SACRED HEART HOSPITAL OF THE HOSPIT AL SISTERS-3RD ORDER OF ST FRANCIS: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- SACRED HEART HOSPITAL OF THE HOSPIT AL SISTERS-3RD ORDER OF ST FRANCIS (EIN 39-0807060)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-13
- IRS object ID
- 201601349349303855
- Schema version
- 2014v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-13T13:09:00-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | 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 | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390807060 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sacred Heart Hospital of Hospital Sisters of Third Order of St Francis | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SACR | BusinessNameControlTxt |
| Phone | 7157176122 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 West Clairemont Avenue | AddressLine1Txt |
| City | Eau Claire | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54701 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVE NELSON | PersonNm |
| Person Title | DIVISION CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Signature | 2016-05-12 | 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 | 2014 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JULIE MANAS | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 West Clairemont Avenue | AddressLine1Txt |
| City | Eau Claire | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $253,462,535 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.sacredhearteauclaire.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1890 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE THE MEANS WHEREBY SACRED HEART CAN CONTINUE THEIR APOSTOLIC MISSION TO SERVE THE SICK, THE AGED, THE POOR AND THE TERMINALLY ILL WITHOUT REGARD TO RACE, COLOR, CREED, OR NATIONAL ORIGIN. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 1615 | TotalEmployeeCnt |
| Total Volunteers | 400 | TotalVolunteersCnt |
| Total Gross UBI | $899,667 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $341,821 | PYContributionsGrantsAmt |
| CY Contributions Grants | $461,529 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $224,190,133 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $238,085,590 | CYProgramServiceRevenueAmt |
| PY Investment Income | $23,108,672 | PYInvestmentIncomeAmt |
| CY Investment Income | $13,672,105 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,641,423 | PYOtherRevenueAmt |
| CY Other Revenue | $1,243,311 | CYOtherRevenueAmt |
| PY Total Revenue | $249,282,049 | PYTotalRevenueAmt |
| CY Total Revenue | $253,462,535 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $94,062,754 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $95,311,197 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $100,187,412 | PYOtherExpensesAmt |
| CY Other Expenses | $100,905,384 | CYOtherExpensesAmt |
| PY Total Expenses | $194,250,166 | PYTotalExpensesAmt |
| CY Total Expenses | $196,216,581 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $55,031,883 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $57,245,954 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $568,245,547 | TotalAssetsBOYAmt |
| Total Assets EOY | $614,929,898 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $117,723,405 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $128,451,088 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $450,522,142 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $486,478,810 | NetAssetsOrFundBalancesEOYAmt |
| Mission | SEE SCHEDULE O - ORGANIZATION'S MISSION | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $163,612,827 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $237,234,799 | RevenueAmt |
| Desc | SEE SCHEDULE O - PART III LINE 4A | Desc |
| Total Program Service Expenses | $163,612,827 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 82 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1615 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STEVE PALECEK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7157173783 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 WEST CLAIREMONT AVENUE | AddressLine1Txt |
| City | EAU CLAIRE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54701 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 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 |
|---|---|---|---|---|---|---|---|---|---|
| JULIE MANAS | |||||||||
| PRESIDENT/CEO | 60.00 | 2.00 | Yes (X) | Yes (X) | $0 | $532,580 | $119,743 | ||
| DAVID KIEFER | |||||||||
| Chair | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GERALD JACOBSON | |||||||||
| Secretary | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| KAREN HEBERT | |||||||||
| Vice Chairperson (Partial Year) | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BRUCE BARKER | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Lon Blazer | |||||||||
| Director | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| JOAN COFFMAN | |||||||||
| Director | 1.00 | 61.00 | Yes (X) | $0 | $399,492 | $108,901 | |||
| JAMES E DOCKSEY | |||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| GREG HEILER MD | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Timothy Pitchford | |||||||||
| Director | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Dennis Breen | |||||||||
| Director (Partial Year) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SR MARYBETH CULNAN OSF | |||||||||
| DIRECTOR (Partial Year) | 1.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| LAWRENCE SCHUMACHER | |||||||||
| DIRECTOR (partial year) | 1.00 | 50.00 | Yes (X) | $0 | $1,078,182 | $242,235 | |||
| James Theisen | |||||||||
| Director (Partial Year) | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| ANN M CARR | |||||||||
| TREASURER | 0.25 | 59.25 | Yes (X) | $0 | $335,735 | $228,208 | |||
| DAVE NELSON | |||||||||
| DIVISION CHIEF FINANCIAL OFFICER | 30.00 | 30.00 | Yes (X) | $305,544 | $0 | $72,713 | |||
| FAYE DEICH | |||||||||
| Chief Operating Officer | 60.00 | 0 | $365,665 | $0 | $158,029 | Yes (X) | |||
| AMY DWYER | |||||||||
| CHIEF NURSING OFFICER | 60.00 | 0 | $232,630 | $0 | $229,005 | Yes (X) | |||
| HUMAYUN KAHN | |||||||||
| Chief Medical Officer | 30.00 | 30.00 | $338,304 | $0 | $53,384 | Yes (X) | |||
| JOHN WACIUMA | |||||||||
| PHYSICIAN | 40.00 | 0 | $728,743 | $0 | $76,438 | Yes (X) | |||
| MONICA MCDONALD | |||||||||
| PHYSICIAN | 40.00 | 0 | $545,788 | $0 | $65,274 | Yes (X) | |||
| KEVIN HESS | |||||||||
| PHYSICIAN | 40.00 | 0 | $318,573 | $0 | $68,886 | Yes (X) | |||
| Ricardo Bayola | |||||||||
| Physician | 40.00 | 0 | $307,057 | $0 | $74,068 | Yes (X) | |||
| John Lamoureux | |||||||||
| Physician | 40.00 | 0 | $325,926 | $0 | $142,522 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,468,230 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,345,989 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,639,406 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 62 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | 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 |
|---|---|---|---|---|---|
| SAMUELS GROUP | |||||
| 311 FINANCIAL WAY | WAUSAU | WI | 54401 | CONSTRUCTION | $4,876,897 |
| SODEXO INC | |||||
| 4880 PAYSPHERE CIRCLE | CHICAGO | IL | 60674 | MANAGEMENT | $1,797,086 |
| INFINITY HEALTHCARE | |||||
| 111 E WISCONSIN AVENUE | MILWAUKEE | WI | 53202 | PROVIDER STAFFING | $1,173,338 |
| HT KLATZKE AND ASSOCIATES | |||||
| 1511 EAST SUPERIOR ST | DULUTH | MN | 55812 | ADVERTISING CONSULT | $955,225 |
| AMPHION MEDICAL SOLUTIONS | |||||
| 8301 EXCELSIOR DRIVE | MADISION | WI | 53717 | TRANSCRIPTION SERV | $884,351 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 22 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Related Organizations | $452,155 | RelatedOrganizationsAmt |
| Government Grants | $9,374 | GovernmentGrantsAmt |
| Total Contributions | $461,529 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT REVENUE | 900099 | $235,585,585 | $235,585,585 | |
| REFERENCE LAB SERVICES | 621500 | $850,791 | $850,791 | |
| DEPARTMENTAL REVENUE | 900099 | $1,649,214 | $1,649,214 |
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 | $238,085,590 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,773,672 | TotalRevenueColumnAmt |
| Exclusion | $1,773,672 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $719,950 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $719,950 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $719,950 | TotalRevenueColumnAmt |
| Exclusion | $719,950 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $11,898,433 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $11,898,433 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,898,433 | TotalRevenueColumnAmt |
| Exclusion | $11,898,433 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| EMPLOYEE & SENIOR CAFETERIA | 722514 | $289,028 | $289,028 | |
| GIFT SHOP | 453220 | $272,213 | $272,213 | |
| SHARED SERVICE INCOME | 621500 | $48,876 | $48,876 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$86,756 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$86,756 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $523,361 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $253,462,535 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $237,234,799 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $899,667 | UnrelatedBusinessRevenueAmt |
| Exclusion | $14,866,540 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,240,143 | TotalAmt |
| Management And General | $1,240,143 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,979,714 | TotalAmt |
| Program Services | $63,030,069 | ProgramServicesAmt |
| Management And General | $5,949,645 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,494,345 | TotalAmt |
| Program Services | $4,931,781 | ProgramServicesAmt |
| Management And General | $562,564 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,539,047 | TotalAmt |
| Program Services | $13,050,399 | ProgramServicesAmt |
| Management And General | $1,488,648 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,057,948 | TotalAmt |
| Program Services | $4,540,066 | ProgramServicesAmt |
| Management And General | $517,882 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,665,873 | TotalAmt |
| Management And General | $13,665,873 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,712 | TotalAmt |
| Management And General | $108,712 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,897 | TotalAmt |
| Management And General | $7,897 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,484,467 | TotalAmt |
| Program Services | $12,034,088 | ProgramServicesAmt |
| Management And General | $5,450,379 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,164,834 | TotalAmt |
| Program Services | $25,582 | ProgramServicesAmt |
| Management And General | $1,139,252 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,022,354 | TotalAmt |
| Program Services | $1,884,625 | ProgramServicesAmt |
| Management And General | $137,729 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,544,810 | TotalAmt |
| Program Services | $1,544,810 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,321,373 | TotalAmt |
| Program Services | $2,321,373 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,780 | TotalAmt |
| Program Services | $81,104 | ProgramServicesAmt |
| Management And General | $33,676 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $222,553 | TotalAmt |
| Program Services | $140,708 | ProgramServicesAmt |
| Management And General | $81,845 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $606,200 | TotalAmt |
| Program Services | $606,200 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,219,507 | TotalAmt |
| Program Services | $11,981,597 | ProgramServicesAmt |
| Management And General | $237,910 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $766,126 | TotalAmt |
| Program Services | $766,126 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CLINICAL SUPPLIES | $34,058,272 | $33,316,107 | $742,165 |
| PROVISION FOR BAD DEBT | $2,325,328 | $2,325,328 | |
| MEDICAID ASSESSMENT | $5,646,916 | $5,646,916 | |
| Maintenance and Repairs | $4,744,863 | $4,571,065 | $173,798 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,880,519 | TotalAmt |
| Program Services | $814,883 | ProgramServicesAmt |
| Management And General | $1,065,636 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $196,216,581 | TotalAmt |
| Program Services | $163,612,827 | ProgramServicesAmt |
| Management And General | $32,603,754 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,605,764 | BOYAmt |
| EOY | $3,319,507 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,910,169 | BOYAmt |
| EOY | $29,868,320 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,938,756 | BOYAmt |
| EOY | $5,129,859 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $806,100 | BOYAmt |
