SACRED HEART HOSPITAL OF THE HOSPIT AL SISTERS-3RD ORDER OF ST FRANCIS: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: SACRED HEART HOSPITAL OF THE HOSPIT AL SISTERS-3RD ORDER OF ST FRANCIS (EIN 39-0807060)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-14
IRS object ID: 201321349349304947
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 J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-14T15:07:32-05:00	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	390807060	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SACRED HEART HOSPITAL OF HOSPITAL	BusinessNameLine1
Business Name Line2	SISTERS OF THIRD ORDER OF ST FRANCIS	BusinessNameLine2

Field	Value	IRS element (for citing)
In Care Of Name	% STEVE PALECEK	InCareOfName
Name Control	SACR	NameControl
Phone	7157176122	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	900 WEST CLAIREMONT AVENUE	AddressLine1
City	EAU CLAIRE	City
State	WI	State
ZIP Code	54701	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Julie Manas	Name
Title	President/CEO	Title
Date Signed	2013-05-10	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	julie manas	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	900 West Clairemont Ave	AddressLine1
City	EAU CLAIRE	City
State	WI	State
ZIP Code	54701	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	228715037	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	WWW.SACREDHEARTHOSPITAL-EC.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1890	YearFormation
State Legal Domicile	WI	StateLegalDomicile
Activity Or Mission Description	To provide the means whereby Sacred Heart can Continue their apostolic mission to serve the sick, the aged, the poor and the terminally ill without regard to race, color, creed, or national origin.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	8	NbrIndependentVotingMembers
Total Nbr Employees	1685	TotalNbrEmployees
Total Nbr Volunteers	291	TotalNbrVolunteers
Total Gross UBI	1431188	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	396423	ContributionsGrantsPriorYear
Contributions Grants Current Year	595165	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	206954736	ProgramServiceRevenuePriorYear
Program Service Revenue CY	215050971	ProgramServiceRevenueCY
Investment Income Prior Year	13997746	InvestmentIncomePriorYear
Investment Income Current Year	10636698	InvestmentIncomeCurrentYear
Other Revenue Prior Year	3344179	OtherRevenuePriorYear
Other Revenue Current Year	2376911	OtherRevenueCurrentYear
Total Revenue Prior Year	224693084	TotalRevenuePriorYear
Total Revenue Current Year	228659745	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	88352274	SalariesEtcPriorYear
Salaries Etc Current Year	92156664	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	104100767	OtherExpensePriorYear
Other Expenses Current Year	100970670	OtherExpensesCurrentYear
Total Expenses Prior Year	192453041	TotalExpensesPriorYear
Total Expenses Current Year	193127334	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	32240043	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	35532411	RevenuesLessExpensesCY
Total Assets BOY	414270452	TotalAssetsBOY
Total Assets EOY	443986782	TotalAssetsEOY
Total Liabilities BOY	108056774	TotalLiabilitiesBOY
Total Liabilities EOY	129631664	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	306213678	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	314355118	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	SEE SCHEDULE O - ORGANIZATION'S MISSION	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	157561995	Expense
Revenue	215104781	Revenue
Description	SEE SCHEDULE O - PART III Line 4A	Description
Total Program Service Expense	157561995	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	false	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	true	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	67	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	1685	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	8	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	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	STEVE PALECEK	NamePerson
Telephone Number	7157173783	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	900 WEST CLAIREMONT AVENUE	AddressLine1
City	EAU CLAIRE	City
State	WI	State
ZIP Code	54701	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
SISTER MARYBETH CULNAN OSF
DIRECTOR	1.0	X	0	0	0
Greg Heiler MD
Director	1.0	X	0	0	0
JEFFREY R HALLOIN
CHAIRPERSON	1.0	X	0	0	0	X
Sr Trudy O'Conner OSF
FORMER	1.0	X	0	0	0
Dennis Breen MD
DIRECTOR	1.0	X	0	0	0
JULIE FURST-BOWE EDD
DIRECTOR	1.0	X	0	0	0
JAMES DOCKSEY
DIRECTOR	1.0	X	0	0	0
STEPHEN RONSTROM
CHIEF EXECUTIVE OFFICER	40.0	X	0	602330	157718	X
Karen Hebert
Director	1.0	X	0	0	0
Ann m Carr
Treasurer	0.25	X	0	225813	215561	X
JOE FESENMAIER
DIRECTOR	1.0	X	0	0	0
LARRY SCHUMACHER
DIRECTOR	1.0	X	0	722931	254068
JAMES THEISEN
SECRETARY	1.0	X	0	0	0	X
JULIE MANAS
PRESIDENT/CEO	40.0	X	0	0	0	X
KENNETH VENUTO
CHIEF FINANCIAL OFFICER	40.0		306028	0	41455	X
FAYE DEICH
COO/interim president & CEO	40.0		287911	0	32089		X
Amy Dwyer
Chief Nursing Officer	40.0		180043	0	209831		X
John Lamoureux
Physician	40.0		320767	0	197226			X
Lance Levendowski
Radiation Physics Director	40.0		219433	0	81741			X
John Waciuma
Physician	40.0		637631	0	50084			X
MONICA MCDONALD
Physician	32.0		368091	0	45972			X
KEVIN HESS
Physician	40.0		289840	0	58009			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2609744	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1551074	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1343754	TotalOtherCompensation
Number Individuals GT100 K	68	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
Sodexo Inc Affliates
4880 Paysphere Circle	CHICAGO	IL	60674	Contracted Labor	1485725
Dept of Family Medicine
1100 Delaplaine Court	MADISON	WI	53715	Contracted Labor	1425821
HT Klatzke and Associates
1511 East Superior St	DULUTH	MN	55812	Advertising Consult.	1272167
Medical Staffing solutions
PO BOX 101	RICE LAKE	WI	54868	CONTRACTED LABOR	1224984
Samuels Group
311 Financial Way	WAUSAU	WI	54401	Constr. Contractor	903806

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	33	NumberOfContractorsGT100K
Related Organizations	595165	RelatedOrganizations
Total Contributions	595165	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT REVENUE	900099	212711215	212711215
REFERENCE LAB SERVICES	621500	1275745		1275745
DEPARTMENTAL REVENUE	900099	1049238	1049238
OTHER OPERATING REVENUE	900099	14773	14773

Field	Value	IRS element (for citing)
Total Program Service Revenue	215050971	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	10691990	TotalRevenueColumn
Exclusion	$10,691,990	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 Rents GrossRents

Field	Value	IRS element (for citing)
Real	1841327	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	1841327	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	1841327	TotalRevenueColumn
Exclusion	$1,841,327	ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	55292	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-55292	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-55292	TotalRevenueColumn
Exclusion	-$55,292	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	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
SHARED SERVICE INCOME	621500	209253	53810	155443
EMPLOYEE & SENIOR CAFETERIA	722210	35546			$35,546
GIFT SHOP	453220	290785			$290,785

Field	Value	IRS element (for citing)
Total Other Revenue	535584	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	228659745	TotalRevenueColumn
Related Or Exempt Function Income	213829036	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1431188	UnrelatedBusinessRevenue
Exclusion	$12,804,356	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	0	Total

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	0	Total
Program Services	0	ProgramServices

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	70068227	Total
Program Services	62568747	ProgramServices
Management And General	7499480	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3860420	Total
Program Services	3447235	ProgramServices
Management And General	413185	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	13273762	Total
Program Services	11853057	ProgramServices
Management And General	1420705	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	4954255	Total
Program Services	4423996	ProgramServices
Management And General	530259	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	9103500	Total
Management And General	9103500	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1090264	Total
Management And General	1090264	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	0	Total

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	18613498	Total
Program Services	6530010	ProgramServices
Management And General	12083488	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1965400	Total
Management And General	1965400	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	788282	Total
Program Services	652103	ProgramServices
Management And General	136179	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	250191	Total
Program Services	250191	ProgramServices

