ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDE: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDE (EIN 37-0663567)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-12
- IRS object ID
- 201631339349306173
- 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 M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-12T19:03:12-05:00 | 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 | 370663567 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Elizabeth's Hospital of the Hospital Sisters of the Third Order of St Fr | BusinessNameLine1Txt |
| Business Name Line2 | ancis | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STEL | BusinessNameControlTxt |
| Phone | 6182342120 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 211 SOUTH THIRD STREET | AddressLine1Txt |
| City | Belleville | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 622201998 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Peggy Sebastian | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Signature | 2016-04-26 | 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 | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARYANN REESE | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 211 SOUTH THIRD STREET | AddressLine1Txt |
| City | Belleville | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 622201998 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $176,688,567 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.STELIZ.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1875 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | TO REVEAL AND EMBODY CHRIST'S HEALING LOVE FOR ALL PEOPLE THROUGH OUR HIGH QUALITY FRANCISCAN HEALTH CARE MINISTRY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 1565 | TotalEmployeeCnt |
| Total Volunteers | 238 | TotalVolunteersCnt |
| Total Gross UBI | $28,031 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $7,602 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $489,851 | PYContributionsGrantsAmt |
| CY Contributions Grants | $864,867 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $168,021,864 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $172,258,960 | CYProgramServiceRevenueAmt |
| PY Investment Income | $673,522 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,471,021 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,415,614 | PYOtherRevenueAmt |
| CY Other Revenue | $696,434 | CYOtherRevenueAmt |
| PY Total Revenue | $171,600,851 | PYTotalRevenueAmt |
| CY Total Revenue | $175,291,282 | 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 | $69,903,855 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $74,077,391 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $116,362,483 | PYOtherExpensesAmt |
| CY Other Expenses | $114,725,172 | CYOtherExpensesAmt |
| PY Total Expenses | $186,266,338 | PYTotalExpensesAmt |
| CY Total Expenses | $188,802,563 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$14,665,487 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$13,511,281 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $119,425,238 | TotalAssetsBOYAmt |
| Total Assets EOY | $128,900,746 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $136,875,198 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $179,340,287 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$17,449,960 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$50,439,541 | NetAssetsOrFundBalancesEOYAmt |
| Mission | SEE SCHEDULE O. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $42,657,489 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $36,846,421 | RevenueAmt |
| Desc | Surgical Services Our highly trained and experienced surgeons perform surgical and non-surgical procedures in a variety of areas and represent a wide range of specialties, including: cardiothoracic, orthopedic, plastic surgery, neurosurgery, podiatry and more. Your surgical team will perform your surgery using the latest technology and least invasive procedures possible in one of our 16 surgery suites. Our board certified anesthesiologists and certified nurse anesthetists provide excellent anesthesia care. During FY 2015, St. Elizabeth's Hospital had 4,417 surgical cases. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $26,531,503 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $27,661,029 | RevenueAmt |
| Desc | Cardiac Services St. Elizabeth's provides comprehensive cardiovascular services from diagnosis to surgery to rehabilitation and wellness. St. Elizabeth's is accredited by the Society of Chest Pain Centers, a professional organization focused on improving care for patients with acute coronary syndromes and teaching the public to recognize and react to the early symptoms of a possible heart attack. This accreditation attests that St. Elizabeth's meets strict criteria for recognizing and treating patients who come to the emergency room with heart attack symptoms. We are also a heart attack receiving center. Our patients benefit from our highly credentialed physicians and state-of-the-art technologies, as well as our commitment to superior patient outcomes. Services provided include cardiac catheterization, stent placement, stress testing, pacemaker, implantable cardioverter defibrillator (ICD), electrocardiography, coronary artery bypass graft (open heart) surgery and cardiac rehabilitation. During FY 2015, St. Elizabeth's Hospital had 13,185 cardiac cases. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $10,711,395 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $8,378,243 | RevenueAmt |
| Desc | Rehabilitation Services St. Elizabeth's Hospital's comprehensive Rehabilitation unit provides the care that maximizes the patient's capabilities. We assist in achieving full recovery potential allowing patients to live as independently as possible. We support patients families by providing them with the education, resources and encouragement needed to achieve positive outcomes. Our comprehensive integrated inpatient rehabilitation program is accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF). The Rehabilitation unit is accredited to provide services to those adults who have been affected by stroke, amputation, arthritis, spinal cord injury, joint replacement, hip fracture, neurological disease and more. When admitted to our program, patients are treated by a multi-disciplinary team of caring professionals. During FY 2015 our Rehabilitation Unit performed 4,485 cases. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $74,562,213 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $99,383,287 | RevenueAmt |
