ST FRANCIS 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 FRANCIS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F (EIN 37-0661236)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-13
IRS object ID: 201141339349300344
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-13T08:30:42-05:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	191 West Nationwide Blvd Ste 500	AddressLine1
City	Columbus	City
State	OH	State
ZIP Code	432152568	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	370661236	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ST FRANCIS HOSPITAL OF THE HOSPITAL	BusinessNameLine1
Business Name Line2	SISTERS OF THE 3RD ORDER OF ST FRANCIS	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	STFR	NameControl
Phone	2173242191	Phone

US Address USAddress

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

Officer Officer

Field	Value	IRS element (for citing)
Name	daniel perryman	Name
Title	CEO	Title
Phone	2173242191	Phone
Date Signed	2011-04-01	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	KPMG LLP	Name
Phone	6142492300	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Daniel Perryman	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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

Field	Value	IRS element (for citing)
Gross Receipts	36796946	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c	X	Organization501c
Web Site	WWW.STFRANCIS-LITCHFIELD.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1875	YearFormation
State Legal Domicile	IL	StateLegalDomicile
Activity Or Mission Description	St. Francis Hospital continues the healing ministry of Jesus Christ in the tradition of St. Francis by providing the highest quality healthcare with respect, care, competence and joy.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	287	TotalNbrEmployees
Total Nbr Volunteers	25	TotalNbrVolunteers
Total Gross UBI	3504	TotalGrossUBI
Net Unrelated Business Txbl Income	-58	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	121905	ContributionsGrantsPriorYear
Contributions Grants Current Year	106577	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	34654224	ProgramServiceRevenuePriorYear
Program Service Revenue CY	35153482	ProgramServiceRevenueCY
Investment Income Prior Year	-983441	InvestmentIncomePriorYear
Investment Income Current Year	989076	InvestmentIncomeCurrentYear
Other Revenue Prior Year	382266	OtherRevenuePriorYear
Other Revenue Current Year	262235	OtherRevenueCurrentYear
Total Revenue Prior Year	34174954	TotalRevenuePriorYear
Total Revenue Current Year	36511370	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	4000	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	4000	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	14383820	SalariesEtcPriorYear
Salaries Etc Current Year	15703259	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	16123530	OtherExpensePriorYear
Other Expenses Current Year	17455421	OtherExpensesCurrentYear
Total Expenses Prior Year	30511350	TotalExpensesPriorYear
Total Expenses Current Year	33162680	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	3663604	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	3348690	RevenuesLessExpensesCY
Total Assets BOY	41447467	TotalAssetsBOY
Total Assets EOY	44846973	TotalAssetsEOY
Total Liabilities BOY	22893782	TotalLiabilitiesBOY
Total Liabilities EOY	27722267	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	18553685	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	17124706	NetAssetsOrFundBalancesEOY
Mission Description	St. Francis Hospital continues the healing ministry of Jesus Christ in the tradition of St. Francis by providing the highest quality healthcare with respect, care, competence and joy.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	6313306	Expense
Revenue	6163410	Revenue
Description	SEE SCHEDULE O PART III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	680316	Expense
Revenue	945029	Revenue
Description	Maternity/Gynecology Services	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	18880673	Expense
Grants	4000	Grants
Revenue	28045043	Revenue
Description	Outpatient Acute Care	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	169094	Expense
Description	Other Misc Expenses	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	169094	TotalOfOtherProgramServiceExp
Total Program Service Expense	26043389	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	287	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Nbr Voting Governing Body Members	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	DIANE LINDSAY	NamePerson
Telephone Number	2173248368	TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
CHRIS POIROT MD
CHAIRPERSON	2.0	X	X	0	0	0
Dona McGraw
Board Member	1.0	X		0	0	0
DANIEL PERRYMAN
BOARD PRESIDENT/HOSPITAL CEO	40.0	X	X	0	300493	71178
LONNIE BATHURST
Vice Chairperson	2.0	X	X	0	0	0
SISTER MARYBETH CULNAN OSF
BOARD MEMBER	1.0	X		0	0	0
SISTER MARGUERITE COOK OSF
BOARD MEMBER	1.0	X		0	0	0
Tom Franzen
BOARD MEMBER	1.0	X		0	0	0
JOHN FASSERO
Secretary	2.0	X	X	0	0	0
ROGER WUJEK MD
BOARD MEMBER	1.0	X		0	0	0
SISTER KENNETH WILDT OSF
BOARD MEMBER	1.0	X		0	0	0
Robert Ritz
Divisional President/CEO	40.0		X		698568	109286
Larry J Ragel
Divisional CFO	40.0		X	225663	0	52258
Ann Carr
TREASURER	1.0		X	0	153448	117382
CAROL JACO
COO/CNO	40.0		X	131359	0	32074
DIANE LINDSAY
CFO	40.0		X	119398	0	66402
JILL MOUTRIA
PHARMACIST	40.0			122639	0	41055	X
AARON HUMPHREYS MD
ORTHOPEDIC PHYSICIAN	40.0			432115	0	99292	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1031174	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1152509	TotalReportableCompFrmRltdOrgs
Total Other Compensation	588927	TotalOtherCompensation
Number Individuals GT100 K	5	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Amsol Anesthetists of Litchfield I
PO Box 6633	High Point	NC	27262	CRNA Services	506026
Illinois Emergency Physicians
PO Box 793	Traverse City	MI	49685	ER Physician Service	1454066

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	2	NumberOfContractorsGT100K
Related Organizations	63220	RelatedOrganizations
Government Grants	28068	GovernmentGrants
All Other Contributions	15289	AllOtherContributions
Total Contributions	106577	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	NET PATIENT SERVICE REVENUE	Description
Business Code	900099	BusinessCode
Total Revenue Column	35153482	TotalRevenueColumn
Related Or Exempt Function Income	35153482	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	35153482	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	920387	TotalRevenueColumn
Exclusion	$920,387	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	141248	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	285576	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-144328	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-144328	TotalRevenueColumn
Exclusion	-$144,328	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	68689	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	68689	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	68689	TotalRevenueColumn
Exclusion	$68,689	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA/CAFE	722210	62470	$62,470
OTHER RELATED SERVICES	900099	337663	$337,663
LAB	621500	6430	$2,926	3504

