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

View the entire original 990 at ProPublica ↗

Organization: ST FRANCIS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F (EIN 37-0661236)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-14
IRS object ID: 201341349349305174
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-14T15:08:29-05:00	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	370661236	EIN

Name Name

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

Field	Value	IRS element (for citing)
In Care Of Name	% ST FRANCIS HOSPITAL	InCareOfName
Name Control	STFR	NameControl
Phone	2173242191	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1215 FRANCISCAN DRIVE	AddressLine1
City	LITCHFIELD	City
State	IL	State
ZIP Code	62056	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Daniel Perryman	Name
Title	CEO	Title
Phone	2173248368	Phone
Date Signed	2013-05-08	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	KPMG LLP	Name
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	Daniel Perryman	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1215 Franciscan Drive	AddressLine1
City	Litchfield	City
State	IL	State
ZIP Code	62056	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	36916223	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	WWW.STFRANCIS-LITCHFIELD.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1955	YearFormation
State Legal Domicile	IL	StateLegalDomicile
Activity Or Mission Description	St. Francis Hospital continues the healing ministry of Jesus Christ in the tradition of St. Francis by providing the highest quality healthcare with respect, care, competence, and joy.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	288	TotalNbrEmployees
Total Nbr Volunteers	30	TotalNbrVolunteers
Total Gross UBI	3586	TotalGrossUBI
Net Unrelated Business Txbl Income	-595	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	42334	ContributionsGrantsPriorYear
Contributions Grants Current Year	244704	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	35851461	ProgramServiceRevenuePriorYear
Program Service Revenue CY	34835905	ProgramServiceRevenueCY
Investment Income Prior Year	1072396	InvestmentIncomePriorYear
Investment Income Current Year	1293848	InvestmentIncomeCurrentYear
Other Revenue Prior Year	566613	OtherRevenuePriorYear
Other Revenue Current Year	428586	OtherRevenueCurrentYear
Total Revenue Prior Year	37532804	TotalRevenuePriorYear
Total Revenue Current Year	36803043	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	2000	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	2000	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	15966360	SalariesEtcPriorYear
Salaries Etc Current Year	14576655	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	19159547	OtherExpensePriorYear
Other Expenses Current Year	17262733	OtherExpensesCurrentYear
Total Expenses Prior Year	35127907	TotalExpensesPriorYear
Total Expenses Current Year	31841388	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	2404897	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	4961655	RevenuesLessExpensesCY
Total Assets BOY	48301825	TotalAssetsBOY
Total Assets EOY	51547183	TotalAssetsEOY
Total Liabilities BOY	24963688	TotalLiabilitiesBOY
Total Liabilities EOY	29211326	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	23338137	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	22335857	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	ST. FRANCIS HOSPITAL CONTINUES THE HEALING MINISTRY OF JESUS CHRIST IN THE TRADITION OF ST. FRANCIS BY PROVIDING THE HIGHEST QUALITY HEALTHCARE WITH RESPECT, CARE, COMPETENCE, AND JOY.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	17056625	Expense
Grants	0	Grants
Revenue	28031180	Revenue
Description	SEE SCHEDULE O - OUTPATIENT ACUTE CARE	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	5764822	Expense
Grants	0	Grants
Revenue	6010366	Revenue
Description	SEE SCHEDULE O - INPATIENT MEDICAL/SURGICAL	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	641649	Expense
Grants	0	Grants
Revenue	520334	Revenue
Description	SEE SCHEDULE O - MATERNITY/GYNECOLOGY SERVICES	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	42330	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	2000	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	274025	TotalOfOtherProgramServiceRev
Total Program Service Expense	23505426	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	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	44	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	288	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	ST FRANCIS HOSPITAL	NamePerson
Telephone Number	2173248510	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1215 FRANCISCAN DRIVE	AddressLine1
City	LITCHFIELD	City
State	IL	State
ZIP Code	62056	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
CHRIS POIROT MD
BOARD MEMBER	1.0	X	0	0	0
Dona McGraw
Board Member	1.0	X	0	0	0
DANIEL PERRYMAN
BOARD PRESIDENT/HOSPITAL CEO	50.0	X	0	270395	110394	X
LONNIE BATHURST
Chairperson	1.0	X	0	0	0	X
SISTER MARGUERITE COOK OSF
BOARD MEMBER	1.0	X	0	0	0
Tom Franzen
VICE CHAIRPERSON	1.0	X	0	0	0	X
JOHN FASSERO
Secretary	1.0	X	0	0	0	X
ROGER WUJEK MD
BOARD MEMBER	1.0	X	0	0	0
Timothy Reents
Board Member	1.0	X	0	0	0
Sister Janice Schneider OSF
Board Member	1.0	X	0	0	0
Peter Mannix
Board Member	1.0	X	0	310205	147426
Robert Ritz
Divisional President/CEO	11.25		0	588462	219488	X
Larry J Ragel
Divisional CFO	3.75		0	247950	73775	X
ANN M CARR
TREASURER	1.0		0	225812	216274	X
CAROL JACO
COO/CNO	50.0		152903	0	46097	X
DIANE LINDSAY
CFO	50.0		153000	0	97021	X
Kathryn Knobloch
DIRECTOR OF ANCILLARY SERVICES	45.0		105431	0	68435		X
JILL MOUTRIA
PHARMACIST	40.0		125414	0	56870		X
Susan Stromsland
QC Coordinator	1.0		100344	0	58293		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	637092	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1642824	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1094073	TotalOtherCompensation
Number Individuals GT100 K	5	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
Illinois Emergency Physicians
PO Box 793	TRAVERSE CITY	MI	49685	ER Physician Service	1652269
J J Wuellner and Son Inc
7228 Herter Industrial Dr	GODFREY	IL	62035	Const Contractor	491317
ODell Associates Inc
PO Box 538242	ATLANTA	GA	303538242	Consulting Firm	488940
AMSOL ANESTHETISTS OF LITCHFIELD LL
PO BOX 6633	HIGH POINT	NC	27262	CRNA SERVICES	486627
Walsh Construction Co
301 N 8th Street Suite 1B201A	SPRINGFIELD	IL	62701	Const Contractor	355222

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	5	NumberOfContractorsGT100K
Government Grants	232549	GovernmentGrants
All Other Contributions	12155	AllOtherContributions
Total Contributions	244704	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE REVENUE	900099	34832319	34832319
LAB	621500	3586		3586