| Desc | Other Health Care Services St. Elizabeth's delivers a comprehensive array of healthcare services to both inpatients and outpatients. Our accredited programs have consistently demonstrated quality outcomes that positively impact our patients, their families and the entire community. We provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of St. Elizabeth's Hospital, it is recognized that not all individuals possess the ability to purchase essential medical services. It is our mission to serve the sick, especially the poor, with quality healthcare services and healthcare education. We have further defined our mission of identifying those who are at greatest health risk, the elderly, children, those coping with mental illness, and those with less means who are dependent on quality healthcare. St. Elizabeth's Hospital currently staffs 260 inpatient beds. The hospital employs 1,565 colleagues. Inpatient admissions for Fiscal Year 2015 were 10,479. The Emergency Department had 38,872 visits and admitted 6,591 to inpatient services. The Urgicare Center in O'Fallon, an offsite facility, had 26,859 visits. Total Outpatient visits for the hospital were 187,213. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $74,562,213 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $99,383,287 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $154,462,600 | 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 | Yes (true) | 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 | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | Yes (true) | 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 | 143 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1565 | 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 | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | David Nosacka | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6182342120 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 211 SOUTH THIRD STREET | AddressLine1Txt |
| City | BELLEVILLE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 622201998 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MARYANN REESE | ||||||||||
| PRESIDENT & CEO | 60.00 | 0 | Yes (X) | Yes (X) | $0 | $428,335 | $119,153 | |||
| WILLIAM S LYKE | ||||||||||
| BOARD CHAIRPERSON | 1.00 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| SISTER JANICE SCHNIEDER OSF | ||||||||||
| BOARD VICE-CHAIRPERSON | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| THOMAS M EGAN | ||||||||||
| BOARD SECRETARY | 1.00 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| SR MARYBETH CULNAN OSF | ||||||||||
| BOARD MEMBER | 1.00 | 10.00 | Yes (X) | $0 | $0 | $0 | ||||
| REVEREND JAMES E DEITERS | ||||||||||
| BOARD MEMBER | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| STEPHANIE STRANO-MAINE | ||||||||||
| BOARD MEMBER | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| JIM CLANAHAN MD | ||||||||||
| BOARD MEMBER | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| JACQUELYN M CLEMENT PHD | ||||||||||
| BOARD MEMBER | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| RICHARD J THOMAN | ||||||||||
| BOARD MEMBER | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| DINGES THOMAS | ||||||||||
| BOARD MEMBER | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| ANN M CARR | ||||||||||
| TREASURER | 0.25 | 59.25 | Yes (X) | $0 | $335,735 | $228,208 | ||||
| LAWRENCE SCHUMACHER | ||||||||||
| DIVISION CEO - INTERIM (partial year) | 2.00 | 49.00 | Yes (X) | $0 | $1,078,182 | $242,235 | ||||
| SHELLEY HARRIS | ||||||||||
| CHIEF NURSING OFFICER | 60.00 | 0 | Yes (X) | $207,367 | $0 | $144,554 | ||||
| SHELLY HARKINS MD | ||||||||||
| CHIEF MEDICAL OFFICER | 60.00 | 0 | Yes (X) | $347,995 | $0 | $45,787 | ||||
| DAVID NOSACKA | ||||||||||
| DIVISION CFO | 28.80 | 31.20 | Yes (X) | $414,875 | $0 | $43,321 | ||||
| MARY LOU TATE | ||||||||||
| DIRECTOR OF FINANCE | 60.00 | 0 | Yes (X) | $107,906 | $0 | $19,056 | ||||
| MARGARET LUNA | ||||||||||
| DIVISION CPO | 28.80 | 41.40 | $217,078 | $0 | $79,849 | Yes (X) | ||||
| AMY BALLANCE | ||||||||||
| DIVISION VICE PRESIDENT BUSINESS DEVELOPMENT | 28.80 | 31.20 | $185,804 | $0 | $48,567 | Yes (X) | ||||
| SUSAN BEELER | ||||||||||
| PROJECT MANAGER, NEW CONSTRUCTION | 60.00 | 0 | $168,409 | $0 | $90,312 | Yes (X) | ||||
| JACQUELYNNE N HOLST | ||||||||||
| DIVISION ASSOCIATE GENERAL COUNSEL | 28.80 | 31.20 | $169,088 | $0 | $20,216 | Yes (X) | ||||
| BRIAN D JOHNSON | ||||||||||
| DIRECTOR OF SURGICAL SERVICES | 60.00 | 0 | $156,664 | $0 | $41,706 | Yes (X) | ||||
| PETER WONG | ||||||||||
| CHIEF PERFORMANCE IMPROVEMENT OFFICER | 24.00 | 36.00 | $297,844 | $0 | $58,783 | Yes (X) | ||||
| JULIA SCHIMMELPFENNIG | ||||||||||
| DIRECTOR OF PHARMACY | 60.00 | 0 | $150,561 | $0 | $19,616 | Yes (X) | ||||
| CHELLIE BUTEL | ||||||||||
| EXECUTIVE DIRECTOR OF RISK & PCU | 60.00 | 0 | $157,544 | $0 | $19,260 | Yes (X) | ||||
| JOHNNY WATKINS | ||||||||||
| Former Division CFO | 0.00 | 0.00 | $146,771 | $0 | $5,308 | Yes (X) | ||||
| MARK REIFSTECK | ||||||||||
| Former Division CEO | 0.00 | 0.00 | $0 | $171,799 | $61,821 | Yes (X) | ||||
| LESLIE LOVSHIN | ||||||||||
| Former Director of Finance | 0.00 | 0 | $119,939 | $0 | $6,655 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,847,845 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,014,051 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,294,407 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 22 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| KAHLER SLATER INC | |||||
| 111 WEST WISCONSIN AVENUE | MILWAUKEE | WI | 532032501 | ARCHITECTURAL SERVICES | $3,105,452 |
| PROFESSIONAL THERAPY SERVICES INC | |||||
| 2810 FRANK SCOTT PKWY WEST STE 824 | BELLEVILLE | IL | 62223 | PHYSICAL THERAPY | $3,012,036 |
| SODEXO OPERATIONS LLC | |||||
| 4880 PAYSHERE CIRCLE | CHICAGO | IL | 60674 | FOOD SERVICE | $1,638,298 |
| SLU CARE | |||||
| 1402 S GRAND BLVD | ST LOUIS | MO | 63104 | PHYSICIAN SERVICES | $1,061,003 |
| MARGIN RECOVERY INTERNATIONAL | |||||
| PO BOX 1612 | GRETNA | LA | 70053 | REVENUE CYCLE CONSULTING SERVICES | $756,286 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 46 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Related Organizations | $839,498 | RelatedOrganizationsAmt |
| Government Grants | $25,369 | GovernmentGrantsAmt |
| Noncash Contributions | $475,617 | NoncashContributionsAmt |
| Total Contributions | $864,867 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Revenue | 622110 | $169,517,449 | $169,517,449 |
