ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F: Form 990, tax year 2009

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
2009-07-01 to 2010-06-30
Filed
2011-05-13
IRS object ID
201131339349300233
Schema version
2009v1.7
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-13T08:03:40-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1191 West Nationwide Blvd Ste 500AddressLine1
CityColumbusCity
StateOHState
ZIP Code432152568ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN390810545EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST JOSEPH'S HOSPITAL OF THE HOSPITALBusinessNameLine1
Business Name Line2SISTERS OF THE THIRD ORDER OF ST FRANCISBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlSTJONameControl
Phone7157231811Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12661 COUNTY HIGHWAY IAddressLine1
CityCHIPPEWA FALLSCity
StateWIState
ZIP Code54729ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOAN COFFMANName
TitleCEOTitle
Phone7157231811Phone
Date Signed2011-05-06DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKPMG LLPName
Phone6142492300Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1SISTERS - THIRD ORDER OF ST FRANCISBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonJoan CoffmanNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12661 COUNTY HIGHWAY IAddressLine1
CityCHIPPEWA FALLSCity
StateWIState
ZIP Code547291498ZIPCode
FieldValueIRS element (for citing)
Gross Receipts64676853GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501cXOrganization501c
Web SiteWWW.STJOESCHIPFALLS.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1885YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionSt. 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 Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees656TotalNbrEmployees
Total Nbr Volunteers250TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year145533ContributionsGrantsPriorYear
Contributions Grants Current Year112413ContributionsGrantsCurrentYear
Program Service Revenue Prior Year63259761ProgramServiceRevenuePriorYear
Program Service Revenue CY63120683ProgramServiceRevenueCY
Investment Income Prior Year-1940524InvestmentIncomePriorYear
Investment Income Current Year1140185InvestmentIncomeCurrentYear
Other Revenue Prior Year322352OtherRevenuePriorYear
Other Revenue Current Year303572OtherRevenueCurrentYear
Total Revenue Prior Year61787122TotalRevenuePriorYear
Total Revenue Current Year64676853TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year32270783SalariesEtcPriorYear
Salaries Etc Current Year32974145SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year23756341OtherExpensePriorYear
Other Expenses Current Year23495589OtherExpensesCurrentYear
Total Expenses Prior Year56027124TotalExpensesPriorYear
Total Expenses Current Year56469734TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5759998RevenuesLessExpensesPriorYear
Revenues Less Expenses CY8207119RevenuesLessExpensesCY
Total Assets BOY86708188TotalAssetsBOY
Total Assets EOY98744873TotalAssetsEOY
Total Liabilities BOY33639492TotalLiabilitiesBOY
Total Liabilities EOY42027562TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY53068696NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY56717311NetAssetsOrFundBalancesEOY
Mission DescriptionSt. Joseph's mission is to deliver compassionate health care to people 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 ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense50985155Expense
Revenue63120683Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense50985155TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109652NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees656NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSTEVE PALECEKNamePerson
Telephone Number7157173783TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12661 COUNTY HIGHWAY IAddressLine1
CityCHIPPEWA FALLSCity
StateWIState
ZIP Code547291498ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Thomas R Kell
Chairperson1.0XX000
Lon A Blaser DO
Secretary1.0XX000
James E Docksey
Director1.0X000
TJ Jake Leinenkugel
Director1.0X000
Sister Janice R Schneider OSF
Director1.0X000
SR MARYBETH CULNAN OSF
Director1.0X000
Robert R Maslonkowski MD
DIRECTOR1.0X000
Joan Coffman
CEO/President40.0XX174643032731
David B Fish
CEO (RETIRING)40.0XX0424938228907
Jeff Hallion
Director1.0X00
Susan Tietz
Director1.0X00
David Kiefer
VICE CHAIRPERSON1.0XX00
Patricia Huettl
CFO40.0X022108823856
ANN CARR
TREASURER1.0X0153448117382
STEPHEN RONSTROM
DIVISION CEO1.0X0543624193413
Rhonda Adler
Pharmacist40.0131413032509X
Peter Pokryzwinski
Pharmacist40.01237030104682X
Ivar Gjolberg
Assistant Administrator40.0127644036240X
Larry Woltman
Pharmacist40.0124822078454X
Janice Giedd
CNO40.01132450120714X
FieldValueIRS element (for citing)
Total Reportable Comp From Org795470TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1343098TotalReportableCompFrmRltdOrgs
Total Other Compensation968888TotalOtherCompensation
Number Individuals GT100 K11NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Miron Construction Co
1471 McMahon DriveNeenahWI54956Construction2023370
Advantage Purchasing LLC
PO Box 509NeenahWI54957Construction877389
Marshfield Clinic
1000 N Oak AvenueMarshfieldWI54449Profess. services778324
Hall Render Killian Heath and Lyman
3978 Treasury CenterChicagoIL60694Leagal Services376890
Sacred Heart Hospital
900 West Clairemont AveEau ClaireWI54701Ref. Lab Testing316755
FieldValueIRS element (for citing)
Number Of Contractors GT100 K10NumberOfContractorsGT100K
Related Organizations112413RelatedOrganizations
Total Contributions112413TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE9000996151170061511700
OTHER DEPARTMENT REVENUE90009916089831608983
FieldValueIRS element (for citing)
Total Program Service Revenue63120683TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column965931TotalRevenueColumn
Exclusion$965,931ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real90046Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real90046Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column90046TotalRevenueColumn
Exclusion$90,046ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities174254Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities174254Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column174254TotalRevenueColumn
Exclusion$174,254ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA REVENUE722210165976$165,976
GIFT SHOP REVENUE45322047550$47,550
FieldValueIRS element (for citing)
Total Other Revenue213526TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column64676853TotalRevenueColumn
Related Or Exempt Function Income63120683RelatedOrExemptFunctionIncome
Exclusion$1,443,757ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total120231Total
Management And General120231ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total24107393Total
Program Services22723835ProgramServices
Management And General1383558ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1302435Total
Program Services1221594ProgramServices
Management And General80841ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5717811Total
Program Services5362911ProgramServices
Management And General354900ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1726275Total
Program Services1619127ProgramServices
Management And General107148ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1394656Total
Management And General1394656ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total529806Total
Management And General529806ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total4320Total
Management And General4320ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3814079Total
Program Services3599923ProgramServices
Management And General214156ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total425066Total
Program Services98161ProgramServices
Management And General326905ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5671449Total
Program Services5592225ProgramServices
Management And General79224ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1464344Total
Program Services1464344ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total941458Total
