SACRED HEART HOSPITAL OF THE HOSPIT AL SISTERS-3RD ORDER OF ST FRANCIS: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: SACRED HEART HOSPITAL OF THE HOSPIT AL SISTERS-3RD ORDER OF ST FRANCIS (EIN 39-0807060)
Tax period: 2016-07-01 to 2017-06-30
Filed: 2018-05-11
IRS object ID: 201801319349304150
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	2018-05-11T15:01:33-05:00	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	390807060	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Sacred Heart Hospital of Hospital Sisters of Third Order of St Francis	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SACR	BusinessNameControlTxt
Phone	7157176122	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	900 West Clairemont Avenue	AddressLine1Txt
City	Eau Claire	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54701	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	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JULIE MANAS	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	900 West Clairemont Avenue	AddressLine1Txt
City	Eau Claire	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54701	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$237,476,582	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.sacredhearteauclaire.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1890	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE THE MEANS WHEREBY SACRED HEART CAN CONTINUE THEIR APOSTOLIC MISSION TO SERVE THE SICK, THE AGED, THE POOR AND THE TERMINALLY ILL WITHOUT REGARD TO RACE, COLOR, CREED, OR NATIONAL ORIGIN.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	1651	TotalEmployeeCnt
Total Volunteers	168	TotalVolunteersCnt
Total Gross UBI	$859,816	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$274,723	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,698,089	PYContributionsGrantsAmt
CY Contributions Grants	$458,115	CYContributionsGrantsAmt
PY Program Service Revenue	$234,728,587	PYProgramServiceRevenueAmt
CY Program Service Revenue	$215,884,115	CYProgramServiceRevenueAmt
PY Investment Income	$9,419,972	PYInvestmentIncomeAmt
CY Investment Income	$19,911,995	CYInvestmentIncomeAmt
PY Other Revenue	$1,230,819	PYOtherRevenueAmt
CY Other Revenue	$1,222,357	CYOtherRevenueAmt
PY Total Revenue	$247,077,467	PYTotalRevenueAmt
CY Total Revenue	$237,476,582	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$96,156,334	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$88,723,656	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$101,778,022	PYOtherExpensesAmt
CY Other Expenses	$108,263,477	CYOtherExpensesAmt
PY Total Expenses	$197,934,356	PYTotalExpensesAmt
CY Total Expenses	$196,987,133	CYTotalExpensesAmt
PY Revenues Less Expenses	$49,143,111	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$40,489,449	CYRevenuesLessExpensesAmt
Total Assets BOY	$633,515,845	TotalAssetsBOYAmt
Total Assets EOY	$672,990,279	TotalAssetsEOYAmt
Total Liabilities BOY	$147,328,032	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$120,182,229	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$486,187,813	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$552,808,050	NetAssetsOrFundBalancesEOYAmt
Mission	SEE SCHEDULE O - ORGANIZATION'S MISSION	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$169,741,448	ExpenseAmt
Revenue	$215,031,185	RevenueAmt
Desc	SEE SCHEDULE O - PART III LINE 4A	Desc
Total Program Service Expenses	$169,741,448	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	78	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1651	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
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	10	GoverningBodyVotingMembersCnt
Independent Voting Member	6	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	900 WEST CLAIREMONT AVENUE	AddressLine1Txt
City	EAU CLAIRE	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54701	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 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
JULIE MANAS
DIVISION PRES/CEO	40.0	20.0	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 - PARTIAL YEAR	1.0	1.0	Yes (X)		$0	$0	$0
LON BLASER DO
Director	1.0	3.0	Yes (X)		$0	$0	$0
JOAN COFFMAN
Director	15.0	45.0	Yes (X)		$0	$402,318	$165,206
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
Board Member	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	30.0	30.0		Yes (X)	$318,450	$0	$100,796
FAYE DEICH
Chief Operating Officer	60.0	0			$416,557	$0	$160,230	Yes (X)
Judith Balcitis
Chief Nursing Officer	60.0	0			$158,323	$0	$14,028	Yes (X)
Erica Barrette
Physician	40.0	0			$353,736	$0	$55,499		Yes (X)
MONICA MCDONALD
PHYSICIAN	40.0	0			$720,704	$0	$102,618		Yes (X)
JOHN WACIUMA
PHYSICIAN	40.0	0			$728,789	$0	$85,784		Yes (X)
Richardo Bayola
Physician	40.0	0			$275,512	$0	$114,571		Yes (X)
Erik Dickson
Chief Physician Executive	40.0	0			$358,312	$0	$34,541		Yes (X)
LAWRENCE SCHUMACHER
Former DIRECTOR	0.0	0.0			$0	$622,151	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,330,383	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,517,923	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,515,162	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	66	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
SODEXO INC
4880 PAYSPHERE CIRCLE	CHICAGO	IL	60674	MANAGEMENT	$1,768,858
SAMUELS GROUP
311 FINANCIAL WAY	WAUSAU	WI	54401	CONSTRUCTION	$1,049,246
INFINITY HEALTHCARE
111 E WISCONSIN AVENUE	MILWAUKEE	WI	53202	PROVIDER STAFFING	$839,614
Eau Claire Anesthesiologists LTD
1101 West Clairemont Ave	Eau Claire	WI	54701	Professional Services	$804,325
AMPHION MEDICAL SOLUTIONS
8301 EXCELSIOR DRIVE	MADISION	WI	53717	TRANSCRIPTION SERV	$782,625

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	22	CntrctRcvdGreaterThan100KCnt
Related Organizations	$434,639	RelatedOrganizationsAmt
All Other Contributions	$23,476	AllOtherContributionsAmt
Total Contributions	$458,115	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	900099	$214,840,280	$214,840,280
REFERENCE LAB SERVICES	621500	$852,930		$852,930
DEPARTMENTAL REVENUE	900099	$190,905	$190,905

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	$215,884,115	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,293,826	TotalRevenueColumnAmt
Exclusion	$4,293,826	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$682,078	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$682,078	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$682,078	TotalRevenueColumnAmt
Exclusion	$682,078	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$15,618,169	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$15,618,169	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,618,169	TotalRevenueColumnAmt
Exclusion	$15,618,169	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
EMPLOYEE & SENIOR CAFETERIA	722514	$297,730	$297,730
GIFT SHOP	453220	$235,663	$235,663
SHARED SERVICE INCOME	621500	$6,886		$6,886

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	$540,279	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$237,476,582	TotalRevenueColumnAmt
Related Or Exempt Func Income	$215,031,185	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$859,816	UnrelatedBusinessRevenueAmt
Exclusion	$21,127,466	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	$1,082,186	TotalAmt
Management And General	$1,082,186	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$66,311,267	TotalAmt
Program Services	$59,891,434	ProgramServicesAmt
Management And General	$6,419,833	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,525,987	TotalAmt
Program Services	$2,264,116	ProgramServicesAmt
Management And General	$261,871	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$13,677,829	TotalAmt
Program Services	$12,259,837	ProgramServicesAmt
Management And General	$1,417,992	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,126,387	TotalAmt
Program Services	$4,594,930	ProgramServicesAmt
Management And General	$531,457	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$765,372	TotalAmt
Management And General	$765,372	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$8,406	TotalAmt
Management And General	$8,406	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$4,735,117	TotalAmt
Management And General	$4,735,117	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$28,952,106	TotalAmt
Program Services	$19,846,352	ProgramServicesAmt
Management And General	$9,105,754	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$754,848	TotalAmt
Management And General	$754,848	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,939,028	TotalAmt
Program Services	$1,786,500	ProgramServicesAmt
Management And General	$152,528	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$11,601,725	TotalAmt
Program Services	$11,601,725	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,259,631	TotalAmt
Program Services	$2,259,631	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$41,024	TotalAmt
Program Services	$39,257	ProgramServicesAmt
Management And General	$1,767	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$229,507	TotalAmt
Program Services	$120,920	ProgramServicesAmt
Management And General	$108,587	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$879,733	TotalAmt
Program Services	$879,733	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$11,900,192	TotalAmt
Program Services	$11,667,120	ProgramServicesAmt
Management And General	$233,072	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$637,994	TotalAmt
Program Services	$637,994	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
CLINICAL SUPPLIES	$30,947,508	$30,683,688	$263,820
PROVISION FOR BAD DEBT	$1,109,154	$1,109,154
MEDICAID ASSESSMENT	$5,346,174	$5,346,174
Maintenance and Repairs	$3,689,780	$3,576,179	$113,601

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,466,178	TotalAmt
Program Services	$1,176,704	ProgramServicesAmt
Management And General	$1,289,474	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$196,987,133	TotalAmt
Program Services	$169,741,448	ProgramServicesAmt
Management And General	$27,245,685	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$5,271,664	BOYAmt
EOY	$2,168,055	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$26,785,996	BOYAmt
EOY	$31,582,940	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	$5,102,025	BOYAmt
EOY	$5,742,785	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$274,369	BOYAmt
EOY	$496,698	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$250,045,133	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$156,392,133	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$103,417,318	BOYAmt
EOY	$93,653,000	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$488,209,621	BOYAmt
EOY	$533,582,338	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	$4,454,852	BOYAmt
EOY	$5,764,463	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$633,515,845	BOYAmt
EOY	$672,990,279	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$26,674,206	BOYAmt
EOY	$23,965,037	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$54,365,702	BOYAmt
EOY	$51,697,793	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$66,288,124	BOYAmt
EOY	$44,519,399	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$147,328,032	BOYAmt
EOY	$120,182,229	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$477,849,694	BOYAmt
EOY	$543,632,121	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,135,521	BOYAmt
EOY	$2,770,115	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,202,598	BOYAmt
EOY	$6,405,814	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$486,187,813	BOYAmt
EOY	$552,808,050	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$633,515,845	BOYAmt
EOY	$672,990,279	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$40,489,449	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$21,378,699	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$4,752,089	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	$8,406	OtherActivitiesAmt
Total Lobbying Expenditures	$8,406	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

SACRED HEART HOSPITAL (THE HOSPITAL) IS A MEMBER OF THE CATHOLIC HEALTH ASSOCIATION ("CHA"), THE WISCONSIN HEALTH ASSOCIATION ("WHA"), AND THE AMERICAN HEALTH ASSOCIATION ("AHA"). AS A MEMBER OF THESE ORGANIZATIONS, THE HOSPITAL PAYS DUES AND PART OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING FEES PAID BY THE ORGANIZATIONS. THE AMOUNT LISTED IS THE AMOUNT ATTRIBUTABLE TO THE HOSPITAL FROM ITS DUES PAID.

Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$753,852	OtherCostOrOtherBasisAmt
Book Value	$753,852	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$137,030,689	OtherCostOrOtherBasisAmt
Depreciation	$68,669,750	DepreciationAmt
Book Value	$68,360,939	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,539,207	OtherCostOrOtherBasisAmt
Depreciation	$2,842,681	DepreciationAmt
Book Value	$696,526	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$106,776,923	OtherCostOrOtherBasisAmt
Depreciation	$84,879,702	DepreciationAmt
Book Value	$21,897,221	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,944,462	OtherCostOrOtherBasisAmt
Book Value	$1,944,462	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$93,653,000	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
OTHER LONG-TERM LIABILITIES	$1,054,984
ACCRUED PENSION LIABILITY	$29,008,686
INTEREST RATE SWAP PROGRAMS	$14,455,729

Field	Value	IRS element (for citing)
Total Liability	$44,519,399	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	false	ExpensesExceedBudgetInd
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)
Total Community Benefit Expns	$3,107,594	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,107,594	NetCommunityBenefitExpnsAmt
Total Expense	0.0159	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,115,859	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,545,910	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,569,949	NetCommunityBenefitExpnsAmt
Total Expense	0.0489	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,297,352	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$975,379	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$321,973	NetCommunityBenefitExpnsAmt
Total Expense	0.0016	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$36,520,805	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,521,289	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,999,516	NetCommunityBenefitExpnsAmt
Total Expense	0.0664	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	115861	PersonsServedCnt
Total Community Benefit Expns	$1,511,477	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$247,229	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,264,248	NetCommunityBenefitExpnsAmt
Total Expense	0.0065	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	178	PersonsServedCnt
Total Community Benefit Expns	$970,973	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$970,973	NetCommunityBenefitExpnsAmt
Total Expense	0.0050	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,087,928	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,810,453	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,277,475	NetCommunityBenefitExpnsAmt
Total Expense	0.0167	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	6090	PersonsServedCnt
Total Community Benefit Expns	$98,382	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$98,382	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	122129	PersonsServedCnt
Total Community Benefit Expns	$14,668,760	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,057,682	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,611,078	NetCommunityBenefitExpnsAmt
Total Expense	0.0286	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	122129	PersonsServedCnt
Total Community Benefit Expns	$51,189,565	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$32,578,971	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,610,594	NetCommunityBenefitExpnsAmt
Total Expense	0.0950	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	392	PersonsServedCnt
Total Community Benefit Expns	$317,478	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$317,478	NetCommunityBenefitExpnsAmt
Total Expense	0.0016	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	392	PersonsServedCnt
Total Community Benefit Expns	$317,478	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$317,478	NetCommunityBenefitExpnsAmt
Total Expense	0.0016	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,109,154	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$75,075,815	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$102,042,841	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$26,967,026	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	SACRED HEART HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	900 WEST CLAIREMONT AVENUE	AddressLine1Txt
City	EAU CLAIRE	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54701	ZIPCd

Field	Value	IRS element (for citing)
Website Address	http://www.sacredhearteauclaire.org	WebsiteAddressTxt
State License	17	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	BEHAVIORAL HEALTH DIALYSIS INPATIENT REHAB	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SACRED HEART 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.sacredhearteauclaire.org/www-shec/media/SHEC-Documents/SHEC-Community-Health-Needs-Asses	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.sacredhearteauclaire.org/www-shec/media/SHEC-Documents/SHEC-Community-Health-Needs-Asses	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	https://www.sacredhearteauclaire.org/Patients-Guests/Payment-Billing	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.sacredhearteauclaire.org/Patients-Guests/Payment-Billing	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.sacredhearteauclaire.org/Patients-Guests/Payment-Billing	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 Sacred Heart Hospital. HSHS SACRED HEART HOSPITAL (SHEC), 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 SHEC 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 AS 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 SHEC 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 SHEC'S DIRECTOR OF MARKETING ST. JOSEPH'S HOSPITAL, CHIPPEWA FALLS' 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 ONE 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 ONE OF THEIR DATA ANALYSIS SPECIALISTS 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 AT THE EAU CLAIRE COMMUNITY MEAL SITE-THE COMMUNITY TABLE, L.E. PHILLIPS SENIOR CENTER, AND the HMONG WELLNESS DAY AT EAU CLAIRE AREA HMONG MUTUAL ASSISTANCE ASSOCIATION. A KEY INFORMANT INTERVIEW WAS ALSO HELD WITH AN EAU CLAIRE CITY-COUNTY HEALTH DEPARTMENT PUBLIC HEALTH NURSE WHO SERVES THE EAU CLAIRE COUNTY AMISH POPULATION. 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 EAU CLAIRE 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 PROVIING 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 Sacred Heart Hospital. 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 Sacred Heart Hospital. HSHS SACRED HEART 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 - 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 Sacred Heart Hospital. THE PRIMARY AND SECONDARY DATA WERE PRESENTED AT FIVE COMMUNITY CONVERSATIONS THAT TOOK PLACE THROUGHOUT EAU CLAIRE COUNTY IN FEBRUARY 2015. SESSIONS WERE HELD IN EAU CLAIRE (TWO SESSIONS), AUGUSTA, ALTOONA, AND FALL CREEK. 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, 78 PEOPLE ATTENDED THE FIVE COMMUNITY CONVERSATIONS IN EAU CLAIRE 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 EAU CLAIRE 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 EAU CLAIRE COUNTY, ONE FINAL EVENT WAS HELD IN MARCH 2015 IN EAU CLAIRE 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 OBESITY. THE PURPOSE OF THIS EVENT WAS TO ENGAGE THE PUBLIC IN DETAILED DISCUSSION RELATED TO THESE PRIORITY AREAS, HIGHLIGHT RELATED INITIATIVES OF THE EAU CLAIRE HEALTHY COMMUNITIES COALITION (ECHCC) AND ENCOURAGE COMMUNITY PARTICIPATION IN LOCAL HEALTH IMPROVEMENT EFFORTS THROUGH MEMBERSHIP IN ECHCC ACTION TEAMS AND ENGAGEMENT IN COLLABORATIVE ACTION PLANS. A TOTAL OF 74 COMMUNITY MEMBERS REPRESENTING SECTORS AS BROAD AS FAITH COMMUNITIES, LOCAL AND REGIONAL GOVERNMENT, SCHOOL DISTRICTS, HEALTHCARE PROVIDERS, UNIVERSITY STUDENTS, AND RETIRED CITIZENS PARTICIPATED IN THIS EVENT. THE STRUCTURE INCLUDED A PRESENTATION OF RECENT ECHCC 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. 