| Oncology Center | 621999 | $1,009,386 | $1,009,386 |
| Health Programs | 621999 | $918,884 | $918,884 |
| Rental Income-Affiliates | 531120 | $813,242 | $813,242 |
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 | $172,258,960 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,459,352 | TotalRevenueColumnAmt |
| Exclusion | $1,459,352 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,314,013 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,288,845 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $25,168 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,168 | TotalRevenueColumnAmt |
| Exclusion | $25,168 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,894 | SecuritiesAmt |
| Other | $114,215 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $108,440 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,894 | SecuritiesAmt |
| Other | $5,775 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,669 | TotalRevenueColumnAmt |
| Exclusion | $11,669 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Outside Services | 900099 | $666,066 | $666,066 | |
| Cafeteria Sales | 722210 | $20,622 | $20,622 | |
| Laundry Services | 812300 | $28,031 | $28,031 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$43,452 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,020 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$53,472 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $671,266 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $175,291,282 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $172,268,980 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $28,031 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,129,405 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,318,217 | TotalAmt |
| Program Services | $775,624 | ProgramServicesAmt |
| Management And General | $1,542,593 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,139 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $10,139 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,342,321 | TotalAmt |
| Program Services | $46,124,955 | ProgramServicesAmt |
| Management And General | $7,217,366 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,578,791 | TotalAmt |
| Program Services | $3,191,535 | ProgramServicesAmt |
| Management And General | $387,256 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,434,022 | TotalAmt |
| Program Services | $8,421,847 | ProgramServicesAmt |
| Management And General | $2,012,175 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,393,901 | TotalAmt |
| Program Services | $3,731,380 | ProgramServicesAmt |
| Management And General | $662,521 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,198,759 | TotalAmt |
| Management And General | $9,198,759 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,679 | TotalAmt |
| Management And General | $102,679 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,020 | TotalAmt |
| Program Services | $37,020 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,802,792 | TotalAmt |
| Program Services | $28,536,365 | ProgramServicesAmt |
| Management And General | $3,266,427 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $151,219 | TotalAmt |
| Management And General | $151,219 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $921,816 | TotalAmt |
| Program Services | $719,728 | ProgramServicesAmt |
| Management And General | $202,088 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,506,680 | TotalAmt |
| Management And General | $2,506,680 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,735,476 | TotalAmt |
| Program Services | $3,735,476 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $302,405 | TotalAmt |
| Program Services | $52,871 | ProgramServicesAmt |
| Management And General | $249,534 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,175 | TotalAmt |
| Program Services | $23,473 | ProgramServicesAmt |
| Management And General | $63,702 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,065,514 | TotalAmt |
| Management And General | $2,065,514 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,957,847 | TotalAmt |
| Program Services | $6,814,121 | ProgramServicesAmt |
| Management And General | $1,143,726 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,826,009 | TotalAmt |
| Program Services | $188,130 | ProgramServicesAmt |
| Management And General | $2,637,879 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $23,381,878 | $23,381,878 | |
| Provision for uncollectible accounts | $16,293,485 | $16,293,485 | |
| License & Taxes | $9,380,238 | $9,182,475 | $197,763 |
| Maintenance & Repairs | $3,192,851 | $3,053,555 | $139,296 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $781,329 | TotalAmt |
| Program Services | $198,682 | ProgramServicesAmt |
| Management And General | $582,647 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $188,802,563 | TotalAmt |
| Program Services | $154,462,600 | ProgramServicesAmt |
| Management And General | $34,339,963 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $946,248 | BOYAmt |
| EOY | $3,351,330 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,551,854 | BOYAmt |
| EOY | $2,068,924 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,228,267 | BOYAmt |
| EOY | $39,570,735 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $239,496 | BOYAmt |
| EOY | $273,113 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,338,360 | BOYAmt |
| EOY | $3,162,069 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $693,880 | BOYAmt |
| EOY | $1,024,020 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $229,077,252 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $159,647,631 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,147,597 | BOYAmt |
| EOY | $69,429,621 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,144,623 | BOYAmt |
| EOY | $4,837,999 | 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 | $4,931,271 | BOYAmt |
| EOY | $4,940,656 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $203,643 | BOYAmt |
| EOY | $242,279 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,425,238 | BOYAmt |
| EOY | $128,900,746 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,029,860 | BOYAmt |
| EOY | $22,826,597 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,476,080 | BOYAmt |
| EOY | $122,325,736 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,369,258 | BOYAmt |
| EOY | $34,187,954 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $136,875,198 | BOYAmt |
| EOY | $179,340,287 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$25,144,611 | BOYAmt |
