2015-05-14T09:22:51-05:00 2014-06-30 CROWE HORWATH LLP 225 WEST WACKER DRIVE SUITE 2600 CHICAGO IL 606061224 990 2013-07-01 390807060 SACRED HEART HOSPITAL OF HOSPITAL SISTERS OF THIRD ORDER OF ST FRANCIS SACR 7157176122 900 West Clairemont Avenue Eau Claire WI 54701 JULIE MANAS PRESIDENT/CEO 2015-04-27 true John V Woodhull P01305268 3128997000 2013 2016-02-25 16:41:14Z JULIE MANAS 900 West Clairemont Avenue Eau Claire WI 54701 249345252 false 0928 X WWW.SACREDHEARTHOSPITAL-EC.ORG X 1890 WI TO PROVIDE THE MEANS WHEREBY SACRED HEART CAN CONTINUE THEIR APOSTOLIC MISSION TO SERVE THE SICK, THE AGED, THE POOR AND THE TERMINALLY ILL WITHOUT REGARD TO RACE, COLOR, CREED, OR NATIONAL ORIGIN. 10 7 1605 350 1292031 0 733790 341821 219031849 224190133 12497032 23108672 2355517 1641423 234618188 249282049 0 0 0 0 97048490 94062754 0 0 0 96513625 100187412 193562115 194250166 41056073 55031883 495212645 568245547 119267205 117723405 375945440 450522142 X SEE SCHEDULE O - ORGANIZATION'S MISSION false false 163222145 223123000 SEE SCHEDULE O - PART III LINE 4A 163222145 true true false true false false false false false true false false false true true false true false false false false false false false false true true false false true false false false false false false false true false false false false true true false false false false true 87 0 true 1605 true true true false false false false false false false false false X 10 7 false false false false true true true true true false false true true true true true true true true false X X STEVE PALECEK 7157173783 900 WEST CLAIREMONT AVENUE EAU CLAIRE WI 54701 JAMES E DOCKSEY VICE CHAIRPERSON 1.00 1.00 X X 0 0 0 JAMES THEISEN SECRETARY 1.00 0 X X 0 0 0 JEFFREY R HALLOIN Chairperson - Partial Year 1.00 1.00 X X 0 0 0 JULIE MANAS PRESIDENT/CEO 60.00 2.00 X X 0 641497 117246 KAREN HEBERT Chairperson 1.00 1.00 X X 0 0 0 BRUCE BARKER DIRECTOR 1.00 0 X 0 0 0 DENNIS BREEN DIRECTOR 1.00 0 X 0 0 0 GREG HEILER MD DIRECTOR 1.00 0 X 0 0 0 JOE FESENMAIER DIRECTOR 1.00 0 X 0 0 0 JULIE FURST-BOWE DIRECTOR - Partial Year 1.00 0 X 0 0 0 LAWRENCE SCHUMACHER DIRECTOR 1.00 60.00 X 0 1234818 204518 SR MARYBETH CULNAN OSF DIRECTOR 1.00 10.00 X 0 0 0 ANN M CARR TREASURER 0.25 61.75 X 0 318955 255068 DAVE NELSON DIVISION CHIEF FINANCIAL OFFICER 28.00 30.00 X 355108 0 59485 HUMAYUN KAHN CMO 30.00 30.00 X 292826 0 53721 AMY DWYER CHIEF NURSING OFFICER 60.00 0 X 216717 0 245605 FAYE DEICH COO 60.00 0 X 348186 0 25609 JOHN WACIUMA PHYSICIAN 40.00 0 X 728746 0 68185 KEVIN HESS PHYSICIAN 40.00 0 X 332653 0 66151 MONICA MCDONALD PHYSICIAN 40.00 0 X 545153 0 61336 RIMA DEFATTA PHYSICIAN 40.00 0 X 435650 0 57472 ROBERT DEFATTA PHYSICIAN 40.00 0 X 552997 0 29784 3808037 2195270 1244180 58 false true false SAMUELS GROUP 311 FINANCIAL WAY WAUSAU WI 54401 CONSTRUCTION 5761720 SODEXO INC 4880 PAYSPHERE CIRCLE CHICAGO IL 60674 MANAGEMENT 1781198 INFINITY HEALTHCARE 111 E WISCONSIN AVENUE MILWAUKEE WI 53202 PROVIDER STAFFING 1042313 HT KLATZKE AND ASSOCIATES 1511 EAST SUPERIOR ST DULUTH MN 55812 ADVERTISING CONSULT 1035497 AMPHION MEDICAL SOLUTIONS 8301 EXCELSIOR DRIVE MADISION WI 53717 TRANSCRIPTION SERV 735824 27 341821 341821 NET PATIENT REVENUE 900099 218907002 218907002 REFERENCE LAB SERVICES 621500 1126443 1126443 DEPARTMENTAL REVENUE 900099 4156688 4156688 0 0 0 0 0 0 224190133 2652569 2652569 0 0 803796 803796 0 803796 803796 20519306 63203 20519306 -63203 20456103 20456103 0 0 0 EMPLOYEE & SENIOR CAFETERIA 722514 320221 320221 GIFT SHOP 453220 292508 292508 SHARED SERVICE INCOME 621500 165588 165588 59310 59310 0 0 837627 249282049 223123000 1292031 24525197 0 0 0 0 1597257 1597257 0 69349616 62118463 7231153 4678265 4374702 303563 13388129 11868161 1519968 5049487 4445231 604256 13236043 13236043 119657 119657 0 0 0 0 15735412 13092354 2643058 0 2101759 2101759 657826 539594 118232 1431400 1431400 0 2688838 2094935 593903 57457 30131 27326 0 350370 274377 75993 596849 596849 0 12894337 12768146 126191 539332 31624 507708 CLINICAL SUPPLIES 33689494 33474659 214835 PROVISION FOR BAD DEBT 4156551 4156551 MEDICAID ASSESSMENT 6035440 6035440 EQUIPMENT RENTAL 1490700 1490700 4405947 4398828 7119 0 194250166 163222145 31028021 0 0 857719 5605764 24297392 27910169 0 0 0 0 5100385 4938756 676684 806100 238118662 131188104 103423909 106930558 360504225 421723096 0 0 0 0 352331 331104 495212645 568245547 24708622 28417070 59797562 58377114 0 0 34761021 30929221 119267205 117723405 X 368794961 441821925 1813256 3156436 5337223 5543781 375945440 450522142 495212645 568245547 X 55031883 17388297 2156522 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 8320 8320 false Schedule C, Part II-B, Line 1, Description of the activities reported on Lines 1a through 1i SACRED HEART HOSPITAL (THE HOSPITAL) IS A MEMBER OF THE CATHOLIC HEALTH ASSOCIATION ("CHA"), THE WISCONSIN HEALTH ASSOCIATION ("WHA"), AND THE AMERICAN HEALTH ASSOCIATION ("AHA"). AS A MEMBER OF THESE ORGANIZATIONS, THE HOSPITAL PAYS DUES AND PART OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING FEES PAID BY THE ORGANIZATIONS. THE AMOUNT LISTED IS THE AMOUNT ATTRIBUTABLE TO THE HOSPITAL FROM ITS DUES PAID. 1064803 1064803 127477717 55360486 72117231 3596485 2544033 1052452 102704837 73283585 29421252 3274820 3274820 106930558 0 OTHER LONG-TERM LIABILITIES 500000 ACCRUED PENSION LIABILITY 20317700 INTEREST RATE SWAP PROGRAMS 10111521 30929221 X Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnote 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. true true X true X true X 6 true true false true true 1 4796772 0 4796772 0.02520 1 31573607 21392611 10180996 0.05360 1 739705 518683 221022 0.00120 3 0 37110084 21911294 15198790 0.08000 125 20722 1278825 354083 924742 0.00490 11 1278 1500199 1320 1498879 0.00790 3 2195 18776488 14781531 3994957 0.02100 0 0.00000 6 3596 295933 0 295933 0.00160 145 27791 21851445 15136934 6714511 0.03540 148 27791 58961529 37048228 21913301 0.11540 0 0.00000 0 0.00000 297485 297485 0.00150 0 0.00000 0 0.00000 0 0.00000 98284 98284 0.00050 0 0.00000 0 0.00000 0 0 395769 0 395769 0.00200 true 4156551 0 73619274 98730867 -25111593 X true true 1 1 SACRED HEART HOSPITAL 900 WEST CLAIREMONT AVENUE EAU CLAIRE WI 54701 HTTP://WWW.SACREDHEARTEAUCLAIRE.ORG 17 X X X X BEHAVIORAL HEALTH DIALYSIS INPATIENT REHAB SACRED HEART HOSPITAL 1 true X X X X X X X X X 11 true true true X www.sacredhearteauclaire.org/community-health-needs-assessment X X X X X X X X X false false true true 200 true 600 true X X X X true true X X true false true X false false Schedule H, Part V Sec B, Line 3, Community Served by Needs Assessment (1) - SACRED HEART HOSPITAL OF THE HOSPITAL SISTERS OF THIRD ORDER OF ST. FRANCIS: A COMPREHENSIVE AND UNIQUE APPROACH WAS UTILIZED FOR THE CHNA FY2012, WHICH INCLUDED AN ANALYSIS OF RELIABLE HEALTH, SOCIAL AND DEMOGRAPHIC DATA, SURVEY DATA, INPUT FROM LOCAL EXPERTS IN PUBLIC HEALTH, MINORITY HEALTH AND CHRONIC DISEASE, AND THE INTEGRATION OF DIRECT INPUT FROM MORE THAN 800 CITIZENS WHO PROVIDED VOICE TO WHAT THEY BELIEVE COULD ENHANCE THE HEALTH AND WELL BEING OF THEIR COMMUNITY. AS PART OF THE CHNA PROCESS, SACRED HEART HOSPITAL AND ST. JOSEPH'S HOSPITAL IN CHIPPEWA FALLS, WI, TEAMED UP TO CONDUCT TWO "TOWN HALL" MEETINGS WITH MORE THAN 800 INDIVIDUALS PARTICIPATING AND GIVING VOICE TO WHAT THEY BELIEVED COULD ENHANCE THE HEALTH OF THEIR COMMUNITY. IN ADDITION, 30 COMMUNITY "VISIONING" SESSIONS WERE HELD TO REACH DIVERSE GROUPS OF INDIVIDUALS BEYOND THE BORDERS OF EAU CLAIRE COUNTY, MOST OF WHICH ARE DESIGNATED AS RURAL. PEOPLE OF ALL AGES, ECONOMIC STATUS AND OTHER DIVIDES, INCLUDING THE UNDERSERVED, AND THOSE EXPERIENCING ACCESS BARRIERS PARTICIPATED. SOME OF THE GROUPS THAT PARTICIPATED IN THE "VISIONING" SESSIONS INCLUDED LOCAL SCHOOL CHILDREN, MEMBERS OF THE AMISH COMMUNITY, PATIENTS OF THE CHIPPEWA VALLEY FREE CLINIC, LOCAL COLLEGE STUDENTS, PATRONS AND STAFF OF THE ST. FRANCIS FOOD PANTRY AND AN ELDERLY ASSISTED LIVING CENTER PATIENTS AND STAFF, TO NAME A FEW. ; Schedule H, Part V Sec B, Line 4, Other Hospital Facilities included in Needs Assessment (1) - SACRED HEART HOSPITAL OF THE HOSPITAL SISTERS OF THIRD ORDER OF ST. FRANCIS: AS PART OF THE CHNA PROCESS, SACRED HEART HOSPITAL PARTNERED WITH ST. JOSEPH'S HOSPITAL IN CHIPPEWA FALLS, WI TO CONDUCT TWO "TOWN HALL" MEETINGS. MORE THAN 800 INDIVIDUALS PARTICPATED AND GAVE VOICE TO WHAT THEY BELIEVED COULD ENHANCE THE HEALTH AND WELLBEING OF THEIR COMMUNITY.; Schedule H, Part V Sec B, Line 5a, Hospital Facility's Website (list URL) (1) - SACRED HEART HOSPITAL: WWW.SACREDHEARTEAUCLAIRE.