ST JOSEPHS HOSPITAL BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDE: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- ST JOSEPHS HOSPITAL BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDE (EIN 37-1208459)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-15
- IRS object ID
- 201531359349306353
- 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 J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-15T14:31:54-05:00 | 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 | 371208459 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOSEPH'S HOSPITAL - HOSPITAL SISTERS - THIRD ORDER OF ST FRANCIS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STJO | BusinessNameControlTxt |
| Phone | 6185264511 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9515 HOLY CROSS LANE | AddressLine1 |
| Address Line2 | PO BOX 99 | AddressLine2 |
| City | Breese | City |
| State | IL | State |
| ZIP Code | 622300099 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN JEFFRIES | PersonNm |
| Person Title | DIRECTOR OF FINANCE | PersonTitleTxt |
| Signature | 2015-05-14 | 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 | 2016-04-25 22:37:26Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Address PrincipalOfcrBusinessAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARK KLOSTERMAN | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9515 HOLY CROSS LANE | AddressLine1 |
| City | Breese | City |
| State | IL | State |
| ZIP Code | 622300099 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $60,332,778 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.STJOEBREESE.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1987 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | OUR MISSION OF ST. JOSEPH'S HOSPITAL IS TO MINISTER TO THOSE IN NEED AS EXEMPLIFIED BY THE GOSPEL OF CHRIST. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 422 | TotalEmployeeCnt |
| Total Volunteers | 371 | TotalVolunteersCnt |
| Total Gross UBI | $95,840 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$34,974 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,528,546 | PYContributionsGrantsAmt |
| CY Contributions Grants | $190,722 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $48,669,951 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $53,428,109 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,133,299 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,798,509 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$11,539 | PYOtherRevenueAmt |
| CY Other Revenue | $281,497 | CYOtherRevenueAmt |
| PY Total Revenue | $53,320,257 | PYTotalRevenueAmt |
| CY Total Revenue | $59,698,837 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $23,512,194 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $23,705,004 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $19,813,373 | PYOtherExpensesAmt |
| CY Other Expenses | $23,264,808 | CYOtherExpensesAmt |
| PY Total Expenses | $43,325,567 | PYTotalExpensesAmt |
| CY Total Expenses | $46,969,812 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $9,994,690 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $12,729,025 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $124,227,050 | TotalAssetsBOYAmt |
| Total Assets EOY | $139,518,039 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $25,052,375 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $23,932,356 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $99,174,675 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $115,585,683 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | OUR MISSION OF ST. JOSEPH'S HOSPITAL IS TO MINISTER TO THOSE IN NEED AS EXEMPLIFIED BY THE GOSPEL OF CHRIST. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $37,159,398 | ExpenseAmt |
| Revenue | $53,945,087 | RevenueAmt |
| Desc | SEE SCHEDULE O - PROGRAM SERVICE ACCOMPLISHMENTS | Desc |
| Total Program Service Expenses | $37,159,398 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| 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 | 59 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 422 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN JEFFRIES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6185265312 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9515 HOLY CROSS LANE | AddressLine1 |
| City | BREESE | City |
| State | IL | State |
| ZIP Code | 62230 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| JOHN HUDSPETH | |||||||||
| CHAIRPERSON | 1.00 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JONATHAN OSBORN | |||||||||
| Secretary | 2.00 | 68.00 | Yes (X) | Yes (X) | $0 | $237,978 | $27,973 | ||
| MARK KLOSTERMAN | |||||||||
| PRESIDENT | 40.00 | 0.00 | Yes (X) | Yes (X) | $0 | $318,796 | $81,585 | ||
| PAUL STRIEKER | |||||||||
| VICE CHAIR PERSON | 1.00 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CARSON HEMPEN | |||||||||
| DIRECTOR | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| ELAINE BEHRMANN | |||||||||
| DIRECTOR | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| ERIN GAGEN MD | |||||||||
| DIRECTOR | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| GEORGE KRUSE | |||||||||
| DIRECTOR | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| JANICE WIEGMAN PHD | |||||||||
| DIRECTOR | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| SR KENNETH WILDT OSF | |||||||||
| DIRECTOR | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| SR MARYBETH CULNAN OSF | |||||||||
| DIRECTOR | 1.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| ANN M CARR | |||||||||
| TREASURER | 0.25 | 59.75 | Yes (X) | $0 | $318,955 | $255,068 | |||
| DAVID NOSACKA | |||||||||
| DIVISION CFO | 4.20 | 53.40 | Yes (X) | $0 | $0 | $0 | |||
| JAMES BURKE | |||||||||
| DIVISION VP OF LEGAL SERVICES | 4.20 | 55.80 | Yes (X) | $0 | $238,254 | -$26,070 | |||
| JOHNNY WATKINS | |||||||||
| DIVISION CFO | 4.20 | 55.80 | Yes (X) | $0 | $273,309 | $77,178 | |||
| LAWRENCE SCHUMACHER | |||||||||
| DIVISION CEO - INTERIM | 2.00 | 59.00 | Yes (X) | $0 | $1,234,818 | $204,518 | |||
| MARK REIFSTECK | |||||||||
| DIVISION CEO | 4.20 | 55.80 | Yes (X) | $0 | $730,423 | $192,914 | |||
| PAULETTE EVANS | |||||||||
| CNO | 40.00 | 0 | $166,359 | $0 | $86,029 | Yes (X) | |||
| JAN ROBERT | |||||||||
| DIRECTOR OF QUALITY MANAGEMENT | 40.00 | 0 | $114,736 | $0 | $78,390 | Yes (X) | |||
| JENE BIERI | |||||||||
| DIRECTOR OF PROF. SERVICES | 40.00 | 0 | $116,153 | $0 | $48,928 | Yes (X) | |||
| JOHN JEFFRIES | |||||||||
| DIRECTOR OF FINANCE | 40.00 | 0 | $169,184 | $0 | $35,908 | Yes (X) | |||
| LYNN RINELLA | |||||||||
| PHYSICAL THERAPY DIRECTOR | 40.00 | 0 | $101,397 | $0 | $43,311 | Yes (X) | |||
