2026-05-06T10:47:20+00:00 2025-06-30 350921680 CROWE LLP 225 West Wacker Drive Suite 2600 Chicago IL 606061224 990 2024-07-01 370663567 St Elizabeth's Hospital of the Hospital Sisters of the Third Order of St Fr ancis STEL 6182342120 One St Elizabeths Blvd OFallon IL 62269 Chris Klay Market President & CEO 2026-05-06 true Mallory Fairless P01321579 3128997000 2026-05-06 2024 2025-03-06 01:10:19Z Chris Klay One St Elizabeths Blvd OFallon IL 62269 363258156 false 0928 X www.hshs.org/st-elizabeths/ X 1875 IL TO REVEAL AND EMBODY CHRIST'S HEALING LOVE FOR ALL PEOPLE THROUGH OUR HIGH QUALITY FRANCISCAN HEALTHCARE MINISTRY. 11 10 1565 61 44476 0 308250 279246 305411186 337228117 103063 -2559150 -391115 2155339 305431384 337103552 139304 0 99615375 104187368 0 0 204187913 209823849 303803288 314150521 1628096 22953031 326723699 300271861 702191982 688630619 -375468283 -388358758 X THE MISSION OF St. Elizabeth's Hospital IS TO REVEAL AND EMBODY CHRIST'S HEALING LOVE FOR ALL PEOPLE THROUGH OUR HIGH QUALITY FRANCISCAN HEALTHCARE MINISTRY. false false 75901939 67984778 Surgical Services at HSHS St. Elizabeth's Hospital HSHS St. Elizabeth's Hospital delivers advanced surgical care supported by the latest technologies and a team of highly skilled surgeons and staff. The facility is equipped with state-of-the-art equipment and is designed to accommodate future medical innovations and technology upgrades. Advanced Operating Suite - 9 Operating Rooms and 1 Hybrid OR - Upgraded Stryker Video Integration System - Enables fully integrated ORs with real-time 4K imaging. - Computerized Integrated Surgery Platform - Allows real-time tele-surgical consultations and assistance via in-light camera technology, enhancing intraoperative decision-making and reducing the need for follow-up surgeries. Hybrid Operating Room - Combines advanced imaging with a surgical suite, ideal for complex, minimally invasive procedures such as vascular surgery. - Improves patient safety by allowing all aspects of care-including emergency intervention-in a single location without needing to move the patient. Robotic & Minimally Invasive Surgery - Two DaVinci Robots - Used for General Surgery, Urology, and Gynecology. - Velys Robotic-Assisted Solution - Recently integrated for Orthopedic Surgery. - Aquablation Therapy - First in the region to offer this advanced, minimally invasive treatment for BPH (Benign Prostatic Hyperplasia), drawing patients from across the region. Annual Surgical Volume - FY25 Total Surgeries Performed: 7,174 71580820 74198687 Cardiac Services Program Description HSHS St. Elizabeth's Hospital provides a comprehensive continuum of cardiovascular services, encompassing diagnostic evaluation, interventional and surgical treatment, rehabilitation, and wellness management. Services are delivered in compliance with applicable federal, state, and accrediting body standards. Accreditation and Certification: HSHS St. Elizabeth's Hospital maintains accreditation through the Society of Chest Pain Centers, an organization that establishes and monitors adherence to evidence-based protocols for the care of patients presenting with acute coronary syndromes. Accreditation affirms organizational compliance with national standards related to early identification, intervention, and patient education regarding myocardial infarction. Partnerships and Advanced Procedures: In collaboration with the Prairie Heart and Vascular Institute, HSHS St. Elizabeth's Hospital provides advanced structural heart and device-based therapies. Electrophysiology Services: The hospital operates an Electrophysiology (EP) Laboratory. The EP program provides diagnostic evaluation, therapeutic intervention for complex arrhythmias, and device implantation (including pacemakers and implantable cardioverter-defibrillators). Cardiac Catheterization and Interventional Cardiology: Comprehensive cardiac catheterization services are provided, including diagnostic angiography, percutaneous coronary intervention (PCI), and stent placement. Vascular Services: HSHS St. Elizabeth's Hospital provides comprehensive vascular diagnostic and interventional services in alignment with Intersocietal Accreditation Commission (IAC) Vascular Testing standards and other regulatory requirements. HSHS St. Elizabeth's provides coronary artery bypass grafting (CABG) and other open-heart surgical interventions in accordance with accepted surgical standards of care. Cardiac Rehabilitation: The hospital maintains a structured, multi-phase cardiac rehabilitation program. Services include monitored exercise therapy, patient education, and long-term wellness support, in compliance with American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) guidelines. Program Commitment: HSHS St. Elizabeth's Hospital is committed to maintaining compliance with all regulatory standards, to continuous quality improvement, and to the provision of safe, effective, and evidence-based cardiovascular care for the regional patient population. 34848877 46671752 St. Elizabeth's Hospital O'Fallon operates a 24-hour, 365-day-a- year Emergency Department (ED) dedicated to providing immediate stabilization and medical treatment to all patients, regardless of their ability to pay for care. The ED is an essential service for our community. The comprehensive ED provides services to those seeking treatment for urgent medical conditions, minor injuries, and life-threatening emergencies. The hospital's accomplishments reflect the hard work, dedication, and expertise ensuring high quality of care to our community. - Recognized by the American College of Cardiology with the Chest Pain Center Accreditation with Primary PCI, a testament to the hospital's STAT Heart program. - DNV Healthcare USA Inc. (DNV) reaffirmed St. Elizabeth's certification as a Primary Stroke Center. A facility certified as a Primary Stroke Center integrates exhaustive quality measures recommended by DNV, the Center for Medicare and Medicaid Services, the American Stroke Association and others. - Serves as an Illinois Department of Public Health (IDPH) resource hospital for our local emergency medical services (EMS) colleagues. An IDPH resource hospital is a hospital designated by the IDPH to provide medical oversight and leadership for a specific EMS system within a region. With this renewal of certification, St. Elizabeth's continues to serve as a resource hospital for EMS Region Four. - IDPH approved Sexual Assault Nurse Examiner full treatment program providing comprehensive medical forensic and emergency care provided to sexual assault survivors under the Sexual Assault Survivors Emergency Treatment Act (SASETA). The program upholds high standards set by the state of Illinois and mandates timely care by trained professionals for evidence collection. - Accreditation by IDPH as Emergency Department Approved for Pediatrics (EDAP), in Illinois. This is a state-level recognition for providing comprehensive pediatric emergency care services meeting quality, safety, and educational standards. This recognition acknowledges the dedication to our pediatric population through pediatric-specific continuing education for staff, pediatric quality indicators, and participation in the National Pediatric Readiness Assessment. - The St. Elizabeth's Emergency Department serves as the IDPH Region 4 Chair for Emergency Department Approved for Pediatrics (EDAP) 66412886 139304 151076003 HSHS St. Elizabeth's Hospital provides a full continuum of care for both inpatients and outpatients, guided by our mission to reveal and embody Christ's healing love for all people through our high-quality Franciscan health care ministry. Our accredited programs consistently demonstrate excellent outcomes that benefit patients, families, and the community. We remain committed to delivering exceptional care to every person, regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Opened in November 2017, our modern hospital and medical office building reflect this mission by combining advanced technologies with compassionate, skilled caregivers in a comfortable and healing environment. Designed with efficiency and patient-centered care in mind, the facility features 144 private patient rooms and clinical areas that allow nurses more time at the bedside. Deluxe amenities in our Women and Infants Center further enhance the patient experience. St. Elizabeth's offers state-of-the-art services across a wide range of specialties, including surgery, medical imaging, laboratory, physical therapy, and emergency medicine. We proudly partner with leading providers such as HSHS Medical Group, Prairie Heart & Vascular Institute, SSM Health Cardinal Glennon, Vituity, and the SLU Family Medicine Residency Program to bring high-quality care close to home. In addition to the main hospital, St. Elizabeth's serves the community through several convenient outpatient locations. The Belleville Health Center at 180 S. Third Street in downtown Belleville offers physical and occupational therapy, x-ray and 3D mammography, a walk-in clinic, and physician offices. Outpatient physical therapy services are also available at our Mascoutah location (739 N. Jefferson St., Mascoutah, IL 62258) and our Edwardsville location (1188 S. State Route 157, Suite 100, Edwardsville, IL 62025). The St. Elizabeth's Medical Office Building at 1512 N. Green Mount Road in O'Fallon further expands access by providing MRI, CT, x-ray, mammography, and Convenient Care services. Today, HSHS St. Elizabeth's Hospital staffs 144 inpatient beds and employs more than 1,175 colleagues dedicated to safe, high-quality care. In Fiscal Year 2025, the hospital recorded 10,386 inpatient admissions and 213,392 total outpatient visits. 