Field	Value	IRS element (for citing)
Total Program Service Revenue	34835905	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	435972	TotalRevenueColumn
Exclusion	$435,972	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	91479	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	113180	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-21701	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-21701	TotalRevenueColumn
Exclusion	-$21,701	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	857876	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	857876	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	857876	TotalRevenueColumn
Exclusion	$857,876	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
OTHER RELATED SERVICES	900099	86134	$86,134
REGIONAL REFERRAL RECEIPTS	900099	166920	$166,920
SPECIALTY PHYSICIAN PMTS FOR STAFF	900099	196835	$196,835

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	398	TotalRevenueColumn
Exclusion	$398	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	450287	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	36803043	TotalRevenueColumn
Related Or Exempt Function Income	34832319	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	3586	UnrelatedBusinessRevenue
Exclusion	$1,722,434	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	2000	Total
Program Services	2000	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	324657	Total
Program Services	162501	ProgramServices
Management And General	162156	ManagementAndGeneral
Fundraising	0	Fundraising

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	10416278	Total
Program Services	7421201	ProgramServices
Management And General	2995077	ManagementAndGeneral
Fundraising	0	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	763556	Total
Program Services	538738	ProgramServices
Management And General	224818	ManagementAndGeneral
Fundraising	0	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	2329526	Total
Program Services	1643631	ProgramServices
Management And General	685895	ManagementAndGeneral
Fundraising	0	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	742638	Total
Program Services	523979	ProgramServices
Management And General	218659	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	861727	Total
Management And General	861727	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	26861	Total
Program Services	0	ProgramServices
Management And General	26861	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	57692	Total
Program Services	0	ProgramServices
Management And General	57692	ManagementAndGeneral
Fundraising	0	Fundraising

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	4004134	Total
Program Services	3511772	ProgramServices
Management And General	492362	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	36499	Total
Program Services	0	ProgramServices
Management And General	36499	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	92295	Total
Program Services	46227	ProgramServices
Management And General	46068	ManagementAndGeneral
Fundraising	0	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1015673	Total
Program Services	761755	ProgramServices
Management And General	253918	ManagementAndGeneral
Fundraising	0	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	738417	Total
Program Services	110496	ProgramServices
Management And General	627921	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	17366	Total
Program Services	4823	ProgramServices
Management And General	12543	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	30464	Total
Program Services	4162	ProgramServices
Management And General	26302	ManagementAndGeneral
Fundraising	0	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	15418	Total
Program Services	15418	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	1266038	Total
Program Services	778295	ProgramServices
Management And General	487743	ManagementAndGeneral
Fundraising	0	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	619916	Total
Program Services	433941	ProgramServices
Management And General	185975	ManagementAndGeneral
Fundraising	0	Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
SUPPLIES	2849576	2712943	136633
PROVISION FOR BAD DEBT	2712471	2712471	0
MAINTENANCE AND REPAIRS	1064224	762793	301431
DEPARTMENT OF PUBLIC AID ASSES	651465	651465	0

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1202497	Total
Program Services	706815	ProgramServices
Management And General	495682	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	31841388	Total
Program Services	23505426	ProgramServices
Management And General	8335962	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	3274778	BOY
EOY	3911728	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

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

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	51	BOY
EOY	44	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1997534	BOY
EOY	2642145	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	407056	BOY
EOY	250899	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	449241	BOY
EOY	370729	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	432201	BOY
EOY	273811	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	41952421	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	28308904	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	7388056	BOY
EOY	13643517	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	33954881	BOY
EOY	30217177	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	398027	BOY
EOY	237133	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	48301825	BOY
EOY	51547183	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	3726864	BOY
EOY	4295916	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	12167	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	12487021	BOY
EOY	12367385	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	8749803	BOY
EOY	12535858	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	24963688	BOY
EOY	29211326	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	21313123	BOY
EOY	19697069	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1401626	BOY
EOY	2015400	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	623388	BOY
EOY	623388	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	23338137	BOY
EOY	22335857	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	48301825	BOY
EOY	51547183	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	4961655	ReconcilationRevenueExpenses
Reconcilation Other Changes	-5963935	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	$1,127	OtherActivitiesAmount
Total Lobbying Expenditures IIB	1127	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF OTHER LOBBYING ACTIVITIES	Identifier
Return Reference	PART II-B, LINE 1I	ReturnReference
Explanation	THE HOSPITAL PAYS MEMBERSHIP DUES TO DIFFERENT ASSOCIATIONS AND A PERCENTAGE OF THOSE DUES ARE DEDICATED TO LOBBY EXPENSES. THE ASSOCIATIONS ST FRANCIS PAYS ARE AMERICAN HOSPITAL ASSOCIATION ("AHA") AT 24.60% LOBBY EXPENSE, CATHOLIC HEALTH ASSOCIATION ("CHA") AT 5.15% LOBBY EXPENSE, AND ILLINOIS HOSPITAL ASSOCIATION ("IHA") AT 27.00% LOBBY EXPENSE.THE TOTAL AMOUNT OF YEARLY DUES IS MULTIPLIED BY THE PERCENTAGE OF DUES ALLOCATED TO LOBBY EXPENSE TOCALCULATE THE LOBBY EXPENDITURES 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	99383	OtherCostOrOtherBasis
Book Value	99383	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	23033339	OtherCostOrOtherBasis
Depreciation	14297103	Depreciation
Book Value	8736236	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Depreciation	0	Depreciation
Book Value	0	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	16643005	OtherCostOrOtherBasis
Depreciation	14011801	Depreciation
Book Value	2631204	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2176694	OtherCostOrOtherBasis
Depreciation	0	Depreciation
Book Value	2176694	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	13643517	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
ACCRUED BENEFIT LIABILITY	$9,716,399
SETTLEMENT VALUE OF INTEREST	$1,445,364
RETIRE OBLIGATION - ASBESTOS	$855,200
WORKERS' COMP TRUST LIABILITY	$518,895

Field	Value	IRS element (for citing)
Total Of Amounts	12535858	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