| EOY | -$57,317,862 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,592,579 | BOYAmt |
| EOY | $6,744,478 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,072 | BOYAmt |
| EOY | $133,843 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$17,449,960 | BOYAmt |
| EOY | -$50,439,541 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,425,238 | BOYAmt |
| EOY | $128,900,746 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$13,511,281 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $66,804 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$19,545,104 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $37,020 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $37,020 | 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 | ST. ELIZABETH'S HOSPITAL ("THE HOSPITAL") IS A MEMBER OF THE CATHOLIC HEALTH ASSOCIATION ("CHA"), THE ILLINOIS HEALTH ASSOCIATION ("IHA"), THE NATIONAL ASSOCIATION FOR HOME CARE AND HOSPICE, AND THE AMERICAN HEALTH ASSOCIATION ("AHA"). AS A MEMBER OF THESE ORGANIZATIONS, THE HOSPITAL PAYS DUES, PART OF WHICH ARE ATTRIBUTABLE TO LOBBYING FEES PAID BY THE ORGANIZATIONS. THE AMOUNT LISTED IS THE AMOUNT ATTRIBUTABLE TO THE HOSPITAL FROM ITS DUES PAID. | ExplanationTxt |
Schedule D IRS990ScheduleD
Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Revenues Included | $193,815 | RevenuesIncludedAmt |
| Assets Included | $180,688 | AssetsIncludedAmt |
Held Works Art HeldWorksArtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Revenues Included | $0 | RevenuesIncludedAmt |
| Assets Included | $0 | AssetsIncludedAmt |
Collection Used Other Purposes CollectionUsedOtherPurposesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Collection Used Other Purposes | Yes (X) | CollectionUsedOtherPurposesInd |
| Other Purposes | See Part III, line 4 | OtherPurposesDesc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Solicited Assets Sale | false | SolicitedAssetsSaleInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,885,055 | OtherCostOrOtherBasisAmt |
| Book Value | $3,885,055 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $128,144,841 | OtherCostOrOtherBasisAmt |
| Depreciation | $95,306,789 | DepreciationAmt |
| Book Value | $32,838,052 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $73,174 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,488 | DepreciationAmt |
| Book Value | $67,686 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $80,796,523 | OtherCostOrOtherBasisAmt |
| Depreciation | $64,335,354 | DepreciationAmt |
| Book Value | $16,461,169 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,177,659 | OtherCostOrOtherBasisAmt |
| Book Value | $16,177,659 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $69,429,621 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Retire Obligation Asbestos | $8,976,187 |
| Accrued Pension Benefit | $25,211,767 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $34,187,954 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part III, Line 4 Collections of art - description of collections | The hospital has received various donations of artwork, which are held and displayed throughout the facility to beautify the hospital and promote healing. |
| Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | HSHS and the Foundation are Illinois not-for-profit organization 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 the projected future taxable income and tax planning strategies in making this assessment. HSHS recognized 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. |
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 | 0 | 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) |
|---|---|---|
| Persons Served | 3506 | PersonsServedCnt |
| Total Community Benefit Expns | $2,041,376 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,041,376 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0118 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 19687 | PersonsServedCnt |
| Total Community Benefit Expns | $44,720,226 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,231,894 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,488,332 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0666 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 23193 | PersonsServedCnt |
| Total Community Benefit Expns | $46,761,602 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,231,894 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,529,708 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0784 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 32 | ActivitiesOrProgramsCnt |
| Persons Served | 13092 | PersonsServedCnt |
| Total Community Benefit Expns | $451,127 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,540 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $441,587 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0026 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 1484 | PersonsServedCnt |
| Total Community Benefit Expns | $2,467,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $578,990 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,888,010 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0109 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 25 | PersonsServedCnt |
| Total Community Benefit Expns | $55,359 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $55,359 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0003 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 852 | PersonsServedCnt |
| Total Community Benefit Expns | $102,042 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $102,042 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0006 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 51 | ActivitiesOrProgramsCnt |
| Persons Served | 15453 | PersonsServedCnt |
| Total Community Benefit Expns | $3,075,528 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $588,530 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,486,998 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0144 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 51 | ActivitiesOrProgramsCnt |
| Persons Served | 38646 | PersonsServedCnt |
| Total Community Benefit Expns | $49,837,130 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,820,424 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,016,706 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0928 | 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) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 402 | PersonsServedCnt |