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2300188	Total
Program Services	1792129	ProgramServices
Management And General	508059	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	44968	Total
Program Services	21240	ProgramServices
Management And General	23728	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	297281	Total
Program Services	222576	ProgramServices
Management And General	74705	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	1545425	Total
Program Services	1545425	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	13451796	Total
Program Services	13249011	ProgramServices
Management And General	202785	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	248082	Total
Program Services	49601	ProgramServices
Management And General	198481	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
CLINICAL SUPPLIES	34415468	34108373	307095	0
PROVISION FOR BAD DEBT	5794200	5794200
MEDICAID ASSESSMENT	5611393	5611393
EQUIPMENT RENTAL	1403434	1403434

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	4047300	Total
Program Services	4039274	ProgramServices
Management And General	8026	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	193127334	Total
Program Services	157561995	ProgramServices
Management And General	35565339	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	611422	BOY
EOY	567321	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1212908	BOY
EOY	4652546	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	10755435	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	27874568	BOY
EOY	25628957	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	5708568	BOY
EOY	5382739	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	527337	BOY
EOY	743671	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	222263223	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	123250326	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	102467362	BOY
EOY	99012897	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	253736297	BOY
EOY	298004169	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	11376555	BOY
EOY	9994482	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	414270452	BOY
EOY	443986782	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	20895477	BOY
EOY	24159462	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	60712969	BOY
EOY	59527523	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	26448328	BOY
EOY	45944679	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	108056774	BOY
EOY	129631664	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	298997116	BOY
EOY	307362244	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2248106	BOY
EOY	1883699	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	4968456	BOY
EOY	5109175	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	306213678	BOY
EOY	314355118	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	414270452	BOY
EOY	443986782	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	35532411	ReconcilationRevenueExpenses
Reconcilation Other Changes	-27390971	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	$8,026	OtherActivitiesAmount
Total Lobbying Expenditures IIB	8026	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Schedule C Part IV	Identifier
Explanation	SACRED HEART HOSPITAL ("THE HOSPITAL") IS A MEMBER OF THE CATHOLIC HEALTH ASSOCIATION ("CHA"), THE WISCONSIN HEALTH ASSOCIATION ("WHA"), AND THE AMERICAN HEALTH ASSOCIATION ("AHA"). AS A MEMBER OF THESE ORGANIZATIONS, THE HOSPITAL PAYS DUES AND PART OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING FEES PAID BY THE ORGANIZATIONS. THE AMOUNT LISTED 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
Current Year Minus3 Years		CurrentYearMinus3Years

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	501443	OtherCostOrOtherBasis
Book Value	501443	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	111556897	OtherCostOrOtherBasis
Depreciation	48072359	Depreciation
Book Value	63484538	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3478868	OtherCostOrOtherBasis
Depreciation	2173670	Depreciation
Book Value	1305198	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	103809409	OtherCostOrOtherBasis
Depreciation	73004297	Depreciation
Book Value	30805112	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2916606	OtherCostOrOtherBasis
Book Value	2916606	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	99012897	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
ACCRUED PENSION LIABILITY	$37,489,667
INTEREST RATE SWAP PROGRAMS	$7,199,427
OTHER LONG-TERM LIABILITIES	$500,000
ESTIMATED SELF-INSURANCE LIAB	$755,585

