ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F (EIN 39-0810545)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-11
- IRS object ID
- 201821319349303247
- Schema version
- 2016v3.0
- 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 L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-11T14:02:09-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 350921680 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE HORWATH LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 West Wacker Drive Suite 2600 | AddressLine1Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 606061224 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390810545 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Joseph's Hospital of the Hospital Sisters of the Third Order of St Franc | BusinessNameLine1Txt |
| Business Name Line2 | is | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STJO | BusinessNameControlTxt |
| Phone | 7157231811 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2661 COUNTY HIGHWAY I | AddressLine1Txt |
| City | Chippewa Falls | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54729 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PATTY ALLEN | PersonNm |
| Person Title | DIVISION CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Signature | 2018-04-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RACHEL SPURLOCK | PreparerPersonNm |
| PTIN | P00520729 | PTIN |
| Phone | 3128997000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOAN COFFMAN | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2661 COUNTY HIGHWAY I | AddressLine1Txt |
| City | Chippewa Falls | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54729 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $68,936,532 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.STJOESCHIPFALLS.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1885 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | ST. JOSEPH'S MISSION IS TO DELIVER COMPASSIONATE HEALTH CARE TO PEOPLE IN NEED AND TO BE THE PREFERRED CHOICE FOR HEALTH CARE IN THE CHIPPEWA VALLEY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 554 | TotalEmployeeCnt |
| Total Volunteers | 211 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $429,252 | PYContributionsGrantsAmt |
| CY Contributions Grants | $994,778 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $67,870,891 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $63,822,929 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,958,538 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,872,540 | CYInvestmentIncomeAmt |
| PY Other Revenue | $228,455 | PYOtherRevenueAmt |
| CY Other Revenue | $246,285 | CYOtherRevenueAmt |
| PY Total Revenue | $70,487,136 | PYTotalRevenueAmt |
| CY Total Revenue | $68,936,532 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $34,115,396 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $30,639,826 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $27,626,758 | PYOtherExpensesAmt |
| CY Other Expenses | $31,500,915 | CYOtherExpensesAmt |
| PY Total Expenses | $61,742,154 | PYTotalExpensesAmt |
| CY Total Expenses | $62,140,741 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $8,744,982 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,795,791 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $143,907,389 | TotalAssetsBOYAmt |
| Total Assets EOY | $148,965,189 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $52,799,890 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $44,090,825 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $91,107,499 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $104,874,364 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE MISSION OF ST. JOSEPH'S HOSPITAL IS TO REVEAL AND EMBODY CHRIST'S PEOPLE IN NEED. REFLECTING OUR HIGH REGARD FOR ONE ANOTHER AS INSPIRED BY OUR FRANCISCAN TRADITION, ST. JOSEPH'S GOAL IS TO BE THE PREFERRED CHOICE FOR HEALTH CARE IN THE CHIPPEWA VALLEY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $54,923,004 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $63,822,929 | RevenueAmt |
| Desc | SEE SCHEDULE O - PROGRAM SERVICE ACCOMPLISHMENTS | Desc |
| Total Program Service Expenses | $54,923,004 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 42 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 554 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STEVE PALECEK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7157173783 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2661 COUNTY HIGHWAY I | AddressLine1Txt |
| City | CHIPPEWA FALLS | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 547291498 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| JOAN COFFMAN | ||||||||||
| CEO/PRESIDENT | 44.0 | 16.0 | Yes (X) | Yes (X) | $0 | $402,318 | $165,206 | |||
| JULIE MANAS | ||||||||||
| DIVISION PRES/CEO | 19.0 | 41.0 | Yes (X) | Yes (X) | $0 | $623,017 | $172,808 | |||
| DAVID KIEFER | ||||||||||
| CHAIRPERSON | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JAMES E DOCKSEY | ||||||||||
| Vice Chair | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| GERALD JACOBSON | ||||||||||
| Secretary | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| BRUCE BARKER | ||||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| LON BLASER DO | ||||||||||
| Director | 1.0 | 3.0 | Yes (X) | $0 | $0 | $0 | ||||
| Patti Darley | ||||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Jeff Halloin | ||||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| GREG HEILER MD | ||||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| PETER MANNIX | ||||||||||
| Director | 1.0 | 59.8 | Yes (X) | $0 | $510,477 | $196,555 | ||||
| ANN M CARR | ||||||||||
| TREASURER | 0.3 | 59.4 | Yes (X) | $0 | $359,960 | $312,526 | ||||
| DAVE NELSON | ||||||||||
| DIVISION CHIEF FINANCIAL OFFICER | 28.0 | 32.0 | Yes (X) | $0 | $318,450 | $100,796 | ||||
| Estella Clark | ||||||||||
| Chief Nursing Officer | 40.0 | 0 | $174,709 | $0 | $66,690 | Yes (X) | ||||
| RONDA ADLER | ||||||||||
| PHARMACIST | 40.0 | 0 | $159,980 | $0 | $86,600 | Yes (X) | ||||
| SARA JORGENSON | ||||||||||
| PHARMACIST | 40.0 | 0 | $156,124 | $0 | $99,679 | Yes (X) | ||||
| Chris Klay | ||||||||||
| Division Director | 40.0 | 0 | $153,365 | $0 | $38,616 | Yes (X) | ||||
| larry Woltman | ||||||||||
| Pharmacist | 40.0 | 0 | $140,072 | $0 | $128,759 | Yes (X) | ||||
| Peter Pokrzwinski | ||||||||||
| Pharmacist | 40.0 | 0 | $141,160 | $0 | $127,947 | Yes (X) | ||||
| LAWRENCE SCHUMACHER | ||||||||||
| Former DIRECTOR | 0.0 | $0 | $622,151 | $0 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $925,410 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,836,373 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,496,182 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 12 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| Eau Claire Anesthesiologists | ||||||
| 1101 W Clairemont Avenue | Eau Claire | WI | 54701 | Professional Services | $3,722,480 | |
| INFINITY HEALTHCARE | ||||||
| 111 E WISCONSIN AVE | MILWAUKEE | WI | 53202 | PROVIDER COVERAGE | $2,688,343 | |
| SODEXO INC & AFFILIATES | ||||||
| 4880 PAYSPHERE CIRCLE | CHICAGO | IL | 60674 | CONTRACTED LABOR | $717,366 | |
| DIVERSIFIED CLINICAL SVC INC | ||||||
| PO BOX 636981 | CINCINNATI | OH | 45263 | PROFESSIONAL SERVICES | $666,509 | |
| MARKET AND JOHNSON INC | ||||||
| 2350GALLOWAY STREET | EAU CLAIRE | WI | 54702 | CONSTRUCTION SERVICES | $393,216 | PO BOX 360 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 14 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $379,778 | RelatedOrganizationsAmt |
| Government Grants | $612,000 | GovernmentGrantsAmt |
| All Other Contributions | $3,000 | AllOtherContributionsAmt |
| Total Contributions | $994,778 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 900099 | $63,184,591 | $63,184,591 |
| OTHER DEPARTMENT REVENUE | 900099 | $638,338 | $638,338 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $63,822,929 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $834,722 | TotalRevenueColumnAmt |
| Exclusion | $834,722 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $173,271 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $173,271 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $173,271 | TotalRevenueColumnAmt |
| Exclusion | $173,271 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,037,818 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,037,818 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,037,818 | TotalRevenueColumnAmt |
| Exclusion | $3,037,818 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| GIFT SHOP REVENUE | 453220 | $47,674 | $47,674 |
| CAFETERIA REVENUE | 722514 | $25,340 | $25,340 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $73,014 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $68,936,532 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $63,822,929 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,118,825 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $271,997 | TotalAmt |
| Management And General | $271,997 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,909,073 | TotalAmt |
| Program Services | $21,758,953 | ProgramServicesAmt |
| Management And General | $2,150,120 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $837,539 | TotalAmt |
| Program Services | $753,646 | ProgramServicesAmt |
| Management And General | $83,893 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,056,101 | TotalAmt |
| Program Services | $3,649,818 | ProgramServicesAmt |
| Management And General | $406,283 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,565,116 | TotalAmt |
| Program Services | $1,408,345 | ProgramServicesAmt |
| Management And General | $156,771 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,332 | TotalAmt |
| Management And General | $7,332 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $938,264 | TotalAmt |
| Management And General | $938,264 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,489,350 | TotalAmt |
| Program Services | $10,128,134 | ProgramServicesAmt |
| Management And General | $2,361,216 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $343,930 | TotalAmt |
| Management And General | $343,930 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $761,950 | TotalAmt |
| Program Services | $760,809 | ProgramServicesAmt |
| Management And General | $1,141 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,274,609 | TotalAmt |
| Program Services | $4,274,609 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,323,553 | TotalAmt |
| Program Services | $1,308,922 | ProgramServicesAmt |
| Management And General | $14,631 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $266,817 | TotalAmt |
| Program Services | $266,817 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,408 | TotalAmt |
| Program Services | $42,260 | ProgramServicesAmt |
| Management And General | $12,148 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $231,459 | TotalAmt |
| Program Services | $231,459 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,445,855 | TotalAmt |
| Program Services | $3,385,090 | ProgramServicesAmt |
| Management And General | $60,765 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $273,899 | TotalAmt |
| Program Services | $273,899 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CLINICAL SUPPLIES | $4,283,518 | $4,279,137 | $4,381 |
| WISCONSIN MEDICAID ASSESSMENT | $1,290,945 | $1,290,945 | |
| MAINTENANCE SERVICE | $668,963 | $609,675 | $59,288 |
| PROVISION FOR BAD DEBT | $239,544 | $239,544 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $606,519 | TotalAmt |
| Program Services | $260,942 | ProgramServicesAmt |
| Management And General | $345,577 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,140,741 | TotalAmt |
| Program Services | $54,923,004 | ProgramServicesAmt |
| Management And General | $7,217,737 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,323,113 | BOYAmt |
| EOY | $1,058,861 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,254,585 | BOYAmt |
| EOY | $10,624,980 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $363,220 | BOYAmt |
| EOY | $413,837 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $54,326 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $68,103,610 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $38,715,848 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,892,113 | BOYAmt |
| EOY | $29,387,762 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,985,930 | BOYAmt |
| EOY | $107,351,621 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,428 | BOYAmt |
| EOY | $73,802 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $143,907,389 | BOYAmt |
| EOY | $148,965,189 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,476,699 | BOYAmt |
| EOY | $7,158,401 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,008,807 | BOYAmt |
| EOY | $17,225,237 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,314,384 | BOYAmt |
| EOY | $19,707,187 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,799,890 | BOYAmt |
| EOY | $44,090,825 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,050,074 | BOYAmt |
| EOY | $99,542,219 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,146,728 | BOYAmt |
| EOY | $2,408,965 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,910,697 | BOYAmt |
| EOY | $2,923,180 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,107,499 | BOYAmt |
| EOY | $104,874,364 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $143,907,389 | BOYAmt |
| EOY | $148,965,189 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $6,795,791 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $3,504,208 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $3,466,866 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $4,620 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $4,620 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | ST. JOSEPH'S HOSPITAL (THE HOSPITAL) IS A MEMBER OF THE CATHOLIC HEALTH ASSOCIATION ("CHA"), WISCONSIN HEALTH ASSOCIATION ("WHA"), THE NATIONAL ASSOCIATION FOR HOME CARE AND HOSPICE, AND THE AMERICAN HEALTH ASSOCIATION ("AHA"). AS A MEMBER OF THESE ORGANIZATIONS, THE HOSPITAL PAYS DUES, PART OF WHICH ARE ATTRIBUTABLE TO LOBBYING FEES PAID BY THE ORGANIZATIONS. THE AMOUNT LISTED IS THE AMOUNT ATTRIBUTABLE TO THE HOSPITAL FROM ITS DUES PAID. |
| Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | ST. JOSEPH'S HOSPITAL (THE HOSPITAL) IS A MEMBER OF THE CATHOLIC HEALTH ASSOCIATION ("CHA"), WISCONSIN HEALTH ASSOCIATION ("WHA"), THE NATIONAL ASSOCIATION FOR HOME CARE AND HOSPICE, AND THE AMERICAN HEALTH ASSOCIATION ("AHA"). AS A MEMBER OF THESE ORGANIZATIONS, THE HOSPITAL PAYS DUES, PART OF WHICH ARE ATTRIBUTABLE TO LOBBYING FEES PAID BY THE ORGANIZATIONS. THE AMOUNT LISTED IS THE AMOUNT ATTRIBUTABLE TO THE HOSPITAL FROM ITS DUES PAID. |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $383,686 | OtherCostOrOtherBasisAmt |
| Book Value | $383,686 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $40,849,029 | OtherCostOrOtherBasisAmt |
| Depreciation | $21,049,594 | DepreciationAmt |
| Book Value | $19,799,435 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,248,275 | OtherCostOrOtherBasisAmt |
| Depreciation | $851,016 | DepreciationAmt |
| Book Value | $1,397,259 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,750,161 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,815,238 | DepreciationAmt |
| Book Value | $5,934,923 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,872,459 | OtherCostOrOtherBasisAmt |
| Book Value | $1,872,459 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $29,387,762 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| RATE SWAP AGREEMENTS | $2,813,491 |
| MINIMUM PENSION LIABILITY | $16,893,696 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $19,707,187 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | 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 of 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 than not Kiara, Inc. will not realize the majority 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, 2017 and 2016 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, 2017 and 2016, HSHS does not have any liabilities for unrecognized tax benefits. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 600 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 3022 | PersonsServedCnt |
| Total Community Benefit Expns | $1,239,788 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,239,788 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0200 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 10612 | PersonsServedCnt |
| Total Community Benefit Expns | $15,198,161 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,795,956 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,402,205 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0873 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 748 | PersonsServedCnt |
| Total Community Benefit Expns | $1,092,425 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $765,241 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $327,184 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0053 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 14382 | PersonsServedCnt |
| Total Community Benefit Expns | $17,530,374 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,561,197 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,969,177 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1126 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 11707 | PersonsServedCnt |