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

Schedule H IRS990ScheduleH

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

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	125.	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	464	PersonsServed
Total Community Benefit Expense	836351	TotalCommunityBenefitExpense
Net Community Benefit Expense	836351	NetCommunityBenefitExpense
Percent Of Total Expense	0.02870	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7210795	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6035070	DirectOffsettingRevenue
Net Community Benefit Expense	1175725	NetCommunityBenefitExpense
Percent Of Total Expense	0.04040	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	464	PersonsServed
Total Community Benefit Expense	8047146	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6035070	DirectOffsettingRevenue
Net Community Benefit Expense	2012076	NetCommunityBenefitExpense
Percent Of Total Expense	0.06910	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	15	NumberOfActivitiesOrPrograms
Persons Served	806	PersonsServed
Total Community Benefit Expense	69841	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	69841	NetCommunityBenefitExpense
Percent Of Total Expense	0.00240	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	16	PersonsServed
Total Community Benefit Expense	150	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	150	NetCommunityBenefitExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	10070	PersonsServed
Total Community Benefit Expense	136494	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12156	DirectOffsettingRevenue
Net Community Benefit Expense	124338	NetCommunityBenefitExpense
Percent Of Total Expense	0.00430	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	20	NumberOfActivitiesOrPrograms
Persons Served	10892	PersonsServed
Total Community Benefit Expense	206485	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12156	DirectOffsettingRevenue
Net Community Benefit Expense	194329	NetCommunityBenefitExpense
Percent Of Total Expense	0.00670	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	20	NumberOfActivitiesOrPrograms
Persons Served	11356	PersonsServed
Total Community Benefit Expense	8253631	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6047226	DirectOffsettingRevenue
Net Community Benefit Expense	2206405	NetCommunityBenefitExpense
Percent Of Total Expense	0.07580	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	96	PersonsServed
Total Community Building Expense	1875	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	1875	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	79	PersonsServed
Total Community Building Expense	1910	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	1910	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	432	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	432	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	175	PersonsServed
Total Community Building Expense	4217	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	4217	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$1,067,965	BadDebtExpenseAmount
Amount Attributable To	78662	AmountAttributableTo
Amount Reimbursed By Medicare	12553940	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	12438419	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	115521	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	St Francis Hospital of the Hospital Sis	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1215 Franciscan Drive	AddressLine1
City	Litchfield	City
State	IL	State
ZIP Code	62056	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
Critical Access Hospital	X	CriticalAccessHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	St Francis Hospital of the Hospital Sis	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
Develop Community Plan	X	DevelopCommunityPlan
Include Operational Plans	X	IncludeOperationalPlans
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	false	AllNeedsAddressed
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	125.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	300.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
State Regulation	X	StateRegulation
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Medicare Rate	X	MedicareRate
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
PART I, LINE 3C	Not applicable as the organization does follow FPG to determine eligibility for providing charity and discounted care to low-income, uninsured, and underinsured individuals.
PART I, LINE 6A	St Francis Hospital's community benefit report is available upon request at 1215 Franciscan Drive, Litchfield, IL 62056.
PART I, LINE 7, COLUMN (F)	The percent of charity care and certain other benefits at cost as a percent of total expenses less bad debt is 7.58%. The amount of bad debt expense removed when calculating the percentages in part i, line 7, column (f) was $2,712,471.
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	A workforce development meeting for Montgomery and Macoupin counties was held in early 2011 which was attended by the People Service Manager and the Community Outreach Coordinator of St. Francis Hospital. This meeting of Montgomery and Macoupin county employers, colleges, and the regional office of education, was convened by local economic development offices to discuss current needs of area employers and how best to match those needs with the available workforce. Also discussed was how to improve the skills of the current workforce as well as improve preparation of the future workforce. As a result of this meeting, area school superintendents are working with local economic development coordinators to construct plans to better prepare high school students for the workforce. St. Francis Hospital provides meeting space for this ongoing effort.
PART III, LINE 4	The hospital strongly believes that its charity care, and the related community benefit obtained from such care, is understated because of those patients that potentially qualify for charity care but do not wish to apply for it. In addition, some care is not classified as charity due to missing documentation on patient resources. Thus, the hospital's bad debt includes a portion that could be classified as charity care if application for such care was sought and/or completed. Currently, the hospital is implementing processes, procedures, and systems to more effectively determine charity care that will reduce a patient's documentation requirements and ease the patient's emotional burden in applying for charity care. This will provide a more accurate reporting of charity care services provided by the hospital. The hospital computes the cost of bad debt by applying the ratio of patient care cost to charges to the total charges written off as bad debt expense. The patient care cost is determined by adjusting the total annual operating expense by the cost of nonpatient-care activities, bad debt expenses, Medicaid provider taxes, and community benefit expense. The adjusted operating cost is then divided by the total gross patient charges to calculate the ratio of patient care cost to charges.
Part III, Line 8	The hospital continually strives to provide excellent patient care in the most cost effective fashion. Nonetheless, the Medicare program, in many cases, does not provide payment that covers the full cost of the care provided. Since it is the mission of the hospital to respond to community need, hospital management continually advocates for improved Medicare payment so that the cost of quality care to those patients that are not able to afford it is not compromised and is fairly subsidized by all payers. While this shortfall in Medicare payments is not classified as community benefit by the IRS, we nonetheless believe it is an important contribution made by the hospital to the health and well being of the community. The hospital computes the unpaid costs of providing care to Medicare patients by comparing the cost of the services to the reimbursement received from Medicare during the year. The cost of Medicare services is calculated by applying the ratio of patient care cost to charges to the annual Medicare charges. The patient care cost is determined by adjusting the total annual operating expense by the cost of nonpatient-care activities, bad debt expenses, Medicaid provider taxes, and community benefit expense. The difference between the reimbursement received and the calculated cost of the services is reported as the Medicare shortfall. While St. Francis Hospital receives reimbursement at 101% of cost for most Medicare services, some services provided to Medicare patients are not included in cost-based reimbursement. These services include the Emergency Department Physicians and Anesthesia Services.
Part III, Line 9b	EVERY EFFORT IS MADE PRIOR TO, DURING AND AFTER PROVISION OF MEDICAL SERVICES TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR CHARITY/COMMUNITY CARE AND TO ASSIST THE PATIENT IN COMPLETING THE APPLICATION AND PROVIDING ADEQUATE DOCUMENTATION. IF THE PATIENT QUALIFIED FOR CHARITY/COMMUNITY CARE FOR THE FULL BALANCE OF THEIR ACCOUNT, THE ENTIRE AMOUNT IS WRITTEN OFF TO CHARITY/COMMUNITY CARE AND HENCE NO DEPT 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 EXTENEDED 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, Line 3	Yes. St. Francis Hospital collected both primary as well as secondary data in late 2011 to complete a Community Health Care Needs Assessment. A previous Health Care Needs Assessment was completed in 2009. Primary data collection was conducted through a telephone survey conducted by Leede Research, a marketing research firm specializing in healthcare information programs and tools. The goal of this survey was to identify population perceptions of community issues and needs that could be combined with other information for a Community Health Needs Assessment. The primary research portion of the study consisted of 410 completed telephone interviews conducted by Leede research in December 2011 and January 2012. The questionnaire utilized for this survey process was designed by Leede research in conjunction with leadership input from all thirteen Hospital Sisters Health System institutions including St. Francis Hospital leadership. In addition, Hillsboro Area Hospital also partnered with St. Francis Hospital and Leede Research for the primary telephone survey portion of the Community Health Needs Assessment. Sixty seven percent of respondents to the telephone survey were of ages 