ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F (EIN 39-0810545)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2012-05-15
IRS object ID: 201201369349303645
Schema version: 2010v3.7
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	2012-05-15T12:01:34-05:00	Timestamp
Tax Period End Date	2011-06-30	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	2010-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	390810545	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ST JOSEPH'S HOSPITAL OF THE HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	STJO	NameControl
Phone	7157231811	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2661 COUNTY HIGHWAY I	AddressLine1
City	CHIPPEWA FALLS	City
State	WI	State
ZIP Code	54729	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JOAN COFFMAN	Name
Title	CEO	Title
Phone	7157231811	Phone
Date Signed	2012-05-14	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	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	SISTERS - THIRD ORDER OF ST FRANCIS	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Joan Coffman	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	2661 COUNTY HIGHWAY I	AddressLine1
City	CHIPPEWA FALLS	City
State	WI	State
ZIP Code	547291498	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	71976461	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	WWW.STJOESCHIPFALLS.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1885	YearFormation
State Legal Domicile	WI	StateLegalDomicile
Activity Or Mission Description	St. Joseph's mission is to deliver compassionate health care to people in need and to be the preferred choice for health care in the chippewa valley.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	625	TotalNbrEmployees
Total Nbr Volunteers	250	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	112413	ContributionsGrantsPriorYear
Contributions Grants Current Year	101849	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	63120683	ProgramServiceRevenuePriorYear
Program Service Revenue CY	67936117	ProgramServiceRevenueCY
Investment Income Prior Year	1140185	InvestmentIncomePriorYear
Investment Income Current Year	3647483	InvestmentIncomeCurrentYear
Other Revenue Prior Year	303572	OtherRevenuePriorYear
Other Revenue Current Year	291012	OtherRevenueCurrentYear
Total Revenue Prior Year	64676853	TotalRevenuePriorYear
Total Revenue Current Year	71976461	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	32974145	SalariesEtcPriorYear
Salaries Etc Current Year	35859871	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	23495589	OtherExpensePriorYear
Other Expenses Current Year	26777929	OtherExpensesCurrentYear
Total Expenses Prior Year	56469734	TotalExpensesPriorYear
Total Expenses Current Year	62637800	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	8207119	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	9338661	RevenuesLessExpensesCY
Total Assets BOY	98744873	TotalAssetsBOY
Total Assets EOY	112011019	TotalAssetsEOY
Total Liabilities BOY	42027562	TotalLiabilitiesBOY
Total Liabilities EOY	36999849	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	56717311	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	75011170	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	St. Joseph's mission is to deliver compassionate health care to PEOPLE IN NEED. REFLECTING OUR HIGH REGARD FOR ONE ANOTHER AS INSPIRED BY OUR FRANCISCAN TRADITION, ST. JOSEPH'S GOAL IS TO BE THE PREFERRED CHOICE FOR HEALTH CARE IN THE CHIPPEWA VALLEY.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	54387100	Expense
Revenue	67936117	Revenue
Description	SEE SCHEDULE O - PROGRAM SERVICE ACCOMPLISHMENTS	Description
Total Program Service Expense	54387100	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	53	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	625	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
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	12	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	STEVE PALECEK	NamePerson
Telephone Number	7157173783	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2661 COUNTY HIGHWAY I	AddressLine1
City	CHIPPEWA FALLS	City
State	WI	State
ZIP Code	547291498	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
Thomas R Kell
Chairperson	1.0	X	X	0	0	0
Lon A Blaser DO
Secretary	1.0	X	X	0	0	0
James E Docksey
Director	1.0	X		0	0	0
TJ Jake Leinenkugel
Director	1.0	X		0	0	0
Sister Gertrude O'Conner
Director	1.0	X		0	0	0
SR MARYBETH CULNAN OSF
Director	1.0	X		0	0	0
Robert R Maslonkowski
Director	1.0	X		0	0	0
Joan Coffman
CEO/President	74.0	X	X	49916	113673	46630
Jeffrey R Halloin
Director	1.0	X		0	0	0
Susan Tietz
Director	1.0	X		0	0	0
David Kiefer
Vice Chairperson	1.0	X	X	0	0	0
sister janice r schneider osf
director	1.0	X		0	0	0
Kenneth Venuto
CFO	40.0		X	0	83989	3382
ANN CARR
TREASURER	0.25		X	0	191336	109541
STEPHEN RONSTROM
DIVISION CEO	4.0		X	0	475612	136808
Beth Ann Stokka
Pharmacy Operations Supervisor	40.0			128487	0	16498	X
Peter Pokryzwinski
Pharmacist	40.0			130107	0	48378	X
Ivar Gjolberg
Division Manager	40.0			124037	0	29859	X
Larry Woltman
Pharmacist	40.0			134951	0	48135	X
Carolyn Craft
Assistant Administrator	40.0			121870	0	48090	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	689368	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	864610	TotalReportableCompFrmRltdOrgs
Total Other Compensation	487321	TotalOtherCompensation
Number Individuals GT100 K	12	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
Miron Construction Co
1471 McMahon Drive	NEENAH	WI	54956	Construction	1774040
MARSHFIELD CLINIC
1000 N OAK AVENUE	MARSHFIELD	WI	54449	PROFESS. SERVICES	930653
INFINITY HEALTHCARE SC
111 E WISCONSIN AVENUE	MILWAUKEE	WI	53202	PROVIDER COVERAGE	595136
BERNERS SCHOBER ASSOCIATES
310 PINE STREET	GREEN BAY	WI	54301	Construction	574886
PETER SCHWABE INC
W232 S7530 BIG BEND DRIVE	BIG BEND	WI	53103	CONSTRUCTION	469708

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	14	NumberOfContractorsGT100K
Related Organizations	101849	RelatedOrganizations
Total Contributions	101849	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE	900099	66312315	66312315
OTHER DEPARTMENT REVENUE	900099	1623802	1623802

Field	Value	IRS element (for citing)
Total Program Service Revenue	67936117	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3647483	TotalRevenueColumn
Exclusion	$3,647,483	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	95118	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	95118	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	95118	TotalRevenueColumn
Exclusion	$95,118	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	0	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	0	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

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

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 (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
CAFETERIA REVENUE	722210	160759	$160,759
GIFT SHOP REVENUE	453220	35135	$35,135