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 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 Sacred Heart Hospital. 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 SACRED HEART HOSPITAL'S COMMUNITY BENEFIT: 1). MENTAL HEALTH 2). ALCOHOL MISUSE 3) OBESITY 1). MENTAL HEALTH - HSHS SACRED HEART HOSPITAL(SHEC) 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 SHEC COMMUNITY BENEFIT IMPLEMENTATION PLAN INCLUDES SEVERAL EVIDENCE-BASED STRATEGIES TO POSITIVELY IMPACT THE TOP IDENTIFIED NEED FOR BOTH CHIPPEWA AND EAU CLAIRE COUNTIES WHICH WAS MENTAL HEALTH. 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 STRATEGIES WAS TO "BLANKET" THE AREA WITH QPR 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 1606 YOUTH IN THE SAME TIME PERIOD. 89% OF ATTENDEES INDICATED AN INCREASED KNOWLEDGE OF COMMUNITY RESOURCES. MANY OF THOSE IN ATTENDANCE AT THE QPR TRAINING REQUESTED MORE INFORMATION ON HOW TO IDENTIFY SOMEONE STRUGGLING WITH A MENTAL HEALTH CRISIS AND WAYS TO APPROPRIATELY INTERVENE AS WELL AS 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 WITH 340 INDIVIDUALS IN ATTENDANCE. PARTICIPANTS OF THE MHFA TRAININGS INDICATED AN AVERAGE CONTENT SCORE RATING OF 4.618 ON A 1 TO 5 RATING SCALE. ONE OF THE TRAININGS WAS SPECIFIC TO VETERANS AND THOSE WITH DISABILITIES AND ONE TARGETED OLDER ADULTS AND LATER-LIFE ISSUES. THREE CLASSES SPECIFIC TO YOUTH WERE HELD IN FY17 WITH 110 ATTENDING. RESPONDENTS INDICATED A CONTENT SCORE OF 4.76 OF 5. ANOTHER EXAMPLE OF HOW SHEC IS TRYING TO POSITIVELY IMPACT POPULATION HEALTH IS TO BE A CONDUIT OF EDUCATION AND INFORMATION AROUND TRAUMA-INFORMED CARE AND 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 HAVE SUFFERED SOME SORT OF 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 AND HAS PROVIDED COMMUNITY AWARENESS PRESENTATIONS ON ACES TO 25 COMMUNITY MEMBERS WHO SELF SCORED 4.35 OUT OF 5.00 O A POST PROGRAM SURVEY THAT EXPOSING CHILDREN TO SEVERE, FREQUENT AND PROLONGED STRESS CAN PROFOUNDLY ALTER THEIR BODY'S STRESS MANAGEMENT SYSTEM AND BRAIN ARCHITECTURE. THIS DISPLAYS INCREASED KNOWLEDGE AND UNDERSTANDING OF THE HARMFUL EFFECTS OF ACES AND THE POTENTIAL NEGATIVE IMPACT IT CAN HAVE 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 NUMBER OF SUICIDES HAS DECLINED FROM 26 IN 2015 TO 22 IN 2016. SHEC 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 - SHEC'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. C. MENTAL HEALTH COMMUNITY AWARENESS CAMPAIGN - SHEC'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" , 7 SHARES AND 56 INDIVIDUALS ON THE SHARES AT THE TIME THIS DATA WAS PULLED. ANOTHER SOCIAL MEADIA POST ABOUT THE RELATIONSHIP OF MENTAL HEALTH AND PHYSICAL HEALTH REACHED 2234 PEOPLE AND HAD 13 "LIKES" AND FIVE "SHARES" AND ONE COMMENT WHICH WAS A POSITIVE COMMENT. D. STATE BEHAVIORAL HEALTH ALIGNMENT - SHEC WILL CONTINUE TO SUPPORT AND PARTICIPATE 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. SHEC'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 SHEC 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 RESILICIENCY. 3D ALSO HOSTED FOOTBALL HALL OF FAMER TERRY BRADSHAW AT THE LOCAL HISTORIC THEATER TO TALK ABOUT HOW HE COPES WITH DEPRESSION AND IS STILL ABLE TO BE SUCCESSFUL AND PRODUCTIVE. MORE THAN 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. 2). ALCOHOL MISUSE - SHEC 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.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - HSHS Sacred Heart Hospital. 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. SHEC 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. 3). OBESITY- SHEC IS INVOLVED IN THE IMPLEMENTATION AND/OR CONTINUATION OF THE FOLLOWING EFFORTS TO ADDRESS OBESITY. A. OBESITY AND PHYSICAL ACTIVITY: THE HOSPITAL WILL BE INCORPORATING OBESITY INTO ITS WORK ON MENTAL HEALTH WITH ATTENTION TO BODY IMAGE ISSUES AND THE POSITIVE EFFECT THAT EXERCISE AND HEALTHY WEIGHT HAVE ON MENTAL HEALTH. B. SHEC CONTINUES COMMUNITY EDUCATION AND AWARENESS OF THE POTENTIAL RISK FACTORS OF OBESITY VIA THE USE AND PROMOTION OF HEALTHAWARE ON-LINE RISK ASSESSMENT. ASSESSMENTS THAT WILL BE PROMOTED INCLUDE, BUT ARE NOT LIMITED TO, HEARTAWARE, SLEEPAWARE, STROKEAWARE, BREASTCANCERAWARE, AND COLONCANCERAWARE. ON-LINE DATA COLLECTION WILL BE USED TO TRACK NUMBER OF VISITS TO SITES AND OTHER MEASUREMENT TOOLS WILL BE DEVELOPED TO EVALUATE SUCCESS. COUNTY HEALTH RANKINGS WILL BE TRACKED AS WELL. C. SHEC CONTINUES TO PARTNER WITH HSHS ST. JOSEPH'S HOSPITAL TO PROMOTE THEIR ONLINE HEALTH ASSESSMENT TOOL, "GO" CHIPPEWA VALLEY. THIS SITE ENCOURAGES PEOPLE TO MOVE AT LEAST 15 MINUTES PER DAY AND PROVIDES HEALTH INFORMATION, AN ON-LINE EXERCISE AND DIET TRACKING TOOL CALLED GO MY WAY AND INFORMATION ABOUT UPCOMING CLASSES/EVENTS THAT THE HOSPITAL'S COMMUNITY HEALTH DEPARTMENT COORDINATES/HOSTS. MULTIPLE METHODS OF EVALUATION WILL BE USED INCLUDING GOOGLE ANALYTICS, EVENT PROGRAM SURVEYS, NUMBER OF SITE VISITS, ETC. D. THE HOSPITAL SUPPORTS THE CHIP ACTION TEAM - CHALLENGE CHIPPEWA, WHICH WORKS TO POSITIVELY IMPACT PHYSICAL FITNESS AND OVERALL WELLBEING. SHEC'S HEALTH EDUCATOR FOR 3D COMMUNITY HEALTH WAS INSTRUMENTAL IN NEGOTIATING A PARTNERSHIP BETWEEN CHALLENGE CHIPPEWA, EAU CLAIRE COUNTY'S HEALTHY COMMUNITIES ACTION TEAM, GORDY'S COUNTY MARKETS IN CHIPPEWA AND EAU CLAIRE AND THE UNIVERSITY OF NEW MEXICO TO OFFER A PROGRAM TO ENCOURAGE CUSTOMERS TO PURCHASE FRESH PRODUCE. UNFORTUNATELY THIS INITIATIVE WAS NOT ABLE TO MOVE FORWARD AS OUR PARTNER PROFESSOR FROM THE UNIVERSITY OF NEW MEXICO HAD TO SUSPEND THE RESEARCH AND OUR PARTNERSHIP DUE TO UNFORSEEN CHANGES AT THE UNIVERSITY AND GORDY'S COUNTY MARKETS. 4). ACCESS TO HEALTH CARE -THIS WAS NOT ONE OF THE 14 NEEDS THAT WAS IDENTIFIED/ADDRESSED IN OUR CHNA BUT SHEC 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 EAU CLAIRE COUNTY'S 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 INCORPORATED INTO THE IMPLEMENTATION PLAN AS PART OF STRATEGIES TO ADDRESS THE TOP IDENTIFIED NEEDS OF MENTAL HEALTH, ALCOHOL MISUSE OR OBESITY. THE NEEDS IDENTIFIED BELOW WILL BE IMPACTED BY STRATEGIES ADDRESSING THE TOP THREE IDENTIFIED NEEDS: HEALTHY GROWTH & DEVELOPMENT: THE HOSPITAL SUPPORTS THE INFANT MENTAL HEALTH ACTION TEAM OF CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP (CHIP) WHOSE WORK IMPACTS THIS FOCUS AREA. SHEC WILL CONTINUE ITS COORDINATION AND SUPPORT OF ITS FIRST CONNECTIONS PROGRAM WHICH IS A PARTNERSHIP BETWEEN SHEC AND THE FAMILY RESOURCE CENTER, EAU CLAIRE, THAT PROVIDES A VISIT BY A FAMILY SERVICES CASE WORKER TO ALL PARENTS IN SHEC'S BIRTH CENTER TO EVALUATE RISK FACTORS AND PROVIDE INFORMATION/REFERRAL. MONTHLY DATA IS COLLECTED AS TO NUMBER OF FAMILIES SEEN, THE DEGREE OF RISK IS ASSESSED AND REFERRALS ARE MADE TO COMMUNITY SERVICES FOR THE FAMILIES THAT ARE ASSESSED TO HAVE HEIGHTENED RISK. 355 PARENTS WERE SEEN IN FY17 AND 73 REFERRALS WERE MADE. CHRONIC DISEASE: AS A HOSPITAL, SHEC 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. SHEC 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 SHEC 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: SHEC 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 STAFF RN SERVES ON THE VOICES IN PREVENTION ACTION TEAM OF CHIPPEWA HEALTH IMPROVENT PARTNERSHIP THAT HAS BEEN SUPPORTED BY SHEC FOR MORE THAN TWO DECADES. THE STAFF RN BRINGS EXPERTISE REGARDING TOBACCO USE AND EXPOSURE TO SECOND HAND SMOKE TO THIS ACTION TEAM, ENCOURGES THE TEAM TO PROVIDE COMMUNITY EDUCATION, AND ENCOURAGES TOBACCO USE TO BE ADDRESSED WITH AOTDA ISSUES.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - Sacred Heart Hospital. 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 - Sacred Heart Hospital. 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.

