ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F (EIN 37-0661238)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-14
IRS object ID: 201301349349305175
Schema version: 2011v1.5
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-14T15:08:48-05:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	191 West Nationwide Blvd Ste 500	AddressLine1
City	Columbus	City
State	OH	State
ZIP Code	432152568	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	370661238	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ST JOHN'S HOSPITAL OF THE HOSPITAL	BusinessNameLine1
Business Name Line2	SISTERS OF THE THIRD ORDER OF ST FRANCIS	BusinessNameLine2

Field	Value	IRS element (for citing)
In Care Of Name	% LARRY RAGEL	InCareOfName
Name Control	STJO	NameControl
Phone	2175446464	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 EAST CARPENTER STREET	AddressLine1
City	SPRINGFIELD	City
State	IL	State
ZIP Code	62769	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Larry Ragel	Name
Title	CFO	Title
Date Signed	2013-05-09	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	6142492300	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Robert Ritz	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	800 East Carpenter	AddressLine1
City	Springfield	City
State	IL	State
ZIP Code	62769	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	460900770	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	www.st-johns.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1878	YearFormation
State Legal Domicile	IL	StateLegalDomicile
Activity Or Mission Description	ST. JOHN'S HOSPITAL PROVIDES A MINISTRY OF EXCEPTIONAL HEALTH CARE SERVICES TO THE PEOPLE OF CENTRAL ILLINOIS IN THE CATHOLIC TRADITION OF COMPASSION, JUSTICE AND REVERENCE FOR LIFE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	3592	TotalNbrEmployees
Total Nbr Volunteers	817	TotalNbrVolunteers
Total Gross UBI	797405	TotalGrossUBI
Contributions Grants Prior Year	6437504	ContributionsGrantsPriorYear
Contributions Grants Current Year	5015123	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	412001965	ProgramServiceRevenuePriorYear
Program Service Revenue CY	430085881	ProgramServiceRevenueCY
Investment Income Prior Year	26567430	InvestmentIncomePriorYear
Investment Income Current Year	23826253	InvestmentIncomeCurrentYear
Other Revenue Prior Year	5616391	OtherRevenuePriorYear
Other Revenue Current Year	1396247	OtherRevenueCurrentYear
Total Revenue Prior Year	450623290	TotalRevenuePriorYear
Total Revenue Current Year	460323504	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	5083	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	5269	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	183071787	SalariesEtcPriorYear
Salaries Etc Current Year	176362998	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	273297124	OtherExpensePriorYear
Other Expenses Current Year	280458033	OtherExpensesCurrentYear
Total Expenses Prior Year	456373994	TotalExpensesPriorYear
Total Expenses Current Year	456826300	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-5750704	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	3497204	RevenuesLessExpensesCY
Total Assets BOY	793884609	TotalAssetsBOY
Total Assets EOY	754069315	TotalAssetsEOY
Total Liabilities BOY	319462908	TotalLiabilitiesBOY
Total Liabilities EOY	369484363	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	474421701	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	384584952	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	ST. JOHN'S HOSPITAL PROVIDES A MINISTRY OF EXCEPTIONAL HEALTH CARE SERVICES TO THE PEOPLE OF CENTRAL ILLINOIS IN THE CATHOLIC TRADITION OF COMPASSION, JUSTICE AND REVERENCE FOR LIFE.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	98828630	Expense
Revenue	113767069	Revenue
Description	SEE SCHEDULE O - PROGRAM SERVICE REVENUE - CARDIOVASCULAR	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	46170633	Expense
Revenue	38731824	Revenue
Description	SEE SCHEDULE O - PROGRAM SERVICE REVENUE - ORTHOPEDICS	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	29200262	Expense
Revenue	26720799	Revenue
Description	SEE SCHEDULE O - PROGRAM SERVICE REVENUE - Gastroenterology	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	192326403	Expense
Revenue	250866189	Revenue
Description	Other program services	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	192326403	TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev	250866189	TotalOfOtherProgramServiceRev
Total Program Service Expense	366525928	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	179	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	3592	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	LARRY RAGEL	NamePerson
Telephone Number	2175446464	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	800 EAST CARPENTER STREET	AddressLine1
City	SPRINGFIELD	City
State	IL	State
ZIP Code	62769	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
J Michael Houston
Partial year Chairperson	1.0	X	X
Sister Mary Kelly OSF
Secretary	5.0	X	X	0	0	0
Robert Ritz
President & CEO	75.0	X	X	0	588462	190117
Sister MaryBeth Culnan OSF
Director	1.0	X		0	0	0
Lynn Scott
Director	1.0	X		0	0	0
Donald Graham MD
Director	1.0	X		0	0	0
Robert Bunn
Director	1.0	X		0	0	0
Richard Corkery
Director	1.0	X		0	0	0
Mark Puczynski MD
Director	1.0	X		0	0	0
Roger Sables
Director	1.0	X		0	0	0
John Slayton
Partial year CHAIRPERSON	5.0	X	X	0	0	0
Ann M Carr
Treasurer	0.25		X	0	225812	215561
David Olejniczak
Chief Operating Officer	75.0		X	426159	0	97839
Larry J Ragel
Chief Financial Officer	75.0		X	247950	0	73775
PATRICIA SCHULZ
CHIEF PEOPLE OFFICER	75.0		X	233352	0	53190
Ann Derrick
Exe Dir of Continuum of care	40.0			191837	0	171496	X
Jianxin Wang
Manager	40.0			189355	0	50142		X
Ginger Ertel
Pharmacy Director	40.0			252697	0	27267		X
Sherri A Greenwood
associate cno	75.0			171405	0	44099		X
AMY K BULPITT
DIRECTOR OF LEGAL SERVICES	75.0			260404	0	12722		X
DWIGHT HEANEY
MANAGER	40.0			197765	0	40097		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2170924	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	814274	TotalReportableCompFrmRltdOrgs
Total Other Compensation	976305	TotalOtherCompensation
Number Individuals GT100 K	79	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
SOUTHERN IL UNIV SCHOOL OF MEDICINE
PO BOX 19230	SPRINGFIELD	IL	62704	PHYSICIANS	20598662
Walsh Miron
301 N EIGHT STREET	SPRINGFIELD	IL	62701	Contractors	19102206
SANGAMON ASSOCIATED ANESTHESIOLOGIS
800 EAST CARPENTER	SPRINGFIELD	IL	62769	PHYSICIAN	5339370
MISSISSIPPI VALLEY REGIONAL BLOOD C
PO BOX 3655	DAVENPORT	IA	52808	BLOOD PROCESSING FEE	2506841
SODEXO INC
4880 PAYSPHERE CIRCLE	CHICAGO	IL	60674	Food Srvc&Hskpng mgt	1851839

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	99	NumberOfContractorsGT100K
Related Organizations	1672141	RelatedOrganizations
Government Grants	3342982	GovernmentGrants
Total Contributions	5015123	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE	900099	419242585	419242585
DEPARTMENTAL INCOME	900099	10843296	10843296

Field	Value	IRS element (for citing)
Total Program Service Revenue	430085881	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	23906549	TotalRevenueColumn
Exclusion	$23,906,549	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	493785	Securities
Other	3185	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	577266	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	493785	Securities
Other	-574081	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-80296	TotalRevenueColumn
Exclusion	-$80,296	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
DIETARY	541900	73617	$73,617
MEDICAL AND DIAGNOSTIC LAB	621500	673497		673497
GIFT SHOP	453220	399805	$399,805

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	249328	TotalRevenueColumn
Unrelated Business Revenue	123908	UnrelatedBusinessRevenue
Exclusion	$125,420	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	1396247	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	460323504	TotalRevenueColumn
Related Or Exempt Function Income	430085881	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	797405	UnrelatedBusinessRevenue
Exclusion	$24,425,095	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	5269	Total
Program Services	5269	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1188650	Total
Management And General	1188650	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	133480755	Total
Program Services	119886479	ProgramServices
Management And General	13594276	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	6776456	Total
Program Services	6086311	ProgramServices
Management And General	690145	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	24990768	Total
Program Services	22445597	ProgramServices
Management And General	2545171	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	9926369	Total
Program Services	8915423	ProgramServices
Management And General	1010946	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	24996382	Total
Program Services	1270249	ProgramServices
Management And General	23726133	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	2194928	Total
Management And General	2194928	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	30000	Total
Management And General	30000	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	62847959	Total
Program Services	51947111	ProgramServices
Management And General	10900848	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2258533	Total
Program Services	43159	ProgramServices
Management And General	2215374	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	79683328	Total
Program Services	79115359	ProgramServices
Management And General	567969	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	8946800	Total
Program Services	7420813	ProgramServices
Management And General	1525987	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	7756576	Total
Program Services	7710926	ProgramServices
Management And General	45650	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	440664	Total
Program Services	423728	ProgramServices
Management And General	16936	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	3467307	Total
Program Services	353126	ProgramServices
Management And General	3114181	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	28471840	Total
Program Services	24357178	ProgramServices
Management And General	4114662	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	8069954	Total
Program Services	27404	ProgramServices
Management And General	8042550	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PROVISION FOR BAD DEBT	31648151	31648151
MEDICAID TAXES	11176922	24430	11152492
LICENSES AND BOOKS	6335416	3070914	3264502
MISCELLANEOUS	2092831	1774301	318530

