATION OF SERVICES WITHIN THE STATE WILL DEMONSTRATE SUCCESS. E. SACRED HEART HOSPITAL'S (SHEC) 3D COMMUNITY HEALTH DEPARTMENT PARTNERED WITH 18 OTHER AREA AGENCIES TO APPLY FOR AND RECEIVE A $1.5 MILLION, EIGHT-YEAR GRANT TO PROVIDE INFORMATION AND RESOURCES TO STUDENTS IN THE CHIPPEWA VALLEY TO INCREASE UNDERSTANDING OF THE CONNECTION BETWEEN YOUTH MENTAL HEALTH AND ACES, TRAUMA, PROTECTIVE FACTORS AND RESILIENCE. CURRENTLY THE PARTNERS ARE IN THE IMPLEMENTATION PHASE OF THE GRANT AND ARE ROLLING OUT PRESENTATIONS AROUND ACES AND RESILIENCY IN THE SHEC SERVICE AREA, AND WILL BE IMPLEMENTING MINDFULNESS TRAINING IN TWO AREA SCHOOLS IN THE 2018/2019 SCHOOL YEAR. F. SHEC'S 3D COMMUNITY HEALTH DEPARTMENT, MARKETING DEPARTMENT AND THE HOSPITAL BEHAVIORAL HEALTH DEPARTMENT ALL WORK COLLABORATIVELY TO PROVIDE COMMUNITY EDUCATION AROUND BEHAVIORAL HEALTH ISSUES, INCLUDING SUBSTANCE USE AND ALCOHOL ABUSE. G. SHEC HAS GAINED GREAT RESPECT WITH THEIR COLLEAGUES AND THE COMMUNITIES THEY SERVE BY PROVIDING QUALITY PROGRAMMING/EVENTS THAT DRAW LARGE CROWDS TO HEAR NATIONALLY-RECOGNIZED SPEAKERS TALK ABOUT THEIR OWN STRUGGLES WITH PHYSICAL AND/OR MENTAL HEALTH ISSUES. FOR EXAMPLE, THE HOSPITAL HOSTED GOOD MORNING AMERICA'S (GMA) AMY ROBACH, WHO OFFERED A SPECIAL PRESENTATION TO HOSPITAL COLLEAGUES AND PROVIDERS AS PART OF THE ANNUAL MSGR. KLIMEK HEALING PRESENCE LECTURE SERIES. ROBACH, WHO FACED AN UNEXPECTED JOURNEY WITH BREAST CANCER IN 2015 AFTER BEING DIAGNOSED FOLLOWING AN ON-AIR MAMMOGRAM ON GMA, SPOKE ON THE IMPORTANCE OF STAYING POSITIVE AND REMAINING HOPEFUL IN THE FACE OF ADVERSITY. HER POWERFUL MESSAGE INCLUDED HOW HEALTHCARE PROFESSIONALS CAN POSITIVELY INFLUENCE THE HEALING PROCESS. AN ENLIGHTENING Q&A SESSION FOLLOWED HER PRESENTATION. |
| Schedule H, Part V, Section B, Line 11 Facility , 2 | Facility , 2 - HSHS Sacred Heart Hospital. ON SEPTEMBER 14, 2017, THE HOSPITAL HOSTED GRAMMY AWARD-WINNING SINGER AND SONGWRITER AMY GRANT TO THE COMMUNITY TO SHARE HER INSIGHTS ON STRUGGLING WITH DEPRESSION, MISCARRIAGE, AND CARING FOR PARENTS WITH DEMENTIA. MORE THAN 1,100 PEOPLE ATTENDED THE COMMUNITY EVENT. THE EVENT WAS OFFERED BY THE HOSPITAL'S 3D COMMUNITY HEALTH DEPARTMENT AS PART OF THEIR ONGOING EFFORTS TO BRING COMMUNITY AWARENESS TO MENTAL HEALTH. MENTAL HEALTH AWARENESS, TREATMENT AND STIGMA REDUCTION ARE AMONG THE HIGHEST CONCERNS FOR CHIPPEWA VALLEY RESIDENTS AS REPORTED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE RESPONSES TO THESE EVENTS WERE OVERWHELMINGLY POSITIVE. 2). ALCOHOL MISUSE - SHEC HAS BEEN AND WILL CONTINUE TO BE SUPPORTIVE OF THE IMPLEMENTATION AND/OR CONTINUATION OF THE FOLLOWING EFFORTS TO ADDRESS ALCOHOL MISUSE. A. L.E. PHILLIPS LIBERTAS TREATMENT CENTER CONTINUES TO PROVIDE HIGH QUALITY ASSESSMENT, INTERVENTION, AND RESIDENTIAL ALCOHOL AND OTHER DRUG ABUSE (AODA) TREATMENT FOR PERSONS IN OUR COMMUNITY AND SURROUNDING AREAS. PATIENT EXPERIENCE SCORES VIA PRESS-GANEY PATIENT EXPERIENCE SOLUTIONS CONTINUE TO BE IN THE 90TH PERCENTILE. B. L.E. PHILLIPS LIBERTAS TREATMENT CENTER, ON THE CAMPUS OF SISTER HOSPITAL HSHS ST. JOSEPH'S HOSPITAL IN CHIPPEWA FALLS, PROVIDED QUARTERLY ALCOHOL AND OTHER DRUG AND TOBACCO ABUSE (AODTA) EDUCATION THROUGH COMMUNITY SEMINARS, AND A VARIETY OF OTHER COMMUNITY VENUES. PROGRAMS PROVIDED IN FY18 INCLUDED "REACH AND THE REACH FOUNDATION"- 4 IN ATTENDANCE; "WHAT IS GOOD SLEEP AND HOW DO I GET IT?"- 7 PARTICIPANTS; "E PARENTING"- 4 IN ATTENDANCE; AND "ADDICTION, RECOVERY AND THE BRAIN"- 30 IN ATTENDANCE. COLLEAGUES FROM L.E. PHILLIPS LIBERTAS TREATMENT CENTER ALSO STAFF HEALTH BOOTHS AT AREA EVENTS THAT ARE COORDINATED BY THE HOSPITAL'S 3D COMMUNITY HEALTH DEPARTMENT AND/OR AREA COMMUNITY PARTNERS. C. SHEC CONTINUED SUPPORT OF THE VOICES IN PREVENTION ACTION TEAM OF CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP (CHIP) AND THE HIGH-RISK DRINKING PREVENTION ACTION TEAM OF EAU CLAIRE HEALTHY COMMUNITIES TO FURTHER COMMUNITY EDUCATION AND AWARENESS AROUND AODA ISSUES IN THE CHIPPEWA AND EAU CLAIRE AREAS. HOSPITAL COLLEAGUES ARE ACTIVE MEMBERS OF BOTH COALITIONS. 3). OBESITY- SHEC IS INVOLVED IN THE IMPLEMENTATION AND/OR CONTINUATION OF THE FOLLOWING EFFORTS TO ADDRESS OBESITY/NUTRITION. A. FOOD SECURITY: THE HOSPITAL SUPPORTS COMMUNITY EFFORTS TO INCREASE FOOD SECURITY BY MAKING FINANCIAL CONTRIBUTIONS TO FOOD PANTRIES AND THE LOCAL COMMUNITY MEAL PROGRAM WHERE HOSPITAL COLLEAGUES ALSO VOLUNTEER COOKING AND SERVING MEALS. DURING NOVEMBER'S THANKSGIVING FOOD DRIVE, HOSPITAL COLLEAGUES DONATED MORE THAN 300 POUNDS OF FOOD FOR THE ST. FRANCIS FOOD PANTRY. ALSO, IN ADDITION TO DONATING 195 THANKSGIVING TURKEYS, COLLEAGUES DONATED OVER $600 FOR THE FOOD PANTRY, WHICH CAN BE STRETCHED TO PURCHASE THREE TIMES THE QUANTITY OF FOOD THROUGH THEIR BULK PURCHASING POWER. THE GENEROSITY OF OUR COLLEAGUES WARMS THE HEART AND HELPS LIFT THE SPIRITS OF THOSE IN NEED, ESPECIALLY DURING THE HOLIDAY SEASON. RESPIRATORY CARE WEEK WAS OCTOBER 22-28, 2017. THE RESPIRATORY CARE DEPARTMENT ORGANIZED AND COMPLETED A "PENNY WAR" COMPETITION WITHIN THE DEPARTMENT WITH ALL PROCEEDS GOING TO THE COMMUNITY TABLE, A NON-PROFIT THAT SERVES ONE NUTRITIOUS MEAL EVERY DAY OF THE YEAR TO ALL WHO COME THROUGH THEIR DOORS. THE TEAMS ENJOYED A SPIRITED BATTLE AS THEY COMPETED TO SEE WHO COULD FILL THEIR JAR WITH THE MOST PENNIES. THE TEAMS HAD A LOT OF FUN, BUILT CAMARADERIE WITHIN THE DEPARTMENT, AND RAISED $579.58 FOR A WORTHWHILE, COMMUNITY CAUSE. B. SHEC PROVIDED COMMUNITY EDUCATION AND AWARENESS OF THE POTENTIAL RISK FACTORS OF OBESITY VIA THE USE AND PROMOTION OF HEALTHAWARE ON-LINE RISK ASSESSMENT. ASSESSMENTS THAT WERE PROMOTED INCLUDE HEARTAWARE, SLEEPAWARE, STROKEAWARE, BREASTCANCERAWARE, AND COLONCANCERAWARE. ON-LINE DATA COLLECTION WAS USED TO TRACK NUMBER OF VISITS TO SITES, NUMBER OF COMPLETED ASSESSMENTS, NUMBER SUBMITTED, NUMBER AT RISK, THE NUMBER OF INDIVIDUALS WHO WERE OPEN TO BEING CONTACTED FOR FOLLOW UP, AND NUMBER OF CONSULTS. SEVERAL OF THE ON-LINE RISK ASSESSMENTS HAD LOW UTLIZATION RATES SO WERE DISCONTINUED, INCLUDING HEARTAWARE, SLEEPAWARE, STROKEAWARE. C. SHEC CONTINUED PROMOTION OF THEIR ONLINE HEALTH ASSESSMENT TOOL, "GO" CHIPPEWA VALLEY. THIS SITE ENCOURAGES PEOPLE TO MOVE AT LEAST 15 MINUTES PER DAY AND PROVIDED HEALTH INFORMATION, AN ON-LINE EXERCISE AND A DIET TRACKING TOOL CALLED GO MY WAY AND INFORMATION ABOUT UPCOMING CLASSES/EVENTS THAT THE HOSPITAL'S 3D COMMUNITY HEALTH DEPARTMENT COORDINATES/HOSTS. MULTIPLE METHODS OF EVALUATION WERE USED INCLUDING GOOGLE ANALYTICS, EVENT PROGRAM SURVEYS, NUMBER OF SITE VISITS, ETC. D. THE HOSPITAL SUPPORTS THE CHIPPEWA HEALTH IMPROVEMENT ACTION TEAM - CHALLENGE CHIPPEWA, WHICH WORKS TO POSITIVELY IMPACT PHYSICAL FITNESS AND OVERALL WELLBEING. THE COMMUNITY HEALTH EDUCATOR IS AN ACTIVE MEMBER OF THIS ACTION TEAM AND COORDINATES THE MEETINGS. 4). ACCESS TO HEALTH CARE -THIS WAS NOT ONE OF THE 14 NEEDS THAT WAS IDENTIFIED/ADDRESSED IN OUR CHNA BUT SACRED HEART HOSPITAL CONTINUES TO WORK CLOSELY WITH COMMUNITY PARTNERS, INCLUDING THE CHIPPEWA COUNTY DEPARTMENT OF HUMAN SERVICES AND THE HEALTH DEPARTMENT, THE CHIPPEWA VALLEY FREE CLINIC, INSURANCE AGENCIES/BROKERS, CHURCHES AND MANY MORE TO ADVANCE COMMUNITY AWARENESS AROUND THE AFFORDABLE CARE ACT (ACA) AND ENCOURAGE ENROLLMENT IN THE HEALTH INSURANCE MARKETPLACE OR OTHER INSURANCE ASSISTANCE PROGRAMS. THE HOSPITAL COLLABORATES WITH THE OTHER MEMBERS OF THE EAU CLAIRE COUNTY'S ACA TEAM THAT THE HOSPITAL WAS INSTRUMENTAL IN FOUNDING FOUR YEARS AGO. AS AN OUTCOME OF THE PRIORITIZATION PROCESS, THE FOLLOWING COMMUNITY HEALTH NEEDS WERE ALSO IDENTIFIED AND ARE INCORPORATED INTO THE IMPLEMENTATION PLAN AS PART OF STRATEGIES TO ADDRESS THE TOP IDENTIFIED NEEDS OF MENTAL HEALTH, ALCOHOL MISUSE AND/OR OBESITY: HEALTHY GROWTH & DEVELOPMENT: THE HOSPITAL SUPPORTS THE INFANT MENTAL HEALTH ACTION TEAM OF CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP (CHIP) WHOSE WORK IMPACTS THIS FOCUS AREA. SHEC WILL CONTINUE ITS COORDINATION AND SUPPORT OF ITS FIRST CONNECTIONS PROGRAM WHICH IS A PARTNERSHIP BETWEEN SHEC AND THE FAMILY RESOURCE CENTER, EAU CLAIRE, THAT PROVIDES A VISIT BY A FAMILY SERVICES CASE WORKER TO ALL PARENTS IN SHEC'S BIRTH CENTER TO EVALUATE RISK FACTORS AND PROVIDE INFORMATION/REFERRAL. MONTHLY DATA IS COLLECTED AS TO NUMBER OF FAMILIES SEEN, THE DEGREE OF RISK IS ASSESSED AND REFERRALS ARE MADE TO COMMUNITY SERVICES FOR THE FAMILIES WHO ARE ASSESSED TO HAVE HEIGHTENED RISK. AVERAGE FOR MONTHLY STATISTICS ARE AS FOLLOWS: First Connections Risk