| EOY | $523,925 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $242,647,596 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $136,917,870 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,930,558 | BOYAmt |
| EOY | $105,729,726 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $421,723,096 | BOYAmt |
| EOY | $469,964,823 | 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 | $331,104 | BOYAmt |
| EOY | $393,738 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $568,245,547 | BOYAmt |
| EOY | $614,929,898 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,417,070 | BOYAmt |
| EOY | $29,053,451 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,377,114 | BOYAmt |
| EOY | $56,933,669 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,929,221 | BOYAmt |
| EOY | $42,463,968 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,723,405 | BOYAmt |
| EOY | $128,451,088 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $441,821,925 | BOYAmt |
| EOY | $477,787,152 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,156,436 | BOYAmt |
| EOY | $2,665,256 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,543,781 | BOYAmt |
| EOY | $6,026,402 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $450,522,142 | BOYAmt |
| EOY | $486,478,810 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $568,245,547 | BOYAmt |
| EOY | $614,929,898 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $57,245,954 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$8,129,834 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$13,159,452 | 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 | $7,697 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $7,697 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | SACRED HEART HOSPITAL (THE HOSPITAL) IS A MEMBER OF THE CATHOLIC HEALTH ASSOCIATION ("CHA"), THE WISCONSIN HEALTH ASSOCIATION ("WHA"), AND THE AMERICAN HEALTH ASSOCIATION ("AHA"). AS A MEMBER OF THESE ORGANIZATIONS, THE HOSPITAL PAYS DUES AND PART OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING FEES PAID BY THE ORGANIZATIONS. THE AMOUNT LISTED IS THE AMOUNT ATTRIBUTABLE TO THE HOSPITAL FROM ITS DUES PAID. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,064,803 | OtherCostOrOtherBasisAmt |
| Book Value | $1,064,803 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $132,638,198 | OtherCostOrOtherBasisAmt |
| Depreciation | $59,583,919 | DepreciationAmt |
| Book Value | $73,054,279 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,497,887 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,620,411 | DepreciationAmt |
| Book Value | $877,476 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $104,483,427 | OtherCostOrOtherBasisAmt |
| Depreciation | $74,713,540 | DepreciationAmt |
| Book Value | $29,769,887 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $963,281 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $963,281 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $105,729,726 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| OTHER LONG-TERM LIABILITIES | $1,000,000 |
| ACCRUED PENSION LIABILITY | $29,364,665 |
| INTEREST RATE SWAP PROGRAMS | $12,099,303 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $42,463,968 | 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. 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 that Kiara, Inc. will not realize the majority of the benefits of these deductible differences. The deferred tax assets attributable to the net operating loss carry forwards not realized as of June 30, 2014 and 2013 have been fully reserved 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 that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. As of June 30, 2015 and 2014, HSHS does not have any liabilities for unrecognized tax benefits. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 600 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $2,449,586 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,449,586 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0126 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $32,051,776 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,844,041 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,207,735 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0423 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $499,646 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $339,505 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $160,141 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0008 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $35,001,008 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,183,546 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,817,462 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0558 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 32 | ActivitiesOrProgramsCnt |
| Persons Served | 17665 | PersonsServedCnt |
| Total Community Benefit Expns | $1,979,920 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $278,877 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,701,043 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0088 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Persons Served | 380 | PersonsServedCnt |
| Total Community Benefit Expns | $1,267,128 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,980 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,265,148 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0065 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 3000 | PersonsServedCnt |
| Total Community Benefit Expns | $18,786,660 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,940,730 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,845,930 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0147 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 3634 | PersonsServedCnt |
| Total Community Benefit Expns | $178,560 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $178,560 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0009 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 46 | ActivitiesOrProgramsCnt |
| Persons Served | 24679 | PersonsServedCnt |
| Total Community Benefit Expns | $22,212,268 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,221,587 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,990,681 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0309 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 51 | ActivitiesOrProgramsCnt |
| Persons Served | 24679 | PersonsServedCnt |
| Total Community Benefit Expns | $57,213,276 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $40,405,133 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,808,143 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0867 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,325,328 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $80,222,289 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $101,786,814 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$21,564,525 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SACRED HEART HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 WEST CLAIREMONT AVENUE | AddressLine1Txt |
| City | EAU CLAIRE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | http://www.sacredhearteauclaire.org | WebsiteAddressTxt |
| State License | 17 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | BEHAVIORAL HEALTH DIALYSIS INPATIENT REHAB | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SACRED HEART HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| 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.sacredhearteauclaire.org/community-report | OwnWebsiteURLTxt |
| 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.sacredhearteauclaire.org/community-report | 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 | 2.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 6.0 | 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 App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | http://www.sacredhearteauclaire.org/community-care | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | http://www.sacredhearteauclaire.org/community-care | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Average Negotiated Rates | Yes (X) | AverageNegotiatedRatesInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - SACRED HEART HOSPITAL OF THE HOSPITAL SISTERS OF THIRD ORDER OF ST. FRANCIS. HSHS Sacred Heart Hospital (SHEC) undertook a twelve month planning and implementation effort to develop the CHNA, identify and prioritize community health needs for its service area and formulate an implementation plan to guide ongoing population health initiatives with like-missioned partners and collaborators. These planning and development activities included the following internal and external steps: Internal SHEC utilized the expertise of the hospital's Division Director of 3D Community Health 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 SHEC also leveraged existing relationships that provided diverse input for a comprehensive review and analysis of community health needs in the hospital's service area. These external components steps began with forming an external CHNA Planning Partnership committee of community partners including: * Chippewa County Department of Public Health * Chippewa Health Improvement Partnership * Eau Claire City-County Health Department * Eau Claire Healthy Communities * Marshfield Clinic * Mayo Clinic Health System * HSHS St. Joseph's Hospital, Chippewa Falls * United Way of the Greater Chippewa Valley 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. The CHNA process began with a community health survey that was developed by the CHNA planning partners and widely distributed throughout Eau Claire County by HSHS Sacred Heart Hospital's Marketing and Community Benefit colleagues, Eau Claire's Healthy Communities Council, Eau Claire's Healthy Communities Council Action Team members, CHNA partners and community members. The objective of the survey was to better understand the community's perception of the top health concerns in the county. A total of 1,322 Eau Claire residents responded to the survey and the results are reportable at a 95% confidence level. Survey respondents represented a wide range of Eau Claire County residents, including a variety of income and educational levels, age, and household size. 26% of respondents identified as healthcare providers, indicating many residents not employed in healthcare also participated in the survey. Special effort was made to ensure the survey was available to typically underrepresented groups who can also be at the highest risk of suffering from health disparities. Analysis of the survey respondent demographics indicated that a low number of surveys were received from the population in Eau Claire County over age 70 and those residents whose highest education level is high school or some college. Therefore, targeted listening sessions were held to engage these groups and gather information on barriers to and resources for making healthy choices in the community. These sessions were held at the Eau Claire community meal site The Community Table, L.E. Phillips Senior Center, and Hmong Wellness Day at Eau Claire Area Hmong Mutual Assistance Association. A key informant interview was also held with an Eau Claire City-County Health Department public health nurse who serves the Eau Claire County Amish population. Each listening session was conducted by at least one CHNA partner organization representative. After the survey results were analyzed, local quantitative health data was compiled from a variety of data sources based on the measures. The primary and secondary data were presented at five Community Conversations that took place throughout Eau Claire County in February 2015. The purpose of these sessions was to encourage the public to give input on how to prioritize the 14 health focus areas that were initially presented in the survey. |
| Schedule H, Part V, Section B, Line 6a Facility , 1 | Facility , 1 - SACRED HEART HOSPITAL OF THE HOSPITAL SISTERS OF THIRD ORDER OF ST. FRANCIS. 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 - SACRED HEART HOSPITAL OF THE HOSPITAL SISTERS FO THE THIRD ORDER OF ST. FRANCIS. HSHS Sacred Heart Hospital's CHNA was conducted with the following non-hospital organizations: - Chippewa County Department of Public Health, Chippewa County, Wisconsin - Chippewa Health Improvement Partnership, Chippewa County, Wisconsin - Eau Claire City-County Health Department, Eau Claire, Wisconsin - Eau Claire Healthy Communities, Eau Claire, Wisconsin - Marshfield Clinic, Chippewa Falls and Eau Claire, Wisconsin - United Way of the Greater Chippewa Valley, Chippewa and Eau Claire County, Wisconsin |