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT; Schedule H, Part V Sec B, Line 7, Needs not addressed in Needs Assessment (1) - SACRED HEART HOSPITAL OF THE HOSPITAL SISTERS OF THIRD ORDER OF ST. FRANCIS: THE CHNA IDENTIFIED THREE PRIORITY HEALTH NEEDS FOR THE EAU CLAIRE AREA AND SURROUNDING COMMUNITIES: 1) MENTAL HEALTH; 2) CHRONIC DISEASE PREVENTION AND MANAGEMENT; AND 3) ALCOHOL AND OTHER DRUG USE. SACRED HEART HOSPITAL'S BOARD APPROVED IMPLEMENTATION STRATEGIES FOR EACH PRIORITY IDENTIFIED THROUGH THE CHNA. NO, THE HOSPITAL DID NOT ADDRESS ALL THE NEEDS IDENTIFIED IN THE CHNA FY2012. THE HOSPITAL'S COMMUNITY NEEDS ASSESSMENT TEAM (CNAT) UNDERTOOK A COMPREHENSIVE REVIEW OF HEALTHIEST WISCONSIN 2020, THE 2010 COMMUNITY NEEDS ASSESSMENT PUBLISHED BY THE UNITED WAY OF EAU CLAIRE, AND THE 2008 CLEAR VISION EAU CLAIRE REPORT. THE HEALTHIEST WISCONSIN 2020 FRAMEWORK WAS ADOPTED BY CNAT TO DISCUSS AND ESTABLISH 12 HEALTH ISSUES. CRITERIA TO RANK HEALTH ISSUES WERE DEVELOPED AND EACH IDENTIFIED NEED WAS EVALUATED AGAINST THE CRITERIA RESULTING IN THE PRIORITIZATION AND IDENTIFICATION OF THE TOP THREE HEALTH ISSUES FOR THE EAU CLAIRE AREA AND SURROUNDING COMMUNITIES AND IN TURN WHAT ISSUES SACRED HEART HOSPITAL WOULD ADDRESS. THE CNAT CONSIDERED THE LEVELS TO WHICH SOME IDENTIFED NEEDS WERE ALREADY BEING ADDRESSED IN THE SERVICE AREA. ADDITIONALLY, SOME IDENTIFIED NEEDS FELL OUT OF THE SCOPE OF EXPERTISE AND RESOURCES OF THE HOSPITAL, INCLUDING: ADEQUATE, APPROPRIATE AND SAFE FOOD NUTRITION: ADDRESSED BY ST. FRANCIS FOOD PANTRY, COMMUNITY TABLE, FEED MY PEOPLE, LOCAL SCHOOL DISTRICTS, AND CITY/COUNTY HEALTH DEPARTMENT. COMMUNICABLE DISEASE AND PREVENTION: ADDRESSED BY CITY/COUNTY HEALTH DEPARTMENT, STATE HEALTH AND COMMUNITY PRIMARY CARE PROVIDERS. ENVIRONMENTAL AND OCCUPATIONAL HEALTH: ADDRESSED BY CITY/COUNTY HEALTH DEPARTMENT, STATE HEALTH DEPARTMENT, LOCAL BUSINESSES, LOCAL HEALTHCARE PROVIDERS. HEALTHY GROWTH & DEVELOPMENT: ADDRESSED BY LOCAL SCHOOL DISTRICTS, LOCAL FAMILY RESOURCE CENTERS, LOCAL HEALTHCARE PROVIDERS. INJURY AND VIOLENCE: ADDRESSED BY SEXUAL ASSAULT NURSE EXAMINER (SANE) SERVICES, EC HEALTHY COMMUNITIES COUNCIL, AND CITY/COUNTY POLICE DEPARTMENTS. ORAL HEALTH: ADDRESSED BY CITY/COUNTY HEALTH DEPARTMENT TASK FORCE AND COMMUNITY DENTAL CARE PROVIDERS. PHYSICAL ACTIVITY (ADDRESSED UNDER CHRONIC DISEASE PREVENTION & MANAGEMENT): ADDRESSED BY LOCAL SCHOOL DISTRICTS, BOYS AND GIRLS CLUB, YMCA, WISCONSIN YOUTH SUCCESS PROGRAM (WYSP) AT UNIVERSITY OF WISCONSIN - EAU CLAIRE, AND LOCAL HEALTH CLUB FACILITIES. REPRODUCTIVE AND SEXUAL HEALTH: ADDRESSED BY CITY/COUNTY HEALTH DEPARTMENT, DIOCESE OF LA CROSSE, PLANNED PARENTHOOD, COMMUNITY HEALTHCARE PROVIDERS AND LOCAL SCHOOL DISTRICTS. TOBACCO USE AND EXPOSURE: ADDRESSED BY CITY/COUNTY HEALTH DEPARTMENT, AMERICAN CANCER SOCIETY, AND LOCAL ALLIANCE FOR SUBSTANCE ABUSE PREVENTION (ASAP). CHRONIC DISEASE PREVENTION AND MANAGEMENT (INCLUDED IN SACRED HEART HOSPITAL IMPLEMENTATION PLAN): ALSO ADDRESSED BY AGING & DISABILITY RESOURCE CENTER (ADRC), ACHIEVE - EAU CLAIRE (FOCUSED ON INFLUENCING PUBLIC POLICY TO REDUCE THE INCIDENCE OF CHRONIC DISEASE), COMMUNITY HEALTHCARE PROVIDERS, AND THE CHIPPEWA VALLEY FREE CLINIC. MENTAL HEALTH (INCLUDED IN SACRED HEART HOSPITAL IMPLEMENTATION PLAN): ALSO ADDRESSED BY NATIONAL ALLIANCE ON MENTAL ILLNESS CHIPPEWA VALLEY, WESTERN REGION RECOVERY AND WELLNESS CONSORTIUM, LE PHILLIPS LIBERTAS TREATMENT CENTER, AND COMMUNITY HEALTH CARE PROVIDERS. ALCOHOL AND OTHER SUBSTANCE ABUSE (INCLUDED IN SACRED HEART HOSPITAL IMPLEMENTATION PLAN): ALSO ADDRESSED BY LOCAL ALLIANCE FOR SUBSTANCE ABUSE PREVENTION (ASAP), CITY/COUNTY HEALTH DEPARTMENT, AND L.E. PHILLIPS LIBERTAS TREATMENT CENTER. ; Schedule H, Part V Sec B, Line 14g, Other ways hospital publicized Financial Assistance Policy (1) - SACRED HEART HOSPITAL OF THE HOSPITAL SISTERS OF THIRD ORDER OF ST. FRANCIS: 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 POST-REGISTRATION 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 IS POSTED ON THE HSHS INTERNET HOME PAGE. E. PATIENT STATEMENTS: EACH BILL, INVOICE OR OTHER SUMMARY OF CHARGES TO AN UNINSURED PATIENT INCLUDES WITH IT, OR ON IT, A PROMINENT STATEMENT THAT AN UNINSURED PATIENT WHO MEETS CERTAIN INCOME REQUIREMENTS MAY QUALIFY FOR AN UNINSURED DISCOUNT AND INFORMATION REGARDING HOW AN UNINSURED PATIENT MAY APPLY FOR CONSIDERATION UNDER THE HSHS FINANCIAL ASSISTANCE PROGRAM. IN ADDITION, REFERRAL OF PATIENTS MAY BE MADE BY ANY MEMBER OF THE HSHS STAFF OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS, CASE MANAGERS, CHAPLAIN'S, AND RELIGIOUS SPONSORS. A REQUEST FOR FINANCIAL ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND, OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS.; SCHEDULE H, PART I, LINE 6A, COMMUNITY BENEFIT REPORT THE HOSPITAL'S COMMUNITY BENEFIT REPORT CAN BE ACCESSED AT WWW.SACREDHEARTEAUCLAIRE.ORG Schedule H, Part I, Line 7, Costing Methodology used to calculate financial assistance CHARITY CARE IS CALCULATED BY DETERMINING THE TOTAL AMOUNT FROM PATIENT BILLING THAT IS WRITTEN OFF TO CHARITY CARE CHARGE CODES OR ALLOWANCES. THIS AMOUNT MATCHES THE NUMBER THAT IS REPORTED ON OUR FISCAL YEAR ENDING 2013 AUDITED FINANCIAL STATEMENTS. THE TOTAL CHARITY CARE DOLLAR AMOUNT IS THEN REDUCED TO COST BY APPLYING THE HOSPITAL'S COST TO CHARGE RATIO AS CALCULATED ON IRS SCHEDULE H - WORKSHEET 2. Schedule H, Part I, Line 7, col(f), Bad Debt Expense excluded from financial assistance calculation 4,156,551 Schedule H, Part I, Line 7g, Subsidized Health Services THE HOSPITAL USES LYON SOFTWARE (CBISA: COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY) TO DETERMINE SUBSIDIZED SERVICES. PHYSICIAN CLINICS WERE NOT INCLUDED IN THE SUBSIDIZED HEATLH SERVICES. Schedule H, Part II, Community Building Activities SACRED HEART HOSPITAL CONTINUES TO BE INVOLVED IN HUNDREDS OF COMMUNITY BUILDING ACTIVITIES EACH YEAR THAT ADDRESS THE ROOT CAUSE OF HEATH CARE PROBLEMS OR WORK TO LAY A FOUNDATION FOR A HEALTHIER, SAFER, AND BETTER EDUCATED COMMUNITY. THESE ACTIVITIES ARE MOST OFTEN CONDUCTED THROUGH THE HOSPITAL'S TWO HOLISTIC HEALING CENTERS: THE CENTER FOR HEALTHY LIVING, AND THE HEALING PLACE: A CENTER FOR LIFE'S JOURNEYS. THE HOSPITAL'S REGIONAL CANCER CENTER ALSO OFFERS NUMEROUS, ONGOING PROGRAMS RELATED TO CANCER CARE. THE HOSPITAL OFFERS VARIOUS HEALTH SCREENINGS, SUCH AS BLOOD PRESSURE SCREENINGS, AT MANY HEALTH FAIRS IN THE COMMUNITY THROUGHOUT THE YEAR. THE HOSPITAL ALSO CONDUCTS NUMEROUS ENVIRONMENTAL STEWARDSHIP AND SUSTAINABILITY EFFORTS (RECYCLING AND REUSING) INCLUDING DONATING SURPLUS FOOD TO THE ST. FRANCIS FOOD PANTRY, AND DONATING USED EQUIPMENT TO THIRD WORLD COUNTRIES VIA THE HOSPITAL SISTERS MISSION OUTREACH, A MEDICAL SURPLUS RECOVERY ORGANIZATION. FOR A MORE COMPLETE LISTING OF COMMUNITY BENEFIT PROGRAMS AND SERVICES OFFERED YEAR ROUND BY SACRED HEART HOSPITAL, SEE EXPLANATION FOR PART VI, LINE 5. Schedule H, Part III, Line 2, Bad debt expense - methodology used to estimate amount SELF-PAY PATIENTS ARE SCREENED FOR VERIFICATION OF NO INSURANCE COVERAGE. ONCE VERIFICATION OF NO COVERAGE HAS BEEN COMPLETED, THE GUARANTORS WILL BE SCREENED FOR CHARITY OR UNINSURED DISCOUNTS BASED ON INCOME LEVELS. THOSE GUARANTORS THAT DO NOT QUALIFY FOR CHARITY THROUGH THE SCREENING PROCESS WILL BE ASKED TO PROVIDE PROOF OF INCOME IN THE FORM OF A RECENT PAY STUB AND/OR RECENT TAX RETURN TO DETERMINE THE LEVEL OF UNINSURED DISCOUNTING. IF NO PROOF OF INCOME IS PROVIDED OR A GUARANTOR'S INCOME IS GREATER THAN 201% OF THE FEDERAL POVERTY LEVEL, THE APPROPRIATE DISCOUNT ACCORDING TO THE ESTABLISHED CRITERIA WILL BE APPLIED. THAT AMOUNT OF MONEY NOT COLLECTED FROM THOSE SELF-PAY PATIENTS WHO ARE NOT ELIGIBLE FOR CHARITY CARE IS REPORTED AS BAD DEBT. ALLOWANCES FOR DOUBTFUL ACCOUNTS HAVE BEEN RECORDED BASED ON AN HISTORICAL MATRIX, USING COLLECTABILITY PERCENTAGES BY PAYOR AND AGING CATEGORY IN ACCORDANCE WITH HSHS EXECUTIVE POLICY #F-23, VALUATION OF NET ACCOUNTS RECEIVABLE. PERCENTAGES ARE BASED ON HISTORICAL EXPERIENCE AT THE HOSPITAL AND ADJUSTED FOR KNOWN LIMITATIONS. EACH MATRIX IN USE HAS BEEN UPDATED WITHIN THE PAST YEAR. SACRED HEART HOSPITAL REPORTS BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT 15, AS MODIFIED BY AND CONSISTENT WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). Schedule H, Part III, Line 3, Bad Debt Expense Methodology THE HOSPITAL STRONGLY BELIEVES THAT ITS CHARITY CARE, AND THE RELATED COMMUNITY BENEFIT OBTAINED FROM SUCH CARE, IS UNDERSTATED BECAUSE OF THOSE PATIENTS WHO POTENTIALLY QUALIFY FOR CHARITY CARE BUT DO NOT WISH TO APPLY FOR IT. IN ADDITION, SOME CARE IS NOT CLASSIFIED AS CHARITY BECAUSE OF MISSING DOCUMENTATION ON PATIENT RESOURCES. THUS, THE HOSPITAL'S BAD DEBT INCLUDES A PORTION THAT COULD BE CLASSIFIED AS CHARITY CARE IF APPLICATION FOR SUCH CARE WAS SOUGHT AND/OR COMPLETED. CURRENTLY, THE HOSPITAL IS IMPLEMENTING PROCESSES, PROCEDURES AND SYSTEMS TO MORE EFFECTIVELY DETERMINE CHARITY CARE THAT WILL REDUCE A PATIENT'S DOCUMENTATION REQUIREMENTS AND EASE THE PATIENT'S EMOTIONAL BURDEN IN APPLYING FOR CHARITY CARE. THIS WILL PROVIDE A MORE ACCURATE REPORTING OF CHARITY CARE SERVICES PROVIDED BY THE HOSPITAL. 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 SACRED HEART HOSPITAL HAS COMMITTED SIGNIFICANT RESOURCES IN SERVING THE MEDICARE POPULATION. THE COST (DETERMINED USING A COST TO CHARGE RATIO) OF PROVIDING SERVICES TO PRIMARILY ELDERLY BENEFICIARIES OF THE MEDICARE PROGRAM, IN EXCESS OF GOVERNMENTAL AND MANAGED CARE CONTRACT PAYMENTS. IN ACCORDANCE WITH THE CATHOLIC HEALTH ASSOCIATION, WHICH WE ABIDE BY, ANY SHORTFALL FROM SERVICING THE MEDICARE POPULATION IS NOT TO BE CONSIDERED A COMMUNITY BENEFIT AND THUS NOT INCLUDED IN OUR COMMUNITY BENEFIT CALCULATIONS. 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. THE HOSPITAL MEDICARE SHORTFALL AT COST FOR FY2014 WAS $25,111,593. Schedule H, Part III, Line 9b, Collection practices for patients eligible for financial assistance PATIENTS ARE INFORMED OF OUR FINANCIAL PAYMENT OPTIONS (INCLUDING COMMUNITY CARE) AT THE TIME OF REGISTRATION VIA THE REGISTRARS AND OTHER HOSPITAL PERSONNEL, AND THROUGH OUR PATIENT STATEMENT PROCESS; INFORMATION IS ALSO AVAILABLE ON OUR WEBSITE. THE HOSPITAL EMPLOYS FINANCIAL COUNSELORS WHO ARE RESPONSIBLE FOR EDUCATING PATIENTS ABOUT POTENTIAL ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE HOSPITAL'S CHARITY CARE POLICY OR UNINSURED PATIENT DISCOUNT POLICY. IF IT IS DETERMINED THAT A PATIENT MAY BE ELIGIBLE FOR ASSISTANCE, THE FINANCIAL COUNSELOR WILL ASSIST THE PATIENT WITH APPLICATIONS FOR THE APPROPRIATE PROGRAM. COLLECTION EFFORTS INCLUDE A SERIES OF PATIENT STATEMENTS, LETTERS, AND PHONE CALLS; ALL OF WHICH INCLUDE DISCUSSION ABOUT THE COMMUNITY CARE PROGRAM. PATIENTS WHO QUALIFY FOR THE COMMUNITY CARE PROGRAM CAN RECEIVE UP TO 100% REDUCTION IN THEIR FINANCIAL OBLIGATION. PATIENTS WHO ARE GRANTED A PARTIAL REDUCTION ARE EXPECTED TO SET UP REASONABLE PAYMENT ARRANGEMENTS TO PAY THE REMAINING BALANCE. PATIENTS WHO ARE REFERRED TO A COLLECTION AGENCY ARE ENCOURAGED TO MAKE PAYMENT ARRANGEMENTS WITH THE AGENCY. A 10% PROMPT PAYMENT DISCOUNT IS AVAILABLE TO ALL PATIENTS IF PAYMENT IN FULL IS RECEIVED WITHIN 30 DAYS OF THE FIRST STATEMENT. IF A PATIENT IS UNABLE TO PAY THEIR BALANCE IN FULL WITHIN 30 DAYS OF THE FIRST STATEMENT OR NEED TO MAKE ALTERNATIVE PAYMENT ARRANGEMENTS, THEY ARE RESPONSIBLE FOR CONTACTING PATIENT FINANCIAL SERVICES TO AVOID FURTHER COLLECTION ACTIVITY. PATIENTS WITHOUT INSURANCE RECEIVE AN UNINSURED