Field	Value	IRS element (for citing)
Total Other Revenue	406563	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	36511370	TotalRevenueColumn
Related Or Exempt Function Income	35153482	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	3504	UnrelatedBusinessRevenue
Exclusion	$1,247,807	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	4000	Total
Program Services	4000	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	284029	Total
Program Services	152915	ProgramServices
Management And General	131114	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	11057712	Total
Program Services	8284250	ProgramServices
Management And General	2773462	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	464487	Total
Program Services	340279	ProgramServices
Management And General	124208	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	3080656	Total
Program Services	2256859	ProgramServices
Management And General	823797	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	816375	Total
Program Services	598069	ProgramServices
Management And General	218306	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	194190	Total
Management And General	194190	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	62399	Total
Management And General	62399	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	15868	Total
Program Services	15868	ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	1266205	Total
Program Services	955391	ProgramServices
Management And General	310814	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	37639	Total
Program Services	404	ProgramServices
Management And General	37235	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	125448	Total
Program Services	61526	ProgramServices
Management And General	63922	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	806004	Total
Program Services	604503	ProgramServices
Management And General	201501	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	0	Total

Travel Travel

Field	Value	IRS element (for citing)
Total	18744	Total
Program Services	9582	ProgramServices
Management And General	9162	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	58643	Total
Program Services	18608	ProgramServices
Management And General	40035	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	25633	Total
Program Services	25633	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	1523636	Total
Program Services	1236110	ProgramServices
Management And General	287526	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	0	Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PROVISION FOR BAD DEBT	3203925	3203925
MEDICAL PROFESSIONAL FEES	2302189	2302189
SUPPLIES	3470138	3241915	228223
UTILITIES	771639	532203	239436
MAINTENANCE AND REPAIRS	784828	574253	210575

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2788293	Total
Program Services	1624907	ProgramServices
Management And General	1163386	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	33162680	Total
Program Services	26043389	ProgramServices
Management And General	7119291	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	3600178	BOY
EOY	3042484	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	42	BOY
EOY	58	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	3991700	BOY
EOY	2806718	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	644512	BOY
EOY	880265	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	484334	BOY
EOY	458766	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	593302	BOY
EOY	479213	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	33429688	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	26312425	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	7684317	BOY
EOY	7117263	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	24098457	BOY
EOY	29281079	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	350625	BOY
EOY	781127	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	41447467	BOY
EOY	44846973	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	2861583	BOY
EOY	3097136	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	12716289	BOY
EOY	12601656	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	7315910	BOY
EOY	12023475	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	22893782	BOY
EOY	27722267	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	16818614	BOY
EOY	15309074	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1112026	BOY
EOY	1192399	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	623045	BOY
EOY	623233	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	18553685	BOY
EOY	17124706	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	41447467	BOY
EOY	44846973	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii
Contrib By Controlling Individual	false	ContribByControllingIndividual
Contribution By Related Party	false	ContributionByRelatedParty
Contrib By35 Controlled Entity	false	ContribBy35ControlledEntity

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$15,868	OtherActivitiesAmount
Total Lobbying Expenditures IIB	15868	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF OTHER LOBBYING ACTIVITIES	Identifier
Return Reference	SCHEDULE C, PART II B, QUESTION 11	ReturnReference
Explanation	The hospital pays membership dues to different associations and a percentage of those dues are dedicated to lobby expenses. The associations St. Francis pays are American Hospital Association (AHA) at 23.76% lobby expense, Catholic Health Association (CHA) at 5.46% lobby expense, Illinois Hospital Association (IHA) at 31% lobby expense and Illinois Catholic Health Association (ICHA) at 2% lobby expense. The total amount of yearly dues is multiplied by the percentage of dues allocated to lobby expense to calculate the lobby expenditures paid.	Explanation

Schedule D IRS990ScheduleD

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

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	99383	OtherCostOrOtherBasis
Book Value	99383	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	15959498	OtherCostOrOtherBasis
Depreciation	12383019	Depreciation
Book Value	3576479	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	1059740	OtherCostOrOtherBasis
Depreciation	968944	Depreciation
Book Value	90796	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	15958181	OtherCostOrOtherBasis
Depreciation	12960462	Depreciation
Book Value	2997719	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	352886	OtherCostOrOtherBasis
Book Value	352886	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	7117263	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
MALPRACTICE CLAIMS LIABILITY	$1,000,901
WORKERS' COMP TRUST LIABILITY	$750,442
ACCRUED BENEFIT LIABILITY	$8,645,519
RETIRE OBLIGATION - ASBESTOS	$842,122
SETTLEMENT VALUE OF INTEREST	$784,491

Field	Value	IRS element (for citing)
Total Of Amounts	12023475	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Explanation for adoption of ASC Subtopic 740-10	Identifier
Return Reference	ASC Subtopic 740-10	ReturnReference
Explanation	ON JULY 1, 2007, HSHS ADOPTED ASC SUBTOPIC 740-10, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES - AN INTERPRETATION OF FASB STATEMENT NO.109. ASC SUBTOPIC 740-10 ADDRESSES THE DETERMINATION OF HOW TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. UNDER ASC SUBTOPIC 740-10, HSHS MUST RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. ASC SUBTOPIC 740-10 ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES, ACCOUNTING IN INTERIM PERIODS AND REQUIRES INCREASED DISCLOSURES. AT THE DATE OF ADOPTION, AND AS OF JUNE 30, 2010 AND 2009, HSHS DOES NOT HAVE A LIABILITY FOR UNRECOGNIZED TAX BENEFITS.	Explanation