Program Services941458ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total273033Total
Program Services270807ProgramServices
Management And General2226ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total157876Total
Program Services63947ProgramServices
Management And General93929ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total23815Total
Management And General23815ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2429196Total
Program Services2355452ProgramServices
Management And General73744ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total254684Total
Program Services254684ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVISION FOR BAD DEBT26832132683213
WISCONSIN MEDICAID ASSESS14425071442507
MAINTENANCE SERVICE CONTRACTS5385615369981563
RENTAL BUILDINGS448267448267
REPAIRS AND MAINTANENCE2048012002984503

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total794458Total
Program Services105404ProgramServices
Management And General689054ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total56469734Total
Program Services50985155ProgramServices
Management And General5484579ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2002327BOY
EOY2794412EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY9517906BOY
EOY6457024EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY666915BOY
EOY679655EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY636515BOY
EOY283238EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis48365821LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec29822077LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY15034132BOY
EOY18543744EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY58608556BOY
EOY69157252EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY241837BOY
EOY829548EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY86708188BOY
EOY98744873EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6058177BOY
EOY6962218EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY16516611BOY
EOY16266611EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY11064704BOY
EOY18798733EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY33639492BOY
EOY42027562EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY42733910BOY
EOY45077079EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4705915BOY
EOY5912245EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5628871BOY
EOY5727987EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY53068696BOY
EOY56717311EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY86708188BOY
EOY98744873EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$4,320OtherActivitiesAmount
Total Lobbying Expenditures IIB4320TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF OTHER LOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEUDLE C, PART II-B, QUESTION 1IReturnReference
ExplanationST. 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 AND PART OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING FEES PAID BY THE ORGANIZATIONS. THE AMOUNT LISTED ABOVE IS THE AMOUNT ATTRIBUTABLE TO THE HOSPITAL FROM ITS DUES PAID.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis258685OtherCostOrOtherBasis
Book Value258685BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis22901789OtherCostOrOtherBasis
Depreciation15115277Depreciation
Book Value7786512BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis920313OtherCostOrOtherBasis
Depreciation401244Depreciation
Book Value519069BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis20005401OtherCostOrOtherBasis
Depreciation14305556Depreciation
Book Value5699845BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4279633OtherCostOrOtherBasis
Book Value4279633BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings18543744TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ESTIMATED SELF INSURANCE$118,638
MINIMUM PENSION LIABILITY$17,633,311
SWAP AGREEMENTS$1,046,784
FieldValueIRS element (for citing)
Total Of Amounts18798733TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierASC SUBTOPIC 740-10Identifier
ExplanationON 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, 2010 AND 2009, HSHS DOES NOT HAVE A LIABILITY FOR UNRECOGNIZED TAX BENEFITS.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served4399PersonsServed
Total Community Benefit Expense1027534TotalCommunityBenefitExpense
Net Community Benefit Expense1027534NetCommunityBenefitExpense
Percent Of Total Expense0.01910PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served13374PersonsServed
Total Community Benefit Expense15952807TotalCommunityBenefitExpense
Direct Offsetting Revenue11192715DirectOffsettingRevenue
Net Community Benefit Expense4760092NetCommunityBenefitExpense
Percent Of Total Expense0.08850PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served630PersonsServed
Total Community Benefit Expense1103321TotalCommunityBenefitExpense
Direct Offsetting Revenue750167DirectOffsettingRevenue
Net Community Benefit Expense353154NetCommunityBenefitExpense
Percent Of Total Expense0.00660PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served18403PersonsServed
Total Community Benefit Expense18083662TotalCommunityBenefitExpense
Direct Offsetting Revenue11942882DirectOffsettingRevenue
Net Community Benefit Expense6140780NetCommunityBenefitExpense
Percent Of Total Expense0.11420PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs20NumberOfActivitiesOrPrograms
Persons Served18820PersonsServed
Total Community Benefit Expense147317TotalCommunityBenefitExpense
Direct Offsetting Revenue44966DirectOffsettingRevenue
Net Community Benefit Expense102351NetCommunityBenefitExpense
Percent Of Total Expense0.00190PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served1400PersonsServed
Total Community Benefit Expense2390084TotalCommunityBenefitExpense
Direct Offsetting Revenue2172400DirectOffsettingRevenue
Net Community Benefit Expense217684NetCommunityBenefitExpense
Percent Of Total Expense0.00400PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs23NumberOfActivitiesOrPrograms
Persons Served20220PersonsServed
Total Community Benefit Expense2537401TotalCommunityBenefitExpense
Direct Offsetting Revenue2217366DirectOffsettingRevenue
Net Community Benefit Expense320035NetCommunityBenefitExpense
Percent Of Total Expense0.00590PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs26NumberOfActivitiesOrPrograms
Persons Served38623PersonsServed
Total Community Benefit Expense20621063TotalCommunityBenefitExpense
Direct Offsetting Revenue14160248DirectOffsettingRevenue
Net Community Benefit Expense6460815NetCommunityBenefitExpense
Percent Of Total Expense0.12010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$1,193,106BadDebtExpenseAmount
Amount Attributable To894830AmountAttributableTo
Amount Reimbursed By Medicare11469622AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare16692740CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-5223118MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1St Joseph's HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line12661 County Highway IAddressLine1
CityChippewa FallsCity
StateWIState
ZIP Code54729ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaNot applicable as St. Joseph's Hospital follows Federal Poverty Guidelines (FPG) established by the US Department of Health and Human Services to determine eligibility for providing charity and discounted care to low-income uninsured and underinsured individuals. Hospital Charity Care guidelines specify that a patient's assets and net worth are considered for Charity Care. Patients with 400 percent of the FPG qualify for a portion of Charity Care. Patients with 200 percent of the FPG qualify for all Charity Care.IncomeBasedCriteria
Annual Community Benefit ExplnThe annual St. Joseph's Hospital community benefit report is available by writing to: St. Joseph's Hospital Communications Department, 2661 County Highway I, Chippewa Falls, WI 54729.AnnualCommunityBenefitExpln
Costing Method UsedThe costing methodology used to calculate St. Joseph's Hospital's Charity Care is calculated from the costs audited by an external independent auditing company. These costs are applied to develop cost to charge ratios for each department which are compared to actual collections, and the difference determines community benefit. Medicaid reimbursement is determined by actual payments received for dates of service included in the fiscal year. The cost to service Medicaid patients is based on the hospital's cost to charge ratio to determine the cost to care for Medicaid patients. The resulting shortfall is considered Community Benefit.CostingMethodUsed
