2012-05-15T09:45:10-04:00 2011-06-30 KPMG LLP 191 West Nationwide Blvd Ste 500 Columbus OH 432152568 990 2010-07-01 371208459 ST JOSEPH'S HOSPITAL - HOSPITAL SISTERS - THIRD ORDER OF ST FRANCIS STJO 6185264511 9515 HOLY CROSS LANE PO BOX 99 BREESE IL 622300099 JOHN JEFFRIES 2012-05-14 true KPMG LLP 6142492300 2010 2016-02-24 21:20:13Z MARK KLOSTERMAN 9515 HOLY CROSS LANE BREESE IL 622300099 53306805 false 0928 X www.stjoebreese.com X 1987 IL OUR MISSION OF ST. JOSEPH'S HOSPITAL IS TO MINISTER TO THOSE IN NEED AS EXEMPLIFIED BY THE GOSPEL OF CHRIST. 9 8 429 386 0 0 157511 127059 45651010 47700323 1585173 4596800 191891 173885 47585585 52598067 0 0 0 0 23056312 20218101 0 0 0 20309687 24798921 43365999 45017022 4219586 7581045 95915248 106137770 26383592 22242023 69531656 83895747 X OUR MISSION OF ST. JOSEPH'S HOSPITAL IS TO MINISTER TO THOSE IN NEED AS EXEMPLIFIED BY THE GOSPEL OF CHRIST. false false 39781411 0 47989929 SEE SCHEDULE O - PROGRAM SERVICE ACCOMPLISHMENTS 0 0 0 39781411 true true false true false false false false false false true false false false true true false true false false false false false false false false true true false false true false false false true false false false false false false false false true true false false false false true 63 0 429 true false false false false false false false false false false X 9 8 false false false false true true true true true false false true true true true true true true true false X JOHN JEFFRIES 6185265312 9515 HOLY CROSS LANE BREESE IL 622300099 X JONATHAN OSBORN MD 1.0 X X 0 182489 12588 MARK KLOSTERMAN 60.0 X X 171773 0 37853 Carson Hempen 1.0 X 0 0 0 Elaine Behrmann 1.0 X 0 0 0 Erin Gagen MD 1.0 X 0 0 0 Janice Wiegmann PH D 1.0 X 0 0 0 Paul Strieker 1.0 X 0 0 0 Sister Kenneth Wildt OSF 1.0 X 0 0 0 John Hudspeth 1.0 X X 0 0 0 Patrick Hitpas 1.0 X X 0 0 0 Sister Marybeth Culnan OSF 1.0 X 0 0 0 JOHNNY WATKINS 31.5 X 236604 0 41053 ANN CARR 0.25 X 0 191336 109542 MARK REIFSTECK 11.2 X 0 417093 161140 ILLA DAVID 11.2 X 140957 0 14458 JAMES BURKE 11.2 X 174982 0 35343 DAVID KEE DPM 40.0 X 233814 0 19853 ROCH LEFEBVRE MD 40.0 X 0 180317 12588 TIMOTHY BEATY MD 40.0 X 149483 0 5155 PAULETTE EVANS 60.0 X 134424 0 573 1242037 971235 450146 18 false true false MIDWEST EMERGENCY DEPT SERV 320 EAST HIGHWAY 50 OFALLON IL 62269 ER COVERAGE 1518721 CLINTON COUNTY ANESTHESIOLOGY 1320 PINEWOOD BREESE TX 62230 Anesthesia physician 924794 PREMIERCARE INC 13810 CHAMPION FOREST DR HOUSTON IL 77069 CONSULTING SERVICES 206656 COMPETITIVE EDGE SPORTS MEDICINE 14160 JAMESTOWN RD BREESE MO 62230 SPORTS MED PHYSICIAN 172876 Drake William MD 1329 Old Trenton Rd HIGHLAND IL 62249 Pathologist 124882 11 127059 127059 NET PATIENT SERVICE REVENUE 900099 47700323 47700323 47700323 1792882 0 0 1792882 4277 0 0 4277 0 451745 708738 -256993 -256993 0 0 -256993 2797029 2612 0 0 2797029 2612 2799641 0 0 2799641 0 0 0 REVENUE CAFETERIA 722320 141272 141272 EXERCISE PROGRAMS 900099 111715 111715 LIFELINE SUBSCRIBERS 900099 38977 38977 138914 138914 430878 52598067 47989929 0 4481079 0 0 0 0 134424 0 134424 0 13771042 12288327 1482715 1365298 1206520 158778 3926239 3469638 456601 1021098 902349 118749 2848632 2517350 331282 116596 103036 13560 0 0 0 0 0 312150 275848 36302 4182850 3696405 486445 0 0 1007058 889942 117116 0 0 27552 24347 3205 183989 162592 21397 5544639 4899825 644814 3047665 2693236 354429 505580 446784 58796 BAD DEBT 3076963 2719127 357836 0 PURCHASED SERVICES 1487229 1314271 172958 0 MAINTENANCE REPAIRS & SERVICES 1059805 936555 123250 0 PROVIDER TAX 686808 606936 79872 0 OTHER 554130 489338 64792 0 157275 138985 18290 0 45017022 39781411 5235611 0 3411364 1309759 5601351 6436735 510606 595496 378344 297718 55309059 31730996 23731777 23578063 61877341 73773157 404465 146842 95915248 106137770 4109265 3384824 11550000 11250000 10724327 7607199 26383592 22242023 X 68128929 82325136 1402727 1570611 69531656 83895747 95915248 106137770 X 7581045 6783046 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 16020 16020 false false Description of other lobbying activities Schedule C, Part II-B, Question 1i ST. JOSEPH'S HOSPITAL ("THE HOSPITAL") IS A MEMBER OF THE CATHOLIC HEALTH