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	40442	Total
Management And General	40442	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	456826300	Total
Program Services	366525928	ProgramServices
Management And General	90300372	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	568	BOY
EOY	281195	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	247789	BOY
EOY	10791541	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	70363408	BOY
EOY	89722035	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	10118425	BOY
EOY	11000577	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	6828779	BOY
EOY	3687229	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	647341928	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	356745449	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	255906917	BOY
EOY	290596479	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	443638841	BOY
EOY	345479024	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	6779882	BOY
EOY	2511235	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	793884609	BOY
EOY	754069315	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	33904493	BOY
EOY	43982878	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	194821900	BOY
EOY	188843157	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	90736515	BOY
EOY	136658328	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	319462908	BOY
EOY	369484363	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	446963054	BOY
EOY	357558194	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	25031377	BOY
EOY	24550160	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2427270	BOY
EOY	2476598	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	474421701	BOY
EOY	384584952	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	793884609	BOY
EOY	754069315	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	3497204	ReconcilationRevenueExpenses
Reconcilation Other Changes	-93333953	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$40,442	OtherActivitiesAmount
Total Lobbying Expenditures IIB	40442	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Description of Other Lobbying Activities	Identifier
Return Reference	Part II-B Question 11	ReturnReference
Explanation	ST. JOHN'S HOSPITAL ("THE HOSPITAL") IS A MEMBER OF THE CATHOLIC HEALTH ASSOCIATION ("CHA"), THE ILLINOIS HEALTH ASSOCIATION ("IHA"), THE NATIONAL ASSOCIATION FOR HOME CARE AND HOSPICE, AND THE AMERICAN HEALTH ASSOCIATION ("AHA"). AS A MEMBER OF THESE ORGANIZATIONS, THE HOSPITAL PAYS DUES, WITH PART OF THESE DUES BEING ATTRIBUTABLE TO LOBBYING FEES PAID BY THE ORGANIZATIONS. THE AMOUNT LISTED ABOVE IS THE AMOUNT ATTRIBUTABLE TO THE HOSPITAL FROM ITS DUES PAID.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	false	IncludedOnFS
Current Year Minus3 Years		CurrentYearMinus3Years

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	18671652	OtherCostOrOtherBasis
Book Value	18671652	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	169349667	OtherCostOrOtherBasis
Depreciation	85618582	Depreciation
Book Value	83731085	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7810729	OtherCostOrOtherBasis
Depreciation	4577673	Depreciation
Book Value	3233056	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	226552780	OtherCostOrOtherBasis
Depreciation	169918869	Depreciation
Book Value	56633911	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	224957100	OtherCostOrOtherBasis
Depreciation	96630325	Depreciation
Book Value	128326775	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	290596479	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
ACCRUED BENEFIT LIABILITY	$89,386,438
ASSET RETIREMENT OBLIGATION	$10,443,581
SETTLEMENT VALUE OF INTEREST R	$22,862,181
THIRD PARTY REIMBURSEMENT PROG	$8,881,214
ESTIMATED SELF-INSURANCE COSTS	$5,084,914

Field	Value	IRS element (for citing)
Total Of Amounts	136658328	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION FOR ADOPTION OF ASC SUBTOPIC 740-10	Identifier
Return Reference	ASC SUBTOPIC 740-10	ReturnReference
Explanation	ON JULY 1, 2007, HSHS ADOPTED ASC SUBTOPIC 740-10, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES - AN INTERPRETATION OF FASB STATEMENT NO. 109. ASC SUBTOPIC 740-10 ADDRESSES THE DETERMINATION OF HOW TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. UNDER ASC SUBTOPIC 740-10, HSHS MUST RECOGNIZE 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. THE TAX BENEFITS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. ASC SUBTOPIC 740-10 ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES, ACCOUNTING IN INTERIM PERIODS, AND REQUIRES INCREASED DISCLOSURES. AT THE DATE OF ADOPTION, AND AS OF JUNE 30, 2012 AND 2011, HSHS DOES NOT HAVE A LIABILITY FOR UNRECOGNIZED TAX BENEFITS.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	250.	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	600.	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	7928	PersonsServed
Total Community Benefit Expense	9677824	TotalCommunityBenefitExpense
Direct Offsetting Revenue	183197	DirectOffsettingRevenue
Net Community Benefit Expense	9494627	NetCommunityBenefitExpense
Percent Of Total Expense	0.02230	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Benefit Expense	90616161	TotalCommunityBenefitExpense
Direct Offsetting Revenue	72723181	DirectOffsettingRevenue
Net Community Benefit Expense	17892980	NetCommunityBenefitExpense
Percent Of Total Expense	0.04210	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	7928	PersonsServed
Total Community Benefit Expense	100293985	TotalCommunityBenefitExpense
Direct Offsetting Revenue	72906378	DirectOffsettingRevenue
Net Community Benefit Expense	27387607	NetCommunityBenefitExpense
Percent Of Total Expense	0.06440	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	52	NumberOfActivitiesOrPrograms
Persons Served	48756	PersonsServed
Total Community Benefit Expense	879017	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2092	DirectOffsettingRevenue
Net Community Benefit Expense	876925	NetCommunityBenefitExpense
Percent Of Total Expense	0.00210	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Persons Served	10	PersonsServed
Total Community Benefit Expense	16304532	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5079585	DirectOffsettingRevenue
Net Community Benefit Expense	11224947	NetCommunityBenefitExpense
Percent Of Total Expense	0.02640	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	338	PersonsServed
Total Community Benefit Expense	122444	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	122444	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	358500	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	358500	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	20	NumberOfActivitiesOrPrograms
Persons Served	4719	PersonsServed
Total Community Benefit Expense	759964	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	759964	NetCommunityBenefitExpense
Percent Of Total Expense	0.00180	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	80	NumberOfActivitiesOrPrograms
Persons Served	53823	PersonsServed
Total Community Benefit Expense	18424457	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5081677	DirectOffsettingRevenue
Net Community Benefit Expense	13342780	NetCommunityBenefitExpense
Percent Of Total Expense	0.03140	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	80	NumberOfActivitiesOrPrograms
Persons Served	61751	PersonsServed
Total Community Benefit Expense	118718442	TotalCommunityBenefitExpense
Direct Offsetting Revenue	77988055	DirectOffsettingRevenue
Net Community Benefit Expense	40730387	NetCommunityBenefitExpense
Percent Of Total Expense	0.09580	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	600	PersonsServed
Total Community Building Expense	8726	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	8726	NetCommunityBuildingExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	3672	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	3672	NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	60	PersonsServed
Total Community Building Expense	20846	TotalCommunityBuildingExpense
Direct Offsetting Revenue	2250	DirectOffsettingRevenue
Net Community Building Expense	18596	NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	65	PersonsServed
Total Community Building Expense	850	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	850	NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	280	PersonsServed
Total Community Building Expense	46589	TotalCommunityBuildingExpense
Direct Offsetting Revenue	14430	DirectOffsettingRevenue
Net Community Building Expense	32159	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	8	NumberOfActivitiesOrPrograms
Persons Served	1005	PersonsServed
Total Community Building Expense	80683	TotalCommunityBuildingExpense
Direct Offsetting Revenue	16680	DirectOffsettingRevenue
Net Community Building Expense	64003	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$31,648,150	BadDebtExpenseAmount
Amount Attributable To	1533353	AmountAttributableTo
Amount Reimbursed By Medicare	137378472	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	158092358	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-20713886	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost Accounting System	X	CostAccountingSystem

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	Prairie Heart Inst	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	MARKETING	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.50000	OrganizationProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	St John's Hospital	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	800 east carpenter	AddressLine1
City	springfield	City
State	IL	State
ZIP Code	62769	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Childrens Hospital	X	ChildrensHospital
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	St John's Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	true	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	11	NeedsAssessmentConducted
Take Into Account	true	TakeIntoAccount
Other Facilities	false	OtherFacilities
CHNA Widely Available	true	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Include Operational Plans	X	IncludeOperationalPlans
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	false	AllNeedsAddressed
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	250.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	600.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
State Regulation	X	StateRegulation
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Part I, Line 3c	Not applicable as the organization does follow FPG to determine eligibility for charity and discounted care to low-income uninsured and underinsured individuals.