66412886 139304 151076003 248744522 true true false false false false false false false false true false false true true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false false false true false false false false true X 1079 0 true 1565 true true true false false false false false false false false false false false X 11 10 false false false false true true true true true false false false true true true true true true true true true true X Linda Dace 6182342120 3051 Hollis Drive Springfield IL 62704 BRIAN LEMON Chair 2.5 1.5 X X 0 0 0 CHRIS KLAY PRESIDENT/CEO 40.0 20.0 X X 308989 154494 103208 KEVIN MEDER Vice Chair 1.5 0 X X 0 0 0 ANN MCCOLLUM Board Member 1.0 0 X 0 0 0 BARBARA CEMPURA Board Member 1.0 0 X 0 0 0 Dan Jackson Board Member (began 11/1/24) 1.0 0 X 0 0 0 Georgia Costello PhD Board Member 1.0 0 X 0 0 0 Julia Yank Board Member (began 11/1/24) 1.0 0 X 0 0 0 Michael Hall Board Member 1.0 0 X 0 0 0 Sarah Gass Board Member 1.0 0 X 0 0 0 Scott Crouch MD Board Member 1.0 0 X 0 0 0 Michael Scialdone Treasurer / HSHS SVP & CFO 0.3 59.8 X 0 780312 132635 Paige Toth Secretary 0.3 59.7 X 0 293537 75167 PATRICIA ALLEN CFO - CARE DELIVERY (until 4/30/25) 3.0 57.0 X 0 559236 89922 Casandra Elaine Roy APRN 60.0 0 X 221496 0 34554 Julia K Schimmelpfennig Manager-Pharmacy 60.0 0 X 203367 0 15237 Keith Allan Spier Registered Nurse 60.0 0 X 208044 0 30809 Linda Sutterer Registered Nurse 60.0 0 X 275493 0 22655 REGINA PETERSON Chief Nursing Officer 60.0 0 X 246066 0 20691 TODD Smart Former Treasurer 0.0 0.0 X 0 116976 15590 1463455 1904555 540468 193 true true false NORTH AMERICAN PARTNERS IN ANESTHESIA 1305 WALT WHITMAN RD STE 300 MELVILLE NY 11747 ANESTHESIA SERVICES 10478967 CEP AMERICA ILLINOIS HOSPITALISTS 1601 CUMMINS DR SUITE D MODESTO CA 953586411 PHYSICIAN SERVICES 4890997 PROFESSIONAL THERAPY SERVICES 2810 FRANK SCOTT PARKWAY STE 824 BELLEVILLE IL 622238506 THERAPY SERVICES 4412033 COMPASS ONE HEALTHCARE P O BOX 102289 ATLANTA GA 30368 FOOD AND NUTRITION SERVICES 3792823 AMN HEALTHCARE INC 12400 HIGH BLUFF DR SAN DIEGO CA 92130 CONTRACT STAFFING 3138696 49 279246 279246 Patient Service Revenue 622110 336920285 336920285 Affiliate Rental Income 531120 356165 356165 Oncology Center 531120 -92809 -92809 Reference Lab 621500 44476 44476 0 0 0 0 337228117 328506 328506 531051 1123291 -592240 0 -592240 -592240 0 22143657 33196 24998117 -33196 -2854460 -2887656 -2887656 Insurance Refund 900099 2544028 2544028 Physician credentialing fees 621110 153370 153370 Health education programs 621110 28350 28350 21831 21831 0 0 2747579 337103552 339931220 44476 -3151390 X 139304 139304 360593 335437 25156 80494510 74879021 5615489 4498041 4184247 313794 12850074 11953622 896452 5984150 5566681 417469 30986 30986 54347655 42193480 12154175 0 9227 3680 5547 624262 580999 43263 653224 425132 228092 6462027 6460535 1492 296127 264446 31681 160339 138195 22144 4861968 168721 4693247 12912938 12786896 126042 9903226 9266737 636489 Medical Supplies 64052301 64045163 7138 Shared Services 40271835 810715 39461120 Medicaid Assessment 12011653 12011653 Equipment Rental 1577833 1575078 2755 1648248 954780 693468 0 314150521 248744522 65405999 0 200 200 -549824 9699 42213080 43808535 0 0 0 0 6608107 5925615 1719209 2027459 346998172 138171994 214596668 208826178 20942883 10103292 0 0 41193376 29570883 326723699 300271861 21874447 23564772 84131 79718 141482302 127311521 0 0 38561575 37380697 500189527 500293911 702191982 688630619 X -375468283 -388358758 -375468283 -388358758 326723699 300271861 X 22953031 657346 -36500852 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 35667885 35667885 166174263 48942248 117232015 5067084 1523289 3543795 121218614 80824387 40394227 18870326 6882070 11988256 208826178 Other Long Term Assets 1227802 ROU Asset- Operating Leases 25084586 Other Receivables 3258495 Accrued Pension Benefit Asset 29570883 Federal Income Taxes Derivative Instruments Internal line of credit 485208239 Third Party Payables 15085672 500293911 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote HSHS and the Foundation are Illinois not-for-profit organizations as described in Section 501(c)(3) of the Internal Revenue Code (the Code) and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Kiara, Inc. is an Illinois for-profit corporation that recognizes income taxes under the asset-and-liability method. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the consolidated financial statement carrying amounts of existing assets and liabilities and their respective tax basis and operating loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using the enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. In assessing the realizability of deferred tax assets, management considers whether it is more likely than not that some portion or all the deferred tax assets will not be realized. The ultimate realization of deferred tax assets is dependent upon the generation of future taxable income during the periods in which those temporary differences become deductible. Management considers projected future taxable income and tax planning strategies in making this assessment. Based upon the level of historical taxable losses and projections for future taxable losses over the periods for which the deferred tax assets are deductible, management believes it is more likely Kiara, Inc. will not realize most of the benefits of these deductible differences. Full valuation allowances have been applied against the deferred tax assets attributable to the net operating loss carryforwards not realized as of June 30, 2025 and 2024 in the accompanying consolidated financial statements due to the uncertainty of realization. HSHS recognizes the tax benefit from an uncertain tax position only if it is more likely than not the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. As of June 30, 2025 and 2024, HSHS does not have any liabilities for unrecognized tax benefits. true true X true X true X 600 457727 457727 0.00146 37855991 27154336 10701655 0.03407 0 0.0 0 0 38313718 27154336 11159382 0.03552 291389 0 291389 0.00093 5425171 0 5425171 0.01727 1498162 1204768 293394 0.00093 0 0.0 28064 0 28064 0.00009 0 0 7242786 1204768 6038018 0.01922 0 0 45556504 28359104 17197400 0.05474 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 0 0 139764332 171347257 -31582925 X true true 1 1 ST ELIZABETH'S HOSPITAL ONE ST ELIZABETHS BLVD OFALLON IL 62269 www.hshs.org/st-elizabeths/ 0006064 X X X X ST ELIZABETH'S HOSPITAL 1 false false true X X X X X X X X X 23 true true true true X https://www.hshs.org/getmedia/747ab159-5537-4283-afdf-3e905d7d8674/CHNA_report_SEO_DY_2024_FINAL.pdf X true 24 true https://www.hshs.org/getmedia/dab05528-f00c-4594-9af1-99d44cabb489/Implementation-Plan_SEO_2025-2027 false true X 200.0 600.0 X X X X X X true true X X X true X https://www.hshs.org/patients/billing/financial-assistance X https://www.hshs.org/patients/billing/financial-assistance X https://www.hshs.org/patients/billing/financial-assistance X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E Yes, the significant health needs are a prioritized description of the significant health needs of the community and were identified through the CHNA process. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - HSHS St. Elizabeth's Hospital. HSHS St. Elizabeth's Hospital conducted its FY2024 Community Health Needs Assessment (CHNA) for St. Clair County during FY2024 (July 1, 2023 through June 30, 2024) through an eight-month collaborative planning and assessment process in partnership with BJC Memorial Hospital, East Side Health District, and the St. Clair County Health Department. Input from persons representing the broad interests of the community was obtained through multiple methods, including a Community Advisory Council (CAC), an in-person CAC meeting held on September 12, 2023, key stakeholder engagement, and a community survey. In November 2023, 419 individuals completed the community survey, and the results were analyzed and used to inform the identification and prioritization of significant health needs. Representation on the CAC was sought from organizations serving low-income, at-risk, minority populations and the general community. The following community stakeholders were invited to participate in and provide input through the CAC: - East Side Health District - Gateway Region YMCA - Lindenwood University-Belleville - McKendree University - Memorial Regional Health Services - Regional Office of Education - Scott Air Force Base - Southern Illinois University Edwardsville School of Nursing - St. Elizabeth's Hospital - Southern Illinois Healthcare Foundation - Southwest Illinois College, Programs & Services for Older Persons - St. Clair County Health Department - St. Clair County Medical Society - St. Clair County Mental Health Board - St. Clair County Office on Aging - Touchette Regional Hospital The CAC reviewed community health data, identified community assets and gaps, and provided input on priority health needs. Governmental public health expertise was included through participation of St. Clair County Health Department and East Side Health District. No written comments were received regarding the prior FY2021 CHNA or the related implementation strategy. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - HSHS St. Elizabeth's Hospital. Memorial Belleville / BJC Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - HSHS St. Elizabeth's Hospital. The CHNA was conducted in collaboration with the following organizations: - BJC Memorial Hospital - St. Clair County Health Department - East Side Health District These organizations partnered with the hospital as part of the CHNA core group and collaborated in the planning, data collection, analysis, and prioritization of community health needs. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - HSHS St. Elizabeth's Hospital. Fiscal year ending June 30, 2025 was the final year of the Implementation Strategy adopted in tax year 2024 for the CHNA that was conducted in 2023. Information provided below relates to the activities that occurred during the third year of this CHNA cycle addressing the health needs identified in the 2024 CHNA. As part of the identification and prioritization of health needs, the St Elizabeth's Hospital Senior Leadership Team considered the estimated feasibility and effectiveness of possible interventions by the hospital to impact health priorities Prioritization was based on scope, severity, and burden; health disparities associated with the need; the importance the community places on addressing the health need; the hospital and community assets and resources available to address the health need; and local expertise and input. Based on the CHNA planning and development process described, the following priority community health needs were identified: 1. Mental and behavioral health 2. Access to care: unmanaged chronic conditions 3. Healthy Lifestyles Implementation strategies established to address these needs through specific initiatives included: Mental and Behavioral Health Goal: Enhance access to comprehensive, high-quality mental and behavioral health services to improve community well-being and reduce health disparities Strategy 1: Improve access to prevention and early intervention services. St Elizabeth's Hospital focused on improving access to prevention and early intervention services by partnering with the Gateway Foundation They aimed to identify, connect and develop treatment plans for individuals presenting in the emergency department with substance use disorders An engagement specialist worked alongside health care providers to offer referrals and linkages for addiction treatment A recovery coach facilitated the transition back into the community after residential care. HSHS instituted and provided Mental Health First Aid training to hospital colleagues. By being trained and prepared to identify early symptoms of a person in a mental health crisis, the hospital ensures that colleagues are prepared to provide the best possible early intervention for persons in the early stages of mental health crisis. Strategy 2: Decrease barriers to entry St Elizabeth's Hospital has enhanced access to care through a robust partnership with the Gateway Foundation This collaboration focuses on screening and intervening for patients in the Emergency Department who present with drug or alcohol-related issues The program includes an engagement specialist, recovery coach and clinical supervisor to ensure that patients receive comprehensive care that addresses their immediate and long-term recovery needs This systematic approach helps to integrate substance abuse treatment with regular medical care, improving overall patient outcomes. HSHS undertook a 2-year process to vet and identify a social care referral platform to integrate with our electronic medical record. In the 2nd quarter of FY2025, we signed an agreement with FindHelp. The last six months of the FY were spent planning, integrating, developing and training our teams to launch HSHS Community Connect, powered by FindHelp. We went live in July 2025. This social care referral platform allows us to provide direct patient referrals to community based organizations (CBO) in response to the social drivers of health screenings. We look to FY2026 to strengthen CBO partnerships and measure close looped referrals demonstrating improved patient connection with needed health and social services post discharge. Strategy 3: Unified planning and policy efforts. By collaborating with local health commissions, St Elizabeth's has been a key player in developing the Community Health Improvement Plan (CHIP) for St Clair County This includes funding and strategic support for the initiative, with significant contributions St Elizabeth's is actively involved in the both the St Clair County Healthcare Commission, mental health and the substance abuse work groups and lead the Behavioral Health Stakeholder meetings A colleague also attends the meeting for Drug Free Alliance and the Suicide Preventions Partnership These groups are working collaboratively to better address linkage and referral gaps to improve care coordination for substance use disorder and psychiatric patients. HSHS collaborated with local hospitals, county health departments, and behavioral health organizations to conduct a comprehensive assessment of the significant gaps and barriers facing behavioral and mental health services in Illinois, with a particular focus on adolescent care. This work resulted in a detailed white paper outlining capacity challenges, workforce shortages, access issues, and the systemic obstacles experienced by patients, families, and providers across the region. Using these findings, HSHS expanded its efforts through coordinated advocacy with both the Illinois Hospital Association and the Wisconsin Hospital Association to promote statewide and national policy solutions. HSHS leadership also engaged directly with state and federal representatives to elevate concerns regarding behavioral health access and to advocate for regulatory, funding, and system-level changes that would strengthen care for behavioral health patients. This initiative reflects HSHS's mission-driven commitment to improving community access to essential behavioral health services. St Elizabeth's Hospital worked closely with the county Recovery Oriented System of Care (ROSC), to unify the approach to recovery-oriented care in the county. The hospital worked closely with the ROSC to bring together all community organizations that work with persons in recovery to present a united front for the county. Access to Care: Unmanaged Chronic Conditions & Healthy Lifestyles Goal: Reduce the incidence and impact of chronic disease by enhancing preventive care, education and access to effective management resources Strategy 1: Improve access to prevention and early intervention services. From 2021 to 2025, St Elizabeth's Hospital focused on enhancing early intervention and preventive measures for chronic diseases through the Chronic Disease Work Group collaborated to integrate nutrition and healthy lifestyles into curricula for summer programs targeting children in grades K-6 This initiative aimed to tackle poor nutrition-a major factor in chronic disease Additionally, the healthy corner store initiative was launched to increase access to healthy foods in underserved neighborhoods, directly combating diet-related chronic diseases. St Elizabeth's Hospital partnered with the local YMCA's within the county to sponsor a preventative blood pressure monitoring program, helping community members to identify the signs of high blood pressure and monitor their own blood prssure, allowing for early identification and the dissemination of information on prevention and early intervention. Along with this, the hospital also sponsored the YMCA's Livestrong program focusing on exercise and meditation for people going through cancer treatment and recovery. Strategy 2: Decrease barriers to entry Throughout the same period, St Elizabeth's operationalized a determinants of health screening tool introduced in FY2022 This tool was designed to screen every patient entering the hospital, with plans to expand its use to primary care settings The objective was to streamline the referral process to social service agencies, thus addressing the social needs impacting chronic disease management This tool facilitated improved care coordination and supported patients in managing their chronic conditions effectively. HSHS undertook a 2-year process to vet and identify a social care referral platform to integrate with our electronic medical record. In the 2nd quarter of FY2025, we signed an agreement with FindHelp. The last six months of the FY were spent planning, integrating, developing and training our teams to launch HSHS Community Connect, powered by FindHelp. We went live in July 2025. This social care referral platform allows us to provide direct patient referrals to community based organizations (CBO) in response to the social drivers of health screenings. We look to FY2026 to strengthen CBO partnerships and measure close looped referrals demonstrating improved patient connection with needed health and social services post discharge. Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - HSHS St. Elizabeth's Hospital. Strategy 3: Unified planning and policy, and advocacy efforts. St Elizabeth's and other community partners in St Clair County collaboratively developed a strategic plan. This plan included deploying community health workers in FY2024 to manage patients with unmanaged chronic conditions presenting at emergency departments This strategic move was aimed at enhancing the linkage between hospital care and community-based health services ensuring continuous care and support for chronic disease patients in the community setting. St. Elizabeth's hospital worked closely with the St. Clair County Health Department review and prioritize the county's chronic and lifestyle conditions in their 2024 IPLAN review. The hospital provided expert recommendations based on the information uncovered in the hospitals 2024 CHNA. The CHNA identified several significant community health needs; however, not all were selected as priorities for the FY2025-FY2027 implementation cycle. The Hospital focused on needs determined to have the greatest impact based on community input, health disparities, feasibility, and available resources. Other identified needs were not addressed directly due to limited resources or alignment considerations but will continue to be monitored for future planning cycles. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - ST. ELIZABETH'S HOSPITAL. Presumptive eligibility under the Financial Assistance Program may be granted if evidence of a patient's inability to pay for medically necessary services is provided by the patient or through other sources available to HSHS. Once determined, due to the inherent nature of the presumptive circumstances, the only discount that can be granted is a 100% write-off of the account balance. Presumptive eligibility may be determined based on individual circumstances that may include: ALL HOSPITALS (HSHS) AND MEDICAL GROUP: i. Homelessness ii. Deceased with no estate iii. Mental incapacitation with no one to act on patient's behalf iv. Medicaid eligibility, but not on date of service or for non-covered services v. Incarceration in a penal institution vi. Enrollment in the following assistance programs for low-income individuals: - Temporary Assistance for Needy Families (TANF) - Illinois Housing Development Authority's Rental Housing Support Program - Wisconsin Department of Health Services Housing Assistance Program URBAN HOSPITALS - Additional Mandated Categories: Enrollment in one or more of the following programs with criteria at or below 200% of the current Federal Poverty Guidelines: i. Participation in Women, Infants and Children programs (WIC) ii. Supplemental Nutrition Assistance Program (SNAP) eligibility iii. Low Income Home Energy Assistance Program (LIHEAP) iv. Wisconsin Home Energy Assistance Program (WHEAP) v. Enrollment in an organized community-based program providing access to medical care that assesses and documents limited low-income financial status as criteria vi. Receipt of grant assistance for medical services HSHS may use external programs to verification patients' ability to pay (e.g., Search America). If a patient is determined to be unable to pay for their medically necessary services via these external programs, the accounts will be adjusted off to charity. See "Presumptive Eligibility" (above). Patients who were determined to be eligible for the Financial Assistance Program retain eligibility for a period of up to six (6) months from the date of approval. At the end of six (6) months, the patient is responsible for reapplying for eligibility under the Financial Assistance Program. 1 Schedule H, Part I, Line 7g Subsidized Health Services NO COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC ARE INCLUDED ON LINE 7G. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED VARY ACCORDING TO INFORMATION REQUESTED AND THE MOST ACCURATE MEANS OF GATHERING THE REQUIRED INFORMATION. THE IRS PROVIDED WORKSHEET 2 WAS USED TO CALCULATE A COST TO CHARGE RATIO USING INFORMATION FROM THE ORGANIZATION'S GENERAL LEDGER AND COST REPORTS. THAT RATIO WAS THEN USED IN CONJUNCTION WITH IRS WORKSHEET 1 TO CALCULATE THE COST OF FINANCIAL ASSISTANCE PROVIDED AND WORKSHEET 3 TO CALCULATE UNREIMBURSED MEDICAID AMOUNTS. THE COMMUNITY HEALTH IMPROVEMENT AND COMMUNITY BENEFIT PROGRAMS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH PROGRAM, AND DONATIONS ARE STATED AT ACTUAL COST (WHEN APPLICABLE). THE COST OF THESE ITEMS ARE TRACKED THROUGH THE GENERAL LEDGER PROCESS AND THROUGH OTHER ACCOUNTING SOFTWARE. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount FOR FINANCIAL STATEMENT PURPOSES, HOSPITAL SISTERS HEALTH SYSTEM HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote The text of the footnote to the organization's financial statements that describes bad debt expense can be found on pages 16-19 in the HSHS Consolidated Audit Report. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs 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 LEADERSHIP 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. THE IRS DOES NOT CLASSIFY THIS SHORTFALL IN MEDICARE PAYMENTS AS COMMUNITY BENEFIT. HOWEVER, WE BELIEVE IT IS AN IMPORTANT CONTRIBUTION MADE BY THE HOSPITAL TO THE HEALTH AND WELL-BEING OF THE COMMUNITY. IF THE MEDICARE PROGRAM DID NOT EXIST, MANY MEDICARE PATIENTS WOULD BE ELIGIBLE FOR FINANCIAL ASSISTANCE OR OTHER MEANS-TESTED GOVERNMENT PROGRAMS. FURTHER, BY ABSORBING THIS SHORTFALL AND PROVIDING CARE BELOW COST TO THESE INDIVIDUALS, THE HOSPITAL IS RELIEVING THE BURDEN OF THE GOVERNMENT. ACCORDINGLY, THIS SHORTFALL RESTRICTS THE HOSPITAL'S ABILITY TO MAKE FUNDS AVAILABLE TO PROVIDE FOR FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT. THE HOSPITAL'S MEDICARE SHORTFALL AT COST FOR FISCAL YEAR 2025 WAS $31.6M. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance Every effort is made prior to, during and after provision of medical services to determine whether a patient is eligible for charity/community care and to assist the patient in completing the application and provide adequate documentation. If the patient qualified for charity/community care for the full balance of their account, the entire amount is written off to charity/community care and hence no debt collection is pursued. If the patient qualified for charity/community care for a portion of their account balance, that portion is written off to charity/community care, with the patient being responsible for the remainder of the balance. Additionally, reasonable effort will be made to obtain third-party or government payer reimbursement on behalf of the patient. If those efforts are not fruitful, an offer will be extended to the patient to make installment payments on their balance. Only at such point that the patient defaults on installment payments or refuses to cooperate with the hospital's efforts to be reimbursed will the account be sent to collections. The Hospital will make reasonable efforts to determine whether a patient is eligible under the Financial Assistance Policy before engaging in any extraordinary collection action. Once a patient is determined to be eligible for financial assistance, HSHS will not pursue extraordinary collection actions and will take all reasonably available measures to reverse any extraordinary collection action taken to obtain payment for care covered under the Financial Assistance Policy. Any remaining balance will be handled in accordance with the Financial Assistance Policy and standard billing procedures. Certain collection safeguards apply to all patients, while additional protections apply specifically to patients known to qualify for financial assistance. Schedule H, Part V, Section B, Line 16a FAP website - ST. ELIZABETH'S HOSPITAL: Line 16a URL: https://www.hshs.org/patients/billing/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - ST. ELIZABETH'S HOSPITAL: Line 16b URL: https://www.hshs.org/patients/billing/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - ST. ELIZABETH'S HOSPITAL: Line 16c URL: https://www.hshs.org/patients/billing/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment As indicated in Part V, Section C, ST. ELIZABETH'S HOSPITAL conducted a Community Health Needs Assessment in FY2024 (July 1, 2023 through June 30, 2024). In addition to the triennial CHNA process, the hospital continuously reviews updated local and state data, Illinois Comp Data, patient surveys and feedback, and local needs assessments conducted by community groups. Additionally, the hospital receives input from public health officials, community groups and community boards on an ongoing basis. The information received and reviewed is used to inform ongoing strategic initiatives developed to meet CHNA health priorities; as well as new areas of need that are going unmet. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Patients may learn of Financial Assistance Policy (FAP) resources on-line. Materials are presented in English and Spanish, with translation services available in more than 25 languages. Information regarding the Financial Assistance Policy, including a plain language summary, application for financial assistance, and contact information, is available on the hospital's website and may also be requested by patients. Information regarding the availability of financial assistance is also made available to patients during the registration and discharge processes. Financial counselors discuss patients' financial circumstances to help determine eligibility for financial assistance under the hospital's Financial Assistance Policy and for applicable federal, state, or local government programs. The care management team also works with patients to confirm eligibility for financial assistance and applicable government programs and provides resources accordingly. Patients may also receive information regarding financial assistance through billing communications and through discussions with hospital staff, who are available to assist patients with the financial assistance application process and accessing available assistance programs. Schedule H, Part VI, Line 4 Community information HSHS St. Elizabeth's provides services for patients in four counties (St. Clair, Clinton, Madison, and Monroe counties), a total population of more than 600,000 residents. The FY2024 CHNA, however, focused on St. Clair County which has an approximate population of 257,000 which is slightly smaller than Madison County by 8,000 residents. St. Clair County lost approximately 2% of their residents. Clinton and Monroe counties have a population of 37,000 and 35,000 respectively and are considered rural counties. Belleville, the county seat for St. Clair County, has roughly 42,000 residents. St. Clair County is the oldest county in Illinois and its western border is formed by the Mississippi River and comprises 674 square miles and includes urban, suburban and rural areas. As an organization, HSHS St. Elizabeth's does not exclude Medically Underserved Areas (MUAs), low income or minority populations from its service area. Although the population is aging, the average age is 39.7 years old. The population consists mostly of white (64.2%) and African American (30.8%). The Hispanic and Latino population makes up 4.7%. Native American group grew by 50%, however, overall the makeup is only 0.6% of the population. Along with the aging population comes increased health care costs. Chronic disease studies show that the health of the aging population can be maintained, and chronic disease reduced by promoting healthy behaviors and expanding preventive health services. The average income is $63,017 in St. Clair county. St. Clair county also suffers from a high rate of poverty with 13.3% living below the federal poverty line. Of the four counties included in the St. Elizabeth's service area, all have a lower uninsured rate than the state. However, St. Clair County has a higher rate of uninsured children, a lower percentage of privately insured residents and a higher rate of publicly insured residents when compared to the state rate. In St. Clair county 7% of the population is uninsured. Four hospitals serve the local community; one hospital in Belleville, the county seat for St. Clair County, has a satellite hospital in the community where St. Elizabeth's resides. In 2017 St. Elizabeth's built and moved into its replacement hospital in O'Fallon to meet and address the needs of the larger community and provide a higher level of care with the support of advanced technology. The aging facility in Belleville could no longer meet the needs of the area. A Federally Qualified Health Care Facility also serves Southern Illinois and has a hospital with mental health services in the East St. Louis area. Schedule H, Part VI, Line 5 Promotion of community health As a healing ministry of the Catholic Church and an affiliate of Hospital Sisters Health System (HSHS), HSHS St. Elizabeth's Hospital is committed to delivering high quality, compassionate, and cost-effective health care services to all. Founded in 1875 the hospital brings a healing presence and improves the health of our community, especially those persons who are sick, poor, and disadvantaged. Because of the hospital's mission and heritage, the hospital is dedicated to promoting the health of St. Clair County and surrounding areas. The hospital is governed by a Board of Directors, most of whom reside in the hospital's primary service area and who are neither employees nor independent contractors of the hospital (nor family members thereof). The Board ensures that HSHS St. Elizabeth's is responding to community need. Consistent with its exempt purpose, HSHS St. Elizabeth's has an open medical staff with privileges available to all qualified physicians in the area. The hospital also operates an emergency department that is open 24 hours to all persons regardless of their ability to pay. As a not-for-profit hospital, HSHS St. Elizabeth's reinvests surplus funds to support the mission of the organization and promote the health of the community rather than distributing surplus funds as profits to shareholders or individuals. Funds not committed to ongoing operations are generally used to upgrade facilities, secure new technologies, improve patient care, and support initiatives designed to promote health and ensure access for all. HSHS St. Elizabeth's is a strong supporter of education and provides mentoring to individuals in the clinical disciplines as well those outside of the clinical setting. In conjunction with St. Louis University, Southern Illinois Health Foundation (FQHC), and Scott Air Force Base, the hospital supports a three-year Family Practice Residency. Other disciplines that receive on site education and mentoring include nursing, pharmacy, pharmacy informatics, respiratory, radiology, occupational, physical, and speech therapies, and phlebotomy. Nonclinical education includes administrative secretary, medical records, and Master of Health Administration. HSHS St. Elizabeth's is a community leader for emergency management. The EMS coordinator is on the Advisory Council for two counties and is a certified National Incident Management System (NIMS) and Incident Command Structure (ICS) instructor. He trains St. Elizabeth's colleagues and provides NIMS training to the community. It is his involvement in the Local Emergency Planning Committees (LEPC) that integrates and prepares St. Elizabeth's to respond effectively in a disaster. For example, St. Elizabeth's participated in an active shooter exercise with many community partners. St. Elizabeth's colleagues served as evaluator and as a controller. HSHS St. Elizabeth's gained knowledge and expertise with these exercises and developed relationships with other agencies. To ensure the community receives cardiac standard of care, HSHS St. Elizabeth's educates community physicians, Scott Air Force Base medical personnel, and community members on a variety of American Heart association classes such as Hands-Only CPR, Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), and Neonatal resuscitation (NRP) courses. HSHS St. Elizabeth's routinely makes cash and in-kind donations to various social and educational agencies. For example, conference room space is donated to a variety of organizations that are aligned with our mission and principles. An example of such space includes providing meeting space for support groups such as blood drives and housing the county morgue. HSHS St. Elizabeth's continues to provide space for the Pregnancy Care Center that offers free services to mothers and babies. The hospital provides flu vaccines to members in the community who are homeless or who are served by the soup kitchen. Hearing screens are offered to children in underserved areas. HSHS St. Elizabeth's provides the medical oversight for local emergency services. HSHS St. Elizabeth's also devotes significant resources to access for patients who cannot afford care, along with other Community Benefits. In FY 2025, HSHS St. Elizabeth's provided $17,197,400 in Community Benefits, including financial assistance at cost, unpaid cost of Medicaid and other public programs, and a range of diverse programs designed to enhance access and improve community health. HSHS St. Elizabeth's Hospital provides a range of Community Benefit initiatives and programs that further our mission and long-standing commitment to our community. In many cases, these Community Benefits would not exist without the leadership role played by HSHS St. Elizabeth's and they often relieve a burden that would otherwise be carried by government. Schedule H, Part VI, Line 6 Affiliated health care system HEADQUARTERED IN SPRINGFIELD, ILLINOIS, HOSPITAL SISTERS HEALTH SYSTEM (HSHS) IS A HIGHLY INTEGRATED, MULTI-INSTITUTIONAL HEALTH CARE SYSTEM COMPRISED OF 13 HOSPITALS AND MORE THAN 200 PHYSICIAN PRACTICE SITES IN ILLINOIS AND WISCONSIN. HSHS IS SPONSORED BY HOSPITAL SISTERS MINISTRIES (HSM), WHICH IS A PUBLIC JURIDIC PERSON OF THE ROMAN CATHOLIC CHURCH. HSHS CONTINUES THE HEALTH CARE MINISTRIES BEGUN BY ITS FOUNDERS, THE HOSPITAL SISTERS OF ST. FRANCIS, MORE THAN 150 YEARS AGO, IN RURAL AND MIDSIZED COMMUNITIES THROUGHOUT ILLINOIS AND WISCONSIN. HSHS PROVIDES COMPASSIONATE, HOLISTIC, HIGH QUALITY, AND COST-EFFECTIVE HEALTH CARE THROUGH ITS ACUTE CARE HOSPITALS, PHYSICIAN PRACTICES, HOME HEALTH PROGRAMS, PALLIATIVE AND HOSPICE PROGRAMS, AND COMMUNITY OUTREACH SERVICES. IN ADDITION, HSHS AFFILIATED HOSPITALS INCLUDE CRITICAL ACCESS FACILITIES THAT OFFER ESSENTIAL HEALTH SERVICES THAT OTHERWISE WOULD NOT BE AVAILABLE IN MANY COMMUNITIES. OUR MISSION CALLS US TO REVEAL AND EMBODY CHRIST'S HEALING LOVE FOR ALL PEOPLE, AND WE EXTEND OUR HIGH QUALITY FRANCISCAN HEALTH CARE MINISTRY BEYOND THE WALLS OF OUR HOSPITALS BY PROVIDING COMMUNITY HEALTH IMPROVEMENT SERVICES WITH SPECIAL EMPHASIS ON THE POOR AND VULNERABLE. IN ADDITION TO PROVIDING COMMUNITY HEALTH IMPROVEMENT SERVICES TO THE BROADER COMMUNITY, HSHS CARES FOR EVERYONE WHO COMES TO ITS FACILITIES, REGARDLESS OF THEIR ABILITY TO PAY. IN