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Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (22 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part VI, Line 5 Promotion of community health (continued A)	IN FY2017, THE HEALING PLACE SERVED 4,173 PEOPLE THROUGH INITIATIVES SUCH AS: * 1:1 COUNSELING TO ANYONE NEEDING HELP WITH A LIFE ADJUSTMENT ISSUE * EVENING AND DAYTIME SPOUSE LOSS GROUPS, BOTH TIME LIMITED AND ON- GOING * SHARE PREGNANCY AND INFANT LOSS SUPPORT GROUP FOR MISCARRIAGE, STILLBIRTH AND EARLY INFANT DEATH * PARENTS GRIEF GROUP FOR PARENTS WHO HAVE LOST A CHILD * STEPPING STONES THROUGH GRIEF- A MONTHLY GRIEF SUPPORT GROUP FOR ANYONE WHO HAS EXPERIENCED THE LOSS OF A LOVED ONE. * SPONSOR OF INTERNATIONAL SURVIVORS OF SUICIDE DAY * CLASSES FOR TEACHING RESILIENCY/COPING SKILLS/STRESS MANAGEMENT * WORKSHOPS AND PRESENTATIONS FOR VARIOUS INSTITUTIONS AND BUSINESSES ON TOPICS RELATED TO GRIEF, LOSS, AND COPING * SPECIAL PROGRAMS AND WORKSHOPS INCLUDING GRIEF IN THE WORKPLACE AND GRIEF AND THE HOLIDAYS * NEW BEGINNINGS SPOUSE LOSS SOCIAL SUPPORT GROUP OPEN TO MEN AND WOMEN OF ALL AGES WHO HAVE LOST A SPOUSE OR LIFE PARTNER THROUGH DEATH, NO MATTER WHEN THE LOSS OCCURRED. * LIVING MINDFULLY: A MEDITATION EDUCATION PROGRAM * SACRED HABITS OF THE HEART-A MONTHLY SERIES TO GUIDE, CHALLENGE AND ENCOURAG * MEDITATION AND MINDFULNESS TRAININGS SUICIDE PREVENTION INITIATIVE HSHS SACRED HEART HOSPITAL'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 PREVENTABLE PUBLIC HEALTH PROBLEM. 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. IN AN EFFORT TO COMBAT THE RISING RATE OF SUICIDES IN EAU CLAIRE COUNTY SHEC'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 EAU CLAIRE AND SURROUNDING AREA SHEC 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 ARE REVIEWING 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 SHEC'S 3D COMMUNITY HEALTH DEPARTMENT IS WORKING TO INCREASE COMMUNITY AWARENESS AND KNOWLEDGE OF THE FACTORS THAT OFFER PROTECTION FROM SUICIDAL BEHAVIORS AND THAT PROMOTE WELLNESS AND RECOVERY. COLLABORATION WITH MULTIPLE COMMUNITY PARTNERS IS OCCURRING ON AN ONGOING BASIS WITH AN OBJECTIVE OF PROMOTING EFFECTIVE PROGRAMS AND PRACTICES 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 AND THE CONNECTION BETWEEN MENTAL AND PHYSICAL HEALTH AND WELLBEING BASED ON HOSPITAL SURVEY DATA. 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 ADVERSE CHILDHOOD EXPERIENCES (ACES) AND BRAIN DEVELOPMENT. THERE WAS A 24% INCREASE IN THE PERCENTAGE THAT STRONGLY AGREED THAT EXPOSING INFANTS TO STRESS CAN ACTUALLY CAUSE THEM TO DEVELOP A SMALLER BRAIN POST EVENT COMPARED TO PRE EVENT. OTHER QUESTIONS SHOWED SIMILAR POSITIVE RESULTS DEMONSTRATING THE SUCCESS OF THE EVENT IN INCREASING EVENT ATTENDEE'S KNOWLEDGE OF 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 120 PARTICIPANTS IN FY17. SHEC 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. THIS TEAM PARTNERED WITH THE CHIPPEWA COUNTY SCHOOL DISTRICTS TO CONVINCE THE SCHOOLS TO IMPLEMENT THE YOUTH RISK BEHAVIORAL SURVEY (YRBS) WHICH WILL PROVIDE THIS TEAM WITH THE LOCAL DATA NEEDED TO ENABLE THEM TO APPLY FOR A DRUG-FREE COMMUNITIES GRANT. EAU CLAIRE SCHOOLS ARE ALSO LOOKING TO INITIATE THE SAME SURVEY SO THAT BOTH CHIPPEWA AND EAU CLAIRE COUNTIES WILL HAVE COMPARABLE DATA SOURCES. SUCCESS WAS MEASURED BY ALL OF THE CHIPPEWA COUNTY SCHOOLS IMPLEMENTING THE YRBS. THE CHIPPEWA COUNTY PUBLIC HEALTH DEPARTMENT IS USING ONE OF THEIR STUDENT INTERNS TO PULL THE DATA TOGETHER. 3D COMMUNITY HEALTH IS WORKING WITH HSHS ST. JOSEPH'S AND SACRED HEART HOSPITALS' MARKETING DEPARTMENTS TO PRODUCE A BOOKLET OF THE BROAD COUNTY YRBS DATA THAT WILL SUPPLEMENT THE UPCOMING FY18 CHNA. EACH INDIVIDUAL SCHOOL WILL BE GIVEN THEIR SCHOOL'S DATA AS WELL. SHEC/SJCF 3D COMMUNITY HEALTH HOSTED AN AWARENESS WALK AND BELL CONCORDANCE ON INTERNATIONAL FETAL ALCOHOL SPECTRUM DISORDER (FASD) AWARENESS DAY, SEPTEMBER 9, 2015 IN PARTNERSHIP WITH AREA CHURCHES. THE BELL CONCORDANCE, IN WHICH THE AREA CHURCHES RANG THE CHURCH BELLS AT 9:09 AM FOR A MINUTE OF REFLECTION WAS FOLLOWED BY A BRIEF EDUCATIONAL PROGRAM ON FASD AND WALK THROUGH THE PARK. BELLS WERE DISTRIBUTED TO PARTICIPANTS.THE GOAL WAS 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. EDUCATIONAL MATERIALS WERE DISPLAYED IN MEDICAL CLINICS, THE YMCA, SUBSTANCE ABUSE TREATMENT CENTER, GOVERNMENT BUILDINGS AND CHILD CENTERS. SACRED HEART WOMEN AND INFANTS CENTER NURSING DIRECTOR APPEARED ON TWO LOCAL NEWS PROGRAMS AND PROVIDED EDUCATION ABOUT FASD. 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. THE IMPACT OF THIS EVENT AND CONCURRING COMMUNITY AWARENESS/EDUCATION WAS DIFFICULT TO ASCERTAIN SO THIS EVENT WAS NOT REPLICATED IN FY17. SHEC/SJCF ALSO HOSTED EDUCATION PROGRAM AT L.E. PHILLIPS LIBERTAS TREATMENT CENTER ON FETAL ALCOHOL SPECTRUM DISORDER. TWENTY-ONE PEOPLE ATTENDED THE PROGRAM; 45% INDICATED AN INCREASE IN KNOWLEDGE OF FASD AND 85% INDICATED AN INCREASE IN KNOWLEDGE OF RESOURCES AVAILABLE FOR FASD. OBESITY- CHRONIC DISEASE PREVENTION AND MANAGEMENT GO15 IS A COMMUNITY INITIATIVE DEVELOPED BY SHEC'S MARKETING DEPARTMENT AND IS UTILIZED BY 3D COMMUNITY HEALTH TO ENCOURAGE HEALTHY LIFESTYLE CHOICES. A GOAL OF 3D COMMUNITY HEALTH IS FOR AREA RESIDENTS TO BECOME MORE PHYSICALLY ACTIVE AND LESS OBESE, WHICH HAS BEEN PROVEN TO REDUCE INCIDENCES OF CHRONIC DISEASE. THE STRATEGY UTILIZED TO ACHIEVE THIS GOAL WAS TO AUGMENT THE GO15 INITIATIVE WITH TWO CHALLENGES FOCUSING ON CHRONIC DISEASE ISSUES IDENTIFIED IN OUR 2015 CHNA: OBESITY AND SEDENTARY LIFESTYLES. THE FIRST CHALLENGE WAS A TWO-WEEK NUTRITION-BASED CHALLENGE, STRIVE FOR 5 FRUITS AND VEGETABLES, THAT ENCOURAGED CONSUMPTION OF FRUITS AND VEGETABLES FOR FIVE DAYS EACH WEEK. TWENTY PARTICIPANTS CONSUMED MORE THAN 350 SERVINGS OF FRUITS/VEGETABLES IN THE TWO WEEK TIMEFRAME. THE SECOND CHALLENGE ENCOURAGED PHYSICAL ACTIVITY WITH A FOCUS ON CARDIO PER MINUTE OF EXERCISE. DURING THE 42-DAY CHALLENGE, 83 PARTICIPANTS LOGGED 47,490 MINUTES OF ACTIVITY. 67.3% OF MEMBERS SUCCESSFULLY MET 100% OF THE CHALLENGE GOAL FOR THE NEXT CHALLENGE SHEC HELD.
Schedule H, Part VI, Line 5 Promotion of Community Health (Continued B)	SHEC OFFERS AN ONGOING COMMUNITY HEALTH EDUCATION SERIES TO PROMOTE AWARENESS AND EARLY DETECTION IN AN EFFORT TO MINIMIZE THE DEVELOPMENT OF CHRONIC CONDITIONS. A SERIES OF SEVEN COMMUNITY HEALTH EDUCATION PROGRAMS WERE OFFERED THROUGHOUT FY17 WITH A TOTAL ATTENDANCE OF 2225 (AN INCREASE FROM 745 IN FY16) COVERING A MULTITUDE OF TOPICS INCLUDING FOLLOW YOUR GUT FEELING, A COLON CANCER EDUCATION EVENT AND JOIN THE JOURNEY EVENT FEATURING THE BIGGEST LOSER FINALIST SONYA JONES. SHEC CONTINUES TO ENHANCE COMMUNITY EDUCATION ABOUT THE EARLY WARNING SIGNS OF STROKE, AS EARLY IDENTIFICATION AND INTERVENTION IS CRITICAL TO IMPROVING OUTCOMES AND SURVIVAL RATES. AN ONLINE SCREENING TOOL, STROKEAWARE, WAS IMPLEMENTED TO INCREASE ACCESS TO HEALTH CARE AND INCREASE GENERAL HEALTH CARE KNOWLEDGE ABOUT STROKE. OTHER COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS PROVIDES MULTIPLE EDUCATIONAL CLASSES, PROGRAMS, AND RESOURCES INCLUDING: * AMERICAN HEART ASSOCIATION TRAINING CLASSES-CPR, ALS, PALS-396 ATTENDEES * PLANNING AND IMPLEMENTATION OF A PEDIATRIC HEALTH FAIR WITH HANDS-ON ACTIVITIES IN HEALTH, WELLNESS AND SAFETY FOR FIRST GRADE STUDENTS IN CHIPPEWA COUNTY IN PARTNERSHIP WITH THE CHIPPEWA FAMILY YMCA - 484 ATTENDEES. * WELLNESS PROGRAMS, SERVICES AND RETREATS * PARTICIPATION IN COMMUNITY AND LOCAL BUSINESS HEALTH FAIRS * COORDINATING THE 11TH ANNUAL INDOOR SPORTS CENTER "GET HOOKED ON HEALTH" KIDS EXPO (SAFETY EDUCATION, HEALTH & WELLNESS) WITH OVER 3000 ATTENDEES * 3D COMMUNITY HEALTH EDUCATIONAL SERIES AND OTHER EDUCATION PROGRAMS, SPEAKERS AND FREE SCREENINGS- * ANNUAL COAT DRIVE COLLECTS AND DISTRIBUTES MORE THAN 6,000 COATS TO THOSE IN NEED * SUMMER SAFETY POOL DAY-3D COMMUNITY HEALTH TEAM EDUCATE 520 COMMUNITY MEMBERS ABOUT WEARING SUNSCREEN/SUNGLASSES, AND MAKING SURE THEY ARE STAYING HYDRATED WITH ENOUGH WATER, AND GENERAL SUMMER SUN SAFETY AT AREA PUBLIC POOLS * MEAL PROGRAMS INCLUDING MEALS FOR SENIOR CITIZENS AND CONGREGATE SITE MEALS * HEALTH SCREENING EVENTS HELD INCLUDING BLOOD PRESSURE SCREENINGS AT HEALTH FAIRS; FREE CARDIAC AND STROKE SCREENINGS * SHEC CENTER FOR SPIRITUAL CARE ASSISTED COMMUNITY MEMBERS COMPLETE 650 POWER OF ATTORNEY FOR HEALTH CARE (ADVANCE DIRECTIVE) FORMS AND PROVIDED NUMEROUS PRESENTATIONS AROUND SPIRITUAL CARE ISSUES FOR 2,067 PARTICIPANTS * INTERNATIONAL SURIVORS OF SUICIDE DAY * A VARIETY OF STUDENT INTERN PROGRAMS, WORK SHADOWING, AND TOUR * PARTICIPATION IN FARM EXPO, INCLUDING FREE BLOOD PRESSURE SCREENINGS * VARIETY OF COMMUNITY PRESENTATIONS REGARDING THE ETHICAL AND RELIGIOUS DIRECTIVES * SPONSORSHIP OF MULTIPLE HEALTH WALKS AND FUNDRAISERS FOR VARIOUS NON-PROFIT AGENCIES THAT SHARE SIMILAR MISSIONS AS SHEC SUCH AS THE ANNUAL NATIONAL NIGHT OUT- OVER 1350 CHILDREN AND ADULTS ATTENDED THE FUN-FILLED FAMILY EVENT IN A LOCAL PARK. * ANNUAL REMEMBRANCE WALK EACH FALL FOR FAMILIES WHO HAVE SUFFERED A LOSS * MAJOR ANNUAL SPONSOR OF MULTIPLE COMMUNITY AWARENESS/EDUCATION EVENTS INCLUDING SENIOR AMERICANS DAY * PARTICIPATION AND SUPPORT OF MULTIPLE COMMUNITY ORGANIZATIONS COMMITTEES AND COUNCILS * SHEC'S PEDIATRIC THERAPY AND MARKETING DEPARTMENTS COORDINATE AND HOST A FUN-FILLED, FREE EVENING AT THE EAU CLAIRE CHILDREN'S MUSEUM FOR DISABLED CHILDREN AS WELL AS AN EASTER EVENT FOR ALL CHILDREN OTHER SERVICES TO THE COMMUNITY, INCLUDING: * OVERNIGHT ACCOMMODATIONS FOR FAMILIES OF CRITICALLY ILL PATIENTS * MEDICAL EQUIPMENT, SUPPLIES, LABORATORY SERVICES, IMAGING SERVICES DONATED TO THE CHIPPEWA VALLEY FREE CLINIC TO SUPPORT ITS PATIENTS LIVING BELOW THE FEDERAL POVERTY LEVEL * SYMPOSIUM SUPPORT AND SPONSORSHIP FOR THE CATHOLIC MEDICAL ASSOCIATION * HOSTED 5TH ANNUAL EXCELLENCE IN ETHICS SYMPOSIUM WITH OVER 150 PEOPLE ATTENDING WHICH PROVIDED AN EDUCATIONAL PRESENTATION TO PHYSICIANS AND RESIDENTS ON PROFESSIONAL MEDICAL RESPONSIBILITY * DISASTER PREPAREDNESS PLANNING * SPONSORSHIP OF MULTIPLE HEALTH WALKS AND FUNDRAISERS FOR VARIOUS NON-PROFIT AGENCIES THAT SHARE SIMILAR MISSIONS AS SHEC PARTICIPATION AND SUPPORT OF MULTIPLE COMMUNITY ORGANIZATIONS COMMITTEES AND COUNCILS. * JOINT RENEW CAMP- PATIENT SERVICES FOR 253 PEOPLE ENVIRONMENTAL STEWARDSHIP AND SUSTAINABILITY EFFORTS (RECYCLING AND REUSING) INCLUDING: * DONATE LEFTOVER FOOD TO THE ST. FRANCIS FOOD PANTRY * DONATE USED EQUIPMENT TO THIRD WORLD COUNTRIES VIA THE HOSPITAL SISTERS MISSION OUTREACH, A MEDICAL SURPLUS RECOVERY ORGANIZATION * DONATE USED OFFICE FURNITURE TO THE AREA HOPE GOSPEL MISSION THAT SELLS THE FURNITURE AND USES THE PROFITS TO SUPPORT THE LOCAL HOMELESS SHELTER * AS AN ORGANIZATION DEDICATED TO CREATING INNOVATIVE METHODS TO REDUCE, REUSE, AND RECYCLE FOR THE BETTERMENT OF OUR COMMUNITY AND PLANET, SEVERAL DEPARTMENTS THROUGHOUT SHEC DEVELOPED NEW WAYS TO REDUCE WASTE TO OUR LOCAL LANDFILLS. INCLUDED IN THESE EFFORTS IS A UNIQUE PARTNERSHIP WITH A LOCAL BUSINESS, EAU CLAIRE MOVING AND STORAGE, TO REUSE THE CLEAN BLUE WRAPS THAT ARE ON INSTRUMENTS AND INSTRUMENT PANS IN THE STERILE PROCESSING DEPARTMENT AND THE OPERATING ROOM. CURRENTLY THE WRAP IS NOT RECYCLABLE AND EC MOVING IS HELPING BY REUSING THE PRODUCT TO ASSIST WITH PACKING AND MOVING. THIS WAY THE BLUE WRAP PRODUCT WILL BE UTILIZED TWICE PRIOR TO IT REACHING OUR LANDFILLS AND WILL ELIMINATE A SECOND PRODUCT THAT THE MOVERS WOULD NORMALLY USE. THIS IDEA CAME FROM SACRED HEART'S SUSTAINABILITY TEAM AND IS BEING CARRIED OUT BY SHEC SPD COLLEAGUES.
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 to offer a 45 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 7g Subsidized Health Services	THE HOSPITAL USES LYON SOFTWARE (CBISA: COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY) TO DETERMINE SUBSIDIZED SERVICES. PHYSICIAN CLINICS WERE NOT INCLUDED IN THE SUBSIDIZED HEALTH SERVICES. TO DETERMINE THE ACTUAL COST OF THESE SERVICES, THE HOSPITAL USES A COST-TO-CHARGE RATIO BASED ON OUR AUDITED FINANCIAL STATEMENTS TO CALCULATE THE AMOUNTS REPORTED ON LINES 7A THROUGH 7I.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	1109154
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	TO DETERMINE THE ACTUAL COST OF THESE SERVICES, THE HOSPITAL USES A COST-TO-CHARGE RATIO BASED ON OUR AUDITED FINANCIAL STATEMENTS TO CALCULATE THE AMOUNTS REPORTED ON LINES 7A THROUGH 7I.
Schedule H, Part II Community Building Activities	HSHS SACRED HEART HOSPITAL (SHEC) HAS A 128 YEAR HISTORY OF GIVING BACK TO THE COMMUNITY AND ADDRESSING COMMUNITY NEED AT THE MOST BASIC LEVELS. THE HOSPITAL WAS FOUNDED ON THE FRANCISCAN PRINCIPLES OF CARING FOR THE POOR AND MOST VULNERABLE AND WORKING TIRELESSLY TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. SHEC 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. SHEC 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 FROM 3D COMMUNTITY HEALTH AND BEHAVIORAL HEALTH SERVICES ARE MEMBERS OF THE PREVENT SUICIDE CHIPPEWA VALLEY COALTION THAT ADDDRESSES STIGMA ASSOCIATED WITH MENTAL ILLNESS AND SUICIDE. IN THE LAST YEAR, THIS TEAM HAS ORGANIZED AND HOSTED A SUICIDE AWARENESS WALK THAT WAS ATTENDED BY MORE THAN ONE THOUSAND COMMUNITY MEMBERS; AND DESIGNED AND DISTRIBUTED A BROCHURE OF NEXT STEPS FOR FAMILY MEMBERS WHOSE LOVED ONE ATTEMPTED SUICIDE. THEY HAVE ALSO DISTRIBUTED COASTERS TO LOCAL TAVERNS WITH MENTAL HEALTH RESOURCE NUMBERS IN AN ATTEMPT TO REACH MEN WHO EXPERIENCE DEPRESSION. OTHER PARTNERS OF THIS INITIATIVE INCLUDE COUNTY GOVERNMENT, MENTAL HEALTH COUNSELING AGENCIES AND OTHER HEALTHCARE SYSTEM REPRESENTATIVES. A FEW EXAMPLES OF SHEC'S COMMUNITY BUILDING ACTIVITIES ARE AS FOLLOWS: F3-COMMUNITY SUPPORT: SHEC HAS SPENT $58,168.00 AND TOUCHED 368 INDIVIDUALS UNDER THIS CATEGORY. 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 COMMUNITY MEAL 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. AS PART OF 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 DRIVE SURPASSED THE GOAL OF 150 BOXES; SHEC ALONE FILLED 42 BOXES. 3D COMMUNITY HEALTH COLLEAGUES ARE FOUNDING MEMBERS OF THE LEGACY COMMUNITY CENTER BOARD OF DIRECTORS. THE BOARD HAS A VISION TO PROVIDE AN ARRAY OF COMMUNITY OF SERVICES UNDER ONE ROOF FOR THE MOST VULNERABLE RESIDENTS OF CHIPPEWA COUNTY. THE BOARD FORMED A NON-PROFIT ORGANIZATION AND ASPIRE TO PROVIDE A WELCOMING ENVIRONMENT OF COMPASSION, 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 INCREASE THE NUMBER OF INDIVIDUALS AND FAMILIES ABLE TO MEET THEIR BASIC NEEDS AND INCREASE THEIR DISPOSABLE INCOME. F5-LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS: SHEC'S SPIRITUAL CARE DEPARTMENT PROVIDED MANAGEMENT TEAM BUILDING TO COLLEAUGES OF A LOCAL HEALTH CARE FACILITY. F6-COALITION BUILDING: SHEC SUPPORTS THE HEALTHY COMMUNITIES INITIATIVES OF THE AREA (CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP AND EAU CLAIRE HEALTHY COMMUNITIES) FINANCIALLY AND THROUGH HOSPITAL COLLEAGUES SERVING ON STEERING COMMITTEES AND ACTION TEAMS, ASSISTING AT EVENTS/ACTIVITIES, AND IN-KIND DONATIONS OF PRINTING, SPACE, AND REFRESHMENTS.
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 SACRED HEART HOSPITAL IS RELIEVING THE BURDENS OF THE GOVERNMENT. ACCORDINGLY, THIS SHORTFALL RESTRICTS HSHS SACRED HEART 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 $26,970,026.