| Schedule H, Part V, Section B, Line 7 Facility , 1 | Facility , 1 - SACRED HEART HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS. The primary and secondary data were presented at five Community Conversations that took place throughout Eau Claire County in February 2015. Sessions were held in Eau Claire (2 sessions), Augusta, Altoona, and Fall Creek. The purpose of these sessions was to encourage the public to give input on how to prioritize the 14 health focus areas that were initially presented in the survey. Identical to the survey, the Community Conversations were widely publicized through the professional networks of each of the CHNA partner organizations, through community organizations that assisted in survey distribution, and through local print, broadcast, and social media. Community Conversations were held on weeknight evenings and in a public location (e.g. local public library or school). Overall, 78 people attended the five Community Conversations in Eau Claire County. Community representation was diverse-attendees represented health care, public schools, university students and faculty, local government, and the general public. Each Community Conversation consisted of a data presentation that highlighted survey results and local health data for each of the 14 focus areas. Next, participants discussed the survey results and data in small groups with the goal of each individual selecting their top three priority areas. Prioritization criteria were provided to participants 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 Eau Claire County by considering the public perception of health and the data 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. The CHNA was then presented at the hospital's Board of Directors' meeting as well as at the Steering Committee meetings of the Eau Claire Healthy Communities and Chippewa Health Improvement Partnership. A press release/media alert was sent to all area news outlets including TV, radio, newspaper as well as the information being distributed at to churches, service clubs, schools and at numerous area events for the general public. |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - SACRED HEART HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS. Based on the FY2015 CHNA planning and development process, the following top three community health needs were identified and will be the primary focus areas for HSHS Sacred Heart Hospital: 1. Mental health 2. Alcohol Misuse 3. Obesity 1. Mental Health - HSHS Sacred Heart Hospital is involved in the implementation and/or continuation of the following efforts to improve mental health services. a. Suicide Prevention Initiative - HSHS Sacred Heart Hospital's 3D Community Health Department is leading suicide prevention activities across multiple sectors and settings in collaboration with Chippewa Health Improvement Partnership, Eau Claire Healthy Communities, and multiple other community partners to promote awareness that suicide is a public health problem that is preventable. Strategies include community trainings of QPR (Question, Persuade & Refer) program as well as a variety of events, activities and displays pertaining to suicide prevention. Efforts will be 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 - SHEC's 3D Community Health Department is working to increase community awareness and knowledge of the factors that offer protection from suicidal behaviors and that promote wellness and recovery. Collaboration with multiple community partners is occurring on an ongoing basis. 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 will be 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 will collect. c. Mental Health Community Awareness Campaign - SHEC'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 - SHEC 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. SHEC'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. Alcohol Misuse - SHEC is supportive of the implementation and/or continuation of the following efforts to address alcohol misuse. a. L.E. Phillips Libertas Treatment Center will continue to provide high quality assessment, intervention, and residential Alcohol and Other Drug Abuse (AODA) treatment for persons in our community and surrounding areas. b. L.E. Phillips Libertas Treatment Center will continue to provide AODA education through Monthly Community Seminars, and a variety of other community venues. c. Voices in Prevention Action Team -SHEC will continue support of this action team of Chippewa Health Improvement Partnership (CHIP) to further community education and awareness around as lead for this action team of Chippewa Health Improvement Partnership (CHIP) to further community education and awareness of alcohol misuse in the Eau Claire area. Evaluations of events/programs will be developed and used to track any changes in community knowledge and/or behaviors. County Health Rankings will be tracked as well. 3. Obesity - SHEC is involved in the implementation and/or continuation of the following efforts to address obesity. a. SHEC 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 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. b. SHEC will continue to partner with HSHS St. Joseph's 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. |
| Schedule H, Part V, Section B, Line 11 Facility , 2 | Facility , 2 - SACRED HEART HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS (CONTINUED). 4. Access to Health Care -This was not one of the 14 needs that was identified/addressed in our CHNA but SHEC will continue to work closely with community partners, including the Eau Claire County Department of Human Services and the City County Health Department, insurance agencies/brokers, churches and many more, to advance community awareness around the Affordable Care Act (ACA) and encourage enrollment in the Health Insurance Marketplace or other insurance assistance programs. The hospital will collaborate with the other members of the Eau Claire County ACA Team that the hospital was instrumental in founding two years ago. Success will be measured by the number of individuals that are assisted through this team's work around community education and the number of Certified Application Counselors (CACs) available to assist community members. This data will be collected through a partnership with the Eau Claire County Department of Human Services. As an outcome of the prioritization process, the following community health needs were also identified and will be addressed by the hospital but will be incorporated into the action planning of one of the top three identified needs of mental health, alcohol misuse or obesity as the areas identified below are impacted by action on the top three : * Healthy Growth & Development: The hospital supports the Infant Mental Health Action Team of Chippewa Health Improvement Partnership (CHIP) whose work impacts this focus area and though CHIP is a Chippewa County coalition its work can be replicated in Eau Claire. * Healthy Nutrition: The hospital supports the CHIP Action Team, Challenge Chippewa, which works to impact physical fitness and overall wellbeing and though CHIP is a Chippewa County coalition whose work can be replicated in Eau Claire. * 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. * Chronic Disease: As a hospital, SHEC is always concerned with the prevention and management of chronic disease and will continue to incorporate this focus area into community awareness and education events/activities even when those events/activities have a primary focus on mental health. * Access to Health Care: This was not one of the 14 needs that were identified/addressed in our assessment but HSHS Sacred Heart Hospital will continue to work closely with community partners to advance community awareness around the Affordable Care Act and encourage enrollment in the Health Insurance Marketplace or other insurance assistance programs. 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 with expertise in food assistance including St. Francis Food Pantry, the Feed My People Food Bank, 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 volunteering at the local community meal site. * Injury & Violence: The community has a well-established, well-respected community sexual assault and domestic violence agency that is the lead on this area. However, a primary focus of the community outreach efforts of the hospital will be on suicide prevention 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 City County Health Department and other agencies with expertise in the area. * Environmental/Occupational Health: While SHEC does have a vibrant Occupational Health Department, the hospital will not take the lead; the City County Health Department will lead and has expertise in. * Tobacco Use and Exposure: SHEC is a smoke-free campus and advocates for smoking cessation but will not lead efforts in the community as it is best addressed through the County Health Department and to community agencies with expertise in this area. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 0 | FacilityNum |
Supplemental Information Detail SupplementalInformationDetail (20 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part VI, Line 5 Promotion of community health (continued A) | Mental Health Access to mental health care services for the uninsured and underinsured. HSHS Sacred Heart Hospital (SHEC) expanded access to mental healthcare for children and adolescents by opening an outpatient behavioral health clinic in Eau Claire in FY2012. This service is incredibly important as it increases outpatient coverage for mental health services that are lacking in the community. SHEC will continue to expand the program by recruiting additional physician providers to serve this location. In tandem, the use of screening tools for behavioral and mental health risk will be promoted among hospital-affiliated clinics for improved identification of mental health issues and earlier intervention. SHEC also partners with the Chippewa Valley Free Clinic (CVFC) to expand provider coverage for CVFC patients who require mental health care services. SHEC is also actively involved in a collaboration between its sister hospitals to the north and on the eastern side of the state 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. Programming has been developed in collaboration with other community organizations to educate the public about awareness of mental health issues and treatment, the stigma associated with mental illness, and recognition of mental health needs. In an effort to combat the rising rate of suicides in Eau Claire County SHEC's 3D Community Health has taken the lead in the area on suicide prevention by coordinating Train the Trainer sessions as well as community education sessions on QPR (Question, Persuade, and Refer), an evidence-based suicide prevention program. In November 2014 3D held its' first Train the Trainer session; 22 participants becoming Certified QPR Trainers. In June 2015 3D held a second training and an additional 16 were trained. From January 1, 2015-June 30, 2015 3D provided 15 QPR Programs and reached 314 community members. In addition, 3D provided a program discussing the Community Health Needs Assessment and an Introduction to the QPR Program to 30 community members. Since July 1, 2015 3D has done an additional 6 QPR Programs for 263 community members and the "Intro" program to an additional 75 Community Members. The following are evaluation responses to the QPR Program: Before attending the QPR Program were you comfortable asking someone if they were suicidal? Yes-41.43% No-27.14% Maybe-31.43% After attending the QPR program do you feel you are now able to ask someone you are concerned about if they are suicidal? Yes-85.71% No-2.14% Maybe-12.14% After attending this training has your knowledge of available mental health resources increased? Yes-78.33% No-3.33% Maybe 18.33% *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. Many other valuable community benefit programming comes from SHEC's The Healing Place: A Center for Life's Journeys which offers free grief and holistic healing for those experiencing loss and/or adjustment issues, such as those brought about by death, divorce, disability/illness, unemployment, military service, etc. Support services include: grief support groups, 1:1 counseling, workshops, presentations for individuals and families dealing with loss and major life transitions. During the past year, The Healing Place has offered: - 1:1 counseling to anyone needing help with a life adjustment issue - Evening and Daytime Spouse Loss groups, both time limited and on-going - Pregnancy and Infant Loss Support Group for miscarriage, stillbirth and early infant death - Parents Grief Group for parents who have lost a child - Sponsor of International Survivors of Suicide Day - Classes for teaching resiliency/coping skills/stress management - Workshops and presentations for various institutions and businesses on topics related to grief, loss, and coping - Special programs and workshops including Grief in the Workplace and Grief and the Holidays - Support groups for those experiencing divorce or loss of a parent Chronic disease prevention and management SHEC offers an ongoing community health education series to promote awareness and early detection in an effort to minimize the development of chronic conditions including the 16th Annual Woman to Woman Event held on September 9th, 2014 in partnership with the State Theatre, Eau Claire. This program brought women together to talk about health, wellness and prevention, and taking care of ourselves so we that can care for others in our lives. An electronic survey was circulated to Woman to Woman participants. Overall, 66.3% rated the program "excellent", 24.49% rated it "good", and 9.18% "fair". A series of six community health education programs were held throughout fiscal year 2015 with a total attendance of 745 covering a multitude of topics including: Motivating Movement; Embracing the Little Things; Holiday Edition of the annual Diabetes program; Eating Clean and Creating a Chain Reaction. Evaluation summaries indicated 95.8% of attendees said that they would make a positive lifestyle change after the program. |