Assessment - Very Low Risk: 15 - Low Risk: 5 - Moderate Risk: 3 - High Risk: 2 - Very High Risk: - Info not available: 3 Families Referred to Other Services - Home Visiting: 28 - General FRC Services 28 - Play Groups: 28 - La Leche League 28 - Pack and Play: 0 - River Source: 3 Total Number of Visits: 28 Total Number of Follow Ups: 25 SHEC ALSO SPONSORED THE FAMILY RESOURCE CENTER PLAYROOM FOR PARENTS AND THEIR YOUNG CHILDREN TO PROVIDE THEM WITH A BEAUTIFUL SPACE FOR THEM TO LEARN, PLAY AND THRIVE. AVERAGE PLAYROOM PARTICIPANTS IN FY2018 INCLUDED: * Drop-In and Play: 145 * Play Group: 228 * Nursing Nook: 10 * Le Leche League meets every first Monday of the month with 30 participants, including children CHRONIC DISEASE: AS A HOSPITAL, SHEC IS ALWAYS CONCERNED WITH THE PREVENTION AND MANAGEMENT OF CHRONIC DISEASE AND CONTINUES TO INCORPORATE THIS FOCUS AREA INTO COMMUNITY AWARENESS AND EDUCATION EVENTS/ACTIVITIES. AN EXAMPLE IS AN EDUCATIONAL PROGRAM PROVIDED TO AREA SENIORS AS PART OF THE GOLDEN HEALTH SERIES COORDINATED BY THE HOSPITAL'S 3D COMMUNITY HEALTH DEPARTMENT IN PARTNERSHIP WITH THE AREA SENIOR CENTER. THE HOSPITAL'S STROKE COORDINATOR PRESENTED AN OVERVIEW OF STROKE DIAGNOSIS, PREVALENCE, TREATMENT, AND PREVENTION TO AN INTIMATE GROUP OF TWELVE COMMUNITY MEMBERS. THE SECOND HALF OF PROGRAM FOCUSED ON FUN AND INEXPENSIVE WAYS TO INCORPORATE HEALTHY LIVING INTO YOUR DAY. AS AN OUTCOME OF THE PRIORITIZATION PROCESS, THE FOLLOWING COMMUNITY HEALTH NEEDS WERE ALSO IDENTIFIED TO A LESSER DEGREE AND WERE NOT ADDRESSED DIRECTLY BY THE HOSPITAL FOR THE REASONS INDICATED. INJURY & VIOLENCE: THE COMMUNITY HAS A WELL-ESTABLISHED, WELL- RESPECTED COMMUNITY SEXUAL ASSAULT AND DOMESTIC VIOLENCE AGENCY THAT IS THE LEAD ON THIS AREA. THE HOSPITAL PROVIDES FINANCIAL SUPPORT DURING THE AGENCY'S ANNUAL FUNDRAISING DRIVE AND SENIOR LEADERSHIP SERVES ON THE AGENCY BOARD OF DIRECTORS. |
| Schedule H, Part V, Section B, Line 11 Facility , 3 | Facility , 3 - HSHS Sacred Heart Hospital. THE SENIOR POPULATION IN THE CHIPPEWA VALLEY IS STEADILY GROWING. SHEC'S 3D COMMUNITY HEALTH DEPARTMENT: BODY.MIND.SPIRIT PARTNERED WITH THE EAU CLAIRE SENIOR CENTER TO PROVIDE A SENIOR CENTER GOLDEN HEALTH SERIES. THE 3D COMMUNITY HEALTH DEPARTMENT COORDINATED TWO HEALTH EDUCATION AND PREVENTION PROGRAMS SPECIFICALLY ON HEALTH TOPICS OF INTEREST TO OUR SENIORS. THE SERIES WAS PROVIDED FREE OF CHARGE. ONE OF THE PROGRAMS FOCUSED ON WINTER FALL PREVENTION THAT INCLUDED SIMPLE WAYS TO DECREASE RISK FOR INJURY FROM FALLING IN THE SNOW. THE SECOND HALF OF THE PROGRAM FOCUSED ON WAYS TO STAY ACTIVE BY IMPROVING STRENGTH & BALANCE. SEVENTEEN COMMUNITY MEMBERS ATTENDED THE EVENT. SHEC HAS A PRIMARY FOCUS OF SUICIDE PREVENTION (SELF-INJURY AREA) AND AWARENESS WHICH IS INCLUDING IN THE MENTAL HEALTH FOCUS AREA. REPRODUCTIVE/SEXUAL HEALTH: THE HOSPITAL DOES NOT TAKE THE LEAD IN THIS AREA AS IT IS BEST SERVED BY THE COUNTY HEALTH DEPARTMENT AND OTHER AGENCIES WITH EXPERTISE IN THE AREA. ENVIRONMENTAL/OCCUPATIONAL HEALTH: WHILE SHEC DOES HAVE A VIBRANT OCCUPATIONAL HEALTH DEPARTMENT, THE HOSPITAL DOES NOT TAKE THE LEAD ON EFFORTS IN THE COMMUNITY REGARDING THIS FOCUS AREA. THE COUNTY HEALTH DEPARTMENT LEADS ACTIVITIES FOR ENVIRONMENTAL/OCCUPATIONAL HEALTH AS THEY HAVE EXPERTISE IN THIS AREA. TOBACCO USE AND EXPOSURE: SHEC IS A SMOKE-FREE CAMPUS AND ADVOCATES FOR SMOKING CESSATION BUT EFFORTS IN THE COMMUNITY ARE BEST LED THROUGH THE COUNTY HEALTH DEPARTMENT AND OTHER COMMUNITY AGENCIES WITH EXPERTISE IN THIS AREA. A COUNTY HEALTH DEPARTMENT STAFF NURSE SERVES ON THE VOICES IN PREVENTION ACTION TEAM OF CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP THAT HAS BEEN SUPPORTED BY SHEC FOR MORE THAN TWO DECADES. THE STAFF NURSE BRINGS EXPERTISE REGARDING TOBACCO USE AND EXPOSURE TO SECOND HAND SMOKE TO THIS ACTION TEAM, ENCOURGES THE TEAM TO PROVIDE COMMUNITY EDUCATION, AND ENCOURAGES TOBACCO USE TO BE ADDRESSED WITH AOTDA ISSUES. |
| Schedule H, Part V, Section B, Line 13 Facility , 1 | Facility , 1 - Sacred Heart Hospital. Presumptive eligibility provides individuals participating in one of the following categories with a 100% write off. These programs are granted by outside organizations based on screening criteria of less than 200% of the FPG. 1. Homelessness 2. Deceased with no estate 3. Mental incapacitation with no one to act on patient's behalf 4. Medicaid eligibility, but not on date of service or for non-covered services 5. Incarceration in a penal institution 6. Enrollment in the following assistance programs for low-income individuals: 6a. Temporary Assistance for Needy Families (TANF) 6b. Illinois Housing Development Authority's Rental Housing Support Program 7. Wisconsin Department of Health Services Housing Assistance Program 8. Participation in Women, Infants and Children programs (WIC); 9. Supplemental Nutrition Assistance Program (SNAP) eligibility; 10. Illinois Free Lunch and Breakfast Program; 11. Wisconsin Free Lunch Program; 12. Low Income Home Energy Assistance Program (LIHEAP); 13. Wisconsin Home Energy Assistance Program (WHEAP); 14. Enrollment in an organized community-based program providing access to medical care that assesses and documents limited low-income financial status as criteria; 15. Receipt of grant assistance for medical services |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 0 | FacilityNum |
Supplemental Information Detail SupplementalInformationDetail (18 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
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| Schedule H, Part VI SECTION 501(R) INFORMATION | IN JANUARY 2015, THE ORGANIZATION ENGAGED A LAW FIRM TO REVIEW AND REVISE ITS FINANCIAL ASSISTANCE POLICY TO MEET THE REQUIREMENTS OF TREASURY REGULATIONS ISSUED UNDER SECTION 501(R). THE HOSPITAL BEGAN TO FOLLOW THAT REVISED POLICY DURING 2015, HOWEVER IT WAS NOT FORMALLY APPROVED UNTIL OCTOBER 2017.TO ENSURE FULL COMPLIANCE WITH SECTION 501(R) AND THE TREASURY REGULATIONS ISSUED THEREUNDER, IN NOVEMBER 2017 THE ORGANIZATION ENGAGED AN OUTSIDE CONSULTANT TO REVIEW ALL APPLICABLE POLICIES AND PRACTICES AND CONTINUES TO MONITOR COMPLIANCE WITH 501(R) ON A REGULAR BASIS. |
| Schedule H, Part I, Line 7g Subsidized Health Services | THE HOSPITAL USES LYON SOFTWARE (CBISA: COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY) TO DETERMINE SUBSIDIZED SERVICES. PHYSICIAN CLINICS WERE NOT INCLUDED IN THE SUBSIDIZED HEALTH SERVICES. TO DETERMINE THE ACTUAL COST OF THESE SERVICES, THE HOSPITAL USES A COST-TO-CHARGE RATIO as calculated on IRS Schedule H - Worksheet 2 BASED ON OUR AUDITED FINANCIAL STATEMENTS TO CALCULATE THE AMOUNTS REPORTED ON LINES 7A THROUGH 7I. |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) WAS SUBTRACTED PRIOR TO AND FOR THE PURPOSE OF CALCULATING THE PERCENTAGE IN PART I, LINE 7, COLUMN (F) IS $1,311,239. |
| Schedule H, Part II Community Building Activities | HSHS SACRED HEART HOSPITAL (SHEC) HAS A 128 YEAR HISTORY OF GIVING BACK TO THE COMMUNITY AND ADDRESSING COMMUNITY NEED AT THE MOST BASIC LEVELS. THE HOSPITAL WAS FOUNDED ON THE FRANCISCAN PRINCIPLES OF CARING FOR THE POOR AND MOST VULNERABLE AND WORKING TIRELESSLY TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. SHEC INVESTED $169,221 AND SERVED 5,253 INDIVIDUALS THROUGH ITS COMMUNITY BUILDING INITIATIVES. SHEC ENHANCES THE QUALITY OF LIFE AND OVERALL WELLBEING OF ITS COMMUNITY MEMBERS BY EXAMINING THE ROOT CAUSES OF HEALTH PROBLEMS AND TACKLING THOSE ISSUES HEAD ON. SHEC ALSO BELIEVES IN UTILIZING THE EXPERTISE OF OTHERS IN THE COMMUNITY TO WORK TOGETHER TO SOLVE COMMUNITY PROBLEMS. COLLEAGUES OF SHEC ARE ACTIVE PARTICIPANTS ON TWO COUNTY SUICIDE DEATH REVIEW TEAMS THAT ARE WORKING TO DETERMINE IF COMMONALITIES EXIST SO THAT PREVENTION EFFORTS CAN BE DEVELOPED EARLY. COLLEAGUES FROM THE 3D COMMUNTITY HEALTH DEPARTMENT AND BEHAVIORAL HEALTH SERVICES ARE MEMBERS OF THE PREVENT SUICIDE CHIPPEWA VALLEY COALTION THAT ADDDRESSES STIGMA ASSOCIATED WITH MENTAL ILLNESS AND SUICIDE. IN THE LAST YEAR, THIS TEAM HAS ORGANIZED AND HOSTED A SUICIDE AWARENESS WALK THAT WAS ATTENDED BY MORE THAN ONE THOUSAND COMMUNITY MEMBERS. THEY HAVE ALSO DISTRIBUTED SUICIDE CRISIS LINE TEAR-OFF POSTERS THROUGHOUT A THREE COUNTY AREA IN WESTERN WISCONSIN; HSHS SACRED HEART HOSPITAL PROVIDED PRINTING FOR THE POSTERS. OTHER PARTNERS OF THIS INITIATIVE INCLUDE COUNTY GOVERNMENT, MENTAL HEALTH COUNSELING AGENCIES AND OTHER HEALTH CARE SYSTEM REPRESENTATIVES. A FEW EXAMPLES OF SHEC'S COMMUNITY BUILDING ACTIVITIES ARE AS FOLLOWS: F2-ECONOMIC