Subsidized Health Services ExplnSt. Joseph's Home Health and Hospice and Occupational Health services were included in the subsidized health services calculation resulting in an additional expense (loss) of $217,684.SubsidizedHealthServicesExpln
Percent Of Total Expense ExplnThe percent of St. Joseph's Hospital Charity Care and certain other benefits at cost as a percent of total expenses less bad debt is 12.01 percent.PercentOfTotalExpenseExpln
Bad Debt FootnoteSt. Joseph's Hospital strongly believes that its Charity Care and the related Community Benefit obtained from such care are understated because of those patients that potentially qualify for Charity Care but do not wish to apply for it. In addition, some care is not classified as charity due to missing documentation on patient resources. Thus, the hospital's bad debt includes a portion that could be classified as Charity Care if application for such care was sought and/or completed. The hospital continues to implement processes, procedures and systems to more effectively determine Charity Care, 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. Bad debt expense is NOT considered, nor is it included, in the hospital's Community Benefit reporting. The hospital's Community Care follows the Catholic Health Association (CHA) guidance for determining Community Benefit, which allows the portion for which the cost to service for Community Care patients to be considered Community Benefit. The cost to service (for Community Care patients) is based on the hospital's cost to charge ratio to determine the cost to care for Community Care patients. The resulting cost is considered Community Benefit. Total bad debt expense at cost was $ 1,789,660.BadDebtFootnote
Shortfall As Community BenefitThe 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 that care. 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. We believe the Medicare shortfall 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 fully paid for doing so. Medicare shortfalls are NOT considered, nor are they included, in the hospital's Community Benefit reporting. However, Medicaid is included in the hospital's Community Benefit reporting. We follow the Catholic Health Association guidance for determining Community Benefit, which allows the portion for which Medicaid reimbursement falls short of the cost to care for Medicaid patients to be considered Community Benefit. The total Medicare shortfall at cost was $ 5,223,118.ShortfallAsCommunityBenefit
Debt Collection PolicyAny patient that receives services at St. Joseph's Hospital has an opportunity to complete a financial application for Charity Care. If an account meets the qualifications for financial assistance, Patient Accounting adjusts the patient's account accordingly. St. Joseph's Hospital also works closely with collection agencies in determination if an account that was sent for collections would qualify for Charity Care. St. Joseph's Hospital has a written debt collection policy that contains provisions on collection practices to be followed for patients who are known to qualify for charity care or financial assistance. The Charity Care application process requires proof of income and assets.DebtCollectionPolicy
Number Of Facility Type ExplnSt. Joseph's Hospital does not have any healthcare facilities that are not registered as a healthcare facility under state law.NumberOfFacilityTypeExpln
Needs AssessmentSt. Joseph's Hospital is a small-town community hospital that maintains a strong, committed relationship with Chippewa Falls and the surrounding communities with an emphasis on relational communication. As a community hospital, St. Joseph's Hospital is able to connect with members of the communities it serves in a way that would be difficult for larger facilities. Community residents have access to hospital administration, board members and colleagues in order to voice their opinions, needs and desires. This enables hospital administration to hear health care needs firsthand. Colleagues of the hospital are actively involved in area organizations, agencies and groups that the hospital serves which helps them serve as listening posts in order to be aware of health care concerns of community residents. Tools and processes for capturing and assessing community needs data and listening to stakeholders include: - Each month, the hospital tracks all trends associated with inpatient, outpatient and emergency room clinical activity. - Focus groups comprised of community members help capture community needs data (including awareness, perception and utilization) and assess regional health needs. - Listening Posts: Members that represent a cross-section of the community make up the hospital's board, advisory council, hospital foundation board, and volunteer partners board and serve as listening posts to communicate community health care issues and needs to hospital leaders. - Research data on chronic health conditions, preventative health behaviors and community health care needs are gathered monthly by the National Research Corporation (based in Lincoln, NE) to provide hospital leaders with data on awareness, community perception, utilization and trends for quantitative and qualitative health care segmentation. The chronic health conditions surveyed are those such as asthma, diabetes, stroke, smoking, osteoporosis, high cholesterol, high blood pressure, depression, and heart disease. Tracked preventive health behaviors include weight loss programs, smoking cessation programs, osteoporosis screening/testing, diabetes screening, blood pressure tests, cholesterol tests and mammograms. Data also is tracked and trended and is useful in assessing future community health care needs. - Regional and local media outlets are monitored for health care articles related to community needs, community benefit, public policy, and points of view such as print media letters to the editor and editorials, and media on Catholic health care mission. As an organization, the hospital's leadership directs sponsorship and support of forums for community leaders and the public to express viewpoints, dialogue, envision and make community strategic/action plans. In less formal ways, hospital leadership members interface with the community through memberships in community groups, professional societies and voluntary associations with other public organizations. These activities provide hospital leaders with insights to anticipate public health care concerns and to assess possible societal impacts of health care facilities, services and operations. As a measure of social accountability, the hospital's leadership uses the above data collection tools in decision-making to allocate financial resources to programs and services that will provide the most community benefit, consistent with organizational Mission, Vision and Core Values. St. Joseph's Hospital has been the primary funder for the healthy communities' initiative Chippewa Health Improvement Partnership (CHIP) since the organization's inception. This initiative conducts periodic community needs assessments (the most recent of which was conducted during fiscal year 2010 and will include results of 600 respondents on a detailed public health survey for use during FY2011). CHIP's community needs assessments utilize evidence-based strategies to meet identified community needs and to improve public health and safety. CHIP utilizes several strategies for the community needs assessments including direct telephone survey interviews of Chippewa County residents, key informant interviews, community 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. Beginning in 2011, the newly consolidated United Way of the Greater Chippewa Valley will conduct a needs assessment that will include Chippewa and Eau Claire Counties, and hospital leaders will be involved in the project and in community action plans that focus on areas of health, wellness and safety. 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. 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. In addition, CHIP has ongoing involvement with the following community endeavors: 1) Chippewa County Asthma Coalition; 2) Chippewa Valley CARE Coalition; 3) Partnership for Healthy Choices; 4) Wisconsin Oral Health Coalition; 5) Council on Homelessness & Hunger; 6) Chippewa County Mental Health & Substance Abuse Community Committee; 7) Chippewa Falls Chamber of Commerce; 8) Chippewa County Economic Development Group. As our fiscal year 2010 came to a close, hospital leaders, together with leaders of Sacred Heart Hospital in Eau Claire, WI, were preparing 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 and Mennonite farmers and 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 are currently being collected and processed and an internal and external team (made up of community volunteers) will help assist in the implementation of initiatives and activities that the community indicated would enhance their experience of health care in 2011.NeedsAssessment