| Schedule H, Part VI, Line 5 Promotion of Community Health (Continued B) | Access and education for stroke care SHEC 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 59 stroke screenings were conducted from July 1, 2014- June 30, 2015. 127 heart screenings were done in that same time period through SHEC's HeartAware online screening tool, as well as 162 sleep screenings through SHEC'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. Education and awareness of alcohol and other drug use In partnership with other community organizations already active in the service area community, SHEC collaborates with existing agencies to promote, expand and develop community awareness programs aimed at identifying the dangers and risks of alcohol and other drug use. The awareness interventions will be used to decrease the likelihood of individuals engaging in excessive alcohol and other drug use. L.E. Phillips Libertas Treatment Center of HSHS St. Joseph's Hospital continues to offer monthly community education sessions in the SHEC service area regarding alcohol and other drug abuse issues. Affordable Care Act Enrollment Outreach and Assistance In FY2015, HSHS and its 14 hospitals continued to invest considerable resources to educate uninsured persons about opportunities to enroll in affordable health insurance coverage and to facilitate the enrollment process. SHEC played a vital role in educating eligible people in its local communities, referring them to Certified Application Counselors and/or enrolling them in the health insurance exchanges. Enrollment outreach and activities included printed materials, colleague forums, public informational events at local libraries, public informational events at hospital Community Benefit events, letters to uninsured or self-insured patients, and enrollment workshops in partnership with local insurance companies. The hospital also participated in a community collaboration that coordinated and hosted ACA informational and enrollment sessions in the community for the general public. Other Community Benefit Activities and Programs SHEC's community health department, 3D Community Health: Mind.Body.Spirit, provides multiple educational classes, programs, and resources including: - Prepared Childbirth (expectant parent classes, sibling classes, breastfeeding classes, and lactation consulting) - CPR classes - Three Babysitting Seminars were provided to 52 adolescents - Pediatric Health Fair with hands-on activities in health, wellness and safety for second grade students in Eau Claire County. Program participants surveyed and rated the program: 45% excellent; 34% good, and 21% fair. - Wellness programs, services and retreats - Participation in community and local business health fairs - Caring for the Caregiver Workshop provided support and education to 110 community members and professionals - Center for Medical Excellence Community Health Information Room with access to print and electronic medical journals and other health resources for patient, family, and community use - Indoor Sports Center "Get Hooked on Health" Kids Expo (safety education, health & wellness) - 3D Community Health educational series and other education programs, speakers and free screenings - Monthly car seat installations and education programs specific for WIC families - Helmet fitting clinics - Safety Town program for 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 625 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. Cancer care related programs: - Look Good, Feel Better - a program for women to help them cope with the impact of cancer treatment Ongoing support programs: - Adults with lung problems Meal programs and support including: - Meals for senior citizens and congregate site meals Health screenings including: -Blood pressure screenings at health fairs Services to the community, including: - Center for Spiritual Care pastoral care chaplain and volunteer assistance with over 500 Power of Attorney for Health Care (Advance Directive) forms - Symposium on Advance Directives and end-of-life decisions - A variety of student intern programs, work shadowing, and tours - Overnight accommodations for families of critically ill patients - Medical equipment, supplies, laboratory services, imaging services donated to the Chippewa Valley Free Clinic to support its patients living below the federal poverty level - Symposium support and sponsorship for the Catholic Medical Association - 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 - Participation in Farm Expo, including free blood pressure screenings - Participation in Xcel Energy's Kids Expo - Hosting meetings, drives and sponsorships for: - Red Cross blood drives - Catholic Charities events and education, sponsorship of annual fundraising dinner - Sojourner House - Eau Claire homeless shelter - Diocese of La Crosse Office of Family Life - United Way events - Relay for Life - American Cancer Society - Special Olympics Polar Plunge - American Heart Association Heart Walk - Brain Injury Association of Wisconsin - Breakfast in the Valley, to celebrate the importance of agriculture in our local economy - Red Cross Real Heroes banquet - Logistical support and meeting space for the Chippewa Valley Internetworking Consortium to help expand fiber broadband infrastructure and service to the community and to rural and underserved areas to support telemedicine and other health projects, along with city/county governments, EMS, libraries and schools/education SHEC nursing colleagues coordinate and staff First Aid booths for many of our community's events/festivals. "Green" environmental stewardship and sustainability efforts (recycling and reusing) including: - The hospital donated leftover food to the St. Francis Food Pantry - Donated used equipment to Third World countries via the Hospital Sisters Mission Outreach: Medical equipment went to needy hospitals and clinics in third world countries such as Mongolia and Ukraine and to U.S. Navy Project Handclasp. Equipment included beds, wheelchairs, exam lights, walkers, x-ray aprons, medical carts, surgical instruments, stretchers, linens and various other items - As an organization dedicated to creating innovative methods to reduce, reuse, and recycle for the betterment of our community and planet, several departments throughout SHEC 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) | Enhance community health As part of our mission to embody Christ's healing love, 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. HSHS hospitals also understand we need to listen closely to the residents of the communities we serve to ensure the health care needs of all are being met. To that end, 13 of our hospitals completed Community Health Needs Assessments (CHNAs) in FY2015 and in FY2012. HSHS St. Clare Memorial Hospital in Oconto Falls, Wisconsin, who affiliated with HSHS in September 2015, completed their CHNA in FY2014. The information gathered from these assessments is being used to develop new, and enhance existing, programs and services that best address the needs of the community. Several priority needs were identified in the FY2015 CHNAs including mental health; chronic disease prevention and management; alcohol, tobacco and other drug abuse; nutrition/wellness; access to care; oral health; and domestic abuse. 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 are providing community education sessions on QPR (Question, Persuade and Refer), an evidence-based suicide prevention program. In addition, the hospitals hosted sessions to train community members to become Certified QPR Trainers. In southern Illinois, HSHS St Elizabeth's Hospital in Belleville also identified suicide as a priority community health need. In response, the hospital in cooperation with the local county mental board offered QPR to educate the community about how to identify and talk to someone who may be considering suicide. In addition, St Elizabeth's mental health counselors provided free evaluations to assess for services or referred individuals to other local agencies for assistance. They also provided telephone assistance to individuals with mental health questions. In FY2015, the counselors screened more than 300 clients and fielded more than 1,000 calls. HSHS St. Vincent Hospital in Green Bay developed the Sexual Assault Nurse Examiner (SANE) program comprised of 11 nurses and a medical director to provide care for anyone who has been sexually assaulted. Begun in 1992, St. Vincent's SANE program is the regional site for such care, one where all the hospitals in Green Bay and the surrounding communities send sexual assault victims. St. Vincent's SANE nurses have been properly trained to conduct the medical examination, collect evidence, treat injury and provide courtroom testimony. In FY2015, SANE served more than 185 individuals at a vulnerable and devastating time of their lives. HSHS St. Mary's Hospital in Streator, Illinois teamed up with the Streator YMCA to offer a 12-week weight loss program - Healthy You - to motivate more than 284 participants. The program included aerobics classes, cooking classes, and a maintenance program to encourage participants to weigh in monthly. Surveys were collected at registration to quantify progress for repeat participants - 14 percent returned with a further weight loss and 9 percent within 5 pounds of their 2014 weight. In FY2015, Healthy You participants collectively lost 2,982 pounds. In FY2015, HSHS St. Mary's Hospital in Decatur, Illinois partnered with Macon County Care Coordination (MCCC) comprised of the Macon County Health Board, Community Health Improvement Center, Decatur Memorial Hospital, Heritage Behavioral Health Center, and Macon County Health Department to provide a team approach to health care and behavioral health services for Medicaid recipients with chronic health conditions. In FY2015, a nurse practitioner was hired to lead the program and recruit physicians. Three teams consisting of a Registered Nurse, Care Navigator and Care Coordinator were hired to provide services. St. Mary's is in the final stages of the development of an interface with the Electronic Medical Record, and is working on fully integrating MCCC services into their Emergency Department and exploring possibilities of integrating MCCC within the HSHS Medical Group to provide care coordination for Medicaid recipients with chronic health conditions. According to the National Assessment of Adult Literacy, only 12 percent of adults have "proficient" health literacy, i.e. nine out of 10 adults lack the skills needed to manage their health. Health literacy was identified in the CHNA completed by HSHS St. Nicholas Hospital in Sheboygan and the Department of Public Health in FY2012. In FY2014, the Healthy Sheboygan County 2020 Health Literacy Committee hosted five focus groups (Hispanic, Hmong, low-income, senior citizens and young adults) and an Executive Briefing for health care leaders to share the results of the community survey and focus groups. In FY2015, with the support of St. Nicholas Hospital, a health literacy community awareness campaign was launched - Okay2Ask - to encourage people to build strong relationships with their health care providers and pharmacists. |