ASSOCIATION ("CHA"), THE ILLINOIS HEALTH ASSOCIATION ("IHA"), THE NATIONAL ASSOCIATION FOR HOME CARE AND HOSPICE, AND THE AMERICAN HEALTH ASSOCIATION ("AHA"). AS A MEMBER OF THESE ORGANIZATIONS, THE HOSPITAL PAYS DUES, with PART OF THESE DUES being ATTRIBUTABLE TO LOBBYING FEES. THE AMOUNT LISTED ABOVE IS THE AMOUNT ATTRIBUTABLE TO THE HOSPITAL FROM ITS DUES PAID. 1432837 1432837 15493155 6844565 8648590 163480 58093 105387 32541473 22803033 9738440 5678114 2025305 3652809 23578063 0 ACCRUED BENEFIT LIABILITY 4395795 RETIREMENT OBLIGATION-ASBESTOS 2358907 RATE SWAP AGREEMENTS 593610 EST. WORK COMP SELF INS. LIAB. 258887 7607199 ADOPTION OF SUBTOPIC ASC 740-10 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. true true true X true X true true false true true 307169 307169 0.00730 5052679 3288522 1764157 0.04210 5359848 3288522 2071326 0.04940 11034 808548 288143 520405 0.01240 11034 808548 288143 520405 0.01240 11034 6168396 3576665 2591731 0.06180 true 3076963 0 11921090 16059154 -4138064 X true true 1 1 St Joseph's Hospital

9515 Holy Cross Lane Breese IL 62230

X X X St Joseph's Hospital 1 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. Regarding Schedule H, part I, Lines 3a and 3b, St. Joseph's Breese follows 150% and 200% guidelines as indicated for the largest number of the organization's patients. However, uninsured patients may qualify for assistance up to 600% of the federal poverty guidelines according to hospital policy. PART I - LINE 6A THE HOSPITAL'S COMMUNITY BENEFIT REPORT CAN BE ACCESSED BY CONTACTING BARB STRIEKER AT 9515 HOLY CROSS LANE, BREESE, IL 62230; BY PHONE: (618) 526-5302. PART I - LINE 7G THE HOSPITAL DOES NOT HAVE ANY SUBSIDIZED HEALTH SERVICES. 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 6.18%. The amount of bad debt expense removed when calculating the percentages in part I, Line 7 Column (F) was $3,076,963. PART I - LINE 7 CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS IN THIS SECTION THE TOTAL COMMUNITY BENEFIT EXPENSES ARE CALCULATED USING A COST TO CHARGE RATIO FROM THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS. ADDITIONAL MEDICAID EXPENSE OF $686,808 IS FOR THE IDPH TAX ASSESSMENT. THE OFFSETTING REVENUE IS THE ACTUAL PAYMENTS RECEIVED FROM IDPH FOR ACCESS PAYMENTS. Part II PRIMARY CARE PHYSICIANS ARE THE FOUNDATION OF THE HEALTH CARE SYSTEM AS THEY ARE THE PATIENT'S FIRST POINT OF ACCESS AND MANAGE THEIR ONGOING CARE. ACCESS TO PRIMARY CARE PHYSICIANS IS A CONCERN FOR MANY RESIDENTS IN CLINTON COUNTY. LOCATED IN A HEALTH PROFESSIONAL SHORTAGE AREA ("HPSA"), PHYSICIAN RECRUITMENT IS A TOP PRIORITY OF ST. JOSEPH'S HOSPITAL, BREESE. ACCORDING TO THE ADJUSTED GRADUATE MEDICAL EDUCATION NATIONAL ADVISORY COMMITTEE ("GMENAC") CLINTON COUNTY NEEDS AN ADDITIONAL 2.4 PRIMARY CARE PHYSICIANS. RESOURCES EXPENDED IN THIS AREA COVER EXPENSES FOR THE RECRUITMENT OF PRIMARY CARE PROVIDERS. ONE PHYSICIAN WAS ADDED DURING THIS 12-MONTH PERIOD. RECRUITMENT EFFORTS CONTINUED THROUGHOUT THE YEAR AND TWO ADDITIONAL CANDIDATES HAVE HIGH INTEREST IN RELOCATING TO CLINTON COUNTY IN 2012. CONTACTS ARE ALSO BEING MAINTAINED WITH SEVERAL INDIVIDUALS FROM THE COUNTY WHO ARE INTERESTED IN RETURNING TO THE AREA FOLLOWING THEIR TRAINING. 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 NONPATIENT-CARE ACTIVITIES, BAD DEBT EXPENSES, MEDICAID PROVIDER TAXES, AND COMMUNITY BENEFIT EXPENSE. THE ADJUSTED OPERATING COST IS THEN DIVIDED BY THE TOTAL GROSS PATIENT CHARGES TO CALCULATE THE RATIO OF PATIENT CARE COST TO CHARGES. PART III, Line 8 THE HOSPITAL CONTINUALLY STRIVES TO PROVIDE EXCELLENT PATIENT CARE IN THE MOST COST EFFECTIVE FASHION. NONETHELESS, THE MEDICARE PROGRAM, IN MANY CASES, DOES NOT PROVIDE PAYMENT THAT COVERS THE FULL COST OF THE CARE PROVIDED. SINCE IT IS THE MISSION OF THE HOSPITAL TO RESPOND TO COMMUNITY NEED, HOSPITAL MANAGEMENT CONTINUALLY ADVOCATES FOR IMPROVED MEDICARE PAYMENT SO THAT THE COST OF QUALITY CARE TO THOSE PATIENTS THAT ARE NOT ABLE TO AFFORD IT IS NOT COMPROMISED AND IS FAIRLY SUBSIDIZED BY ALL PAYERS. WHILE THIS SHORTFALL IN MEDICARE PAYMENTS IS NOT CLASSIFIED AS COMMUNITY BENEFIT BY THE IRS, WE NONETHELESS BELIEVE IT IS AN IMPORTANT CONTRIBUTION MADE BY THE HOSPITAL TO THE HEALTH AND WELL BEING OF THE COMMUNITY. 