| Total Community Benefit Expns | $263,010 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,842 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $257,168 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0042 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 131 | PersonsServedCnt |
| Total Community Benefit Expns | $625 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $625 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,268,285 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,887,320 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $380,965 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0062 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 620 | PersonsServedCnt |
| Total Community Benefit Expns | $23,564 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,564 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0004 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 12458 | PersonsServedCnt |
| Total Community Benefit Expns | $7,555,484 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,893,162 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $662,322 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0107 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 26840 | PersonsServedCnt |
| Total Community Benefit Expns | $25,085,858 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,454,359 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,631,499 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1233 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 30824 | PersonsServedCnt |
| Total Community Benefit Expns | $117,680 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,256 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $103,424 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0017 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 30824 | PersonsServedCnt |
| Total Community Benefit Expns | $117,680 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,256 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $103,424 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0017 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $239,544 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $11,475,834 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $18,063,045 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$6,587,211 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOSEPH'S HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2661 COUNTY HIGHWAY I | AddressLine1Txt |
| City | CHIPPEWA FALLS | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54729 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | http://www.stjoeschipfalls.com/ | WebsiteAddressTxt |
| State License | 15 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOSEPH'S HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 14 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://www.stjoeschipfalls.org/Hospital-Information/About/Community-Benefit-Reports | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | http://www.chippewahealth.org | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 14 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://www.stjoeschipfalls.org/Hospital-Information/About/Community-Benefit-Reports | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 600.0 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | http://www.stjoeschipfalls.com/Patients-Guests/Financial-Assistance | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | http://www.stjoeschipfalls.com/Patients-Guests/Financial-Assistance | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | http://www.stjoeschipfalls.com/Patients-Guests/Financial-Assistance | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - HSHS St. Joseph's Hospital, Chippewa Falls. HSHS ST. JOSEPH'S HOSPITAL (SJCF) UNDERTOOK A TWELVE MONTH PLANNING AND IMPLEMENTATION EFFORT TO DEVELOP THE CHNA, IDENTIFY AND PRIORITIZE COMMUNITY HEALTH NEEDS FOR ITS SERVICE AREA AND FORMULATE AN IMPLEMENTATION PLAN TO GUIDE ONGOING POPULATION HEALTH INITIATIVES WITH LIKE-MISSIONED PARTNERS AND COLLABORATORS. THESE PLANNING AND DEVELOPMENT ACTIVITIES INCLUDED THE FOLLOWING INTERNAL AND EXTERNAL STEPS: INTERNAL SJCF UTILIZED THE EXPERTISE OF THE HOSPITAL'S DIVISION DIRECTOR OF 3D COMMUNITY HEALTH, WHO HAS 33 YEARS OF EXPERIENCE AS A SOCIAL WORKER, COMMUNITY HEALTH SPECIALIST, CHILD PROTECTIVE SERVICE INVESTIGATOR, AND AN INTERGENERATIONAL PROGRAMMING COORDINATOR, TO LEAD THE CHNA PROCESS. ONE OF THE HOSPITAL'S MARKETING SPECIALISTS ALSO PARTICIPATED IN THE PLANNING AND IMPLEMENTATION OF THE CHNA FROM START TO FINISH. SHE AND THE DIVISION DIRECTOR OF 3D COMMUNITY HEALTH SERVED AS LIAISONS BETWEEN THE HOSPITAL, THE CHNA PLANNING COMMITTEE PARTNERS, OTHER COMMUNITY MEMBERS AS WELL AS THE HOSPITAL'S LOCAL AND HEALTH SYSTEM LEADERS. THE DIVISION DIRECTOR OF 3D COMMUNITY HEALTH ALSO ASSISTED COMMUNITY PARTNERS FROM PUBLIC HEALTH AND OTHER ENTITIES IN FACILITATING A LARGE COMMUNITY HEALTH IMPROVEMENT EVENT WHERE COMMUNITY MEMBERS WERE ASKED TO PROVIDE FEEDBACK ON PRELIMINARY CHNA RESULTS AND TO ENGAGE IN DETAILED DISCUSSION RELATED TO THE TOP NEED PRIORITY AREAS. RELATED INITIATIVES OF THE AREA COMMUNITY HEALTH INITIATIVES WERE HIGHLIGHTED DURING THE EVENT, AND ATTENDEES WERE ENCOURAGED TO PARTICIPATE IN LOCAL HEALTH IMPROVEMENT EFFORTS THROUGH MEMBERSHIP IN HEALTHY COMMUNITY ACTION TEAMS AND ENGAGEMENT IN COLLABORATIVE ACTION PLANS. THE DIVISION DIRECTOR OF 3D COMMUNITY HEALTH AND HER TEAM PROVIDED EDUCATION AROUND COMMUNITY BENEFIT AND THE CHNA TO HOSPITAL LEADERS AND COLLEAGUES ENCOURAGING DOCUMENTATION OF THE HOSPITAL'S MANY COMMUNITY BENEFIT PROGRAMS AND EVENTS. AN INTERNAL TEAM WAS DEVELOPED THAT INCLUDED THE COMMUNITY HEALTH DIRECTOR (THE HOSPITAL'S COMMUNITY BENEFIT LEAD), THE HOSPITAL'S COMMUNITY BENEFIT SPECIALIST, THE HOSPITAL'S FISCAL CONTROLLER, COLLEAGUES FROM FISCAL SERVICES, THE DIRECTOR OF MARKETING AND A MARKETING SPECIALIST WHO MET ON A QUARTERLY BASIS TO REVIEW AND APPROVE THE HOSPITAL'S COMMUNITY BENEFIT PROGRAMS/EVENTS PRIOR TO THE PROGRAMS/EVENTS BEING ENTERED INTO CBISA. THE HOSPITAL'S AND HEALTH SYSTEM'S LEADERS AND LOCAL GOVERNANCE WERE KEPT ABREAST OF THE HOSPITAL'S COMMUNITY HEALTH OUTREACH ACTIVITIES, COMMUNITY BENEFIT PROGRAMS/EVENTS AND THE CHNA PROCESS THROUGH REPORTS TO THE HOSPITAL'S BOARD OF DIRECTORS. EXTERNAL SJCF ALSO LEVERAGED EXISTING RELATIONSHIPS THAT PROVIDED DIVERSE INPUT FOR A COMPREHENSIVE REVIEW AND ANALYSIS OF COMMUNITY HEALTH NEEDS IN THE HOSPITAL'S SERVICE AREA. THESE EXTERNAL COMPONENT STEPS BEGAN WITH FORMING AN EXTERNAL CHNA PLANNING PARTNERSHIP COMMITTEE OF PUBLIC HEALTH, HEALTH CARE REPRESENTATIVES, AND REPRESENTATIVES OF THE UNITED WAY. MEMBERS OF THE CHNA STEERING COMMITTEE WERE CHOSEN BASED ON THEIR UNIQUE EXPERTISE AND EXPERIENCE, INFORMED PERSPECTIVES AND INVOLVEMENT WITH THE COMMUNITY. THE CHNA STEERING COMMITTEE MEMBERS INCLUDED: *CHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTH, HEALTH OFFICER *CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP (CHIP) STEERING COMMITTEE AND ACTION TEAM MEMBERS *EAU CLAIRE CITY-COUNTY HEALTH DEPARTMENT HEALTH OFFICER; HEALTH EDUCATOR; COMMUNITY HEALTH NEEDS ASSESSMENT PROGRAM MANAGER *EAU CLAIRE HEALTHY COMMUNITIES COUNCIL AND ACTION TEAM MEMBERS *MARSHFIELD CLINIC, CLINIC DIRECTOR *MAYO CLINIC HEALTH SYSTEM DIVISION DIRECTOR OF COMMUNITY ENGAGEMENT AND WELLNESS *HSHS ST. JOSEPH'S HOSPITAL, CHIPPEWA FALLS DIRECTOR OF MARKETING; MARKETING SPECIALIST WHO WAS ALSO CHAIR OF CHIP STEERING COMMITTEE *UNITED WAY OF THE GREATER CHIPPEWA VALLEY, EXECUTIVE DIRECTOR AND DIRECTOR OF COMMUNITY ENGAGEMENT THE EAU CLAIRE CITY-COUNTY HEALTH DEPARTMENT SERVED AS THE FISCAL AGENT FOR THE PARTNERSHIP, AND EACH ORGANIZATION SIGNED A MEMORANDUM OF UNDERSTANDING PRIOR TO THE CHNA PROCESS. CONTRIBUTIONS FROM EACH OF THE PARTNER ORGANIZATIONS TOTALED $55,000. THE OTTO BREMER FOUNDATION ALSO AWARDED A $19,000 GRANT TO THE CHNA COMMITTEE TO INCREASE OUTREACH INTO RURAL COMMUNITIES DURING THE CHNA PROCESS. REPRESENTATIVES FROM THE PARTNER ORGANIZATIONS MET BIMONTHLY FROM MAY 2014 THROUGH APRIL 2015 TO PLAN AND IMPLEMENT THE CHNA. THIS JOINT CHNA PROCESS, THE FIRST OF ITS KIND FOR CHIPPEWA AND EAU CLAIRE COUNTIES, DEMONSTRATES THE COMMITMENT EACH OF THE PARTNERS HAS TO WORKING TOWARD A HEALTHIER COMMUNITY THROUGH COLLABORATIVE ACTION ACROSS COUNTY LINES. THIS COLLABORATION ALSO ALLOWS THE COMMUNITY TO PARTICIPATE IN ONE COMPREHENSIVE ASSESSMENT RATHER THAN SEVERAL CHNAS CONDUCTED EACH YEAR BY DIFFERENT ORGANIZATIONS. THE CHNA COMMITTEE BELIEVES THAT NO ORGANIZATION ALONE CAN "MOVE THE NEEDLE" ON COMMUNITY HEALTH. RATHER, ONLY THROUGH WORKING TOGETHER AND ENGAGING THE COMMUNITY WILL WE TRULY BEGIN TO INSPIRE AND REALIZE COMMUNITY HEALTH IMPROVEMENT. FOR EXAMPLE, ONE OF THE HEALTH CARE PARTNERS PROVIDED A DATA ANALYSIS SPECIALIST TO COMPILE AND ANALYZE THE SURVEY DATA. THIS WAS AN EXTREMELY VALUE-ADDED COMPONENT OF THE PROCESS. RESPONDENT DEMOGRAPHICS INDICATED THAT A LOW NUMBER OF SURVEYS WERE RECEIVED FROM THE POPULATION IN CHIPPEWA COUNTY OVER AGE 70 AND THOSE RESIDENTS WHO'S HIGHEST EDUCATION LEVEL IS HIGH SCHOOL OR SOME COLLEGE. THEREFORE, TARGETED LISTENING SESSIONS WERE HELD TO ENGAGE THESE GROUPS AND GATHER INFORMATION ON BARRIERS TO AND RESOURCES FOR MAKING HEALTHY CHOICES IN THE COMMUNITY. THESE SESSIONS WERE HELD WERE HOSTED IN NOVEMBER 2014 AT THE CHIPPEWA FALLS COMMUNITY MEAL SITE AGNES' TABLE AND THE CHIPPEWA FALLS AREA SENIOR CENTER. EACH LISTENING SESSION WAS CONDUCTED BY AT LEAST ONE CHNA PARTNER ORGANIZATION REPRESENTATIVE. AFTER THE SURVEY RESULTS WERE ANALYZED, LOCAL QUANTITATIVE HEALTH DATA WAS COMPILED FROM A VARIETY OF DATA SOURCES BASED ON THE MEASURES. THE PRIMARY AND SECONDARY DATA WERE PRESENTED AT FIVE COMMUNITY CONVERSATIONS THAT TOOK PLACE THROUGHOUT CHIPPEWA COUNTY IN FEBRUARY 2015. THE PURPOSE OF THESE SESSIONS WAS TO ENCOURAGE THE PUBLIC TO GIVE INPUT ON HOW TO PRIORITIZE THE 14 HEALTH FOCUS AREAS THAT WERE INITIALLY PRESENTED IN THE SURVEY. THESE EVENTS ALSO PROVIDED THE PUBLIC THE OPPORTUNITY TO HEAR DIRECTLY FROM THEIR LOCAL PUBLIC HEALTH EXPERTS REGARDING ANY QUESTIONS/CONCERNS THAT THEY MAY HAVE WHILE PROVIDING THE LOCAL PARTNER REPRESENTATIVES A UNIQUE OPPORTUNITY TO INTERFACE DIRECTLY WITH MEMBERS OF THEIR COMMUNITY. IN ADDITION TO QUALITATIVE AND QUANTITATIVE DATA SOURCES, THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF, OR EXPERTISE IN PUBLIC HEALTH (LOCAL, REGIONAL, STATE AND/OR TRIBAL). MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS SERVED BY THE HOSPITAL OR INDIVIDUALS OR ORGANIZATIONS REPRESENTING THE INTERESTS OF SUCH POPULATIONS ALSO PROVIDED INPUT. |
| Schedule H, Part V, Section B, Line 6a Facility , 1 | Facility , 1 - HSHS St. Joseph's Hospital, Chippewa Falls. HSHS ST. JOSEPH'S HOSPITAL, CHIPPEWA FALLS, WI AND MAYO CLINIC HEALTH SYSTEMS, EAU CLAIRE, WI ALSO PARTICIPATED IN THE CHNA. |
| Schedule H, Part V, Section B, Line 6b Facility , 1 | Facility , 1 - HSHS St. Joseph's Hospital, Chippewa Falls. HSHS ST. JOSEPH'S HOSPITAL'S CHNA WAS CONDUCTED WITH THE FOLLOWING NON-HOSPITAL ORGANIZATIONS: CHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTH, CHIPPEWA COUNTY, WISCONSIN; CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP, CHIPPEWA COUNTY, WISCONSIN; EAU CLAIRE CITY-COUNTY HEALTH DEPARTMENT, EAU CLAIRE, WISCONSIN; EAU CLAIRE HEALTHY COMMUNITIES, EAU CLAIRE, WISCONSIN; MARSHFIELD CLINIC, CHIPPEWA FALLS AND EAU CLAIRE, WISCONSIN; AND UNITED WAY OF THE GREATER CHIPPEWA VALLEY, CHIPPEWA AND EAU CLAIRE COUNTY, WISCONSIN. |
| Schedule H, Part V, Section B, Line 7 Facility , 1 | Facility , 1 - HSHS St. Joseph's Hospital, Chippewa Falls. THE PRIMARY AND SECONDARY DATA WERE PRESENTED AT FIVE COMMUNITY CONVERSATIONS THAT TOOK PLACE THROUGHOUT CHIPPEWA COUNTY IN FEBRUARY 2015. SESSIONS WERE HELD IN CHIPPEWA FALLS (TWO SESSIONS), CORNELL, CADOTT, AND BLOOMER. THE PURPOSE OF THESE SESSIONS WAS TO ALLOW THE PUBLIC TO GIVE INPUT ON HOW TO PRIORITIZE THE 14 HEALTH FOCUS AREAS THAT WERE INITIALLY PRESENTED IN THE SURVEY. IDENTICAL TO THE SURVEY, THE COMMUNITY CONVERSATIONS WERE WIDELY PUBLICIZED THROUGH THE PROFESSIONAL NETWORKS OF EACH OF THE CHNA PARTNER ORGANIZATIONS, THROUGH COMMUNITY ORGANIZATIONS THAT ASSISTED IN SURVEY DISTRIBUTION, AND THROUGH LOCAL PRINT, BROADCAST, AND SOCIAL MEDIA. COMMUNITY CONVERSATIONS WERE HELD ON WEEKNIGHT EVENINGS AND IN A PUBLIC LOCATION (E.G. LOCAL PUBLIC LIBRARY OR SCHOOL). OVERALL, 125 PEOPLE ATTENDED THE FIVE COMMUNITY CONVERSATIONS IN CHIPPEWA COUNTY. COMMUNITY REPRESENTATION WAS DIVERSE. ATTENDEES REPRESENTED HEALTH CARE, PUBLIC SCHOOLS, UNIVERSITY STUDENTS AND FACULTY, LOCAL GOVERNMENT, AND THE GENERAL PUBLIC. EACH COMMUNITY CONVERSATION CONSISTED OF A DATA PRESENTATION THAT HIGHLIGHTED SURVEY RESULTS AND LOCAL HEALTH DATA FOR EACH OF THE 14 FOCUS AREAS. NEXT, PARTICIPANTS DISCUSSED THE SURVEY RESULTS AND DATA IN SMALL GROUPS WITH THE GOAL OF EACH INDIVIDUAL SELECTING THEIR TOP THREE PRIORITY AREAS. PRIORITIZATION CRITERIA WERE PROVIDED TO PARTICIPANTS. THESE FACILITATED GROUP DISCUSSIONS WERE IMPORTANT FOR PRESENTING AND ALLOWING THE PUBLIC TO ANALYZE DATA FROM MULTIPLE SOURCES, WHICH LENDS TO A MORE COMPLETE PICTURE OF COMMUNITY HEALTH. PARTICIPANTS WERE ABLE TO DEVELOP A MORE COMPREHENSIVE PICTURE OF HEALTH IN CHIPPEWA COUNTY THROUGH CONSIDERATION OF THE PUBLIC PERCEPTION OF HEALTH AND THE DATA THAT HAD BEEN COLLECTED BY LOCAL, STATE, AND NATIONAL AGENCIES. DATA WAS PRESENTED ORALLY AND ALSO ON CLEAR, CONCISE FACTSHEETS TO ALLOW THOROUGH UNDERSTANDING OF THE DATA SOURCES DURING GROUP DISCUSSION. FOLLOWING THE COMMUNITY CONVERSATIONS AND PRIORITIZATION OF THE TOP HEALTH ISSUES FOR CHIPPEWA COUNTY, ONE FINAL EVENT WAS HELD IN MARCH 2015 IN CHIPPEWA COUNTY TO GET PUBLIC FEEDBACK ON THE PRELIMINARY CHNA RESULTS AND TO ENHANCE THE FOCUS AND UNDERSTANDING OF THE TOP THREE PRIORITY AREAS OF MENTAL HEALTH, ALCOHOL MISUSE, AND SUBSTANCE USE. THE PURPOSE OF THIS EVENT WAS TO ENGAGE THE PUBLIC IN DETAILED DISCUSSION RELATED TO THESE PRIORITY AREAS, HIGHLIGHT RELATED INITIATIVES OF THE CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP (CHIP), AND ENCOURAGE COMMUNITY PARTICIPATION IN LOCAL HEALTH IMPROVEMENT EFFORTS THROUGH MEMBERSHIP IN CHIP ACTION TEAMS AND ENGAGEMENT IN COLLABORATIVE ACTION PLANS. A TOTAL OF 36 COMMUNITY MEMBERS REPRESENTING SECTORS AS BROAD AS FAITH COMMUNITIES, LOCAL AND REGIONAL GOVERNMENT, SCHOOL DISTRICTS, HEALTH CARE PROVIDERS, UNIVERSITY STUDENTS, AND RETIRED CITIZENS PARTICIPATED IN THIS EVENT. THE STRUCTURE INCLUDED A PRESENTATION OF RECENT CHIP INITIATIVES AS WELL AS ADDITIONAL QUANTITATIVE HEALTH DATA RELATED TO THE THREE FOCUS AREAS. PARTICIPANTS WERE THEN GUIDED THROUGH THREE ROUNDS OF FACILITATED SMALL-GROUP DISCUSSION TO BETTER IDENTIFY THE ROOT CAUSES, EXISTING COMMUNITY RESOURCES, AND COMMUNITY GAPS IN SERVICES FOR THE TOP THREE PRIORITY AREAS. THE WORLD CAFE MODEL (SMALL FACILITATED DISCUSSION GROUPS THAT ROTATE THROUGH MULTIPLE DISCUSSION TOPICS) WAS UTILIZED TO INSPIRE CREATIVE THINKING AND CREATE A COMFORTABLE ATMOSPHERE IN WHICH PARTICIPANTS COULD OPENLY SHARE THEIR IDEAS ON EACH OF THE THREE TOPIC AREAS DURING THE FACILITATED DISCUSSION. FACILITATORS GUIDED PARTICIPANTS TO CONSIDER ROOT CAUSES FOR EACH FOCUS AREA. AFTER THE DISCUSSION PERIOD, FACILITATORS REPORTED OUT TO THE LARGE GROUP ABOUT ROOT CAUSES, RESOURCES, AND GAPS IN SERVICES THAT PARTICIPANTS IDENTIFIED. KEY THEMES WERE RECORDED BY NOTE TAKERS AND THE FACILITATORS FOR INCLUSION IN THIS REPORT. THE CHNA WAS THEN PRESENTED AT THE HOSPITAL'S BOARD OF DIRECTORS' MEETING AS WELL AS AT THE STEERING COMMITTEE MEETINGS OF THE EAU CLAIRE HEALTHY COMMUNITIES AND CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP. A PRESS RELEASE/MEDIA ALERT WAS SENT TO ALL AREA NEWS OUTLETS INCLUDING TV, RADIO, NEWSPAPER AS WELL AS THE INFORMATION BEING DISTRIBUTED AT TO CHURCHES, SERVICE CLUBS, SCHOOLS AND AT NUMEROUS AREA EVENTS FOR THE GENERAL PUBLIC. AN OVERVIEW OF THE CHNA AND THE TOP NEEDS HAS ALSO BEEN PRESENTED AT 12 COMMUNITY EVENTS WITH 2929 PEOPLE IN ATTENDANCE. THE CHNA HAS BEEN UTILIZED BY SEVERAL COMMUNITY PARTNERS TO GUIDE THEIR COMMUNITY HEALTH IMPROVEMENT PLANS. HARD COPIES OF THE CHNA AND IMPLEMENTATION PLAN FOR SHEC CAN BE OBTAINED AT THE HOSPITAL AND IS SENT TO ANYONE WHO REQUESTS IT. THE LINK FOR THE HOSPITAL WEBPAGE WHERE THE CHNA IS LOCATED IS OFTEN REQUESTED AND SENT TO AREA ORGANIZATIONS. |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - HSHS St. Joseph's Hospital, Chippewa Falls. BASED ON THE FY2015 CHNA PLANNING AND DEVELOPMENT PROCESS, THE FOLLOWING TOP THREE COMMUNITY HEALTH NEEDS WERE IDENTIFIED AND ARE THE PRIMARY FOCUS AREAS FOR HSHS ST. JOSEPH'S HOSPITAL COMMUNITY BENEFIT: 1). MENTAL HEALTH 2). SUBSTANCE USE 3). ALCOHOL MISUSE 1). MENTAL HEALTH - HSHS ST. JOSEPH'S HOSPITAL (SJCF) IS INVOLVED IN THE IMPLEMENTATION AND/OR CONTINUATION OF MULTIPLE EFFORTS TO IMPROVE THE MENTAL HEALTH AND EMOTIONAL WELLBEING OF RESIDENTS OF THE AREA THAT THE HOSPITAL SERVES. THE SJCF COMMUNITY BENEFIT IMPLEMENTATION PLAN INCLUDES SEVERAL EVIDENCE-BASED STRATEGIES TO POSITIVELY IMPACT THE TOP IDENTIFIED NEED - MENTAL HEALTH - FOR BOTH CHIPPEWA AND EAU CLAIRE COUNTIES. THESE STRATEGIES WERE SELECTED WITH THE UNDERSTANDING THAT BEHAVIORAL HEALTH AND MENTAL ILLNESS ARE AFFECTED BY A MULTITUDE OF FACTORS AT THE INTRAPERSONAL, INTERPERSONAL, COMMUNITY, AND SOCIETAL LEVELS, WITH NO FACTOR SINGLY EXPLAINING THE PREVENTION, CARE AND TREATMENT, OR REHABILITATION OF MENTAL ILLNESS. SUCCESSFUL BEHAVIORAL HEALTH INTERVENTIONS MUST CONSIDER MENTAL HEALTH WITHIN THE BROADER CONTEXT OF COMMUNITY AND SOCIETY, AND HARNESS INNOVATIVE AND MULTIDISCIPLINARY PARTNERSHIPS TO IMPACT CHANGE AND POPULATION HEALTH. A. SUICIDE PREVENTION INITIATIVE - SJCF'S 3D COMMUNITY HEALTH DEPARTMENT IS LEADING SUICIDE PREVENTION ACTIVITIES ACROSS MULTIPLE SECTORS AND SETTINGS IN COLLABORATION WITH CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP, THE PUBLIC HEALTH DEPARTMENT OF CHIPPEWA COUNTY, EAU CLAIRE HEALTHY COMMUNITIES, EAU CLAIRE CITY COUNTY HEALTH DEPARTMENT, AND MULTIPLE OTHER COMMUNITY PARTNERS TO PROMOTE AWARENESS THAT SUICIDE IS A PREVENTABLE PUBLIC HEALTH PROBLEM. STRATEGIES INCLUDE COMMUNITY TRAININGS OF AN EVIDENCE-BASED SUICIDE PREVENTION PROGRAM, QPR (QUESTION, PERSUADE & REFER). ONE OF THE SELECTED STRATEGIES WAS TO "BLANKET" THE AREA WITH THE EVIDENCE-BASED PROGRAM QPR (QUESTION, PERSUADE AND REFER) GATEKEEPER TRAINING - THE 3 SIMPLE STEPS ANYONE CAN LEARN TO HELP SAVE A LIFE FROM SUICIDE. ACCORDING TO THE SURGEON GENERAL'S NATIONAL STRATEGY FOR SUICIDE PREVENTION, A GATEKEEPER IS SOMEONE IN A POSITION TO RECOGNIZE A CRISIS AND THE WARNING SIGNS THAT SOMEONE MAY BE CONTEMPLATING SUICIDE. 