Schedule H IRS990ScheduleH

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

Other Percentage OtherPercentage

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

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

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	1194	PersonsServed
Total Community Benefit Expense	601996	TotalCommunityBenefitExpense
Net Community Benefit Expense	601996	NetCommunityBenefitExpense
Percent Of Total Expense	0.02000	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6912859	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4460009	DirectOffsettingRevenue
Net Community Benefit Expense	2452850	NetCommunityBenefitExpense
Percent Of Total Expense	0.08190	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	138409	TotalCommunityBenefitExpense
Direct Offsetting Revenue	143641	DirectOffsettingRevenue
Net Community Benefit Expense	-5232	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	1194	PersonsServed
Total Community Benefit Expense	7653264	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4603650	DirectOffsettingRevenue
Net Community Benefit Expense	3049614	NetCommunityBenefitExpense
Percent Of Total Expense	0.10170	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	138004	TotalCommunityBenefitExpense
Net Community Benefit Expense	138004	NetCommunityBenefitExpense
Percent Of Total Expense	0.00460	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	144599	TotalCommunityBenefitExpense
Direct Offsetting Revenue	15289	DirectOffsettingRevenue
Net Community Benefit Expense	129310	NetCommunityBenefitExpense
Percent Of Total Expense	0.00430	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	282603	TotalCommunityBenefitExpense
Direct Offsetting Revenue	15289	DirectOffsettingRevenue
Net Community Benefit Expense	267314	NetCommunityBenefitExpense
Percent Of Total Expense	0.00890	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	1194	PersonsServed
Total Community Benefit Expense	7935867	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4618939	DirectOffsettingRevenue
Net Community Benefit Expense	3316928	NetCommunityBenefitExpense
Percent Of Total Expense	0.11060	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	13	NumberOfActivitiesOrPrograms
Persons Served	152	PersonsServed
Total Community Building Expense	1886	TotalCommunityBuildingExpense
Net Community Building Expense	1886	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	13	NumberOfActivitiesOrPrograms
Persons Served	152	PersonsServed
Total Community Building Expense	1886	TotalCommunityBuildingExpense
Net Community Building Expense	1886	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$1,168,151	BadDebtExpenseAmount
Amount Attributable To	79908	AmountAttributableTo
Amount Reimbursed By Medicare	12070416	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	13644450	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-1574034	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

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

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	St Francis Hospital of the Hospital Sis	BusinessNameLine1

Address Address

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

Field	Value	IRS element (for citing)
Critical Access Hospital	X	CriticalAccessHospital