| Total Community Benefit Expns | $45,303 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $45,303 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0003 | 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) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 80 | PersonsServedCnt |
| Total Community Benefit Expns | $1,287 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,287 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | 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 | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 482 | PersonsServedCnt |
| Total Community Benefit Expns | $46,590 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $46,590 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0003 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $16,293,485 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $48,136,696 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $53,821,299 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$5,684,603 | 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 |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct |
|---|---|
| MEMORIAL & ST ELIZABETH'S HEALTHCARE SERVICES | |
| HEALTHCARE | 0.5 |
| SOUTHERN ILLINOIS CARDIOVASCULAR FACILITY | |
| FACILITATE CARDIOVASCULAR SERVICES | 0.5 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST ELIZABETH'S HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 211 SOUTH 3RD STREET | AddressLine1Txt |
| City | BELLEVILLE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62220 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | http://www.steliz.org/ | WebsiteAddressTxt |
| State License | 00002345 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST ELIZABETH'S HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 14 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | http://www.steliz.org/our-hospital/community-benefit/ | 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.steliz.org/_data/files/Community%20Health%20Needs%20Assessment%20(CHNA)_St_Elizabeth2015. | 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.steliz.org/patients-visitors/billingfinancial-assistance/ | FAPAppAvailableOnWebsiteURLTxt |
| 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 |
| 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 (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - St. Elizabeth's Hospital of the Hospital Sisters of the Third Order of St. Francis. In FY2015, HSHS St. Elizabeth's senior leadership engaged Southern Illinois University School of Medicine's Center for Clinical Research and Office of Community Health and Service to provide quantitative and secondary data and community health data on the four county service areas. In addition, the team along with members of the Community Benefit committee identified additional data sets to review and discuss with focus groups. Internal data collected consisted of the top 10 diagnosis of patients admitted to the hospital from the Emergency Department and the top 10 diagnosis of patients discharged from the Emergency Department. The FY2012 Community Health Needs Assessment (CHNA) was also included in the data review. A core group of St. Elizabeth's colleagues along with our physician partners provided valuable input for this CHNA. This focus group discussed the data, shared insights from their perspective vantage point and identified their top three health care focus areas. HSHS St. Elizabeth Hospital also leveraged existing relationships that provided diverse input for a comprehensive review and analysis of community health needs in the hospital's service area. These external component steps included conducting a survey at the Regional Health Policy Summit, leading focus groups, and utilizing the expertise of the existing Community Benefits Committee members. Community members were invited based on their awareness of and expertise on addressing the needs of our community. There was particular attention afforded to those who work with the underserved, low income, and minority populations as well as populations with chronic disease. In addition a special focus group was conducted with the homeless in their environment. Local focus groups were sponsored by community partners, which further demonstrate St Elizabeth's integration with the community. Members included the director of St. Clair County Public Health Commission, a retired nurse; St. Clair Mental Health Board (mental health); the Carla Smith Foundation (families of the mentally ill); a USAF Nurse from Scott Air Force Base (population health): members of the clergy; community-based hospice; BEACON ministries (social services agency for the poor and underserved); Health Visions East social worker for low income, medically underserved, and the elderly; local mental health agencies; representatives from senior living; a university professor; an agency for domestic violence prevention; legal and financial services that represent low income population; and a member of the local Federally Quantified Healthcare Center. |
| Schedule H, Part V, Section B, Line 6b Facility , 1 | Facility , 1 - St. Elizabeth's Hospital of the Hospital Sisters of the Third Order of St. Francis. St. Clair County Public Health Commission, Southern Illinois Health Foundation, Health Visions East, Lindenwood University, Southern Illinois University School of Medicine Office of Community Health and Service, and Eastside Health District. |
| Schedule H, Part V, Section B, Line 7 Facility , 1 | Facility , 1 - St. Elizabeth's Hospital of the Hospital Sisters of the Third Order of St. Francis. After approval of the HSHS St Elizabeth's Board, the CHNA was shared at a community event for social agencies to inform them of our findings and our implementation plan. http://www.steliz.org/_data/files/Community%20Health%20Needs%20Assessment%20(CHNA)_St_Elizabeth2015.pdf |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - St. Elizabeth's Hospital of the Hospital Sisters of the Third Order of St. Francis. Identification and Prioritization of Needs Identifying and prioritizing the areas of focus was completed using LEAN Principles. The charter, the first step in the LEAN process, consisted of identifying the primary customers, the scope of the project, the primary goal and the metrics selected for the CHNA. We listened to the voice of community members as St Elizabeth's collaborated with our community partners. Individuals included the Community Benefit team, social agencies such as BEACON ministries, the executive medical staff, and SIU School of Medicine. The key drivers selected included the SIU secondary data