Patient Education AssistanceSt. Joseph's Hospital partners with a patient advocacy company, HRS Erase, to identify third party programs and evaluate patient eligibility. Once a program is identified, the advocate helps the patient complete the application process and will even provide transportation to state, federal, or other agencies. Potential recipients are identified during the registration process, or upon referral from credit counselors. The hospital informs all patients of our Charity Care Program during the registration process. A brochure and/or application are provided to each patient. The hospital employs Financial Counselors to assist patients in the application process. Brochures and applications are also available on the hospital's website. The hospital's Social Services staff also follows up with inpatients with no insurance to assess if they would be eligible for other programs such as Social Security Disability, Medical Assistance, and Veteran's benefits. Patients are also educated about community programs such as Starting Points, Open Door Free Clinic, Community Health Partnership, Aging/ Disability Resource Center, Marshfield Clinic Community Care/Family Health Services.PatientEducationAssistance
Community InformationSt. Joseph's Hospital's primary service area is Chippewa County with 21,000 households and an estimated 2009 population of 60,000 according to the US Census. The largest percent of population is in the age group of 25 to 44 years - younger adults starting families. The largest employers are in the field of information technology, health care, agricultural and industrial. A primary rural area, the largest community is the city of Chippewa Falls with a population of 14,000. The geographic area is 1,041 square miles. St. Joseph's Home Health and Hospice serves patients referred by many hospitals in an 11-county region of western Wisconsin which includes a 50-mile radius service area. Nearly 20 percent of St. Joseph's home health patients live in Medically Underserved Areas/Populations (MUA/P), areas or populations designated by Health Resources and Services Administration (HRSA) as having too few primary care providers, high infant mortality, high poverty and/or high elderly population. Pediatric patients in need of speech, physical, occupational therapy services receive the therapy and treatment they need through S.P.O.T.S. House. A program designed to assist young patients with diverse developmental conditions, it is unique in its treatment plan that includes parents actively involved during onsite therapy sessions. When compared to state and national rates, Chippewa County and other counties in western Wisconsin have a high rate of adult obesity (using the standard measure of body mass index of 30 or higher). According to the 2008 Centers for Disease Control and Prevention's National Diabetes Surveillance System, the percentage of adults who are obese is nearly 30 percent. Obesity has become one of the most important public health problems in the United States and as the prevalence of obesity increases, so does the prevalence of co-morbidities, including abnormalities in the endocrine, cardiovascular, gastrointestinal, pulmonary, orthopedic, neurologic, dermatologic, and psychosocial systems. Certain co-morbidities, such as diabetes, once considered "adult diseases," are now regularly seen in obese children. Moreover, obesity during adolescence increases the risk for disease and premature death during adulthood, independent of obesity during adulthood. Through the hospital's CHIP outreach, health and wellness education about the importance of exercise and nutrition helps people take steps to control obesity and lower the risk of health complications.CommunityInformation
Community Building ActivitiesThe hospital was involved in numerous 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. As a Catholic hospital, St. Joseph's recognizes its responsibility to meet important community needs - over and above providing excellent patient care. This commitment has always been a key part of the organization's Mission and an integral part of its core values. To track service to the community, St. Joseph's Hospital follows guidelines adopted by the Catholic Health Association (CHA). To provide for consistent measurement, St. Joseph's uses the Community Benefit Inventory for Social Accountability (CBISA) standard established by CHA to record and measure progress on community benefit activities. An annual community benefit report is presented to the public and details activities in four specific categories: 1) Community Health Services, 2) Health Professions Education, 3) Subsidized Health Services, and 4) Donations. St. Joseph's Hospital, together with Sacred Heart Hospital in Eau Claire, WI, took the lead on the following projects and collaborated with other local organizations: - Broadband network expansion: Many of today's critical lifesaving health care applications, mission critical public safety technology and educational programs require ultra high speed broadband. Because of this, St. Joseph's Hospital is committed to helping expand the area's fiber optic infrastructure for high speed broadband access. This expansion enhances life-saving treatments and the health and wellness of residents in rural and other underserved areas through telemedicine, tele-monitoring, and through the high speed exchange of critical emergency medical information. St. Joseph's Hospital and Sacred Heart Hospital in Eau Claire, WI, are members of the Chippewa Valley Inter-networking Consortium (CINC), a regional Community Area Network work group formed in 1999 that is committed to "Broadband Serving the Public Interest." CINC coordinates regional communication infrastructure projects with city, county and state government, educational institutions, libraries, non-profits, and technology providers to facilitate network creation that is innovative, competitive, and sustainable. Through a coordinated regional communication infrastructure, CINC promotes economic development, expands educational opportunities and improves the availability and efficiency of government services. CINC is an innovative Community Area Network with access to ECB frequencies, a robust backbone, and a developing vision of a public and private WiFi initiative. CINC projects begin in a conceptual phase with a timeline and objectives, and shared interests and resources help identify technical solutions. Members lower costs by sharing infrastructure and working together to solve mutual problems. St. Joseph's Hospital, Sacred Heart Hospital, and 16 other organizations, have collaborated to create a Community Area Network of 70 miles of fiber-optic cable with 150 connections. This network provides a multitude of fiber-optic services and dual 10 GBps high speed redundant connectivity between St. Joseph's Hospital in Chippewa Falls and Sacred Heart Hospital in Eau Claire-a bandwidth that could not be purchased commercially at any price, and which can easily accommodate telemedicine and other advanced applications. In this fiscal year, a