Field	Value	IRS element (for citing)
Total Of Amounts	45944679	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	ASC SUBTOPIC 740-10	Identifier
Explanation	HSHS HAS 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
Pcent150	X	Pcent150
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
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)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	5586617	TotalCommunityBenefitExpense
Net Community Benefit Expense	5586617	NetCommunityBenefitExpense
Percent Of Total Expense	0.02980	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	31451762	TotalCommunityBenefitExpense
Direct Offsetting Revenue	23559938	DirectOffsettingRevenue
Net Community Benefit Expense	7891824	NetCommunityBenefitExpense
Percent Of Total Expense	0.04210	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	1059018	TotalCommunityBenefitExpense
Direct Offsetting Revenue	658481	DirectOffsettingRevenue
Net Community Benefit Expense	400537	NetCommunityBenefitExpense
Percent Of Total Expense	0.00210	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	38097397	TotalCommunityBenefitExpense
Direct Offsetting Revenue	24218419	DirectOffsettingRevenue
Net Community Benefit Expense	13878978	NetCommunityBenefitExpense
Percent Of Total Expense	0.07400	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	107	NumberOfActivitiesOrPrograms
Persons Served	33281	PersonsServed
Total Community Benefit Expense	1247979	TotalCommunityBenefitExpense
Direct Offsetting Revenue	284332	DirectOffsettingRevenue
Net Community Benefit Expense	1114524	NetCommunityBenefitExpense
Percent Of Total Expense	0.00600	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	11	NumberOfActivitiesOrPrograms
Persons Served	767	PersonsServed
Total Community Benefit Expense	1507211	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9660	DirectOffsettingRevenue
Net Community Benefit Expense	1497551	NetCommunityBenefitExpense
Percent Of Total Expense	0.00800	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	1650	PersonsServed
Total Community Benefit Expense	17364676	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12168989	DirectOffsettingRevenue
Net Community Benefit Expense	5195687	NetCommunityBenefitExpense
Percent Of Total Expense	0.02770	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	94	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	94	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	45036	PersonsServed
Total Community Benefit Expense	128155	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10000	DirectOffsettingRevenue
Net Community Benefit Expense	118155	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	128	NumberOfActivitiesOrPrograms
Persons Served	80734	PersonsServed
Total Community Benefit Expense	20248115	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12472981	DirectOffsettingRevenue
Net Community Benefit Expense	7926011	NetCommunityBenefitExpense
Percent Of Total Expense	0.04230	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	131	NumberOfActivitiesOrPrograms
Persons Served	80734	PersonsServed
Total Community Benefit Expense	58345512	TotalCommunityBenefitExpense
Direct Offsetting Revenue	36691400	DirectOffsettingRevenue
Net Community Benefit Expense	21804989	NetCommunityBenefitExpense
Percent Of Total Expense	0.11630	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$1,948,631	BadDebtExpenseAmount
Amount Reimbursed By Medicare	73470475	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	95061837	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-21591362	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
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	Sacred Heart Hosptial	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	900 West Clairemont Ave	AddressLine1
City	Eau Claire	City
State	WI	State
ZIP Code	54701	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours
Other	Behavioral Health Dialysis Inpatient Rehab	Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Sacred Heart Hosptial	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	true	OtherFacilities
CHNA Widely Available	true	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Participate Community Plan	X	ParticipateCommunityPlan
Include Operational Plans	X	IncludeOperationalPlans
Adopt Budget	X	AdoptBudget
All Needs Addressed	false	AllNeedsAddressed
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	150.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	400.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Medicaid Medicare	X	MedicaidMedicare
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
Other Publicity	X	OtherPublicity
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Average Negotiated Rates	X	AverageNegotiatedRates
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 follows FPG to determine eligibility for providing 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.sacredhearteauclaire.org
Part I, Line 7, column (F)	The percent of charity care and certain other benefits as a percent of total expenses less bad debt is 11.63%. The percent of bad debt as a percent of total expenses less bad debt is 3.1%. THE AMOUNT OF BAD DEBT EXPENSE REMOVED WHEN CALCULATING THE PERCENTAGES IN PART I, LINE 7, COLUMN (F) WAS $5,794,200.
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 hospital's cost to charge ratio as calculated on IRS schedule H - worksheet 2.
Part II	The hospital continues to be involved in hundreds of community building activities each year that address the root cause of heath care problems or work to lay a foundation for a healthier, safer, and better educated community. These activities are most often conducted through the hospital's two holistic healing centers: The Center for Healthy Living, and The Healing Place: A Center for Life's Journeys. The hospital's Regional Cancer Center also offers numerous, ongoing programs related to cancer care. The hospital offers various health screenings, such as blood pressure screenings, at many health fairs in the community throughout the year. The hospital also conducts numerous "Green" environmental stewardship and sustainability efforts (recycling and reusing) including donating surplus food to the St. Francis Food Pantry, and donating used equipment to Third World countries via the Hospital Sisters Mission Outreach. For a more complete and thorough listing of sustainability efforts and free programs offered throughout the year by Sacred Heart Hospital, see explanation for Part 6, Line 5 of this form.
Part III, Line 4	The Hospital has committed significant resources in serving the uninsured. This includes the cost (determined using a cost to charge ratio) of providing services to uninsured beneficiaries in excess of payments received. This population is segregated into those patients who have the ability to pay and chose not to pay (Bad Debt) and those patients who do not have the ability to pay (Community Care) In accordance with the Catholic Health Association guidelines. Any shortfall from servicing the Community Care population is considered a community benefit and thus included in our community benefit calculations. Any shortfall from servicing the Bad Debt population is not considered a community benefit and thus not included in our community benefit calculations.
Part III, Line 8	The Hospital has committed significant resources in serving the Medicare population. This includes the cost (determined using a cost to charge ratio) of providing services to primarily elderly beneficiaries of the Medicare program, in excess of governmental and managed care contract payments. In accordance with the Catholic Health Association guidelines, any shortfall from servicing the Medicare population is not to be considered a community benefit and thus not included in our community benefit calculations. While this shortfall in Medicare payments is not classified as community benefit by the IRS, we nonetheless believe it is an important contribution made by the hospital to the health and well-being of the community. The hospital Medicare shortfall at cost for fiscal year 2012 was $21,591,362.
Part III, Line 9b	Patients are informed of our financial payment options (including Community Care) at the time of registration via the registrars and other hospital personnel, and through our patient statement process; information is also available on our website. The hospital employs financial counselors who are responsible for educating patients about potential eligibility for assistance under federal, state, or local government programs, or under the hospital's charity care policy or uninsured patient discount policy. If it is determined that a patient may be eligible for assistance, the financial counselor will assist the patient with applications for the appropriate program. Collection efforts include a series of patient statements, letters, and phone calls; all of which include discussion about the Community Care program. Patients who qualify for the Community Care program can receive up to 100% reduction in their financial obligation. Patients who are granted a partial reduction are expected to set up reasonable payment arrangements to pay the remaining balance. Patients who are referred to a collection agency are encouraged to make payment arrangements with the agency. A 10% prompt payment discount is available to all patients if payment in full is received within 30 days of the first statement. If a patient is unable to pay their balance in full within 30 days of the first statement or need to make alternative payment arrangements, they are responsible for contacting Patient Financial Services to avoid further collection activity. Patients without insurance receive an uninsured discount, which is reflected on the patient statement. Uninsured patients may qualify for an additional discount based on household income and family size, and may take advantage of the prompt payment discount. Patient Financial Services can assist patients in this regard. Patients are informed payment options include: * Cash, Check, or Credit Card (Visa, Mastercard, and Discover) * Helping Hands Lending Program: in collaboration with a local financial institution, the hospital offers a lending program, which provides an interest-bearing monthly payment option. * Community Care: A hospital-based financial assistance program provides full or partial reductions to patients who are not able to meet their obligations and who meet certain income and asset criteria. Patient Financial Services can offer information to patients. Sacred Heart Hospital devotes significant resources to access for patients who cannot afford care, along with other community benefits. In fiscal year 2012, in accordance with standards defined by the Catholic Health Association USA ("CHAUSA"), Sacred Heart Hospital has recognized an unreimbursed cost of community benefit of $21,804,989. The cost of servicing the people qualifying for public indigent programs (including Medicaid and other public programs) was $8,292,361. The cost of our hospital based community care program was $5,586,617. Sacred Heart also provided benefits of $7,926,011 to the community through many reduced price services and free programs offered throughout the year based upon activities and services that Sacred Heart Hospital believes will serve a bona fide community health need. 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	Sacred Heart Hospital conducted a community health needs assessment in 2012 identifying unmet community health needs to develop a plan to help improve the health of our community. Our plan is aimed at enhancing the health and wellness of the community we serve through clinical program and services, community education and outreach, and continued collaboration and partnerships with others. A comprehensive and unique approach was utilized for this assessment. It included an analysis of reliable health, social and demographic data, survey data, and input from local experts in public health, minority health and chronic disease. The CHNA also integrated direct input from over 800 citizens who provided voice to what they believe could enhance the health and well being of their community. Please refer to the response to part v, section b, line 4 below for how sacred heart received feedback from these individuals.
Part V, Section B, line 4	As part of the CHNA process, Sacred Heart Hospital and St. Joseph's Hospital in Chippewa Falls, WI, teamed up to conduct two "town hall" meeting sessions with over 800 individuals participating to give voice to what they believe could enhance the health and well being of their community.
Part V, Section B, line 5c	The entire Community Health Needs Assessment and Community Benefit Plan and Implementation Strategy can be found on our website at: www.sacredhearteauclaire.org/community-health-needs-assessment
Part V, Section B, line 7	The hospital's Community Health Needs Assessment and associated implementation strategy were completed in FY2012, the reporting year. The implementation strategy started to be executed in FY2012. additional information will be provided on the FY2013 return detailing the hospital's execution of the implementation strategy.
Part V, Section B, line 13g	Patients are informed of our financial payment options (including Community Care) at the time of registration via the registrars and other hospital personnel, and through our patient statement process; information is also available on our website. The hospital employs financial counselors who are responsible for educating patients about potential eligibility for assistance under federal, state or local government programs or under the hospital's charity care policy or uninsured patient discount policy. If it is determined that a patient may be eligible for assistance, the financial counselor will assist the patient with applications for the appropriate program. Complete information on our Community Care Program can be found on the hospital's website. This information includes information on what community care is, who is eligible, guidelines to determine household income, needed proof of income and assets, what services are covered, how to apply, and notification of community care decision.