3D COMMUNITY HEALTH HAS PROVIDED 30 GATEKEEPER TRAININGS TO 925 ADULTS IN FY17 AS WELL AS 57 SESSIONS TO 1,606 YOUTH IN THE SAME TIME PERIOD. EIGHT-NINE PERCENT OF ATTENDEES INDICATED AN INCREASED KNOWLEDGE OF COMMUNITY RESOURCES. MANY QPR TRAINING PARTICIPANTS REQUESTED MORE INFORMATION ON HOW TO IDENTIFY SOMEONE STRUGGLING WITH A MENTAL HEALTH CRISIS, APPROPRIATE INTERVENTIONS AND MORE INFORMATION ABOUT SPECIFIC MENTAL HEALTH ILLNESSES. IN RESPONSE TO THESE REQUESTS, 3D COMMUNITY HEALTH TOOK THEIR SUICIDE PREVENTION EFFORTS A STEP FURTHER AND BEGAN PROVIDING MENTAL HEALTH FIRST AID (MHFA) TRAINING THROUGHOUT THE CHIPPEWA VALLEY. ELEVEN TRAININGS WERE PROVIDED IN FY17 AND 340 INDIVIDUALS WERE IN ATTENDANCE. PARTICIPANTS OF THE MHFA TRAININGS INDICATED AN AVERAGE CONTENT SCORE RATING OF 4.618 ON A RATING SCALE OF 1 TO 5. ONE TRAINING WAS SPECIFIC TO VETERANS AND PERSONS WITH DISABILITIES, AND THE SECOND TRAINING FOCUSED ON OLDER ADULTS AND LATER-LIFE ISSUES. THREE CLASSES SPECIFIC TO YOUTH WERE HELD IN FY17 AND 110 PERSONS ATTENDED. RESPONDENTS INDICATED A CONTENT SCORE OF 4.76 OF 5. ANOTHER EXAMPLE OF HOW SJCF IS TRYING TO POSITIVELY IMPACT POPULATION HEALTH IS TO BE A CONDUIT OF EDUCATION AND INFORMATION AROUND TRAUMA-INFORMED CARE, TRAUMA SENSITIVITY AND THE IMPACT OF ADVERSE CHILDHOOD EXPERIENCE (ACES) ON CHILDREN. ILLNESS- OR INJURY-RELATED POSTTRAUMATIC STRESS REACTIONS CAN IMPAIR A CHILD'S PSYCHOSOCIAL/ FUNCTIONAL RECOVERY AND LEAD TO WORSE HEALTH OUTCOMES. A COMMUNITY THAT IS TRAUMA-INFORMED CAN BEST SUPPORT AND RESPOND MOST APPROPRIATELY TO THOSE WHO SUFFERED TRAUMA THUS LIMITING RE-TRAUMATIZATION AND PROMOTING BETTER OVERALL MENTAL WELL-BEING. TWENTY-EIGHT TRAUMA-SENSITIVE TOOLKITS HAVE BEEN PRINTED AND DISTRIBUTED BY 3D COMMUNITY HEALTH AND COMMUNITY PARTNERS TO AGENCIES WORKING WITH CAREGIVERS OF CHILDREN. 3D IS ALSO AN ACTIVE PARTICIPANT OF A COMMUNITY COLLABORATION THAT IS WORKING TO CREATE TRAUMA-SENSITIVE WORK ENVIRONMENTS. THE COLLABORATIVE PROVIDED COMMUNITY AWARENESS PRESENTATIONS ON ACES TO 25 COMMUNITY MEMBERS, WHO SCORED A 4.35 ON A FIVE POINT RATING SCALE INDICATING INCREASED KNOWLEDGE THAT EXPOSING CHILDREN TO SEVERE, FREQUENT AND PROLONGED STRESS CAN PROFOUNDLY ALTER THEIR BODY'S STRESS MANAGEMENT SYSTEM AND BRAIN ARCHITECTURE. THE POST PROGRAM SURVEY CONFIRMS PARTICIPANTS' INCREASED KNOWLEDGE AND UNDERSTANDING OF THE HARMFUL EFFECTS OF ACES AND THE POTENTIAL NEGATIVE IMPACT ON SOCIETY. EFFORTS ARE MEASURED BY PRE AND POST-TRAINING SURVEYS OF PROGRAM CONTENT AND/OR EVIDENCE OF INCREASE OF KNOWLEDGE. CHANGE IN THE ANNUAL COUNTY SUICIDE RATE IS ALSO TRACKED. THE SUICIDE RATE DECREASED FROM 16 IN 2015 TO 14 IN 2016. SJCF IS ALSO ACTIVE IN BOTH THE CHIPPEWA COUNTY AND EAU CLAIRE COUNTY SUICIDE DEATH REVIEW TEAMS WHICH ARE STUDYING EACH DEATH TO MONITOR FOR POTENTIAL TRENDS AND RESPOND ACCORDINGLY. B. SUICIDE COMMUNITY AWARENESS CAMPAIGN - SJCF'S 3D COMMUNITY HEALTH DEPARTMENT IS WORKING TO INCREASE COMMUNITY AWARENESS AND KNOWLEDGE OF THE FACTORS THAT OFFER PROTECTION FROM SUICIDAL BEHAVIORS AND PROMOTE WELLNESS AND RECOVERY. 3D IS AN ACTIVE PARTICIPANT OF A COMMUNITY COLLABORATION THAT IS WORKING TO CREATE TRAUMA-SENSITIVE WORK ENVIRONMENTS. THE COLLABORATIVE PROVIDED COMMUNITY AWARENESS PRESENTATIONS ON ACES TO 25 COMMUNITY MEMBERS, WHO SCORED A 4.35 ON A FIVE POINT RATING SCALE INDICATING INCREASED KNOWLEDGE THAT EXPOSING CHILDREN TO SEVERE, FREQUENT AND PROLONGED STRESS CAN PROFOUNDLY ALTER THEIR BODY'S STRESS MANAGEMENT SYSTEM AND BRAIN ARCHITECTURE. THE POST PROGRAM SURVEY CONFIRMS PARTICIPANTS' INCREASED KNOWLEDGE AND UNDERSTANDING OF THE HARMFUL EFFECTS OF ACES AND THE POTENTIAL NEGATIVE IMPACT ON SOCIETY. C. MENTAL HEALTH COMMUNITY AWARENESS CAMPAIGN - SJCF'S 3D COMMUNITY HEALTH DEPARTMENT, IN COLLABORATION WITH THE HOSPITAL'S MARKETING DEPARTMENT, CONTINUED MENTAL HEALTH COMMUNITY AWARENESS INITIATIVES DESIGNED TO REDUCE THE STIGMA AROUND MENTAL ILLNESS BY CHANGING KNOWLEDGE, ATTITUDES AND BEHAVIORS. UTILIZING SOCIAL MEDIA AND OTHER MEDIUMS, INITIATIVES FOCUS ON POSITIVE MESSAGES AND PROMOTE PUBLIC AWARENESS THAT MENTAL HEALTH AND PHYSICAL HEALTH ARE EQUAL AND INSEPARABLE COMPONENTS OF OVERALL HEALTH. ACTIVITIES ARE MEASURED BY CONSUMER REACH AND INTERACTIONS, UTILIZING DATA COLLECTION INCLUDING GOOGLE ANALYTICS, INSIGHTS FOR FACEBOOK AND SURVEYS OF COMMUNITY MEMBERS. SURVEYS WILL FOCUS ON INCREASE IN KNOWLEDGE, POSITIVE CHANGES IN RISK BEHAVIOR SURVEYS, AND OTHERS. AN EXAMPLE OF THIS IS THE REACH OF 4227 INDIVIDUALS OF A FACEBOOK POST REGARDING ONE OF 3D COMMUNITY HEALTH'S QPR PROGRAMS. THERE WERE 86 REACTIONS/COMMENTS TO THE POST WITH 67 "LIKES" AND SEVEN SHARES, AND 56 INDIVIDUAL COMMENTS ON THE SHARES AT THE TIME THE DATA WAS PULLED. ANOTHER SOCIAL MEDIA POST ABOUT THE RELATIONSHIP OF MENTAL HEALTH AND PHYSICAL HEALTH REACHED 2234 PEOPLE AND GARNERED 13 "LIKES" AND FIVE "SHARES" AND ONE COMMENT, WHICH WAS A POSITIVE COMMENT. D. STATE BEHAVIORAL HEALTH ALIGNMENT - SJCF WILL CONTINUE SUPPORT AND PARTICIPATION IN A COLLABORATIVE EFFORT BETWEEN HSHS WESTERN AND EASTERN WISCONSIN TO ALIGN BEHAVIORAL HEALTH SERVICES BETWEEN THE SIX HOSPITALS AND OTHER BEHAVIORAL HEALTH PARTNERS. ALIGNMENT AND COORDINATION OF SERVICES WITHIN THE STATE WILL DEMONSTRATE SUCCESS. E. SHEC'S 3D COMMUNITY HEALTH DEPARTMENT PARTNERED WITH 18 OTHER AREA AGENCIES TO APPLY FOR AND RECEIVE A $1.5 MILLION DOLLAR 8 YEAR GRANT TO PROVIDE INFORMATION AND RESOURCES FOR STUDENTS IN THE CHIPPEWA VALLEY TO INCREASE UNDERSTANDING OF THE CONNECTION BETWEEN YOUTH MENTAL HEALTH AND ACES, TRAUMA, PROTECTIVE FACTORS AND RESILIENCE. F. SJCF'S 3D COMMUNITY HEALTH DEPARTMENT WILL CONTINUE TO WORK COLLABORATIVELY WITH THE HOSPITAL'S BEHAVIORAL HEALTH DEPARTMENT TO PROVIDE COMMUNITY EDUCATION. EVENTS/SESSIONS THAT WILL BE EVALUATED FOR EFFECTIVENESS AND MEASUREMENTS OF SUCCESS WILL BE DEVELOPED. G. 3D COMMUNITY HEALTH AND SJCF HAVE GAINED GREAT RESPECT WITH THE COMMUNITIES THEY SERVE BY PROVIDING QUALITY PROGRAMMING/EVENTS THAT DRAW LARGE CROWDS TO HEAR NATIONALLY-RECOGNIZED SPEAKERS TALK ABOUT THEIR OWN STRUGGLES WITH MENTAL HEALTH ISSUES. IN FY17 3D BROUGHT JOSH SHIPP TO TALK WITH AREA YOUTH IN TWO SEPARATE EVENTS AND ONE FOR THE GENERAL PUBLIC. OVER 1800 PEOPLE HEARD HIS MESSAGE OF RESICIENCY. 3D ALSO BROUGHT FOOTBALL HALL OF FAMER TERRY BRADSHAW TO THE LOCAL HISTORIC THEATER TO TALK ABOUT HOW HE COPES WITH DEPRESSION AND IS STILL ABLE TO BE SUCCESSFUL AND PRODUCTIVE. OVER 1100 PEOPLE ATTENDED THE EVENT. THE RESPONSES TO THESE EVENTS WERE OVERWHELMINGLY POSITIVE. POST EVENT SURVEYS ARE ALWAYS REQUESTED OF ATTENDEES. THE RESULTS OF THE POST- EVENT SURVEYS GUIDE DECISIONS OF FUTURE PROGRAMING. |
| Schedule H, Part V, Section B, Line 11 Facility , 2 | Facility , 2 - HSHS St. Joseph's Hospital, Chippewa Falls. 2). SUBSTANCE USE- SJCF IS SUPPORTIVE OF THE IMPLEMENTATION AND/OR CONTINUATION OF THE FOLLOWING EFFORTS TO ADDRESS SUBSTANCE USE. A. VOICES IN PREVENTION (VIP) ACTION TEAM - SJCF WILL CONTINUE TO LEAD THIS ACTION TEAM OF CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP (CHIP) TO FURTHER COMMUNITY EDUCATION AND AWARENESS AROUND SUBSTANCE USE, PARTICULARLY THE DANGERS OF OPIATE USE. A DRUG DISPLAY KIT WAS CREATED IN PARTNERSHIP WITH THE WEST WISCONSIN DRUG TASK FORCE AND VIP THAT SHOWS ACTUAL DRUG AND PARAPHERNALIA TAKEN FROM OUR LOCAL STREETS TO BRING AWARENESS TO THE DRUG PROBLEMS THAT EXIST AND TO EDUCATE PARENTS AND OTHER COMMUNITY MEMBERS AS TO WHAT TO LOOK FOR IF THEY SUSPECT THEIR FAMILY MEMBER MIGHT BE USING.THIS WAS WELL-RECEIVED AT THE EVENT WHERE IT WAS DISPLAYED. AN OFFICER OF THE DRUG TASK FORCE ACCOMPANIES THE DISPLAY TO KEEP IT SECURE AND TO ANSWER QUESTIONS. B. SJCF AND 3D COMMUNITY HEALTH WILL PROMOTE EFFECTIVE PROGRAMS AND PRACTICES (I.E. ADVERSE CHILDHOOD EXPERIENCES (ACES)) THAT INCREASE PROTECTION FROM SUBSTANCE USE AND PROMOTE COHESION AMONG RESIDENTS OF CHIPPEWA AND EAU CLAIRE COUNTIES. 3D HAS PROVIDED COMMUNITY AWARENESS PRESENTATIONS ON ACES TO 25 COMMUNITY MEMBERS WHO SCORED A 4.35 ON A FIVE POINT RATING SCALE INDICATING INCREASED KNOWLEDGE THAT EXPOSING CHILDREN TO SEVERE, FREQUENT AND PROLONGED STRESS CAN PROFOUNDLY ALTER THEIR BODY'S STRESS MANAGEMENT SYSTEM AND BRAIN ARCHITECTURE. THE POST PROGRAM SURVEY CONFIRMS PARTICIPANTS' INCREASED KNOWLEDGE AND UNDERSTANDING OF THE HARMFUL EFFECTS OF ACES AND THE POTENTIAL NEGATIVE IMPACT ON SOCIETY. C. 3D IS ALSO AN ACTIVE PARTICIPANT OF A COMMUNITY COLLABORATION THAT IS WORKING TO CREATE TRAUMA-SENSITIVE WORK ENVIRONMENTS. THIS PROJECT IS CURRENTLY FOCUSING ON THE COUNTY DEPARTMENT OF HUMAN SERVICES (DHS) AND THE NEGATIVE PERCEPTION THAT MANY COMMUNITY MEMBERS HAVE OF THAT AREA OF THE COUNTY COURTHOUSE. COLLEAGUES OF THAT PARTICULAR DEPARTMENT ALSO INDICATE THAT THEY FEEL THEIR WORK ENVIRONMENT IS UNHEALTHY AND NEGATIVE. SUCCESS OF THIS PROJECT WILL BE MEASURED BY CHANGES SEEN IN THE WORK ENVIRONMENT AND PERCEPTION OF THAT DEPARTMENT BY COMMUNITY MEMBERS WHO FREQUENT THAT AREA. D. THE CEO AND PRESIDENT OF SJCF WAS APPOINTED TO THE GOVERNOR OF WISCONSIN OPIOID TASK FORCE AND HAS BEEN WORKING DILIGENTLY TO IMPLEMENT THE TASK FORCE RECOMMENDATIONS TO IMPACT THE OPIOID EPIDEMIC IN WISCONSIN. E. L.E. PHILLIPS LIBERTAS TREATMENT CENTER - WILL CONTINUE TO PROVIDE HIGH QUALITY ASSESSMENT, INTERVENTION, AND RESIDENTIAL ALCOHOL AND OTHER DRUG ABUSE (AODA) TREATMENT FOR PERSONS IN OUR COMMUNITY AND SURROUNDING AREAS. 3). ALCOHOL MISUSE - SJCF IS SUPPORTIVE OF THE IMPLEMENTATION AND/OR CONTINUATION OF THE FOLLOWING EFFORTS TO ADDRESS ALCOHOL MISUSE. A. L.E. PHILLIPS LIBERTAS TREATMENT CENTER WILL CONTINUE TO PROVIDE HIGH QUALITY ASSESSMENT, INTERVENTION, AND RESIDENTIAL ALCOHOL AND OTHER DRUG ABUSE (AODA) TREATMENT FOR PERSONS IN OUR COMMUNITY AND SURROUNDING AREAS. B. L.E. PHILLIPS LIBERTAS TREATMENT CENTER WILL CONTINUE TO PROVIDE AODA EDUCATION THROUGH BI-MONTHLY COMMUNITY SEMINARS, AND A VARIETY OF OTHER COMMUNITY VENUES. C. SJCF WILL CONTINUE SUPPORT OF THE VOICES IN PREVENTION ACTION TEAM OF CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP (CHIP) AND THE HIGH-RISK DRINKING PREVENTION ACTION TEAM OF EAU CLAIRE HEALTHY COMMUNITIES TO FURTHER COMMUNITY EDUCATION AND AWARENESS AROUND AODA ISSUES IN THE CHIPPEWA AND EAU CLAIRE AREAS. EVALUATIONS OF EVENTS/ PROGRAMS WILL BE DEVELOPED AND USED TO TRACK ANY CHANGES IN COMMUNITY KNOWLEDGE AND/ OR BEHAVIORS. COUNTY HEALTH RANKINGS WILL BE TRACKED AS WELL. 4) ACCESS TO HEALTH CARE -THIS WAS NOT ONE OF THE 14 NEEDS THAT WAS IDENTIFIED/ADDRESSED IN OUR CHNA BUT SJCF WILL CONTINUE TO WORK CLOSELY WITH COMMUNITY PARTNERS, INCLUDING THE CHIPPEWA COUNTY DEPARTMENT OF HUMAN SERVICES AND THE HEALTH DEPARTMENT, INSURANCE AGENCIES/BROKERS, CHURCHES AND MANY MORE, TO ADVANCE COMMUNITY AWARENESS AROUND THE AFFORDABLE CARE ACT (ACA) AND ENCOURAGE ENROLLMENT IN THE HEALTH INSURANCE MARKETPLACE OR OTHER INSURANCE ASSISTANCE PROGRAMS. THE HOSPITAL WILL COLLABORATE WITH THE OTHER MEMBERS OF THE CHIPPEWA COUNTY ACA TEAM THAT THE HOSPITAL WAS INSTRUMENTAL IN FOUNDING FOUR YEARS AGO. AS AN OUTCOME OF THE PRIORITIZATION PROCESS, THE FOLLOWING COMMUNITY HEALTH NEEDS WERE ALSO IDENTIFIED AND WILL BE ADDRESSED BY THE HOSPITAL BUT WILL BE INCORPORATED INTO THE ACTION PLANNING OF ONE OF THE TOP THREE IDENTIFIED NEEDS OF MENTAL HEALTH, ALCOHOL MISUSE OR OBESITY AS THE AREAS IDENTIFIED BELOW ARE IMPACTED BY ACTION ON THE TOP THREE : HEALTHY GROWTH & DEVELOPMENT: THE HOSPITAL SUPPORTS THE INFANT MENTAL HEALTH ACTION TEAM OF THE CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP (CHIP) WHOSE WORK IMPACTS THIS FOCUS AREA. SJCF WILL CONTINUE ITS COORDINATION AND SUPPORT OF ITS FIRST CONNECTIONS PROGRAM WHICH IS A PARTNERSHIP BETWEEN SJCF AND THE FAMILY SUPPORT CENTER, CHIPPEWA FALLS THAT PROVIDES A VISIT BY A FAMILY SERVICES CASE WORKER TO ALL PARENTS IN SJCF'S BIRTH CENTER TO EVALUATE RISK FACTORS AND PROVIDE INFORMATION/REFERRAL. 3D COMMUNITY HEALTH HAS BEEN WORKING CLOSELY WITH PURDUE UNIVERSITY TO DEVELOP AN EVALUATION OF THE PROGRAM. THIS EVALUATION WILL BE IN PLACE IN OCTOBER 2017. CHRONIC DISEASE: AS A HOSPITAL, SJCF IS ALWAYS CONCERNED WITH THE PREVENTION AND MANAGEMENT OF CHRONIC DISEASE AND WILL CONTINUE TO INCORPORATE THIS FOCUS AREA INTO COMMUNITY AWARENESS AND EDUCATION EVENTS/ACTIVITIES EVEN WHEN THOSE EVENTS/ACTIVITIES HAVE A PRIMARY FOCUS ON MENTAL HEALTH. AN EXAMPLE IS PROVIDING INFORMATION AT A DECLUTTER EVENT ABOUT HOW MENTAL CLUTTER CAN ADD TO A PERSON'S STRESS AND MENTAL ANGUISH AND THE CONNECTION BETWEEN CHRONIC STRESS AND CHRONIC DISEASES. AS AN OUTCOME OF THE PRIORITIZATION PROCESS, THE FOLLOWING COMMUNITY HEALTH NEEDS WERE ALSO IDENTIFIED TO A LESSER DEGREE AND WILL NOT BE ADDRESSED DIRECTLY BY THE HOSPITAL FOR THE REASONS INDICATED: ADEQUATE, APPROPRIATE AND SAFE FOOD AND NUTRITION: THE HOSPITAL DID NOT TAKE THE LEAD ON THIS ISSUE AS WE HAVE DONE IN THE PAST. THIS FOCUS AREA IS BEING ADDRESSED BY GROUPS THAT INCLUDE THE 17 FOOD ASSISTANCE SERVICES IN CHIPPEWA COUNTY, AS WELL AS BY LOCAL SCHOOL DISTRICTS AND THE COUNTY HEALTH DEPARTMENTS. THE HOSPITAL SUPPORTS THESE EFFORTS BY MAKING FINANCIAL CONTRIBUTIONS TO FOOD PANTRIES AND THE LOCAL COMMUNITY MEAL PROGRAM WHERE HOSPITAL COLLEAGUES ALSO VOLUNTEER COOKING AND SERVING MEALS. THE HOSPITAL CREATED A COMMUNITY GARDEN ON THE CAMPUS OF THE HOSPITAL AND FRESH PRODUCE HARVESTED FROM THE COMMUNITY GARDEN ARE DONATED TO THE LOCAL FOOD PANTRIES. THE HOSPITAL ALSO PROVIDES MEALS TO THE LOCAL MEALS ON WHEELS PROGRAM. INJURY & VIOLENCE: THE COMMUNITY HAS A WELL-ESTABLISHED, WELL- RESPECTED COMMUNITY SEXUAL ASSAULT AND DOMESTIC VIOLENCE AGENCY THAT IS THE LEAD ON THIS AREA. THE HOSPITAL DOES PROVIDE FINANCIAL SUPPORT DURING THE AGENCY'S ANNUAL FUNDRAISING DRIVE AS WELL AS SENIOR LEADERSHIP SERVING ON THE AGENCY BOARD OF DIRECTORS. SJCF HAS A PRIMARY FOCUS OF SUICIDE PREVENTION (SELF-INJURY AREA) AND AWARENESS WHICH IS INCLUDING IN THE MENTAL HEALTH FOCUS AREA. REPRODUCTIVE/SEXUAL HEALTH: THE HOSPITAL IS NOT TAKING THE LEAD IN THIS AREA AS IT IS BEST SERVED BY THE COUNTY HEALTH DEPARTMENT AND OTHER AGENCIES WITH EXPERTISE IN THE AREA. ENVIRONMENTAL/OCCUPATIONAL HEALTH: WHILE SJCF DOES HAVE A VIBRANT OCCUPATIONAL HEALTH DEPARTMENT, THE HOSPITAL DOES NOT TAKE THE LEAD ON EFFORTS IN THE COMMUNITY AROUND THIS FOCUS AREA. THE COUNTY HEALTH DEPARTMENT LEADS ACTIVITIES FOR ENVIRONMENTAL/ OCCUPATIONAL HEALTH AS THEY HAVE EXPERTISE IN THIS AREA. TOBACCO USE AND EXPOSURE: SJCF IS A SMOKE-FREE CAMPUS AND ADVOCATES FOR SMOKING CESSATION BUT WILL NOT LEAD EFFORTS IN THE COMMUNITY AS IT IS BEST ADDRESSED THROUGH THE COUNTY HEALTH DEPARTMENT AND OTHER COMMUNITY AGENCIES WITH EXPERTISE IN THIS AREA. A COUNTY HEALTH DEPARTMENT NURSE SERVES ON THE VOICES IN PREVENTION ACTION TEAM OF CHIPPEWA HEALTH IMPROVENT PARTNERSHIP THAT HAS BEEN GRACIOUSLY HOSTED BY SJCF FOR MORE THAN TWO DECADES. SHE PROVIDES EXPERTISE ON TOBACCO USE AND EXPOSURE TO SECOND HAND SMOKE AND ENCOURAGES THE ACTION TEAM TO PROVIDE COMMUNITY EDUCATION REGARDING THIS HEALTH FOCUS AREA. IN ADDITION, SHE ENCOURAGES THE ACTION TEAM TO INCLUDE TOBACCO WHEN ADDRESSING ATODA ISSUES. |
| Schedule H, Part V, Section B, Line 13 Facility , 1 | Facility , 1 - St. Joseph's Hospital (SJCF). Presumptive eligibility provides individuals participating in one of the following categories with a 100% write off. These programs are granted by outside organizations based on screening criteria of less than 200% of the FPG. 1. Homelessness 2. Deceased with no estate 3. Mental incapacitation with no one to act on patient's behalf 4. Medicaid eligibility, but not on date of service or for non-covered services 5. Incarceration in a penal institution 6. Enrollment in the following assistance programs for low-income individuals: 6a. Temporary Assistance for Needy Families (TANF) 6b. Illinois Housing Development Authority's Rental Housing Support Program 7. Wisconsin Department of Health Services Housing Assistance Program 8. Participation in Women, Infants and Children programs (WIC); 9. Supplemental Nutrition Assistance Program (SNAP) eligibility; 10. Illinois Free Lunch and Breakfast Program; 11. Wisconsin Free Lunch Program; 12. Low Income Home Energy Assistance Program (LIHEAP); 13. Wisconsin Home Energy Assistance Program (WHEAP); 14. Enrollment in an organized community-based program providing access to medical care that assesses and documents limited low-income financial status as criteria; 15. Receipt of grant assistance for medical services |