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 NONPATIENT-CARE ACTIVITIES, BAD DEBT EXPENSES, MEDICAID PROVIDER TAXES, AND COMMUNITY BENEFIT EXPENSE. THE DIFFERENCE BETWEEN THE REIMBURSEMENT RECEIVED AND THE CALCULATED COST OF THE SERVICES IS REPORTED AS THE MEDICARE SHORTFALL. PART III, LINE 9B SPECIFIC POLICIES ARE WRITTEN FOR UNINSURED PATIENT'S DISCOUNTS AND CHARITY/CHRISTIAN CARE. THE POLICIES OUTLINE ELIGIBILITY CRITERIA AND PROCESSES TO FOLLOW FOR MAKING ADJUSTMENTS TO PATIENT BILLS. NEEDS ASSESSMENT ST. JOSEPH'S HOSPITAL COORDINATES WITH THE CLINTON COUNTY HEALTH DEPARTMENT IN ASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITY. A REPRESENTATIVE OF THE HOSPITAL IS A MEMBER OF THE HEALTH DEPARTMENT'S ADVISORY BOARD, WHICH IS COMPRISED OF APPROXIMATELY 20 INDIVIDUALS REPRESENTING HEALTH CARE ORGANIZATIONS, THE SCHOOL SYSTEM, AND A BROAD SPECTRUM OF COMMUNITY MEMBERS. THROUGH THE WORK OF THE ADVISORY BOARD, THE COMMUNITY NEEDS ASSESSMENT IS COMPLETED FOLLOWING THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH'S Illinois Project for Local Assessments of Needs ("IPLAN") FORMAT. THE IPLAN FOR 2006 - 2011 INDICATED THE THREE LEADING CAUSES OF MORTALITY FOR CLINTON COUNTY ARE HEART DISEASE, MALIGNANT NEOPLASM (LUNG, BREAST, COLO-RECTAL), AND CORONARY HEART DISEASE. SERVICES AND PROGRAMS TO ADDRESS THESE AREAS WERE CONSIDERED DURING THE ANNUAL BUDGET PROCESS. IN ADDITION, THE TOP DRG'S FOR ST. JOSEPH'S HOSPITAL WERE CONSIDERED. WITH OBSTETRICS AMONG THE TOP, SEVERAL PROGRAMS AND SERVICES RELATIVE TO OBSTETRICS AND CHILD CARE WERE HELD. ACCESS TO PRIMARY CARE WAS ALSO IDENTIFIED AS A TOP PRIORITY THROUGH FEEDBACK RECEIVED FROM THE COMMUNITY AND BASED ON PROVIDER-TO-POPULATION RATIOS. BASED ON GMENAC GUIDELINES, 16 PRIMARY CARE PHYSICIANS ARE NEEDED BASED ON THE POPULATION OF THE MARKET SERVED. ST. JOSEPH'S HOSPITAL, BREESE IS LOCATED IN A DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA WITH 3 ADDITIONAL PRIMARY CARE PHYSICIANS NEEDED. OTHER PROGRAMS AND SERVICES WERE IDENTIFIED THROUGH COMMUNITY FEEDBACK AND THROUGH PATIENTS RECEIVING CARE IN SPECIFIC DEPARTMENTS. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: AS PART OF THE MISSION OF ST. JOSEPH'S HOSPITAL, "TO MINISTER TO THOSE IN NEED AS EXEMPLIFIED BY THE GOSPEL OF CHRIST," THE HOSPITAL HAS ESTABLISHED SEVERAL FINANCIAL ASSISTANCE PROGRAMS TO HELP PATIENTS AND FAMILIES WHO ARE UNABLE TO PAY FOR THE SERVICES THEY HAVE RECEIVED FROM THE HOSPITAL. THESE PROGRAMS ARE: A. UNINSURED DISCOUNT PROGRAM: FOR THOSE UNINSURED INDIVIDUALS WHOSE FAMILY INCOME IS IN EXCESS OF 600% OF THE FEDERAL POVERTY GUIDELINES ("FPG"), a 10% discount is available. FOR THOSE UNINSURED INDIVIDUALS WHOSE FAMILY INCOME falls below 600% OF THE FEDERAL POVERTY GUIDELINES ("FPG"), a 45% discount is available. B. TRADITIONAL CHRISTIAN CARE IS FOR THOSE INDIVIDUALS WHOSE GROSS INCOME FALLS BELOW 200% OF THE FEDERAL POVERTY GUIDELINES ("FPG"). A sliding scale discount is available. the individual may either receive a 100%, 75%, 50%, or 25% discount. TO DETERMINE A PERSON'S ELIGIBILITY IN A HOSPITAL SPONSORED FINANCIAL ASSISTANCE PROGRAM, THE HOSPITAL HAS ESTABLISHED A FINANCIAL ELIGIBILITY SCALE. ELIGIBILITY REQUIREMENTS ARE BASED UPON FPG PUBLISHED BY THE FEDERAL GOVERNMENT ACCORDING TO THE APPLICANT'S FAMILY SIZE AND FAMILY INCOME. ST. JOSEPH'S HOSPITAL INFORMS PATIENTS ABOUT FINANCIAL ASSISTANCE PROGRAMS IN VARIOUS WAYS. PATIENTS RECEIVE A CHRISTIAN CARE BROCHURE, WHICH EXPLAINS ST. JOSEPH'S CHRISTIAN CARE FINANCIAL ASSISTANCE PROGRAM AND HOW TO APPLY FOR ASSISTANCE. SIGNAGE IS LOCATED AT EACH REGISTRATION DESK WHICH DIRECTS PATIENTS TO THE BUSINESS OFFICE MANAGER WHO CAN FURTHER ASSIST THEM WITH NEEDED ASSISTANCE. BROCHURES ABOUT THE CHRISTIAN CARE FINANCIAL ASSISTANCE PROGRAM ARE ALSO AVAILABLE IN REGISTRATION AREAS AT ST. JOSEPH'S HOSPITAL AND ST. JOSEPH'S PRIORITY CARE. INFORMATION IS AVAILABLE ON THE FACILITY'S WEBSITE. EACH PATIENT who visits St. Joseph's emergency room CAN OBTAIN A BROCHURE ABOUT THE CHRISTIAN CARE FINANCIAL ASSISTANCE PROGRAM IF THEY ARE SELF-PAY OR IF THEY