| WILLIAM DETERS | |||||||||
| PHARMACIST | 40.00 | 0 | $107,242 | $0 | $55,396 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $775,071 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,352,533 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,161,128 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | 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 |
|---|---|---|---|---|---|
| MIDWEST EMERGENCY DEPT SERV | |||||
| 320 EAST HIGHWAY 50 | O FALLON | IL | 62269 | ER COVERAGE | $2,057,999 |
| CLINTON COUNTY ANESTHESIOLOGY | |||||
| 1320 PINEWOOD | BREESE | IL | 62230 | ANESTHESIA PHYSICIAN | $973,054 |
| PREMIERCARE INC | |||||
| 13810 CHAMPION FOREST DR | HOUSTON | TX | 77069 | CONSULTING SERVICES | $212,171 |
| DESIGN STUDIO | |||||
| 472 MASON DR | BREESE | IL | 62216 | DESIGN CONSULTING | $175,993 |
| HALSKI STUDIO | |||||
| 7500 BRYON | ST LOUIS | MO | 63105 | ADVERTISING | $137,425 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $190,722 | GovernmentGrantsAmt |
| Total Contributions | $190,722 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 900099 | $52,321,640 | $52,321,640 |
| MEDICAL OFFICE RENT FROM AFFILIATE | 900099 | $103,896 | $103,896 |
| MEDICARE MEANINGFUL USE | 900099 | $1,002,573 | $1,002,573 |
| $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 | $53,428,109 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $673,688 | TotalRevenueColumnAmt |
| Exclusion | $673,688 | 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 | $299,272 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $633,941 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$334,669 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$334,669 | TotalRevenueColumnAmt |
| Exclusion | -$334,669 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,124,821 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,124,821 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,124,821 | TotalRevenueColumnAmt |
| Exclusion | $5,124,821 | 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 | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|---|
| CAFETERIA REVENUE | 722320 | $3,348 | $3,348 | ||
| EXERCISE PROGRAMS | 713940 | $95,840 | $95,840 | ||
| LIFELINE PROGRAMS | 900099 | $47,986 | $47,986 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $468,992 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $468,992 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $616,166 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $59,698,837 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $53,945,087 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $95,840 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,467,188 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $166,359 | TotalAmt |
| Management And General | $166,359 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,081,320 | TotalAmt |
| Program Services | $13,657,848 | ProgramServicesAmt |
| Management And General | $3,423,472 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,292,322 | TotalAmt |
| Program Services | $1,022,572 | ProgramServicesAmt |
| Management And General | $269,750 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,050,031 | TotalAmt |
| Program Services | $3,204,655 | ProgramServicesAmt |
| Management And General | $845,376 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,114,972 | TotalAmt |
| Program Services | $882,240 | ProgramServicesAmt |
| Management And General | $232,732 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,505 | TotalAmt |
| Program Services | $23,346 | ProgramServicesAmt |
| Management And General | $6,159 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,029 | TotalAmt |
| Program Services | $22,178 | ProgramServicesAmt |
| Management And General | $5,851 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,187,914 | TotalAmt |
| Program Services | $4,105,024 | ProgramServicesAmt |
| Management And General | $1,082,890 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $265,706 | TotalAmt |
| Program Services | $210,244 | ProgramServicesAmt |
| Management And General | $55,462 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,037,677 | TotalAmt |
| Program Services | $3,194,880 | ProgramServicesAmt |
| Management And General | $842,797 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,020,566 | TotalAmt |
| Program Services | $807,540 | ProgramServicesAmt |
| Management And General | $213,026 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $58,378 | TotalAmt |
| Program Services | $46,193 | ProgramServicesAmt |
| Management And General | $12,185 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,344 | TotalAmt |
| Program Services | $29,549 | ProgramServicesAmt |
| Management And General | $7,795 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,204,320 | TotalAmt |
| Program Services | $2,535,472 | ProgramServicesAmt |
| Management And General | $668,848 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,620,772 | TotalAmt |
| Program Services | $2,073,730 | ProgramServicesAmt |
| Management And General | $547,042 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $367,397 | TotalAmt |
| Program Services | $290,709 | ProgramServicesAmt |
| Management And General | $76,688 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PROVIDER TAX | $1,646,027 | $1,302,447 | $343,580 |
| MAINTENANCE REPAIRS & SERVICES | $1,343,223 | $1,062,848 | $280,375 |
| BAD DEBT | $2,833,396 | $2,241,972 | $591,424 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $584,554 | TotalAmt |
| Program Services | $445,951 | ProgramServicesAmt |
| Management And General | $138,603 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,969,812 | TotalAmt |
| Program Services | $37,159,398 | ProgramServicesAmt |
| Management And General | $9,810,414 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Joint Costs TotalJointCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,545,768 | BOYAmt |
| EOY | $3,904,436 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,763,958 | BOYAmt |
| EOY | $8,837,573 | 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 | $627,663 | BOYAmt |
| EOY | $634,790 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $241,328 | BOYAmt |
| EOY | $240,415 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $60,674,672 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $39,453,958 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,082,300 | BOYAmt |
| EOY | $21,220,714 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,799,867 | BOYAmt |
| EOY | $104,539,914 | 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 | $166,166 | BOYAmt |