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Income Based Criteria	Not applicable as the organization does follow FPG to determine eligibility for providing charity and discounted care to low-income uninsured and underinsured individuals.	IncomeBasedCriteria
Annual Community Benefit Expln	St Francis Hospital's community benefit report is available upon request at 1215 Franciscan Drive, Litchfield, IL 62056.	AnnualCommunityBenefitExpln
Costing Method Used	Charity Care is calculated by determining the total amount from patient billing that is written off to charity care charge codes or allowances. This amount matches the number that is reported on our fiscal year ending 2010 audited financial statements. The total charity care dollar amount is then reduced to cost by applying the Hospital's cost to charge ratio as calculated on IRS schedule H - worksheet 2.	CostingMethodUsed
Subsidized Health Services Expln	The hospital does not have sufficient information at this time to determine if subsidized services exist based on the definition and calculations required by the IRS and is working to provide such information in next year's return.	SubsidizedHealthServicesExpln
Percent Of Total Expense Expln	The percent of charity care and certain other benefits for the poor and the broader community at cost as a percent of total expenses less bad debt is 11.06%.	PercentOfTotalExpenseExpln
Bad Debt Footnote	The hospital strongly believes that its charity care, and the related community benefit obtained from such care, is understated because of those patients that potentially qualify for charity care but do not wish to apply for it. In addition, some care is not classified as charity due to missing documentation on patient resources. Thus, the hospital's bad debt includes a portion that could be classified as charity care if application for such care was sought and/or completed. Currently, the hospital is implementing processes, procedures and systems to more effectively determine charity care that will reduce a patient's documentation requirements and ease the patient's emotional burden in applying for charity care. This will provide a more accurate reporting of charity care services provided by the hospital. The hospital computes the cost of bad debt by applying the ratio of patient care cost to charges to the total charges written off as bad debt expense. The bad debt attributable to patient accounts is $3,203,925. However, calculating the ratio of patient care cost to charges brings the estimated cost of bad debt to $1,168,151. The patient care cost is determined by adjusting the total annual operating expense by the cost of nonpatient-care activities, bad debt expenses, Medicaid provider taxes and community benefit expense. The adjusted operating cost is then divided by the total gross patient charges to calculate the ratio of patient care cost to charges.	BadDebtFootnote
Shortfall As Community Benefit	The hospital continually strives to provide excellent patient care in the most cost effective fashion. Nonetheless, the Medicare program, in many cases, does not provide payment that covers the full cost of the care provided. Since it is the mission of the hospital to respond to community need, hospital management continually advocates for improved Medicare payment so that the cost of quality care to those patients who are not able to afford it is not compromised and is fairly subsidized by all payers. While this shortfall in Medicare payments is not classified as community benefit by the IRS, we nonetheless believe it is an important contribution made by the hospital to the health and well being of the community. Our mission calls us to serve all patients with the highest possible quality and efficiency, even if we are not paid fully for doing so. The hospital computes the unpaid costs of providing care to Medicare patients by comparing the cost of the services to the reimbursement received from Medicare during the year. The cost of Medicare services is calculated by applying the ratio of patient care cost to charges to the annual Medicare charges. The patient care cost is determined by adjusting the total annual operating expense by the cost of nonpatient-care activities, bad debt expenses, Medicaid provider taxes and community benefit expense. The difference between the reimbursement received and the calculated cost of the services is reported as the Medicare shortfall totaling $1,574,034.	ShortfallAsCommunityBenefit
Debt Collection Policy	If an account that has been sent to a collection agency is determined by the agency to be uncollectible, attempts by the agency to collect payment on the account will cease and the account will be returned to the hospital. The hospital will then consider the account to be uncollectible	DebtCollectionPolicy
Number Of Facility Type Expln	St Francis Hospital does not have any healthcare facilities that are not registered as a healthcare facility under state law.	NumberOfFacilityTypeExpln
Needs Assessment	St. Francis Hospital contracted with the Illinois Institute for Rural Affairs (IIRA) at Western Illinois University for a Community Health Mapping program. The program has provided a community healthcare needs assessment that will help the hospital develop a community benefit strategy, identify existing health resources and social service programming in the hospital service area, identify gaps in healthcare access, and help prioritize community healthcare needs. To assist with the assessment process, St. Francis organized a local health assessment steering committee, identified groups and local residents to participate in various stages of the process, helped with the organizing and scheduling of focus groups, and aided in the assembly of a local contact list of health and social service providers. The assessment was conducted using focus groups, telephone surveys of health and social service providers and interviews of key stakeholders. The IIRA analyzed existing and new data and provided the hospital with a written report of the findings. Several recommendations were made from the community needs assessment. First, provide the best possible service, including at points of initial contact. Second, make the necessary referrals and follow- up appointments with patients who need specialized care beyond the local community. Third, assist residents to reduce medical cost through wellness and preventative health programming, medication assistance, and follow-up care. Fourth, increase access to dental and mental health services. Fifth, address citizen's concerns and needs regarding diabetes care and cancer rates. Sixth, network and coordinate services with other health and social service programs to increase awareness and improve public health. In conclusion, St. Francis is uniquely positioned to be the leading healthcare facility in the area. The hospital is vital to the community and has a large physician network. Future opportunity will arise to work with healthcare providers more closely. The information from the community needs assessment provides the hospital leadership with an opportunity and a basis from which to develop a community benefit strategy. The St. Francis Hospital leadership has identified three community benefit initiatives: improve access to diabetes care, improve access to dental care and improve the community presence of St. Francis Hospital. Based on the three community benefit initiatives, action plans were created to kick off this process. First, SIU School of Medicine's Endocrinology Department has been engaged to explore the possibility of satellite diabetes clinics/services. The possibility of providing certified diabetic education and dietician services on an out-patient basis is currently under consideration. Free diabetes screening and education is being planned for spring 2011 in conjunction with the Illinois Kidney Mobile. Community partners in this project include the Montgomery County Health Department and nursing students from Lewis & Clark Community College. Second, a free day of dental care for uninsured or underinsured residents is being planned with area dental offices. Lewis & Clark Community College has also been approached to provide free dental screenings. Third, community presence takes place with the St. Clare Food Pantry re-opening. The St. Clare Food Pantry has recently relocated and reopened within the St. Clare Center, a facility which also has a room for community outreach activities. Several free Community Outreach Health Education programs are currently scheduled.	NeedsAssessment
Patient Education Assistance	Patients are notified of the organization's charity care policy and other available financial assistance through signage in the registration areas, text on the billing statements and hospital web site, and information from the registrars and other hospital personnel. The hospital employs two Financial Counselors who are responsible for educating patients about potential eligibility for assistance under federal, state or local government programs or under the hospital's charity care policy or uninsured patient discount policy. The Financial Counselors contact uninsured patients to determine eligibility for Medicaid or other government assistance programs. Eligibility is verified using internet-based products and through contact with government resources. If it is determined that a patient may be eligible for assistance, the Financial Counselor will assist the patient with applications for the appropriate program. If the patient is not eligible for a government assistance program or if the program does not cover the patient's needs, the counselor will provide an application for the hospital's Christian Care program and assist with the completion of the application. All uninsured patients are eligible for an uninsured patient discount, in accordance with the Illinois Hospital Uninsured Patient Discount Act. The Financial Counselors ensure that the discounts under the Act are applied appropriately.	PatientEducationAssistance
Community Information	More than 94% of the inpatients treated at St. Francis Hospital reside in Montgomery and Macoupin Counties. 58% of the inpatients live in Montgomery County and 36% live in the neighboring Macoupin County. Both of the counties are located in central Illinois, between the cities of Springfield, Illinois and St. Louis, Missouri. Combined population is 77,796 and the median household income is less than $45,000 per year. The percentage of people living below the poverty level averages 12.6% in Macoupin County and 16.8% in Montgomery County and the current unemployment rate is 10.3% and 12.8%, respectively. Persons eligible for Medicare account for 46% of the patient revenue generated at the hospital and Medicaid-eligible patients generate 22%. Only 27% of the revenue is derived from patients who have commercial insurance coverage. The remaining 5% of the patient revenue comes from patients with no insurance. Most of the Medicaid revenue originates in the Maternity unit. Over 73% of the Maternity unit patients are eligible for Medicaid. Provision of maternity services is financially detrimental to the hospital, since the hospital is a Critical Access Hospital (CAH) and is reimbursed by Medicare based on the Medicare-eligible costs incurred. Maintaining a maternity unit limits the number of Medicare patients that can be admitted to the hospital, as a CAH is allowed only 25 inpatients at a time, including maternity patients. Also, the maternity unit absorbs hospital overhead costs that would otherwise be eligible for Medicare cost-based reimbursement. In FY 2010, over $939,000 of the hospital's total operating cost was allocated to maternity services and was excluded from the computation of Medicare reimbursement. But since St. Francis is the only hospital offering maternity services between Springfield and Maryville, IL, maternity services continue to be provided as a service to the community.	CommunityInformation
Community Building Activities	St. Francis Hospital works with the Regional Cancer Partnership of Illinois to provide education and increase awareness of cancer-related illnesses and health issues, along with access to cancer screenings. The hospital also works with the Macoupin County Health Department to decrease domestic violence through the Safe Communities Coalition and an educational seminar for healthcare providers is planned for spring 2011. St. Francis Hospital also collaborated with the Montgomery County Health Department, the Hillsboro Hospital, the Montgomery County Extension office, and local produce growers to provide fresh produce to low income families. Nutrition information and recipes were also provided.	CommunityBuildingActivities
Other Information	St. Francis Hospital offers hope to our community in the tradition of the Hospital Sisters of St. Francis. As a healing ministry of the Catholic Church and an affiliate of the Hospital Sisters Health System (HSHS), St. Francis is committed to delivering high quality, compassionate, and cost-effective health care services to all. The hospital was founded over 135 years ago to bring a healing presence and improve the health of our community, especially for people who are sick, poor, and disadvantaged. Because of the hospital's purpose and tradition, it is organized to promote the health of Litchfield and surrounding areas. The hospital is governed by a Board of Directors, the majority of which is comprised of persons who reside in the organization's primary service area and who are neither employees not contractors of the hospital (nor family members thereof.). The Board ensures that St. Francis is responding to community need in accordance with the process described under item# 2 above. Also consistent with its exempt purpose, St. Francis has an open medical staff with privileges available to all qualified physicians in the area. In addition, the hospital serves as a designated "critical access" facility, reflecting our role in ensuring availability of important hospital services to people who live in the rural areas surrounding Litchfield. As a not-for-profit hospital, St. Francis reinvests surplus funds into the mission of the organization and health of the community rather than distributing them as profits to shareholders or individuals. Funds not committed to ongoing operations are generally used to upgrade the facility, secure new technologies, improve patient care, and support initiatives designed to promote health and ensure access for all. For example, St. Francis is currently working with its parent organization, Hospital Sisters Health System, to continuously enhance quality and improve coordination of care both inside the hospital and with a growing number of physician partners. Supported by investments in information technology, this "care integration" strategy is designed to better coordinate care, improve health outcomes, create new efficiencies, and help ensure that patients (especially those with chronic conditions) get well and stay well. St. Francis also devotes significant resources to access for patients who cannot afford care, along with other community benefits. In fiscal year 2010, St. Francis provided over $3 million in community benefit services, including charity care at cost, unpaid costs of Medicaid and other public programs, and various programs designed to enhance access and improve community health. Additionally, during this period, St. Francis provided over $1.1 million (at cost) in uncompensated care to patients that did not qualify for charity care or public assistance and over $1.5 million (at cost) in excess of medicare payment for health care services. Exemplifying community benefits provided by the hospital are two programs serving the families of our area: Outreach Facilitator: The hospital has appointed an Outreach Facilitator to evaluate the health education needs of the community and to organize public programs to meet those needs. Some of the programs that have been provided during the past year include free health screenings for body mass index, head and neck cancer, colorectal cancer, cholesterol and blood pressure. Health fairs promoted men's heart health awareness and the importance of regular exercise. Over 1,500 persons took part in these activities. Food Pantry: Recognizing the large number of families in the local area who live on incomes below the poverty level, the hospital established the St. Clare Food Pantry to help those families obtain food. The food pantry now serves over 250 families from throughout the community. Employees donated over $15,000 towards that cause during the past fiscal year. Over $129,000 was contributed from hospital operations to support the purchase of food and other needed items.	OtherInformation
Affiliated Health Care System	St Francis Hospital of the Hospital Sisters of the 3rd Order of St Francis is an affiliate of Hospital Sisters Health System. The foundational mission principles of Hospital Sisters Health System (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 access to drugs and treatments available only through PHII. "The result of this unique commitment is that regardless of where a patient lives, they will have access to care designed to detect heart disease earlier. We can also offer previously unavailable life-saving techniques and drugs and ensure a return to a quality of life," explains Jim Zito, PHII CEO. The benefits of this type of collaboration are many, including the standardization of quality assurance measures, the sharing of successful patient safety strategies, the addition of clinical research, workforce development and internal benchmarking. Enhancing the health status of the community A spirit	AffiliatedHealthCareSystem
Reports Filed With States	IL	ReportsFiledWithStates