federal Broadband Technology Opportunities Program "Stimulus" grant application was prepared with CINC as a major partner with hundreds of hours in grant preparation provided by the hospitals. The application, which was awarded in the following fiscal year on 8/18/2010, totaled $32.3 million for Wisconsin to improve high-capacity Internet access. The grant project, led by the University of Wisconsin Extension, provides approximately $11.5 million to western Wisconsin for a demonstration project to construct 200 miles of fiber-optic cable connecting city/county government, public safety agencies, health care providers, libraries, schools and other key community sites. The new construction enabled by this grant will also provide more than 1,300 square miles of ultra high speed 4G+ WiMax (wireless) coverage in Eau Claire and Chippewa Counties to serve city/county governments, public safety, education and health care needs. The project will also improve the Chippewa Valley's fiber-optic access along corridors from the Chippewa Valley to Superior, Menomonie, Mondovi, Wausau, Marshfield and Stevens Point. By helping lead the Chippewa Valley's demonstration project grant application and hosting weekly organizational meetings, St. Joseph's Hospital and Sacred Heart Hospital helped secure federal funding to accelerate networking infrastructure expansion across western Wisconsin which includes rural and critical access hospitals in surrounding communities. To advance this grant application project, the hospitals collaborated closely with Cooperative Educational Service Agency 10 (CESA 10), University of Wisconsin-Eau Claire, County of Chippewa, Chippewa Falls Area Unified Schools District, City of Chippewa Falls, City of Eau Claire, County of Eau Claire, Eau Claire Area Schools and the Indianhead Federated Library System. - Outreach to Farm Families: St. Joseph's Hospital in Chippewa Falls, Wisconsin, has long appreciated the importance of the surrounding farming community. As a hospital that serves rural areas, it hosted a Farm Family Day focusing on conservation, finances, carbon credits, and safety measures. More than 60 Chippewa County farmers attended the annual event for free blood pressure and cancer screenings, educational health and farm safety information, sustainable conservation, new technology, advocacy and conservation. - Chippewa 2010: An effort of the hospital's Chippewa Health Improvement Partnership, this project established and implemented community health and wellness goals in the fiscal year and into the future. - Supporting Local Farms by Buying Local Food: The hospital collaborated with farmers to form and expand a cooperative to enable institutions to source locally produced and processed food: Hospital leaders believe local food is "good medicine" because it is fresh and has less preservatives. To improve health and wellness, the hospital is purchasing local food to serve patients and cafeteria patrons. Along with Sacred Heart Hospital, St. Joseph's partnered with nonprofit River Country Resource Conservation and Development Council to lead a regional effort to remove barriers to allow institutions to source local food to support the local economy. Continued hospital-River Country collaboration helped the Co-op secure a competitive $54,659 USDA Value Added Producer Grant to expand the local food market by increasing the number of farmer producers and institution buyers. St. Joseph's and Sacred Heart are proud to be USDA Demonstration Site hospitals in the grant to pilot new local food products for the Producers & Buyers Co-op to link local farms and other institutions in the community. To create a market, the hospitals have pledged 15 percent of their combined food budgets to purchasing food that is produced, processed and transported locally. The hospitals' leadership has helped remove barriers to farmers selling their local food to institutions and has opened up new markets for local family farms such as: Public schools; universities and colleges, hospitals and skilled nursing facilities; businesses that provide cafeteria services.CommunityBuildingActivities
Other InformationThrough its varied programs, St. Joseph's Hospital provides hope and healing to its immediate community and to many surrounding rural and small town communities 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 was founded over 125 years ago to improve the health of its community and the surrounding area by bringing Christ's healing presence to people who are sick, poor, and disadvantaged. Because of the hospital's purpose and tradition, it is organized to promote the health of Chippewa Falls and surrounding areas. The hospital is governed by a board of directors comprised of 11 community members, none of whom are employees or contractors of the hospital. The hospital is also supported by community input that includes: Advisory Council members consisting of 25 community members; The Friends of St. Joseph's Hospital Foundation Board consisting of 15 community members; a Volunteer Partners Board consisting of 15 members, and actively supported by over 500 local citizens who volunteer their time and talents in support of the hospital and its Mission. All boards meet bi-monthly or quarterly and consist of community business leaders, law enforcement members, and representatives with backgrounds in academic, legal, civic and social service disciplines. In this fiscal year, the hospital began planning the creation of a new community team to help implement the 'Imagining the Future 2016' listening campaign findings. This team will serve in an advisory capacity to prioritize new initiatives learned from the campaign that will be aimed at enhancing healthcare delivery and the patient experience to better meet the needs of the community. These bodies provide accountability and transparency and ensure that St. Joseph's Hospital is meeting community needs and responding to needs identified in the assessment process described under #2 above. Also consistent with its exempt purpose, St. Joseph's has a medical staff of 100 physicians with privileges that are available to all qualified physicians in the area. In addition, the hospital operates an Emergency Department that is open 24 hours a day, seven days a week to all persons regardless of their ability to pay, and is being expanded to accommodate a growing regional population. As a not-for-profit hospital, St. Joseph's reinvests surplus funds into its mission 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, conduct medical education, and support initiatives designed to promote health for all. For example, St. Joseph's is currently working with its parent organization, HSHS, to implement a Care Integration strategy to enhance quality and improve coordination of care both inside the hospital and in the community. With a growing number of physician partners supported by investments in information technology, Care Integration helps coordinate care, improve health outcomes, create new efficiencies, slow the rate of increase in health care costs, and help ensure that patients (especially those with chronic conditions) receive the care they need in a timely and consistent manner. St. Joseph's devotes significant resources to access for patients who cannot afford care. In the fiscal year beginning July 1, 2009 and ending June 30, 2010, St. Joseph's provided over $6.45 million in community benefit services, including charity care at cost, unpaid costs of Medicaid and other public programs, and a number of programs designed to enhance access and improve community health. Additionally, during this period, St. Joseph's provided $6.4 million (at cost) in excess of Medicare payment for health care services. Community Benefits provided by St. Joseph's Hospital include programs aimed at improved access and health for community residents. In many cases, these reflect intentional partnership efforts with other community organizations, and are often led and supported by St. Joseph's Hospital. For example, the multi-organizational broadband initiative described under #5 above will not only bring internet connectivity to multiple community organizations across western Wisconsin, but will also