| Schedule H, Part V, Section B, Line 20 Facility , 1 | Facility , 1 - St. Joseph's Hospital (SJCF). HSHS provids a written notice about upcoming ECAs at least 30 days prior to initiating ECAs. This statement is included on a patient billing statement prior to placement with an agency. Additionally, a message about the availability of financial assistance is included on the statement, but it was not a separate summary document. |
| Field | Value | IRS element (for citing) |
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| Facility | 0 | FacilityNum |
Supplemental Information Detail SupplementalInformationDetail (22 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
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| Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH (CONTINUED A) | IN AN EFFORT TO ADDRESS THE RISING RATE OF SUICIDES IN EAU CLAIRE COUNTY, SJCF'S 3D COMMUNITY HEALTH HAS TAKEN THE LEAD IN THE AREA ON SUICIDE PREVENTION BY COORDINATING TRAIN THE TRAINER SESSIONS AS WELL AS COMMUNITY EDUCATION SESSIONS ON QPR (QUESTION, PERSUADE, AND REFER), AN EVIDENCE-BASED SUICIDE PREVENTION PROGRAM. IN ADDITION TO TAKING A LEAD ROLE WITH BRINGING QPR TO THE CHIPPEWA COUNTY AND SURROUNDING AREA SJCF IS COORDINATING EFFORTS WITH EAU CLAIRE HEALTHY COMMUNITIES MENTAL HEALTH ACTION TEAM, THAT IS ALSO PROVIDING QPR IN THE COMMUNITY, TO MAKE SURE THAT EFFORTS ARE NOT DUPLICATIVE OR COMPETING FOR SAME DAY OR SAME AUDIENCES AND TO ENSURE SIMILAR MESSAGING IS USED. 3D COMMUNITY HEALTH HAS COLLABORATED WITH AREA AGENCIES TO FORM A SUICIDE DEATH REVIEW TEAM IN BOTH EAU CLAIRE AND CHIPPEWA COUNTIES. THESE TEAMS REVIEW DETAILS OF EACH SUICIDE TO LOOK FOR POSSIBLE TRENDS AND KEY PIECES OF INFORMATION THAT MAY GUIDE 3D'S EFFORTS IN TARGETING CERTAIN GEOGRAPHIC AREAS, CERTAIN AGE OR GENDER, ETC. FOR THE MOST EFFECTIVE PROGRAMMING. THE DATA REVIEWED SO FAR SEEMS TO INDICATE ONE OF THE COMMON THEMES TO BE RELATIONSHIP DIFFICULTIES, I.E. RECENT DIVORCE OR SEPARATION. SUICIDE COMMUNITY AWARENESS CAMPAIGN SJCF'S 3D COMMUNITY HEALTH AND MARKETING DEPARTMENTS HAVE BEEN WORKING TO INCREASE COMMUNITY AWARENESS AND KNOWLEDGE OF FACTORS THAT OFFER PROTECTION FROM SUICIDAL BEHAVIORS AND THAT PROMOTE WELLNESS AND RECOVERY. COLLABORATION WITH MULTIPLE COMMUNITY PARTNERS IS OCCURRING ON AN ONGOING BASIS. ONE OBJECTIVE IS TO PROMOTE EFFECTIVE PROGRAMS AND PRACTICES SUCH AS EDUCATION ON ADVERSE CHILDHOOD EXPERIENCES (ACES) THAT INCREASE PROTECTION FROM SUICIDAL RISK AND PROMOTE CONNECTEDNESS AMONG RESIDENTS OF CHIPPEWA AND EAU CLAIRE COUNTIES. SUCCESS IS MEASURED BY AN INVENTORY OF COMMUNITY ATTITUDES AND BEHAVIORS, COUNTY SUICIDE STATISTICS AND EVIDENCE OF INCREASED COMMUNITY KNOWLEDGE OF SUICIDE AS WELL AS THE CONNECTION BETWEEN MENTAL AND PHYSICAL HEALTH AND WELLBEING BASED ON SURVEY DATA THAT THE HOSPITAL COLLECTS. AT THE CHILDREN, HEALTH AND FAMILY SUMMIT THAT 3D COMMUNITY HEALTH COORDINATED IN PARTNERSHIP WITH THE COUNTY DEPARTMENT OF HUMAN SERVICES, 99 OF THE 190 ATTENDEES TOOK A PRE- AND POST-EVENT SURVEY ABOUT ACES AND BRAIN DEVELOPMENT. THERE WAS A 24% INCREASE IN THE PERCENTAGE WHO STRONGLY AGREED THAT EXPOSING INFANTS TO STRESS CAN CAUSE THEM TO DEVELOP A SMALLER BRAIN BETWEEN PRE- AND POST-EVENT. OTHER SURVEY QUESTIONS SHOWED SIMILAR POSITIVE RESULTS DEMONSTRATING THE SUCCESS OF THE EVENT IN INCREASING EVENT ATTENDEE'S KNOWLEDGE OF THE ACES. ALCOHOL MISUSE L.E. PHILLIPS LIBERTAS TREATMENT CENTER CONTINUES TO PROVIDE HIGH QUALITY ASSESSMENT, INTERVENTION, AND RESIDENTIAL ALCOHOL AND OTHER DRUG ABUSE (AODA) TREATMENT FOR PERSONS IN OUR COMMUNITY AND SURROUNDING AREAS. L.E. PHILLIPS LIBERTAS TREATMENT CENTER CONTINUES TO PROVIDE AODA EDUCATION THROUGH BI-MONTHLY COMMUNITY SEMINARS, AND A VARIETY OF OTHER COMMUNITY VENUES. THERE WERE 118 PARTICIPANTS IN FY16. SJCF CONTINUES SUPPORT OF THE CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP (CHIP) ACTION TEAM, VOICES IN PREVENTION, TO FURTHER COMMUNITY EDUCATION AND AWARENESS AROUND AODA ISSUES IN THE CHIPPEWA AND EAU CLAIRE AREAS. EVALUATIONS OF EVENTS/PROGRAMS WILL BE DEVELOPED AND USED TO TRACK ANY CHANGES IN COMMUNITY KNOWLEDGE AND/OR BEHAVIORS. COUNTY HEALTH RANKINGS WILL BE TRACKED AS WELL. THIS TEAM IS CURRENTLY COLLECTING COUNTY-WIDE DATA TO ENABLE THEM TO APPLY FOR A DRUG-FREE COMMUNITIES GRANT. HSHS ST. JOSEPH'S HOSPITAL HOSTED AN AWARENESS WALK AND BELL CONCORDANCE ON INTERNATIONAL FETAL ALCOHOL SPECTRUM DISORDER (FASD) AWARENESS DAY, SEPTEMBER 9. AREA CHURCHES RANG AT 9:09 AM AND A MINUTE OF REFLECTION WAS FOLLOWED BY A BRIEF EDUCATIONAL PROGRAM ON FASD AND THE AWARENESS WALK THROUGH THE PARK. BELLS WERE DISTRIBUTED TO PARTICIPANTS. WE WANTED TO DRAW AWARENESS THAT ACCORDING TO THE CDC, AS WELL AS THE U.S. SURGEON GENERAL THERE IS NO SAFE TIME DURING PREGNANCY TO DRINK AND NO SAFE AMOUNT OF ALCOHOL WHEN A WOMAN IS PREGNANT. SEPTEMBER 9 IS INTERNATIONAL FASD AWARENESS DAY, IN COMMEMORATION OF THE NINE MONTHS OF PREGNANCY. FETAL ALCOHOL SPECTRUM DISORDERS IS 100% PREVENTABLE IF A PREGNANT WOMAN ABSTAINS FROM ALCOHOL. EDUCATIONAL MATERIALS WERE DISPLAYED IN MEDICAL CLINICS, THE YMCA, SUBSTANCE ABUSE TREATMENT CENTER, GOVERNMENT BUILDINGS AND CHILD CENTERS. AN ARTICLE ABOUT NOT DRINKING DURING PREGNANCY WAS FEATURED IN A LOCAL WOMEN'S MAGAZINE WITH A 10,000 + PRINTED CIRCULATION. ANOTHER ARTICLE APPEARED IN THE WESTERN WISCONSIN DIVISION INSPIRING HEALTH MAGAZINE WITH PRINTED CIRCULATION OF 20,000 HOMES. SUBSTANCE USE SJCF WILL CONTINUE TO SUPPORT THE VOICES IN PREVENTION (VIP) ACTION TEAM OF CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP (CHIP) TO FURTHER COMMUNITY EDUCATION AND AWARENESS AROUND SUBSTANCE USE, PARTICULARLY THE DANGERS OF OPIATE USE. A DRUG DISPLAY KIT WAS CREATED IN PARTNERSHIP WITH THE WEST WISCONSIN DRUG TASK FORCE AND VIP THAT SHOWS ACTUAL DRUG AND PARAPHPHERNALIA TAKEN FROM OUR LOCAL STREETS TO BRING AWARENESS TO THE DRUG PROBLEMS THAT EXIST AND TO EDUCATION PARENTS AND OTHER COMMUNITY MEMBERS AS TO WHAT TO LOOK FOR IF THEY SUSPECT THEIR FAMILY MEMBER MIGHT BE USING.THIS HAS BEEN VERY WELL-RECEIVED AT THE EVENT WHERE IT HAS BEEN DISPLAYED. AN OFFICER OF THE DRUG TASK FORCE ACCOMPANIES THE DISPLAY TO KEEP IT SECURE AND TO ANSWER QUESTIONS. SJCF AND 3D COMMUNITY HEALTH WILL PROMOTE EFFECTIVE PROGRAMS AND PRACTICES SUCH AS EDUCATION ON ADVERSE CHILDHOOD EXPERIENCES (ACES) THAT INCREASE PROTECTION FROM SUBSTANCE USE AND PROMOTE CONNECTEDNESS AMONG RESIDENTS OF CHIPPEWA AND EAU CLAIRE COUNTIES. 3D HAS PROVIDED COMMUNITY AWARENESS PRESENTATIONS ON ACES TO 25 COMMUNITY MEMBERS WHO INCREASED KNOWLEDGE AND UNDERSTANDING OF THE HARMFUL EFFECTS OF ACES AND THE NEGATIVE IMPACT IT CAN HAVE ON SOCIETY. 3D IS ALSO AN ACTIVE PARTICIPANT OF A COMMUNITY COLLABORATION THAT IS WORKING TO CREATE TRAUMA-SENSITIVE WORK ENVIRONMENTS. THIS PROJECT IS CURRENTLY FOCUSING ON THE COUNTY DEPARTMENT OF HUMAN SERVICES (DHS) AND THE NEGATIVE PERCEPTION THAT MANY COMMUNITY MEMBERS HAVE OF THAT AREA OF THE COUNTY COURTHOUSE. COLLEAGUES OF THAT PARTICULAR DEPARTMENT ALSO INDICATE THAT THEY FEEL THEIR WORK ENVIRONMENT IS UNHEALTHY AND NEGATIVE. SUCCESS OF THIS PROJECT WILL BE MEASURED BY CHANGES SEEN IN THE WORK ENVIRONMENT AND PERCEPTION OF THAT DEPARTMENT BY COMMUNITY MEMBERS WHO FREQUENT THAT AREA. THE CEO AND PRESIDENT OF SJCF WAS APPOINTED TO THE GOVERNOR OF WISCONSIN'S OPIOID TASK FORCE AND HELPED TO IMPLEMENT THE TASK FORCE RECOMMENDATIONS TO IMPACT THE OPIOID EPIDEMIC IN WISCONSIN. SJCF'S L.E. PHILLIPS LIBERTAS TREATMENT CENTER - WILL CONTINUE TO PROVIDE HIGH QUALITY ASSESSMENT, INTERVENTION, AND RESIDENTIAL ALCOHOL AND OTHER DRUG ABUSE (AODA) TREATMENT FOR PERSONS IN OUR COMMUNITY AND SURROUNDING AREAS. OTHER COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS SJCF 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. SJCF PROVIDES A RANGE OF COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS THAT FURTHERS OUR MISSION AND LONG-STANDING COMMITMENT TO OUR COMMUNITY. IN MANY CASES, THESE COMMUNITY BENEFIT INITIATIVES WOULD NOT EXIST WITHOUT THE LEADERSHIP ROLE PLAYED BY SJCF AND THEY OFTEN RELIEVE A BURDEN THAT WOULD OTHERWISE BE CARRIED BY GOVERNMENT. IN FY2017, SJCF CONTINUED ITS INVOLVEMENT IN COMMUNITY BUILDING ACTIVITIES THAT ADDRESSED LAYING A FOUNDATION FOR A HEALTHIER, SAFER AND BETTER EDUCATED COMMUNITY. THE HOSPITAL CONTINUES TO DRAW FROM THE FY15 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WHICH SURFACED THE FOLLOWING HEALTH FOCUS AREAS TO BE ADDRESSED BY THE HOSPITAL IN COLLABORATION WITH OTHER HOSPITALS AND COMMUNITY ORGANIZATIONS: PROVIDES EDUCATIONAL CLASSES, PROGRAMS, AND RESOURCES INCLUDING: * EXPECTANT PARENT CLASSES, SIBLING CLASSES, BREASTFEEDING CLASSES, AND LACTATION CONSULTING SERVING 603 ATTENDEES * BABYSITTING SEMINARS SERVING 48 ADOLESCENTS * PLANNING AND IMPLEMENTATION OF A PEDIATRIC HEALTH FAIR WITH HANDS-ON ACTIVITIES IN HEALTH, WELLNESS AND SAFETY FOR FIRST GRADE STUDENTS IN CHIPPEWA COUNTY SERVING 484 ATTENDEES * WELLNESS PROGRAMS, SERVICES AND RETREATS * PARTICIPATION IN COMMUNITY AND LOCAL BUSINESS HEALTH FAIRS * COORDINATED THE 11TH ANNUAL INDOOR SPORTS CENTER "GET HOOKED ON HEALTH" KIDS EXPO (SAFETY EDUCATION, HEALTH & WELLNESS) WITH MORE THAN 3000 ATTENDEES * 3D COMMUNITY HEALTH EDUCATIONAL SERIES AND OTHER EDUCATION PROGRAMS, SPEAKERS AND FREE SCREENINGS * ANNUAL COAT DRIVE PROVIDING MORE THAN 6,000 COATS TO THOSE IN NEED |
| Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH (CONTINUED B) | * SUMMER SAFETY POOL DAY TO EDUCATE 400 COMMUNITY MEMBERS ABOUT SUNSCREEN, SUNGLASSES, HYDRATION, AND GENERAL SUMMER SUN SAFETY AT AREA PUBLIC POOLS. * MEAL PROGRAMS AND SUPPORT INCLUDING MEALS FOR SENIOR CITIZENS AND CONGREGATE SITE MEALS * AMERICAN HEART ASSOCIATION TRAINING CLASSES INCLUDING CPR, ALS, AND PALS SERVING 396 ATTENDEES * 8 HEALTH SCREENING EVENTS HELD INCLUDING BLOOD PRESSURE SCREENINGS AT HEALTH FAIRS SERVING APPROXIMATELY 2500 PEOPLE OTHER SERVICES TO THE COMMUNITY, INCLUDING: * SJCF'S CENTER FOR SPIRITUAL CARE PROVIDED ASSISTANCE WITH 650 POWER OF ATTORNEY FOR HEALTH CARE (ADVANCE DIRECTIVE) FORMS AND NUMEROUS PRESENTATIONS AROUND SPIRITUAL CARE ISSUES * STUDENT INTERN PROGRAMS, WORK SHADOWING, AND HOSPITAL TOURS * DISASTER PREPAREDNESS PLANNING * PARTICIPATION IN FARM EXPO, INCLUDING FREE BLOOD PRESSURE SCREENINGS * PROVIDES AN ANNUAL BLESSING OF THE ANIMALS WHERE COMMUNITY MEMBERS CAN BRING THEIR PETS TO BE BLESSED * VARIETY OF COMMUNITY PRESENTATIONS AROUND THE ETHICAL AND RELIGIOUS DIRECTIVES * SPONSORSHIP OF MULTIPLE HEALTH WALKS AND FUNDRAISERS FOR VARIOUS NON-PROFIT AGENCIES THAT SHARE SIMILAR MISSIONS AS SJCF. * SUPPORT MULTIPLE COMMUNITY ORGANIZATIONS COMMITTEES AND COUNCILS * SJCF'S PEDIATRIC THERAPY AND MARKETING DEPARTMENTS COORDINATE AND HOST A FUN-FILLED, FREE EVENING AT THE LOCAL CHILDREN'S MUSEUM FOR DISABLED CHILDREN AS WELL AS AN EASTER EVENT FOR ALL CHILDREN * COMMUNITY DIABETES EDUCATION CLASSES * QPR/MENTAL HEALTH FIRST AID * 3D COMMUNITY HEALTH MENTAL HEATLH SERIES FEATURING SCOTT HAMILTON, TERRY BRADSHAW, JOSH SHIPPE, AND CHESTER MARCHOL AT THE STATE THEATER * COMMUNITY HEALTH SERIES ADDRESSING MENTAL HEALTH STIGMA * COORDINATE NATIONAL NIGHT OUT AND PROVIDE HEALTH INFORMATION TO 1600 PEOPLE, MANY OF WHOM ARE AT RISK FAMILIES * FIRST CONNECTIONS PROGRAM PROVIDING A HOME VISIT TO ALL NEW MOTHERS BY FAMILY SUPPORT CENTER STAFF TO PROVIDE INFORMATION ABOUT SUPPORT PROGRAMS IN THE COMMUNITY FOR CHILDREN AND INFORMATION ON CHILDREN'S HEALTH * PLAN, IMPLEMENT AND EVALUATE GO CHIPPEWA VALLEY TO ENCOURAGE COMMUNITY MEMBERS TO EXERCISE 15 MINUTES A DAY AND TO ADDRESS THE OBESITY * HOST SUPPORT GROUPS INCLUDING GRIEF, CANCER AND SPINAL CORD INJURIES * PROVIDE IN KIND DONATIONS TO THE LOCAL FREE MEDICAL CLINIC * PROVIDE IN KIND PRINTING TO NON-PROFIT COMMUNITY AGENCIES * PROVIDE MEDICAL SUPPLIES/STAFF TO SUPPORT LOCAL FAIRS AND FESTIVALS * COODINATE ST JOSEPH'S DAY ALTAR FOOD DRIVE TO BENEFIT AREA FOOD PANTRIES * HOSTED MONTHLY LEP COMMUNITY EDUCATION SERIES SERVING 133 PEOPLE ON TOPICS INCLUDING ACES AND COMMUNITY CHANGE, DOMESTIC VIOLENCE AND SEXUAL ASSULT, BULLYING, DEALING WITH DIFFICULT PEOPLE, THE TEEN BRAIN, EATING DISORDER 101, AND HOW HORSES TEACH MINDFULNESS * HOST PAINT THE TOWN RED, A HEART HEALTH AWARENESS AND EDUCATION EVENT SERVING 484 PEOPLE * HOST A COMMUNITY BLOCK PARTY TO PROMOTE SOCIAL COHESION SERVING 2000 PEOPLE * PROVIDE BASELINE CONCESSION SCREENINGS FOR YOUTH FOOTBALL SERVING 317 ADOLESCENTS |
| Schedule H, Part VI, Line 6 DESCRIPTION OF AFFILIATED GROUP (CONTINUED A) | HSHS Good Shepherd Hospital in Shelbyville, Illinois increases access to mammograms, diagnostic screenings and breast cancer treatments for women through the hospital's Pink Ribbon Program and Vicky Wagner Breast Cancer Assistance Fund. The Pink Ribbon Program covers the costs of mammograms or diagnostic screenings for women living in rural areas who are under or uninsured. The Vicky Wagner Breast Cancer Assistance Fund assists women living in Shelby County who are receiving treatment for breast cancer with out of pocket expenses such as wigs, transportation to treatment appointments, child care, meals or other expenses that insurance doesn't cover. In southwest Illinois, HSHS St. Joseph's Hospital in Highland provides enhanced offerings for senior population based on their CHNA. "Senior Renewal" is an outpatient counseling program for senior adults who may be facing emotional and physical problems unique to the aging process such as feelings of loneliness, isolation and anxiety. Clients receive a comprehensive level of treatment without inpatient hospitalization through counseling strategies and education. In addition, St. Joseph's Hospital is the lead collaborator in the Highland Area Meals on Wheels Program. In April 1977, the hospital partnered with the now defunct Highland Area Council of Churches to introduce the Meals on Wheels program. Today, St. Joseph's partners with the civic organization Highland Area Meals on Wheels Program to prepare and deliver nutritious meals to the elderly, those who are recuperating from illness or hospital stays, or anyone wishing to participate in the program within a 15-mile radius (cumulative population 20,000+) of the hospital. Annually, approximately 16,896 meals are delivered in eight communities. In addition to programs designed to increase access to care, HSHS makes sure that those who need financial assistance receive it. HSHS's Financial Assistance (Charity Care) policy was modified effective January 1, 2014 to offer a 25 percent self-pay discount to all patients who register without insurance. HSHS Financial Assistance programs have a sliding scale, in some instances providing up to a 55 percent reduction off billed charges if an uninsured patient's family income level is determined to be above 500 percent but equal to our less than 600 percent of the current Federal Poverty Guidelines. HSHS hospitals waive all charges for patients below 200 percent of the Federal Poverty Levels. Counselors are available in our hospitals to explain our financial assistance policy to patients, provide them with assistance in filling out a simple application form, or help them enroll in publicly funded health care programs. Enhance community health As part of our mission to embody Christ's healing love for all people, we understand that we have a responsibility to improve the overall quality of life in our communities by supporting initiatives that promote health and wellness. We recognize we are most successful when we work together with a wide array of public and private organizations that share our commitment to improving lives. By doing so, we maximize our efforts and reduce the duplication of services. To ensure the health care needs of all are being met, HSHS hospitals also understand we need to listen closely to the residents of the communities we serve. In turn, 13 HSHS hospitals conducted Community Health Needs Assessments (CHNAs) in FY2015. HSHS St. Clare Memorial Hospital in Oconto Falls, Wisconsin, who affiliated with HSHS in September 2015, and HSHS Holy Family Hospital in Greenville, Illinois, who affiliated with HSHS in May 2016, both completed their CHNAs in FY2014. HSHS Good Shepherd Hospital in Shelbyville, Illinois who affiliated with HSHS in January 2017, conducted its most recent CHNA in FY2016. HSHS hospitals are using the information gathered from their most recent CHNAs to develop new, and enhance existing, programs and services that best address the needs of the community. Priority health care needs were identified in the FY2015 CHNAs including access to health care services; alcohol, tobacco, and other drug abuse; chronic disease prevention and management; nutrition/wellness; mental health; and oral health. HSHS hospitals are addressing these and other needs by proactively offering educational opportunities, preventative screenings, and new or enhanced clinical services. In many cases, the hospitals collaborate with other hospital facilities, local departments of public health and community organizations to address identified needs. In western Wisconsin, HSHS Sacred Heart Hospital in Eau Claire and HSHS St. Joseph's Hospital in Chippewa Falls are taking the lead to educate the public about mental health issues and treatment, the stigma associated with mental health, and the recognition of mental health issues. Under the umbrella of 3D Community Health, the hospitals led suicide prevention activities across multiple sectors in collaboration with the Chippewa Health Improvement Partnership in FY2017. Strategies included community trainings of an evidence-based suicide prevention program, QPR (question, persuade & refer), and a variety of events, activities and displays pertaining to suicide prevention. Efforts are measured by the county suicide rate, inventory of change in community knowledge, stigma and behaviors, as well as participation in the county suicide death review team to monitor for potential trends and respond accordingly. 