ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD (EIN 37-0661233)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-14
- IRS object ID
- 201511349349302011
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-14T09:23:07-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE HORWATH LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 WEST WACKER DRIVE | AddressLine1 |
| Address Line2 | SUITE 2600 | AddressLine2 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 606061224 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 370661233 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST ANTHONY'S MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STAN | BusinessNameControlTxt |
| Phone | 2173472121 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 503 N MAPLE STREET | AddressLine1 |
| City | Effingham | City |
| State | IL | State |
| ZIP Code | 624012099 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID STORM | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2015-04-27 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | John V Woodhull | PreparerPersonNm |
| PTIN | P01305268 | PTIN |
| Phone | 3128997000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Address PrincipalOfcrBusinessAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THERESA RUTHERFORD | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 503 N MAPLE STREET | AddressLine1 |
| City | Effingham | City |
| State | IL | State |
| ZIP Code | 624012099 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $141,158,438 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | STANTHONYSHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1955 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | TO PARTICIPATE IN THE HEALTHCARE MINISTRY OF THE CHURCH BY COMMITTING OUR RESOURCES TO PROVIDE A FAMILY-CENTERED APPROACH IN MEETING THE HEALTHCARE NEEDS OF ALL PEOPLE IN THE COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 907 | TotalEmployeeCnt |
| Total Volunteers | 336 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,920,965 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,242,569 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $118,705,496 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $118,839,806 | CYProgramServiceRevenueAmt |
| PY Investment Income | $9,285,620 | PYInvestmentIncomeAmt |
| CY Investment Income | $17,255,062 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,302,434 | PYOtherRevenueAmt |
| CY Other Revenue | $2,148,851 | CYOtherRevenueAmt |
| PY Total Revenue | $133,214,515 | PYTotalRevenueAmt |
| CY Total Revenue | $140,486,288 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $109,400 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $46,521,330 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $43,279,184 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $59,638,449 | PYOtherExpensesAmt |
| CY Other Expenses | $60,219,258 | CYOtherExpensesAmt |
| PY Total Expenses | $106,159,779 | PYTotalExpensesAmt |
| CY Total Expenses | $103,607,842 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $27,054,736 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $36,878,446 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $347,216,009 | TotalAssetsBOYAmt |
| Total Assets EOY | $398,949,688 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $58,407,758 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $62,655,473 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $288,808,251 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $336,294,215 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $71,866,484 | ExpenseAmt |
| Grant | $109,400 | GrantAmt |
| Revenue | $118,839,806 | RevenueAmt |
| Desc | SEE SCHEDULE O - PROGRAM SERVICE ACCOMPLISHMENTS | Desc |
| Total Program Service Expenses | $71,866,484 | 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 | Yes (true) | 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 |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 109 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 907 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | 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 | DAVE STORM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2173471333 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 503 N MAPLE STREET | AddressLine1 |
| City | EFFINGHAM | City |
| State | IL | State |
| ZIP Code | 624012099 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| JOHN KINGERY | |||||||||
| CHAIRPERSON | 1.00 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| RICK CHAMBERS | |||||||||
| VICE CHAIRPERSON | 1.00 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| TOM HENDERSON | |||||||||
| SECRETARY | 1.00 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DEAN KELLER | |||||||||
| BOARD MEMBER | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| DOT BEHRNS | |||||||||
| BOARD MEMBER | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| SISTER RITAMARY BROWN | |||||||||
| BOARD MEMBER | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| SR MARYBETH CULNAN OSF | |||||||||
| BOARD MEMBER | 1.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| TIMOTHY GRAY | |||||||||
| BOARD MEMBER | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| TOM WEGMAN | |||||||||
| BOARD MEMBER | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| ANN M CARR | |||||||||
| TREASURER | 0.25 | 61.75 | Yes (X) | $0 | $318,955 | $255,068 | |||
| DAVID A STORM | |||||||||
| CFO | 40.00 | 0 | Yes (X) | $209,815 | $0 | $171,090 | |||
| DAVID NOSACKA | |||||||||
| DIVISION CFO | 34.80 | 22.80 | Yes (X) | $0 | $0 | $0 | |||
| JOHNNY WATKINS | |||||||||
| DIVISION CFO | 34.80 | 25.20 | Yes (X) | $0 | $273,309 | $77,178 | |||
| LAWRENCE SCHUMACHER | |||||||||
| DIVISION CEO - INTERIM | 2.00 | 59.00 | Yes (X) | $0 | $1,234,818 | $204,518 | |||
| MARGARET LUNA | |||||||||
| DIVISION CPO | 34.80 | 25.20 | Yes (X) | $0 | $166,723 | $71,060 | |||
| MARK REIFSTECK | |||||||||
| DIVISION CEO | 34.80 | 25.20 | Yes (X) | $0 | $730,423 | $192,914 | |||
| THERESA J RUTHERFORD | |||||||||
| President & CEO | 60.00 | 0.00 | Yes (X) | $0 | $160,594 | $94,601 | |||
| JUSTIN SMITH | |||||||||
| CRNA | 40.00 | 0 | $187,496 | $0 | $35,501 | Yes (X) | |||
| LARRY J CARROLL | |||||||||
| CRNA | 40.00 | 0.00 | $179,852 | $0 | $45,129 | Yes (X) | |||
| LINDA C SHARPLESS | |||||||||
| CRNA | 40.00 | 0.00 | $172,400 | $0 | $47,077 | Yes (X) | |||
| MARY BRYANT | |||||||||
| CRNA | 40.00 | 0 | $176,491 | $0 | $29,215 | Yes (X) | |||
| ROBERT S BRYANT | |||||||||
| CRNA | 40.00 | 0.00 | $178,488 | $0 | $28,793 | Yes (X) | |||
| DANIEL J WOODS | |||||||||
| FORMER PRESIDENT/CEO | 0.00 | 0 | $0 | $300,008 | $58,445 | Yes (X) | |||
| JULIE L FENOGLIO | |||||||||
| FORMER DIRECTOR, NURSING | 0.00 | 0 | $158,382 | $0 | -$9,858 | Yes (X) | |||
| ROBERT W ESKER | |||||||||
| FORMER COO | 0.00 | 0 | $173,415 | $0 | $83,312 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,436,339 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,184,830 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,384,043 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 35 | 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/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PRAIRIE CARDIOVASCULAR | |||||
| PO BOX 19420 | SPRINGFIELD | IL | 62794 | PHYSICIAN SERVICES | $3,260,034 |
| CENTRAL ILLINOIS ANESTHESIA | |||||
| 1800 E LAKE SHORE DR | DECATUR | IL | 62521 | ANESTHESIA SERVICES | $1,617,095 |
| INFINITY MEDS LLP | |||||
| PO BOX 860362 | MINNEAPOLIS | MN | 554860362 | EMERGENCY SERVICES | $544,065 |
| DIVERSIFIED CLINICAL SERVICES | |||||
| PO BOX 636981 | CINCINNATI | OH | 452636981 | WOUND CARE SERVICES | $404,788 |
| CROSSROADS EMERGENCY PHYSICIANS | |||||
| PO BOX 793 | TRAVERSE CITY | MI | 496850793 | EMERGENCY SERVICES | $358,212 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 16 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $279,990 | RelatedOrganizationsAmt |
| Government Grants | $1,962,579 | GovernmentGrantsAmt |
| Total Contributions | $2,242,569 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 900099 | $118,839,806 | $118,839,806 |
| $0 | |||
| $0 | |||
| $0 | |||
| $0 |
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 | $118,839,806 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,968,538 | TotalRevenueColumnAmt |
| Exclusion | $1,968,538 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $733,528 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $657,868 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $75,660 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $75,660 | TotalRevenueColumnAmt |
| Exclusion | $75,660 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $15,300,806 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $14,282 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $15,300,806 | SecuritiesAmt |
| Other | -$14,282 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,286,524 | TotalRevenueColumnAmt |
| Exclusion | $15,286,524 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| ANESTHESIA LEASE INCOME | 900099 | $1,805,016 | $1,805,016 |
| MEDICAL RECORDS | 900099 | $66,012 | $66,012 |
| AUXILIARY GIFT SHOP | 453220 | $37,244 | $37,244 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $164,919 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $164,919 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,073,191 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $140,486,288 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $118,839,806 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $19,403,913 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,400 | TotalAmt |
| Program Services | $109,400 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $376,107 | TotalAmt |
| Management And General | $376,107 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $396,796 | TotalAmt |
| Management And General | $396,796 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,584,167 | TotalAmt |
| Program Services | $21,920,268 | ProgramServicesAmt |
| Management And General | $7,663,899 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,177,288 | TotalAmt |
| Program Services | $1,572,179 | ProgramServicesAmt |
| Management And General | $605,109 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,590,040 | TotalAmt |
| Program Services | $6,202,706 | ProgramServicesAmt |
| Management And General | $2,387,334 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,154,786 | TotalAmt |
| Program Services | $1,555,930 | ProgramServicesAmt |
| Management And General | $598,856 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,027,769 | TotalAmt |
| Management And General | $6,027,769 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $160,506 | TotalAmt |
| Management And General | $160,506 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,924 | TotalAmt |
| Management And General | $27,924 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,303 | TotalAmt |
| Management And General | $88,303 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,368,636 | TotalAmt |
| Program Services | $5,368,636 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,908,516 | TotalAmt |
| Program Services | $15,562,699 | ProgramServicesAmt |
| Management And General | $345,817 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,411,293 | TotalAmt |
| Program Services | $1,019,068 | ProgramServicesAmt |
| Management And General | $392,225 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,305,031 | TotalAmt |
| Program Services | $5,661 | ProgramServicesAmt |
| Management And General | $1,299,370 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,561 | TotalAmt |
| Program Services | $75,301 | ProgramServicesAmt |
| Management And General | $6,260 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,746 | TotalAmt |
| Program Services | $45,611 | ProgramServicesAmt |
| Management And General | $64,135 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $183,771 | TotalAmt |
| Management And General | $183,771 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,239,080 | TotalAmt |
| Program Services | $3,038,482 | ProgramServicesAmt |
| Management And General | $3,200,598 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $816,330 | TotalAmt |
| Program Services | $589,457 | ProgramServicesAmt |
| Management And General | $226,873 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MAINTENANCE & REPAIRS | $12,066,777 | $4,567,545 | $7,499,232 |
| MEDICAID TAX ASSESSMENT | $2,109,769 | $2,109,769 | |
| LEASE/RENTALS | $1,077,700 | $887,226 | $190,474 |
| PROVISION FOR BAD DEBT | $5,172,197 | $5,172,197 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,064,349 | TotalAmt |
| Program Services | $2,064,349 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,607,842 | TotalAmt |
| Program Services | $71,866,484 | ProgramServicesAmt |
| Management And General | $31,741,358 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Joint Costs TotalJointCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,921,801 | BOYAmt |
| EOY | $3,079,572 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,340,258 | BOYAmt |
| EOY | $25,523,632 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,788,025 | BOYAmt |
| EOY | $4,515,657 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,249,064 | BOYAmt |
| EOY | $364,203 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $155,301,430 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $95,285,466 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,040,118 | BOYAmt |
| EOY | $60,015,964 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $256,447,040 | BOYAmt |
| EOY | $304,447,239 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $429,703 | BOYAmt |
| EOY | $1,003,421 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $347,216,009 | BOYAmt |