DISCOUNT, WHICH IS REFLECTED ON THE PATIENT STATEMENT. UNINSURED PATIENTS MAY QUALIFY FOR AN ADDITIONAL DISCOUNT BASED ON HOUSEHOLD INCOME AND FAMILY SIZE AND MAY TAKE ADVANTAGE OF THE PROMPT PAYMENT DISCOUNT. PATIENT FINANCIAL SERVICES CAN ASSIST PATIENTS IN THIS REGARD. PATIENTS ARE INFORMED PAYMENT OPTIONS INCLUDE: - CASH, CHECK, OR CREDIT CARD (VISA, MASTERCARD, AND DISCOVER) - HELPING HANDS LENDING PROGRAM: IN COLLABORATION WITH A LOCAL FINANCIAL INSTITUTION, THE HOSPITAL OFFERS A LENDING PROGRAM, WHICH PROVIDES AN INTEREST-BEARING MONTHLY PAYMENT OPTION. - COMMUNITY CARE: A HOSPITAL-BASED FINANCIAL ASSISTANCE PROGRAM PROVIDES FULL OR PARTIAL REDUCTIONS TO PATIENTS WHO ARE NOT ABLE TO MEET THEIR OBLIGATIONS AND WHO MEET CERTAIN INCOME AND ASSET CRITERIA. PATIENT FINANCIAL SERVICES CAN OFFER INFORMATION TO PATIENTS. SACRED HEART HOSPITAL DEVOTES SIGNIFICANT RESOURCES TO ACCESS FOR PATIENTS WHO CANNOT AFFORD CARE, ALONG WITH OTHER COMMUNITY BENEFITS. IN FISCAL YEAR 2014, IN ACCORDANCE WITH STANDARDS DEFINED BY THE CATHOLIC HEALTH ASSOCIATION USA (CHAUSA), SACRED HEART HOSPITAL HAS RECOGNIZED AN UNREIMBURSED COST OF COMMUNITY BENEFIT OF $22,309,070. THE COST OF SERVICING THE PEOPLE QUALIFYING FOR PUBLIC INDIGENT PROGRAMS (INCLUDING MEDICAID AND OTHER PUBLIC PROGRAMS) WAS $10,402,018. THE COST OF OUR HOSPITAL BASED COMMUNITY CARE PROGRAM WAS $4,796,772. SACRED HEART ALSO PROVIDED BENEFITS OF $7,110,280 TO THE COMMUNITY THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES THAT SACRED HEART HOSPITAL BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. Schedule H, Part VI, Line 2, Needs assessment. AS INDICATED IN PART V, SECTION B, SACRED HEART HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN ITS FY2012 (JULY 1, 2011 THROUGH JUNE 30, 2012). IN PREVIOUS YEARS, SACRED HEART HOSPITAL ASSESSED COMMUNITY NEED BY IDENTIFYING UNMET COMMUNITY HEALTH NEEDS TO DEVELOP A PLAN TO HELP IMPROVE THE HEALTH OF OUR COMMUNITY. THE HOSPITAL'S PLAN IS FOCUSED ON ENHANCING THE HEALTH AND WELLNESS OF THE COMMUNITY WE SERVE THROUGH CLINICAL PROGRAMS AND SERVICES, COMMUNITY EDUCATION AND OUTREACH, AND CONTINUED COLLABORATION AND PARTNERSHIPS WITH OTHER LOCAL ORGANIZATIONS. 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, SACRED HEART HOSPITAL WILL LEAD A COLLABORATIVE APPROACH TO CONDUCT ITS CHNA AND ADOPT AN IMPLEMENTATION PLAN IN ITS FY2015 (JULY 1, 2014 THROUGH JUNE 30, 2015), A PROCESS THE HOSPITAL UNDERTAKES EVERY THREE YEARS. Schedule H, Part VI, Line 3, Patient education of eligibility for assistance. UPON ADMISSION TO SACRED HEART HOSPITAL, PATIENTS ARE GIVEN A "GUIDE TO SERVICES" BOOKLET WHICH INCLUDES A SECTION ABOUT HOSPITAL BILLS AND THE AVAILABILITY OF FINANCIAL ASSISTANCE. THE AVAILABILITY OF FINANCIAL COUNSELORS AND THEIR CONTACT INFORMATION IS ALSO PROVIDED IN THE GUIDE. ADDITIONALLY, PATIENTS IN ADMITTING HAVE MADE AVAILABLE TO THEM A PRINTED BROCHURE "ABOUT YOUR HOSPITAL BILL" THAT THOROUGHLY EXPLAINS FINANCIAL ASSISTANCE, MEDICAL CLAIMS, CHARITY CARE, ETC. ANOTHER PRINT BROCHURE IS DEVOTED TO THOROUGHLY EXPLAINING THE HOSPITAL'S CHARITY CARE PROGRAM. SOCIAL SERVICES STAFF INFORMS AND ASSIST PATIENTS AND FAMILY MEMBERS ABOUT FINANCIAL ASSISTANCE PROGRAMS THAT THE HOSPITAL OFFERS AND THEIR ELIGIBILITY AND PROVIDES ASSISTANCE IN HELPING PATIENTS AND FAMILY MEMBERS TO ACCESS FINANCIAL ASSISTANCE. A PUBLIC NOTICE OF MEDICAL ASSISTANCE REGARDING PRESCRIPTIONS AND PHARMACEUTICALS FOR SOCIAL SECURITY RECIPIENTS IS ALSO POSTED OUTSIDE OF THE ADMITTING AREA. SACRED HEART HOSPITAL HAS DEVOTED SIGNIFICANT, IN-DEPTH INFORMATION AND EDUCATION ON ITS WEB HOMEPAGE FOCUSING ON FINANCIAL ASSISTANCE, HOSPITAL BILLING, MEDICAL CLAIMS AND CHARITY CARE. PATIENTS WHO DO NOT HAVE HEALTH INSURANCE ARE INFORMED OF THE HOSPITAL DISCOUNT AVAILABLE TO THEM, HOW TO ACCESS HOSPITAL FINANCIAL COUNSELORS AND THE AVAILABILITY OF CHARITY CARE AND ELIGIBILITY REQUIREMENTS. ELIGIBILITY FORMS AND APPLICATION FORMS ARE AVAILABLE FOR DOWNLOADING FROM THE WEBSITE. Schedule H, Part VI, Line 4, Community information. SACRED HEART HOSPITAL SERVES A POPULATION OF APPROXIMATELY 400,000 PEOPLE IN WESTERN WISCONSIN. THE HOSPITAL'S SERVICE AREA INCLUDES URBAN AND RURAL AREAS AND ENCOMPASSES ALL OF EAU CLAIRE, CHIPPEWA AND RUSK COUNTIES, AS WELL AS PORTIONS OF BARRON, BUFFALO, CLARK, DUNN, JACKSON, PEPIN, SAWYER, TREMPEALEAU, AND WASHBURN COUNTIES. ABOUT 40% OF THE POPULATION LIVES IN EAU CLAIRE AND CHIPPEWA COUNTIES (51% WITH THE ADDITION OF DUNN COUNTY). THE POPULATION IN THE REMAINING COUNTIES IS SIGNIFICANTLY LESS, WITH 10 OUT OF 12 SERVICE AREA COUNTIES CONSIDERED RURAL BY THE U.S. DEPARTMENT OF AGRICULTURE. THE MAJORITY (APPROXIMATELY 45%) OF ALL INPATIENT ADMISSIONS AT SACRED HEART HOSPITAL ORIGINATE FROM EAU CLAIRE COUNTY. THE CITY OF EAU CLAIRE IS LOCATED 90 MILES EAST OF THE TWIN CITIES AND IS THE NINTH LARGEST CITY IN THE STATE OF WISCONSIN, WITH A POPULATION OF JUST OVER 65,800. THE HOSPITAL'S SERVICE AREA POPULATION IS AGING, MUCH LIKE THE REST OF THE NATION. THOUGH WESTERN WISCONSIN IS LESS DIVERSE THAN THE NATION AS A WHOLE (92.9%) WHITE/NON-HISPANIC), THERE ARE SEVERAL UNIQUE MINORITY POPULATIONS FOUND WITHIN THE HOSPITAL'S SERVICE AREA, INCLUDING AMISH, MENNONITE AND HMONG COMMUNITIES. WISCONSIN HAS THE FOURTH HIGHEST AMISH POPULATION IN THE NATION. SACRED HEART'S SERVICE AREA MEAN HOUSEHOLD INCOME IS ABOUT $43,000, ROUGHLY $7,000 LOWER THAN THE NATIONAL AVERAGE. Schedule H, Part VI, Line 5, Promotion of community health SACRED HEART HOSPITAL OFFERS HOPE TO OUR COMMUNITY IN THE TRADITION OF THE HOSPITAL SISTERS OF ST. FRANCIS. AS A HEALING MINISTRY OF THE CATHOLIC CHURCH AND AN AFFILIATE OF THE HOSPITAL SISTERS HEALTH SYSTEM (HSHS), SACRED HEART HOSPITAL IS COMMITTED TO DELIVERING HIGH QUALITY, COMPASSIONATE, AND COST-EFFECTIVE HEALTH CARE SERVICES TO ALL. THE HOSPITAL WAS FOUNDED OVER 125 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 EAU CLAIRE AND SURROUNDING AREAS. THE HOSPITAL IS GOVERNED BY A BOARD OF DIRECTORS, THE MAJORITY OF WHICH IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE HOSPITAL (NOR FAMILY MEMBERS THEREOF). THE BOARD ENSURES THAT SACRED HEART HOSPITAL IS RESPONDING TO COMMUNITY NEED. THE BOARD REVIEWS THE COMMUNITY HEALTH NEEDS ASSESSMENT AND APPROVES AN IMPLEMENTATION STRATEGY FOR ADDRESSING SELECTED NEEDS. THERE ARE ALSO OTHER BODIES THAT ASSIST SACRED HEART HOSPITAL CONNECT WITH THE COMMUNITY, SUCH AS OUR ADVISORY COUNCIL, FRIENDS OF SACRED HEART HOSPITAL FOUNDATION, AND OUR VOLUNTEER PARTNERS BOARD. ALSO CONSISTENT WITH ITS EXEMPT PURPOSE, SACRED HEART 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. AS A NOT-FOR-PROFIT HOSPITAL, SACRED HEART 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, SACRED HEART 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. SACRED HEART HOSPITAL ALSO DEVOTES SIGNIFICANT RESOURCES TO ACCESS FOR PATIENTS WHO CANNOT AFFORD CARE, ALONG WITH OTHER COMMUNITY BENEFITS. IN FY2014, SACRED HEART HOSPITAL PROVIDED OVER $22,309,070 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, IN FY2014, SACRED HEART HOSPITAL PROVIDED $1,610,847 (AT COST) IN UNCOMPENSATED CARE TO PATIENTS THAT DID NOT QUALIFY FOR CHARITY CARE OR PUBLIC ASSISTANCE AND MORE THAN $25,111,593 MILLION (AT COST) IN EXCESS OF MEDICARE PAYMENT FOR HEALTH CARE SERVICES. RESPONDING TO COMMUNITY NEED SACRED HEART 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 UNLIKELY EXIST WITHOUT THE LEADERSHIP ROLE PLAYED BY SACRED HEART HOSPITAL AND THEY OFTEN RELIEVE A BURDEN THAT WOULD OTHERWISE BE CARRIED BY THE GOVERNMENT. SEVERAL OF THESE PROGRAMS AND ACTIVITIES ARE DESIGNED IN RESPONSE TO OUR CHNA FY2012, WHICH SURFACED THE FOLLOWING PRIORITY NEEDS FOR ATTENTION FROM THE HOSPITAL IN COLLABORATION WITH OTHER COMMUNITY ORGANIZATIONS: 1) MENTAL HEALTH; 2) CHRONIC DISEASE PREVENTION AND MANAGEMENT; AND 3) ALCOHOL AND OTHER DRUG ABUSE (AODA). TO DETERMINE THESE TOP PRIORITIES, THE HEALTHIEST WISCONSIN 2020 FRAMEWORK WAS ADOPTED BY THE COMMUNITY NEEDS ASSESSMENT TEAM (CNAT) TO DISCUSS AND PRIORITIZE IDENTIFIED NEEDS. RANKING CRITERIA WERE DEVELOPED AND EACH OF THE 12 HEALTH ISSUES WAS EVALUATED AGAINST THE CRITERIA. A WEIGHT WAS ASSIGNED TO EACH FROM ONE (LOW) TO FIVE (HIGH). CNAT MEMBERS THEN JOINTLY ASSIGNED A RATING FOR EACH CRITERIA FROM ONE TO FIVE FOR EACH HEALTH ISSUE. THE CNAT ENTERED INTO DIALOGUE WITH OTHER KEY COMMUNITY PARTNERS, INCLUDING REPRESENTATIVES OF THE LOCAL CITY/COUNTY HEALTH DEPARTMENT TO DISCUSS THE RESULTS OF THE EVALUATION AND SELECT HEALTH PRIORITIES. THE CNAT AND OTHERS WERE GIVEN OPPORTUNITY TO REVISE RANKINGS AND DEBATE HEALTH ISSUES UNTIL CONSENSUS WAS REACHED. IN FY2016, MANY ACTIVITIES AND SERVICES WILL BE MODIFIED OR SUPPLEMENTED TO FOCUS ON THE PRIORITY NEEDS IDENTIFIED BY THE CHNA FY2015. SACRED HEART HOSPITAL'S BOARD OF DIRECTORS APPROVED IMPLEMENTATION STRATEGIES FOR EACH HEALTH PRIORITY IDENTIFIED THROUGH THE CHNA FY2012 PROCESS. THE DEVELOPMENT AND EXPANSION OF SERVICES AND PROGRAMS TARGETED TO MEET THE THREE TOP HEALTH NEEDS, IN PARTICULAR MEETING FUNDAMENTAL BEHAVIORAL HEALTH NEEDS, CREATES AN EXPLICIT LINK TO IMPROVING COMMUNITY HEALTH STATUS. COORDINATION OF THESE PREVENTATIVE AND TREATMENT SERVICES AND PROGRAMS AMONG LOCAL HEALTH CARE PROVIDERS, COMMUNITY HEALTH AND SOCIAL SERVICE PROVIDERS, AND OTHER HEALTH PROMOTION AGENCIES IS NECESSARY SO THAT WESTERN WISCONSIN RESIDENTS GET THE APPROPRIATE PREVENTION, DIAGNOSTIC AND TREATMENT SERVICES NEEDED. THOUGH SOCIOECONOMIC CHALLENGES ARE DIFFICULT TO ELIMINATE, WESTERN WISCONSIN RESIDENTS WILL BENEFIT FROM SACRED HEART HOSPITAL'S EFFORTS TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES, CHRONIC DISEASE PREVENTATIVE HEALTH AND MANAGEMENT SERVICES, AND HEALTH EDUCATION PROGRAMMING. ACCESS TO MENTAL HEALTH CARE SERVICES FOR THE UNINSURED AND UNDERINSURED. SACRED HEART HOSPITAL EXPANDED ACCESS TO MENTAL HEALTHCARE FOR CHILDREN AND ADOLESCENTS BY OPENING AN OUTPATIENT BEHAVIORAL HEALTH CLINIC IN EAU CLAIRE IN FY2012. THIS SERVICE IS INCREDIBLY IMPORTANT AS IT INCREASES OUTPATIENT COVERAGE FOR MENTAL HEALTH