Needs assessment	The FY2012 Community Health Needs Assessment began with a thorough review of Healthiest Wisconsin 2020, the 2010 Community Needs Assessment published by the United Way of the Greater Eau Claire, and the 2008 Clear Vision Eau Claire report. Several additional sources of quantitative health, social and demographic data specific to the Hospital's service area provided by local public health agencies, healthcare associations and other data sources were utilized to update this information. Qualitative information included in the assessment was derived from National Research Corporation (NRC) which conducted an internet-based survey of over 300 households in the Eau Claire core-based statistical area (CBSA) in 2010, and from over 800 individuals who participated in the 'visioning' process comprised of over 30 focus groups and two 'town hall' meeting sessions conducted by Sacred Heart and St. Joseph's hospitals. Sacred Heart Hospital's Community Needs Assessment Team (CNAT) was responsible for facilitating the assessment process as well as implementation plan development. The CNAT was comprised of individuals from Sacred Heart Hospital involved in the development and provision of programs and services aimed at meeting the needs of patients and residents of the Eau Claire area and surrounding communities. Their engagement with this process was vital, as each member brought direct knowledge of the population served, their needs, and the services currently available to address these needs. Many of the members were also actively involved in other community health-related groups and non-profit organizations and conveyed input from these groups throughout the process. The Community Health Needs Assessment and associated implementation strategy will be used to guide our efforts in FY2013. For prior years, we used a similar approach to identify community need - although the "visioning" process was new for FY2012. Patient education of eligibility for assistance. Upon admission to Sacred Heart Hospital, patients are given a "Guide to Services" booklet which includes a section about Hospital Bills and the availability of financial assistance. The availability of Financial Counselors and their contact information is also provided in the guide. Additionally, patients in Admitting have available to them a print brochure About Your Hospital Bill that thoroughly explains financial assistance, medical claims, charity care, etc., another print brochure is devoted specifically to thoroughly explaining the hospital's Charity Care program. Social Services staff informs and assist patients and family members about financial assistance programs the hospital offers and their eligibility and provides assistance in helping patients and family members access financial assistance. A public notice of medical assistance regarding prescriptions and pharmaceuticals for Social Security members is also posted outside the Admitting area. Sacred Heart Hospital has devoted significant, in-depth information and education on its web homepage focusing on financial assistance, hospital billing, medical claims and charity care. Patients that do not have health insurance are informed of the hospital discount available to them, how to access hospital financial counselors and the availability of charity care and eligibility requirements. Eligibility forms and application forms are available for downloading from the website. THE COMMUNITY HEALTH NEEDS AND ASSOCIATED IMPLEMENTATION STRATEGY WILL BE USED TO GUIDE OUR EFFORTS IN FY2013 AND IS AVAILABLE AT http://www.sacredhearteauclaire.org/community-report.
Community Information	Sacred Heart Hospital serves a population of approximately 400,000 people in western Wisconsin. The Hospital's service area includes urban and rural areas and encompasses all of Eau Claire, Chippewa and Rusk counties, as well as portions of Barron, Buffalo, Clark, Dunn, Jackson, Pepin, Sawyer, Trempealeau, and Washburn counties. About 40% of the population lives in Eau Claire and Chippewa counties (51% with the addition of Dunn County). The population in the remaining counties is significantly less, with 10 out of 12 service area counties considered rural by the U.S. Department of Agriculture. The majority (approximately 45%) of all inpatient admissions at Sacred Heart Hospital originate from Eau Claire County. The City of Eau Claire is located 90 miles east of the Twin Cities and is the ninth largest city in the state of Wisconsin, with a population of just over 65,800. The Hospital's service area population is aging, much like the rest of the nation. Though western Wisconsin is less diverse than the nation as a whole (92.9%) white/non-Hispanic), there are several unique minority populations found within the Hospital's service area, including the Amish, Mennonite and Hmong communities. Wisconsin has the fourth highest Amish population in the nation. Sacred Heart's service area mean household income is about $43,000, roughly $7,000 lower than the national average.
Promotion of Community Health	Sacred Heart Hospital offers hope to our community in the tradition of the Hospital Sisters of St. Francis. As a healing ministry of the Catholic Church and an affiliate of the Hospital Sisters Health System (HSHS), Sacred Heart Hospital is committed to delivering high quality, compassionate, and cost-effective health care services to all. The hospital was founded over 122 years ago to bring a healing presence and improve the health of our community, especially for people who are sick, poor, and disadvantaged. Because of the hospital's purpose and tradition, it is organized to promote the health of Eau Claire and surrounding areas. The hospital is governed by a Board of Directors, the majority of which is comprised of persons who reside in the organization's primary service area and who are neither employees nor contractors of the hospital (nor family members thereof). The Board ensures that Sacred Heart Hospital is responding to community need. During the last year, for example, the Board reviewed the Community Health Needs Assessment and approved an implementation strategy for addressing selected needs. There are also other bodies that assist Sacred Heart Hospital connect with the community, such as our Advisory council, Friends of Sacred Heart Hospital Foundation, and our Volunteer Partners Board. Also consistent with its exempt purpose, Sacred Heart Hospital has an open medical staff with privileges available to all qualified physicians in the area. In addition, the hospital operates an emergency department that is open 24 hours to all persons regardless of their ability to pay. As a not-for-profit hospital, Sacred Heart Hospital reinvests surplus funds into the mission of the organization and health of the community rather than distributing them as profits to shareholders or individuals. Funds not committed to ongoing operations are generally used to upgrade facilities, secure new technologies, improve patient care, and support initiatives designed to promote health and ensure access for all. For example, Sacred Heart Hospital is currently working with its parent organization, Hospital Sisters Health System, to continuously enhance quality and improve coordination of care both inside the hospital and with a growing number of physician partners. Supported by investments in information technology, this "care integration" strategy is designed to better coordinate care, improve health outcomes, create new efficiencies, and help ensure that patients (especially those with chronic conditions) get well and stay well. Sacred Heart Hospital also devotes significant resources to access for patients who cannot afford care, along with other community benefits. In fiscal year 2012, Sacred Heart Hospital provided over $21.8 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, Sacred Heart Hospital provided $21.6 million (at cost) in uncompensated care to patients that did not qualify for charity care or public assistance and over $21.6 million (at cost) in excess of Medicare payment for health care services. Responding to Community Need The range of benefits provided by Sacred Heart Hospital 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 Sacred Heart Hospital, and they often relieve a burden that would otherwise be carried by government. As part of Sacred Heart Hospital's mission to provide healing and hope to the people we serve, we have developed community benefit initiatives that 1) expand access to health care, 2) enhance overall health status, and 3) promote medical education. The hospital strengthens the health of our communities by continually reinvesting any surplus revenue from operations and investments into new medical technology, facility infrastructure and health care services. These investments ensure that our hospital can continue to provide high quality, compassionate care to all who walk through our doors. In accordance with standards defined by the Catholic Health Association USA (CHAUSA), Sacred Heart Hospital has recognized an unreimbursed cost of community benefit of $21,804,989. The cost of servicing the people qualifying for public indigent programs (including Medicaid and other public programs) was $8,292,361. The cost of our hospital based community care program was $5,586,617. Sacred Heart also provided benefits of $7,926,011 to the community through many reduced price services and free programs offered throughout the year based upon activities and services that Sacred Heart Hospital believes will serve a bona fide community health need. These include: * The Healing Place: A Center for Life's Journeys is Sacred Heart Hospital's free grief and holistic healing center for those experiencing loss and/or adjustment issues, such as those brought about by death, divorce, disability/illness, unemployment, military service, etc. Support services include: grief support groups, 1:1 counseling, workshops, presentations for individuals and families dealing with loss and major life transitions. During the past year, The Healing Place has offered: o 1:1 counseling to anyone needing help with a life adjustment issue o Evening and Daytime Spouse Loss groups for those who have lost a spouse, both time limited and on-going o Pregnancy and Infant Loss Support Group for miscarriage, stillbirth and early infant death o Parents Grief Group for parents who have lost a child o Sponsor of International Survivor's of Suicide Day o Classes for teaching resiliency/coping skills/stress management o Workshops and presentations for various institutions and businesses on topics related to grief, loss, and coping o Special programs and workshops including Grief in the Workplace and Grief and the Holidays o Support groups for those experiencing divorce or loss of a parent * Center for Healthy Living and other educational classes and resources including: o Prepared Childbirth (expectant parent classes, sibling classes, breastfeeding classes, and lactation consulting) o CPR classes o Babysitting Seminars o Pediatric Health Fair with hands-on activities in health, wellness and safety for second grade students in Eau Claire County o Wellness programs, services and retreats o Participation in community and local business health fairs o Caring for the Caregiver Workshop o Center for Medical Excellence Community Health Information Room with access to print and electronic medical journals and other health resources for patient, family, and community use o Annual "Woman to Woman" Healthcare Expo, includes health and prevention services with motivational speaker and screenings o Indoor Sports Center "Get Hooked on Health" Kids Expo (safety education, health & wellness) o Spirit of Women education programs, speakers and free screenings o Monthly car seat installations and education programs specific for WIC families o Helmet fitting clinics o Celebration of Woman Event (with Junior League of Eau Claire) o "Day of Dance" to celebrate health and learn about cardiovascular disease, including BMI testing, blood pressure and sleep apnea screenings o Joint Renew Camp for patients who will undergo joint replacement surgery o Safety Town program - specific for pre K-K students to teach basic safety (taught in Bloomer, Menomonie and Eau Claire) o Coat Drive collects over 6,000 coats annually and given to those in need * Cancer care related programs: o Look Good, Feel Better - A program for women to help them cope with the impact of cancer treatment on body image. Includes beauty makeovers and wigs as needed. Monthly program o Touched by Cancer - A support group for cancer patients and their families. Seminars on cancer-related issues such as nutrition, stress-reduction, family issues, cancer in the workplace, spiritual support. Meets twice a month. o Eau Claire Partners- A support group of breast cancer patients and survivors. Dealing with issues related to body image, sexuality, finding clothes and lingerie that fit, side-effects of breast cancer treatment, etc. Meets twice a month. o Yoga - Stress-reduction yoga class for cancer patients and survivors. Meets weekly in 6-week sessions. o C.L.I.M.B./C.H.A.T. - Programs for school age children (CLIMB) and teens (CHAT) to help them understand and cope with having a parent or family member in treatment for cancer. Meets weekly in 6-week sessions. o Livestrong - A program co-sponsored by the Lance Armstrong Foundation in conjunction with the YMCA. This is a program of exercise for cancer patients that helps them maintain conditioning and decrease fatigue during treatment. It starts in the cancer center with volunteers from the UW-EC physical therapy program hosting a 6 week session. Patients wishing to continue af
AFFILIATED HEALTH CARE SYSTEM	SACRED HEART HOSPITAL 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 recognized many rural residents did not have 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 initiativesthat 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 Hospital in S
STATE FILING OF COMMUNITY BENEFIT REPORT	WI,	990 SCHEDULE H, PART VI