| EOY | $398,949,688 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,173,416 | BOYAmt |
| EOY | $9,081,166 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,981,833 | BOYAmt |
| EOY | $31,664,730 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,409,946 | BOYAmt |
| EOY | $3,032,803 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,842,563 | BOYAmt |
| EOY | $18,876,774 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,407,758 | BOYAmt |
| EOY | $62,655,473 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $286,715,447 | BOYAmt |
| EOY | $334,243,445 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,980,586 | BOYAmt |
| EOY | $1,872,636 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $112,218 | BOYAmt |
| EOY | $178,134 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $288,808,251 | BOYAmt |
| EOY | $336,294,215 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $347,216,009 | BOYAmt |
| EOY | $398,949,688 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $36,878,446 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $12,598,896 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$1,991,378 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | 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 | $32,109 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $32,109 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1, Description of the activities reported on Lines 1a through 1i | FormAndLineReferenceDesc |
| Explanation | ST. ANTHONY'S HOSPITAL ("THE HOSPITAL") IS A MEMBER OF THE CATHOLIC HEALTH ASSOCIATION ("CHA"), THE ILLINOIS HEALTH ASSOCIATION ("IHA"), THE NATIONAL ASSOCIATION FOR HOME CARE AND HOSPICE, AND THE AMERICAN HEALTH ASSOCIATION ("AHA"). AS A MEMBER OF THESE ORGANIZATIONS, THE HOSPITAL PAYS DUES, PART OF WHICH ARE ATTRIBUTABLE TO LOBBYING FEES PAID BY THE ORGANIZATIONS. THE AMOUNT LISTED IS THE AMOUNT ATTRIBUTABLE TO THE HOSPITAL FROM ITS DUES PAID. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,026,628 | OtherCostOrOtherBasisAmt |
| Book Value | $3,026,628 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $62,572,380 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,446,035 | DepreciationAmt |
| Book Value | $37,126,345 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $68,311,238 | OtherCostOrOtherBasisAmt |
| Depreciation | $54,385,559 | DepreciationAmt |
| Book Value | $13,925,679 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,391,184 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,453,872 | DepreciationAmt |
| Book Value | $5,937,312 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $60,015,964 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| PENSION BENEFIT LIABILITY | $9,468,612 |
| RETIRE OBLIGATION-ASBESTOS | $572,162 |
| BLUE CROSS SETTLEMENT | $7,632,000 |
| SETTLEMENT-HSHS BC (EMP) | $1,204,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $18,876,774 | 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. 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 THAT KIARA, INC. WILL NOT REALIZE THE MAJORITY OF THE BENEFITS OF THESE DEDUCTIBLE DIFFERENCES. THE DEFERRED TAX ASSETS ATTRIBUTABLE TO THE NET OPERATING LOSS CARRYFORWARDS NOT REALIZED AS OF JUNE 30, 2014 AND 2013 HAVE BEEN FULLY RESERVED 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 THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. AS OF JUNE 30, 2014 AND 2013, 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 |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| 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) |
|---|---|---|
| Persons Served | 2852 | PersonsServedCnt |
| Total Community Benefit Expns | $1,855,242 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,855,242 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01880 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 15543 | PersonsServedCnt |
| Total Community Benefit Expns | $15,382,624 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,416,570 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,966,054 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04030 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 18395 | PersonsServedCnt |
| Total Community Benefit Expns | $17,237,866 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,416,570 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,821,296 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05910 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 51 | ActivitiesOrProgramsCnt |
| Persons Served | 8654 | PersonsServedCnt |
| Total Community Benefit Expns | $509,910 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,195 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $502,715 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00510 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 254 | PersonsServedCnt |
| Total Community Benefit Expns | $333,981 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $333,981 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00340 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 3455 | PersonsServedCnt |
| Total Community Benefit Expns | $52,683 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,906 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $42,777 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 61 | ActivitiesOrProgramsCnt |
| Persons Served | 12363 | PersonsServedCnt |
| Total Community Benefit Expns | $896,574 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,101 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $879,473 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00890 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 61 | ActivitiesOrProgramsCnt |
| Persons Served | 30758 | PersonsServedCnt |
| Total Community Benefit Expns | $18,134,440 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,433,671 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,700,769 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06800 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 30 | PersonsServedCnt |
| Total Community Benefit Expns | $999 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $999 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $3,215 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,215 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 180 | PersonsServedCnt |
| Total Community Benefit Expns | $21,828 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $21,828 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 210 | PersonsServedCnt |
| Total Community Benefit Expns | $26,042 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $26,042 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,172,197 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $40,701,448 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $47,505,897 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$6,804,449 | 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 | ST ANTHONY'S MEMORIAL HOSPITAL | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 503 N MAPLE STREET | AddressLine1 |
| City | EFFINGHAM | City |
| State | IL | State |
| ZIP Code | 62401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTP://STANTHONYSHOSPITAL.ORG/ | WebsiteAddressTxt |
| State License | HF107112 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST ANTHONY'S MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 11 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.stanthonyshospital.org/Community/health-assessment-2011.aspx | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| All Needs Addressed | false | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 600 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V Sec B, Line 3, Community Served by Needs Assessment | (1) - ST. ANTHONY'S MEMORIAL HOSPITAL: ST. ANTHONY'S TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY BY WORKING IN PARTNERSHIP WITH MEMBERS OF THE ALLIANCE FOR A HEALTHIER EFFINGHAM COUNTY IN EFFINGHAM COUNTY AND THE JASPER COUNTY STEERING COMMITTEE IN JASPER COUNTY, TO CONDUCT THE 2011 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). PROFESSIONAL RESEARCH CONSULTANTS (PRC), A NATIONALLY-RECOGNIZED HEALTH CARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE IN CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS, WAS CHOSEN TO CONDUCT THE SURVEY. THE ASSESSMENT PROCESS UTILIZED BY PRC CONTAINS THREE COMPONENTS. THE FIRST COMPONENT AND MAIN SURVEY INSTRUMENT IS A TELEPHONE SURVEY CONTAINING QUESTIONS UTILIZED IN SURVEYS CONDUCTED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AND THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS). THE SECOND COMPONENT IS THE USE OF RESEARCH DATA (I.E. HEALTHY PEOPLE 2020, ILLINOIS RISK FACTOR DATA, ILLINOIS DEPARTMENT OF PUBLIC HEALTH, US CENSUS BUREAU) THAT ALLOWS FOR TRENDING AND COMPARISON IN ORDER TO BENCHMARK DATA AT THE STATE AND NATIONAL LEVELS. AS THE FINAL COMPONENT, ST. ANTHONY'S ORGANIZED COMMUNITY FOCUS GROUPS WITH COMMUNITY REPRESENTATIVES ACTING AS FACILITATORS FOR THE GROUPS. THE STUDY AREA FOR THE CHNA ENCOMPASSED EACH OF THE RESIDENTIAL ZIP CODES WITHIN EFFINGHAM AND JASPER COUNTIES. TO ENSURE THE BEST REPRESENTATION OF THE POPULATION SURVEYED, A TELEPHONE INTERVIEW WAS CONDUCTED AND INCLUDED RESIDENTS AGES 18 AND OLDER. THE SURVEY IN EFFINGHAM COUNTY INCLUDED 1,000 RESIDENTS AND THE SURVEY FOR JASPER COUNTY INCLUDED 400 RESIDENTS, FOR A TOTAL OF 1,400 RESIDENTS. ONCE THE TELEPHONE INTERVIEWS WERE COMPLETED, THEY WERE WEIGHTED IN PROPORTION TO THE ACTUAL POPULATION DISTRIBUTION OF EACH RESPECTIVE COUNTY IN ORDER TO ACCURATELY REPRESENT THE TOTAL AREA AS A WHOLE. IN AUGUST AND SEPTEMBER 2011, ST. ANTHONY'S ORGANIZED SIX COMMUNITY FOCUS GROUPS WITH COMMUNITY REPRESENTATIVES ACTING AS FACILITATORS FOR THE GROUPS. EMPHASIS WAS PLACED ON FOCUS GROUP PARTICIPANTS FROM MEMBERS OF THE PUBLIC FROM KEY GROUPS INCLUDING AREA SENIOR CITIZENS, HISPANICS AND THE UNDERINSURED/UNINSURED POPULATIONS. FOCUS GROUP CANDIDATES WERE CONTACTED BY ADVERTISING FLYERS AND THROUGH CONTACT WITH AREA AGENCIES. A TOTAL OF FORTY-FOUR PEOPLE ATTENDED AT LEAST ONE OF THE SESSIONS. THE FACILITATOR LED EACH GROUP DISCUSSION WITH QUESTIONS ABOUT ACCESS TO HEALTHCARE SERVICES, CHRONIC DISEASE CONDITIONS, MODIFIABLE HEALTH RISK BEHAVIORS, AND THE NEEDS OF SPECIAL POPULATIONS. PARTICIPANTS WERE ALSO ASKED WHAT THEY CONSIDER THE TOP FIVE HEALTH NEEDS IN THE COMMUNITY. AFTER COMPLETION OF THE "HEALTHY COMMUNITY 2011" ASSESSMENT, ST. ANTHONY'S WORKED IN PARTNERSHIP WITH MEMBERS OF THE ALLIANCE FOR A HEALTHIER EFFINGHAM COUNTY IN EFFINGHAM COUNTY AND THE JASPER COUNTY STEERING COMMITTEE IN JASPER COUNTY TO REVIEW THE ASSESSMENT DATA, IDENTIFY PRIORITIES, DEVELOP GOALS, AND CREATE ACTION PLANS. THE FOLLOWING DESCRIBES THOSE WHO PARTICIPATED AND THE SPECIAL NEED AREAS THEY REPRESENTED ARE SHOWN IN ITALICS: - SCHOOLS (SUPERINTENDENT, PRINCIPAL) - LOW-INCOME, MINORITY - PUBLIC HEALTH (ADMINISTRATOR) - MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY, CHRONIC DISEASE - NURSES (NURSE PRACTITIONER, RETIRED NURSE) - MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY, CHRONIC DISEASE - BUSINESS LEADERS - CIVIC LEADERS (MAYOR, CIVIC BOARD CHAIRPERSONS, CHAMBER OF COMMERCE) - PHYSICIANS (DENTIST, CHIROPRACTOR) - MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY, CHRONIC DISEASE - AREA COMMUNITY AGENCIES (MENTAL HEALTH, CATHOLIC CHARITIES, EXTENSION CENTER, SOCIAL SERVICES) - MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY, CHRONIC DISEASE ADDITIONALLY, PRC, ALONG WITH STEERING COMMITTEE MEMBERS, PRESENTED THE FINDINGS FROM THE ASSESSMENT AT COMMUNITY MEETINGS. DURING THE MEETINGS, INPUT FROM COMMUNITY MEMBERS WAS WELCOMED AND THOSE IN ATTENDANCE WERE ENCOURAGED TO GET INVOLVED BY VOLUNTEERING TO SERVE ON ONE OF THE FUTURE TASK FORCE TEAMS. ; |
| Schedule H, Part V Sec B, Line 5a, Hospital Facility's Website (list URL) | (1) - ST. ANTHONY'S MEMORIAL HOSPITAL: WWW.STANTHONYSHOSPITAL.ORG/COMMUNITY/HEALTH-ASSESSMENT-2011.ASPX; |