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	- SACRED HEART HOSPITAL: Line 16a URL: https://www.sacredhearteauclaire.org/Patients-Guests/Payment-Billing;
Schedule H, Part V, Section B, Line 16b FAP Application website	- SACRED HEART HOSPITAL: Line 16b URL: https://www.sacredhearteauclaire.org/Patients-Guests/Payment-Billing;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- SACRED HEART HOSPITAL: Line 16c URL: https://www.sacredhearteauclaire.org/Patients-Guests/Payment-Billing;
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 AVAILABLE FOR EASY ACCESS BY OUR PATIENTS IN ALL OUR PREDOMINATE WAITING AREAS AT SACRED HEART HOSPITAL (SHEC). ALL PATIENT BILLING STATEMENTS AND FINANCIAL LETTERS REFERENCES OUR FINANCIAL ASSISTANCE PROGRAM AND HOW TO CONTACT OUR PATIENT FINANCIAL SERVICES OFFICE AT 715.717.4141 FOR AN APPLICATION. IN ADDITION, OUR MINISTRY WEBSITES HAVE A WHOLE PAGE THAT GOES INTO DETAIL ABOUT OUR FINANCIAL ASSISTANCE PROGRAM AND EVEN PROVIDES A LINK TO THE APPLICATION SO THAT THE PATIENT CAN FILL IT OUT AT THEIR OWN CONVENIENCE AND SEND IN 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. SHEC 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. SHEC HAS A FINANCIAL PLANNER AVAILABLE DURING PEAK BUSINESS HOURS MONDAY THROUGH FRIDAY, TO ASSIST PATIENTS WITH QUESTIONS THEY MAY HAVE WHILE APPLYING FOR THE FINANCIAL ASSISTANCE PROGRAM. 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 BEFORE THEY LEAVE THE HOSPITAL TO HELP PUT THEIR MIND AT EASE AND ASSURE THEM THAT HSHS WESTERN WI WILL ASSIST THEM THROUGH THEIR FINANCIAL QUESTIONS. ONE-ON-ONE CONVERSATIONS ALSO OCCUR WITH PATIENTS WHEN THEY RECEIVE A FINANCIAL STATEMENT LETTER. AT THIS POINT, THE CUSTOMER SERVICE REPRESENTATIVES WITHIN THE PATIENT FINANCIAL SERVICES OFFICE WILL TALK THROUGH THE PATIENTS PAYMENT OPTIONS INCLUDING THE OPTION OF APPLYING TO THE FINANCIAL ASSISTANCE PROGRAM. 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 SACRED HEART HOSPITAL (SHEC) SERVES A POPULATION OFAPPROXIMATELY 400,000 PEOPLE IN WESTERN WISCONSIN. THE HOSPITAL'S SERVICE AREA INCLUDES URBAN AND RURAL AREAS AND ENCOMPASSES ALL OF EAU CLAIRE, CHIPPEWA AND RUSK COUNTIES, AS WELL AS PORTIONS OF BARRON, BUFFALO, CLARK, DUNN, JACKSON, PEPIN, SAWYER, TREMPEALEAU, AND WASHBURN COUNTIES. APPROXIMATELY 40% OF THE POPULATION LIVES IN EAU CLAIRE AND CHIPPEWA COUNTIES (51% WITH THE ADDITION OF DUNN COUNTY). THE POPULATION IN THE REMAINING COUNTIES IS SIGNIFICANTLY LESS, WITH 10 OUT OF 12 SERVICE AREA COUNTIES CONSIDERED RURAL BY THE US DEPARTMENT OF AGRICULTURE. THE MAJORITY (APPROXIMATELY 45%) OF ALL INPATIENT ADMISSIONS AT SHEC ORIGINATE FROM EAU CLAIRE COUNTY. EAU CLAIRE COUNTY HAS A POPULATION OF APPROXIMATELY 98,736. THE CITY OF EAU CLAIRE IS LOCATED 90 MILES EAST OF THE TWIN CITIES AND IS THE NINTH LARGEST CITY IN THE STATE OF WISCONSIN, WITH A POPULATION OF JUST OVER 65,800. SHEC DOES NOT EXCLUDE MEDICALLY UNDERSERVED AREAS (MUAS), LOW INCOME OR MINORITY POPULATIONS FROM ITS SERVICE AREA. THOUGH WESTERN WISCONSIN IS LESS DIVERSE THAN THE NATION AS A WHOLE (92.9% WHITE/NON-HISPANIC), THERE ARE SEVERAL UNIQUE MINORITY POPULATIONS FOUND WITHIN THE HOSPITAL'S SERVICE AREA, INCLUDING AMISH, MENNONITE AND HMONG COMMUNITIES. WISCONSIN HAS THE FOURTH HIGHEST AMISH POPULATION IN THE NATION. SHEC SERVES AS A "DISPROPORTIONATE SHARE HOSPITAL," DUE TO THE HIGH RATE OF MEDICAID PATIENTS SERVED AT SHEC. IN FACT, 65 PERCENT OF SHEC'S HOSPITAL PATIENTS ARE EITHER MEDICARE OR MEDICAID. SACRED HEART'S SERVICE AREA MEAN HOUSEHOLD INCOME IS ABOUT $43,000, ROUGHLY $7,000 LOWER THAN THE NATIONAL AVERAGE WITH APPROXIMATELY 14% OF THE POPULATION LIVING BELOW 100% OF THE FEDERAL POVERTY LEVEL (2009-2013) AND AN ADDITIONAL 1.14% LIVING BELOW 200% OF THE FPL. THE HOSPITAL'S 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. THERE ARE TWO ACUTE-CARE HOSPITALS OFFERING TERTIARY LEVEL SERVICES INCLUDING CARDIOVASCULAR SURGERY, NEUROSURGERY, ONCOLOGY AND TRAUMA LEVEL II IN EAU CLAIRE: SHEC AND MAYO CLINIC HEALTH SYSTEM - EAU CLAIRE, AS WELL AS OAKLEAF SURGICAL HOSPITAL. HSHS AND MAYO HEALTH SYSTEM HAVE EXTENSIVE PENETRATION IN EAU CLAIRE COUNTY. LIKEWISE, THE OAKLEAF MEDICAL NETWORK AND MARSHFIELD CLINIC OFFER SERVICES AT SEVERAL SITES THROUGHOUT THE COUNTY. RESIDENTS LOCATED ON THE PERIPHERYOF SHEC'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 I AND AN ACADEMIC MEDICAL CENTER. A COMPREHENSIVE HEALTH CARE NETWORK, INCLUDING TWO HOSPITALS, A LARGE MULTI-SPECIALTY GROUP PRACTICE, AND A REGIONAL COMMUNITY CLINIC IS AVAILABLE IN IN LA CROSSE. LASTLY, MINISTRY HEALTHCARE, HSHS ST. JOSEPH'S HOSPITAL, MARSHFIELD AND THE MARSHFIELD CLINIC PHYSICIAN GROUP PROVIDE ACUTE CARE AND PRIMARY CARE SERVICES ARE LOCATED IN THE EAST.
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 SACRED HEART HOSPITAL IS COMMITTED TO DELIVERING HIGH QUALITY, COMPASSIONATE, AND COST-EFFECTIVE HEALTH CARE SERVICES TO ALL. FOUNDED IN 1889, 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 EAU CLAIRE, WI AND SURROUNDING AREAS. THE HOSPITAL IS GOVERNED BY A BOARD OF DIRECTORS, AT LEAST 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 SHEC 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 SHEC'S 3D COMMUNITY HEALTH PROVIDED WRITTEN AND VERBAL UPDATES TO THE HOSPITAL BOARD 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 AN INTEREST IN WHAT THE HOSPITAL IS DOING INSIDE 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 SHEC'S CONNECTION WITH THE COMMUNITY, SUCH AS OUR ADVISORY COUNCIL, THE PATIENT AND FAMILY ADVISORY COUNCIL, THE SACRED HEART FOUNDATION, AND OUR VOLUNTEER PARTNERS BOARD. ALSO CONSISTENT WITH ITS EXEMPT PURPOSE, SHEC 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, SHEC 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. SHEC RECENTLY COMPLETED A $20 MILLION THREE-YEAR 'CURTAIN WALL' PROJECT TO REPLACE THE HEATING/COOLING INDUCTION UNITS AND WINDOWS THROUGHOUT THE FACILITY. THE EMERGENCY DEPARTMENT WAS RECENTLY REMODELED AND FOUR ROOMS WERE ADDED TO EASE CROWDING AND IMPROVE PATIENT FLOW. THE HOSPITAL CONTINUES AN INTERIOR AND EXTERIOR WAY-FINDING AND SIGNAGE PROGRAM. SHEC ALSO DEVOTES SIGNIFICANT RESOURCES TO ACCESS FOR PATIENTS WHO CANNOT AFFORD CARE, ALONG WITH OTHER COMMUNITY BENEFITS. IN FISCAL YEAR 2017, SHEC PROVIDED MORE THAN <$X.X> MILLION IN COMMUNITY BENEFIT SERVICES, INCLUDING CHARITY CARE AT COST, UNPAID COSTS OF MEDICAID AND OTHER PUBLIC PROGRAMS, AND A RANGE OF DIVERSE PROGRAMS DESIGNED TO ENHANCE ACCESS AND IMPROVE COMMUNITY HEALTH. ADDITIONALLY, IN FISCAL YEAR 2017, SHEC PROVIDED <$X.X> MILLION (AT COST) IN UNCOMPENSATED CARE TO PATIENTS WHO DID NOT QUALIFY FOR CHARITY CARE OR PUBLIC ASSISTANCE AND MORE THAN $XX> MILLION (AT COST) IN EXCESS OF MEDICARE PAYMENT FOR HEALTH CARE SERVICES. SHEC 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 SHEC 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) ALCOHOL MISUSE; AND 3) OBESITY HSHS SACRED HEART 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 HSHS SACRED HEART HOSPITAL'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 SACRED HEART HOSPITAL (SHEC) EXPANDED ACCESS TO MENTAL HEALTH CARE FOR CHILDREN AND ADOLESCENTS BY OPENING 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. 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. SHEC ALSO PARTNERS WITH THE CHIPPEWA VALLEY FREE CLINIC (CVFC) TO EXPAND PROVIDER COVERAGE FOR CVFC PATIENTS WHO REQUIRE MENTAL HEALTH CARE SERVICES. SHEC IS ALSO ACTIVELY INVOLVED IN A COLLABORATION BETWEEN ITS SISTER HOSPITALS TO THE NORTH AND ON THE EASTERN SIDE OF THE STATE AS WELL AS WITH AREA PRIMARY CARE CLINICIANS IN WHICH THE 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. SHEC'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 COMPLETED THE 5-DAY TRAINING TO BECOME A CERTIFIED TRAINER IN MENTAL HEALTH FIRST AID - A NATIONALLY RECOGNIZED 8-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. SHE WILL BEGIN PROVIDING MHFA IN THE FALL OF 2018. THESE 8-HOUR PROGRAMS HAVE BEEN DEPLOYED TO COMMUNITY AND THIS WILL CONTINUE DURING THE UPCOMING YEAR. MANY OTHER VALUABLE COMMUNITY BENEFIT PROGRAMMING COMES FROM SHEC'S THE HEALING PLACE: A CENTER FOR LIFE'S JOURNEYS, WHICH OFFERS FREE GRIEF AND HOLISTIC HEALING FOR THOSE EXPERIENCING LOSS AND/OR ADJUSTMENT ISSUES, SUCH AS THOSE BROUGHT ABOUT BY DEATH, DIVORCE, DISABILITY/ILLNESS, UNEMPLOYMENT, MILITARY SERVICE, ETC. SUPPORT SERVICES INCLUDE: GRIEF SUPPORT GROUPS, 1:1 COUNSELING, WORKSHOPS, RETREATS, AND PRESENTATIONS FOR INDIVIDUALS AND FAMILIES DEALING WITH LOSS AND MAJOR LIFE TRANSITIONS.