18-54 and almost 60% were married. Forty four percent of those responded that they had children living at home, with fifty percent of those children between the ages of 11-16. The majority of respondents are of the Caucasian race with only three percent of other races represented. This is due to the fact that over ninety six percent of the population for both counties is Caucasian. The education level of respondents varied with thirty percent achieving high school or equivalent, thirty seven percent having some college or technical school education, and twenty one percent having graduated from college. Only nine percent of the surveyed population held an advanced or professional degree. Approximately forty percent of respondents reported an annual income of $35,000 or less and forty two percent reported an annual income of $35,000-$75,000. Nineteen percent reported annual income of greater than $75,000. Sixty four percent of telephone survey respondents were female and thirty six percent male. In order to provide representation of all aspects of our community, a cross section of community members were identified by the St. Francis Hospital Internal Needs Assessment Team and were invited to participate in the assessment process. Representatives from law enforcement, education, public health, religious organizations, the medical and dental fields, service organizations, as well as state senator and state representative offices received a personal phone call and email invitation to assist with the needs assessment process. Letters of invitation were also mailed. Representatives from these fields as well as hospital representatives and a hospital board member convened to form the Community Advisory Committee. Community Advisory Committee Members 1. St Francis Hospital Internal Needs Assessment Team: Chief Executive Officer Hospital Board Member Community Outreach Facilitator Administrative Director of Ancillary Services Director of Financial Services Marketing Coordinator Director of Development 2. Local and county law enforcement: Litchfield Chief of Police-120 E, Ryder, Litchfield, IL 3. Director Montgomery County Health Department- Rt. 185 Hillsboro IL 4. Director Macoupin County Health Department-805 N. Broad St. Carlinville, IL 5. State Representative Wayne Rosenthal - 324A N. State St., Litchfield, IL 6. State Senator Sam McCann - 220 N. Broad St., Carlinville, IL. 7. Minister of First Baptist Church, 608 N. Van Buren, Litchfield, IL 8. St. Francis Hospital Auxiliary, Litchfield, IL. 9. Student Council Representative from Litchfield High School, Litchfield, IL The following persons were also invited to participate but were unable to attend: - Macoupin Co. Sheriff - Litchfield High School Guidance Counselor - Hearts United Service Organization Director - Holy Family Church, 410 S. State St. Litchfield, IL - Minister and physician, local representative - Local dental provider The directors of both county health departments, Macoupin County Health Department and Montgomery County Health Department, are very aware of the needs of the uninsured and low income or minority populations as these are the target populations that they serve. Both county health department directors were fully engaged with the needs assessment process and provided valuable insight into the primary and chronic disease needs of the uninsured and low income populations. Part V, Line 4 Yes. Hillsboro Area Hospital also partnered with St. Francis Hospital and Leede Research for the primary telephone survey portion of the Community Health Needs Assessment.
Part V, Line 7	The hospital's Community Health Needs Assessment and associated implementation strategy were completed in FY2012, the reporting year. However, the implementation strategy had not yet been executed, so this question will need to be answered in the filing for FY2013.
Needs Assessment	St. Francis Hospital collected both primary as well as secondary data in late 2011 to complete a Community Health Needs Assessment. A previous Community Health Needs Assessment was completed in 2009. Primary data collection was conducted through a telephone survey conducted by Leede Research, a marketing research firm specializing in healthcare information programs and tools. The goal of this survey was to identify population perceptions of community issues and needs that could be combined with other information for a Community Health Needs Assessment. A total of 410 completed interviews were conducted for the primary data study. The sample used in the study was provided by national sample source Survey Sampling and was a representative sample of members in the targeted geographic area at the time of the study. A proportionate stratified sample was used to give the entire service area equal representation by zip code population. Using random population sampling, the study resulted in a maximum error of + 4.8% based on 95% confidence. All validation, reporting, analysis and presentation materials for the telephone survey were completed by Leede Research. A proportionate stratified sample was used to provide equal input from all geographic areas. Weighting by age and income was used to more accurately represent the actual population in the area. The goal was to give the survey an accurate representation of the actual service area and a random proportionate sample designed to address geographic placement by balancing survey population by zip code was utilized. Preliminary data from the study was reviewed against demographic information from the service area generated through use of Leede's Claritas Demographic Information, a national online database. Based on this review, it was determined that the sample generated through telephone interviewing required weighted adjustments to both income and age ratios. The younger populations and those with lower income levels were under represented in the overall study; thus Leede weighted the study sample by age and income to more accurately match the actual population of the service area. This weighting provides a more accurate view of the needs of the community, and was the basis for all analysis of the telephone survey. Montgomery and Macoupin Counties in Illinois were the geographic areas selected to be surveyed based on the primary service areas of both St. Francis Hospital and Hillsboro Area Hospital. Both hospitals worked together to identify communities to be surveyed, and defined twenty zip code locations with populations over 1,000 to which the telephone survey was administered. Secondary data was readily available and was also incorporated into the needs assessment process for St. Francis Hospital. Sources of this data included the Illinois Project for Local Assessment of Needs (IPLAN), a statewide database which provides access to essential public health data for assessment and planning purposes. IPLAN community health needs assessments from both Montgomery (2010) and Macoupin (2009) counties were reviewed and included. Data for both counties from The Illinois Behavioral Risk Factor Surveillance System (2007-2009), a state based program that gathers information on risk factors among adults, was utilized to provide a broader view of the health needs of the targeted area. Data from the National County Health Rankings (2011) was also considered when assessing the needs of the community. The primary data from the telephone survey was compared with both the state and national data in order to provide a broad perspective of the needs of the local community. The Community Health Needs Assessment can be accessed at: http://www.stfrancis-litchfield.org/uploadedfiles/content/sfl/our_services /community_outreach/sflchna%20report%202012.pdf
Patient Education of Eligibility for Assistance	Patients are notified of the organization's charity care policy and other available financial assistance through signage in the registration areas, text on the billing statements, hospital web site, and information from the registrars and other hospital personnel. The hospital employs a Financial Counselor who is 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. The Financial Counselor contacts uninsured patients to determine eligibility for Medicaid or other government assistance programs. Eligibility is verify using internet-based products and through contact with government resources. 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. If the patient is not eligible for a government assistance program or if the program does not cover the patient's needs, the counselor will provide an application for the hospital's Christian Care program and assist with the completion of the application. All uninsured patients are eligible for an uninsured patient discount, in accordance with the Illinois Hospital Uninsured Patient Discount Act. The Financial Counselor ensures that the discounts under the Act are applied appropriately.
Community Information	More than 92% of the inpatients treated at St. Francis Hospital reside in Montgomery and Macoupin Counties. 56% of the inpatients live in Montgomery County and 36% live in the neighboring Macoupin County. Both of the counties are located in central Illinois, between the cities of Springfield, Illinois and St. Louis, Missouri. Combined population is 77,535 and the median household income is less than $45,000 per year. The percentage of people living below the poverty level averages 12.0% in Macoupin County and 14.0% in Montgomery County and the current unemployment rate is 8.9% and 11.1%, respectively. Persons eligible for Medicare account for 46% of the patient revenue generated at the hospital and Medicaid-eligible patients generate 23%. Likewise, 26% of the revenue is derived from patients who have managed care/commercial insurance coverage. The remaining 5% of the patient revenue comes from patients with no insurance. Most of the Medicaid revenue originates in the Maternity unit. Over 65.4% of the Maternity unit revenue came from treating patients eligible for Medicaid. Provision of maternity services is financially detrimental to the hospital, since the hospital is a Critical Access Hospital (CAH) and is reimbursed by Medicare based on the Medicare-eligible costs incurred. Maintaining a maternity unit limits the number of Medicare patients that can be admitted to the hospital, as a CAH is allowed only 25 inpatients at a time, including maternity patients. Also, the maternity unit absorbs hospital overhead costs that would otherwise be eligible for Medicare cost-based reimbursement. In FY 2012, over $890,713 of the hospital's total operating cost was allocated to maternity services and was excluded from the computation of Medicare reimbursement. But since St. Francis is the only hospital offering maternity services between Springfield and Maryville, IL, maternity services continue to be provided as a service to the community.