| EOY | $140,197 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $124,227,050 | BOYAmt |
| EOY | $139,518,039 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,637,726 | BOYAmt |
| EOY | $8,604,246 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,704,307 | BOYAmt |
| EOY | $8,497,544 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,710,342 | BOYAmt |
| EOY | $6,830,566 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,052,375 | BOYAmt |
| EOY | $23,932,356 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $97,529,089 | BOYAmt |
| EOY | $113,747,369 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,645,586 | BOYAmt |
| EOY | $1,838,314 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,174,675 | BOYAmt |
| EOY | $115,585,683 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $124,227,050 | BOYAmt |
| EOY | $139,518,039 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $12,729,025 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $4,354,400 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$672,417 | 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 | $19,836 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $19,836 | 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. JOSEPH'S 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, WITH PART OF THESE DUES BEING ATTRIBUTABLE TO LOBBYING FEES. 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 | $1,495,337 | OtherCostOrOtherBasisAmt |
| Book Value | $1,495,337 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,026,485 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,898,374 | DepreciationAmt |
| Book Value | $10,128,111 | 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 | $35,703,462 | OtherCostOrOtherBasisAmt |
| Depreciation | $27,917,458 | DepreciationAmt |
| Book Value | $7,786,004 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,449,388 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,638,126 | DepreciationAmt |
| Book Value | $1,811,262 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $21,220,714 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| RETIREMENT OBLIGATION-ASBESTOS | $2,576,747 |
| ACCRUED BENEFIT LIABILITY | $4,253,819 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,830,566 | 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 | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $865,618 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $865,618 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01960 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,116,611 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,411,918 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,704,693 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03860 | 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 | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $6,982,229 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,411,918 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,570,311 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05820 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 11298 | PersonsServedCnt |
| Total Community Benefit Expns | $765,908 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $313,155 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $452,753 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01030 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 72 | PersonsServedCnt |
| Total Community Benefit Expns | $8,903 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,903 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 11370 | PersonsServedCnt |
| Total Community Benefit Expns | $774,811 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $313,155 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $461,656 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01050 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 11370 | PersonsServedCnt |
| Total Community Benefit Expns | $7,757,040 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,725,073 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,031,967 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06870 | 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) |
|---|---|---|
| Net Community Benefit Expns | $0 | 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) |
|---|---|---|
| Net Community Benefit Expns | $0 | 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) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | 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 | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,833,396 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $283,340 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $9,016,334 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $11,369,755 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,353,421 | 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 JOSEPH'S HOSPITAL | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9515 HOLY CROSS LANE | AddressLine1 |
| City | BREESE | City |
| State | IL | State |
| ZIP Code | 622300099 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.STJOEBREESE.COM | WebsiteAddressTxt |
| State License | 0002527 | 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 JOSEPH'S 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.stjoebreese.com/2013annualreport/FLASH/index.html | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| 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 |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| 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 |
| Average Negotiated Rates | Yes (X) | AverageNegotiatedRatesInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V Sec B, Line 3, Community Served by Needs Assessment | (1) - ST. JOSEPH'S HOSPITAL: DURING THE HEALTH NEEDS ASSESSMENT PROCESS, THERE WERE SEVERAL METHODS THE HOSPITAL UTILIZED TO GAIN INPUT FROM THE COMMUNITY. THE CHIEF NURSING OFFICER IS A MEMBER OF THE CLINTON COUNTY HEALTH ADVISORY COMMITTEE, WHICH COMPLETED A SIGNIFICANT PART OF THE ASSESSMENT THROUGH THEIR IPLAN (A STANDARDIZED PROCESS FOR ILLINOIS PUBLIC HEALTH DEPARTMENTS). OTHER MEMBERS OF THAT COMMITTEE INCLUDE REPRESENTATIVES FROM HEALTH CARE AND SENIOR SERVICES, AS WELL AS LOCAL BUSINESSES AND COMMUNITY MEMBERS. AN OUTSIDE COMPANY, LEEDE RESEARCH, WAS ENGAGED TO COMPLETE TELEPHONE INTERVIEWS WITH RESIDENTS THROUGHOUT THE SERVICE AREA. APPROXIMATELY 300 HOUSEHOLDS WERE CONTACTED IN THE SURVEY WHICH WAS TARGETED TO THE BROAD COMMUNITY AND ALSO INCLUDED RESIDENTS WHO ARE UNINSURED, LOW-INCOME, AND THOSE WITH CHRONIC DISEASE. TO GAIN DEEPER INSIGHT, THREE FOCUS GROUPS WERE ALSO CONDUCTED. PRINCIPALS FROM AREA SCHOOLS, MEMBERS OF THE LOCAL CLERGY, AND REPRESENTATIVES OF THE MINORITY HISPANIC POPULATION WERE INVITED TO PARTICIPATE. THROUGH THESE DISCUSSIONS, MORE DETAILED INFORMATION WAS OBTAINED ON THE NEEDS OF YOUTH, SENIORS, AND SOME OF THE MOST VULNERABLE IN THE HISPANIC COMMUNITY.; |