SERVICES THAT ARE LACKING IN THE COMMUNITY. SACRED HEART WILL CONTINUE TO EXPAND THE PROGRAM BY RECRUITING ADDITIONAL PHYSICIAN PROVIDERS TO SERVE THIS LOCATION. IN TANDEM, THE USE OF SCREENING TOOLS FOR BEHAVIORAL AND MENTAL HEALTH RISK WILL BE PROMOTED AMONG HOSPITAL-AFFILIATED CLINICS FOR IMPROVED IDENTIFICATION OF MENTAL HEALTH ISSUES AND EARLIER INTERVENTION. SACRED HEART HOSPITAL ALSO PARTNERS WITH THE CHIPPEWA VALLEY FREE CLINIC (CVFC) TO EXPAND PROVIDER COVERAGE FOR CVFC PATIENTS WHO REQUIRE MENTAL HEALTHCARE SERVICES. EDUCATION AND AWARENESS OF MENTAL HEALTH. PROGRAMMING HAS BEEN DEVELOPED IN COLLABORATION WITH OTHER COMMUNITY ORGANIZATIONS TO EDUCATE THE PUBLIC ABOUT AWARENESS OF MENTAL HEALTH ISSUES AND TREATMENT, THE STIGMA ASSOCIATED WITH MENTAL ILLNESS, AND RECOGNITION OF MENTAL HEALTH NEEDS. CHRONIC DISEASE PREVENTION AND MANAGEMENT. THE FIT KIDS=FIT FAMILIES PROGRAM PILOTED IN 2010-2011 THROUGH THE HOSPITAL'S CENTER FOR HEALTH LIVING HAS BEEN ENHANCED AND OFFERED TO FAMILIES IN THE COMMUNITY. THE FOCUS OF THIS EFFORT IS TO INCREASE EDUCATION, ENHANCE TEACHING SKILLS, AND MODIFY BEHAVIORS OF CHILDREN AND THEIR FAMILIES TO IMPROVE LEVELS OF PHYSICAL ACTIVITY AND PROPER NUTRITION. IN ADDITION, SACRED HEART HOSPITAL OFFERS AN ONGOING COMMUNITY EDUCATION METABOLIC SYNDROME SPEAKER SERIES TO PROMOTE AWARENESS AND EARLY DETECTION IN AN EFFORT TO MINIMIZE THE DEVELOPMENT OF CHRONIC CONDITIONS. ACCESS AND EDUCATION FOR STROKE CARE. SACRED HEART HOSPITAL CONTINUES TO ENHANCE COMMUNITY EDUCATION ABOUT THE WARNING SIGNS OF STROKE, AS EARLY IDENTIFICATION AND INTERVENTION IS CRITICAL TO IMPROVING OUTCOMES AND SURVIVAL RATES. AN ONLINE SCREENING TOOL, STROKEAWARE, WAS IMPLEMENTED, WITH THE TOTAL NUMBER OF STROKE SCREENINGS CONTINUING TO INCREASE. SCHEDULE H, PART VI, LINE 5, PROMOTION OF COMMUNITY HEALTH (CONTINUED) EDUCATION AND AWARENESS OF ALCOHOL AND OTHER DRUG USE. IN PARTNERSHIP WITH OTHER COMMUNITY ORGANIZATIONS ALREADY ACTIVE IN THE SERVICE AREA COMMUNITY, SACRED HEART HOSPITAL COLLABORATES WITH EXISTING AGENCIES TO PROMOTE, EXPAND AND DEVELOP COMMUNITY AWARENESS PROGRAMS AIMED AT IDENTIFYING THE DANGERS AND RISKS OF ALCOHOL AND OTHER DRUG USE. THE AWARENESS INTERVENTIONS WILL BE USED TO DECREASE THE LIKELIHOOD OF INDIVIDUALS ENGAGING IN EXCESSIVE ALCOHOL AND OTHER DRUG USE. ENROLLMENT OUTREACH AND ASSISTANCE IN FY2014, HSHS AND ITS 13 HOSPITALS INVESTED CONSIDERABLE RESOURCES TO EDUCATE UNINSURED PERSONS ABOUT HISTORIC NEW OPPORTUNITIES TO ENROLL IN AFFORDABLE HEALTH INSURANCE COVERAGE AND TO FACILITATE THE ENROLLMENT PROCESS. BETWEEN OCTOBER 1, 2013 AND MARCH 31, 2014, STATE-BASED INSURANCE EXCHANGES BEGAN A SIX-MONTH OPEN ENROLLMENT PERIOD GIVING MILLIONS OF AMERICANS ACCESS TO HEALTH INSURANCE COVERAGE. IN FY2014, SACRED HEART HOSPITAL PLAYED A VITAL ROLE IN EDUCATING ELIGIBLE PEOPLE IN ITS LOCAL COMMUNITIES, REFERRING THEM TO CERTIFIED APPLICATION COUNSELORS AND/OR ENROLLING THEM IN THE HEALTH INSURANCE EXCHANGES. ENROLLMENT OUTREACH AND ACTIVITIES INCLUDED PRINTED MATERIALS, COLLEAGUE FORUMS, PUBLIC INFORMATIONAL EVENTS AT LOCAL LIBRARIES, PUBLIC INFORMATIONAL EVENTS AT HOSPITAL COMMUNITY BENEFIT EVENTS, LETTERS TO UNINSURED OR SELF-INSURED PATIENTS, AND ENROLLMENT WORKSHOPS IN PARTNERSHIP WITH LOCAL INSURANCE COMPANIES. IN ACCORDANCE WITH STANDARDS DEFINED BY THE CATHOLIC HEALTH ASSOCIATION USA (CHAUSA), SACRED HEART HOSPITAL HAS RECOGNIZED AN UNREIMBURSED COST OF COMMUNITY BENEFIT OF $22,309,070. THE COST OF SERVICING THE PEOPLE QUALIFYING FOR PUBLIC INDIGENT PROGRAMS (INCLUDING MEDICAID AND OTHER PUBLIC PROGRAMS) WAS $10,402,018. THE COST OF OUR HOSPITAL BASED COMMUNITY CARE PROGRAM WAS $4,796,772. SACRED HEART ALSO PROVIDED BENEFITS OF $7,110,280 TO THE COMMUNITY THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES THAT THE HOSPITAL BELIEVES SERVE A BONA FIDE COMMUNITY HEALTH NEED. THESE INCLUDE: THE HEALING PLACE: A CENTER FOR LIFE'S JOURNEYS IS SACRED HEART HOSPITAL'S FREE GRIEF AND HOLISTIC HEALING CENTER FOR THOSE EXPERIENCING LOSS AND/OR ADJUSTMENT ISSUES, SUCH AS THOSE BROUGHT ABOUT BY DEATH, DIVORCE, DISABILITY/ILLNESS, UNEMPLOYMENT, MILITARY SERVICE, ETC. SUPPORT SERVICES INCLUDE: GRIEF SUPPORT GROUPS, 1:1 COUNSELING, WORKSHOPS, PRESENTATIONS FOR INDIVIDUALS AND FAMILIES DEALING WITH LOSS AND MAJOR LIFE TRANSITIONS. DURING THE PAST YEAR, THE HEALING PLACE HAS OFFERED: - 1:1 COUNSELING TO ANYONE NEEDING HELP WITH A LIFE ADJUSTMENT ISSUE - EVENING AND DAYTIME SPOUSE LOSS GROUPS FOR THOSE WHO HAVE LOST A SPOUSE, BOTH TIME LIMITED AND ON-GOING - PREGNANCY AND INFANT LOSS SUPPORT GROUP FOR MISCARRIAGE, STILLBIRTH AND EARLY INFANT DEATH - PARENTS GRIEF GROUP FOR PARENTS WHO HAVE LOST A CHILD - SPONSOR OF INTERNATIONAL SURVIVOR'S OF SUICIDE DAY - CLASSES FOR TEACHING RESILIENCY/COPING SKILLS/STRESS MANAGEMENT - WORKSHOPS AND PRESENTATIONS FOR VARIOUS INSTITUTIONS AND BUSINESSES ON TOPICS RELATED TO GRIEF, LOSS, AND COPING - SPECIAL PROGRAMS AND WORKSHOPS INCLUDING GRIEF IN THE WORKPLACE AND GRIEF AND THE HOLIDAYS - SUPPORT GROUPS FOR THOSE EXPERIENCING DIVORCE OR LOSS OF A PARENT CENTER FOR HEALTHY LIVING AND OTHER EDUCATIONAL CLASSES AND RESOURCES INCLUDING: - PREPARED CHILDBIRTH (EXPECTANT PARENT CLASSES, SIBLING CLASSES, BREASTFEEDING CLASSES, AND LACTATION CONSULTING) - CPR CLASSES - BABYSITTING SEMINARS - PEDIATRIC HEALTH FAIR WITH HANDS-ON ACTIVITIES IN HEALTH, WELLNESS AND SAFETY FOR SECOND GRADE STUDENTS IN EAU CLAIRE COUNTY - WELLNESS PROGRAMS, SERVICES AND RETREATS - PARTICIPATION IN COMMUNITY AND LOCAL BUSINESS HEALTH FAIRS - CARING FOR THE CAREGIVER WORKSHOP - CENTER FOR MEDICAL EXCELLENCE COMMUNITY HEALTH INFORMATION ROOM WITH ACCESS TO PRINT AND ELECTRONIC MEDICAL JOURNALS AND OTHER HEALTH RESOURCES FOR PATIENT, FAMILY, AND COMMUNITY USE - ANNUAL "WOMAN TO WOMAN" HEALTHCARE EXPO, INCLUDES HEALTH AND PREVENTION SERVICES WITH MOTIVATIONAL SPEAKER AND SCREENINGS - INDOOR SPORTS CENTER "GET HOOKED ON HEALTH" KIDS EXPO (SAFETY EDUCATION, HEALTH & WELLNESS) - METABOLIC SYNDROME EDUCATIONAL SERIES AND OTHER EDUCATION PROGRAMS, SPEAKERS AND FREE SCREENINGS - TAR WARS, A TOBACCO-FREE EDUCATION PROGRAM FOR ELEMENTARY STUDENTS - MONTHLY CAR SEAT INSTALLATIONS AND EDUCATION PROGRAMS SPECIFIC FOR WIC FAMILIES - HELMET FITTING CLINICS - "DAY OF DANCE" TO CELEBRATE HEALTH AND LEARN ABOUT CARDIOVASCULAR DISEASE, INCLUDING BMI TESTING, BLOOD PRESSURE AND SLEEP APNEA SCREENINGS - JOINT RENEW CAMP FOR PATIENTS WHO WILL UNDERGO JOINT REPLACEMENT SURGERY - SAFETY TOWN PROGRAM - SPECIFIC FOR PRE K-K STUDENTS TO TEACH BASIC SAFETY (TAUGHT IN BLOOMER, MENOMONIE AND EAU CLAIRE) - COAT DRIVE COLLECTS OVER 6,000 COATS ANNUALLY AND GIVEN TO THOSE IN NEED SCHEDULE H, PART VI, LINE 5, PROMOTION OF COMMUNITY HEALTH (CONTINUED) CANCER CARE RELATED PROGRAMS: - LOOK GOOD, FEEL BETTER - A PROGRAM FOR WOMEN TO HELP THEM COPE WITH THE IMPACT OF CANCER TREATMENT ONGOING SUPPORT PROGRAMS: - ADULTS WITH LUNG PROBLEMS MEAL PROGRAMS AND SUPPORT INCLUDING: - MEALS FOR SENIOR CITIZENS AND CONGREGATE SITE MEALS HEALTH SCREENINGS INCLUDING: -BLOOD PRESSURE SCREENINGS AT HEALTH FAIRS SERVICES TO THE COMMUNITY, INCLUDING: - CENTER FOR SPIRITUAL CARE PASTORAL CARE CHAPLAIN AND VOLUNTEER ASSISTANCE WITH OVER 500 POWER OF ATTORNEY FOR HEALTH CARE (ADVANCE DIRECTIVE) FORMS - COMMUNITY PRESENTATION BY FATHER ALBERT HAASE ON SPIRITUAL CARE OF THE SICK AND DYING - SYMPOSIUM ON ADVANCE DIRECTIVES AND END-OF-LIFE DECISIONS - A VARIETY OF STUDENT INTERN PROGRAMS, WORK SHADOWING, AND TOURS - OVERNIGHT ACCOMMODATIONS FOR FAMILIES OF CRITICALLY ILL PATIENTS - PATIENT FOLLOW-UP POST DISCHARGE CALLS PROGRAM - MEDICAL EQUIPMENT, SUPPLIES, LABORATORY SERVICES, IMAGING SERVICES DONATED TO THE CHIPPEWA VALLEY FREE CLINIC AND ITS PATIENTS BELOW THE FEDERAL POVERTY LEVEL - ETHICS SYMPOSIUM FOR COMMUNITY ON END-OF-LIFE ISSUES - SYMPOSIUM SUPPORT AND SPONSORSHIP FOR THE CATHOLIC MEDICAL ASSOCIATION - DISASTER PREPAREDNESS PLANNING - INFLUENZA/H1N1 COMMUNITY EDUCATION - "GOT RED?" EVENT AT OAKWOOD MALL IN FEBRUARY, IN CELEBRATION OF AMERICAN HEART MONTH, INCLUDES HEART HEALTH PRESENTATIONS, PRESENTATION ON WARNING SIGNS OF STROKE, EXERCISE DEMONSTRATIONS, HEART HEALTHY COOKING DEMONSTRATIONS, INCLUDING RECIPES AND COOKBOOKS, AND FREE BLOOD PRESSURE SCREENINGS - PARTICIPATION IN FARM EXPO, INCLUDING FREE BLOOD PRESSURE SCREENINGS - PARTICIPATION IN XCEL ENERGY'S KIDS EXPO - EXTENSIVE EDUCATIONAL PROGRAMMING ON THE EPIDEMIC OF METABOLIC SYNDROME, DIABETES AND OBESITY - TAR WARS PROGRAM, TEACHING CHILDREN POSITIVE REASONS FOR NOT USING TOBACCO HOSTING MEETINGS, DRIVES AND SPONSORSHIPS FOR: - RED CROSS BLOOD DRIVES - CATHOLIC CHARITIES EVENTS AND EDUCATION, SPONSORSHIP OF ANNUAL FUNDRAISING DINNER - SOJOURNER HOUSE - EAU CLAIRE HOMELESS SHELTER - DIOCESE OF LA CROSSE OFFICE OF FAMILY LIFE - UNITED WAY EVENTS - RELAY FOR LIFE - AMERICAN CANCER SOCIETY - SPECIAL OLYMPICS POLAR PLUNGE - AMERICAN HEART ASSOCIATION HEART WALK - BRAIN INJURY ASSOCIATION OF WISCONSIN - BREAKFAST IN THE VALLEY, TO CELEBRATE THE IMPORTANCE OF AGRICULTURE IN OUR LOCAL ECONOMY - RED CROSS REAL HEROES BANQUET - LOGISTICAL SUPPORT AND MEETING SPACE FOR THE CHIPPEWA VALLEY INTERNETWORKING CONSORTIUM TO HELP EXPAND FIBER BROADBAND INFRASTRUCTURE AND SERVICE TO THE COMMUNITY AND TO RURAL AND UNDERSERVED AREAS TO SUPPORT TELEMEDICINE AND OTHER HEALTH PROJECTS, ALONG WITH CITY/COUNTY GOVERNMENTS, EMS, LIBRARIES AND SCHOOLS/EDUCATION - LOCAL "GREEN" AND ENVIRONMENTAL SUSTAINABILITY EDUCATIONAL EVENTS FIRST AID BOOTHS FOR COMMUNITY EVENTS/FESTIVALS, INCLUDING: - BUCKSHOT RUN - COUNTRY JAM - FESTIVAL IN THE PINES - INTERNATIONAL FALL FESTIVAL "GREEN" ENVIRONMENTAL STEWARDSHIP AND SUSTAINABILITY EFFORTS (RECYCLING AND REUSING) INCLUDING: - THE HOSPITAL DONATED LEFTOVER FOOD TO THE ST. FRANCIS FOOD PANTRY - DONATED USED EQUIPMENT TO THIRD WORLD COUNTRIES VIA THE HOSPITAL SISTERS MISSION OUTREACH: MEDICAL EQUIPMENT WENT TO NEEDY HOSPITALS AND CLINICS IN THIRD WORLD COUNTRIES SUCH AS MONGOLIA AND UKRAINE AND TO U.S. NAVY PROJECT HANDCLASP. EQUIPMENT INCLUDED BEDS, WHEELCHAIRS, EXAM