Part I, Line 6a	The hospitals community benefit report can be accessed at www.st-johns.org
Part I, Line 7g	Currently our only subsidized program is the Neonatal Intensive Care Unit ("NICU") follow up clinic. THE NICU FOLLOW UP CLINIC IS A MULTIDISCIPLINARY CLINIC FOR FOLLOW UP CARE FOR INFANTS WHO WERE PATIENTS IN THE NICU. THE PRIMARY PURPOSE IS TO ASSESS FOR GROWTH AND DEVELOPMENTAL DELAYS, AND TO REFER PATIENTS TO THE APPROPRIATE SERVICES AS NEEDED.
Part I, Line 7, column (F)	The percent of charity care and certain other benefits at cost as a percent of total expenses less bad debt is 9.58%. The amount of bad debt expense removed when calculating this percentage was $31,648,151.
Part I, Line 7	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 2012 audited financial statements. The total charity care dollar amount is then reduced to cost by applying the Hospitals cost to charge ratio as calculated on IRS schedule H worksheet 2.
Part II	St. Johns Hospital is involved in a variety of economic development initiatives. Examples of these initiatives include, but are not limited to active staff participation with the following organizations: United Way of Central Illinois, Springfield Park District, genHkids Coalition, District 186 school mentoring program, District 186 school Coordinated Approach to Community Health (CATCH) elementary school program, Central Illinois Community Blood Center, Hospital Sisters Mission Outreach, Homeless United for Change, Greater Springfield Chamber of Commerce, Downtown Springfield Inc., Pregnancy Care Center, Elizabeth Ann Seton Program, Mid Illinois Medical District, Lincoln Land Community College Workforce Investment Board, Sangamon County Public Health Department WIC program, and various State of Illinois advisory boards for Public Health, Information Technology and Emergency Management. Without St. Johns Hospitals leadership and involvement in several of these efforts(the Sangamon County Department of Public Health WIC Programming and the genHkids Coalition specifically)these particular initiatives would not have the means to continue effecting change in our low-income and underserved populations. Our collaborative partnerships with community groups had developed a solid foundation on which we are able to build sustainable infrastructures to support healthy communities for a healthier future.
Part III, Line 4	The hospital strongly believes that its charity care and the related community benefit obtained from such care, is understated because of those patients that potentially qualify for charity care but do not wish to apply for it. In addition, some care is not classified as charity due to missing documentation on patient resources. Thus, the hospital's bad debt may include a portion that could be classified as charity care if application for such care was sought and/or completed. Currently, the hospital implemented processes, procedures, and systems to more effectively determine charity care that will reduce a patient's documentation requirements, and ease the patient's emotional burden in applying for charity care. This will provide a more accurate reporting of charity care services provided by the hospital. The bad debt expense in the financial statements includes write-offs from the patient billing system, subtractions for bad debt recoveries, and adjustments to the bad debt allowance account. The adjustments to the allowance account are necessary to ensure that the allowance for bad debts on the balance sheet accurately reflects estimated future bad debt write-offs (net of recoveries) for the current A/R. The reported total bad debt amount matches our fiscal year ending 2012 audited financial statement. The bad debt number is then brought down to an "at cost" amount by multiplying the bad debt number by the patient care cost to charges ratio. The patient care cost to charge ratio is calculated by following the IRS schedule H - worksheet 2.
Part III, Line 8	The hospital continually strives to provide excellent patient care in the most cost effective fashion. Nonetheless, the Medicare program, in many cases, does not provide payment that covers the full cost of the care provided. Since it is the mission of the hospital to respond to community need, hospital management continually advocates for improved Medicare payment so that the cost of quality care to those patients that are not able to afford it is not compromised and is fairly subsidized by all payers. While this shortfall in Medicare payments is not classified as community benefit by the IRS, we nonetheless believe it is an important contribution made by the hospital to the health and well-being ofthe community. The hospital Medicare shortfall at cost for fiscal year 2012 was $20,713,886.
Part III, Line 9b	EVERY EFFORT IS MADE PRIOR TO, DURING AND AFTER PROVISION OF MEDICAL SERVICES TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR CHARITY/COMMUNITY CARE AND TO ASSIST THE PATIENT IN COMPLETING THE APPLICATION AND PROVIDING ADEQUATE DOCUMENTATION. IF THE PATIENT QUALIFIED FOR CHARITY/COMMUNITY CARE FOR THE FULL BALANCE OF THEIR ACCOUNT, THE ENTIRE AMOUNT IS WRITTEN OFF TO CHARITY/COMMUNITY CARE AND HENCE NO DEBT COLLECTION IS PURSUED. IF THE PATIENT QUALIFIED FOR CHARITY/COMMUNITY CARE FOR A PORTION OF THEIR ACCOUNT BALANCE, THAT PORTION IS WRITTEN OFF TO CHARITY/COMMUNITY CARE, WITH THE PATIENT BEING RESPONSIBLE FOR THE REMAINDER OF THE BALANCE. ADDITIONALLY, REASONABLE EFFORT WILL BE MADE TO OBTAIN THIRD-PARTY OR GOVERNMENT PAYER REIMBURSEMENT ON BEHALF OF THE PATIENT. IF THOSE EFFORTS ARE NOT FRUITFUL, AN OFFER WILL BE EXTENDED TO THE PATIENT TO MAKE INSTALLMENT PAYMENTS ON THEIR BALANCE. ONLY AT SUCH POINT THAT THE PATIENT DEFAULTS ON INSTALLMENT PAYMENTS OR REFUSES TO COOPERATE WITH THE HOSPITAL'S EFFORTS TO BE REIMBURSED WILL THE ACCOUNT BE SENT TO COLLECTIONS. FOR ADDITIONAL INFORMATION, SEE RESPONSE TO QUESTION VI, 3.
Part V, Section B, Line 3	The Community Benefit Sub Committee represented the community in this needs assessment process. This group includes local health care providers; hospital representatives; public health officials; community stakeholders including nonprofit employees working with underserved communities; school board and district representatives; and leaders and representatives of underserved, low-income and minority populations. Public health officials serving on the Committee were also able to represent the needs of persons with chronic diseases. The Community Benefit Sub Committee was organized 1) to guide and participate in the planning, development and implementation of projects and programs aimed at improving the health of the St. Johns Hospital service area; 2) to address the needs of those communities where there are disproportionate unmet health needs and 3) to ensure St. Johns remains committed to its Charitable Mission by improving the quality of lives in Sangamon County and the surrounding region. The committee is responsible for recommending and overseeing Community Benefit policies and programs designed to carry out the Mission of St. Johns Hospital to provide exceptional health care services to the people of central Illinois. Community input was also obtained through a household survey conducted by Leede Research, a firm specializing in healthcare information programs and tools.
Part V, Section B, Line 5C	The Community Health Needs Assessment is available on-line. Organizations making up our Community Benefit Sub Committee received copies to share with their constituents. The document is also available through our Health Sciences Library.
Part V, Section B, Line 7	The hospitals Community Health Needs Assessment and associated implementation strategy were completed in FY2012, the reporting year. However, the implementation strategy had not yet been executed.
Part V, Section B, Line 19D	WE ASK EACH PATIENT TO FILL OUT A FORM IN ORDER TO DETERMINE THEIR ELIGILILITY UNDER THE ILLINOIS UNINSURED ACT. IF THE PATIENT FAILS TO FILL OUT THE FORM, FINANCIAL COUNSELORS WILL SEEK TO DETERMINE PATIENT ELIGIBILITY BY SEEKING APPROPRIATE INFORMATION IN THE SEARCH AMERICA PROGRAM. WE ALSO REVIEW THE PATIENTS' ACCOUNTS TO ENSURE THEY ARE NOT CHARGED MORE THAN 25% OF THEIR ANNUAL GROSS INCOME. ONCE THE CHARGES FOR A SELF-PAY BALANCE EXCEED 25% OF THE PATIENTS' ANNUAL GROSS INCOME, THE REMAINING BALANCE IS ADJUSTED OFF TO CHRISTIAN CARE.