TANDEM WITH A VARIETY OF CROSS SECTOR COMMUNITY PARTNERS, HSHS'S COMMUNITY BENEFIT INITIATIVES ARE STRATEGICALLY PLANNED AND PROFESSIONALLY IMPLEMENTED TO IMPROVE ACCESS TO HEALTH CARE SERVICES; ENHANCE THE HEALTH OF THE COMMUNITY; ADVANCE MEDICAL OR GENERAL HEALTH CARE KNOWLEDGE; AND RELIEVE OR REDUCE THE BURDEN OF GOVERNMENT TO IMPROVE HEALTH. IN FY2025, HSHS COLLECTIVELY PROVIDED $211.9 MILLION IN COMMUNITY BENEFIT (8.39% OF TOTAL HOSPITAL EXPENSES). OF THE TOTAL COMMUNITY BENEFIT PROVIDED, HSHS PROVIDED $4.4 MILLION FOR FINANCIAL ASSISTANCE (AKA CHARITY CARE) AND $119.2 MILLION FOR UNREIMBURSED CARE PROVIDED AS PART OF THE MEDICAID PROGRAM. IN ADDITION, HSHS HOSPITALS COMMITTED SIGNIFICANT RESOURCES TO TREAT MEDICARE PATIENTS. THE COST OF PROVIDING SERVICES TO PRIMARILY ELDERLY BENEFICIARIES OF THE MEDICARE PROGRAM - IN EXCESS OF GOVERNMENTAL AND MANAGED CARE CONTRACT PAYMENTS - WAS $294.9 MILLION. HSHS HOSPITALS ALSO RECORDED $90.8 MILLION IN UNCOLLECTIBLE ACCOUNTS. WHILE HSHS DOES NOT COUNT THE LATTER TWO AMOUNTS AS COMMUNITY BENEFIT, THEY NONETHELESS REFLECT OUR COMMITMENT TO SERVING ALL PERSONS IN NEED OF CARE. IN ADDITION TO THE DOLLARS INVESTED IN OUR COMMUNITY BENEFIT PROGRAMS, HSHS CONTINUES TO REINVEST ANY SURPLUS REVENUE FROM OPERATIONS AND INVESTMENTS INTO NEW MEDICAL TECHNOLOGY, FACILITY INFRASTRUCTURE AND HEALTH CARE SERVICES IN OUR COMMUNITIES. BY DOING SO, WE ENSURE OUR ABILITY TO MEET THE ONGOING DEMAND FOR HIGH QUALITY, EFFICIENT AND EASILY ACCESSIBLE HEALTH CARE. Schedule H, Part VI, Line 7 State filing of community benefit report IL true HOSPITAL SISTERS MISSION OUTREACH 4930 LAVERNA RD SPRINGFIELD IL 62707 352271729 501(c)(3) 121862 FMV Donation of beds, furniture, medical equipment & supplies general support AMERICAN CANCER SOCIETY 675 E LINTON AVE SPRINGFIELD IL 62703 131788491 501(c)(3) 6250 general support 2 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds THE ORGANIZATION USES A COMMUNITY HEALTH SCORING MATRIX TO ASSESS SPONSORSHIP REQUESTS FROM 501(C)(3) ORGANIZATIONS, ENSURING ALIGNMENT WITH ETHICAL AND RELIGIOUS DIRECTIVES AND THE HSHS MISSION. PROGRAMS ARE EVALUATED BASED ON FACTORS LIKE HEALTH RELEVANCE, COLLECTIVE IMPACT, SUPPORT FOR VULNERABLE POPULATIONS, AND ALIGNMENT WITH CHNA AND COMMUNITY BENEFIT PRIORITIES. BUDGET CONSIDERATIONS ALSO FACTOR INTO SCORING, WITH PREFERENCE GIVEN TO BUDGETED EXPENSES. FUNDING DECISIONS - APPROVAL, DISCUSSION, OR DECLINATION - ARE BASED ON TOTAL SCORES, ENSURING RESOURCES ARE DIRECTED TOWARD INITIATIVES WITH MEANINGFUL COMMUNITY IMPACT. X X X X X false true false false false false false false false CHRIS KLAY PRESIDENT/CEO 294902 147451 0 0 14087 7043 48247 24123 20559 10279 377795 188896 13231 6616 TODD Smart Former Treasurer 0 106706 0 9754 0 516 0 0 0 15590 0 132566 0 0 PATRICIA ALLEN CFO - CARE DELIVERY (until 4/30/25) 0 531646 0 4240 0 23350 0 63815 0 26107 0 649158 0 21130 Michael Scialdone Treasurer / HSHS SVP & CFO 0 727132 0 5000 0 48180 0 112411 0 20224 0 912947 0 0 Paige Toth Secretary 0 290612 0 2380 0 545 0 42494 0 32673 0 368704 0 0 REGINA PETERSON Chief Nursing Officer 239426 0 6615 0 25 0 19686 0 1005 0 266757 0 0 0 Casandra Elaine Roy APRN 210524 0 10972 0 0 0 11456 0 23098 0 256050 0 0 0 Julia K Schimmelpfennig Manager-Pharmacy 201525 0 1842 0 0 0 14239 0 998 0 218604 0 0 0 Keith Allan Spier Registered Nurse 201943 0 4598 0 1503 0 10635 0 20174 0 238853 0 0 0 Linda Sutterer Registered Nurse 233068 0 39909 0 2516 0 22049 0 606 0 298148 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation PLEASE SEE RESPONSE TO FORM 990, PART VI, LINE 15A IN SCHEDULE O. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan HSHS EXECUTIVES ELIGIBLE TO PARTICIPATE IN SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) ARE DEFINED IN THE SERP PLAN DOCUMENTS. THE SERP WAS ESTABLISHED TO PROVIDE ADDITIONAL RETIREMENT BENEFITS TO ENSURE REASONABLE MARKET COMPETITIVE BENEFITS IN ACCORDANCE WITH THE HSHS EXECUTIVE COMPENSATION PHILOSOPHY ESTABLISHED BY THE HSHS COMPENSATION COMMITTEE. THE PLAN PROVIDES A DEFINED RETIREMENT CONTRIBUTION TO PARTICIPANTS COMMENCING ON JANUARY 1, 2008, EQUAL TO A PERCENTAGE OF COMPENSATION AS DEFINED IN THE SERP PLAN DOCUENTS FOR THE PLAN YEAR. PARTICIPANTS CONSTRUCTIVELY RECEIVE A DISTRIBUTION FROM THE PLAN NO LATER THAN MARCH 15TH OF THE CALENDAR YEAR FOLLOWING THE CALENDAR YEAR IN WHICH AN AMOUNT IS VESTED AND TAXABLE PURSUANT TO A VESTING SCHEDULE AS SPECIFIED IN THE PLAN DOCUMENT. THE ACTUAL DISTRIBUTION OF THE VESTED BENEFIT UNDER THE PLAN IS PAID IN A SINGLE LUMP SUM TO THE PARTICIPANT OR THE PARTICIPANT'S BENEFICIARY UPON THE EARLIER OF THE PARTICIPANT'S TERMINATION OF EMPLOYMENT, DEATH, OR TOTAL AND PERMANENT DISABILITY. THE FOLLOWING INTERESTED PERSONS CONSTRUCTIVELY RECEIVED DEFERRALS TO THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2024. THESE DEFERRALS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). PATRICIA ALLEN - $43,115 CHRIS KLAY - $44,770 MICHAEL SCIALDONE - $87,924 PAIGE TOTH - $24,201 THE FOLLOWING INTERESTED PERSONS RECEIVED DISTRIBUTIONS FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2024. THESE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III) AND SCHEDULE J, PART II, COLUMN (F), AS APPLICABLE. PATRICIA ALLEN - $21,130 CHRIS KLAY - $19,847 Form 990, Part III, Line 1 ORGANIZATION'S MISSION THE MISSION OF HSHS ST. ELIZABETH'S HOSPITAL IS TO REVEAL AND EMBODY CHRIST'S HEALING LOVE FOR ALL PEOPLE THROUGH OUR HIGH QUALITY FRANCISCAN HEALTH CARE MINISTRY. IN THE PERFORMANCE OF ITS MISSION, HSHS ST. ELIZABETH'S HOSPITAL WILL FOSTER THE VALUES OF RESPECT, CARE, COMPETENCE AND JOY. RESPECT IS THE FRANCISCAN RESPECT FOR LIFE FROM CONCEPTION TO DEATH AND FOR THE DIGNITY OF EACH INDIVIDUAL PERSON. IT IS A COMMITMENT TO FREEING AND EMPOWERING EACH PERSON TO DEVELOP TO HIS OR FULL POTENTIAL. CARE EMBODIES THE CONCERN, COMPASSION, AND SENSITIVITY WITH WHICH WE CARE FOR PATIENTS, CLIENTS, EMPLOYEES AND CO-WORKERS. MANY TIMES IT IS THOUGHT OF AS BEDSIDE BEHAVIOR, BUT IT BELONGS IN BUSINESS OFFICES, CAFETERIAS AND BOARDROOMS. COMPETENCE MEANS THAT OUR WORK IS PERFORMED AND ST. ELIZABETH'S IS MANAGED WITH THE HIGHEST LEVEL OF SKILL AND ABILITY. WE ARE COMMITTED TO RECRUITING AND DEVELOPING PEOPLE WHO ARE COMPETENT IN THEIR WORK AND WHOSE VALUES REFLECT OUR OWN. OUR VALUES ARE AN INTEGRAL PART OF OUR SYSTEM'S STRATEGIC PLAN, WHICH PROVIDES THE OVERALL FRAMEWORK FOR LOCAL ACTIVITIES. JOY IS THE MANNER IN WHICH OUR EMPLOYEES AND ALL WHO JOIN US IN OUR MINISTRY SEEK TO PERFORM THEIR WORK -- THE PERSONAL FULFILLMENT OF CARING FOR OTHERS. IT IS AN ESSENTIAL INGREDIENT IN BRINGING A SENSE OF HOPE TO THOSE WHO SUFFER. Form 990, Part III, Line 4a-4c Description of program services (Expenses $ 66,412,886 including grants of $ 139,304)(Revenue $ 151,076,003) HSHS St. Elizabeth's Hospital provides a full continuum of care for both inpatients and outpatients, guided by our mission to reveal and embody Christ's healing love for all people through our high-quality Franciscan health care ministry. Our accredited programs consistently demonstrate excellent outcomes that benefit patients, families, and the community. We remain committed to delivering exceptional care to every person, regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Opened in November 2017, our modern hospital and medical office building reflect this mission by combining advanced technologies with compassionate, skilled caregivers in a comfortable and healing environment. Designed with efficiency and patient-centered care in mind, the facility features 144 private patient rooms and clinical areas that allow nurses more time at the bedside. Deluxe amenities in our Women and Infants Center further enhance the patient experience. St. Elizabeth's offers state-of-the-art services across a wide range of specialties, including surgery, medical imaging, laboratory, physical therapy, and emergency medicine. We proudly partner with leading providers such as HSHS Medical Group, Prairie Heart & Vascular Institute, SSM Health Cardinal Glennon, Vituity, and the SLU Family Medicine Residency Program to bring high-quality care close to home. In addition to the main hospital, St. Elizabeth's serves the community through several convenient outpatient locations. The Belleville Health Center at 180 S. Third Street in downtown Belleville offers physical and occupational therapy, x-ray and 3D mammography, a walk-in clinic, and physician offices. Outpatient physical therapy services are also available at our Mascoutah location (739 N. Jefferson St., Mascoutah, IL 62258) and our Edwardsville location (1188 S. State Route 157, Suite 100, Edwardsville, IL 62025). The St. Elizabeth's Medical Office Building at 1512 N. Green Mount Road in O'Fallon further expands access by providing MRI, CT, x-ray, mammography, and Convenient Care services. Today, HSHS St. Elizabeth's Hospital staffs 144 inpatient beds and employs more than 1,175 colleagues dedicated to safe, high-quality care. In Fiscal Year 2025, the hospital recorded 10,386 inpatient admissions and 213,392 total outpatient visits. Form 990, Part IV, Line 24a TAX EXEMPT BONDS HSHS ST. ELIZABETH'S HOSPITAL 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. Form 990, Part IV, Line 10 Endowment Funds THE ORGANIZATION MAINTAINS NET ASSETS WITH DONOR RESTRICTIONS AND WITHOUT DONOR RESTRICTIONS ON ITS BALANCE SHEET. SUCH FUNDS ARE HELD BY HOSPITAL SISTERS OF ST. FRANCIS