| Schedule H, Part V Sec B, Line 7, Needs not addressed in Needs Assessment | (1) - ST. ANTHONY'S MEMORIAL HOSPITAL: AT THEIR MAY 2012 MEETING, ST. ANTHONY'S MEMORIAL HOSPITAL'S BOARD OF DIRECTORS, WHICH INCLUDES REPRESENTATIVES FROM ITS SERVICE AREA, REVIEWED AND APPROVED THE COMMUNITY BENEFIT IMPLEMENTATION STRATEGY FOR ADDRESSING PRIORITIES IDENTIFIED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. THIS IMPLEMENTATION STRATEGY WILL BE EXECUTED IN THE FOLLOWING FISCAL YEAR. ST. ANTHONY'S IMPLEMENTATION STRATEGY FOCUSES ON PRIORITIES IDENTIFIED BY THE STUDY AND THE POPULATIONS EXHIBITING THE GREATEST NEED WITHIN THESE PRIORITY AREAS. FOR EACH OF THE FOUR AREAS OF OPPORTUNITY, SELECTED BY THE STEERING COMMITTEES, ST. ANTHONY'S WORKED WITH THE STEERING COMMITTEES AND COMMUNITY PARTNERS TO: - FORM PROJECT TEAMS TO FURTHER ASSESS THE IDENTIFIED PRIORITIES. - IDENTIFY CURRENT AND/OR ADDITIONAL RESOURCES NEEDED TO ADDRESS THE PRIORITY. - DEVELOP GOALS, STRATEGIES AND ACTION PLANS FOR PROJECT IMPLEMENTATION. - DEVELOP DETAILED WORK PLANS AND PROVIDE PROJECT STATUS UPDATES TO THE STEERING COMMITTEES AND TO THE COMMUNITY THROUGH LOCAL MEDIA AND THE HOSPITAL WEB SITE. - BUILD SUPPORT FOR THE PROJECT IN THE COMMUNITY AND AMONG OTHER AGENCIES. - CONTINUE CURRENT PROGRAMS THAT ADDRESS IDENTIFIED COMMUNITY NEEDS. THE FOLLOWING IS A LIST OF THE IDENTIFIED PRIORITIES, WHICH IS A SUBSET OF THE NEEDS IDENTIFIED BY THE CHNA FY2012: ACCESS TO HEALTH CARE SERVICES (PRESCRIPTION COVERAGE AND HOURS OF OPERATION, TRANSPORTATION, URGENT CARE FACILITIES) FOR THE PAST DECADE, ST. ANTHONY'S MEMORIAL HOSPITAL HAS ASSISTED EFFINGHAM CATHOLIC CHARITIES BY CO-SPONSORING THEIR PRESCRIPTION ASSISTANCE PROGRAM. CATHOLIC CHARITIES' STAFF MEMBERS WORK WITH CLIENTS WHO NEED PRESCRIPTION MEDICATION BUT MAY NOT BE ABLE TO AFFORD THEM BECAUSE THEY ARE UNINSURED OR UNDERINSURED. ST. ANTHONY'S PROVIDES ASSISTANCE TO CATHOLIC CHARITIES TO HELP PAY FOR THE COSTS INCURRED BY THE PROGRAM. RATHER THAN ESTABLISHING THEIR OWN PRESCRIPTION ASSISTANCE AND DUPLICATING EFFORTS, ST. ANTHONY'S PARTNERS WITH CATHOLIC CHARITIES WHO HAS AN EXCELLENT PROGRAM IN PLACE TO ASSIST THOSE IN NEED OF PRESCRIPTION MEDICATION. IN FY2014 ST. ANTHONY'S LAUNCHED A DENTAL VOUCHER PROGRAM IN PARTNERSHIP WITH EFFINGHAM CATHOLIC CHARITIES FOR ADULTS 18 YEARS AND OLDER WHO ARE UNDERINSURED OR UNINSURED AND IN NEED OF AN EMERGENT TOOTH EXTRACTION. THE PROGRAM WAS DEVELOPED AS A RESULT OF THE CHNA FY2012 CONDUCTED IN PARTNERSHIP WITH THE ALLIANCE FOR A HEALTHIER EFFINGHAM COUNTY AND JASPER STEERING COMMITTEE. AFTER EVALUATING AND PRIORITIZING THE SURVEY RESULTS, THE ALLIANCE IDENTIFIED ACCESS TO HEALTH CARE SERVICES AS ONE OF THE TOP IDENTIFIED NEEDS. SURVEY RESULTS RELATED TO ORAL HEALTH AND ACCESS TO DENTAL CARE INDICATED 27% OF EFFINGHAM COUNTY RESPONDENTS HAD NOT VISITED A DENTIST WITHIN THE PAST YEAR. THOSE AT LOWER INCOME LEVELS WERE LESS LIKELY TO REPORT HAVING SEEN A DENTIST IN THE LAST YEAR. THROUGH THE PROGRAM, CATHOLIC CHARITIES WORKS WITH ELIGIBLE PATIENTS TO COVER EXPENSES RELATED TO AN INITIAL EXAM AND X-RAY BY A DENTIST, FOLLOWED BY A TOOTH EXTRACTION IF NECESSARY. THE PROGRAM WAS LAUNCHED IN APRIL 2014 AND THROUGH AUGUST 2014 OVER 80 PEOPLE HAVE RECEIVED DENTAL CARE THROUGH THE PROGRAM. THOSE QUALIFYING FOR THE PROGRAM ARE FINDING RELIEF FROM THE BURDEN OF PAYING FOR EMERGENCY, DENTAL AND ORAL SURGERY SERVICES WHEN THEY CANNOT AFFORD TO DO SO. A HISPANIC FOCUS GROUP HELD IN CONJUNCTION WITH THE CHNA INDICATED ONE BARRIER THEY ENCOUNTER IN OBTAINING HEALTHCARE SERVICES WAS LACK OF FORMS IN SPANISH TO APPLY FOR FINANCIAL ASSISTANCE. ST. ANTHONY'S DEVELOPED A SPANISH VERSION OF THE CHARITY CARE APPLICATION AND THIS FORM IS DISTRIBUTED AS NEED TO THE HISPANIC POPULATION. IN FY2014 THERE WERE 92 APPLICATIONS WERE DISTRIBUTED, 87 RECEIVED AND 85 WERE APPROVED FOR FINANCIAL ASSISTANCE. ST. ANTHONY'S MONTHLY BLOOD PRESSURE PROGRAM WAS ENHANCED TO PROVIDE BETTER ACCESS TO LOW-INCOME POPULATIONS. MONTHLY SCREENINGS LOCATIONS INCLUDE EFFINGHAM, ALTAMONT, DIETERICH, NEWTON AND CLAY CITY. THE SCREENING LOCATIONS WERE EVALUATED TO DETERMINE ACCESS TO THE UNDERSERVED. THIS LED TO THE ADDITION OF TWO NEW LOCATIONS INCLUDING EFFINGHAM CATHOLIC CHARITIES AND GOLDEN CIRCLE NUTRITION. IN FY2014, ST. ANTHONY'S THIS PROGRAM WAS ENHANCED TO PROVIDE AN ADDITIONAL SCREENING FOR BLOOD GLUCOSE AND DIABETES EDUCATION AT EACH LOCATION QUARTERLY. THE STEERING COMMITTEES IN BOTH EFFINGHAM AND JASPER COUNTIES HAVE DEVELOPED A TASK FORCE TO ADDRESS BARRIERS TO HEALTH CARE ACCESS IDENTIFIED IN THE SURVEY. AS THE LEADER IN HEALTH CARE FOR THE REGION, ST. ANTHONY'S CONTINUES TO LEAD THIS PROJECT TEAM TO EXPLORE WAYS TO INCREASE RESIDENTS' ACCESS TO HEALTH CARE SERVICES. IN ADDITION, THE HOSPITAL'S FIVE-YEAR STRATEGIC PLAN IDENTIFIED A POTENTIAL NEED FOR AN URGENT CARE FACILITY. IN PARTNERSHIP WITH AREA PHYSICIANS, ST. ANTHONY'S OPENED AN URGENT CARE FACILITY IN JUNE 2014. THE CLINIC PROVIDES SERVICES LATE-AFTERNOON AND EVENING HOURS ON WEEKDAYS, AND WEEKENDS FOR NON-EMERGENCY PATIENTS. THESE HOURS HELP THE HOSPITAL IMPROVE ACCESS TO HEALTH CARE FOR THOSE PATIENTS WHO DO NOT HAVE A PRIMARY CARE PROVIDER OR WHEN THE PROVIDER IS NOT ABLE TO SEE THEM. THE CLINIC IS STAFFED BY A MULTI-DISCIPLINARY TEAM, ALONG WITH NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS FROM LOCAL MEDICAL PRACTICES. (SEE CONTINUATION IN PART VI); |
| Schedule H, Part V Sec B, Line 14g, Other ways hospital publicized Financial Assistance Policy | (1) - ST ANTHONY'S MEMORIAL HOSPITAL: COMMUNICATION/NOTIFICATION ABOUT FINANCIAL ASSISTANCE AVAILABILITY FROM HSHS INCLUDES THE FOLLOWING: A. FINANCIAL ASSISTANCE APPLICATIONS: THE FINANCIAL ASSISTANCE APPLICATION IS PROVIDED TO PATIENTS UPON REQUEST AND THROUGHOUT THE REGISTRATION AND POST-REGISTRATION PROCESS. THIS APPLICATION COMPLIES WITH CURRENT ILLINOIS AND WISCONSIN STATUES AND ANY APPLICABLE FEDERAL STATUES. B. POSTERS: THE AVAILABILITY OF FINANCIAL ASSISTACE PROGRAM IS ADVERTISED ON POSTER-SIZED SIGNAGE LOCATED IN ADMISSIONS, OUTPATIENT, WAITING ROOM AREAS. A TOLL-FREE PHONE NUMBER IS INCLUDED. C. BROCHURES: BROCHURES OUTLINING THE FINANCIAL ASSISTANCE PROGRAM, APPLICATION PROCESS AND TOLL-FREE PHONE NUMBER ARE AVAILABLE AT ALL PATIENT REGISTRATION DESKS AND IN ALL WAITING AREAS. D. INTERNET: THE AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAM AND ILLINOIS UNINSURED DISCOUNT ACT OF 2009 ARE POSTED ON THE HSHS INTERNET HOME PAGE. E. PATIENT STATEMENTS: EACH BILL, INVOICE OR OTHER SUMMARY OF CHARGES TO AN UNINSURED PATIENT INCLUDES WITH IT, OR ON IT, A PROMINENT STATEMENT THAT AN UNINSURED PATIENT WHO MEETS CERTAIN INCOME REQUIREMENTS MAY QUALIFY FOR AN UNINSURED DISCOUNT AND INFORMATION REGARDING HOW AN UNINSURED PATIENT MAY APPLY FOR CONSIDERATION UNDER THE HSHS FINANCIAL ASSISTANCE PROGRAM. IN ADDITION, REFERRAL OF PATIENTS MAY BE MADE BY ANY MEMBER OF THE HSHS STAFF OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS, CASE MANAGERS, CHAPLAIN'S, AND RELIGIOUS SPONSORS. A REQUEST FOR FINANCIAL ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND, OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS.; |
| Schedule H, Part V Sec B, Line 20d, How amounts charged to FAP-eligible patients were determined | (1) - ST ANTHONY'S MEMORIAL HOSPITAL: ST. ANTHONY'S HOSPITAL UTILIZES THE ILLINOIS HOSPITAL UNINSURED PATIENT DISCOUNT ACT AS A BASIS FOR DETERMINING THE CHARGE FOR UNINSURED PATIENTS. THE ACT USES THE FEDERAL POVERTY GUIDELINES AS A GUIDELINE FOR DETERMINATION OF THE UNINSURED DISCOUNT. IF HOUSEHOLD INCOME IS EQUAL OR BELOW 200% OF THE FPL GUIDELINES THE PATIENT WILL QUALIFY FOR A 100% DISCOUNT. HOUSEHOLD INCOME BETWEEN 200-600% OF THE FPL GUIDELINES WILL RECEIVE A DISCOUNT ON A SLIDING SCALE. HOUSEHOLD INCOME AT 600% OF THE FPL WILL RECEIVE A 55% DISCOUNT. PATIENTS WITH HOUSEHOLD INCOME GREATER THAN 600% OF THE FPL WILL RECEIVE A 25% UNINSURED PATIENT DISCOUNT. THE 25% DISCOUNT IS EQUAL TO THE HIGHEST DISCOUNT ALLOWED ACCORDING TO THE HOSPITAL'S MANAGED CARE CONTRACTS. ; |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 0 | FacilityNum |
Supplemental Information Detail SupplementalInformationDetail (21 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 3C, FACTORS OTHER THAN FPG USED IN DETERMINING ELIGIBILITY | NOT APPLICABLE. ST. ANTHONY'S MEMORIAL HOSPITAL UTILIZES FPG AS THE BASIS TO DETERMINE ELIGIBILITY FOR PROVIDING CHARITY AND DISCOUNTED CARE TO LOW-INCOME UNINSURED AND UNDERINSURED INDIVIDUALS. |
| SCHEDULE H, PART I, LINE 6A, COMMUNITY BENEFIT REPORT | THE HOSPITAL'S COMMUNITY BENEFIT REPORT IS CONTAINED WITHIN ITS ANNUAL REPORT, WHICH CAN BE ACCESSED AT WWW.STANTHONYSHOSPITAL.ORG/PDF/2013%20ANNUAL%20REPORT.PDF |
| Schedule H, Part I, Line 7, Costing Methodology used to calculate financial assistance | THE COST TO CHARGE RATIO COSTING METHODOLOGY, UTILIZING THE LYON'S CBISA SOFTWARE, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE AT HOSPITAL COST. |
| Schedule H, Part I, Line 7, col(f), Bad Debt Expense excluded from financial assistance calculation | 5,172,197 |
| Schedule H, Part II, Community Building Activities | ST. ANTHONY'S MEMORIAL HOSPITAL'S CRUCIAL ROLE IN EMERGENCY SITUATIONS IS THE REASON THAT THE CITY OF EFFINGHAM HAS REQUESTED HOSPITAL REPRESENTATION ON THE CITY OF EFFINGHAM EMERGENCY PREPAREDNESS COMMITTEE. HANNAH DONALDSON, NURSING SERVICE, SERVES ON THE CITY'S EMERGENCY PREPAREDNESS COMMITTEE, WHICH MEETS REGULARLY TO DEVELOP AND REVISE THE CITY'S EMERGENCY OPERATIONS PLAN AND TO PREPARE FOR ANY DISASTER OR EMERGENCY SITUATION THAT MIGHT ARISE. OTHER COMMUNITY MEMBERS OF THIS COMMITTEE REPRESENT THE EFFINGHAM CITY POLICE AND FIRE DEPARTMENTS, EMERGENCY DISPATCH, AREA SCHOOLS, EFFINGHAM COUNTY CORONER, CITY ENGINEER AND OTHER CITY DEPARTMENTS. IT IS IMPORTANT TO ST. ANTHONY'S TO ASSIST THE YOUNGER GENERATION IN DISCOVERING WHERE THEIR GIFTS AND INTERESTS LIE TO DETERMINE THE BEST CAREER FOR THEM. BY PARTNERING WITH THE EASTERN ILLINOIS EDUCATION FOR EMPLOYMENT SYSTEM (EIEFES) AND LAKE LAND COLLEGE IN OFFERING THE HEALTH OCCUPATIONS, ST. ANTHONY'S HELPS STUDENTS FROM AREA SCHOOLS IN THEIR CAREER EXPLORATION. ST. ANTHONY'S CONTRIBUTES STAFF TIME, SUPPLIES AND OTHER COSTS ASSOCIATED WITH OFFERING THIS COURSE TO AREA STUDENTS. ANOTHER WAY THAT ST. ANTHONY'S HELPS IN BUILDING THE COMMUNITY FOR THE FUTURE IS THROUGH FACILITATING OPPORTUNITIES FOR STUDENTS TO JOB SHADOW AT THE HOSPITAL. BY LINKING INTERESTED STUDENTS WITH A HOSPITAL COLLEAGUE TO JOB SHADOW FOR THE DAY OR MORE, THE STUDENTS GAIN REAL INSIGHT INTO THE CAREER THEY ARE CONSIDERING, HELPING THEM DETERMINE IF THAT IS THE RIGHT CAREER PATH FOR THEM. OVER THE PAST YEAR, ST. ANTHONY'S PROVIDING JOB SHADOWING OPPORTUNITIES FOR 105 STUDENTS. ST. ANTHONY'S ALSO WORKS TO BUILD THEIR COMMUNITY AND THE SURROUNDING AREA IS THROUGH OUR COLLEAGUES' PARTICIPATION ON VARIOUS AGENCIES AND ORGANIZATIONS' BOARD OF DIRECTORS TO ADVANCE THE HEALTH AND WELFARE OF AREA RESIDENTS. THE UNITED WAY OF EFFINGHAM COUNTY REQUESTS REPRESENTATION BY THE HOSPITAL ON THEIR BOARD OF DIRECTORS. ROSS RICHARDSON, DIRECTOR OF GUEST SERVICES, SERVES ON THE UNITED WAY BOARD OF DIRECTORS. ROSS OFFERS HIS TIME WORKING ON THE BOARD AND IN THE COMMUNITY ON UNITED WAY ACTIVITIES, AS WELL AS PROVIDING OTHER COSTS ASSOCIATED WITH HIS SERVICE ON THE BOARD. A HOSPITAL REPRESENTATIVE ALSO SERVES ON THE HEARTLAND HUMAN SERVICES BOARD OF DIRECTORS. HEARTLAND HUMAN SERVICES IS A NONPROFIT ORGANIZATION THAT USES A COMPREHENSIVE APPROACH TO ADDRESS THE MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES OF THEIR CLIENTS. HEARTLAND HUMAN SERVICES REQUESTS REPRESENTATION BY THE HOSPITAL ON THEIR BOARD OF DIRECTORS. OVER THE PAST YEAR, TERRIANN THARP, DIRECTOR OF MARKETING AND COMMUNICATIONS, OFFERED HER TIME AND OTHER COSTS ASSOCIATED WITH HER SERVICE ON THE BOARD. ST. ANTHONY'S IS AN ACTIVE PARTICIPANT IN ALLIANCE FOR A HEALTHIER EFFINGHAM COUNTY, AN ENDEAVOR TO IMPROVE THE HEALTH OF ALL CITIZENS IN EFFINGHAM COUNTY. THE ALLIANCE ASSISTS ST. ANTHONY'S IN PLANNING COMMUNITY PROGRAMS AND PROVIDING DIRECTION AND SUPPORT FOR ST. ANTHONY'S NEWLY FORMED SUBSTANCE ABUSE TASK FORCE. ST. ANTHONY'S IS ACTIVELY INVOLVED IN ALL ALLIANCE ACTIVITIES AND SUPPORTS THIS HEALTH IMPROVEMENT ENDEAVOR BY OFFERING STAFF TIME AND OTHER COSTS. ST. ANTHONY'S COLLEAGUES ARE ALSO ACTIVELY INVOLVED IN THE NUTRITION AND FITNESS TASK FORCE, WHICH WAS FORMED OUT OF EFFINGHAM COUNTY VISION 2020, A GRASSROOTS, COUNTY-WIDE EFFORT TO PROACTIVELY BUILD A POSITIVE FUTURE AND IMPROVE THE QUALITY OF LIFE BY CREATING A CULTURE THAT MAXIMIZES INDIVIDUAL POTENTIAL, IMAGINATION AND COOPERATION. THE NUTRITION AND FITNESS TASK FORCE WORKS TOGETHER TO DEVELOP AN AWARENESS OF A HEALTHIER LIFESTYLE. THREE HOSPITAL COLLEAGUES SERVED ON THE NUTRITION AND FITNESS TASK FORCE - MARILYN BOONE, WOMEN'S WELLNESS MANAGER; ROBIN BROWN, CT TECHNOLOGIST; AND TAMMY PROBST, DIRECTOR OF THE WOUND HEALING CENTER. THE TASK FORCE HAS HELPED PROMOTE THE LOCAL FARMER'S MARKET AND PLANT A ROW FOR THE HUNGRY INITIATIVE, AS WELL AS LAUNCHED AN ANNUAL 5K WALK/RUN CALLED "GETTIN' OUT THE DOOR," ENCOURAGING PEOPLE OF ALL AGES TO GET ACTIVE. |
| 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 THAT 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 WILL BE APPLIED. THAT 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. EACH MATRIX IN USE HAS BEEN UPDATED WITHIN THE PAST YEAR. THE HOSPITAL REPORTS BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT 15, AS MODIFIED BY AND CONSISTENT 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. CURRENTLY, THE HOSPITAL IS IMPLEMENTING PROCESSES, PROCEDURES AND SYSTEMS TO MORE EFFECTIVELY DETERMINE CHARITY CARE THAT WILL REDUCE A PATIENT'S DOCUMENTATION REQUIREMENTS AND EASE THE PATIENT'S EMOTIONAL BURDEN IN APPLYING FOR CHARITY CARE. THIS WILL PROVIDE A MORE ACCURATE REPORTING OF CHARITY CARE SERVICES PROVIDED BY THE HOSPITAL. THE HOSPITAL COMPUTES THE COST OF BAD DEBT BY APPLYING THE RATIO OF PATIENT CARE COST TO CHARGES TO THE TOTAL CHARGES WRITTEN OFF AS BAD DEBT EXPENSE. THE PATIENT CARE COST IS DETERMINED BY REDUCING THE TOTAL ANNUAL OPERATING EXPENSE BY NON-PATIENT CARE EXPENSES, MEDICAID PROVIDER TAXES AND COMMUNITY BENEFIT EXPENSE. THE ADJUSTED OPERATING COST IS THEN DIVIDED BY THE TOTAL GROSS PATIENT CHARGES TO CALCULATE THE RATIO OF PATIENT CARE COST TO CHARGES. |
| 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 19 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, ST. ANTHONY'S MEMORIAL HOSPITAL IS RELIEVING THE BURDENS OF THE GOVERNMENT. ACCORDINGLY, THIS SHORTFALL RESTRICTS ST. ANTHONY'S ABILITY TO MAKE FUNDS AVAILABLE TO PROVIDE FOR CHARITY CARE AND OTHER COMMUNITY BENEFITS. THE HOSPITAL MEDICARE SHORTFALL AT COST FOR FY2014 WAS $6,804,449. |
| Schedule H, Part III, Line 9b, Collection practices for patients eligible for financial assistance | DEBT COLLECTION POLICY - ANY PATIENT ACCOUNT THAT IS SENT TO A COLLECTION AGENCY HAS AN OPPORTUNITY TO COMPLETE A FINANCIAL APPLICATION FOR CHARITY/CHRISTIAN CARE. IF AN ACCOUNT MEETS THE QUALIFICATIONS FOR FINANCIAL ASSISTANCE, ST. ANTHONY'S NOTIFIES THE COLLECTION AGENCY TO MAKE IT A CHRISTIAN CARE ADJUSTMENT. AT THE END OF EVERY MONTH, THE COLLECTION AGENCY PROVIDES A LIST OF PATIENTS, ACCOUNTS, AND AMOUNTS THAT SHOULD BE RECLASSIFIED AS CHARITY CARE. AS A RESULT, A JOURNAL ENTRY IS PREPARED TO TRANSFER THESE AMOUNTS FROM BAD DEBT TO CHARITY CARE. THE PATIENT WILL RECEIVE A BILLING STATEMENT FOR SERVICES, PAYMENT IN FULL IS EXPECTED WITHIN 30 DAYS OF SERVICE DATE. AN ACCOUNT WILL BE CONSIDERED DELINQUENT IF THE GUARANTOR FAILS TO EITHER MAKE FULL PAYMENT OR OR ACCEPTABLE PAYMENT ARRANGEMENTS WITH 30 DAYS FROM NOTIFICATION OF THE AMOUNT OWED. THE BILLING OFFICE WILL SEND A MINIMUM OF THREE MONTHLY STATEMENTS TO THE GUARANTOR WITHIN 120 DAYS. IF PAYMENT OR SATISFACTORY PAYMENT ARRANGEMENTS HAVE NOT BEEN MADE WITHIN 120 DAYS, THE ACCOUNT WILL BE REVIEWED FOR ASSIGNMENT TO EITHER AN ATTORNEY OR COLLECTION AGENCY FOR ADDITIONAL FOLLOWUP AND COLLECTION ACTIVITY. ALL ACCOUNT BALANCE EXCEEDING $2,500 WILL RECEIVE A TELEPHONE CALL FORM THE DBO STAFF OR A REPRESENTATIVE. BEFORE AN ACCOUNT WILL BE REVIEWED FOR COLLECTIONS, THE PATIENT WILL HAVE RECEIVED INFORMATION IN REGARD TO THE FINANCIAL ASSISTANCE PROGRAM DURING REGISTRATION PROCESS AND EACH BILLING STATEMENT WILL ALSO INCLUDE INFORMATION AS TO HOW THE PATIENT MAY APPLY FOR FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE INFORMATION IS ALSO AVAILABILE ON THE HOSPTIAL WEBSITE. EVERY INTERACTION WITH THE PATIENT BY THE PATIENT ACCOUNT STAFF SHOULD BE CONSIDERED AN OPPORTUNITY TO DISCUSS FINANCIAL ASSISTANCE. COMPLETING A FINANCIAL ASSISTANCE APPLICATION IS STILL AN OPTION AFTER THE ACCOUNT HAS BEEN PLACED IN COLLECTIONS. |