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DANIEL PERRYMAN
0	242613	0	51039	0	6841	0	53076	0	19250	0	372819	0	23140
Robert Ritz
	527628		82918		88022		91184		21282		811034		48202
Larry J Ragel
225663	0	0	0	0	0	34156	0	18102	0	277921	0	0	0
Ann Carr
0	131424	0	0	0	22024	0	104209	0	13649	0	271306	0	0
CAROL JACO
131359		0	0	0	0	24199	0	7875	0	163433	0	0	0
DIANE LINDSAY
119398		0	0	0	0	52296	0	14106	0	185800	0	0	0
JILL MOUTRIA
122639	0	0	0	0	0	33370	0	7685	0	163694	0	0	0
AARON HUMPHREYS MD
432115		0	0	0	0	99292	0	0	0	531407	0	0	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	FORM 990, PAGE 2, PART III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	The community benefit contribution of St. Francis Hospital includes programs and activities that improve access to health care and improve health in our communities. In order to portray the full breadth of our contribution, our community benefit information is described below: SECTION 1 - QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT: During the fiscal year ended June 30, 2010 St. Francis Hospital operated as a Critical Access Hospital. The Hospital provided 5,051 adult, pediatric and skilled nursing days of care and accommodated 52,314 outpatient visits during the fiscal year. Quality medical services were provided to all patients regardless of race, creed, sex, national origin, handicap, age or financial status. Although reimbursement for services rendered is critical to the operation and stability of the Hospital, it is recognized that not all individuals possess the ability to purchase essential medical services. St. Francis Hospital's mission is to serve the community by providing healthcare services and education. To accomplish this mission, the Hospital provides care to the poor, the elderly and the needy of the community through various programs and services. These activities include wellness programs, community education programs, and special programs for the elderly, handicapped and medically underserved and a variety of broad community support activities. Benefits for the poor include services provided to persons who cannot afford health care because of inadequate resources and who are uninsured or underinsured. These benefits are provided in the form of charity care for those who cannot afford to pay, through the Hospital's uninsured discount program and through public programs such as Medicaid. St. Francis provides charity care through its Christian Care program. The Christian Care program is designed to ensure that the resources used to assist patients are provided for those who are unable to pay for their medical care. Financial assistance is determined by comparing the applicant's gross family income to the most recent Federal Poverty Guidelines. In order to qualify for assistance applicants must complete an application form, provide documentation of current family income, provide documentation of medical expenses and available assets, and provide evidence of investigation of all other means of assistance. Applications are reviewed by the Hospital's Christian Care Committee and selection for assistance is determined by the Hospital's available funds and the eligibility of the applicant. All uninsured patients are allowed a discount of at least 10% from the charges billed for the patients' hospital services. In accordance with the State of Illinois Public Act 095-0965, St. Francis provides uninsured patients the ability to apply for further discounts. Under the Hospital Uninsured Patient Discount Act, uninsured patients may be eligible for discounts ensuring that they pay no more than 135% of the cost of the services provided. Benefits for the broader community include services provided to needy populations that may not qualify as poor but need special services and support. St. Francis provides these benefits through the provision of unbilled services for community members. Nonbilled community services include the cost of health education and community health clinics and screenings. Specific services provided by St. Francis include: * Educational sessions for local school children on heart health, choices for living, strong bones/body, smoking cessation, poison prevention, asthma program and bicycle safety; * Prenatal and postnatal programs, including Lamaze, breast feeding, baby care and sibling classes; * Assistance with community blood drives; * Employee speakers at health fairs, schools and other community organizations; * Nutritional and diabetes management consulting services and educational materials; * Educational seminars for the general public on diabetes, cardiac rehabilitation, congestive heart failure, weight loss, and other current health issues; * Screenings for colorectal cancer, head and neck cancers, hypertension and obesity; * Donation of used equipment and supplies to missions in underdeveloped countries; * Donation of cash and supplies to local agencies; * Educational sessions for healthcare providers on blood borne pathogens, stress management and CPR; * St. Clare Food Pantry to provide food for needy families. QUANTIFIABLE COMMUNITY BENEFIT: The financial information in this report was prepared in accordance with the Catholic Health Association's (CHA) community benefit reporting guidelines. These guidelines recommend the following: * Report charity care at cost, not charges; * Do not include bad debt, contractual allowances, and prompt pay discounts as part of charity care expense; * Do not count Medicare shortfall as a community benefit; * Report the net expense for community services, i.e., the total community benefit expense minus any associated revenue from patients, payers, and external sources; The CHA reporting guidelines reflect a conservative approach to reporting quantifiable community benefit. The goal of the reporting guidelines is to produce community benefit financial reports that reflect true costs and that describe community benefit activities that increase access to health care and improve community health. In addition, the Hospital committed significant resources to serving the Medicare population. The cost (determined using a cost to charge ratio) of providing services to primarily elderly beneficiaries of the Medicare program, in excess of governmental payments, was $1.5 million for the year ended June 30, 2010. The State of Illinois (the State) renewed an assessment program to assist in the financing of its Medicaid program in December of 2006 for the State's fiscal years ended June 30, 2006, 2007, 2008 and 2009. The program was approved in 2008 and has been renewed each year since then. Pursuant to this program, hospitals within the State are required to remit payment to the State of Illinois Medicaid program under an assessment formula approved by the Centers for Medicare and Medicaid Services (CMS). The assessment program also provides hospitals within the State with additional Medicaid reimbursement based on funding formulas, also approved by CMS. The net effect of the 2010 assessment and reimbursement included in the Hospital's 2010 statement of operations is $2 million.
Tax Exempt Bonds	Form 990, Part IV, Line 4	Hospital Sisters Healthcare-West, Inc. holds a liability on its books for tax-exempt bonds, which is an allocation from its sole corporate member, hospital sisters services, inc. as a result, this question was answered no, and schedule k will be completed on the Hospital Sisters Services, Inc. form 990.
RIGHTS OF MEMBERS TO ELECT GOVERNING BODY	FORM 990, PART VI, LINE 6 & 7A	THE SENIOR GOVERNING BODY OF ST. FRANCIS HOSPITAL (THE "CORPORATION") IS THE MEMBER OF THE CORPORATION, WHICH IS HOSPITAL SISTERS HEALTH SERVICES, INC. ("HSSI"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. PURSUANT TO SECTION 2.3 OF THE CORPORATION'S BYLAWS, HSSI HAS THE RIGHT TO APPOINT AND REMOVE THE CORPORATION'S BOARD OF DIRECTORS, CHAIRPERSON OF THE BOARD AND PRESIDENT.
MEMBER RESERVED POWERS	FORM 990, PART VI, LINE 7B	Responsibility for the policy and operations of St. Francis Hospital (the "Corporation") is vested in its Board of Directors, except with respect to specific powers reserved in the Corporation's Bylaws to the Corporation's Member, Hospital Sisters Health Services, Inc. ("HSSI") , an Illinois not for profit corporation exempt from federal taxation under Section 501(c)(3) of the Internal Revenue Code. The member of HSSI is Hospital Sisters Health System ("HSHS"), an Illinois not for profit corporation exempt from federal taxation under Section 501(c)(3) of the Internal Revenue Code. The members of HSHS are the individual sisters who from time to time are the duly elected Provincial Superior and Provincial Councilors, respectively of the American Province of the Hospital Sisters of St. Francis ("American Province"). The American Province is the United States organization of the Congregation of the Hospital Sisters of the Third Order Regular of St. Francis, a religious institute of the Roman Catholic Church. The governance and operations of the Corporation are subject to HSSI's right to exercise these reserved powers with respect to the Corporation and organizations of which the Corporation is either, directly or indirectly, a controlling member or a controlling shareholder ("Affiliates"). HSSI's right to exercise certain of these reserved powers is, in turn, subject to the approval of HSHS and HSHS' members. The reserved powers include all rights granted to HSSI by law and the right to: (a) Adopt, approve amendments to, or amend any statement of philosophy, mission, mission integration or values or any name, logo, or mark of the Corporation or of any Affiliate; (b) Adopt, approve amendments to, or amend the Articles of Incorporation of the Corporation or of any Affiliate; (c) Adopt, approve amendments to, or amend the Bylaws of the Corporation or of any Affiliate; (d) Appoint and remove the Board of Directors, any one or more of the Directors of the Corporation or of any Affiliate, and the Chairperson and President of the Corporation or of any Affiliate; (e) Approve the recommendation of the Board of Directors to appoint or remove the Board of Directors, any one or more Directors of the Corporation or of any Affiliate, or the Chairperson and President of the Corporation or of any Affiliate. (f) With respect to the Corporation or any Affiliate, approve the purchase, sale, alienation, exchange, lease or encumbrance of any real property of the Corporation or of any Affiliate, which property has a value in excess of limits set from time to time by HSSI; (g) Approve the operating and capital budgets of the Corporation or of any Affiliate, and any deviations by the Corporation or of any Affiliate from such budgets in an amount or percentage specified by HSSI from time to time; (h) Approve the strategic plan and goals of the Corporation or of any Affiliate; (i) Approve the sale of substantially all of the assets of the Corporation or of any Affiliate; (j) Approve the merger or dissolution of the Corporation or of any Affiliate; (k) Adopt or amend the plan for ministry education and governance for the Corporation and its Affiliates; (l) Approve the Corporation's Mission Accountability Reports and those of any Affiliate; (m) Approve the financial policies and procedures of the Corporation or of any Affiliate and approve any deviations from such policies and procedures by the Corporation or any Affiliate; and (n) Adopt policies to implement the Reserved Powers of HSSI.
FORM 990, REVIEW PROCESS	FORM 990, PART VI, LINE 11a	The hospital employs KPMG to assist in the overall review and electronic submission of its Form 990. KPMG provides guidance in identifying critical errors in the return submission and feedback on quantitative and qualitative responses. Additionally, the hospital CFO performs a thorough review of the return and reviews it with the hospital CEO and/or senior leaders before presenting it in its entirety to the hospital Board for questioning and review prior to the return's signing and submission to the IRS.
CONFLICT OF INTEREST POLICY	FORM 990, PART VI, LINE 12C	The organization is subject to the corporate compliance program and conflict of interest policy ("policy") of Hospital Sisters Health System, an Illinois not for profit corporation exempt from federal taxation under section 501(c)(3) of the internal revenue code. A REVISED CORPORATE COMPLIANCE PROGRAM AND CONFLICT OF INTEREST POLICY HAVE BEEN IMPLEMENTED SINCE JANUARY, 2009 TO MANAGE CONFLICTS OF INTEREST USING A SYSTEM-WIDE PROTOCOL FOR DISCLOSURE STATEMENTS. IN ACCORDANCE WITH the organizaton's CONFLICT OF INTEREST POLICY, ALL COVERED PERSONS HAVE A DUTY TO COMPLY WITH THE CONFLICT OF INTEREST POLICY FOR ANY CONTRACT, TRANSACTION, RELATIONSHIP OR ACTIVITY CONTEMPLATED, ENTERED INTO OR CONDUCTED AT HSHS OR ITS AFFILIATES. THE POLICY DEFINES COVERED PERSONS AS BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS, BOARD DESIGNEES, SENIOR MANAGEMENT, MEMBERS OF ANY COMMITTEE THAT OVERSEES THE APPROVAL OF PHARMACEUTICALS AND MEDICAL DEVICES, 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 POLICY	FORM 990, PART VI, LINE 13	PROVISIONS WITHIN THE CORPORATE COMPLIANCE PROGRAM AND CONFLICT OF INTEREST POLICY PROVIDE PROTECTIONS FOR WHISTLEBLOWER TYPE ACTIVITIES.
COMPENSATION PROCESS	FORM 990, PART VI, LINE 15	THE COMPENSATION COMMITTEE (COMMITTEE) IS COMPRISED OF INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. THE COMMITTEE DEVELOPS A COMPENSATION PHILOSOPHY FOR THE SYSTEM AND ALL AFFILIATES. THE COMMITTEE SELECTS AND HIRES THE INDEPENDENT COMPENSATION CONSULTANT TO DEVELOP COMPARABILITY DATA AND ADVISE THE COMMITTEE DURING ITS DELIBERATIONS REGARDING ALL ELEMENTS OF TOTAL COMPENSATION FOR ALL DISQUALIFIED INDIVIDUALS. INTEGRATED HEALTHCARE STRATEGIES (IHS), THE CONSULTANTS UTILIZED BY THE COMMITTEE, USE DATA FROM MULTIPLE TAX-EXEMPT PEER GROUP SOURCES TO DETERMINE SALARY RANGES, INCENTIVE OPPORTUNITY RANGES AND BENEFITS FOR THE DISQUALIFIED INDIVIDUALS. IHS THEN ASSISTS THE COMMITTEE IN PREPARING CONTEMPORANEOUS DOCUMENTATION OF ALL ACTIONS. EACH COMMITTEE MEETING IS CONDUCTED WITH THE INTENT TO CREATE A REBUTTABLE PRESUMPTION OF REASONABLENESS FOR ALL ELEMENTS OF EXECUTIVE TOTAL COMPENSATION FOR THE DISQUALIFIED INDIVIDUALS. THE CHAIRMAN MAKES THIS DECLARATION AND ALSO INQUIRES IF THERE ARE ANY CONFLICTS OF INTEREST BY ANY ATTENDEES. ANY CONFLICTS ARE DISCLOSED AND THE COMMITTEE THEN ACTS IN A MANNER TO AVOID ANY CONFLICTED INDIVIDUAL PARTICIPATING IN ANY MANNER WHERE A CONFLICT MIGHT EXIST. AT THE END OF THE MEETING, THE COMMITTEE PREPARES CONTEMPORANEOUS MINUTES THAT RECORD ALL ACTIONS TAKEN DURING THE MEETING.
DOCUMENTS AVAILABLE TO THE PUBLIC	FORM 990, PART VI, LINE 19	Board-approved financial statements are made available to the public upon request. The governing documents and conflict of interest policy are not made available to the general public at this time.
POOLED INVESTMENT ACCOUNT	FORM 990, PART X, LINE 11	INVESTMENTS IN SECURITIES AND RELATED INVESTMENT INCOME THE HOSPITAL'S CASH RESERVES ARE INVESTED IN A POOLED INVESTMENT ACCOUNT. PARTICIPATION IN THE POOLED FUND IS LIMITED TO THE 501(C) (3) HOSPITALS AND RELATED HEALTH SERVICES ORGANIZATIONS SPONSORED BY HOSPITAL SISTERS HEALTH SYSTEM. THE POOLED ACCOUNT CONSISTS OF CASH, EQUITY AND DEBT SECURITIES THAT ARE PUBLICLY TRADED. IN ACCORDANCE WITH THE PROVISIONS OF SFAS NO. 124 "ACCOUNTING FOR CERTAIN INVESTMENTS HELD BY NOT-FOR-PROFIT ORGANIZATIONS" INVESTMENTS IN EQUITY SECURITIES WITH READILY DETERMINABLE VALUES AND ALL INVESTMENTS IN DEBT SECURITIES ARE REPORTED AT FAIR VALUE ON THE BALANCE SHEET. INCOME, REALIZED AND UNREALIZED GAINS AND LOSSES ARE POOLED AND ALLOCATED TO THE PARTICIPANTS. INDIVIDUAL COMPONENTS OF ASSETS AND REVENUE ARE NOT IDENTIFIED TO THE INDIVIDUAL HOSPITAL PARTICIPANTS.
TRANSACTIONS WITH RELATED ENTITIES	SCHEDULE R, PART V, LINE 2	The transactions reported in question 1 are between related 501(C) (3) public charities and are not reported in this section.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	Springfield Health Partners LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	4936 Laverna Road	AddressLine1
City	springfield	City
State	IL	State
ZIP Code	62707	ZIPCode