FOUNDATION, INC., A RELATED TAX-EXEMPT ORGANIZATION. WHILE THESE FUNDS ARE HELD TO FURTHER ONE OR MORE EXEMPT PURPOSES OF THE FILING ORGANIZATION, THEY ARE NOT MAINTAINED EXCLUSIVELY FOR THE FILING ORGANIZATION. THE BOARD OF DIRECTORS OF HOSPITAL SISTERS OF ST. FRANCIS FOUNDATION, INC. MAINTAINS OWNERSHIP AND ULTIMATELY AUTHORITY AND DISCRETION OVER THE USE OF THESE FUNDS. BASED ON THE ABOVE, THE RELATED AMOUNTS HAVE NOT BEEN REPORTED AS ENDOWMENT FUNDS ON PART V OF SCHEDULE D. Form 990, Part V, Line 1a NUMBER REPORTED IN BOX 3 OF FORM 1096 THE FORM 1096, ANNUAL SUMMARY AND TRANSMITTAL OF U.S. INFORMATION RETURN IS FILED BY THE ORGANIZATION'S PARENT, HOSPITAL SISTERS HEALTH SYSTEM (HSHS) ON THE ORGANIZATION'S BEHALF TO TRANSMIT TO THE IRS FORMS 1099, 1098, 5498, AND W-2G. THE ORGANIZATION IS UNABLE TO DETERMINE THE NUMBER OF FORMS 1099, 1098, 5498 AND W-2G FILED BY HSHS, ON THEIR BEHALF. HOWEVER, AS THE PARENT ORGANIZATION, HSHS ENSURES THAT THE FILING ORGANIZATION COMPLIES WITH ALL INFORMATION RETURN REPORTING REQUIREMENTS AND BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS AND REPORTABLE GAMING WINNINGS TO PRIZE WINNERS, AS APPLICABLE. ACCORDINGLY, THE NUMBER REPORTED ON FORM 990, PART V, LINE 1A REFLECTS THE NUMBER REPORTED IN BOX 3, OF FORM 1096 FOR HSHS, THE PARENT ORGANIZATION. Form 990, Part VI, Line 13 WHISTLEBLOWER POLICY PROVISIONS WITHIN THE CORPORATE COMPLIANCE PROGRAM AND CONFLICT OF INTEREST POLICY PROVIDE PROTECTIONS FOR WHISTLEBLOWER TYPE ACTIVITIES. Form 990, Part VI, Line 16b JOINT VENTURES HOSPITAL SISTERS HEALTH SYSTEM ADOPTED A JOINT VENTURE COMPLIANCE PROGRAM POLICY EFFECTIVE ON JANUARY 1, 2012 FOR ALL SYSTEM HOSPITALS. THE OVERALL PURPOSE OF THE POLICY IS TO PROVIDE PRACTICAL GUIDELINES FOR ETHICAL BUSINESS CONDUCT, TO ACHIEVE COMPLIANCE, AND TO DETECT AND PREVENT VIOLATIONS OF APPLICABLE LAWS. THE POLICY REQUIRES ALL HSHS HOSPITALS TO EVALUATE THEIR PARTICIPATION IN JOINT VENTURE ARRANGEMENTS, INCLUDING UNDER APPLICABLE FEDERAL TAX LAWS, AND TO SAFEGUARD the HOSPITAL'S TAX EXEMPT STATUS WITH RESPECT TO ANY JOINT VENTURE ARRANGEMENTS. Form 990, Part VI, Line 1a Delegate broad authority to a committee PER ARTICLE 5.5 OF THE ORGANIZATION'S BY-LAWS, THE GOVERNING BODY DELEGATES BROAD AUTHORITY TO AN EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL BE VESTED WITH AND MAY IN ITS DISCRETION EXERCISE THE FULL POWERS, DUTIES, RESPONSIBILITIES, AND AUTHORITY OF THE BOARD EXCEPT WHERE PROHIBITED BY LAW AND SUBJECT TO ANY LIMITATIONS IMPOSED BY THE BYLAWS OR THE BOARD OF DIRECTORS. AS PROVIDED IN THE BY-LAWS, THE EXECUTIVE COMMITTEE SHALL CONSIST OF FOUR TO SIX MEMBERS, INCLUDING THE CHAIRPERSON OF THE BOARD, THE VICE CHAIRPERSON, THE PRESIDENT AND OTHER MEMBERS SELECTED FROM AMONG THE DIRECTORS BY THE BOARD. Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE CORPORATE MEMBER OF HSHS ST. ELIZABETH'S HOSPITAL (THE CORPORATION) IS HOSPITAL SISTERS SERVICES, INC. ("HSSI"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body PURSUANT TO SECTION 2.3 OF THE CORPORATION'S BYLAWS, THE ORGANIZATION'S MEMBER, HOSPITAL SISTERS SERVICES, INC. ("HSSI"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, HAS THE RIGHT TO APPOINT AND REMOVE THE CORPORATION'S BOARD OF DIRECTORS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders RESPONSIBILITY FOR THE POLICY AND OPERATIONS OF HSHS ST. ELIZABETH'S HOSPITAL (THE "CORPORATION") IS VESTED IN ITS BOARD OF DIRECTORS, EXCEPT WITH RESPECT TO SPECIFIC POWERS RESERVED IN THE CORPORATION'S BYLAWS TO THE CORPORATION'S MEMBER, HOSPITAL SISTERS SERVICES, INC. ("HSSI"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE MEMBER OF HSSI IS HOSPITAL SISTERS HEALTH SYSTEM ("HSHS"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. The governance and operations of the Corporation shall be subject in all respects to the Member's right to exercise the reserved powers set forth in this section (the "Reserved Powers") with respect to the Corporation and organizations of which the Corporation is either, directly or indirectly, a controlling member or controlling shareholder (the "Affiliates"). The Member shall have the exclusive right to exercise the Reserved Powers, and the Board of Directors of the Corporation shall have no power or authority over the Corporation which would in any way conflict with the Member's exclusive right to exercise the Reserved Powers. The Reserved Powers shall include all rights granted to the Member of a not-for-profit corporation 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 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, and the 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 the Member; (g) Approve debt incurred by the Corporation or any Affiliate in an amount in excess of limits set from time to time by the Member; (h) Approve the operating and capital budgets of the Corporation or of any Affiliate, and any deviations by the Corporation or any Affiliate from such budgets in an amount or percentage specified by the Member from time to time; (i) Approve the strategic plan and annual goals of the Corporation or of any Affiliate; (j) Approve the sale of substantially all of the assets of the Corporation or of any Affiliate; (k) Approve the merger or dissolution of the Corporation or of any Affiliate; (l) Adopt or amend the plan for ministry education and governance for the Corporation and its Affiliates; (m) Approve the Corporation's Mission Accountability Reports and those of any Affiliate; (n) 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; (o) Approve material actions with respect to employee retirement plans sponsored by the Corporation or any Affiliate; and (p) Adopt policies to implement the Reserved Powers of the Member. Form 990, Part VI, Line 11b Review of form 990 by governing body THE HOSPITAL EMPLOYS CROWE LLP TO ASSIST IN THE OVERALL REVIEW AND ELECTRONIC SUBMISSION OF ITS FORM 990. CROWE, LLP 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. Form 990, Part VI, Line 12c Conflict of interest policy 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 ORGANIZATION'S CONFLICT OF INTEREST POLICY, ALL COVERED PERSONS HAVE A DUTY TO COMPLY WITH THE CONFLICT OF INTEREST POLICY FOR ANY CONTRACT, TRANSACTION, RELATIONSHIP, OR ACTIVITY CONTEMPLATED, ENTERED INTO, OR CONDUCTED AT HSHS OR ITS AFFILIATES. THE POLICY DEFINES COVERED PERSONS AS BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS, BOARD DESIGNEES, SENIOR MANAGEMENT, MEMBERS OF ANY COMMITTEE THAT OVERSEES THE APPROVAL OF PHARMACEUTICALS AND MEDICAL DEVICES, AND ANY OTHER INDIVIDUAL WHO HOLDS A POSITION OF TRUST. ON AN ANNUAL BASIS, HSHS DISCLOSES A COPY OF THE CONFLICT OF INTEREST POLICY (AND ALL CORRESPONDING PROCEDURES, GUIDELINES, FORMS, AND TOOLS) TO ALL COVERED PERSONS AND ADVISES ALL COVERED PERSONS IN WRITING OF ANY SUBSTANTIVE CHANGES TO THIS POLICY AND SUCH RELATED MATERIALS. COVERED PERSONS ARE REQUIRED TO REVIEW AND COMPLETE THE CORRESPONDING CONFLICT OF INTEREST STATEMENT. THE SYSTEM OFFICE VICE PRESIDENT - SYSTEM RESPONSIBILITY, VICE PRESIDENT - RISK & COMPLIANCE, OR MEMBERS OF THE AUDIT AND INTEGRITY COMMITTEE ("COMMITTEE") ARE AVAILABLE TO ANSWER ANY QUESTIONS A COVERED PERSON MAY HAVE. IN ADDITION, IF, AT ANY TIME AFTER SUBMITTING AN ANNUAL CONFLICT OF INTEREST STATEMENT, A COVERED PERSON BECOMES AWARE OF AN INTEREST THAT HE OR SHE WOULD HAVE HAD TO DISCLOSE AT THE ANNUAL INTERVAL, THE COVERED PERSON IS REQUIRED PROMPTLY TO DISCLOSE THE INTEREST TO THE COMMITTEE USING THE HSHS CONFLICT OF INTEREST DISCLOSURE STATEMENT. COMPLETED CONFLICT OF INTEREST STATEMENTS ARE SUBMITTED TO THE COMMITTEE, WHICH IS RESPONSIBLE FOR IDENTIFYING, ASSESSING, AND MANAGING CONFLICTS OF INTEREST THAT ARISE IN THE COURSE OF CONDUCTING THE AFFAIRS OF HSHS AND ITS AFFILIATES. IF THE COMMITTEE DETERMINES THAT A CONFLICT OF INTEREST EXISTS, THE CONFLICT OF INTEREST POLICY REQUIRES HSHS NOT TO ENGAGE IN, OR ENTER INTO A PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY UNLESS THE COMMITTEE OR, WHERE NECESSARY, THE BOARD OF DIRECTORS (ACTING THROUGH ITS DISINTERESTED MEMBERS), HAS INVESTIGATED ALTERNATIVES TO THE PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY AND, IN THE ABSENCE OF ALTERNATIVES THAT ARE IN THE BEST INTERESTS OF HSHS, HAS DETERMINED: 1. THAT, REGARDLESS OF WHETHER THE COVERED PERSON PARTICIPATES IN THE IMPLEMENTATION OF THE PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY; 2. THE CONTRACT, TRANSACTION, ARRANGEMENT, OR ACTIVITY IS IN THE BEST INTERESTS OF HSHS; 3. THE CONTRACT, TRANSACTION, ARRANGEMENT, OR ACTIVITY IS FAIR AND REASONABLE FROM THE PERSPECTIVE OF HSHS; AND 4. HSHS CANNOT OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION, ARRANGEMENT, OR ACTIVITY WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. IN DETERMINING WHETHER A CONTRACT, TRANSACTION OR ARRANGEMENT IS FAIR AND REASONABLE TO HSHS, THE COMMITTEE SHALL CONSIDER, WHERE APPLICABLE: 1. APPRAISALS OR OTHER INDEPENDENT VALUATIONS OF THE FAIR MARKET VALUE OF THE CONTRACT, TRANSACTION, OR ARRANGEMENT; 2. INFORMATION REGARDING COMPARABLE CONTRACTS, TRANSACTIONS, OR ARRANGEMENTS BETWEEN UNRELATED PARTIES; 3. OFFERS FROM COMPARABLE COMPETING ENTITIES; AND/OR 4. STUDIES OF COMPARABLE COMPENSATION ARRANGEMENTS. IN ANY CASE IN WHICH THE COMMITTEE FINDS, AFTER TAKING THE STEPS DESCRIBED ABOVE, THAT HSHS SHOULD PARTICIPATE IN A PROPOSED TRANSACTION OR ARRANGEMENT DESPITE THE EXISTENCE OF A CONFLICT OF INTEREST, THE