DEVELOPMENT: SHEC'S 3D COMMUNITY HEALTH STAFF MEMBERS SERVE ON BOTH THE EAU CLAIRE CHAMBER OF COMMERCE HEALTH AND WELLNESS TEAM THAT FOCUSES EFFORTS ON WAYS TO REDUCE HEALTHCARE COSTS AND IMPROVE ACCESS; AND THE YOUTH LEADERSHIP EAU CLAIRE TEAM THAT SETS UP AN OPPORTUNITY FOR HIGH SCHOOL STUDENTS TO ENHANCE THEIR KNOWLEDGE AND DEVELOP LEADERSHIP SKILLS THAT WILL EMPOWER AND MOTIVATE THEM TO BECOME INVOLVED AND COMMITTED TO THEIR COMMUNITY. F3-COMMUNITY SUPPORT: SOME OF THE EFFORTS INCLUDE: * EAU CLAIRE FAMILY RESOURCE CENTER PLAYROOM: SHEC PROVIDED FINANCIAL SUPPORT TO THE PLAYROOM WHICH PROVIDES PARENTING, EDUCATION, INFORMATION AND SUPPORT SERVICES TO ANY FAMILY LIVING IN EAU CLAIRE OR DUNN COUNTY REGARDLESS OF THEIR FINANCIAL SITUATION. * CHIPPEWA VALLEY HEALTHY RETAIL TEAM: HSHS SACRED HEART HOSPITAL PARTNERED WITH LOCAL AGENCIES THAT MAKE UP THE CHIPPEWA VALLEY HEALTHY RETAIL TEAM. THIS IS A COLLABORATIVE EFFORT OF NUTRITION AND COMMUNITY HEALTH PROFESSIONALS FROM EAU CLAIRE, DUNN AND CHIPPEWA COUNTIES. THIS TEAM SPEARHEADED AN EFFORT TO ENCOURAGE LOCAL CORNER AND CONVENIENCE STORES IN AREAS OF EACH COUNTY THAT WERE DEEMED "FOOD DESERTS" TO SELL FRUITS AND VEGETABLES. THIS TEAM MET WITH STORE OWNERS AND MANAGERS TO ASSESS THE AVAILABLITY OF FRUITS AND VEGETABLES IN THE STORES. THE TEAM WORKED WITH THE STORES AND ASSISTED IN THE PURCHASE OF DISPLAY EQUIPMENT AND MATERIALS FOR TWELVE STORES IN THE THREE COUNTY AREA. THE PURPOSE OF THE PROJECT WAS TO ENCOURAGE THE HEALTHY CHOICE AS THE EASY CHOICE IN AREAS OF COMMUNITY WHERE FRESH FRUITS AND VEGETABLES ARE NOT EASILY ACCESSIBLE. F5-LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS: SHEC'S FOUNDATION AND DEVELOPMENT STAFF PROVIDED TEAM BUILDING TO BOARD OF DIRECTORS AT BOTH A REGIONAL FOOD BANK AND THE LOCAL BIG BROTHERS BIG SISTERS ORGANIZATIONS. F6-COALITION BUILDING: SHEC SUPPORTS THE HEALTHY COMMUNITIES INITIATIVES OF THE AREA (CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP AND EAU CLAIRE HEALTHY COMMUNITIES) FINANCIALLY AND THROUGH HOSPITAL COLLEAGUES SERVING ON STEERING COMMITTEES AND ACTION TEAMS, ASSISTING AT EVENTS/ACTIVITIES, AND IN-KIND DONATIONS OF PRINTING, SPACE, AND REFRESHMENTS. F8-WORKFORCE DEVELOPMENT: SHEC QUALITY IMPROVEMENT STAFF PARTNERED WITH UNIVERSITY OF WISCONSIN EAU CLAIRE TO EDUCATE STUDENTS ON LEAN PROCESSES IN HEALTH CARE SETTINGS. FIFTY-FIVE STUDENTS PARTICIPATED. COMMUNITY BUILDING ACTIVITIES ALSO INCLUDED ATTENDING THE WISCONSIN HOSPITAL ASSOCIATION'S ADVOCACY DAY WHERE STAFF AND OTHER LOCAL HEALTH CARE ORGANIZATIONS MET WITH OUR LEGISLATORS TO DISCUSS HEALTH CARE LEGISLATION. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | Self-pay patients are screened for verification of no insurance coverage. Once verification of no coverage has been completed, the guarantors will be screened for charity or uninsured discounts based on income levels. Those guarantors who do not qualify for charity through the screening process will be asked to provide proof of income in the form of a recent pay stub and/or recent tax return to determine the level of uninsured discounting. If no proof of income is provided or a guarantor's income is greater than 201% of the federal poverty level, the appropriate discount according to the established criteria up to 400% of the federal poverty level will be applied. The amount of money not collected from those self-pay patients who are not eligible for charity care is reported as bad debt. Allowances for Doubtful Accounts have been recorded based on an historical matrix, using collectability percentages by payor and aging category in accordance with HSHS Executive Policy #F-23, Valuation of Net Accounts Receivable. Percentages are based on historical experience at the hospital and adjusted for known limitations. The hospital reports bad debt in accordance with Generally Accepted Accounting Principles (GAAP). |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | The hospital strongly believes that its charity care, and the related community benefit obtained from such care, is understated because of those patients who potentially qualify for charity care but do not wish to apply for it. In addition, some care is not classified as charity because of missing documentation on patient resources. Thus, the hospital's bad debt includes a portion that could be classified as charity care if application for such care was sought and/or completed. While the hospital feels their bad debt expense includes amounts attributable to patients who would qualify for financial assistance under the hospital's financial assistance policy, the hospital is unable to estimate this amount. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | The text of the footnote to the organization's financial statements that describes bad debt expense can be found on page 20 of the HSHS Consolidated Audit Report. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | THE HOSPITAL CONTINUALLY STRIVES TO PROVIDE EXCELLENT PATIENT CARE IN THE MOST COST EFFECTIVE FASHION. NONETHELESS, THE MEDICARE PROGRAM, IN MANY CASES, DOES NOT PROVIDE PAYMENT THAT COVERS THE FULL COST OF THE CARE PROVIDED. SINCE IT IS THE MISSION OF THE HOSPITAL TO RESPOND TO COMMUNITY NEED, HOSPITAL MANAGEMENT CONTINUALLY ADVOCATES FOR IMPROVED MEDICARE PAYMENT SO THAT THE COST OF QUALITY CARE TO THOSE PATIENTS WHO ARE NOT ABLE TO AFFORD IT IS NOT COMPROMISED AND IS FAIRLY SUBSIDIZED BY ALL PAYERS. WHILE THIS SHORTFALL IN MEDICARE PAYMENTS IS NOT CLASSIFIED AS COMMUNITY BENEFIT BY THE IRS, WE NONETHELESS BELIEVE IT IS AN IMPORTANT CONTRIBUTION MADE BY THE HOSPITAL TO THE HEALTH AND WELL-BEING OF THE COMMUNITY. IF THE MEDICARE PROGRAM DID NOT EXIST, MANY MEDICARE PATIENTS WOULD BE ELIGIBLE FOR CHARITY CARE OR OTHER MEANS-TESTED GOVERNMENT PROGRAMS. FURTHER, BY ABSORBING THIS PAYMENT SHORTFALL AND PROVIDING CARE BELOW COST TO THESE INDIVIDUALS, HSHS SACRED HEART HOSPITAL IS RELIEVING THE BURDENS OF THE GOVERNMENT. ACCORDINGLY, THIS SHORTFALL RESTRICTS HSHS SACRED HEART HOSPITAL'S ABILITY TO MAKE FUNDS AVAILABLE TO PROVIDE FOR CHARITY CARE AND OTHER COMMUNITY BENEFITS. THE HOSPITAL MEDICARE SHORTFALL AT COST FOR FISCAL YEAR 2018 WAS $26,761,758. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | EVERY EFFORT IS MADE PRIOR TO, DURING AND AFTER THE PROVISION OF MEDICAL CARE SERVICES TO DETERMINE IF A PATIENT IS ELIGIBLE FOR CHARITY/COMMUNITY CARE AND TO ASSIST THE PATIENT IN COMPLETING THE APPLICATION AND PROVIDING ADEQUATE DOCUMENTATION. IF THE PATIENT QUALIFIES FOR CHARITY/COMMUNITY CARE FOR THE FULL BALANCE OF THEIR ACCOUNT, THE ENTIRE AMOUNT IS WRITTEN OFF TO CHARITY/COMMUNITY CARE AND HENCE NO DEBT COLLECTION IS PURSUED. IF THE PATIENT QUALIFIED FOR CHARITY/COMMUNITY CARE FOR A PORTION OF THEIR ACCOUNT BALANCE, THAT PORTION IS WRITTEN OFF TO CHARITY/COMMUNITY CARE WITH THE PATIENT BEING RESPONSIBLE FOR THE REMAINDER OF THE BALANCE. ADDITIONALLY, REASONABLE EFFORT WILL BE MADE TO OBTAIN THIRD-PARTY OR GOVERNMENT PAYER REIMBURSEMENT ON BEHALF OF THE PATIENT. IF THOSE EFFORTS ARE NOT FRUITFUL, AN OFFER WILL BE EXTENDED TO THE PATIENT TO MAKE INSTALLMENT PAYMENT ON THEIR BALANCE. ONLY AT SUCH POINT THAT THE PATIENT DEFAULTS ON INSTALLMENT PAYMENTS OR REFUSES TO COOPERATE WITH THE HOSPITAL EFFORTS TO BE REIMBURSED WILL THE ACCOUNT BE SENT TO COLLECTIONS. The hospital will make reasonable efforts to determine whether a patient is eligible under the financial assistance policy before it engages in an ECA. To the extent a patient is determined to be eligible for financial assistance under the FAP, the hospital will take all reasonably available measures to reverse any ECA taken against the patient to obtain payment for the care. |
| Schedule H, Part V, Section B, Line 16a FAP website | - SACRED HEART HOSPITAL: Line 16a URL: http://www.hshs.org/fap; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - SACRED HEART HOSPITAL: Line 16b URL: http://www.hshs.org/fap; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - SACRED HEART HOSPITAL: Line 16c URL: http://www.hshs.org/fap; |