| SCHEDULE H, PART V, SECTION B, LINE 7, NEEDS NOT ADDRESSED IN NEEDS ASSESSMENT (CONTINUED) | (CONTINUED FROM PART V) NUTRITION AND WEIGHT STATUS ALLIANCE MEMBERS, INCLUDING THE HOSPITAL, CONTINUE TO PROMOTE THE IMPORTANCE OF DAILY PHYSICAL ACTIVITY AND ENCOURAGE SUPPORT OF TREC (TRAIL RECREATION EFFINGHAM COUNTY) WHICH IS ESTABLISHING WALKING TRAILS FOR THE HEALTH AND ENJOYMENT OF ALL RESIDENTS. EFFINGHAM AREA SCHOOL CHILDREN RECEIVE FREE LUNCHES DURING THE SUMMER MONTHS OF JUNE AND JULY THANKS TO THE COLLABORATIVE EFFORTS OF MEMBERS OF THE ALLIANCE FOR A HEALTHIER EFFINGHAM COUNTY. THE SUMMER LUNCH FOR KIDS PROGRAM, WHICH BEGAN IN 2006, PROVIDES A FREE MEAL ALONG WITH GAMES THAT EDUCATE CHILDREN ABOUT NUTRITION AND THE IMPORTANCE OF PHYSICAL ACTIVITY. ST. ANTHONY'S FOOD AND NUTRITION STAFF AND STUDENT INTERNS CONTINUE TO VOLUNTEER THEIR TIME TO HELP WITH THE PROGRAM, TEACHING CHILDREN ABOUT NUTRITION THROUGH FUN GAMES AND ACTIVITIES. THE NUTRITION AND FITNESS TASK FORCE CREATED A PROGRAM TO ENTICE PEOPLE WHO DO NOT NORMALLY EXERCISE TO PARTICIPATE IN A "COUCH TO 5K RUN/WALK." FITNESS DAYS WERE HELD LEADING UP TO THE 5K RUN/WALK EVENT TO ENCOURAGE PEOPLE TO START AN EXERCISE PROGRAM. IN FY2014, 20% OF PARTICIPANTS WHO COMPLETED A RACE SURVEY INDICATED THIS WAS THEIR FIRST 5K AND THEY PLAN TO CONTINUE EXERCISING. IN FY2014 ST. ANTHONY'S MADE A CONTRIBUTION TO THE C.E.F.S. GOLDEN CIRCLE NUTRITION PROGRAM (GCNP) TO COVER THE FIFTH DAYS OF MEALS-ON-WHEELS IN THE COMMUNITIES OF EFFINGHAM, BEECHER CITY, CLAY CITY, DIETERICH, LOUISVILLE, RAMSEY, AND VANDALIA THROUGH THE REMAINDER OF THEIR FISCAL YEAR, SEPTEMBER 30, 2014. WITHOUT THIS FUNDING, MEAL SERVICES TO SENIOR CITIZENS WOULD HAVE BEEN CUT TO FOUR DAYS PER WEEK AND HOMEBOUND CLIENTS WOULD NOT HAVE HAD A HOME DELIVERED MEAL AND CHECK-IN WITH THE VOLUNTEERS ON THE FIFTH DAY. WE MADE THIS CONTRIBUTION BECAUSE HOW VERY IMPORTANT IT IS FOR SENIORS TO HAVE A NUTRITIOUS MEAL ON A DAILY BASIS, PARTICULARLY THOSE WITH OTHER CONDITIONS SUCH AS DIABETES AND WOUNDS THAT NEED HEALING. THE PERSONAL CONTACT BETWEEN THE VOLUNTEERS AND THE RECIPIENT OF THE MEALS ALSO POSITIVELY AFFECTS THEIR PSYCHOLOGICAL WELL-BEING. THIS CONTRIBUTION TO THE GOLDEN CIRCLE NUTRITION PROGRAM LED TO ST. ANTHONY'S BEING NAMED ONE OF 16 ORGANIZATIONS WHO RECEIVED THE COMMUNITY SERVICE EXCELLENCE AWARD FROM THE C.E.F.S. ECONOMIC OPPORTUNITY CORPORATION BOARD OF DIRECTORS. WE WERE GRATEFUL FOR THE AWARD, WHICH WAS RECEIVED FOR CONTINUALLY SEEKING NEW WAYS TO SUPPORT THE C.E.F.S AGENCY WITH THE INTENT OF BETTER ENABLING THEM TO HELP PEOPLE AND CHANGE LIVES. THE NUTRITION AND FITNESS TASK FORCE, FORMED AFTER A 2005 CHNA, CONTINUES TO EVALUATE PROGRAMS TO PROMOTE HEALTHY NUTRITION AND WEIGHT FOR COMMUNITY MEMBERS. THIS TASK FORCE IS CURRENTLY ADDING NEW MEMBERS AND WILL CONTINUE TO DEVELOP PROGRAMS THAT ADDRESS THE PRIORITY OF NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT LOSS. MENTAL HEALTH & MENTAL DISORDERS (SEEKING PROFESSIONAL HELP) IMPROVING ACCESS TO PROFESSIONALS WHO CAN TREAT MENTAL HEALTH ISSUES AND MENTAL DISORDERS HAS BEEN IDENTIFIED AS A PRIORITY FOR BOTH EFFINGHAM AND JASPER COUNTIES. A TASK FORCE TEAM HAS BEEN DEVELOPED AND IS CHAIRED BY THE EXECUTIVE DIRECTOR OF THE LOCAL MENTAL HEALTH FACILITY. ADDITIONAL COMMUNITY MEMBERS ALSO SERVE ON THIS TEAM. ST. ANTHONY'S COLLABORATES WITH THIS TASK FORCE TO ASSIST IN ADDRESSING THIS PRIORITY. ST. ANTHONY'S WORKED WITH A LOCAL BEHAVIORAL HEALTH CARE PROVIDER TO IDENTIFY OPPORTUNITIES AND A TARGET AUDIENCE FOR ADDITIONAL EDUCATION REGARDING DEPRESSION AND REDUCING THE STIGMA ASSOCIATED WITH SEEKING SERVICES. TO ADDRESS THE STIGMA RELATED TO SEEKING PROFESSIONAL MENTAL HEALTH SERVICES, AN AD CAMPAIGN WITH REAL-LIFE TESTIMONIALS WAS DEVELOPED AND APPEARS IN THE MONTHLY HEALTH EDITIONS OF LOCAL NEWSPAPERS. THE ADS INCLUDE A CALL TO ACTION INCLUDING PHONE NUMBER AND WEBSITE TO LOCATING AREA SERVICES. INJURY & VIOLENCE PREVENTION (CHILD ABUSE OFFENSES) - EFFINGHAM ONLY IN FY2013, ST. ANTHONY'S WORKED WITH THE JASPER COUNTY SCHOOL DISTRICT TO PROVIDE BIKE HELMETS FREE OF CHARGE AND EDUCATIONAL INFORMATION TO STUDENTS IN GRADES 1 THROUGH 3 AT A BIKE SAFETY RODEO. SCHOOL REPRESENTATIVES, INCLUDING A SCHOOL RESOURCE OFFICER, WERE ON HAND TO TEACH THE CHILDREN RIDING SKILLS AND EDUCATE THEM ON BICYCLE SAFETY. IN FY2014 JASPER COUNTY SCHOOL OFFICIALS CHOSE NOT TO OFFER THE PROGRAM. ST. ANTHONY'S CONTINUES TO PROVIDE SAFE SITTER CLASSES TO TEACH 11- TO 13-YEAR-OLD BABYSITTERS HOW TO HANDLE CRISES, HOW TO KEEP THEIR CHARGES SECURE, AND HOW TO NURTURE AND GUIDE A YOUNG CHILD. IN SHORT, SAFE SITTER BABYSITTERS HELP CHILDREN STAY SAFE AND SOUND WHILE THEIR PARENTS ARE AWAY (REF. WWW.SAFESITTER.ORG). THE ALLIANCE FOR A HEALTHIER EFFINGHAM COUNTY IDENTIFIED CHILD ABUSE OFFENSES AS A PRIORITY. A TASK FORCE TEAM MADE UP OF REPRESENTATIVES FROM HEALTH CARE ORGANIZATIONS AND SOCIAL SERVICE AGENCIES HAS BEEN FORMED TO ADDRESS THE NUMBER OF CHILD ABUSE OFFENSES REPORTED IN EFFINGHAM COUNTY. EDUCATION DEVELOPED BY THIS TASK FORCE WILL BE INTEGRATED INTO THE CURRICULUM FOR ST. ANTHONY'S SAFE SITTER CLASSES. INFORMATION ON SHAKEN BABY SYNDROME IS NOW PART OF THE SAFE SITTER CURRICULUM. THE FOLLOWING PRIORITIES WERE ALSO IDENTIFIED AS AREAS OF OPPORTUNITY BY PRC. ST. ANTHONY'S ADDRESSES THESE NEEDS ON AN ONGOING BASIS THROUGH SERVICES AND/OR PROGRAMS THAT CURRENTLY EXIST. THE DEVELOPMENT OF SEPARATE TASK FORCE TEAMS IS NOT BEING PLANNED FOR THESE AREAS. HEART DISEASE AND STROKE (STROKE DEATHS, CHOLESTEROL SCREENINGS) ST. ANTHONY'S OFFERS NUMEROUS COMMUNITY HEALTH EDUCATION AND SCREENING PROGRAMS FREE OF CHARGE TO AREA RESIDENTS. THESE PROGRAMS PROVIDE NEEDED ACCESS TO HEALTH CARE SERVICES FOR THE UNDERSERVED AND PREVENTATIVE HEALTH SERVICES FOR THE COMMUNITY. PROGRAMS OFFERED RANGE FROM MONTHLY BLOOD PRESSURE SCREENINGS IN AREA COMMUNITIES TO LARGE HEALTH FAIRS OFFERING NUMEROUS PREVENTIVE TESTING, SUCH AS BLOOD PRESSURE, TOTAL CHOLESTEROL AND BLOOD GLUCOSE TESTING. PRAIRIE HEART AT ST. ANTHONY'S OFFERS A HEART FAILURE PROGRAM TO HELP PEOPLE LIVING DAILY WITH CONGESTIVE HEART FAILURE. THE PROGRAM EMPOWERS PATIENTS TO IMPROVE THEIR QUALITY OF LIFE BY MAKING EDUCATED DECISIONS ABOUT THEIR TREATMENT. SCALES ARE PROVIDED TO MEASURE THE PATIENT'S DAILY WEIGHT AND SYMPTOMS, AND TRANSMIT KEY DATA TO NURSES FOR EVALUATION. THIS PROGRAM OFFERS IMMEDIATE ACCESS TO HEART FAILURE NURSES AND THE SPECIALISTS AT PRAIRIE HEART AT ST. ANTHONY'S FOR PATIENTS IN NEED OF URGENT MEDICAL ASSISTANCE. MATERNAL, CHILD & INFANT HEALTH (INFANT MORTALITY, MOTHERS WHO SMOKE DURING PREGNANCY) ST. ANTHONY'S CURRENTLY PROVIDES PRENATAL EDUCATION CLASSES TO EXPECTANT PARENTS FREE OF CHARGE. THE CURRICULUM INCLUDES HEALTH INFORMATION ON THE EFFECTS OF SMOKING ON INFANTS, INCLUDING SECONDHAND SMOKE. HEALTH INFORMATION ON THE BENEFITS OF FULL-TERM PREGNANCIES IS ALSO INCLUDED. ST. ANTHONY'S WILL CONTINUE THIS WORTHWHILE PROGRAM AND EXPAND THE EDUCATIONAL INFORMATION AVAILABLE TO MOTHERS ON THESE HEALTH ISSUES. ADDITIONAL EDUCATIONAL RESOURCES WILL BE AVAILABLE THROUGH THE PRENATAL EDUCATION CLASSES, IN THE PATIENT PACKETS DISTRIBUTED IN THE OFFICES OF PHYSICIANS WHO DELIVER, AND THROUGH THE HOSPITAL'S WEB SITE. RESPIRATORY DISEASE (PNEUMONIA/INFLUENZA DEATHS) ST. ANTHONY'S HAS A PERFORMANCE MEASURE ON VACCINATION RATES FOR PNEUMONIA AND INFLUENZA. PREVIOUSLY, THE HOSPITAL ONLY COLLECTED VACCINATION STATUS AND ADMINISTRATION OF VACCINE ON PATIENTS. THE INITIATIVE CALLS FOR ADMINISTRATION OF VACCINE ON ALL PATIENTS WHO MEET THE CRITERIA FOR THE VACCINE. THE INFLUENZA VACCINE CRITERION FOR PATIENTS IS ANYONE OVER THE AGE OF 6 MONTHS. THE PNEUMONIA VACCINE CRITERION IS PATIENTS OVER THE AGE OF 65 PLUS ANYONE UNDER 65 WITH A CHRONIC HEALTH CONDITION. THIS PERFORMANCE MEASURE OF INCREASING VACCINATION RATES SHOULD HAVE A POSITIVE IMPACT ON MORTALITY RATES FOR THESE DISEASES. |
| SCHEDULE H, PART V, SECTION B, LINE 7, NEEDS NOT ADDRESSED IN NEEDS ASSESSMENT (CONTINUED) | AREAS OF OPPORTUNITY NOT BEING ADDRESSED AND WHY THE FOLLOWING NEEDS WERE IDENTIFIED BY PRC THROUGH THE CHNA FY2012 AS AREAS OF OPPORTUNITY. THE REASON THESE AREAS ARE NOT BEING ADDRESSED AT THIS TIME IS EXPLAINED BELOW: DEMENTIA, INCLUDING ALZHEIMER'S DISEASE (ALZHEIMER'S DISEASE DEATHS) -ALZHEIMER'S DISEASE DEATHS HAVE INCREASED IN THE AREA ECHOING THE STATE AND NATIONAL RATES. ST. ANTHONY'S MEMORIAL HOSPITAL IS NOT A RESEARCH HOSPITAL AND THEREFORE, CANNOT AFFECT THE DEATH RATE DUE TO ALZHEIMER'S DISEASE. IMMUNIZATION AND INFECTIOUS DISEASE (FLU & PNEUMONIA VACCINATIONS FOR AGES 65 YEARS+, HEPATITIS B VACCINATIONS) - ST. ANTHONY'S INITIATED A NEW PERFORMANCE MEASURE ON VACCINATION RATES FOR PNEUMONIA AND INFLUENZA THAT CALLS FOR ADMINISTRATION OF VACCINE ON ALL PATIENTS WHO MEET THE CRITERIA FOR THESE VACCINES. ST. ANTHONY'S ALSO PROVIDES FLU VACCINATIONS FOR ITS COLLEAGUES. THE HOSPITAL IS NOT DIRECTLY INVOLVED IN PUBLIC VACCINATIONS PROGRAMS, INCLUDING FLU AND PNEUMONIA VACCINATIONS FOR ADULTS OVER 65 OR HEPATITIS B VACCINATIONS. THE LOCAL HEALTH DEPARTMENT AND OTHER AREA HEALTH CARE PROVIDERS CURRENTLY OFFER THESE VACCINATIONS TO THE PUBLIC. ORAL HEALTH (DENTAL INSURANCE) - ST. ANTHONY'S DOES NOT PROVIDE DENTAL SERVICES TO THE COMMUNITY. A FEDERALLY QUALIFIED HEALTH CENTER THAT PROVIDES DENTAL CARE TO THE UNDERINSURED AND UNINSURED IS AVAILABLE TO RESIDENTS. A MEMBER OF THIS HEALTH CENTER SERVES ON THE ALLIANCE FOR A HEALTHIER EFFINGHAM COUNTY. HOWEVER, AFTER FURTHER REVIEW, IT WAS DETERMINED THAT THE FEDERALLY QUALIFIED HEALTH CENTER NO LONGER PROVIDES ORAL CARE TO ADULTS 18 YEARS AND OLDER. IN TURN IN FY2014 ST. ANTHONY'S LAUNCHED A DENTAL VOUCHER PROGRAM IN PARTNERSHIP WITH EFFINGHAM CATHOLIC CHARITIES FOR ADULTS 18 YEARS AND OLDER WHO ARE UNDERINSURED OR UNINSURED AND IN NEED OF AN EMERGENT TOOTH EXTRACTION. THE PROGRAM WAS DEVELOPED AS A RESULT OF THE CHNA FY2012 CONDUCTED IN PARTNERSHIP WITH THE ALLIANCE FOR A HEALTHIER EFFINGHAM COUNTY AND JASPER STEERING COMMITTEE. AFTER EVALUATING AND PRIORITIZING THE SURVEY RESULTS, THE ALLIANCE IDENTIFIED ACCESS TO HEALTH CARE SERVICES AS ONE OF THE TOP IDENTIFIED NEEDS. SURVEY RESULTS RELATED TO ORAL HEALTH AND ACCESS TO DENTAL CARE INDICATED 27% OF EFFINGHAM COUNTY RESPONDENTS HAD NOT VISITED A DENTIST WITHIN THE PAST YEAR. THOSE AT LOWER INCOME LEVELS WERE LESS LIKELY TO REPORT HAVING SEEN A DENTIST IN THE LAST YEAR. THROUGH THE PROGRAM, CATHOLIC CHARITIES WORKS WITH ELIGIBLE PATIENTS TO COVER EXPENSES RELATED TO AN INITIAL EXAM AND X-RAY BY A DENTIST, FOLLOWED BY A TOOTH EXTRACTION IF NECESSARY. THE PROGRAM WAS LAUNCHED IN APRIL 2014 AND THROUGH AUGUST 2014 OVER 80 PEOPLE HAVE RECEIVED DENTAL CARE THROUGH THE PROGRAM. THOSE QUALIFYING FOR THE PROGRAM ARE FINDING RELIEF FROM THE BURDEN OF PAYING FOR EMERGENCY, DENTAL AND ORAL SURGERY SERVICES WHEN THEY CANNOT AFFORD TO DO SO. SUBSTANCE ABUSE (BINGE DRINKING, SEEKING PROFESSIONAL HELP) ST. ANTHONY'S DOES NOT PROVIDE MENTAL HEALTH SERVICES. THE EXECUTIVE DIRECTOR OF THE LOCAL MENTAL HEALTH FACILITY SERVES ON THE ALLIANCE FOR A HEALTHIER EFFINGHAM COUNTY AND SERVES AS CHAIRPERSON ON THE TASK FORCE ADDRESSING THE LACK OF MENTAL HEALTH PROVIDERS IN THE AREA. AS THIS TASK FORCE PROGRESSES, THIS NEED (SUBSTANCE ABUSE) MAY ALSO BE ADDRESSED. TOBACCO USE (USE OF SMOKELESS TOBACCO) ST. ANTHONY'S IS NOT DIRECTLY INVOLVED IN THE USE OF THE SMOKELESS TOBACCO PRIORITY BECAUSE THE LOCAL HEALTH DEPARTMENT CURRENTLY OFFERS SMOKING CESSATION PROGRAMS FOR THE COMMUNITY. |