| Schedule H, Part V Sec B, Line 7, Needs not addressed in Needs Assessment | (1) - ST. JOSEPH'S HOSPITAL: THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN THE SPRING OF FISCAL YEAR 2012. PRIORITIES IDENTIFIED - DIABETES, CANCER, AND WOMEN'S HEALTH - WERE CONSIDERED DURING THE HOSPITAL'S STRATEGIC PLANNING AND BUDGETING PROCESS AND AN IMPLEMENTATION STRATEGY WAS DEVELOPED. IN MAY 2012, THE BOARD OF DIRECTORS APPROVED THE IMPLEMENTATION STRATEGY, WHICH WAS INITIATED DURING THE REPORTING YEAR. ALCOHOL ABUSE AND UNDERAGE DRINKING WERE ALSO IDENTIFIED AS ISSUES THROUGH VARIOUS SOURCES. HOWEVER, THE HOSPITAL DID NOT TAKE THE LEAD ON THESE ISSUES, AS EDUCATION PROGRAMS ARE AVAILABLE IN THE SCHOOLS AND THROUGH INITIATIVES SPONSORED BY DRUG ABUSE RESISTANCE EDUCATION (DARE). LOCAL CHAPTERS OF ALCOHOLICS ANONYMOUS ARE ALSO AVAILABLE. ST. JOSEPH'S HOSPITAL DID CONTINUE TO SUPPORT "AFTER-PROM" EVENTS. FURTHER ABILITY TO IMPACT THE ISSUE AND COMMUNITY READINESS WERE RATED AS LOW THROUGH THE PRIORITIZATION PROCESS. WITH THE INITIATIVES OF OTHER ORGANIZATIONS AND THE HOSPITAL CONCENTRATING EFFORTS IN AREAS WHERE IT HAS CAPABILITIES, THIS NEED WAS NOT INCLUDED IN FISCAL YEAR 2014 IMPLEMENTATION PLANS.; |
| Schedule H, Part V Sec B, Line 14g, Other ways hospital publicized Financial Assistance Policy | (1) - ST. JOSEPH'S HOSPITAL: COMMUNICATION/NOTIFICATION OF THE FINANCIAL ASSISTANCE PROGRAM TO PATIENTS INCLUDES THE FOLLOWING: A. FINANCIAL ASSISTANCE APPLICATIONS: THE FINANCIAL ASSISTANCE APPLICATION IS PROVIDED TO PATIENTS UPON REQUEST AND THROUGHOUT THE REGISTRATION AND POSTREGISTRATION PROCESS. THIS APPLICATION COMPLIES WITH CURRENT ILLINOIS AND WISCONSIN STATUTES AND ANY APPLICABLE FEDERAL STATUTES. B. POSTERS: THE AVAILABILITY OF FINANCIAL ASSISTANCE 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.; |
Supplemental Information Detail SupplementalInformationDetail (20 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 3C, FACTORS OTHER THAN FPG | NOT APPLICABLE AS THE ORGANIZATION DOES FOLLOW FPG 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 | ST. JOSEPH'S HOSPITAL'S COMMUNITY BENEFIT REPORT CAN BE ACCESSED BY CONTACTING BARB STRIEKER AT 9515 HOLY CROSS LANE, BREESE, IL 62230 OR BY PHONE: (618) 526-5302. THE COMMUNITY BENEFIT REPORT IS ALSO AVAILABLE ON THE HOSPITAL'S WEBSITE: HTTP://WWW.STJOEBREESE.COM/2013ANNUALREPORT/FLASH/INDEX.HTML |
| Schedule H, Part I, Line 7, Costing Methodology used to calculate financial assistance | TO DETERMINE THE ACTUAL COST OF THESE SERVICES, THE HOSPITAL USES A COST-TO-CHARGE RATIO BASED ON OUR AUDITED FINANCIAL STATEMENTS TO CALCULATE THE AMOUNTS REPORTED ON LINES 7A THROUGH 7I. |
| Schedule H, Part I, Line 7, col(f), Bad Debt Expense excluded from financial assistance calculation | 2,833,396 |
| Schedule H, Part II, Community Building Activities | IN THE SUMMER OF FY2014, ST. JOSEPH'S HOSPITAL IN BREESE APPROACHED THE LOCAL HEALTH DEPARTMENT ABOUT ENHANCING THEIR EXISTING HEALTH IMPROVEMENT COALITION. THE NEW GROUP BEGAN MEETING IN JUNE 2013 WITH THE PURPOSE OF "ADVANCING THE HEALTH AND QUALITY OF LIFE FOR RESIDENTS IN CLINTON COUNTY." ST. JOSEPH'S HOSPITAL WILL CONTINUE WORKING WITH THE LOCAL HEALTH DEPARTMENT AND ITS HEALTH IMPROVEMENT COALITION TO SUPPORT COMMUNITY BUILDING ACTIVITIES AND SERVE ON COALITIONS THAT PROMOTE THE HEALTH OF THE COMMUNITY. |
| 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 A 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. ST. JOSEPH'S HOSPITAL, BREESE, 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. |
| 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. JOSEPH'S HOSPITAL, BREESE, IS RELIEVING THE BURDENS OF THE GOVERNMENT. ACCORDINGLY, THIS SHORTFALL RESTRICTS ST. JOSEPH'S HOSPITAL'S, ABILITY TO MAKE FUNDS AVAILABLE TO PROVIDE FOR CHARITY CARE AND OTHER COMMUNITY BENEFITS. THE HOSPITAL MEDICARE SHORTFALL AT COST FOR FISCAL YEAR 2014 WAS $2,353,421. |
| Schedule H, Part III, Line 9b, Collection practices for patients eligible for financial assistance | THE HOSPITAL MAKES REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY FOR THE FINANCIAL ASSISTANCE PROGRAM BEFORE UTILIZING ANY EXTRAORDINARY COLLECTION ACTIONS. UPON ADMISSION, A PATIENT RECEIVES INFORMATION ABOUT THE FINANCIAL ASSISTANCE PROGRAM AND HOW TO FILL OUT AN APPLICATION, ALONG WITH A PHONE NUMBER TO CONTACT FOR FURTHER HELP. INPATIENTS WHO ARE UNINSURED AND NOT ELIGIBLE FOR MEDICAID ARE GIVEN A FINANCIAL ASSISTANCE APPLICATION. EACH PATIENT WILL THEN RECEIVE THREE BILLS WITH INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE. ACCOUNTS OF PATIENTS WHO HAVE NOT RESPONDED TO ANY OF THESE INQUIRIES WILL BE SENT TO A COLLECTION AGENCY. IF THE COLLECTION AGENCY HAS EVIDENCE THAT THE PATIENT MAY QUALIFY FOR FINANCIAL ASSISTANCE, THE ACCOUNT WILL BE RETURNED TO THE HOSPITAL AND A FINANCIAL ASSISTANCE APPLICATION PROCESS WILL BEGIN. |
| SCHEDULE H, PART V, SECTION B, LINE 4, ADDITIONAL HOSPITAL FACILITIES | ST. JOSEPH'S HOSPITAL IS THE SOLE HOSPITAL IN THE CLINTON COUNTY AREA. THERE WERE NO OTHER HOSPITAL FACILITIES INCLUDED. |
| Schedule H, Part VI, Line 2, Needs assessment. | AS INDICATED IN PART V, SECTION B, ST. JOSEPH'S HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN OUR FY2012 (JULY 1, 2011 THROUGH JUNE 30, 2012). IN PREVIOUS YEARS, COMMUNITY NEED WAS ASSESSED BY WORKING WITH THE CLINTON COUNTY HEALTH BOARD'S ADVISORY COMMITTEE THROUGH THEIR DEVELOPMENT OF THE IPLAN. INTERNAL STATISTICAL DATA WAS ALSO UTILIZED INCLUDING TOP DRG AND PRIMARY DIAGNOSIS OF INPATIENTS. 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. JOSEPH'S 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. | THE REGISTRATION DEPARTMENT PROVIDES INFORMATION TO SELF-PAY PATIENTS REGARDING THE FINANCIAL ASSISTANCE PROGRAM AVAILABLE TO THEM AT ST. JOSEPH'S HOSPITAL, BREESE. FOLDERS CONTAINING INFORMATION ABOUT INCOME GUIDELINES FOR ELIGIBILITY ARE INCLUDED IN THE FOLDER ALONG WITH AN APPLICATION. NOTICES ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE ARE ALSO POSTED ON BULLETIN BOARDS AND AT REGISTRATION DESKS. IN ADDITION, A FINANCIAL COUNSELOR IS ON-SITE TO EDUCATE PATIENTS ABOUT FINANCIAL ASSISTANCE AVAILABLE AND TO GUIDE THEM THROUGH THE APPLICATION PROCESS. ACCESS TO INFORMATION ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM CAN ALSO BE FOUND ON THE WEBSITE OF ST. JOSEPH'S HOSPITAL. TO COMPLY WITH THE FAIR BILLING ACT NOTIFICATION, INFORMATION IS POSTED AT THE POINT OF REGISTRATION IN THE EMERGENCY DEPARTMENT AND WALK-IN CLINIC REGARDING SEPARATE PHYSICIAN BILLS PATIENTS CAN EXPECT TO RECEIVE. THE NOTICES ALSO INCLUDE INFORMATION ABOUT THE PATIENT'S FINANCIAL RESPONSIBILITY IF THEIR INSURANCE PLAN IS OUT OF NETWORK. NOTIFICATION IS INCLUDED AS WELL ON THE CONSENT FORM, WHICH IS VERBALLY EXPLAINED TO PATIENTS PRIOR TO THEIR SIGNING. A SYSTEM CALLED SEARCH AMERICA IS ALSO UTILIZED. THAT SYSTEM PROVIDES THE HOSPITAL WITH INFORMATION WHICH CAN QUALIFY PATIENTS PRESUMPTIVELY FOR CHARITY CARE. |