Needs assessment	St. Johns Hospital conducted a Community Health Needs Assessment during FY 2012. The hospital commissioned a telephone survey through Leede Research to help gauge the needs of the population in Sangamon and the collar counties. In addition to this survey and the resulting data, secondary data from the Behavioral Risk Factor Surveillance System, the Illinois Planning for Local Assessment of Need (IPLAN), and other sources were also included in the assessment process. Twenty top issues were uncovered from primary and secondary data gathered through the survey and existing data sets. Before prioritizing needs, an Internal Community Benefit Committee comprised of leaders and physician experts from St. Johns Hospital was provided a list of the top 20 needs derived from our primary and secondary data collection. Members gave input that combined various issues according to common factors, yielding a list of ten priorities. These were Metabolic Syndrome, Cardiovascular Disease, Lifestyle, Asthma, Mental Health, Health Environment, Substance Abuse, Teen Pregnancy, Bicycle Helmets, and Sexually Transmitted Infections. This new grouping of ten needs was then submitted to the external Community Benefit Sub Committee and prioritized for a final group of three top needs. This was accomplished through the ranking of each issue in three main areas: magnitude, seriousness and feasibility. Committee member responses were given on a 1-3 scale and were averaged, yielding the top three needs: Cardiovascular Disease, Metabolic Syndrome and Lifestyle. A companion document, Implementation Strategy, was developed to describe how St. Johns Hospital plans to help address priority needs identified through our CHNA process. The CHNA and Implementation Strategy were approved by our board. The Community Health Needs and associated implementation strategy will be used to guide our efforts in FY2013. For prior years, we used other methods to identify community need. For example, we gathered data from sources such as Behavioral Risk Factor Surveillance system, IPLAN and the Illinois Department of Public Health (IDPH). This secondary data helped to inform us of current needs and concerns in the community which are: Childhood obesity, Chronic Disease (specifically cardiovascular and metabolic syndrome), Worksite wellness, Access to Care. THE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE ACCESSED AT: https://www.st-johns.org/stjohns/community-needs-assessment.aspx
Patient education of eligibility for assistance	The Registration Department provides brochures to patients upon registration regarding the Payment Assistance Program available to them at St. Johns Hospital. The brochures are also supplied in waiting and ancillary areas for easy access by the patient. The brochures include contact numbers for the Business Office. Available on SJS website is information about how to read and understand the billing information on payment assistance, billing procedures and explanation of Medicare forms. Signage indicating that Financial Assistance is available is located at hospital patient Access points. The organization has a representative on site to assist patients who may be eligible for Medicaid assistance through the Illinois Department of Public Assistance. The representative works with patients to determine if they may be eligible, and if so, assist in pulling together the necessary application for submission. Patients are also provided at registration information regarding separate physician billing they can expect to receive, plus information about the patients financial responsibility if their insurance plan is out of network. One-on-one conversations to educate patients about financial assistance often stem from patients receiving a statement or a pre-collection letter. At that point, the customer service representative or cashier, or other qualified staff, will inform/educate the caller about financial assistance options. The first pre-collection letter reminds the patient their account is in delinquent status. It also informs them they may be eligible for financial assistance through the organizations charity care program. The letter provides direct contact information to begin the application process for charity care.
Community Information	St. Johns Hospital is located in the center of Springfield, Illinois and serves not only Sangamon County but also the surrounding counties (Cass, Christian, Logan, Macon, Macoupin, Menard, Montgomery and Morgan). The total primary and secondary service area of the hospital has a population of 505,772 people, 194,912 people from Sangamon County and 310,860 people from the surrounding counties. Additionally, St. Johns provides tertiary care to residents of Bond, Brown, Clay, Coles, De Witt, Effingham, Fayette, Greene, Marion, Mason, Moultrie, Piatt, Pike, Schuyler, Scott and Shelby counties. This combined area has a population of 311,583 people. Aside from the city of Springfield, the economy of St. Johns service area is primarily rural and is supported by small businesses, industries, mining and agriculture. Springfield, on the other hand, is an urban area supported by large businesses, such as the Illinois State Government and industries. Based on 2011 population estimates derived from the 2010 census, Sangamon Countys population of 194,912 people is comprised of 60.6% Caucasians, 5.1% African-Americans, 2.2% American Indians/Alaska Natives, 0.8% Asians, 0.6% Native Hawaiians/Other Pacific Islanders, 22.6% people stating another race and 8.2% people stating two or more races. The current unemployment rate of Sangamon County is 6.8%, according to the Illinois Department of Employment Security, and the median household income is $49,286. St. Johns secondary service area is comprised of 310,860 people, of whom 56.3% are Caucasian, 3.1% are African-American, 1.0% are American Indian/Alaska Native, 0.4% are Asian, 0.3% are Native Hawaiian/Other Pacific Islander, 33.6% state another race and 5.3% state two or more races. The average unemployment rate of the combined counties is 9.4% and the median household income is $43,247. The counties comprising St. Johns tertiary service area have a combined population of 311,583 people. Ninety-five percent of residents are Caucasian, 2.6% are African-American, 0.3% are American Indian/Alaska Native, 0.5% are Asian, 0.03% are Native Hawaiian/Other Pacific Islander, 0.4% state another race and 1.0% state two or more races. The average unemployment rate of the combined area is 8.9% and the median household income is $41,276. The 2011 poverty rates in the combined service area were between 8.2% and 10% which is below the national average of 11.9%-14.3%. 1. Promotion of Community Health. St. Johns Hospital offers hope to our community in the tradition of the Hospital Sisters of St.Francis. As a healing ministry of the Catholic Church and an affiliate of the Hospital Sisters Health System (HSHS), St. Johns is committed to delivering high quality, compassionate, and cost-effective health care services to all. The hospital was founded over 135 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 hospitals purpose and tradition, it is organized to promote the health of Sangamon County and surrounding areas. The hospital is governed by a Board of Directors, the majority of which is comprised of persons who reside in the organizations primary service area and who are neither employees nor contractors of the hospital (nor family members thereof). The Board ensures that St. Johns is responding to community need. During the last year, for example, the Board reviewed the Community Health Needs Assessment and approved an implementation strategy for addressing selected needs. Additionally, in 2010, the board commissioned the Community Benefit Sub Committee, a subcommittee of the board, to oversee Community Benefit policies and programs designed to carry out the Mission of St. Johns Hospital to provide exceptional health care services to the people of central Illinois. The subcommittee is now in its third year and continues to address the needs of those communities where there are disproportionate unmet health needs. The subcommittee is comprised of St. Johns Hospital colleagues, members of the board and community stakeholders. Also consistent with its exempt purpose, St. Johns has an open medical staff with privileges available to all qualified physicians in the area. In addition, the hospital operates an emergency department that is open 24 hours to all persons regardless of their ability to pay. As a not-for-profit hospital, St. Johns reinvests surplus funds into the mission of the organization and health of the community rather than distributing them as profits to shareholders or individuals. Funds not committed to ongoing operations are generally used to upgrade facilities, secure new technologies, improve patient care, and support initiatives designed to promote health and ensure access for all. For example, St. Johns is currently working with its parent organization, Hospital Sisters Health System, to continuously enhance quality and improve coordination of care both inside the hospital and with a growing number of physician partners. Supported by investments in information technology, this "care integration" strategy is designed to better coordinate care, improve health outcomes, create new efficiencies, and help ensure that patients (especially those with chronic conditions) get well and stay well. St. Johns also devotes significant resources to access for patients who cannot afford care, along with other community benefits. In fiscal year 2012, St. Johns provided over $40 million in community benefit services, including charity care at cost, unpaid costs of Medicaid and other public programs, and a range of diverse programs designed to enhance access and improve community health. Additionally, during this period, St. Johns provided $10 million (at cost) in uncompensated care to patients that did not qualify for charity care or public assistance and over $20 million (at cost) in excess of Medicare payment for health care services. The range of benefits provided by St. Johns flows from our mission and long-standing commitment to our community. In many cases, these programs would be unlikely to exist without the leadership role played by St. Johns, and they often relieve a burden that would otherwise be carried by government. During FY2012, St. Johns Hospital focused on the following priorities: Childhood obesity, Chronic Disease (specifically cardiovascular and metabolic syndrome), Worksite wellness, and Access to Care. A strong emphasis has been placed on behavior and lifestyle choices as many risk factors of the above are modifiable. In response to community needs, we put the following programs in place to affect behavior change: CATCH Program CATCH is a coordinated effort to provide a medical home to low-income residents in Sangamon County. St. Johns Hospital works with physicians and other primary care providers to help patients access alternatives to the Emergency Room for routine care and chronic disease management. Screenings Screenings help to increase awareness amount community members of existing disease of risk for disease. Health status is improved when a high-risk person is identified and we are able to a) refer the individual to the Primary Care Physicians (PCP) for additional diagnostic testing and treatment or b) connect the individual to a PCP through the CATCH program. Programs Include: o Free Community Screenings for heart disease and stroke risk. Screenings are provided by St. Johns Hospital. o Bi-Annual Homeless Clinics provides screenings for a variety of issues for the homelesspopulation. This program reached a total of 9,463 persons in FY2012. o Annual Day of Health is an annual program designed to worksite wellness within schools. Continuing education is offered based on the schools specific health needs. 