| Schedule H, Part VI, Line 2, Needs assessment. | AS INDICATED IN PART V, SECTION B, ST. ANTHONY'S MEMORIAL HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN OUR FY2012 (JULY 1, 2011 THROUGH JUNE 30, 2012). IN PREVIOUS YEARS, WE ASSESSED COMMUNITY NEED BY IN THE FOLLOWING MANNER. SINCE 2005, ST. ANTHONY'S MEMORIAL HOSPITAL HAS BEEN INVOLVED IN NEEDS ASSESSMENTS CONDUCTED BY THE HOSPITAL AND SEVERAL OTHER ORGANIZATIONS. HEALTH CARE NEEDS IDENTIFIED BY COMMUNITY MEMBERS INVOLVED IN A GRASSROOTS EFFORT TO IMPROVE QUALITY OF LIFE FOR EFFINGHAM COUNTY IDENTIFIED HEALTH CARE NEEDS THAT PARALLELED THOSE IDENTIFIED BY "CHECKUP 2005" COMMUNITY NEEDS ASSESSMENT. MEMBERS OF VISION 2020 EVENTUALLY JOINED THE "CHECKUP 2005" COMMITTEE TO FORM THE ALLIANCE FOR A HEALTHIER EFFINGHAM COUNTY THAT CONTINUES TODAY. ST. ANTHONY'S HAS A NUMBER OF REPRESENTATIVES ON THE ALLIANCE, INCLUDING THE HOSPITAL'S CURRENT CHAIRPERSON OF ITS BOARD OF DIRECTORS, DIRECTOR OF QUALITY SUPPORT, AND THE COMMUNITY RELATIONS AND MARKETING MANAGER. IN ADDITION TO ST. ANTHONY'S INVOLVEMENT, THE ALLIANCE MEMBERSHIP IS COMPRISED OF REPRESENTATIVES FROM THE COUNTY HEALTH DEPARTMENT, PHYSICIANS' OFFICES, DENTAL OFFICES, CATHOLIC CHARITIES AND OTHER SOCIAL SERVICE AGENCIES, COMMUNITY BUSINESSES, AND AREA MEDIA. THE "CHECKUP 2005" INITIATIVES INCLUDED ACHIEVEMENTS SUCH AS A SUMMER LUNCH PROGRAM FOR CHILDREN, AWARENESS/PROMOTION CAMPAIGN FOCUSING ON WOMEN'S WELLNESS AND THE AVAILABILITY OF THE ILLINOIS BREAST & CERVICAL CANCER PROGRAM, AND A TREC INITIATIVE TO ESTABLISH WALKING TRAILS TO INCREASE HEALTH AND ACTIVITY LEVELS OF ALL COMMUNITY RESIDENTS. MEMBERS OF THE ALLIANCE CONTINUE TO MONITOR NEEDS ASSESSMENTS TO DETERMINE PRIORITIES THAT SHOULD CONTINUE TO BE ADDRESSED AND TO INCLUDE NEW HEALTH PRIORITIES. NEEDS IDENTIFIED THROUGH THESE VARIOUS ASSESSMENTS LED TO THE DEVELOPMENT OF THE ALLIANCE'S GOALS FOR 2012. THESE INCLUDE: - CONTINUE TO FOCUS ON EXERCISE, NUTRITION, AND HEALTHY LIFESTYLES - CONTINUE TO RAISE AWARENESS AND IMPROVE ACCESS TO AFFORDABLE HEALTH CARE, DENTAL CARE AND MENTAL HEALTH PROFESSIONALS - CONTINUE TO RAISE AWARENESS AND IMPROVE ACCESS TO MENTAL HEALTH TREATMENT FOR YOUTH AND FAMILIES INCLUDING TREATMENT PROGRAMS FOR SUICIDE & DEPRESSION AND DRUG & ALCOHOL ABUSE. - DEVELOP STRATEGIES THAT CREATE AWARENESS AND PROVIDE RESOURCES TO REDUCE CHILD ABUSE OFFENSES. IN 2011, A STEERING COMMITTEE SIMILAR TO THE ALLIANCE WAS FORMED IN JASPER COUNTY TO ADDRESS HEALTH CARE NEEDS IDENTIFIED IN THAT COUNTY. IN ADDITION TO REPRESENTATIVES FROM ST. ANTHONY'S, THIS COMMITTEE INCLUDES REPRESENTATIVES FROM OTHER HEALTH CARE ORGANIZATIONS, AREA SCHOOLS, GOVERNMENT, COMMUNITY ORGANIZATIONS, BUSINESS AND LOCAL COMMUNITY MEMBERS. MEMBERS OF THE JASPER COUNTY STEERING COMMITTEE IDENTIFIED HEALTH CARE NEEDS SIMILAR TO THOSE IN EFFINGHAM COUNTY. THESE INCLUDE: - FOCUS ON EXERCISE, NUTRITION, AND HEALTHY LIFESTYLES - RAISE AWARENESS AND IMPROVE ACCESS TO AFFORDABLE HEALTH CARE, DENTAL CARE AND MENTAL HEALTH PROFESSIONALS - RAISE AWARENESS AND IMPROVE ACCESS TO MENTAL HEALTH TREATMENT FOR YOUTH AND FAMILIES INCLUDING TREATMENT PROGRAMS FOR SUICIDE & DEPRESSION AND DRUG & ALCOHOL ABUSE. PROVISIONS IN THE AFFORDABLE CARE ACT REQUIRE CHARITABLE HOSPITALS TO CONDUCT A CHNA AND ADOPT IMPLEMENTATION STRATEGIES TO MEET THE NEEDS IDENTIFIED. TO COMPLY WITH THESE REQUIREMENTS, ST. ANTHONY'S MEMORIAL HOSPITAL WILL LEAD A COLLABORATIVE APPROACH TO CONDUCT ITS CHNA AND ADOPT AN IMPLEMENTATION PLAN IN OUR FY2015 (JULY 1, 2014 THROUGH JUNE 30, 2015), A PROCESS WE UNDERTAKE EVERY THREE YEARS. |
| Schedule H, Part VI, Line 3, Patient education of eligibility for assistance. | ST. ANTHONY'S INFORMS PATIENTS ABOUT FINANCIAL ASSISTANCE PROGRAMS IN VARIOUS WAYS. PATIENTS RECEIVE A PATIENT GUIDE, WHICH EXPLAINS THAT HOSPITAL STAFF WILL ASSIST PATIENTS IN FILING CLAIMS FOR GOVERNMENTAL PROGRAMS. THE PATIENT GUIDE ALSO EXPLAINS ST. ANTHONY'S CHRISTIAN CARE FINANCIAL ASSISTANCE PROGRAM AND HOW TO APPLY FOR ASSISTANCE. BROCHURES ABOUT THE CHRISTIAN CARE FINANCIAL ASSISTANCE PROGRAM ARE ALSO LOCATED IN WAITING ROOMS THROUGHOUT ST. ANTHONY'S CAMPUS. FOR PATIENTS WHO VISIT ST. ANTHONY'S EMERGENCY ROOM, EACH PATIENT IS VISITED BEDSIDE BY A HOSPITAL STAFF MEMBER WHO PROVIDES THEM WITH A BROCHURE ABOUT THE CHRISTIAN CARE FINANCIAL ASSISTANCE PROGRAM IF THEY ARE SELF-PAY OR IF THEY EXPRESS CONCERN ABOUT THE HOSPITAL BILL. THE BROCHURES ARE AVAILABLE IN ENGLISH AND SPANISH. DURING REGISTRATION, THE HOSPITAL ALSO PROVIDES UNINSURED OR UNDERINSURED PATIENTS WITH INFORMATION ABOUT THE CARDINAL HEALTH ERECOVERY PHARMACEUTICAL PROGRAM, WHICH OFFERS MEDICATION ASSISTANCE FOR MEDICATIONS RECEIVED DURING THE HOSPITAL VISIT. THERE IS SIGNAGE ABOUT FINANCIAL ASSISTANCE IN ALL OF THE HOSPITAL REGISTRATION AREAS. IN ADDITION, EVERY HOSPITAL BILLING STATEMENT INCLUDES INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. IN ST. ANTHONY'S BUSINESS OFFICE, WHEN STAFF MEMBERS RECEIVE CALLS FROM PEOPLE EXPRESSING PROBLEMS WITH BEING ABLE TO PAY THEIR HOSPITAL BILLS, THEY SHARE INFORMATION WITH THEM ABOUT THE AVAILABILITY OF GOVERNMENT PROGRAMS AND THE CHRISTIAN CARE FINANCIAL ASSISTANCE PROGRAM. ALL PATIENTS WITH A SELF-PAY PORTION GREATER THAN $1000 ARE MAILED A COPY OF THE FINANCIAL ASSISTANCE APPLICATION FORM. ST. ANTHONY'S WEB SITE ALSO EXPLAINS THAT HOSPITAL STAFF CAN ASSIST PATIENTS WHO HAVE FINANCIAL CONCERNS, OFFER PHONE NUMBERS TO CALL FOR ASSISTANCE, AND PROVIDES INFORMATION ON THE CHRISTIAN CARE FINANCIAL ASSISTANCE PROGRAM. |
| Schedule H, Part VI, Line 4, Community information. | EFFINGHAM IS LOCATED IN CENTRAL ILLINOIS AT THE CROSSROADS OF TWO MAJOR INTERSTATE SYSTEMS. EFFINGHAM HAS A POPULATION OF OVER 12,000 PEOPLE WITH AN ECONOMY COMPRISED OF VARIOUS BUSINESSES FROM AGRICULTURE, PRINTING, AND MANUFACTURING PLANTS TO HEALTH CARE AND TOURISM. ST. ANTHONY'S MEMORIAL HOSPITAL'S SERVICE AREA IS EFFINGHAM AND JASPER COUNTIES ALONG WITH PORTIONS OF THE COUNTIES OF CLARK, CLAY, CRAWFORD, CUMBERLAND, FAYETTE, MARION, RICHLAND, AND SHELBY, SERVING A POPULATION OF OVER 250,000 PEOPLE. ACCORDING TO THE 2012 ESTIMATES OF THE U.S. CENSUS, THE DEMOGRAPHIC MAKE-UP OF EFFINGHAM COUNTY IS 96.7% WHITE (NON-HISPANIC), 1.8% OF HISPANIC OR LATINO ORIGIN, AND 0.9% OTHER. THE DEMOGRAPHIC MAKE-UP OF JASPER COUNTY IS 97.6% WHITE (NON-HISPANIC), 1.0% OF HISPANIC OR LATINO ORIGIN, AND 0.8% OTHER. IN 2010, THE PERCENTAGE OF PEOPLE LIVING BELOW POVERTY LEVEL IN EFFINGHAM COUNTY WAS 10.7% AND JASPER COUNTY WAS 7.6%. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INDICATED THAT 13.5% OF ADULTS AGES 18-64 IN THE TOTAL AREA SURVEYED HAVE HEALTH INSURANCE COVERAGE THROUGH A GOVERNMENT-SPONSORED PROGRAM (E.G., MEDICAID, MEDICARE, MILITARY BENEFITS). ADDITIONALLY 8.7% OF THE ADULTS SURVEYED HAVE NO INSURANCE COVERAGE FOR HEALTH CARE EXPENSES. THE POPULATION SEGMENTS MOST LIKELY TO BE WITHOUT HEALTH CARE INSURANCE COVERAGE WERE MEN AND RESIDENTS LIVING AT LOWER INCOMES. AMONG ADULTS WITH DIAGNOSED DEPRESSION, ONLY 64.8% ACKNOWLEDGE THEY HAVE SOUGHT PROFESSIONAL HELP FOR A MENTAL OR EMOTIONAL PROBLEM. THIS IS MUCH LOWER THAN THE NATIONAL FINDINGS OF 82% AND FAILS TO SATISFY THE HEALTHY PEOPLE 2020 TARGET OF 75.1% OR HIGHER. ADDITIONALLY, BASED ON SELF-REPORTED HEIGHTS AND WEIGHTS IN THE CHNA, ONLY 30.3% OF ADULTS IN THE TOTAL AREA ARE AT A HEALTHY WEIGHT. THIS FAILS TO SATISFY THE HEALTHY PEOPLE 2020 TARGET OF 33.9% OR HIGHER. THIS NUMBER HAS NOT CHANGED SIGNIFICANTLY SINCE THE 2005 CHNA. |
| Schedule H, Part VI, Line 5, Promotion of community health | ST. ANTHONY'S MEMORIAL HOSPITAL OFFERS HOPE TO OUR COMMUNITY IN THE TRADITION OF THE HOSPITAL SISTERS OF ST. FRANCIS. AS A HEALING MINISTRY OF THE CATHOLIC CHURCH AND AN AFFILIATE OF THE HOSPITAL SISTERS HEALTH SYSTEM (HSHS), ST. ANTHONY'S IS COMMITTED TO DELIVERING HIGH QUALITY, COMPASSIONATE, AND COST-EFFECTIVE HEALTH CARE SERVICES TO ALL. THE HOSPITAL WAS FOUNDED MORE THAN 139 YEARS AGO TO BRING A HEALING PRESENCE AND IMPROVE THE HEALTH OF OUR COMMUNITY, ESPECIALLY FOR PEOPLE WHO ARE SICK, POOR, AND DISADVANTAGED. BECAUSE OF THE HOSPITAL'S PURPOSE AND TRADITION, IT IS ORGANIZED TO PROMOTE THE HEALTH OF EFFINGHAM AND SURROUNDING AREAS. THE HOSPITAL IS GOVERNED BY A BOARD OF DIRECTORS, A MAJORITY OF WHOM RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE HOSPITAL (NOR FAMILY MEMBERS THEREOF). THE BOARD ENSURES THAT ST. ANTHONY'S IS RESPONDING TO COMMUNITY NEED. IN FY2012, FOR EXAMPLE, THE BOARD REVIEWED THE COMMUNITY HEALTH NEEDS ASSESSMENT AND APPROVED AN IMPLEMENTATION STRATEGY FOR ADDRESSING SELECTED NEEDS. ST. ANTHONY'S ALSO HAS A HOSPITAL ADVISORY COUNCIL COMPRISED OF COMMUNITY LEADERS WHO SERVE AS LIAISONS BETWEEN THE HOSPITAL AND ITS PUBLICS BY ADVISING ON MATTERS OF COMMUNITY HEALTH CARE SERVICE AND ITS EFFECTIVE DELIVERY. COMMUNITY LEADERS ALSO SERVE ON THE FRIENDS OF ST. ANTHONY'S LEADERSHIP COUNCIL, WHICH ENSURE THE CONTINUING GROWTH, STABILITY AND FUTURE OF HEALTH CARE IN THE REGION, BY ACCEPTING AND ACKNOWLEDGING CHARITABLE CONTRIBUTIONS TO THE HOSPITAL. ST. ANTHONY'S AUXILIARY EXECUTIVE COMMITTEE IS A BOARD OF VOLUNTEERS WHO DIRECT THE AUXILIARY VOLUNTEER PROGRAM WHICH PROMOTES AND ADVANCES THE WELFARE OF THE HOSPITAL THROUGH SERVICES FOR PATIENTS AND THEIR FAMILIES, AND FUNDRAISING FOR HOSPITAL NEEDS. ALSO CONSISTENT WITH ITS EXEMPT PURPOSE, ST. ANTHONY'S HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. IN ADDITION, THE HOSPITAL OPERATES AN EMERGENCY DEPARTMENT THAT IS OPEN 24 HOURS TO ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY. AS A NOT-FOR-PROFIT HOSPITAL, ST. ANTHONY'S REINVESTS SURPLUS FUNDS INTO THE MISSION OF THE ORGANIZATION AND HEALTH OF THE COMMUNITY RATHER THAN DISTRIBUTING THEM 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, ST. ANTHONY'S IS CURRENTLY WORKING WITH ITS PARENT ORGANIZATION, HOSPITAL SISTERS HEALTH SYSTEM, TO CONTINUOUSLY ENHANCE QUALITY AND IMPROVE COORDINATION OF CARE BOTH INSIDE THE HOSPITAL AND WITH A GROWING NUMBER OF PHYSICIAN PARTNERS. SUPPORTED BY INVESTMENTS IN INFORMATION TECHNOLOGY, THIS "CARE INTEGRATION" STRATEGY IS DESIGNED TO BETTER COORDINATE CARE, IMPROVE HEALTH OUTCOMES, CREATE NEW EFFICIENCIES, AND HELP ENSURE THAT PATIENTS (ESPECIALLY THOSE WITH CHRONIC CONDITIONS) GET WELL AND STAY WELL. ST. ANTHONY'S HAS WORKED WITH VARIOUS AREA MEDICAL PRACTICES WHOSE MEDICAL RECORDS WERE STILL ON PAPER WITH ADOPTING ELECTRONIC MEDICAL RECORDS (EMRS) IN THEIR OFFICES. HAVING ACCESS TO AN EMR ASSISTS CAREGIVERS WITH INCREASED INFORMATION BY PATIENTS AND OTHER HEALTH CARE PROVIDERS, ENABLES THE PRACTICE OF EVIDENCE-BASED MEDICINE, AND IMPROVES PATIENT SAFETY AND QUALITY OF CARE. FOR THOSE MEDICAL OFFICE THAT ALREADY HAVE EMRS, ST. ANTHONY'S IS WORKING ON DETERMINING SOFTWARE TO HELP MEDICAL PRACTICES' EMR INTERFACE WITH THE HOSPITAL'S EMR TO HELP IMPROVE COMMUNICATION, EFFICIENCY, AND PATIENT SAFETY. ST. ANTHONY'S ALSO DEVOTES SIGNIFICANT RESOURCES TO ACCESS FOR PATIENTS WHO CANNOT AFFORD CARE, ALONG WITH OTHER COMMUNITY BENEFITS. IN FY2014, ST. ANTHONY'S PROVIDED MORE THAN $X.X MILLION IN COMMUNITY BENEFIT SERVICES, INCLUDING CHARITY CARE 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, DURING THIS PERIOD, ST. ANTHONY'S PROVIDED $X.XMILLION (AT COST) IN UNCOMPENSATED CARE TO PATIENTS THAT DID NOT QUALIFY FOR CHARITY CARE OR PUBLIC ASSISTANCE AND MORE THAN $XXMILLION (AT COST) IN EXCESS OF MEDICARE PAYMENT FOR HEALTH CARE SERVICES. ST. ANTHONY'S PROVIDES A RANGE OF COMMUNITY BENEFITS THAT FLOWS FROM OUR MISSION AND LONG-STANDING COMMITMENT TO OUR COMMUNITY. IN MANY CASES, THESE PROGRAMS WOULD BE UNLIKELY TO EXIST WITHOUT THE LEADERSHIP ROLE PLAYED BY ST. ANTHONY'S AND THEY OFTEN RELIEVE A BURDEN THAT WOULD OTHERWISE BE CARRIED BY GOVERNMENT. SEVERAL OF THESE PROGRAMS AND ACTIVITIES ARE DESIGNED TO RESPOND TO OUR FY2012 COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH SURFACED THE FOLLOWING PRIORITY NEEDS FOR ATTENTION FROM THE HOSPITAL IN COLLABORATION WITH OTHER COMMUNITY ORGANIZATIONS: - DEVELOP STRATEGIES THAT IMPROVE ACCESS TO AND AWARENESS OF NEEDED HEALTH SERVICES TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY. - TO IMPROVE NUTRITION AND INCREASE PHYSICAL ACTIVITY THEREBY DECREASING OBESITY AMONG INDIVIDUALS RESIDING IN EFFINGHAM COUNTY. INCREASE THE NUMBER OF PEOPLE WHO SEEK PROFESSIONAL HELP FOR A MENTAL OR EMOTIONAL PROBLEM. - DEVELOP STRATEGIES THAT CREATE AWARENESS AND PROVIDE RESOURCES TO REDUCE CHILD ABUSE OFFENSES. IDENTIFIED PRIORITY: AFFORDABLE HEALTH CARE FOR UNINSURED AND UNDERINSURED PATIENTS CATHOLIC CHARITIES PRESCRIPTION ASSISTANCE FOR THE PAST DECADE, ST. ANTHONY'S MEMORIAL HOSPITAL HAS ASSISTED EFFINGHAM CATHOLIC CHARITIES BY CO-SPONSORING THEIR PRESCRIPTION ASSISTANCE PROGRAM. THIS IS ONE OF THE ONGOING PROGRAMS THAT ST. ANTHONY'S HAS SUPPORTED BASED ON THE HEALTH PRIORITIES ESTABLISHED BY THE ALLIANCE FOLLOWING CHECKUP 2005. ST. ANTHONY'S AND CATHOLIC CHARITIES BELIEVE THAT NO ONE SHOULD BE WITHOUT PRESCRIBED MEDICATIONS BECAUSE THEY CANNOT AFFORD TO PAY FOR THEM. CATHOLIC CHARITIES' STAFF MEMBERS WORK WITH CLIENTS WHO NEED PRESCRIPTION MEDICATION BUT MAY NOT BE ABLE TO AFFORD THEM BECAUSE THEY ARE UNINSURED OR UNDERINSURED. ST. ANTHONY'S PROVIDES ASSISTANCE TO CATHOLIC CHARITIES TO HELP PAY FOR THE COSTS INCURRED BY THE PROGRAM. RATHER THAN ESTABLISHING THEIR OWN PRESCRIPTION ASSISTANCE AND DUPLICATING EFFORTS, ST. ANTHONY'S PARTNERS WITH CATHOLIC CHARITIES WHO HAS AN EXCELLENT PROGRAM IN PLACE TO ASSIST THOSE IN NEED OF PRESCRIPTION MEDICATION. CATHOLIC CHARITIES IS GRATEFUL FOR THE ASSISTANCE, GIVEN THE NUMBER OF CLIENTS THEY HELP EACH MONTH THROUGH THE PROGRAM. IN FISCAL YEAR 2014, CATHOLIC CHARITIES WAS ABLE TO HELP 311 PEOPLE RECEIVE THE PRESCRIPTION MEDICATIONS THEY NEED, THANKS TO THE SUPPORT OF ST. ANTHONY'S MEMORIAL HOSPITAL. WITHOUT THE ASSISTANCE THAT ST. ANTHONY'S PROVIDES, CATHOLIC CHARITIES MIGHT NOT BE ABLE TO CONTINUE TO PROVIDE PRESCRIPTION MEDICATION ASSISTANCE TO THOSE IN NEED. EXERCISE, NUTRITION, AND HEALTHY LIFESTYLES THE NUTRITION AND FITNESS TASK FORCE IN COLLABORATION WITH THE LOCAL CHAMBER OF COMMERCE CREATED A PROGRAM TO ENCOURAGE PEOPLE WHO DO NOT NORMALLY EXERCISE TO PARTICIPATE IN A "COUCH TO 5K RUN/WALK." TWENTY PERCENT OF THE 221 PARTICIPANTS WHO COMPLETED A RACE SURVEY INDICATED THIS WAS THEIR FIRST 5K AND THEY PLAN TO CONTINUE EXERCISING. ACCESS TO HEALTH CARE SERVICES A HISPANIC FOCUS GROUP HELD IN CONJUNCTION WITH THE CHNA INDICATED ONE BARRIER THEY ENCOUNTER IN OBTAINING HEALTHCARE SERVICES WAS LACK OF FORMS IN SPANISH TO APPLY FOR FINANCIAL ASSISTANCE. ST. ANTHONY'S DEVELOPED A SPANISH VERSION OF THE CHARITY CARE APPLICATION AND THIS FORM IS DISTRIBUTED AS NEEDED TO THE HISPANIC POPULATION. IN FY2014 THERE WERE 92 APPLICATIONS DISTRIBUTED, 87 RECEIVED AND 85 WERE APPROVED FOR FINANCIAL ASSISTANCE. ST. ANTHONY'S MONTHLY BLOOD PRESSURE PROGRAM WAS ENHANCED TO PROVIDE BETTER ACCESS TO LOW-INCOME POPULATIONS. MONTHLY SCREENINGS LOCATIONS INCLUDE EFFINGHAM, ALTAMONT, DIETERICH, NEWTON AND CLAY CITY. THE SCREENING LOCATIONS WERE EVALUATED TO DETERMINE ACCESS TO THE UNDERSERVED. THIS LED TO THE ADDITION OF TWO NEW LOCATIONS INCLUDING EFFINGHAM CATHOLIC CHARITIES AND GOLDEN CIRCLE NUTRITION. IN FY2014, ST. ANTHONY'S THIS PROGRAM WAS ENHANCED TO PROVIDE AN ADDITIONAL SCREENING FOR BLOOD GLUCOSE AND DIABETES EDUCATION AT EACH LOCATION QUARTERLY. SIX HUNDRED AND SIXTEEN INDIVIDUALS WERE SERVED BY THE PROGRAM THIS FISCAL YEAR. AWARENESS OF MENTAL HEALTH & MENTAL DISORDERS (SEEKING PROFESSIONAL HELP) ST. ANTHONY'S WORKED WITH A LOCAL BEHAVIORAL HEALTH CARE PROVIDER TO IDENTIFY OPPORTUNITIES AND A TARGET AUDIENCE FOR ADDITIONAL EDUCATION REGARDING DEPRESSION AND REDUCING THE STIGMA ASSOCIATED WITH SEEKING SERVICES. TO ADDRESS THE STIGMA RELATED TO SEEKING PROFESSIONAL MENTAL HEALTH SERVICES, AN AD CAMPAIGN WITH REAL-LIFE TESTIMONIALS WAS DEVELOPED AND APPEARS IN THE MONTHLY HEALTH EDITIONS OF LOCAL NEWSPAPERS. THE ADS INCLUDE A CALL TO ACTION INCLUDING PHONE NUMBER AND WEBSITE TO LOCATING AREA SERVICES. |