LIGHTS, WALKERS, X-RAY APRONS, MEDICAL CARTS, SURGICAL INSTRUMENTS, STRETCHERS, LINENS AND VARIOUS OTHER ITEMS - AS AN ORGANIZATION DEDICATED TO CREATING INNOVATIVE METHODS TO REDUCE, REUSE, AND RECYCLE FOR THE BETTERMENT OF OUR COMMUNITY AND PLANET, SEVERAL DEPARTMENTS THROUGHOUT SACRED HEART HOSPITAL HAVE DEVELOPED NEW WAYS TO REDUCE WASTE TO OUR LOCAL LANDFILLS. INCLUDED IN THESE EFFORTS IS A UNIQUE PARTNERSHIP WITH A LOCAL BUSINESS, EAU CLAIRE MOVING AND STORAGE, TO REUSE THE CLEAN BLUE WRAPS THAT ARE ON INSTRUMENTS AND INSTRUMENT PANS IN THE STERILE PROCESSING DEPARTMENT AND THE OPERATING ROOM. CURRENTLY THE WRAP IS NOT RECYCLABLE AND EC MOVING IS HELPING BY REUSING THE PRODUCT TO ASSIST WITH PACKING AND MOVING. THIS WAY THE BLUE WRAP PRODUCT WILL BE UTILIZED TWICE PRIOR TO IT REACHING OUR LANDFILLS AND WILL ELIMINATE A SECOND PRODUCT THAT THE MOVERS WOULD NORMALLY USE. THIS IDEA CAME FROM SACRED HEART'S SUSTAINABILITY TEAM AND IS BEING CARRIED OUT BY OR AND SPD COLLEAGUES. IN OUR FY2016, MANY OF THE ABOVE ACTIVITIES WILL BE CONTINUED OR STRENGTHENED AS SACRED HEART HOSPITAL BEGINS TO FOCUS ON THE PRIORITY NEEDS IDENTIFIED DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS IN FY2015. AS OUTLINED IN A BOARD-APPROVED "IMPLEMENTATION STRATEGY," THE FOCUS OF OUR ACTIVITIES AND PROGRAMS WERE: ACCESS TO MENTAL HEALTH CARE SERVICES FOR THE UNINSURED AND UNDERINSURED; EDUCATION AND AWARENESS OF MENTAL HEALTH; RESOURCES AND PROGRAMMING FOR CHRONIC DISEASE PREVENTION AND MANAGEMENT; ACCESS AND EDUCATION FOR STROKE CARE; AND EDUCATION AND AWARENESS OF ALCOHOL AND OTHER DRUG USE. Schedule H, Part VI, Line 6, Affiliated health care system SACRED HEART HOSPITAL IS AN AFFILIATE OF HOSPITAL SISTERS HEALTH SYSTEM (HSHS), A HEALTH CARE MINISTRY THAT INCLUDES 13 HOSPITALS, NUMEROUS COMMUNITY-BASED HEALTH CENTERS AND CLINICS, AND HUNDREDS OF PHYSICIAN PARTNERS ACROSS ILLINOIS AND WISCONSIN. THE MISSION OF HSHS IS "TO REVEAL AND EMBODY CHRIST'S HEALING LOVE FOR ALL PEOPLE THROUGH OUR HIGH QUALITY FRANCISCAN HEALTH CARE MINISTRY." WE LIVE OUR MISSION BY PROVIDING HOLISTIC HEALING TO ALL WHO SEEK OUR CARE, AS WELL AS THROUGH COMMUNITY BENEFIT. WORKING COLLABORATIVELY WITH OTHERS IN THE COMMUNITIES WE SERVE, OUR COMMUNITY BENEFIT INITIATIVES ARE STRATEGICALLY AND SUCCESSFULLY EXPANDING ACCESS TO CARE, IMPROVING THE HEALTH STATUS OF RESIDENTS, AND FURTHERING MEDICAL EDUCATION AND KNOWLEDGE. IN FY2014, OUR 13 HOSPITALS RESPONDED TO NEEDS IDENTIFIED IN EACH OF THEIR COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS) COMPLETED IN FY2012. THE INFORMATION GATHERED FROM THESE ASSESSMENTS WAS USED TO DEVELOP NEW AND ENHANCE EXISTING COMMUNITY BENEFIT PROGRAMS AND SERVICES THAT BEST ADDRESSED COMMUNITY NEEDS. INCLUDED AMONG THE MANY PRIORITY NEEDS IDENTIFIED IN OUR CHNAS WERE CHRONIC DISEASE PREVENTION AND MANAGEMENT, OBESITY, ADEQUATE FOOD AND NUTRITION, MENTAL HEALTH, AND ACCESS TO HEALTH CARE SERVICES. HSHS HOSPITALS ARE PROACTIVELY ADDRESSING THESE AND OTHER NEEDS THROUGH PATIENT, PROVIDER AND COMMUNITY EDUCATION, PREVENTATIVE SCREENINGS, SELF-MANAGEMENT CLASSES, AND NEW OR ENHANCED CLINICAL SERVICES. ACROSS HSHS, WE COLLECTIVELY PROVIDED $174.0 MILLION IN COMMUNITY BENEFIT (OR 9.3% OF TOTAL HOSPITAL EXPENSES) IN FY2014. INCLUDED IN THIS AMOUNT WAS $39.9 MILLION PROVIDED FOR FINANCIAL ASSISTANCE (I.E. CHARITY CARE) AND $95.8 MILLION FOR UNREIMBURSED CARE PROVIDED UNDER THE MEDICAID PROGRAM. IN ADDITION, HSHS HOSPITALS COMMITTED SIGNIFICANT RESOURCES TO CARE FOR MEDICARE PATIENTS. THE COST OF PROVIDING SERVICES TO PRIMARILY ELDERLY BENEFICIARIES OF THE MEDICARE PROGRAM - IN EXCESS OF GOVERNMENTAL AND MANAGED CARE CONTRACT PAYMENTS - WAS $175.2 MILLION. HSHS HOSPITALS ALSO RECORDED $94.2 MILLION IN UNCOLLECTIBLE ACCOUNTS. WHILE THE LATTER TWO AMOUNTS ARE NOT COUNTED AS COMMUNITY BENEFIT, THEY NONETHELESS REFLECT OUR COMMITMENT TO ALL PERSONS IN NEED OF CARE. IN ADDITION TO THE DOLLARS INVESTED IN OUR COMMUNITY BENEFIT PROGRAMS, HSHS ALSO CONTINUES TO REINVEST ANY SURPLUS REVENUE FROM OPERATIONS AND INVESTMENTS INTO NEW MEDICAL TECHNOLOGY, FACILITY INFRASTRUCTURE AND HEALTH CARE SERVICES IN OUR COMMUNITIES. BY DOING SO, WE ENSURE WE ARE ABLE TO MEET THE ONGOING DEMAND FOR HIGH QUALITY, EFFICIENT AND EASILY ACCESSIBLE HEALTH CARE. RECOGNIZING THAT THE HEALTH CARE DELIVERY MODEL IN THE UNITED STATES IS EVOLVING, HSHS REMAINS FOCUSED ON IMPLEMENTING OUR CARE INTEGRATION STRATEGY. CARE INTEGRATION COORDINATES THE DELIVERY OF CARE AROUND THE NEEDS OF EACH PATIENT. DURING FY2014, WE MADE SIGNIFICANT PROGRESS WITH THIS STRATEGY AS WE FURTHER IMPLEMENTED INTEROPERABLE HEALTH INFORMATION TECHNOLOGIES, EXPANDED THE NUMBER OF MEDICAL HOMES, AND STRENGTHENED OUR ALIGNMENT WITH PHYSICIANS. GREATER ACCESS TO CARE AS A FRANCISCAN HEALTH CARE MINISTRY, HSHS IS DEEPLY COMMITTED TO SERVING THOSE WHO ARE MOST IN NEED. WE NOT ONLY PROVIDE CARE TO EVERY PATIENT WHO WALKS THROUGH OUR DOORS, BUT ALSO REACH OUT BEYOND THE WALLS OF OUR HOSPITALS AND CLINICS TO CARE FOR THOSE IN OUR COMMUNITIES. OUR EFFORTS TO ENSURE RESIDENTS IN THE COMMUNITIES WE SERVE RECEIVE THE RIGHT CARE AT THE RIGHT TIME IN THE RIGHT SETTING OFTEN INVOLVE PARTNERING WITH OTHERS TO ACHIEVE THIS GOAL. ACROSS OUR TWO-STATE SYSTEM, THERE ARE NUMEROUS EXAMPLES OF HSHS COLLABORATING WITH OTHER ORGANIZATIONS TO ENHANCE ACCESS TO CARE FOR THOSE IN NEED. IN FY2014, HSHS AND OUR 13 HOSPITALS INVESTED A CONSIDERABLE AMOUNT OF COMMUNITY BENEFIT RESOURCES TO EDUCATE THE UNINSURED ABOUT HISTORIC NEW OPPORTUNITIES TO ENROLL IN AFFORDABLE HEALTH CARE COVERAGE AND TO FACILITATE THE ENROLLMENT PROCESS. STUDIES HAVE SHOWN THAT PEOPLE WITHOUT INSURANCE COVERAGE ARE MORE LIKELY THAN THEIR INSURED COUNTERPARTS TO POSTPONE CARE AND TO DEVELOP MORE SEVERE AND EXPENSIVE CONDITIONS. IT IS FOR THIS REASON THAT THE CATHOLIC CHURCH, CATHOLIC HEALTH CARE AND HSHS HAVE LONG PROMOTED "COVERAGE AND ACCESS FOR ALL." HSHS AND OUR 13 HOSPITALS IN PARTNERSHIP WITH LOCAL HEALTH DEPARTMENTS, SOCIAL SERVICE AGENCIES AND OTHER HEALTH CARE PROVIDERS PLAYED A VITAL ROLE IN EDUCATING ELIGIBLE PEOPLE IN THEIR LOCAL COMMUNITIES, IN REFERRING PEOPLE TO CERTIFIED APPLICATION COUNSELORS AND/OR IN ENROLLING THEM IN THE HEALTH INSURANCE EXCHANGES OR IN SECURING COVERAGE THROUGH MEDICAID EXPANSION. OF THE EIGHT STATES WITH THE HIGHEST CONCENTRATION OF UNINSURED, ILLINOIS WAS AMONG 25 STATES THAT MOVED TOWARD MEDICAID EXPANSION UNDER THE AFFORDABLE CARE ACT. WITH THE SUPPORT OF ST. MARY'S HOSPITAL MEDICAL CENTER AND ST. VINCENT HOSPITAL IN GREEN BAY, WISCONSIN, THE NEW COMMUNITY CLINIC DENTAL PROGRAM ON THE CAMPUS OF NORTHEAST WISCONSIN (NEW) TECHNICAL COLLEGE WAS ABLE TO PURCHASE EQUIPMENT TO ENABLE LOCAL ORAL SURGEONS TO PROVIDE CARE (ON A VOLUNTEER BASIS) AT THE CLINIC - THE SITE THAT ST. MARY'S AND ST. VINCENT HOSPITALS HELPED TO ESTABLISH IN 2013. ANNUALLY, THE CLINIC PROVIDES DENTAL SERVICES TO APPROXIMATELY 6,000 LOW-INCOME AND UNINSURED PERSONS INCLUDING THE HOMELESS IN BROWN COUNTY. ST. FRANCIS HOSPITAL IN LITCHFIELD, ILLINOIS PARTNERED WITH LEWIS & CLARK COMMUNITY COLLEGE AND LOCAL DENTAL PROVIDERS TO BRING THE COLLEGE'S MOBILE DENTAL HEALTH UNIT TO THE LITCHFIELD AREA; THE UNIT PROVIDES EXAMS AND SCREENINGS, X-RAYS AND HYGIENE TO THOSE IN NEED. IN WESTERN WISCONSIN, A PARTNERSHIP BETWEEN ST. JOSEPH'S HOSPITAL IN CHIPPEWA FALLS, THE CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP (CHIP), LE PHILLIPS-LIBERTAS TREATMENT CENTER AND THE OPEN DOOR CLINIC (A FREE CLINIC SUPPORTED BY ST. JOSEPH'S HOSPITAL AND CHIP) WAS DEVELOPED IN FY2014 TO PROVIDE FREE BEHAVIORAL HEALTH SERVICES TO ELIGIBLE PATIENTS OF THE OPEN DOOR CLINIC. THIS INITIATIVE IS IN DIRECT RESPONSE TO THE IDENTIFIED NEED TO PROVIDE BETTER ACCESS TO MENTAL HEALTH SERVICES FOR THOSE WITHOUT INSURANCE COVERAGE. IN FY2014, 105 REFERRALS WERE MADE FROM THE OPEN DOOR CLINIC TO LE PHILLIPS-LIBERTAS TREATMENT CENTER. IN TOTAL, 950 VISITS WERE PROVIDED TO REFERRED PATIENTS INCLUDING INITIAL INTAKE AND FOLLOW UP THERAPY SESSIONS - MENTAL HEALTH SERVICES THAT WOULD NOT HAVE BEEN RECEIVED HAD THE PROGRAM NOT BEEN DEVELOPED AND IMPLEMENTED. IN SOUTHEAST ILLINOIS, AREA RESIDENTS CAN GET HELP FILLING A PRESCRIPTION THROUGH THE LONG-TERM COLLABORATION BETWEEN ST. ANTHONY'S MEMORIAL HOSPITAL IN EFFINGHAM AND CATHOLIC CHARITIES. IN FY2014, ST. ANTHONY'S HELPED UNDERWRITE THE COST OF PRESCRIPTION MEDICATIONS FOR 311 RESIDENTS, A 10% INCREASE OVER FY2013. ST. ANTHONY'S AND CATHOLIC CHARITIES BELIEVE THAT NO ONE SHOULD BE WITHOUT PRESCRIBED MEDICATIONS BECAUSE OF INABILITY TO PAY. IN SOUTHWEST ILLINOIS, ST. JOSEPH'S HOSPITAL IN HIGHLAND ENHANCED THEIR OFFERINGS TO THEIR SENIOR POPULATION BASED ON THEIR CHNA. "SENIOR RENEWAL" IS AN OUTPATIENT COUNSELING PROGRAM FOR SENIOR ADULTS WHO MAY BE FACING EMOTIONAL AND PHYSICAL PROBLEMS UNIQUE TO THE AGING PROCESS SUCH AS FEELINGS OF LONELINESS, ISOLATION AND ANXIETY. CLIENTS RECEIVE AN INTENSIVE LEVEL OF TREATMENT WITHOUT INPATIENT HOSPITALIZATION THROUGH COUNSELING STRATEGIES AND EDUCATION. IN ADDITION, ST. JOSEPH'S HOSPITAL IN COLLABORATION WITH THE ILLINOIS DEPARTMENT OF INSURANCE PARTICIPATES IN THE SENIOR HEALTH INSURANCE PROGRAM (SHIP), A FREE HEALTH INSURANCE COUNSELING SERVICE FOR MEDICARE BENEFICIARIES AND THEIR CAREGIVERS. IN ADDITION TO PROGRAMS DESIGNED TO INCREASE ACCESS TO CARE, HSHS MAKES SURE THAT THOSE WHO NEED FINANCIAL ASSISTANCE RECEIVE IT. HSHS'S FINANCIAL ASSISTANCE (CHARITY CARE) POLICY WAS MODIFIED EFFECTIVE JANUARY 1, 2014 TO OFFER A 25% SELF-PAY DISCOUNT TO ALL PATIENTS WHO REGISTER WITHOUT INSURANCE. HSHS FINANCIAL ASSISTANCE PROGRAMS HAVE A SLIDING SCALE, IN SOME INSTANCES PROVIDING UP TO A 55% REDUCTION OFF BILLED CHARGES IF AN UNINSURED PATIENT'S FAMILY INCOME LEVEL IS DETERMINED TO BE ABOVE 500% BUT EQUAL TO OUR LESS THAN 600% OF THE CURRENT FEDERAL POVERTY GUIDELINES. ALL CHARGES ARE WAIVED FOR PATIENTS BELOW 200% OF THE FEDERAL POVERTY LEVELS. COUNSELORS ARE AVAILABLE IN OUR HOSPITALS TO EXPLAIN OUR FINANCIAL ASSISTANCE POLICY TO PATIENTS, PROVIDE THEM WITH ASSISTANCE IN FILLING OUT A SIMPLE APPLICATION FORM, OR