ST MARYS HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDE: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: ST MARYS HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDE (EIN 37-0661244)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-12
IRS object ID: 201721329349300012
Schema version: 2015v3.0
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-12T07:03:23-05:00	ReturnTs
Tax Period End	2016-06-30	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	AddressLine1Txt
Address Line2	Suite 2600	AddressLine2Txt
City	Chicago	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	606061224	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	370661244	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	St Mary's Hospital Decatur of the Hospital Sisters of the Third Order of St	BusinessNameLine1Txt
Business Name Line2	Francis	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	STMA	BusinessNameControlTxt
Phone	2174642966	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1800 E LAKE SHORE DRIVE	AddressLine1Txt
City	Decatur	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	62521	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Daniel Perryman	PersonNm
Person Title	Chief Executive Officer	PersonTitleTxt
Signature	2017-05-11	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	John V Woodhull	PreparerPersonNm
PTIN	P01305268	PTIN
Phone	3128997000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	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	DANIEL PERRYMAN	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1800 E LAKE SHORE DRIVE	AddressLine1Txt
City	Decatur	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	62521	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$148,900,328	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.STMARYSDECATUR.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1878	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	TO PARTICIPATE IN THE HEALTH CARE MINISTRY OF THE CHURCH AND PROVIDE A FAMILY-CENTERED APPROACH IN MEETING THE COMMUNITY'S HEALTH CARE NEEDS REGARDLESS OF ABILITY TO PAY.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	1079	TotalEmployeeCnt
Total Volunteers	253	TotalVolunteersCnt
Total Gross UBI	$48,411	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$17,423	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$833,406	PYContributionsGrantsAmt
CY Contributions Grants	$418,671	CYContributionsGrantsAmt
PY Program Service Revenue	$144,410,758	PYProgramServiceRevenueAmt
CY Program Service Revenue	$146,568,604	CYProgramServiceRevenueAmt
PY Investment Income	$23,354	PYInvestmentIncomeAmt
CY Investment Income	$41,528	CYInvestmentIncomeAmt
PY Other Revenue	$149,256	PYOtherRevenueAmt
CY Other Revenue	$250,306	CYOtherRevenueAmt
PY Total Revenue	$145,416,774	PYTotalRevenueAmt
CY Total Revenue	$147,279,109	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$56,350,470	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$55,405,642	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$80,870,073	PYOtherExpensesAmt
CY Other Expenses	$83,836,356	CYOtherExpensesAmt
PY Total Expenses	$137,220,543	PYTotalExpensesAmt
CY Total Expenses	$139,241,998	CYTotalExpensesAmt
PY Revenues Less Expenses	$8,196,231	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$8,037,111	CYRevenuesLessExpensesAmt
Total Assets BOY	$141,526,576	TotalAssetsBOYAmt
Total Assets EOY	$136,787,360	TotalAssetsEOYAmt
Total Liabilities BOY	$79,377,208	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$88,723,714	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$62,149,368	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$48,063,646	NetAssetsOrFundBalancesEOYAmt
Mission	THE MISSION OF ST. MARY'S HOSPITAL IS TO REVEAL AND EMBODY CHRIST'S HEALING LOVE FOR ALL PEOPLE THROUGH OUR HIGH QUALITY FRANCISCAN HEALTH CARE MINISTRY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$67,416,149	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$146,568,604	RevenueAmt
Desc	SEE SCHEDULE O - STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Desc
Total Program Service Expenses	$67,416,149	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	false	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	51	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1079	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	12	GoverningBodyVotingMembersCnt
Independent Voting Member	10	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	SHANE KITCHENS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2174642590	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1800 E LAKE SHORE DRIVE	AddressLine1Txt
City	DECATUR	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	62521	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 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
Lori Kerans
2016 Vice Chair, Board Member	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Claudia Madding
2015 Vice Chair, Board Member	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
DANIEL PERRYMAN
Chief Executive Officer, Board Member	40.0	0.0	Yes (X)	Yes (X)	$0	$475,238	$113,513
SR Helen Marie Plummer OSF
Secretary	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
JOHN SKEFFINGTON
SECRETARY	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Bob Wiesemann
Chair, Board Member	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Kevin Breheny
Board Member	1.0	1.0	Yes (X)		$0	$0	$0
MARK CHEVIRON
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
MICHAEL W COTTRELL
Board Member	1.0	64.0	Yes (X)		$0	$959,964	$215,686
Pat Dawson
Board Member	1.0	0	Yes (X)		$0	$0	$0
Alan Frigy MD
Board Member	1.0	0	Yes (X)		$0	$0	$0
Joseph Molloy Rev
Board Member	1.0	0	Yes (X)		$0	$0	$0
ANN M CARR
TREASURER	0.3	59.8		Yes (X)	$0	$354,305	$222,661
SHERRI A GREENWOOD
DIVISION CHIEF NURSING OFFICER	5.0	45.0		Yes (X)	$0	$303,443	$76,166
EVERT J KUIPER
Central Illinois Division CEO	14.0	46.0		Yes (X)	$0	$760,663	$194,731
REBECCA PUCLIK
DIVISIONAL CHIEF PEOPLE OFFICER	10.0	50.0		Yes (X)	$0	$229,027	$56,272
STEVEN UMLAND
CHIEF FINANCIAL OFFICER - CENTRAL IL DIVISION	16.0	44.0		Yes (X)	$0	$536,317	$31,481
MARIA GRANZOTTI MD
Chief Medical Officer	20.0	50.0			$0	$496,048	$75,904	Yes (X)
MARY HARTMAN
CRNA	40.0	0			$334,482	$0	$114,760		Yes (X)
Deanna Y Hitchens
CRNA	40.0	0			$246,453	$0	$51,424		Yes (X)
Sheila A Holliden
CRNA	40.0	0			$243,335	$0	$112,938		Yes (X)
Roberta S McBride
CRNA	40.0	0			$246,215	$0	$145,251		Yes (X)
Beth A McCoy
CRNA	40.0	0			$279,893	$0	$82,920		Yes (X)
DAVID OLEJNICZAK
Former Interim CEO	0.0	60.0			$0	$474,033	$104,686			Yes (X)
THERESA J RUTHERFORD
Former COO	0.0	60.0			$0	$409,528	$144,365			Yes (X)
KEVIN KAST
Former CEO CENTRAL ILLINOIS DIV	0.0	0.0			$0	$117,714	$5,124			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,350,378	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,116,280	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,747,882	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	40	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
ST JOHNS HOSPITAL
800 E CARPENTER STREET	SPRINGFIELD	IL	62769	SHARED SERVICES/DIVISIONAL FEE	$2,245,954
SODEXO
488 PAYSPHERE CIRCLE	DECATUR	IL	60674	FOOD SERVICE/EVS MANAGEMENT	$1,608,449
Infinity Meds LLP
111 E Wisconsin Ave	Milwaukee	WI	53202	EMERGENCY ROOM SERVICES	$1,529,144
PRAIRIE CARDIOVASCULAR CONSULTING
PO BOX 19420	SPRINGFIELD	IL	627949420	CONSULTANTS	$1,383,826
CENTRAL IL ASSOCIATES
1800 E LAKE SHORE DR	DECATUR	IL	62521	ANESTHESIA PHY SERV	$724,951

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	18	CntrctRcvdGreaterThan100KCnt
Related Organizations	$418,671	RelatedOrganizationsAmt
Total Contributions	$418,671	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Program Service Revenue	900099	$145,339,683	$145,339,683
Medicaid Assessment	900099	$1,228,921	$1,228,921

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	$146,568,604	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,046	TotalRevenueColumnAmt
Exclusion	$2,046	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,682,803	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,621,219	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$61,584	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$61,584	TotalRevenueColumnAmt
Exclusion	$61,584	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$39,482	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$39,482	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$39,482	TotalRevenueColumnAmt
Exclusion	$39,482	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Reference Lab	621500	$35,248	$35,248
Physician Answering Service	621500	$13,163	$13,163
Gift Shop	900099	$140,311		$140,311

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	$188,722	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$147,279,109	TotalRevenueColumnAmt
Related Or Exempt Func Income	$146,568,604	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$48,411	UnrelatedBusinessRevenueAmt
Exclusion	$243,423	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	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$43,043,498	TotalAmt
Program Services	$32,488,292	ProgramServicesAmt
Management And General	$10,555,206	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,411,416	TotalAmt
Management And General	$1,411,416	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,851,546	TotalAmt
Management And General	$7,851,546	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,099,182	TotalAmt
Management And General	$3,099,182	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$7,333,849	TotalAmt
Program Services	$85,049	ProgramServicesAmt
Management And General	$7,248,800	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$186,404	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$186,404	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$32,577	TotalAmt
Management And General	$32,577	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$16,836,349	TotalAmt
Program Services	$11,792,380	ProgramServicesAmt
Management And General	$5,043,969	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$504,351	TotalAmt
Program Services	$393	ProgramServicesAmt
Management And General	$503,958	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$142,194	TotalAmt
Program Services	$90,968	ProgramServicesAmt
Management And General	$51,226	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,576,686	TotalAmt
Management And General	$2,576,686	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,894,902	TotalAmt
Program Services	$92,347	ProgramServicesAmt
Management And General	$1,802,555	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$130,963	TotalAmt
Program Services	$51,128	ProgramServicesAmt
Management And General	$79,835	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$723,947	TotalAmt
Management And General	$723,947	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$10,195,744	TotalAmt
Management And General	$10,195,744	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$8,972,825	TotalAmt
Management And General	$8,972,825	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,827,930	TotalAmt
Management And General	$2,827,930	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt
Bad Debt	$26,322	$26,322
Medicaid Tax Assessment	$5,016,525	$5,016,525
Supplies	$20,330,652	$322,479	$20,008,173
Minor Equipment	$112,438	$66,840	$45,598