| Schedule H, Part VI, Line 4, Community information. | CLINTON COUNTY INCLUDES NINE SMALL COMMUNITIES RANGING IN POPULATION FROM 1,000 TO 7,500 AND RURAL AREAS. BASED ON THE U.S. CENSUS BUREAU'S 2010 INFORMATION, THE POPULATION OF THE ENTIRE COUNTY HAS GROWN BY 6.3% OVER THE PAST 10 YEARS. THE MEDIAN AGE IS 39 YEARS OF AGE WITH 14.5% OF THE POPULATION OVER THE AGE OF 65 COMPARED TO 12.5% OVER THE AGE OF 65 IN THE STATE OF ILLINOIS. CULTURAL DIVERSITY IS INCREASING WITH GROWTH SEEN IN THE HISPANIC POPULATION. ACCORDING TO THE BUREAU'S 2010 INFORMATION, 20% OF RESIDENTS IN THE COMMUNITY WORK IN THE HEALTH CARE AND SOCIAL ASSISTANCE SECTOR AND 17% RETAIL. THIS IS FOLLOWED BY 11% IN CONSTRUCTION AND 10% MANUFACTURING. SEVERAL GRAIN AND LIVESTOCK FARM OPERATIONS ARE ALSO LOCATED THROUGHOUT THE RURAL AREAS OF THE COUNTY. CURRENT UNEMPLOYMENT RATE IS 6.9%. MEDIAN HOUSEHOLD INCOME HAS RISEN TO $55,278, WHICH IS NEAR THE MEDIAN HOUSEHOLD INCOME FOR ILLINOIS OF $55,735. PERSONS LIVING BELOW THE POVERTY LEVEL ARE 7.8% OF THE POPULATION, AN INCREASE OF 1.4% SINCE THE LAST 2000 CENSUS. ACCORDING TO THE JUNE 2012 METROPOLITAN CHICAGO HEALTHCARE COUNCIL, 12.2% OF CLINTON COUNTY RESIDENTS ARE UNINSURED. CLINTON COUNTY IS LOCATED IN AN AREA DESIGNED AS A SHORTAGE AREA FOR PRIMARY CARE HEALTH PROFESSIONALS (HPSA). THIS DESIGNATION IS MADE BY THE U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES. THE DESIGNATION IS ALSO IN PLACE FOR MENTAL HEALTH PROFESSIONALS. |
| Schedule H, Part VI, Line 5, Promotion of community health | ST. JOSEPH'S HOSPITAL, BREESE, 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. JOSEPH'S HOSPITAL IS COMMITTED TO DELIVERING HIGH QUALITY, COMPASSIONATE, AND COST-EFFECTIVE HEALTH CARE SERVICES TO ALL. THE HOSPITAL WAS FOUNDED MORE THAN 110 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 CLINTON COUNTY 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. JOSEPH'S HOSPITAL IS RESPONDING TO COMMUNITY NEED. DURING FY2012, FOR EXAMPLE, THE BOARD REVIEWED THE COMMUNITY HEALTH NEEDS ASSESSMENT AND APPROVED AN IMPLEMENTATION STRATEGY FOR ADDRESSING SELECTED NEEDS. IN ADDITION, ST. JOSEPH'S HOSPITAL RECEIVES COMMUNITY SUPPORT AND GUIDANCE THROUGH THE ADVISORY BOARD AND FRIENDS OF ST. JOSEPH'S. BOTH BOARDS MEET QUARTERLY AND PROVIDE FEEDBACK FROM THE COMMUNITY ON ADDITIONAL SERVICES OR IMPROVEMENTS NEEDED. ST. JOSEPH'S HOSPITAL IS BLESSED WITH A STRONG VOLUNTEER PROGRAM. VOLUNTEERS ARE ACTIVE IN MANY HOSPITAL DEPARTMENTS ON A DAILY BASIS AND DONATE MANY MORE HOURS THROUGHOUT THE YEAR TO HOSPITAL-SPONSORED COMMUNITY PROGRAMS. ALSO CONSISTENT WITH ITS EXEMPT PURPOSE, ST. JOSEPH'S HOSPITAL 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. ST. JOSEPH'S IMMEDIATE CARE 365 IS LOCATED IN CARLYLE, A COMMUNITY APPROXIMATELY 10 MILES EAST OF BREESE. THE WALK-IN CLINIC IS OPEN 7 A.M. TO 7 P.M. EACH DAY INCLUDING WEEKENDS, AND ON HOLIDAYS, THE FACILITY IS OPEN 8 A.M. TO 5 P.M. DURING THE HOURS THE CLINIC IS OPEN, A PHYSICIAN IS AVAILABLE TO TREAT PATIENTS. ST. JOSEPH'S HOSPITAL ALSO MAINTAINS MEDICAL OFFICES IN THE OUTLYING COMMUNITIES OF CARLYLE, GERMANTOWN, TRENTON, AND GREENVILLE, WHICH ARE UTILIZED BY PRIMARY CARE PROVIDERS. RESEARCH WAS CONTINUED THIS FISCAL YEAR ON WAYS TO INCREASE ACCESS TO CARE IN THE SOUTHWEST CORNER OF THE COUNTY. NEW BADEN, A COMMUNITY LOCATED IN THIS AREA AND THE SECOND LARGEST TOWN IN CLINTON COUNTY, WAS IDENTIFIED AS HAVING A HIGH NEED FOR ADDITIONAL ACCESS TO MEDICAL CARE. LOCATION OF AN ADDITIONAL IMMEDIATE CARE 365 IN THE COMMUNITY WILL BE PURSUED IN THE NEXT FISCAL YEAR. AS A NOT-FOR-PROFIT HOSPITAL, ST. JOSEPH'S HOSPITAL 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. JOSEPH'S HOSPITAL 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. JOSEPH'S HOSPITAL ALSO DEVOTES SIGNIFICANT RESOURCES TO ACCESS FOR PATIENTS WHO CANNOT AFFORD CARE, ALONG WITH OTHER COMMUNITY BENEFITS. IN FISCAL YEAR 2014, ST. JOSEPH'S HOSPITAL 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. JOSEPH'S HOSPITAL PROVIDED $X.X MILLION (AT COST) IN UNCOMPENSATED CARE TO PATIENTS THAT DID NOT QUALIFY FOR CHARITY CARE OR PUBLIC ASSISTANCE AND MORE THAN $XX MILLION (AT COST) IN EXCESS OF MEDICARE PAYMENT FOR HEALTH CARE SERVICES. ST. JOSEPH'S HOSPITAL 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. JOSEPH'S HOSPITAL 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: DIABETES IN CLINTON COUNTY, THE PREVALENCE OF DIABETES IS HIGHER THAN STATE AND NATIONAL NUMBERS. TWELVE PERCENT OF CLINTON COUNTY RESIDENTS REPORT RECEIVING A DIAGNOSIS OF DIABETES. THIS IS ALMOST 50% HIGHER WHEN COMPARED TO THE MOST RECENT NUMBERS AVAILABLE - 8.7% IN THE STATE OF ILLINOIS AND 8.3% NATIONALLY. STUDIES HAVE ALSO SHOWN THE HISPANIC POPULATION HAS A HIGHER RISK OF DEVELOPING THE DISEASE THAN SOME OTHER RACES. RESIDENTS OF HISPANIC ORIGIN ARE THE FASTEST GROWING MINORITY IN CLINTON COUNTY INCREASING FROM 1.6% TO 2.8% BETWEEN THE 2000 AND 2010 CENSUS. LOW COST/NO COST SCREENINGS: COMMUNITY RESIDENTS HAVE AN OPPORTUNITY TO OBTAIN A FREE FINGER STICK MEASURING BLOOD SUGAR LEVELS AT ANY OF THE 10 HEALTH FAIRS OFFERED IN BREESE OR THE SURROUNDING COMMUNITIES. A COMPREHENSIVE BLOOD SCREENING AND A1C TEST ARE ALSO AVAILABLE AT A REDUCED COST. PARTNERING WITH THE NATIONAL KIDNEY FOUNDATION, THE KIDNEYMOBILE WAS HOSTED TWO TIMES DURING THE FISCAL YEAR. TWO HUNDRED (200) INDIVIDUALS VISITED THE KIDNEYMOBILE AND RECEIVED FREE TESTING OFFERED. PARTICIPANTS RECEIVED A BLOOD DRAW TO CHECK FOR CREATININE AND KIDNEY FUNCTION, BLOOD PRESSURE CHECK, FINGER STICK TO MEASURE BLOOD GLUCOSE LEVELS, BODY MASS INDEX, WAIST CIRCUMFERENCE, AND URINALYSIS. OVER 81.3% OF THE PARTICIPANTS TESTED ABNORMAL IN ONE OR MORE OF THE SCREENINGS WITH THE HIGH BLOOD PRESSURE BEING THE MOST PREVALENT FOLLOWED BY HIGH BLOOD SUGAR. FOLLOW-UP INCLUDED REFERRAL TO PRIMARY PHYSICIANS, AND FOR THOSE PARTICIPANTS WITHOUT A PRIMARY HEALTH CARE PROVIDER, REFERRALS ARE MADE TO THE SOUTHERN ILLINOIS HEALTHCARE FOUNDATION. RECOGNIZING