3D formed a suicide death review team in both Eau Claire and Chippewa Counties. These teams review details of each suicide to look for trends and key pieces of information that may guide efforts in targeting certain geographic areas, certain age or gender, etc. 3D is also focused on increasing community awareness and knowledge of the factors that offer protection from suicidal behaviors and that promote wellness and recovery in collaboration with multiple community partners on an ongoing basis. One strategy is to promote effective programs and practices i.e. adverse childhood experiences (ACEs) that increase protection from suicidal risk and promote connectedness among residents of Chippewa and Eau Claire Counties. At the Children, Health and Family Summit that 3D Community Health coordinated in partnership with the County Department of Human Services in FY2017, 99 of the 190 attendees took a pre-and- post-event survey about ACEs and brain development. There was a 24% increase in the percentage who strongly agreed that exposing infants to stress can actually cause them to develop a smaller brain post-event compared to pre-event survey. HSHS Holy Family Hospital in Greenville, Illinois has sponsored a multi-faceted health fair for decades, one of the largest Health Fairs in the east St. Louis metropolitan area. The event provides many free health tests in addition to five, low-cost comprehensive blood tests. In FY2017, more than 2,000 blood tests were performed as part of the hospital's annual Health Fair. Participants could choose from a comprehensive blood test, prostate specific antigen blood test (PSA), Hemoglobin A1-C, Vitamin D blood test, Colovantage or a combination of the five blood tests. The cost incurred by HSHS Holy Family Hospital for offering these discounted services was $1,431,105. In addition to the services provided on the day of the Health Fair, the hospital also performs the low-cost blood tests at several off-site locations including area schools, businesses, and manufacturers. Through the years, life-threatening and serious medical conditions have been discovered through testing performed in association with the Health Fair. Mary's Garden is a community teaching garden located on the campus of HSHS St. Mary's Hospital in Decatur, Illinois. The goals of the community garden are to improve community health and food accessibility for those in need, teach the younger generation sustainable gardening and offer a comprehensive, place-based approach to community health improvement. In FY2017 Mary's Garden became a living classroom for Eisenhower High School students who use the garden for interactive instruction on health and nutrition, science, mathematics, ecology and agriculture. Mary's Garden also provided opportunities for two apprentices to develop competencies and self-confidence to move into rural and urban farming/gardening leadership roles and launched a community-supported agriculture (CSA) program for colleagues. This created two jobs and is providing a model for turning dilapidated city lots into urban gardens. The hospital has engaged City officials about a job creation program and neighborhood revitalization. |
| Schedule H, Part VI, Line 6 DESCRIPTION OF AFFILIATED GROUP (CONTINUED B) | In FY2017, HSHS St. Nicholas Hospital in Sheboygan supported a case manager position to provide Screening, Brief Intervention, and Referral to Treatment (SBIRT) services at Lakeshore Community Health Care (LCHC) in Sheboygan. First year funding by the hospital in FY2016 was used to create the position. In FY2018, the position will be solely funded by LCHC. SBIRT is an evidence-based practice designed to identify, reduce and prevent problematic use, abuse and dependence on drugs and alcohol. The creation of the SBIRT case manager position stems from Healthy Sheboygan County's 2020 Community Health Implementation Plan which was created following the Community Health Needs Assessment in 2014. Studies show that excessive use of alcohol and other drugs contributes to more than 70 diseases and leads to expensive, long-term health problems. Through early intervention, provided by the SBIRT case manager, the plan is to reduce costs and decrease the severity of drug and alcohol abuse. Advance medical knowledge HSHS works to advance medical knowledge by supporting research initiatives and educational opportunities. In FY2017, HSHS hospitals and affiliated physician groups contributed more than $21.5 million toward research and health professions education. Highlights of this commitment include subsidizing medical school residency programs, offering ongoing medical education to physicians and clinicians, and providing job shadowing programs for high school students. In southern Illinois, HSHS St. Joseph's Hospital in Breese, hosted members of the Health Occupations Students of America onsite to learn about job opportunities in health care from health care professionals. St. Joseph's also provided clinical experience for Kaskaskia College students enrolled in nursing, physical therapy and radiology programs. Pharmacy students have also completed their clinical training at St. Joseph's Hospital. In FY2017, the program served more than 200 students. In FY2017, HSHS St. Mary's Hospital Medical Center and HSHS St. Vincent Hospital in Green Bay invested more than $636,000 to provide onsite training and education of nurses and allied health professionals. In addition, the hospitals have been collaborating with the Medical College of Wisconsin to establish a community medical education program in Green Bay and to provide financial support to offset operating costs in FY2017. Also in eastern Wisconsin, HSHS St. Clare Memorial Hospital in Oconto Falls provided training for local paramedics and emergency response personnel through the hospital's EMS liaison program. Mission-driven and strategically implemented Community Benefit is an integral part of Hospital Sisters Health System's Mission. Our commitment to Community Benefit arises from our Catholic identity, Mission and Core Values shared by 14,000 colleagues across Illinois and Wisconsin. Through our work to improve access to health care services, enhance community health, advance medical knowledge, and relieve or reduce the burden of government, we believe we have made a positive difference in the quality of lives of tens of thousands of people in Illinois and Wisconsin in FY2017. As a Catholic health care ministry, HSHS is concerned with the dignity of all persons, the common good, and the stewardship of resources. We advocate for health care for all and work to improve social conditions that lead to improved health and well-being. We engage partners in our communities to improve health and quality of life and to reduce duplication. Working side- by-side with many faith communities, HSHS remains dedicated to our common purpose of compassionate care for all people. |
| Schedule H, Part I, Line 7f Bad Debt | The bad debt expense included on Form 990, Part IX, Line 25, column (A) was subtracted prior to and for the purpose of calculating the percentage in Part I, Line 7, column (f) is $239,544. |
| Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation | 239544 |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | Cost to Charge ratios are used as the costing methodology for financial assistance and means tested programs. |
| Schedule H, Part II Community Building Activities | SJCF HAS A 137 YEAR HISTORY OF GIVING BACK TO THE COMMUNITY AND ADDRESSING COMMUNITY NEED AT THE MOST BASIC LEVEL. THE HOSPITAL EMBRACES CATHOLIC SOCIAL TEACHING'S PREFERENTIAL OPTION TO CARE FOR THE POOR AND MOST VULNERABLE, AND WORKS TIRELESSLY TO ALSO IMPROVE THE HEALTH OF THE BROADER COMMUNITIES IT SERVES. SJCF ENHANCES THE QUALITY OF LIFE AND OVERALL WELLBEING OF ITS COMMUNITY MEMBERS BY EXAMINING THE ROOT CAUSES OF HEALTH PROBLEMS AND TACKLING THOSE ISSUES HEAD ON. SJCF ALSO BELIEVES IN UTILIZING THE EXPERTISE OF OTHERS IN THE COMMUNITY TO WORK TOGETHER TO SOLVE COMMUNITY PROBLEMS. COLLEAGUES OF SHEC ARE ACTIVE PARTICIPANTS OF TWO COUNTY SUICIDE DEATH REVIEW TEAMS THAT ARE WORKING TO DETERMINE IF COMMONALITIES EXIST SO THAT PREVENTION EFFORTS CAN BE DEVELOPED EARLY ON. COLLEAGUES ARE ALSO INVOLVED IN A COMMUNITY POST-VENTION TEAM IN PARTNERSHIP WITH THE CHIPPEWA FALLS AREA UNIFIED SCHOOL DISTRICT, LAW ENFORCEMENT, LOCAL GOVERNMENT, MEMBERS OF THE FAITH COMMUNITY, FUNERAL HOMES AND MANY OTHER AGENCY REPRESENTATIVES TO DESIGN AND DISTRIBUTE A COMMUNITY-WIDE RESPONSE TO SUICIDE THAT USES BEST PRACTICE CRITERIA. COLLEAGUES FROM 3D COMMUNTITY HEALTH AND BEHAVIORAL HEALTH SERVICES ARE MEMBERS OF THE PREVENT SUICIDE CHIPPEWA VALLEY COALTION CHARGED WITH ADDRESSING THE STIGMA ASSOCIATED WITH MENTAL ILLNESS AND SUICIDE. IN THE LAST YEAR THIS TEAM ORGANIZED AND HOSTED A SUICIDE AWARENESS WALK THAT WAS ATTENDED BY MORE THAN 1,000 COMMUNITY MEMBERS AND DESIGNED AND DISTRIBUTED A BROCHURE OF NEXT STEPS FOR FAMILY MEMBERS WHOSE LOVED ONE ATTEMPTED SUICIDE. THE COALITION ALSO DISTRIBUTED COASTERS TO LOCAL TAVERNS WITH MENTAL HEALTH RESOURCE NUMBERS TO REACH OUT SPECIFICALLY TO MEN WHO HAVE DEPRESSION. OTHER PARTNERS OF THIS INITIATIVE INCLUDE COUNTY GOVERNMENT, MENTAL HEALTH COUNSELING AGENCIES AND OTHER HEALTH CARE SYSTEM REPRESENTATIVES. A FEW EXAMPLES OF SJCF'S COMMUNITY BUILDING ACTVITIES ARE AS FOLLOWS: F3-COMMUNITY SUPPORT: SJCF PROVIDED $13,850 IN COMMUNITY SUPPORT AND SERVED 305 INDIVIDUALS. SOME OF THE EFFORTS INCLUDE: COMMUNITY CONNECT DINNER HSHS ST. JOSEPH'S AND SACRED HEART HOSPITALS PARTNERED WITH LOCAL AGENCIES THAT MAKE UP THE CHIPPEWA COUNTY HUNGER AND HOMELESSNESS COALITION TO HOST A COMMUNITY CONNECT DINNER THAT REACHED 100 COMMUNITY MEMBERS. THE EVENT WAS HELD AT AGNES'S TABLE, WHICH IS A FREE COMMUNITYMEAL SITE IN CHIPPEWA FALLS. LOCAL RESOURCE AGENCIES HAD INFORMATIONAL BOOTHS SET UP FOR GUESTS TO LEARN ABOUT RESOURCES AVAILABLE IN THE COMMUNITY. THE PURPOSE OF THE DINNER WAS THREE-FOLD: * TO LINK FOLKS IN POVERTY TO LOCAL RESOURCES * TO ADMINISTER THE SEMI-ANNUAL UNSHELTERED POINT-IN-TIME COUNT SURVEY * PROVIDE FAMILIES IN NEED WITH HOUSEHOLD SUPPLIES OFTEN NOT AVAILABLE IN FOOD PANTRIES. PRIOR TO THE DINNER, A DRIVE WAS HELD IN THE COMMUNITY TO PUT TOGETHER FRESH START BOXES FOR GIVEAWAY AT THE COMMUNITY CONNECT EVENT. THE BOXES CONTAINED: LAUNDRY DETERGENT, ALL PURPOSE CLEANER, DISH CLOTHS, DISH SOAP, HAND SOAP, TOOTHPASTE, TOOTH BRUSHES, SHAMPOO, CONDITIONER, TOILET PAPER, AND PAPER TOWELS. THE GOAL WAS TO FILL 150 BOXES FOR LOW-INCOME FAMILIES, WHICH WAS SURPASSED WITH SJCF ALONE FILLING 42 BOXES. COOKIES WITH COPS IS AN EXAMPLE OF A UNIQUE PARTNERSHIP/COMMUNITY BUILDING PROJECT THAT 3D COMMUNITY HEALTH HAS HAD FOR THE PAST TWO YEARS WITH THE AREAS' POLICE AND SHERIFF DEPARTMENTS, THE DEPARTMENT OF HUMAN SERVICE, AREA EMS, A LOCAL CHURCH AND MANY COMMUNITY VOLUNTEERS. THE PARTNERS WORK TOGETHER COORDINATING AN ANNUAL EVENT CALLED COOKIES WITH COPS. THIS EVENT AIMS TO PROVIDE 100 AT-RISK CHILDREN AN OPPORTUNITY TO INTERACT WITH OFFICERS OF THE POLICE AND SHERIFF'S DEPARTMENTS AND EMS IN A NON-THREATENING ENVIRONMENT FOR A DAY OF FUN AND RELATIONSHIP BUILDING. CHILDREN WHO HAVE HAD CONTACT WITH LAW ENFORCEMENT AND/OR DHS ARE SENT INVITATIONS TO ATTEND THE EVENT. THE EVENT IS HELD AT A LOCAL CHURCH AND COMMUNITY VOLUNTEERS PROVIDE FOOD AND INTERACTIVE GAMES FOR THE KIDS. EMS VEHICLES ARE AT THE EVENT SO THAT THE CHILDREN GET THE CHANCE TO CLIMB INTO FIRETRUCKS, EMERGENCY VEHICLES AND POLICE CARS. THE CHILDREN AND OFFICERS SPEND THE DAY TOGETHER AND BUILD RELATIONSHIPS THAT ENABLE CHILDREN TO SEE THE OFFICERS AS SAFE, CARING ADULTS. THE EVENT IS DESIGNED TO ALLEVIATE THE FEARS AND NEGATIVE FEELINGS THAT THESE CHILDREN MAY HAVE DEVELOPED ABOUT POLICE OFFICERS SINCE THEIR INVOLVEMENT WITH LAW ENFORCEMENT IS MAINLY WHEN THEY ARE CALLED TO THEIR HOMES TO MEDIATE AND DIFFUSE DIFFICULT SITUATIONS. CHILDREN LEARN TO BAKE COOKIES AND ARE TAKEN IN A LIMOUSINE TO DISTRIBUTE THEIR COOKIES TO AREA NURSING HOME RESIDENTS TO REINFORCE THE JOY OF GIVING TO OTHERS. 3D COMMUNITY HEALTH COLLEAGUES ARE FOUNDING MEMBERS OF THE LEGACY COMMUNITY CENTER BOARD OF DIRECTORS (BOD). THE BOD'S VISION IS TO PROVIDE AN ARRAY OF COMMUNITY OF SERVICES UNDER ONE ROOF FOR THE MOST VULNERABLE RESIDENTS OF CHIPPEWA COUNTY. THE BOD FORMED A NON-PROFIT ORGANIZATION AND ASPIRES TO PROVIDE A WELCOMING ENVIRONMENT OF COMPASSION, PROMOTING CONNECTION AND SELF-SUFFICIENCY FOR CHIPPEWA COUNTY RESIDENTS. THIS VISION INCLUDES THE POSSIBILITY OF CONSTRUCTING A NEW FACILITY ON BRIDGE STREET IN CHIPPEWA FALLS TO SERVE INDIVIDUALS AND FAMILIES THAT MAY BE SEEKING BASIC NEEDS SERVICES, EMERGENCY PROGRAMMING RELATED TO DOMESTIC VIOLENCE, DEVELOPING JOB SKILLS, ETC. GOALS OF THE LEGACY COMMUNITY CENTER ARE: TO IMPROVE THE HEALTH, WELLNESS AND SELF-SUFFICIENCY OF CITIZENS TO REDUCE POVERTY TO POSITIVELY IMPACT THE NEED FOR PUBLIC FINANCIAL SERVICES TO INCREASE THE NUMBER OF INDIVIDUALS AND FAMILIES ABLE TO MEET THEIR BASIC NEEDS AND INCREASE THEIR DISPOSABLE INCOME. ANOTHER COMMUNITY BUILDING EFFORT INCLUDES SJCF'S REVERENCE FOR THE EARTH "GREEN TEAM" AND HOSPITAL SISTERS HEALTH CARE-WEST OFFERED GARDENING PLOTS FOR THE 2016 AND 2017 GROWING SEASON. THIS SUCCESSFUL INITIATIVE WILL CONTINUE IN FY18. THE GARDEN PLOTS ARE AVAILABLE FOR LEASE BY INDIVIDUALS, HOUSEHOLDS OR ORGANIZATIONS FOR THE SOLE PURPOSE OF PROVIDING FOOD FOR THOSE IN NEED. INDIVIDUALS AND FAMILIES IN THE CHIPPEWA VALLEY EXPERIENCE HUNGER ON A DAILY BASIS AND SJCF'S COMMUNITY GARDEN HAS BEEN ESTABLISHED TO OFFER PEOPLE AN OPPORTUNITY TO GROW THEIR OWN VEGETABLES TO SUPPLEMENT THEIR DIET. OTHERS, SUCH AS FAMILIES, CLUBS, YOUTH GROUPS, CHURCHES AND SERVICE ORGANIZATIONS WERE ALSO ENCOURAGED TO RESERVE GARDEN SPACE TO GROW VEGETABLES FOR DONATION TO LOCAL FOOD PANTRIES. THE COMMUNITY GARDEN ALSO ACCEPTS DONATIONS OF SURPLUS VEGETABLES FROM HOME GARDENS. THE GARDEN IS COMPLETELY IRRIGATED AND SURROUNDED BY AN EIGHT- FOOT TALL DEER FENCE AND LOCKED GATES, SO GARDENERS DO NOT HAVE TO WORRY ABOUT BRINGING WATER TO THEIR PLOT OR BE CONCERNED ABOUT DEER PREDATION OR VANDALISM, WHICH REDUCED YIELDS IN PREVIOUS YEARS. THIS GARDEN YIELDED 2000 POUNDS OF FRESH PRODUCE WHICH WAS DONATED TO AREA NEEDY FAMILIES. F5-LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS: SJCF COMMUNITY HEALTH EDUCATOR PROVIDED SERVANT LEADERSHIP TRAINING TO THE EMPLOYEES OF CHIPPEWA COUNTY DEPARTMENT OF HUMAN SERVICES. F6-COALITION BUILDING: SJCF INVESTED $18,493 IN COALITION BUILDING AND SERVED 519 INDIVIDUALS. SOME OF THE EFFORTS INCLUDE: SJCF SUPPORTS THE HEALTHY COMMUNITIES INITIATIVES OF THE AREA (CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP AND EAU CLAIRE HEALTHY COMMUNITIES) FINANCIALLY AND BY HOSPITAL COLLEAGUES SERVING ON THE STEERING COMMITTEES AND ACTION TEAMS AND ASSISTING AT EVENTS/ACTIVITIES AS WELL AS PROVIDING IN-KIND DONATIONS OF PRINTING, VENUE AND REFRESHMENTS FOR MEETINGS AND MUCH MORE. SJCF COLLEAGUES ARE ACTIVELY INVOLVED IN MANY COMMUNITY COMMITTEES THAT PROMOTE A BETTER QUALITY OF LIFE FOR LOW-INCOME OR VULNERABLE POPULATIONS THROUGH WORKFORCE EXPANSION OR ECONOMIC REVITLIZATION. ANOTHER EXAMPLE OF SJCF'S COMMUNITY BUILDING WAS ITS COLLABORATION TO MAKE CHIPPEWA FALLS A DEMENTIA-FRIENDLY BUSINESS COMMUNITY. SJCF, THE CHIPPEWA COUNTY'S AGING AND DISABILITY RESOURCE CENTER, THE ALZHEIMER'S ASSOCIATION, AND THE MAIN STREET ASSOCIATION WORKED TOGETHER TO TRAIN OWNERS AND EMPLOYEES OF DOWNTOWN BUSINESSES TO IDENTIFY AND RESPECTFULLY SERVE INDIVIDUALS WITH DEMENTIA. SJCF PROVIDED BUSINESS CARDS FOR DEMENTIA PATIENTS AND/OR THEIR FAMILIES TO HAND TO LOCAL BUSINESSES WHEN SHOPPING IN THEIR STORE TO MAKE STORE CLERKS AWARE OF THEIR DIFFICULTY. THE HOSPITAL'S MARKETING DEPARTMENT ALSO DESIGNED AND PROVIDED WINDOW STICKERS FOR BUSINESSES TO PUT IN THEIR DOORWAYS ADVISING DEMENTIA PATIENTS THAT THEIR BUSINESS WAS DEMENTIA FRIENDLY. SJCF IS READILY SHARING ITS MATERIALS WITH OTHER COMMUNITIES THAT ALSO WISH TO BEGIN INITIATIVES. THE MAIN STREET ASSOCIATION RECEIVED 100% SUPPORT FROM DOWNTOWN BUSINESSES FOR THIS PROJECT AND LOCAL BUSINESSES WERE TRAINED BY VOLUNTEERS TO LEARN HOW TO EFFECTIVELY INTERACT WITH DEMENTIA PATIENTS. F8. WORKFORCE (NON-HOSPITAL) DEVELOPMENT: SJCF INVESTED $188 AND SERVED 50 INDIVIDUALS THROUGH CAREER PRESENTATIONS BY SJCF NURSES TO AREA HEALTH SCIENCE STUDENTS. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | Self-pay patients are screened for verification of no insurance coverage. Once verification of no coverage has been completed, the guarantors will be screened for charity or uninsured discounts based on income levels. Those guarantors who do not qualify for charity through the screening process will be asked to provide proof of income in the form of a recent pay stub and/or recent tax return to determine the level of uninsured discounting. If no proof of income is provided or a guarantor's income is greater than 201% of the federal poverty level, the appropriate discount according to the established criteria up to 600% of the federal poverty level will be applied. The amount of money not collected from those self-pay patients who are not eligible for charity care is reported as bad debt. Allowances for Doubtful Accounts have been recorded based on an historical matrix, using collectability percentages by payor and aging category in accordance with HSHS Executive Policy #F-23, Valuation of Net Accounts Receivable. Percentages are based on historical experience at the hospital and adjusted for known limitations. The hospital reports bad debt in accordance with Generally Accepted Accounting Principles (GAAP). |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | The hospital strongly believes that its charity care, and the related community benefit obtained from such care, is understated because of those patients who potentially qualify for charity care but do not wish to apply for it. In addition, some care is not classified as charity because of 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. |