| Schedule H, Part VI, Line 2 Needs assessment | IN ADDITION TO THE TRIENNIAL CHNA, HSHS SACRED HEART HOSPITAL (SHEC) USES MANY APPROACHES TO CONTINUALLY ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY. SHEC USES PRESS GANEY PATIENT EXPERIENCE SOLUTIONS TO COLLECT PATIENT FEEDBACK TO UNDERSTAND PATIENT PREFERENCES AND DEVELOP IMPROVEMENT PLANS. SHEC ALSO UTILIZES FACE TO FACE OPPORTUNITIES WITH PATIENTS TO GAUGE COMMUNITY PERCEPTION THROUGH REGULAR LEADER ROUNDING. SHEC ENGAGES IN QUARTERLY DISCUSSIONS ABOUT COMMUNITY HEALTH NEEDS WITH THE HOSPITAL'S BOARD OF DIRECTORS AND ADVISORY COUNCIL. MEMBERSHIP CONSISTS OF COMMUNITY MEMBERS WHO REPRESENT VARYING SECTORS OF THE CHIPPEWA VALLEY INCLUDING NON-PROFIT AGENCIES, SCHOOLS, AND BUSINESSES. SHEC HAS A ROBUST VOLUNTEER PARTNERS PROGRAM WHOSE MEMBERS ARE A VALUABLE SOURCE OF FEEDBACK FROM THE COMMUNITY TO THE HOSPITAL AND BACK TO THE COMMUNITY. SHEC LEADERSHIP AND COMMUNITY HEALTH STAFF PARTICIPATES IN COMMUNITY GROUPS AND COALITIONS THAT ADDRESS THE NEEDS OF THE UNDERSERVED AND MINORITY POPULATIONS. THESE GROUPS INCLUDE THE EAU CLAIRE YMCA, THE FREE CLINIC, THE FAMILY RESOURCE CENTER, BIG BROTHERS/BIG SISTERS, THE MISSION COALITION, EAU CLAIRE HEALTHY COMMUNITIES AND FEED MY PEOPLE FOOD BANK. SHEC COMMUNITY HEALTH STAFF CONTINUALLY SEEKS TO IMPROVE AND REFINE COMMUNITY EDUCATION EFFORTS THROUGH PROGRAM EVALUATIONS. AN EXAMPLE OF THIS EFFORT WAS AFTER OFFERING QPR (QUESTION, PERSUADE, REFER) SUICIDE PREVENTION CLASSES, MANY PEOPLE INDICATED THEY WANTED TO LEARN MORE ABOUT RISK FACTORS AND EARLY SIGNS OF VARIOUS TYPES OF MENTAL HEALTH DISORDERS. BECAUSE OF THESE EVALUATION COMMENTS, SHEC STARTED OFFERING MENTAL HEALTH FIRST AID TO THE COMMUNITY. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | FINANCIAL ASSISTANCE BROCHURES ARE ACCESSIBLE BY PATIENTS IN ALL PREDOMINATE WAITING AREAS/ROOMS AT SACRED HEART HOSPITAL (SHEC). THEY ARE ALSO PROVIDED TO THE PUBLIC AT A VARIETY OF COMMUNITY EVENTS/PRESENTATIONS AND HEALTH FAIRS THAT THE HOSPITAL IS INVOLVED IN OR COORDINATES. ALL PATIENT BILLING STATEMENTS AND FINANCIAL LETTERS/PAYMENT REMINDER LETTERS REFERENCE THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM AND HOW TO CONTACT THE PATIENT FINANCIAL SERVICES OFFICE FOR AN APPLICATION. HARDCOPY FINANCIAL ASSISTANCE APPLICATIONS ARE ALSO AVAILABLE IN THE REGISTRATION AREAS, INCLUDING THE HOSPITAL EMERGENCY DEPARTMENT. IN ADDITION, OUR HOSPITAL WEBSITES PROVIDE DETAILED INFORMATION ABOUT OUR FINANCIAL ASSISTANCE PROGRAM AND PROVIDE A LINK TO THE APPLICATION SO THE PATIENT CAN FILL IT OUT AT THEIR CONVENIENCE AND SUBMIT IT TO OUR PATIENT FINANCIAL SERVICES OFFICE. WEBSITE EXAMPLE: HTTPS://WWW.SACREDHEARTEAUCLAIRE.ORG/PATIENTS-GUESTS/PAYMENT-BILLING LINK TO THE APPLICATION: HTTP://WWW.HSHS.ORG/FAP WHENEVER NEEDED, LANGUAGE TRANSLATORS ARE AVAILABLE TO TRANSLATE BOTH WRITTEN AND VERBAL COMMUNICATION. SHEC HAS PARTNERED WITH MEDDATA WHO ASSIST PATIENTS ON SITE TO APPLY FOR ELIGIBLE PAYOR SOURCES (I.E. WI MEDICAID) AND ASSIST PATIENTS WITH COMPLETING ANY NECESSARY PAPERWORK FOR THE PAYOR SOURCES. MEDDATA REPRESENTATIVES WILL ALSO MAKE HOUSE CALLS TO PATIENTS THAT ARE IMMOBILE OR HAVE LIMITED RESOURCES TO TRAVEL TO THE HOSPITAL OR WHO NEED ASSISTANCE FINDING SUPPLEMENTAL DOCUMENTATION TO ACCOMPANY THE MEDICAID APPLICATIONS (I.E. PAY STUBS, TAXES, ETC...) SHEC HAS A FINANCIAL PLANNER ON-SITE DURING PEAK BUSINESS HOURS MONDAY THROUGH FRIDAY TO ASSIST PATIENTS WITH ANY QUESTIONS WHILE APPLYING FOR FINANCIAL ASSISTANCE. THE FINANCIAL PLANNER ALSO PARTNERS WITH MEDDATA TO PROACTIVELY REVIEW INPATIENT SELF-PAY ACCOUNTS AND CONNECTS WITH PATIENTS TO START EXPLORING PAYMENT SOURCES, INCLUDING FINANCIAL ASSISTANCE. THIS IS DONE BEFORE THE PATIENT LEAVES THE HOSPITAL TO HELP PUT THEIR MIND AT EASE AND ASSURE THEM THAT THE HOSPITAL WILL ASSIST THEM WITH THEIR FINANCIAL QUESTIONS AND CONCERNS. ANOTHER WAY THAT ONE-ON-ONE CONVERSATIONS OCCUR WITH PATIENTS IS AFTER THEY RECEIVE A FINANCIAL STATEMENT LETTER. AT THIS POINT, THE CUSTOMER SERVICE REPRESENTATIVES WITHIN THE PATIENT FINANCIAL SERVICES OFFICE WILL EXPLAIN THE PATIENT'S PAYMENT OPTIONS INCLUDING THE OPTION OF APPLYING FOR FINANCIAL ASSISTANCE. ONCE ALL ATTEMPTS TO WORK OUT A PAYMENT ARRANGEMENT WITH THE PATIENT HAVE BEEN EXHAUSTED, HSHS UTILIZES A NATIONALLY RECOGNIZED SYSTEM TO DETERMINE PRESUMPTIVE FINANCIAL ASSISTANCE ELIGIBILITY. A PAY NAV CREDIT REVIEW OCCURS TO DETERMINE THE PROBABILITY OF THE PATIENT BEING ABLE TO PAY FOR THEIR HOSPITAL SERVICES BASED ON THEIR CREDIT INFORMATION. AFTER ASSESSING THE INFORMATION, HSHS DETERMINES WHETHER TO GRANT FULL FINANCIAL ASSISTANCE, BASED ON A SCORE OF BELOW 200% OF THE FPL, OR CONTINUE COLLECTION EFFORTS. |
| Schedule H, Part VI, Line 4 Community information | HSHS SACRED HEART HOSPITAL (SHEC) SERVES A POPULATION OFAPPROXIMATELY 400,000 PEOPLE IN WESTERN WISCONSIN. THE HOSPITAL'S SERVICE AREA INCLUDES URBAN AND RURAL AREAS AND ENCOMPASSES ALL OF EAU CLAIRE, CHIPPEWA AND RUSK COUNTIES, AS WELL AS PORTIONS OF BARRON, BUFFALO, CLARK, DUNN, JACKSON, PEPIN, SAWYER, TREMPEALEAU, AND WASHBURN COUNTIES. APPROXIMATELY 40% OF THE POPULATION LIVES IN EAU CLAIRE AND CHIPPEWA COUNTIES (51% WITH THE ADDITION OF DUNN COUNTY). THE POPULATION IN THE REMAINING COUNTIES IS SIGNIFICANTLY LESS, WITH 10 OUT OF 12 SERVICE AREA COUNTIES CONSIDERED RURAL BY THE US DEPARTMENT OF AGRICULTURE. THE MAJORITY (APPROXIMATELY 45%) OF ALL INPATIENT ADMISSIONS AT SHEC ORIGINATE FROM EAU CLAIRE COUNTY. EAU CLAIRE COUNTY HAS A POPULATION OF APPROXIMATELY 103,671. THE CITY OF EAU CLAIRE IS LOCATED 90 MILES EAST OF THE TWIN CITIES AND IS THE NINTH LARGEST CITY IN THE STATE OF WISCONSIN, WITH A POPULATION OF JUST OVER 65,800. SHEC DOES NOT EXCLUDE MEDICALLY UNDERSERVED AREAS (MUAS), LOW INCOME OR MINORITY POPULATIONS FROM ITS SERVICE AREA. THOUGH WESTERN WISCONSIN IS LESS DIVERSE THAN THE NATION (92.2% WHITE/NON-HISPANIC), THERE ARE SEVERAL UNIQUE MINORITY POPULATIONS FOUND WITHIN THE HOSPITAL'S SERVICE AREA, INCLUDING AMISH, MENNONITE AND HMONG COMMUNITIES. WISCONSIN HAS THE FOURTH HIGHEST AMISH POPULATION IN THE NATION. SHEC SERVES AS A "DISPROPORTIONATE SHARE HOSPITAL" DUE TO THE HIGH RATE OF MEDICAID PATIENTS SERVED BY THE HOSPITAL. IN FACT, 65 PERCENT OF SHEC'S HOSPITAL PATIENTS ARE EITHER MEDICARE OR MEDICAID RECIPIENTS. SACRED HEART'S SERVICE AREA MEAN HOUSEHOLD INCOME IS APPROXIMATELY $50,538, ROUGHLY $5,000 LOWER THAN THE NATIONAL AVERAGE WITH APPROXIMATELY 13% OF THE POPULATION LIVING BELOW 100% OF THE FEDERAL POVERTY LEVEL (2009-2013) AND AN ADDITIONAL 1.14% LIVING BELOW 200% OF THE FPL. SOCIOECONOMICS IS ONE OF THE MOST INFLUENTIAL DETERMINANTS IN AN INDIVIDUAL'S LEVEL OF ACCESS TO HEALTH CARE (I.E.,INDIVIDUALS WITH A LOWER SOCIOECONOMIC STATUS IN THE U.S. HAVE LOWER LEVELS OF GENERAL HEALTH, INSURANCE COVERAGE, IN ADDITION TO LESS ACCESS TO CARE) (AMERICAN JOURNAL OF PUBLIC HEALTH, 2000). INSURANCE COVERAGE IN THE COUNTIES OF SHEC'S SERVICE AREA IS FAR LOWER THAN THAT OF THE U.S. (6.1% FOR EAU CLAIRE COUNTY COMPARED TO 10.2% NATIONALLY). INSURANCE COVERAGE IS STRONGLY RELATED TO BETTER HEALTH OUTCOMES FOR BOTH CHILDREN AND ADULTS WHEN IT MAKES HEALTH CARE SERVICES AFFORDABLE AND HELPS INDIVIDUALS AND FAMILIES USE CARE APPROPRIATELY. UNINSURED INDIVIDUALS GENERALLY RECEIVE MUCH LESS CARE, EITHER PREVENTIVE OR FOR ACUTE AND CHRONIC CONDITIONS, THAN INSURED INDIVIDUALS. UNINSURED ADULTS REPORT LOWER LEVELS OF SELF-PERCEIVED WELLNESS AND FUNCTIONING. THE HOSPITAL'S SERVICE AREA POPULATION IS AGING, MUCH LIKE THE REST OF THE NATION. THE LARGEST SEGMENT OF GROWTH FROM 2000 TO 2010 OCCURRED IN THE 18 TO 64-YEAR OLD AGE CATEGORY WITH A GROWTH RATE OF 16.9 PERCENT FOLLOWED BY A 10.3 PERCENT GROWTH RATE IN THE 65+ YEAR OLD AGE CATEGORY. THE NUMBER OF 0 TO 18 YEARS OLDS IS DECLINING. COMBINED POPULATION GROWTH FOR THESE SIX COUNTIES WAS APPROXIMATELY 6.6 PERCENT BETWEEN 2000 AND 2010. ALONG WITH THE AGING POPULATION COME INCREASED HEALTH CARE COSTS WITH CHRONIC DISEASE. STUDIES INDICATE THAT THE HEALTH OF THE AGING POPULATION CAN BE MAINTAINED AND CHRONIC DISEASES CAN BE REDUCED BY PROMOTING HEALTHY BEHAVIORS AND EXPANDING PREVENTIVE HEALTH SERVICES. EAU CLAIRE COUNTY IS FEDERALLY-DESIGNATED AS A MEDICALLY UNDERSERVED AREA EVEN THOUGH THERE ARE TWO ACUTE-CARE HOSPITALS OFFERING TERTIARY LEVEL SERVICES INCLUDING CARDIOVASCULAR SURGERY, NEUROSURGERY, ONCOLOGY AND TRAUMA LEVEL II IN EAU CLAIRE: SHEC AND MAYO CLINIC HEALTH SYSTEM - EAU CLAIRE, AS WELL AS OAKLEAF SURGICAL HOSPITAL AND MARSHFIELD MEDICAL CENTER-EAU CLAIRE. HSHS AND MAYO HEALTH SYSTEM HAVE EXTENSIVE PENETRATION IN EAU CLAIRE COUNTY. LIKEWISE, THE OAKLEAF MEDICAL NETWORK AND MARSHFIELD CLINIC OFFER SERVICES AT SEVERAL SITES THROUGHOUT THE COUNTY. RESIDENTS LOCATED ON THE PERIPHERYOF SHEC'S SERVICE AREA HAVE ACCESS TO EQUIVALENT AND EVEN GREATER LEVELS OF ACUTE CARE. TO THE WEST, THE TWIN CITIES MARKET BOASTS SEVERAL LARGE COMMUNITY HOSPITALS WITH TRAUMA LEVEL I AND AN ACADEMIC MEDICAL CENTER. A COMPREHENSIVE HEALTH CARE NETWORK, INCLUDING TWO HOSPITALS, A LARGE MULTI-SPECIALTY GROUP PRACTICE, AND A REGIONAL COMMUNITY CLINIC IS AVAILABLE IN IN LA CROSSE. LASTLY, MINISTRY HEALTHCARE, HSHS ST. JOSEPH'S HOSPITAL, MARSHFIELD AND THE MARSHFIELD CLINIC PHYSICIAN GROUP PROVIDE ACUTE CARE AND PRIMARY CARE SERVICES ARE LOCATED EAST OF HSHS SACRED HEART HOSPITAL. |