Field	Value	IRS element (for citing)
Total Other Revenue	195894	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	71976461	TotalRevenueColumn
Related Or Exempt Function Income	67936117	RelatedOrExemptFunctionIncome
Exclusion	$3,938,495	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	0	Total

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	26134489	Total
Program Services	24716115	ProgramServices
Management And General	1418374	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	2208561	Total
Program Services	2088698	ProgramServices
Management And General	119863	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	5662495	Total
Program Services	5355179	ProgramServices
Management And General	307316	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	1854326	Total
Program Services	1753688	ProgramServices
Management And General	100638	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	3430800	Total
Management And General	3430800	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	183294	Total
Management And General	183294	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	5007203	Total
Program Services	4054894	ProgramServices
Management And General	952309	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	792202	Total
Management And General	792202	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	173855	Total
Management And General	173855	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	113389	Total
Program Services	113389	ProgramServices

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	963686	Total
Program Services	963686	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	258880	Total
Program Services	256755	ProgramServices
Management And General	2125	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	198837	Total
Program Services	91510	ProgramServices
Management And General	107327	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	30382	Total
Program Services	30382	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	976091	Total
Program Services	976091	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	2279885	Total
Program Services	2223306	ProgramServices
Management And General	56579	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	116919	Total
Management And General	116919	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
CLINICAL SUPPLIES	5462895	5462895
PROVISION FOR BAD DEBT	2268000	2268000
WISCONSIN MEDICAID ASSESS	1609899	1609899
MAINTENANCE SERVICE	847501	845926	1575
RENTAL BUILDINGS	450062	450062

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1614149	Total
Program Services	1126625	ProgramServices
Management And General	487524	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	62637800	Total
Program Services	54387100	ProgramServices
Management And General	8250700	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	2794412	BOY
EOY	1097334	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	6457024	BOY
EOY	7880858	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	679655	BOY
EOY	426135	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	283238	BOY
EOY	264405	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	49856694	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	28435946	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	18543744	BOY
EOY	21420748	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	69157252	BOY
EOY	80717600	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	829548	BOY
EOY	203939	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	98744873	BOY
EOY	112011019	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	6962218	BOY
EOY	6679364	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	16266611	BOY
EOY	16011611	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	18798733	BOY
EOY	14308874	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	42027562	BOY
EOY	36999849	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	45077079	BOY
EOY	63670333	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5912245	BOY
EOY	5145185	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5727987	BOY
EOY	6195652	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	56717311	BOY
EOY	75011170	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	98744873	BOY
EOY	112011019	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	9338661	ReconcilationRevenueExpenses
Reconcilation Other Changes	8955198	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
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	$4,745	OtherActivitiesAmount
Total Lobbying Expenditures IIB	4745	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF OTHER LOBBYING ACTIVITIES	Identifier
Return Reference	SCHEDULE C, PART II-B, QUESTION 1I	ReturnReference
Explanation	ST. JOSEPH'S HOSPITAL ("THE HOSPITAL") IS A MEMBER OF THE CATHOLIC HEALTH ASSOCIATION ("CHA"), Wisconsin Health Association ("WHA"), THE NATIONAL ASSOCIATION FOR HOME CARE AND HOSPICE, AND THE AMERICAN HEALTH ASSOCIATION ("AHA"). AS A MEMBER OF THESE ORGANIZATIONS, THE HOSPITAL PAYS DUES, Part of which ARE ATTRIBUTABLE TO LOBBYING FEES PAID BY THE ORGANIZATIONS. THE AMOUNT LISTED ABOVE IS THE AMOUNT ATTRIBUTABLE TO THE HOSPITAL FROM ITS DUES PAID.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	258685	OtherCostOrOtherBasis
Book Value	258685	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	29390902	OtherCostOrOtherBasis
Depreciation	15093625	Depreciation
Book Value	14297277	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1038246	OtherCostOrOtherBasis
Depreciation	910856	Depreciation
Book Value	127390	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	18748419	OtherCostOrOtherBasis
Depreciation	12431465	Depreciation
Book Value	6316954	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	420442	OtherCostOrOtherBasis
Book Value	420442	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	21420748	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
MINIMUM PENSION LIABILITY	$13,353,790
RATE SWAP AGREEMENTS	$836,018
ESTIMATED SELF INSURANCE	$119,066