accelerate the exchange of critical health information (including medical records) between hospitals, physician offices, and other provider settings. This is especially important in the case of imaging and telemedicine technologies that require broadband capabilities. With broadband in place, physicians and other providers across the region will be better able to coordinate care, provide vital services remotely, and exchange medical record information electronically. In turn, this will enhance both the quality and the access of care for families (many of whom are economically disadvantaged) living in rural areas. As noted above under Question #2, St. Joseph's Hospital has been the primary funder for the healthy communities' initiative Chippewa Health Improvement Partnership (CHIP). CHIP is a collaborative endeavor striving to enhance the quality of life of the residents of Chippewa County, through educational and preventative initiatives promoting wellness and good health. CHIP identifies health needs and establishes priorities from which collaborative activities are created to help improve the health status and quality of life of our community. Projects include: Challenge Chippewa, an initiative to promote lifelong fitness and wellbeing with a focus on childhood obesity and decreasing the consumption of sweetened beverages; Show and Tell, an initiative that empowers parents with awareness and skills to effectively discuss issues related to underage drinking with their children, and promotion of the "Parents Who Host Lose The Most" campaign; Fall Prevention, providing resources and information to health professionals and the general public on fall prevention and safety issues; Youth Issues Committee, supporting community environments that support positive youth development with a specific focus on Service Learning and Volunteerism; Chippewa County Jail Project, enhancing the quality of life of Chippewa County Jail inmates and their families/friends by providing resource information, health education and programming; Community Education, providing health education seminars to the general public. St. Joseph's CHIP is also involved in the following community endeavors: - In this fiscal year, St. Joseph's Hospital began construction for a new Emergency Services Area that will be completed in January, 2011. Construction will expand the area from 5,000 square feet to 13,000 square feet, including added treatment and trauma rooms. The addition was needed in response to projections of increasing population growth in Chippewa County. In this fiscal year, the hospital sees between 16,000 and 17,000 emergency visits annually and this number is projected to increase to 20,400 emergency visits by the year 2017. St. Joseph's is the only Level III trauma center in Chippewa County. - In this fiscal year, planning began for a new Center for Wound Care and Hyperbaric Medicine on the hospital's second floor. The center will be home to two hyperbaric chambers that will greatly enhance the wound care program provided by St. Joseph's Hospital the past 15 years. Responding to this community need, the hospital will be one of only two providers in the region offering much needed hyperbaric medicine to patients with hard to heal wounds. Construction will begin in December 2010 with a mid-March 2011 projected opening date for full operation. - CHIP has a designated community action team that has initiated a community awareness campaign regarding the negative effects consumption of sweetened beverages has on healthy weight and oral health, particularly in young children. - Alcohol abuse was the second leading risk factor identified by a recent Chippewa County Community Needs Assessment. Wisconsin also ranks number 50 or the worst state in the nation for binge drinking in people over age 18 years. CHIP has initiated a community awareness campaign to educate the public on the risks of underage drinking as well as a task force on mental health and substance abuse issues. The hospital's L.E. Phillips-Libertas Treatment Center continues to offer free monthly community education programs focusing on AODA and mental health issues. In addition to the above collaborative efforts, examples of community benefits provided by St. Joseph's and quantified in Part I (Question 7) include: - Wisconsin ranks 34th in the nation for the percentage of adults with heart disease. CHIP and St. Joseph's Hospital currently are partnering with area Curves forOtherInformation
Affiliated Health Care SystemSt. Joseph's Hospital is an affiliate of the Hospital Sisters Health System (HSHS). Since 1885 it has been meeting patient needs in western Wisconsin with the latest medical innovations and technology, together with a Franciscan whole-person healing tradition. HSHS is a Roman Catholic health care mission founded to continue the healing ministry of Jesus Christ. Sponsored by the Hospital Sisters of St. Francis, HSHS provides state-of-the-art health care framed in traditional values taught by St. Francis and St. Clare of Assisi. It is dedicated to serving all people, including the poor and the needy, at each of its 13 Local Systems in Illinois (Belleville, Breese, Decatur, Effingham, Highland, Litchfield, Springfield and Streator) and in Wisconsin (Chippewa Falls, Eau Claire, Sheboygan and two in Green Bay). The foundational mission principles of HSHS embody the belief that every life is a sacred gift and every human being is a unity of body, mind and spirit. Our health care ministry calls on us to foster healing, serve with compassion, and promote wellness for all persons, with special attention to our neighbors who are sick, poor, underserved, and most vulnerable. These principles have made it possible for HSHS to provide high quality, cost-effective and compassionate health care for millions of people in Illinois and Wisconsin. Our health care ministry consists of 13 hospitals and numerous physician partners committed to continuing the healing ministry of Jesus Christ. Beyond functioning as a primary source for health care in the 12 primary communities we serve, HSHS also provides a wide array of Community Benefits that expand residents' access to health care, enhance their overall health status, and further medical education. In the Fiscal Year that ended June 30, 2010, HSHS hospitals provided $152.2 million in Community Benefits (or 8.5% of total expenses), an increase of $28 million from FY 2009. Of this amount, $32.3 million was provided for charity care and $89.2 million was the amount of unreimbursed care provided under the Medicaid program. In addition, HSHS hospitals provided $159.3 million in health care services primarily to the elderly beneficiaries of the Medicare program in excess of governmental and managed care contract payments. HSHS hospitals also recorded $95 million in uncollectible accounts. HSHS is committed to sustaining and strengthening 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 ongoing enhancements ensure that our hospitals can continue to provide high quality, compassionate care to our patients. During Fiscal Year 2010, HSHS continued to pursue a Care Integration strategy designed to continuously enhance quality and improve coordination of care both inside the hospital and with a growing number of physician partners. Supported by the system investments in information technology, this 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. The Care Integration strategy includes, among other efforts, three "Medical Home" pilot projects, the coordination of care for cardiac patients living in rural communities through the use of telemedicine, and development of a "clinical integration network" that will help independent physicians improve quality and the patient experience by benchmarking their care against best practices. HSHS also placed a special emphasis on investing in interoperable health information technologies and robust health information exchanges. We recognize that our investments in information technology will have a positive impact on the quality, safety and efficiency of health care. These investments also ensure that the patient is at the center of a high quality, highly integrated, compassionate health care delivery