HELP THEM ENROLL IN PUBLICLY FUNDED HEALTH CARE PROGRAMS. SCHEDULE H, PART VI, LINE 6, AFFILIATED HEALTH 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 WI X X X X X X false true false false false false false false false JULIE MANAS PRESIDENT/CEO 0 407322 0 138120 0 96055 0 94179 0 23067 0 758743 0 0 LAWRENCE SCHUMACHER DIRECTOR 0 658748 0 185209 0 390861 0 178777 0 25741 0 1439336 0 332388 ANN M CARR TREASURER 0 223926 0 38138 0 56891 0 236713 0 18355 0 574023 0 24602 DAVE NELSON DIVISION CHIEF FINANCIAL OFFICER 332944 0 12137 0 10027 0 41084 0 18401 0 414593 0 0 0 HUMAYUN KAHN CMO 248887 0 12940 0 30999 0 25602 0 28119 0 346547 0 0 0 FAYE DEICH COO 302189 0 44686 0 1311 0 0 0 25609 0 373795 0 0 0 AMY DWYER CHIEF NURSING OFFICER 202617 0 11959 0 2141 0 224420 0 21185 0 462322 0 0 0 ROBERT DEFATTA PHYSICIAN 551731 0 0 0 1266 0 20825 0 8959 0 582781 0 0 0 RIMA DEFATTA PHYSICIAN 414703 0 20000 0 947 0 16677 0 40795 0 493122 0 0 0 JOHN WACIUMA PHYSICIAN 711246 0 0 0 17500 0 58144 0 10041 0 796931 0 0 0 MONICA MCDONALD PHYSICIAN 545153 0 0 0 0 0 38746 0 22590 0 606489 0 0 0 KEVIN HESS PHYSICIAN 331744 0 0 0 909 0 38052 0 28099 0 398804 0 0 0 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). JULIE MANAS -- $55,010 LAWRENCE SCHUMACHER -- $121,580 ANN M. CARR -- $28,503 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. LAWRENCE SCHUMACHER -- $332,388 ANN M. CARR -- $24,602 PATHOLOGY SERVICE CORPORATION BOARD MEMBER IS A PARTNER 360900 HOSPITAL BASED PATHOLOGY SVCS false SCHEDULE L, PART IV, SCHEDULE L, PART IV BUSINESS TRANSACTIONS WITH INTERESTED PARTIES ARE COMPLIANT WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. ANY TRANSACTIONS REQUIRING BOARD APPROVAL WERE REVIEWED BY AN INDEPENDENT BOARD PRIOR TO BEING APPROVED. FORM 990, PART III, LINE 1, ORGANIZATION'S MISSION THE PRIMARY PURPOSE OF SACRED HEART HOSPITAL IS TO PROVIDE A STRUCTURE AND THE MEANS WHEREBY THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS CAN CONTINUE THEIR APOSTOLIC MISSION TO SERVE THE SICK, THE AGED, THE POOR AND THE TERMINALLY ILL WITHOUT REGARD TO RACE, COLOR, CREED OR NATIONAL ORIGIN. THE PRIMARY CONCERN OF SACRED HEART HOSPITAL AND THE HOSPITAL SISTERS IS THE PATIENT'S WELL BEING...SPIRITUALLY, PHYSICALLY, PSYCHOLOGICAL AND SOCIAL. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS SACRED HEART HOSPITAL PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF SACRED HEART HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES, AND FURTHER THAT OUR MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY ARE CONSIDERED WHERE THERE IS A DEMONSTRATED NEED. THESE ACTIVITIES INCLUDE BEHAVIORAL HEALTH SERVICES, WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, SPECIAL PROGRAMS FOR THE ELDERLY, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. SACRED HEART HOSPITAL PROVIDED 44,217 ADULT AND PEDIATRIC DAYS OF CARE AND 108,822 OUTPATIENT VISITS DURING FISCAL YEAR ENDED JUNE 30, 2014. SACRED HEART HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST. RECOGNIZING OUR MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. IN ACCORDANCE WITH STANDARDS DEFINED BY THE CATHOLIC HEALTH ASSOCIATION USA (CHAUSA), SACRED HEART HOSPITAL HAS RECOGNIZED AN UNREIMBURSED COST OF COMMUNITY BENEFIT OF $22,309,070. THE COST OF SERVICING THE PEOPLE QUALIFYING FOR PUBLIC INDIGENT PROGRAMS (INCLUDING MEDICAID AND OTHER PUBLIC PROGRAMS) WAS $10,402,018. THE COST OF OUR HOSPITAL BASED COMMUNITY CARE PROGRAM WAS $4,796,772. SACRED HEART ALSO PROVIDED BENEFITS OF $7,110,280 TO THE COMMUNITY THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES THAT SACRED HEART HOSPITAL BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. THESE INCLUDE: * SUPPORT GROUPS INCLUDING: - THE HEALING PLACE: A CENTER FOR LIFE'S JOURNEYS IS SACRED HEART HOSPITAL'S FREE GRIEF AND HOLISTIC HEALING CENTER FOR INDIVIDUALS WHO HAVE EXPERIENCED A LOSS OR ARE DEALING WITH A MAJOR LIFE TRANSITION. SUPPORT INCLUDES: GRIEF SUPPORT GROUPS, COUNSELING, WORKSHOPS, PRESENTATIONS TO GRIEVING INDIVIDUALS AND FAMILIES SUCH AS: 1. EVENING AND DAYTIME SPOUSE LOSS GROUPS FOR THOSE WHO HAVE LOST A SPOUSE 2. SHARE SUPPORT GROUP FOR MISCARRIAGE, STILLBIRTH AND EARLY INFANT DEATH 3. PARENTS GRIEF GROUP FOR PARENTS WHO HAVE LOST A CHILD 4. ADULT LOSS OF A PARENT FOR THOSE WHO HAVE LOST A PARENT 5. CHILDREN'S GRIEF GROUP FOR CHILDREN AGES 6-12 WHO HAVE LOST A SPECIAL PERSON 6. SUICIDE SURVIVOR'S GROUP FOR THOSE WHO HAVE LOST A LOVED ONE TO SUICIDE 7. WORKSHOPS AND PRESENTATIONS TO HEALTHCARE, RELIGIOUS, EDUCATIONAL AND MENTAL HEALTH INSTITUTIONS ON TOPICS RELATED TO GRIEF AND LOSS. 8. SPECIAL PROGRAMS AND WORKSHOPS INCLUDING GRIEF IN THE WORKPLACE AND GRIEF AND THE HOLIDAYS 9. NEW SUPPORT SERVICES, SHORT-TERM COUNSELING, CLASSES AND WORKSHOPS PROVIDE SUPPORT FOR THOSE COPING WITH NON-DEATH-RELATED LIFE TRANSITIONS INCLUDING: DIVORCE OR SEPARATION, ILLNESS, DISABILITY, JOB CHANGES, MILITARY DEPLOYMENT AND RETIREMENT - SEVERAL CANCER CARE RELATED PROGRAMS, INCLUDING; "REACH TO RECOVERY" AND "LIVING WITH CANCER" AND WIG LOAN CLOSET SUPPORT GROUPS FOR DISEASES/DISORDERS SUCH AS; ALZHEIMER'S, AMPUTEE CLINIC, MULTIPLE SCLEROSIS, SPINAL CORD INJURY, AND OTHERS - BREASTFEEDING SUPPORT GROUP * CENTER FOR HEALTHY LIVING AND OTHER EDUCATIONAL CLASSES AND RESOURCES INCLUDING: - PREPARED CHILDBIRTH (LAMAZE, PRENATAL, SIBLING CLASSES AND LACTATION CONSULTING) - EMT AND OTHER PROFESSIONAL TRAINING SUCH AS ACLS - ADULT, INFANT AND CHILD CPR CLASSES - BABYSITTING/SMARTER SITTER SEMINARS - ARTHRITIS, PARKINSON'S DISEASE, OSTEOPOROSIS AND OTHERS - PEDIATRIC HEALTH FAIR WITH HANDS-ON ACTIVITIES IN HEALTH, WELLNESS AND SAFETY. - WELLNESS PROGRAMS, SERVICES AND RETREATS - PARTICIPATION IN HEALTH FAIRS - CARING FOR THE CAREGIVER - CENTER FOR MEDICAL EXCELLENCE COMMUNITY HEALTH INFORMATION ROOM WITH ACCESS TO PRINT AND ELECTRONIC MEDICAL JOURNALS AND OTHER HEALTH RESOURCES FOR PATIENT, FAMILY, AND COMMUNITY USE - ANNUAL "WOMAN TO WOMAN" HEALTHCARE EXPO - INDOOR SPORTS CENTER "GET HOOKED ON HEALTH" KIDS EXPO (SAFETY EDUCATION, HEALTH & WELLNESS) - CENTER FOR SPIRITUAL CARE SPEAKERS' BUREAU * MEAL PROGRAMS & SUPPORT INCLUDING: - MEALS FOR SENIOR CITIZENS AND CONGREGATE SITE MEALS - THANKSGIVING ST. FRANCIS FOOD PANTRY FOOD DRIVE COLLECTION PROGRAM FOR NEEDY FAMILIES - COAT, MITTEN, LINEN AND BLANKET DRIVE - CHRISTMAS SPONSOR-A-FAMILY DRIVE - ESSENTIALS (TOILETRIES) DRIVE * HEALTH SCREENINGS INCLUDING: - REDUCED FEE MAMMOGRAMS - PROSTATE (PSA) SCREENINGS - BLOOD PRESSURE SCREENINGS - STROKE PREVENTION CLINIC/SCREENINGS * SERVICES TO THE COMMUNITY, INCLUDING: - CENTER FOR SPIRITUAL CARE PASTORAL CARE CHAPLAIN & VOLUNTEER ASSISTANCE WITH OVER 650 POWER OF ATTORNEY FOR HEALTH CARE (ADVANCE DIRECTIVE) FORMS - A VARIETY OF STUDENT INTERN PROGRAMS, WORK SHADOWING, AND TOURS - OVERNIGHT ACCOMMODATIONS FOR FAMILIES OF CRITICALLY ILL PATIENTS - PATIENT FOLLOW-UP POST DISCHARGE CALLS PROGRAM - MEDICAL EQUIPMENT, SUPPLIES, LABORATORY SERVICES, IMAGING SERVICES DONATED TO THE CHIPPEWA VALLEY FREE CLINIC AND ITS PATIENTS BELOW THE FEDERAL POVERTY LEVEL - ANNUAL BIOETHICS SYMPOSIUM - SYMPOSIUM SUPPORT AND SPONSORSHIP FOR THE CATHOLIC MEDICAL ASSOCIATION - DISASTER PREPAREDNESS PLANNING - INFLUENZA/H1N1 COMMUNITY EDUCATION - SYMPOSIUM SPONSORSHIP ON FINANCIAL MANAGEMENT DURING CHALLENGING ECONOMIC TIMES FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED) * HOSTING MEETINGS, DRIVES AND SPONSORSHIPS FOR: - RED CROSS BLOOD DRIVES - CATHOLIC CHARITIES EVENTS AND EDUCATION - DIOCESE OF LA CROSSE OFFICE OF FAMILY LIFE - UNITED WAY EVENTS - RELAY FOR LIFE - AMERICAN CANCER SOCIETY - SPECIAL OLYMPICS POLAR PLUNGE - AMERICAN HEART ASSOCIATION HEART WALK - BRAIN INJURY ASSOCIATION OF WISCONSIN - BREAKFAST IN THE VALLEY - RED CROSS REAL HEROES BANQUET - PRODUCERS & BUYERS CO-OP: LINKING LOCAL FARMS AND INSTITUTIONS, ORGANIZATIONAL SUPPORT FOR MEETINGS AND ORGANIZATIONAL AND SECRETARIAL SUPPORT TO ENCOURAGE LOCAL FOOD SOURCING BY INSTITUTIONS TO BENEFIT THE LOCAL ECONOMY (IN PARTNERSHIP WITH RIVER COUNTRY RC&D AND LOCAL FAMILY FARMS) - LOGISTICAL SUPPORT AND MEETING SPACE FOR THE CHIPPEWA VALLEY INTERNETWORKING CONSORTIUM TO HELP EXPAND FIBER BROADBAND INFRASTRUCTURE AND SERVICE TO THE COMMUNITY AND TO RURAL AND UNDERSERVED AREAS TO SUPPORT TELEMEDICINE AND OTHER HEALTH PROJECTS, ALONG WITH CITY/COUNTY GOVERNMENTS, EMS, LIBRARIES AND SCHOOLS/EDUCATION - LOCAL "GREEN" AND ENVIRONMENTAL SUSTAINABILITY EDUCATIONAL EVENTS * FIRST AID BOOTHS FOR COMMUNITY EVENTS/FESTIVALS, INCLUDING: - BUCKSHOT RUN - COUNTRY JAM - FESTIVAL IN THE PINES - INTERNATIONAL FALL FESTIVAL * "GREEN" ENVIRONMENTAL STEWARDSHIP AND SUSTAINABILITY EFFORTS (RECYCLING AND REUSING) INCLUDING: - MORE THAN 5 TONS OF FOOD SCRAP PRODUCE WERE DONATED TO A LOCAL RANCH FOR ANIMAL FEED - THE HOSPITAL DONATED MORE THAN 4.5 TONS OF LEFTOVER FOOD TO THE ST. FRANCIS FOOD PANTRY - DONATED 11.5 TONS OF USED EQUIPMENT (8,400 ITEMS) TO THIRD WORLD COUNTRIES VIA THE HOSPITAL SISTERS MISSION OUTREACH: MEDICAL EQUIPMENT WENT TO NEEDY HOSPITALS AND CLINICS IN THIRD WORLD COUNTRIES SUCH AS MONGOLIA AND UKRAINE AND TO U.S. NAVY PROJECT HANDCLASP. EQUIPMENT INCLUDED BEDS, WHEELCHAIRS, EXAM LIGHTS, WALKERS, X-RAY APRONS, MEDICAL CARTS, SURGICAL INSTRUMENTS, STRETCHERS, LINENS AND VARIOUS OTHER ITEMS SACRED HEART HOSPITAL HAS PREPARED THE FINANCIAL INFORMATION IN THIS REPORT IN ACCORDANCE WITH CHAUSA COMMUNITY BENEFIT REPORTING GUIDELINES. THESE GUIDELINES RECOMMEND THE FOLLOWING: * REPORT COMMUNITY CARE AT COST, NOT CHARGES. * DO NOT INCLUDE BAD DEBT, CONTRACTUAL ALLOWANCES, AND QUICK PAY DISCOUNTS AS PART OF CHARITY CARE EXPENSE. * DO NOT COUNT MEDICARE SHORTFALL AS A COMMUNITY BENEFIT. * REPORT THE NET EXPENSE FOR COMMUNITY BENEFIT SERVICES, I.E., THE TOTAL COMMUNITY BENEFIT EXPENSE MINUS ANY ASSOCIATED REVENUE FROM PATIENTS, PAYERS, AND OTHER EXTERNAL SOURCES. THE CATHOLIC HEALTH ASSOCIATION'S REPORTING GUIDELINES REFLECT A CONSERVATIVE APPROACH TO REPORTING QUANTIFIABLE COMMUNITY BENEFIT. THE GOAL OF THE REPORTING GUIDELINES IS TO PRODUCE COMMUNITY BENEFIT FINANCIAL REPORTS