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,991,698	TotalAmt
Program Services	$2,761,821	ProgramServicesAmt
Management And General	$3,229,877	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$139,241,998	TotalAmt
Program Services	$67,416,149	ProgramServicesAmt
Management And General	$71,825,849	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$7,266,157	BOYAmt
EOY	$2,031,840	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$30,342,267	BOYAmt
EOY	$31,847,687	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
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	$3,181,399	BOYAmt
EOY	$3,037,024	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$781,669	BOYAmt
EOY	$1,905,358	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$216,629,820	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$126,829,639	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$92,476,098	BOYAmt
EOY	$89,800,181	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$7,134,434	BOYAmt
EOY	$7,438,982	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	$118,376	BOYAmt
EOY	$545,594	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$226,176	BOYAmt
EOY	$180,694	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$141,526,576	BOYAmt
EOY	$136,787,360	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$19,636,486	BOYAmt
EOY	$16,059,536	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$34,201,011	BOYAmt
EOY	$32,589,310	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$3,553,419	BOYAmt
EOY	$6,553,419	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$21,986,292	BOYAmt
EOY	$33,521,449	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$79,377,208	BOYAmt
EOY	$88,723,714	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$55,014,934	BOYAmt
EOY	$40,624,664	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,933,410	BOYAmt
EOY	$6,237,958	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,201,024	BOYAmt
EOY	$1,201,024	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$62,149,368	BOYAmt
EOY	$48,063,646	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$141,526,576	BOYAmt
EOY	$136,787,360	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$8,037,111	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,318,534	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$20,804,299	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	false	FederalGrantAuditRequiredInd

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	$32,577	OtherActivitiesAmt
Total Lobbying Expenditures	$32,577	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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

ST. MARY'S HOSPITAL ("THE HOSPITAL") IS A MEMBER OF THE CATHOLIC HEALTH ASSOCIATION ("CHA"), THE ILLINOIS HEALTH ASSOCIATION ("IHA"), THE NATIONAL ASSOCIATION FOR HOME CARE AND HOSPICE, AND THE AMERICAN HEALTH ASSOCIATION ("AHA"). AS A MEMBER OF THESE ORGANIZATIONS, THE HOSPITAL PAYS DUES. A PART OF THESE DUES IS 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	$3,295,160	OtherCostOrOtherBasisAmt
Book Value	$3,295,160	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$98,285,466	OtherCostOrOtherBasisAmt
Depreciation	$43,559,035	DepreciationAmt
Book Value	$54,726,431	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$40,611,766	OtherCostOrOtherBasisAmt
Depreciation	$26,152,672	DepreciationAmt
Book Value	$14,459,094	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$73,904,407	OtherCostOrOtherBasisAmt
Depreciation	$56,980,244	DepreciationAmt
Book Value	$16,924,163	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$533,021	OtherCostOrOtherBasisAmt
Depreciation	$137,688	DepreciationAmt
Book Value	$395,333	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$89,800,181	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
RETIRE OBLIGATION - ASBESTOS	$1,843,054
ACCRUED BENEFIT LIABILITY	$31,556,502
CAPITAL LEASE PAYABLE	$121,893

Field	Value	IRS element (for citing)
Total Liability	$33,521,449	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$148,413,807	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$1,621,219	OtherRevenueAmt
Revenue Not Reported	$1,621,219	RevenueNotReportedAmt
Revenue Subtotal	$146,792,588	RevenueSubtotalAmt
Other Revenues Not Included	$486,521	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$486,521	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$147,279,109	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$156,223,001	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$16,981,003	OtherExpensesIncludedAmt
Expenses Not Reported	$16,981,003	ExpensesNotReportedAmt
Expenses Subtotal	$139,241,998	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$139,241,998	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	HSHS and the Foundation are Illinois not-for-profit organizations as described in Section 501(c)(3) of the Internal Revenue Code (the Code} and are exempt from federal income taxes on related income pursuant to Section 501 (a) of the Code. Kiara, Inc. is an Illinois for-profit corporation that recognizes income taxes under the asset- and-liability method. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the consolidated financial statement carrying amounts of existing assets-and-liabilities and their respective tax basis and operating loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using the enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. In assessing the realizability of deferred tax assets, management considers whether it is more likely than not that some portion or all 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, 2016 and 2015 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, 2016 and 2015, HSHS does not have any liabilities for unrecognized tax benefits.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990	relcass rental expenses - 1621219
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	All adjustments to revenue summed together from spreadsheet - 486521
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990	Pension- mark to market - 15386106 Rental expenses - 1621219 bad debt expense reclass - -26322

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	$2,999,248	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,999,248	NetCommunityBenefitExpnsAmt
Total Expense	0.0215	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$137,346,775	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$124,047,834	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,298,941	NetCommunityBenefitExpnsAmt
Total Expense	0.0955	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	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	$140,346,023	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$124,047,834	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,298,189	NetCommunityBenefitExpnsAmt
Total Expense	0.1171	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$641,889	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$132,858	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$509,031	NetCommunityBenefitExpnsAmt
Total Expense	0.0037	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$539,841	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$539,841	NetCommunityBenefitExpnsAmt
Total Expense	0.0039	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,218,983	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,642,323	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$576,660	NetCommunityBenefitExpnsAmt
Total Expense	0.0041	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)
Total Community Benefit Expns	$515,407	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$515,407	NetCommunityBenefitExpnsAmt
Total Expense	0.0037	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$6,916,120	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,775,181	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,140,939	NetCommunityBenefitExpnsAmt
Total Expense	0.0154	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$147,262,143	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$128,823,015	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,439,128	NetCommunityBenefitExpnsAmt
Total Expense	0.1325	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)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$26,322	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$47,316,216	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$47,790,211	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$473,995	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST MARY'S HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1700 E LAKE SHORE DR	AddressLine1Txt
City	DECATUR	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	62521	ZIPCd