THE EFFECTS HIGH BLOOD SUGAR CAN HAVE ON AN INDIVIDUAL'S EYE HEALTH, A FREE VISION SCREENING WAS HELD. THE SCREENING WAS CO-SPONSORED BY THE BREESE LIONS CLUB AND ST. JOSEPH'S HOSPITAL, BREESE AND WAS FOR ALL AGES - 6 MONTHS THROUGH SENIOR CITIZENS. NINETY-EIGHT INDIVIDUALS PARTICIPATED IN THE SCREENING, WHICH INCLUDED 71 ADULTS AND 27 CHILDREN. THIRTY-FIVE PARTICIPANTS REQUIRED FURTHER FOLLOW-UP WITH AN OPTOMETRIST OR OPHTHALMOLOGIST. SOME FUNDS WERE AVAILABLE THROUGH THE LOCAL LIONS CLUB FOR THOSE WITH LIMITED RESOURCES AND UNABLE TO PAY FOR FURTHER CARE. COMMUNITY EDUCATION: RECOGNIZING THE NEED TO IMPROVE THE COMMUNITY'S AND INDIVIDUAL'S KNOWLEDGE ABOUT DIABETES, HEALTH EDUCATION WAS ALSO PROVIDED. ST. JOSEPH'S HOSPITAL'S CERTIFIED DIABETES EDUCATORS PARTNERED WITH THE LOCAL SCHOOL SYSTEM TO OFFER THE AMERICAN DIABETES ASSOCIATION'S SAFE AT SCHOOL PROGRAM. TEACHERS AND STAFF FROM AREA SCHOOLS WERE INVITED TO THE PROGRAM WHICH COVERED DIABETES BASICS, HYPOGLYCEMIA/HYPERGLYCEMIA, BLOOD GLUCOSE MONITORING AND INSULIN. THE NATIONAL "SAFE AT SCHOOL" CAMPAIGN WAS IMPLEMENTED TO ENSURE ALL CHILDREN WITH DIABETES ARE MEDICALLY SAFE AT SCHOOL AND HAVE THE SAME EDUCATIONAL OPPORTUNITIES AS THEIR CLASSMATES. AS A WAY TO IMPROVE AWARENESS OF THE SYMPTOMS OF HIGH AND LOW BLOOD, EDUCATIONAL POSTERS WERE PROVIDED TO LAW ENFORCEMENT PERSONNEL. THE POSTERS ALSO PROVIDED INFORMATION ABOUT THE TREATMENT OF DIABETICS IN AN EMERGENCY AS WELL AS INDIVIDUALS DETAINED IN THEIR FACILITIES. DIABETIC SUPPORT GROUPS ARE HELD THROUGHOUT THE YEAR. IN ADDITION TO PROVIDING THOSE ATTENDING AN OPPORTUNITY TO ASK QUESTIONS AND LEARN FROM EACH OTHER, AN EDUCATIONAL TOPIC WAS ALSO COVERED. TOPICS COVERED DURING THE FISCAL YEAR INCLUDED EYE DISEASE, CONVERTING RECIPES INTO A DIABETES-FRIENDLY VERSION, AND TIPS FOR DIABETES CARE. A PROGRAM SPECIFICALLY DESIGNED TO REACH THE LATINO POPULATION WAS ALSO HELD. BLOOD PRESSURE, FINGER STICKS TO MEASURE BLOOD SUGAR LEVELS, AND AIC SCREENINGS WERE AVAILABLE. DURING THE PROGRAM, PARTICIPANTS ALSO LEARNED ABOUT HOW TO PREPARE BALANCED MEALS, UNDERSTAND NUTRITION LABELS, AND THE IMPORTANCE OF EXERCISE. |
| SCHEDULE H, PART VI, LINE 5, PROMOTION OF COMMUNITY HEALTH (CONTINUED) | BLOOD PRESSURE, FINGER STICKS TO MEASURE BLOOD SUGAR LEVELS, AND AIC SCREENINGS WERE AVAILABLE. DURING THE PROGRAM, PARTICIPANTS ALSO LEARNED ABOUT HOW TO PREPARE BALANCED MEALS, UNDERSTAND NUTRITION LABELS, AND THE IMPORTANCE OF EXERCISE. ST. JOSEPH'S HOSPITAL'S DIETICIAN HAS ALSO PROVIDED EDUCATION THROUGHOUT THE YEAR. THE DIETITIAN HAS PARTICIPATED IN THE DIABETIC SUPPORT GROUPS AS WELL AS GIVEN PRESENTATIONS AT THE LOCAL TOPS MEETING (TAKE OFF POUNDS SENSIBLY), AND EDUCATED COMMUNITY MEMBERS ABOUT HEALTHY EATING OPTIONS THROUGH GROCERY STORE TOURS. UTILIZING THE UNITED STATES DEPARTMENT OF AGRICULTURE'S MYPLATE GUIDELINES, THE DIETITIAN HAS ALSO REACHED 472 CHILDREN IN THE LOCAL GRADE SCHOOLS. CANCER CANCER IS THE SECOND LEADING CAUSE OF MORTALITY IN CLINTON COUNTY. A GOAL OF THE CLINTON COUNTY HEALTH DEPARTMENT'S HEALTH ADVISORY BOARD IS TO INCREASE THE NUMBER OF RESIDENTS OVER 50 RECEIVING A COLORECTAL SCREENING BY 20%; WOMEN OVER 40 RECEIVING MAMMOGRAMS BY 10%; AND MEN OVER 50 RECEIVING A PROSTATE SCREENING BY 20%. ST. JOSEPH'S HOSPITAL OFFERED AT-HOME COLORECTAL SCREENING KITS AT ALL TEN HEALTH FAIRS. THESE WERE AVAILABLE AT A COST OF $5. ALSO AT THE HEALTH FAIRS, INFORMATION ON THE EFFECTS OF SMOKING AND AVAILABLE SMOKING CESSATION CLASSES WAS DISTRIBUTED. AMERICAN CANCER SOCIETY'S LOOK GOOD, FEEL BETTER PROGRAM CONTINUES TO BE OFFERED SEVERAL TIMES DURING THE YEAR IN BREESE. THIS IS A SUPPORT PROGRAM FOR CANCER PATIENTS TO HELP THEM TO COPE WITH APPEARANCE RELATED SIDE EFFECTS OF CANCER TREATMENT. THIS FISCAL YEAR ST. JOSEPH'S HOSPITAL WAS DESIGNATED BY THE AMERICAN CANCER SOCIETY AS A REGIONAL "WIG CLOSET". A DEDICATED AREA IN A ST. JOSEPH'S HOSPITAL OWNED BUILDING WAS CREATED TO MAINTAIN THE WIGS, SCARVES, AND HATS FOR THE PROGRAM. WOMEN FROM CLINTON AND SURROUNDING COUNTIES VISITING THE WIG CLOSET ARE ASSISTED BY A ST. JOSEPH'S HOSPITAL COLLEAGUE. WOMEN'S' HEALTH SERVICES WITH THREE HOSPITALS IN THE SURROUNDING COUNTIES NOT PROVIDING OB SERVICES, ST. JOSEPH'S HOSPITAL'S OBSTETRICS DEPARTMENT SERVES A FOUR COUNTY AREA. TWELVE PRENATAL PROGRAMS WERE OFFERED DURING THE REPORTING PERIOD. EXPECTANT PARENTS ARE INVITED TO PARTICIPATE IN EITHER AN ALL- DAY PROGRAM OR CLASSES DIVIDED BETWEEN SEVERAL EVENINGS. DESIGNED TO IMPROVE MATERNAL AND INFANT HEALTH, THE PROGRAMS ARE OPEN TO THE BROADER COMMUNITY AND NOT DEPENDENT ON THE MOTHER DELIVERING AT ST. JOSEPH'S HOSPITAL, BREESE. PROGRAMS OFFERED DURING THE YEAR WERE ATTENDED BY 260 WOMEN AND THEIR SUPPORT PERSON. GIVEN THE BENEFITS OF BREASTFEEDING IN REDUCING THE INCIDENCE OF OBESITY AND DIABETES, EDUCATION ON THE BENEFITS OF BREASTFEEDING IS PRESENTED THROUGHOUT A MOTHER'S PREGNANCY AND AFTER DISCHARGE. A BREASTFEEDING SUPPORT GROUP MEETS EACH MONTH AND LACTATION CONSULTANTS ARE ALSO AVAILABLE AT THE CLINTON COUNTY HEALTH DEPARTMENT. AT 81%, ST. JOSEPH'S HOSPITAL HAS INCREASED THE NUMBER OF WOMEN BREASTFEEDING AT DISCHARGE BY 8% OVER THE PAST THREE YEARS. THE HEALTHY PEOPLE 2020 GOAL IS TO HAVE 81.9% OF INFANTS EVER BREASTFED. TO BUILD AN ENVIRONMENT THAT SUPPORTS THE BREASTFEEDING FAMILY, ST. JOSEPH'S HOSPITAL HAS STARTED THE PROCESS TO BECOME A DESIGNATED BABY FRIENDLY FACILITY. A LETTER OF INTENT TO BECOME BABY FRIENDLY WAS SUBMITTED TO THE WORLD HEALTH ORGANIZATION AND HAS RECEIVED APPROVAL TO MOVE FORWARD. DURING THE FISCAL YEAR, ST. JOSEPH'S HOSPITAL ADOPTED POLICIES TO IMPLEMENT GUIDELINES OF A BABY FRIENDLY FACILITY. IN FY2015, THE HOSPITAL WILL BE BRIDGING INTO THE DISSEMINATION PHASE. PROGRAMS CONTINUE TO BE HELD TO PROMOTE THE SAFETY OF NEWBORNS AND CHILDREN. CARE OF NEWBORNS WAS OFFERED FREE SIX TIMES A YEAR WITH 110 PARTICIPANTS AND A CLASS FOR SIBLINGS TO EXPLAIN THEIR ROLE AND RESPONSIBILITIES ON HOW TO BE SAFE WITH AN INFANT WERE ALSO TAUGHT WITH 34 PARTICIPANTS. FOUR TIMES DURING THE YEAR, BABY-SITTING CLASSES WERE PROVIDED TO 11-13 YEAR OLDS GIVING THEM THE TOOLS NEEDED TO BE A RESPONSIBLE CHILD CARE PROVIDER. ALSO IN PARTNERSHIP WITH THE ILLINOIS DEPARTMENT OF TRANSPORTATION - DIVISION OF TRANSPORTATION SAFETY, TWO CAR SEAT SAFETY CHECKS WERE HELD. HEALTH AND WELLNESS PROMOTION IN THE RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, 29 PERCENT OF CLINTON COUNTY RESIDENTS INDICATED A LACK OF MOTIVATION OR ACCESS TO EXERCISE AS THEIR MAIN BARRIERS TO LIVING A HEALTHY LIFE. EXERCISE ACTIVITIES REPORTED WERE ALSO BELOW THE FEDERALLY RECOMMENDED GUIDELINES. EXERCISE FACILITIES ARE