100-Year Heart Program This program is designed to teach children healthy lifestyle habits from an early age. Statistics show us a child is likely to develop habits for life during their early years of life. Palates and exercise habits are established during a childs Elementary-aged years. 100-Year Heart aims to teach healthy habits before unhealthy ones are established. The program uses fun, interactive, hands-on methods to teach good choices and help the child understand how bad choices negatively impact them. This program reached a total of 3,440 students in FY2012. Destination Dinner Table This program is designed to teach families how to cook healthy, from-scratch meals and eat together as a family. Families meet quarterly to learn and practice new cooking skills. Meals are prepared on a budget of $8.00 for a family of four. Research shows us families are increasingly skipping family mealtime, to the detriment of the familys health and wellness. Family mealtime promotes healthy relationships, open communication, social connections, healthy nutrition and eating habits, increased academic performance and decreased risk for substance abuse and risky sexual behavior. In FY12, 20
AFFILIATED HEALTH CARE SYSTEM	ST. JOHN'S HOSPITAL-SPRINGFIELD is an affiliate of Hospital Sisters Health System (HSHS), a health care ministry that includes 13 hospitals, scores of community-based health centers and clinics, and more than 2,000 physician partners across Illinois and Wisconsin. The Mission of HSHS is to reveal and embody Christs healing love for all people through our high quality Franciscan health care ministry. We live our Mission by healing those who seek our care, as well as through our Community Benefit initiatives. Working collaboratively with others in the 12 communities we serve, our Community Benefit efforts are successfully expanding access to care, improving the health status of residents, and furthering medical education and knowledge. Across HSHS, we collectively provided $174.2 million in Community Benefits (or 9.7% of total hospital expenses) in FY2012. Included in this amount was $43.1 million provided for Charity Care and $97.9 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 $168.4 million. HSHS hospitals also recorded $106.6 million in uncollectible accounts. Beyond 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 do, 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 U.S. 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 FY2012, 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 the individual. Our efforts to ensure residents in the communities we serve receive the right care at the right time 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 western Wisconsin, St. Josephs Hospital in Chippewa Falls works closely with the Chippewa Health Improvement Partnership (CHIP) to support the Open Door Clinic. The free medical clinic provides health care for those without insurance coverage. This past year, the clinic received a total of 2,216 patient visits, a 25% increase from the prior year. With more than 150 individuals volunteering, the clinic provided over 6,500 hours (including 700 physician hours and 1,500 nursing hours) of service to individuals. The Open Door Clinic is an example of HSHS providing leadership and support to a community-based program designed to meet the needs of those less fortunate. In northeastern Wisconsin, St. Vincent Hospital in Green Bay supports patient care for the uninsured at the NEW Community Clinic by paying a nurses salary and offering free and discounted laboratory and radiology services. More than 70% of patients who use the clinic report the care they received helped keep them out of the Emergency Department. St. Nicholas Hospital in Sheboygan proactively reaches out to local Hmong and Hispanic organizations to ensure these populations can participate in free screenings and health education programs. Through this ongoing outreach initiative, St. Nicholas engaged more than 350 people last year, and in many cases was able to identify critical health conditions early and provide appropriate follow-up care. A Woman's Place at St. Mary's Hospital Medical Center in Green Bay reaches out to Hispanic neighbors to provide health and wellness education, health screenings, resources and referral services. Last year A Woman's Place touched the lives of more than 7,000 women through health screenings, educational events, classes and its resource center. In southeast Illinois, area residents can get help filling a prescription through the long-term collaboration between St. Anthonys Memorial Hospital in Effingham and Catholic Charities. Last year, St. Anthonys helped underwrite the cost of prescription medications for more than 430 residents. In Southwest Illinois, St.Joseph's Hospital in Highland recoganized many rural residents did nothave a reliable means of transportation and partnered with generous individuals in the community to offer a free TRANSPORTATION SERVICE. THE "FRIENDS' VAN," FULLY SUPPORTED by the Friends of St. Joseph's Hospital, provides free rides to medical, dental and other personal appointments within a 20-mile radius of Highland. In FY2012, the Friends Van transported 2,050 individuals for a total of 12,561 miles. In addition to programs such as these, HSHS makes sure that those who need financial assistance for care receive it. Our Charity Care program covers 100% of hospital charges for individuals and families who earn less than 200% of the federal poverty level. HSHS Charity Care programs have a sliding scale, in some instances providing up to a 60% discount on charges for those earning up to 600% of the federal poverty level. Counselors are available in our hospitals to explain our charity care policies to patients, provide them with assistance in filling out a simple application form, or help them enroll in publicly funded health care programs. Better community health As part of our mission to embody Christs 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. Among the many priority needs identified from the CHNAs include 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. To address metabolic disease management, St. Francis Hospital in Litchfield, Illinois, partners with Montgomery County Health Department to provide screening for diabetes and renal disease. St. Francis Hospital teams up with Macoupin County Health Department to provide Diabetes Self-Management classes. St. Josephs Hospital in Breese, Illinois coordinates several community education seminars and health fairs on cardiovascular disease and healthy eating each year. Over 3,000 residents participated in these health events last year. Recognizing the importance of proper food and nutrition to overall health, St. Johns Hospital in Springfield initiated the Destination Dinner program which teaches families how to cook healthy, from-scratch meals, and eat together as a family. Families meet quarterly to learn new cooking skills. They also learn how to prepare a meal for a family of four on a budget of $8.00. In addition to raising awareness about how to eat healthy on a limited budget, the program brings families together around the dinner table, which research shows promotes healthy relationships, increased academic performance and decreased risk for substance abuse and risky sexual behavior. Sacred Heart Hospital in Eau Claire, Wisconsin addressed the need for access to mental health services for children and adolescents by opening an outpatient behavioral health clinic. Sacred Heart has also adopted screening tools for behavioral and mental health risk factors for use at affiliated clinics. The goal is to better identify mental health issues and provide earlier intervention. Sacred Heart Hospital is also working with the Chippewa Valley Free Clinic (CVFC) to develop expanded provider coverage for CVFC patients who require mental health services. St. Mary's
STATE FILING OF COMMUNITY BENEFIT REPORT	IL,	990 SCHEDULE H, PART VI

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	Nursing students at College of Nursing	TypeOfGrant
Number Of Recipients	24	NumberOfRecipients
Amount Of Cash Grant	5269	AmountOfCashGrant
Method Of Valuation	N/A	MethodOfValuation
Description Of Non Cash Assistance	N/A	DescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Grants and assistance	Identifier
Return Reference	schedule i, part i, line 2	ReturnReference
Explanation	St. John's Hospital participates in various Federal loan and grant programs. These programs are administered in accordance with guidelines established by the U.S. Department of Education, and the U.S. Department of Health and Human Services. These programs are audited annually in accordance with OMB Circular A-133 "Audits of Institutions of Higher Education and Other Nonprofit Institutions".	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Housing Allowance Or Residence	X	HousingAllowanceOrResidence
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Robert Ritz
0	550340	0	0	0	38122	0	162878	0	56610	0	807950	0	61170
Ann M Carr
0	180382	0	0	0	45430	0	197622	0	18652	0	442086	0	15440
David Olejniczak
362191	0	49825	0	14143	0	79270	0	19389	0	524818	0	0	0
Larry J Ragel
247925	0	25	0	0	0	55206	0	19389	0	322545	0	0	0
Jianxin Wang
189330	0	25	0	0	0	31477	0	19439	0	240271	0	0	0
Ann Derrick
191812	0	25	0	0	0	164176	0	8102	0	364115	0	0	0
Ginger Ertel
234672	0	25	0	18000	0	19665	0	8453	0	280815	0	0	0
Sherri A Greenwood
171380	0	25	0	0	0	25530	0	19275	0	216210	0	0	0
AMY K BULPITT
260379	0	25	0	0	0	12722	0	478	0	273604	0	0	0
PATRICIA SCHULZ
233327	0	25	0	0	0	41184	0	12826	0	287362	0	0	0
DWIGHT HEANEY
197740	0	25	0	0	0	26215	0	14702	0	238682	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Housing Allowance	Schedule J, part I, Line 1a	Ginger Ertel received a housing allowance from St. Johns during the year. The fair value of the housing allowance was included in her annual reported income. Health or Social Club Dues or Initiation Fees Social club dues were paid by St. Johns on behalf of Bob Ritz during the year. The fair value of the dues were included in his annual reported income.