analysis, focus groups, surveys, and Emergency Department(ED) data. These key drivers were further delineated into critical to quality requirements that provided measurable specifications. Data collected and measured included focus group members top three health needs, survey results of the top three health needs, and the top 10 ED diagnosis codes for both admitted and discharged patients. The data was collected and analyzed using a pareto chart. A pareto chart measures data in decreasing order of occurrence. The pareto chart identified poverty as the largest area of need followed by access to healthcare, obesity, food scarcity, and diabetes and then substance abuse as the top six. As a health care organization St. Elizabeth's expertise and resources are best used addressing a health care need with measurable outcomes. Noting the association among some of the topics the data was categorized using an Affinity Diagram. An Affinity Diagram organizes a large amount of data into natural relationships. Using the data in the Affinity Diagram a new pareto chart was created. The priority areas that rose to the top were nutrition, followed by mental health/substance abuse, access to care, and cardiac disease. As part of the identification and prioritization of health needs, HSHS St. Elizabeth's senior leadership team and the CHNA Steering Committee considered the estimated feasibility and effectiveness of possible interventions by the hospital to impact these health priorities; the burden, scope, severity, or urgency of the health need; the health disparities associated with the health needs; the importance the community places on addressing the health need; and other community assets and resources that could be leveraged through strategic collaboration in the hospital's service area to address the health need. Based on the CHNA planning and development process described, the following community health needs were identified: 1. Nutrition and Wellness 2. Access to Care 3. Cardiac Disease Implementation Plan to Address Identified Needs HSHS St. Elizabeth Hospital partnered with other organizations to develop, implement, monitor and evaluate both new and ongoing initiatives that address the identified priority community health needs. The set of implementation strategies and interventions are contained in the Implementation Plan, which was approved and adopted by an authorized body of the hospital. The implementation strategies and interventions will include, but are not limited to, the following initiatives:. 1. Wellness related to Nutrition a. Goal: To partner with the local soup kitchen to provide a series of education classes on nutrition. Measure: Conduct quarterly classes at the soup kitchen. b. Goal: Partner with the Eastside Health District and provide customers with samples of healthy food and recipes at the farmer's market. Measure: Assess customer's feedback. c. Goal: Cultivate and support a community garden and donate the produce to the local food pantries. Measure: Weigh the amount of produce donated to the food pantry and encourage colleagues to donate surplus produce from their personal gardens. d. Goal: To provide support and information to individuals with diabetes that will help with diabetes self-management. Measure: Continue to conduct the Diabetes support Group and complete annual survey related to knowledge and behavioral changes. Measure: Provide health screenings/glucose test and education to the community on a quarterly basis. Measure: Refer and track pre-diabetes patients for classes to our partner, the YMCA. Measure: Enroll eligible patients in the DSME program and track their referral source. Measure: Participate in a division wide diabetes campaign in partnership with Walmart and create a cohort of patients that we can measure and track physical behavioral changes. e. Goal: To provide the services of a dietitian to organizations free of charge for education about nutrition and healthy eating. Measure: Dietitian will make three presentations during the year, which may include a grocery store tour and/or cooking demonstration to teach individuals how to shop and cook for healthy foods. 2. Access to Health Care To provide access to medical care for those in need a. Goal: to increase enrollment in the Health insurance exchange. Measure: During the period of open enrollment on the HIE, November 1, 2015 and end January 31, 2016, St. Elizabeth's Hospital will distribute one news release to the local media about open enrollment and place information on the hospital's website. The services of a enrollment counselor will be funded by the hospital as the level of need is determined for the county and in coordination with the local/regional public health departments. b. Goal: To further assess the need for non-emergency medical transportation and identify other organizations for possible collaboration. Measure: Assessment will be completed and one action taken as identified to improve transportation access and/or reduce costs for low income residents. Collaboration will be completed with current public transportation provider, as appropriate. c. Goal: To address to the needs of eligible patients that require medications and services to safely transition patients to an appropriate level of care. Measure: Collaborate with other organizations that support the continuum of care for eligible patients and can provide needed services. |
| Schedule H, Part V, Section B, Line 11 Facility , 2 | Facility , 2 - St. Elizabeth's Hospital of the Hospital Sisters of the Third Order of St. Francis (continued). 