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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	true	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
STEPHEN RONSTROM
0	214814	0	0	0	387516	0	133769	0	28265	0	764364	0	0
Ann m Carr
0	180382	0	0	0	45431	0	197622	0	18652	0	442087	0	15440
John Lamoureux
290767	0	30000	0	0	0	196755	0	1291	0	518813	0	0	0
Lance Levendowski
219433	0	0	0	0	0	49556	0	33005	0	301994	0	0	0
John Waciuma
637631	0	0	0	0	0	42764	0	8140	0	688535	0	0	0
FAYE DEICH
287911	0	0	0	0	0	0	0	32909	0	320820	0	0	0
Amy Dwyer
180043	0	0	0	0	0	195949	0	14622	0	390614	0	0	0
MONICA MCDONALD
342732	0	23000	0	2359	0	26271	0	20426	0	414788	0	0	0
KENNETH VENUTO
217013	0	25000	0	64015	0	27039	0	15268	0	348335	0	0	0
KEVIN HESS
285535	0	0	0	4305	0	25920	0	32909	0	348669	0	0	0
LARRY SCHUMACHER
0	676477	0	0	0	46454	0	239154	0	15734	0	977819	0	100520

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
KENNETH VENUTO'S SEVERANCE PACKAGE	SCHEDULE J, PART I, LINE 4A	kenneth venuto RECEIVED A SEVERANCE PACKAGE DURING THE YEAR IN THE AMOUNT OF $61,154 FOR his SERVICES AS CFO OF sacred heart hospital - eau claire. stephen ronstrom'S SEVERANCE PACKAGE SCHEDULE J, PART I, LINE 4A stephen ronstrom RECEIVED A SEVERANCE PACKAGE DURING THE YEAR IN THE AMOUNT OF $169,231 FOR his SERVICES AS CeO OF sacred heart hospital - eau claire.
Ann M. Carr	Schedule J, Part I, Line 4b	Ann M. Carr participated in a SERP plan during the year in the amount of $33,655.
larry schumacher	schedule j, part i, line 4b	larry schumacher participated in a SERP plan during the year in the amount of $193,508.
stephen ronstrom	schedule j, part i, line 4b	stephen ronstrom participated in a SERP plan during the year in the amount of $91,636.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	pathology service corporation	NamePerson