| Schedule H, Part VI, Line 5 Promotion of community health | AS A HEALING MINISTRY OF THE CATHOLIC CHURCH AND AN AFFILIATE OF HOSPITAL SISTERS HEALTH SYSTEM (HSHS), SACRED HEART HOSPITAL IS COMMITTED TO DELIVERING HIGH QUALITY, COMPASSIONATE, AND COST-EFFECTIVE HEALTH CARE SERVICES TO ALL. FOUNDED IN 1889, THE HOSPITAL BRINGS A HEALING PRESENCE AND IMPROVES THE HEALTH OF OUR COMMUNITY, ESPECIALLY THOSE PERSONS WHO ARE SICK, POOR, AND DISADVANTAGED. BECAUSE OF THE HOSPITAL'S MISSION AND HERITAGE, THE HOSPITAL IS DEDICATED TO PROMOTING THE HEALTH OF EAU CLAIRE AND SURROUNDING AREAS. THE HOSPITAL IS GOVERNED BY A BOARD OF DIRECTORS, MOST OF WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE HOSPITAL (NOR FAMILY MEMBERS THEREOF). THE BOARD ENSURES THAT SACRED HEART HOSPITAL IS RESPONDING TO COMMUNITY NEED. IN FY2018, FOR EXAMPLE, THE BOARD REVIEWED THE COMMUNITY HEALTH NEEDS ASSESSMENT AND APPROVED AN IMPLEMENTATION PLAN FOR ADDRESSING THE SELECTED HEALTH FOCUS AREAS OF MENTAL HEALTH, ALCOHOL MISUSE AND SUBSTANCE USE. THE DIRECTOR OF HSHS SACRED HEART HOSPITAL'S 3D COMMUNITY HEALTH DEPARTMENT: BODY.MIND.SPIRIT PROVIDED WRITTEN AND VERBAL UPDATES TO THE HOSPITAL BOARD OF DIRECTORS (BOD) THROUGHOUT FY2017 AND FY2018 ON THE HOSPITAL'S VARIOUS COMMUNITY BENEFIT INITIATIVES AND ANY NEW NEEDS THAT MAY HAVE ARISEN. MULTIPLE BOARD MEMBERS ROUTINELY SEEK OUT AND ENGAGE IN CONVERSATION WITH THE 3D COMMUNITY HEALTH DIRECTOR ABOUT COMMUNITY NEED AND HOW THE HOSPITAL BOARD MIGHT BEST SERVE THE HOSPITAL AND MEET COMMUNITY NEED. THE BOD HAS SHOWN INTEREST IN WHAT THE HOSPITAL IS DOING INSIDE AND OUTSIDE THE HOSPITAL WALLS TO IMPROVE MENTAL AND BEHAVIORAL HEALTH SERVICES. THE DIRECTOR OF BEHAVIORAL HEALTH SERVICES AND THE DIRECTOR OF COMMUNITY HEALTH PRESENTED A COMPREHENSIVE BEHAVIORAL HEALTH PLAN TO THE BOD AT THEIR REQUEST. AS AN OUTCOME OF THE PRESENTATION, THE BOD ALLOCATED $50,000 TO HIRE A CONSULTING FIRM TO ACCESS THE HOSPITAL'S MENTAL HEALTH/AODA TREATMENT CENTER FOR IMPROVEMENTS. THE RECOMMENDATIONS OF THIS COMPREHENSIVE ANALYSIS WILL BE BROUGHT FORWARD TO THE HOSPITAL BOD IN THE FUTURE. THERE ARE ALSO OTHER BODIES THAT ASSIST SACRED HEART HOSPITAL'S CONNECTION WITH THE COMMUNITY, SUCH AS THE HOSPITAL ADVISORY COUNCIL, THE PATIENT AND FAMILY ADVISORY COUNCIL, THE FOUNDATION OF HSHS SACRED HEART HOSPITAL, AND OUR VOLUNTEER PARTNERS BOARD. CONSISTENT WITH ITS EXEMPT PURPOSE, SACRED HEART HOSPITAL HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. THE HOSPITAL ALSO OPERATES AN EMERGENCY DEPARTMENT THAT IS OPEN 24 HOURS TO ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY. AS A NOT-FOR-PROFIT HOSPITAL, SACRED HEART HOSPITAL REINVESTS SURPLUS FUNDS TO SUPPORT THE MISSION OF THE ORGANIZATION AND PROMOTE THE HEALTH OF THE COMMUNITY RATHER THAN DISTRIBUTING SURPLUS FUNDS AS PROFITS TO SHAREHOLDERS OR INDIVIDUALS. FUNDS NOT COMMITTED TO ONGOING OPERATIONS ARE GENERALLY USED TO UPGRADE FACILITIES, SECURE NEW TECHNOLOGIES, IMPROVE PATIENT CARE, AND SUPPORT INITIATIVES DESIGNED TO PROMOTE HEALTH AND ENSURE ACCESS FOR ALL. FOR EXAMPLE, ON AUGUST 3, 2017 SACRED HEART HOSPITAL OPENED A NEW OUTPATIENT LABORATORY DRAW STATION, LOCATED AT THE CENTERS FOR REHABILITATION SERVICES-EAU CLAIRE AT 1109 WEST CLAIREMONT AVE. THIS NEW LOCATION DRAMATICALLY INCREASED ACCESS TO HEALTH CARE SERVICES FOR OUR PATIENTS. HSHS SACRED HEART HOSPITAL (SHEC) ALSO UNVEILED ITS NEWLY RENOVATED WOMEN AND INFANTS CENTER ON THE THIRD FLOOR OF THE HOSPITAL. SHEC IS THE FIRST HOSPITAL IN THE REGION TO PROVIDE THE CONVENIENCE OF ALL-IN-ONE BIRTHING SUITES - WHERE LABOR, DELIVERY, RECOVERY AND POSTPARTUM CARE TAKE PLACE IN ONE COMFORTABLE AND PRIVATE SUITE. MOTHER AND BABY DO NOT HAVE TO MOVE ROOMS MIDWAY THROUGH THEIR HOSPITAL STAY AND WILL BOND IN THE SAME ROOM TOGETHER UNTIL THEY ARE READY TO GO HOME. SHEC'S CONTINUES TO PARTNER WITH PREVEA HEALTH, A MULTI-SPECIALITY HEALTH CARE ORGANIZATION BASED IN GREEN BAY, WISCONSIN THAT HAS BEEN A PART OF THE WESTERN WISCONSIN REGION SINCE 2015. PREVEA HEALTH WORKS EXTENSIVELY WITH SHEC AND SISTER HOSPITAL HSHS ST. JOSEPH'S HOSPITAL IN CHIPPEWA FALLS. IN PARTNERSHIP WITH PREVEA HEALTH, SHEC BEGAN RENOVATION OF A NEW CANCER CENTER (OPENED IN SEPTEMBER 2018). THE PREVEA CANCER CENTER AT SHEC FEATURES EIGHT STATE-OF-THE-ART EXAM ROOMS, 11 INFUSION ROOMS, A GATHERING ROOM THAT OFFERS SNACKS AND REFRESHMENTS, AND A HEALING GARDEN. THIS NEW CENTER WILL EXPAND CANCER SERVICES TO THE AREA. PREVEA HEALTH ALSO INCREASED ACCESS TO HEALTH CARE BY OPENING AN URGENT CARE CLINIC WITHIN THE SHEC SERVICE AREA IN NEARBY ALTOONA. SACRED HEART HOSPITAL ALSO DEVOTES SIGNIFICANT RESOURCES TO ACCESS FOR PATIENTS WHO CANNOT AFFORD CARE, ALONG WITH OTHER COMMUNITY BENEFITS. IN FY2018, SACRED HEART HOSPITAL PROVIDED MORE THAN 19 MILLION IN COMMUNITY BENEFIT, INCLUDING FINANCIAL ASSISTANCE AT COST, UNPAID COSTS OF MEDICAID AND OTHER PUBLIC PROGRAMS, AND A RANGE OF DIVERSE PROGRAMS DESIGNED TO ENHANCE ACCESS AND IMPROVE COMMUNITY HEALTH. ADDITIONALLY, IN FY2018, SACRED HEART HOSPITAL PROVIDED 383 THOUSAND (AT COST) IN UNCOMPENSATED CARE TO PATIENTS WHO DID NOT QUALIFY FOR CHARITY CARE OR PUBLIC ASSISTANCE AND MORE THAN 26.8 MILLION (AT COST) IN EXCESS OF MEDICARE PAYMENT FOR HEALTH CARE SERVICES. SACRED HEART HOSPITAL PROVIDES A RANGE OF COMMUNITY BENEFIT INITIATIVES AND PROGRAMS THAT FURTHER OUR MISSION AND LONG-STANDING COMMITMENT TO OUR COMMUNITY. IN MANY CASES, THESE COMMUNITY BENEFITS WOULD NOT EXIST WITHOUT THE LEADERSHIP ROLE PLAYED BY SACRED HEART HOSPITAL AND THEY OFTEN RELIEVE A BURDEN THAT WOULD OTHERWISE BE CARRIED BY GOVERNMENT. |
| Schedule H, Part VI, Line 6 Affiliated health care system | 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. In FY2018, HSHS collectively provided $198.4 million in Community Benefit (9.1% of total hospital expenses). This amount included $25.7 million provided for Financial Assistance (a.k.a. Charity Care) and $133.7 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 $221.5 million. HSHS hospitals also recorded $45.9 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 H, Part VI, Line 7 State filing of community benefit report | WI |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| 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 | Yes (true) | 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 (14 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JULIE MANAS | ||||||||||||||
| PRES / CEO WESTERN WI DIV Through Jan 2018 | $0 | $549,445 | $0 | $0 | $0 | $15,159 | $0 | $121,468 | $0 | $28,561 | $0 | $714,633 | $0 | $0 |
| ANDREW J BAGNALL | ||||||||||||||
| PRES/CEO WESTERN WI DIV Beg Feb 2018 | $0 | $292,518 | $0 | $0 | $0 | $63,922 | $0 | $61,794 | $0 | $29,775 | $0 | $448,009 | $0 | $42,293 |
| JOAN COFFMAN | ||||||||||||||
| PRESIDENT (partial year) | $0 | $302,407 | $0 | $0 | $0 | $223,712 | $0 | $84,117 | $0 | $22,913 | $0 | $633,149 | $0 | $48,340 |
| PETER MANNIX | ||||||||||||||
| Board Member | $0 | $371,902 | $0 | $0 | $0 | $92,819 | $0 | $118,610 | $0 | $36,250 | $0 | $619,581 | $0 | $85,653 |
| PATRICIA ALLEN | ||||||||||||||
| DIV CFO - Starting July 2017 | $136,083 | $0 | $0 | $0 | $110,365 | $0 | $5,344 | $0 | $9,716 | $0 | $261,508 | $0 | $0 | $0 |
| DAVE NELSON | ||||||||||||||
| DIV CFO - Through Aug 2017 | $220,126 | $0 | $0 | $0 | $594 | $0 | $58,033 | $0 | $12,474 | $0 | $291,227 | $0 | $0 | $0 |
| ANN M CARR | ||||||||||||||
| TREASURER | $0 | $260,012 | $0 | $0 | $0 | $58,499 | $0 | $98,998 | $0 | $21,199 | $0 | $438,708 | $0 | $31,564 |
| FAYE DEICH | ||||||||||||||
| Chief Operating Officer | $0 | $0 | $0 | $0 | $246,322 | $0 | $0 | $0 | $13,084 | $0 | $259,406 | $0 | $0 | $0 |
| Judith Balcitis | ||||||||||||||
| Chief Nursing Officer | $216,209 | $0 | $0 | $0 | $780 | $0 | $0 | $0 | $20,855 | $0 | $237,844 | $0 | $0 | $0 |
| MONICA MCDONALD | ||||||||||||||
| PHYSICIAN | $893,238 | $0 | $0 | $0 | $375 | $0 | $48,850 | $0 | $23,788 | $0 | $966,251 | $0 | $0 | $0 |
| JOHN WACIUMA | ||||||||||||||
| PHYSICIAN | $710,200 | $0 | $0 | $0 | $18,390 | $0 | $46,002 | $0 | $10,884 | $0 | $785,476 | $0 | $0 | $0 |
| Erik Dickson | ||||||||||||||