EXPRESS CONCERN ABOUT THE HOSPITAL BILL. STATEMENTS, INVOICES, AND SUMMARIES OF CHARGES INDICATE THE AVAILABILITY OF ASSISTANCE. FOR PATIENTS NOT ADEQUATELY COVERED BY INSURANCE OR OTHER THIRD PARTY PROGRAMS, THE HOSPITAL MAY ASSIST THE PATIENT OR THEIR FAMILY IN APPLYING FOR MEDICAID OR OTHER FORMS OF ASSISTANCE. COMMUNITY INFORMATION THE MAIN GEOGRAPHIC AREA ST. JOSEPH'S HOSPITAL SERVES IS CLINTON COUNTY. AS OF THE 2010 CENSUS, THERE ARE 37,762 INDIVIDUALS RESIDING IN THE COUNTY. WITH SEVERAL SURROUNDING HOSPITALS NO LONGER PROVIDING OBSTETRIC SERVICES, ST. JOSEPH'S HOSPITAL'S SERVICE AREA FOR OB INCLUDES COMMUNITIES TO THE NORTH, SOUTH, EAST, AND WEST, WHICH MORE THAN DOUBLES THESE POPULATION NUMBERS. CLINTON COUNTY IS CONSIDERED 63% RURAL, WITH 93.7% CAUCASIANS, 3.5% AFRICAN AMERICANS, AND 2.8% HISPANICS. ACCORDING TO INFORMATION OBTAINED FROM THE US CENSUS BUREAU FOR 2009, 8.4% OF RESIDENTS ARE LIVING IN POVERTY COMPARED TO 13.3% FOR THE STATE OF ILLINOIS. Promotion of Community Health ST. JOSEPH'S HOSPITAL OFFERS HOPE TO OUR COMMUNITY IN THE TRADITION OF THE HOSPITAL SISTERS OF ST. FRANCIS. AS A HEALING MINISTRY OF THE CATHOLIC CHURCH AND AN AFFILIATE OF THE HOSPITAL SISTERS HEALTH SYSTEM ("HSHS"), ST. JOSEPH'S IS COMMITTED TO DELIVERING HIGH QUALITY, COMPASSIONATE, AND COST-EFFECTIVE HEALTH CARE SERVICES TO ALL. THE HOSPITAL OPENED IN THE YEAR 1898 TO BRING A HEALING PRESENCE AND IMPROVE THE HEALTH OF OUR COMMUNITY, ESPECIALLY FOR PEOPLE WHO ARE SICK, POOR, AND DISADVANTAGED. BECAUSE OF THE HOSPITAL'S PURPOSE AND TRADITION, IT IS ORGANIZED TO PROMOTE THE HEALTH OF BREESE AND SURROUNDING AREAS. THE HOSPITAL IS GOVERNED BY A BOARD OF DIRECTORS, THE MAJORITY OF WHICH IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE HOSPITAL (NOR FAMILY MEMBERS THEREOF). THE BOARD ENSURES THAT ST. JOSEPH'S HOSPITAL IS RESPONDING TO COMMUNITY NEED IN ACCORDANCE WITH THE PROCESS DESCRIBED UNDER ITEM #2 ABOVE. IN ADDITION, ST. JOSEPH'S HOSPITAL RECEIVES COMMUNITY SUPPORT AND GUIDANCE THROUGH THE ADVISORY BOARD AND FRIENDS OF ST. JOSEPH'S. BOTH BOARDS MEET QUARTERLY AND PROVIDE FEEDBACK FROM THE COMMUNITY ON ADDITIONAL SERVICES OR IMPROVEMENTS NEEDED. IN ADDITION, ST. JOSEPH'S IS BLESSED WITH A STRONG VOLUNTEER PROGRAM. VOLUNTEERS ARE ACTIVE IN MANY HOSPITAL DEPARTMENTS ON A DAILY BASIS AND DONATE MANY MORE HOURS THROUGHOUT THE YEAR TO HOSPITAL-SPONSORED COMMUNITY PROGRAMS. ALSO CONSISTENT WITH ITS EXEMPT PURPOSE, ST. JOSEPH'S HOSPITAL HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. IN ADDITION, THE HOSPITAL OPERATES AN EMERGENCY DEPARTMENT THAT IS OPEN 24 HOURS EVERY DAY TO ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY. ST. JOSEPH'S PRIORITY CARE OFFICE IS LOCATED IN CARLYLE, A COMMUNITY APPROXIMATELY 10 MILES EAST OF BREESE. THE WALK-IN CLINIC IS OPEN 7 A.M. TO 7 P.M. EACH DAY INCLUDING WEEKENDS AND HOLIDAYS. DURING THE HOURS THE CLINIC IS OPEN, A PHYSICIAN IS AVAILABLE TO TREAT PATIENTS. ST. JOSEPH'S HOSPITAL ALSO MAINTAINS MEDICAL OFFICES IN THE OUTLYING COMMUNITIES OF GERMANTOWN AND GREENVILLE, WHICH ARE UTILIZED BY LOCAL PRIMARY CARE PROVIDERS. AS A NOT-FOR-PROFIT HOSPITAL, ST. JOSEPH'S REINVESTS SURPLUS FUNDS INTO THE MISSION OF THE ORGANIZATION AND HEALTH OF THE COMMUNITY RATHER THAN DISTRIBUTING THEM AS PROFITS TO SHAREHOLDERS OR INDIVIDUALS. FUNDS NOT COMMITTED TO ONGOING OPERATIONS ARE GENERALLY USED TO UPGRADE FACILITIES, SECURE NEW TECHNOLOGIES, IMPROVE PATIENT CARE, AND SUPPORT INITIATIVES DESIGNED TO PROMOTE HEALTH AND ENSURE ACCESS FOR ALL. DURING THE YEAR, ST. JOSEPH'S HOSPITAL MADE FURTHER COMMITMENT TO THE DIAGNOSIS AND TREATMENT OF TUMORS FOUND IN THE BREAST. FUNDS WERE USED FOR THE PURCHASE OF EQUIPMENT TO SUPPORT STEREOTACTIC BREAST BIOPSY EQUIPMENT AND A MAMMOTOME BIOPSY DEVICE. WITH THE ADDITIONAL EQUIPMENT IN THE HOSPITAL'S BREAST MANAGEMENT PROGRAM, THE TIME FROM FIRST DETECTION, TO RECEIVING A DIAGNOSIS, AND BEGINNING TREATMENT IS SIGNIFICANTLY DECREASED. TO AID IN THE EARLY DIAGNOSIS OF ATHEROSCLEROSIS, WHICH CAN LEAD TO HEART ATTACKS AND STROKE, VASCULAR SCREENINGS WERE ADDED TO SERVICES AVAILABLE TO THE COMMUNITY. AN ULTRASOUND SCAN OF THE CAROTID ARTERIES, ABDOMINAL AORTA, AND