Field	Value	IRS element (for citing)
EIN	371364419	EIN
Primary Activities	healthcare	PrimaryActivities
Legal Domicile State	IL	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	hshs mg	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (23 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Hospital Sisters Health System
4936 laverna Road	SPRINGFIELD	IL	62707	371058692	HEALTHCARE	IL	501(c)(3)	11a	N/A
Hospital Sisters Services Inc
4936 laverna Road	SPRINGFIELD	IL	62707	371163402	HEALTHCARE	IL	501(c)(3)	11a	N/A
Hospital Sisters of St Francis Fdtn
4936 laverna Road	SPRINGFIELD	IL	62707	371186514	HEALTHCARE	IL	501(c)(3)	11a	N/A
HSHS Self Insurance Trust Fund
4936 laverna Road	SPRINGFIELD	IL	62707	371120626	INSURANCE	IL	501(c)(3)	11a	N/A
HSHS Health Care Plan Trust Fund
4936 laverna Road	SPRINGFIELD	IL	62707	371137724	HEALTHCARE	IL	501(c)(9)		N/A
Hospital Sisters Healthcare West Inc
2661 COUNTY HIGHWAY I	CHIPPEWA FALLS	WI	54729	510157933	HEALTHCARE	WI	501(c)(3)	11a	N/A
Sacred Heart Hospital
900 WEST CLAIREMONT AVENUE	EAU CLAIRE	WI	54701	390807060	HEALTHCARE	WI	501(c)(3)	3	N/A
St Anthony's Hospital
503 N MAPLE STREET	EFFINGHAM	IL	62401	370661233	HEALTHCARE	IL	501(c)(3)	3	N/A
St Elizabeth's Hospital
211 SOUTH THIRD STREET	BELLEVILLE	IL	62220	370663567	HEALTHCARE	IL	501(c)(3)	3	N/A
St Nicholas Hospital
3100 SUPERIOR AVENUE	SHEBOYGAN	WI	53081	390808480	HEALTHCARE	WI	501(c)(3)	3	N/A
St John's Hospital
500 EAST CARPENTER STREET	SPRINGFIELD	IL	62769	370661238	HEALTHCARE	IL	501(c)(3)	3	N/A
St Joseph's Hospital
9515 Holy Cross Lane PO Box 99	BREESE	IL	62230	371208459	HEALTHCARE	IL	501(c)(3)	3	N/A
St Joseph's Hospital
2661 COUNTY HIGHWAY 1	CHIPPEWA FALLS	WI	54729	390810545	HEALTHCARE	WI	501(c)(3)	3	N/A
St Mary's Hospital
1800 E LAKE SHORE DRIVE	DECATUR	IL	62521	370661244	HEALTHCARE	IL	501(c)(3)	3	N/A
St Mary's Hospital
111 SPRING STREET	STREATOR	IL	61364	362169181	HEALTHCARE	IL	501(c)(3)	3	N/A
St Mary's Medical Center
1726 SHAWANO AVENUE	GREEN BAY	WI	54303	390818682	HEALTHCARE	WI	501(c)(3)	3	N/A
St Vincent Hospital
835 S VAN BUREN	GREEN BAY	WI	54301	390817529	HEALTHCARE	WI	501(c)(3)	3	N/A
St Joseph's Hospital
1515 MAIN STREET	HIGHLAND	IL	62249	370663568	HEALTHCARE	IL	501(c)(3)	3	N/A
HSHS MEDICAL GROUP INC
4936 LAVERNA ROAD	SPRINGFIELD	IL	62707	263956318	HEALTHCARE	IL	501(c)(3)	11a		NA
HSHS WISCONSIN MEDICAL GROUP INC
8040 Excelsior Drive STE 200	MADISON	WI	53717	264515959	HEALTHCARE	WI	501(c)(3)	11A		NA
Orange Cross Ambulance Inc
919 Ashland Ave	Sheboygan	WI	53081	391860942	Healthcare	WI	501(c)(3)	9		St Nicholas
Wisconsin Upper Pen Ocn Mngmt Services
835 S Van Buren	Green Bay	WI	54301	391677100	healthcare	WI	501(c)(3)	3		St Vincents
Unity Limited Partnership
2366 Oak Ridge Circle	De Pere	WI	54115	391750729	Healthcare	WI	501(c)(3)	9		HSSI