Promotion of Community Health	St. Francis Hospital offers hope to our community in the tradition of the Hospital Sisters of St. Francis. As a healing ministry of the Catholic Church and an affiliate of the Hospital Sisters Health System (HSHS), St. Francis is committed to delivering high quality, compassionate, and cost-effective health care services to all. The hospital was founded over 135 years ago to bring a healing presence and improve the health of our community, especially for people who are sick, poor, and disadvantaged. St. Francis is a Critical Access Hospital. Because of the hospital's purpose and tradition, it is organized to promote the health of Litchfield 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 St. Francis 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. Also consistent with its exempt purpose, St. Francis has an open medical staff with privileges available to all qualified physicians in the area. In addition, the hospital operates an emergency department that is open 24 hours to all persons regardless of their ability to pay. As a not-for-profit hospital, St. Francis reinvests surplus funds into the mission of the organization and health of the community rather than distributing them as profits to shareholders or individuals. Funds not committed to ongoing operations are generally used to upgrade facilities, secure new technologies, improve patient care, and support initiatives designed to promote health and ensure access for all. For example, St. Francis is currently working with its parent organization, Hospital Sisters Health System, to continuously enhance quality and improve coordination of care both inside the hospital and with a growing number of physician partners. Supported by investments in information technology, this "care integration" strategy is designed to better coordinate care, improve health outcomes, create new efficiencies, and help ensure that patients (especially those with chronic conditions) get well and stay well. St. Francis also devotes significant resources to access for patients who cannot afford care, along with other community benefits. In fiscal year 2012, St. Francis provided over $2.2 million in community benefit services, including charity care at cost, unpaid costs of Medicaid and other public programs, and a range of diverse programs designed to enhance access and improve community health. Additionally, during this period, St. Francis provided $1.1 million (at cost) in uncompensated care to patients that did not qualify for charity care or public assistance and over $400,000((at cost) in excess of Medicare payment for health care services. Responding to Community Need The range of benefits provided by St. Francis flows from our mission and long-standing commitment to our community. In many cases, these programs would be unlikely to exist without the leadership role played by St. Francis and they often relieve a burden that would otherwise be carried by government. The Community Outreach Coordinator of St. Francis Hospital serves the community by participating on the Macoupin County Diabetes Coalition which provides diabetes education programs for the community. As a part of this coalition the Diabetes Self-Management Program, which was developed by Stanford University, was launched throughout central Illinois in the fall of 2011. A group of 10 individuals from Montgomery, Macoupin, Jersey, and Bond counties completed a week of training to become facilitators to teach this 6 week course to area residents. All facilitators are working together as part of a regional approach to provide diabetic education to these four counties, which is coordinated by Macoupin County Health Department. The Community Outreach Facilitator from St. Francis Hospital and a local citizen both completed the training and provided the initial course in Montgomery County in early 2012. The hospital also partners with the Illinois Kidney Mobile and the Montgomery County Health Department to provide free screenings for diabetes and renal disease. This free service provides a large mobile van full of diabetic and renal disease education displays in addition to a health screening process. The health screenings consist of free urinalysis, blood glucose testing, hemoglobin A1C testing if appropriate, height, weight, body mass index, and additional chemistry testing for those meeting specific criteria. Once all screenings are completed a nurse practitioner reviews results with each individual and referrals for care are arranged if needed. A team of four individuals with the Kidney Mobile are assisted by staff from the Montgomery County Health Department and St. Francis Hospital, which sponsor this free day of screening and education. Many individuals who normally would not be able to afford these tests have been able to obtain much needed testing and screening through this program. In addition, another diabetes collaborative effort has been established by the Community Outreach Coordinator. This collaboration is working to establish a communication and referral system between nurse navigators at local medical offices, physicians, Diabetes Self-Management Program instructors, and health departments. The goal is to identify patients in need of diabetes education, communicate patient needs related to diabetes, improve enrollment in local Diabetes Self-Management Courses, and track and measure outcomes. St. Francis Hospital also partners with the Montgomery County Health Department, Hillsboro Area Hospital, and the University of Illinois Extension Service to provide locally grown fresh produce to families who participate in the WIC program of the county health department. Free bags of produce are provided along with information about food handling, storage, and preparation, as well as recipes and cooking suggestions. Produce programs are provided in the summer and fall in order to offer a variety of vegetables. St. Francis Hospital also participates on the Health Services Advisory Board for the Macoupin County Head Start Program. This board reviews the health programs in place for the Head Start Preschool Program and provides guidance for program development. Dental care was identified as an area of need through the Community Health Needs Assessment. As a result of this need, St. Francis Hospital reached out to local dental care providers to coordinate a free day of dental care for the uninsured in our community. Participants had the choice of receiving a filling, extraction, or hygiene services free of charge. Two local dental offices participated and donated staff time and supplies to provide the much needed dental care to approximately 90 individuals. St. Francis Hospital also partnered with the dental hygiene program at Lewis and Clark Community College to bring their mobile dental van to the Litchfield area. This pilot program provided free or low cost dental exams and cleanings to the uninsured in the spring of 2012. Both programs were well received and attended by the community. Plans for Responding to the FY2012 CHNA During FY2013, the following activities will be modified or supplemented to focus on the priority needs identified by the FY2012 community health needs assessment process. Produce Program: In partnership with the Montgomery County Health Department and Hillsboro Area Hospital, fresh, locally grown produce was provided to families participating in the WIC program. A new program was piloted in the spring of 2012 to provide potted tomato plants to WIC families to encourage growing produce at home. Dental Program: A new service was provided to our community by partnering with Lewis & Clark Community College. Their mobile dental service provided dental exams, x-rays, and cleanings at very low cost (or free). This was a new venture for the mobile unit and was very well received by the college as well as the community. Plans are to repeat services again in the fall of 2012. Immunizations & Screenings: In conjunction with an Illinois Department of Public Health grant, a variety of information was provided to area residents about vaccines and immunizations. Adult vaccine information was provided to seniors at the Senior Health Expo in Carlinville and Staunton. Vaccines for both adults and children were discussed with the Elizabeth Ann Seton Program (young mother's support group) of Litchfield. Blood Pressure, Body Mass Index, and Cholesterol screenings were provided at numerous events within the surrounding community including at the Gillespie High School Health Fair, at Fusion for the Lighten UP 4 Montgomery County kick off, Litchfield Health Fai
Affiliated Health Care System	St. Francis 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 Christ's 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. Joseph's 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 nurse's 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. Anthony's Memorial Hospital in Effingham and Catholic Charities. Last year, St. Anthony's 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 Christ's healing love, we understand that we have a responsibility to improve the overall quality of life in our communities by supporting initiatives that promote health and wellness. We recognize we are most successful when we work together with a wide array of public and private organizations that share our commitment to improving lives. By doing so, we maximize our efforts and reduce the duplication of services. HSHS hospitals also understand we need to listen closely to the residents of the communities we serve to ensure the health care needs of all are being met. To that end, each of our 13 hospitals completed Community Health Needs Assessments (CHNA) during FY2012. The information gathered from these assessments is being used to help us develop new, and enhance existing, programs and services that best address the needs of the community. 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. Joseph's 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. John's 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 H
STATE FILING OF COMMUNITY BENEFIT REPORT	IL,	990 SCHEDULE H, PART VI