| SCHEDULE H, PART VI, LINE 5, PROMOTION OF COMMUNITY HEALTH (CONTINUED) | THE OUTCOME OF THIS CAMPAIGN WILL BE DETERMINED BY THE PRESENCE OF A FAVORABLE TREND FOR PERSONS SEEKING MENTAL HEALTH ASSISTANCE IN THE NEXT COMMUNITY HEALTH NEEDS ASSESSMENT. REDUCE CHILD ABUSE OFFENSES THE ALLIANCE FOR A HEALTHIER EFFINGHAM COUNTY IDENTIFIED CHILD ABUSE OFFENSES AS A PRIORITY. A TASK FORCE TEAM MADE UP OF REPRESENTATIVES FROM HEALTH CARE ORGANIZATIONS AND SOCIAL SERVICE AGENCIES HAS BEEN FORMED TO ADDRESS THE NUMBER OF CHILD ABUSE OFFENSES REPORTED IN EFFINGHAM COUNTY AND IS CURRENTLY WORKING ON STRATEGIES TO ADDRESS THIS PRIORITY. ENROLLMENT OUTREACH AND ASSISTANCE IN FY2014, HOSPITAL SISTERS HEALTH SYSTEM (HSHS) AND OUR 13 HOSPITALS INVESTED A CONSIDERABLE AMOUNT OF COMMUNITY BENEFIT RESOURCES IN ORDER TO EDUCATE THE UNINSURED ABOUT HISTORIC NEW OPPORTUNITIES TO ENROLL IN AFFORDABLE HEALTH INSURANCE COVERAGE AND TO FACILITATE THE ENROLLMENT PROCESS. BETWEEN OCTOBER 1, 2013 AND MARCH 31, 2014, STATE-BASED INSURANCE EXCHANGES BEGAN A SIX-MONTH OPEN ENROLLMENT PERIOD THAT GAVE MILLIONS OF AMERICANS ACCESS TO HEALTH INSURANCE COVERAGE. ST. ANTHONY'S PLAYED A VITAL ROLE IN EDUCATING ELIGIBLE PEOPLE IN THEIR LOCAL COMMUNITIES, REFERRING THEM TO CERTIFIED APPLICATION COUNSELORS AND/OR ENROLLING THEM IN THE HEALTH INSURANCE EXCHANGES OR IN SECURING COVERAGE THROUGH MEDICAID EXPANSION. OF THE EIGHT STATES WITH THE HIGHEST CONCENTRATION OF UNINSURED, ILLINOIS WAS AMONG 25 STATES THAT MOVED TOWARD MEDICAID EXPANSION UNDER THE AFFORDABLE CARE ACT. ENROLLMENT OUTREACH AND ACTIVITIES INCLUDED PRINTED MATERIALS; BROCHURES IN WAITING ROOMS; POSTERS; SPANISH LANGUAGE MATERIALS; SIGNAGE AT CASHIERS AND IMAGING. IN ADDITION, THE HOSPITAL SPONSORED EDUCATIONAL SEMINARS; A TOWN HALL WITH HOSPITAL CEO; POSTED INFORMATION ON THE HOSPITAL'S FACEBOOK AND HOSPITAL WEBSITE; SENT LETTERS TO SMALL BUSINESSES AND UNINSURED AND SELF-PAY PATIENTS. |
| SCHEDULE H, PART VI, LINE 5, PROMOTION OF COMMUNITY HEALTH (CONTINUED) | OTHER COMMUNITY BENEFIT PROGRAMS IN ADDITION TO THE PARTNERSHIP PROJECTS WITH MEMBERS OF THE ALLIANCE AND THE ANNUAL PROGRAMS REFERENCED ABOVE, ST. ANTHONY'S OFFERS NUMEROUS COMMUNITY PROGRAMS FREE OF CHARGE TO RESIDENTS IN AREA COMMUNITIES. THESE PROGRAMS HELP INCREASE ACCESS TO HEALTH CARE SERVICES FOR THE UNDERSERVED AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITY. THESE PROGRAMS RANGE FROM BLOOD PRESSURE SCREENINGS IN AREA COMMUNITIES TO PRENATAL CLASSES FOR NEW PARENTS, TO HEALTH FAIRS WHERE PEOPLE CAN HAVE THEIR BLOOD CHOLESTEROL AND GLUCOSE LEVELS CHECKED BY HEALTH CARE PROFESSIONALS. SPECIFICALLY, THE COMMUNITY PROGRAMS CONDUCTED TO BETTER THE HEALTH OF THE REGION WERE: HEALTH AND WELLNESS PROGRAMS - ARTISAN FAIR HEALTH FAIR - BARIATRIC SUPPORT GROUP - BLOOD PRESSURE SCREENINGS - BALANCE SCREENINGS - CAREGIVER SYMPOSIUM - COMMUNITY PRESENTATIONS ON BREAST HEALTH, NUTRITION, HEART HEALTH, PHYSICAL THERAPY, CHILD HEALTH/SAFETY AND CPR - EFFINGHAM COUNTY FAIR - EFFINGHAM COUNTY HEALTH DEPARTMENT HEALTH FAIR - EFFINGHAM SENIOR CENTER HEALTH FAIR - HEALING THE GRIEVING HEART GROUP - ILLINOIS SENATORS' SENIOR HEALTH FAIR - JASPER COUNTY HEALTH DEPT. HEALTH FAIR - MATTOON GE PLANT EMPLOYEE HEALTH FAIR - NEWTON CIPS EMPLOYEE HEALTH FAIR - PRENATAL CLASSES (LABOR AND DELIVERY CLASS 1-3, NEWBORN CARE, BREASTFEEDING, CESAREAN, NEW BROTHER/NEW SISTER, AND FAMILY & FRIENDS CPR, BEDREST PACKETS) - SCHOOL CPR CLASSES CANCER AWARENESS/PREVENTION - BREAST CANCER SUPPORT GROUP - CANCER SURVIVOR'S DAY - LOOK GOOD/FEEL BETTER PROGRAM - SKIN CANCER SCREENING - WOMEN'S WELLNESS WIG BANK VOLUNTEER OPPORTUNITIES - BLOOD DRIVES |
| Schedule H, Part VI, Line 6, Affiliated health care system | ST. ANTHONY'S MEMORIAL HOSPITAL IS AN AFFILIATE OF HOSPITAL SISTERS HEALTH SYSTEM (HSHS), A HEALTH CARE MINISTRY THAT INCLUDES 13 HOSPITALS, NUMEROUS COMMUNITY-BASED HEALTH CENTERS AND CLINICS, AND HUNDREDS OF PHYSICIAN PARTNERS ACROSS ILLINOIS AND WISCONSIN. THE MISSION OF HSHS IS "TO REVEAL AND EMBODY CHRIST'S HEALING LOVE FOR ALL PEOPLE THROUGH OUR HIGH QUALITY FRANCISCAN HEALTH CARE MINISTRY." WE LIVE OUR MISSION BY PROVIDING HOLISTIC HEALING TO ALL WHO SEEK OUR CARE, AS WELL AS THROUGH COMMUNITY BENEFIT. WORKING COLLABORATIVELY WITH OTHERS IN THE COMMUNITIES WE SERVE, OUR COMMUNITY BENEFIT INITIATIVES ARE STRATEGICALLY AND SUCCESSFULLY EXPANDING ACCESS TO CARE, IMPROVING THE HEALTH STATUS OF RESIDENTS, AND FURTHERING MEDICAL EDUCATION AND KNOWLEDGE. IN FY2014, OUR 13 HOSPITALS RESPONDED TO NEEDS IDENTIFIED IN EACH OF THEIR COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS) COMPLETED IN FY2012. THE INFORMATION GATHERED FROM THESE ASSESSMENTS WAS USED TO DEVELOP NEW AND ENHANCE EXISTING COMMUNITY BENEFIT PROGRAMS AND SERVICES THAT BEST ADDRESSED COMMUNITY NEEDS. INCLUDED AMONG THE MANY PRIORITY NEEDS IDENTIFIED IN OUR CHNAS WERE CHRONIC DISEASE PREVENTION AND MANAGEMENT, OBESITY, ADEQUATE FOOD AND NUTRITION, MENTAL HEALTH, AND ACCESS TO HEALTH CARE SERVICES. HSHS HOSPITALS ARE PROACTIVELY ADDRESSING THESE AND OTHER NEEDS THROUGH PATIENT, PROVIDER AND COMMUNITY EDUCATION, PREVENTATIVE SCREENINGS, SELF-MANAGEMENT CLASSES, AND NEW OR ENHANCED CLINICAL SERVICES. ACROSS HSHS, WE COLLECTIVELY PROVIDED $174.0 MILLION IN COMMUNITY BENEFIT (OR 9.3% OF TOTAL HOSPITAL EXPENSES) IN FY2014. INCLUDED IN THIS AMOUNT WAS $39.9 MILLION PROVIDED FOR FINANCIAL ASSISTANCE (I.E. CHARITY CARE) AND $95.8 MILLION FOR UNREIMBURSED CARE PROVIDED UNDER THE MEDICAID PROGRAM. IN ADDITION, HSHS HOSPITALS COMMITTED SIGNIFICANT RESOURCES TO CARE FOR 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 $175.2 MILLION. HSHS HOSPITALS ALSO RECORDED $94.2 MILLION IN UNCOLLECTIBLE ACCOUNTS. WHILE THE LATTER TWO AMOUNTS ARE NOT COUNTED AS COMMUNITY BENEFIT, THEY NONETHELESS REFLECT OUR COMMITMENT TO ALL PERSONS IN NEED OF CARE. IN ADDITION TO THE DOLLARS INVESTED IN OUR COMMUNITY BENEFIT PROGRAMS, HSHS ALSO 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 WE ARE ABLE TO MEET THE ONGOING DEMAND FOR HIGH QUALITY, EFFICIENT AND EASILY ACCESSIBLE HEALTH CARE. RECOGNIZING THAT THE HEALTH CARE DELIVERY MODEL IN THE UNITED STATES IS EVOLVING, HSHS REMAINS FOCUSED ON IMPLEMENTING OUR CARE INTEGRATION STRATEGY. CARE INTEGRATION COORDINATES THE DELIVERY OF CARE AROUND THE NEEDS OF EACH PATIENT. DURING FY2014, WE MADE SIGNIFICANT PROGRESS WITH THIS STRATEGY AS WE FURTHER IMPLEMENTED INTEROPERABLE HEALTH INFORMATION TECHNOLOGIES, EXPANDED THE NUMBER OF MEDICAL HOMES, AND STRENGTHENED OUR ALIGNMENT WITH PHYSICIANS. GREATER ACCESS TO CARE AS A FRANCISCAN HEALTH CARE MINISTRY, HSHS IS DEEPLY COMMITTED TO SERVING THOSE WHO ARE MOST IN NEED. WE NOT ONLY PROVIDE CARE TO EVERY PATIENT WHO WALKS THROUGH OUR DOORS, BUT ALSO REACH OUT BEYOND THE WALLS OF OUR HOSPITALS AND CLINICS TO CARE FOR THOSE IN OUR COMMUNITIES. OUR EFFORTS TO ENSURE RESIDENTS IN THE COMMUNITIES WE SERVE RECEIVE THE RIGHT CARE AT THE RIGHT TIME IN THE RIGHT SETTING OFTEN INVOLVE PARTNERING WITH OTHERS TO ACHIEVE THIS GOAL. ACROSS OUR TWO-STATE SYSTEM, THERE ARE NUMEROUS EXAMPLES OF HSHS COLLABORATING WITH OTHER ORGANIZATIONS TO ENHANCE ACCESS TO CARE FOR THOSE IN NEED. IN FY2014, HSHS AND OUR 13 HOSPITALS INVESTED A CONSIDERABLE AMOUNT OF COMMUNITY BENEFIT RESOURCES TO EDUCATE THE UNINSURED ABOUT HISTORIC NEW OPPORTUNITIES TO ENROLL IN AFFORDABLE HEALTH CARE COVERAGE AND TO FACILITATE THE ENROLLMENT PROCESS. STUDIES HAVE SHOWN THAT PEOPLE WITHOUT INSURANCE COVERAGE ARE MORE LIKELY THAN THEIR INSURED COUNTERPARTS TO POSTPONE CARE AND TO DEVELOP MORE SEVERE AND EXPENSIVE CONDITIONS. IT IS FOR THIS REASON THAT THE CATHOLIC CHURCH, CATHOLIC HEALTH CARE AND HSHS HAVE LONG PROMOTED "COVERAGE AND ACCESS FOR ALL." HSHS AND OUR 13 HOSPITALS IN PARTNERSHIP WITH LOCAL HEALTH DEPARTMENTS, SOCIAL SERVICE AGENCIES AND OTHER HEALTH CARE PROVIDERS PLAYED A VITAL ROLE IN EDUCATING ELIGIBLE PEOPLE IN THEIR LOCAL COMMUNITIES, IN REFERRING PEOPLE TO CERTIFIED APPLICATION COUNSELORS AND/OR IN ENROLLING THEM IN THE HEALTH INSURANCE EXCHANGES OR IN SECURING COVERAGE THROUGH MEDICAID EXPANSION. OF THE EIGHT STATES WITH THE HIGHEST CONCENTRATION OF UNINSURED, ILLINOIS WAS AMONG 25 STATES THAT MOVED TOWARD MEDICAID EXPANSION UNDER THE AFFORDABLE CARE ACT. WITH THE SUPPORT OF ST. MARY'S HOSPITAL MEDICAL CENTER AND ST. VINCENT HOSPITAL IN GREEN BAY, WISCONSIN, THE NEW COMMUNITY CLINIC DENTAL PROGRAM ON THE CAMPUS OF NORTHEAST WISCONSIN (NEW) TECHNICAL COLLEGE WAS ABLE TO PURCHASE EQUIPMENT TO ENABLE LOCAL ORAL SURGEONS TO PROVIDE CARE (ON A VOLUNTEER BASIS) AT THE CLINIC - THE SITE THAT ST. MARY'S AND ST. VINCENT HOSPITALS HELPED TO ESTABLISH IN 2013. ANNUALLY, THE CLINIC PROVIDES DENTAL SERVICES TO APPROXIMATELY 6,000 LOW-INCOME AND UNINSURED PERSONS INCLUDING THE HOMELESS IN BROWN COUNTY. ST. FRANCIS HOSPITAL IN LITCHFIELD, ILLINOIS PARTNERED WITH LEWIS & CLARK COMMUNITY COLLEGE AND LOCAL DENTAL PROVIDERS TO BRING THE COLLEGE'S MOBILE DENTAL HEALTH UNIT TO THE LITCHFIELD AREA; THE UNIT PROVIDES EXAMS AND SCREENINGS, X-RAYS AND HYGIENE TO THOSE IN NEED. IN WESTERN WISCONSIN, A PARTNERSHIP BETWEEN ST. JOSEPH'S HOSPITAL IN CHIPPEWA FALLS, THE CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP (CHIP), LE PHILLIPS-LIBERTAS TREATMENT CENTER AND THE OPEN DOOR CLINIC (A FREE CLINIC SUPPORTED BY ST. JOSEPH'S HOSPITAL AND CHIP) WAS DEVELOPED IN FY2014 TO PROVIDE FREE BEHAVIORAL HEALTH SERVICES TO ELIGIBLE PATIENTS OF THE OPEN DOOR CLINIC. THIS INITIATIVE IS IN DIRECT RESPONSE TO THE IDENTIFIED NEED TO PROVIDE BETTER ACCESS TO MENTAL HEALTH SERVICES FOR THOSE WITHOUT INSURANCE COVERAGE. IN FY2014, 105 REFERRALS WERE MADE FROM THE OPEN DOOR CLINIC TO LE PHILLIPS-LIBERTAS TREATMENT CENTER. IN TOTAL, 950 VISITS WERE PROVIDED TO REFERRED PATIENTS INCLUDING INITIAL INTAKE AND FOLLOW UP THERAPY SESSIONS - MENTAL HEALTH SERVICES THAT WOULD NOT HAVE BEEN RECEIVED HAD THE PROGRAM NOT BEEN DEVELOPED AND IMPLEMENTED. IN SOUTHEAST ILLINOIS, AREA RESIDENTS CAN GET HELP FILLING A PRESCRIPTION THROUGH THE LONG-TERM COLLABORATION BETWEEN ST. ANTHONY'S MEMORIAL HOSPITAL IN EFFINGHAM AND CATHOLIC CHARITIES. IN FY2014, ST. ANTHONY'S HELPED UNDERWRITE THE COST OF PRESCRIPTION MEDICATIONS FOR 311 RESIDENTS, A 10% INCREASE OVER FY2013. ST. ANTHONY'S AND CATHOLIC CHARITIES BELIEVE THAT NO ONE SHOULD BE WITHOUT PRESCRIBED MEDICATIONS BECAUSE OF INABILITY TO PAY. IN SOUTHWEST ILLINOIS, ST. JOSEPH'S HOSPITAL IN HIGHLAND ENHANCED THEIR OFFERINGS TO THEIR SENIOR POPULATION BASED ON THEIR CHNA. "SENIOR RENEWAL" IS AN OUTPATIENT COUNSELING PROGRAM FOR SENIOR ADULTS WHO MAY BE FACING EMOTIONAL AND PHYSICAL PROBLEMS UNIQUE TO THE AGING PROCESS SUCH AS FEELINGS OF LONELINESS, ISOLATION AND ANXIETY. CLIENTS RECEIVE AN INTENSIVE LEVEL OF TREATMENT WITHOUT INPATIENT HOSPITALIZATION THROUGH COUNSELING STRATEGIES AND EDUCATION. IN ADDITION, ST. JOSEPH'S HOSPITAL IN COLLABORATION WITH THE ILLINOIS DEPARTMENT OF INSURANCE PARTICIPATES IN THE SENIOR HEALTH INSURANCE PROGRAM (SHIP), A FREE HEALTH INSURANCE COUNSELING SERVICE FOR MEDICARE BENEFICIARIES AND THEIR CAREGIVERS. IN ADDITION TO PROGRAMS DESIGNED TO INCREASE ACCESS TO CARE, HSHS MAKES SURE THAT THOSE WHO NEED FINANCIAL ASSISTANCE RECEIVE IT. HSHS'S FINANCIAL ASSISTANCE (CHARITY CARE) POLICY WAS MODIFIED EFFECTIVE JANUARY 1, 2014 TO OFFER A 25% SELF-PAY DISCOUNT TO ALL PATIENTS WHO REGISTER WITHOUT INSURANCE. HSHS FINANCIAL ASSISTANCE PROGRAMS HAVE A SLIDING SCALE, IN SOME INSTANCES PROVIDING UP TO A 55% REDUCTION OFF BILLED CHARGES IF AN UNINSURED PATIENT'S FAMILY INCOME LEVEL IS DETERMINED TO BE ABOVE 500% BUT EQUAL TO OUR LESS THAN 600% OF THE CURRENT FEDERAL POVERTY GUIDELINES. ALL CHARGES ARE WAIVED FOR PATIENTS BELOW 200% OF THE FEDERAL POVERTY LEVELS. COUNSELORS ARE AVAILABLE IN OUR HOSPITALS TO EXPLAIN OUR FINANCIAL ASSISTANCE POLICY TO PATIENTS, PROVIDE THEM WITH ASSISTANCE IN FILLING OUT A SIMPLE APPLICATION FORM, OR HELP THEM ENROLL IN PUBLICLY FUNDED HEALTH CARE PROGRAMS. |