3. Heart Disease/Cerebrovascular Disease and further evaluated until we reached sufficient detailed information that enabled us to measure the information. For example, the key drivers: a. Goal: To promote heart health awareness, education about cardiovascular disease as well as eating and lifestyle choices. Measure: During the month of February, nationally recognized as Heart Health month, one activity will be held for community health education. Measure: Conduct/participate in quarterly community health programs Measure: Meet with outside agencies and hospitals and provide cardiac and stroke education. Measure: Conduct quarterly classes at the soup kitchen on cardiac and stroke awareness. Measure: Participate in a division wide diabetes/cardiac campaign in partnership with Walmart and create a cohort of patients that we can measure and track physical and behavioral changes. In addition to the above activities HSHS St. Elizabeth's continues to engage the community in many other activities that provide support to the poor and underserved. As a teaching institute, hospital colleagues mentor students in a variety of disciplines including a family practice residency program, pharmacy, nursing and multiple ancillary departments. As an outcome of the prioritization process, the following community health needs were also identified and will not be addressed directly by the hospital for the reasons indicated: * Mental Health and Substance Abuse- this category is listed as the second health care priority. St. Elizabeth's will continue to partner with local and state agencies to assist when feasible with mental health and substance abuse. St. Elizabeth's is in the process of transitioning the majority of our mental health resources and expertise to a local community partner and St Elizabeth's lacks necessary resources to pursue this priority. * Tobacco Use - The hospital did not take the lead on this issue. It is best addressed through the County Health Department smoking cessation classes. * Poverty- due the complexity of this issue the hospital will not take lead. There are several agencies that are addressing this issue. St. Elizabeth's partners with agencies such as East-Side Aligned, Catholic Urban Programs, St. Vincent DePaul, and BEACON ministries to provide support. * Violent Crimes- The hospital will not take lead because it is not an area of expertise for St. Elizabeth's, however an active partnership exists with the Violence Prevention Center. * Sexually Transmitted Diseases-the local health department leads this focus area. * Lack of available healthy food and food scarcity. The hospital did not take the lead on this issue. It is addressed by groups including local food pantries, East Side Health District, and East Side Aligned. The hospital supports these efforts by donating community garden proceeds to the local food pantry and conducting food drives. * Maternal and Infant Health as it relates to infant mortality and teen pregnancy; the hospital has a special care nursery and a pediatrician on staff but the hospital lacks the resources to further enhance programs for maternal and child health at this time. It is part of the St Clair County IPLAN. * Lung Cancer - This is issue is being addressed in the IPLAN; additionally St. Elizabeth's offers new technology to screen for lung cancer. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 0 | FacilityNum |
Supplemental Information Detail SupplementalInformationDetail (18 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part VI, Line 5 Promotion of community health (continued) | Mental health, reduce the rate of depression and suicide in the adult population in the County: Clair County Department IPLAN and HSHS St Elizabeth's CHNA identified suicide as a priority need in the community. In response to the need, the hospital in cooperation with the local county mental board supported a suicide awareness training program for the community to help identify individuals at risk of suicide. QPR, (Question, Persuade, Respond), educates the general population about how to talk to someone who may be considering suicide and it provides tips and resources. One of St Elizabeth's colleagues became a certified QPR instructor for the community. St Elizabeth's also provided space and marketing material for the Karla Smith Foundation educational series. This program supports families who have a family member who suffers from mental illness. In addition St Elizabeth's mental health counselors provided free evaluations to assess for services or referred individuals to other local agencies for assistance. In addition, they would also provide telephone assistance to individuals with mental health questions. In FY2015 the counselors screened more than 300 clients and 1,000 calls. Chronic disease: educate and empower diabetics to live a healthier lifestyle: HSHS St Elizabeth's, in collaboration with our sister hospitals in southern Illinois, sponsored the first diabetes month activities to educate the community on diabetes. Events included an open house for the community to participate in the free diabetes support group, which included a nutrition class, medication management, along with community awareness of Diabetes World Day. Our dietician conducted a class at a local senior center on diabetes with 45 in attendance. A cooking class was held at a local food pantry to educate the members on how to cook healthy with food provided by the pantry; six individuals attended the class. During Diabetic Alert Day the hospital partnered with the YMCA and conducted diabetes risk assessments and glucose tests for more than 100 patrons at three different sites in the community. The community was eager to learn how to improve their health. With diabetes being a priority need, HSHS St Elizabeth's routinely provided education about diabetes at health fairs and started an outpatient diabetic education program for the community. The diabetes support group continues to meet twice a week which includes an education and exercise component to each free class. Classes average approximately 10-15 for each class. Other Community Benefit Activities and Programs Breast Health Awareness: October is Breast Health Awareness month. Annually, HSHS St. Elizabeth's Hospital works to enhance community awareness and connect with civic and community leaders in an effort to educate and raise awareness of the importance of breast health. In FY2015, the cities of Belleville and O'Fallon announced a proclamation of Breast Health Awareness month. The hospital partnered with the local newspaper and area businesses to promote a "Pink Passion Spa Night" and a Community Health Fair. The events, which took place at St. Elizabeth's Hospital and the O'Fallon Medical Office Building invited guests to learn about breast and women's health in a warm and comforting environment. Pink Passion Spa Night event included bra fittings, wig and skin care information, prosthetic information, chair massages, women's physical therapy, nutrition information, breast health information and on-site bone density screenings and mammogram appointment scheduling. A radiologist and a surgeon were present to answer questions. In addition, a member of the Illinois Breast and Cervical Cancer program was present to share information about their programs for qualified individuals. Approximately 100 women participated in the events. The Community Health Fair included Breast Health Information, Mammography scheduling, Bone Density screenings, Cardiac and stroke information, Blood