ROBERT RITZ	SCHEDULE J, PART I, LINE 4B	ROBERT RITZ PARTICIPATED IN A SERP DURING THE YEAR IN THE AMOUNT OF $118,775.
ANN M. CARR	SCHEDULE J, PART I, LINE 4B	ANN M. CARR PARTICIPATED IN A SERP DURING THE YEAR IN THE AMOUNT OF $33,655.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PROGRAM SERVICE REVENUE - CARDIOVASCULAR	990 PART III LINE 4A	St. John's Hospital has the largest heart program in Illinois. We perform more cardiovascular procedures than any other hospital in the state, including the Chicago area. Research shows that the more procedures a facility performs, the safer it is for the patient. We also have developed a reputation as one of the premier cardiovascular programs in the country, but it's our dedication to providing superior quality of care and compassion to patients and their families that makes us unique. St. John's Hospital offers convenient access to a complete array of cardiac services. Our cardiologists and surgeons perform nearly 90,000 treatment procedures every year. For patients, these numbers translate into higher quality, lower costs and a greater sense of security in knowing that they will receive excellent care from the most experienced physicians. St. Johns performed the first Transcatheter Aortic Valve Replacement (TAVR) procedure in downstate Illinois on January 12, 2012. The revolutionary new procedure does not require traditional open heart surgery, but instead uses a catheter through an incision in the leg to replace the aortic valve. U.S. News and World Report named St. Johns Hospital as one of the best regional hospitals for cardiology and heart surgery for 2011 and 2012. St. Johns Hospital was also simultaneously recognized for national excellence by receiving the Cardiac Care, Cardiac Surgery and Coronary Intervention Excellence Awards from HealthGrades. In addition to the list of Catheterization, Surgical and Non-invasive procedures below, St. Johns offers a Cardiac Rehabilitation program, as well as a Corporate Wellness program, and other stress-reduction services through the St. Johns Center for Living. Catheterization Laboratory Procedures Abdominal aortic aneurysm graphs Ablation of complex arrhythmias Angioplasty with stenting Balloon angioplasty Carotid stents Defibrillator implantation Diagnostic cardiac catheterization Drug-eluting stents Electro physiologic evaluation of complex arrhythmias Evaluation of cardiac valves Evaluation of congenital heart disease Pacemaker implantation Peripheral vascular stents Percutaneous translumina myocardial revascularization Renal stents Coated Stents Surgical Procedures Beating heart bypass surgery Coronary artery bypass graft surgery General thoracic surgery Heart valve replacement and repair Laser pacemaker lead extraction Minimally invasive atrial ablation surgery Minimally invasive valve replacement repair surgery Pacemaker and defibrillator implantation Vascular surgery (aortic, cerebrovascular, renal, and peripheral) Noninvasive Cardiovascular Diagnostic Procedures Audicor testing Bio-Z Cardiac and vascular ultrasound Cardioversions Doppler exams Electrocardiograms Holter monitoring/Arrhythmia monitoring/Pacemaker checks Nuclear stress testing Pediatric Cardiology Clinic Preadmission testing (chest X-rays and blood tests) Stress echocardiography Tran esophageal echocardiography T-Wave alternans
PROGRAM SERVICE REVENUE - ORTHOPEDICS	990 PART III LINE 4B	Orthopedic Services at St. Johns Hospital are provided by a team of specialized health care professionals who actively involve patients and their families in the care plan. We focus on the individual patient as a whole and incorporate their goals in the recovery plan. This helps ensure outcomes that return our patients to the lifestyle they desire. Orthopedic services include programs for musculoskeletal injuries to the bones, joints, muscles, ligaments or tendons, and conditions such as arthritis and osteoporosis. Some of the majorservices provided by St. Johns hospital are as follows: Total Joint Replacement Program - For 20+ years St. Johns has provided total joint replacement patients with a comprehensive plan of care that includes extensive education about what they need to know before, during and after surgery. More than 600 joint replacements are performed every year. Once admitted, total joint replacement patients are under the care of an experienced care team. This includes a physician, anesthesiologist, a registered nurse, a case manager, a therapist, a nursing technician and an orthopedic operating room clinical coordinator - all who take pride in their ability to provide expert care. Our joint care coordinator also manages and oversees the careof total joint patients before surgery and after discharge. All patients and a family member are encouraged to attend an individual or group class before their total joint procedure. AthletiCare - the sports medicine and performance program that focuses on training, prevention, and rehabilitation. Our emphasis on patient education helps prevent many injuries. AthletiCare is proud to serve our community by offering a variety of educational opportunities. We offer monthly education seminars for the community, sharing the latest trends or services in health care today and provides semi-annual continuing education courses. Aquatic Therapy - uses the properties of water to assist patients in their rehabilitation. Performing therapy exercises in a 90-degree warm water pool decreases the amount of weight placed on muscles, joints and bones and provides support for individuals who have trouble maintaining their balance. Having water surround the body also helps blood circulate from the legs to the heart, often reducing any swelling in the ankles and feet. And, depending on the speed of movement, water can either assist or resist movement to strengthen muscle. At St. Johns Rehab South, patients generally work one-on-one with their therapist or in small groups. Individuals with a variety of conditions may benefit from aquatic therapy. They include: * Arthritis * Back Injuries * General bone and joint injuries * Joint Replacements * Neurological conditions, such as stroke * Sports injuries
PROGRAM SERVICE REVENUE - Gastroenterology	990 PART III LINE 4C	GIDA is a relatively small unit, but typically busy, with approximately 18-25 patients per day. Seventy percent are outpatients and 30% are inpatients. Both diagnostic and therapeutic procedures are performed including, but not limited to, colonoscopy, EGD (esophagogastroduodenoscopy), ERCP, PEG placement, dilatations, 24 hour pH and manometrics. Nursing responsibilities for a routine outpatient include completing a comprehensive patient assessment; obtaining a written consent for treatment; starting an IV line; administering pre-procedure antibiotics if ordered; transporting the patient to the procedural room; assisting the physician with the procedure; administering conscious sedation if ordered; assessing and treating discomfort; and overall patient monitoring. Post procedure, the patient spends approximately one hour in recovery and is discharged to a responsible person after discharge instructions and teaching is complete. Patient age groups range from pediatrics to geriatrics, with the pediatric procedures performed mainly in the OR. Other cases are performed in the ED, ICU, IMC or patient rooms as needed.
RIGHTS OF MEMBERS TO ELECT GOVERNING BODY	FORM 990 PART VI, LINES 6 & 7A	THE SENIOR GOVERNING BODY OF ST. JOHN'S HOSPITAL (THE "CORPORATION") IS THE MEMBER OF THE CORPORATION, WHICH IS HOSPITAL SISTERS SERVICES, INC. ("HSSI"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. PURSUANT TO SECTION 2.3 OF THE CORPORATION'S BYLAWS, HSSI HAS THE RIGHT TO APPOINT AND REMOVE THE CORPORATION'S BOARD OF DIRECTORS, CHAIRPERSON OF THE BOARD, AND PRESIDENT.