AVAILABLE TO THE GENERAL COMMUNITY AT THE HEALTHPLEX. FOR A LOW-COST MEMBERSHIP FEE, PARTICIPANTS HAVE ACCESS TO EXERCISE EQUIPMENT INCLUDING TREADMILLS, STATIONARY BICYCLES, WEIGHT MACHINES, AND FREE WEIGHTS. EXERCISE CLASSES WERE ALSO TAUGHT AND OPEN TO INDIVIDUALS THAT DO NOT HAVE HEALTHPLEX MEMBERSHIP. CLASSES OFFERED AT THE FACILITY INCLUDE KETTLE BELLS, YOGA, ZUMBA, SPINNING, BOOT CAMP AND WATER AEROBICS. LOW-IMPACT STRENGTH AND CONDITIONING CLASSES GEARED TO SENIORS WERE ALSO HELD WITH EMPHASIS ON EVERYDAY FUNCTIONAL ACTIVITIES. DURING THE FISCAL YEAR, TWO COMMUNITY EXERCISE EVENTS WERE HELD. A 5K WAS SPONSORED BY THE HOSPITAL IN THE FALL AND A KICKS & SPOKES BIATHLON WAS HELD IN JUNE. AN OUTDOOR FITNESS TRACK, WHICH INCLUDES 6 STATIONS WITH 12 PIECES OF STRENGTH, CONDITIONING AND AEROBIC EQUIPMENT IS OPEN TO THE COMMUNITY AT NO CHARGE. DURING THE YEAR, DISCUSSIONS CONTINUED WITH THE YMCA TO DETERMINE IF A FORMAL PARTNERSHIP ARRANGEMENT WOULD BE BENEFICIAL. AS THIS POSSIBILITY CONTINUES TO BE RESEARCHED, THE HOSPITAL HELPED COORDINATE A FULL SCHEDULE OF ONE-WEEK DAY CAMPS STAFFED BY THE YMCA DURING THE SUMMER. LOCAL FACILITIES AT THE BREESE PUBLIC PARK AND NEARBY HIGH SCHOOL WERE USED. THE CAMPS EXTENDED OVER 11 WEEKS AND INCLUDED SWIMMING, GAMES, SCIENCE, CRAFTS, AND OTHER EXERCISE OPPORTUNITIES. ACCESS TO CARE THE SOUTHWEST CORNER OF THE COUNTY IS EXPERIENCING THE MOST GROWTH WITH A 12% INCREASE IN POPULATION. DATA ANALYSIS CONTINUES ON THE FEASIBILITY OF ESTABLISHING A WALK-IN CLINIC IN NEW BADEN DURING THE UPCOMING FISCAL YEAR. TWO ADDITIONAL PRIMARY CARE PHYSICIANS WERE ADDED TO THE MEDICAL STAFF. FAMILY MEDICINE PHYSICIAN, DR. BRIAN KLOSTERMANN JOINED CLINTON COUNTY RURAL HEALTH, A RURAL HEALTH CLINIC IN BREESE. DR. CHRISTINA DOTHAGER, AN OBSTETRICIAN/GYNECOLOGIST, IS THE NEWEST PHYSICIAN AT SOUTHERN OBSTETRICS AND GYNECOLOGIC ASSOCIATES, AND IS DELIVERING BABIES AT ST. JOSEPH'S HOSPITAL, BREESE. ST. JOSEPH'S HOSPITAL ALSO PROVIDED EDUCATION TO THE COMMUNITY ABOUT THE NEW HEALTH INSURANCE EXCHANGE AND IN-PERSON COUNSELORS AVAILABLE THROUGH THE CLINTON COUNTY HEALTH DEPARTMENT. BROCHURES ABOUT THE NEW EXCHANGE WERE DISTRIBUTED AT POINTS OF REGISTRATION AND FIVE LOCAL HEALTH FAIRS. CORRESPONDENCE WAS ALSO MAILED TO THE HOSPITAL'S CURRENT PRIVATE PAY PATIENTS. THE CLINTON COUNTY HEALTH DEPARTMENT HELD INFORMATIONAL WORKSHOPS THROUGHOUT THE COUNTY DURING THE OPEN ENROLLMENT PERIOD. ST. JOSEPH'S HOSPITAL ASSISTED IN PROMOTING THE WORKSHOPS WITH COMMUNICATIONS TO THE MEDIA AND LOCAL CHURCHES. ONE WORKSHOP WAS HOSTED AT THE HOSPITAL. DURING THE LAST SIX WEEKS OF THE OPEN ENROLLMENT PERIOD, FACILITIES WERE PROVIDED AT THE HOSPITAL FOR THE HEALTH DEPARTMENT'S IN-PERSON COUNSELOR TO ASSIST INDIVIDUALS WITH ENROLLING. OTHER COMMUNITY BENEFIT PROGRAMS ST. JOSEPH'S HOSPITAL REMAINS COMMITTED TO PROVIDING EDUCATION AND LOW COST SCREENINGS TO PREVIOUS CHRONIC DISEASE AND NEEDS IDENTIFIED. CHRONIC DISEASE EDUCATION & MANAGEMENT: HEART DISEASE IS THE LEADING CAUSE OF MORTALITY IN CLINTON COUNTY. DURING FEBRUARY, THE HOSPITAL AGAIN THIS YEAR JOINED IN PARTNERSHIP WITH ST. JOSEPH'S HOSPITAL IN HIGHLAND, AND ST. ELIZABETH'S HOSPITAL IN BELLEVILLE TO PROMOTE HEART HEALTH AWARENESS. EDUCATION ON CARDIOVASCULAR DISEASE AND HEALTHY EATING AS WELL AS LIFESTYLE CHOICES WAS PROVIDED. THE MAIN EVENT WAS THE WOMEN'S HEART HEALTH EDUCATION PROGRAM WITH OVER 200 ATTENDING. PATIENTS WITH CONGESTIVE HEART FAILURE OR COPD CAN HAVE A HIGHER NEED FOR HOSPITALIZATION. ACCORDING TO THE AGENCY OF HEALTHCARE RESEARCH & QUALITY, PATIENTS WHO ARE PROVIDED EDUCATION ON HOW TO MANAGE THEIR HEALTH HAVE A 30 PERCENT LESS LIKELIHOOD OF NEEDING REOCCURRING HOSPITALIZATION - THUS, INCREASING THEIR QUALITY OF LIFE. IN ADDITION TO THE EDUCATION INITIATIVES PROVIDED TO PATIENTS AND THEIR FAMILIES, ST. JOSEPH'S HOSPITAL IS ALSO WORKING WITH NURSING HOMES AND HOME HEALTH AGENCIES IN THE AREA. STAFF FROM FOUR NURSING HOMES AND TWO HOME HEALTH AGENCIES CONTINUED TO REGULARLY MEET WITH HOSPITAL COLLEAGUES DURING FY2014. THE GOAL OF THEIR MEETINGS IS TO FOSTER COMMUNICATION AND COLLABORATION BETWEEN FACILITIES TO PROMOTE A SAFE, APPROPRIATE, SMOOTH PATIENT/FAMILY TRANSITION TO THE NEXT LEVEL OF CARE. THEIR MEETINGS HAVE ALSO PROVIDED A FORUM TO ENHANCE THE EDUCATION OF NURSING HOME AND HOME HEALTH AGENCY COLLEAGUES ABOUT CARING FOR PATIENTS AND THEIR RESIDENTS WITH CHRONIC HEALTH CONDITIONS AND DISEASES. |
| SCHEDULE H, PART VI, LINE 5, PROMOTION OF COMMUNITY HEALTH (CONTINUED) | A COMMUNITY EDUCATION PROGRAM WAS ALSO HELD IN SEPTEMBER. DESIGNED FOR CAREGIVERS, CONCERNED SENIORS, FAMILY MEMBERS AND PROFESSIONALS, A LOCAL PHYSICIAN AND INFECTION PREVENTION NURSE WERE THE FEATURED SPEAKERS. BRIAN KLOSTERMAN, M.D. PRESENTED, "WHAT IS SEPSIS?" FOLLOWED BY RENE KRUSE, R.N., M.S.N. DISCUSSING "HOW TO STAY HEALTHY IN A GERMY WORLD". FLU SHOTS WERE ALSO AVAILABLE AT THE PROGRAM. PULMONARY FUNCTION TESTS CONTINUE TO BE OFFERED FREE OF CHARGE IN FY2014 AT 10 HEALTH FAIRS. IN SUPPORT OF VULNERABLE POPULATIONS: INFANTS, CHILDREN AND YOUTH: - GAMEPLAN, DESIGNED TO PREVENT TEENAGE PREGNANCY AND PROMOTE SEXUAL ABSTINENCE, PRESENTED TO EIGHTH GRADE STUDENTS IN SEVEN AREA SCHOOLS. - ATHLETICS ADVANTAGE, A PROGRAM TO PROMOTE SAFETY AND PREVENTION OF INJURIES AMONG YOUTH ENROLLED IN LOCAL HIGH SCHOOL SPORTS PROGRAMS. SEVEN HIGH SCHOOL PROGRAMS ARE COVERED. - AS PART OF A LOCAL HIGH SCHOOL'S ADOPTION OF A WELLNESS AND HEALTHY LIFE CHOICES PHILOSOPHY, A HEALTH FAIR FOR STUDENTS WAS HELD AT THE SCHOOL. ORGANIZED BY ST. JOSEPH'S HOSPITAL, 525 STUDENTS PARTICIPATED IN THE FAIR. TEN STATIONS WERE AVAILABLE FOR STUDENTS TO VISIT AND BLOOD PRESSURES PROVIDED. HISPANIC COMMUNITY: IN ADDITION TO COMMUNITY EDUCATION AND LOW COST SCREENINGS TARGETING THE HISPANIC POPULATION, ST. JOSEPH'S HOSPITAL CONTINUES TO PROVIDE AN INTERPRETER FOR NON-ENGLISH SPEAKING PATIENTS WHO ARE RECEIVING HEALTH CARE AT THE HOSPITAL AND TO ACCOMPANY THEM ON VISITS TO THEIR LOCAL PRIMARY CARE PROVIDER. THE HOSPITAL'S TWO INTERPRETERS HAVE AN AVERAGE OF 120 VISITS EACH MONTH TO ASSIST AT PHYSICIAN OFFICES OR WITH SERVICES AT THE HOSPITAL PLUS MANY ADDITIONAL PHONE CALLS FOR ASSISTANCE AND TO SCHEDULE APPOINTMENTS. EDUCATION OPPORTUNITIES FOR FUTURE HEALTH CARE PROFESSIONALS STUDENTS, WHO ARE MEMBERS OF THE HEALTH OCCUPATIONS STUDENTS OF AMERICA (HOSA) AT CENTRAL HIGH SCHOOL, WERE HOSTED THIS SPRING. STUDENTS WERE ONSITE LEARNING ABOUT JOB OPPORTUNITIES IN HEALTH CARE FROM PROFESSIONALS WORKING IN THE FIELD. AGAIN THIS YEAR, ST. JOSEPH'S HAS BEEN A SITE TO PROVIDE CLINICAL EXPERIENCE FOR KASKASKIA COLLEGE STUDENTS ENROLLED IN THE NURSING, PHYSICAL THERAPY AND RADIOLOGY PROGRAM. PHARMACY STUDENTS HAVE ALSO COMPLETED THEIR CLINICAL TRAINING AT THE FACILITY. |