THAT REFLECT TRUE COSTS AND THAT DESCRIBE COMMUNITY BENEFIT ACTIVITIES THAT INCREASE ACCESS TO HEALTH CARE AND IMPROVE COMMUNITY HEALTH. IN SUMMARY SACRED HEART HOSPITAL FINANCIALLY CONTRIBUTED TO THE COMMUNITY $22,309,070 FOR FISCAL YEAR ENDED JUNE 30, 2014 AS FOLLOWS: CHARITY CARE - AT COST, NOT INCLUDING BAD DEBT $4,796,772 GOVERNMENT SPONSORED HEALTH CARE - NET EXPENSES UNPAID COST OF PUBLIC INDIGENT CARE PROGRAMS (INCLUDES MEDICAID AND OTHER PUBLIC PROGRAMS) $10,402,018 COMMUNITY BENEFIT PROGRAMS - NET EXPENSE $7,110,280 TOTAL QUANTIFIABLE COMMUNITY BENEFITS $22,309,070 IN ADDITION TO THE AMOUNTS REPORTED ABOVE, SACRED HEART HOSPITAL COMMITTED SIGNIFICANT RESOURCES TO SERVICE THE MEDICARE POPULATION. THE COST (AS DETERMINED USING THE COST TO CHARGE RATIO) OF PROVIDING SERVICES TO PRIMARILY ELDERLY BENEFICIARIES OF THE MEDICARE PROGRAM IN EXCESS OF GOVERNMENTAL AND MANAGED CARE CONTRACT PAYMENTS WAS $25,111,593 FOR THE YEAR ENDED JUNE 30, 2014. FORM 990, PART IV, LINE 24A, TAX-EXEMPT BONDS SACRED HEART HOSPITAL HOLDS A LIABILITY ON ITS BOOKS FOR TAX-EXEMPT BONDS, WHICH IS AN ALLOCATION FROM ITS SOLE CORPORATE MEMBER, HOSPITAL SISTERS SERVICES, INC. AS A RESULT, THIS QUESTION WAS ANSWERED NO, AND SCHEDULE K WILL BE COMPLETED ON THE HOSPITAL SISTERS SERVICES, INC. FORM 990. Form 990, Part VI, Sec A, Line 6, Classes of members or stockholders THE SENIOR GOVERNING BODY OF SACRED HEART HOSPITAL (THE CORPORATION) IS THE MEMBER OF THE CORPORATION, WHICH IS HOSPITAL SISTERS SERVICES, INC. ("HSSI"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing body PURSUANT TO SECTION 2.3 OF THE CORPORATION'S BYLAWS, THE ORGANIZATION'S MEMBER, HOSPITAL SISTERS SERVICES, INC. ("HSSI"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, HAS THE RIGHT TO APPOINT AND REMOVE THE CORPORATION'S BOARD OF DIRECTORS, CHAIRPERSON OF THE BOARD AND PRESIDENT. Form 990, Part VI, Sec A, Line 7b, Decisions requiring approval by members or stockholders RESPONSIBILITY FOR THE POLICY AND OPERATIONS OF SACRED HEART HOSPITAL (THE "CORPORATION") IS VESTED IN ITS BOARD OF DIRECTORS, EXCEPT WITH RESPECT TO SPECIFIC POWERS RESERVED IN THE CORPORATION'S BYLAWS TO THE CORPORATION'S MEMBER, HOSPITAL SISTERS SERVICES, INC. ("HSSI"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE MEMBER OF HSSI IS HOSPITAL SISTERS HEALTH SYSTEM ("HSHS"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE 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 INSTITUTION OF THE ROMAN CATHOLIC CHURCH. THE GOVERNANCE AND OPERATIONS OF THE CORPORATION ARE SUBJECT TO HSSI'S RIGHT TO EXERCISE THESE RESERVED POWERS WITH RESPECT TO THE CORPORATION AND ORGANIZATIONS OF WHICH THE CORPORATION IS EITHER, DIRECTLY OR INDIRECTLY, A CONTROLLING MEMBER OR A CONTROLLING SHAREHOLDER ("AFFILIATES"). HSSI'S RIGHT TO EXERCISE CERTAIN OF THESE RESERVED POWERS IS, IN TURN, SUBJECT TO THE APPROVAL OF HSHS AND HSHS' MEMBERS. THE RESERVED POWERS INCLUDE ALL RIGHTS GRANTED TO HSSI BY LAW AND THE RIGHT TO: (A) ADOPT, APPROVE AMENDMENTS TO, OR AMEND ANY STATEMENT OF PHILOSOPHY, MISSION, MISSION INTEGRATION OR VALUES OR ANY NAME, LOGO, OR MARK OF THE CORPORATION OR OF ANY AFFILIATE; (B) ADOPT, APPROVE AMENDMENTS TO, OR AMEND THE ARTICLES OF INCORPORATION OF THE CORPORATION OR OF ANY AFFILIATE; (C) ADOPT, APPROVE AMENDMENTS TO, OR AMEND THE BYLAWS OF THE CORPORATION OR OF ANY AFFILIATE; (D) APPOINT AND REMOVE THE BOARD OF DIRECTORS, ANY ONE OR MORE OF THE DIRECTORS OF THE CORPORATION OR OF ANY AFFILIATE, AND THE CHAIRPERSON AND PRESIDENT OF THE CORPORATION OR OF ANY AFFILIATE; (E) APPROVE THE RECOMMENDATION OF THE BOARD OF DIRECTORS TO APPOINT OR REMOVE THE BOARD OF DIRECTORS, ANY ONE OR MORE DIRECTORS OF THE CORPORATION OR OF ANY AFFILIATE, OR THE CHAIRPERSON AND PRESIDENT OF THE CORPORATION OR OF ANY AFFILIATE; (F) WITH RESPECT TO THE CORPORATION OR ANY AFFILIATE, APPROVE THE PURCHASE, SALE, ALIENATION, EXCHANGE, LEASE OR ENCUMBRANCE OF ANY REAL PROPERTY OF THE CORPORATION OR OF ANY AFFILIATE, WHICH PROPERTY HAS A VALUE IN EXCESS OF LIMITS SET FROM TIME TO TIME BY HSSI; (G) APPROVE THE OPERATING AND CAPITAL BUDGETS OF THE CORPORATION OR OF ANY AFFILIATE, AND ANY DEVIATIONS BY THE CORPORATION OR OF ANY AFFILIATE FROM SUCH BUDGETS IN AN AMOUNT OR PERCENTAGE SPECIFIED BY HSSI FROM TIME TO TIME; (H) APPROVE THE STRATEGIC PLAN AND GOALS OF THE CORPORATION OR OF ANY AFFILIATE; (I) APPROVE THE SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR OF ANY AFFILIATE; (J) APPROVE THE MERGER OR DISSOLUTION OF THE CORPORATION OR OF ANY AFFILIATE; (K) ADOPT OR AMEND THE PLAN FOR MINISTRY EDUCATION AND GOVERNANCE FOR THE CORPORATION AND ITS AFFILIATES; (L) APPROVE THE CORPORATION'S MISSION ACCOUNTABILITY REPORTS AND THOSE OF ANY AFFILIATE; (M) APPROVE THE FINANCIAL POLICIES AND PROCEDURES OF THE CORPORATION OR OF ANY AFFILIATE AND APPROVE ANY DEVIATIONS FROM SUCH POLICIES AND PROCEDURES BY THE CORPORATION OR ANY AFFILIATE; AND (N) ADOPT POLICIES TO IMPLEMENT THE RESERVED POWERS OF HSSI. Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing body THE HOSPITAL EMPLOYS CROWE HORWATH TO ASSIST IN THE OVERALL REVIEW AND ELECTRONIC SUBMISSION OF ITS FORM 990. CROWE HORWATH PROVIDES GUIDANCE IN IDENTIFYING CRITICAL ERRORS IN THE RETURN SUBMISSION AND FEEDBACK ON QUANTITATIVE AND QUALITATIVE RESPONSES. ADDITIONALLY, THE HOSPITAL CFO PERFORMS A THOROUGH REVIEW OF THE RETURN AND REVIEWS IT WITH THE HOSPITAL CEO AND/OR SENIOR LEADERS BEFORE PRESENTING IT IN ITS ENTIRETY TO THE HOSPITAL BOARD FOR QUESTIONING AND REVIEW PRIOR TO THE RETURN'S SIGNING AND SUBMISSION TO THE IRS. Form 990, Part VI, Sec B, Line 12c, Conflict of interest policy THE ORGANIZATION IS SUBJECT TO THE CORPORATE COMPLIANCE PROGRAM AND CONFLICT OF INTEREST POLICY ("POLICY") OF HOSPITAL SISTERS HEALTH SYSTEM, AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. A REVISED CORPORATE COMPLIANCE PROGRAM AND CONFLICT OF INTEREST POLICY HAVE BEEN IMPLEMENTED SINCE JANUARY 2009 TO MANAGE CONFLICTS OF INTEREST USING A SYSTEM-WIDE PROTOCOL FOR DISCLOSURE STATEMENTS. IN ACCORDANCE WITH THE ORGANIZATON'S CONFLICT OF INTEREST POLICY, ALL COVERED PERSONS HAVE A DUTY TO COMPLY WITH THE CONFLICT OF INTEREST POLICY FOR ANY CONTRACT, TRANSACTION, RELATIONSHIP, OR ACTIVITY CONTEMPLATED, ENTERED INTO, OR CONDUCTED AT HSHS OR ITS AFFILIATES. THE POLICY DEFINES COVERED PERSONS AS BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS, BOARD DESIGNEES, SENIOR MANAGEMENT, MEMBERS OF ANY COMMITTEE THAT OVERSEES THE APPROVAL OF PHARMACEUTICALS AND MEDICAL DEVICES, AND ANY OTHER INDIVIDUAL WHO HOLDS A POSITION OF TRUST. ON AN ANNUAL BASIS, HOSPITAL SISTERS HEALTH SYSTEM, ("HSHS") DISCLOSES A COPY OF THE CONFLICT OF INTEREST POLICY (AND ALL CORRESPONDING PROCEDURES, GUIDELINES, FORMS, AND TOOLS) TO ALL COVERED PERSONS, AND ADVISES ALL COVERED PERSONS IN WRITING OF ANY SUBSTANTIVE CHANGES TO THIS POLICY AND SUCH RELATED MATERIALS. COVERED PERSONS ARE REQUIRED TO REVIEW AND COMPLETE THE CORRESPONDING CONFLICT OF INTEREST STATEMENT. THE SYSTEM OFFICE VICE PRESIDENT, SYSTEM RESPONSIBILITY OR MEMBERS OF THE AUDIT AND INTEGRITY COMMITTEE ("COMMITTEE") ARE AVAILABLE TO ANSWER ANY QUESTIONS A COVERED PERSON MAY HAVE. IN ADDITION, IF, AT ANY TIME AFTER SUBMITTING AN ANNUAL CONFLICT OF INTEREST STATEMENT, A COVERED PERSON BECOMES AWARE OF AN INTEREST THAT HE OR SHE WOULD HAVE HAD TO DISCLOSE AT THE ANNUAL INTERVAL, THE COVERED PERSON IS REQUIRED PROMPTLY TO DISCLOSE THE INTEREST TO THE COMMITTEE USING THE HSHS CONFLICT OF INTEREST DISCLOSURE STATEMENT. COMPLETED CONFLICT OF INTEREST STATEMENTS ARE SUBMITTED TO THE COMMITTEE, WHICH IS RESPONSIBLE FOR IDENTIFYING, ASSESSING, AND MANAGING CONFLICTS OF INTEREST THAT ARISE IN THE COURSE OF CONDUCTING THE AFFAIRS OF HSHS AND ITS AFFILIATES. IF THE COMMITTEE DETERMINES THAT A CONFLICT OF INTEREST EXISTS, THE CONFLICT OF INTEREST POLICY REQUIRES HSHS NOT TO ENGAGE IN, OR ENTER INTO, A PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY UNLESS THE COMMITTEE OR, WHERE NECESSARY, THE BOARD OF DIRECTORS (ACTING THROUGH ITS DISINTERESTED MEMBERS), HAS INVESTIGATED ALTERNATIVES TO THE PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY AND, IN THE ABSENCE OF ALTERNATIVES THAT ARE IN THE BEST INTERESTS OF HSHS, HAS DETERMINED: 1. THAT, REGARDLESS OF WHETHER THE COVERED PERSON PARTICIPATES IN THE IMPLEMENTATION OF THE PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY; 2. THE CONTRACT, TRANSACTION, ARRANGEMENT, OR ACTIVITY IS IN THE BEST INTERESTS OF HSHS; 3. THE CONTRACT, TRANSACTION, ARRANGEMENT, OR ACTIVITY IS FAIR AND REASONABLE FROM THE PERSPECTIVE OF HSHS; AND 4. HSHS CANNOT OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION, ARRANGEMENT OR ACTIVITY WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. IN DETERMINING WHETHER A CONTRACT, TRANSACTION OR ARRANGEMENT IS FAIR AND REASONABLE TO HSHS, THE COMMITTEE SHALL CONSIDER, WHERE APPLICABLE: 1. APPRAISALS OR OTHER INDEPENDENT VALUATIONS OF THE FAIR MARKET VALUE OF THE CONTRACT, TRANSACTION, OR ARRANGEMENT; 2. INFORMATION REGARDING COMPARABLE CONTRACTS, TRANSACTIONS, OR ARRANGEMENTS BETWEEN UNRELATED PARTIES; 3. OFFERS FROM COMPARABLE COMPETING ENTITIES; AND/OR 4. STUDIES OF COMPARABLE COMPENSATION ARRANGEMENTS. IN ANY CASE IN WHICH THE COMMITTEE FINDS, AFTER TAKING THE STEPS DESCRIBED ABOVE, THAT HSHS SHOULD PARTICIPATE IN A PROPOSED TRANSACTION OR ARRANGEMENT DESPITE THE EXISTENCE OF A CONFLICT OF INTEREST, THE COMMITTEE SHALL DEVELOP, IMPLEMENT, MONITOR, AND ENFORCE COMPLIANCE WITH, A CONFLICT MANAGEMENT PLAN FOR MANAGING THE CONFLICT OF INTEREST AS IT CONSIDERS NECESSARY FOR SUCH FINDINGS TO REMAIN VALID THROUGHOUT THE LIFE OF THE CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY. ALL CONFLICT MANAGEMENT PLANS SHALL: 1. STATE THAT THE COMMITTEE WILL OVERSEE, MONITOR, AND ENFORCE COMPLIANCE WITH THE PLAN THROUGHOUT THE COURSE OF THE STUDY AND SPECIFY MEANS FOR DOING SO, INCLUDING, WITHOUT LIMITATION, THAT THE APPROPRIATE INDIVIDUALS MUST PROVIDE THE COMMITTEE WITH WRITTEN REPORTS PERTAINING TO COMPLIANCE WITH THE CONFLICT MANAGEMENT PLAN, THAT THE COMMITTEE SHALL