MEMBER RESERVED POWERS	FORM 990 PART VI, LINE 7B	Responsibility for the policy and operations of St. John's Hospital (the "Corporation") is vested in its Board of Directors, except with respect to specific powers reserved in the Corporation's Bylaws to the Corporation's Member, Hospital Sisters Services, Inc. ("HSSI"), an Illinois not for profit corporation exempt from federal taxation under Section 501(c)(3) of the Internal Revenue Code. The member of HSSI is Hospital Sisters Health System ("HSHS"), an Illinois not for profit corporation exempt from federal taxation under Section 501(c)(3) of the Internal Revenue Code. The members of HSHS are the individual sisters who, from time to time, are the duly elected Provincial Superior and Provincial Councilors, respectively, of the American Province of the Hospital Sisters of St. Francis ("American Province"). The American Province is the United States organization of the Congregation of the Hospital Sisters of the Third Order Regular of St. Francis, a religious institute of the Roman Catholic Church. The governance and operations of the Corporation are subject to HSSI's right to exercise these reserved powers with respect to the Corporation and organizations of which the Corporation is either, directly or indirectly, a controlling member or a controlling shareholder ("Affiliates"). HSSI's right to exercise certain of these reserved powers is, in turn, subject to the approval of HSHS and HSHS' members. The reserved powers include all rights granted to HSSI by law and the right to: (a)Adopt, approve amendments to, or amend any statement of philosophy, mission, mission integration or values, or any name, logo, or mark of the Corporation or of any Affiliate; (b)Adopt, approve amendments to, or amend the Articles of Incorporation of the Corporation or of any Affiliate; (c)Adopt, approve amendments to, or amend the Bylaws of the Corporation or of any Affiliate; (d)Appoint and remove the Board of Directors, any one or more of the Directors of the Corporation or of any Affiliate, and the Chairperson and President of the Corporation or of any Affiliate; (e)Approve the recommendation of the Board of Directors to appoint or remove the Board of Directors, any one or more Directors of the Corporation or of any Affiliate, or the Chairperson and President of the Corporation or of any Affiliate. (f)With respect to the Corporation or any Affiliate, approve the purchase, sale, alienation, exchange, lease, or encumbrance of any real property of the Corporation or of any Affiliate, which property has a value in excess of limits set from time to time by HSSI; (g)Approve the operating and capital budgets of the Corporation or of any Affiliate, and any deviations by the Corporation or of any Affiliate from such budgets in an amount or percentage specified by HSSI from time to time; (h)Approve the strategic plan and goals of the Corporation or of any Affiliate; (i)Approve the sale of substantially all of the assets of the Corporation or of any Affiliate; (j)Approve the merger or dissolution of the Corporation or of any Affiliate; (k)Adopt or amend the plan for ministry education and governance for the Corporation and its Affiliates; (l)Approve the Corporation's Mission Accountability Reports and those of any Affiliate; (m)Approve the financial policies and procedures of the Corporation or of any Affiliate, and approve any deviations from such policies and procedures by the Corporation or any Affiliate; and (n)Adopt policies to implement the Reserved Powers of HSSI.
FORM 990 REVIEW PROCESS	FORM 990 PART VI, LINE 11b	The hospital employs KPMG to assist in the overall preparation, review and electronic submission of its Form 990. KPMG 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.
CONFLICT OF INTEREST POLICY	FORM 990 PART VI, LINE 12C	A revised Corporate Compliance Program and Conflict of Interest Policy has been used since January, 2010 to establish the practice of managing conflicts of interest using a system-wide protocol for disclosure statements. In accordance with our Conflict of Interests Policy, all Covered Persons have a duty to comply with the Conflict of Interest Policy for any contract, transaction, relationship, or activity contemplated, entered into, or conducted at HSHS. The policy defines covered persons as Board members, Board committee members, Officers, Board designees, senior management, members of any committee that oversees the approval of pharmaceuticals and medical devices, and any other individual who holds a position of trust. On an annual basis HSHS discloses a copy of the Conflict of Interest Policy (and all corresponding procedures, guidelines, forms, and tools) to all Covered Persons, and advises all Covered Persons in writing of any substantive changes to this Policy and such related materials. The Covered Persons are required to review and complete the corresponding Conflict of Interest Statement. The System Office Vice President - System Responsibility, Vice President - Risk & Compliance, or members of the Audit and Integrity Committee ("Committee") are available to answer any questions a Covered Person may have. In addition, if at any time after submitting an annual Conflict of Interest Statement, a Covered Person becomes aware of an Interest that he or she would have had to disclose at the annual interval, the Covered Person shall promptly disclose the Interest to the Committee using the HSHS Conflict of Interest Disclosure Statement. Completed Conflict of Interest statements are submitted to the Committee of HSHS which is responsible for identifying, assessing, and managing Conflicts of Interest that arise in the course of conducting the affairs of HSHS. If the Committee determines that a Conflict of Interest exists, HSHS shall not engage in, or enter into a proposed contract, transaction, relationship, arrangement, or activity unless the Committee or, where necessary, the Board of Directors (acting through its disinterested members), has investigated alternatives to the proposed contract, transaction, relationship, arrangement, or activity and, in the absence of alternatives that are in the best interests of HSHS, has determined: 1. that, regardless of whether the Covered Person participates in the implementation of the proposed contract, transaction, relationship, arrangement, or activity; 2. the contract, transaction, arrangement, or activity is in the best interests of HSHS; 3. the contract, transaction, arrangement, or activity is fair and reasonable from the perspective of HSHS; and 4. HSHS cannot obtain a more advantageous contract, transaction, arrangement, or activity with reasonable efforts under the circumstances. In determining whether a contract, transaction, or arrangement is fair and reasonable to HSHS, the Committee shall consider, where applicable: 1. appraisals or other independent valuations of the Fair Market Value of the contract, transaction, or arrangement; 2. information regarding comparable contracts, transactions, or arrangements between unrelated parties; 3. offers from comparable competing entities; and/or 4. studies of comparable compensation arrangements. In any case in which the Committee finds, after taking the steps described above, that HSHS should participate in a proposed transaction or arrangement despite the existence of a conflict of interest, the Committee shall develop, implement, monitor, and enforce compliance with, a Conflict Management Plan for managing the Conflict of Interest as it considers necessary for such findings to remain valid throughout the life of the contract, transaction, relationship, arrangement, or activity. All Conflict Management Plans shall: 1. state that the Committee will oversee, monitor, and enforce compliance with the plan throughout the course of the study, and specify means for doing so, including, without limitation, that the appropriate individuals must provide the Committee with written reports pertaining to compliance with the Conflict Management Plan, that the Committee shall have the right to audit the study for such compliance, and the right to impose sanctions for non-compliance; 2. state that the Plan must be shared with Covered Person whose Interests it was developed to manage; 3. state that the Plan must be shared with, and periodic reports on compliance with the Plan must be provided to, the Board, senior management, and/or government agencies; and 4. provide for such other management steps and mechanisms the Committee considers necessary and appropriate. In addition to the Committee, the System Office Vice 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.
WHISTLEBLOWER POLICY	FORM 990 PART VI, LINE 13	Provisions within the Corporate Compliance Program and Conflict of Interest Policy provide protections for whistleblower type activities.
COMPENSATION PROCESS	FORM 990 PART VI, LINE 15	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.
DOCUMENTS AVAILABLE TO THE PUBLIC	FORM 990 PART VI, LINE 19	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.
POOLED INVESTMENT ACCOUNT	FORM 990 PART X, LINE 11	ST. JOHN'S HOSPITAL'S CASH RESERVES ARE INVESTED IN A POOLED INVESTMENT ACCOUNT. PARTICIPATION IN THE POOLED FUND IS LIMITED TO THE 501(C)(3) HOSPITALS AND RELATED HEALTH SERVICES ORGANIZATIONS SPONSORED BY HOSPITAL SISTERS HEALTH SYSTEM. THE POOLED ACCOUNT CONSISTS OF CASH, AND EQUITY AND DEBT SECURITIES THAT ARE PUBLICLY TRADED. IN ACCORDANCE WITH THE PROVISIONS OF SFAS NO. 124 "ACCOUNTING FOR CERTAIN INVESTMENTS HELD BY NOT-FOR-PROFIT ORGANIZATIONS", INVESTMENTS IN EQUITY SECURITIES WITH READILY DETERMINABLE VALUES, AND ALL INVESTMENTS IN DEBT SECURITIES, ARE REPORTED AT FAIR VALUE ON THE BALANCE SHEET. INCOME, REALIZED AND UNREALIZED GAINS AND LOSSES ARE POOLED AND ALLOCATED TO THE PARTICIPANTS. INDIVIDUAL COMPONENTS OF ASSETS AND REVENUE ARE NOT IDENTIFIED TO THE INDIVIDUAL HOSPITAL PARTICIPANTS.