| Schedule H, Part VI, Line 6 Description of Affiliated Group (Continued B) | Advance medical knowledge HSHS works to advance medical knowledge by supporting research initiatives and educational opportunities. In FY2015, HSHS hospitals and affiliated physician groups contributed more than $19 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 FY2015, 73 students were served by the program. In FY2015, HSHS St. Mary's Hospital Medical Center and HSHS St. Vincent Hospital in Green Bay invested more than $450,000 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 FY2015. 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. In response to its FY2012 CHNA, HSHS St. John's Hospital in Springfield, Illinois convened a team of health care providers in FY2015 to identify the practice gaps around metabolic syndrome in children and adults and to research best practices and evidence-based protocols to reduce the progression of metabolic syndrome. The team developed and implemented a three-part multidisciplinary discussion on preventing childhood obesity entitled "Childhood Obesity in Central Illinois: Weighing in on the Problem," which was offered during grand rounds. In addition, the team hosted a Continuing Medical Education program for the community entitled "Restoring Healthy Families and Communities in an Obesongenic Environment: A Tool Kit for Health Care Professionals." 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 FY2015. As a Catholic health care ministry, HSHS is concerned with the dignity of all persons, the common good, and the stewardship of resources. We advocate for health care for all and work to improve social conditions that lead to improved health and well-being. We engage partners in our communities to improve health and quality of life and to reduce duplication. Working side by side with many faith communities, HSHS remains dedicated to our common purpose of compassionate care for all people. |
| Schedule H, Part I, Line 7g Subsidized Health Services | THE HOSPITAL USES LYON SOFTWARE (CBISA: Community Benefit Inventory for Social Accountability) TO DETERMINE SUBSIDIZED SERVICES. PHYSICIAN CLINICS WERE NOT INCLUDED IN THE SUBSIDIZED HEATLH SERVICES. |
| Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation | 2325328 |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | To determine the actual cost of these services, the hospital uses a cost-to-charge ratio based on our audited financial statements to calculate the amounts reported on Lines 7a through 7i. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | Self-pay patients are screened for verification of no insurance coverage. Once verification of no coverage has been completed, the guarantors will be screened for charity or uninsured discounts based on income levels. Those guarantors that do not qualify for charity through the screening process will be asked to provide proof of income in the form of a recent pay stub and/or recent tax return to determine the level of uninsured discounting. If no proof of income is provided or a guarantor's income is greater than 200% of the federal poverty level, the appropriate discount according to the established criteria will be applied. The amount of money not collected from those self-pay patients who are not eligible for charity care is reported as bad debt. Allowances for Doubtful Accounts have been recorded based on an historical matrix, using collectability percentages by payor and aging category in accordance with HSHS Executive Policy #F-23, Valuation of Net Accounts Receivable. Percentages are based on historical experience at the hospital and adjusted for known limitations. 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 20 of the HSHS Consolidated Audit Report. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | The hospital continually strives to provide excellent patient care in the most cost effective fashion. Nonetheless, the Medicare program, in many cases, does not provide payment that covers the full cost of the care provided. Since it is the mission of the hospital to respond to community need, hospital management continually advocates for improved Medicare payment so that the cost of quality care to those patients who are not able to afford it is not compromised and is fairly subsidized by all payers. While this shortfall in Medicare payments is not classified as community benefit by the IRS, we nonetheless believe it is an important contribution made by the hospital to the health and well-being of the community. If the Medicare program did not exist, many Medicare patients would be eligible for charity care or other means-tested government programs. Further, by absorbing this payment shortfall and providing care below cost to these individuals, HSHS Sacred Heart Hospital is relieving the burdens of the government. Accordingly, this shortfall restricts HSHS Sacred Heart Hospital's ability to make funds available to provide for charity care and other community benefits. The hospital Medicare shortfall at cost for fiscal year 2015 was $21,564,525. |
| 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 payor 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 16b FAP Application website | - SACRED HEART HOSPITAL: Line 16b URL: http://www.sacredhearteauclaire.org/community-care; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - SACRED HEART HOSPITAL: Line 16c URL: http://www.sacredhearteauclaire.org/community-care; |
| Schedule H, Part VI, Line 2 Needs assessment | As indicated in Part V, Section C, HSHS Sacred Heart Hospital (SHEC) 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 to develop a plan to help improve the health of our community. An example of this is the unique approach utilized by SHEC and sister hospital St. Joseph's 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 Sacred Heart Hospital (SHEC) 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 Sacred Heart 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 Search America is now being utilized after failed attempts made by the hospital and our law firm to work out payment arrangements. That system accesses credit and other information and allows us to see the probability of a patient being able to pay their bill. After assessing that information, the hospital makes a determination whether to grant charity care or continue collection efforts. |
| Schedule H, Part VI, Line 4 Community information | HSHS Sacred Heart Hospital (SHEC) serves a population of approximately 400,000 people in western Wisconsin. The hospital's service area includes urban and rural areas and encompasses all of Eau Claire, Chippewa and Rusk counties, as well as portions of Barron, Buffalo, Clark, Dunn, Jackson, Pepin, Sawyer, Trempealeau, and Washburn counties. Approximately 40% of the population lives in Eau Claire and Chippewa counties (51% with the addition of Dunn County). The population in the remaining counties is significantly less, with 10 out of 12 service area counties considered rural by the US department of agriculture. The majority (approximately 45%) of all inpatient admissions at SHEC originate from Eau Claire County. Eau Claire County has a population of approximately 98,736. The city of Eau Claire is located 90 miles east of the twin cities and is the ninth largest city in the state of Wisconsin, with a population of just over 65,800. SHEC does not exclude Medically Underserved Areas (MUAs), low income or minority populations from its service area. Though western Wisconsin is less diverse than the nation as a whole (92.9%) white/non-Hispanic), there are several unique minority populations found within the hospital's service area, including Amish, Mennonite and Hmong communities. Wisconsin has the fourth highest Amish population in the nation. SHEC serves as a "disproportionate share hospital," due to the high rate of Medicaid patients served at SHEC. In fact, 65 percent of SHEC's hospital patients are either Medicare or Medicaid. Sacred Heart's service area mean household income is about $43,000, roughly $7,000 lower than the national average with approximately 14% of the population living below 100% of the Federal Poverty Level (2009-2013) and an additional 1.14% living below 200% of the FPL. The hospital's service area population is aging, much like the rest of the nation. There are two acute-care hospitals offering tertiary level services including cardiovascular surgery, neurosurgery, oncology and trauma level II in Eau Claire: SHEC and Mayo Clinic Health System - Eau Claire, as well as OakLeaf Surgical Hospital. 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 SHEC's service area have access to equivalent and even greater levels of acute care. To the west, the Twin Cities market boasts several large community hospitals with trauma level I and an academic medical center. A comprehensive health care network, including two hospitals, a large multi-specialty group practice, and a regional community clinic, exists to the south in La Crosse. To the east, Ministry Healthcare, HSHS St. Joseph's Hospital, Marshfield and the Marshfield Clinic physician group provide both acute care and primary care services. A second Hospital Sisters Health System facility, HSHS St. Joseph's Hospital, is just north of SHEC. |
| Schedule H, Part VI, Line 5 Promotion of community health | As a healing ministry of the Catholic Church and an affiliate of Hospital Sisters Health System (HSHS), HSHS Sacred Heart Hospital (SHEC) is committed to delivering high quality, compassionate, and cost-effective health care services to all. The hospital was founded more than 126 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 whom reside in the hospital's primary service area and who are neither employees nor independent contractors of the hospital (nor family members thereof). The Board ensures that SHEC is responding to community need. In FY2015, for example, the Board reviewed the Community Health Needs Assessment and approved an Implementation Plan for addressing the selected health focus areas of mental health, alcohol misuse and obesity. There are also other bodies that assist SHEC connect with the community, such as our Advisory council, the Patient and Family Advisory Council, The Sacred Heart Foundation, and our Volunteer Partners Board. Also consistent with its exempt purpose, SHEC has an open medical staff with privileges available to all qualified physicians in the area. The hospital also operates an emergency department that is open 24 hours to all persons regardless of their ability to pay. As a not-for-profit hospital, SHEC reinvests surplus funds to support the mission of the organization and health of the community rather than distributing surplus funds as profits to shareholders or individuals. Funds not committed to ongoing operations are generally used to upgrade facilities, secure new technologies, improve patient care, and support initiatives designed to promote health and ensure access for all. SHEC 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. SHEC also continues progress on the $20 million three-year 'curtain wall' project to replace the heating/cooling induction units and windows throughout the facility, including the completion of the north wing. The hospital Cafeteria was recently remodeled and the hospital continues an exterior and interior way-finding and signage program. SHEC also devotes significant resources to access for patients who cannot afford care, along with other community benefits. In fiscal year 2015, SHEC provided more than <$X.X> million in Community Benefit services, including charity care at cost, unpaid costs of Medicaid and other public programs, and a range of diverse programs designed to enhance access and improve community health. Additionally, in fiscal year 2015, SHEC provided <$X.X>million (at cost) in uncompensated care to patients who did not qualify for charity care or public assistance and more than $XX>million (at cost) in excess of Medicare payment for health care services. SHEC provides a range of Community Benefit activities and programs that furthers our mission and long-standing commitment to our community. In many cases, these Community Benefit initiatives would not exist without the leadership role played by SHEC and they often relieve a burden that would otherwise be carried by government. The majority of the Community Benefit programs and activities provided in FY2015 are in response to the hospital's FY2012 Community Health Needs Assessment (CHNA). The FY2012 CHNA surfaced the following health focus areas to be addressed by the hospital in collaboration with other hospitals and community organizations: 1) Mental Health; 2) Chronic Disease prevention and management; and 3) Alcohol and Other Drug Abuse (AODA). HSHS Sacred Heart Hospital's Board of Directors approved implementation strategies for each health priority identified through the CHNA FY2012 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 Sacred Heart Hospital's efforts to improve access to mental health services, chronic disease preventative health and management services, and health education programming. |
| Schedule H, Part VI, Line 6 Affiliated health care system | HSHS Sacred Heart Hospital in Eau Claire is an affiliate of Hospital Sisters Health System (HSHS), a health care ministry that includes 14 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. Working collaboratively with others in the communities we serve, our Community Benefit initiatives are strategically and successfully expanding access to care, improving the health status of residents, and increasing medical education and knowledge. In FY2015, our hospitals responded to needs identified in each of their most recent Community Health Needs Assessments (CHNAs) completed in FY2012. 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 many priority needs identified in our CHNAs were chronic disease prevention and management, obesity, adequate food and nutrition, mental health, and access to health care services. 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. System-wide, HSHS collectively provided $195.3 million in Community Benefit (9.9% of total hospital expenses) in FY2015. This amount included $25.2 million provided for Financial Assistance (i.e. Charity Care) and $132.3 million for unreimbursed care provided as part of the Medicaid program. In addition, HSHS hospitals committed significant resources to care for 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 $183.7 million. HSHS hospitals also recorded $61.5 million in uncollectible accounts. While HSHS does not count the latter two amounts as Community Benefit, they nonetheless reflect our commitment to 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. As the U.S. health care delivery model continues to evolve, HSHS remains focused on implementing our Care Integration strategy. Care Integration coordinates the delivery of care across the continuum to meet the needs of each patient. During FY2015, HSHS made significant progress with this strategy as we implemented additional interoperable health information technologies and strengthened our alignment with physicians. 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 often involve partnering with others to achieve this goal. Across our two-state System, there are numerous examples of HSHS collaborating with other organizations to enhance access to care for those in need. In FY2015, HSHS and our 14 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 coverage are more likely than their insured counterparts to postpone care and to develop more severe and expensive conditions. 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 14 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. Of the eight states with the highest concentration of uninsured, Illinois was among 25 states that adopted Medicaid expansion under the Affordable Care Act. HSHS St. Mary's Hospital Medical Center in Green Bay supports the NEW Community Clinic, a 38-year-old free health center for the uninsured and underinsured, and also provides free and discounted laboratory and radiology services to the clinic. More than 70 percent of patients indicate the care they received at the clinic prevented a trip to the emergency department. This year St. Mary's Hospital, along with sister hospital HSHS St. Vincent Hospital in Green Bay, provided more than $100,000 to support acute care clinic operations at their Northeast Wisconsin Technical College location, as well as funds to support operating costs associated with the oral surgeon's services at the dental clinic. HSHS St. Francis Hospital in Litchfield, Illinois partnered 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. The percentage of total emergency department visits related to dental issues has decreased from 2.2 percent in 2011 to 1.27 percent in 2014 as a result of these collaborative efforts to provide the right care in the right setting. 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 FY2015, St. Anthony's helped underwrite the cost of prescription medications for 312 residents. St. Anthony's and Catholic Charities believe that no one should be without prescription medications because of the inability to pay. 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. All charges are waived 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. |
| Schedule H, Part VI, Line 7 State filing of community benefit report | WI |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JULIE MANAS | ||||||||||||||
| PRESIDENT/CEO | $0 | $432,452 | $0 | $79,049 | $0 | $21,079 | $0 | $95,357 | $0 | $24,386 | $0 | $652,323 | $0 | $0 |
| JOAN COFFMAN | ||||||||||||||
| Director | $0 | $264,403 | $0 | $52,165 | $0 | $82,924 | $0 | $89,778 | $0 | $19,123 | $0 | $508,393 | $0 | $53,516 |
| LAWRENCE SCHUMACHER | ||||||||||||||
| DIRECTOR (partial year) | $0 | $687,223 | $0 | $166,889 | $0 | $224,070 | $0 | $215,175 | $0 | $27,060 | $0 | $1,320,417 | $0 | $118,062 |
| ANN M CARR | ||||||||||||||
| TREASURER | $0 | $238,965 | $0 | $34,985 | $0 | $61,785 | $0 | $207,994 | $0 | $20,214 | $0 | $563,943 | $0 | $28,503 |
| DAVE NELSON | ||||||||||||||
| DIVISION CHIEF FINANCIAL OFFICER | $274,103 | $0 | $30,661 | $0 | $780 | $0 | $49,090 | $0 | $23,623 | $0 | $378,257 | $0 | $0 | $0 |
| FAYE DEICH | ||||||||||||||
| Chief Operating Officer | $311,670 | $0 | $32,222 | $0 | $21,773 | $0 | $128,594 | $0 | $29,435 | $0 | $523,694 | $0 | $0 | $0 |
| AMY DWYER | ||||||||||||||
| CHIEF NURSING OFFICER | $216,477 | $0 | $15,044 | $0 | $1,109 | $0 | $207,334 | $0 | $21,671 | $0 | $461,635 | $0 | $0 | $0 |
| HUMAYUN KAHN | ||||||||||||||
| Chief Medical Officer | $196,273 | $0 | $0 | $0 | $142,031 | $0 | $27,911 | $0 | $25,473 | $0 | $391,688 | $0 | $0 | $0 |
| JOHN WACIUMA | ||||||||||||||
| PHYSICIAN | $710,853 | $0 | $0 | $0 | $17,890 | $0 | $65,836 | $0 | $10,602 | $0 | $805,181 | $0 | $0 | $0 |
| MONICA MCDONALD | ||||||||||||||
| PHYSICIAN | $545,398 | $0 | $0 | $0 | $390 | $0 | $40,653 | $0 | $24,621 | $0 | $611,062 | $0 | $0 | $0 |
| KEVIN HESS | ||||||||||||||
| PHYSICIAN | $317,793 | $0 | $0 | $0 | $780 | $0 | $39,939 | $0 | $28,947 | $0 | $387,459 | $0 | $0 | $0 |
| Ricardo Bayola | ||||||||||||||
| Physician | $288,777 | $0 | $0 | $0 | $18,280 | $0 | $61,398 | $0 | $12,670 | $0 | $381,125 | $0 | $0 | $0 |
| John Lamoureux | ||||||||||||||
| Physician | $290,872 | $0 | $30,000 | $0 | $5,054 | $0 | $139,549 | $0 | $2,973 | $0 | $468,448 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a Tax indemnification and gross-up payments | Tax Gross-ups were paid to Faye Deich ($49) and Amy Dwyer ($129). |
| 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 | HUMAYUN KAHN, CHIEF MEDICAL OFFICER, RECEIVED A SEVERANCE PAYOUT IN THE AMOUNT OF $116,308 DURING CALENDAR YEAR 2014. |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | HSHS EXECUTIVES ELIGIBLE TO PARTICIPATE IN SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) ARE DEFINED IN THE SERP PLAN DOCUMENTS;. THE SERP WAS ESTABLISHED TO PROVIDE ADDITIONAL RETIREMENT BENEFITS TO ENSURE REASONABLE MARKET COMPETITIVE BENEFITS IN ACCORDANCE WITH THE HSHS EXECUTIVE COMPENSATION PHILOSOPHY ESTABLISHED BY THE HSHS COMPENSATION COMMITTEE. THE PLAN PROVIDES A DEFINED RETIREMENT CONTRIBUTION TO PARTICIPANTS COMMENCING ON JANUARY 1, 2008, EQUAL TO A PERCENTAGE OF COMPENSATION AS DEFINED IN THE SERP PLAN DOCUENTS FOR THE PLAN YEAR. PARTICIPANTS CONSTRUCTIVELY RECEIVE A DISTRIBUTION FROM THE PLAN NO LATER THAN MARCH 15TH OF THE CALENDAR YEAR FOLLOWING THE CALENDAR YEAR IN WHICH AN AMOUNT IS VESTED and TAXABLE PURSUANT TO A VESTING SCHEDULE AS SPECIFIED IN THE PLAN DOCUMENT. THE ACTUAL DISTRIBUTION OF THE VESTED BENEFIT UNDER THE PLAN IS PAID IN A SINGLE LUMP SUM TO THE PARTICIPANT OR THE PARTICIPANT'S BENEFICIARY UPON THE EARLIER OF THE PARTICIPANT'S TERMINATION OF EMPLOYMENT, DEATH, OR TOTAL AND PERMANENT DISABILITY. THE FOLLOWING INTERESTED PERSONS CONSTRUCTIVELY RECEIVED DEFERRALS TO THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2014; THESE DEFERRALS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). ANN M. CARR -- $29,789 LAWRENCE SCHUMACHER -- $123,058 JOAN COFFMAN -- $33,755 JULIE MANAS -- $51,617 FAYE DEICH -- $16,586 THE FOLLOWING INTERESTED PERSONS RECEIVED DISTRIBUTIONS FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2014; THESE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III) AND SCHEDULE J, PART II, COLUMN (F), AS APPLICABLE. ANN M. CARR -- $28,503 Lawrence Schumacher -- $165,835 JOAN COFfMAN -- $53,516 FAY DEICH -- $16,586 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 1 ORGANIZATION'S MISSION | THE PRIMARY PURPOSE OF SACRED HEART HOSPITAL IS TO PROVIDE A STRUCTURE AND THE MEANS WHEREBY THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS CAN CONTINUE THEIR APOSTOLIC MISSION TO SERVE THE SICK, THE AGED, THE POOR AND THE TERMINALLY ILL WITHOUT REGARD TO RACE, COLOR, CREED OR NATIONAL ORIGIN. THE PRIMARY CONCERN OF SACRED HEART HOSPITAL AND THE HOSPITAL SISTERS IS THE PATIENT'S WELL BEING...SPIRITUALLY, PHYSICALLY, PSYCHOLOGICAL AND SOCIAL. |
| Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS | SACRED HEART HOSPITAL PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF SACRED HEART HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES, AND FURTHER THAT OUR MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY ARE CONSIDERED WHERE THERE IS A DEMONSTRATED NEED. THESE ACTIVITIES INCLUDE BEHAVIORAL HEALTH SERVICES, WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, SPECIAL PROGRAMS FOR THE ELDERLY, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. SACRED HEART HOSPITAL PROVIDED 44,635 ADULT AND PEDIATRIC DAYS OF CARE AND 116,901 OUTPATIENT VISITS DURING FISCAL YEAR ENDED JUNE 30, 2015. SACRED HEART HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST. RECOGNIZING OUR MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. IN ACCORDANCE WITH STANDARDS DEFINED BY THE CATHOLIC HEALTH ASSOCIATION USA (CHAUSA), SACRED HEART HOSPITAL HAS RECOGNIZED AN UNREIMBURSED COST OF COMMUNITY BENEFIT OF $16,808,143. THE COST OF SERVICING THE PEOPLE QUALIFYING FOR PUBLIC INDIGENT PROGRAMS (INCLUDING MEDICAID AND OTHER PUBLIC PROGRAMS) WAS $8,367,876. THE COST OF OUR HOSPITAL BASED COMMUNITY CARE PROGRAM WAS $2,449,586. SACRED HEART ALSO PROVIDED BENEFITS OF $5,990,681 TO THE COMMUNITY THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES THAT SACRED HEART HOSPITAL BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. THESE INCLUDE: * SUPPORT GROUPS INCLUDING: - THE HEALING PLACE: A CENTER FOR LIFE'S JOURNEYS IS SACRED HEART HOSPITAL'S FREE GRIEF AND HOLISTIC HEALING CENTER FOR INDIVIDUALS WHO HAVE EXPERIENCED A LOSS OR ARE DEALING WITH A MAJOR LIFE TRANSITION. SUPPORT INCLUDES: GRIEF SUPPORT GROUPS, COUNSELING, WORKSHOPS, PRESENTATIONS TO GRIEVING INDIVIDUALS AND FAMILIES SUCH AS: 1. EVENING AND DAYTIME SPOUSE LOSS GROUPS FOR THOSE WHO HAVE LOST A SPOUSE 2. SHARE SUPPORT GROUP FOR MISCARRIAGE, STILLBIRTH AND EARLY INFANT DEATH 3. PARENTS GRIEF GROUP FOR PARENTS WHO HAVE LOST A CHILD 4. ADULT LOSS OF A PARENT FOR THOSE WHO HAVE LOST A PARENT 5. CHILDREN'S GRIEF GROUP FOR CHILDREN AGES 6-12 WHO HAVE LOST A SPECIAL PERSON 6. SUICIDE SURVIVOR'S GROUP FOR THOSE WHO HAVE LOST A LOVED ONE TO SUICIDE 7. WORKSHOPS AND PRESENTATIONS TO HEALTHCARE, RELIGIOUS, EDUCATIONAL AND MENTAL HEALTH INSTITUTIONS ON TOPICS RELATED TO GRIEF AND LOSS. 8. SPECIAL PROGRAMS AND WORKSHOPS INCLUDING GRIEF IN THE WORKPLACE AND GRIEF AND THE HOLIDAYS 9. NEW SUPPORT SERVICES, SHORT-TERM COUNSELING, CLASSES AND WORKSHOPS PROVIDE SUPPORT FOR THOSE COPING WITH NON-DEATH-RELATED LIFE TRANSITIONS INCLUDING: DIVORCE OR SEPARATION, ILLNESS, DISABILITY, JOB CHANGES, MILITARY DEPLOYMENT AND RETIREMENT - SEVERAL CANCER CARE RELATED PROGRAMS, INCLUDING; "REACH TO RECOVERY" AND "LIVING WITH CANCER" AND WIG LOAN CLOSET SUPPORT GROUPS FOR DISEASES/DISORDERS SUCH AS; ALZHEIMER'S, AMPUTEE CLINIC, MULTIPLE SCLEROSIS, SPINAL CORD INJURY, AND OTHERS - BREASTFEEDING SUPPORT GROUP * CENTER FOR HEALTHY LIVING AND OTHER EDUCATIONAL CLASSES AND RESOURCES INCLUDING: - PREPARED CHILDBIRTH (LAMAZE, PRENATAL, SIBLING CLASSES AND LACTATION CONSULTING) - EMT AND OTHER PROFESSIONAL TRAINING SUCH AS ACLS - ADULT, INFANT AND CHILD CPR CLASSES - BABYSITTING/SMARTER SITTER SEMINARS - ARTHRITIS, PARKINSON'S DISEASE, OSTEOPOROSIS AND OTHERS - PEDIATRIC HEALTH FAIR WITH HANDS-ON ACTIVITIES IN HEALTH, WELLNESS AND SAFETY. - WELLNESS PROGRAMS, SERVICES AND RETREATS - PARTICIPATION IN HEALTH FAIRS - CARING FOR THE CAREGIVER - CENTER FOR MEDICAL EXCELLENCE COMMUNITY HEALTH INFORMATION ROOM WITH ACCESS TO PRINT AND ELECTRONIC MEDICAL JOURNALS AND OTHER HEALTH RESOURCES FOR PATIENT, FAMILY, AND COMMUNITY USE - ANNUAL "WOMAN TO WOMAN" HEALTHCARE EXPO - INDOOR SPORTS CENTER "GET HOOKED ON HEALTH" KIDS EXPO (SAFETY EDUCATION, HEALTH & WELLNESS) - CENTER FOR SPIRITUAL CARE SPEAKERS' BUREAU * MEAL PROGRAMS & SUPPORT INCLUDING: - MEALS FOR SENIOR CITIZENS AND CONGREGATE SITE MEALS - THANKSGIVING ST. FRANCIS FOOD PANTRY FOOD DRIVE COLLECTION PROGRAM FOR NEEDY FAMILIES - COAT, MITTEN, LINEN AND BLANKET DRIVE - CHRISTMAS SPONSOR-A-FAMILY DRIVE - ESSENTIALS (TOILETRIES) DRIVE * HEALTH SCREENINGS INCLUDING: - REDUCED FEE MAMMOGRAMS - PROSTATE (PSA) SCREENINGS - BLOOD PRESSURE SCREENINGS - STROKE PREVENTION CLINIC/SCREENINGS * SERVICES TO THE COMMUNITY, INCLUDING: - CENTER FOR SPIRITUAL CARE PASTORAL CARE CHAPLAIN & VOLUNTEER ASSISTANCE WITH OVER 650 POWER OF ATTORNEY FOR HEALTH CARE (ADVANCE DIRECTIVE) FORMS - A VARIETY OF STUDENT INTERN PROGRAMS, WORK SHADOWING, AND TOURS - OVERNIGHT ACCOMMODATIONS FOR FAMILIES OF CRITICALLY ILL PATIENTS - PATIENT FOLLOW-UP POST DISCHARGE CALLS PROGRAM - MEDICAL EQUIPMENT, SUPPLIES, LABORATORY SERVICES, IMAGING SERVICES DONATED TO THE CHIPPEWA VALLEY FREE CLINIC AND ITS PATIENTS BELOW THE FEDERAL POVERTY LEVEL - ANNUAL BIOETHICS SYMPOSIUM - SYMPOSIUM SUPPORT AND SPONSORSHIP FOR THE CATHOLIC MEDICAL ASSOCIATION - DISASTER PREPAREDNESS PLANNING - INFLUENZA/H1N1 COMMUNITY EDUCATION - SYMPOSIUM SPONSORSHIP ON FINANCIAL MANAGEMENT DURING CHALLENGING ECONOMIC TIMES |
| Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED) | * HOSTING MEETINGS, DRIVES AND SPONSORSHIPS FOR: - RED CROSS BLOOD DRIVES - CATHOLIC CHARITIES EVENTS AND EDUCATION - DIOCESE OF LA CROSSE OFFICE OF FAMILY LIFE - UNITED WAY EVENTS - RELAY FOR LIFE - AMERICAN CANCER SOCIETY - SPECIAL OLYMPICS POLAR PLUNGE - AMERICAN HEART ASSOCIATION HEART WALK - BRAIN INJURY ASSOCIATION OF WISCONSIN - BREAKFAST IN THE VALLEY - RED CROSS REAL HEROES BANQUET - PRODUCERS & BUYERS CO-OP: LINKING LOCAL FARMS AND INSTITUTIONS, ORGANIZATIONAL SUPPORT FOR MEETINGS AND ORGANIZATIONAL AND SECRETARIAL SUPPORT TO ENCOURAGE LOCAL FOOD SOURCING BY INSTITUTIONS TO BENEFIT THE LOCAL ECONOMY (IN PARTNERSHIP WITH RIVER COUNTRY RC&D AND LOCAL FAMILY FARMS) - LOGISTICAL SUPPORT AND MEETING SPACE FOR THE CHIPPEWA VALLEY INTERNETWORKING CONSORTIUM TO HELP EXPAND FIBER BROADBAND INFRASTRUCTURE AND SERVICE TO THE COMMUNITY AND TO RURAL AND UNDERSERVED AREAS TO SUPPORT TELEMEDICINE AND OTHER HEALTH PROJECTS, ALONG WITH CITY/COUNTY GOVERNMENTS, EMS, LIBRARIES AND SCHOOLS/EDUCATION - LOCAL "GREEN" AND ENVIRONMENTAL SUSTAINABILITY EDUCATIONAL EVENTS * FIRST AID BOOTHS FOR COMMUNITY EVENTS/FESTIVALS, INCLUDING: - BUCKSHOT RUN - COUNTRY JAM - FESTIVAL IN THE PINES - INTERNATIONAL FALL FESTIVAL * "GREEN" ENVIRONMENTAL STEWARDSHIP AND SUSTAINABILITY EFFORTS (RECYCLING AND REUSING) INCLUDING: - MORE THAN 5 TONS OF FOOD SCRAP PRODUCE WERE DONATED TO A LOCAL RANCH FOR ANIMAL FEED - THE HOSPITAL DONATED MORE THAN 4.5 TONS OF LEFTOVER FOOD TO THE ST. FRANCIS FOOD PANTRY - DONATED 11.5 TONS OF USED EQUIPMENT (8,400 ITEMS) TO THIRD WORLD COUNTRIES VIA THE HOSPITAL SISTERS MISSION OUTREACH: MEDICAL EQUIPMENT WENT TO NEEDY HOSPITALS AND CLINICS IN THIRD WORLD COUNTRIES SUCH AS MONGOLIA AND UKRAINE AND TO U.S. NAVY PROJECT HANDCLASP. EQUIPMENT INCLUDED BEDS, WHEELCHAIRS, EXAM LIGHTS, WALKERS, X-RAY APRONS, MEDICAL CARTS, SURGICAL INSTRUMENTS, STRETCHERS, LINENS AND VARIOUS OTHER ITEMS SACRED HEART HOSPITAL HAS PREPARED THE FINANCIAL INFORMATION IN THIS REPORT IN ACCORDANCE WITH CHAUSA COMMUNITY BENEFIT REPORTING GUIDELINES. THESE GUIDELINES RECOMMEND THE FOLLOWING: * REPORT COMMUNITY CARE AT COST, NOT CHARGES. * DO NOT INCLUDE BAD DEBT, CONTRACTUAL ALLOWANCES, AND QUICK PAY DISCOUNTS AS PART OF CHARITY CARE EXPENSE. * DO NOT COUNT MEDICARE SHORTFALL AS A COMMUNITY BENEFIT. * REPORT THE NET EXPENSE FOR COMMUNITY BENEFIT SERVICES, I.E., THE TOTAL COMMUNITY BENEFIT EXPENSE MINUS ANY ASSOCIATED REVENUE FROM PATIENTS, PAYERS, AND OTHER EXTERNAL SOURCES. THE CATHOLIC HEALTH ASSOCIATION'S REPORTING GUIDELINES REFLECT A CONSERVATIVE APPROACH TO REPORTING QUANTIFIABLE COMMUNITY BENEFIT. THE GOAL OF THE REPORTING GUIDELINES IS TO PRODUCE COMMUNITY BENEFIT FINANCIAL REPORTS THAT REFLECT TRUE COSTS AND THAT DESCRIBE COMMUNITY BENEFIT ACTIVITIES THAT INCREASE ACCESS TO HEALTH CARE AND IMPROVE COMMUNITY HEALTH. IN SUMMARY SACRED HEART HOSPITAL FINANCIALLY CONTRIBUTED TO THE COMMUNITY $16,808,143 FISCAL YEAR ENDED JUNE 30, 2015 AS FOLLOWS: CHARITY CARE - AT COST, NOT INCLUDING BAD DEBT $2,449,586 GOVERNMENT SPONSORED HEALTH CARE - NET EXPENSES UNPAID COST OF PUBLIC INDIGENT CARE PROGRAMS (INCLUDES MEDICAID AND OTHER PUBLIC PROGRAMS) $8,367,876 COMMUNITY BENEFIT PROGRAMS - NET EXPENSE $5,990,681 TOTAL QUANTIFIABLE COMMUNITY BENEFITS $16,808,143 IN ADDITION TO THE AMOUNTS REPORTED ABOVE, SACRED HEART HOSPITAL COMMITTED SIGNIFICANT RESOURCES TO SERVICE THE MEDICARE POPULATION. THE COST (AS DETERMINED USING THE COST TO CHARGE RATIO) OF PROVIDING SERVICES TO PRIMARILY ELDERLY BENEFICIARIES OF THE MEDICARE PROGRAM IN EXCESS OF GOVERNMENTAL AND MANAGED CARE CONTRACT PAYMENTS WAS $21,564,525 FOR THE YEAR ENDED JUNE 30, 2015. |
| Form 990, Part IV, Line 24a TAX-EXEMPT BONDS | SACRED HEART HOSPITAL HOLDS A LIABILITY ON ITS BOOKS FOR TAX-EXEMPT BONDS, WHICH IS AN ALLOCATION FROM ITS SOLE CORPORATE MEMBER, HOSPITAL SISTERS SERVICES, INC. AS A RESULT, THIS QUESTION WAS ANSWERED NO, AND SCHEDULE K WILL BE COMPLETED ON THE HOSPITAL SISTERS SERVICES, INC. FORM 990. |
| Form 990, Part VI, Line 13 WHISTLEBLOWER POLICY | PROVISIONS WITHIN THE CORPORATE COMPLIANCE PROGRAM AND CONFLICT OF INTEREST POLICY PROVIDE PROTECTIONS FOR WHISTLEBLOWER TYPE ACTIVITIES. |
| Form 990, Part VI, Line 16b JOINT VENTURES | HOSPITAL SISTERS HEALTH SYSTEM ADOPTED A JOINT VENTURE COMPLIANCE PROGRAM POLICY EFFECTIVE ON JANUARY 1, 2012 FOR ALL SYSTEM HOSPITALS, INCLUDING SACRED HEART HOSPITAL. THE OVERALL PURPOSE OF THE POLICY IS TO PROVIDE PRACTICAL GUIDELINES FOR ETHICAL BUSINESS CONDUCT, TO ACHIEVE COMPLIANCE, AND TO DETECT AND PREVENT VIOLATIONS OF APPLICABLE LAWS. THE POLICY REQUIRES SACRED HEART HOSPITAL, AND ALL HSHS HOSPITALS, TO EVALUATE THEIR PARTICIPATION IN JOINT VENTURE ARRANGEMENTS, INCLUDING UNDER APPLICABLE FEDERAL TAX LAWS, AND TO SAFEGUARD SACRED HEART HOSPITAL'S TAX EXEMPT STATUS WITH RESPECT TO ANY JOINT VENTURE ARRANGEMENTS. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | THE SENIOR GOVERNING BODY OF SACRED HEART HOSPITAL (THE CORPORATION) IS THE MEMBER OF THE CORPORATION, WHICH IS HOSPITAL SISTERS SERVICES, INC. ("HSSI"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | PURSUANT TO SECTION 2.3 OF THE CORPORATION'S BYLAWS, THE ORGANIZATION'S MEMBER, HOSPITAL SISTERS SERVICES, INC. ("HSSI"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, HAS THE RIGHT TO APPOINT AND REMOVE THE CORPORATION'S BOARD OF DIRECTORS, CHAIRPERSON OF THE BOARD AND PRESIDENT. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | RESPONSIBILITY FOR THE POLICY AND OPERATIONS OF SACRED HEART HOSPITAL (THE "CORPORATION") IS VESTED IN ITS BOARD OF DIRECTORS, EXCEPT WITH RESPECT TO SPECIFIC POWERS RESERVED IN THE CORPORATION'S BYLAWS TO THE CORPORATION'S MEMBER, HOSPITAL SISTERS SERVICES, INC. ("HSSI"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE MEMBER OF HSSI IS HOSPITAL SISTERS HEALTH SYSTEM ("HSHS"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE 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 INSTITUTION OF THE ROMAN CATHOLIC CHURCH. THE GOVERNANCE AND OPERATIONS OF THE CORPORATION ARE SUBJECT TO HSSI'S RIGHT TO EXERCISE THESE RESERVED POWERS WITH RESPECT TO THE CORPORATION AND ORGANIZATIONS OF WHICH THE CORPORATION IS EITHER, DIRECTLY OR INDIRECTLY, A CONTROLLING MEMBER OR A CONTROLLING SHAREHOLDER ("AFFILIATES"). HSSI'S RIGHT TO EXERCISE CERTAIN OF THESE RESERVED POWERS IS, IN TURN, SUBJECT TO THE APPROVAL OF HSHS AND HSHS' MEMBERS. THE RESERVED POWERS INCLUDE ALL RIGHTS GRANTED TO HSSI BY LAW AND THE RIGHT TO: (A) ADOPT, APPROVE AMENDMENTS TO, OR AMEND ANY STATEMENT OF PHILOSOPHY, MISSION, MISSION INTEGRATION OR VALUES OR ANY NAME, LOGO, OR MARK OF THE CORPORATION OR OF ANY AFFILIATE; (B) ADOPT, APPROVE AMENDMENTS TO, OR AMEND THE ARTICLES OF INCORPORATION OF THE CORPORATION OR OF ANY AFFILIATE; (C) ADOPT, APPROVE AMENDMENTS TO, OR AMEND THE BYLAWS OF THE CORPORATION OR OF ANY AFFILIATE; (D) APPOINT AND REMOVE THE BOARD OF DIRECTORS, ANY ONE OR MORE OF THE DIRECTORS OF THE CORPORATION OR OF ANY AFFILIATE, AND THE CHAIRPERSON AND PRESIDENT OF THE CORPORATION OR OF ANY AFFILIATE; (E) APPROVE THE RECOMMENDATION OF THE BOARD OF DIRECTORS TO APPOINT OR REMOVE THE BOARD OF DIRECTORS, ANY ONE OR MORE DIRECTORS OF THE CORPORATION OR OF ANY AFFILIATE, OR THE CHAIRPERSON AND PRESIDENT OF THE CORPORATION OR OF ANY AFFILIATE; (F) WITH RESPECT TO THE CORPORATION OR ANY AFFILIATE, APPROVE THE PURCHASE, SALE, ALIENATION, EXCHANGE, LEASE OR ENCUMBRANCE OF ANY REAL PROPERTY OF THE CORPORATION OR OF ANY AFFILIATE, WHICH PROPERTY HAS A VALUE IN EXCESS OF LIMITS SET FROM TIME TO TIME BY HSSI; (G) APPROVE THE OPERATING AND CAPITAL BUDGETS OF THE CORPORATION OR OF ANY AFFILIATE, AND ANY DEVIATIONS BY THE CORPORATION OR OF ANY AFFILIATE FROM SUCH BUDGETS IN AN AMOUNT OR PERCENTAGE SPECIFIED BY HSSI FROM TIME TO TIME; (H) APPROVE THE STRATEGIC PLAN AND GOALS OF THE CORPORATION OR OF ANY AFFILIATE; (I) APPROVE THE SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR OF ANY AFFILIATE; (J) APPROVE THE MERGER OR DISSOLUTION OF THE CORPORATION OR OF ANY AFFILIATE; (K) ADOPT OR AMEND THE PLAN FOR MINISTRY EDUCATION AND GOVERNANCE FOR THE CORPORATION AND ITS AFFILIATES; (L) APPROVE THE CORPORATION'S MISSION ACCOUNTABILITY REPORTS AND THOSE OF ANY AFFILIATE; (M) APPROVE THE FINANCIAL POLICIES AND PROCEDURES OF THE CORPORATION OR OF ANY AFFILIATE AND APPROVE ANY DEVIATIONS FROM SUCH POLICIES AND PROCEDURES BY THE CORPORATION OR ANY AFFILIATE; AND (N) ADOPT POLICIES TO IMPLEMENT THE RESERVED POWERS OF HSSI. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE HOSPITAL EMPLOYS CROWE HORWATH TO ASSIST IN THE OVERALL REVIEW AND ELECTRONIC SUBMISSION OF ITS FORM 990. CROWE HORWATH PROVIDES GUIDANCE IN IDENTIFYING CRITICAL ERRORS IN THE RETURN SUBMISSION AND FEEDBACK ON QUANTITATIVE AND QUALITATIVE RESPONSES. ADDITIONALLY, THE HOSPITAL CFO PERFORMS A THOROUGH REVIEW OF THE RETURN AND REVIEWS IT WITH THE HOSPITAL CEO AND/OR SENIOR LEADERS BEFORE PRESENTING IT IN ITS ENTIRETY TO THE HOSPITAL BOARD FOR QUESTIONING AND REVIEW PRIOR TO THE RETURN'S SIGNING AND SUBMISSION TO THE IRS. |
| Form 990, Part VI, Line 12c Conflict of interest policy | THE ORGANIZATION IS SUBJECT TO THE CORPORATE COMPLIANCE PROGRAM AND CONFLICT OF INTEREST POLICY ("POLICY") OF HOSPITAL SISTERS HEALTH SYSTEM, AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. A REVISED CORPORATE COMPLIANCE PROGRAM AND CONFLICT OF INTEREST POLICY HAVE BEEN IMPLEMENTED SINCE JANUARY 2009 TO MANAGE CONFLICTS OF INTEREST USING A SYSTEM-WIDE PROTOCOL FOR DISCLOSURE STATEMENTS. IN ACCORDANCE WITH THE ORGANIZATON'S CONFLICT OF INTEREST POLICY, ALL COVERED PERSONS HAVE A DUTY TO COMPLY WITH THE CONFLICT OF INTEREST POLICY FOR ANY CONTRACT, TRANSACTION, RELATIONSHIP, OR ACTIVITY CONTEMPLATED, ENTERED INTO, OR CONDUCTED AT HSHS OR ITS AFFILIATES. THE POLICY DEFINES COVERED PERSONS AS BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS, BOARD DESIGNEES, SENIOR MANAGEMENT, MEMBERS OF ANY COMMITTEE THAT OVERSEES THE APPROVAL OF PHARMACEUTICALS AND MEDICAL DEVICES, AND ANY OTHER INDIVIDUAL WHO HOLDS A POSITION OF TRUST. ON AN ANNUAL BASIS, HOSPITAL SISTERS HEALTH SYSTEM, ("HSHS") DISCLOSES A COPY OF THE CONFLICT OF INTEREST POLICY (AND ALL CORRESPONDING PROCEDURES, GUIDELINES, FORMS, AND TOOLS) TO ALL COVERED PERSONS, AND ADVISES ALL COVERED PERSONS IN WRITING OF ANY SUBSTANTIVE CHANGES TO THIS POLICY AND SUCH RELATED MATERIALS. COVERED PERSONS ARE REQUIRED TO REVIEW AND COMPLETE THE CORRESPONDING CONFLICT OF INTEREST STATEMENT. THE SYSTEM OFFICE VICE PRESIDENT, SYSTEM RESPONSIBILITY OR MEMBERS OF THE AUDIT AND INTEGRITY COMMITTEE ("COMMITTEE") ARE AVAILABLE TO ANSWER ANY QUESTIONS A COVERED PERSON MAY HAVE. IN ADDITION, IF, AT ANY TIME AFTER SUBMITTING AN ANNUAL CONFLICT OF INTEREST STATEMENT, A COVERED PERSON BECOMES AWARE OF AN INTEREST THAT HE OR SHE WOULD HAVE HAD TO DISCLOSE AT THE ANNUAL INTERVAL, THE COVERED PERSON IS REQUIRED PROMPTLY TO DISCLOSE THE INTEREST TO THE COMMITTEE USING THE HSHS CONFLICT OF INTEREST DISCLOSURE STATEMENT. COMPLETED CONFLICT OF INTEREST STATEMENTS ARE SUBMITTED TO THE COMMITTEE, WHICH IS RESPONSIBLE FOR IDENTIFYING, ASSESSING, AND MANAGING CONFLICTS OF INTEREST THAT ARISE IN THE COURSE OF CONDUCTING THE AFFAIRS OF HSHS AND ITS AFFILIATES. IF THE COMMITTEE DETERMINES THAT A CONFLICT OF INTEREST EXISTS, THE CONFLICT OF INTEREST POLICY REQUIRES HSHS NOT TO ENGAGE IN, OR ENTER INTO, A PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY UNLESS THE COMMITTEE OR, WHERE NECESSARY, THE BOARD OF DIRECTORS (ACTING THROUGH ITS DISINTERESTED MEMBERS), HAS INVESTIGATED ALTERNATIVES TO THE PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY AND, IN THE ABSENCE OF ALTERNATIVES THAT ARE IN THE BEST INTERESTS OF HSHS, HAS DETERMINED: 1. THAT, REGARDLESS OF WHETHER THE COVERED PERSON PARTICIPATES IN THE IMPLEMENTATION OF THE PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY; 2. THE CONTRACT, TRANSACTION, ARRANGEMENT, OR ACTIVITY IS IN THE BEST INTERESTS OF HSHS; 3. THE CONTRACT, TRANSACTION, ARRANGEMENT, OR ACTIVITY IS FAIR AND REASONABLE FROM THE PERSPECTIVE OF HSHS; AND 4. HSHS CANNOT OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION, ARRANGEMENT OR ACTIVITY WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. IN DETERMINING WHETHER A CONTRACT, TRANSACTION OR ARRANGEMENT IS FAIR AND REASONABLE TO HSHS, THE COMMITTEE SHALL CONSIDER, WHERE APPLICABLE: 1. APPRAISALS OR OTHER INDEPENDENT VALUATIONS OF THE FAIR MARKET VALUE OF THE CONTRACT, TRANSACTION, OR ARRANGEMENT; 2. INFORMATION REGARDING COMPARABLE CONTRACTS, TRANSACTIONS, OR ARRANGEMENTS BETWEEN UNRELATED PARTIES; 3. OFFERS FROM COMPARABLE COMPETING ENTITIES; AND/OR 4. STUDIES OF COMPARABLE COMPENSATION ARRANGEMENTS. IN ANY CASE IN WHICH THE COMMITTEE FINDS, AFTER TAKING THE STEPS DESCRIBED ABOVE, THAT HSHS SHOULD PARTICIPATE IN A PROPOSED TRANSACTION OR ARRANGEMENT DESPITE THE EXISTENCE OF A CONFLICT OF INTEREST, THE COMMITTEE SHALL DEVELOP, IMPLEMENT, MONITOR, AND ENFORCE COMPLIANCE WITH, A CONFLICT MANAGEMENT PLAN FOR MANAGING THE CONFLICT OF INTEREST AS IT CONSIDERS NECESSARY FOR SUCH FINDINGS TO REMAIN VALID THROUGHOUT THE LIFE OF THE CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY. ALL CONFLICT MANAGEMENT PLANS SHALL: 1. STATE THAT THE COMMITTEE WILL OVERSEE, MONITOR, AND ENFORCE COMPLIANCE WITH THE PLAN THROUGHOUT THE COURSE OF THE STUDY AND SPECIFY MEANS FOR DOING SO, INCLUDING, WITHOUT LIMITATION, THAT THE APPROPRIATE INDIVIDUALS MUST PROVIDE THE COMMITTEE WITH WRITTEN REPORTS PERTAINING TO COMPLIANCE WITH THE CONFLICT MANAGEMENT PLAN, THAT THE COMMITTEE SHALL HAVE THE RIGHT TO AUDIT THE STUDY FOR SUCH COMPLIANCE, AND THE RIGHT TO IMPOSE SANCTIONS FOR NON-COMPLIANCE; 2. STATE THAT THE PLAN MUST BE SHARED WITH COVERED PERSON WHOSE INTERESTS IT WAS DEVELOPED TO MANAGE; 3. STATE THAT THE PLAN MUST BE SHARED WITH, AND PERIODIC REPORTS ON COMPLIANCE WITH THE PLAN MUST BE PROVIDED TO, THE BOARD, SENIOR MANAGEMENT AND/OR GOVERNMENT AGENCIES; AND 4. PROVIDE FOR SUCH OTHER MANAGEMENT STEPS AND MECHANISMS THE COMMITTEE CONSIDERS NECESSARY AND APPROPRIATE. IN ADDITION TO THE COMMITTEE, THE SYSTEM OFFICE VICE PRESIDENTS OF SYSTEM RESPONSIBILITY AND RISK & COMPLIANCE MAY RETAIN SUCH INDEPENDENT ADVISORS OR EXPERTS AS DEEMED NECESSARY TO ASSIST IN MAKING ITS DETERMINATIONS AND DECISIONS. IF THE COMMITTEE DETERMINES THAT THE CONTEMPLATED TRANSACTION, RELATIONSHIP ARRANGEMENT, OR ACTIVITY CANNOT PROCEED DUE TO A CONFLICT OF INTEREST, THE COMMITTEE SHALL INFORM THE APPLICABLE COVERED PERSON OR DECISION-MAKING BODY OF SUCH DETERMINATION WITHIN ONE WEEK OF THE COMMITTEE MEETING AT WHICH THE CONTEMPLATED TRANSACTION WAS DISCUSSED. THE COMMITTEE SHALL DOCUMENT ITS REJECTION OF THE CONTEMPLATED TRANSACTION IN THE COMMITTEE'S MEETING MINUTES. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | THE COMPENSATION COMMITTEE (COMMITTEE) IS COMPRISED OF INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. THE COMMITTEE DEVELOPS A COMPENSATION PHILOSOPHY FOR THE SYSTEM AND ALL AFFILIATES. THE COMMITTEE SELECTS AND HIRES THE INDEPENDENT COMPENSATION CONSULTANT TO DEVELOP COMPARABILITY DATA AND ADVISE THE COMMITTEE DURING ITS DELIBERATIONS REGARDING ALL ELEMENTS OF TOTAL COMPENSATION FOR ALL DISQUALIFIED INDIVIDUALS. INTEGRATED HEALTHCARE STRATEGIES ("IHS"), THE CONSULTANTS UTILIZED BY THE COMMITTEE, USE DATA FROM MULTIPLE TAX-EXEMPT PEER GROUP SOURCES TO DETERMINE SALARY RANGES, INCENTIVE OPPORTUNITY RANGES, AND BENEFITS FOR THE DISQUALIFIED INDIVIDUALS. IHS THEN ASSISTS THE COMMITTEE IN PREPARING CONTEMPORANEOUS DOCUMENTATION OF ALL ACTIONS. EACH COMMITTEE MEETING IS CONDUCTED WITH THE INTENT TO CREATE A REBUTTABLE PRESUMPTION OF REASONABLENESS FOR ALL ELEMENTS OF EXECUTIVE TOTAL COMPENSATION FOR THE DISQUALIFIED INDIVIDUALS. THE CHAIRMAN MAKES THIS DECLARATION AND ALSO INQUIRES IF THERE ARE ANY CONFLICTS OF INTEREST BY ANY ATTENDEES. ANY CONFLICTS ARE DISCLOSED AND THE COMMITTEE THEN ACTS IN A MANNER TO AVOID ANY CONFLICTED INDIVIDUAL PARTICIPATING IN ANY MANNER WHERE A CONFLICT MIGHT EXIST. AT THE END OF THE MEETING, THE COMMITTEE PREPARES CONTEMPORANEOUS MINUTES THAT RECORD ALL ACTIONS TAKEN DURING THE MEETING. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | PLEASE SEE RESPONSE TO FORM 990, PART VI, LINE 15A. |
| Form 990, Part VI, Line 19 Required documents available to the public | BOARD-APPROVED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC AT THIS TIME. |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | Loss on early extinguishment of debt - Total Revenue: -86756, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: -86756; |
| Form 990, Part X, Line 11 POOLED INVESTMENT ACCOUNT | SACRED HEART HOSPITAL USES ITS POOLED INVESTMENTS TO CARRY ON ITS MISSION OF CARING FOR THE SICK. THE HOSPITAL'S CASH RESERVES ARE INVESTED IN A POOLED INVESTMENT ACCOUNT MAINTAINED BY HOSPITAL SISTERS HEALTH SYSTEM ("HSHS"). PARTICIPATION IN THE POOLED FUND IS LIMITED TO THE 501(C)(3) HOSPITALS AND HEALTH SERVICES ORGANIZATIONS SPONSORED BY HSHS. THE POOLED ACCOUNT CONSISTS OF CASH, EQUITY AND DEBT SECURITIES THAT ARE PUBLICLY TRADED. IN ACCORDANCE WITH THE PROVISIONS OF STATEMENT OF FINANCIAL ACCOUNTING STANDARDS ("SFAS") NO. 124 "ACCOUNTING FOR CERTAIN INVESTMENTS HELD BY NOT-FOR-PROFIT ORGANIZATIONS", INVESTMENTS IN EQUITY SECURITIES WITH READILY DETERMINABLE FAIR VALUES, AND ALL INVESTMENTS IN DEBT SECURITIES, ARE REPORTED AT FAIR VALUE ON THE BALANCE SHEET. READILY DETERMINABLE FAIR VALUES AND ALL INVESTMENTS IN DEBT SECURITIES ARE REPORTED AT FAIR VALUE ON THE BALANCE SHEET. INCOME, REALIZED AND UNREALIZED GAINS AND LOSSES ARE POOLED AND ALLOCATED TO THE PARTICIPANTS. INDIVIDUAL COMPONENTS OF ASSETS AND REVENUE ARE NOT IDENTIFIED TO THE INDIVIDUAL HOSPITAL PARTICIPANTS. |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Pension Relatd Funding - -9046965; Transfer to Affiliates - -2038798; Change in Fair Value of Interest Rate SWAP - -1987782; SWAP Payments - -1658135; Change in Temporarily Restricted Net Assets - 1089607; Change in Permenant Restricted Net Assets - 482621; |
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 | -$2,181,245 | $7,140,533 | HSSI |
| PHYSICIAN CLINICAL INTEGRATION NETWORK LLC | |||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371668647 | HEALTHCARE | IL | -$487,125 | $5,630,644 | KCIN |
| HSHS ACO LLC | |||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62749 | 320465666 | HEALTHCARE | IL | $0 | $0 | KCIN |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (26 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| HOSPITAL SISTERS HEALTH SYSTEM | ||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371058692 | HEALTHCARE | IL | 501(c)(3 | Type III-FI | NA | false |
| HOSPITAL SISTERS OF ST FRANCIS FOUNDATION | ||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371186514 | HEALTHCARE | IL | 501(c)(3 | 7 | HSHS | Yes (true) |
| HSHS HEALTHCARE PLAN TRUST FUND | ||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371137724 | HEALTHCARE | IL | 501(c)(9 | HSHS | Yes (true) | |
| HSHS SELF INSURANCE TRUST | ||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371120626 | INSURANCE | IL | 501(c)(3 | Type I | HSHS | Yes (true) |
| HOSPITAL SISTERS HEALTHCARE WEST INC | ||||||||||
| 2661 COUNTY HIGHWAY 1 | CHIPPEWA FALLS | WI | 54729 | 510157933 | HEALTHCARE | WI | 501(c)(3 | Type III-FI | HSSI | Yes (true) |
| ST ANTHONY'S HOSPITAL | ||||||||||
| 503 N MAPLE STREET | EFFINGHAM | IL | 62401 | 370661233 | HEALTHCARE | IL | 501(c)(3 | 3 | HSSI | Yes (true) |
| ST ELIZABETH'S HOSPITAL | ||||||||||
| 211 SOUTH THIRD STREET | BELLEVILLE | IL | 62220 | 370663567 | HEALTHCARE | IL | 501(c)(3 | 3 | HSSI | Yes (true) |
| ST NICHOLAS HOSPITAL | ||||||||||
| 3100 SUPERIOR AVENUE | SHEBOYGAN | WI | 53081 | 390808480 | HEALTHCARE | WI | 501(c)(3 | 3 | HSSI | Yes (true) |
| ST JOHN'S HOSPITAL | ||||||||||
| 800 EAST CARPENTER STREET | SPRINGFIELD | IL | 62769 | 370661238 | HEALTHCARE | IL | 501(c)(3 | 3 | HSSI | Yes (true) |
| ST JOSEPH'S HOSPITAL | ||||||||||
| 9515 HOLY CROSS LANE | BREESE | IL | 62230 | 371208459 | HEALTHCARE | IL | 501(c)(3 | 3 | HSSI | Yes (true) |
| ST JOSEPH'S HOSPITAL | ||||||||||
| 2661 COUNTY HIGHWAY 1 | CHIPPEWA FALLS | WI | 54729 | 390810545 | HEALTHCARE | WI | 501(c)(3 | 3 | HSSI | Yes (true) |
| ST MARY'S HOSPITAL | ||||||||||
| 1800 E LAKE SHORE DRIVE | DECATUR | IL | 62521 | 370661244 | HEALTHCARE | IL | 501(c)(3 | 3 | HSSI | Yes (true) |
| ST MARY'S HOSPITAL | ||||||||||
| 111 SPRING STREET | STREATOR | IL | 61364 | 362169181 | HEALTHCARE | IL | 501(c)(3 | 3 | HSSI | Yes (true) |
| ST MARY'S MEDICAL CENTER | ||||||||||
| 1762 SHAWANO AVENUE | GREEN BAY | WI | 54303 | 390818682 | HEALTHCARE | WI | 501(c)(3 | 3 | HSSI | Yes (true) |
| ST VINCENT HOSPITAL | ||||||||||
| 835 S VAN BUREN | GREEN BAY | WI | 51301 | 390817529 | HEALTHCARE | WI | 501(c)(3 | 3 | HSSI | Yes (true) |
| ST JOSEPH'S HOSPITAL | ||||||||||
| 12866 TROXLER AVENUE | HIGHLAND | IL | 62249 | 370663568 | HEALTHCARE | IL | 501(c)(3 | 3 | HSSI | Yes (true) |
| ST FRANCIS HOSPITAL | ||||||||||
| 1215 FRANCISCAN DRIVE | LITCHFIELD | IL | 62056 | 370661236 | HEALTHCARE | IL | 501(c)(3 | 3 | HSSI | Yes (true) |
| HOSPITAL SISTERS SERVICES INC | ||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371163402 | HEALTHCARE | IL | 501(c)(3 | Type III-FI | HSHS | Yes (true) |
| HSHS MEDICAL GROUP INC | ||||||||||
| 3215 EXECUTIVE PARK DRIVE | SPRINGFIELD | IL | 62703 | 263956318 | HEALTHCARE | IL | 501(c)(3 | Type III-FI | HSSI | Yes (true) |
| HSHS WISCONSIN MEDICAL GROUP INC | ||||||||||
| 3215 EXECUTIVE PARK DRIVE | SPRINGFIELD | IL | 62703 | 264515959 | HEALTHCARE | WI | 501(c)(3 | Type III-FI | HSSI | Yes (true) |
| ORANGE CROSS AMBULANCE INC | ||||||||||
| 919 ASHLAND AVENUE | SHEBOYGAN | WI | 53081 | 391860942 | HEALTHCARE | WI | 501(c)(3 | 9 | ST NICHOLAS | Yes (true) |
| WISCONSIN UPPER PENINSULA ONCOLOGY MANAGEMENT | ||||||||||
| 835 S VAN BUREN | GREEN BAY | WI | 54301 | 391677100 | HEALTHCARE | WI | 501(c)(3 | 3 | ST VINCENT | 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) |
| COMMUNITY HEALTHCARE FOUNDATION | ||||||||||
| 855 SOUTH MAIN STREET | OCONTO FALLS | WI | 54154 | 391700944 | FUNDRAISING (DISSOLVED 8/25/14) | WI | 501(c)(3 | 7 | ST CLARE | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 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 | $1,009,386 | $4,940,657 | false | false | 0.005 |
| PRAIRIE HEART INSTITUTE ST JOHN'S | |||||||||||||
| 800 EAST CARPENTER STREET | SPRINGFIELD | IL | 62769 | 371321197 | HEALTHCARE | IL | HSHS | Related | -$874 | $46,181 | false | false | 0.01 |
| NORTHEAST WISCONSIN RADIATION THERAPY SERVICES LLC | |||||||||||||
| 1726 SHAWANO AVE | GREEN BAY | WI | 543079047 | 263749065 | HEALTHCARE (Disolved 6/1/15) | WI | SMGB | Related | $0 | $0 | false | Yes (true) | 0.005 |
| PAIN CENTER OF WISCONSIN | |||||||||||||
| 4131 W LOOMIS ROAD SUITE 300 | GREENFIELD | WI | 53221 | 263155343 | HEALTHCARE | WI | ST VINCENT | Related | $1,121,849 | $1,119,039 | false | false | 0.005 |
| PAIN CENTER OF WISCONSIN - OCONTO FALLS LLC | |||||||||||||
| 4131 W LOOMIS ROAD SUITE 300 | GREENFIELD | WI | 53221 | 364717036 | HEALTHCARE | WI | ST CLARE | Related | -$68,999 | $194,065 | false | false | 0.005 |
| CARPENTER STREET HOTEL LLC | |||||||||||||
| 525 NORTH SIXTH STREET | SPRINGFIELD | IL | 62702 | 364128127 | HOTEL | IL | LASANTE INC | N/A | |||||
| SPRINGFIELD URGENT CARE REAL ESTATE LLC | |||||||||||||
| PO BOX 19456 | SPRINGFIELD | IL | 727949456 | 030413258 | RENTAL REAL ESTATE | IL | LASANTE INC | N/A | |||||
| PRAIRIE HEART INSTITUTE MANAGEMENT COMPANY LLC | |||||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 261479945 | MEDICAL | IL | HSHS | Related | -$7,920 | $21,158 | false | Yes (true) | 0.01 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 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 | -$27,121,195 | $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 | $315,933 | $46,398,032 | 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 | $103,291,372 | 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) | ||||||||
| STREATORLAND QUALITY CARE PHO LLC | |||||||||||||||||
| 111 SPRING STREET | STREATOR | IL | 61364 | 364105007 | HEALTHCARE | IL | ST MARY'S STREATOR | C Corporation | -$3,116 | $17,486 | 0.005 | Yes (true) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule R, Part V, Line 2 TRANSACTIONS WITH RELATED ENTITIES | FormAndLineReferenceDesc |
| Explanation | THE TRANSACTIONS REPORTED IN QUESTION 1 ARE BETWEEN RELATED 501(C)(3) PUBLIC CHARITIES AND ARE NOT REPORTED IN THIS SECTION. | ExplanationTxt |