HAVE THE RIGHT TO AUDIT THE STUDY FOR SUCH COMPLIANCE, AND THE RIGHT TO IMPOSE SANCTIONS FOR NON-COMPLIANCE; 2. STATE THAT THE PLAN MUST BE SHARED WITH COVERED PERSON WHOSE INTERESTS IT WAS DEVELOPED TO MANAGE; 3. STATE THAT THE PLAN MUST BE SHARED WITH, AND PERIODIC REPORTS ON COMPLIANCE WITH THE PLAN MUST BE PROVIDED TO, THE BOARD, SENIOR MANAGEMENT AND/OR GOVERNMENT AGENCIES; AND 4. PROVIDE FOR SUCH OTHER MANAGEMENT STEPS AND MECHANISMS THE COMMITTEE CONSIDERS NECESSARY AND APPROPRIATE. IN ADDITION TO THE COMMITTEE, THE SYSTEM OFFICE VICE PRESIDENTS OF SYSTEM RESPONSIBILITY AND RISK & COMPLIANCE MAY RETAIN SUCH INDEPENDENT ADVISORS OR EXPERTS AS DEEMED NECESSARY TO ASSIST IN MAKING ITS DETERMINATIONS AND DECISIONS. IF THE COMMITTEE DETERMINES THAT THE CONTEMPLATED TRANSACTION, RELATIONSHIP ARRANGEMENT, OR ACTIVITY CANNOT PROCEED DUE TO A CONFLICT OF INTEREST, THE COMMITTEE SHALL INFORM THE APPLICABLE COVERED PERSON OR DECISION-MAKING BODY OF SUCH DETERMINATION WITHIN ONE WEEK OF THE COMMITTEE MEETING AT WHICH THE CONTEMPLATED TRANSACTION WAS DISCUSSED. THE COMMITTEE SHALL DOCUMENT ITS REJECTION OF THE CONTEMPLATED TRANSACTION IN THE COMMITTEE'S MEETING MINUTES. FORM 990, PART VI, LINE 13, WHISTLEBLOWER POLICY PROVISIONS WITHIN THE CORPORATE COMPLIANCE PROGRAM AND CONFLICT OF INTEREST POLICY PROVIDE PROTECTIONS FOR WHISTLEBLOWER TYPE ACTIVITIES. Form 990, Part VI, Sec B, Line 15a, Process to establish compensation of top management official THE COMPENSATION COMMITTEE (COMMITTEE) IS COMPRISED OF INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. THE COMMITTEE DEVELOPS A COMPENSATION PHILOSOPHY FOR THE SYSTEM AND ALL AFFILIATES. THE COMMITTEE SELECTS AND HIRES THE INDEPENDENT COMPENSATION CONSULTANT TO DEVELOP COMPARABILITY DATA AND ADVISE THE COMMITTEE DURING ITS DELIBERATIONS REGARDING ALL ELEMENTS OF TOTAL COMPENSATION FOR ALL DISQUALIFIED INDIVIDUALS. INTEGRATED HEALTHCARE STRATEGIES ("IHS"), THE CONSULTANTS UTILIZED BY THE COMMITTEE, USE DATA FROM MULTIPLE TAX-EXEMPT PEER GROUP SOURCES TO DETERMINE SALARY RANGES, INCENTIVE OPPORTUNITY RANGES, AND BENEFITS FOR THE DISQUALIFIED INDIVIDUALS. IHS THEN ASSISTS THE COMMITTEE IN PREPARING CONTEMPORANEOUS DOCUMENTATION OF ALL ACTIONS. EACH COMMITTEE MEETING IS CONDUCTED WITH THE INTENT TO CREATE A REBUTTABLE PRESUMPTION OF REASONABLENESS FOR ALL ELEMENTS OF EXECUTIVE TOTAL COMPENSATION FOR THE DISQUALIFIED INDIVIDUALS. THE CHAIRMAN MAKES THIS DECLARATION AND ALSO INQUIRES IF THERE ARE ANY CONFLICTS OF INTEREST BY ANY ATTENDEES. ANY CONFLICTS ARE DISCLOSED AND THE COMMITTEE THEN ACTS IN A MANNER TO AVOID ANY CONFLICTED INDIVIDUAL PARTICIPATING IN ANY MANNER WHERE A CONFLICT MIGHT EXIST. AT THE END OF THE MEETING, THE COMMITTEE PREPARES CONTEMPORANEOUS MINUTES THAT RECORD ALL ACTIONS TAKEN DURING THE MEETING. Form 990, Part VI, Sec B, Line 15b, Process to establish compensation of other employees PLEASE SEE RESPONSE TO FORM 990, PART VI, LINE 15A. FORM 990, PART VI, LINE 16B, JOINT VENTURES HOSPITAL SISTERS HEALTH SYSTEM ADOPTED A JOINT VENTURE COMPLIANCE PROGRAM POLICY EFFECTIVE ON JANUARY 1, 2012 FOR ALL SYSTEM HOSPITALS, INCLUDING SACRED HEART HOSPITAL. THE OVERALL PURPOSE OF THE POLICY IS TO PROVIDE PRACTICAL GUIDELINES FOR ETHICAL BUSINESS CONDUCT, TO ACHIEVE COMPLIANCE, AND TO DETECT AND PREVENT VIOLATIONS OF APPLICABLE LAWS. THE POLICY REQUIRES SACRED HEART HOSPITAL, AND ALL HSHS HOSPITALS, TO EVALUATE THEIR PARTICIPATION IN JOINT VENTURE ARRANGEMENTS, INCLUDING UNDER APPLICABLE FEDERAL TAX LAWS, AND TO SAFEGUARD SACRED HEART HOSPITAL'S TAX EXEMPT STATUS WITH RESPECT TO ANY JOINT VENTURE ARRANGEMENTS. Form 990, Part VI, 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 X, LINE 11, POOLED INVESTMENT ACCOUNT SACRED HEART HOSPITAL USES ITS POOLED INVESTMENTS TO CARRY ON ITS MISSION OF CARING FOR THE SICK. THE HOSPITAL'S CASH RESERVES ARE INVESTED IN A POOLED INVESTMENT ACCOUNT MAINTAINED BY HOSPITAL SISTERS HEALTH SYSTEM ("HSHS"). PARTICIPATION IN THE POOLED FUND IS LIMITED TO THE 501(C)(3) HOSPITALS AND HEALTH SERVICES ORGANIZATIONS SPONSORED BY HSHS. THE POOLED ACCOUNT CONSISTS OF CASH, EQUITY AND DEBT SECURITIES THAT ARE PUBLICLY TRADED. IN ACCORDANCE WITH THE PROVISIONS OF STATEMENT OF FINANCIAL ACCOUNTING STANDARDS ("SFAS") NO. 124 "ACCOUNTING FOR CERTAIN INVESTMENTS HELD BY NOT-FOR-PROFIT ORGANIZATIONS", INVESTMENTS IN EQUITY SECURITIES WITH READILY DETERMINABLE FAIR VALUES, AND ALL INVESTMENTS IN DEBT SECURITIES, ARE REPORTED AT FAIR VALUE ON THE BALANCE SHEET. READILY DETERMINABLE FAIR VALUES AND ALL INVESTMENTS IN DEBT SECURITIES ARE REPORTED AT FAIR VALUE ON THE BALANCE SHEET. INCOME, REALIZED AND UNREALIZED GAINS AND LOSSES ARE POOLED AND ALLOCATED TO THE PARTICIPANTS. INDIVIDUAL COMPONENTS OF ASSETS AND REVENUE ARE NOT IDENTIFIED TO THE INDIVIDUAL HOSPITAL PARTICIPANTS. Form 990 , Part XI, Line 9, Other changes in net assets or fund balances PENSION RELATED FUNDING - 3649670; TRANSFER TO AFFILIATES - -1994499; CHANGE IN TEMPORARILY RESTRICTED NET ASSETS - 2555682; CHANGE IN PERMENANT RESTRICTED NET ASSETS - 206558; CHANGE IN FAIR VALUES OF INTEREST RATE SWAP - -687878; SWAP PAYMENTS - -1573011; 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 -3651339 7292316 HSSI PHYSICIAN CLINICAL INTEGRATION NETWORK LLC 4936 LAVERNA ROAD SPRINGFIELD IL 62707 371668647 HEALTHCARE IL -779271 1233121 KCIN 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 true HSHS HEALTHCARE PLAN TRUST FUND 4936 LAVERNA ROAD SPRINGFIELD IL 62707 371137724 HEALTHCARE IL 501(C)(9) N/A HSHS true HSHS SELF INSURANCE TRUST 4936 LAVERNA ROAD SPRINGFIELD IL 62707 371120626 INSURANCE IL 501(C)(3) 11 - Type I HSHS 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 true ST ANTHONY'S HOSPITAL 503 N MAPLE STREET EFFINGHAM IL 62401 370661233 HEALTHCARE IL 501(C)(3) 3 HSSI true ST ELIZABETH'S HOSPITAL 211 SOUTH THIRD STREET BELLEVILLE IL 62220 370663567 HEALTHCARE IL 501(C)(3) 3 HSSI true ST NICHOLAS HOSPITAL 3100 SUPERIOR AVENUE SHEBOYGAN WI 53081 390808480 HEALTHCARE WI 501(C)(3) 3 HSSI true ST JOHN'S HOSPITAL 800 EAST CARPENTER STREET SPRINGFIELD IL 62769 370661238 HEALTHCARE IL 501(C)(3) 3 HSSI true ST JOSEPH'S HOSPITAL 9515 HOLY CROSS LANE BREESE IL 62230 371208459 HEALTHCARE IL 501(C)(3) 3 HSSI true ST JOSEPH'S HOSPITAL 2661 COUNTY HIGHWAY 1 CHIPPEWA FALLS WI 54729 390810545 HEALTHCARE WI 501(C)(3) 3 HSSI true ST MARY'S HOSPITAL 1800 E LAKE SHORE DRIVE DECATUR IL 62521 370661244 HEALTHCARE IL 501(C)(3) 3 HSSI true ST MARY'S HOSPITAL 111 SPRING STREET STREATOR IL 61364 362169181 HEALTHCARE IL 501(C)(3) 3 HSSI true ST MARY'S MEDICAL CENTER 1762 SHAWANO AVENUE GREEN BAY WI 54303 390818682 HEALTHCARE WI 501(C)(3) 3 HSSI true ST VINCENT HOSPITAL 835 S VAN BUREN GREEN BAY WI 51301 390817529 HEALTHCARE WI 501(C)(3) 3 HSSI true ST JOSEPH'S HOSPITAL 12866 TROXLER AVENUE HIGHLAND IL 62249 370663568 HEALTHCARE IL 501(C)(3) 3 HSSI true ST FRANCIS HOSPITAL 1215 FRANCISCAN DRIVE LITCHFIELD IL 62056 370661236 HEALTHCARE IL 501(C)(3) 3 HSSI true HOSPITAL SISTERS SERVICES INC 4936 LAVERNA ROAD SPRINGFIELD IL 62707 371163402 HEALTHCARE IL 501(C)(3) 11 - Type III - FI HSHS true HSHS MEDICAL GROUP INC 3215 EXECUTIVE PARK DRIVE SPRINGFIELD IL 62703 263956318 HEALTHCARE IL 501(C)(3) 11 - Type III - FI HSSI true HSHS WISCONSIN MEDICAL GROUP INC 3215 EXECUTIVE PARK DRIVE SPRINGFIELD IL 62703 264515959 HEALTHCARE WI 501(C)(3) 11 - Type III - FI HSSI true ORANGE CROSS AMBULANCE INC 919 ASHLAND AVENUE SHEBOYGAN WI 53081 391860942 HEALTHCARE WI 501(C)(3) 9 ST NICHOLAS true WISCONSIN UPPER PENINSULA ONCOLOGY MGMT 835 S VAN BUREN GREEN BAY WI 54301 391677100 HEALTHCARE WI 501(C)(3) 3 ST VINCENT true UNITY LIMITED PARTNERSHIP 2366 OAK RIDGE CIRCLE DE PERE WI 54115 391750729 HEALTHCARE WI 501(C)(3) 9 HSSI true PRAIRIE EDUCATION & RESEARCH COOPERATIVE 317 NORTH 5TH STREET SPRINGFIELD IL 62701 371157915 HEALTHCARE IL 501(C)(3) 4 HSSI true COMMUNITY MEMORIAL HOSPITAL 855 S MAIN STREET OCONTO FALLS WI 54154 390848401 HEALTHCARE WI 501(C)(3) 3 HSSI (SEE PART VII) true MEMORIAL AND ST ELIZABETH'S HEALTHCARE CANCER TREATMENT CENTER 4000 NORTH ILLINOIS STREET SWANSEA IL 62226 371312961 HEALTHCARE IL ST ELIZABETH'S RELATED 599299 4931271 false false 0 PRAIRIE HEART INSTITUTE ST JOHN'S 800 EAST CARPENTER STREET SPRINGFIELD IL 62769 371321197 HEALTHCARE IL HSHS RELATED -1018 47055 false false 0 NORTHEAST WISCONSIN RADIATION THERAPY SERVICES LLC 1726 SHAWANO AVE GREEN BAY WI 543079047 263749065 HEALTHCARE WI SMGB RELATED 147184 514563 false true 0 PAIN CENTER OF WISCONSIN 4131 W LOOMIS ROAD SUITE 300 GREENFIELD WI 53221 263155343 HEALTHCARE WI ST VINCENT RELATED 1752500 1353813 false false 0 SURGERY CENTER OF SHEBOYGAN LLC 3141 SAEMANN AVENUE SHEBOYGAN WI 53081 260822209 HEALTHCARE WI ST NICHOLAS (SOLD 1114) RELATED 155892 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 -7553 9078 false true 0 KIARA INC 4936 LAVERNA ROAD SPRINGFIELD IL 62707 371163401 HEALTHCARE IL HSHS C CORPORATION -23279067 45045072 0 true LASANTE WISCONSIN INC 4936 LAVERNA ROAD SPRINGFIELD IL 62707 391572196 HEALTHCARE IL KIARA INC C CORPORATION true LASANTE INC 4936 LAVERNA ROAD SPRINGFIELD IL 62707 371163400 HEALTHCARE IL KIARA INC C CORPORATION true PRAIRIE CARDIOVASCULAR 619 EAST MASON SUITE 4P57 SPRINGFIELD IL 62701 371071858 HEALTHCARE IL KIARA INC C CORPORATION true PREVEA HEALTH SERVICES INC 2710 EXECUTIVE DRIVE GREEN BAY WI 54304 391839351 HEALTHCARE WI HSSI C CORPORATION 2912268 45322060 0 true PREVEA CLINIC INC 2710 EXECUTVE DRIVE GREEN BAY WI 54304 391839349 HEALTHCARE WI PHSI C CORPORATION true RENAISSANCE QUALITY INSURANCE LTD PO BOX 1159 GRAND CAYMAN CJ KY1-1102 980669953 INSURANCE CJ HSSI C CORPORATION 0 100258139 0 true OJV INC 4936 LAVERNA ROAD SPRINGFIELD IL 62707 460873384 HEALTHCARE IL LASANTE INC C CORPORATION true STREATORLAND QUALITY CARE PHO LLC 111 SPRING STREET STREATOR IL 61364 364105007 HEALTHCARE IL ST MARY'S STREATOR C CORPORATION -3136 20601 0 true false false true true true false false false false true true false true false true true true true false 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.