| SCHEDULE H, PART VI, LINE 6, AFFILIATED HEALTH SYSTEM (CONTINUED) | BETTER COMMUNITY HEALTH AS PART OF OUR MISSION TO EMBODY CHRIST'S HEALING LOVE, WE UNDERSTAND THAT WE HAVE A RESPONSIBILITY TO IMPROVE THE OVERALL QUALITY OF LIFE IN OUR COMMUNITIES BY SUPPORTING INITIATIVES THAT PROMOTE HEALTH AND WELLNESS. WE RECOGNIZE WE ARE MOST SUCCESSFUL WHEN WE WORK TOGETHER WITH A WIDE ARRAY OF PUBLIC AND PRIVATE ORGANIZATIONS THAT SHARE OUR COMMITMENT TO IMPROVING LIVES. BY DOING SO, WE MAXIMIZE OUR EFFORTS AND REDUCE THE DUPLICATION OF SERVICES. HSHS HOSPITALS ALSO UNDERSTAND WE NEED TO LISTEN CLOSELY TO THE RESIDENTS OF THE COMMUNITIES WE SERVE TO ENSURE THE HEALTH CARE NEEDS OF ALL ARE BEING MET. TO THAT END, EACH OF OUR 13 HOSPITALS COMPLETED COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) DURING FY2012. THE INFORMATION GATHERED FROM THESE ASSESSMENTS IS BEING USED TO HELP US DEVELOP NEW, AND ENHANCE EXISTING, PROGRAMS AND SERVICES THAT BEST ADDRESS THE NEEDS OF THE COMMUNITY. SEVERAL PRIORITY NEEDS WERE IDENTIFIED IN THE CHNAS INCLUDING METABOLIC AND CARDIOVASCULAR DISEASE MANAGEMENT, ADEQUATE FOOD AND NUTRITION, AND MENTAL HEALTH. HSHS HOSPITALS ARE ADDRESSING THESE AND OTHER NEEDS BY PROACTIVELY OFFERING EDUCATIONAL OPPORTUNITIES, PREVENTATIVE SCREENINGS, AND NEW OR ENHANCED CLINICAL SERVICES. IN MANY CASES, THE HOSPITALS COLLABORATE WITH OTHER COMMUNITY ORGANIZATIONS TO ADDRESS IDENTIFIED NEEDS. IN PARTNERSHIP WITH THE SANGAMON COUNTY HEALTH DEPARTMENT AND LOCAL FARMERS, ST. JOHN'S HOSPITAL IN SPRINGFIELD, ILLINOIS TOOK A LEAD ROLE IN BRINGING A FARMERS MARKET TO THE EAST SIDE OF SPRINGFIELD. THE EAST SIDE FARMERS MARKET (ESFM) ADDRESSES THREE COMMUNITY NEEDS: CHILDHOOD OBESITY, CHILDHOOD POVERTY (26% OF CHILDREN IN SANGAMON COUNTY LIVE IN POVERTY VS. 18% IN THE STATE) AND PROVIDING FRESH PRODUCE TO PERSONS LIVING IN A KNOWN "FOOD DESERT." OVER THE LAST THREE SUMMERS (JUNE - OCTOBER), ESFM HAS SERVED 3,074 FAMILIES. WIC CLIENTS, SENIOR CITIZENS AND DISABLED PERSONS HAVE ESPECIALLY BENEFITTED DUE TO ESFM BEING OFFERED ON THE SAME DAY AS WIC EDUCATION CLASSES, AND THE CLOSE PROXIMITY OF PARKING TO VENDORS. IN ADDITION, THE FARMERS CREATED A "DRIVE THROUGH" TO MAKE SHOPPING EASIER FOR SENIORS AND DISABLED PERSONS. ST. MARY'S HOSPITAL IN STREATOR, ILLINOIS TEAMED UP WITH THE STREATOR YMCA TO OFFER A 12-WEEK WEIGHT LOSS PROGRAM - HEALTHY YOU - TO MOTIVATE MORE THAN 300 PARTICIPANTS, 80% OF WHOM WERE RETURNING PARTICIPANTS FROM FY2013, TO LOSE WEIGHT AND MAINTAIN A HEALTHY LIFESTYLE. THE PROGRAM INCLUDED AEROBICS CLASSES, COOKING CLASSES, AND A MAINTENANCE PROGRAM TO ENCOURAGE PARTICIPANTS TO WEIGH IN MONTHLY. SURVEYS WERE COLLECTED AT REGISTRATION TO QUANTIFY PROGRESS FOR REPEAT PARTICIPANTS - 53% STATED THEY WERE ABLE TO MAINTAIN THEIR WEIGHT LOSS AND 74% WERE ABLE TO CONTINUE TO LOSE WEIGHT. IN FY2014, HEALTHY YOU PARTICIPANTS COLLECTIVELY LOST 2,853 POUNDS OR 4.42% OF TOTAL BODY WEIGHT. IN FY2014, ST. MARY'S HOSPITAL IN DECATUR, ILLINOIS PARTNERED WITH LOCAL PROVIDERS TO PROMOTE THE LEARN MORE, BREATHE BETTER CAMPAIGN IN COORDINATION WITH THE NATIONAL HEART, LUNG AND BLOOD INSTITUTE TO EDUCATE THE COMMUNITY ABOUT COPD AND OTHER BREATHING ISSUES AND TO PROMOTE BEHAVIORS THAT IMPROVE HEALTH. BREATHING ISSUES ARE PREVALENT IN THE DECATUR AREA DUE TO THE CONCENTRATION OF MANUFACTURING AND POOR AIR QUALITY. ST. MARY'S HAS RESEARCHED AND COMPILED ADMISSIONS DATA RELATED TO COPD AND HAS INCREASED PATIENT, PROVIDER AND COMMUNITY EDUCATION TO BETTER COORDINATE CARE ACROSS THE CONTINUUM FOR BETTER PATIENT OUTCOMES. IN ADDITION, ST. MARY'S HOSPITAL'S MODEL FOR COPD CORE MEASURES HAS BEEN SHARED AT NATIONAL BEST PRACTICES SEMINARS TO BENEFIT OTHER COMMUNITIES. ACCORDING TO THE NATIONAL ASSESSMENT OF ADULT LITERACY, ONLY 12% OF ADULTS HAVE "PROFICIENT" HEALTH LITERACY, I.E. NINE OUT OF 10 ADULTS LACK THE SKILLS NEEDED TO MANAGE THEIR HEALTH. HEALTH LITERACY WAS IDENTIFIED IN THE CHNA COMPLETED BY ST. NICHOLAS HOSPITAL IN SHEBOYGAN AND THE DEPARTMENT OF PUBLIC HEALTH IN FY2012. IN TURN, ST. NICHOLAS HOSPITAL SPONSORED A SYMPOSIUM FOR HEALTH CARE PROVIDERS AND SOCIAL SERVICES ORGANIZATIONS AND A COMMUNITY-WIDE CME FOR ALL SHEBOYGAN PHYSICIANS AS WELL AS STAFF TRAINING AS FIRST STEPS IN ADDRESSING THE HEALTH LITERACY NEEDS OF THE SHEBOYGAN COMMUNITY IN FY2013. IN FY2014, THE HEALTHY SHEBOYGAN COUNTY 2020 HEALTH LITERACY COMMITTEE HOSTED FIVE FOCUS GROUPS (HISPANIC, HMONG, LOW-INCOME, SENIOR CITIZENS AND YOUNG ADULTS) AND AN EXECUTIVE BRIEFING FOR HEALTH CARE LEADERS TO SHARE THE RESULTS OF THE COMMUNITY SURVEY AND FOCUS GROUPS. WITH THE SUPPORT OF ST. NICHOLAS HOSPITAL, A HEALTH LITERACY COMMUNITY AWARENESS CAMPAIGN IS BEING DEVELOPED. SACRED HEART HOSPITAL IN EAU CLAIRE, WISCONSIN ADDRESSED THE NEED FOR MENTAL AND BEHAVIORAL HEALTH SERVICES THROUGH THE HEALING PLACE. FREE GRIEF AND HOLISTIC SUPPORT SERVICES SUCH AS ONE ON ONE COUNSELING, WORKSHOPS AND PRESENTATIONS ARE PROVIDED FOR INDIVIDUALS AND FAMILIES DEALING WITH LOSS AND MAJOR LIFE TRANSITIONS DUE TO MILITARY SERVICE, ILLNESS, DEATH, DIVORCE, ETC. EXPANDED MEDICAL KNOWLEDGE HSHS WORKS TO ADVANCE MEDICAL KNOWLEDGE BY SUPPORTING RESEARCH INITIATIVES AND EDUCATIONAL OPPORTUNITIES. IN FY2014, HSHS HOSPITALS AND AFFILIATED PHYSICIAN GROUPS CONTRIBUTED MORE THAN $18.5 MILLION TOWARD RESEARCH AND EDUCATION. HIGHLIGHTS OF THIS COMMITMENT INCLUDE SUBSIDIZING MEDICAL SCHOOL RESIDENCY PROGRAMS, OFFERING ONGOING MEDICAL EDUCATION TO PHYSICIANS AND CLINICIANS, AND PROVIDING JOB SHADOWING PROGRAMS FOR HIGH SCHOOL STUDENTS. ANOTHER EXAMPLE OF THIS COMMITMENT INCLUDES ST. JOHN'S COLLEGE OF NURSING IN SPRINGFIELD, ILLINOIS, WHICH OFFERS THE LAST TWO YEARS OF THE BACCALAUREATE DEGREE IN NURSING, AS WELL AS CONTINUING EDUCATION PROGRAMS FOR NURSES AND HEALTH PROFESSIONALS. ST. JOHN'S COLLEGE HAS BEEN CITED AS THE OLDEST CATHOLIC HOSPITAL-BASED SCHOOL OF NURSING IN THE UNITED STATES. FOUNDED IN 1886, THE COLLEGE HAS REMAINED DEDICATED THROUGHOUT ITS RICH HISTORY TO THE EDUCATION OF PROFESSIONAL NURSES WHOSE PRACTICE EXEMPLIFIES EXCELLENCE IN AN INTEGRATED HEALTH CARE SYSTEM. THE COLLEGE IS ALSO HELPING TO ADDRESS THE SHORTAGE OF PRIMARY CARE PROFESSIONALS IN DOWNSTATE ILLINOIS. ST. ELIZABETH'S HOSPITAL IN BELLEVILLE, ILLINOIS PROVIDED CLINICAL EDUCATION IN NURSING, RADIOLOGY, SURGERY, RESPIRATORY, DIETARY, PHYSICAL AND OCCUPATIONAL THERAPY, PHARMACY AND BEHAVIORAL HEALTH TO 637 AREA COMMUNITY COLLEGE AND UNIVERSITY STUDENTS. THIS MENTORING IS VALUED AT MORE THAN $440,000. IN ADDITION, TO ADDRESS A SHORTAGE OF PRIMARY CARE FAMILY PRACTICE DOCTORS IN ST. CLAIR COUNTY, ST. ELIZABETH'S SUBSIDIZED THE ST. LOUIS UNIVERSITY FAMILY MEDICINE RESIDENCY PROGRAM, A UNIQUE MERGER OF A COMMUNITY-BASED SETTING, AN ACADEMIC CENTER AND A MILITARY-BASED RESIDENCY. CLINICAL EDUCATION SITES INCLUDED ST. ELIZABETH'S HOSPITAL, CARDINAL GLENNON CHILDREN'S HOSPITAL, AREA PHYSICIANS' OFFICES AND SCOTT AIR FORCE BASE OUTPATIENT CLINICS. ALSO IN SOUTHERN ILLINOIS, ST. JOSEPH'S HOSPITAL IN BREESE, HOSTED MEMBERS OF THE HEALTH OCCUPATIONS STUDENTS OF AMERICA ONSITE TO LEARN ABOUT JOB OPPORTUNITIES IN HEALTH CARE FROM HEALTH CARE PROFESSIONALS; ST. JOSEPH'S HOSPITAL WAS RECENTLY RECOGNIZED BY THE ILLINOIS PRINCIPALS ASSOCIATION - KASKASKIA REGION FOR SPONSORING THE PROGRAM FOR MORE THAN 30 YEARS. ST. JOSEPH'S HOSPITAL ALSO PROVIDES CLINICAL EXPERIENCE FOR KASKASKIA COLLEGE STUDENTS ENROLLED IN THE NURSING, PHYSICAL THERAPY AND RADIOLOGY PROGRAMS. PHARMACY STUDENTS HAVE ALSO COMPLETED THEIR CLINICAL TRAINING AT ST. JOSEPH'S HOSPITAL. HIGHER LEVEL OF CARE HSHS COMMUNITY BENEFIT INITIATIVES ARE A VITAL PART OF OUR OVERALL MISSION. WE BELIEVE THAT THROUGH OUR WORK TO CREATE GREATER ACCESS TO CARE, BETTER COMMUNITY HEALTH, AND EXPANDED MEDICAL KNOWLEDGE, WE MADE A POSITIVE DIFFERENCE IN THE LIVES OF TENS OF THOUSANDS OF PEOPLE IN ILLINOIS AND WISCONSIN IN FY2014. HOSPITAL SISTERS HEALTH SYSTEM'S COMMITMENT TO COMMUNITY BENEFIT STEMS FROM THE FRANCISCAN AND CATHOLIC VALUES SHARED BY OUR 14,000 COLLEAGUES ACROSS WISCONSIN AND ILLINOIS. CATHOLIC HEALTH CARE IS COMMITTED TO PROMOTING AND DEFENDING HUMAN DIGNITY, CARING FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE POPULATIONS, AND PROMOTING THE COMMON GOOD. WE REMAIN DEDICATED TO CONTINUOUSLY IMPROVE COMMUNITY HEALTH THROUGH OUR STRATEGIC, WELL-DEFINED COMMUNITY BENEFIT INITIATIVES SO THAT WE CAN HELP MORE PEOPLE LIVE HEALTHIER LIVES. |
| Schedule H, Part VI, Line 7, State filing of community benefit report | IL |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| EFFINGHAM COMMUNITY UNIT SCHOOL DISTRICT #40 | |||||||
| 2803 S BANKER STREET | EFFINGHAM | IL | 62401 | 376002728 | GOVERNMENT | $49,400 | PURCHASE OF IPADS FOR VARIOUS SCHOOL DISTRICT BUILDING TO HELP EDUCATE STUDENTS THROUGH TECHNOLOGY ALLEVIATE SOME OF THE FINANCIAL BURDEN ON THE SCHOOL DISTRICT'S LIMITED FUNDS. |
| CATHOLIC CHARITIES | |||||||
| 1502 E FAYETT AVE | EFFINGHAM | IL | 62401 | 530196617 | 501(C)(3) | $60,000 | DENTAL VOUCHER PROGRAM PARTNERSHIP WITH CATHOLIC CHARITIES AND SAE TO PROVIDE MONETARY SUPPORT TO ESTALISH A DENTAL VOUCHER PROGRAM FOR ADULTS 18 YEARS AND OLDER WHO ARE IN NEED OF EMERGENT TOOTH EXTRACTION. PHARMCY/INDIGENT ASSISTANCE PROGRAM TO ASSIST THE INDIGENT WITH DRUG COST. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule I, Part I, Line 2, Procedures for monitoring use of grant funds | THE FACILITY UTILIZED PERSONAL OBSERVATION OF GRANTS EXPENDITURE AND ASSISTANCE USAGE AND RECEIVED MONTHLY REPORTS FROM GRANTEE AS FUNDS WERE EXPENDED FOR PATIENT ASSISTANCE. |
| Schedule I, Part II, Column H, Purpose of grant or assistance | CATHOLIC CHARITIES, 53-0196617:DENTAL VOUCHER PROGRAM PARTNERSHIP WITH CATHOLIC CHARITIES AND SAE TO PROVIDE MONETARY SUPPORT TO ESTALISH A DENTAL VOUCHER PROGRAM FOR ADULTS 18 YEARS AND OLDER WHO ARE IN NEED OF EMERGENT TOOTH EXTRACTION. PHARMCY/INDIGENT ASSISTANCE PROGRAM TO ASSIST THE INDIGENT WITH DRUG COST.;EFFINGHAM COMMUNITY UNIT SCHOOL DISTRICT #40, 37-6002728:PURCHASE OF IPADS FOR VARIOUS SCHOOL DISTRICT BUILDING TO HELP EDUCATE STUDENTS THROUGH TECHNOLOGY ALLEVIATE SOME OF THE FINANCIAL BURDEN ON THE SCHOOL DISTRICT'S LIMITED FUNDS.; |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| 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 (15 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DANIEL J WOODS | ||||||||||||||
| FORMER PRESIDENT/CEO | $0 | $0 | $0 | $0 | $0 | $300,008 | $0 | $57,713 | $0 | $732 | $0 | $358,453 | $0 | $0 |
| ANN M CARR | ||||||||||||||
| TREASURER | $0 | $223,926 | $0 | $38,138 | $0 | $56,891 | $0 | $236,713 | $0 | $18,355 | $0 | $574,023 | $0 | $24,602 |
| LAWRENCE SCHUMACHER | ||||||||||||||
| DIVISION CEO - INTERIM | $0 | $658,748 | $0 | $185,209 | $0 | $390,861 | $0 | $178,777 | $0 | $25,741 | $0 | $1,439,336 | $0 | $332,388 |
| JOHNNY WATKINS | ||||||||||||||
| DIVISION CFO | $0 | $241,033 | $0 | $31,706 | $0 | $570 | $0 | $66,134 | $0 | $11,044 | $0 | $350,487 | $0 | $0 |
| MARK REIFSTECK | ||||||||||||||
| DIVISION CEO | $0 | $451,423 | $0 | $102,926 | $0 | $176,074 | $0 | $167,044 | $0 | $25,870 | $0 | $923,337 | $0 | $141,969 |
| MARGARET LUNA | ||||||||||||||
| DIVISION CPO | $0 | $152,473 | $0 | $13,860 | $0 | $390 | $0 | $56,575 | $0 | $14,485 | $0 | $237,783 | $0 | $0 |
| DAVID A STORM | ||||||||||||||
| CFO | $188,653 | $0 | $20,382 | $0 | $780 | $0 | $152,195 | $0 | $18,895 | $0 | $380,905 | $0 | $0 | $0 |
| THERESA J RUTHERFORD | ||||||||||||||
| PRESIDENT & CEO | $0 | $112,300 | $0 | $26,195 | $0 | $22,099 | $0 | $86,634 | $0 | $7,967 | $0 | $255,195 | $0 | $0 |
| ROBERT W ESKER | ||||||||||||||
| FORMER COO | $0 | $0 | $0 | $0 | $173,415 | $0 | $66,125 | $0 | $17,187 | $0 | $256,727 | $0 | $0 | $0 |
| JULIE L FENOGLIO | ||||||||||||||
| FORMER DIRECTOR, NURSING | $30,668 | $0 | $0 | $0 | $127,714 | $0 | -$9,990 | $0 | $132 | $0 | $148,524 | $0 | $0 | $0 |
| LINDA C SHARPLESS | ||||||||||||||
| CRNA | $172,400 | $0 | $0 | $0 | $0 | $0 | $37,868 | $0 | $9,209 | $0 | $219,477 | $0 | $0 | $0 |
| LARRY J CARROLL | ||||||||||||||
| CRNA | $178,625 | $0 | $837 | $0 | $390 | $0 | $36,657 | $0 | $8,472 | $0 | $224,981 | $0 | $0 | $0 |
| ROBERT S BRYANT | ||||||||||||||
| CRNA | $177,620 | $0 | $478 | $0 | $390 | $0 | $19,012 | $0 | $9,781 | $0 | $207,281 | $0 | $0 | $0 |
| JUSTIN SMITH | ||||||||||||||
| CRNA | $177,295 | $0 | $9,421 | $0 | $780 | $0 | $12,182 | $0 | $23,319 | $0 | $222,997 | $0 | $0 | $0 |
| MARY BRYANT | ||||||||||||||
| CRNA | $175,624 | $0 | $477 | $0 | $390 | $0 | $19,434 | $0 | $9,781 | $0 | $205,706 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 | DANIEL WOODS RECEIVED A SEVERANCE PACKAGE FROM HSHS DURING THE YEAR IN THE AMOUNT OF $282,150 FOR HIS SERVICES AS PRESIDENT/CEO OF ST ANTHONY'S MEMORIAL HOSPITAL. ROBERT ESKER RECEIVED A SEVERANCE PACKAGE DURING THE YEAR IN THE AMOUNT OF $173,415 FOR HIS SERVICES AS COO OF ST ANTHONY'S MEMORIAL HOSPITAL. JULIE FENGOLIO RECEIVED A SEVERANCE PACKAGE DURING THE YEAR IN THE AMOUNT OF $113,250 FOR HER SERVICE AS CNO OF ST ANTHONY'S MEMORIAL HOSPITAL. |
| Schedule J, Part I, Line 4b, Supplemental nonqualified retirement plan | HSHS EXECUTIVES ELIGIBLE TO PARTICIPATE IN SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) ARE DEFINED IN THE SERP PLAN DOCUMENTS. THE SERP WAS ESTABLISHED TO PROVIDE ADDITIONAL RETIREMENT BENEFITS TO ENSURE REASONABLE MARKET COMPETITIVE BENEFITS IN ACCORDANCE WITH THE HSHS EXECUTIVE COMPENSATION PHILOSOPHY ESTABLISHED BY THE HSHS COMPENSATION COMMITTEE. THE PLAN PROVIDES A DEFINED RETIREMENT CONTRIBUTION TO PARTICIPANTS COMMENCING ON JANUARY 1, 2008, EQUAL TO A PERCENTAGE OF COMPENSATION AS DEFINED IN THE SERP PLAN DOCUENTS FOR THE PLAN YEAR. PARTICIPANTS CONSTRUCTIVELY RECEIVE A DISTRIBUTION FROM THE PLAN NO LATER THAN MARCH 15TH OF THE CALENDAR YEAR FOLLOWING THE CALENDAR YEAR IN WHICH AN AMOUNT IS VESTED AND TAXABLE PURSUANT TO A VESTING SCHEDULE AS SPECIFIED IN THE PLAN DOCUMENT. THE ACTUAL DISTRIBUTION OF THE VESTED BENEFIT UNDER THE PLAN IS PAID IN A SINGLE LUMP SUM TO THE PARTICIPANT OR THE PARTICIPANT'S BENEFICIARY UPON THE EARLIER OF THE PARTICIPANT'S TERMINATION OF EMPLOYMENT, DEATH, OR TOTAL AND PERMANENT DISABILITY. THE FOLLOWING INTERESTED PERSONS CONSTRUCTIVELY RECEIVED DEFERRALS TO THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2013; THESE DEFERRALS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). ANN M. CARR -- $28,503 LAWRENCE SCHUMACHER -- $121,580 MARK REIFSTECK -- $57,801 THERESA RUTHERFORD -- $14,076 THE FOLLOWING INTERESTED PERSONS RECEIVED DISTRIBUTIONS FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2013; THESE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III) AND SCHEDULE J, PART II, COLUMN (F), AS APPLICABLE. ANN M. CARR -- $24,602 LAWRENCE SCHUMACHER -- $332,388 MARK REIFSTECK -- $141,969 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 1, ORGANIZATION'S MISSION | THE MISSION OF ST ANTHONY'S MEMORIAL HOSPITAL IS TO PARTICIPATE IN THE HEALTHCARE MINISTRY OF THE CHURCH. WE COMMIT OUR VALUABLE RESOURCES TO PROVIDE A FAMILY-CENTERED APPROACH IN MEETING THE HEALTHCARE NEEDS OF ALL PEOPLE IN THE COMMUNITY REGARDLESS OF ABILITY TO PAY, AND TO FOSTER THE VALUES OF RESPECT, CARE, COMPETENCE, AND JOY. |