Field	Value	IRS element (for citing)
Website Address	https://www.stmarysdecatur.com/	WebsiteAddressTxt
State License	0905-2097	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ST MARY'S HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	14	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	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.flipsnack.com/hshshospital/2015-hshs-st-marys-chna-implementation-plan.html	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	14	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.flipsnack.com/hshshospital/2015-hshs-st-marys-chna-implementation-plan.html	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
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
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
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.stmaryshospital.org/Patient-Guest/Patient-Financial-Services/Financial-Assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.stmaryshospital.org/Patient-Guest/Patient-Financial-Services/Financial-Assistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.stmaryshospital.org/Patient-Guest/Patient-Financial-Services/Financial-Assistance	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Average Negotiated Rates	Yes (X)	AverageNegotiatedRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - HSHS St. Mary's Hospital. HSHS St. Mary's Hospital undertook an eight 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. As part of this process, St. Mary's leveraged existing relationships that provided diverse input for a comprehensive review and analysis of community health needs in the hospital's service area. Members of the CHNA External Advisory Council were chosen based on their unique expertise and experience, informed perspectives and involvement with the community. The CHNA external Advisory Council members were responsible for: Offering insight into issues affecting existing data; Identifying local community assets and gaps and Offering advice on which issues are the highest priority. * Jeff Abbot: Decatur Fire Department * Tanya Andricks : Community Health Improvement Center (CHIC, the FQHC) * Brandi Binkley: Macon County Health Department * Debbie Bogle: United Way of Decatur and Mid-Illinois * Julie Brilley, MPH: Decatur Memorial Hospital * Reverend Stacy Brohard: Good Samaritan Inn * Laura Brown: St. Mary's Hospital * Dr. Jo Carter: Millikin University School of Nursing * Dennis Crowley: Macon County Mental Health Board * Jim Alpi: Decatur Housing Authority * Diane Drew: Community Home Environmental Learning Project * Linda Fasick, RN, BSN: Community Health Improvement Center (CHIC, the FQHC) * Angela Foulke: Decatur Family YMCA * Vivian Goodman: Decatur Community Partnership * Mart Hart: St. Mary's Decatur * Dianna Heyer, RN, BSN: Macon County Health Department * Patrick Hoban: City of Decatur * Caitlin Huth: University of Illinois Extension Office * James Keith: United Way of Decatur and Mid-Illinois * Diana Knaebe: Hertiage Behavioral Health Center * BJ Leonard: First Christian Church * Terri Luckenbill: Decatur Public Schools District 61 * Robin McCoy: Workforce Investment Solutions * Bruce Nims: Grow Decatur * Elizabeth Rawls: National Association for the Advancement of Colored People (NAACP) * Mirinda Rothrock: Greater Decatur Chamber of Commerce * Tom Schneider: Macon County Sheriff's Department * Karen Schneller, RN: Decatur Memorial Hospital * Carol Smith, RN: Parish Nurses * Leslie Stanberry: Decatur Macon County Senior Center * Brad Sweeney: Decatur Police Department * Corey Walker: Decatur Black Chamber of Commerce * Angie Wetzel : Decatur Public Schools District 61 * Matt Whitehead: YMCA HSHS St. Mary's Hospital (SMD) worked collaboratively with the Macon County Health Department (MCHD) to complete the Macon County Health Needs Assessment. The above organizations agreed to work in collaboration with an External Advisory Council to narrow health focus areas and develop implementation strategies around addressing the health focus area during the next three years. The CHNA Core Group was made up of representatives from St. Mary's Hospital and the Macon County Health Department. Both organizations serve and represent the broad interests of the community. The Core Group included a person with a Masters of Public Health from the Health Department who specialized in Community and Public Health Education.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - ST. MARY'S HOSPITAL, DECATUR. HSHS ST. MARY'S HOSPITAL (SMD) WORKED COLLABORATIVELY WITH THE MACON COUNTY HEALTH DEPARTMENT (MCHD).
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - HSHS St. Mary's Hospital. ACCESS TO HEALTH CARE: Reason for Priority Selection: St. Mary's Hospital's 2015 community health needs assessment identified access to care as a top priority through its community survey, advisory groups and data collection. Additionally, focus groups were held to better define access issues among the broader public and high-risk populations. I. Population: High-risk, Underinsured or Uninsured Macon County Residents. Objective: Provide comprehensive health screenings to high-risk, underinsured or uninsured individuals. II. Population: Emergency Department Objective: Use care coordination teams in Emergency Department to ensure patients are provided with services to facilitate their return to, or maintenance in, the community. III. Population: Broader Community Objective: Research access issues specific to middle class, insured population in order to develop strategies to overcome access barriers in this population Strategies Identified: 1. Facilitate behavior modification and disease prevention or management by connecting high-risk individuals with a Nurse Navigator. 2. Assist with the development of a health care action plan and care coordination. 3. Connect individuals with identified health care needs: Specialty Care, Primary Care, Insurance, etc. 4. Educate individuals on insurance benefits, patient responsibilities, proper utilization of health care resources, etc. 5. Increase awareness of community resources amongst providers and residents. Anticipated Impact of These Actions: 1. Build meaningful connections between community residents and social service providers in Macon County due to increased awareness and visibility. 2. Assist individuals in obtaining insurance during Open Enrollment. 3. Increase use of well-visits and preventive care visits through education on insurance plan and benefits. 4. Increase number of individuals who have a primary care provider. 5. Increase health outcomes and quality of life for participants. 6. Better management of chronic conditions and other health conditions. 7. Decrease use of hospital emergency departments for non-emergent care. 8. Decrease hospitalizations for ambulatory sensitive conditions. UNMANAGED CHRONIC CONDITIONS Reason for Priority Selection: St. Mary's Hospital's 2015 community health needs assessment identified unmanaged chronic conditions as a top priority through its community survey, advisory groups and data collection. Additionally, focus groups were held to better define access issues amongst the broader public and high-risk populations. Population: High-risk, Underinsured or Uninsured Macon County Residents. Objective: Better management of chronic conditions. Strategies Selected: Chronic conditions are a leading cause of preventable death and disability, compromised quality of life and burdensome health care costs. Major components for improving health and wellness in populations include insurance coverage, adequate access to and utilization of primary care and health literacy. As the hospital implements strategies to address access to care issues in Macon County, the result will be better management of chronic conditions. Anticipated Impact of These Actions (in addition to impact listed under access to care): 1. Preventive care. 2. Early detection of acute illness. 3. Ongoing chronic disease management. 4. Adequate health literacy about chronic conditions. MENTAL HEALTH Reason for Priority Selection: St. Mary's Hospital's 2015 community health needs assessment identified mental health as a top priority through its community survey, advisory groups and data collection. Additionally, focus groups were held to better define access issues amongst the broader public and high-risk populations. Population: High-risk and Broader Public Objective: To increase access to mental health screening, intervention and educational services. Strategies Identified: 1. Collaborate with local Macon County Health Advisory Council to identify and increase awareness of existing resources. 2. Explore integrating behavioral health into primary care. 3. Explore integrating mental health screenings and behavioral health into schools. 4. Develop and implement continuing medical education programs to address professional practice gaps around mental health screening, identification, diagnosis, treatment and evaluation. 5. Develop parent education series to assess concerns and detect children at risk of psychosocial and behavioral problems. Anticipated Impacted of these Actions: 1. Build meaningful connections between community residents and social service providers in Macon County due to increased awareness and visibility. 2. Increase provider use of evidence-based protocols for the proactive management of diagnosed depressive orders. 3. Improve clinical and community support for active patient engagement in treatment, goal setting and self-management. 4. Identify youth in need. 5. Link youth to effective services. 6. School-based education. 7. Increase awareness of signs and symptoms of mental health issues. Needs not selected: As an outcome of the prioritization process seven of the ten health focus areas ranked by the community and Internal Advisory Council were not identified as ranking high against the defined criteria and were not advanced for consideration for the Implementation Strategy. In some cases the focus area is currently being addressed by another organization in the community or there is another organization within the community better equipped to address the need. While the list below will not be areas of primary focus for St. Mary's, the hospital will continue to participate in efforts with other organizations as appropriate and where the hospital can lend support. 1. Child Abuse * The Macon County Child Advocacy Center (MCCAC) and Safe from the Start advocate for child abuse prevention. The Center serves Macon and Piatt Counties, and partners with the Illinois Department of Children and Family Services (IDCFS), the Illinois Attorney General Violent Crimes Victim Assistance program, the Mental Health Board (708) of Macon County, the National Children's Alliance, the Illinois Violence Prevention Authority, and the Circuit Clerks of Macon and Piatt Counties. * Macon County CASA (Court Appointed Special Advocates) provides court-appointed volunteers to advocate for abused, neglected and/or dependent children who are involved in the Macon County juvenile court system. 2. Nutrition (Food Insecurity) * HSHS St. Mary's Hospital continues to support and donate to the annual community food drive, as well as nutrition-related community benefit initiatives. * Several organizations provide nutrition and healthy eating education and information to the local area including the University of Illinois Extension of DeWitt, Macon and Piatt Counties, the Senior Nutrition Program at the Decatur-Macon County Opportunities Corporation, Macon Resources' Bright Start program, Meals on Wheels of Macon County and the Macon County Health Department. 3. Obesity * The Obesity Prevention Coalition is a collaboration of county-wide health care organizations to promote healthy nutrition and physical activity awareness through education and advocacy to prevent obesity and obesity-related conditions. HSHS St. Mary's Hospital is represented on and sponsors this coalition. 4. Sexually Transmitted Infections * The Macon County Health Department offers confidential testing on a walk-in basis each week. The health department also provides counseling and referrals for treatment. 5. Teen Birth * Teen births in Macon County is on a declining trend. The Macon County Teen Health Coalition and the Macon County Health Department work to educate young people. * HSHS St. Mary's Hospital's Prenatal Clinic provides prenatal care to all women, regardless of ability to pay. 6. Teen Substance Abuse * The Macon County Mental Health Board works with local non-profits, governmental entities and schools to provide prevention, education and treatment resources for young people. * HSHS St. Mary's Hospital is the only inpatient adolescent behavioral health provider in Macon County. The hospital, along with Heritage Behavioral Health Center, provide outpatient services for youth. * Juvenile Justice programs based upon evidence-based restorative justice principles such as Macon County Redeploy from the Illinois Department of Human Services (IDHS) and Macon County Teen Court, seek to reduce recidivism and to deter non-offenders.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - HSHS St. Mary's Hospital. 7. Cancer * The Affordable Care Act expanded coverage for preventive screenings, including recommended cancer screenings. * HSHS St. Mary's Hospital partners with Decatur Memorial Hospital and Cancer Care Specialists of Illinois to sponsor events related to cancer awareness, and promotes recommended screenings for cancer and steps to prevention throughout the year. Patients can obtain screenings through primary care providers. * The Macon County Health Department also provides screening resources to the general public.

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Supplemental Information Detail SupplementalInformationDetail (20 entries)