Form990 Schedule R Part III Form990ScheduleRPartIII (10 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner
Memorial and St Elizabeth's Healthcare
4000 North Illinois Street	Swansea	IL	62226	371312961	HealthCare	IL	St Elizabeth's	Related	false	false
Health Ventures Of So Illinois LLC
2810 Frank Scott Pkwy W STE 700	Belleville	IL	62223	371334060	HealthCare	IL	St Elizabeth's	Related	false	false
Prairie Heart Insutute - Carbondale LLC
800 East Carpenter Street	Springfield	IL	62769	371321197	HealthCare	IL	St John's	Related	false	false
Northeast Wisconsin Radiation Therapy Se
1821 S Webster Avenue STE 300	Green Bay	WI	543079047	263749065	HealthCare	WI	St Vincent's	Related	false	false
Pain Center of Wisconsin
4131 W Loomis Road STE 300	Greenfield	WI	53221	263155343	HealthCare	WI	St Vincent's	Related	false	false
Surgery Center of Sheboygan LLC
3141 Saemann Ave	Sheboygan	WI	53081	260822209	HealthCare	WI	St Nicholas	Related	false	false
Prevea Ventures LLC
2710 EXECUTIVE DR	Green Bay	WI	54304	203775127	HealthCare	WI	HSSI	Related	false	false
Kiara Clinical Integration Network LLC
4936 Laverna Rd	Springfield	IL	62707	261417684	HealthCare	IL	Kiara Inc	Related	false	false
Carpenter Street Hotel LLC
525 North Sixth Street	springfield	IL	62702	364128127	hotel	IL	lasante inc	related	false	false
Springfield Urgent Care Real Estate LLC
PO Box 19456	springfield	IL	627949456	030413258	rent. real estate	IL	lasante inc	related	false	false