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (10 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
DANIEL PERRYMAN
0	263676	0	0	0	6719	0	91279	0	19115	0	380789	0	27633
Robert Ritz
0	550340	0	0	0	38122	0	162878	0	56610	0	807950	0	61170
Larry J Ragel
0	247925	0	25	0	0	0	55206	0	19389	0	322545	0	0
ANN M CARR
0	180382	0	0	0	45430	0	197622	0	18652	0	442086	0	0
CAROL JACO
152903	0	0	0	0	0	38069	0	8028	0	199000	0	0	0
DIANE LINDSAY
153000	0	0	0	0	0	82567	0	14454	0	250021	0	0	0
Kathryn Knobloch
105431	0	0	0	0	0	67664	0	771	0	173866	0	0	0
JILL MOUTRIA
125414	0	0	0	0	0	48991	0	7879	0	182284	0	0	0
Peter Mannix
0	292045	0	0	0	18160	0	117575	0	29851	0	457631	0	31910
Susan Stromsland
100344	0	0	0	0	0	39367	0	18926	0	158637	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ROBERT RITZ	SCHEDULE J, PART I, LINE 4B	ROBERT RITZ PARTICIPATED IN A SERP DURING THE YEAR IN THE AMOUNT OF $118,775.
ANN M. CARR	SCHEDULE J, PART I, LINE 4B	ANN M. CARR PARTCIPATED IN A SERP DURING THE YEAR IN THE AMOUNT OF $33,655.
PETER MANNIX	SCHEDULE J, PART I, LINE 4B	PETER MANNIX PARTICIPATED IN A SERP DURING THE YEAR IN THE AMOUNT OF $62,037.
DANIEL PERRYMAN	SCHEDULE J, PART I, LINE 4B	DANIEL PERRYMAN PARTICIPATED IN A SERP DURING THE YEAR IN THE AMOUNT OF $54,360.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PROGRAM SERVICES REVENUE - ACCOMPLISHMENTS	990 PART III LINE 4A	The community benefit contribution of St. Francis Hospital includes programs and activities that improve access to health care and improve health in our communities. In order to portray the full breadth of our contribution, our community benefit information is described below: SECTION 1 - QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT: During the fiscal year ended June 30, 2012 St. Francis Hospital operated as a Critical Access Hospital. The Hospital provided 5,010 adult, pediatric and skilled nursing days of care and accommodated 50,244 outpatient visits during the fiscal year. Quality medical services were provided to all patients regardless of race, creed, sex, national origin, handicap, age or financial status. Although reimbursement for services rendered is critical to the operation and stability of the Hospital, it is recognized that not all individuals possess the ability to purchase essential medical services. St. Francis Hospital's mission is to serve the community by providing healthcare services and education. To accomplish this mission, the Hospital provides care to the poor, the elderly and the needy of the community through various programs and services. These activities include wellness programs, community education, and community support activities, and programs specifically designed for the elderly,handicapped and medically underserved. Benefits for the poor include services provided to persons who cannot afford health care because of inadequate resources and who are uninsured or underinsured. These benefits are provided in the form of charity care for those who cannot afford to pay, through the Hospital's uninsured discount program and through public programs such as Medicaid. St. Francis provides charity care through its Christian Care program. The Christian Care program is designed to ensure that the resources used to assist patients are provided for those who are unable to pay for their medical care. Financial assistance is determined by comparing the applicant's gross family income to the most recent Federal Poverty Guidelines. In order to qualify for assistance applicants must complete an application form, provide documentation of current family income, provide documentation of medical expenses and available assets, and provide evidence of investigation of all other means of assistance. Applications are reviewed by the Hospital's Christian Care Committee and selection for assistance is determined by the Hospital's available funds and the eligibility of the applicant. All uninsured patients are allowed a discount of at least 10% from the charges billed for the patients' hospital services. In accordance with the State of Illinois Public Act 095-0965, St. Francis provides uninsured patients the ability to apply for further discounts. Under the Hospital Uninsured Patient Discount Act, uninsured patients may be eligible for discounts ensuring that they pay no more than 135% of the cost of the services provided. Benefits for the broader community include services provided to needy populations that may not qualify as poor but need special services and support. St. Francis provides these benefits through the provision of unbilled services for community members. Nonbilled community services include the cost of health education and community health clinics and screenings. Specific services provided by St. Francis include: * Assistance with community blood drives, kidney mobile, dental care and Fresh Fruit Program; * Employee speakers at health fairs, schools and other community organizations; * Nutritional management consulting services and educational materials; * Educational seminars for the general public on senior fitness programs, breast cancer awareness, diabetes, cardiac rehabilitation, congestive heart failure, elder abuse, stroke and drug prevention; * Screenings for colorectal cancer, hypertension, cholesterol and obesity; * Donation of medical supplies and used equipment to missions in underdeveloped countries; * Donation of cash and supplies to local agencies; * Educational sessions for healthcare providers on blood borne pathogens, stress management and CPR; * St. Clare Food Pantry to provide food for needy families. QUANTIFIABLE COMMUNITY BENEFIT: The financial information in this report was prepared in accordance with the Catholic Health Association's ("CHA") community benefit reporting guidelines. These guidelines recommend the following: * Report charity care at cost, not charges; * Do not include bad debt, contractual allowances, and prompt pay discounts as part of charity care expense; * Do not count a Medicare shortfall as a community benefit; * Report the net expense for community services, i.e., the total community benefit expense minus any associated revenue from patients, payers, and external sources; The CHA 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 addition, the Hospital committed significant resources to serving the Medicare population. The cost (determined using a cost to charge ratio) of providing services to primarily elderly beneficiaries of the Medicare program, in excess of governmental payments, was $404,715 for the year ended June 30, 2012. The hospital also committed significant resources to serving the Medicaid population.The cost of providing services to pregnant women and their newborns was $890,713 for the year ended June 30, 2012. St. Francis Hospital is the only hospital between Springfield and Maryville that offers Maternity Services. The State of Illinois (the State) renewed an assessment program to assist in financing of its Medicaid program in December of 2006 for the State's fiscal years ended June 30, 2006, 2007, 2008, 2009, 2010, and 2011. The program was approved in 2008 and has been renewed each year since. Pursuant to this program, hospitals within the State are required to remit payment to the State of Illinois Medicaid program under an assessment formula approved by the Centers for Medicare and Medicaid Services (CMS). The assessment program also provides hospitals within the State with additional Medicaid reimbursement based on funding formulas, also approved by CMS. The net effect of the 2012 assessment and reimbursement included in the Hospital's 2012 statement of operations is $2.1 million.
RIGHTS OF MEMBERS TO ELECT GOVERNING BODY	FORM 990, PART VI, LINE 6 & 7A	THE SENIOR GOVERNING BODY OF ST. FRANCIS HOSPITAL (THE "CORPORATION") IS THE MEMBER OF THE CORPORATION, WHICH IS HOSPITAL SISTERS SERVICES, INC. ("HSSI"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. PURSUANT TO SECTION 2.3 OF THE CORPORATION'S BYLAWS, HSSI HAS THE RIGHT TO APPOINT AND REMOVE THE CORPORATION'S BOARD OF DIRECTORS, CHAIRPERSON OF THE BOARD, AND PRESIDENT.
MEMBER RESERVED POWERS	FORM 990, PART VI, LINE 7B	Responsibility for the policy and operations of St. Francis Hospital (the "Corporation") is vested in its Board of Directors, except with respect to specific powers reserved in the Corporation's Bylaws to the Corporation's Member, Hospital Sisters Services, Inc. ("HSSI"), an Illinois not for profit corporation exempt from federal taxation under Section 501(c)(3) of the Internal Revenue Code. The member of HSSI is Hospital Sisters Health System ("HSHS"), an Illinois not for profit corporation exempt from federal taxation under Section 501(c)(3) of the Internal Revenue Code. The members of HSHS are the individual sisters who, from time to time, are the duly elected Provincial Superior and Provincial Councilors, respectively of the American Province of the Hospital Sisters of St. Francis ("American Province"). The American Province is the United States organization of the Congregation of the Hospital Sisters of the Third Order Regular of St. Francis, a religious institute of the Roman Catholic Church. The governance and operations of the Corporation are subject to HSSI's right to exercise these reserved powers with respect to the Corporation and organizations of which the Corporation is either, directly or indirectly, a controlling member or a controlling shareholder ("Affiliates"). HSSI's right to exercise certain of these reserved powers is, in turn, subject to the approval of HSHS and HSHS' members. The reserved powers include all rights granted to HSSI by law and the right to: (a) Adopt, approve amendments to, or amend any statement of philosophy, mission, mission integration or values, or any name, logo, or mark of the Corporation or of any Affiliate; (b) Adopt, approve amendments to, or amend the Articles of Incorporation of the Corporation or of any Affiliate; (c) Adopt, approve amendments to, or amend the Bylaws of the Corporation or of any Affiliate; (d) Appoint and remove the Board of Directors, any one or more of the Directors of the Corporation or of any Affiliate, and the Chairperson and President of the Corporation or of any Affiliate; (e) Approve the recommendation of the Board of Directors to appoint or remove the Board of Directors, any one or more Directors of the Corporation or of any Affiliate, or the Chairperson and President of the Corporation or of any Affiliate. (f) With respect to the Corporation or any Affiliate, approve the purchase, sale, alienation, exchange, lease, or encumbrance of any real property of the Corporation or of any Affiliate, which property has a value in excess of limits set from time to time by HSSI; (g) Approve the operating and capital budgets of the Corporation or of any Affiliate, and any deviations by the Corporation or of any Affiliate from such budgets in an amount or percentage specified by HSSI from time to time; (h) Approve the strategic plan and goals of the Corporation or of any Affiliate; (i) Approve the sale of substantially all of the assets of the Corporation or of any Affiliate; (j) Approve the merger or dissolution of the Corporation or of any Affiliate; (k) Adopt or amend the plan for ministry education and governance for the Corporation and its Affiliates; (l) Approve the Corporation's Mission Accountability Reports and those of any Affiliate; (m) Approve the financial policies and procedures of the Corporation or of any Affiliate, and approve any deviations from such policies and procedures by the Corporation or any Affiliate; and (n) Adopt policies to implement the Reserved Powers of HSSI.
REVIEW PROCESS	FORM 990, PART VI, LINE 11B	The hospital employs KPMG to assist in the overall preparation, review and electronic submission of its Form 990. KPMG provides guidance in identifying critical errors in the return submission, and feedback on quantitative and qualitative responses. Additionally, the hospital CFO performs a thorough review of the return and reviews it with the hospital CEO and/or senior leaders before presenting it in its entirety to the hospital Board for questioning and review prior to the return's signing and submission to the IRS.
CONFLICT OF INTEREST POLICY	FORM 990, PART VI, LINE 12C	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, 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.
RECORD RETENTION AND DESTRUCTION POLICY	FORM 990, PART VI, LINE 14	THE HOSPITAL IS CURRENTLY FOLLOWING THE SYSTEM-WIDE RECORD RETENTION AND DESTRUCTION POLICY.
COMPENSATION PROCESS	FORM 990, PART VI, LINE 15	The Compensation Committee ("Committee") is comprised of independent members of the Board of Directors. The Committee develops a compensation philosophy for the System and all affiliates. The Committee selects and hires the independent compensation consultant to develop comparability data and advise the Committee during its deliberations regarding all elements of total compensation for all disqualified individuals. Integrated Healthcare Strategies ("IHS"), the consultants utilized by the Committee, use data from multiple tax-exempt peer group sources to determine salary ranges, incentive opportunity ranges, and benefits for the disqualified individuals. IHS then assists the Committee in preparing contemporaneous documentation of all actions. Each Committee meeting is conducted with the intent to create a rebuttable presumption of reasonableness for all elements of executive total compensation for the disqualified individuals. The Chairman makes this declaration and also inquires if there are any conflicts of interest by any attendees. Any conflicts are disclosed and the Committee then acts in a manner to avoid any conflicted individual participating in any manner where a conflict might exist. At the end of the meeting, the Committee prepares contemporaneous minutes that record all actions taken during the meeting.
DOCUMENTS AVAILABLE TO THE PUBLIC	FORM 990, PART VI, LINE 19	BOARD-APPROVED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC AT THIS TIME.
POOLED INVESTMENT ACCOUNT	FORM 990, PART X, LINE 11	St. Francis Hospital's cash reserves are invested in a pooled investment account. Participation in the pooled fund is limited to the 501(C)(3) Hospitals and related health services organizations sponsored by the Hospital Sisters Health System. The pooled account consists of cash, and equity and debt securities that are publicly traded. In accordance with the provisions of SFAS No. 124 "Accounting for certain investments held by Not-For-Profit Organizations," investments in equity securities with readily determinable values, and all investments in debt securities, are reported at fair value on the Balance Sheet. Income, realized and unrealized gains and losses are pooled and allocated to the participants. Individual components of assets and revenue are not identified to the participants.
OTHER CHANGES IN NET ASSETS	FORM 990, Part XI, Line 5	Reversal of changes in pension funded status (3,562,805) Unrealized Gains (1,746,466) Increase in temporarily restricted net assets 613,774 Transfer from affiliates (1,224,000) Proceeds from restricted grant used to acquire equipment 205,037 Temporarily restricted net assets-investment income (34,294) Interest Income capitalized as part of construction in progress (10,148) ----------- Total (5,758,902) ===========
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Peter Mannix TITLE:Board Member HOURS:59
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:ANN M. CARR TITLE:TREASURER HOURS:60

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Springfield Health Partners LLC
4936 Laverna Road	springfield	IL	62707	371364419	healthcare	IL	0	0	hshs mg
Kiara Clinical Integration Network LLC
4936 Laverna Rd	springfield	IL	62707	261417684	healthcare	IL	0	0	HSSI
Physician Clinical Integration Network
4936 Laverna Road	Springfield	IL	62707	371668647	Healthcare	IL	0	0	KCIN

Form990 Schedule R Part II Form990ScheduleRPartII (23 entries)

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

Form990 Schedule R Part III Form990ScheduleRPartIII (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	Code VCodeVAmount	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
Memorial and St Elizabeth's Healthcare
4000 North Illinois Street	Swansea	IL	62226	371312961	HealthCare	IL	St Elizabeth's	Related	0	0	false	$0	false	0.00000
Prairie Heart Institute - CarbondaleLLC
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 Ave	Sheboygan	WI	53081	260822209	HealthCare	WI	St Nicholas	Related	0	0	false	$0	false	0.00000
Prevea Ventures LLC
2710 EXECUTIVE DR	Green Bay	WI	54304	203775127	HealthCare	WI	HSSI	Related	0	0	false	$0	false	0.00000
CARPENTER STREET HOTEL LLC 36-
					HOTEL	IL	LASANTE INC	Related	0	0	false	$0	false	0.00000
SPRINGFIELD URGENT CARE REAL ESTATE
					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	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountry
Kiara Inc
4936 Laverna Rd	Springfield	IL	62707	371163401	HealthCare	IL	HSHS	C Corp	0	0
LaSante Wisconsin Inc
4936 Laverna Rd	Springfield	IL	62707	391572196	HealthCare	IL	Kiara Inc	C Corp	0	0
LaSante Inc
4936 Laverna Rd	Springfield	IL	62707	371163400	HealthCare	IL	Kiara Inc	C Corp	0	0
Prairie Cardiovascular
619 East Mason STE 4P57	Springfield	IL	62701	371071858	HealthCare	IL	Kiara Inc	C Corp	0	0
Prevea Health Services
2710 EXECUTIVE DR	Green Bay	WI	54304	391839351	HealthCare	WI	HSSI	C Corp	0	0	0.00000
Prevea Clinic Inc
2710 EXECUTIVE DR	Green Bay	WI	54304	391839349	HealthCare	WI	HSSI	C Corp	0	0	0.00000
Prevea Health Network
2710 EXECUTIVE DR	Green Bay	WI	54304	392000537	HealthCare	WI	HSSI	C Corp	0	0	0.00000
Renaissance Quality Insurance
				980669953	insurance		HSSI	c corp	0	0	0.00000	PO Box 1159	Grand Caymans	CJ	KY1-1102	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	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	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Form990 Schedule R Part VII Form990ScheduleRPartVII

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