COMMITTEE SHALL DEVELOP, IMPLEMENT, MONITOR, AND ENFORCE COMPLIANCE WITH A CONFLICT MANAGEMENT PLAN FOR MANAGING THE CONFLICT OF INTEREST AS IT CONSIDERS NECESSARY FOR SUCH FINDINGS TO REMAIN VALID THROUGHOUT THE LIFE OF THE CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY. ALL CONFLICT MANAGEMENT PLANS SHALL: 1. STATE THAT THE COMMITTEE WILL OVERSEE, MONITOR, AND ENFORCE COMPLIANCE WITH THE PLAN THROUGHOUT THE COURSE OF THE STUDY AND SPECIFY MEANS FOR DOING SO, INCLUDING, WITHOUT LIMITATION, THAT THE APPROPRIATE INDIVIDUALS MUST PROVIDE THE COMMITTEE WITH WRITTEN REPORTS PERTAINING TO COMPLIANCE WITH THE CONFLICT MANAGEMENT PLAN, THAT THE COMMITTEE SHALL HAVE THE RIGHT TO AUDIT THE STUDY FOR SUCH COMPLIANCE AND THE RIGHT TO IMPOSE SANCTIONS FOR NON-COMPLIANCE; 2. STATE THAT THE PLAN MUST BE SHARED WITH COVERED PERSON WHOSE INTERESTS IT WAS DEVELOPED TO MANAGE; 3. STATE THAT THE PLAN MUST BE SHARED WITH, AND PERIODIC REPORTS ON COMPLIANCE WITH THE PLAN MUST BE PROVIDED TO, THE BOARD, SENIOR MANAGEMENT, AND/OR GOVERNMENT AGENCIES; AND 4. PROVIDE FOR SUCH OTHER MANAGEMENT STEPS AND MECHANISMS THE COMMITTEE CONSIDERS NECESSARY AND APPROPRIATE. IN ADDITION TO THE COMMITTEE, THE SYSTEM OFFICE VICE PRESIDENTS OF SYSTEM RESPONSIBILITY AND RISK & COMPLIANCE MAY RETAIN SUCH INDEPENDENT ADVISORS OR EXPERTS AS DEEMED NECESSARY TO ASSIST IN MAKING ITS DETERMINATIONS AND DECISIONS. IF THE COMMITTEE DETERMINES THAT THE CONTEMPLATED TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY CANNOT PROCEED DUE TO A CONFLICT OF INTEREST, THE COMMITTEE SHALL INFORM THE APPLICABLE COVERED PERSON OR DECISION-MAKING BODY OF SUCH DETERMINATION WITHIN ONE WEEK OF THE COMMITTEE MEETING AT WHICH THE CONTEMPLATED TRANSACTION WAS DISCUSSED. THE COMMITTEE SHALL DOCUMENT ITS REJECTION OF THE CONTEMPLATED TRANSACTION IN THE COMMITTEE'S MEETING MINUTES. Form 990, Part VI, Line 15a Process to establish compensation of top management official 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 HSHS EXECUTIVES. SULLIVAN COTTER, 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 HSHS executives. SULLIVAN COTTER 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. 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. Form 990, Part VI, Line 15b Process to establish compensation of other employees PLEASE SEE RESPONSE TO FORM 990, PART VI, LINE 15A. Form 990, Part VI, Line 19 Required documents available to the public 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. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Finance charges - Total Revenue: 12869, Related or Exempt Function Revenue: 12869, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Miscellaneous - Total Revenue: 8962, Related or Exempt Function Revenue: 8962, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Professional Fees - Total Expense: 24629398, Program Service Expense: 14744017, Management and General Expenses: 9885381, Fundraising Expenses: ; Outside Purchase Services - Total Expense: 22613475, Program Service Expense: 20344681, Management and General Expenses: 2268794, Fundraising Expenses: ; Other Fees for Services - Total Expense: 7104782, Program Service Expense: 7104782, Management and General Expenses: , Fundraising Expenses: ; Form 990, Part X, Line 11 POOLED INVESTMENT ACCOUNT THE ORGANIZATION'S CASH RESERVES ARE INVESTED IN A POOLED INVESTMENT ACCOUNT MAINTAINED BY HOSPITAL SISTERS HEALTH SYSTEM ("HSHS"). PARTICIPATION IN THE POOLED INVESTMENT FUND IS LIMITED TO THE 501(C)(3) HOSPITALS AND RELATED HEALTH SERVICES ORGANIZATIONS SPONSORED BY THE HOSPITAL SISTERS HEALTH SYSTEM. THE POOLED ACCOUNT CONSISTS OF CASH, EQUITY AND DEBT SECURITIES THAT ARE PUBLICLY TRADED. IN ACCORDANCE WITH THE PROVISIONS OF STATEMENT OF FINANCIAL ACCOUNTING STANDARDS ("SFAS") NO. 124, "ACCOUNTING FOR CERTAIN INVESTMENTS HELD BY NOT-FOR-PROFIT ORGANIZATIONS", INVESTMENTS IN EQUITY SECURITIES WITH READILY DETERMINABLE FAIR 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. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Affiliate Transfer - -35463912; Recognition of Change in Pension Funded Status - -908016; Change in Fair Value Interest Rate Swaps - -128924; Total - -36500852; HOSPITAL SISTERS HEALTH SYSTEM 4936 LAVERNA ROAD SPRINGFIELD IL 62707 371058692 HEALTHCARE IL 501(c)(3) Type III-FI NA false HOSPITAL SISTERS HEALTHCARE-WEST INC 2661 COUNTY HIGHWAY 1 CHIPPEWA FALLS WI 54729 510157933 HEALTHCARE WI 501(c)(3) Type I HSSI true HOSPITAL SISTERS MISSION OUTREACH CORPORATION 4849 LAVERNA ROAD SPRINGFIELD IL 62707 352271729 RECYCLING MEDICAL SUPPLIES IL 501(c)(3) HSHS true HOSPITAL SISTERS OF ST FRANCIS FOUNDATION INC 4936 LAVERNA ROAD SPRINGFIELD IL 62707 371186514 HEALTHCARE IL 501(c)(3) 7 HSHS true HOSPITAL SISTERS SERVICES INC 4936 LAVERNA ROAD SPRINGFIELD IL 62707 371163402 HEALTHCARE IL 501(c)(3) Type III-FI HSHS true HSHS GOOD SHEPHERD HOSPITAL INC 200 SOUTH CEDAR STREET SHELBYVILLE IL 62565 370512290 HEALTHCARE IL 501(c)(3) 3 HSSI true HSHS HOLY FAMILY HOSPITAL INC 200 HEALTHCARE DRIVE GREENVILLE IL 62246 370792770 HEALTHCARE IL 501(c)(3) 3 HSSI true HSHS MEDICAL GROUP INC 3051 HOLLIS DRIVE SPRINGFIELD IL 62704 263956318 HEALTHCARE IL 501(c)(3) Type III-FI HSSI true HSHS WISCONSIN MEDICAL GROUP INC 3051 HOLLIS DRIVE SPRINGFIELD IL 62704 264515959 HEALTHCARE WI 501(c)(3) Type III-FI HSSI true ORANGE CROSS AMBULANCE INC 919 ASHLAND AVENUE SHEBOYGAN WI 53081 391860942 HEALTHCARE WI 501(c)(3) 10 ST NICHOLAS true PRAIRIE CARDIOVASCULAR CONSULTANTS LTD 3051 HOLLIS DRIVE SPRINGFIELD IL 62704 371071858 HEALTHCARE IL 501(c)(3) 10 HSSI true PRAIRIE EDUCATION & RESEARCH COOPERATIVE 800 EAST CARPENTER STREET 62 SPRINGFIELD IL 62769 371157915 HEALTHCARE IL 501(c)(3) 4 HSSI true SACRED HEART HOSPITAL OF HOSPITAL SISTERS OF THIRD ORDER OF ST FRANCIS 4936 LAVERNA ROAD SPRINGFIELD IL 62707 390807060 HEALTHCARE WI 501(c)(3) 3 HSSI true ST ANTHONY'S MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER O F ST FRANCIS 503 N MAPLE STREET EFFINGHAM IL 62401 370661233 HEALTHCARE IL 501(c)(3) 3 HSSI true ST CLARE MEMORIAL HOSPITAL INC 855 S MAIN STREET OCONTO FALLS WI 54154 390848401 HEALTHCARE WI 501(c)(3) 3 HSSI true ST FRANCIS HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS 1215 FRANCISCAN DRIVE LITCHFIELD IL 62056 370661236 HEALTHCARE IL 501(c)(3) 3 HSSI true ST JOHN'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS 800 EAST CARPENTER STREET SPRINGFIELD IL 62769 370661238 HEALTHCARE IL 501(c)(3) 3 HSSI true ST JOSEPH'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANC IS 12866 TROXLER AVENUE HIGHLAND IL 62249 370663568 HEALTHCARE IL 501(c)(3) 3 HSSI true ST JOSEPH'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANC IS 4936 LAVERNA ROAD SPRINGFIELD IL 62707 390810545 HEALTHCARE WI 501(c)(3) 3 HSSI true ST JOSEPH'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANC IS 9515 HOLY CROSS LANE BREESE IL 62230 371208459 HEALTHCARE IL 501(c)(3) 3 HSSI true ST MARY'S HOSPITAL MEDICAL CENTER OF GREEN BAY INC - HOSPITAL SISTERS 1762 SHAWANO AVENUE GREEN BAY WI 54303 390818682 HEALTHCARE WI 501(c)(3) 3 HSSI true ST MARY'S HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS 1800 E LAKE SHORE DRIVE DECATUR IL 62521 370661244 HEALTHCARE IL 501(c)(3) 3 HSSI true ST NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANC IS 3100 SUPERIOR AVENUE SHEBOYGAN WI 53081 390808480 HEALTHCARE WI 501(c)(3) 3 HSSI true ST VINCENT HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCI S 835 S VAN BUREN GREEN BAY WI 51301 390817529 HEALTHCARE WI 501(c)(3) 3 HSSI true UNITY LIMITED PARTNERSHIP 2366 OAK RIDGE CIRCLE DE PERE WI 54115 391750729 HEALTHCARE WI 501(c)(3) 10 HSSI true SPRINGFIELD URGENT CARE REAL ESTATE LLC PO BOX 19456 SPRINGFIELD IL 62794 030413258 RENTAL REAL ESTATE IL LASANTE INC N/A 0 0.83 REHABILITATION HOSPITAL OF WESTERN WISCONSIN LLC 9001 LIBERTY PARKWAY BIRMINGHAM AL 35242 871489748 MEDICAL DE SACRED HEART HOSPITAL Related 0 0 0 false 0.5 HOSPITAL SISTERS SURGERY CENTER O'FALLON llc ONE ST ELIZABETHS BLVD OFALLON IL 62269 341446171 MEDICAL IL ST ELIZABETH'S HOSPITAL N/A 0 0.51 KIARA LLC 4936 LAVERNA ROAD SPRINGFIELD IL 62707 371163401 HEALTHCARE IL HSHS C Corporation 12978117 19279759 1 true LASANTE WISCONSIN INC 4936 LAVERNA ROAD SPRINGFIELD IL 62707 391572196 HEALTHCARE IL KIARA LLC C Corporation true LASANTE INC 4936 LAVERNA ROAD SPRINGFIELD IL 62707 371163400 HEALTHCARE IL KIARA LLC C Corporation true RENAISSANCE QUALITY INSURANCE LTD PO BOX 1159 GRAND CAYMAN CJ KY11102 980669953 INSURANCE CJ HSSI C Corporation 0 227389871 1 true false false true false true false false false false true false false false false true true true true true Schedule R, Part VII RELATED ORGANIZATIONS Due to the increasingly complex organization structure of Hospital Sisters Health System and Affiliates, the filing organization has elected to report all tax-exempt organizations, partnerships, and corporations within Hospital Sisters Health System as related, regardless of ownership interest or "control" as defined by the instructions to Schedule R. The intent of this reporting is to promote transparency and increase consistency across the numerous Form 990 submissions by Hospital Sisters Health System and Affiliates. Schedule R, Part V, Line 2 Transactions with related entities ANY TRANSACTIONS LISTED ON SCHEDULE R, PART V, LINE 1 AND NOT ON SCHEDULE R, PART V, LINE 2 ARE BETWEEN RELATED 501(C)(3) AND DO NOT REQUIRE REPORTING ON THIS SECTION.