| 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 page 21 of 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 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. IF THE MEDICARE PROGRAM DID NOT EXIST, MANY MEDICARE PATIENTS WOULD BE ELIGIBLE FOR CHARITY CARE OR OTHER MEANS-TESTED GOVERNMENT PROGRAMS. FURTHER, BY ABSORBING THIS PAYMENT SHORTFALL AND PROVIDING CARE BELOW COST TO THESE INDIVIDUALS, HSHS ST. JOSEPH'S HOSPITAL IS RELIEVING THE BURDENS OF THE GOVERNMENT. ACCORDINGLY, THIS SHORTFALL RESTRICTS HSHS ST. JOSEPH'S HOSPITAL'S ABILITY TO MAKE FUNDS AVAILABLE TO PROVIDE FOR CHARITY CARE AND OTHER COMMUNITY BENEFITS. THE HOSPITAL MEDICARE SHORTFALL AT COST FOR FISCAL YEAR 2017 WAS $6,587,211. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | EVERY EFFORT IS MADE PRIOR TO, DURING AND AFTER THE PROVISION OF MEDICAL CARE SERVICES TO DETERMINE IF A PATIENT IS ELIGIBLE FOR CHARITY/COMMUNITY CARE AND TO ASSIST THE PATIENT IN COMPLETING THE APPLICATION AND PROVIDING ADEQUATE DOCUMENTATION. IF THE PATIENT QUALIFIES 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 PAYMENT ON THEIR BALANCE. ONLY AT SUCH POINT THAT THE PATIENT DEFAULTS ON INSTALLMENT PAYMENTS OR REFUSES TO COOPERATE WITH THE HOSPITAL EFFORTS TO BE REIMBURSED WILL THE ACCOUNT BE SENT TO COLLECTIONS. |
| Schedule H, Part V, Section B, Line 16a FAP website | - ST JOSEPH'S HOSPITAL: Line 16a URL: http://www.stjoeschipfalls.com/Patients-Guests/Financial-Assistance; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - ST JOSEPH'S HOSPITAL: Line 16b URL: http://www.stjoeschipfalls.com/Patients-Guests/Financial-Assistance; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - ST JOSEPH'S HOSPITAL: Line 16c URL: http://www.stjoeschipfalls.com/Patients-Guests/Financial-Assistance; |
| Schedule H, Part VI, Line 2 Needs assessment | As indicated in Part V, Section C, the hospital conducted a Community Health Needs Assessment in FY2015. In addition to conducting a Community Health Needs Assessment (CHNA) triennially per the provisions in the Affordable Care Act, the hospital routinely assesses the health care needs of the communities it serves in a variety of ways, including reviewing the health needs assessments of other health care organizations in our service area as well our local and state health departments and the United Way. We continually review primary data such as hospital and emergency department utilization and patient surveys as well as secondary data from our county and state public health departments, the Centers for Disease Control, County Health Rankings, and the Behavioral Risk FS Survey to name a few. On occasion, we will also collect primary data through telephone and electronic survey instruments. In addition to ongoing primary and secondary data collection and analysis, the hospital regularly assesses the health care needs of the communities it serves through feedback received from its internal assessment team, assessment advisory team, hospital leadership, Strategy department and hospital Board members. As part of the three-year Implementation Plan, the hospital shares its progress toward achieving its short and long term indicators in various community venues such as town hall meetings, community forums, and Chamber of Commerce. Also through volunteer and board service with other local health care, social service agencies, law enforcement task forces, and area schools, hospital colleagues gather ongoing information on the health care needs of the communities it serves. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | FINANCIAL ASSISTANCE BROCHURES ARE ACCESSIBLE BY PATIENTS IN ALL PREDOMINATE WAITING AREAS AT ST. JOSEPH'S HOSPITAL (SJCF). ALL PATIENT BILLING STATEMENTS AND FINANCIAL LETTERS REFERENCE THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM AND HOW TO CONTACT THE PATIENT FINANCIAL SERVICES OFFICE FOR AN APPLICATION. IN ADDITION, OUR MINISTRY WEBSITES PROVIDE DETAILED INFORMATION ABOUT OUR FINANCIAL ASSISTANCE PROGRAM AND PROVIDES A LINK TO THE APPLICATION SO THAT THE PATIENT CAN FILL IT OUT AT THEIR CONVENIENCE AND SUBMIT IT TO OUR PATIENT FINANCIAL SERVICES OFFICE. WEBSITE EXAMPLE: FINANCIAL ASSISTANCE PROGRAM DETAILS LINK TO THE APPLICATION: FINANCIAL ASSISTANCE PROGRAM APPLICATION WHENEVER NEEDED, LANGUAGE TRANSLATORS ARE AVAILABLE TO TRANSLATE BOTH WRITTEN AND VERBAL COMMUNICATION. SJCF HAS PARTNERED WITH MEDDATA WHO ASSIST PATIENTS ON SITE TO APPLY FOR ELIGIBLE PAYOR SOURCES (I.E. WI MEDICAID) AND ASSIST PATIENTS WITH COMPLETING ANY NECESSARY APPLICATION(S) FOR THE PAYOR SOURCES. SJCF HAS A FINANCIAL PLANNER AVAILABLE DURING PEAK BUSINESS HOURS MONDAY THROUGH FRIDAY, TO ASSIST PATIENTS WITH ANY QUESTIONS WHILE APPLYING FOR FINANCIAL ASSISTANCE. THE FINANCIAL PLANNER ALSO PARTNERS WITH MEDDATA TO PROACTIVELY REVIEW INPATIENT SELF-PAY ACCOUNTS AND CONNECTS WITH PATIENTS TO START EXPLORING PAYMENT SOURCES, INCLUDING FINANCIAL ASSISTANCE. THIS IS DONE BEFORE THE PATIENT LEAVES THE HOSPITAL TO HELP PUT THEIR MIND AT EASE AND ASSURE THEM THAT THE HOSPITAL WILL ASSIST THEM WITH THEIR FINANCIAL QUESTIONS AND CONCERNS. ANOTHER WAY THAT ONE-ON-ONE CONVERSATIONS OCCUR WITH PATIENTS IS AFTER THEY RECEIVE A FINANCIAL STATEMENT LETTER. AT THIS POINT, THE CUSTOMER SERVICE REPRESENTATIVES WITHIN THE PATIENT FINANCIAL SERVICES OFFICE WILL EXPLAIN THE PATIENT'S PAYMENT OPTIONS INCLUDING THE OPTION OF APPLYING FOR FINANCIAL ASSISTANCE. ONCE ALL ATTEMPTS TO WORK OUT A PAYMENT ARRANGEMENT WITH THE PATIENT HAVE BEEN EXHAUSTED, HSHS UTILIZES A NATIONALLY RECOGNIZED SYSTEM TO DETERMINE PRESUMPTIVE FINANCIAL ASSISTANCE ELIGIBILITY. A PAY NAV CREDIT REVIEW OCCURS ON THE SYSTEM TO DETERMINE THE PROBABILITY OF THE PATIENT BEING ABLE TO PAY FOR THEIR HOSPITAL SERVICES BASED ON THEIR CREDIT INFORMATION. AFTER ASSESSING THE INFORMATION, HSHS MAKES A DETERMINATION WHETHER TO GRANT FULL FINANCIAL ASSISTANCE, BASED ON A SCORE OF BELOW 200% OF THE FPL, OR CONTINUE THEIR COLLECTION EFFORTS. |
| Schedule H, Part VI, Line 4 Community information | HSHS ST. JOSEPH'S HOSPITAL (SJCF) IS AN ACUTE CARE COMMUNITY HOSPITAL LOCATED IN CHIPPEWA FALLS, WISCONSIN. CHIPPEWA FALLS HAS A POPULATION OF 14,084 (2016) AND IS THE COUNTY SEAT OF CHIPPEWA COUNTY, WITH A POPULATION OF 63,531 (54 PERCENT URBAN, 46 PERCENT RURAL) IN 2015. CHIPPEWA COUNTY IS HSHS ST. JOSEPH'S HOSPITAL'S PRIMARY SERVICE AREA. ITS SECONDARY SERVICE AREA INCLUDES SURROUNDING COUNTIES: PORTIONS OF BARRON, CLARK, DUNN, RUSK AND TAYLOR COUNTIES. CHIPPEWA COUNTY IS THE LARGEST OF THE SIX COUNTIES. FIVE OUT OF SIX SERVICE AREA COUNTIES ARE CONSIDERED RURAL BY THE U.S. DEPARTMENT OF AGRICULTURE. EVIDENCE CONTINUES TO SUGGEST THAT RURAL SETTINGS IN THE U.S. EXHIBIT PRONOUNCED NEEDS IN THE AREAS OF HEALTH, EDUCATION, AND ECONOMIC SECURITY. IT IS IMPORTANT TO BE MINDFUL OF THE RURAL DISTINCTION TO BETTER ADDRESS THESE DISPARITIES BY FOCUSING PROGRAMS AND SERVICES APPROPRIATELY TO THESE COMMUNITIES. THE SERVICE AREA POPULATION IS AGING, MUCH LIKE THE REST OF THE NATION. THE LARGEST SEGMENT OF GROWTH FROM 2000 TO 2010 OCCURRED IN THE 18 TO 64 YEAR OLD AGE CATEGORY WITH A GROWTH RATE OF 16.9 PERCENT FOLLOWED BY A 10.3 PERCENT GROWTH RATE IN THE 65+ YEAR OLD AGE CATEGORY. THE NUMBER OF 0 TO 18 YEARS OLDS IS DECLINING. COMBINED POPULATION GROWTH FOR THESE SIX COUNTIES WAS APPROXIMATELY 6.6 PERCENT BETWEEN 2000 AND 2010. ALONG WITH THE AGING POPULATION COME INCREASED HEALTH CARE COSTS WITH CHRONIC DISEASE. STUDIES INDICATE THAT THE HEALTH OF THE AGING POPULATION CAN BE MAINTAINED AND CHRONIC DISEASES CAN BE REDUCED BY PROMOTING HEALTHY BEHAVIORS AND EXPANDING PREVENTIVE HEALTH SERVICES. THE SERVICE AREA'S RACIAL PROFILE IS PRIMARILY WHITE (95.2 PERCENT), HIGHER THAN THE STATE (86.2 PERCENT) AND NATION (72.4 PERCENT). THE LARGEST MINORITY POPULATION IN THE SERVICE AREA IS HISPANIC OR LATINO (1.8 PERCENT), WITH OTHER RACES MAKING UP THE REMAINING 3 PERCENT OF THE POPULATION. SEVERAL UNIQUE MINORITY POPULATIONS ARE FOUND IN WESTERN WISCONSIN, INCLUDING THE AMISH, MENNONITES AND HMONG. WISCONSIN HAS THE FOURTH LARGEST AMISH POPULATION IN THE NATION. SEVERAL COMMUNITIES OF AMISH ARE LOCATED THROUGHOUT CHIPPEWA AND THE SURROUNDING COUNTIES WITH SIGNIFICANT SETTLEMENTS IN BARRON, BUFFALO AND CLARK COUNTIES. DETERMINING AN ACCURATE NUMBER OF AMISH AND MENNONITES LIVING IN THE STATE IS NOT EASY AS THE CENSUS BUREAU AND OTHER STATISTICAL AGENCIES DO NOT HAVE DATA ON RELIGIOUS AFFILIATION. WHILE THE 2009 MEDIAN HOUSEHOLD INCOME OF THE U.S. AND WISCONSIN ARE BOTH APPROXIMATELY $50,000 PER YEAR, SJCF'S SERVICE AREA AVERAGE MEDIAN HOUSEHOLD INCOME IS ABOUT $7,000 LOWER. EVEN THOUGH EVERY COUNTY IS BELOW THE STATE AND NATIONAL MEAN, SOME COUNTIES ARE SIGNIFICANTLY BELOW. FOR EXAMPLE, WHILE CHIPPEWA COUNTY HAS THE HIGHEST MEAN AT $50,327 PER YEAR, RUSK COUNTY HAS THE LOWEST MEAN AT $38,000 PER YEAR. SOCIOECONOMICS IS ONE OF THE MOST INFLUENTIAL DETERMINANTS IN AN INDIVIDUAL'S LEVEL OF ACCESS TO HEALTH CARE (I.E.,INDIVIDUALS WITH A LOWER SOCIOECONOMIC STATUS IN THE U.S. HAVE LOWER LEVELS OF GENERAL HEALTH, INSURANCE COVERAGE, IN ADDITION TO LESS ACCESS TO CARE) (AMERICAN JOURNAL OF PUBLIC HEALTH, 2000). INSURANCE COVERAGE IN THE COUNTIES OF SJCF'S SERVICE AREA FAR EXCEEDS THAT OF THE U.S. IN GENERAL. HOWEVER, WHEN COMPARED TO WISCONSIN, ALL SIX COUNTIES HAVE UNINSURED RATES THAT ARE EQUIVALENT TO OR EXCEED THE STATE AVERAGE. INSURANCE COVERAGE IS STRONGLY RELATED TO BETTER HEALTH OUTCOMES FOR BOTH CHILDREN AND ADULTS WHEN IT MAKES HEALTH CARE SERVICES AFFORDABLE AND HELPS INDIVIDUALS AND FAMILIES USE CARE APPROPRIATELY. UNINSURED INDIVIDUALS GENERALLY RECEIVE MUCH LESS CARE, EITHER PREVENTIVE OR FOR ACUTE AND CHRONIC CONDITIONS, THAN INSURED INDIVIDUALS. IN PARTICULAR, UNINSURED ADULTS REPORT LOWER LEVELS OF SELF-PERCEIVED WELLNESS AND FUNCTIONING. THERE ARE TWO ACUTE-CARE HOSPITALS THAT OFFER TERTIARY LEVEL SERVICES INCLUDING CARDIOVASCULAR SURGERY, NEUROSURGERY, ONCOLOGY AND TRAUMA LEVEL II IN NEARBY EAU CLAIRE: HSHS SACRED HEART HOSPITAL (SHEC) AND MAYO CLINIC HEALTH SYSTEM - EAU CLAIRE, IN ADDITION TO OAKLEAF SURGICAL HOSPITAL. HSHS AND MAYO HEALTH SYSTEM HAVE EXTENSIVE PENETRATION IN EAU CLAIRE AND SURROUNDING COUNTIES. LIKEWISE, THE OAKLEAF MEDICAL NETWORK AND MARSHFIELD CLINIC OFFER SERVICES AT SEVERAL SITES THROUGHOUT CHIPPEWA AND EAU CLAIRE COUNTIES. RESIDENTS LOCATED ON THE PERIPHERY OF SJCF'S SERVICE AREA HAVE ACCESS TO EQUIVALENT AND EVEN GREATER LEVELS OF ACUTE CARE. TO THE WEST, THE TWIN CITIES MARKET BOASTS SEVERAL LARGE COMMUNITY HOSPITALS WITH TRAUMA LEVEL 1 AND AN ACADEMIC MEDICAL CENTER. A COMPREHENSIVE HEALTH CARE NETWORK, INCLUDING TWO HOSPITALS, A LARGE MULTI-SPECIALTY GROUP PRACTICE, AND A REGIONAL COMMUNITY CLINIC, EXISTS TO THE SOUTH IN LA CROSSE. TO THE EAST, MINISTRY HEALTH CARE, ST. JOSEPH'S HOSPITAL, MARSHFIELD AND THE MARSHFIELD CLINIC PHYSICIAN GROUP PROVIDE BOTH ACUTE CARE AND PRIMARY CARE SERVICES. |
| 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. JOSEPH'S HOSPITAL (SJCF) IS COMMITTED TO DELIVERING HIGH QUALITY, COMPASSIONATE, AND COST-EFFECTIVE HEALTH CARE SERVICES TO ALL. FOUNDED IN 1885, 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 CHIPPEWA FALLS, WI AND SURROUNDING AREAS. THE HOSPITAL IS GOVERNED BY A BOARD OF DIRECTORS, A MAJORITY 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 SJCF IS RESPONDING TO COMMUNITY NEED. IN FY2015, FOR EXAMPLE, THE BOARD REVIEWED THE COMMUNITY HEALTH NEEDS ASSESSMENT AND APPROVED AN IMPLEMENTATION PLAN FOR ADDRESSING THE SELECTED HEALTH FOCUS AREAS OF MENTAL HEALTH, ALCOHOL MISUSE AND OBESITY. THE DIVISION DIRECTOR OF HSHS ST. JOSEPH'S HOSPITAL'S 3D COMMUNITY HEALTH PROVIDED WRITTEN AND VERBAL UPDATES TO THE HOSPITAL BOARD OF DIRECTORS (BOD) THROUGHOUT FY2016 AND FY2017 ON THE VARIOUS COMMUNITY BENEFIT INITIATIVES THE HOSPITAL IS INVOLVED IN AND REGARDING ANY NEW NEEDS THAT MAY HAVE ARISEN. MULTIPLE BOARD MEMBERS ROUTINELY SEEK OUT AND ENGAGE IN CONVERSATION WITH THE 3D DIVISION DIRECTOR ABOUT COMMUNITY NEED AND HOW THE HOSPITAL BOARD MIGHT BEST SERVE THE HOSPITAL AND MEET COMMUNITY NEED. THE BOD HAS SHOWN PARTICULAR INTEREST IN WHAT THE HOSPITAL IS DOING IN THE HOSPITAL AND OUTSIDE THE WALLS OF THE HOSPITAL TO IMPROVE MENTAL AND BEHAVIORAL HEALTH SERVICES. THE DIVISION DIRECTOR OF BEHAVIORAL HEALTH SERVICES AND THE DIVISION DIRECTOR OF COMMUNITY HEALTH PRESENTED A COMPREHENSIVE BEHAVIORAL HEALTH PLAN TO THE BOD AT THEIR REQUEST. AN OUTCOME OF THIS PRESENTATION WAS THE BOD ALLOCATING $50,000.00 TO HIRE A CONSULTING FIRM TO ACCESS THE HOSPITAL'S MENTAL HEALTH/AODA TREATMENT CENTER FOR IMPROVEMENTS. THERE ARE ALSO OTHER BODIES THAT ASSIST SJCF'S CONNECTION WITH THE COMMUNITY, SUCH AS OUR ADVISORY COUNCIL, THE PATIENT AND FAMILY ADVISORY COUNCIL, THE FOUNDATION OF HSHS ST. JOSEPH'S HOSPITAL, AND OUR VOLUNTEER PARTNERS BOARD. ALSO CONSISTENT WITH ITS EXEMPT PURPOSE, SJCF 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, SJCF REINVESTS SURPLUS FUNDS TO SUPPORT THE MISSION OF THE ORGANIZATION AND 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. JOSEPH'S HOSPITAL (SJCF) ALSO DEVOTES SIGNIFICANT RESOURCES TO ACCESS FOR PATIENTS WHO CANNOT AFFORD CARE, ALONG WITH OTHER COMMUNITY BENEFITS. IN FY2017, SJCF PROVIDED MORE THAN $7.6 MILLION IN COMMUNITY BENEFIT, INCLUDING FINANCIAL ASSISTANCE AT COST, UNPAID COSTS OF MEDICAID AND OTHER PUBLIC PROGRAMS, AND A RANGE OF DIVERSE PROGRAMS DESIGNED TO ENHANCE ACCESS AND IMPROVE COMMUNITY HEALTH. ADDITIONALLY, IN FY2017, SJCF PROVIDED $1.2 MILLION (AT COST) IN UNCOMPENSATED CARE TO PATIENTS WHO DID NOT QUALIFY FOR CHARITY CARE OR PUBLIC ASSISTANCE AND MORE THAN $6.5 MILLION (AT COST) IN EXCESS OF MEDICARE PAYMENT FOR HEALTH CARE SERVICES. SJCF 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 SJCF AND THEY OFTEN RELIEVE A BURDEN THAT WOULD OTHERWISE BE CARRIED BY GOVERNMENT. THE HOSPITAL'S FY2015 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) SURFACED THE FOLLOWING HEALTH FOCUS AREAS TO BE ADDRESSED BY THE HOSPITAL IN COLLABORATION WITH OTHER HOSPITALS AND COMMUNITY ORGANIZATIONS: 1) MENTAL HEALTH; 2) SUBSTANCE USE; AND 3) ALCOHOL MISUSE HSHS ST. JOSEPH'S HOSPITAL'S BOARD OF DIRECTORS APPROVED IMPLEMENTATION STRATEGIES FOR EACH HEALTH PRIORITY IDENTIFIED THROUGH THE CHNA FY2015 PROCESS. THE DEVELOPMENT AND EXPANSION OF SERVICES AND PROGRAMS TARGETED TO MEET THE THREE TOP HEALTH NEEDS, IN PARTICULAR MEETING FUNDAMENTAL BEHAVIORAL HEALTH NEEDS, CREATES AN EXPLICIT LINK TO IMPROVING COMMUNITY HEALTH STATUS. COORDINATION OF THESE PREVENTATIVE AND TREATMENT SERVICES AND PROGRAMS AMONG LOCAL HEALTH CARE PROVIDERS, COMMUNITY HEALTH AND SOCIAL SERVICE PROVIDERS, AND OTHER HEALTH PROMOTION AGENCIES IS NECESSARY SO THAT WESTERN WISCONSIN RESIDENTS GET THE APPROPRIATE PREVENTION, DIAGNOSTIC AND TREATMENT SERVICES NEEDED. THOUGH SOCIOECONOMIC CHALLENGES ARE DIFFICULT TO ELIMINATE, WESTERN WISCONSIN RESIDENTS WILL BENEFIT FROM SJCF'S EFFORTS TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES, INFORMATION AND EDUCATION PERTAINING TO ALCOHOL AND OTHER DRUG ABUSE ISSUES, CHRONIC DISEASE PREVENTATIVE HEALTH AND MANAGEMENT SERVICES, AND HEALTH EDUCATION PROGRAMMING. 1). MENTAL HEALTH ACCESS TO MENTAL HEALTH CARE SERVICES FOR THE UNINSURED AND UNDERINSURED. HSHS ST. JOSEPH'S HOSPITAL (SJCF) EXPANDED ACCESS TO MENTAL HEALTH CARE FOR CHILDREN AND ADOLESCENTS BY PARTNERING WITH THEIR SISTER HOSPITAL, HSHS SACRED HEART IN EAU CLAIRE TO OPEN AN OUTPATIENT BEHAVIORAL HEALTH CLINIC IN EAU CLAIRE IN FY2012. THIS SERVICE IS INCREDIBLY IMPORTANT AS IT INCREASES OUTPATIENT COVERAGE FOR MENTAL HEALTH SERVICES THAT ARE LACKING IN THE COMMUNITY. SJCF/SHEC WILL CONTINUE TO EXPAND THE PROGRAM BY RECRUITING ADDITIONAL PHYSICIAN PROVIDERS TO SERVE THIS LOCATION. IN TANDEM, THE USE OF SCREENING TOOLS FOR BEHAVIORAL AND MENTAL HEALTH RISK WILL BE PROMOTED AMONG HOSPITAL-AFFILIATED CLINICS FOR IMPROVED IDENTIFICATION OF MENTAL HEALTH ISSUES AND EARLIER INTERVENTION. SJCF ALSO PARTNERS WITH OPEN DOOR CLINIC (ODC). ODC IS A FREE COMMUNITY MEDICAL CARE CLINIC THAT SJCF WAS INSTRUMENTAL IN FOUNDING AND CONTINUES TO SUPPORT TO EXPAND PROVIDER COVERAGE FOR ODC PATIENTS WHO REQUIRE MENTAL HEALTH CARE SERVICES. SJCF IS ALSO ACTIVELY INVOLVED IN A COLLABORATION BETWEEN ITS SISTER HOSPITALS TO THE NORTH AND ON THE EASTERN SIDE OF THE STATE ALONG WITH AREA PRIMARY CARE CLINICIANS. THESE PARTNERS ARE EXPLORING WAYS TO BETTER ALIGN BEHAVIORAL HEALTH SERVICES BETWEEN THESE LOCATIONS IN THE HOPE EXPANDING ACCESS TO MENTAL HEALTH SERVICES AND FILLING IDENTIFIED GAPS THAT CURRENTLY EXIST. EDUCATION AND AWARENESS OF MENTAL HEALTH. SJCF'S 3D COMMUNITY HEALTH WORKS CLOSELY WITH THE HOSPITAL'S BEHAVIORAL HEALTH DEPARTMENT TO PROVIDE COMMUNITY EDUCATION AND EVENTS THAT BRING RESEARCH-BASED INFORMATION TO THE PUBLIC, DRAWING ON THE EXPERTISE OF THE BEHAVIORAL HEALTH COLLEAGUES. IN A DIRECT RESPONSE TO THE COMMUNITIES' REQUEST FOR MORE INFORMATION AROUND SPECIFIC MENTAL ILLNESSES AND HOW TO BETTER RESPOND TO THOSE STRUGGLING WITH MENTAL HEALTH DISORDERS, ONE OF SHEC'S 3D COMMUNITY HEALTH EDUCATORS HAS COMPLETED THE 5-DAY TRAINING TO BECOME A CERTIFIED TRAINER IN MENTAL HEALTH FIRST AID - A NATIONALLY RECOGNIZED EIGHT-HOUR COURSE THAT TEACHES ATTENDEES HOW TO IDENTIFY, UNDERSTAND, AND RESPOND TO SIGNS OF MENTAL ILLNESS AND SUBSTANCE USE DISORDERS. THIS SAME HEALTH EDUCATOR HAS ALSO BEEN TRAINED ON YOUTH MENTAL HEALTH FIRST AID IN FY17 AS WELL AS THE MODULES FOR SENIORS, VETERANS, AND THOSE WITH DISABILITIES. A SECOND COMMUNITY HEALTH EDUCATOR APPLIED FOR AND WAS THE RECIPIENT OF A GRANT TO ALSO ATTEND THE 5 DAY TRAINING TO BECOME CERTIFIED IN MENTAL HEALTH FIRST AID (MHFA). SHE WILL BEGIN PROVIDING MHFA IN FALL 2018. THESE EIGHT-HOUR PROGRAMS HAVE BEEN PROVIDED IN THE COMMUNITY AND THIS WILL CONTINUE TO ROLL OUT DURING THE UPCOMING FISCAL YEAR. SUICIDE PREVENTION INITIATIVE SJCF'S 3D COMMUNITY HEALTH DEPARTMENT IS LEADING SUICIDE PREVENTION ACTIVITIES ACROSS MULTIPLE SECTORS AND SETTINGS IN COLLABORATION WITH CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP, EAU CLAIRE HEALTHY COMMUNITIES, AND MULTIPLE OTHER COMMUNITY PARTNERS TO PROMOTE AWARENESS THAT SUICIDE IS A PUBLIC HEALTH PROBLEM THAT IS PREVENTABLE. STRATEGIES INCLUDE COMMUNITY TRAININGS OF AN EVIDENCE-BASED SUICIDE PREVENTION PROGRAM, QPR (QUESTION, PERSUADE & REFER), AS WELL AS A VARIETY OF EVENTS, ACTIVITIES AND DISPLAYS PERTAINING TO SUICIDE PREVENTION. EFFORTS ARE MEASURED BY THE COUNTY SUICIDE RATE, INVENTORY OF CHANGE IN COMMUNITY KNOWLEDGE, STIGMA AND BEHAVIORS, AS WELL AS PARTICIPATION IN THE COUNTY SUICIDE DEATH REVIEW TEAM TO MONITOR FOR POTENTIAL TRENDS AND RESPOND ACCORDINGLY. |