Field	Value	IRS element (for citing)
Total Of Amounts	14308874	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	ASC SUBTOPIC 740-10	Identifier
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, 2011 AND 2010, 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
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	4400	PersonsServed
Total Community Benefit Expense	1424247	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	1424247	NetCommunityBenefitExpense
Percent Of Total Expense	0.02360	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	8671	PersonsServed
Total Community Benefit Expense	16173982	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11023125	DirectOffsettingRevenue
Net Community Benefit Expense	5150857	NetCommunityBenefitExpense
Percent Of Total Expense	0.08530	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	357	PersonsServed
Total Community Benefit Expense	1345776	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1105159	DirectOffsettingRevenue
Net Community Benefit Expense	240617	NetCommunityBenefitExpense
Percent Of Total Expense	0.00400	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	13428	PersonsServed
Total Community Benefit Expense	18944005	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12128284	DirectOffsettingRevenue
Net Community Benefit Expense	6815721	NetCommunityBenefitExpense
Percent Of Total Expense	0.11290	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	11	NumberOfActivitiesOrPrograms
Persons Served	11330	PersonsServed
Total Community Benefit Expense	117646	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17613	DirectOffsettingRevenue
Net Community Benefit Expense	100033	NetCommunityBenefitExpense
Percent Of Total Expense	0.00170	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	25	PersonsServed
Total Community Benefit Expense	5718	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	5718	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	300	PersonsServed
Total Community Benefit Expense	2138419	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1977395	DirectOffsettingRevenue
Net Community Benefit Expense	161024	NetCommunityBenefitExpense
Percent Of Total Expense	0.00270	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	13	NumberOfActivitiesOrPrograms
Persons Served	11655	PersonsServed
Total Community Benefit Expense	2261783	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1995008	DirectOffsettingRevenue
Net Community Benefit Expense	266775	NetCommunityBenefitExpense
Percent Of Total Expense	0.00450	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	16	NumberOfActivitiesOrPrograms
Persons Served	25083	PersonsServed
Total Community Benefit Expense	21205788	TotalCommunityBenefitExpense
Direct Offsetting Revenue	14123292	DirectOffsettingRevenue
Net Community Benefit Expense	7082496	NetCommunityBenefitExpense
Percent Of Total Expense	0.11740	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$1,054,680	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	13500477	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	21418099	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-7917622	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 Joseph's Hospital	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	2661 COUNTY HIGHWAY I	AddressLine1
City	CHIPPEWA FALLS	City
State	WI	State
ZIP Code	54729	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
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 Joseph's Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 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. Joseph's Hospital did not prepare a community benefit report during this tax year.
Part I, Line 7g	The hospital does not have sufficient information at this time to determine if subsidized services exist based on the definition and calculations required by the IRS and will continue to work and provide such information in next year's return.
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 11.74%. The percent of charity bad debt as a percent of total expenses less bad debt is 3.76%. THE AMOUNT OF BAD DEBT EXPENSE REMOVED WHEN CALCULATING THE PERCENTAGES IN PART I, LINE 7, COLUMN (F) WAS $2,268,000.
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 2011 audited financial statements. The total charity care dollar amount is then reduced to cost by applying the hospital's cost to charge ratio as calculated on IRS schedule H - worksheet 2.
Part II	The hospital was involved in community building activities that address the root cause of health care problems, or work to lay a foundation for a healthier, safer, and better educated community. Among our efforts was our active involvement with the Chippewa Health Improvement Partnership ("CHIP"). St. Joseph's Hospital has maintained primary fiscal support of the county's healthy community initiative. CHIP continues to implement multiple community health and wellness strategies to help fulfill the identified needs of county residents while aligning the partnership's goals with the goals and mission of St. Joseph's Hospital and the Hospital Sisters Health System.
Part III, Line 4	The hospital strongly believes that its charity care, and the related community benefit obtained from such care, is understated because of those patients that potentially qualify for charity care but do not wish to apply for it. In addition, some care is not classified as charity due to missing documentation on patient resources. Thus, the hospital's bad debt may include a portion that could be classified as charity care if application for such care was sought and/or completed. Currently, the hospital 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 non-patient 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. Our mission calls us to serve all patients with the highest possible quality and efficiency, even if we are not paid fully for doing so. 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 non-patient-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.
Part III, Line 9b	Patients are informed of our financial payment options (including Community Care) at the time of registration and through our patient statement process; information is also available on our website. Collection efforts include a series of patient statements, letters, and phone calls; all of which include discussion about the Community Care program. Patients who qualify for the Community Care program can receive up to 100% reduction in their financial obligation. Patients who are granted a partial reduction are expected to set up reasonable payment arrangements to pay the remaining balance. Patients who are referred to a collection agency are encouraged to make payment arrangements with the agency. A 10% prompt payment discount is available to all patients if payment in full is received within 30 days of the first statement. If a patient is unable to pay their balance in full within 30 days of the first statement, or need to make alternative payment arrangements, they are responsible for contacting Patient Financial Services to avoid further collection activity. Patients without insurance receive an uninsured discount, which is reflected on the patient statement. Uninsured patients may qualify for an additional discount based on household income and family size and may take advantage of the prompt payment discount. Patient Financial Services can assist patients in this regard. Patients are informed payment options include: * Cash, Check, or Credit Card (Visa, Mastercard, and Discover) * Helping Hands Lending Program: in collaboration with a local financial institution, the hospital offers a lending program, which provides an interest-bearing monthly payment option. * Community Care: A hospital-based financial assistance program provides full or partial reductions to patients who are not able to meet their obligations and who meet certain income and asset criteria. Patient Financial Services can offer information to patients. St. Joseph's Hospital devotes significant resources to access for patients who cannot afford care, along with other community benefits. In accordance with standards defined by the Catholic Health Association USA ("CHAUSA"), St Joseph's Hospital has recognized an unreimbursed cost of community benefit of $7,082,743. The cost of servicing the people qualifying for public indigent programs (including Medicaid and other public programs) was $5,391,474. The cost of our hospital based community care program was $1,424,247. St. Joseph also provided benefits of $267,122 to the community through many reduced price services and free programs offered throughout the year based upon activities and services that St. Joseph Hospital believes will serve a bona fide community health need.