| Chief Physician Executive | $337,644 | $0 | $0 | $0 | $780 | $0 | $6,982 | $0 | $25,199 | $0 | $370,605 | $0 | $0 | $0 |
| Erica Barrette | ||||||||||||||
| Physician | $264,065 | $0 | $0 | $0 | $82 | $0 | $25,548 | $0 | $3,052 | $0 | $292,747 | $0 | $0 | $0 |
| LANCE J LEVENDOWSKI | ||||||||||||||
| PHYSICIAN | $243,405 | $0 | $1,246 | $0 | $1,027 | $0 | $26,330 | $0 | $27,699 | $0 | $299,707 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a Travel for companions | COMPANION TRAVEL WAS PAID TO Patty Allen ($112) DURING THE YEAR. THE FAIR VALUE OF THIS TRAVEL WAS INCLUDED IN THEIR ANNUAL TAXABLE INCOME. |
| Schedule J, Part I, Line 1a Tax indemnification and gross-up payments | TAX GROSS-UPS WERE PAID BY THE ORGANIZATION TO VARIOUS INDIVIDUALS LISTED IN SCH J THAT WERE LESS THAN $50 A PERSON. THE FAIR VALUE OF THIS WAS INCLUDED IN EACH EMPLOYEES ANNUAL TAXABLE INCOME. THOSE INDIVIDUALS WHO RECEIVED MORE THAN $50 EACH ARE AS FOLLOWS: David Nelson -- $159 Lance Levendowski -- $97 |
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | PLEASE SEE RESPONSE TO FORM 990, PART VI, LINE 15A IN SCHEDULE O. |
| Schedule J, Part I, Line 4a Severance or change-of-control payment | INTERESTED PERSON: FAYE DEICH AMOUNT: $246,322 TERMS: COMPENSATION PAID AS A RESULT OF A SEVERANCE FROM THE POSITION OF COO. |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | Schedule J, Part I, Line 4b - Disclosure 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 2017 THESE DEFERRALS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). Andy Bagnall -- $31,701 Ann Carr -- $28,431 Joan Coffman -- $32,452 Julie Manas -- $66,881 Peter Mannix -- $45,832 THE FOLLOWING INTERESTED PERSONS RECEIVED DISTRIBUTIONS FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2017 THESE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III) AND SCHEDULE J, PART II, COLUMN (F), AS APPLICABLE. Andy Bagnall -- $42,293 Ann Carr -- $31,564 Joan Coffman -- $48,340 Peter Mannix -- $85,653 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (18 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 1 ORGANIZATION'S MISSION | THE PRIMARY PURPOSE OF SACRED HEART HOSPITAL IS TO PROVIDE A STRUCTURE AND THE MEANS WHEREBY THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS CAN CONTINUE THEIR APOSTOLIC MISSION TO SERVE THE SICK, THE AGED, THE POOR AND THE TERMINALLY ILL WITHOUT REGARD TO RACE, COLOR, CREED OR NATIONAL ORIGIN. THE PRIMARY CONCERN OF SACRED HEART HOSPITAL AND THE HOSPITAL SISTERS IS THE PATIENT'S WELL BEING... SPIRITUALLY, PHYSICALLY, PSYCHOLOGICAL AND SOCIAL. |
| Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS | SACRED HEART HOSPITAL PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF SACRED HEART HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES, AND FURTHER THAT OUR MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY ARE CONSIDERED WHERE THERE IS A DEMONSTRATED NEED. THESE ACTIVITIES INCLUDE BEHAVIORAL HEALTH SERVICES, WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, SPECIAL PROGRAMS FOR THE ELDERLY, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. SACRED HEART HOSPITAL PROVIDED 43,174 ADULT AND PEDIATRIC DAYS OF CARE AND 82,150 OUTPATIENT VISITS DURING FISCAL YEAR ENDED JUNE 30, 2018. SACRED HEART HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST. RECOGNIZING OUR MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. IN ACCORDANCE WITH STANDARDS DEFINED BY THE CATHOLIC HEALTH ASSOCIATION USA (CHAUSA), SACRED HEART HOSPITAL HAS RECOGNIZED AN UNREIMBURSED COST OF COMMUNITY BENEFIT OF $19,226,817 THE COST OF SERVICING THE PEOPLE QUALIFYING FOR PUBLIC INDIGENT PROGRAMS (INCLUDING MEDICAID AND OTHER PUBLIC PROGRAMS) WAS $9,579,101. THE COST OF OUR HOSPITAL BASED COMMUNITY CARE PROGRAM WAS $3,435,102. SACRED HEART ALSO PROVIDED BENEFITS OF $6,216,614 TO THE COMMUNITY THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES THAT SACRED HEART HOSPITAL BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. THESE INCLUDE: * SUPPORT GROUPS INCLUDING: - THE HEALING PLACE: A CENTER FOR LIFE'S JOURNEYS IS SACRED HEART HOSPITAL'S FREE GRIEF AND HOLISTIC HEALING CENTER FOR INDIVIDUALS WHO HAVE EXPERIENCED A LOSS OR ARE DEALING WITH A MAJOR LIFE TRANSITION. SUPPORT INCLUDES: GRIEF SUPPORT GROUPS, COUNSELING, WORKSHOPS, PRESENTATIONS TO GRIEVING INDIVIDUALS AND FAMILIES SUCH AS: 1. EVENING AND DAYTIME SPOUSE LOSS GROUPS FOR THOSE WHO HAVE LOST A SPOUSE 2. SHARE SUPPORT GROUP FOR MISCARRIAGE, STILLBIRTH AND EARLY INFANT DEATH 3. PARENTS GRIEF GROUP FOR PARENTS WHO HAVE LOST A CHILD 4. ADULT LOSS OF A PARENT FOR THOSE WHO HAVE LOST A PARENT 5. CHILDREN'S GRIEF GROUP FOR CHILDREN AGES 6-12 WHO HAVE LOST A SPECIAL PERSON 6. SUICIDE SURVIVOR'S GROUP FOR THOSE WHO HAVE LOST A LOVED ONE TO SUICIDE 7. WORKSHOPS AND PRESENTATIONS TO HEALTHCARE, RELIGIOUS, EDUCATIONAL AND MENTAL HEALTH INSTITUTIONS ON TOPICS RELATED TO GRIEF AND LOSS. 8. SPECIAL PROGRAMS AND WORKSHOPS INCLUDING GRIEF IN THE WORKPLACE AND GRIEF AND THE HOLIDAYS 9. NEW SUPPORT SERVICES, SHORT-TERM COUNSELING, CLASSES AND WORKSHOPS PROVIDE SUPPORT FOR THOSE COPING WITH NON-DEATH-RELATED LIFE TRANSITIONS INCLUDING: DIVORCE OR SEPARATION, ILLNESS, DISABILITY, JOB CHANGES, MILITARY DEPLOYMENT AND RETIREMENT - SEVERAL CANCER CARE RELATED PROGRAMS, INCLUDING; "REACH TO RECOVERY" AND "LIVING WITH CANCER" AND WIG LOAN CLOSET SUPPORT GROUPS FOR DISEASES/DISORDERS SUCH AS; ALZHEIMER'S, AMPUTEE CLINIC, MULTIPLE SCLEROSIS, SPINAL CORD INJURY, AND OTHERS - BREASTFEEDING SUPPORT GROUP *3D COMMUNITY HEALTH AND OTHER EDUCATIONAL CLASSES AND RESOURCES INCLUDING: - PREPARED CHILDBIRTH (LAMAZE, PRENATAL, SIBLING CLASSES AND LACTATION CONSULTING) - EMT AND OTHER PROFESSIONAL TRAINING SUCH AS ACLS - ADULT, INFANT AND CHILD CPR CLASSES - BABYSITTING/SMARTER SITTER SEMINARS - ARTHRITIS, PARKINSON'S DISEASE, OSTEOPOROSIS AND OTHERS - PEDIATRIC HEALTH FAIR WITH HANDS-ON ACTIVITIES IN HEALTH, WELLNESS AND SAFETY. - WELLNESS PROGRAMS, SERVICES AND RETREATS - PARTICIPATION IN HEALTH FAIRS - CARING FOR THE CAREGIVER - CENTER FOR MEDICAL EXCELLENCE COMMUNITY HEALTH INFORMATION ROOM WITH ACCESS TO PRINT AND ELECTRONIC MEDICAL JOURNALS AND OTHER HEALTH RESOURCES FOR PATIENT, FAMILY, AND COMMUNITY USE - ANNUAL "WOMAN TO WOMAN" HEALTHCARE EXPO - INDOOR SPORTS CENTER "GET HOOKED ON HEALTH" KIDS EXPO (SAFETY EDUCATION, HEALTH & WELLNESS) - CENTER FOR SPIRITUAL CARE SPEAKERS' BUREAU * MEAL PROGRAMS & SUPPORT INCLUDING: - MEALS FOR SENIOR CITIZENS AND CONGREGATE SITE MEALS - THANKSGIVING ST. FRANCIS FOOD PANTRY FOOD DRIVE COLLECTION PROGRAM FOR NEEDY FAMILIES - COAT, MITTEN, LINEN AND BLANKET DRIVE - CHRISTMAS SPONSOR-A-FAMILY DRIVE - ESSENTIALS (TOILETRIES) DRIVE * HEALTH SCREENINGS INCLUDING: - REDUCED FEE MAMMOGRAMS - PROSTATE (PSA) SCREENINGS - BLOOD PRESSURE SCREENINGS - STROKE PREVENTION CLINIC/SCREENINGS * SERVICES TO THE COMMUNITY, INCLUDING: - CENTER FOR SPIRITUAL CARE PASTORAL CARE CHAPLAIN & VOLUNTEER ASSISTANCE WITH OVER 650 POWER OF ATTORNEY FOR HEALTH CARE (ADVANCE DIRECTIVE) FORMS - A VARIETY OF STUDENT INTERN PROGRAMS, WORK SHADOWING, AND TOURS - OVERNIGHT ACCOMMODATIONS FOR FAMILIES OF CRITICALLY ILL PATIENTS - PATIENT FOLLOW-UP POST DISCHARGE CALLS PROGRAM - MEDICAL EQUIPMENT, SUPPLIES, LABORATORY SERVICES, IMAGING SERVICES DONATED TO THE CHIPPEWA VALLEY FREE CLINIC AND ITS PATIENTS BELOW THE FEDERAL POVERTY LEVEL - ANNUAL BIOETHICS SYMPOSIUM - SYMPOSIUM SUPPORT AND SPONSORSHIP FOR THE CATHOLIC MEDICAL ASSOCIATION - DISASTER PREPAREDNESS PLANNING - INFLUENZA/H1N1 COMMUNITY EDUCATION - SYMPOSIUM SPONSORSHIP ON FINANCIAL MANAGEMENT DURING CHALLENGING ECONOMIC TIMES |
| Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED) | * HOSTING MEETINGS, DRIVES AND SPONSORSHIPS FOR: - RED CROSS BLOOD DRIVES - CATHOLIC CHARITIES EVENTS AND EDUCATION - DIOCESE OF LA CROSSE OFFICE OF FAMILY LIFE - UNITED WAY EVENTS - RELAY FOR LIFE - AMERICAN CANCER SOCIETY - SPECIAL OLYMPICS POLAR PLUNGE - AMERICAN HEART ASSOCIATION HEART WALK - BRAIN INJURY ASSOCIATION OF WISCONSIN - BREAKFAST IN THE VALLEY - RED CROSS REAL HEROES BANQUET - PRODUCERS & BUYERS CO-OP: LINKING LOCAL FARMS AND INSTITUTIONS, ORGANIZATIONAL SUPPORT FOR MEETINGS AND ORGANIZATIONAL AND SECRETARIAL SUPPORT TO ENCOURAGE LOCAL FOOD SOURCING BY INSTITUTIONS TO BENEFIT THE LOCAL ECONOMY (IN PARTNERSHIP WITH RIVER COUNTRY RC&D AND LOCAL FAMILY FARMS) - LOGISTICAL SUPPORT AND MEETING SPACE FOR THE CHIPPEWA VALLEY INTERNETWORKING CONSORTIUM TO HELP EXPAND FIBER BROADBAND INFRASTRUCTURE AND SERVICE TO THE COMMUNITY AND TO RURAL AND UNDERSERVED AREAS TO SUPPORT TELEMEDICINE AND OTHER HEALTH PROJECTS, ALONG WITH CITY/COUNTY GOVERNMENTS, EMS, LIBRARIES AND SCHOOLS/EDUCATION - LOCAL "GREEN" AND ENVIRONMENTAL SUSTAINABILITY EDUCATIONAL EVENTS * FIRST AID BOOTHS FOR COMMUNITY EVENTS/FESTIVALS, INCLUDING: - BUCKSHOT RUN - COUNTRY JAM - FESTIVAL IN THE PINES - INTERNATIONAL FALL FESTIVAL * "GREEN" ENVIRONMENTAL STEWARDSHIP AND SUSTAINABILITY EFFORTS (RECYCLING AND REUSING) INCLUDING: - MORE THAN 5 TONS OF FOOD SCRAP PRODUCE WERE DONATED TO A LOCAL RANCH FOR ANIMAL FEED - THE HOSPITAL DONATED MORE THAN 4.5 TONS OF LEFTOVER FOOD TO THE ST. FRANCIS FOOD PANTRY - DONATED 11.5 TONS OF USED EQUIPMENT (8,400 ITEMS) TO THIRD WORLD COUNTRIES VIA THE HOSPITAL SISTERS MISSION OUTREACH: MEDICAL EQUIPMENT WENT TO NEEDY HOSPITALS AND CLINICS IN THIRD WORLD COUNTRIES SUCH AS MONGOLIA AND UKRAINE AND TO U.S. NAVY PROJECT HANDCLASP. EQUIPMENT INCLUDED BEDS, WHEELCHAIRS, EXAM LIGHTS, WALKERS, X-RAY APRONS, MEDICAL CARTS, SURGICAL INSTRUMENTS, STRETCHERS, LINENS AND VARIOUS OTHER ITEMS SACRED HEART HOSPITAL HAS PREPARED THE FINANCIAL INFORMATION IN THIS REPORT IN ACCORDANCE WITH CHAUSA COMMUNITY BENEFIT REPORTING GUIDELINES. THESE GUIDELINES RECOMMEND THE FOLLOWING: * REPORT COMMUNITY CARE AT COST, NOT CHARGES. * DO NOT INCLUDE BAD DEBT, CONTRACTUAL ALLOWANCES, AND QUICK PAY DISCOUNTS AS PART OF CHARITY CARE EXPENSE. * DO NOT COUNT MEDICARE SHORTFALL AS A COMMUNITY BENEFIT. * REPORT THE NET EXPENSE FOR COMMUNITY BENEFIT SERVICES, I.E., THE TOTAL COMMUNITY BENEFIT EXPENSE MINUS ANY ASSOCIATED REVENUE FROM PATIENTS, PAYERS, AND OTHER EXTERNAL SOURCES. THE CATHOLIC HEALTH ASSOCIATION'S REPORTING GUIDELINES REFLECT A CONSERVATIVE APPROACH TO REPORTING QUANTIFIABLE COMMUNITY BENEFIT. THE GOAL OF THE REPORTING GUIDELINES IS TO PRODUCE COMMUNITY BENEFIT FINANCIAL REPORTS THAT REFLECT TRUE COSTS AND THAT DESCRIBE COMMUNITY BENEFIT ACTIVITIES THAT INCREASE ACCESS TO HEALTH CARE AND IMPROVE COMMUNITY HEALTH. IN SUMMARY SACRED HEART HOSPITAL FINANCIALLY CONTRIBUTED TO THE COMMUNITY $19,226,817 FISCAL YEAR ENDED JUNE 30, 2018 AS FOLLOWS: CHARITY CARE - AT COST, NOT INCLUDING BAD DEBT $3,435,102 GOVERNMENT SPONSORED HEALTH CARE - NET EXPENSES UNPAID COST OF PUBLIC INDIGENT CARE PROGRAMS (INCLUDES MEDICAID AND OTHER PUBLIC PROGRAMS) $6,579,101 COMMUNITY BENEFIT PROGRAMS - NET EXPENSE $6,212,614 TOTAL QUANTIFIABLE COMMUNITY BENEFITS $19,226,817 IN ADDITION TO THE AMOUNTS REPORTED ABOVE, SACRED HEART HOSPITAL COMMITTED SIGNIFICANT RESOURCES TO SERVICE THE MEDICARE POPULATION. THE COST (AS DETERMINED USING THE COST TO CHARGE RATIO) OF PROVIDING SERVICES TO PRIMARILY ELDERLY BENEFICIARIES OF THE MEDICARE PROGRAM IN EXCESS OF GOVERNMENTAL AND MANAGED CARE CONTRACT PAYMENTS WAS $26,761,758 FOR THE YEAR ENDED JUNE 30, 2018. |
| Form 990, Part IV, Line 24a TAX-EXEMPT BONDS | SACRED HEART HOSPITAL HOLDS A LIABILITY ON ITS BOOKS FOR TAX-EXEMPT BONDS, WHICH IS AN ALLOCATION FROM ITS SOLE CORPORATE MEMBER, HOSPITAL SISTERS SERVICES, INC. AS A RESULT, THIS QUESTION WAS ANSWERED NO, AND SCHEDULE K WILL BE COMPLETED ON THE HOSPITAL SISTERS SERVICES, INC. FORM 990. |
| Form 990, Part IV, Line 10 Endowment Funds | The organization maintains temporarily and permanently restricted net assets 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 16b JOINT VENTURES | HOSPITAL SISTERS HEALTH SYSTEM ADOPTED A JOINT VENTURE COMPLIANCE PROGRAM POLICY EFFECTIVE ON JANUARY 1, 2012 FOR ALL SYSTEM HOSPITALS, INCLUDING SACRED HEART 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 SACRED HEART HOSPITAL, AND ALL HSHS HOSPITALS, TO EVALUATE THEIR PARTICIPATION IN JOINT VENTURE ARRANGEMENTS, INCLUDING UNDER APPLICABLE FEDERAL TAX LAWS, AND TO SAFEGUARD SACRED HEART HOSPITAL'S TAX EXEMPT STATUS WITH RESPECT TO ANY JOINT VENTURE ARRANGEMENTS. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | THE SOLE CORPORATE MEMBER OF SACRED HEART HOSPITAL (THE CORPORATION) IS HOSPITAL SISTERS SERVICES, INC. ("HSSI"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | PURSUANT TO SECTION 2.3 OF THE CORPORATION'S BYLAWS, THE ORGANIZATION'S MEMBER, HOSPITAL SISTERS SERVICES, INC. ("HSSI"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, HAS THE RIGHT TO APPOINT AND REMOVE THE CORPORATION'S BOARD OF DIRECTORS. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | RESPONSIBILITY FOR THE POLICY AND OPERATIONS OF SACRED HEART HOSPITAL (THE "CORPORATION") IS VESTED IN ITS BOARD OF DIRECTORS, EXCEPT WITH RESPECT TO SPECIFIC POWERS RESERVED IN THE CORPORATION'S BYLAWS TO THE CORPORATION'S MEMBER, HOSPITAL SISTERS SERVICES, INC. ("HSSI"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE MEMBER OF HSSI IS HOSPITAL SISTERS HEALTH SYSTEM ("HSHS"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE GOVERNANCE AND OPERATIONS OF THE CORPORATION ARE SUBJECT TO HSSI'S RIGHT TO EXERCISE THESE 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 ("AFFILIATES"). HSSI'S RIGHT TO EXERCISE CERTAIN OF THESE RESERVED POWERS IS, IN TURN, SUBJECT TO THE APPROVAL OF HSHS AND HSHS' MEMBERS. THE RESERVED POWERS INCLUDE ALL RIGHTS GRANTED TO HSSI 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 ANY AFFILIATE, AND THE PRESIDENT OF THE CORPORATION OR OF ANY AFFILIATE; (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 ANY AFFILIATE, OR THE CHAIRPERSON AND PRESIDENT OF THE CORPORATION OR OF ANY AFFILIATE. (F) WITH RESPECT TO THE CORPORATION OR ANY AFFILIATE, APPROVE THE PURCHASE, SALE, ALIENATION, EXCHANGE, LEASE, OR ENCUMBRANCE OF ANY REAL PROPERTY OF THE CORPORATION OR OF ANY AFFILIATE, WHICH PROPERTY HAS A VALUE IN EXCESS OF LIMITS SET FROM TIME TO TIME BY HSSI; (G) APPROVE DEBT INCURRED BY THE CORPORATION OR ANY AFFILIATE IN AN AMOUNT IN EXCESS OF LIMITS SET FROM TIME TO TIME BY THE MEMBER. (H) APPROVE THE OPERATING AND CAPITAL BUDGETS OF THE CORPORATION OR OF ANY AFFILIATE, AND ANY DEVIATIONS BY THE CORPORATION OR OF ANY AFFILIATE FROM SUCH BUDGETS IN AN AMOUNT OR PERCENTAGE SPECIFIED BY HSSI FROM TIME TO TIME; (I)APPROVE THE STRATEGIC PLAN AND ANNUAL GOALS OF THE CORPORATION OR OF ANY AFFILIATE; (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 THE FINANCIAL POLICIES AND PROCEDURES OF THE CORPORATION OR OF ANY AFFILIATE, AND APPROVE ANY DEVIATIONS FROM SUCH POLICIES AND PROCEDURES BY THE CORPORATION OR ANY AFFILIATE; AND (O) ADOPT POLICIES TO IMPLEMENT THE RESERVED POWERS OF HSSI. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE HOSPITAL EMPLOYS 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 HOSPITAL CFO PERFORMS A THOROUGH REVIEW OF THE RETURN AND REVIEWS IT WITH THE HOSPITAL CEO AND/OR SENIOR LEADERS BEFORE PRESENTING IT IN ITS ENTIRETY TO THE HOSPITAL 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 | THE ORGANIZATION IS SUBJECT TO THE CORPORATE COMPLIANCE PROGRAM AND CONFLICT OF INTEREST POLICY ("POLICY") OF HOSPITAL SISTERS HEALTH SYSTEM, AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. A REVISED CORPORATE COMPLIANCE PROGRAM AND CONFLICT OF INTEREST POLICY HAVE BEEN IMPLEMENTED SINCE JANUARY 2009 TO MANAGE CONFLICTS OF INTEREST USING A SYSTEM-WIDE PROTOCOL FOR DISCLOSURE STATEMENTS. IN ACCORDANCE WITH THE ORGANIZATON'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 OR ITS AFFILIATES. 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, HOSPITAL SISTERS HEALTH SYSTEM, ("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. 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 IS REQUIRED PROMPTLY TO DISCLOSE THE INTEREST TO THE COMMITTEE USING THE HSHS CONFLICT OF INTEREST DISCLOSURE STATEMENT. COMPLETED CONFLICT OF INTEREST STATEMENTS ARE SUBMITTED TO THE COMMITTEE, WHICH IS RESPONSIBLE FOR IDENTIFYING, ASSESSING, AND MANAGING CONFLICTS OF INTEREST THAT ARISE IN THE COURSE OF CONDUCTING THE AFFAIRS OF HSHS AND ITS AFFILIATES. IF THE COMMITTEE DETERMINES THAT A CONFLICT OF INTEREST EXISTS, THE CONFLICT OF INTEREST POLICY REQUIRES HSHS NOT TO 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 PRESIDENTS 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). INTEGRATED HEALTHCARE STRATEGIES ("IHS"), THE CONSULTANTS UTILIZED BY THE COMMITTEE, USE DATA FROM MULTIPLE TAX-EXEMPT PEER GROUP SOURCES (derived from a full market review conducted every other year) TO DETERMINE SALARY RANGES, INCENTIVE OPPORTUNITY RANGES AND BENEFITS FOR THE HSHS executives. IHS 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. The process for reviewing compensation by the compensation committee is completed each fiscal year. |