PERIPHERAL ARTERIES IS COMPLETED TO DETERMINE THE AMOUNT OF PLAQUE BUILD-UP IN THE ARTERIES. THIS SERVICE IS OF PARTICULAR VALUE TO PATIENTS WITH A FAMILY HISTORY OF HEART DISEASE AND DIABETES. ST. JOSEPH'S HOSPITAL CONTINUES TO WORK WITH ITS PARENT ORGANIZATION, HOSPITAL SISTERS HEALTH SYSTEM, TO ENHANCE QUALITY AND IMPROVE COORDINATION OF CARE BOTH INSIDE THE HOSPITAL AND WITH A GROWING NUMBER OF PHYSICIAN PARTNERS. SUPPORTED BY INVESTMENTS IN INFORMATION TECHNOLOGY, THIS "CARE INTEGRATION" STRATEGY IS DESIGNED TO BETTER COORDINATE CARE, IMPROVE HEALTH OUTCOMES, CREATE NEW EFFICIENCIES, AND HELP ENSURE THAT PATIENTS (ESPECIALLY THOSE WITH CHRONIC CONDITIONS) GET WELL AND STAY WELL. SPECIFICALLY DURING FISCAL YEAR 2011, ENHANCEMENTS WERE MADE TO MEDITECH, AN ELECTRONIC HEALTH RECORD, WHICH IMPROVES COMMUNICATION AMONG PROVIDERS. PHYSICIANS WILL ALSO SOON HAVE THE CAPABILITY TO ENTER THEIR ORDERS DIRECTLY INTO THIS SYSTEM, WHICH WILL INCREASE EFFICIENCY AND FURTHER IMPROVE PATIENT SAFETY. RESOURCES ALSO WERE DEVOTED TO QUALITY INITIATIVES FOCUSED ON SEPSIS AND CONGESTED HEART FAILURE. SIGNIFICANT ASSESSMENT AND PLANNING WERE COMPLETED IN THE DEVELOPMENT OF PROCESSES TO DECREASE MORTALITY RATES IN PATIENTS WITH SEPSIS. IN COLLABORATION WITH THE SYSTEM OFFICE AND COLLEAGUES FROM HOSPITALS WITHIN THE DIVISION, SCREENING TOOLS AND ORDER SETS ARE BEING PUT IN PLACE TO AID IN THE EARLY DIAGNOSIS, TREATMENT AND MANAGEMENT OF THESE PATIENTS. IMPROVING THE QUALITY OF LIFE FOR PATIENTS WITH CONGESTIVE HEART FAILURE ("CHF") IS THE MAIN FOCUS OF "PROJECT RED". WITH ONE OUT OF FOUR PATIENTS WITH CHF READMITTED WITHIN 30 DAYS AFTER DISCHARGE, EDUCATION IS BEING PROVIDED TO PATIENTS AND THEIR CAREGIVERS TO INCREASE THEIR INVOLVEMENT IN SELF-CARE FOLLOWING DISCHARGE. THIS PROJECT HAS DEVELOPED INTO A COMMUNITY-WIDE INITIATIVE WITH TRAINING ALSO PROVIDED TO STAFF WORKING AT AREA NURSING HOMES AND SENIOR LIVING FACILITIES. IN ADDITION, ST. JOSEPH'S DEVOTES SIGNIFICANT RESOURCES TO ACCESS FOR PATIENTS WHO CANNOT AFFORD CARE, ALONG WITH OTHER COMMUNITY BENEFITS. IN FISCAL YEAR 2011, ST. JOSEPH'S PROVIDED OVER $2.6 MILLION IN COMMUNITY BENEFIT SERVICES, INCLUDING CHARITY CARE AT COST, UNPAID COSTS OF MEDICAID AND OTHER PUBLIC PROGRAMS, AND A RANGE OF DIVERSE PROGRAMS DESIGNED TO ENHANCE ACCESS AND IMPROVE COMMUNITY HEALTH. ADDITIONALLY, DURING THIS PERIOD, ST. JOSEPH'S HOSPITAL PROVIDED $1,332,321 (AT COST) IN UNCOMPENSATED CARE TO PATIENTS THAT DID NOT QUALIFY FOR CHARITY CARE OR PUBLIC ASSISTANCE AND OVER $4,138,064 (AT COST) IN EXCESS OF MEDICARE PAYMENT FOR HEALTH CARE SERVICES. THE RANGE OF BENEFITS PROVIDED BY ST. JOSEPH'S HOSPITAL FLOWS FROM THE MISSION AS WELL AS A LONG-STANDING COMMITMENT TO THE COMMUNITY. IN MANY CASES, THESE PROGRAMS WOULD BE UNLIKELY TO EXIST WITHOUT THE LEADERSHIP ROLE PLAYED BY ST. JOSEPH'S HOSPITAL AND THEY OFTEN RELIEVE A BURDEN THAT WOULD OTHERWISE BE CARRIED BY THE GOVERNMENT. BASED ON THE ASSESSMENT OF COMMUNITY NEEDS DESCRIBED UNDER #2 ABOVE, ST. JOSEPH'S PRIMARILY FOCUSED ON THE FOLLOWING THREE AREAS DURING 2009 AND 2010: 1) HEART DISEASE AS IDENTIFIED IN THE IPLAN; 2) PROGRAMS AND SERVICES INVOLVING OBSTETRICS AND CHILD CARE; AND, 3) ACCESS TO PRIMARY CARE PHYSICIANS ADDRESSED THROUGH EFFORTS TO RECRUIT NEW PROVIDERS TO THE AREA. RELATED TO HEART DISEASE AND DIABETES, ST. JOSEPH'S HOSPITAL CONDUCTED THE FOLLOWING PROGRAMS: HEART HEALTH PROGRAM - GO RED COMMUNITY NEED ADDRESSED: HEART DISEASE HOW DETERMINED: COMMUNITY NEEDS ASSESSMENT OBJECTIVE: EDUCATION REGARDING A HEALTHY LIFESTYLE TO DECREASE CARDIOVASCULAR DISEASE AND BLOOD PRESSURE HEALTHY COMMUNITY GOALS: EDUCATION ON CARDIOVASCULAR DISEASE AND THE PROMOTION OF HEALTHY EATING AND PHYSICAL ACTIVITY NUMBER OF INDIVIDUALS SERVED: 200 DIABETES SUPPORT GROUP/DIABETES RELATED COMMUNITY PROGRAMS COMMUNITY NEED ADDRESSED: HEALTH & WELLNESS HOW DETERMINED: THROUGH DIABETES SELF-MANAGEMENT DEPARTMENT OBJECTIVE: DIABETIC EDUCATION AND SUPPORT. MEETING ON A MONTHLY BASIS AS WELL AS VARIOUS COMMUNITY EDUCATION PROGRAMS REGARDING DIABETES HEALTHY COMMUNITY GOALS: PROMOTE COMMUNITY-BASED EDUCATION ON DIABETES AND IMPROVE HEALTH COMMUNICATION. NUMBER OF INDIVIDUALS SERVED: 390 HEALTH FAIRS HELD THROUGHOUT AREA COMMUNITY NEED ADDRESSED: HEART DISEASE & GENERAL HEALTH & WELLNESS HOW DETERMINED: COMMUNITY NEEDS ASSESSMENT OBJECTIVE: TO PROVIDE LOW-COST SCREENINGS TO THE GENERAL PUBLIC AS WELL AS FREE HEALTH INFORMATION HEALTHY COMMUNITY GOALS: PROMOTE PHYSICAL ACTIVITY AND FITNESS; PROMOTE NUTRITION; PROMOTE COMMUNITY-BASED EDUCATION; IMPROVE ACCESS TO QUALITY PREVENTATIVE CARE; NUMBER OF INDIVIDUALS SERVED: 3,200 KIDNEYMOBILE COMMUNITY NEED ADDRESSED: LOW-COST SCREENINGS AVAILABLE FOR THE EARLY DETECTION OF FACTORS CONTRIBUTING TO DIABETES HOW DETERMINED: THROUGH DIABETES SELF-MANAGEMENT PROGRAM OBJECTIVE: EARLY DETECTION OF FACTORS CONTRIBUTING TO KIDNEY DISEASE HEALTHY COMMUNITY GOALS: ACCESS TO PREVENTIVE CARE; PROMOTE COMMUNITY-BASED EDUCATION NUMBER OF INDIVIDUALS SERVED: 122 SINCE 2007, ST. JOSEPH'S HOSPITAL IN BREESE HAS HOSTED AN ANNUAL VISIT BY THE NATIONAL KIDNEY FOUNDATION OF ILLINOIS' KIDNEYMOBILE. TO DATE, A TOTAL OF 591 AREA RESIDENTS HAVE TAKEN ADVANTAGE OF THE SCREENINGS PROVIDED TO IDENTIFY HIGH BLOOD SUGAR AND HIGH BLOOD PRESSURE-KNOWN PRECURSORS OF KIDNEY DISEASE. THIS YEAR, OF THE 122 PEOPLE SCREENED, 115 OR 94.3% HAD ABNORMAL RESULTS IN ONE OR MORE TESTS INCLUDING HIGH BLOOD SUGAR (21.3%), HIGH BLOOD PRESSURE (84.4% WITH ALMOST HALF OF THOSE NOT KNOWING PREVIOUSLY), CONFIRMED DIABETES (8.2% WITH 20% WITH NO PRIOR KNOWLEDGE) AND PROTEIN IN URINE (9% WITH 90.9% NOT KNOWING BEFORE). THE HOSPITAL SPECIFICALLY REACHES OUT TO THE HIS Affiliated Health Care System St. Joseph's Hospital - Breese 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 Hospital in STATE FILING OF COMMUNITY BENEFIT REPORT 990 SCHEDULE H, PART VI IL, X X X X X X false false false false false false false false false JOHNNY WATKINS 236604 0 0 0 0 0 34208 0 10122 0 280934 0 0 0 JAMES BURKE 174982 0 0 0 0 0 9943 0 25400 0 210325 0 0 0 ILLA DAVID 140957 0 0 0 0 0 11418 0 3040 0 155415 0 0 0 DAVID KEE DPM 191607 0 12433 0 29774 0 0 0 19853 0 253667 0 0 0 JONATHAN OSBORN MD 0 155593 0 2725 0 24171 0 0 0 12588 0 195077 0 0 ROCH LEFEBVRE MD 0 142638 0 26138 0 11541 0 0 0 12588 0 192905 0 0 TIMOTHY BEATY MD 128850 0 19933 0 700 0 0 0 5155 0 154638 0 0 0 ANN CARR 0 152228 0 11100 0 28008 0 92165 0 18090 0 301591 0 0 MARK KLOSTERMAN 117104 0 31600 0 23069 0 26012 0 12283 0 210068 0 0 0 MARK REIFSTECK 0 359796 0 31000 0 26297 0 133800 0 34130 0 585023 0 41500 MARK KLOSTERMAN MORTGAGE EXTENSION X 50000 50000 false true true 50000 Loans to/from interested persons Schedule L, part II All transactions requiring board approval are reviewed by an independent board prior to being approved. all transactions during the year were compliant with the organization's conflict of interest policy. STATEMENT OF PROGRAM SERVICE ACOMPLISHMENTS FORM 990, PAGE 2, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ST. JOSEPH'S HOSPITAL, BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS PROVIDES QUALITY HEALTHCARE SERVICES REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, RELIGION, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES IS ESSENTIAL TO THE CONTINUED OPERATION AND STABILITY OF THE HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS ARE ABLE TO AFFORD REQUIRED MEDICAL SERVICES. OUR MISSION IS TO SERVE THE COMMUNITY WITH THE BEST QUALITY 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 UNDERSERVED, AND A VARIETY OF COMMUNITY SUPPORT ACTIVITIES. IN OUR TAX YEAR BEGINNING JULY 1, 2010 AND ENDING JUNE 30, 2011, ST. JOSEPH'S HOSPITAL, BREESE PROVIDED SERVICES TO 1,880 INPATIENTS UTILIZING 6,227 DAYS OF CARE. IN ADDITION, ST. JOSEPH'S HOSPITAL, BREESE PROVIDED SERVICES TO 90,092 OUTPATIENTS. ST. JOSEPH'S HOSPITAL, BREESE PROVIDES QUALITY MEDICAL CARE TO THE POOR AT NO COST THROUGH OUR CHRISTIAN CARE PROGRAM. IN ADDITION, THE HOSPITAL PARTICIPATES IN THE ILLINOIS MEDICAID PROGRAM, WHICH REIMBURSES THE HOSPITAL AT RATES SUBSTANTIALLY BELOW THE COST OF PROVIDING THE SERVICES. FULFILLING OUR MISSION TO THE COMMUNITY, SERVICES WERE PROVIDED TO 370 MEDICAID INPATIENTS UTILIZING 808 DAYS OF CARE. THE COST OF PROVIDING SERVICES TO MEDICAID PATIENTS EXCEEDED REIMBURSEMENT UNDER THE STATE OF ILLINOIS