| FORM 990, PART III, LINE 4A, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | ST. ANTHONY'S MEMORIAL HOSPITAL, EFFINGHAM OF THE HOSPITAL SISTERS HEALTH SYSTEM PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED,SEX, NATIONAL ORIGIN, HANDICAP, AGE, RELIGION, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES IS CRITICAL TO THE CONTINUED OPERATION AND STABILITY OF THE HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE NECESSARY MEDICAL SERVICES. OUR MISSION IS TO SERVE THE COMMUNITY WITH THE BEST QUALITY HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. INHERENT TO OUR MISSION, WE PROVIDE CARE TO THE POOR, THE ELDERLY, AND THE NEEDY OF THE COMMUNITY THROUGH VARIOUS PROGRAMS AND SERVICES. THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDERSERVED, AND A VARIETY OF COMMUNITY SUPPORT ACTIVITIES. DURING FISCAL YEAR 2014, ST. ANTHONY'S MEMORIAL HOSPITAL PROVIDED SERVICES TO 5,096 INPATIENTS UTILIZING 18,789 ADULT AND PEDIATRIC DAYS OF CARE. IN ADDITION, ST. ANTHONY'S MEMORIAL HOSPITAL PROVIDED SERVICES TO 119,375 OUTPATIENTS. ST. ANTHONY'S MEMORIAL HOSPITAL PROVIDES QUALITY MEDICAL CARE TO THE POOR AT FREE OR REDUCED COST THROUGH OUR CHRISTIAN CARE PROGRAM. CHARITY CARE PROVIDED AT COST WAS $1,855,242. IN ADDITION, THE HOSPITAL PARTICIPATES IN THE ILLINOIS MEDICAID PROGRAM, WHICH REIMBURSES THE HOSPITAL AT RATES SUBSTANTIALLY BELOW THE COST OF PROVIDING THE SERVICES. FULFILLING OUR MISSION TO THE COMMUNITY, SERVICES WERE PROVIDED TO MEDICAID INPATIENTS UTILIZING 1,467 DAYS OF CARE. THE UNPAID COST OF MEDICAID WAS $3,966,054. OTHER BENEFITS INCLUDED IN-KIND DONATIONS IN THE AMOUNT OF $42,777. ST. ANTHONY'S MEMORIAL HOSPITAL PROVIDES QUALITY MEDICAL CARE TO MEMBERS OF THE BROADER COMMUNITY THROUGH OUR PARTICIPATION IN THE MEDICARE PROGRAM, PROVIDING MANY PROGRAMS AND SERVICES FREE OR AT A REDUCED PRICE, PROVIDING SERVICES THAT BENEFIT THE COMMUNITY BUT HAVE A NEGATIVE MARGIN, AND THROUGH EDUCATIONAL PROGRAMS AT NO COST. THE UNPAID AND UNREIMBURSED COST OF PARTICIPATING IN THE MEDICARE PROGRAM WAS $6,804,449 DURING FISCAL YEAR 2014. |
| FORM 990, PART IV, LINE 24A, TAX EXEMPT BONDS | ST ANTHONY'S MEMORIAL HOSPITAL HOLDS A LIABILITY ON ITS BOOKS FOR TAX-EXEMPT BONDS, WHICH IS AN ALLOCATION FROM ITS PARENT CORPORATION, HOSPITAL SISTERS SERVICES, INC. ("HSSI"). 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 VI, Sec A, Line 2, Family/business relationships amongst interested persons | ROBERT BRYANT & MARY BRYANT - FAMILY RELATIONSHIP |
| Form 990, Part VI, Sec A, Line 6, Classes of members or stockholders | THE SENIOR GOVERNING BODY OF ST. ANTHONY'S HOSPITAL (THE "CORPORATION") IS THE MEMBER OF THE CORPORATION, WHICH 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, Sec A, 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, CHAIRPERSON OF THE BOARD AND PRESIDENT. |
| Form 990, Part VI, Sec A, Line 7b, Decisions requiring approval by members or stockholders | RESPONSIBILITY FOR THE POLICY AND OPERATIONS OF ST. ANTHONY'S 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 MEMBERS OF HSHS ARE THE INDIVIDUAL SISTERS WHO FROM TIME TO TIME ARE THE DULY ELECTED PROVINCIAL SUPERIOR AND PROVINCIAL COUNCILORS, RESPECTIVELY OF THE AMERICAN PROVINCE OF THE HOSPITAL SISTERS OF ST. FRANCIS ("AMERICAN PROVINCE"). THE AMERICAN PROVINCE IS THE UNITED STATES ORGANIZATION OF THE CONGREGATION OF THE HOSPITAL SISTERS OF THE THIRD ORDER REGULAR OF ST. FRANCIS, A RELIGIOUS INSTITUTE OF THE ROMAN CATHOLIC CHURCH. 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 CHAIRPERSON AND 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 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; (H) APPROVE THE STRATEGIC PLAN AND GOALS OF THE CORPORATION OR OF ANY AFFILIATE; (I) APPROVE THE SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR OF ANY AFFILIATE; (J) APPROVE THE MERGER OR DISSOLUTION OF THE CORPORATION OR OF ANY AFFILIATE; (K) ADOPT OR AMEND THE PLAN FOR MINISTRY EDUCATION AND GOVERNANCE FOR THE CORPORATION AND ITS AFFILIATES; (L) APPROVE THE CORPORATION'S MISSION ACCOUNTABILITY REPORTS AND THOSE OF ANY AFFILIATE; (M) 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 (N) ADOPT POLICIES TO IMPLEMENT THE RESERVED POWERS OF HSSI. |
| Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing body | THE HOSPITAL EMPLOYS CROWE HORWATH TO ASSIST IN THE OVERALL REVIEW AND ELECTRONIC SUBMISSION OF ITS FORM 990. CROWE HORWATH 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, Sec B, 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 USED SINCE JANUARY 2009 TO ESTABLISH THE PRACTICE OF MANAGING CONFLICTS OF INTEREST USING A SYSTEM-WIDE PROTOCOL FOR DISCLOSURE STATEMENTS. IN ACCORDANCE WITH THE 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, ANY OTHER INDIVIDUAL WHO HOLDS A POSITION OF TRUST. ON AN ANNUAL BASIS, HSHS DISCLOSES A COPY OF THE CONFLICT OF INTEREST POLICY (AND ALL CORRESPONDING PROCEDURES, GUIDELINES, FORMS AND TOOLS) TO ALL COVERED PERSONS AND ADVISES ALL COVERED PERSONS IN WRITING OF ANY SUBSTANTIVE CHANGES TO THIS POLICY AND SUCH RELATED MATERIALS. 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 13, WHISTLEBLOWER POLICY | PROVISIONS WITHIN THE CORPORATE COMPLIANCE PROGRAM AND CONFLICT OF INTEREST POLICY PROVIDE PROTECTIONS FOR WHISTLEBLOWER TYPE ACTIVITIES. |
| Form 990, Part VI, Sec B, 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 DISQUALIFIED INDIVIDUALS. INTEGRATED HEALTHCARE STRATEGIES ("IHS"), THE CONSULTANTS UTILIZED BY THE COMMITTEE, USE DATA FROM MULTIPLE TAX-EXEMPT PEER GROUP SOURCES TO DETERMINE SALARY RANGES, INCENTIVE OPPORTUNITY RANGES AND BENEFITS FOR THE DISQUALIFIED INDIVIDUALS. 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 FOR THE DISQUALIFIED INDIVIDUALS. THE CHAIRMAN MAKES THIS DECLARATION AND ALSO INQUIRES IF THERE ARE ANY CONFLICTS OF INTEREST BY ANY ATTENDEES. ANY CONFLICTS ARE DISCLOSED AND THE COMMITTEE THEN ACTS IN A MANNER TO AVOID ANY CONFLICTED INDIVIDUAL PARTICIPATING IN ANY MANNER WHERE A CONFLICT MIGHT EXIST. AT THE END OF THE MEETING, THE COMMITTEE PREPARES CONTEMPORANEOUS MINUTES THAT RECORD ALL ACTIONS TAKEN DURING THE MEETING |
| Form 990, Part VI, Sec B, Line 15b, Process to establish compensation of other employees | PLEASE SEE RESPONSE TO FORM 990, PART VI, LINE 15A. |
| FORM 990, PART VI, LINE 16A, JOINT VENTURES | HOSPITAL SISTERS HEALTH SYSTEM ADOPTED A JOINT VENTURE COMPLIANCE PROGRAM POLICY EFFECTIVE ON JANUARY 1, 2012 FOR ALL SYSTEM HOSPITALS, INCLUDING ST. ANTHONY'S HOSPITAL. THE OVERALL PURPOSE OF THE POLICY IS TO PROVIDE PRACTICAL GUIDELINES FOR ETHICAL BUSINESS CONDUCT, TO ACHIEVE COMPLIANCE, AND TO DETECT AND PREVENT VIOLATIONS OF APPLICABLE LAWS. THE POLICY REQUIRES ST. ANTHONY HOSPITAL, AND ALL HSHS HOSPITALS, TO EVALUATE THEIR PARTICIPATION IN JOINT VENTURE ARRANGEMENTS, INCLUDING UNDER APPLICABLE FEDERAL TAX LAWS, AND TO SAFEGUARD ST. ANTHONY HOSPITAL'S TAX EXEMPT STATUS WITH RESPECT TO ANY JOINT VENTURE ARRANGEMENTS. |
| Form 990, Part VI, Sec C, 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 XI, Line 9, Other changes in net assets or fund balances | CHANGE IN FAIR VALUE OF INTEREST RATE SWAP - -456101; SWAP PAYMENTS - -1167595; CHANGE IN TEMPORARILY RESTRICTED NET ASSETS - 967876; CHANGE IN PERMANENTLY RESTRICTED NET ASSETS - 65916; TRANSFER TO AFFILIATES - -2564014; PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST - 1162540; |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| SPRINGFIELD HEALTH PARTNERS LLC | |||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371364419 | HEALTHCARE (DISSOLVED 03/22/13) | IL | $0 | $0 | HSHS MG |
| KIARA CLINICAL INTEGRATION NETWORK LLC | |||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 261417684 | HEALTHCARE | IL | -$3,651,339 | $7,292,316 | HSSI |
| PHYSICIAN CLINICAL INTEGRATION NETWORK LLC | |||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371668647 | HEALTHCARE | IL | -$779,271 | $1,233,121 | KCIN |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| HOSPITAL SISTERS HEALTH SYSTEM | ||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371058692 | HEALTHCARE | IL | 501(C)(3) | 11 - Type III - FI | NA | false |
| HOSPITAL SISTERS OF ST FRANCIS FDTN | ||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371186514 | HEALTHCARE | IL | 501(C)(3) | 9 | HSHS | Yes (true) |
| HSHS HEALTHCARE PLAN TRUST FUND | ||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371137724 | HEALTHCARE | IL | 501(C)(9) | N/A | HSHS | Yes (true) |
| HSHS SELF INSURANCE TRUST | ||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371120626 | INSURANCE | IL | 501(C)(3) | 11 - Type I | HSHS | Yes (true) |
| HOSPITAL SISTERS HEALTHCARE WEST INC | ||||||||||
| 2661 COUNTY HIGHWAY 1 | CHIPPEWA FALLS | WI | 54729 | 510157933 | HEALTHCARE | WI | 501(C)(3) | 11 - Type III - FI | HSSI | Yes (true) |
| SACRED HEART HOSPITAL | ||||||||||
| 990 WEST CLAIREMONT AVENUE | EAU CLAIRE | WI | 54701 | 390807060 | HEALTHCARE | WI | 501(C)(3) | 3 | HSSI | Yes (true) |
| ST ELIZABETH'S HOSPITAL | ||||||||||
| 211 SOUTH THIRD STREET | BELLEVILLE | IL | 62220 | 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) | 11 - Type III - FI | HSHS | Yes (true) |
| HSHS MEDICAL GROUP INC | ||||||||||
| 3215 EXECUTIVE PARK DRIVE | SPRINGFIELD | IL | 62703 | 263956318 | HEALTHCARE | IL | 501(C)(3) | 11 - Type III - FI | HSSI | Yes (true) |
| HSHS WISCONSIN MEDICAL GROUP INC | ||||||||||
| 3215 EXECUTIVE PARK DRIVE | SPRINGFIELD | IL | 62703 | 264515959 | HEALTHCARE | WI | 501(C)(3) | 11 - Type III - FI | HSSI | Yes (true) |
| ORANGE CROSS AMBULANCE INC | ||||||||||
| 919 ASHLAND AVENUE | SHEBOYGAN | WI | 53081 | 391860942 | HEALTHCARE | WI | 501(C)(3) | 9 | ST NICHOLAS | Yes (true) |
| WISCONSIN UPPER PENINSULA ONCOLOGY MGMT | ||||||||||
| 835 S VAN BUREN | GREEN BAY | WI | 54301 | 391677100 | HEALTHCARE | WI | 501(C)(3) | 3 | ST VINCENT | Yes (true) |
| UNITY LIMITED PARTNERSHIP | ||||||||||
| 2366 OAK RIDGE CIRCLE | DE PERE | WI | 54115 | 391750729 | HEALTHCARE | WI | 501(C)(3) | 9 | HSSI | Yes (true) |
| PRAIRIE EDUCATION & RESEARCH COOPERATIVE | ||||||||||
| 317 NORTH 5TH STREET | SPRINGFIELD | IL | 62701 | 371157915 | HEALTHCARE | IL | 501(C)(3) | 4 | HSSI | Yes (true) |
| COMMUNITY MEMORIAL HOSPITAL | ||||||||||
| 855 S MAIN STREET | OCONTO FALLS | WI | 54154 | 390848401 | HEALTHCARE | WI | 501(C)(3) | 3 | HSSI (SEE PART VII) | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MEMORIAL AND ST ELIZABETH'S HEALTHCARE CANCER TREATMENT CENTER | |||||||||||||
| 4000 NORTH ILLINOIS STREET | SWANSEA | IL | 62226 | 371312961 | HEALTHCARE | IL | ST ELIZABETH'S | RELATED | $599,299 | $4,931,271 | false | false | 0 |
| PRAIRIE HEART INSTITUTE ST JOHN'S | |||||||||||||
| 800 EAST CARPENTER STREET | SPRINGFIELD | IL | 62769 | 371321197 | HEALTHCARE | IL | HSHS | RELATED | -$1,018 | $47,055 | false | false | 0 |
| NORTHEAST WISCONSIN RADIATION THERAPY SERVICES LLC | |||||||||||||
| 1726 SHAWANO AVE | GREEN BAY | WI | 543079047 | 263749065 | HEALTHCARE | WI | SMGB | RELATED | $147,184 | $514,563 | false | Yes (true) | 0 |
| PAIN CENTER OF WISCONSIN | |||||||||||||
| 4131 W LOOMIS ROAD SUITE 300 | GREENFIELD | WI | 53221 | 263155343 | HEALTHCARE | WI | ST VINCENT | RELATED | $1,752,500 | $1,353,813 | false | false | 0 |
| SURGERY CENTER OF SHEBOYGAN LLC | |||||||||||||
| 3141 SAEMANN AVENUE | SHEBOYGAN | WI | 53081 | 260822209 | HEALTHCARE | WI | ST NICHOLAS (SOLD 1114) | RELATED | $155,892 | $0 | false | false | 0 |
| CARPENTER STREET HOTEL LLC | |||||||||||||
| 525 NORTH SIXTH STREET | SPRINGFIELD | IL | 62702 | 364128127 | HOTEL | IL | LASANTE INC | N/A | |||||
| SPRINGFIELD URGENT CARE REAL ESTATE LLC | |||||||||||||
| PO BOX 19456 | SPRINGFIELD | IL | 727949456 | 030413258 | RENTAL REAL ESTATE | IL | LASANTE INC | N/A | |||||
| PRAIRIE HEART INSTITUTE MANAGEMENT COMPANY LLC | |||||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 261479945 | MEDICAL | IL | HSHS | RELATED | -$7,553 | $9,078 | false | Yes (true) | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1 | Province Or StateForeignAddress/ProvinceOrState | CountryForeignAddress/Country | Postal CodeForeignAddress/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KIARA INC | |||||||||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371163401 | HEALTHCARE | IL | HSHS | C CORPORATION | -$23,279,067 | $45,045,072 | 0 | 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 | $2,912,268 | $45,322,060 | 0 | 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 | $100,258,139 | 0 | Yes (true) | PO BOX 1159 | GRAND CAYMAN | CJ | KY1-1102 | CJ | |||||
| OJV INC | |||||||||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 460873384 | HEALTHCARE | IL | LASANTE INC | C CORPORATION | Yes (true) | ||||||||
| STREATORLAND QUALITY CARE PHO LLC | |||||||||||||||||
| 111 SPRING STREET | STREATOR | IL | 61364 | 364105007 | HEALTHCARE | IL | ST MARY'S STREATOR | C CORPORATION | -$3,136 | $20,601 | 0 | 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 | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | 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 | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART II, COLUMN (F), DIRECT CONTROLLING ENTITY (CMH) | ON SEPTEMBER 1, 2014, HSSI BECAME THE SOLE CORPORATE MEMBER OF COMMUNITY MEMORIAL HOSPITAL (CMH) IN OCONTO FALLS, WISCONSIN. EFFECTIVE ON THE ACQUISITION DATE, CMH BECAME A CATHOLIC ENTITY AND THE HOSPITAL NAME WAS CHANGED TO ST. CLARE MEMORIAL HOSPITAL, INC. PREVIOUS TO THE ACQUISITION, TWO HSSI AFFILIATES HELD A COMBINED 24% MINORITY INTEREST IN CMH. REVISED GOVERNING DOCUMENTS ARE CONSISTENT WITH HSHS POLICIES APPLICABLE TO AFFILIATES. HSSI WILL RETAIN CERTAIN RESERVE POWERS OVER ST. CLARE MEMORIAL HOSPITAL, INC. CONSISTENT WITH OTHER HSSI SUBSIDIARIES. |
| PART V, LINE 2, TRANSACTIONS WITH RELATED ENTITIES | THE TRANSACTIONS REPORTED IN QUESTION 1 ARE BETWEEN RELATED 501(C)(3) PUBLIC CHARITIES AND ARE NOT REPORTED IN THIS SECTION. |
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