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Schedule H, Part VI, Line 5 Promotion of community health (continued A)	Other Community Benefit Activities and Programs Naloxone Program - Heroin overdose is a recent epidemic in central and southern Illinois. A heroin overdose causes one to stop breathing which, without immediate intervention, will lead to death. The antidote to heroin overdose is Naloxone, a medication that immediately reverses the effect of the heroin and can save someone's life if given soon enough. The legal system has put in place provisions to allow first responders to administer the medication. The heroin epidemic is so great in our community that more people die from opiate-related deaths than car accidents. The Emergency Services team uses naloxone and the patient is then referred to the right treatment resources, including the hospital's treatment center. In recent months, the hospital used naloxone more than 65 times in the community and more 20 times in the ED. The community benefits from the hospital storing the antidote and through the quality care for patients and their families who need treatment for substance abuse. In response, the hospital expanded its detox program to allow for medical detoxification services. Medical detoxification allows the person to get through withdrawals from the drug and get to treatment-an intervention that is beneficial to the individual, their loved ones and the community. Every day, the colleagues of the treatment center witness the effect of addiction and know how important it is to ensure we continue to provide services to help them. School-Based Mental Health - St. Mary's Hospital is a distinguished center for children who are suffering emotionally. We partner with the Decatur Public School District to provide school teachers for two hours per day for children in the adolescent unit. With the parent's permission, school representatives are kept aware of the child's progress and stability, so they know how to best work with the child academically, while they are in our care. The partnership limits the amount of school time missed during an otherwise strenuous time. We also have substance abuse counselors that speak about alcohol and drug abuse in county schools to both students and faculty. Fostering a Sense of Comfort in the Adolescent Unit - At Christmas time, children in our adolescent unit are provided socks, undergarments and soft tops. This partnership with the St. Mary's Auxiliary increases the child's likelihood of receiving a gift at Christmas time. As some family members live far away, this program provides children with fresh clothing they might not otherwise have. Lastly, the Linus Ladies make soft blankets and donate them to the children; the blankets are a source of comfort and security. Food Drive: SMD recognizes food insecurity in our community and how the lack of healthy foods contributes to identified community health needs including cardiovascular/heart disease, diabetes, high blood pressure and high cholesterol. One in six Americans faces hunger and Macon County has a food insecurity rate of 17.8 percent-that is nearly 20,000 people. In October 2015, St. Mary's Hospital supported a week-long collection of non-perishable food items and monies to support the annual WSOY Community Food Drive. The hospital made a $5,000 contribution toward the drive. The hospital, together with colleagues, raised more than 15,500 dollars/pounds to distribute to local food pantries. The community food drive reached its highest collection ever-1,271,080 pounds of food. AED - Decatur School District: St. Mary's Hospital recognizes sudden cardiac arrest (SCA) is an important public health issue that we should address and school-based automated external defibrillators (AEDs) provide high survival rates for both students and non-students suffering sudden cardiac arrest on school premises. St. Mary's partnered with Decatur Public Schools to fund the purchase of AEDs for 12 schools where AED machines are not currently present. Additionally, St. Mary's provided the resources for CPR/AED certification/training. Mentor 2.0: This year, St. Mary's Hospital leaders teamed up with Big Brothers Big Sisters to launch the Mentor 2.0 program. This program uses professionals from various industries to be a consistent and driving force for the success of high school students. Through a very structured curriculum students are guided in making decisions about their future. The first year of the program focuses on setting up foundational skills, including goal setting, mapping out steps needed to achieve those goals, grit and resilience in the face of adversity and learning to identify personal priorities and needs. Many students come from families where no family members have attended college, and therefore these students do not completely grasp what is needed to achieve that level of success. By fostering an environment where individuals who have achieved this level of success, they gain valuable knowledge regarding the process and expectations for success. As this was only the first year of the program, we are just concluding setting the foundation for future growth. Next year we will begin a new set of curriculum with our first class while introducing an entirely new class to the foundational curriculum. Six leaders from St. Mary's paired up with students from MacArthur School in Decatur Public School District 61. Leaders met one-on-one with students each month and worked online with students for up to four hours per month. The following is a success story from one of our leader mentors: "Midway through the year, my mentee and I met one day during his lunch period to discuss how things were going, and he mentioned struggling with his classes. He felt like he continued to 'yo-yo' in his grades and was never able to keep all of his grades at an acceptable level. We began to discuss ways to correct this, including balanced study habits, prioritizing his homework and extracurricular activities to ensure he completed everything, as well as approaching teachers about ways to improve his grades. Through the online platform and the in-person meetings, I was able to keep in touch with him to discuss his success. He was able to bring his grades to an A-B range, with the exception of one C, which was a major improvement from where they had been."
Schedule H, Part VI, Line 6 Description of affiliated group (continued A)	In southwest Illinois, HSHS St. Joseph's Hospital in Highland enhanced their offerings to their 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 in collaboration with the Illinois Department of Insurance participates in the Senior Health Insurance Program (SHIP), a free health insurance counseling service for Medicare beneficiaries and their caregivers. In addition to programs designed to increase access to care, HSHS makes sure that those who need financial assistance receive it. HSHS's Financial Assistance (Charity Care) policy was modified effective January 1, 2014 to offer a 25 percent self-pay discount to all patients who register without insurance. HSHS Financial Assistance programs have a sliding scale, in some instances providing up to a 55 percent reduction off billed charges if an uninsured patient's family income level is determined to be above 500 percent but equal to our less than 600 percent of the current Federal Poverty Guidelines. HSHS hospitals waive all charges for patients below 200 percent of the Federal Poverty Levels. Counselors are available in our hospitals to explain our financial assistance policy to patients, provide them with assistance in filling out a simple application form, or help them enroll in publicly funded health care programs. Enhance community health As part of our mission to embody Christ's healing love for all people, we understand that we have a responsibility to improve the overall quality of life in our communities by supporting initiatives that promote health and wellness. We recognize we are most successful when we work together with a wide array of public and private organizations that share our commitment to improving lives. By doing so, we maximize our efforts and reduce the duplication of services. To ensure the health care needs of all are being met, HSHS hospitals also understand we need to listen closely to the residents of the communities we serve. In turn, 13 of our 15 hospitals completed 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 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. Several priority areas 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 on programming to educate the public about mental health issues and treatment, the stigma associated with mental health, and the recognition of mental health issues. To combat the rising rate of suicides in the area, both hospitals under the umbrella of 3D Community Health are providing community education on QPR (Question, Persuade and Refer), an evidence-based suicide prevention program. In FY2016, 3D Community Health provided 37 adult QPR programs for 1,046 persons and 44 youth QPR programs for 1,161 high school students. In addition, 3D Community Health hosted a community forum to discuss the CHNA results and introduce QPR to 192 community members. HSHS St. Vincent Hospital in Green Bay collaborated with Prevea Health to implement the TIPS program, a program for non-violent opioid abusers that provides treatment and deferred/dismissed prosecution upon successful completion of the treatment program. St. Vincent Hospital also subsidized scholarships for a residential treatment program and arranged to have the first dose of Vivitrol donated; Vivitrol prevents relapse to opioid dependence after opioid detox by attaching to opioid receptors and blocking feelings of pain relief and wellbeing. HSHS St. Mary's Hospital in Decatur, Illinois joined the Macon County Mental Health Board to collaborate on existing programs and to provide resources to meet identified gaps. While other communities are cutting back on mental health services, St. Mary's Hospital remains committed to providing a full spectrum of behavioral health services for adolescents, adults and senior. For example, the hospital collaborates with the Decatur Public School District to provide school teachers for two hours per day for children in the adolescent behavioral health unit. The partnership limits the amount of schoolwork missed during hospitalization. The hospital also has substance abuse counselors who provide educational programs on alcohol and other drug abuse in county schools for students and faculty. HSHS St. Nicholas Hospital in Sheboygan identified nutrition and physical activity as a priority health need in its FY2015 CHNA. In response, St. Nicholas Hospital coordinated and supported the development of the "Double Your Bucks" program at the Sheboygan Farmers Market in FY2016 to enable EBT recipients to double the amount of fresh fruits and vegetables they can purchase. The hospital is also a sponsor of the Sheboygan Farmers Market to promote healthy eating in the community. Additionally, St. Nicholas subsidized the cost of additional bike helmets at the Early Learning Center to increase the physical activity levels of Head Start students and purchased culinary equipment for South High School nutrition and fitness classes to increase opportunities for students to learn how to prepare healthy food. HSHS St. Mary's Hospital in Streator, Illinois collaborated with two local schools to establish community gardens on each of their campuses to address childhood obesity in addition to the community garden on the hospital campus. Students, their families, and hospital colleagues planted, tended and harvested the gardens. Math and science teachers incorporated the gardens into their curricula. Neither school offered Home Economics classes, so St. Mary's Hospital provided the produce and colleagues to offer cooking demonstrations in the classrooms to encourage students to prepare fresh fruit and vegetables snacks. The three gardens produced more than 1,713 pounds of produce in three years, which was donated to the local food pantry, Salvation Army, students and local churches providing healthy food to the poor and vulnerable. Advance medical knowledge HSHS works to advance medical knowledge by supporting research initiatives and educational opportunities. In FY2016, HSHS hospitals and affiliated physician groups contributed more than $19.1 million toward research and 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 FY2016, the program served more than 100 students. In FY2016, HSHS St. Mary's Hospital Medical Center and HSHS St. Vincent Hospital in Green Bay invested more than $311,000 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 FY2016. 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.
Schedule H, Part VI, Line 6 Description of affiliated group (continued B)	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 FY2016. 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 7 Bad Debt Expense excluded from financial assistance calculation	26322
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 St. Mary's Hospital partners with local providers to promote the Central Illinois Sportsmen for Outdoor Accessibility. The goal of this group is to promote and support accessibility and participation in outdoor recreation experiences, such as; hunting, boating, fishing, camping and shooting, for persons with disabilities of all ages in Central Illinois. This group explores ways to improve accessibility, to encourage active recruitment of eligible participants, to solicit grants to assist in funding to improve accessibility and to offer educational seminars to inform individuals of resources available to them. HSHS St. Mary's Hospital also partners with the YMCA around the YMCA Health Jam program. This program provides health careers education to students in grades 4 & 5 from Garfield School and Johns Hill school in order to encourage kids to stay in school. This program works with high risk students to teach skills needed for a successful education and future career. HSHS St. Mary's Hospital partners with Big Brothers Big Sisters to provide mentors to high school students. Mentor work with students weekly via the internet and meet one-on-one monthly. HSHS St. Mary's Hospital partnered with Good Samaritan Inn, Mercy Gardens and Eisenhower High School to develop a teaching garden on hospital property. This program provides food for the Good Samaritan Inn feeding program, has been written into the horticulture curriculum at the high school and provides training opportunities and jobs for individuals working with Mercy Gardens. Without HSHS St. Mary's Hospital's leadership in the community, these Community Building Activities would not occur. These activities promote the overall health and quality of life for the individuals they serve.
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 that 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 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.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	HSHS St. Mary's 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. Currently, the hospital is implementing processes, procedures and systems to more effectively determine charity care that will reduce a patient's documentation requirements and ease the patient's emotional burden in applying for charity care. This will provide a more accurate reporting of charity care services provided by the hospital.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	The text of the footnote to the organization's financial statements that describes bad debt expense can be found on pages 21 of the HSHS Consolidated Audit Report.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	HSHS St. Mary's 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, St. Mary's Hospital is relieving the burdens of the government. Accordingly, this shortfall restricts St. Mary's ability to make funds available to provide for charity care and other community benefits. The hospital Medicare shortfall at cost for fiscal year 2016 was $473,995.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	The hospital's policy on account resolution outlines the procedures to be followed when collecting balances on outstanding patient bills. Besides addressing the procedures and follow-up for accounts covered by insurance or governmental programs, the policy discusses situations where the patient may be eligible for financial assistance through our charity care program. If a patient is deemed eligible, reference is made to the hospital's charity care policy. Even with the best intentions, patients cannot always meet their responsibility to pay for the care they receive. For a number of reasons, from the loss of a job to temporary hardships, this leaves the hospital to cover the unpaid balance or even the entire bill, an expense for the hospital referred to as "bad debt." In fiscal year ended June 30, 2016, bad debt expense less recoveries was $26,322 with no outside source of funding to help compensate for the expense. The cost, after applying the cost to charge ratio, was $6,712 This is a growing problem. Bad debt accounted for .02% of our total costs in the fiscal year ended June 30, 2016 .
Schedule H, Part V, Section B, Line 16a FAP website	- ST MARY'S HOSPITAL: Line 16a URL: https://www.stmaryshospital.org/Patient-Guest/Patient-Financial-Services/Financial-Assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	- ST MARY'S HOSPITAL: Line 16b URL: https://www.stmaryshospital.org/Patient-Guest/Patient-Financial-Services/Financial-Assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- ST MARY'S HOSPITAL: Line 16c URL: https://www.stmaryshospital.org/Patient-Guest/Patient-Financial-Services/Financial-Assistance;
Schedule H, Part VI, Line 2 Needs assessment	As indicated in Part V, Section C, St. Mary's Hospital conducted a Community Health Needs Assessment in FY2015 (July 1, 2014 through June 30, 2015). In previous years, we assessed community need through involvement on the boards of other community health providers, such as Macon County Health Department, Community Health Improvement Center, and Macon County Mental Health Board. Input from St. Mary's Hospital's community-based Board of Directors and Advisory Committee, as well as patient admission data has provided, and continues to provide, valuable information regarding the health needs of our service area. Provisions in the Affordable Care Act require charitable hospitals to conduct a CHNA and adopt implementation strategies to meet the needs identified. To comply with these requirements, St. Mary's Hospital led a collaborative approach to conduct its CHNA and adopt an Implementation Plan in FY2015 (July 1, 2014 through June 30, 2015), a process we undertake every three years. An accompanying implementation plan was developed and approved by St. Mary's Hospital's Board of Directors in September 2015.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	The Registration Department provides brochures to patients upon registration regarding the Financial Assistance Program available to them at St. Mary's Hospital. The brochures are also supplied in waiting and ancillary areas for easy access by the patient. The brochures include contact information for several community agencies that help patients determine their eligibility for assistance under federal, state or local government programs. The brochures also provide information on how to read and understand St. Mary's Hospital's billing information. St. Mary's website provides an explanation of Medicare forms at https://www.stmarysdecatur.com/Visit/Bill.aspx. The organization has a representative on site to assist patients who may be eligible for Medicaid assistance through the Illinois Department of Public Assistance. They work with patients to determine if they may be eligible, and if so, assist in pulling together the necessary application for submission. Patients are also provided a Fair Billing Act notification at the point of registration regarding separate physician billing they can expect to receive, plus information about the patient's financial responsibility if their insurance plan is out of network. One-on-one conversations to educate patients about financial assistance often stem from patients receiving a statement or a pre-collection letter. At that point, the customer service representative or cashier, or other qualified staff, will inform/educate the caller about financial assistance options. The first pre-collection letter reminds the patient their account is in delinquent status. It also informs them they may be eligible for financial assistance through the organization's charity care program. The letter provides direct contact information to begin the application process for charity care and lists the Internet address where the policy can be obtained. A system called Search America is now being utilized after failed attempts made by the hospital and our law firm to work out payment arrangements. That system accesses credit and other information and allows us to see the probability of a patient being able to pay their bill. After assessing that information, the hospital makes a determination whether to grant charity care or continue collection efforts.
Schedule H, Part VI, Line 4 Community information	HSHS St. Mary's Hospital is located in Decatur, Illinois and serves not only Macon County but also parts of the surrounding counties (DeWitt, Moultrie, Christian and Shelby). The total primary and secondary service area of the hospital has a population of 142,986 people, 109,281 people from Macon County and 33,705 people from the surrounding counties. Aside from the city of Decatur, the economy of St. Mary's secondary service area is primarily rural and is supported by small businesses, industries, mining and agriculture. Decatur, on the other hand, is an urban area supported by large businesses, such as Archer Daniels Midland and Caterpillar. Based on 2014 population estimates derived from the 2010 census, Macon County's population of 109,281 people is comprised of 78.69% Caucasians, 16.61% African-Americans, 0.22% American Indians/Alaska Natives, 1.13% Asians, 0.04% Native Hawaiians/Other Pacific Islanders, 0.72% people stating another race, and 2.6% people stating two or more races. Thirty-three percent of Macon County's residents have a high school diploma, 6.64% hold an Associate Degree, 14.39% have a Bachelor's Degree, 5.87% hold a Master's Degree, and 2.18% have a Professional School Degree or Doctorate Degree. The current (as of January 2015) unemployment rate of Macon County is 8%, according to the US Bureau of Labor Statistics, and the median household income is $46,559. St. Mary's secondary service area is comprised of 33,705 people, of whom 83.08% are Caucasian, 12.82% are African-American, 0.21% are American Indian/Alaska Native, 0.95% are Asian, 0.03% are Native Hawaiian/Other Pacific Islander, 0.69% state another race, and 2.22% state two or more races. Educational levels of this population reflect that 35.7% graduated high school, 6.77% graduated with an Associate Degree, 12.85% graduated with a Bachelor's Degree, 5.27% graduated with a Master's Degree and 1.92% graduated with either a Professional School Degree or a Doctorate Degree. The average unemployment rate of the combined counties is 6.6% and the median household income is $47,313. Within the report area 17.6% or 19,233 individuals are living in households with income below the Federal Poverty Level (FPL). This is higher than the statewide poverty levels 15%. This indicator is relevant because poverty creates barriers to access including health services, nutritional food and other necessities that contribute to poor health status. HSHS St. Mary's Hospital's service area is comprised of approximately 580.69 square miles with a population of approximately 142,986 and a population density of 190.80 per square mile. The service area consists of 3-cities, 16-townships, 9-villages and 2-unincorporated communities. The hospital does not exclude Medically Underserved Areas (MUAs), low income or minority populations from its service area.
Schedule H, Part VI, Line 5 Promotion of community health	As a healing ministry of the Catholic Church and an affiliate of Hospital Sisters Health System (HSHS), HSHS St. Mary's Hospital is committed to delivering high quality, compassionate, and cost-effective health care services to all. The hospital was founded more than 130 years ago to bring a healing presence and improve the health of our community, especially for those persons who are sick, poor, and disadvantaged. Because of the hospital's purpose and tradition, it is organized to promote the health of Decatur 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 St. Mary's Hospital is responding to community need. In FY2015, for example, the Board reviewed the Community Health Needs Assessment and approved an Implementation Plan for addressing selected health focus areas Also consistent with its exempt purpose, St. Mary's has an open medical staff with privileges available to all qualified physicians in the area. The hospital also operates an emergency department that is open 24 hours to all persons regardless of their ability to pay. As a not-for-profit hospital, St. Mary's 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. As a not-for-profit hospital, St. Mary's Hospital 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, provide medical education and conduct medical research, secure new technologies, improve patient care, and support initiatives designed to promote health and ensure access for all. St. Mary's also devotes significant resources to access for patients who cannot afford care, along with other community benefits. In FY 2016, St. Mary's provided more than $2,175,466 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 FY2016, St. Mary's provided $3.0 million (at cost) in uncompensated care to patients who did not qualify for charity care or public assistance and more than $10.6 million (at cost) in excess of Medicare payment for health care services. St. Mary's 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 St. Mary's 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: Access to Care: The FY15 CHNA showed a lack of access to dental care for vulnerable populations. Additionally, local ED data showed dental pain as one of the top three reasons for reoccurring ED visits. In response to this situation, SMD partnered with nine local dentist offices and one local Oral Surgeon to prepare the launch of the Dental Voucher Program in fall, FY2017. This program will provide individuals without dental insurance access to one annual cleaning, x-ray and evaluation; three fillings; one simple extraction and one surgical extraction. Clients can be seen multiple times within the year and beyond. This program has been successfully implemented in other markets and has shown positive outcomes for the improvement of dental access and a decrease in dental pain. Unmanaged Chronic Conditions: St. Mary's Hospital, in collaboration with HSHS Med Group and Macon County Health Department, will implement ongoing Chronic Disease Self- Management courses to better equip individuals living with unmanaged chronic conditions the necessary tools for increased access and self-care. This will begin in FY17. In order to prepare for this program the Community Outreach Facilitator completed the Stanford University Chronic Disease Self-Management course. Mary's Garden is a community teaching garden located on St. Mary's property. The mission of the garden is to improve community health and food accessibility for those in need and teach a younger generation sustainable gardening. The purpose of this garden is to offer a comprehensive, place-based approach to community health improvement. In FY2016 a three-year plan was finalized and approved by the hospital leadership. Planning was completed to begin the next phases of the following objectives in FY2017: * Garden-based learning: Mary's Garden is a living classroom for Eisenhower High School students who use the garden for interactive instruction on health and nutrition, science, mathematics, ecology and agriculture. The garden manager will work with the Horticulture instructor and class in school-year 2016-2017 in order to make Mary's Garden part of the core curriculum. * Apprentice/mentor program: Mary's Garden offers opportunities for apprentices to develop competencies and self-confidence to move into rural and urban farming/gardening leadership roles. In FY17 Good Samaritan Inn will use the garden to enhance their apprenticeship program and develop a student mentor program. * Community development: Through a three-tiered approach, the garden will evolve into a community-supported agriculture (CSA) site which will eventually feed into a larger food hub indirectly creating new, low-skillset jobs and utilize unused properties. This is a long-term project starting with small-scale production and sale: o The Colleague Farmers Market was launched in FY16 o The Community Supported Agriculture program will be launched in FY17. * Composting program: Through the use of the composting system, SMD will put food scraps and yard waste to better use by keeping vital nutrients on our property and out of our waste stream. Plans for a comprehensive composting program were finalized in FY16 and are currently being deployed. Mental Health: St. Mary's Hospital is working with the larger community on a variety of programs (including the ones listed above) to help meet basic needs in order to enhance personal and family security. Security is foundational to mental health and stability. Additionally, SMD became part of the Macon County Mental Health Board in order to learn how we can collaborate around existing programs and provide resources to meet identified gaps. The goal of these community relations and partnerships is to build meaningful connections between community residents and social service providers as a result of increased awareness and visibility. While other communities are cutting back on mental health services, St. Mary's remains committed to providing a full spectrum of Behavioral Health Services. Our community has recognized our efforts and often calls upon St. Mary's Behavioral Health specialists when an expert opinion is needed. Our comprehensive behavioral health care includes services for adolescents, adults and seniors dealing with psychiatric conditions. We approach our behavioral health services with one unifying belief-that all people have a delicate balance of emotional, intellectual, physical and spiritual dimensions. This simple understanding of the complex nature of our patients allows St. Mary's to help thousands of people in our community live productive, fulfilling lives despite struggling with a mental illness or addiction.
Schedule H, Part VI, Line 6 Affiliated health care system	HSHS St. Mary's Hospital in Decatur 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 FY2016, 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 FY2016, HSHS collectively provided $203.8 million in Community Benefit (10.0% of total hospital expenses). This amount included $28.1 million provided for Financial Assistance (i.e. Charity Care) and $134.3 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 $221.3 million. HSHS hospitals also recorded $31.4 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 services 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 FY2016, HSHS and our 15 hospitals invested Community Benefit resources to educate the uninsured about new enrollment opportunities in affordable health care coverage and to facilitate the 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 local communities, by referring people to Certified Application Counselors and/or in enrolling them in the health insurance exchanges, or in securing coverage through Medicaid expansion. In southern Illinois, HSHS St. Elizabeth's Hospital in Belleville identified an education gap among newly insured patients. Although these patients now had health insurance, they did not know how to use insurance nor did they understand the many benefits that come with different plans. To bridge the gap, St. Elizabeth's Hospital hosted quarterly resource fairs in collaboration with other social service agencies in the community to not only educate the public about their health insurance benefits but also about other resources in the community that can improve their overall health and quality of life. More than 100 persons participated in the resource fairs and each received a healthy snack or hygiene kit. 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 year of the program, 103 clients were 100% engaged. Services provided included basic needs (70%) and health care access (30%). The access collaborative also placed 12 homeless individuals or families in affordable, safe housing in Enos Park. Of the 27 parolees we worked with, we realized an 18% recidivism rate compared to the national rate of 60% due to lack of housing or employment. One hundred percent of our clients visited a primary care provider and 84% connected to a medical home. Due to the program's initial success, it is being replicated in Sangamon County's eastside where our most poor and vulnerable populations live. HSHS St. Mary's Hospital Medical Center in Green Bay led the activities of the community Oral Health Task Force, which focuses on prevention, intervention and policy modification strategies to improve oral health in Brown County. In FY2016, St. Mary's Hospital helped to expand the services at NEW Community Clinic dental clinic by supporting their efforts to secure a HRSA grant for expansion by subsidizing the rent guarantee necessary and by assisting with the design cost for the center. The hospital also subsidized the cost of a staff person to obtain the necessary medical clearances and consent forms for patients, many of whom are elderly and/or disabled and need consent from guardians - thus supporting the oral surgeons who are providing their services free of charge. St. Mary's Hospital expanded oral health services for children by covering the costs of a dental hygienist employed by the Brown County Oral Health Partnership to offer oral health services in the Ashwaubenon school district. Through this new alliance, 79 students received oral health care that otherwise would have been difficult to obtain, including care for dental caries and abscesses. 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 decreased from 2.2 percent in 2011 to 1.27 percent in 2014 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 FY2016, St. Anthony's Memorial Hospital helped to underwrite the cost of prescription medications for 518 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	IL

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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 (16 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
DANIEL PERRYMAN
Chief Executive Officer, Board Member	$0	$352,957	$0	$49,488	$0	$72,793	$0	$95,615	$0	$17,898	$0	$588,751	$0	$61,792
KEVIN KAST
Former CEO CENTRAL ILLINOIS DIV	$0	$117,714	$0	$0	$0	$0	$0	$5,124	$0	$0	$0	$122,838	$0	$0
MICHAEL W COTTRELL
Board Member	$0	$608,295	$0	$125,031	$0	$226,638	$0	$185,294	$0	$30,392	$0	$1,175,650	$0	$189,961
DAVID OLEJNICZAK
Former Interim CEO	$0	$370,215	$0	$22,059	$0	$81,759	$0	$75,328	$0	$29,358	$0	$578,719	$0	$104,685
THERESA J RUTHERFORD
Former COO	$0	$302,026	$0	$56,142	$0	$51,360	$0	$123,804	$0	$20,561	$0	$553,893	$0	$30,856
ANN M CARR
TREASURER	$0	$253,980	$0	$36,527	$0	$63,798	$0	$201,780	$0	$20,881	$0	$576,966	$0	$29,789
SHERRI A GREENWOOD
DIVISION CHIEF NURSING OFFICER	$0	$208,032	$0	$16,899	$0	$78,512	$0	$49,537	$0	$26,629	$0	$379,609	$0	$76,166
EVERT J KUIPER
Central Illinois Division CEO	$0	$601,199	$0	$113,094	$0	$46,370	$0	$164,385	$0	$30,346	$0	$955,394	$0	$0
REBECCA PUCLIK
DIVISIONAL CHIEF PEOPLE OFFICER	$0	$215,217	$0	$13,694	$0	$116	$0	$40,364	$0	$15,908	$0	$285,299	$0	$56,272
STEVEN UMLAND
CHIEF FINANCIAL OFFICER - CENTRAL IL DIVISION	$0	$342,612	$0	$90,990	$0	$102,715	$0	$7,652	$0	$23,829	$0	$567,798	$0	$31,481
MARIA GRANZOTTI MD
Chief Medical Officer	$0	$337,346	$0	$27,090	$0	$131,612	$0	$51,648	$0	$24,256	$0	$571,952	$0	$75,904
MARY HARTMAN
CRNA	$334,482	$0	$0	$0	$0	$0	$99,521	$0	$15,239	$0	$449,242	$0	$0	$0
Deanna Y Hitchens
CRNA	$246,453	$0	$0	$0	$0	$0	$37,860	$0	$13,564	$0	$297,877	$0	$0	$0
Sheila A Holliden
CRNA	$243,335	$0	$0	$0	$0	$0	$104,269	$0	$8,669	$0	$356,273	$0	$0	$0
Roberta S McBride
CRNA	$246,215	$0	$0	$0	$0	$0	$130,053	$0	$15,198	$0	$391,466	$0	$0	$0
Beth A McCoy
CRNA	$196,973	$0	$62,695	$0	$20,225	$0	$62,695	$0	$20,225	$0	$362,813	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part II, Column (C) DEFINED BENEFIT PLAN	THE ACTUARY COMPUTES THE DEFINED BENEFIT AMOUNT FOR ALL OF THE DISCLOSURES. THE REDUCTION DIRECTLY RELATES TO THE IMPROVEMENT IN THE DISCOUNT RATE.
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	Kevin Kast, FORMER CEO CENTRAL ILLINOIS DIV, RECEIVED A SEVERANCE PAYOUT IN THE AMOUNT OF $103,368 DURING CALENDAR YEAR 2015.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	HSHS EXECUTIVES ELIGIBLE TO PARTICIPATE IN SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) ARE DEFINED IN THE SERP PLAN DOCUMENTS. THE SERP WAS ESTABLISHED TO PROVIDE ADDITIONAL RETIREMENT BENEFITS TO ENSURE REASONABLE MARKET COMPETITIVE BENEFITS IN ACCORDANCE WITH THE HSHS EXECUTIVE COMPENSATION PHILOSOPHY ESTABLISHED BY THE HSHS COMPENSATION COMMITTEE. THE PLAN PROVIDES A DEFINED RETIREMENT CONTRIBUTION TO PARTICIPANTS COMMENCING ON JANUARY 1, 2008, EQUAL TO A PERCENTAGE OF COMPENSATION AS DEFINED IN THE SERP PLAN DOCUENTS FOR THE PLAN YEAR. PARTICIPANTS CONSTRUCTIVELY RECEIVE A DISTRIBUTION FROM THE PLAN NO LATER THAN MARCH 15TH OF THE CALENDAR YEAR FOLLOWING THE CALENDAR YEAR IN WHICH AN AMOUNT IS VESTED AND TAXABLE PURSUANT TO A VESTING SCHEDULE AS SPECIFIED IN THE PLAN DOCUMENT. THE ACTUAL DISTRIBUTION OF THE VESTED BENEFIT UNDER THE PLAN IS PAID IN A SINGLE LUMP SUM TO THE PARTICIPANT OR THE PARTICIPANT'S BENEFICIARY UPON THE EARLIER OF THE PARTICIPANT'S TERMINATION OF EMPLOYMENT, DEATH, OR TOTAL AND PERMANENT DISABILITY. THE FOLLOWING INTERESTED PERSONS CONSTRUCTIVELY RECEIVED DEFERRALS TO THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2014; THESE DEFERRALS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). Ann Carr -- $31,485 Michael Cottrell -- $76,064 Evert Kuiper -- $74,241 Daniel Perryman -- $40,663 Theresa Rutherford -- $36,382 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 -- $29,789 Michael Cottrell -- $189,961 Daniel Perryman -- $61,792 Theresa Rutherford -- $30,856

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	ST. MARY'S 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 ST. MARY'S HOSPITAL, IT IS RECONGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE NECESSARY MEDICAL SERVICES. INHERENT TO OUR MISSION, WE PROVIDE CARE TO THE POOR, THE ELDERLY, AND THE NEEDY OF THE COMMUNITY THROUGH VARIOUS PROGRAMS AND SERVICES. THESE ACTIVITIES INCLUDE COMMUNITY EDUCATION PROGRAMS, WELLNESS PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDERSERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. DURING FISCAL YEAR 2016, ST. MARY'S HOSPITAL PROVIDED 37,435 ADULT AND PEDIATRIC DAYS OF CARE AND 176,429 OUTPATIENT REGISTRATIONS DURING THE SAME TIME PERIOD. ST. MARY'S HOSPITAL PROVIDES BOTH BENEFITS TO THE POOR AND TO THE BROADER COMMUNITY. BENEFITS TO THE POOR ARE PROVIDED ON THE FORM OF TRADITIONAL CHARITY CARE FOR THOSE WHO CANNOT AFFORD TO PAY, UNPAID COSTS OF PUBLIC PROGRAMS SUCH AS MEDICAID AND GENERAL RELIEF, NONBILLED SERVICES FOR THE POOR AND MANY IN-KIND DONATIONS. THE TOTAL VALUES OF THESE UNREIMBURSED BENEFITS FOR THE POOR WERE $17,717,208 IN FISCAL YEAR 2016. ST. MARY'S HOSPITAL PROVIDES NUMEROUS BENEFITS TO THE BROADER COMMUNITY. THIS IS CARRIED OUT THROUGH OUR PARTICIPATION IN THE MEDICARE PROGRAM, PROVIDING MANY PROGRAMS AND SERVICES FREE OR AT A REDUCED PRICE, AND PROVIDING SERVICES THAT BENEFIT THE COMMUNITY BUT HAVE A NEGATIVE MARGIN TOTALED $10,636,558 DURING FISCAL YEAR 2016. ALL OTHER NONBILLED SERVICES PROVIDED TO THE COMMUNITY AND SERVICES PROVIDED AT LOW OR NEGATIVE MARGINS TOTALED $16,298,189 FOR THE YEAR ENDED 6/30/2016. BELOW ARE SPECIFIC EXAMPLES OF SERVICES INCLUDED IN THE ABOVE FIGURES: THROUGH THE OPERATION OF ITS PRENATAL CLINIC, THE HOSPITAL PROVIDES BOTH PRE AND POST NATAL CARE TO THE POOR. THE HOSPITAL ROUTINELY DONATES FOOD TO LOCAL FOOD PANTRIES. OBSOLETE EQUIPMENT IS ALSO OCCASIONALLY DONATED TO LOCAL AGENCIES. PROVIDE TRAINING TO THE LOCAL PARAMEDICS, FIRST RESPONDER GROUPS, AND FIRE DEPARTMENTS. IN ADDITIONAL, AREA ORGANIZATIONS RECEIVE CPR TRAINING THROUGH THE HOSPITAL'S EMS DEPARTMENT. THE HOSPITAL PARTICIPATES IN THE SECONDARY TRANSITIONAL EXPERIENCE PROGRAM BY PROVIDING EMPLOYMENT OPPORTUNITIES TO HANDICAPPED STUDENTS. PASTORAL CARE AND SOCIAL SERVICE DEPARTMENTS PROVIDE ASSISTANCE FOR PATIENT AND FAMILY NEEDS. PROVIDED LIFELINE VOICE COMMUNICATORS TO ELDERLY PATIENTS WITH SPECIAL NEEDS. EMPLOYEES SERVE AS SPEAKERS AT HEALTH FAIRS, SCHOOLS, AND A VARIETY OF AREA ORGANIZATIONS. ASSIST THE UNITED WAY CAMPAIGN BY HAVING STAFF MEMBERS ORGANIZE THE HOSPITAL'S ANNUAL FUND DRIVE. PROVIDE A VARIETY OF HEALTH SCREENINGS TO THE PUBLIC IN DIFFERENT LOCATIONS THROUGHOUT THE COMMUNITY.
Form 990, Part IV, Line 24a TAX EXEMPT BONDS	ST. MARY'S DECATUR HOLDS A LIABILITY ON ITS BOOKS FOR TAX-EXEMPT BONDS, WHICH IS AN ALLOCATION FROM ITS SOLE CORPORATE MEMBER, HOSPITAL SISTERS SERVICES, INC. AS A RESULT, THIS QUESTION WAS ANSWERED NO, AND SCHEDULE K WILL BE COMPLETED ON THE HOSPITAL SISTERS SERVICES, INC. FORM 990.
Form 990, Part VI, Line 13 WHISTLEBLOWER POLICY	PROVISIONS WITHIN THE CORPORATE COMPLIANCE PROGRAM AND CONFLICT OF INTEREST POLICY PROVIDE PROTECTIONS FOR WHISTLEBLOWER TYPE ACTIVITIES.
Form 990, Part VI, Line 16b JOINT VENTURES	HOSPITAL SISTERS HEALTH SYSTEM ADOPTED A JOINT VENTURE COMPLIANCE PROGRAM POLICY EFFECTIVE ON JANUARY 1, 2012 FOR ALL SYSTEM HOSPITALS, INCLUDING ST. MARY'S HOSPITAL. THE OVERALL PURPOSE OF THE POLICY IS TO PROVIDE PRACTICAL GUIDELINES FOR ETHICAL BUSINESS CONDUCT, TO ACHIEVE COMPLIANCE, AND TO DETECT AND PREVENT VIOLATIONS OF APPLICABLE LAWS. THE POLICY REQUIRES ST. MARY'S HOSPITAL, AND ALL HSHS HOSPITALS, TO EVALUATE THEIR PARTICIPATION IN JOINT VENTURE ARRANGEMENTS, INCLUDING UNDER APPLICABLE FEDERAL TAX LAWS, AND TO SAFEGUARD ST. MARY'S HOSPITAL'S TAX EXEMPT STATUS WITH RESPECT TO ANY JOINT VENTURE ARRANGEMENTS.
Form 990, Part VI, Line 6 Classes of members or stockholders	THE SENIOR GOVERNING BODY OF ST. MARY'S 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	MEMBER OF HSSI IS HOSPITAL SISTERS HEALTH SYSTEM ("HSHS"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE MEMBERS OF HSHS ARE THE INDIVIDUAL SISTERS WHO FROM TIME TO TIME ARE THE DULY ELECTED PROVINCIAL SUPERIOR AND PROVINCIAL COUNCILORS, RESPECTIVELY OF THE AMERICAN PROVINCE OF THE HOSPITAL SISTERS OF ST. FRANCIS ("AMERICAN PROVINCE"). THE AMERICAN PROVINCE IS THE UNITED STATES ORGANIZATION OF THE CONGREGATION OF THE HOSPITAL SISTERS OF THE THIRD ORDER REGULAR OF ST. FRANCIS, A RELIGIOUS INSTITUTE OF THE ROMAN CATHOLIC CHURCH. THE GOVERNANCE AND OPERATIONS OF THE CORPORATION ARE SUBJECT TO HSSI'S RIGHT TO EXERCISE THESE RESERVED POWERS WITH RESPECT TO THE CORPORATION AND ORGANIZATIONS OF WHICH THE CORPORATION IS EITHER, DIRECTLY OR INDIRECTLY, A CONTROLLING MEMBER OR A CONTROLLING SHAREHOLDER ("AFFILIATES"). HSSI'S RIGHT TO EXERCISE CERTAIN OF THESE RESERVED POWERS IS, IN TURN, SUBJECT TO THE APPROVAL OF HSHS AND HSHS' MEMBERS. THE RESERVED POWERS INCLUDE ALL RIGHTS GRANTED TO HSSI BY LAW AND THE RIGHT TO: (A) ADOPT, APPROVE AMENDMENTS TO, OR AMEND ANY STATEMENT OF PHILOSOPHY, MISSION, MISSION INTEGRATION OR VALUES OR ANY NAME, LOGO, OR MARK OF THE CORPORATION OR OF ANY AFFILIATE; (B) ADOPT, APPROVE AMENDMENTS TO, OR AMEND THE ARTICLES OF INCORPORATION OF THE CORPORATION OR OF ANY AFFILIATE; (C) ADOPT, APPROVE AMENDMENTS TO, OR AMEND THE BYLAWS OF THE CORPORATION OR OF ANY AFFILIATE; (D) APPOINT AND REMOVE THE BOARD OF DIRECTORS, ANY ONE OR MORE OF THE DIRECTORS OF THE CORPORATION OR OF ANY AFFILIATE, AND THE CHAIRPERSON AND PRESIDENT OF THE CORPORATION OR OF ANY AFFILIATE; (E) APPROVE THE RECOMMENDATION OF THE BOARD OF DIRECTORS TO APPOINT OR REMOVE THE BOARD OF DIRECTORS, ANY ONE OR MORE DIRECTORS OF THE CORPORATION OR OF ANY AFFILIATE, OR THE CHAIRPERSON AND PRESIDENT OF THE CORPORATION OR OF ANY AFFILIATE. (F) WITH RESPECT TO THE CORPORATION OR ANY AFFILIATE, APPROVE THE PURCHASE, SALE, ALIENATION, EXCHANGE, LEASE, OR ENCUMBRANCE OF ANY REAL PROPERTY OF THE CORPORATION OR OF ANY AFFILIATE, WHICH PROPERTY HAS A VALUE IN EXCESS OF LIMITS SET FROM TIME TO TIME BY HSSI; (G) APPROVE THE OPERATING AND CAPITAL BUDGETS OF THE CORPORATION OR OF ANY AFFILIATE, AND ANY DEVIATIONS BY THE CORPORATION OR OF ANY AFFILIATE FROM SUCH BUDGETS IN AN AMOUNT OR PERCENTAGE SPECIFIED BY HSSI FROM TIME TO TIME; (H) APPROVE THE STRATEGIC PLAN AND GOALS OF THE CORPORATION OR OF ANY AFFILIATE; (I) APPROVE THE SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR OF ANY AFFILIATE; (J) APPROVE THE MERGER OR DISSOLUTION OF THE CORPORATION OR OF ANY AFFILIATE; (K) ADOPT OR AMEND THE PLAN FOR MINISTRY EDUCATION AND GOVERNANCE FOR THE CORPORATION AND ITS AFFILIATES; (L) APPROVE THE CORPORATION'S MISSION ACCOUNTABILITY REPORTS AND THOSE OF ANY AFFILIATE; (M) APPROVE THE FINANCIAL POLICIES AND PROCEDURES OF THE CORPORATION OR OF ANY AFFILIATE, AND APPROVE ANY DEVIATIONS FROM SUCH POLICIES AND PROCEDURES BY THE CORPORATION OR ANY AFFILIATE; AND (N) ADOPT POLICIES TO IMPLEMENT THE RESERVED POWERS OF HSSI.
Form 990, 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 ORGANIZATION'S CONFLICT OF INTEREST POLICY, ALL COVERED PERSONS HAVE A DUTY TO COMPLY WITH THE CONFLICT OF INTEREST POLICY FOR ANY CONTRACT, TRANSACTION, RELATIONSHIP OR ACTIVITY CONTEMPLATED, ENTERED INTO OR CONDUCTED AT HSHS OR ITS AFFILIATES. THE POLICY DEFINES COVERED PERSONS AS BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS, BOARD DESIGNEES, SENIOR MANAGEMENT, MEMBERS OF ANY COMMITTEE THAT OVERSEES THE APPROVAL OF PHARMACEUTICALS AND MEDICAL DEVICES, ANY OTHER INDIVIDUAL WHO HOLDS A POSITION OF TRUST. ON AN ANNUAL BASIS, HSHS DISCLOSES A COPY OF THE CONFLICT OF INTEREST POLICY (AND ALL CORRESPONDING PROCEDURES, GUIDELINES, FORMS AND TOOLS) TO ALL COVERED PERSONS AND ADVISES ALL COVERED PERSONS IN WRITING OF ANY SUBSTANTIVE CHANGES TO THIS POLICY AND SUCH RELATED MATERIALS. COVERED PERSONS ARE REQUIRED TO REVIEW AND COMPLETE THE CORRESPONDING CONFLICT OF INTEREST STATEMENT. THE SYSTEM OFFICE VICE PRESIDENT - SYSTEM RESPONSIBILITY- SYSTEM 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	Other Purchased Services - Total Expense: 10309298, Program Service Expense: 5279513, Management and General Expenses: 5029785, Fundraising Expenses: ; Professional Fees - Total Expense: 6527051, Program Service Expense: 6512867, Management and General Expenses: 14184, Fundraising Expenses: ;
Form 990, Part X, Line 11 POOLED INVESTMENT ACCOUNT	ST. MARY'S HOSPITAL CASH RESERVES ARE INVESTED IN A POOLED INVESTMENT ACCOUNT MAINTAINED BY HOSPITAL SISTERS HEALTH SYSTEM (HSHS). PARTICIPATION IN THE POOLED INVESTMENT FUND IS LIMITED TO THE 501(C)(3) HOSPITALS AND 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. 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 CHANGES - -15343398; TRANSFER TO/FROM AFFILIATES - -6864906; CHANGE IN FAIR VALUE OF INTEREST RATE SWAP - -19594; SWAP PAYMENTS - -337; CHANGE IN TEMP RESTRICTED NET ASSETS - 1423892; CHANGE IN PERM RESTRICTED NET ASSETS - 44;

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	-$3,126,361	$6,209,010	HSSI
PHYSICIAN CLINICAL INTEGRATION NETWORK LLC
4936 LAVERNA ROAD	SPRINGFIELD	IL	62707	371668647	HEALTHCARE	IL	-$127,884	$6,099,730	KCIN
HSHS ACO LLC
4937 LAVERNA ROAD	SPRINGFIELD	IL	62707	320465666	HEALTHCARE & SOCIAL ASSISTANCE	IL	-$35	$0	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 HEALTHCARE PLAN TRUST FUND
4936 LAVERNA ROAD	SPRINGFIELD	IL	62707	371137724	HEALTHCARE	IL	501(c)(9		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 III-FI	HSSI	Yes (true)
SACRED HEART HOSPITAL
990 WEST CLAIREMONT AVENUE	EAU CLAIRE	WI	54701	390807060	HEALTHCARE	WI	501(c)(3	3	HSSI	Yes (true)
ST ANTHONY'S HOSPITAL
503 N MAPLE STREET	EFFINGHAM	IL	62401	370661233	HEALTHCARE	IL	501(c)(3	3	HSSI	Yes (true)
ST ELIZABETH'S HOSPITAL
211 SOUTH THIRD STREET	BELLEVILLE	IL	62220	370663567	HEALTHCARE	IL	501(c)(3	3	HSSI	Yes (true)
ST NICHOLAS HOSPITAL
3100 SUPERIOR AVENUE	SHEBOYGAN	WI	53081	390808480	HEALTHCARE	WI	501(c)(3	3	HSSI	Yes (true)
ST JOHN'S HOSPITAL
800 EAST CARPENTER STREET	SPRINGFIELD	IL	62769	370661238	HEALTHCARE	IL	501(c)(3	3	HSSI	Yes (true)
ST JOSEPH'S HOSPITAL
9515 HOLY CROSS LANE	BREESE	IL	62230	371208459	HEALTHCARE	IL	501(c)(3	3	HSSI	Yes (true)
ST 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
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	9	ST NICHOLAS	Yes (true)
UNITY LIMITED PARTNERSHIP
2366 OAK RIDGE CIRCLE	DE PERE	WI	54115	391750729	HEALTHCARE	WI	501(c)(3	9	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)
GREENVILLE REGIONAL HEALTHCARE
200 HEALTHCARE DRIVE	GREENVILLE	IL	62246	371139987	HEALTHCARE	IL	501(c)(3	Type II	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
MEMORIAL AND ST ELIZABETH'S HEALTHCARE CANCER TREATMENT CENTER
4000 NORTH ILLINOIS STREET	SWANSEA	IL	62226	371312961	HEALTHCARE	IL	ST ELIZABETH'S	Related	$848,922	$4,789,579	false	false	0.5
PRAIRIE HEART INSTITUTE ST JOHN'S
800 EAST CARPENTER STREET	SPRINGFIELD	IL	62769	371321197	HEALTHCARE	IL	HSHS	Related	-$596	$8,000	false	false	1.0
PAIN CENTER OF WISCONSIN
4131 W LOOMIS ROAD SUITE 300	GREENFIELD	WI	53221	263155343	HEALTHCARE	WI	ST VINCENT	Related	$606,068	$807,898	false	false	0.5
PAIN CENTER OF WISCONSIN - OCONTO FALLS LLC
4131 W LOOMIS ROAD SUITE 300	GREENFIELD	WI	53221	364717036	HEALTHCARE	WI	ST CLARE	Related	-$79,535	$206,472	false	false	0.5
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	727949456	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	-$7,435	$17,725	false	Yes (true)	1.0

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	-$36,664,461	$46,374,438	0.01	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	$174,464	$47,208,492	0.005	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	$105,014,533	0.01	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	false	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	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule R, Part V, Line 2 TRANSACTIONS WITH RELATED ORGANIZATIONS	FormAndLineReferenceDesc
Explanation	THE TRANSACTIONS REPORTED ON LINE 1 AND NOT SPECIFICALLY IDENTIFIED ON LINE 2 ARE BETWEEN RELATED 501(C)(3) PUBLIC CHARITIES. ACCORDINGLY THEY ARE NOT REPORTED IN THIS SECTION.	ExplanationTxt