MEDICAID PROGRAM BY $1,764,157. THE TOTAL UNREIMBURSED VALUE OF PROVIDING CARE TO THE POOR IS $2,071,326. ST. JOSEPH'S HOSPITAL, BREESE PROVIDES QUALITY MEDICAL CARE TO MEMBERS OF THE BROADER COMMUNITY THROUGH PARTICIPATION IN THE MEDICARE PROGRAM AND THROUGH EDUCATIONAL PROGRAMS AND ACTIVITIES AT A REDUCED PRICE, OR AT NO COST. ST. JOSEPH'S HOSPITAL, BREESE PROVIDED MEDICAL SERVICES TO 782 MEDICARE INPATIENTS UTILIZING 2,738 DAYS OF CARE. THE COST OF PROVIDING SERVICES TO MEDICARE PATIENTS EXCEEDED REIMBURSEMENT UNDER THE FEDERAL MEDICARE PROGRAM BY $4,138,064. THE TOTAL UNREIMBURSED VALUE OF PROVIDING CARE AND SERVICES TO THE BROADER COMMUNITY IS $520,405. TAX EXEMPT BONDS FORM 990, PART IV, LINE 24 ST JOSEPH'S HOSPITAL, BREESE OF THE HOSPITAL SISTERS OF THE 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, LINE 6 & 7A THE SENIOR GOVERNING BODY OF ST. JOSEPH'S HOSPITAL BREESE (THE "CORPORATION") IS THE MEMBER OF THE CORPORATION, WHICH IS HOSPITAL SISTERS SERVICES, INC. ("HSSI"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. PURSUANT TO SECTION 2.3 OF THE CORPORATION'S BYLAWS, HSSI HAS THE RIGHT TO APPOINT AND REMOVE THE CORPORATION'S BOARD OF DIRECTORS, CHAIRPERSON OF THE BOARD, AND PRESIDENT. MEMBER RESERVED POWERS FORM 990, PART VI, LINE 7B RESPONSIBILITY FOR THE POLICY AND OPERATIONS OF ST. JOSEPH'S HOSPITAL BREESE (THE "CORPORATION") IS VESTED IN ITS BOARD OF DIRECTORS, EXCEPT WITH RESPECT TO SPECIFIC POWERS RESERVED IN THE CORPORATION'S BYLAWS TO THE CORPORATION'S MEMBER, HOSPITAL SISTERS SERVICES, INC. ("HSSI"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE MEMBER OF HSSI IS HOSPITAL SISTERS HEALTH SYSTEM ("HSHS"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE MEMBERS OF HSHS ARE THE INDIVIDUAL SISTERS WHO, FROM TIME TO TIME, ARE THE DULY ELECTED PROVINCIAL SUPERIOR AND PROVINCIAL COUNCILORS, RESPECTIVELY, OF THE AMERICAN PROVINCE OF THE HOSPITAL SISTERS OF ST. FRANCIS ("AMERICAN PROVINCE"). THE AMERICAN PROVINCE IS THE UNITED STATES ORGANIZATION OF THE CONGREGATION OF THE HOSPITAL SISTERS OF THE THIRD ORDER REGULAR OF ST. FRANCIS, A RELIGIOUS INSTITUTE OF THE ROMAN CATHOLIC CHURCH. THE GOVERNANCE AND OPERATIONS OF THE CORPORATION ARE SUBJECT TO HSSI'S RIGHT TO EXERCISE THESE RESERVED POWERS WITH RESPECT TO THE CORPORATION AND ORGANIZATIONS OF WHICH THE CORPORATION IS EITHER, DIRECTLY OR INDIRECTLY, A CONTROLLING MEMBER OR A CONTROLLING SHAREHOLDER ("AFFILIATES"). HSSI'S RIGHT TO EXERCISE CERTAIN OF THESE RESERVED POWERS IS, IN TURN, SUBJECT TO THE APPROVAL OF HSHS AND HSHS' MEMBERS. THE RESERVED POWERS INCLUDE ALL RIGHTS GRANTED TO HSSI BY LAW AND THE RIGHT TO: (A) ADOPT, APPROVE AMENDMENTS TO, OR AMEND ANY STATEMENT OF PHILOSOPHY, MISSION, MISSION INTEGRATION OR VALUES, OR ANY NAME, LOGO, OR MARK OF THE CORPORATION OR OF ANY AFFILIATE; (B) ADOPT, APPROVE AMENDMENTS TO, OR AMEND THE ARTICLES OF INCORPORATION OF THE CORPORATION OR OF ANY AFFILIATE; (C) ADOPT, APPROVE AMENDMENTS TO, OR AMEND THE BYLAWS OF THE CORPORATION OR OF ANY AFFILIATE; (D) APPOINT AND REMOVE THE BOARD OF DIRECTORS, ANY ONE OR MORE OF THE DIRECTORS OF THE CORPORATION OR OF ANY AFFILIATE, AND THE CHAIRPERSON AND PRESIDENT OF THE CORPORATION OR OF ANY AFFILIATE; (E) APPROVE THE RECOMMENDATION OF THE BOARD OF DIRECTORS TO APPOINT OR REMOVE THE BOARD OF DIRECTORS, ANY ONE OR MORE DIRECTORS OF THE CORPORATION OR OF ANY AFFILIATE, OR THE CHAIRPERSON AND PRESIDENT OF THE CORPORATION OR OF ANY AFFILIATE. (F) WITH RESPECT TO THE CORPORATION OR ANY AFFILIATE, APPROVE THE PURCHASE, SALE, ALIENATION, EXCHANGE, LEASE, OR ENCUMBRANCE OF ANY REAL PROPERTY OF THE CORPORATION OR OF ANY AFFILIATE, WHICH PROPERTY HAS A VALUE IN EXCESS OF LIMITS SET FROM TIME TO TIME BY HSSI; (G) APPROVE THE OPERATING AND CAPITAL BUDGETS OF THE CORPORATION OR OF ANY AFFILIATE, AND ANY DEVIATIONS BY THE CORPORATION OR OF ANY AFFILIATE FROM SUCH BUDGETS IN AN AMOUNT OR PERCENTAGE SPECIFIED BY HSSI FROM TIME TO TIME; (H) APPROVE THE STRATEGIC PLAN AND GOALS OF THE CORPORATION OR OF ANY AFFILIATE; (I) APPROVE THE SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR OF ANY AFFILIATE; (J) APPROVE THE MERGER OR DISSOLUTION OF THE CORPORATION OR OF ANY AFFILIATE; (K) ADOPT OR AMEND THE PLAN FOR MINISTRY EDUCATION AND GOVERNANCE FOR THE CORPORATION AND ITS AFFILIATES; (L) APPROVE THE CORPORATION'S MISSION ACCOUNTABILITY REPORTS AND THOSE OF ANY AFFILIATE; (M) APPROVE THE FINANCIAL POLICIES AND PROCEDURES OF THE CORPORATION OR OF ANY AFFILIATE AND APPROVE ANY DEVIATIONS FROM SUCH POLICIES AND PROCEDURES BY THE CORPORATION OR ANY AFFILIATE; AND (N) ADOPT POLICIES TO IMPLEMENT THE RESERVED POWERS OF HSSI. FORM 990 REVIEW PROCESS FORM 990, PART VI, LINE 11B THE HOSPITAL EMPLOYS KPMG TO ASSIST IN THE OVERALL 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 used SINCE JANUARY, 2009 TO establish the practice of managing 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, 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. POLICIES COMPENSTION 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, PAGE 11, 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 HOSPITAL SISTERS HEALTH SYSTEM. THE POOLED ACCOUNT CONSISTS OF CASH, 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 Change in Net Assets Form 990, Part XI, Line 5 Change in Pension Fund Status 2,329,869 Transfer from Affiliates (666,027) Unrealized Gains 5,183,757 net assets released from restrictions - PP&E 143,417 increase in temporarily restricted net assets 167,884 contributions from foundation (127,059) Cumulative Effect of Change in Accounting Principle (249,198) ---------- Total 6,783,046 ========== HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Carson Hempen TITLE:Director HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Elaine Behrmann TITLE:Director HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Erin Gagen, M.D. TITLE:Director HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Janice Wiegmann, PH. D. TITLE:Director HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Paul Strieker TITLE:Director HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Sister Kenneth Wildt, OSF TITLE:Director HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:John Hudspeth TITLE:Vice Chairperson HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Patrick Hitpas TITLE:Chairperson HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Sister Marybeth Culnan, OSF TITLE:Director HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOHNNY WATKINS TITLE:CFO, Southern IL Divison HOURS:39 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:MARK REIFSTECK TITLE:CEO, SOUTHEN IL DIVISION HOURS:59 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ILLA DAVID TITLE:CIO, Southern IL Division HOURS:59 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JAMES BURKE TITLE:Attorney, Southern IL DIV HOURS:59 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 Hospital Sisters Health System 4936 LAVERNA ROAD SPRINGFIELD IL 62707 371058692 HEALTHCARE IL 501(c)(3) 11A NA HSHS Self Insurance Trust Fund 4936 LAVERNA ROAD SPRINGFIELD IL 62707 371120626 INSURANCE 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 Hospital Sisters Healthcare West Inc 2661 COUNTY HIGHWAY I CHIPPEWA FALLS WI 54729 510157933 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 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 2661 COUNTY HIGHWAY 1 CHIPPEWA FALLS WI 54729 390810545 HEALTHCARE WI 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 625213332 370661244 HEALTHCARE IL 501(c)(3) 3 NA St Mary's Hospital 111 SPRING STREET STREATOR IL 613643332 362169181 HEALTHCARE IL 501(c)(3) 3 NA St Mary's HOSPITAL 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 530811984 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 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 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 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 estate IL lasante inc related 0 0 false 0 false 0.00000 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 CJ HSSI C CORP 0 0 0.00000 true false false false false false false false false false false false false true false false false false TRANSACTIONS WITH RELATED ENTITIES FORM 990, SCHEDULE R, PART V, LINE 2 THE TRANSACTIONS REPORTED IN QUESTION 1 ARE BETWEEN RELATED 501(C)(3) PUBLIC CHARITIES AND ARE NOT REPORTED IN THIS SECTION.