Schedule H, Part VI, Line 6 Affiliated health care system	HSHS Sacred Heart 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
Personal Services	Yes (X)	PersonalServicesInd
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 (13 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
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
JOAN COFFMAN
Director	$0	$287,071	$0	$43,868	$0	$71,379	$0	$143,211	$0	$21,995	$0	$567,524	$0	$39,052
PETER MANNIX
Board Member	$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	$290,502	$0	$24,668	$0	$3,280	$0	$74,240	$0	$26,556	$0	$419,246	$0	$0	$0
FAYE DEICH
Chief Operating Officer	$43,739	$0	$0	$0	$372,818	$0	$154,451	$0	$5,779	$0	$576,787	$0	$0	$0
Judith Balcitis
Chief Nursing Officer	$154,324	$0	$2,695	$0	$1,304	$0	$0	$0	$14,028	$0	$172,351	$0	$0	$0
Erica Barrette
Physician	$353,736	$0	$0	$0	$0	$0	$48,587	$0	$6,912	$0	$409,235	$0	$0	$0
MONICA MCDONALD
PHYSICIAN	$710,339	$0	$9,900	$0	$465	$0	$79,024	$0	$23,594	$0	$823,322	$0	$0	$0
JOHN WACIUMA
PHYSICIAN	$710,324	$0	$0	$0	$18,465	$0	$75,285	$0	$10,499	$0	$814,573	$0	$0	$0
Richardo Bayola
Physician	$210,341	$0	$0	$0	$65,171	$0	$93,859	$0	$20,712	$0	$390,083	$0	$0	$0
Erik Dickson
Chief Physician Executive	$327,414	$0	$30,118	$0	$780	$0	$11,152	$0	$23,389	$0	$392,853	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 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 1a Personal services	David Nelson received $2500 for financial planning services. This was considered taxable compensation and included in his W-2 wages.
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: Sacred Heart Hospital of the Hospital Sisters of St Francis, Inc. EIN: 39-0807060 Interested Person: Faye Deich Amount: $262,696 Terms: Compensation paid as a result of a severance from the position of COO. 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 2015 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 2015 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	Director, Greg Heiler, is an owner of Pathology Service Corporation	RelationshipDescriptionTxt
Transaction	$360,900	TransactionAmt
Transaction	Hospital based pathology service	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part IV BUSINESS TRANSACTIONS WITH INTERESTED PERSONS	FormAndLineReferenceDesc
Explanation	BUSINESS TRANSACTIONS WITH INTERESTED PARTIES ARE COMPLIANT WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. ANY TRANSACTIONS REQUIRING BOARD APPROVAL WERE REVIEWED BY AN INDEPENDENT BOARD PRIOR TO BEING APPROVED.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 1 ORGANIZATION'S MISSION	THE PRIMARY PURPOSE OF SACRED HEART HOSPITAL IS TO PROVIDE A STRUCTURE AND THE MEANS WHEREBY THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS CAN CONTINUE THEIR APOSTOLIC MISSION TO SERVE THE SICK, THE AGED, THE POOR AND THE TERMINALLY ILL WITHOUT REGARD TO RACE, COLOR, CREED OR NATIONAL ORIGIN. THE PRIMARY CONCERN OF SACRED HEART HOSPITAL AND THE HOSPITAL SISTERS IS THE PATIENT'S WELL BEING...SPIRITUALLY, PHYSICALLY, PSYCHOLOGICAL AND SOCIAL.
Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS	SACRED HEART HOSPITAL PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF SACRED HEART 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 WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY ARE CONSIDERED WHERE THERE IS A DEMONSTRATED NEED. THESE ACTIVITIES INCLUDE BEHAVIORAL HEALTH SERVICES, WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, SPECIAL PROGRAMS FOR THE ELDERLY, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. SACRED HEART HOSPITAL PROVIDED 42,751 ADULT AND PEDIATRIC DAYS OF CARE AND 114,578 OUTPATIENT VISITS DURING FISCAL YEAR ENDED JUNE 30, 2017. SACRED HEART HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST. RECOGNIZING OUR MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. IN ACCORDANCE WITH STANDARDS DEFINED BY THE CATHOLIC HEALTH ASSOCIATION USA (CHAUSA), SACRED HEART HOSPITAL HAS RECOGNIZED AN UNREIMBURSED COST OF COMMUNITY BENEFIT OF $18,928,072 THE COST OF SERVICING THE PEOPLE QUALIFYING FOR PUBLIC INDIGENT PROGRAMS (INCLUDING MEDICAID AND OTHER PUBLIC PROGRAMS) WAS $9,891,922. THE COST OF OUR HOSPITAL BASED COMMUNITY CARE PROGRAM WAS $3,107,594. SACRED HEART ALSO PROVIDED BENEFITS OF $5,928,556 TO THE COMMUNITY THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES THAT SACRED HEART HOSPITAL BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. THESE INCLUDE: * SUPPORT GROUPS INCLUDING: - THE HEALING PLACE: A CENTER FOR LIFE'S JOURNEYS IS SACRED HEART HOSPITAL'S FREE GRIEF AND HOLISTIC HEALING CENTER FOR INDIVIDUALS WHO HAVE EXPERIENCED A LOSS OR ARE DEALING WITH A MAJOR LIFE TRANSITION. SUPPORT INCLUDES: GRIEF SUPPORT GROUPS, COUNSELING, WORKSHOPS, PRESENTATIONS TO GRIEVING INDIVIDUALS AND FAMILIES SUCH AS: 1. EVENING AND DAYTIME SPOUSE LOSS GROUPS FOR THOSE WHO HAVE LOST A SPOUSE 2. SHARE SUPPORT GROUP FOR MISCARRIAGE, STILLBIRTH AND EARLY INFANT DEATH 3. PARENTS GRIEF GROUP FOR PARENTS WHO HAVE LOST A CHILD 4. ADULT LOSS OF A PARENT FOR THOSE WHO HAVE LOST A PARENT 5. CHILDREN'S GRIEF GROUP FOR CHILDREN AGES 6-12 WHO HAVE LOST A SPECIAL PERSON 6. SUICIDE SURVIVOR'S GROUP FOR THOSE WHO HAVE LOST A LOVED ONE TO SUICIDE 7. WORKSHOPS AND PRESENTATIONS TO HEALTHCARE, RELIGIOUS, EDUCATIONAL AND MENTAL HEALTH INSTITUTIONS ON TOPICS RELATED TO GRIEF AND LOSS. 8. SPECIAL PROGRAMS AND WORKSHOPS INCLUDING GRIEF IN THE WORKPLACE AND GRIEF AND THE HOLIDAYS 9. NEW SUPPORT SERVICES, SHORT-TERM COUNSELING, CLASSES AND WORKSHOPS PROVIDE SUPPORT FOR THOSE COPING WITH NON-DEATH-RELATED LIFE TRANSITIONS INCLUDING: DIVORCE OR SEPARATION, ILLNESS, DISABILITY, JOB CHANGES, MILITARY DEPLOYMENT AND RETIREMENT - SEVERAL CANCER CARE RELATED PROGRAMS, INCLUDING; "REACH TO RECOVERY" AND "LIVING WITH CANCER" AND WIG LOAN CLOSET SUPPORT GROUPS FOR DISEASES/DISORDERS SUCH AS; ALZHEIMER'S, AMPUTEE CLINIC, MULTIPLE SCLEROSIS, SPINAL CORD INJURY, AND OTHERS - BREASTFEEDING SUPPORT GROUP 3D COMMUNITY HEALTH AND OTHER EDUCATIONAL CLASSES AND RESOURCES INCLUDING: - PREPARED CHILDBIRTH (LAMAZE, PRENATAL, SIBLING CLASSES AND LACTATION CONSULTING) - EMT AND OTHER PROFESSIONAL TRAINING SUCH AS ACLS - ADULT, INFANT AND CHILD CPR CLASSES - BABYSITTING/SMARTER SITTER SEMINARS - ARTHRITIS, PARKINSON'S DISEASE, OSTEOPOROSIS AND OTHERS - PEDIATRIC HEALTH FAIR WITH HANDS-ON ACTIVITIES IN HEALTH, WELLNESS AND SAFETY. - WELLNESS PROGRAMS, SERVICES AND RETREATS - PARTICIPATION IN HEALTH FAIRS - CARING FOR THE CAREGIVER - CENTER FOR MEDICAL EXCELLENCE COMMUNITY HEALTH INFORMATION ROOM WITH ACCESS TO PRINT AND ELECTRONIC MEDICAL JOURNALS AND OTHER HEALTH RESOURCES FOR PATIENT, FAMILY, AND COMMUNITY USE - ANNUAL "WOMAN TO WOMAN" HEALTHCARE EXPO - INDOOR SPORTS CENTER "GET HOOKED ON HEALTH" KIDS EXPO (SAFETY EDUCATION, HEALTH & WELLNESS) - CENTER FOR SPIRITUAL CARE SPEAKERS' BUREAU MEAL PROGRAMS & SUPPORT INCLUDING: - MEALS FOR SENIOR CITIZENS AND CONGREGATE SITE MEALS - THANKSGIVING ST. FRANCIS FOOD PANTRY FOOD DRIVE COLLECTION PROGRAM FOR NEEDY FAMILIES - COAT, MITTEN, LINEN AND BLANKET DRIVE - CHRISTMAS SPONSOR-A-FAMILY DRIVE - ESSENTIALS (TOILETRIES) DRIVE * HEALTH SCREENINGS INCLUDING: - REDUCED FEE MAMMOGRAMS - PROSTATE (PSA) SCREENINGS - BLOOD PRESSURE SCREENINGS - STROKE PREVENTION CLINIC/SCREENINGS * SERVICES TO THE COMMUNITY, INCLUDING: - CENTER FOR SPIRITUAL CARE PASTORAL CARE CHAPLAIN & VOLUNTEER ASSISTANCE WITH OVER 650 POWER OF ATTORNEY FOR HEALTH CARE (ADVANCE DIRECTIVE) FORMS - A VARIETY OF STUDENT INTERN PROGRAMS, WORK SHADOWING, AND TOURS - OVERNIGHT ACCOMMODATIONS FOR FAMILIES OF CRITICALLY ILL PATIENTS - PATIENT FOLLOW-UP POST DISCHARGE CALLS PROGRAM - MEDICAL EQUIPMENT, SUPPLIES, LABORATORY SERVICES, IMAGING SERVICES DONATED TO THE CHIPPEWA VALLEY FREE CLINIC AND ITS PATIENTS BELOW THE FEDERAL POVERTY LEVEL - ANNUAL BIOETHICS SYMPOSIUM - SYMPOSIUM SUPPORT AND SPONSORSHIP FOR THE CATHOLIC MEDICAL ASSOCIATION - DISASTER PREPAREDNESS PLANNING - INFLUENZA/H1N1 COMMUNITY EDUCATION - SYMPOSIUM SPONSORSHIP ON FINANCIAL MANAGEMENT DURING CHALLENGING ECONOMIC TIMES
Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED)	* HOSTING MEETINGS, DRIVES AND SPONSORSHIPS FOR: - RED CROSS BLOOD DRIVES - CATHOLIC CHARITIES EVENTS AND EDUCATION - DIOCESE OF LA CROSSE OFFICE OF FAMILY LIFE - UNITED WAY EVENTS - RELAY FOR LIFE - AMERICAN CANCER SOCIETY - SPECIAL OLYMPICS POLAR PLUNGE - AMERICAN HEART ASSOCIATION HEART WALK - BRAIN INJURY ASSOCIATION OF WISCONSIN - BREAKFAST IN THE VALLEY - RED CROSS REAL HEROES BANQUET - PRODUCERS & BUYERS CO-OP: LINKING LOCAL FARMS AND INSTITUTIONS, ORGANIZATIONAL SUPPORT FOR MEETINGS AND ORGANIZATIONAL AND SECRETARIAL SUPPORT TO ENCOURAGE LOCAL FOOD SOURCING BY INSTITUTIONS TO BENEFIT THE LOCAL ECONOMY (IN PARTNERSHIP WITH RIVER COUNTRY RC&D AND LOCAL FAMILY FARMS) - LOGISTICAL SUPPORT AND MEETING SPACE FOR THE CHIPPEWA VALLEY INTERNETWORKING CONSORTIUM TO HELP EXPAND FIBER BROADBAND INFRASTRUCTURE AND SERVICE TO THE COMMUNITY AND TO RURAL AND UNDERSERVED AREAS TO SUPPORT TELEMEDICINE AND OTHER HEALTH PROJECTS, ALONG WITH CITY/COUNTY GOVERNMENTS, EMS, LIBRARIES AND SCHOOLS/EDUCATION - LOCAL "GREEN" AND ENVIRONMENTAL SUSTAINABILITY EDUCATIONAL EVENTS * FIRST AID BOOTHS FOR COMMUNITY EVENTS/FESTIVALS, INCLUDING: - BUCKSHOT RUN - COUNTRY JAM - FESTIVAL IN THE PINES - INTERNATIONAL FALL FESTIVAL * "GREEN" ENVIRONMENTAL STEWARDSHIP AND SUSTAINABILITY EFFORTS (RECYCLING AND REUSING) INCLUDING: - MORE THAN 5 TONS OF FOOD SCRAP PRODUCE WERE DONATED TO A LOCAL RANCH FOR ANIMAL FEED - THE HOSPITAL DONATED MORE THAN 4.5 TONS OF LEFTOVER FOOD TO THE ST. FRANCIS FOOD PANTRY - DONATED 11.5 TONS OF USED EQUIPMENT (8,400 ITEMS) TO THIRD WORLD COUNTRIES VIA THE HOSPITAL SISTERS MISSION OUTREACH: MEDICAL EQUIPMENT WENT TO NEEDY HOSPITALS AND CLINICS IN THIRD WORLD COUNTRIES SUCH AS MONGOLIA AND UKRAINE AND TO U.S. NAVY PROJECT HANDCLASP. EQUIPMENT INCLUDED BEDS, WHEELCHAIRS, EXAM LIGHTS, WALKERS, X-RAY APRONS, MEDICAL CARTS, SURGICAL INSTRUMENTS, STRETCHERS, LINENS AND VARIOUS OTHER ITEMS SACRED HEART HOSPITAL HAS PREPARED THE FINANCIAL INFORMATION IN THIS REPORT IN ACCORDANCE WITH CHAUSA COMMUNITY BENEFIT REPORTING GUIDELINES. THESE GUIDELINES RECOMMEND THE FOLLOWING: * REPORT COMMUNITY CARE AT COST, NOT CHARGES. * DO NOT INCLUDE BAD DEBT, CONTRACTUAL ALLOWANCES, AND QUICK PAY DISCOUNTS AS PART OF CHARITY CARE EXPENSE. * DO NOT COUNT MEDICARE SHORTFALL AS A COMMUNITY BENEFIT. * REPORT THE NET EXPENSE FOR COMMUNITY BENEFIT SERVICES, I.E., THE TOTAL COMMUNITY BENEFIT EXPENSE MINUS ANY ASSOCIATED REVENUE FROM PATIENTS, PAYERS, AND OTHER EXTERNAL SOURCES. THE CATHOLIC HEALTH ASSOCIATION'S REPORTING GUIDELINES REFLECT A CONSERVATIVE APPROACH TO REPORTING QUANTIFIABLE COMMUNITY BENEFIT. THE GOAL OF THE REPORTING GUIDELINES IS TO PRODUCE COMMUNITY BENEFIT FINANCIAL REPORTS THAT REFLECT TRUE COSTS AND THAT DESCRIBE COMMUNITY BENEFIT ACTIVITIES THAT INCREASE ACCESS TO HEALTH CARE AND IMPROVE COMMUNITY HEALTH. IN SUMMARY SACRED HEART HOSPITAL FINANCIALLY CONTRIBUTED TO THE COMMUNITY $18,928,072 FISCAL YEAR ENDED JUNE 30, 2017 AS FOLLOWS: CHARITY CARE - AT COST, NOT INCLUDING BAD DEBT $3,107,597 GOVERNMENT SPONSORED HEALTH CARE - NET EXPENSES UNPAID COST OF PUBLIC INDIGENT CARE PROGRAMS (INCLUDES MEDICAID AND OTHER PUBLIC PROGRAMS) $9,891,922 COMMUNITY BENEFIT PROGRAMS - NET EXPENSE $5,928,553 TOTAL QUANTIFIABLE COMMUNITY BENEFITS $18,928,072 IN ADDITION TO THE AMOUNTS REPORTED ABOVE, SACRED HEART HOSPITAL COMMITTED SIGNIFICANT RESOURCES TO SERVICE THE MEDICARE POPULATION. THE COST (AS DETERMINED USING THE COST TO CHARGE RATIO) OF PROVIDING SERVICES TO PRIMARILY ELDERLY BENEFICIARIES OF THE MEDICARE PROGRAM IN EXCESS OF GOVERNMENTAL AND MANAGED CARE CONTRACT PAYMENTS WAS $26,970,026 FOR THE YEAR ENDED JUNE 30, 2017.
Form 990, Part IV, Line 24a TAX-EXEMPT BONDS	SACRED HEART 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 SACRED HEART 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 SACRED HEART HOSPITAL, AND ALL HSHS HOSPITALS, TO EVALUATE THEIR PARTICIPATION IN JOINT VENTURE ARRANGEMENTS, INCLUDING UNDER APPLICABLE FEDERAL TAX LAWS, AND TO SAFEGUARD SACRED HEART 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 SACRED HEART HOSPITAL (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.
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.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	RESPONSIBILITY FOR THE POLICY AND OPERATIONS OF SACRED HEART HOSPITAL (THE "CORPORATION") IS VESTED IN ITS BOARD OF DIRECTORS, EXCEPT WITH RESPECT TO SPECIFIC POWERS RESERVED IN THE CORPORATION'S BYLAWS TO THE CORPORATION'S MEMBER, HOSPITAL SISTERS SERVICES, INC. ("HSSI"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE MEMBER OF HSSI IS HOSPITAL SISTERS HEALTH SYSTEM ("HSHS"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE GOVERNANCE AND OPERATIONS OF THE CORPORATION 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 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, HOSPITAL SISTERS HEALTH SYSTEM, ("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 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	Professional Fees - Total Expense: 5307869, Program Service Expense: 2984807, Management and General Expenses: 2323062, Fundraising Expenses: ; Purchased Service Medical - Total Expense: 1768136, Program Service Expense: 1768136, Management and General Expenses: , Fundraising Expenses: ; Contract Labor - Total Expense: 757162, Program Service Expense: 754517, Management and General Expenses: 2645, Fundraising Expenses: ; Other - Total Expense: 5095527, Program Service Expense: 3368288, Management and General Expenses: 1727239, Fundraising Expenses: ; Clinic Operations Purchased Services - Total Expense: 10507743, Program Service Expense: 10507743, Management and General Expenses: , Fundraising Expenses: ; Contracted Services - Total Expense: 886849, Program Service Expense: 462861, Management and General Expenses: 423988, Fundraising Expenses: ; Shared Services Fee - Total Expense: 4628820, Program Service Expense: , Management and General Expenses: 4628820, Fundraising Expenses: ;
Form 990, Part X, Line 11 POOLED INVESTMENT ACCOUNT	SACRED HEART HOSPITAL USES ITS POOLED INVESTMENTS TO CARRY ON ITS MISSION OF CARING FOR THE SICK. THE HOSPITAL'S CASH RESERVES ARE INVESTED IN A POOLED INVESTMENT ACCOUNT MAINTAINED BY HOSPITAL SISTERS HEALTH SYSTEM ("HSHS"). PARTICIPATION IN THE POOLED FUND IS LIMITED TO THE 501(C)(3) HOSPITALS AND HEALTH SERVICES ORGANIZATIONS SPONSORED BY HSHS. THE POOLED ACCOUNT CONSISTS OF CASH, EQUITY AND DEBT SECURITIES THAT ARE PUBLICLY TRADED. IN ACCORDANCE WITH THE PROVISIONS OF STATEMENT OF FINANCIAL ACCOUNTING STANDARDS ("SFAS") NO. 124 "ACCOUNTING FOR CERTAIN INVESTMENTS HELD BY NOT-FOR-PROFIT ORGANIZATIONS", INVESTMENTS IN EQUITY SECURITIES WITH READILY DETERMINABLE FAIR VALUES, AND ALL INVESTMENTS IN DEBT SECURITIES, ARE REPORTED AT FAIR VALUE ON THE BALANCE SHEET. READILY DETERMINABLE FAIR VALUES AND ALL INVESTMENTS IN DEBT SECURITIES ARE REPORTED AT FAIR VALUE ON THE BALANCE SHEET. INCOME, REALIZED AND UNREALIZED GAINS AND LOSSES ARE POOLED AND ALLOCATED TO THE PARTICIPANTS. INDIVIDUAL COMPONENTS OF ASSETS AND REVENUE ARE NOT IDENTIFIED TO THE INDIVIDUAL HOSPITAL PARTICIPANTS.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Pension Related Funding - 7471489; Transfer to Affiliates - -1312880; Change in Temporarily Restricted Net Assets - 226667; Change in Permenant Restricted Net Assets - 202571; Swap payments - -1835758;

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)
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 JOSEPH'S HOSPITAL
2661 COUNTY HIGHWAY 1	CHIPPEWA FALLS	WI	54729	390810545	HEALTHCARE	WI	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	Yes (true)	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	false	PerformOfServicesByOtherOrgInd
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	THE TRANSACTIONS REPORTED IN QUESTION 1 ARE BETWEEN RELATED 501(C)(3) PUBLIC CHARITIES AND ARE NOT REPORTED IN THIS SECTION.	ExplanationTxt