system. Expanding access to health care At the heart of our health care ministry is the commitment to care for every patient who seeks our help. Because not all patients have health insurance, HSHS hospitals have generous Charity Care program guidelines that cover 100% of hospital charges for individuals and families who earn less than 250% of the federal poverty level. Under these guidelines a family of four without health insurance that has an annual household income of $55,125 or less is eligible for a 100% discount on their hospital bill. HSHS Charity Care programs have a sliding scale, in some instances providing up to a 60% discount on charges for those earning up to 600% of the federal poverty level. Hospitals have created a simple two page form 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. The gratitude of the people who have benefitted from our Charity Care program (sometimes referred to as Christian Care) is reflected in some of the thank you letters sent to St. Anthony's Memorial Hospital in Effingham, IL. Comments included: "When I opened your letter today and read that you gave me a 100% Christian Care adjustment, I gasped and started crying. I am so grateful. I count this as an unexpected miracle from God working through people willing to show his love to others." - D.K. The King will reply, "I tell you the truth, whatever you did for one of the least of these brothers of mine, you did for me." - Matthew 25:40. "We just want to take a moment to express our deepest gratitude! Your generosity has eased our minds, hearts & pocket book!! Thank you, Thank you, Thank you! God Bless You All! I pray someday I will be able to help someone in such a generous way! You have no idea what a relief this is for us! Thank You seems too simple of words!" - S.L. and C.S. "I want to say at all those who have made it possible to help us pay my hospital bills - Thank You! I don't have words to thank you for all the worry that you have taken away. A thousand "thanks." May God bless you." - L.B. (translated by N.R. and W.R.) "My husband K. and I would like to express our deepest gratitude for your assistance with his medical bill from the hospital. We cannot thank you enough for the help and how this eased a financial burden that we faced. Keeping this gift in mind, we will strive to help others who are in need in whatever way we can to 'Pay it forward.' Thank you and bless you all!" - K.S. and L.S. Our Charity Care programs are only one aspect of our commitment to increasing access to health care services in Illinois and Wisconsin. In many of our communities, HSHS collaborates with Federally Qualified Health Centers (FQHCs) to provide greater access to health care services for low-income residents. For example, St. Elizabeth's Hospital in Belleville, IL hosts a FQHC primary care clinic adjacent to its Emergency Department and St. John's Hospital in Springfield, IL coordinates specialty physician referrals with the local FQHC and provides free health care to its clients. HSHS hospitals work collaboratively in their communities to support the various social services that together make up the fabric of the health care safety net. Sacred Heart Hospital in Eau Claire, WI provides leadership, staff support and laboratory and radiology services for the Chippewa Valley Free Clinic. During FY2010 Sacred Heart's Lab performed 676 tests for patients from the clinic St. Mary's Hospital Medical Center in Green Bay, WI supports a Women's Place, which provides health care services and referrals for men and women in the Latino community. "Because of language barriers, erratic work schedules and the lack of insurance and transportation, many in the Latino community aren't able to access our health system," explains Program Director Carol Ponce. "I feel it is important to overcome those barriers and build bridges for people in the Latino community to access health care and other services that contribute to their well-being. Our programs not only bring health care to the Latino community but joy and connection to other people from Mexico, Honduras, Nicaragua, Peru and Puerto Rico." In rural Illinois, Prairie Heart Institute of Illinois (PHII), a physician group affiliated with HSHS, is bringing a higher level of cardiovascular care to patients in their communities through extensive collaboration with local hospitals and physicians. Through regularly scheduled clinics and sharing of protocols and best practices, rural hospitals across central and southern Illinois can more rapidly and accurately identify heart attack patients and speed treatment to minimize damage to the heart muscle. Meanwhile, access to clinical trials provides opportunities for patients in rural areas to have accessAffiliatedHealthCareSystem
Reports Filed With StatesWIReportsFiledWithStates

Schedule J IRS990ScheduleJ

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Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
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Board Or Committee ApprovalXBoardOrCommitteeApproval
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Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
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Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
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Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
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Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Joan Coffman
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Patricia Huettl
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ANN CARR
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Rhonda Adler
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Peter Pokryzwinski
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Ivar Gjolberg
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Larry Woltman
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Janice Giedd
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David B Fish
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STEPHEN RONSTROM
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Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PAGE 2, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHEMENTSSt. 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 06/30/10: 5,322 Adult and Pediatric Inpatient Days of Care 8,734 Alcohol and Drug Abuse Inpatient Days of Care 55,390 Outpatient Hospital Visits 9,997 Outpatient Alcohol and Drug Abuse Visits 13,273 Home Health Visits 12,785 Hospice Days 1,083 Newborn Days of Care 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 $6,140,780 in fiscal year 06/30/10. 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 $6,406,430 in fiscal year 06/30/10. Another $320,035 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 $12,867,245 in fiscal year 06/30/10. The following is a listing of specific examples of services included in the above figures: * 4,500 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 onesdeal 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 BONDSFORM 990, PART IV, QUESTION 4ST 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 BODYFORM 990, PART VI, LINES 6 & 7ATHE 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 POWERSFORM 990, PART VI, LINE 7BResponsibility 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 PROCESSFORM 990, PART VI, LINE 11AThe 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 POLICYFORM 990, PART VI, LINE 12CThe 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, 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 ANSWERS 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 POLICYFORM 990, PART VI, LINE 13Provisions within the Corporate Compliance Program and Conflict of Interest Policy provide protections for whistleblower type activities.
COMPENSATION PROCESSFORM 990, PART VI, LINE 15The 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 PUBLICFORM 990, PART VI, LINE 19Board-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 ACCOUNTFORM 990, PART X, LINE 11St. 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, 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 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.