Field	Value	IRS element (for citing)
Relationship	board member is a partner	Relationship
Amount Of Transaction	360900	AmountOfTransaction
Description Of Transaction	hospital based pathology svcs.	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	business transactions with interested persons	Identifier
Return Reference	schedule l, part iv	ReturnReference
Explanation	business transactions with interested persons were compliant with the organization's conflict of interest policy. any transactions requiring board approval were reviewed by an independent board prior to being approved.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (16 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S MISSION	PART III LINE 1	THE PRIMARY PURPOSE OF SACRED HEART HOSPITAL IS TO PROVIDE A STRUCTURE AND THE MEANS WHEREBY THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS CAN CONTINUE THEIR APOSTOLIC MISSION TO SERVE THE SICK, THE AGED, THE POOR AND THE TERMINALLY ILL WITHOUT REGARD TO RACE, COLOR, CREED OR NATIONAL ORIGIN. THE PRIMARY CONCERN OF SACRED HEART HOSPITAL AND THE HOSPITAL SISTERS IS THE PATIENT'S WELL BEING... SPIRITUALLY, PHYSICALLY, PSYCHOLOGICAL AND SOCIAL.
PROGRAM SERVICES REVENUE - ACCOMPLISHMENTS	FORM 990 PART III, LINE 4A	Sacred Heart Hospital provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of Sacred Heart Hospital, it is recognized that not all individuals possess the ability to purchase essential medical services. Furthermore, our mission is to serve the community with respect to providing healthcare services and healthcare education. Health activities and programs to support the community are considered where there is a demonstrated need. These activities include behavioral health services, wellness programs, community education programs, special programs for the elderly, and a variety of broad community support activities. Sacred Heart Hospital provided 46,734 adult and pediatric days of care and 113,448 outpatient visits during fiscal year ended June 30, 2012. Sacred Heart Hospital provides care to persons covered by governmental programs at or below cost. Recognizing our mission to the community, services are provided to both Medicare and Medicaid Patients. In accordance with standards defined by the Catholic Health Association USA ("CHAUSA"), Sacred Heart Hospital has recognized an unreimbursed cost of community benefit of $21,804,989. The cost of servicing the people qualifying for public indigent programs (including Medicaid and other public programs) was $8,292,361. The cost of our hospital based community care program was $5,586,617. Sacred Heart also provided benefits of $1,232,733 to the community through many reduced price services and free programs offered throughout the year based upon activities and services that Sacred Heart Hospital believes will serve a bona fide community health need. These include: * The Healing Place: A Center for Life's Journeys is Sacred Heart Hospital's free grief and holistic healing center for individuals who have experienced a loss or are dealing with a major life transition. Support includes: grief support groups, counseling, workshops, presentations to grieving individuals and families such as: o Evening and Daytime Spouse Loss groups for those who have lost a spouse o SHARE Support Group for miscarriage, stillbirth and early infant death o Parents Grief Group for parents who have lost a child o Adult Loss of a Parent for those who have lost a parent o Suicide Survivor's Group for those who have lost a loved one to suicide o Workshops and presentations to healthcare, spirituality, educational and mental health institutions on topics related to grief and loss. o Special programs and workshops including Grief in the Workplace and Grief and the Holidays o New support services, short-term counseling, classes and workshops provide support for those coping with non-death-related life transitions including: divorce or separation, illness, disability, job changes, military deployment and retirement * Center for Healthy Living and other educational classes and resources including: o Prepared Childbirth (Lamaze, prenatal, sibling classes and lactation consulting) o CPR classes o Babysitting/Smarter Sitter Seminars o Pediatric Health Fair with hands-on activities in health, wellness and safety for second grade students in Eau Claire County o Wellness programs, services and retreats o Participation in health fairs o Caring for the Caregiver Workshop o Center for Medical Excellence Community Health Information Room with access to print and electronic medical journals and other health resources for patient, family, and community use o Annual "Woman to Woman" Healthcare Expo o Indoor Sports Center "Get Hooked on Health" Kids Expo (safety education, health & wellness) o Spirit of Women education programs, speakers and screenings o Car seat installations and education programs o Helmet fitting clinics o Celebration of Woman Event (with Junior League of Eau Claire) o Monthly Meditation Program * Cancer care related programs: o Look Good, Feel Better - A program for women to help them cope with the impact of cancer treatment on body image. Includes beauty makeovers and wigs as needed. Monthly program o Touched by Cancer - A support group for cancer patients and their families. Seminars on cancer-related issues such as nutrition, stress-reduction, family issues, cancer in the workplace, spiritual support. Meets twice a month. o Eau Claire Partners- A support group of breast cancer patients and survivors. Dealing with issues related to body image, sexuality, finding clothes and lingerie that fit, side-effects of breast cancer treatment, etc. Meets twice a month. o Yoga - Stress-reduction yoga class for cancer patients and survivors. Meets weekly in 6-week sessions. o C.L.I.M.B./C.H.A.T. - Programs for school age children (CLIMB) and teens (CHAT) to help them understand and cope with having a parent or family member in treatment for cancer. Meets weekly in 6-week sessions. o Livestrong - A program co-sponsored by the Lance Armstrong Foundation in conjunction with the YMCA. This is a program of exercise for cancer patients that helps them maintain conditioning and decrease fatigue during treatment. It starts in the cancer center with volunteers from the UW-EC physical therapy program hosting a 6 week session. Patients wishing to continue after 6 weeks can do so at no charge at the EC YMCA through a grant from the Lance Armstrong Foundation. o I Can Cope - A discussion group for cancer patient and their families that is independent and involves open discussion as to issues patients encounter and coping strategies. Meets once a month o Music Therapy - Led by student volunteers of the UW-EC music program. Students provide music and song for patients waiting for treatment. The Threshold singers, another volunteer group, provide a capella song at the bedside for cancer patients on the oncology unit. o Pet Therapy - Numerous volunteers bring AKC-certified pet therapy dogs to the cancer center to visit with patients and their families awaiting treatment. o Oncology Nurse Navigator - a free, mission-driven program of support for newly diagnosed cancer patients. The navigator assist patients in setting up appointments, arranging transportation, finding appropriate support groups, and accessing counseling and spiritual support. o Pastoral Counseling - Spiritual support is available to any patient upon request through Pastoral Care Department. * Support groups for diseases/disorders such as Alzheimer's, Amputee Clinic, Multiple Sclerosis, Spinal Cord injury, and others * Breastfeeding support group * Meal programs & support including: o Meals for Senior Citizens and congregate site meals o Thanksgiving St. Francis Food Pantry food drive collection program for needy families o Coat, mitten, linen and blanket drive o Christmas Sponsor-A-Family drive
program service revenue		* Health screenings including: o Blood pressure screenings at health fairs o Stroke Prevention Clinic/screenings o "HeartAware" online cardiovascular disease screening tool * Services to the community, including: o Center for Spiritual Care pastoral care chaplain and volunteer assistance with over 500 Power of Attorney for Health Care (Advance Directive) forms o Symposium on Advance Directives and end-of-life decisions o A variety of student intern programs, work shadowing, and tours o Overnight accommodations for families of critically ill patients o Patient follow-up post discharge calls program o Medical equipment, supplies, laboratory services, imaging services donated to the Chippewa Valley Free Clinic and its patients below the federal poverty level o Symposium support and sponsorship for the Catholic Medical Association o Disaster preparedness planning o Influenza/H1N1 community education * Hosting meetings, drives and sponsorships for: o Red Cross blood drives o Catholic Charities events and education o Sojourner House - Eau Claire homeless shelter o Diocese of La Crosse Office of Family Life o United Way events o Relay for Life - American Cancer Society o Special Olympics Polar Plunge o American Heart Association Heart Walk o Brain Injury Association of Wisconsin o Breakfast in the Valley o Red Cross Real Heroes banquet o Producers & Buyers Co-op: Linking Local Farms and Institutions, organizational support for meetings and organizational and secretarial support to encourage local food sourcing by institutions to benefit the local economy (in partnership with River Country RC&D and local family farms) o Logistical support and meeting space for the Chippewa Valley Internetworking Consortium to help expand fiber broadband infrastructure and service to the community and to rural and underserved areas to support telemedicine and other health projects, along with city/county governments, EMS, libraries and schools/education o Local "green" and environmental sustainability educational events * First Aid booths for community events/festivals, including: o Buckshot Run o Country Jam o Festival in the Pines o International Fall Festival * "Green" environmental stewardship and sustainability efforts (recycling and reusing) including: o Food scrap produce were donated to a local ranch for animal feed o The hospital donated leftover food to the St. Francis Food Pantry o Donated used equipment to Third World countries via the Hospital Sisters Mission Outreach: Medical equipment went to needy hospitals and clinics in third world countries such as Mongolia and Ukraine and to U.S. Navy Project Handclasp. Equipment included beds, wheelchairs, exam lights, walkers, x-ray aprons, medical carts, surgical instruments, stretchers, linens and various other items * The "Imagining the Future" listening campaign, a grassroots approach to discover what services the community believes an ideal healthcare system ought to provide, was conducted from October to December 2010. Deeply rooted in the hospital's Franciscan mission, it was a holistic and spiritual process of discernment which stimulated open, honest, and non-judgmental sharing of insights about healthcare delivery in the context of the physical, emotional and spiritual needs of the broader community. o The initiative included more than 1,400 participants and began with two large town hall-like meetings hosted by the hospital CEO and 35 smaller visioning sessions led by hospital leaders. Community members also participated online and through social media (Facebook and Twitter). In all, we received 2,830 ideas regarding the future of