Other Changes in Net Assets or Fund Balances	Form 990, Part XI, Line 5	Unrealized Gain/Loss (32,114,469) G&A expenses - temp restricted (1,027,286) net assets released from restriction for PP&E 27,918 Transfer to Affiliates (26,066,986) Change in Pension Fund Status (34,153,130) ----------- Total (93,333,953) ===========
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Sister MaryBeth Culnan, OSF TITLE:Director HOURS:59
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Ann M. Carr TITLE:Treasurer HOURS:60

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
SpringField Health Partners LLC
4936 Laverna Road	Springfield	IL	62707	371364419	HealthCare	IL	0	0	HSHS MG
Kiara Clinical Integration Network
4936 Laverna ROAd	springfield	IL	62707	261417684	HealthCare	IL	0	0	HSSI
PHYSICIAN CLINICAL INTEGRATION NETWORK
4936 LAVERNA ROAD	SPRINGFIELD	IL	62707	371668647	HEALTHCARE	IL	0	0	KCIN

Form990 Schedule R Part II Form990ScheduleRPartII (23 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
Hospital Sisters Health System
4936 laverna Road	SPRINGFIELD	IL	62707	371058692	HEALTHCARE	IL	501(c)(3)	11a	NA	false
Hospital Sisters Services Inc
4936 laverna Road	SPRINGFIELD	IL	62707	371163402	HEALTHCARE	IL	501(c)(3)	11a	NA	false
Hospital Sisters of St Francis Fdtn
4936 laverna Road	SPRINGFIELD	IL	62707	371186514	HEALTHCARE	IL	501(c)(3)	11a	NA	false
HSHS Self Insurance Trust Fund
4936 laverna Road	SPRINGFIELD	IL	62707	371120626	INSURANCE	IL	501(c)(3)	11a	NA	false
HSHS Health Care Plan Trust Fund
4936 laverna Road	SPRINGFIELD	IL	62707	371137724	HEALTHCARE	IL	501(c)(3)	N/A	NA	false
Hospital Sisters Healthcare West Inc
2661 COUNTY HIGHWAY I	CHIPPEWA FALLS	WI	54729	510157933	HEALTHCARE	WI	501(c)(3)	11a	NA	false
Sacred Heart Hospital
900 WEST CLAIREMONT AVENUE	EAU CLAIRE	WI	54701	390807060	HEALTHCARE	WI	501(c)(3)	3	NA	false
St Anthony's Hospital
503 N MAPLE STREET	EFFINGHAM	IL	62401	370661233	HEALTHCARE	IL	501(c)(3)	3	NA	false
St Elizabeth's Hospital
211 SOUTH THIRD STREET	BELLEVILLE	IL	62220	370663567	HEALTHCARE	IL	501(c)(3)	3	NA	false
St Nicholas Hospital
3100 SUPERIOR AVENUE	SHEBOYGAN	WI	53081	390808480	HEALTHCARE	WI	501(c)(3)	3	NA	false
St Francis Hospital
1215 FRANCISCAN DRIVE	LITCHFIELD	IL	62056	370661236	HEALTHCARE	IL	501(c)(3)	3	NA	false
St Joseph's Hospital
9515 Holy Cross Lane PO Box 99	BREESE	IL	62230	371208459	HEALTHCARE	IL	501(c)(3)	3	NA	false
St Joseph's Hospital
2661 COUNTY HIGHWAY 1	CHIPPEWA FALLS	WI	54729	390810545	HEALTHCARE	WI	501(c)(3)	3	NA	false
St Mary's Hospital
1800 E LAKE SHORE DRIVE	DECATUR	IL	62521	370661244	HEALTHCARE	IL	501(c)(3)	3	NA	false
St Mary's Hospital
111 SPRING STREET	STREATOR	IL	61364	362169181	HEALTHCARE	IL	501(c)(3)	3	NA	false
St Mary's Medical Center
1726 SHAWANO AVENUE	GREEN BAY	WI	54303	390818682	HEALTHCARE	WI	501(c)(3)	3	NA	false
St Vincent Hospital
835 S VAN BUREN	GREEN BAY	WI	54301	390817529	HEALTHCARE	WI	501(c)(3)	3	NA	false
St Joseph's Hospital
1515 MAIN STREET	HIGHLAND	IL	62249	370663568	HEALTHCARE	IL	501(c)(3)	3	NA	false
HSHS MEDICAL GROUP INC
3215 Executive Park Drive	SPRINGFIELD	IL	62703	263956318	HEALTHCARE	IL	501(c)(3)	11a	NA	false
HSHS WISCONSIN MEDICAL GROUP INC
3215 Executive Park Drive	Springfield	IL	62703	264515959	HEALTHCARE	WI	501(c)(3)	11A	NA	false
Orange Cross Ambulance Inc
919 Ashland Ave	Sheboygan	WI	53081	391860942	Healthcare	WI	501(c)(3)	9	St Nicholas	false
Wisconsin Upper Pen Ocn Mngmt Services
835 S Van Buren	Green Bay	WI	54301	391677100	healthcare	WI	501(c)(3)	3	St Vincent	false
Unity Limited Partnership
2366 Oak Ridge Circle	De Pere	WI	54115	391750729	Healthcare	WI	501(c)(3)	11A	HSSI	false

Form990 Schedule R Part III Form990ScheduleRPartIII (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	Code VCodeVAmount	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
Memorial and St Elizabeth's Healthcare
4000 North Illinois Street	Swansea	IL	62226	371312961	HealthCare	IL	St Elizabeth's	Related	2200182	8475835	false	$0	false	0.50000
Prairie Heart Institute - CarbondaleLLC
800 East Carpenter Street	Springfield	IL	62769	371321197	HealthCare	IL	St John's	Related	-8272	20364	false	$0	false	0.50000
Northeast Wisconsin Radiation Therapy Se
1821 S Webster Ave STE 300	Green Bay	WI	543079047	263749065	HealthCare	WI	HSSI	Related	438615	3757018	false	$0	false	0.50000
Pain Center of Wisconsin
4131 W Loomis Rd STE 300	Greenfield	WI	53221	263155343	HealthCare	WI	St Vincent	Related	3153762	3085388	false	$0	false	0.50000
Sugery Center of Sheboygan
3141 Saemann AveNUE	Sheboygan	WI	53081	260822209	HealthCare	WI	St Nicholas	Related	661480	1585809	false	$0	false	0.50000
Prevea Ventures LLC
2710 EXECUTIVE DRIVE	Green Bay	WI	54304	203775127	HealthCare	WI	HSSI	NONE	0	0	false	$0	false	0.00000
Carpenter Street Hotel LLC
525 North 6th Street	Springfield	IL	62702	364128127	Hotel	IL	Lasante Inc	Related	1191792	0	false	$0	false	0.50500
Springfield Urgrent Care Real Estate
PO Box 19456	Springfield	IL	627949456	030413258	Rent Real Est	IL	Lasante Inc	Related	35277	1168057	false	$0	false	0.51000

Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountry
Kiara Inc
4936 Laverna ROAd	Springfield	IL	62707	371163401	HealthCare	IL	HSHS	C Corp	-2076455	9647670	1.00000
Lasante Wisconsin Inc
4936 Laverna ROAd	Springfield	IL	62707	391572196	HealthCare	IL	Kiara Inc	C Corp	509460	9832286	1.00000
Lasante Inc
4936 Laverna ROAd	Springfield	IL	62707	371163400	HealthCare	IL	Kiara Inc	C Corp	-30056	577154	1.00000
Prairie Cardiovascular Consultants
619 E Mason STE 4P57	Springfield	IL	62701	371071858	HealthCare	IL	Kiara Inc	C Corp	-20534879	15963339	1.00000
Prevea Health Services
2710 EXECUTIVE DRIVE	Green Bay	WI	54304	391839351	HealthCare	WI	HSSI	C Corp	0	0	0.00000
Prevea Clinic Inc
2710 EXECUTIVE DRIVE	Green Bay	WI	54304	391839349	HealthCare	WI	HSSI	C Corp	0	0	0.00000
Prevea Health Network
2710 EXECUTIVE DRIVE	Green Bay	WI	54304	392000537	HealthCare	WI	HSSI	C Corp	0	0	0.00000
Renaissance Quality Insurance
				980669953	Insurance		HSSI	C corp	0	0	0.00000	PO Box 1159 KY1-1102	Grand Gayman	CJ	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Form990 Schedule R Part VII Form990ScheduleRPartVII

Field	Value	IRS element (for citing)
Identifier	TRANSACTIONS WITH RELATED ENTITIES	Identifier
Return Reference	FORM 990, SCHEDULE R, PART V, LINE 2	ReturnReference
Explanation	ANY TRANSACTIONS LISTED ON SCHEDULE R, PART V, LINE 1 AND NOT ON SCHEDULE R, PART V, LINE 2 ARE BETWEEN RELATED 501(C)(3) AND DO NOT REQUIRE REPORTING ON THIS SECTION.	Explanation