Form990 Schedule R Part IV Form990ScheduleRPartIV (9 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountry
Kiara Inc
4936 Laverna Rd	Springfield	IL	62707	371163401	HealthCare	IL	HSHS	C Corp
LaSante Wisconsin Inc
4936 Laverna Rd	Springfield	IL	62707	391572196	HealthCare	IL	Kiara Inc	C Corp
LaSante Inc
4936 Laverna Rd	Springfield	IL	62707	371163400	HealthCare	IL	Kiara Inc	C Corp
Prairie Cardiovascular
619 East Mason STE 4P57	Springfield	IL	62701	371071858	HealthCare	IL	Kiara Inc	C Corp
Prevea Health Services
2710 EXECUTIVE DR	Green Bay	WI	54304	391839351	HealthCare	WI	HSSI	C Corp
Prevea Clinic Inc
2710 EXECUTIVE DR	Green Bay	WI	54304	391839349	HealthCare	WI	HSSI	C Corp
Prevea Health Network
2710 EXECUTIVE DR	Green Bay	WI	54304	392000537	HealthCare	WI	HSSI	C Corp
Prevea Regional Services
2710 EXECUTIVE DR	Green Bay	WI	54304	391909993	HealthCare	WI	HSSI	C Corp
Renaissance Quality Insurance
				980669953	insurance		HSSI	c corp	PO Box 1159 KY-1102	Grand Caymans	CJ	KY1-1102	CJ

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