healthcare. o Focus groups included constituents that are often overlooked: low-income, vulnerable populations and minority groups. It captured the voices of special populations, Hmong Mutual Assistance Association members, Amish farmers, seniors, young children and other diverse groups. The visioning sessions allowed us to gather mission-critical information, and gave community members the opportunity to articulate their vision of an ideal healthcare system for their community that improved health, healing and well-being. The goal was to engage and empower community members and hospital leaders so that together we could shape an ideal local healthcare system. o A committee was commissioned to divide the 2,830 comments into 600 categories. A Community Dream Team and a Colleague Dream Team were formed to assess each request to determine if it was something that could be responded to in the short term or long term range. More than 100 actionable items were assessed and/or implemented over the first six months. Sacred Heart Hospital has prepared the financial information in this report in accordance with CHAUSA community benefit reporting guidelines. These guidelines recommend the following: * Report community care at cost, not charges. * Do not include bad debt, contractual allowances, and quick pay discounts as part of charity care expense. * Do not count Medicare shortfall as a community benefit. * Report the net expense for community benefit services, i.e., the total community benefit expense minus any associated revenue from patients, payers, and other external sources. The Catholic Health Association's reporting guidelines reflect a conservative approach to reporting quantifiable community benefit. The goal of the reporting guidelines is to produce community benefit financial reports that reflect true costs and that describe community benefit activities that increase access to health care and improve community health. In summary Sacred Heart Hospital financially contributed to the community $21,804,989 for fiscal year ended June 30, 2012 as follows: Charity care - at cost, not including bad debt $5,586,617 Government sponsored health care - net expense 8,292,361 Unpaid cost of public indigent care programs (includes Medicaid and other public programs) Community Benefit Programs - net expense 7,926,011 ------------ Total quantifiable community benefit $21,804,989 ============ In addition to the amounts reported above, Sacred Heart Hospital committed significant resources to service the Medicare population. The cost (as determined using the cost to charge ratio) of providing services to primarily elderly beneficiaries of the Medicare program in excess of governmental and managed care contract payments was $21,591,362 for the year ended June 30, 2012. TAX-EXEMPT BONDS FORM 990, PART IV, LINE 24 SACRED HEART HOSPITAL HOLDS A LIABILITY ON ITS BOOKS FOR TAX-EXEMPT BONDS, WHICH IS AN ALLOCATION FROM ITS SOLE CORPORATE MEMBER, HOSPITAL SISTERS SERVICES, INC. AS A RESULT, THIS QUESTION WAS ANSWERED NO, AND SCHEDULE K WILL BE COMPLETED ON THE HOSPITAL SISTERS SERVICES, INC. FORM 990.
RIGHTS OF MEMBERS TO ELECT GOVERNING BODY	FORM 990 PART VI, LINES 6 & 7A	THE SENIOR GOVERNING BODY OF SACRED HEART HOSPITAL (THE "CORPORATION") IS THE MEMBER OF THE CORPORATION, WHICH IS HOSPITAL SISTERS HEALTH 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 Sacred Heart Hospital (the "Corporation") is vested in its Board of Directors, except with respect to specific powers reserved in the Corporation's Bylaws to the Corporation's Member, Hospital Sisters Health 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 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	The organization is subject to the corporate compliance program and conflict of interest policy ("policy") of Hospital Sisters Health System, an Illinois not for profit corporation exempt from federal taxation under section 501(c)(3) of the internal revenue code. A REVISED CORPORATE COMPLIANCE PROGRAM AND CONFLICT OF INTEREST POLICY HAVE BEEN IMPLEMENTED SINCE JANUARY, 2009 TO MANAGE CONFLICTS OF INTEREST USING A SYSTEM-WIDE PROTOCOL FOR DISCLOSURE STATEMENTS. IN ACCORDANCE WITH the organizaton's CONFLICT OF INTEREST POLICY, ALL COVERED PERSONS HAVE A DUTY TO COMPLY WITH THE CONFLICT OF INTEREST POLICY FOR ANY CONTRACT, TRANSACTION, RELATIONSHIP, OR ACTIVITY CONTEMPLATED, ENTERED INTO, OR CONDUCTED AT HSHS OR ITS AFFILIATES. THE POLICY DEFINES COVERED PERSONS AS BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS, BOARD DESIGNEES, SENIOR MANAGEMENT, MEMBERS OF ANY COMMITTEE THAT OVERSEES THE APPROVAL OF PHARMACEUTICALS AND MEDICAL DEVICES, and ANY OTHER INDIVIDUAL WHO HOLDS A POSITION OF TRUST. ON AN ANNUAL BASIS, Hospital Sisters Health System, ("HSHS") DISCLOSES A COPY OF THE CONFLICT OF INTEREST POLICY (AND ALL CORRESPONDING PROCEDURES, GUIDELINES, FORMS, AND TOOLS) TO ALL COVERED PERSONS, AND ADVISES ALL COVERED PERSONS IN WRITING OF ANY SUBSTANTIVE CHANGES TO THIS POLICY AND SUCH RELATED MATERIALS. COVERED PERSONS ARE REQUIRED TO REVIEW AND COMPLETE THE CORRESPONDING CONFLICT OF INTEREST STATEMENT. THE SYSTEM OFFICE VICE PRESIDENT - SYSTEM RESPONSIBILITY, VICE PRESIDENT - RISK & COMPLIANCE, OR MEMBERS OF THE AUDIT AND INTEGRITY COMMITTEE ("COMMITTEE") ARE AVAILABLE TO ANSWER ANY QUESTIONS A COVERED PERSON MAY HAVE. IN ADDITION, IF, AT ANY TIME AFTER SUBMITTING AN ANNUAL CONFLICT OF INTEREST STATEMENT, A COVERED PERSON BECOMES AWARE OF AN INTEREST THAT HE OR SHE WOULD HAVE HAD TO DISCLOSE AT THE ANNUAL INTERVAL, THE COVERED PERSON IS REQUIRED PROMPTLY TO DISCLOSE THE INTEREST TO THE COMMITTEE USING THE HSHS CONFLICT OF INTEREST DISCLOSURE STATEMENT. COMPLETED CONFLICT OF INTEREST STATEMENTS ARE SUBMITTED TO THE COMMITTEE, WHICH IS RESPONSIBLE FOR IDENTIFYING, ASSESSING, AND MANAGING CONFLICTS OF INTEREST THAT ARISE IN THE COURSE OF CONDUCTING THE AFFAIRS OF HSHS AND ITS AFFILIATES. IF THE COMMITTEE DETERMINES THAT A CONFLICT OF INTEREST EXISTS, THE CONFLICT OF INTEREST POLICY REQUIRES HSHS NOT TO ENGAGE IN, OR ENTER INTO, A PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY UNLESS THE COMMITTEE OR, WHERE NECESSARY, THE BOARD OF DIRECTORS (ACTING THROUGH ITS DISINTERESTED MEMBERS), HAS INVESTIGATED ALTERNATIVES TO THE PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY AND, IN THE ABSENCE OF ALTERNATIVES THAT ARE IN THE BEST INTERESTS OF HSHS, HAS DETERMINED: 1. THAT, REGARDLESS OF WHETHER THE COVERED PERSON PARTICIPATES IN THE IMPLEMENTATION OF THE PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY; 2. THE CONTRACT, TRANSACTION, ARRANGEMENT, OR ACTIVITY IS IN THE BEST INTERESTS OF HSHS; 3. THE CONTRACT, TRANSACTION, ARRANGEMENT, OR ACTIVITY IS FAIR AND REASONABLE FROM THE PERSPECTIVE OF HSHS; AND 4. HSHS CANNOT OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION, ARRANGEMENT OR ACTIVITY WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. IN DETERMINING WHETHER A CONTRACT, TRANSACTION OR ARRANGEMENT IS FAIR AND REASONABLE TO HSHS, THE COMMITTEE SHALL CONSIDER, WHERE APPLICABLE: 1. APPRAISALS OR OTHER INDEPENDENT VALUATIONS OF THE FAIR MARKET VALUE OF THE CONTRACT, TRANSACTION, OR ARRANGEMENT; 2. INFORMATION REGARDING COMPARABLE CONTRACTS, TRANSACTIONS, OR ARRANGEMENTS BETWEEN UNRELATED PARTIES; 3. OFFERS FROM COMPARABLE COMPETING ENTITIES; AND/OR 4. STUDIES OF COMPARABLE COMPENSATION ARRANGEMENTS. IN ANY CASE IN WHICH THE COMMITTEE FINDS, AFTER TAKING THE STEPS DESCRIBED ABOVE, THAT HSHS SHOULD PARTICIPATE IN A PROPOSED TRANSACTION OR ARRANGEMENT DESPITE THE EXISTENCE OF A CONFLICT OF INTEREST, THE COMMITTEE SHALL DEVELOP, IMPLEMENT, MONITOR, AND ENFORCE COMPLIANCE WITH, A CONFLICT MANAGEMENT PLAN FOR MANAGING THE CONFLICT OF INTEREST AS IT CONSIDERS NECESSARY FOR SUCH FINDINGS TO REMAIN VALID THROUGHOUT THE LIFE OF THE CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY. ALL CONFLICT MANAGEMENT PLANS SHALL: 1. STATE THAT THE COMMITTEE WILL OVERSEE, MONITOR, AND ENFORCE COMPLIANCE WITH THE PLAN THROUGHOUT THE COURSE OF THE STUDY AND SPECIFY MEANS FOR DOING SO, INCLUDING, WITHOUT LIMITATION, THAT THE APPROPRIATE INDIVIDUALS MUST PROVIDE THE COMMITTEE WITH WRITTEN REPORTS PERTAINING TO COMPLIANCE WITH THE CONFLICT MANAGEMENT PLAN, THAT THE COMMITTEE SHALL HAVE THE RIGHT TO AUDIT THE STUDY FOR SUCH COMPLIANCE, AND THE RIGHT TO IMPOSE SANCTIONS FOR NON-COMPLIANCE; 2. STATE THAT THE PLAN MUST BE SHARED WITH COVERED PERSON WHOSE INTERESTS IT WAS DEVELOPED TO MANAGE; 3. STATE THAT THE PLAN MUST BE SHARED WITH, AND PERIODIC REPORTS ON COMPLIANCE WITH THE PLAN MUST BE PROVIDED TO, THE BOARD, SENIOR MANAGEMENT AND/OR GOVERNMENT AGENCIES; AND 4. PROVIDE FOR SUCH OTHER MANAGEMENT STEPS AND MECHANISMS THE COMMITTEE CONSIDERS NECESSARY AND APPROPRIATE. IN ADDITION TO THE COMMITTEE, THE SYSTEM OFFICE VICE PRESIDENTS OF SYSTEM RESPONSIBILITY AND RISK & COMPLIANCE MAY RETAIN SUCH INDEPENDENT ADVISORS OR EXPERTS AS DEEMED NECESSARY TO ASSIST IN MAKING ITS DETERMINATIONS AND DECISIONS. IF THE COMMITTEE DETERMINES THAT THE CONTEMPLATED TRANSACTION, RELATIONSHIP ARRANGEMENT, OR ACTIVITY CANNOT PROCEED DUE TO A CONFLICT OF INTEREST, THE COMMITTEE SHALL INFORM THE APPLICABLE COVERED PERSON OR DECISION-MAKING BODY OF SUCH DETERMINATION WITHIN ONE WEEK OF THE COMMITTEE MEETING AT WHICH THE CONTEMPLATED TRANSACTION WAS DISCUSSED. THE COMMITTEE SHALL DOCUMENT ITS REJECTION OF THE CONTEMPLATED TRANSACTION IN THE COMMITTEE'S MEETING MINUTES.
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.
Determination of CEO & Key employee Compensation	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.
FINANCIAL STATEMENTS 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.
GRANTS, SCHOLARSHIPS, FELLOWSHIPS, STUDENT LOAN	FORM 990 PART IX, LINE 2	Sacred Heart 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".
POOLED INVESTMENT ACCOUNT	FORM 990 PART X, LINE 11	SACRED HEART HOSPITAL USES ITS POOLED INVESTMENTS TO CARRY ON ITS MISSION OF CARING FOR THE SICK. THE HOSPITAL'S CASH RESERVES ARE INVESTED IN A POOLED INVESTMENT ACCOUNT MAINTAINED BY HOSPITAL SISTERS HEALTH SYSTEM ("HSHS"). PARTICIPATION IN THE POOLED FUND IS LIMITED TO THE 501(C)(3) HOSPITALS AND HEALTH SERVICES ORGANIZATIONS SPONSORED BY HSHS. THE POOLED ACCOUNT CONSISTS OF CASH, EQUITY AND DEBT SECURITIES THAT ARE PUBLICLY TRADED. IN ACCORDANCE WITH THE PROVISIONS OF STATEMENT OF FINANCIAL ACCOUNTING STANDARDS ("SFAS") NO. 124 "ACCOUNTING FOR CERTAIN INVESTMENTS HELD BY NOT-FOR-PROFIT ORGANIZATIONS", INVESTMENTS IN EQUITY SECURITIES WITH READILY DETERMINABLE FAIR VALUES, AND ALL INVESTMENTS IN DEBT SECURITIES, ARE REPORTED AT FAIR VALUE ON THE BALANCE SHEET. READILY DETERMINABLE FAIR VALUES AND ALL INVESTMENTS IN DEBT SECURITIES ARE REPORTED AT FAIR VALUE ON THE BALANCE SHEET. INCOME, REALIZED AND UNREALIZED GAINS AND LOSSES ARE POOLED AND ALLOCATED TO THE PARTICIPANTS. INDIVIDUAL COMPONENTS OF ASSETS AND REVENUE ARE NOT IDENTIFIED TO THE INDIVIDUAL HOSPITAL PARTICIPANTS.
Other Changes in Net Assets	Part XI, Line 5	Pension Related Funding Change (14,921,760) increase in temporarily restricted net assets (364,407) increase in permanently restricted net assets 140,719 UNREALIZED LOSSES (10,176,523) transfer to affiliates (2,069,000) ------------ Total (27,390,971) ============
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:SISTER MARYBETH CULNAN, O.S.F. TITLE:DIRECTOR HOURS:59
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Ann m. Carr TITLE:Treasurer HOURS:60
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:LARRY SCHUMACHER TITLE:DIRECTOR HOURS:59