TRANSACTIONS WITH RELATED ENTITIESFORM 990 SCHEDULE R, PART V, LINE 2THE TRANSACTIONS REPORTED IN QUESTION 1 ARE BETWEEN RELATED 501(C)(3) PUBLIC CHARITIES AND ARE NOT REPORTED IN THIS SECTION.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

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Business Name Line1Springfield Health Partners LLCBusinessNameLine1

Address US AddressUS

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Address Line14936 Laverna RoadAddressLine1
CityspringfieldCity
StateILState
ZIP Code62707ZIPCode
FieldValueIRS element (for citing)
EIN371364419EIN
Primary ActivitieshealthcarePrimaryActivities
Legal Domicile StateILLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

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Form990 Schedule R Part II Form990ScheduleRPartII (23 entries)

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4936 LAVERNA ROADSPRINGFIELDIL62707371186514HEALTHCAREIL501(c)(3)11ANA
HSHS Health Care Trust Fund
4936 LAVERNA ROADSPRINGFIELDIL62707371137724HEALTHCAREIL501(c)(9)NA
Sacred Heart Hospital
900 WEST CLAIREMONT AVENUEEAU CLAIREWI54701390807060HEALTHCAREWI501(c)(3)3NA
St Anthony's Hospital
503 N MAPLE STREETEFFINGHAMIL62401370661233HEALTHCAREIL501(c)(3)3NA
St Elizabeth's Hospital
211 SOUTH THIRD STREETBELLEVILLEIL62220370663567HEALTHCAREIL501(c)(3)3NA
St Francis Hospital
1215 FRANCISCAN DRIVELITCHFIELDIL62056370661236HEALTHCAREIL501(c)(3)3NA
St John's Hospital
500 EAST CARPENTER STREETSPRINGFIELDIL62769370661238HEALTHCAREIL501(c)(3)3NA
St Joseph's Hospital
9515 Holy Cross LaneBREESEIL62230371208459HEALTHCAREIL501(c)(3)3NA
St Joseph's Hospital
1515 MAIN STREETHIGHLANDIL62249370663568HEALTHCAREIL501(c)(3)3NA
St Mary's hospital
1800 E LAKE SHORE DRIVEDECATURIL62521370661244HEALTHCAREIL501(c)(3)3NA
St Mary's Hospital
111 SPRING STREETSTREATORIL61364372169181HEALTHCAREIL501(c)(3)3NA
St Mary's Medical Center
1726 SHAWANO AVENUEGREEN BAYWI54303390818682HEALTHCAREWI501(c)(3)3NA
St Nicholas's Hospital
3100 SUPERIOR AVENUESHEBOYGANWI53081390808480HEALTHCAREWI501(c)(3)3NA
St Vincent's Hospital
835 S VAN BURENGREEN BAYWI54301390817529HEALTHCAREWI501(c)(3)3NA
Hospital Sisters Healthcare - West Inc
2661 COUNTY HIGHWAY ICHIPPEWA FALLSWI54729510157933HEALTHCAREWI501(c)(3)11ANA
HSHS Self Insurance Trust Fund
4936 LAVERNA ROADSPRINGFIELDIL62707371120626INSURANCEIL501(c)(3)11ANA
HSHS MEDICAL GROUP INC
4936 LAVERNA ROADSPRINGFIELDIL62707263956318HEALTHCAREIL501(c)(3)11Ana
HSHS WISCONSIN MEDICAL GROUP INC
8040 excelsior drive STE 200MADISONWI53717264515959HEALTHCAREWI501(c)(3)11ana
Orange Cross Ambulance Inc
919 Ashland AveSheboyganWI53081391860942HealthcareWI501(c)(3)9St Nicholas
Wisconsin Upper Pen Onc Mngmt Services
835 S Van BurenGreen BayWI54301391677100HealthcareWI501(c)(3)3St Vincents
Unity Limited Partnership
2366 Oak Ridge CircleDe PereWI54115391750729HealthcareWI501(c)(3)9HSSI

Form990 Schedule R Part III Form990ScheduleRPartIII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
Memorial and St Elizabeth's Healthcare
4000 North Illinois StreetSwanseaIL62226371312961HealthCareILSt Elizabeth'sRELATEDfalsefalse
Health Ventures Of So Illinois LLC
2810 Frank Scott Pkwy W STE 700BellevilleIL62223371334060HealthCareILSt Elizabeth'sRELATEDfalsefalse
Prairie Heart Insutute - Carbondale LLC
800 East Carpenter StreetSpringfieldIL62769371321197HealthCareILSt John'sRELATEDfalsefalse
Northeast Wisconsin Radiation Therapy Se
1821 S Webster Avenue STE 300Green BayWI543079047263749065HealthCareWISt Vincent'sRELATEDfalsefalse
Pain Center of Wisconsin
4131 W Loomis Road STE 300GreenfieldWI53221263155343HealthCareWISt Vincent'sRELATEDfalsefalse
Surgery Center of Sheboygan LLC
3141 Saemann AveSheboyganWI53081260822209HealthCareWISt NicholasRELATEDfalsefalse
Prevea Ventures LLC
2710 EXECUTIVE DRGreen BayWI54304203775127HealthCareWIHSSIRELATEDfalsefalse
Kiara Clinical Integration Ntwk
4936 Laverna RdSpringfieldIL62707261417684HealthCareILKiara IncRELATEDfalsefalse
Carpenter Street Hotel LLC
525 North Sixth StreetspringfieldIL62702364128127hotelILlasante increlatedfalsefalse
Springfield Urgent Care Real Estate LLC
PO Box 19456springfieldIL627949456030413258rent. real estateILlasante increlatedfalsefalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityLegal Domicile Foreign CountryLegalDomicileForeignCountry
Kiara Inc
4936 Laverna RdSpringfieldIL62707371163401HealthCareILHSHSC Corp
LaSante Wisconsin Inc
4936 Laverna RdSpringfieldIL62707391572196HealthCareILKiara IncC Corp
LaSante Inc
4936 Laverna RdSpringfieldIL62707371163400HealthCareILKiara IncC Corp
Prairie Cardiovascular
619 East Mason STE 4P57SpringfieldIL62701371071858HealthCareILKiara IncC Corp
Prevea Health Services
2710 EXECUTIVE DRGreen BayWI54304391839351HealthCareWIHSSIC Corp
Prevea Clinic Inc
2710 EXECUTIVE DRGreen BayWI54304391839349HealthCareWIHSSIC Corp
Prevea Health Network
2710 EXECUTIVE DRGreen BayWI54304392000537HealthCareWIHSSIC Corp
Prevea Regional Services
2710 EXECUTIVE DRGreen BayWI54304391909993HealthCareWIHSSIC Corp
RENAISSANCE QUALITY INSURANCE
980669953INSURANCEHSSIC CORPCJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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