| Schedule H, Part VI, Line 6, Affiliated health care system | ST. JOSEPH'S HOSPITAL IN BREESE, ILLINOIS 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 CARE 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 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 | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARK KLOSTERMAN | ||||||||||||||
| PRESIDENT | $0 | $227,622 | $0 | $61,565 | $0 | $29,609 | $0 | $58,773 | $0 | $22,812 | $0 | $400,381 | $0 | $0 |
| JONATHAN OSBORN | ||||||||||||||
| SECRETARY | $0 | $237,161 | $0 | $0 | $0 | $817 | $0 | $0 | $0 | $27,973 | $0 | $265,951 | $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 |
| JAMES BURKE | ||||||||||||||
| DIVISION VP OF LEGAL SERVICES | $0 | $196,277 | $0 | $0 | $0 | $41,977 | $0 | -$42,400 | $0 | $16,330 | $0 | $212,184 | $0 | $0 |
| PAULETTE EVANS | ||||||||||||||
| CNO | $150,758 | $0 | $15,033 | $0 | $568 | $0 | $86,029 | $0 | $0 | $0 | $252,388 | $0 | $0 | $0 |
| JOHN JEFFRIES | ||||||||||||||
| DIRECTOR OF FINANCE | $145,003 | $0 | $22,465 | $0 | $1,716 | $0 | $18,050 | $0 | $17,858 | $0 | $205,092 | $0 | $0 | $0 |
| WILLIAM DETERS | ||||||||||||||
| PHARMACIST | $106,437 | $0 | $0 | $0 | $805 | $0 | $55,396 | $0 | $0 | $0 | $162,638 | $0 | $0 | $0 |
| JENE BIERI | ||||||||||||||
| DIRECTOR OF PROF. SERVICES | $115,563 | $0 | $0 | $0 | $590 | $0 | $41,530 | $0 | $7,398 | $0 | $165,081 | $0 | $0 | $0 |
| JAN ROBERT | ||||||||||||||
| DIRECTOR OF QUALITY MANAGEMENT | $110,172 | $0 | $2,834 | $0 | $1,730 | $0 | $65,198 | $0 | $13,192 | $0 | $193,126 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 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 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 MARK KLOSTERMAN -- $31,135 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 (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS | ST. JOSEPH'S HOSPITAL, BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS PROVIDES QUALITY HEALTHCARE SERVICES REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, RELIGION, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES IS ESSENTIAL TO THE CONTINUED OPERATION AND STABILITY OF THE HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS ARE ABLE TO AFFORD REQUIRED MEDICAL SERVICES. OUR MISSION IS TO SERVE THE COMMUNITY WITH THE BEST QUALITY HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. INHERENT IN 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. IN OUR TAX YEAR BEGINNING JULY 1, 2013 AND ENDING JUNE 30, 2014, ST. JOSEPH'S HOSPITAL, BREESE PROVIDED SERVICES TO 1,308 INPATIENTS UTILIZING 3,353 DAYS OF CARE. IN ADDITION, ST. JOSEPH'S HOSPITAL, BREESE PROVIDED SERVICES TO 92,556 OUTPATIENTS. ST. JOSEPH'S HOSPITAL, BREESE PROVIDES QUALITY MEDICAL CARE TO THE POOR AT NO COST THROUGH OUR CHRISTIAN CARE PROGRAM. 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 230 MEDICAID INPATIENTS UTILIZING 504 DAYS OF CARE. THE COST OF PROVIDING SERVICES TO MEDICAID PATIENTS EXCEEDED REIMBURSEMENT UNDER THE STATE OF ILLINOIS MEDICAID PROGRAM BY $1,704,693. THE TOTAL UNREIMBURSED VALUE OF PROVIDING CARE TO THE POOR IS $2,570,311. ST. JOSEPH'S HOSPITAL, BREESE PROVIDES QUALITY MEDICAL CARE TO MEMBERS OF THE BROADER COMMUNITY THROUGH PARTICIPATION IN THE MEDICARE PROGRAM AND THROUGH EDUCATIONAL PROGRAMS AND ACTIVITIES AT A REDUCED PRICE, OR AT NO COST. ST. JOSEPH'S HOSPITAL, BREESE PROVIDED MEDICAL SERVICES TO 467 MEDICARE INPATIENTS UTILIZING 1,406 DAYS OF CARE. |
| FORM 990, PART IV, LINE 24A, TAX EXEMPT BONDS | ST JOSEPH'S HOSPITAL, BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS HOLDS A LIABILITY ON ITS BOOKS FOR TAX-EXEMPT BONDS, WHICH IS AN ALLOCATION FROM ITS SOLE CORPORATE MEMBER, HOSPITAL SISTERS SERVICES, INC. AS A RESULT, THIS QUESTION WAS ANSWERED NO, AND SCHEDULE K WILL BE COMPLETED ON THE HOSPITAL SISTERS SERVICES, INC. FORM 990. |
| Form 990, Part VI, Sec A, Line 6, Classes of members or stockholders | THE SENIOR GOVERNING BODY OF ST. JOSEPH'S HOSPITAL BREESE (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. JOSEPH'S HOSPITAL BREESE (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 PREPARATION, 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 DIRECTOR OF FINANCE 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 SYSTEM 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, 2010 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, VICE PRESIDENT - RISK & COMPLIANCE, 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, 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 IX, Line 11g, Other Expenses | MANAGEMENT FEES - TOTAL EXPENSE: 2778044, PROGRAM SERVICE EXPENSE: 2198174, MANAGEMENT AND GENERAL EXPENSES: 579870, FUNDRAISING EXPENSES: ; PURCHASED SERVICES - TOTAL EXPENSE: 2409870, PROGRAM SERVICE EXPENSE: 1906850, MANAGEMENT AND GENERAL EXPENSES: 503020, FUNDRAISING EXPENSES: ; |
| FORM 990, PART X, LINE 11, POOLED INVESTMENT ACCOUNT | ST. JOSEPH'S HOSPITAL'S CASH RESERVES ARE INVESTED IN A POOLED INVESTMENT ACCOUNT. PARTICIPATION IN THE POOLED FUND IS LIMITED TO THE 501(C)(3) HOSPITALS AND RELATED HEALTH SERVICES ORGANIZATIONS SPONSORED BY HOSPITAL SISTERS HEALTH SYSTEM. THE POOLED ACCOUNT CONSISTS OF CASH, EQUITY, AND DEBT SECURITIES THAT ARE PUBLICLY TRADED. IN ACCORDANCE WITH THE PROVISIONS OF SFAS NO. 124 "ACCOUNTING FOR CERTAIN INVESTMENTS HELD BY NOT-FOR-PROFIT ORGANIZATIONS", INVESTMENTS IN EQUITY SECURITIES WITH READILY DETERMINABLE VALUES, AND ALL INVESTMENTS IN DEBT SECURITIES, ARE REPORTED AT FAIR VALUE ON THE BALANCE SHEET. INCOME, REALIZED AND UNREALIZED GAINS AND LOSSES ARE POOLED AND ALLOCATED TO THE PARTICIPANTS. INDIVIDUAL COMPONENTS OF ASSETS AND REVENUE ARE NOT IDENTIFIED TO THE PARTICIPANTS. |
| Form 990 , Part XI, Line 9, Other changes in net assets or fund balances | TRANSFER TO AFFILIATES - -1019473; CHANGE IN FAIR VALUE OF SWAP - -202333; CHANGE IN TEMPORARILY RESTRICTED NET ASSETS - 516372; SWAP PAYMENTS - -395621; PENSION RELATED CHANGES - 428638; |
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 ANTHONY'S HOSPITAL | ||||||||||
| 503 N MAPLE STREET | EFFINGHAM | IL | 62401 | 370661233 | HEALTHCARE | IL | 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 | ||||||||||
| 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 | false | 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 | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | 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 | Yes (true) | 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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