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 LLC
4936 Laverna Road	springfield	IL	62707	261417684	healthcare	IL	0	0	HSSI
Physician Clinical Integration Network L
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 Health Care PLAN Trust Fund
4936 LAVERNA ROAD	SPRINGFIELD	IL	62707	371137724	HEALTHCARE	IL	501(c)(9)	None	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 Francis Hospital
1215 FRANCISCAN DRIVE	LITCHFIELD	IL	62056	370661236	HEALTHCARE	IL	501(c)(3)	3	NA	false
St John's Hospital
800 EAST CARPENTER STREET	SPRINGFIELD	IL	62769	370661238	HEALTHCARE	IL	501(c)(3)	3	NA	false
St Joseph's Hospital
9515 HOLY CROSS LANE	BREESE	IL	62230	371208459	HEALTHCARE	IL	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
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	372169181	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 Nicholas Hospital
3100 SUPERIOR AVENUE	SHEBOYGAN	WI	53081	390808480	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
Hospital Sisters Healthcare West Inc
2661 COUNTY HIGHWAY I	CHIPPEWA FALLS	WI	54729	510157933	HEALTHCARE	WI	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 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 AVENUE	SHEBOYGAN	WI	53081	391860942	HEALTHCARE	WI	501(c)(3)	9	ST NICHOLAS	false
WISCONSIN UPPER PENINSULA ONCOLOGY MGMT
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)	9	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	0	0	false	$0	false	0.00000
Prairie Heart Institute - Carbondale LLC
800 EAst Carpenter Street	Springfield	IL	62769	371321197	Healthcare	IL	St John's	related	0	0	false	$0	false	0.00000
Northeast Wisconsin Radiation Therapy Se
1821 S Webster Avenue STE 300	Green Bay	WI	543079047	263749065	Healthcare	WI	HSSI	related	0	0	false	$0	false	0.00000
Pain Center of Wisconsin
4131 W Loomis Road STE 300	Greenfield	WI	53221	263155343	Healthcare	WI	St Vincent	related	0	0	false	$0	false	0.00000
Surgery Center of Sheboygan LLC
3141 Saemann Avenue	Sheboygan	WI	53081	260822209	Healthcare	WI	St Nicholas	related	0	0	false	$0	false	0.00000
Prevea Ventures LLC
2710 Executive Drive	Green Bay	WI	54304	203775127	Healthcare	WI	HSSI	related	0	0	false	$0	false	0.00000
Carpenter Street Hotel LLC
525 North Sixth Street	springfield	IL	62702	364128127	hotel	IL	lasante inc	related	0	0	false	$0	false	0.00000
Springfield Urgent Care Real Estate LLC
PO Box 19456	springfield	IL	627949456	030413258	rent. real es	IL	lasante inc	related	0	0	false	$0	false	0.00000

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	Legal Domicile Foreign CountryLegalDomicileForeignCountry
Kiara Inc
4936 Laverna ROAd	Springfield	IL	62707	371163401	HealthCare	IL	HSHS	C Corp	0	0	0.00000
LaSante Wisconsin Inc
4936 Laverna ROAd	Springfield	IL	62707	391572196	HealthCare	IL	Kiara Inc	C Corp	0	0	0.00000
LaSante Inc
4936 Laverna ROAd	Springfield	IL	62707	371163400	HealthCare	IL	Kiara Inc	C Corp	0	0	0.00000
Prairie Cardiovascular
619 East Mason STE 4P57	Springfield	IL	62701	371071858	HealthCare	IL	Kiara Inc	C Corp	0	0	0.00000
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	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	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	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	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	THE TRANSACTIONS REPORTED IN QUESTION 1 ARE BETWEEN RELATED 501(C)(3) PUBLIC CHARITIES AND ARE NOT REPORTED IN THIS SECTION.	Explanation