| Schedule H, Part VI, Line 6 Affiliated health care system | HSHS St. Joseph's Hospital is an affiliate of Hospital Sisters Health System (HSHS), a health care ministry that includes 15 hospitals, numerous community-based health centers and clinics, and hundreds of physician partners across Illinois and Wisconsin. The mission of HSHS is "to reveal and embody Christ's healing love for all people through our high-quality Franciscan health care ministry." We live our mission by providing holistic healing to all who seek our care, as well as through Community Benefit. In tandem with others in the communities we serve, our Community Benefit initiatives are strategically increasing access to care, improving the health status of residents, and increasing medical education and knowledge. In FY2017, our hospitals responded to the top needs identified in each of their most recent Community Health Needs Assessments (CHNAs). The information gathered from these assessments was used to develop or enhance Community Benefit programs and services to best address community health needs. Among the priority needs identified in the most recent CHNA process were access to care; alcohol, tobacco, and other drug abuse; chronic disease prevention and management; nutrition/wellness; mental health; and oral health. HSHS hospitals are proactively addressing these and other needs through patient, provider and community education, preventative screenings, self-management classes, and new or enhanced clinical services. In FY2017, HSHS collectively provided $197.6 million in Community Benefit (9.2% of total hospital expenses). This amount included $26.0 million provided for Financial Assistance (a.k.a. Charity Care) and $128.6 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 $205.9 million. HSHS hospitals also recorded $40.9 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. Improve access to health care As a Franciscan health care ministry, HSHS is deeply committed to serving those who are most in need with a special focus on the poor and vulnerable. We not only provide care to every patient who walks through our doors, but also reach out beyond the walls of our hospitals and clinics to care for those in our communities. Our efforts to ensure residents in the communities we serve receive the right care, at the right time, and in the right setting involve collaborating with others to achieve this goal. Across our two-state System, there are numerous examples of partnerships with departments of public health, other health care facilities and community and social service organizations to enhance access to care for those in need. In FY2017, HSHS and our 15 hospitals dedicated Community Benefit resources to educate uninsured persons about enrollment opportunities in affordable health care coverage and to facilitate the enrollment process. Studies have shown that people without insurance are more likely to postpone care and develop more severe and expensive conditions than their insured counterparts. It is for this reason that the Catholic Church, Catholic health care and HSHS have long promoted "coverage and access for all." HSHS and our 15 hospitals in partnership with local health departments, social service agencies and other health care providers played a vital role in educating eligible people in their service areas, by referring people to Certified Application Counselors and/or in enrolling them in the health insurance exchanges, or by helping them to obtain coverage through Medicaid expansion. In southern Illinois, HSHS St. Elizabeth's Hospital in Belleville is committed to improving access to health care services by assisting eligible patients to enroll in health care plans. In FY2017, more than 3,200 patients were screened and 74% met eligibility criteria and were enrolled in Medicaid. Access to health care is not limited to insurance coverage and access to primary care providers. In FY2017, the hospital assisted patients with access to medications, durable medical equipment, and transportation including more than $5,600 in cab and bus tickets for patients and $14,000 for patients who needed transfer by ambulance. In response to its FY2015 CHNA, HSHS St. John's Hospital in Springfield, Illinois established a community health worker program to increase access to health care and coordination of care for residents of the Enos Park Neighborhood. The hospital also helped establish an Enos Park Neighborhood Advisory Council and Providers Alliance as part of the access collaborative to drive behavior changes and improve health outcomes. In the first three years, the program has realized 93% engagement of 300 clients. Services rendered include basic needs and health care access. Sixteen formally homeless individuals or families were placed in affordable, safe housing. Of the 35 parolees in the program, the recidivism rate was only 18% compared to 60% nationwide. The only reason participating parolees went back to prison was because of lack of a job or housing. One-hundred percent of our clients saw a primary care provider and 84% were connected to a medical home. This program is being replicated in a second location in Sangamon County's eastside where our most vulnerable, low-income and underserved populations exist. Through the support of HSHS St. Mary's Hospital Medical Center and St. Vincent Hospital in Green Bay, the Oral Health Partnership (OHP) continues to expand to communities throughout Brown County, providing dental care to 0 - 19 year olds who are uninsured or underinsured. In FY2017, more than 12,000 general dentistry procedures, including exams, X-rays, cleanings, fillings, and crowns, were completed for youth in Brown County's smaller, less urban communities, and more than 1,300 preventative sealants were applied. OHP serves more than 9,000 kids each year through three fixed-site clinics and the traveling school-based program. In January 2017, OHP's West location was opened in response to data showing an unmet need of medical assistance children in the Ashwaubenon area. This clinic, along with the traveling school-based team, will help OHP and HSHS reach the goal of expanding services to a wider population of Brown County children in need. HSHS St. Francis Hospital in Litchfield, Illinois collaborated with Lewis & Clark Community College and local dental providers to bring the College's mobile dental health unit to the Litchfield area; the unit provides free or low cost dental exams and screenings, x-rays and hygiene services. In addition, three local dental providers also participated by opening their offices and donating time, staff and supplies to provide either a free filling, extraction or hygiene services. Beginning in 2015, the hospital collaborated with Catholic Charities to launch a dental voucher program. Five dentists in Macoupin and Montgomery counties participate in the program, which covers an initial exam and x-rays, one tooth extraction and up to three fillings per year per individual. The percentage of total emergency department visits related to dental issues has decreased from 2.2% in 2011 to .95% in 2016 because of this collaboration. In southeast Illinois, area residents can get help filling a prescription through the long-term collaboration between HSHS St. Anthony's Memorial Hospital in Effingham and Catholic Charities. In FY2017, St. Anthony's Memorial Hospital helped to underwrite the cost of prescription medications for 246 residents. St. Anthony's Memorial Hospital and Catholic Charities believe no one should be without prescriptions because of the inability to pay. |
| Schedule H, Part VI, Line 7 State filing of community benefit report | WI |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOAN COFFMAN | ||||||||||||||
| CEO/PRESIDENT | $0 | $287,071 | $0 | $43,868 | $0 | $71,379 | $0 | $143,211 | $0 | $21,995 | $0 | $567,524 | $0 | $39,052 |
| JULIE MANAS | ||||||||||||||
| DIVISION PRES/CEO | $0 | $512,689 | $0 | $85,307 | $0 | $25,021 | $0 | $147,883 | $0 | $24,925 | $0 | $795,825 | $0 | $0 |
| LAWRENCE SCHUMACHER | ||||||||||||||
| Former DIRECTOR | $0 | $0 | $0 | $0 | $0 | $622,151 | $0 | $0 | $0 | $0 | $0 | $622,151 | $0 | $0 |
| PETER MANNIX | ||||||||||||||
| Director | $0 | $359,675 | $0 | $79,600 | $0 | $71,202 | $0 | $166,667 | $0 | $29,888 | $0 | $707,032 | $0 | $56,767 |
| ANN M CARR | ||||||||||||||
| TREASURER | $0 | $251,800 | $0 | $39,616 | $0 | $68,544 | $0 | $291,816 | $0 | $20,710 | $0 | $672,486 | $0 | $31,485 |
| DAVE NELSON | ||||||||||||||
| DIVISION CHIEF FINANCIAL OFFICER | $0 | $290,502 | $0 | $24,668 | $0 | $3,280 | $0 | $74,240 | $0 | $26,556 | $0 | $419,246 | $0 | $0 |
| Estella Clark | ||||||||||||||
| Chief Nursing Officer | $164,224 | $0 | $9,705 | $0 | $780 | $0 | $45,154 | $0 | $21,536 | $0 | $241,399 | $0 | $0 | $0 |
| RONDA ADLER | ||||||||||||||
| PHARMACIST | $157,867 | $0 | $1,723 | $0 | $390 | $0 | $76,412 | $0 | $10,188 | $0 | $246,580 | $0 | $0 | $0 |
| SARA JORGENSON | ||||||||||||||
| PHARMACIST | $153,811 | $0 | $1,677 | $0 | $636 | $0 | $87,698 | $0 | $11,981 | $0 | $255,803 | $0 | $0 | $0 |
| Chris Klay | ||||||||||||||
| Division Director | $146,815 | $0 | $0 | $0 | $6,550 | $0 | $35,265 | $0 | $3,351 | $0 | $191,981 | $0 | $0 | $0 |
| larry Woltman | ||||||||||||||
| Pharmacist | $137,789 | $0 | $1,176 | $0 | $1,107 | $0 | $106,568 | $0 | $22,191 | $0 | $268,831 | $0 | $0 | $0 |
| Peter Pokrzwinski | ||||||||||||||
| Pharmacist | $138,850 | $0 | $1,530 | $0 | $780 | $0 | $107,964 | $0 | $19,983 | $0 | $269,107 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a Tax indemnification and gross-up payments | TWO OF THE ORGANIZATION'S HIGHEST COMPENSATED EMPLOYEES RECEIVED A GIFT CERTIFICATE DURING THE YEAR. THE RELATED TAX EFFECT WAS DETERMINED AND A GROSS UP PAYMENT WAS MADE. |
| 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 4a Severance or change-of-control payment | ORGANIZATION: HOSPITAL SISTERS HEALTH SYSTEM, INC. EIN: 37-1058692 INTERESTED PERSON: LAWRENCE SCHUMACHER AMOUNT: $619,080 TERMS: COMPENSATION PAID AS A RESULT OF A SEVERANCE FROM THE POSITION OF COO. |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | Schedule J, Part I, Line 4b - Disclosure 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 2016 THESE DEFERRALS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). Ann Carr -- $31,564 Joan Coffman -- $35,300 Julie Manas -- $72,358 Peter Mannix -- $53,907 THE FOLLOWING INTERESTED PERSONS RECEIVED DISTRIBUTIONS FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2016 THESE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III) AND SCHEDULE J, PART II, COLUMN (F), AS APPLICABLE. Ann Carr -- $31,485 Joan Coffman -- $39,052 Peter Mannix -- $56,767 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Pathology Service Corporation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Dr. Heiler, director, is owner of Pathology Service Corporation | RelationshipDescriptionTxt |
| Transaction | $102,252 | TransactionAmt |
| Transaction | Hospital Based Pathology Services | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS | ST. JOSEPH'S HOSPITAL PROVIDES QUALITY MEDICAL HEALTHCARE TO THE SURROUNDING COMMUNITY REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND FINANCIAL STABILITY OF ST. JOSEPH'S HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. AND, FURTHER THAT OUR MISSION IS TO SERVE THE COMMUNITY BY PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. INHERENT IN OUR MISSION, WE PROVIDE CARE TO THE POOR, THE ELDERLY, AND THE NEEDY OF THE COMMUNITY THROUGH VARIOUS PROGRAMS AND SERVICES. THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDER SERVED, AND VARIETY OF COMMUNITY SUPPORT ENDEAVORS. ST. JOSEPH'S HOSPITAL PROVIDED THE FOLLOWING SERVICES IN FISCAL YEAR 06/30/17: 4,398 ADULT AND PEDIATRIC INPATIENT DAYS OF CARE 7,568 ALCOHOL AND DRUG ABUSE INPATIENT DAYS OF CARE 61,807 OUTPATIENT HOSPITAL VISITS 4,802 OUTPATIENT ALCOHOL AND DRUG ABUSE VISITS 16,096 HOME HEALTH VISITS 22,028 HOSPICE DAYS ST. JOSEPH'S HOSPITAL PROVIDES BOTH BENEFITS TO THE POOR AND FOR THE BROADER COMMUNITY. BENEFITS TO THE POOR ARE PROVIDED IN THE FORM OF TRADITIONAL CHARITY CARE, FOR THOSE WHO CANNOT AFFORD TO PAY, AS WELL AS UNPAID COSTS OF PUBLIC PROGRAMS SUCH AS MEDICAID AND GENERAL RELIEF. TOTAL VALUE OF THESE NON-REIMBURSED BENEFITS FOR THE POOR WERE $6,969,177 IN FISCAL YEAR 06/30/17. ST. JOSEPH'S HOSPITAL ALSO PROVIDES NUMEROUS BENEFITS TO THE BROADER CHIPPEWA VALLEY AREA. THESE BENEFITS ARE PROVIDED BY OUR PARTICIPATION IN THE MEDICARE PROGRAM, PROVIDING MANY PROGRAMS AND SERVICES FREE OR AT A REDUCED PRICE AND PROVIDING SERVICES THAT BENEFIT THE COMMUNITY BUT HAVE A NEGATIVE MARGIN. THE UNPAID OR NON-REIMBURSED COST OF PARTICIPATION IN THE MEDICARE PROGRAM WAS $6,587,211 IN FISCAL YEAR 06/30/17. TOTAL QUANTIFIABLE BENEFITS FOR THE BROADER COMMUNITY WERE $765,746 IN FISCAL YEAR 06/30/17. THE FOLLOWING IS A LISTING OF SPECIFIC EXAMPLES OF SERVICES INCLUDED IN THE ABOVE FIGURES: *MEALS REIMBURSED AT LESS THAN COST TO ELDERLY OF THE COMMUNITY. *ORGAN AND TISSUE DONATION PROGRAM COORDINATED WITH PASTORAL CARE, NURSING SERVICES, AND THE WISCONSIN EYE BANK AND ORGAN PROCUREMENT SERVICE IN MADISON, WISCONSIN. *PASTORAL CARE SERVICES PROVIDED 24 HOURS PER DAY. *PHYSICIAN REFERRAL SERVICE FOR NEW RESIDENTS OF THE AREA. *PARTICIPANT IN THE PROJECT CARE SEAT PROGRAM OFFERING INFANT CAR SEATS AT A MINIMAL RENTAL RATE. *SHARPS DISPOSAL PROGRAM FOR THOSE IN THE COMMUNITY WHO MUST DISPOSE OF NEEDLES AND SYRINGES. *SOCIAL SERVICE DEPARTMENT TO ASSIST FAMILIES WITH EMOTIONAL AND SOCIAL PROBLEMS. *HOSPICE GRIEF SUPPORT PROGRAM TO HELP THOSE WHO HAVE LOST LOVED ONES DEAL WITH THE GRIEVING PROCESS. *SHARE PROGRAM TO HELP THOSE WHO HAVE LOST INFANTS TO MISCARRIAGE, ECTOPIC PREGNANCY, STILLBIRTH OR NEWBORN DEATH. *BABY-SITTERS CLINIC. *BACK IN BALANCE SPONSORED BY PHYSICAL THERAPY DEPARTMENT FOR PEOPLE WITH CHRONIC BACK PAIN. *BIG KID/LITTLE KID PROGRAM TO PREPARE EXPECTANT PARENTS AND BIGGER BROTHERS AND SISTERS FOR THE NEW ADDITION TO THE FAMILY. *FREE BLOOD PRESSURE SCREENING OFFERED IN THE HOSPITAL EMERGENCY ROOM. *CHILDREN'S HEALTH FAIR FOR AREA FIRST GRADERS THAT ALLOWS THEM TO SEE A HOSPITAL BEFORE THEY NEED TO USE ONE. *DIABETES CONSULTATION AND DIABETES EDUCATION OFFERED AT NOMINAL FEES TO NEW DIABETICS AND THEIR FAMILIES. *EMERGENCY NURSES C.A.R.E. (CANCEL ALCOHOL-RELATED EMERGENCIES) PROGRAM TO EDUCATE THE YOUTH OF THE COMMUNITY ABOUT THE DANGERS OF DRINKING AND DRIVING. *FIRST CARE PROGRAM IS A RESPONDER/FIRST AID PROGRAM FOR FARM FAMILIES. *FRESH START QUIT SMOKING CLINIC OFFERED AT A NOMINAL FEE FOR THOSE WISHING TO QUIT SMOKING. *HOSPICE VOLUNTEER TRAINING PROGRAM TO TRAIN PEOPLE TO HELP SUPPORT HOSPICE PATIENTS AND FAMILIES. *NATURAL FAMILY PLANNING PROGRAM TO HELP THOSE WISHING TO PRACTICE BIRTH CONTROL WITHOUT THE USE OF CHEMICALS OR OTHER MEDICAL DEVICES. *PRENATAL CLASSES FOR FIRST TIME PARENTS AND REFRESHER CLASSES FOR PARENTS EXPECTING ANOTHER CHILD OFFERED AT NO COST. *SPEAKERS' BUREAU FOR CLUBS AND ORGANIZATIONS OFFERED AT NO CHARGE ON MANY DIFFERENT HEALTH CARE TOPICS. *THE MOBILE HEALTH UNIT OFFERS DIAGNOSTIC HEALTH TESTS AND SCREENINGS, HEALTH EDUCATION, WELLNESS AND PREVENTION INFORMATION TO THE COMMUNITY AT REDUCED FEES. *FREE SCREENING TO DETERMINE IF SOMEONE HAS A DEPENDENCY ON ALCOHOL/DRUGS. *FREE PROGRAMS FOCUSING ON VARIOUS ASPECTS AND OUTCOMES OF CHEMICAL DEPENDENCY. *INFANT MASSAGE CLASSES OFFERED AT A MINIMAL FEE. PARENTS LEARN TECHNIQUES OF MASSAGE FROM A PHYSICAL THERAPIST THAT WILL HELP TO COMFORT THEIR INFANT AND HELP THEIR CHILD RELAX AND SLEEP. *WOMEN'S HEALTH CENTER OFFERED SEVERAL FREE EDUCATIONAL PROGRAMS TO THE PUBLIC FOCUSING ON SUCH TOPICS AS BREAST DISEASE AND OSTEOPOROSIS. *FREE STROKE PREVENTION SCREEN CLINIC PROVIDED. BLOOD PRESSURE, PULSE, AND CHOLESTEROL CHECK ALONG WITH FAMILY HISTORY. *FREE DEPRESSION SCREENING CLINIC OFFERED TO HELP PEOPLE DETERMINE IF THEY HAVE DEPRESSION. *CLASSES FOR PARENTS AND YOUTHS TO PREPARE FOR THE TIME THE YOUTHS BECOME ADOLESCENTS. *FREE PUBLIC/COMMUNITY FORUM FOCUSING ON THE SOCIETAL PROBLEMS ASSOCIATED WITH CHEMICAL DEPENDENCY. *CO-SPONSORED TWO SENIOR FUN DAYS FOR AREA SENIORS TO LEARN ABOUT HEALTH, HEALTH SCREENINGS OFFERED. *CO-SPONSORED CHILDCARE WORKSHOPS AS A RESOURCE OF CONTINUING EDUCATION FOR CHILDCARE PROVIDERS. |