Needs Assessment	This past year hospital leaders from both St. Joseph's Hospital and Sacred Heart Hospital in Eau Claire, WI, developed a formalized twelve-week "Imagining the Future 2016" listening campaign to gather information about community needs and input about future health care. The fall 2010 initiative gathered input from over 1,600 community members and stakeholders representing multiple cross sections of the community. The visioning sessions captured the input of a diverse population in Eau Claire and Chippewa Counties and surrounding areas, and included open community meetings, focus groups that included L.E. Philips Libertas Treatment Center residential clients, members of the Eau Claire Area Hmong Mutual Assistance Association, Amish & Mennonite farmers and their communities, minorities and the underserved, health care professionals, leaders in the faith community, seniors, children, and other diverse groups. Community members were able to follow discussions on both hospital websites and provide input in online discussions. Extensive data and comments were collected, processed, and an internal and external team (made up of community volunteers) was established to assist in the implementation of initiatives and activities that the community indicated would enhance their health care experience in 2011 and beyond. Community programs are also based on a periodic community health needs assessment conducted by the "Chippewa Health Improvement Project" as described in Part VI, Line 5 (Promotion of Community Health).
Patient Education of Eligibility for Assistance	Upon admission to Sacred Heart Hospital, patients are given a "Guide to Services" booklet which includes a section about Hospital Bills and the availability of financial assistance. The availability of Financial Counselors and their contact information is also provided in the guide. Additionally, patients in Admitting have available to them a print brochure About Your Hospital Bill that thoroughly explains financial assistance, medical claims, charity care, etc. another print brochure is devoted specifically to thoroughly explaining the hospital's Charity Care program. Social Services staff inform and assist patients and family members about their eligibility for financial assistance programs the hospital offers, and provides assistance in helping patients and family member's access financial assistance. A public notice of medical assistance regarding prescriptions and pharmaceuticals for Social Security members is also posted outside the Admitting area. St. Joseph's Hospital has devoted significant, in-depth information and education on its web homepage focusing on financial assistance, hospital billing, medical claims, and charity care. Patients that do not have health insurance are informed of the hospital discount available to them, how to access hospital financial counselors, and the availability of charity care and eligibility requirements. Eligibility forms and application forms are available for downloading from the website.
Community Information	St. Joseph Hospital provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of St. Joseph Hospital, it is recognized that not all individuals possess the ability to purchase essential medical services. Furthermore, our mission is to serve the community with respect to providing healthcare services and healthcare education. Health activities and programs to support the community are considered where there is a demonstrated need. These activities include behavioral health services, wellness programs, community education programs, special programs for the elderly, and a variety of broad community support activities. St. Joseph Hospital provided 15,815 adult and pediatric days of care and 68,441 outpatient visits during fiscal year ended June 30, 2011. Approximately 85% of the inpatients treated at St Joseph's Hospital reside in Chippewa County, WI. Persons eligible for Medicare account for 38% of the patient revenues generated at the hospital and Medicaid eligible patients generate 25%. Likewise 32% of the revenue is generated from patients who have managed care/commercial insurance coverage. The remaining 5% of the patient revenues come from patients without any insurance.
Promotion of Community Health	The range of services, programs, and benefits provided by St. Joseph Hospital flows from our longstanding commitment to our mission of addressing the needs of our community. In many cases, these services often relieve a burden that would otherwise be carried by the government. The Hospital is governed by a Board of Directors, the majority of which is comprised of persons who reside in the organization's service area and who are neither employees nor contractors of the hospital (nor family members there of). The Board ensures that the hospital responds to community needs. Also consistent with its tax exempt purpose, the hospital has an open medical staff with privileges available to all qualified physicians in the area. As part of St. Joseph Hospital's mission to provide healing and hope to the people we serve, we have developed community benefit initiatives that 1) expand access to health care, 2) enhance overall health status, and 3) promote medical education. The hospital strengthens the health of our communities by continually reinvesting any surplus revenue from operations and investments into new medical technology, facility infrastructure, and health care services. These investments ensure that our hospital can continue to provide high quality, compassionate care to all who walk through our doors. In accordance with standards defined by the Catholic Health Association USA ("CHAUSA"), St Joseph's Hospital has recognized an unreimbursed cost of community benefit of $7,082,743. The cost of servicing the people qualifying for public indigent programs (including Medicaid and other public programs) was $5,391,474. The cost of our hospital based community care program was $1,424,247. St. Joseph also provided benefits of $267,122 to the community through many reduced price services and free programs offered throughout the year based upon activities and services that St. Joseph Hospital believes will serve a bona fide community health need. St. Joseph's Hospital has been the primary funder for the healthy communities' initiative Chippewa Health Improvement Partnership ("CHIP") since the organization's inception in 1994. CHIP is both a public and private collaborative community endeavor that serves as a catalyst for the enhancement of community health and quality of life through educational and preventative initiatives. CHIP identifies health needs and establishes priorities from which collaborative activities are created to help improve the health status and quality of life of the community and surrounding areas. This initiative conducts periodic community needs assessments (the most recent which was conducted during the last fiscal year and included results of 600 respondents on a detailed public health survey which concluded on November 2010). CHIP's community needs assessments utilize evidence-based strategies to meet identified community needs, and to improve public health and safety. Multiple strategies are utilized for the community needs assessments including direct telephone and/or internet-based survey interviews of Chippewa County residents, key informant interviews, community hard copy surveys, and focus groups, among others. This information is relayed back to St. Joseph's Hospital and the community at large. CHIP projects and other hospital initiatives are created after evaluating health data gathered from needs assessments, and in alignment with St. Joseph's Hospital and the HSHS priorities. CHIP and Hospital leaders also monitor local, state, and national public health data as well as the needs assessments that are conducted by other area agencies such as United Way of the Greater Chippewa Valley. In response to identified community need, CHIP was a partner in the formation and development of the Chippewa County Dental Foundation, Inc., a partner in the formation and development of the Marshfield Clinic Chippewa Dental Center, and a partner in the formation and expansion of the Open Door Clinic (a free clinic). CHIP also developed and maintained the Chippewa County resource website, and led the effort to obtain cardiac defibrillators for community facilities. CHIP currently has multiple action teams working to combat issues of childhood obesity, promotion of physical fitness, youth issues, food security, patient advocacy, mental health, and substance abuse, and provides community education on many health and social issue topics. As an example, responding to the overwhelming unmet need of behavioral health services for the uninsured/under-insured, CHIP recently coordinated the partnership between St. Joseph's Hospital, L.E. Philips Liberates Treatment Center, and the Open Door Clinic (the free clinic sponsored in part by St. Joseph's Hospital) to provide mental health counseling services for the patients of the Open Door Clinic free of charge. CHIP has also taken on the lead of several area programs, Partnership for Healthy Choices, and the Volunteer Caregivers Program for Chippewa County, when the former lead agency abruptly closed, leaving these programs without organizational support. In addition, CHIP has ongoing involvement with the following community endeavors: 1) Chippewa County Asthma Coalition; 2) Chippewa Valley CARE Coalition; 3) Wisconsin Oral Health Coalition; 4) Council on Homelessness & Hunger; 5) Chippewa County Mental Health & Substance Abuse Recovery Advisory Committee; 6) River Source Family Center; 7) Chippewa Falls Chamber of Commerce; 8) Chippewa County Economic Development Group; and the 8) McDonnell Catholic Schools Wellness Initiative.