| 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 IX, Line 11g Other Fees | Professional Fees - Total Expense: 5243037, Program Service Expense: 2387236, Management and General Expenses: 2855801, Fundraising Expenses: ; Purchased Service Medical - Total Expense: 1725854, Program Service Expense: 1718460, Management and General Expenses: 7394, Fundraising Expenses: ; SSC Management Fee - Total Expense: 4783815, Program Service Expense: , Management and General Expenses: 4783815, Fundraising Expenses: ; Clinic Operations Purchased Services - Total Expense: 16925417, Program Service Expense: 16925417, Management and General Expenses: , Fundraising Expenses: ; Contracted Services - Total Expense: 9392553, Program Service Expense: 2949262, Management and General Expenses: 6443291, Fundraising Expenses: ; |
| Form 990, Part X, Line 11 POOLED INVESTMENT ACCOUNT | SACRED HEART HOSPITAL USES ITS POOLED INVESTMENTS TO CARRY ON ITS MISSION OF CARING FOR THE SICK. THE HOSPITAL'S CASH RESERVES ARE INVESTED IN A POOLED INVESTMENT ACCOUNT MAINTAINED BY HOSPITAL SISTERS HEALTH SYSTEM ("HSHS"). PARTICIPATION IN THE POOLED FUND IS LIMITED TO THE 501(C)(3) HOSPITALS AND HEALTH SERVICES ORGANIZATIONS SPONSORED BY HSHS. THE POOLED ACCOUNT CONSISTS OF CASH, EQUITY AND DEBT SECURITIES THAT ARE PUBLICLY TRADED. IN ACCORDANCE WITH THE PROVISIONS OF STATEMENT OF FINANCIAL ACCOUNTING STANDARDS ("SFAS") NO. 124 "ACCOUNTING FOR CERTAIN INVESTMENTS HELD BY NOT-FOR-PROFIT ORGANIZATIONS", INVESTMENTS IN EQUITY SECURITIES WITH READILY DETERMINABLE FAIR VALUES, AND ALL INVESTMENTS IN DEBT SECURITIES, ARE REPORTED AT FAIR VALUE ON THE BALANCE SHEET. READILY DETERMINABLE FAIR VALUES AND ALL INVESTMENTS IN DEBT SECURITIES ARE REPORTED AT FAIR VALUE ON THE BALANCE SHEET. INCOME, REALIZED AND UNREALIZED GAINS AND LOSSES ARE POOLED AND ALLOCATED TO THE PARTICIPANTS. INDIVIDUAL COMPONENTS OF ASSETS AND REVENUE ARE NOT IDENTIFIED TO THE INDIVIDUAL HOSPITAL PARTICIPANTS. |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Pension Mark to Market Adjustment - 4176880; Transfer to Affiliates - -1449035; Change in Temporarily Restricted Net Assets - 579443; Change in Permenant Restricted Net Assets - 74571; Change in fair value of the interest rate SWAPS - 3779639; SWAP payments - -1486014; |
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 | -$1,385,886 | $3,938,708 | HSSI |
| PHYSICIAN CLINICAL INTEGRATION NETWORK LLC | |||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371668647 | HEALTHCARE | IL | $149,935 | $8,833,307 | KCIN |
| HSHS ACO LLC | |||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 320465666 | HEALTHCARE & SOCIAL ASSISTANCE | IL | -$538,042 | $88,228 | KCIN |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (26 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| HOSPITAL SISTERS HEALTH SYSTEM | ||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371058692 | HEALTHCARE | IL | 501(c)(3) | Type III-FI | NA | false |
| HOSPITAL SISTERS OF ST FRANCIS FOUNDATION | ||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371186514 | HEALTHCARE | IL | 501(c)(3) | 7 | HSHS | Yes (true) |
| HOSPITAL SISTERS HEALTHCARE WEST INC | ||||||||||
| 2661 COUNTY HIGHWAY 1 | CHIPPEWA FALLS | WI | 54729 | 510157933 | HEALTHCARE | WI | 501(c)(3) | Type I | HSSI | Yes (true) |
| ST ANTHONY'S HOSPITAL | ||||||||||
| 503 N MAPLE STREET | EFFINGHAM | IL | 62401 | 370661233 | HEALTHCARE | IL | 501(c)(3) | 3 | HSSI | Yes (true) |
| ST ELIZABETH'S HOSPITAL | ||||||||||
| ONE ST ELIZABETHS BLVD | OFALLON | IL | 62269 | 370663567 | HEALTHCARE | IL | 501(c)(3) | 3 | HSSI | Yes (true) |
| ST NICHOLAS HOSPITAL | ||||||||||
| 3100 SUPERIOR AVENUE | SHEBOYGAN | WI | 53081 | 390808480 | HEALTHCARE | WI | 501(c)(3) | 3 | HSSI | Yes (true) |
| ST JOHN'S HOSPITAL | ||||||||||
| 800 EAST CARPENTER STREET | SPRINGFIELD | IL | 62769 | 370661238 | HEALTHCARE | IL | 501(c)(3) | 3 | HSSI | Yes (true) |
| ST JOSEPH'S HOSPITAL | ||||||||||
| 9515 HOLY CROSS LANE | BREESE | IL | 62230 | 371208459 | HEALTHCARE | IL | 501(c)(3) | 3 | HSSI | Yes (true) |
| ST JOSEPH'S HOSPITAL | ||||||||||
| 2661 COUNTY HIGHWAY 1 | CHIPPEWA FALLS | WI | 54729 | 390810545 | HEALTHCARE | WI | 501(c)(3) | 3 | HSSI | Yes (true) |
| ST MARY'S HOSPITAL | ||||||||||
| 1800 E LAKE SHORE DRIVE | DECATUR | IL | 62521 | 370661244 | HEALTHCARE | IL | 501(c)(3) | 3 | HSSI | Yes (true) |
| ST MARY'S HOSPITAL | ||||||||||
| 111 SPRING STREET | STREATOR | IL | 61364 | 362169181 | HEALTHCARE | IL | 501(c)(3) | 3 | HSSI | Yes (true) |
| ST MARY'S MEDICAL CENTER | ||||||||||
| 1762 SHAWANO AVENUE | GREEN BAY | WI | 54303 | 390818682 | HEALTHCARE | WI | 501(c)(3) | 3 | HSSI | Yes (true) |
| ST VINCENT HOSPITAL | ||||||||||
| 835 S VAN BUREN | GREEN BAY | WI | 51301 | 390817529 | HEALTHCARE | WI | 501(c)(3) | 3 | HSSI | Yes (true) |
| ST JOSEPH'S HOSPITAL | ||||||||||
| 12866 TROXLER AVENUE | HIGHLAND | IL | 62249 | 370663568 | HEALTHCARE | IL | 501(c)(3) | 3 | HSSI | Yes (true) |
| ST FRANCIS HOSPITAL | ||||||||||
| 1215 FRANCISCAN DRIVE | LITCHFIELD | IL | 62056 | 370661236 | HEALTHCARE | IL | 501(c)(3) | 3 | HSSI | 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 MEDICAL GROUP INC | ||||||||||
| 3215 EXECUTIVE PARK DRIVE | SPRINGFIELD | IL | 62703 | 263956318 | HEALTHCARE | IL | 501(c)(3) | Type III-FI | HSSI | Yes (true) |
| HSHS WISCONSIN MEDICAL GROUP INC | ||||||||||
| 3215 EXECUTIVE PARK DRIVE | SPRINGFIELD | IL | 62703 | 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) |
| UNITY LIMITED PARTNERSHIP | ||||||||||
| 2366 OAK RIDGE CIRCLE | DE PERE | WI | 54115 | 391750729 | HEALTHCARE | WI | 501(c)(3) | 10 | HSSI | Yes (true) |
| PRAIRIE EDUCATION & RESEARCH COOPERATIVE | ||||||||||
| 317 NORTH 5TH STREET | SPRINGFIELD | IL | 62701 | 371157915 | HEALTHCARE | IL | 501(c)(3) | 4 | HSSI | Yes (true) |
| ST CLARE MEMORIAL HOSPITAL | ||||||||||
| 855 S MAIN STREET | OCONTO FALLS | WI | 54154 | 390848401 | HEALTHCARE | WI | 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) |
| UTLAUT MEMORIAL FOUNDATION | ||||||||||
| 200 HEALTHCARE DRIVE | GREENVILLE | IL | 62246 | 371140166 | FUNDRAISING | IL | 501(c)(3) | Type II | HFG | Yes (true) |
| HSHS GOOD SHEPHERD HOSPITAL INC | ||||||||||
| 200 SOUTH CEDAR STREET | SHELBYVILLE | IL | 62565 | 370512290 | HEALTHCARE | IL | 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) | GSS | Yes (true) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MEMORIAL AND ST ELIZABETH'S HEALTHCARE CANCER TREATMENT CENTER | ||||||||||||||
| 4000 NORTH ILLINOIS STREET | SWANSEA | IL | 62226 | 371312961 | HEALTHCARE | IL | ST ELIZABETH'S | Related | $187,165 | $0 | false | false | 0.5 | |
| PRAIRIE HEART INSTITUTE ST JOHN'S | ||||||||||||||
| 800 EAST CARPENTER STREET | SPRINGFIELD | IL | 62769 | 371321197 | HEALTHCARE | IL | HSHS | Related | $0 | $0 | false | false | 1 | |
| PAIN CENTER OF WISCONSIN | ||||||||||||||
| 4131 W LOOMIS ROAD | GREENFIELD | WI | 53221 | 263155343 | HEALTHCARE | WI | ST VINCENT | Related | $240,126 | $4,769,500 | false | false | 0.5 | SUITE 300 |
| PAIN CENTER OF WISCONSIN - OCONTO FALLS LLC | ||||||||||||||
| 4131 W LOOMIS ROAD | GREENFIELD | WI | 53221 | 364717036 | HEALTHCARE | WI | ST CLARE | Related | -$48,977 | $202,533 | false | false | 0.5 | SUITE 300 |
| CARPENTER STREET HOTEL LLC | ||||||||||||||
| 525 NORTH SIXTH STREET | SPRINGFIELD | IL | 62702 | 364128127 | HOTEL | IL | LASANTE INC | N/A | 0 | |||||
| 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 | -$6,440 | $20,163 | false | Yes (true) | 1 | |
| SOUTHWEST ILLINOIS HEALTH SERVICES REAL ESTATE LLP | ||||||||||||||
| 4000 NORTH ILLINOIS STREET | SWANSEA | IL | 62226 | 823633320 | REAL ESTATE | IL | ST ELIZABETH'S | Related | $0 | $2,467,223 | false | false | 0.5 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 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 | -$32,771,486 | $29,755,341 | 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) | ||||||||
| PRAIRIE CARDIOVASCULAR | |||||||||||||||||
| 619 EAST MASON SUITE 4P57 | SPRINGFIELD | IL | 62701 | 371071858 | 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 | $82,898 | $44,874,417 | 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 | $116,763,493 | 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 | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | 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 | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | 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 | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule R, Part V, Line 2 TRANSACTIONS WITH RELATED ENTITIES | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Comments