| Form 990, Part IV, Line 24a TAX EXEMPT BONDS | ST JOSEPHS 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 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, INCLUDING ST. JOSEPH'S HOSPITAL. 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 ST. JOSEPH'S HOSPITAL, AND ALL HSHS HOSPITALS, TO EVALUATE THEIR PARTICIPATION IN JOINT VENTURE ARRANGEMENTS, INCLUDING UNDER APPLICABLE FEDERAL TAX LAWS, AND TO SAFEGUARD ST. JOSEPH'S HOSPITAL'S TAX EXEMPT STATUS WITH RESPECT TO ANY JOINT VENTURE ARRANGEMENTS. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | THE SENIOR GOVERNING BODY OF ST. JOSEPH'S HOSPITAL CHIPPEWA FALLS (THE "CORPORATION") IS THE MEMBER OF THE CORPORATION, WHICH IS HOSPITAL SISTERS SERVICES, INC. ("HSSI"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. PURSUANT TO SECTION 2.3 OF THE CORPORATION'S BYLAWS, |
| 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, CHAIRPERSON OF THE BOARD AND PRESIDENT. HSSI HAS THE RIGHT TO APPOINT AND REMOVE THE CORPORATION'S BOARD OF DIRECTORS, CHAIRPERSON OF THE BOARD AND PRESIDENT |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | RESPONSIBILITY FOR THE POLICY AND OPERATIONS OF ST. JOSEPH'S HOSPITAL CHIPPEWA FALLS (THE "CORPORATION") IS VESTED IN ITS BOARD OF DIRECTORS, EXCEPT WITH RESPECT TO SPECIFIC POWERS RESERVED IN THE CORPORATION'S BYLAWS TO THE CORPORATION'S MEMBER, HOSPITAL SISTERS 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 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, Part VI, Line 11b Review of form 990 by governing body | THE HOSPITAL EMPLOYS CROWE HORWATH TO ASSIST IN THE OVERALL PREPARATION, REVIEW AND ELECTRONIC SUBMISSION OF ITS FORM 990. CROWE HORWATH 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 ORGANIZATON'S CONFLICT OF INTEREST POLICY, ALL COVERED PERSONS HAVE A DUTY TO COMPLY WITH THE CONFLICT OF INTEREST POLICY FOR ANY CONTRACT, TRANSACTION, RELATIONSHIP, OR ACTIVITY CONTEMPLATED, ENTERED INTO, OR CONDUCTED AT HSHS OR ITS AFFILIATES. THE POLICY DEFINES COVERED PERSONS AS BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS, BOARD DESIGNEES, SENIOR MANAGEMENT, MEMBERS OF ANY COMMITTEE THAT OVERSEES THE APPROVAL OF PHARMACEUTICALS AND MEDICAL DEVICES, AND ANY OTHER INDIVIDUAL WHO HOLDS A POSITION OF TRUST. ON AN ANNUAL BASIS, HSHS DISCLOSES A COPY OF THE CONFLICT OF INTEREST POLICY (AND ALL CORRESPONDING PROCEDURES, GUIDELINES, FORMS AND TOOLS) TO ALL COVERED PERSONS, AND ADVISES ALL COVERED PERSONS IN WRITING OF ANY SUBSTANTIVE CHANGES TO THIS POLICY AND SUCH RELATED MATERIALS. COVERED PERSONS ARE REQUIRED TO REVIEW AND COMPLETE THE CORRESPONDING CONFLICT OF INTEREST STATEMENT. THE SYSTEM OFFICE VICE PRESIDENT - SYSTEM RESPONSIBILITY, VICE PRESIDENT - RISK & COMPLIANCE OR MEMBERS OF THE AUDIT AND INTEGRITY COMMITTEE ("COMMITTEE") ARE AVAILABLE TO ANSWER ANY QUESTIONS A COVERED PERSON MAY HAVE. IN ADDITION, IF AT ANY TIME AFTER SUBMITTING AN ANNUAL CONFLICT OF INTEREST STATEMENT, A COVERED PERSON BECOMES AWARE OF AN INTEREST THAT HE OR SHE WOULD HAVE HAD TO DISCLOSE AT THE ANNUAL INTERVAL, THE COVERED PERSON IS REQUIRED PROMPTLY TO DISCLOSE THE INTEREST TO THE COMMITTEE USING THE HSHS CONFLICT OF INTEREST DISCLOSURE STATEMENT. COMPLETED CONFLICT OF INTEREST STATEMENTS ARE SUBMITTED TO THE COMMITTEE, WHICH IS RESPONSIBLE FOR IDENTIFYING, ASSESSING, AND MANAGING CONFLICTS OF INTEREST THAT ARISE IN THE COURSE OF CONDUCTING THE AFFAIRS OF HSHS AND ITS AFFILIATES. IF THE COMMITTEE DETERMINES THAT A CONFLICT OF INTEREST EXISTS, THE CONFLICT OF INTEREST POLICY REQUIRES HSHS NOT TO ENGAGE IN, OR ENTER INTO, A PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY UNLESS THE COMMITTEE OR, WHERE NECESSARY, THE BOARD OF DIRECTORS (ACTING THROUGH ITS DISINTERESTED MEMBERS), HAS INVESTIGATED ALTERNATIVES TO THE PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY AND, IN THE ABSENCE OF ALTERNATIVES THAT ARE IN THE BEST INTERESTS OF HSHS, HAS DETERMINED: 1. THAT, REGARDLESS OF WHETHER THE COVERED PERSON PARTICIPATES IN THE IMPLEMENTATION OF THE PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY; 2. THE CONTRACT, TRANSACTION, ARRANGEMENT, OR ACTIVITY IS IN THE BEST INTERESTS OF HSHS; 3. THE CONTRACT, TRANSACTION, ARRANGEMENT, OR ACTIVITY IS FAIR AND REASONABLE FROM THE PERSPECTIVE OF HSHS; AND 4. HSHS CANNOT OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION, ARRANGEMENT, OR ACTIVITY WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. IN DETERMINING WHETHER A CONTRACT, TRANSACTION OR ARRANGEMENT IS FAIR AND REASONABLE TO HSHS, THE COMMITTEE SHALL CONSIDER, WHERE APPLICABLE: 1. APPRAISALS OR OTHER INDEPENDENT VALUATIONS OF THE FAIR MARKET VALUE OF THE CONTRACT, TRANSACTION, OR ARRANGEMENT; 2. INFORMATION REGARDING COMPARABLE CONTRACTS, TRANSACTIONS, OR ARRANGEMENTS BETWEEN UNRELATED PARTIES; 3. OFFERS FROM COMPARABLE COMPETING ENTITIES; AND/OR 4. STUDIES OF COMPARABLE COMPENSATION ARRANGEMENTS. IN ANY CASE IN WHICH THE COMMITTEE FINDS, AFTER TAKING THE STEPS DESCRIBED ABOVE, THAT HSHS SHOULD PARTICIPATE IN A PROPOSED TRANSACTION OR ARRANGEMENT DESPITE THE EXISTENCE OF A CONFLICT OF INTEREST, THE COMMITTEE SHALL DEVELOP, IMPLEMENT, MONITOR, AND ENFORCE COMPLIANCE WITH, A CONFLICT MANAGEMENT PLAN FOR MANAGING THE CONFLICT OF INTEREST AS IT CONSIDERS NECESSARY FOR SUCH FINDINGS TO REMAIN VALID THROUGHOUT THE LIFE OF THE CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY. ALL CONFLICT MANAGEMENT PLANS SHALL: 1. STATE THAT THE COMMITTEE WILL OVERSEE, MONITOR, AND ENFORCE COMPLIANCE WITH THE PLAN THROUGHOUT THE COURSE OF THE STUDY, AND SPECIFY MEANS FOR DOING SO, INCLUDING, WITHOUT LIMITATION, THAT THE APPROPRIATE INDIVIDUALS MUST PROVIDE THE COMMITTEE WITH WRITTEN REPORTS PERTAINING TO COMPLIANCE WITH THE CONFLICT MANAGEMENT PLAN, THAT THE COMMITTEE SHALL HAVE THE RIGHT TO AUDIT THE STUDY FOR SUCH COMPLIANCE, AND THE RIGHT TO IMPOSE SANCTIONS FOR NON-COMPLIANCE; 2. STATE THAT THE PLAN MUST BE SHARED WITH COVERED PERSON WHOSE INTERESTS IT WAS DEVELOPED TO MANAGE; 3. STATE THAT THE PLAN MUST BE SHARED WITH, AND PERIODIC REPORTS ON COMPLIANCE WITH THE PLAN MUST BE PROVIDED TO, THE BOARD, SENIOR MANAGEMENT, AND/OR GOVERNMENT AGENCIES; AND 4. PROVIDE FOR SUCH OTHER MANAGEMENT STEPS AND MECHANISMS THE COMMITTEE CONSIDERS NECESSARY AND APPROPRIATE. IN ADDITION TO THE COMMITTEE, THE SYSTEM OFFICE VICE PRESIDENTS OF SYSTEM RESPONSIBILITY AND RISK & COMPLIANCE MAY RETAIN SUCH INDEPENDENT ADVISORS OR EXPERTS AS DEEMED NECESSARY TO ASSIST IN MAKING ITS DETERMINATIONS AND DECISIONS. IF THE COMMITTEE DETERMINES THAT THE CONTEMPLATED TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY CANNOT PROCEED DUE TO A CONFLICT OF INTEREST, THE COMMITTEE SHALL INFORM THE APPLICABLE COVERED PERSON OR DECISION-MAKING BODY OF SUCH DETERMINATION WITHIN ONE WEEK OF THE COMMITTEE MEETING AT WHICH THE CONTEMPLATED TRANSACTION WAS DISCUSSED. THE COMMITTEE SHALL DOCUMENT ITS REJECTION OF THE CONTEMPLATED TRANSACTION IN THE COMMITTEE'S MEETING MINUTES. |
| 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 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. |
| 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 IX, Line 11g Other Fees | Purchased professional services - Total Expense: 6880982, Program Service Expense: 6494450, Management and General Expenses: 386532, Fundraising Expenses: ; Purchased Medical Services - Total Expense: 786437, Program Service Expense: 786437, Management and General Expenses: , Fundraising Expenses: ; Other - Total Expense: 3609635, Program Service Expense: 2847247, Management and General Expenses: 762388, Fundraising Expenses: ; Shared services fee - Total Expense: 1212296, Program Service Expense: , Management and General Expenses: 1212296, Fundraising Expenses: ; |
| Form 990, Part X, Line 11 POOLED INVESTMENT ACCOUNT | ST. JOSEPH'S HOSPITAL'S CASH RESERVES ARE INVESTED IN A POOLED INVESTMENT ACCOUNT. PARTICIPATION IN THE POOLED FUND IS LIMITED TO THE 501(C)(3) HOSPITALS AND RELATED HEALTH SERVICES ORGANIZATIONS SPONSORED BY THE HOSPITAL SISTERS HEALTH SYSTEM. THE POOLED ACCOUNT CONSISTS OF CASH, AND EQUITY AND DEBT SECURITIES THAT ARE PUBLICLY TRADED. IN ACCORDANCE WITH THE PROVISIONS OF SFAS NO. 124 "ACCOUNTING FOR CERTAIN INVESTMENTS HELD BY NOT-FOR-PROFIT ORGANIZATIONS," INVESTMENTS IN EQUITY SECURITIES WITH READILY DETERMINABLE VALUES, AND ALL INVESTMENTS IN DEBT SECURITIES, ARE REPORTED AT FAIR VALUE ON THE BALANCE SHEET. INCOME, REALIZED AND UNREALIZED GAINS AND LOSSES ARE POOLED AND ALLOCATED TO THE PARTICIPANTS. INDIVIDUAL COMPONENTS OF ASSETS AND REVENUE ARE NOT IDENTIFIED TO THE PARTICIPANTS. |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Change in Temporarily Restricted Net Assets - 142221; Change in Permanently Restricted Net Assets - 12483; Transfer to Affiliates - -407772; Pension-related changes other than net periodic pension costs - 3022214; CHANGE IN FAIR VALUE OF THE INTEREST RATE SWAPS - 1082529; SWAP PAYMENTS - -384809; |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| KIARA CLINICAL INTEGRATION NETWORK LLC | |||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 261417684 | HEALTHCARE | IL | -$1,762,307 | $6,257,513 | HSSI |
| PHYSICIAN CLINICAL INTEGRATION NETWORK LLC | |||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371668647 | HEALTHCARE | IL | -$950,689 | $8,580,781 | KCIN |
| HSHS ACO LLC | |||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 320465666 | HEALTHCARE & SOCIAL ASSISTANCE | IL | -$515,297 | $146,855 | KCIN |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (27 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| HOSPITAL SISTERS HEALTH SYSTEM | ||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371058692 | HEALTHCARE | IL | 501(c)(3) | Type III-FI | NA | false |
| HOSPITAL SISTERS OF ST FRANCIS FOUNDATION | ||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371186514 | HEALTHCARE | IL | 501(c)(3) | 7 | HSHS | Yes (true) |
| HSHS SELF INSURANCE TRUST | ||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371120626 | INSURANCE | IL | 501(c)(3) | Type I | HSHS | Yes (true) |
| HOSPITAL SISTERS HEALTHCARE WEST INC | ||||||||||
| 2661 COUNTY HIGHWAY 1 | CHIPPEWA FALLS | WI | 54729 | 510157933 | HEALTHCARE | WI | 501(c)(3) | Type I | HSSI | Yes (true) |
| SACRED HEART HOSPITAL | ||||||||||
| 990 WEST CLAIREMONT AVENUE | EAU CLAIRE | WI | 54701 | 390807060 | HEALTHCARE | WI | 501(c)(3) | 3 | HSSI | Yes (true) |
| ST ANTHONY'S HOSPITAL | ||||||||||
| 503 N MAPLE STREET | EFFINGHAM | IL | 62401 | 370661233 | HEALTHCARE | IL | 501(c)(3) | 3 | HSSI | Yes (true) |
| ST ELIZABETH'S HOSPITAL | ||||||||||
| 211 SOUTH THIRD STREET | BELLEVILLE | IL | 62220 | 370663567 | HEALTHCARE | IL | 501(c)(3) | 3 | HSSI | Yes (true) |
| ST NICHOLAS HOSPITAL | ||||||||||
| 3100 SUPERIOR AVENUE | SHEBOYGAN | WI | 53081 | 390808480 | HEALTHCARE | WI | 501(c)(3) | 3 | HSSI | Yes (true) |
| ST JOHN'S HOSPITAL | ||||||||||
| 800 EAST CARPENTER STREET | SPRINGFIELD | IL | 62769 | 370661238 | HEALTHCARE | IL | 501(c)(3) | 3 | HSSI | Yes (true) |
| ST JOSEPH'S HOSPITAL | ||||||||||
| 9515 HOLY CROSS LANE | BREESE | IL | 62230 | 371208459 | HEALTHCARE | IL | 501(c)(3) | 3 | HSSI | Yes (true) |
| ST MARY'S HOSPITAL | ||||||||||
| 1800 E LAKE SHORE DRIVE | DECATUR | IL | 62521 | 370661244 | HEALTHCARE | IL | 501(c)(3) | 3 | HSSI | Yes (true) |
| ST MARY'S HOSPITAL | ||||||||||
| 111 SPRING STREET | STREATOR | IL | 61364 | 362169181 | HEALTHCARE | IL | 501(c)(3) | 3 | HSSI | Yes (true) |
| ST MARY'S MEDICAL CENTER | ||||||||||
| 1762 SHAWANO AVENUE | GREEN BAY | WI | 54303 | 390818682 | HEALTHCARE | WI | 501(c)(3) | 3 | HSSI | Yes (true) |
| ST VINCENT HOSPITAL | ||||||||||
| 835 S VAN BUREN | GREEN BAY | WI | 51301 | 390817529 | HEALTHCARE | WI | 501(c)(3) | 3 | HSSI | Yes (true) |
| ST JOSEPH'S HOSPITAL | ||||||||||
| 12866 TROXLER AVENUE | HIGHLAND | IL | 62249 | 370663568 | HEALTHCARE | IL | 501(c)(3) | 3 | HSSI | Yes (true) |
| ST FRANCIS HOSPITAL | ||||||||||
| 1215 FRANCISCAN DRIVE | LITCHFIELD | IL | 62056 | 370661236 | HEALTHCARE | IL | 501(c)(3) | 3 | HSSI | Yes (true) |
| HOSPITAL SISTERS SERVICES INC | ||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371163402 | HEALTHCARE | IL | 501(c)(3) | Type III-FI | HSHS | Yes (true) |
| HSHS MEDICAL GROUP INC | ||||||||||
| 3215 EXECUTIVE PARK DRIVE | SPRINGFIELD | IL | 62703 | 263956318 | HEALTHCARE | IL | 501(c)(3) | Type III-FI | HSSI | Yes (true) |
| HSHS WISCONSIN MEDICAL GROUP INC | ||||||||||
| 3215 EXECUTIVE PARK DRIVE | SPRINGFIELD | IL | 62703 | 264515959 | HEALTHCARE | WI | 501(c)(3) | Type III-FI | HSSI | Yes (true) |
| ORANGE CROSS AMBULANCE INC | ||||||||||
| 919 ASHLAND AVENUE | SHEBOYGAN | WI | 53081 | 391860942 | HEALTHCARE | WI | 501(c)(3) | 10 | ST NICHOLAS | Yes (true) |
| UNITY LIMITED PARTNERSHIP | ||||||||||
| 2366 OAK RIDGE CIRCLE | DE PERE | WI | 54115 | 391750729 | HEALTHCARE | WI | 501(c)(3) | 10 | HSSI | Yes (true) |
| PRAIRIE EDUCATION & RESEARCH COOPERATIVE | ||||||||||
| 317 NORTH 5TH STREET | SPRINGFIELD | IL | 62701 | 371157915 | HEALTHCARE | IL | 501(c)(3) | 4 | HSSI | Yes (true) |
| ST CLARE MEMORIAL HOSPITAL | ||||||||||
| 855 S MAIN STREET | OCONTO FALLS | WI | 54154 | 390848401 | HEALTHCARE | WI | 501(c)(3) | 3 | HSSI | Yes (true) |
| HSHS HOLY FAMILY HOSPITAL | ||||||||||
| 200 HEALTHCARE DRIVE | GREENVILLE | IL | 62246 | 370792770 | HEALTHCARE | IL | 501(c)(3) | 3 | HSSI | Yes (true) |
| UTLAUT MEMORIAL FOUNDATION | ||||||||||
| 200 HEALTHCARE DRIVE | GREENVILLE | IL | 62246 | 371140166 | FUNDRAISING | IL | 501(c)(3) | Type II | HSSI | Yes (true) |
| SHELBY MEMORIAL HOSPITAL FOUNDATION INC | ||||||||||
| 200 SOUTH CEDAR STREET | SHELBYVILLE | IL | 62565 | 371294401 | FUNDRAISING | IL | 501(c)(3) | Type I | HSSI | Yes (true) |
| HSHS GOOD SHEPHERD HOSPITAL INC | ||||||||||
| 200 SOUTH CEDAR STREET | SHELBYVILLE | IL | 62565 | 370512290 | HEALTHCARE | IL | 501(c)(3) | 3 | HSSI | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MEMORIAL AND ST ELIZABETH'S HEALTHCARE CANCER TREATMENT CENTER | ||||||||||||||
| 4000 NORTH ILLINOIS STREET | SWANSEA | IL | 62226 | 371312961 | HEALTHCARE | IL | ST ELIZABETH'S | Related | $674,729 | $4,464,307 | false | false | 0.5 | |
| PRAIRIE HEART INSTITUTE ST JOHN'S | ||||||||||||||
| 800 EAST CARPENTER STREET | SPRINGFIELD | IL | 62769 | 371321197 | HEALTHCARE | IL | HSHS | Related | $0 | $8,000 | false | false | 1 | |
| PAIN CENTER OF WISCONSIN | ||||||||||||||
| 4131 W LOOMIS ROAD | GREENFIELD | WI | 53221 | 263155343 | HEALTHCARE | WI | ST VINCENT | Related | $527,290 | $608,459 | false | false | 0.5 | SUITE 300 |
| PAIN CENTER OF WISCONSIN - OCONTO FALLS LLC | ||||||||||||||
| 4131 W LOOMIS ROAD | GREENFIELD | WI | 53221 | 364717036 | HEALTHCARE | WI | ST CLARE | Related | $82,878 | $213,434 | false | false | 0.5 | SUITE 300 |
| CARPENTER STREET HOTEL LLC | ||||||||||||||
| 525 NORTH SIXTH STREET | SPRINGFIELD | IL | 62702 | 364128127 | HOTEL | IL | LASANTE INC | N/A | 0 | |||||
| SPRINGFIELD URGENT CARE REAL ESTATE LLC | ||||||||||||||
| PO BOX 19456 | SPRINGFIELD | IL | 62794 | 030413258 | RENTAL REAL ESTATE | IL | LASANTE INC | N/A | 0 | |||||
| PRAIRIE HEART INSTITUTE MANAGEMENT COMPANY LLC | ||||||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 261479945 | MEDICAL | IL | HSHS | Related | -$7,119 | $10,276 | false | Yes (true) | 1 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KIARA INC | |||||||||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371163401 | HEALTHCARE | IL | HSHS | C Corporation | -$32,734,440 | $34,421,714 | 1 | Yes (true) | |||||
| LASANTE WISCONSIN INC | |||||||||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 391572196 | HEALTHCARE | IL | KIARA INC | C Corporation | Yes (true) | ||||||||
| LASANTE INC | |||||||||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371163400 | HEALTHCARE | IL | KIARA INC | C Corporation | Yes (true) | ||||||||
| PRAIRIE CARDIOVASCULAR | |||||||||||||||||
| 619 EAST MASON SUITE 4P57 | SPRINGFIELD | IL | 62701 | 371071858 | HEALTHCARE | IL | KIARA INC | C Corporation | Yes (true) | ||||||||
| PREVEA HEALTH SERVICES INC | |||||||||||||||||
| 2710 EXECUTIVE DRIVE | GREEN BAY | WI | 54304 | 391839351 | HEALTHCARE | WI | HSSI | C Corporation | $260,762 | $45,933,122 | 0.5 | Yes (true) | |||||
| PREVEA CLINIC INC | |||||||||||||||||
| 2710 EXECUTVE DRIVE | GREEN BAY | WI | 54304 | 391839349 | HEALTHCARE | WI | PHSI | C Corporation | Yes (true) | ||||||||
| RENAISSANCE QUALITY INSURANCE LTD | |||||||||||||||||
| 980669953 | INSURANCE | HSSI | C Corporation | $0 | $120,349,324 | 1 | Yes (true) | PO BOX 1159 | GRAND CAYMAN | CJ | KY11102 | CJ | |||||
| OJV INC | |||||||||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 460873384 | HEALTHCARE | IL | LASANTE INC | C Corporation | Yes (true) | ||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule R, Part V, Line 2 TRANSACTIONS WITH RELATED ENTITIES | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |