ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F (EIN 39-0810545)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-12
IRS object ID: 201721329349300547
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-12T08:03:20-05:00	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	390810545	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	St Joseph's Hospital of the Hospital Sisters of the Third Order of St Franc	BusinessNameLine1Txt
Business Name Line2	is	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	STJO	BusinessNameControlTxt
Phone	7157231811	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2661 COUNTY HIGHWAY I	AddressLine1Txt
City	Chippewa Falls	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54729	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVE NELSON	PersonNm
Person Title	DIVISION CHIEF FINANCIAL 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	JOAN COFFMAN	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2661 COUNTY HIGHWAY I	AddressLine1Txt
City	Chippewa Falls	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54729	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$70,487,136	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.STJOESCHIPFALLS.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1885	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	ST. JOSEPH'S MISSION IS TO DELIVER COMPASSIONATE HEALTH CARE TO PEOPLE IN NEED AND TO BE THE PREFERRED CHOICE FOR HEALTH CARE IN THE CHIPPEWA VALLEY.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	603	TotalEmployeeCnt
Total Volunteers	432	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,454,498	PYContributionsGrantsAmt
CY Contributions Grants	$429,252	CYContributionsGrantsAmt
PY Program Service Revenue	$71,211,942	PYProgramServiceRevenueAmt
CY Program Service Revenue	$67,870,891	CYProgramServiceRevenueAmt
PY Investment Income	$3,302,159	PYInvestmentIncomeAmt
CY Investment Income	$1,958,538	CYInvestmentIncomeAmt
PY Other Revenue	$192,761	PYOtherRevenueAmt
CY Other Revenue	$228,455	CYOtherRevenueAmt
PY Total Revenue	$76,161,360	PYTotalRevenueAmt
CY Total Revenue	$70,487,136	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$37,038,343	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$34,115,396	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$30,002,318	PYOtherExpensesAmt
CY Other Expenses	$27,626,758	CYOtherExpensesAmt
PY Total Expenses	$67,040,661	PYTotalExpensesAmt
CY Total Expenses	$61,742,154	CYTotalExpensesAmt
PY Revenues Less Expenses	$9,120,699	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$8,744,982	CYRevenuesLessExpensesAmt
Total Assets BOY	$151,101,856	TotalAssetsBOYAmt
Total Assets EOY	$143,907,389	TotalAssetsEOYAmt
Total Liabilities BOY	$46,373,200	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$52,799,890	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$104,728,656	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$91,107,499	NetAssetsOrFundBalancesEOYAmt
Mission	THE MISSION OF ST. JOSEPH'S HOSPITAL IS TO REVEAL AND EMBODY CHRIST'S PEOPLE IN NEED. REFLECTING OUR HIGH REGARD FOR ONE ANOTHER AS INSPIRED BY OUR FRANCISCAN TRADITION, ST. JOSEPH'S GOAL IS TO BE THE PREFERRED CHOICE FOR HEALTH CARE IN THE CHIPPEWA VALLEY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$55,623,144	ExpenseAmt
Revenue	$67,948,870	RevenueAmt
Desc	SEE SCHEDULE O - PROGRAM SERVICE ACCOMPLISHMENTS	Desc
Total Program Service Expenses	$55,623,144	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	46	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	603	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	8	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	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	STEVE PALECEK	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7157173783	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2661 COUNTY HIGHWAY I	AddressLine1Txt
City	CHIPPEWA FALLS	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	547291498	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JOAN COFFMAN
CEO/PRESIDENT	60.0	2.0	Yes (X)	Yes (X)	$0	$403,420	$131,871
JAMES E DOCKSEY
Vice Chair - Part Year	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
KAREN HEBERT
Vice Chairperson (Partial Year)	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
GERALD JACOBSON
Secretary	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
DAVID KIEFER
CHAIRPERSON	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
JULIE MANAS
DIVISION PRES/CEO	1.0	61.0	Yes (X)	Yes (X)	$0	$566,384	$180,366
BRUCE BARKER
Director	1.0	1.0	Yes (X)		$0	$0	$0
LON BLASER DO
Director	1.0	3.0	Yes (X)		$0	$0	$0
GREG HEILER MD
Director	1.0	1.0	Yes (X)		$0	$0	$0
PETER MANNIX
Board Member	1.0	61.0	Yes (X)		$0	$469,517	$170,262
Patti Darley
Director	1.0	1.0	Yes (X)		$0	$0	$0
Jeff Halloin
Director	1.0	1.0	Yes (X)		$0	$0	$0
ANN M CARR
TREASURER	0.3	59.8		Yes (X)	$0	$354,305	$222,661
DAVE NELSON
DIVISION CHIEF FINANCIAL OFFICER	28.0	32.0		Yes (X)	$0	$312,770	$77,831
Estella Clark
Chief Nursing Officer	40.0	0			$172,140	$0	$47,500	Yes (X)
RONDA ADLER
PHARMACIST	40.0	0			$170,235	$0	$47,717		Yes (X)
SARA JORGENSON
PHARMACIST	40.0	0			$160,531	$0	$50,113		Yes (X)
Lois Klay
Vice President (Partial Year)	40.0	0			$190,421	$0	$111,520		Yes (X)
Chris Klay
Division Director	40.0	0			$151,168	$0	$38,874		Yes (X)
LARRY STUDT
PHYSICIAN	40.0	0			$242,927	$0	$54,476		Yes (X)
LAWRENCE SCHUMACHER
Former DIRECTOR		0.0			$0	$1,460,120	$72,705			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,087,422	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,566,516	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,205,896	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	18	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
INFINITY HEALTHCARE
111 E WISCONSIN AVE	MILWAUKEE	WI	53202	PROVIDER COVERAGE	$2,580,927
MARSHFIELD CLINIC
1000 N OAK AVE	MARSHFIELD	WI	54449	PROFESSIONAL SERVICES	$826,423
DIVERSIFIED CLINICAL SVC INC
PO BOX 636981	CINCINNATI	OH	45263	PROFESSIONAL SERVICES	$735,347
SODEXO INC & AFFILIATES
4880 PAYSPHERE CIRCLE	CHICAGO	IL	60674	CONTRACTED LABOR	$689,941
Eau Claire Anesthesiologists
1101 W Clairemont Avenue	Eau Claire	WI	54701	Professional Services	$533,333

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	16	CntrctRcvdGreaterThan100KCnt
Related Organizations	$187,784	RelatedOrganizationsAmt
Government Grants	$238,468	GovernmentGrantsAmt
All Other Contributions	$3,000	AllOtherContributionsAmt
Total Contributions	$429,252	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	900099	$67,209,389	$67,209,389
OTHER DEPARTMENT REVENUE	900099	$661,502	$661,502

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	$67,870,891	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$548,928	TotalRevenueColumnAmt
Exclusion	$548,928	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$150,476	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$150,476	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$150,476	TotalRevenueColumnAmt
Exclusion	$150,476	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,409,610	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,409,610	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,409,610	TotalRevenueColumnAmt
Exclusion	$1,409,610	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
GIFT SHOP REVENUE	453220	$51,701	$51,701
CAFETERIA REVENUE	722514	$26,278	$26,278

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	$77,979	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$70,487,136	TotalRevenueColumnAmt
Related Or Exempt Func Income	$67,948,870	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$2,109,014	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$219,640	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$219,640	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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	$25,955,527	TotalAmt
Program Services	$23,240,273	ProgramServicesAmt
Management And General	$2,715,254	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,402,371	TotalAmt
Program Services	$1,245,130	ProgramServicesAmt
Management And General	$157,241	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,738,048	TotalAmt
Program Services	$4,206,794	ProgramServicesAmt
Management And General	$531,254	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,799,810	TotalAmt
Program Services	$1,598,006	ProgramServicesAmt
Management And General	$201,804	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,059,941	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,059,941	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$7,197	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$7,197	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$8,303,993	TotalAmt
Program Services	$7,601,720	ProgramServicesAmt
Management And General	$702,273	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$266,977	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$266,977	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$679,694	TotalAmt
Program Services	$678,511	ProgramServicesAmt
Management And General	$1,183	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,181,090	TotalAmt
Program Services	$4,181,090	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$883,230	TotalAmt
Program Services	$883,230	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$279,888	TotalAmt
Program Services	$279,761	ProgramServicesAmt
Management And General	$127	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$111,859	TotalAmt
Program Services	$69,341	ProgramServicesAmt
Management And General	$42,518	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$224,475	TotalAmt
Program Services	$224,475	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,409,253	TotalAmt
Program Services	$3,362,347	ProgramServicesAmt
Management And General	$46,906	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$276,757	TotalAmt
Program Services	$276,757	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
CLINICAL SUPPLIES	$4,534,099	$4,503,941	$30,158	$0
WISCONSIN MEDICAID ASSESSMENT	$1,377,256	$1,377,256	$0	$0
MAINTENANCE SERVICE	$697,189	$694,262	$2,927	$0
PROVISION FOR BAD DEBT	$189,601	$189,601	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,144,259	TotalAmt
Program Services	$1,010,649	ProgramServicesAmt
Management And General	$133,610	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$61,742,154	TotalAmt
Program Services	$55,623,144	ProgramServicesAmt
Management And General	$6,119,010	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$772,528	BOYAmt
EOY	$2,323,113	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$9,513,001	BOYAmt
EOY	$9,254,585	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	$350,195	BOYAmt
EOY	$363,220	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$111,518	BOYAmt
EOY	$0	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$65,382,680	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$35,490,567	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$31,332,376	BOYAmt
EOY	$29,892,113	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$108,924,862	BOYAmt
EOY	$101,985,930	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$97,376	BOYAmt
EOY	$88,428	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$151,101,856	BOYAmt
EOY	$143,907,389	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$7,546,803	BOYAmt
EOY	$6,476,699	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$18,770,743	BOYAmt
EOY	$18,008,807	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$20,055,654	BOYAmt
EOY	$28,314,384	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$46,373,200	BOYAmt
EOY	$52,799,890	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$94,568,397	BOYAmt
EOY	$86,050,074	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,731,468	BOYAmt
EOY	$2,146,728	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,428,791	BOYAmt
EOY	$2,910,697	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$104,728,656	BOYAmt
EOY	$91,107,499	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$151,101,856	BOYAmt
EOY	$143,907,389	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$8,744,982	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$4,653,332	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$17,712,807	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$4,543	OtherActivitiesAmt
Total Lobbying Expenditures	$4,543	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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

ST. JOSEPH'S HOSPITAL (THE HOSPITAL) IS A MEMBER OF THE CATHOLIC HEALTH ASSOCIATION ("CHA"), WISCONSIN HEALTH ASSOCIATION ("WHA"), THE NATIONAL ASSOCIATION FOR HOME CARE AND HOSPICE, AND THE AMERICAN HEALTH ASSOCIATION ("AHA"). AS A MEMBER OF THESE ORGANIZATIONS, THE HOSPITAL PAYS DUES, PART OF WHICH ARE ATTRIBUTABLE TO LOBBYING FEES PAID BY THE ORGANIZATIONS. THE AMOUNT LISTED IS THE AMOUNT ATTRIBUTABLE TO THE HOSPITAL FROM ITS DUES PAID.

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

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$383,686	OtherCostOrOtherBasisAmt
Book Value	$383,686	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$40,865,382	OtherCostOrOtherBasisAmt
Depreciation	$19,540,653	DepreciationAmt
Book Value	$21,324,729	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,226,687	OtherCostOrOtherBasisAmt
Depreciation	$748,938	DepreciationAmt
Book Value	$1,477,749	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$21,765,853	OtherCostOrOtherBasisAmt
Depreciation	$15,200,976	DepreciationAmt
Book Value	$6,564,877	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$141,072	OtherCostOrOtherBasisAmt
Book Value	$141,072	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$29,892,113	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
RATE SWAP AGREEMENTS	$3,896,020
MINIMUM PENSION LIABILITY	$24,418,364

Field	Value	IRS element (for citing)
Total Liability	$28,314,384	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	HSHS and the Foundation are Illinois not-for-profit organizations as described in Section 501(c)(3) of the Internal Revenue Code (the Code} and are exempt from federal income taxes on related income pursuant to Section 501 (a) of the Code. Kiara, Inc. is an Illinois for-profit corporation that recognizes income taxes under the asset- and-liability method. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the consolidated financial statement carrying amounts of existing assets-and-liabilities and their respective tax basis and operating loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using the enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. In assessing the realizability of deferred tax assets, management considers whether it is more likely than not that some portion or all of the deferred tax assets will not be realized. The ultimate realization of deferred tax assets is dependent upon the generation of future taxable income during the periods in which those temporary differences become deductible. Management considers projected future taxable income and tax planning strategies in making this assessment. Based upon the level of historical taxable losses and projections for future taxable losses over the periods for which the deferred tax assets are deductible, management believes it is more likely than not Kiara, Inc. will not realize the majority of the benefits of these deductible differences. Full valuation allowances have been applied against the deferred tax assets attributable to the net operating loss carryforwards not realized as of June 30, 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.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	600	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	7671	PersonsServedCnt
Total Community Benefit Expns	$1,538,647	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,538,647	NetCommunityBenefitExpnsAmt
Total Expense	0.0250	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	11405	PersonsServedCnt
Total Community Benefit Expns	$15,439,224	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,706,144	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,733,080	NetCommunityBenefitExpnsAmt
Total Expense	0.1094	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Persons Served	925	PersonsServedCnt
Total Community Benefit Expns	$1,228,318	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$883,799	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$344,519	NetCommunityBenefitExpnsAmt
Total Expense	0.0056	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	20001	PersonsServedCnt
Total Community Benefit Expns	$18,206,189	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,589,943	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,616,246	NetCommunityBenefitExpnsAmt
Total Expense	0.1400	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	113908	PersonsServedCnt
Total Community Benefit Expns	$372,572	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,944	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$369,628	NetCommunityBenefitExpnsAmt
Total Expense	0.0060	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	995	PersonsServedCnt
Total Community Benefit Expns	$5,589	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,589	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,803,058	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,184,393	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$618,665	NetCommunityBenefitExpnsAmt
Total Expense	0.0101	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Persons Served	5804	PersonsServedCnt
Total Community Benefit Expns	$30,041	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$30,041	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	120707	PersonsServedCnt
Total Community Benefit Expns	$4,211,260	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,187,337	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,023,923	NetCommunityBenefitExpnsAmt
Total Expense	0.0166	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	140708	PersonsServedCnt
Total Community Benefit Expns	$22,417,449	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,777,280	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,640,169	NetCommunityBenefitExpnsAmt
Total Expense	0.1566	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Persons Served	30649	PersonsServedCnt
Total Community Benefit Expns	$281,937	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$87,206	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$194,731	NetCommunityBenefitExpnsAmt
Total Expense	0.0032	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	30649	PersonsServedCnt
Total Community Benefit Expns	$281,937	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$87,206	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$194,731	NetCommunityBenefitExpnsAmt
Total Expense	0.0032	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$189,601	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$13,678,416	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$20,889,774	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$7,211,358	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2661 COUNTY HIGHWAY I	AddressLine1Txt
City	CHIPPEWA FALLS	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54729	ZIPCd

Field	Value	IRS element (for citing)
Website Address	http://www.stjoeschipfalls.com/	WebsiteAddressTxt
State License	15	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	14	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	* HTTP://WWW.STJOESCHIPFALLS.ORG/COMMUNITY-REPORT	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	HTTP://WWW.CHIPPEWHEALTH.ORG/	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	14	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTP://WWW.STJOESCHIPFALLS.ORG/COMMUNITY-CARE	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	http://www.stjoeschipfalls.com/Patients-Guests/Financial-Assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	http://www.stjoeschipfalls.com/Patients-Guests/Financial-Assistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	http://www.stjoeschipfalls.com/Patients-Guests/Financial-Assistance	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
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
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Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - HSHS St. Joseph's Hospital, Chippewa Falls. Hshs st. Joseph's hospital (sjcf) undertook a twelve month planning and implementation effort to develop the chna, identify and prioritize community health needs for its service area and formulate an implementation plan to guide ongoing population health initiatives with like-missioned partners and collaborators. These planning and development activities included the following internal and external steps: Internal Sjcf utilized the expertise of the hospital's division director of 3d community health and her team of colleagues to lead the chna process. One of the hospital's marketing specialists participated in the planning and implementation of the chna from start to finish. She and the division director of 3d community health served as liaisons between the hospital, the chna planning committee partners, other community members as well as the hospital's local and health system leaders. She also facilitated a large community health improvement event where community members were asked to provide feedback on preliminary chna results and to engage the public in detailed discussion related to the top need priority areas, highlight related initiatives of the area community health initiatives, and encourage community participation in local health improvement efforts through membership in healthy community action teams and engagement in collaborative action plans. The division director of 3d community health and her team provided education around community benefit and the chna to hospital leaders and colleagues encouraging documentation of the hospital's many community benefit programs and events. An internal team was developed that included the community health director (the hospital's community benefit lead), the hospital's community benefit specialist, the hospital's fiscal controller, colleagues from fiscal services, the director of marketing and a marketing specialist who met on a quarterly basis to review and approve the hospital's community benefit programs/events prior to the programs/events being entered into cbisa. The hospital's and health system's leaders and local governance were kept abreast of the hospital's community health outreach activities, community benefit programs/events and the chna process through reports to the hospital's board of directors. External Sjcf also leveraged existing relationships that provided diverse input for a comprehensive review and analysis of community health needs in the hospital's service area. These external components steps began with forming an external chna planning partnership committee of community partners including: chippewa county department of public health, health officer chippewa health improvement partnership (chip) steering committee and action team members eau claire city-county health department health officer; health educator; community health needs assessment program manager eau claire healthy communities council and action team members marshfield clinic, clinic director mayo clinic health system division director of community engagement and wellness hshs st. Joseph's hospital, chippewa falls director of marketing; marketing specialist who was also chair of chip steering committee united way of the greater chippewa valley, executive director and director of community engagement The eau claire city-county health department served as the fiscal agent for the partnership, and each organization signed a memorandum of understanding prior to the chna process. Contributions from each of the partner organizations totaled $55,000. The otto bremer foundation also awarded a $19,000 grant to the chna committee to increase outreach into rural communities during the chna process. Representatives from the partner organizations met bimonthly from may 2014 through april 2015 to plan and implement the chna. This joint chna process, the first of its kind for chippewa and eau claire counties, demonstrates the commitment each of the partners has to working toward a healthier community through collaborative action across county lines. This collaboration also allows the community to participate in one comprehensive assessment rather than several chnas conducted each year by different organizations. The chna committee believes that no one organization alone can "move the needle" on community health. Rather, only through working together and engaging the community will we truly begin to inspire and realize community health improvement. Analysis of the survey respondent demographics indicated that a low number of surveys were received from the population in chippewa county over age 70 and those residents who's highest Education level is high school or some college. Therefore, targeted listening sessions were held to engage these groups and gather information on barriers to and resources for making Healthy choices in the community. These sessions were held in november 2014 at the chippewa falls community meal site agnes' table and the chippewa falls area senior center. Each listening Session was conducted by at least one chna partner organization representative. After the survey results were analyzed, local quantitative health data was compiled from a variety of data sources based on the measures. The primary and secondary data were presented at five community conversations that took place throughout chippewa county in february 2015. Sessions were held in chippewa falls (two sessions), cornell, cadott, and bloomer. The purpose of these sessions was to allow the public to give input on how to prioritize the 14 health focus areas that were initially presented in the survey. Identical to the survey, the community conversations were widely publicized through the professional networks of each of the chna partner organizations, through community organizations that assisted in survey distribution, and through local print, broadcast, and social media. Community conversations were held on weeknight evenings and in a public location (e.g. local public library or school). Overall, 78 people attended the five community conversations in chippewa county. Community representation was diverse attendees represented health care, public schools, university students and faculty, local government, and the general public. Each community conversation consisted of a data presentation that highlighted survey results and local health data for each of the 14 focus areas. Next, participants discussed the survey results and data in small groups with the goal of each individual selecting their top three priority areas. Prioritization criteria were provided to participants and are shown below. These facilitated group discussions were important for presenting and allowing the public to analyze data from multiple sources, which lends to a more complete picture of community health. Participants were able to develop a more comprehensive picture of health in chippewa county through consideration of the public perception of health and the data that had been collected by local and national agencies. Data was presented orally and also on clear, concise factsheets to allow thorough understanding of the data sources during group discussion.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - HSHS St. Joseph's Hospital, Chippewa Falls. HSHS ST. JOSEPH'S HOSPITAL, CHIPPEWA FALLS, WI AND MAYO CLINIC HEALTH SYSTEMS, EAU CLAIRE, WI ALSO PARTICIPATED IN THE CHNA.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - HSHS St. Joseph's Hospital, Chippewa Falls. HSHS ST. JOSEPH'S HOSPITAL'S CHNA WAS CONDUCTED WITH THE FOLLOWING NON-HOSPITAL ORGANIZATIONS: CHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTH, CHIPPEWA COUNTY, WISCONSIN; CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP, CHIPPEWA COUNTY, WISCONSIN; EAU CLAIRE CITY-COUNTY HEALTH DEPARTMENT, EAU CLAIRE, WISCONSIN; EAU CLAIRE HEALTHY COMMUNITIES, EAU CLAIRE, WISCONSIN; MARSHFIELD CLINIC, CHIPPEWA FALLS AND EAU CLAIRE, WISCONSIN; AND UNITED WAY OF THE GREATER CHIPPEWA VALLEY, CHIPPEWA AND EAU CLAIRE COUNTY, WISCONSIN.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - HSHS St. Joseph's Hospital, Chippewa Falls. Following the community conversations and prioritization of the top health issues for chippewa county, one final event was held in march 2015 in chippewa county to get public feedback on the preliminary chna results and to enhance the focus and understanding of the top three priority areas of mental health, alcohol misuse, and substance use. The purpose of this event was to engage the public in detailed discussion related to these priority areas, highlight related initiatives of the chippewa health improvement partnership (chip), and encourage community participation in local health improvement efforts through membership in a chip action team and engagement in collaborative action plans. A total of 36 community members representing sectors as broad as faith communities, local and regional government, school districts, healthcare providers, university students, and retired citizens participated in this event. The structure included a presentation of recent chip initiatives as well as additional quantitative health data related to the three focus areas. Participants were then guided through three rounds of facilitated small-group discussion to better identify the root causes, existing community resources, and community gaps in services for the top three priority areas. The world cafe model (small facilitated discussion groups that rotate through multiple discussion topics) was utilized to inspire creative thinking and create a comfortable atmosphere in which participants could openly share their ideas on each of the three topic areas during the facilitated discussion. During three rounds of discussion, participants were given the opportunity to provide their thoughts on the top three priority areas. Facilitators guided participants to consider root causes for each focus area. After the discussion period, facilitators reported out to the large group about root causes, resources, and gaps in services that participants identified. Key themes were recorded by note takers and the facilitators for inclusion in this report. The chna was then presented at the hospital's board of directors' meeting as well as at the steering committee meetings of the eau claire healthy communities and chippewa health improvement partnership. A press release/media alert was sent to all area news outlets including tv, radio, newspaper as well as the information being distributed at to churches, serviced clubs, schools and at numerous area events for the general public.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - HSHS St. Joseph's Hospital, Chippewa Falls. Based on the fy2015 chna planning and development process, the following top three community health needs were identified as the primary focus areas for hshs st. Joseph's hospital community benefit: 1). Mental health 2). Substance use 3). Alcohol misuse As an outcome of the prioritization process, the following community health needs were also identified and will be incorporated into the hopsital's implementation plan as part of one of the top three identified needs : healthy growth and development; healthy nutrition; obesity and physical activity; chronic disease; and access to health care. 1). Mental health - hshs st. Joseph's hospital is involved in the implementation and/or continuation of the following efforts to improve mental health services. A. Suicide prevention initiative - hshs st. Joseph's hospital's (sjcf) 3d community health department is leading suicide prevention activities across multiple sectors and settings in collaboration with chippewa health improvement partnership, eau claire healthy communities, and multiple other community partners to promote awareness that suicide is a public health problem that is preventable. Strategies include community trainings of an evidence-based suicide prevention program, qpr (question, persuade & refer), as well as a variety of events, activities and displays pertaining to suicide prevention. Efforts are measured by the county suicide rate, inventory of change in community knowledge, stigma and behaviors, as well as participation in the county suicide death review team to monitor for potential trends and respond accordingly. B. Suicide community awareness campaign - sjcf's 3d community health department is working to increase community awareness and knowledge of the factors that offer protection from suicidal behaviors and that promote wellness and recovery. Collaboration with multiple community partners is occurring on an ongoing basis. One objective is to promote effective programs and practices i.e. adverse childhood experiences (aces) that increase protection from suicidal risk and promote connectedness among residents of chippewa and eau claire counties. Success is measured by an inventory of community attitudes and behaviors, county suicide statistics and evidence of increased community knowledge of suicide and the connection between mental and physical health and wellbeing based on survey data that the hospital collects. C. Mental health community awareness campaign - sjcf's 3d community health department, in collaboration with the hospital's marketing department will implement research-informed communication efforts designed to reduce the stigma around mental illness by changing knowledge, attitudes and behaviors in defined segments of the population. We will work to increase communication efforts conducted online (utilizing social media and other mediums) that promote positive messages and promote public awareness that mental health and physical health are equal and inseparable components of overall health. Success will be measured utilizing online data collection tools, such as google analytics and insights for face book, for increased site usage, surveys of community members' increase in knowledge, positive changes in behavior risk surveys, and others. D. State behavioral health alignment - sjcf will continue support and participation in a collaborative effort between hshs western and eastern wisconsin to align behavioral health services between the six hospitals and other behavioral health partners. Alignment and coordination of services within the state will demonstrate success. E. Sjcf's 3d community health department will continue to work collaboratively with the hospital's behavioral health department to provide community education. Events/sessions will be evaluated for effectiveness and measurements of success will be developed. 2) substance use - sjcf is supportive of the implementation and/or continuation of the following efforts to address substance abuse. A. Voices in prevention action team - sjcf will continue its current position as lead for this action team of the chippewa health improvement partnership (chip) to further community education and awareness regarding substance abuse, particularly the dangers of opiate use. B. Promote effective programs and practices, i.e. adverse childhood experiences (aces) that increase protection from substance abuse and prmote connectedness among residents of chippewa and eau claire counties. Increased community knowledge of aces will be tracked and be used as a measure of success. C. L.e. phillips libertas treatment center will continue to provide high quality assessment, intervention and residential alcohol and other drug abuse (aoda) treatment for our community and surrounding areas. 3). Alcohol misuse - sjcf is supportive of the implementation and/or continuation of the following efforts to address alcohol misuse. A. L.e. phillips libertas treatment center will continue to provide high quality assessment, intervention, and residential alcohol and other drug abuse (aoda) treatment for persons in our community and surrounding areas. B. L.e. phillips libertas treatment center will continue to provide aoda education through bi-monthly community seminars, and a variety of other community venues. C. Sjcf will continue support of the voices in prevention action team of chippewa health improvement partnership (chip) and the high-risk drinking prevention action team of eau claire healthy communities to further community education and awareness around aoda issues in the Chippewa and eau claire areas. Evaluations of events/programs will be developed and used to track any changes in community knowledge and/or behaviors. County health rankings will be tracked as well. The following community health needs were also identified and will be incorporated into the hospital's implementation plan as part of the strategies to address one of the top three identified need of mental health, alcohol misuse or obesity. The following health needs are impacted by the top three identified community health needs : Healthy growth & development: the hospital supports the infant mental health action team of chippewa health improvement partnership (chip) whose work impacts this focus area. Sjcf will continue its coordination and support of its first connections program which is a partnership between sjcf and the family support center, chippewa falls that provides a visit by a case worker to all parents in sjcf's birth center to evaluate risk factors and provide information/referral. Obesity and physical activity - sjcf is involved in the implementation and/or continuation of the following efforts to address obesity. A. Obesity and physical activity: the hospital will be incorporating obesity into its work on mental health with attention to body image issues and the positive effect that exercise and healthy weight have on mental health. B. Sjcf will continue community education and awareness of the potential risk factors of obesity via the use and promotion of healthaware on-line risk assessment. Assessments that will be promoted include, but are not limited to, heartaware, sleepaware, strokeaware, breastcanceraware, and coloncanceraware. On-line data collection will be used to track number of visits to sites and other measurement tools will be developed to evaluate success. County health rankings will be tracked as well. C. Sjcf will continue to partner with hshs sacred heart hospital to promote their on-line health assessment tool, "go" chippewa valley. This site encourages people to move at least 15 minutes per day and provides health information, an on-line exercise and diet tracking tool called go my way and information about upcoming classes/events that the hospital's community health department coordinates/hosts. Multiple methods of evaluation will be used including google analytics, event program surveys, number of site visits, etc. D. The hospital supports the chip action team, challenge chippewa, which works to impact physical fitness and overall wellbeing. The health educator for sjcf's 3d community health was instrumental in securing a partnership between challenge chippewa and eau claire county's healthy communities action team to collaborate with gordy's county markets in chippewa and eau claire and the university of new mexico to provide a program that the university has developed to encourage customers to purchase fresh produce at the stores. Chronic disease: as a hospital, sjcf is always concerned with the prevention and management of chronic disease and will continue to incorporate this focus area into community awareness and education events/activities even when those events/activities have a primary focus on mental health.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - HSHS St. Joseph's Hospital, Chippewa Falls. Access to health care -this was not one of the 14 needs that was identified/addressed in our chna but sjcf will continue to work closely with community partners, including the chippewa county department of human services and the health department, insurance agencies/brokers, churches and many more, to advance community awareness around the affordable care act (aca) and encourage enrollment in the health insurance marketplace or other insurance assistance programs. The hospital will collaborate with the other members of the chippewa county aca team that the hospital was instrumental in founding three years ago. As an outcome of the prioritization process, the following community health needs were also identified to a lesser degree and will not be addressed directly by the hospital for the reasons indicated: Adequate, appropriate and safe food and nutrition: the hospital did not take the lead on this issue as we have done in the past. It is addressed by groups including the 18 food assistance services in chippewa county, local school districts, and the county health departments. The hospital supports these efforts by donating community garden proceeds to the local food pantries, providing meals through the local meals on wheels program and hospital colleagues volunteering at the local community meal site and by financial contributions. Injury & violence: the community has a well-established, well- respected community sexual assault and domestic violence agency that is the lead on this area. The hospital does provide financial support during the agency's annual fundraising drive as well as senior leadership serving on agency board of directors. Sjcf will have a primary focus of suicide prevention (self-injury area) and awareness which the hospital is including in the mental health focus area. Reproductive/sexual health: the hospital is not taking the lead in this area as it is best served by the county health department and other agencies with expertise in the area. Environmental/occupational health: while sjcf does have a vibrant occupational health department, the hospital will not take the lead; the county health department will lead and has expertise in. Tobacco use and exposure: sjcf is a smoke-free campus and advocates for smoking cessation but will not lead efforts in the community as it is best addressed through the county health department and to community agencies with expertise in this area.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (22 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH (CONTINUED A)	(continuation of Part VI Line 5) FROM JULY 1, 2015- JUNE 30, 2016 3D PROVIDED 37 ADULT QPR PROGRAMS AND REACHED 1046 COMMUNITY MEMBERS AND 44 YOUTH QPR PROGRAMS THAT REACHED 1161 HIGH SCHOOL STUDENTS. 3D ALSO PROVIDED A PROGRAM DISCUSSING THE COMMUNITY HEALTH NEEDS ASSESSMENT AND AN INTRODUCTION TO THE QPR PROGRAM TO 192 COMMUNITY MEMBERS; EVALUATION RESPONSES INCLUDED: AFTER ATTENDING THE QPR PROGRAM DO YOU FEEL YOU ARE NOW ABLE TO ASK SOMEONE YOU ARE CONCERNED ABOUT IF THEY ARE SUICIDAL? YES-83.64% NO-.5% MAYBE-15.97% AFTER ATTENDING THIS TRAINING HAS YOUR KNOWLEDGE OF AVAILABLE MENTAL HEALTH RESOURCES INCREASED? YES-92.83% NO-.3% MAYBE 3.89% *IT'S FAIR TO NOTE THAT IN OUR INITIAL TRAININGS MANY WHO ATTENDED WERE PEOPLE "IN THE FIELD" THUS THE QUESTION OF INCREASED KNOWLEDGE MAY BE A LITTLE SKEWED AS MANY OF THEM ARE ALREADY VERY AWARE OF RESOURCES. SJCF'S 3D COMMUNITY HEALTH DEPARTMENT LOGGED 651 HOURS PROVIDING QPR TO THE COMMUNITY WITH 1938 PEOPLE TOUCHED AT AN EXPENSE OF $66,054.00. IN ADDITION TO TAKING A LEAD ROLE WITH BRINGING QPR TO THE CHIPPEWA COUNTY AND SURROUNDING AREA SJCF IS COORDINATING EFFORTS WITH EAU CLAIRE HEALTHY COMMUNITIES MENTAL HEALTH ACTION TEAM, THAT IS ALSO PROVIDING QPR IN THE COMMUNITY, TO MAKE SURE THAT EFFORTS ARE NOT DUPLICATIVE OR COMPETING FOR SAME DAY OR SAME AUDIENCES AND TO ENSURE SIMILAR MESSAGING IS USED. IN A DIRECT RESPONSE TO THE COMMUNITIES' REQUEST FOR MORE INFORMATION AROUND SPECIFIC MENTAL ILLNESSES AND HOW TO BETTER RESPOND TO THOSE STRUGGLING WITH MENTAL HEALTH DISORDERS, SJCF'S 3D COMMUNITY HEALTH HAS ALSO TAKEN THE SUICIDE PREVENTION EFFORT A STEP FURTHER. A HEALTH EDUCATOR FROM 3D HAS BECOME A CERTIFIED TRAINER IN MENTAL HEALTH FIRST AID, A NATIONALLY RECOGNIZED 8-HOUR COURSE THAT TEACHES ATTENDEES HOW TO IDENTIFY, UNDERSTAND AND RESPOND TO SIGNS OF MENTAL ILLNESS AND SUBSTANCE USE DISORDERS. THIS SAME HEALTH EDUCATOR AND THE DIVISION DIRECTOR OF 3D COMMUNITY HEALTH WILL BE TRAINED ON YOUTH MENTAL HEALTH FIRST AIDE IN FY17. THESE 8-HOUR PROGRAMS WILL BE DEPLOYED TO COMMUNITY MEMBERS DURING THE UPCOMING YEAR. 3D COMMUNITY HEALTH HAS COLLABORATED WITH AREA AGENCIES TO FORM A SUICIDE REVIEW TEAM IN BOTH EAU CLAIRE AND CHIPPEWA COUNTIES. THESE TEAMS WILL REVIEW DETAILS OF EACH SUICIDE TO LOOK FOR POSSIBLE TRENDS AND KEY PIECES OF INFORMATION THAT MAY GUIDE 3D'S EFFORTS IN TARGETING CERTAIN GEOGRAPHIC AREAS, CERTAIN AGE OR GENDER, ETC. FOR THE MOST EFFECTIVE PROGRAMMING. SUICIDE COMMUNITY AWARENESS CAMPAIGN - SJCF'S 3D COMMUNITY HEALTH AND MARKETING DEPARTMENTS ARE WORKING TO INCREASE COMMUNITY AWARENESS AND KNOWLEDGE OF THE FACTORS THAT OFFER PROTECTION FROM SUICIDAL BEHAVIORS AND THAT PROMOTE WELLNESS AND RECOVERY. COLLABORATION WITH MULTIPLE COMMUNITY PARTNERS IS OCCURRING ON AN ONGOING BASIS. ONE OBJECTIVE IS TO PROMOTE EFFECTIVE PROGRAMS AND PRACTICES I.E. ADVERSE CHILDHOOD EXPERIENCES (ACES) THAT INCREASE PROTECTION FROM SUICIDAL RISK AND PROMOTE CONNECTEDNESS AMONG RESIDENTS OF CHIPPEWA AND EAU CLAIRE COUNTIES. SUCCESS IS MEASURED BY AN INVENTORY OF COMMUNITY ATTITUDES AND BEHAVIORS, COUNTY SUICIDE STATISTICS AND EVIDENCE OF INCREASED COMMUNITY KNOWLEDGE OF SUICIDE AND THE CONNECTION BETWEEN MENTAL AND PHYSICAL HEALTH AND WELLBEING BASED ON SURVEY DATA THAT THE HOSPITAL COLLECTS. AT THE CHILDREN, HEALTH AND FAMILY SUMMIT THAT 3D COMMUNITY HEALTH COORDINATED IN PARTNERSHIP WITH THE COUNTY DEPARTMENT OF HUMAN SERVICES 99 OF THE 190 ATTENDEES TOOK A PRE AND POST EVENT SURVEY ABOUT ACES AND BRAIN DEVELOPMENT. THERE WAS A 24% INCREASE IN THE PERCENTAGE THAT STRONGLY AGREED THAT EXPOSING INFANTS TO STRESS CAN ACTUALLY CAUSE THEM TO DEVELOP A SMALLER BRAIN POST EVENT COMPARED TO PRE EVENT. OTHER QUESTIONS SHOWED SIMILAR POSITIVE RESULTS DEMONSTRATING THE SUCCESS OF THE EVENT IN INCREASING EVENT ATTENDEE'S KNOWLEDGE OF THE ACES. SUBSTANCE USE SJCF WILL CONTINUE ITS CURRENT POISTION AS LEAD FOR "VOICES IN PREVENTION ACTION TEAM" OF THE CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP (CHIP) TO FURTHER COMMUNITY EDUCATION AND AWARENESS REGARDING SUBSTANCE ABUSE, PARTICULARLY THE DANGERS OF OPIATE USE. IN ADDITION, THE HOSPITAL WILL PROMOTE EFFECTIVE PROGRAMS AND PRACTICES, ALCOHOL MISUSE L.E. PHILLIPS LIBERTAS TREATMENT CENTER CONTINUES TO PROVIDE HIGH QUALITY ASSESSMENT, INTERVENTION, AND RESIDENTIAL ALCOHOL AND OTHER DRUG ABUSE (AODA) TREATMENT FOR PERSONS IN OUR COMMUNITY AND SURROUNDING AREAS. L.E. PHILLIPS LIBERTAS TREATMENT CENTER CONTINUES TO PROVIDE AODA EDUCATION THROUGH BI-MONTHLY COMMUNITY SEMINARS, AND A VARIETY OF OTHER COMMUNITY VENUES. THERE WERE 118 PARTICIPANTS IN FY16. SJCF CONTINUES SUPPORT OF THE CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP (CHIP) ACTION TEAM, VOICES IN PREVENTION, TO FURTHER COMMUNITY EDUCATION AND AWARENESS AROUND AODA ISSUES IN THE CHIPPEWA AND EAU CLAIRE AREAS. EVALUATIONS OF EVENTS/PROGRAMS WILL BE DEVELOPED AND USED TO TRACK ANY CHANGES IN COMMUNITY KNOWLEDGE AND/OR BEHAVIORS. COUNTY HEALTH RANKINGS WILL BE TRACKED AS WELL. THIS TEAM IS CURRENTLY COLLECTING COUNTY-WIDE DATA TO ENABLE THEM TO APPLY FOR A DRUG-FREE COMMUNITIES GRANT. ST. JOSEPH'S HOSPITAL HOSTED AN AWARENESS WALK AND BELL CONCORDANCE ON INTERNATIONAL FETAL ALCOHOL SPECTRUM DISORDER AWARENESS DAY, SEPTEMBER 9, 2015. THE BELL CONCORDANCE; IN WHICH THE AREA CHURCHES RANG THE CHURCH BELLS AT 9:09 AM FOR A MINUTE OF REFLECTION WAS FOLLOWED BY A BRIEF EDUCATIONAL PROGRAM ON FASD AND WALK THROUGH THE PARK. BELLS WERE DISTRIBUTED TO PARTICIPANTS. WE WANTED TO DRAW AWARENESS THAT ACCORDING TO THE CDC, AS WELL AS THE U.S. SURGEON GENERAL THERE IS NO SAFE TIME DURING PREGNANCY TO DRINK AND NO SAFE AMOUNT OF ALCOHOL WHEN A WOMAN IS PREGNANT. SEPTEMBER 9TH, 2015 IS INTERNATIONAL FASD AWARENESS DAY, IN COMMEMORATION OF THE NINE MONTHS OF PREGNANCY. FASD (FETAL ALCOHOL SPECTRUM DISORDERS) IS 100% PREVENTABLE WHEN A PREGNANT WOMAN ABSTAINS FROM ALCOHOL. EDUCATIONAL MATERIALS WERE DISPLAYED IN MEDICAL CLINICS, THE YMCA, SUBSTANCE ABUSE TREATMENT CENTER, GOVERNMENT BUILDINGS AND CHILD CENTERS. AN ARTICLE ABOUT NOT DRINKING DURING PREGNANCY WAS FEATURED IN A LOCAL WOMEN'S MAGAZINE WITH A 10,000 + PRINTED CIRCULATION. ANOTHER ARTICLE APPEARED IN THE WESTERN WISCONSIN DIVISION INSPIRING HEALTH MAGAZINE WITH PRINTED CIRCULATION OF 20,000 HOMES. SHEC/SJCF ALSO CO-HOSTED EDUCATION PROGRAM AT L.E. PHILLIPS LIBERTAS TREATMENT CENTER ON FETAL ALCOHOL SPECTRUM DISORDER. 21 PEOPLE ATTENDED THE PROGRAM. 45% INDICATED AN INCREASE IN KNOWLEDGE OF FASD AND 85% INDICATED AN INCREASE IN KNOWLEDGE OF RESOURCES AVAILABLE FOR FASD. OBESITY- CHRONIC DISEASE PREVENTION AND MANAGEMENT GO15 IS A COMMUNITY INITIATIVE DEVELOPED BY SJCF'S MARKETING DEPARTMENT AND IS UTILIZED BY 3D COMMUNITY HEALTH TO ENCOURAGE HEALTHY LIFESTYLE CHOICES. A GOAL OF 3D COMMUNITY HEALTH IS FOR AREA RESIDENTS TO BECOME MORE PHYSICALLY ACTIVE AND LESS OBESE, WHICH HAS BEEN PROVEN TO REDUCE INCIDENCES OF CHRONIC DISEASE. THE STRATEGY UTILIZED TO ACHIEVE THIS GOAL WAS TO AUGMENT THE GO15 INITIATIVE WITH TWO CHALLENGES FOCUSING ON CHRONIC DISEASE ISSUES IDENTIFIED IN OUR 2015 CHNA: OBESITY AND SEDENTARY LIFESTYLES. THE FIRST CHALLENGE WAS A TWO-WEEK NUTRITION-BASED CHALLENGE, STRIVE FOR 5 FRUITS AND VEGETABLES, THAT ENCOURAGED CONSUMPTION OF FRUITS AND VEGETABLES FOR FIVE DAYS EACH WEEK. TWENTY PARTICIPANTS CONSUMED MORE THAN 350 SERVINGS OF FRUITS/VEGETABLES IN THE TWO WEEK TIMEFRAME. THE SECOND CHALLENGE ENCOURAGED PHYSICAL ACTIVITY WITH A FOCUS ON CARDIO PER MINUTE OF EXERCISE. DURING THE 42-DAY CHALLENGE, 83 PARTICIPANTS LOGGED 47,490 MINUTES OF ACTIVITY. 67.3% OF MEMBERS SUCCESSFULLY MET 100% OF THE CHALLENGE GOAL FOR THE NEXT CHALLENGE SJCF HELD. SJCF'S OFFERS AN ONGOING COMMUNITY HEALTH EDUCATION SERIES TO PROMOTE AWARENESS AND EARLY DETECTION IN AN EFFORT TO MINIMIZE THE DEVELOPMENT OF CHRONIC CONDITIONS. A SERIES OF SEVEN COMMUNITY HEALTH EDUCATION PROGRAMS WERE HELD THROUGHOUT FISCAL YEAR 2016 WITH A TOTAL ATTENDANCE OF 2225 (UP FROM 745 IN FY15) COVERING A MULTITUDE OF TOPICS INCLUDING: MINDFULNESS; SLEEP/BREATH/EAT; DIABETES; MENTAL HEALTH AND SUBSTANCE ABUSE AND DEMENTIA AND MUSIC. EVALUATION SUMMARIES INDICATED 95.8% OF ATTENDEES SAID THAT THEY WOULD MAKE A POSITIVE LIFESTYLE CHANGE AFTER THE PROGRAM. (continued below)
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH (CONTINUED B)	(Continuation narrative from Part VI Line 5) SJCF'S CONTINUES TO ENHANCE COMMUNITY EDUCATION ABOUT THE WARNING SIGNS OF STROKE, AS EARLY IDENTIFICATION AND INTERVENTION IS CRITICAL TO IMPROVING OUTCOMES AND SURVIVAL RATES. AN ONLINE SCREENING TOOL, STROKEAWARE, WAS IMPLEMENTED, AND 86 ( AN INCREASE OF 27 FROM FY15) STROKE SCREENINGS WERE COMPLETED FROM JULY 1, 2015- JUNE 30, 2016 WITH 4 CONSULTS OCCURRING. 270 HEART SCREENINGS WERE COMPLETED ( AN INCREASE OF 143) IN THAT SAME TIME PERIOD THROUGH SJCF'S HEARTAWARE ONLINE SCREENING TOOL WITH 4 CONSULTS OCCURRING, AS WELL AS 100 SLEEP SCREENINGS THROUGH SJCF'S SLEEPAWARE. AN ONLINE SCREENING COLON CANCER SCREENING TOOL WAS IMPLEMENTED JANUARY 1, 2015, IN CONJUNCTION WITH AN EDUCATIONAL MARKETING CAMPAIGN, WHICH RESULTED IN 77 COLON CANCER SCREENINGS BEING DONE FROM JANUARY 1- JUNE 30, 2015 WITH A TOTAL OF 114 COMPLETED IN FY16. TWO OTHER ONLINE SCREENING TOOLS WERE IMPLEMENTED AS WELL; BREASTCANCERAWARE (32 COMLETED) AND PROSTATECANCERAWARE (17 COMPLETED) IN FY16. SJCF COORDINATES AND HOSTS AN ANNUAL COMMUNITY EDUCATION EVENT AROUND DIABETES WITH. 81 ATTENDEES IN FY2016. OTHER COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS PROVIDES MULTIPLE EDUCATIONAL CLASSES, PROGRAMS, AND RESOURCES INCLUDING: * PREPARED CHILDBIRTH (EXPECTANT PARENT CLASSES, SIBLING CLASSES, BREASTFEEDING CLASSES, AND LACTATION CONSULTING) WITH 519 ATTENDEES * CPR KITS FOR CLASSES * BABYSITTING SEMINARS WERE PROVIDED TO 50 ADOLESCENTS * SJCF COLLEAGUES ASSISTED WITH THE PLANNING AND IMPLEMENTATION OF A PEDIATRIC HEALTH FAIR WITH HANDS-ON ACTIVITIES IN HEALTH, WELLNESS AND SAFETY FOR SECOND GRADE STUDENTS IN EAU CLAIRE COUNTY. 850 ATTENDEES. * WELLNESS PROGRAMS, SERVICES AND RETREATS * PARTICIPATION IN COMMUNITY AND LOCAL BUSINESS HEALTH FAIRS * ASSISTED IN COORDINATING THE 11TH ANNUAL INDOOR SPORTS CENTER "GET HOOKED ON HEALTH" KIDS EXPO (SAFETY EDUCATION, HEALTH & WELLNESS) WITH OVER 3000 ATTENDEES * 3D COMMUNITY HEALTH EDUCATIONAL SERIES AND OTHER EDUCATION PROGRAMS, SPEAKERS AND FREE SCREENINGS * SAFETY TOWN PROGRAM FOR 225 PRE K-K STUDENTS TO TEACH BASIC SAFETY (TAUGHT IN BLOOMER AND EAU CLAIRE) * ANNUAL COAT DRIVE COLLECTS AND DISTRIBUTES MORE THAN 6,000 COATS TO THOSE IN NEED * SUMMER SAFETY POOL DAY-3D COMMUNITY HEALTH TEAM EDUCATE 520 COMMUNITY MEMBERS ABOUT WEARING SUNSCREEN/SUNGLASSES, AND MAKING SURE THEY ARE STAYING HYDRATED WITH ENOUGH WATER, AND GENERAL SUMMER SUN SAFETY AT AREA PUBLIC POOLS. * MEAL PROGRAMS AND SUPPORT INCLUDING: MEALS FOR SENIOR CITIZENS AND CONGREGATE SITE MEALS * 11 HEALTH SCREENING EVENTS HELD INCLUDING BLOOD PRESSURE SCREENINGS AT HEALTH FAIRS TOUCHING 2489 PEOPLE OTHER SERVICES TO THE COMMUNITY, INCLUDING: * SJCF'S CENTER FOR SPIRITUAL CARE PROVIDED ASSISTANCE WITH 688 POWER OF ATTORNEY FOR HEALTH CARE (ADVANCE DIRECTIVE) FORMS AND NUMEROUS PRESENTATIONS AROUND SPIRITUAL CARE ISSUES. * A VARIETY OF STUDENT INTERN PROGRAMS, WORK SHADOWING, AND TOUR * DISASTER PREPAREDNESS PLANNING * "GOT RED?" EVENT AT OAKWOOD MALL IN FEBRUARY, IN CELEBRATION OF AMERICAN HEART MONTH, INCLUDES HEART HEALTH PRESENTATIONS, PRESENTATION ON WARNING SIGNS OF STROKE, EXERCISE DEMONSTRATIONS, HEART HEALTHY COOKING DEMONSTRATIONS, INCLUDING RECIPES AND COOKBOOKS, AND FREE BLOOD PRESSURE SCREENINGS. OVER 506 PEOPLE ATTENDED THIS EVENT. * PARTICIPATION IN FARM EXPO, INCLUDING FREE BLOOD PRESSURE SCREENINGS * SPONSORSHIP OF MULTIPLE HEALTH WALKS AND FUNDRAISERS FOR VARIOUS NON-PROFIT AGENCIES THAT SHARE SIMILAR MISSIONS AS SJCF. * PARTICIPATION AND SUPPORT OF MULTIPLE COMMUNITY ORGANIZATIONS COMMITTEES AND COUNCILS. * SJCF'S PEDIATRIC THERAPY AND MARKETING DEPARTMENTS COORDINATE AND HOST A FUN-FILLED, FREE EVENING AT THE LOCAL CHILDREN'S MUSEUM FOR DISABLED CHILDREN AS WELL AS AN EASTER EVENT FOR ALL CHILDREN. * SJCF'S PEDIATRIC THERAPY HELD 3 COMMUNITY EDUCATION EVENTS TOUCHING 543 PEOPLE. * JOINT RENEW CAMP- PATIENT SERVICES TO 271 PEOPLE. * FINAL AFFAIRS COMMUNITY EVENT HELD IN PARTNERSHIP WITH AREA NURSING HOME. 68 ATTENDEES. * ANNUAL REMEMBRANCE WALK WAS HELD IN THE CITY'S COMMUNITY PARK TO HONOR BABIES WHO DIED DURING PREGNANCY OR SHORTLY AFTER BIRTH RECENTLY OR PREVIOUSLY TO A FAMILY. A SHORT PRAYER SERVICE AND WALK PROVIDES COMFORT TO THOSE WHO WALK TO REMEMBER THE STEPS THEIR CHILD WILL NEVER TAKE. THE WALK IS SPONSORED FREE OF CHARGE BY THE HOSPITAL'S BIRTH CENTER AND SPIRITUAL CARE SERVICES. * FARM FAMILIES WERE ALSO RECOGNIZED DURING THE YEAR WITH A LUNCHEON, SPEAKER AND HEALTH SCREENINGS TO THANK THEM FOR THEIR MANY CONTRIBUTIONS TO OUR LOCAL COMMUNITIES AND TO ALSO MAKE THEM AWARE OF PRECAUTIONS THEY CAN TAKE TO REMAIN HEALTHY AND SAFE. "GREEN" ENVIRONMENTAL STEWARDSHIP AND SUSTAINABILITY EFFORTS (RECYCLING AND REUSING) INCLUDING: * SJCF'S FOOD AND NUTRITION SERVICES (FANS) CONTINUES TO SEPARATE FOOD WASTE FROM OTHER WASTE STREAMS TO BE COMMERCIALLY COMPOSTED AND ARE IMPLEMENTING RENEWABLE RESOURCE DISPOSABLES WHERE APPLICABLE. * FANS ALSO DONATES TO FEED MY PEOPLE FOOD BANK IN SUPPORT OF THE WEEKEND'S KIDS MEAL PROGRAM TO REDUCE HUNGER. * THE HOSPITAL DONATED LEFTOVER FOOD TO AREA FOOD PANTRIES. * DONATED USED MEDICAL EQUIPMENT TO THIRD WORLD COUNTRIES VIA THE HOSPITAL SISTERS MISSION OUTREACH. * AS AN ORGANIZATION DEDICATED TO CREATING INNOVATIVE METHODS TO REDUCE, REUSE, AND RECYCLE FOR THE BETTERMENT OF OUR COMMUNITY AND PLANET, SEVERAL DEPARTMENTS THROUGHOUT SJCF HAVE DEVELOPED NEW WAYS TO REDUCE WASTE TO OUR LOCAL LANDFILLS. INCLUDED IN THESE EFFORTS IS A UNIQUE PARTNERSHIP WITH A LOCAL BUSINESS, EAU CLAIRE MOVING AND STORAGE, TO REUSE THE CLEAN BLUE WRAPS THAT ARE ON INSTRUMENTS AND INSTRUMENT PANS IN THE STERILE PROCESSING DEPARTMENT AND THE OPERATING ROOM. CURRENTLY THE WRAP IS NOT RECYCLABLE AND EC MOVING IS HELPING BY REUSING THE PRODUCT TO ASSIST WITH PACKING AND MOVING. THIS WAY THE BLUE WRAP PRODUCT WILL BE UTILIZED TWICE PRIOR TO IT REACHING OUR LANDFILLS AND WILL ELIMINATE A SECOND PRODUCT THAT THE MOVERS WOULD NORMALLY USE. THIS IDEA CAME FROM SACRED HEART'S SUSTAINABILITY TEAM AND IS BEING CARRIED OUT BY OR AND SPD COLLEAGUES.
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 7f Bad Debt	The bad debt expense included on Form 990, Part IX, Line 25, column (A) was subtracted prior to and for the purpose of calculating the percentage in Part I, Line 7, column (f) is $189,601.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	189601
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE HOSPITAL USES LYON SOFTWARE (CBISA: COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY) TO DETERMINE SUBSIDIZED SERVICES. PHYSICIAN CLINICS WERE NOT INCLUDED IN THE SUBSIDIZED HEALTH SERVICES. TO DETERMINE THE ACTUAL COST OF THESE SERVICES, THE HOSPITAL USES A COST-TO-CHARGE RATIO BASED ON OUR AUDITED FINANCIAL STATEMENTS TO CALCULATE THE AMOUNTS REPORTED ON LINES 7A THROUGH 7I.
Schedule H, Part II Community Building Activities	SJCF HAS A 137 YEAR HISTORY OF GIVING BACK TO THE COMMUNITY AND IN ADDRESSING COMMUNITY NEED, AT THE MOST BASIC LEVEL. THE HOSPITAL WAS FOUNDED ON THE FRANCISCAN PRINCIPLES OF CARING FOR THE POOR AND MOST VULNERABLE AND WORKING TIRELESSLY TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. SJCF ENHANCES THE QUALITY OF LIFE AND OVERALL WELLBEING OF ITS COMMUNITY MEMBERS BY EXAMINING THE ROOT CAUSES OF HEALTH PROBLEMS AND TACKLING THOSE ISSUES HEAD ON. SJCF ALSO BELIEVES IN UTILIZING THE EXPERTISE OF OTHERS IN THE COMMUNITY TO WORK TOGETHER TO SOLVE COMMUNITY PROBLEMS. A FEW EXAMPLES OF HOW SJCF HAS DONE THIS IS AS FOLLOWS: F7-COMMUNITY SUPPORT *COMMUNITY CONNECT DINNER: HSHS ST. JOSEPH'S AND SACRED HEART HOSPITALS PARTNERED WITH LOCAL AGENCIES THAT MAKE UP THE CHIPPEWA COUNTY HUNGER AND HOMELESSNESS COALITION TO HOST A COMMUNITY CONNECT DINNER THAT REACHED 100 COMMUNITY MEMBERS. THE EVENT WAS HELD AT AGNES'S TABLE, WHICH IS A FREE MEAL SITE IN CHIPPEWA FALLS. DINERS AT THE JANUARY 28 EVENT WERE TREATED TO A GOURMET ITALIAN MEAL PREPARED BY A LOCAL CHEF. A MUSICAL TRIO DONATED THEIR TIME AND TALENT TO PROVIDE MUSIC AND ENTERTAINMENT. THE TABLES WERE SET WITH CHINA, STEMWARE, LINENS AND THE MEALS WERE SERVED WAITRESS STYLE TO GUESTS. ALL THE FOOD, DECORATIONS AND STAFF TIME WERE DONATED BY LOCAL AGENCIES AND YOUTH GROUPS. PRIOR TO THE DINNER, LOCAL RESOURCE AGENCIES HAD INFORMATIONAL BOOTHS SET UP FOR GUESTS TO LEARN ABOUT RESOURCES AVAILABLE IN THE COMMUNITY. THE PURPOSE OF THE DINNER WAS THREE-FOLD: TO LINK FOLKS IN POVERTY TO LOCAL RESOURCES; TO ADMINISTER THE SEMI-ANNUAL UNSHELTERED POINT-IN-TIME COUNT SURVEY; AND TO GIVE THE DINERS A MEMORABLE AND PLEASURABLE DINING EXPERIENCE. 3D COMMUNITY HEALTH COLLEAGUES SERVE ON THE LEGACY COMMUNITY CENTER BOARD OF DIRECTORS. GOALS OF THE LEGACY COMMUNITY CENTER ARE TO IMPROVE THE HEALTH, WELLNESS AND SELF-SUFFICIENCY OF CITIZENS, REDUCE POVERTY TO POSITIVELY IMPACT THE NEED FOR PUBLIC FINANCIAL SERVICES AND INCREASE THE NUMBER OF INDIVIDUALS AND FAMILIES ABLE TO MEET THEIR BASIC NEEDS AND INCREASE THEIR DISPOSABLE INCOME. AMONG OUR COMMUNITY BUILDING EFFORTS WAS THE SJCF'S HOSPITAL REVERENCE FOR THE EARTH "GREEN TEAM" AND HOSPITAL SISTERS HEALTHCARE-WEST OFFERED GARDENING PLOTS FOR THE 2015 GROWING SEASON. THIS SUCCESSFUL INITIATIVE CONTINUED IN FY16. THE GARDEN PLOTS ARE AVAILABLE FOR LEASE BY INDIVIDUALS, HOUSEHOLDS OR ORGANIZATIONS FOR THE SOLE PURPOSE OF PROVIDING FOOD FOR THOSE IN NEED. INDIVIDUALS AND FAMILIES IN THE CHIPPEWA VALLEY EXPERIENCE HUNGER ON A DAILY BASIS AND SJCF'S COMMUNITY GARDEN HAS BEEN ESTABLISHED TO OFFER PEOPLE AN OPPORTUNITY TO GROW THEIR OWN VEGETABLES TO SUPPLEMENT THEIR DIET. OTHERS, SUCH AS FAMILIES, CLUBS, YOUTH GROUPS, CHURCHES AND SERVICE ORGANIZATIONS WERE ALSO ENCOURAGED TO RESERVE GARDEN SPACE TO GROW VEGETABLES FOR DONATION TO LOCAL FOOD PANTRIES. THE COMMUNITY GARDEN ALSO ACCEPTS DONATIONS OF SURPLUS VEGETABLES FROM HOME GARDENS. THE GARDEN IS COMPLETELY IRRIGATED AND SURROUNDED BY AN 8' TALL DEER FENCE AND LOCKED GATES, SO GARDENERS DO NOT HAVE TO WORRY ABOUT BRINGING WATER TO THEIR GARDEN PLOT OR BE CONCERNED ABOUT DEER PREDATION OR VANDALISM, WHICH REDUCED YIELDS IN PREVIOUS YEARS. THIS GARDEN YIELDED 2000 LBS. OF FRESH PRODUCE WHICH WAS DONATED TO AREA NEEDY FAMILIES. F6-COALITION BUILDING SJCF SUPPORTS THE HEALTHY COMMUNITIES INITIATIVES OF THE AREA (CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP AND EAU CLAIRE HEALTHY COMMUNITIES) FINANCIALLY AND BY HOSPITAL COLLEAGUES SERVING ON THE STEERING COMMITTEES AND ACTION TEAMS AND ASSISTING AT EVENTS/ACTIVITIES AS WELL AS PROVIDING IN-KIND DONATIONS OF PRINTING, VENUE AND REFRESHMENTS FOR MEETINGS AND MUCH MORE. ANOTHER EXAMPLE OF SJCF'S COMMUNITY BUILDING EFFORTS WAS ST. JOSEPH'S COLLABORATION TO MAKE CHIPPEWA FALLS A DEMENTIA FRIENDLY BUSINESS COMMUNITY. SJCF, THE CHIPPEWA COUNTY'S AGING AND DISABILITY RESOURCE CENTER, THE ALZHEIMER'S ASSOCIATION, AND THE MAIN STREET ASSOCIATION IN A COORDINATED EFFORT, WORKED TOGETHER TO MAKE DOWNTOWN BUSINESSES DEMENTIA FRIENDLY. SJCF PROVIDED BUSINESS CARDS FOR DEMENTIA PATIENTS TO HAND TO LOCAL BUSINESSES WHEN SHOPPING IN THEIR STORE TO MAKE STORE CLERKS AWARE OF THEIR DIFFICULTY. THE HOSPITAL'S MARKETING DEPARTMENT ALSO DESIGNED AND PROVIDED WINDOW STICKERS FOR BUSINESSES TO PUT IN THEIR DOORWAYS ADVISING DEMENTIA PATIENTS THAT THEIR BUSINESS WAS DEMENTIA FRIENDLY. SJCF IS READILY SHARING ITS MATERIALS WITH OTHER COMMUNITIES THAT ALSO WISH TO BEGIN INITIATIVES. THE MAIN STREET ASSOCIATION RECEIVED 100% SUPPORT FROM DOWNTOWN BUSINESSES FOR THIS PROJECT AND LOCAL BUSINESSES WERE TRAINED BY VOLUNTEERS TO LEARN HOW TO MORE EFFECTIVELY INTERACT WITH DEMENTIA PATIENTS. F5-LEADERSHIP DEVELOPMENT AND LEADERSHIP TRAINING FOR COMMUNITY MEMBERS SJCF PROVIDED SUICIDE PREVENTION QPR TRAIN THE TRAINER TRAINING FOR 14 PROFESSIONALS IN THE COMMUNITY. SJCF'S 3D COMMUNITY HEALTH STAFF CONDUCTED A SERIES OF LEADERSHIP DEVELOPMENT CLASSES FOR NEW LEADERS AT THE CHIPPEWA COUNTY DHS. INCLUDED IN THE TRAINING WERE A BEHAVIORAL ASSESSMENT TOOL AND A 360 DEGREE LEADERSHIP DEVELOPMENT PROFILE.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	Self-pay patients are screened for verification of no insurance coverage. Once verification of no coverage has been completed, the guarantors will be screened for charity or uninsured discounts based on income levels. Those guarantors who do not qualify for charity through the screening process will be asked to provide proof of income in the form of a recent pay stub and/or recent tax return to determine the level of uninsured discounting. If no proof of income is provided or a guarantor's income is greater than 201% of the federal poverty level, the appropriate discount according to the established criteria up to 600% of the federal poverty level will be applied. The amount of money not collected from those self-pay patients who are not eligible for charity care is reported as bad debt. Allowances for Doubtful Accounts have been recorded based on an historical matrix, using collectability percentages by payor and aging category in accordance with HSHS Executive Policy #F-23, Valuation of Net Accounts Receivable. Percentages are based on historical experience at the hospital and adjusted for known limitations. The hospital reports bad debt in accordance with Generally Accepted Accounting Principles (GAAP).
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	The hospital strongly believes that its charity care, and the related community benefit obtained from such care, is understated because of those patients who potentially qualify for charity care but do not wish to apply for it. In addition, some care is not classified as charity because of missing documentation on patient resources. Thus, the hospital's bad debt includes a portion that could be classified as charity care if application for such care was sought and/or completed. 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 page 21 of the HSHS Consolidated Audit Report.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE HOSPITAL CONTINUALLY STRIVES TO PROVIDE EXCELLENT PATIENT CARE IN THE MOST COST EFFECTIVE FASHION. NONETHELESS, THE MEDICARE PROGRAM, IN MANY CASES, DOES NOT PROVIDE PAYMENT THAT COVERS THE FULL COST OF THE CARE PROVIDED. SINCE IT IS THE MISSION OF THE HOSPITAL TO RESPOND TO COMMUNITY NEED, HOSPITAL MANAGEMENT CONTINUALLY ADVOCATES FOR IMPROVED MEDICARE PAYMENT SO THAT THE COST OF QUALITY CARE TO THOSE PATIENTS WHO ARE NOT ABLE TO AFFORD IT IS NOT COMPROMISED AND IS FAIRLY SUBSIDIZED BY ALL PAYERS. WHILE THIS SHORTFALL IN MEDICARE PAYMENTS IS NOT CLASSIFIED AS COMMUNITY BENEFIT BY THE IRS, WE NONETHELESS BELIEVE IT IS AN IMPORTANT CONTRIBUTION MADE BY THE HOSPITAL TO THE HEALTH AND WELL-BEING OF THE COMMUNITY. IF THE MEDICARE PROGRAM DID NOT EXIST, MANY MEDICARE PATIENTS WOULD BE ELIGIBLE FOR CHARITY CARE OR OTHER MEANS-TESTED GOVERNMENT PROGRAMS. FURTHER, BY ABSORBING THIS PAYMENT SHORTFALL AND PROVIDING CARE BELOW COST TO THESE INDIVIDUALS, HSHS ST. JOSEPH'S HOSPITAL IS RELIEVING THE BURDENS OF THE GOVERNMENT. ACCORDINGLY, THIS SHORTFALL RESTRICTS HSHS ST. JOSEPH'S HOSPITAL'S ABILITY TO MAKE FUNDS AVAILABLE TO PROVIDE FOR CHARITY CARE AND OTHER COMMUNITY BENEFITS. THE HOSPITAL MEDICARE SHORTFALL AT COST FOR FISCAL YEAR 2016 WAS $7,211,358.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	EVERY EFFORT IS MADE PRIOR TO, DURING AND AFTER THE PROVISION OF MEDICAL CARE SERVICES TO DETERMINE IF A PATIENT IS ELIGIBLE FOR CHARITY/COMMUNITY CARE AND TO ASSIST THE PATIENT IN COMPLETING THE APPLICATION AND PROVIDING ADEQUATE DOCUMENTATION. IF THE PATIENT QUALIFIES FOR CHARITY/COMMUNITY CARE FOR THE FULL BALANCE OF THEIR ACCOUNT, THE ENTIRE AMOUNT IS WRITTEN OFF TO CHARITY/COMMUNITY CARE AND HENCE NO DEBT COLLECTION IS PURSUED. IF THE PATIENT QUALIFIED FOR CHARITY/COMMUNITY CARE FOR A PORTION OF THEIR ACCOUNT BALANCE, THAT PORTION IS WRITTEN OFF TO CHARITY/COMMUNITY CARE WITH THE PATIENT BEING RESPONSIBLE FOR THE REMAINDER OF THE BALANCE. ADDITIONALLY, REASONABLE EFFORT WILL BE MADE TO OBTAIN THIRD-PARTY OR GOVERNMENT PAYER REIMBURSEMENT ON BEHALF OF THE PATIENT. IF THOSE EFFORTS ARE NOT FRUITFUL, AN OFFER WILL BE EXTENDED TO THE PATIENT TO MAKE INSTALLMENT PAYMENT ON THEIR BALANCE. ONLY AT SUCH POINT THAT THE PATIENT DEFAULTS ON INSTALLMENT PAYMENTS OR REFUSES TO COOPERATE WITH THE HOSPITAL EFFORTS TO BE REIMBURSED WILL THE ACCOUNT BE SENT TO COLLECTIONS.
Schedule H, Part V, Section B, Line 16a FAP website	- ST JOSEPH'S HOSPITAL: Line 16a URL: http://www.stjoeschipfalls.com/Patients-Guests/Financial-Assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	- ST JOSEPH'S HOSPITAL: Line 16b URL: http://www.stjoeschipfalls.com/Patients-Guests/Financial-Assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- ST JOSEPH'S HOSPITAL: Line 16c URL: http://www.stjoeschipfalls.com/Patients-Guests/Financial-Assistance;
Schedule H, Part VI, Line 2 Needs assessment	As indicated in Part V, Section C, HSHS St. Joseph's Hospital in Chippewa Falls conducted a Community Health Needs Assessment in FY2015 (July 1, 2014 through June 30, 2015). In previous years, the hospital assessed community need by IDENTIFYING UNMET COMMUNITY HEALTH NEEDS AND DEVELOPING A PLAN TO HELP IMPROVE THE HEALTH OF OUR COMMUNITY. AN EXAMPLE OF THIS IS THE UNIQUE APPROACH UTILIZED BY SJCF AND SISTER HOSPITAL SACRED HEART IN FY2012 WHEN THE TWO HOSPITALS CONDUCTED TWO "TOWN HALL" MEETINGS WITH MORE THAN 800 INDIVIDUALS PARTICIPATING AND GIVING VOICE TO WHAT THEY BELIEVED COULD ENHANCE THE HEALTH OF THEIR COMMUNITY. IN ADDITION, 30 COMMUNITY "VISIONING" SESSIONS WERE HELD TO REACH DIVERSE GROUPS OF INDIVIDUALS BEYOND THE BORDERS OF EAU CLAIRE COUNTY, MOST OF WHICH ARE DESIGNATED AS RURAL. PEOPLE OF ALL AGES, ECONOMIC STATUS, THE UNDERSERVED, AND THOSE EXPERIENCING ACCESS BARRIERS PARTICIPATED. GROUPS THAT PARTICIPATED IN THE "VISIONING" SESSIONS INCLUDED LOCAL SCHOOL CHILDREN, MEMBERS OF THE AMISH COMMUNITY, PATIENTS OF THE CHIPPEWA VALLEY FREE CLINIC, LOCAL COLLEGE STUDENTS, PATRONS AND STAFF OF THE ST. FRANCIS FOOD PANTRY AND ELDERLY ASSISTED LIVING CENTER PATIENTS AND STAFF, TO NAME A FEW. THE HOSPITAL'S PLAN CONTINUES TO BE FOCUSED ON ENHANCING THE HEALTH AND WELLNESS OF THE COMMUNITY WE SERVE THROUGH CLINICAL PROGRAMS AND SERVICES, COMMUNITY EDUCATION AND OUTREACH, AND CONTINUED COLLABORATION AND PARTNERSHIPS WITH OTHER LOCAL ORGANIZATIONS. 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, HSHS St. Joseph'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.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	THE REGISTRATION DEPARTMENT PROVIDES BROCHURES TO PATIENTS UPON REGISTRATION REGARDING THE PAYMENT ASSISTANCE PROGRAM AVAILABLE TO THEM AT HSHS ST. JOSEPH'S HOSPITAL. BROCHURES ARE ALSO SUPPLIED IN WAITING AND ANCILLARY AREAS FOR EASY ACCESS BY THE PATIENT. IF THE PATIENT EXPRESSES FINANCIAL CONCERNS, THEY MEET WITH HOSPITAL STAFF TO REVIEW ELIGIBILITY FOR INSURANCE OPTIONS AS WELL AS A REVIEW OF OUR COMMUNITY CARE POLICY. IF NEEDED LANGUAGE TRANSLATORS ARE AVAILABLE TO TRANSLATE BOTH WRITTEN AND VERBAL COMMUNICATION FOR ALL LANGUAGES THAT ARE PRESENT IN OUR MARKET. THE ORGANIZATION HAS A REPRESENTATIVE ON SITE TO ASSIST PATIENTS WHO MAY BE ELIGIBLE FOR MEDICAID ASSISTANCE THROUGH THE WISCONSIN DEPARTMENT OF PUBLIC ASSISTANCE. THEY WORK WITH PATIENTS TO DETERMINE IF THEY MAY BE ELIGIBLE, AND IF SO, ASSIST IN COMPLETING 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 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 PASSPORT PAYNAV IS NOW BEING UTILIZED AFTER FAILED ATTEMPTS MADE BY THE HOSPITAL AND OUR LAW FIRM TO WORK OUT PAYMENT ARRANGEMENTS. THAT SYSTEM REVIEWS CREDIT AND OTHER PUBLICLY AVAILABLE FINANCIAL INFORMATION TO DISCERN 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. JOSEPH'S HOSPITAL (SJCF) IS AN ACUTE CARE COMMUNITY HOSPITAL LOCATED IN CHIPPEWA FALLS, WISCONSIN. CHIPPEWA FALLS HAS A POPULATION OF 13,718 (2013) AND IS THE COUNTY SEAT OF CHIPPEWA COUNTY, WITH A POPULATION OF 63,132 (54 PERCENT URBAN, 46 PERCENT RURAL) IN 2013. CHIPPEWA COUNTY IS ST. JOSEPH'S HOSPITAL PRIMARY SERVICE AREA. ITS SECONDARY SERVICE AREA INCLUDES SURROUNDING COUNTIES: PORTIONS OF BARRON, CLARK, DUNN, RUSK AND TAYLOR COUNTIES. CHIPPEWA COUNTY IS THE LARGEST OF THE SIX COUNTIES. FIVE OUT OF SIX SERVICE AREA COUNTIES ARE CONSIDERED RURAL BY THE U.S. DEPARTMENT OF AGRICULTURE. EVIDENCE CONTINUES TO SUGGEST THAT RURAL SETTINGS IN THE U.S. EXHIBIT PRONOUNCED NEEDS IN THE AREAS OF HEALTH, EDUCATION, AND ECONOMIC SECURITY. IT IS IMPORTANT TO BE MINDFUL OF THE RURAL DISTINCTION TO BETTER ADDRESS THESE DISPARITIES BY FOCUSING PROGRAMS AND SERVICES APPROPRIATELY TO THESE COMMUNITIES. THE SERVICE AREA POPULATION IS AGING, MUCH LIKE THE REST OF THE NATION. THE LARGEST SEGMENT OF GROWTH FROM 2000 TO 2010 OCCURRED IN THE 18 TO 64 YEAR OLD AGE CATEGORY WITH A GROWTH RATE OF 16.9 PERCENT FOLLOWED BY A 10.3 PERCENT GROWTH RATE IN THE 65+ YEAR OLD AGE CATEGORY. THE NUMBER OF 0 TO 18 YEARS OLDS IS DECLINING. COMBINED POPULATION GROWTH FOR THESE SIX COUNTIES WAS APPROXIMATELY 6.6 PERCENT BETWEEN 2000 AND 2010. ALONG WITH THE AGING POPULATION COME INCREASED HEALTH CARE COSTS WITH CHRONIC DISEASE. STUDIES INDICATE THAT THE HEALTH OF THE AGING POPULATION CAN BE MAINTAINED AND CHRONIC DISEASES CAN BE REDUCED BY PROMOTING HEALTHY BEHAVIORS AND EXPANDING PREVENTIVE HEALTH SERVICES. THE SERVICE AREA'S RACIAL PROFILE IS PRIMARILY WHITE (95.2 PERCENT), HIGHER THAN THE STATE (86.2 PERCENT) AND NATION (72.4 PERCENT). THE LARGEST MINORITY POPULATION IN THE SERVICE AREA IS HISPANIC OR LATINO (1.8 PERCENT), WITH OTHER RACES MAKING UP THE REMAINING 3 PERCENT OF THE POPULATION. SEVERAL UNIQUE MINORITY POPULATIONS ARE FOUND IN WESTERN WISCONSIN, INCLUDING THE AMISH, MENNONITES AND HMONG. WISCONSIN HAS THE FOURTH HIGHEST AMISH POPULATION IN THE NATION. SEVERAL COMMUNITIES OF AMISH ARE SPRINKLED THROUGHOUT CHIPPEWA AND THE SURROUNDING COUNTIES WITH SIGNIFICANT SETTLEMENTS IN BARRON, BUFFALO AND CLARK COUNTIES. DETERMINING AN ACCURATE NUMBER OF AMISH AND MENNONITES LIVING IN THE STATE IS NOT EASY, AS THE CENSUS BUREAU AND OTHER STATISTICAL AGENCIES DO NOT HAVE DATA ON RELIGIOUS AFFILIATION. WHILE THE 2009 MEDIAN HOUSEHOLD INCOME OF THE U.S. AND WISCONSIN ARE BOTH APPROXIMATELY $50,000 PER YEAR, SJCF'S SERVICE AREA AVERAGE MEDIAN HOUSEHOLD INCOME IS ABOUT $7,000 LOWER. EVEN THOUGH EVERY COUNTY IS BELOW THE STATE AND NATIONAL MEAN, SOME COUNTIES ARE SIGNIFICANTLY BELOW. FOR EXAMPLE, WHILE CHIPPEWA COUNTY HAS THE HIGHEST MEAN AT $50,327 PER YEAR, RUSK COUNTY HAS THE LOWEST MEAN AT $38,000 PER YEAR. SOCIOECONOMICS IS ONE OF THE MOST INFLUENTIAL DETERMINANTS IN AN INDIVIDUAL'S LEVEL OF ACCESS TO HEALTH CARE (I.E., INDIVIDUALS WITH A LOWER SOCIOECONOMIC STATUS IN THE U.S. HAVE LOWER LEVELS OF GENERAL HEALTH, INSURANCE COVERAGE, IN ADDITION TO LESS ACCESS TO CARE) (AMERICAN JOURNAL OF PUBLIC HEALTH, 2000). INSURANCE COVERAGE IN THE COUNTIES OF SJCF'S SERVICE AREA FAR EXCEEDS THAT OF THE U.S. IN GENERAL. HOWEVER, WHEN COMPARED TO WISCONSIN, ALL SIX COUNTIES HAVE UNINSURED RATES THAT ARE EQUIVALENT TO OR EXCEED THE STATE AVERAGE. INSURANCE COVERAGE IS STRONGLY RELATED TO BETTER HEALTH OUTCOMES FOR BOTH CHILDREN AND ADULTS WHEN IT MAKES HEALTH CARE SERVICES AFFORDABLE AND HELPS INDIVIDUALS AND FAMILIES USE CARE APPROPRIATELY. UNINSURED INDIVIDUALS GENERALLY RECEIVE MUCH LESS CARE, EITHER PREVENTIVE OR FOR ACUTE AND CHRONIC CONDITIONS, THAN INSURED INDIVIDUALS. IN PARTICULAR, UNINSURED ADULTS REPORT LOWER LEVELS OF SELF-PERCEIVED WELLNESS AND FUNCTIONING. THERE ARE TWO ACUTE-CARE HOSPITALS OFFERING TERTIARY LEVEL SERVICES INCLUDING CARDIOVASCULAR SURGERY, NEUROSURGERY, ONCOLOGY AND TRAUMA LEVEL II IN NEARBY EAU CLAIRE: HSHS SACRED HEART HOSPITAL (SHEC) AND MAYO CLINIC HEALTH SYSTEM - EAU CLAIRE, AS WELL AS OAKLEAF SURGICAL HOSPITAL. THE HOSPITAL SISTERS HEALTH SYSTEM AND MAYO HEALTH SYSTEM HAVE EXTENSIVE PENETRATION IN EAU CLAIRE COUNTY. LIKEWISE, THE OAKLEAF MEDICAL NETWORK AND MARSHFIELD CLINIC OFFER SERVICES AT SEVERAL SITES THROUGHOUT THE COUNTY. RESIDENTS LOCATED ON THE PERIPHERY OF SJCF'S SERVICE AREA HAVE ACCESS TO EQUIVALENT AND EVEN GREATER LEVELS OF ACUTE CARE. TO THE WEST, THE TWIN CITIES MARKET BOASTS SEVERAL LARGE COMMUNITY HOSPITALS WITH TRAUMA LEVEL 1 AND AN ACADEMIC MEDICAL CENTER. A COMPREHENSIVE HEALTH CARE NETWORK, INCLUDING TWO HOSPITALS, A LARGE MULTI-SPECIALTY GROUP PRACTICE, AND A REGIONAL COMMUNITY CLINIC, EXISTS TO THE SOUTH IN LA CROSSE. TO THE EAST, MINISTRY HEALTHCARE, ST. JOSEPH'S HOSPITAL, MARSHFIELD AND THE MARSHFIELD CLINIC PHYSICIAN GROUP PROVIDE BOTH ACUTE CARE AND PRIMARY CARE SERVICES.
Schedule H, Part VI, Line 5 Promotion of community health	As a healing ministry of the catholic church and an affiliate of hospital sisters health system (hshs), hshs st. Joseph's hospital (sjcf) is committed to delivering high quality, compassionate, and cost-effective health care services to all. The hospital was founded more than 137 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 eau claire, wisconsin and surrounding areas. The hospital is governed by a board of directors, at least a majority of who reside in the hospital's primary service area and who are neither employees nor independent contractors of the hospital (nor family members thereof). The board ensures that sjcf is responding to community need. In fy2015, for example, the board reviewed the community health needs assessment and approved an implementation plan for addressing the selected health focus areas of mental health, alcohol misuse and obesity. The chna was also reviewed and approved by the chippewa health improvement partnership (chip) steering committee. Chip is the healthy communities' initiative that is hosted by sjcf. The chip steering committee is comprised of concerned individuals representing area schools, churches, businesses, health & medical facilities, senior citizens, government & legal agencies and the public at large who are interested in creating a healthier community. The division director of sjcf's 3d community health provides written and verbal updates to the hospital board throughout the year on the various community benefit initiatives the hospital is involved in and regarding any new needs that may arise. Multiple board members routinely seek out and engage in conversation with the 3d division director about community need and how the hospital board might best serve the hospital and meet community need. There are also other bodies that assist sjcf's connection's with the community, such as our advisory council, the patient and family advisory council, the st. Joseph's foundation, and our volunteer partners board. Also consistent with its exempt purpose, sjcf has an open medical staff with privileges available to all qualified physicians in the area. The hospital also operates an emergency department that is open 24 hours to all persons regardless of their ability to pay. As a not-for-profit hospital, sjcf reinvests surplus funds to support the mission of the organization and health of the community rather than distributing surplus funds as profits to shareholders or individuals. Funds not committed to ongoing operations are generally used to upgrade facilities, secure new technologies, improve patient care, and support initiatives designed to promote health and ensure access for all. Sjcf is currently working with its parent organization, hospital sisters health system, to continuously enhance quality and improve coordination of care both inside the hospital and with a growing number of physician partners. Supported by investments in information technology, this "care integration" strategy is designed to better coordinate care, improve health outcomes, create new efficiencies, and help ensure that patients (especially those with chronic conditions) get well and stay well. Sjcf also devotes significant resources to access for patients who cannot afford care, along with other community benefits. In fiscal year 2016, sjcf provided more than $9.6 million in community benefit services, including charity care at cost, unpaid costs of medicaid and other public programs, and a range of diverse programs designed to enhance access and improve community health. Additionally, in fiscal year 2016, sjcf provided $59,506 (at cost) in uncompensated care to patients who did not qualify for charity care or public assistance and more than $7.2 million (at cost) in excess of medicare payment for health care services. Sjcf provides a range of community benefit activities and programs that furthers our mission and long-standing commitment to our community. In many cases, these community benefit initiatives would not exist without the leadership role played by sjcf and they often relieve a burden that would otherwise be carried by government. In fy2016, sjcf continued its involvement in community building activities that addressed laying a foundation for a healthier, safer and better educated community. The hospital continues to draw from the fy15 community health needs assessment (chna) which surfaced the following health focus areas to be addressed by the hospital in collaboration with other hospitals and community organizations: 1) mental health; 2) substance use; and 3) alcohol misuse. Hshs st. Joseph's hospital's board of directors approved implementation strategies for each health priority identified through the chna fy2015 process. The development and expansion of services and programs targeted to meet the three top health needs, in particular meeting fundamental behavioral health needs, creates an explicit link to improving community health status. Coordination of these preventative and treatment services and programs among local health care providers, community health and social service providers, and other health promotion agencies is necessary so that western wisconsin residents get the appropriate prevention, diagnostic and treatment services needed. Though socioeconomic challenges are difficult to eliminate, western wisconsin residents will benefit from sjcf's efforts to improve access to mental health services, information and education pertaining to alcohol and other drug abuse issues, chronic disease preventative health and management services, and health education programming. Mental health Access to mental health care services for the uninsured and underinsured. Hshs st. Joseph's hospital (sjcf) expanded access to mental healthcare for children and adolescents by partnering with their sister hospital, sacred heart in eau claire to open an outpatient behavioral health clinic in eau claire in fy2012. This service is incredibly important as it increases outpatient coverage for mental health services that are lacking in the community. Sjcf/shec will continue to expand the program by recruiting additional physician providers to serve this location. In tandem, the use of screening tools for behavioral and mental health risk will be promoted among hospital-affiliated clinics for improved identification of mental health issues and earlier intervention. Sjcf also partners with the open door clinic (a free community medical care clinic that sjcf was instrumental in founding and continues to support) to expand provider coverage for odc patients who require mental health care services. Sjcf is also actively involved in a collaboration between its sister hospitals to the north and on the eastern side of the state along with area primary care clinicians in which the partners are exploring ways to better align behavioral health services between these locations in the hope expanding access to mental health services and filling identified gaps that currently exist. Education and awareness of mental health. Sjcf's 3d community health works closely with the hospital's behavioral health department to provide community education and events that bring research-based information to the public, drawing on the expertise of the behavioral health colleagues. Suicide prevention initiative - sjcf's 3d community health department is leading suicide prevention activities across multiple sectors and settings in collaboration with chippewa health improvement partnership, eau claire healthy communities, and multiple other community partners to promote awareness that suicide is a public health problem that is preventable. Strategies include community trainings of an evidence-based suicide prevention program, qpr (question, persuade & refer), as well as a variety of events, activities and displays pertaining to suicide prevention. Efforts are measured by the county suicide rate, inventory of change in community knowledge, stigma and behaviors, as well as participation in the county suicide death review team to monitor for potential trends and respond accordingly. In an effort to combat the rising rate of suicides in eau claire county sjcf's 3d community health has taken the lead in the area on suicide prevention by coordinating train the trainer sessions as well as community education sessions on qpr (question, persuade, and refer), an evidence-based suicide prevention program. (continued below)
Schedule H, Part VI, Line 6 Affiliated health care system	HSHS St. Joseph's Hospital in Chippewa Falls 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	WI

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 (12 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOAN COFFMAN
CEO/PRESIDENT	$0	$290,250	$0	$51,918	$0	$61,252	$0	$109,792	$0	$22,079	$0	$535,291	$0	$31,552
JULIE MANAS
DIVISION PRES/CEO	$0	$466,432	$0	$78,843	$0	$21,109	$0	$155,297	$0	$25,069	$0	$746,750	$0	$0
LAWRENCE SCHUMACHER
Former DIRECTOR	$0	$255,552	$0	$152,120	$0	$1,052,448	$0	$63,423	$0	$9,282	$0	$1,532,825	$0	$342,101
PETER MANNIX
Board Member	$0	$346,185	$0	$58,018	$0	$65,314	$0	$135,165	$0	$35,097	$0	$639,779	$0	$49,945
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
DAVE NELSON
DIVISION CHIEF FINANCIAL OFFICER	$0	$278,910	$0	$30,580	$0	$3,280	$0	$55,031	$0	$22,800	$0	$390,601	$0	$0
Estella Clark
Chief Nursing Officer	$159,874	$0	$11,486	$0	$780	$0	$31,442	$0	$16,058	$0	$219,640	$0	$0	$0
RONDA ADLER
PHARMACIST	$169,681	$0	$0	$0	$554	$0	$39,404	$0	$8,313	$0	$217,952	$0	$0	$0
SARA JORGENSON
PHARMACIST	$160,531	$0	$0	$0	$0	$0	$39,978	$0	$10,135	$0	$210,644	$0	$0	$0
Lois Klay
Vice President (Partial Year)	$135,147	$0	$0	$0	$55,274	$0	$103,550	$0	$7,970	$0	$301,941	$0	$0	$0
Chris Klay
Division Director	$143,838	$0	$0	$0	$7,330	$0	$16,439	$0	$22,435	$0	$190,042	$0	$0	$0
LARRY STUDT
PHYSICIAN	$232,579	$0	$9,568	$0	$780	$0	$31,676	$0	$22,800	$0	$297,403	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	PLEASE SEE RESPONSE TO FORM 990, PART VI, LINE 15A IN SCHEDULE O.
Schedule J, Part I, Line 4a Severance or change-of-control payment	Organization: Hospital Sisters Health System, Inc. EIN: 37-1058692 Interested Person: Lawrence Schumacher Amount: $476,419 Terms: Compensation paid as a result of a severance from the position of COO. Organization: St. Joseph's Hospital of the Hospital Sisters of St Francis, Inc. EIN: 39-0810545 Interested Person: Lois Klay Amount: $16,536 Terms: Compensation paid as a result of a severance from the position of Vice President.
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 2015; THESE DEFERRALS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). ANN M. CARR -- $31,485 PETER MANNIX -- $41,432 JOAN COFFMAN -- $36,356 JULIE MANAS -- $55,012 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 M. CARR -- $29,789 PETER MANNIX -- $49,945 JOAN COFFMAN -- $31,552 LARRY SCHUMACHER --$342,101

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Pathology Service Corporation	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	Director	RelationshipDescriptionTxt
Transaction	$102,252	TransactionAmt
Transaction	Hospital Based Pathology Services	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS	ST. JOSEPH'S HOSPITAL PROVIDES QUALITY MEDICAL HEALTHCARE TO THE SURROUNDING COMMUNITY REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND FINANCIAL STABILITY OF ST. JOSEPH'S HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. AND, FURTHER THAT OUR MISSION IS TO SERVE THE COMMUNITY BY PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. INHERENT IN OUR MISSION, WE PROVIDE CARE TO THE POOR, THE ELDERLY, AND THE NEEDY OF THE COMMUNITY THROUGH VARIOUS PROGRAMS AND SERVICES. THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDER SERVED, AND VARIETY OF COMMUNITY SUPPORT ENDEAVORS. ST. JOSEPH'S HOSPITAL PROVIDED THE FOLLOWING SERVICES IN FISCAL YEAR 06/30/16: 4,038 ADULT AND PEDIATRIC INPATIENT DAYS OF CARE 10,323 ALCOHOL AND DRUG ABUSE INPATIENT DAYS OF CARE 78,923 OUTPATIENT HOSPITAL VISITS 11,054 OUTPATIENT ALCOHOL AND DRUG ABUSE VISITS 15,263 HOME HEALTH VISITS 18,243 HOSPICE DAYS ST. JOSEPH'S HOSPITAL PROVIDES BOTH BENEFITS TO THE POOR AND FOR THE BROADER COMMUNITY. BENEFITS TO THE POOR ARE PROVIDED IN THE FORM OF TRADITIONAL CHARITY CARE, FOR THOSE WHO CANNOT AFFORD TO PAY, AS WELL AS UNPAID COSTS OF PUBLIC PROGRAMS SUCH AS MEDICAID AND GENERAL RELIEF. TOTAL VALUE OF THESE NON-REIMBURSED BENEFITS FOR THE POOR WERE $8,658,684 IN FISCAL YEAR 06/30/16. ST. JOSEPH'S HOSPITAL ALSO PROVIDES NUMEROUS BENEFITS TO THE BROADER CHIPPEWA VALLEY AREA. THESE BENEFITS ARE PROVIDED BY OUR PARTICIPATION IN THE MEDICARE PROGRAM, PROVIDING MANY PROGRAMS AND SERVICES FREE OR AT A REDUCED PRICE AND PROVIDING SERVICES THAT BENEFIT THE COMMUNITY BUT HAVE A NEGATIVE MARGIN. THE UNPAID OR NON-REIMBURSED COST OF PARTICIPATION IN THE MEDICARE PROGRAM WAS $7,211,358 IN FISCAL YEAR 06/30/16. TOTAL QUANTIFIABLE BENEFITS FOR THE BROADER COMMUNITY WERE $1,176,216 IN FISCAL YEAR 06/30/16. THE FOLLOWING IS A LISTING OF SPECIFIC EXAMPLES OF SERVICES INCLUDED IN THE ABOVE FIGURES: MEALS REIMBURSED AT LESS THAN COST TO ELDERLY OF THE COMMUNITY. ORGAN AND TISSUE DONATION PROGRAM COORDINATED WITH PASTORAL CARE, NURSING SERVICES, AND THE WISCONSIN EYE BANK AND ORGAN PROCUREMENT SERVICE IN MADISON, WISCONSIN. PASTORAL CARE SERVICES PROVIDED 24 HOURS PER DAY. PHYSICIAN REFERRAL SERVICE FOR NEW RESIDENTS OF THE AREA. PARTICIPANT IN THE PROJECT CARE SEAT PROGRAM OFFERING INFANT CAR SEATS AT A MINIMAL RENTAL RATE. SHARPS DISPOSAL PROGRAM FOR THOSE IN THE COMMUNITY WHO MUST DISPOSE OF NEEDLES AND SYRINGES. SOCIAL SERVICE DEPARTMENT TO ASSIST FAMILIES WITH EMOTIONAL AND SOCIAL PROBLEMS. HOSPICE GRIEF SUPPORT PROGRAM TO HELP THOSE WHO HAVE LOST LOVED ONES DEAL WITH THE GRIEVING PROCESS. SHARE PROGRAM TO HELP THOSE WHO HAVE LOST INFANTS TO MISCARRIAGE, ECTOPIC PREGNANCY, STILLBIRTH OR NEWBORN DEATH. BABY-SITTERS CLINIC. BACK IN BALANCE SPONSORED BY PHYSICAL THERAPY DEPARTMENT FOR PEOPLE WITH CHRONIC BACK PAIN. BIG KID/LITTLE KID PROGRAM TO PREPARE EXPECTANT PARENTS AND BIGGER BROTHERS AND SISTERS FOR THE NEW ADDITION TO THE FAMILY. FREE BLOOD PRESSURE SCREENING OFFERED IN THE HOSPITAL EMERGENCY ROOM. CHILDREN'S HEALTH FAIR FOR AREA FIRST GRADERS THAT ALLOWS THEM TO SEE A HOSPITAL BEFORE THEY NEED TO USE ONE. DIABETES CONSULTATION AND DIABETES EDUCATION OFFERED AT NOMINAL FEES TO NEW DIABETICS AND THEIR FAMILIES. EMERGENCY NURSES C.A.R.E. (CANCEL ALCOHOL-RELATED EMERGENCIES) PROGRAM TO EDUCATE THE YOUTH OF THE COMMUNITY ABOUT THE DANGERS OF DRINKING AND DRIVING. FIRST CARE PROGRAM IS A RESPONDER/FIRST AID PROGRAM FOR FARM FAMILIES. FRESH START QUIT SMOKING CLINIC OFFERED AT A NOMINAL FEE FOR THOSE WISHING TO QUIT SMOKING. HOSPICE VOLUNTEER TRAINING PROGRAM TO TRAIN PEOPLE TO HELP SUPPORT HOSPICE PATIENTS AND FAMILIES. NATURAL FAMILY PLANNING PROGRAM TO HELP THOSE WISHING TO PRACTICE BIRTH CONTROL WITHOUT THE USE OF CHEMICALS OR OTHER MEDICAL DEVICES. PRENATAL CLASSES FOR FIRST TIME PARENTS AND REFRESHER CLASSES FOR PARENTS EXPECTING ANOTHER CHILD OFFERED AT NO COST. SPEAKERS' BUREAU FOR CLUBS AND ORGANIZATIONS OFFERED AT NO CHARGE ON MANY DIFFERENT HEALTH CARE TOPICS. THE MOBILE HEALTH UNIT OFFERS DIAGNOSTIC HEALTH TESTS AND SCREENINGS, HEALTH EDUCATION, WELLNESS AND PREVENTION INFORMATION TO THE COMMUNITY AT REDUCED FEES. FREE SCREENING TO DETERMINE IF SOMEONE HAS A DEPENDENCY ON ALCOHOL/DRUGS. FREE PROGRAMS FOCUSING ON VARIOUS ASPECTS AND OUTCOMES OF CHEMICAL DEPENDENCY. INFANT MASSAGE CLASSES OFFERED AT A MINIMAL FEE. PARENTS LEARN TECHNIQUES OF MASSAGE FROM A PHYSICAL THERAPIST THAT WILL HELP TO COMFORT THEIR INFANT AND HELP THEIR CHILD RELAX AND SLEEP. WOMEN'S HEALTH CENTER OFFERED SEVERAL FREE EDUCATIONAL PROGRAMS TO THE PUBLIC FOCUSING ON SUCH TOPICS AS BREAST DISEASE AND OSTEOPOROSIS. FREE STROKE PREVENTION SCREEN CLINIC PROVIDED. BLOOD PRESSURE, PULSE, AND CHOLESTEROL CHECK ALONG WITH FAMILY HISTORY. FREE DEPRESSION SCREENING CLINIC OFFERED TO HELP PEOPLE DETERMINE IF THEY HAVE DEPRESSION. CLASSES FOR PARENTS AND YOUTHS TO PREPARE FOR THE TIME THE YOUTHS BECOME ADOLESCENTS. FREE PUBLIC/COMMUNITY FORUM FOCUSING ON THE SOCIETAL PROBLEMS ASSOCIATED WITH CHEMICAL DEPENDENCY. CO-SPONSORED TWO SENIOR FUN DAYS FOR AREA SENIORS TO LEARN ABOUT HEALTH, HEALTH SCREENINGS OFFERED. *CO-SPONSORED CHILDCARE WORKSHOPS AS A RESOURCE OF CONTINUING EDUCATION FOR CHILDCARE PROVIDERS.
Form 990, Part IV, Line 24a TAX EXEMPT BONDS	ST JOSEPHS HOSPITAL HOLDS A LIABILITY ON ITS BOOKS FOR TAX-EXEMPT BONDS, WHICH IS AN ALLOCATION FROM ITS SOLE CORPORATE MEMBER, HOSPITAL SISTERS SERVICES, INC. AS A RESULT, THIS QUESTION WAS ANSWERED NO, AND SCHEDULE K WILL BE COMPLETED ON THE HOSPITAL SISTERS SERVICES, INC. FORM 990.
Form 990, Part VI, Line 13 WHISTLEBLOWER POLICY	PROVISIONS WITHIN THE CORPORATE COMPLIANCE PROGRAM AND CONFLICT OF INTEREST POLICY PROVIDE PROTECTIONS FOR WHISTLEBLOWER TYPE ACTIVITIES.
Form 990, Part VI, Line 16b JOINT VENTURES	HOSPITAL SISTERS HEALTH SYSTEM ADOPTED A JOINT VENTURE COMPLIANCE PROGRAM POLICY EFFECTIVE ON JANUARY 1, 2012 FOR ALL SYSTEM HOSPITALS, INCLUDING ST. JOSEPH'S HOSPITAL. THE OVERALL PURPOSE OF THE POLICY IS TO PROVIDE PRACTICAL GUIDELINES FOR ETHICAL BUSINESS CONDUCT, TO ACHIEVE COMPLIANCE, AND TO DETECT AND PREVENT VIOLATIONS OF APPLICABLE LAWS. THE POLICY REQUIRES ST. JOSEPH'S HOSPITAL, AND ALL HSHS HOSPITALS, TO EVALUATE THEIR PARTICIPATION IN JOINT VENTURE ARRANGEMENTS, INCLUDING UNDER APPLICABLE FEDERAL TAX LAWS, AND TO SAFEGUARD ST. JOSEPH'S HOSPITAL'S TAX EXEMPT STATUS WITH RESPECT TO ANY JOINT VENTURE ARRANGEMENTS.
Form 990, Part VI, Line 6 Classes of members or stockholders	THE SENIOR GOVERNING BODY OF ST. JOSEPH'S HOSPITAL CHIPPEWA FALLS (THE "CORPORATION") IS THE MEMBER OF THE CORPORATION, WHICH IS HOSPITAL SISTERS SERVICES, INC. ("HSSI"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. PURSUANT TO SECTION 2.3 OF THE CORPORATION'S BYLAWS,
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	PURSUANT TO SECTION 2.3 OF THE CORPORATION'S BYLAWS, THE ORGANIZATION'S MEMBER, HOSPITAL SISTERS SERVICES, INC. ("HSSI"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, HAS THE RIGHT TO APPOINT AND REMOVE THE CORPORATION'S BOARD OF DIRECTORS, CHAIRPERSON OF THE BOARD AND PRESIDENT. HSSI HAS THE RIGHT TO APPOINT AND REMOVE THE CORPORATION'S BOARD OF DIRECTORS, CHAIRPERSON OF THE BOARD AND PRESIDENT
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	RESPONSIBILITY FOR THE POLICY AND OPERATIONS OF ST. JOSEPH'S HOSPITAL CHIPPEWA FALLS (THE "CORPORATION") IS VESTED IN ITS BOARD OF DIRECTORS, EXCEPT WITH RESPECT TO SPECIFIC POWERS RESERVED IN THE CORPORATION'S BYLAWS TO THE CORPORATION'S MEMBER, HOSPITAL SISTERS SERVICES, INC. ("HSSI"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE MEMBER OF HSSI IS HOSPITAL SISTERS HEALTH SYSTEM ("HSHS"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE 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 PREPARATION, REVIEW AND ELECTRONIC SUBMISSION OF ITS FORM 990. CROWE HORWATH PROVIDES GUIDANCE IN IDENTIFYING CRITICAL ERRORS IN THE RETURN SUBMISSION, AND FEEDBACK ON QUANTITATIVE AND QUALITATIVE RESPONSES. ADDITIONALLY, THE HOSPITAL CFO PERFORMS A THOROUGH REVIEW OF THE RETURN AND REVIEWS IT WITH THE HOSPITAL CEO AND/OR SENIOR LEADERS BEFORE PRESENTING IT IN ITS ENTIRETY TO THE HOSPITAL BOARD FOR QUESTIONING AND REVIEW PRIOR TO THE RETURN'S SIGNING AND SUBMISSION TO THE IRS.
Form 990, Part VI, Line 12c Conflict of interest policy	THE ORGANIZATION IS SUBJECT TO THE CORPORATE COMPLIANCE PROGRAM AND CONFLICT OF INTEREST POLICY ("POLICY") OF HOSPITAL SISTERS HEALTH SYSTEM, AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. A REVISED CORPORATE COMPLIANCE PROGRAM AND CONFLICT OF INTEREST POLICY HAVE BEEN IMPLEMENTED SINCE JANUARY 2009 TO MANAGE CONFLICTS OF INTEREST USING A SYSTEM-WIDE PROTOCOL FOR DISCLOSURE STATEMENTS. IN ACCORDANCE WITH THE ORGANIZATON'S CONFLICT OF INTEREST POLICY, ALL COVERED PERSONS HAVE A DUTY TO COMPLY WITH THE CONFLICT OF INTEREST POLICY FOR ANY CONTRACT, TRANSACTION, RELATIONSHIP, OR ACTIVITY CONTEMPLATED, ENTERED INTO, OR CONDUCTED AT HSHS OR ITS AFFILIATES. THE POLICY DEFINES COVERED PERSONS AS BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS, BOARD DESIGNEES, SENIOR MANAGEMENT, MEMBERS OF ANY COMMITTEE THAT OVERSEES THE APPROVAL OF PHARMACEUTICALS AND MEDICAL DEVICES, AND ANY OTHER INDIVIDUAL WHO HOLDS A POSITION OF TRUST. ON AN ANNUAL BASIS, HSHS DISCLOSES A COPY OF THE CONFLICT OF INTEREST POLICY (AND ALL CORRESPONDING PROCEDURES, GUIDELINES, FORMS AND TOOLS) TO ALL COVERED PERSONS, AND ADVISES ALL COVERED PERSONS IN WRITING OF ANY SUBSTANTIVE CHANGES TO THIS POLICY AND SUCH RELATED MATERIALS. COVERED PERSONS ARE REQUIRED TO REVIEW AND COMPLETE THE CORRESPONDING CONFLICT OF INTEREST STATEMENT. THE SYSTEM OFFICE VICE PRESIDENT - SYSTEM RESPONSIBILITY, VICE PRESIDENT - RISK & COMPLIANCE OR MEMBERS OF THE AUDIT AND INTEGRITY COMMITTEE ("COMMITTEE") ARE AVAILABLE TO ANSWER ANY QUESTIONS A COVERED PERSON MAY HAVE. IN ADDITION, IF AT ANY TIME AFTER SUBMITTING AN ANNUAL CONFLICT OF INTEREST STATEMENT, A COVERED PERSON BECOMES AWARE OF AN INTEREST THAT HE OR SHE WOULD HAVE HAD TO DISCLOSE AT THE ANNUAL INTERVAL, THE COVERED PERSON IS REQUIRED PROMPTLY TO DISCLOSE THE INTEREST TO THE COMMITTEE USING THE HSHS CONFLICT OF INTEREST DISCLOSURE STATEMENT. COMPLETED CONFLICT OF INTEREST STATEMENTS ARE SUBMITTED TO THE COMMITTEE, WHICH IS RESPONSIBLE FOR IDENTIFYING, ASSESSING, AND MANAGING CONFLICTS OF INTEREST THAT ARISE IN THE COURSE OF CONDUCTING THE AFFAIRS OF HSHS AND ITS AFFILIATES. IF THE COMMITTEE DETERMINES THAT A CONFLICT OF INTEREST EXISTS, THE CONFLICT OF INTEREST POLICY REQUIRES HSHS NOT TO ENGAGE IN, OR ENTER INTO, A PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY UNLESS THE COMMITTEE OR, WHERE NECESSARY, THE BOARD OF DIRECTORS (ACTING THROUGH ITS DISINTERESTED MEMBERS), HAS INVESTIGATED ALTERNATIVES TO THE PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY AND, IN THE ABSENCE OF ALTERNATIVES THAT ARE IN THE BEST INTERESTS OF HSHS, HAS DETERMINED: 1. THAT, REGARDLESS OF WHETHER THE COVERED PERSON PARTICIPATES IN THE IMPLEMENTATION OF THE PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY; 2. THE CONTRACT, TRANSACTION, ARRANGEMENT, OR ACTIVITY IS IN THE BEST INTERESTS OF HSHS; 3. THE CONTRACT, TRANSACTION, ARRANGEMENT, OR ACTIVITY IS FAIR AND REASONABLE FROM THE PERSPECTIVE OF HSHS; AND 4. HSHS CANNOT OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION, ARRANGEMENT, OR ACTIVITY WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. IN DETERMINING WHETHER A CONTRACT, TRANSACTION OR ARRANGEMENT IS FAIR AND REASONABLE TO HSHS, THE COMMITTEE SHALL CONSIDER, WHERE APPLICABLE: 1. APPRAISALS OR OTHER INDEPENDENT VALUATIONS OF THE FAIR MARKET VALUE OF THE CONTRACT, TRANSACTION, OR ARRANGEMENT; 2. INFORMATION REGARDING COMPARABLE CONTRACTS, TRANSACTIONS, OR ARRANGEMENTS BETWEEN UNRELATED PARTIES; 3. OFFERS FROM COMPARABLE COMPETING ENTITIES; AND/OR 4. STUDIES OF COMPARABLE COMPENSATION ARRANGEMENTS. IN ANY CASE IN WHICH THE COMMITTEE FINDS, AFTER TAKING THE STEPS DESCRIBED ABOVE, THAT HSHS SHOULD PARTICIPATE IN A PROPOSED TRANSACTION OR ARRANGEMENT DESPITE THE EXISTENCE OF A CONFLICT OF INTEREST, THE COMMITTEE SHALL DEVELOP, IMPLEMENT, MONITOR, AND ENFORCE COMPLIANCE WITH, A CONFLICT MANAGEMENT PLAN FOR MANAGING THE CONFLICT OF INTEREST AS IT CONSIDERS NECESSARY FOR SUCH FINDINGS TO REMAIN VALID THROUGHOUT THE LIFE OF THE CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY. ALL CONFLICT MANAGEMENT PLANS SHALL: 1. STATE THAT THE COMMITTEE WILL OVERSEE, MONITOR, AND ENFORCE COMPLIANCE WITH THE PLAN THROUGHOUT THE COURSE OF THE STUDY, AND SPECIFY MEANS FOR DOING SO, INCLUDING, WITHOUT LIMITATION, THAT THE APPROPRIATE INDIVIDUALS MUST PROVIDE THE COMMITTEE WITH WRITTEN REPORTS PERTAINING TO COMPLIANCE WITH THE CONFLICT MANAGEMENT PLAN, THAT THE COMMITTEE SHALL HAVE THE RIGHT TO AUDIT THE STUDY FOR SUCH COMPLIANCE, AND THE RIGHT TO IMPOSE SANCTIONS FOR NON-COMPLIANCE; 2. STATE THAT THE PLAN MUST BE SHARED WITH COVERED PERSON WHOSE INTERESTS IT WAS DEVELOPED TO MANAGE; 3. STATE THAT THE PLAN MUST BE SHARED WITH, AND PERIODIC REPORTS ON COMPLIANCE WITH THE PLAN MUST BE PROVIDED TO, THE BOARD, SENIOR MANAGEMENT, AND/OR GOVERNMENT AGENCIES; AND 4. PROVIDE FOR SUCH OTHER MANAGEMENT STEPS AND MECHANISMS THE COMMITTEE CONSIDERS NECESSARY AND APPROPRIATE. IN ADDITION TO THE COMMITTEE, THE SYSTEM OFFICE VICE PRESIDENTS OF SYSTEM RESPONSIBILITY AND RISK & COMPLIANCE MAY RETAIN SUCH INDEPENDENT ADVISORS OR EXPERTS AS DEEMED NECESSARY TO ASSIST IN MAKING ITS DETERMINATIONS AND DECISIONS. IF THE COMMITTEE DETERMINES THAT THE CONTEMPLATED TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY CANNOT PROCEED DUE TO A CONFLICT OF INTEREST, THE COMMITTEE SHALL INFORM THE APPLICABLE COVERED PERSON OR DECISION-MAKING BODY OF SUCH DETERMINATION WITHIN ONE WEEK OF THE COMMITTEE MEETING AT WHICH THE CONTEMPLATED TRANSACTION WAS DISCUSSED. THE COMMITTEE SHALL DOCUMENT ITS REJECTION OF THE CONTEMPLATED TRANSACTION IN THE COMMITTEE'S MEETING MINUTES.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	THE COMPENSATION COMMITTEE ("COMMITTEE") IS COMPRISED OF INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. THE COMMITTEE DEVELOPS A COMPENSATION PHILOSOPHY FOR THE SYSTEM AND ALL AFFILIATES. THE COMMITTEE SELECTS AND HIRES THE INDEPENDENT COMPENSATION CONSULTANT TO DEVELOP COMPARABILITY DATA AND ADVISE THE COMMITTEE DURING ITS DELIBERATIONS REGARDING ALL ELEMENTS OF TOTAL COMPENSATION FOR ALL DISQUALIFIED INDIVIDUALS. INTEGRATED HEALTHCARE STRATEGIES ("IHS"), THE CONSULTANTS UTILIZED BY THE COMMITTEE, USE DATA FROM MULTIPLE TAX-EXEMPT PEER GROUP SOURCES TO DETERMINE SALARY RANGES, INCENTIVE OPPORTUNITY RANGES, AND BENEFITS FOR THE DISQUALIFIED INDIVIDUALS. IHS THEN ASSISTS THE COMMITTEE IN PREPARING CONTEMPORANEOUS DOCUMENTATION OF ALL ACTIONS. EACH COMMITTEE MEETING IS CONDUCTED WITH THE INTENT TO CREATE A REBUTTABLE PRESUMPTION OF REASONABLENESS FOR ALL ELEMENTS OF EXECUTIVE TOTAL COMPENSATION FOR THE DISQUALIFIED INDIVIDUALS. THE CHAIRMAN MAKES THIS DECLARATION AND ALSO INQUIRES IF THERE ARE ANY CONFLICTS OF INTEREST BY ANY ATTENDEES. ANY CONFLICTS ARE DISCLOSED AND THE COMMITTEE THEN ACTS IN A MANNER TO AVOID ANY CONFLICTED INDIVIDUAL PARTICIPATING IN ANY MANNER WHERE A CONFLICT MIGHT EXIST. AT THE END OF THE MEETING, THE COMMITTEE PREPARES CONTEMPORANEOUS MINUTES THAT RECORD ALL ACTIONS TAKEN DURING THE MEETING.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	PLEASE SEE RESPONSE TO FORM 990, PART VI, LINE 15A.
Form 990, Part VI, Line 19 Required documents available to the public	BOARD-APPROVED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC AT THIS TIME.
Form 990, Part IX, Line 11g Other Fees	Purchased professional services - Total Expense: 4693406, Program Service Expense: 4526403, Management and General Expenses: 167003, Fundraising Expenses: 0; Purchased Medical Services - Total Expense: 751121, Program Service Expense: 751121, Management and General Expenses: 0, Fundraising Expenses: 0; Other - Total Expense: 2859466, Program Service Expense: 2324196, Management and General Expenses: 535270, Fundraising Expenses: 0;
Form 990, Part X, Line 11 POOLED INVESTMENT ACCOUNT	ST. JOSEPH'S HOSPITAL'S CASH RESERVES ARE INVESTED IN A POOLED INVESTMENT ACCOUNT. PARTICIPATION IN THE POOLED FUND IS LIMITED TO THE 501(C)(3) HOSPITALS AND RELATED HEALTH SERVICES ORGANIZATIONS SPONSORED BY THE HOSPITAL SISTERS HEALTH SYSTEM. THE POOLED ACCOUNT CONSISTS OF CASH, AND EQUITY AND DEBT SECURITIES THAT ARE PUBLICLY TRADED. IN ACCORDANCE WITH THE PROVISIONS OF SFAS NO. 124 "ACCOUNTING FOR CERTAIN INVESTMENTS HELD BY NOT-FOR-PROFIT ORGANIZATIONS," INVESTMENTS IN EQUITY SECURITIES WITH READILY DETERMINABLE VALUES, AND ALL INVESTMENTS IN DEBT SECURITIES, ARE REPORTED AT FAIR VALUE ON THE BALANCE SHEET. INCOME, REALIZED AND UNREALIZED GAINS AND LOSSES ARE POOLED AND ALLOCATED TO THE PARTICIPANTS. INDIVIDUAL COMPONENTS OF ASSETS AND REVENUE ARE NOT IDENTIFIED TO THE PARTICIPANTS.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Change in fair value of the interest rate swaps - -1262409; Swap payments - -350633; Change in Temporarily Restricted Net Assets - 835050; Change in Permanently Restricted Net Assets - -3518094; Transfer to Affiliates - -3598686; Pension-related changes other than net periodic pension costs - -9818035;

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 I	HSSI	Yes (true)
SACRED HEART HOSPITAL
990 WEST CLAIREMONT AVENUE	EAU CLAIRE	WI	54701	390807060	HEALTHCARE	WI	501(c)(3	3	HSSI	Yes (true)
ST ANTHONY'S HOSPITAL
503 N MAPLE STREET	EFFINGHAM	IL	62401	370661233	HEALTHCARE	IL	501(c)(3	3	HSSI	Yes (true)
ST ELIZABETH'S HOSPITAL
211 SOUTH THIRD STREET	BELLEVILLE	IL	62220	370663567	HEALTHCARE	IL	501(c)(3	3	HSSI	Yes (true)
ST NICHOLAS HOSPITAL
3100 SUPERIOR AVENUE	SHEBOYGAN	WI	53081	390808480	HEALTHCARE	WI	501(c)(3	3	HSSI	Yes (true)
ST JOHN'S HOSPITAL
800 EAST CARPENTER STREET	SPRINGFIELD	IL	62769	370661238	HEALTHCARE	IL	501(c)(3	3	HSSI	Yes (true)
ST JOSEPH'S HOSPITAL
9515 HOLY CROSS LANE	BREESE	IL	62230	371208459	HEALTHCARE	IL	501(c)(3	3	HSSI	Yes (true)
ST MARY'S HOSPITAL
1800 E LAKE SHORE DRIVE	DECATUR	IL	62521	370661244	HEALTHCARE	IL	501(c)(3	3	HSSI	Yes (true)
ST MARY'S HOSPITAL
111 Spring Street	Streator	IL	61364	362169181	HEALTHCARE	IL	501(c)(3	3	HSSI	Yes (true)
ST MARY'S MEDICAL CENTER
1762 SHAWANO AVENUE	GREEN BAY	WI	54303	390818682	HEALTHCARE	WI	501(c)(3	3	HSSI	Yes (true)
ST VINCENT HOSPITAL
835 S VAN BUREN	GREEN BAY	WI	51301	390817529	HEALTHCARE	WI	501(c)(3	3	HSSI	Yes (true)
ST JOSEPH'S HOSPITAL
12866 TROXLER AVENUE	HIGHLAND	IL	62249	370663568	HEALTHCARE	IL	501(c)(3	3	HSSI	Yes (true)
ST FRANCIS HOSPITAL
1215 FRANCISCAN DRIVE	LITCHFIELD	IL	62056	370661236	HEALTHCARE	IL	501(c)(3	3	HSSI	Yes (true)
HOSPITAL SISTERS SERVICES INC
4936 LAVERNA ROAD	SPRINGFIELD	IL	62707	371163402	HEALTHCARE	IL	501(c)(3	Type III-FI	HSHS	Yes (true)
HSHS MEDICAL GROUP INC
3215 EXECUTIVE PARK DRIVE	SPRINGFIELD	IL	62703	263956318	HEALTHCARE	IL	501(c)(3	Type III-FI	HSSI	Yes (true)
HSHS WISCONSIN MEDICAL GROUP INC
3215 EXECUTIVE PARK DRIVE	SPRINGFIELD	IL	62703	264515959	HEALTHCARE	WI	501(c)(3	Type III-FI	HSSI	Yes (true)
ORANGE CROSS AMBULANCE INC
919 ASHLAND AVENUE	SHEBOYGAN	WI	53081	391860942	HEALTHCARE	WI	501(c)(3	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	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule R, Part V, Line 2 TRANSACTIONS WITH RELATED ENTITIES	FormAndLineReferenceDesc
Explanation	ANY TRANSACTIONS LISTED ON SCHEDULE R, PART V, LINE 1 AND NOT ON SCHEDULE R, PART, V, LINE 2 ARE BETWEEN RELATED 501(C)(3) AND DO NOT REQUIRE REPORTING ON THIS SECTION.	ExplanationTxt