Affiliated Health Care System	St. Joseph's Hospital - Chippewa Falls is an affiliate of Hospital Sisters Health System. The mission of Hospital Sisters Health System ("HSHS") is to serve those in need through a health care ministry that values compassion, respect and reverence for life. The nearly 14,000 colleagues who make up HSHS are dedicated to this mission and to providing high quality health care to whoever seeks our services. By living our mission each day, HSHS colleagues constantly strive to provide the highest quality and most cost-effective and compassionate health care to those we are privileged to serve. Our health care ministry extends across 12 communities in Wisconsin and Illinois and includes 13 hospitals, dozens of community-based health centers and clinics, and more than 2,000 physician partners. As part of our mission to provide healing and hope to the three million people we serve, we have developed Community Benefit initiatives that 1) expand access to health care, 2) enhance overall health status and 3) promote medical education. In the Fiscal Year that ended June 30, 2011, HSHS hospitals provided $166.1 million in Community Benefits (or 8.7% of total expenses), an increase of $15.7 million from FY 2010. Of this amount, $37.1 million was provided for charity care and $99.8 million was the amount of unreimbursed care provided under the Medicaid program. In addition, HSHS hospitals committed significant resources in serving the Medicare population. The cost of providing services to primarily elderly beneficiaries of the Medicare program, in excess of governmental and managed care contract payments, was $183.8 million during Fiscal Year 2011. HSHS hospitals also recorded $103.9 million in uncollectible accounts. HSHS strengthens the health of our communities by continually reinvesting any surplus revenue from operations and investments into new medical technology, facility infrastructure and health care services. These investments ensure that our hospitals can continue to provide high quality, compassionate care to our patients. During Fiscal Year 2011, HSHS also continued to invest in our Care Integration strategy that places the patient at the center of our work while allowing us to deliver care in a more cost-effective and efficient manner. These investments are 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. Our Care Integration strategy is delivering promising results. An example is our three Medical Home pilot projects. Diabetic Patients enrolled in Medical Homes in rural Illinois experienced an average 42 percent decrease in their blood glucose levels while their unplanned readmissions to the hospital dropped to zero. HSHS is making significant progress implementing interoperable health information technologies and robust health information exchanges. In central Illinois, HSHS is joining with other health care providers to develop a statewide Health Information Exchange ("HIE") that will allow health care providers to exchange clinical information, such as medication histories and test results, access that information at the point of care and make better informed decisions with their patients. HSHS understands that our investments in information technology will have a positive impact on the quality, safety and efficiency of health care. 1. Expanding access to health care An integral component of our Community Benefit initiatives is to provide care to every patient who seeks our services without exception. To that end, HSHS hospitals have established Charity Care program guidelines that cover 100% of hospital charges for individuals and families who earn 125% to 250% of the federal poverty level. HSHS hospital's Charity Care guidelines have sliding scales, in some instances providing up to a 50% discount on charges for those earning up to 600% of the federal poverty level. HSHS hospitals have created simple forms for those wishing to apply for Charity Care and assign counselors to visit with inpatients who are uninsured to let them know about our charity care policies and provide assistance filling out applications for financial assistance or enrollment in publicly funded health care programs. HSHS hospitals also work collaboratively with others to enhance access to health care services for those in need. St. John's Hospital in Springfield, IL has partnered with Memorial Medical Center, Southern Illinois University School and Medicine and other community partners to support the Coordinated Access to Community Health ("CATCH") initiative. The free program is being made available to uninsured adults in Sangamon County to help them access routine medical care, specialty doctors and affordable medicine. Launched in May 2011, CATCH enrolls patients as they visit social service agencies or when they leave hospital emergency rooms. Enrollees are then referred to Springfield's federally funded primary care clinic, Capitol Community Health Center, or participating doctors' private offices. Grants from St. John's Hospital, Memorial Medical Center, United Way of Central Illinois and the Dominican Sisters offset CATCH's first year of expenses. Patient advocates at St. John's Hospital and Memorial Medical Center help uninsured patients find primary or specialty doctors and make appointments, and arrange for financial assistance from participating social service agencies for prescription drugs. In the first three months since the program was launched, CATCH signed up more than 250 physicians in the community who agreed to see patients at no charge. The program endeavors to enroll up to 6,000 uninsured patients within the next few years. By making it easier for uninsured residents to get preventive health care services, CATCH organizers believe uninsured patients' medical problems will be addressed early, helping improve their quality of life. St. Mary's Hospital Medical Center in Green Bay, WI supports the NEW Community Clinic, a 38-year-old free health center for the uninsured and underinsured. St. Mary's provides free and discounted laboratory and radiology services to the clinic. More than 70 percent of patients say the clinic's care allowed them to avoid having to seek care in a local Emergency Room. For the past decade, St. Anthony's Memorial Hospital in Effingham, IL has teamed up with Effingham Catholic Charities to co-sponsor the Prescription Assistance Program. Catholic Charities' staff members work with clients who need prescription medication but may not be able to afford them because they are uninsured or underinsured. Due to the financial support of St. Anthony's, the program is able to provide needed prescriptions to dozens of residents each month. St. Francis Hospital in Litchfield, IL collaborated with local dental care providers to coordinate and provide a free day of dental care to uninsured individuals. The collaboration was the result of a community needs assessment that determined access to dental care was a priority in the community. The "Community Day of Dental Care" provided free dental cleanings, X-Rays, and extractions to 90 uninsured individuals. Among those 90 people served included a military veteran who has been unable to obtain dental care after a St. Louis facility closed. He was able to have five teeth extracted. Another person served was a young woman who needed some minor restorative care which greatly improved her appearance. She was very grateful because she had a job interview coming up and would be able to attend the interview feeling better about her appearance. 2. Enhancing the health status of the community Another component of our Community Benefit initiatives is to improve the quality of life in our communities. Our hospitals work closely with a wide array of public and private organizations that share our commitment to enhancing health and wellness. We know that by working together, we can maximize our efforts by sharing resources, reduce duplication of services, and make it easier for residents to get the services and knowledge they need to live healthier lives. HSHS hospitals also understand they need to listen closely to the residents of the communities they serve to ensure the health care needs of all are being met. Sacred Heart Hospital in Eau Claire, WI invited more than 1,400 area residents to share their vision for health care during a series of focus groups. Participants included constituents that are often overlooked: low-income, vulnerable populations and minority groups. The visioning sessions captured the voices of special populations, Among Mutual Assistance Association members, Amish farmers, seniors, young children and other diverse groups. The feedback provided led to more than 100 actionable items that were assessed and/or implemented over the first six months since the sessions concluded. One action taken by Sacred Heart Hospital and St. Joseph's Hosp
STATE FILING OF COMMUNITY BENEFIT REPORT	WI,	990 SCHEDULE H, PART VI

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	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 (7 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
Joan Coffman
49916	90547	0	15300	0	7826	0	35025	4166	7938	54082	156636	0	0
ANN CARR
0	152228	0	11100	0	28008	0	92165	0	18090	0	301591	0	0
STEPHEN RONSTROM
0	364319	0	32600	0	78693	0	107992	0	36166	0	619770	0	0
Peter Pokryzwinski
130107	0	0	0	0	0	33724	0	15195	0	179026	0	0	0
Ivar Gjolberg
124037	0	0	0	0	0	10224	0	20187	0	154448	0	0	0
Larry Woltman
134951	0	0	0	0	0	33481	0	15158	0	183590	0	0	0
Carolyn Craft
100851	0	0	0	21019	0	29855	0	18701	0	170426	0	0	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (15 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	FORM 990, PART III Line 4a	St. Joseph's Hospital provides quality medical healthcare to the surrounding community regardless of race, creed, sex, national origin, handicap, age or ability. Although reimbursement for services rendered is critical to the operation and financial stability of St. Joseph's Hospital, it is recognized that not all individuals possess the ability to purchase essential medical services. And, further that our mission is to serve the community by providing healthcare services and healthcare education. Inherent in our mission, we provide care to the poor, the elderly, and the needy of the community through various programs and services. These activities include wellness programs, community education programs, and special programs for the elderly, handicapped, medically under served, and variety of community support endeavors. St. Joseph's Hospital provided the following services in fiscal year 06/30/11: 5,919 Adult and Pediatric Inpatient Days of Care 9,896 Alcohol and Drug Abuse Inpatient Days of Care 68,441 Outpatient Hospital Visits 12,700 Outpatient Alcohol and Drug Abuse Visits 13,213 Home Health Visits 15,277 Hospice Days St. Joseph's Hospital provides both benefits to the poor and for the broader community. Benefits to the poor are provided in the form of traditional charity care, for those who cannot afford to pay, as well as unpaid costs of public programs such as Medicaid and general relief. Total value of these non-reimbursed benefits for the poor were $6,815,721 in fiscal year 06/30/11. St. Joseph's Hospital also provides numerous benefits to the broader Chippewa Valley area. These benefits are provided by our participation in the Medicare program, providing many programs and services free or at a reduced price and providing services that benefit the community but have a negative margin. The unpaid or non-reimbursed cost of participation in the Medicare program was $7,082,843 in fiscal year 06/30/11. Another $267,122 was provided in services that are needed in the community but result in losses to St. Joseph's Hospital. Total quantifiable benefits for the broader community were $15,000,465 in fiscal year 06/30/11. The following is a listing of specific examples of services included in the above figures: * meals reimbursed at less than cost to elderly of the community; * Organ and Tissue donation program coordinated with Pastoral Care, Nursing Services, and the Wisconsin Eye Bank and Organ Procurement Service in Madison, Wisconsin; * Pastoral Care Services provided 24 hours per day; * Physician Referral Service for new residents of the area; * Participant in the Project Care Seat program offering infant car seats at a minimal rental rate; * Sharps Disposal program for those in the community who must dispose of needles and syringes; * Social Service Department to assist families with emotional and social problems; * Hospice Grief Support program to help those who have lost loved ones deal with the grieving process; * SHARE program to help those who have lost infants to miscarriage, ectopic pregnancy, stillbirth, or newborn death; * Baby-sitters Clinic; * Back in Balance sponsored by Physical Therapy Department for people with chronic back pain; * Big Kid/Little Kid program to prepare expectant parents and bigger brothers and sisters for the new addition to the family; * Free Blood Pressure Screening offered in the Hospital Emergency Room; * Children's Health Fair for area first graders that allows them to see a hospital before they need to use one; * Diabetes Consultation and Diabetes Education offered at nominal fees to new diabetics and their families; * Emergency Nurses C.A.R.E. (Cancel Alcohol-Related Emergencies) program to educate the youth of the community about the dangers of drinking and driving; * First Care program is a responder/first aid program for farm families. * Fresh Start Quit Smoking Clinic offered at a nominal fee for those wishing to quit smoking; * Hospice Volunteer Training program to train people to help support hospice patients and families; * Natural Family Planning program to help those wishing to practice birth control without the use of chemicals or other medical devices. * Prenatal Classes for first time parents and Refresher Classes for parents expecting another child offered at no cost; * Speakers' Bureau for clubs and organizations offered at no charge on many different health care topics; * The Mobile Health unit offers diagnostic health tests and screenings, health education, wellness, and prevention information to the community at reduced fees; * Free screening to determine if someone has a dependency on alcohol/drugs; * Free programs focusing on various aspects and outcomes of chemical dependency; * Infant Massage Classes offered at a minimal fee. Parents learn techniques of massage from a physical therapist that will help to comfort their infant, and help their child relax and sleep; * Women's Health Center offered several free educational programs to the public focusing on such topics as breast disease and osteoporosis; * Free Stroke Prevention Screen Clinic provided. Blood Pressure, Pulse, and Cholesterol check along with family history; * Free Depression Screening Clinic offered to help people determine if they have depression; * Classes for parents and youths to prepare for the time the youths become adolescents; * Free Public/Community Forum focusing on the societal problems associated with chemical dependency; * Co-sponsored two Senior Fun Days for area seniors to learn about health, health screenings offered; * Co-sponsored Childcare Workshops as a resource of continuing education for childcare providers.
Tax Exempt Bonds	FORM 990, PART IV, QUESTION 24	ST JOSEPHS HOSPITAL - HOSPITAL SISTERS - THIRD ORDER OF ST FRANCIS HOLDS A LIABILITY ON ITS BOOKS FOR TAX-EXEMPT BONDS, WHICH IS AN ALLOCATION FROM ITS SOLE CORPORATE MEMBER, HOSPITAL SISTERS SERVICES, INC. AS A RESULT, THIS QUESTION WAS ANSWERED NO, AND SCHEDULE K WILL BE COMPLETED ON THE HOSPITAL SISTERS SERVICES, INC. FORM 990.
RIGHTS OF MEMBERS TO ELECT GOVERNING BODY	FORM 990, PART VI, LINES 6 & 7A	THE SENIOR GOVERNING BODY OF ST. JOSEPH'S HOSPITAL CHIPPEWA FALLS (THE "CORPORATION") IS THE MEMBER OF THE CORPORATION, WHICH IS HOSPITAL SISTERS HEALTH SERVICES, INC. ("HSSI"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. PURSUANT TO SECTION 2.3 OF THE CORPORATION'S BYLAWS, HSSI HAS THE RIGHT TO APPOINT AND REMOVE THE CORPORATION'S BOARD OF DIRECTORS, CHAIRPERSON OF THE BOARD AND PRESIDENT. 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. Joseph's Hospital Chippewa Falls (the "Corporation") is vested in its Board of Directors, except with respect to specific powers reserved in the Corporation's Bylaws to the Corporation's Member, Hospital Sisters Health Services, Inc. ("HSSI") , an Illinois not for profit corporation exempt from federal taxation under Section 501(c)(3) of the Internal Revenue Code. The member of HSSI is Hospital Sisters Health System ("HSHS"), an Illinois not for profit corporation exempt from federal taxation under Section 501(c)(3) of the Internal Revenue Code. The members of HSHS are the individual sisters who, from time to time, are the duly elected Provincial Superior and Provincial Councilors, respectively of the American Province of the Hospital Sisters of St. Francis ("American Province"). The American Province is the United States organization of the Congregation of the Hospital Sisters of the Third Order Regular of St. Francis, a religious institute of the Roman Catholic Church. The governance and operations of the Corporation are subject to HSSI's right to exercise these reserved powers with respect to the Corporation and organizations of which the Corporation is either, directly or indirectly, a controlling member or a controlling shareholder ("Affiliates"). HSSI's right to exercise certain of these reserved powers is, in turn, subject to the approval of HSHS and HSHS' members. The reserved powers include all rights granted to HSSI by law, and the right to: (a) Adopt, approve amendments to, or amend any statement of philosophy, mission, mission integration or values, or any name, logo, or mark of the Corporation or of any Affiliate; (b) Adopt, approve amendments to, or amend the Articles of Incorporation of the Corporation or of any Affiliate; (c) Adopt, approve amendments to, or amend the Bylaws of the Corporation or of any Affiliate; (d) Appoint and remove the Board of Directors, any one or more of the Directors of the Corporation or of any Affiliate, and the Chairperson and President of the Corporation or of any Affiliate; (e) Approve the recommendation of the Board of Directors to appoint or remove the Board of Directors, any one or more Directors of the Corporation or of any Affiliate, or the Chairperson and President of the Corporation or of any Affiliate. (f) With respect to the Corporation or any Affiliate, approve the purchase, sale, alienation, exchange, lease, or encumbrance of any real property of the Corporation or of any Affiliate, which property has a value in excess of limits set from time to time by HSSI; (g) Approve the operating and capital budgets of the Corporation or of any Affiliate, and any deviations by the Corporation or of any Affiliate from such budgets in an amount or percentage specified by HSSI from time to time; (h) Approve the strategic plan and goals of the Corporation or of any Affiliate; (i) Approve the sale of substantially all of the assets of the Corporation or of any Affiliate; (j) Approve the merger or dissolution of the Corporation or of any Affiliate; (k) Adopt or amend the plan for ministry education and governance for the Corporation and its Affiliates; (l) Approve the Corporation's Mission Accountability Reports and those of any Affiliate; (m) Approve the financial policies and procedures of the Corporation or of any Affiliate, and approve any deviations from such policies and procedures by the Corporation or any Affiliate; and (n) Adopt policies to implement the Reserved Powers of HSSI.
FORM 990 REVIEW PROCESS	FORM 990, PART VI, LINE 11B	The hospital employs KPMG to assist in the overall review and electronic submission of its Form 990. KPMG provides guidance in identifying critical errors in the return submission, and feedback on quantitative and qualitative responses. Additionally, the hospital CFO performs a thorough review of the return and reviews it with the hospital CEO and/or senior leaders before presenting it in its entirety to the hospital Board for questioning and review prior to the return's signing and submission to the IRS.
CONFLICT OF INTEREST POLICY	FORM 990, PART VI, LINE 12C	The organization is subject to the corporate compliance program and conflict of interest policy ("policy") of Hospital Sisters Health System, an Illinois not for profit corporation exempt from federal taxation under section 501(c)(3) of the internal revenue code. A REVISED CORPORATE COMPLIANCE PROGRAM AND CONFLICT OF INTEREST POLICY HAVE BEEN IMPLEMENTED SINCE JANUARY, 2009 TO MANAGE CONFLICTS OF INTEREST USING A SYSTEM-WIDE PROTOCOL FOR DISCLOSURE STATEMENTS. IN ACCORDANCE WITH the organizaton's CONFLICT OF INTEREST POLICY, ALL COVERED PERSONS HAVE A DUTY TO COMPLY WITH THE CONFLICT OF INTEREST POLICY FOR ANY CONTRACT, TRANSACTION, RELATIONSHIP, OR ACTIVITY CONTEMPLATED, ENTERED INTO, OR CONDUCTED AT HSHS OR ITS AFFILIATES. THE POLICY DEFINES COVERED PERSONS AS BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS, BOARD DESIGNEES, SENIOR MANAGEMENT, MEMBERS OF ANY COMMITTEE THAT OVERSEES THE APPROVAL OF PHARMACEUTICALS AND MEDICAL DEVICES, and ANY OTHER INDIVIDUAL WHO HOLDS A POSITION OF TRUST. ON AN ANNUAL BASIS, 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.
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. Joseph's Hospital's cash reserves are invested in a pooled investment account. Participation in the pooled fund is limited to the 501(C)(3) Hospitals and related health services organizations sponsored by 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 OR FUND BALANCES	FORM 990, PART XI, LINE 5	Recognition of changes in pension status 4,280,000 Transfer to Affiliates (432,000) Unrealized Loss 3,807,448 net assets released from restrictions - PP&E 2,210,000 decrease in temporarily restricted net assets (767,000) increase in permanently restricted net assets 468,000 Cumulative change in accounting principle (611,250) ---------- Total changes in net assets or fund balance 8,955,198 ==========
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:SR MARYBETH CULNAN OSF TITLE:Director HOURS:74
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Joan Coffman TITLE:CEO/President HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:ANN CARR TITLE:TREASURER HOURS:75
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:STEPHEN RONSTROM TITLE:DIVISION CEO HOURS:71

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

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

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
Hospital Sisters Health System
4936 LAVERNA ROAD	SPRINGFIELD	IL	62707	371058692	HEALTHCARE	IL	501(C)(3)	11A	NA
Hospital Sisters Services Inc
4936 LAVERNA ROAD	SPRINGFIELD	IL	62707	371163402	HEALTHCARE	IL	501(C)(3)	11A	NA
Hospital Sisters of St Francis Fdtn
4936 LAVERNA ROAD	SPRINGFIELD	IL	62707	371186514	HEALTHCARE	IL	501(C)(3)	11A	NA
HSHS Health Care Trust Fund
4936 LAVERNA ROAD	SPRINGFIELD	IL	62707	371137724	HEALTHCARE	IL	501(c)(9)	N/A	NA
Sacred Heart Hospital
900 WEST CLAIREMONT AVENUE	EAU CLAIRE	WI	54701	390807060	HEALTHCARE	WI	501(c)(3)	3	NA
St Anthony's Hospital
503 N MAPLE STREET	EFFINGHAM	IL	624012099	370661233	HEALTHCARE	IL	501(c)(3)	3	NA
St Elizabeth's Hospital
211 SOUTH THIRD STREET	BELLEVILLE	IL	622201998	370663567	HEALTHCARE	IL	501(c)(3)	3	NA
St Francis Hospital
1215 FRANCISCAN DRIVE	LITCHFIELD	IL	62056	370661236	HEALTHCARE	IL	501(c)(3)	3	NA
St John's Hospital
800 EAST CARPENTER STREET	SPRINGFIELD	IL	62769	370661238	HEALTHCARE	IL	501(c)(3)	3	NA
St Joseph's Hospital
9515 Holy Cross Lane	BREESE	IL	622300099	371208459	HEALTHCARE	IL	501(c)(3)	3	NA
St Joseph's Hospital
1515 MAIN STREET	HIGHLAND	IL	62249	370663568	HEALTHCARE	IL	501(c)(3)	3	NA
St Mary's hospital
1800 E LAKE SHORE DRIVE	DECATUR	IL	62521	370661244	HEALTHCARE	IL	501(c)(3)	3	NA
St Mary's Hospital
111 SPRING STREET	STREATOR	IL	613643332	372169181	HEALTHCARE	IL	501(c)(3)	3	NA
St Mary's Medical Center
1726 SHAWANO AVENUE	GREEN BAY	WI	54303	390818682	HEALTHCARE	WI	501(c)(3)	3	NA
St Nicholas Hospital
3100 SUPERIOR AVENUE	SHEBOYGAN	WI	530811948	390808480	HEALTHCARE	WI	501(c)(3)	3	NA
St Vincent Hospital
835 S VAN BUREN	GREEN BAY	WI	54301	390817529	HEALTHCARE	WI	501(c)(3)	3	NA
Hospital Sisters Healthcare - West Inc
2661 COUNTY HIGHWAY I	CHIPPEWA FALLS	WI	54729	510157933	HEALTHCARE	WI	501(c)(3)	11A	NA
HSHS Self Insurance Trust Fund
4936 LAVERNA ROAD	SPRINGFIELD	IL	62707	371120626	INSURANCE	IL	501(c)(3)	11A	NA
HSHS MEDICAL GROUP INC
4936 LAVERNA ROAD	SPRINGFIELD	IL	62707	263956318	HEALTHCARE	IL	501(c)(3)	11A	na
HSHS WISCONSIN MEDICAL GROUP INC
8040 excelsior drive STE 200	MADISON	WI	53717	264515959	HEALTHCARE	WI	501(c)(3)	11a	na
Orange Cross Ambulance Inc
919 Ashland Ave	Sheboygan	WI	53081	391860942	Healthcare	WI	501(c)(3)	9	St Nicholas
Wisconsin Upper Pen Onc Mngmt Services
835 S Van Buren	Green Bay	WI	543013256	391677100	Healthcare	WI	501(c)(3)	3	St Vincent
Unity Limited Partnership
2366 Oak Ridge Circle	De Pere	WI	54115	391750729	Healthcare	WI	501(c)(3)	9	HSSI

Form990 Schedule R Part III Form990ScheduleRPartIII (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	Code VCodeVAmount	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
Memorial and St Elizabeth's Healthcare
4000 North Illinois Street	Swansea	IL	62226	371312961	HealthCare	IL	St Elizabeth's	RELATED	0	0	false	$0	false	0.00000
Prairie Heart Institute- Carbondale LLC
800 East Carpenter Street	Springfield	IL	62769	371321197	HealthCare	IL	St John's	RELATED	0	0	false	$0	false	0.00000
Northeast Wisconsin Radiation Therapy Se
1821 S Webster Avenue STE 300	Green Bay	WI	543079047	263749065	HealthCare	WI	hssi	RELATED	0	0	false	$0	false	0.00000
Pain Center of Wisconsin
4131 W Loomis Road STE 300	Greenfield	WI	53221	263155343	HealthCare	WI	St Vincent	RELATED	0	0	false	$0	false	0.00000
Surgery Center of Sheboygan LLC
3141 Saemann 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
525 North Sixth Street	springfield	IL	62702	364128127	hotel	IL	lasante inc	RELATED	0	0	false	$0	false	0.00000
Springfield Urgent Care Real Estate LLC
PO Box 19456	springfield	IL	627949456	030413258	rent. real es	IL	lasante inc	RELATED	0	0	false	$0	false	0.00000

Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Legal Domicile Foreign CountryLegalDomicileForeignCountry
Kiara Inc
4936 Laverna Rd	Springfield	IL	62707	371163401	HealthCare	IL	HSHS	C Corp	0	0	0.00000
LaSante Wisconsin Inc
4936 Laverna Rd	Springfield	IL	62707	391572196	HealthCare	IL	Kiara Inc	C Corp	0	0	0.00000
LaSante Inc
4936 Laverna Rd	Springfield	IL	62707	371163400	HealthCare	IL	Kiara Inc	C Corp	0	0	0.00000
Prairie Cardiovascular
619 East Mason STE 4P57	Springfield	IL	62701	371071858	HealthCare	IL	Kiara Inc	C Corp	0	0	0.00000
Prevea Health Services
2710 EXECUTIVE 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	CJ

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

Form990 Schedule R Part VII Form990ScheduleRPartVII

Field	Value	IRS element (for citing)
Identifier	Transactions with related entities	Identifier
Return Reference	Form 990, schedule r, part v, line 2	ReturnReference
Explanation	The transactions reported in question 1 are between related 501(c)(3) public charities and are not reported in this section.	Explanation