Pressure and BMI screenings, Diabetes Information with a Diabetes Risk Assessment, and an on demand Glucose Screening. Heart Health Awareness: Annually St. Elizabeth's conducts a variety of events to educate and inform the public about ways to live a healthy and happy life. This year was especially important as we engaged our community partners and hosted an event in the community. Members of St. Elizabeth's and the YMCA of Southwest Illinois organized an event where people naturally gather. St. Elizabeth's welcomed the opportunity to work with the YMCA. We advertised using social media, a press release, and newspaper advertisements while the YCMA used in-house media in anticipation of the "Healthy Heart, Healthy You" event. St. Elizabeth's colleagues greeted 60 guests at the door and invited them to participate in the different activities. The primary activity was the American Heart Association Risk Assessment. The risk assessment is a tool used to measure one's risk for developing cardiovascular disease. Forty persons had their blood pressure, blood glucose and cholesterol screenings performed. One young woman with an exceedingly high blood pressure warranted follow-up with her physician. She was extremely grateful for the screening. The nurses performed height and weight measurement to calculate the individual's Body Mass Index (BMI). Then using all the data, a cardiac nurse reviewed the guest's risk assessment and provided an individualized improvement plan for each participant to help them live a healthier life. Dr. Paban Saha, an interventional cardiologist, met with fifteen (15) individuals and conducted an educational talk on the high-level procedures performed "close to home." He was accompanied by his first cardiac ablation patient at St. Elizabeth's. Dr. Saha also discussed cardiac disease and related risk factors. Cardiac education extended to three assisted living facilities and Sam's Club. More than 150 persons learned about cardiac risk factors, early signs of heart attacks, and the importance of calling emergency services versus driving oneself to the hospital. The seniors were surprised to learn how quickly emergency cardiac care begins when one calls an ambulance! The February topic at Programs and Services for Older Persons focused on food choices related to cardiac disease. Using an engaging format, a Registered Dietitian quizzed 50 seniors on food selection and offered them cardiac friendly options. Pregnancy Loss Support Group: The Share Program: Pregnancy loss affects families of all races, all socioeconomic groups, and all ages. It is important to for those who experience pregnancy or infant loss to be supported and surrounded by those who understand the devastating emotional, physical, and long lasting effects pregnancy loss creates. Unfortunately, in the community served by St. Elizabeth's Hospital, support for grieving families has been limited. Share is a pregnancy and infant loss program dedicated to supporting mothers and families experiencing this heartbreaking tragedy. Two colleagues on the Obstetrics unit embraced the challenge of establishing a Share Chapter at St. Elizabeth's to help support those facing loss during a period of life that is usually exciting and celebrated-the birth of a child. Establishing a Share chapter requires extensive training and ongoing dedication to the program. HSHS St Elizabeth's serves as the chapter leader for this organization in our community. Mothers have been contacting the nurses expressing interest in attending our initial meetings. One mother continues to grieve the loss of her infant who died more than 50 years ago. She was eager to attend our Share group to help her work through her ongoing grief. She is one of many women seeking assistance to cope with this painful experience. |
| 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 7 Bad Debt Expense excluded from financial assistance calculation | 16293485 |
| 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 7and 7b. The amounts reported in 7e through 7i are based on department salaries and supplies used to perform activities. |
| Schedule H, Part II Community Building Activities | HSHS St Elizabeth's engages in the following Community Building activities to promote the health of the community: Bridges Connections District 201 is designed to help special needs students learn marketable skills through on the job training. Up to three students receive two hours of supervised job training daily during the school year. Each student progresses through a three phase program. The hospital absorbs an increasing percentage of the cost as participants progress through the program. Bridges enhances this high risk population's ability to be productive members of our community. Food, clothing, and school supply drives; Elizabeth's Garden; and electronics recycling are conducted in collaboration with many local social agencies such as St Vincent DePaul, Catholic Urban Programs, BEACON ministries and local food pantries to meet the needs of the underserved and reduce the burden of government In FY2015, colleagues donated 70 baskets and an additional 500 pounds of food, more than 1,028 pounds of clothing, 200 pounds of school supplies and 260 pounds of fresh food to a variety of community social service agencies. Disaster Preparedness: HSHS St. Elizabeth's Hospital purchased a new Losberger MDS-three line mass casualty/decontamination shower shelter by Traube Tent. The shelter will be used for decontamination events and mass casualty events in our region. As a region leader in emergency preparedness, St. Elizabeth's provided crucial emergency equipment for our Region 4 EMS area. Having this advanced resource allows our community to be confident knowing that St. Elizabeth's will be ready to deploy and serve our community needs in any decontamination or mass casualty event that arises. HSHS St. Elizabeth's emergency response region includes a rural farming region, as well as a well-developed industrial region, where many hazardous risk events could potentially occur. In order to help prepare for such events, HSHS St. Elizabeth's Hospital conducts a Hazard Vulnerability Analysis each year to determine which potential hazards and risks could occur in our region; hazmat risk events remain in the top five of potential emergencies each year. During the EBOLA outbreak HSHS St. Elizabeth's took the lead for Region 4. With 8 counties and 19 hospitals in the region the hospital leadership stepped forward to address the EBOLA crisis and self-identified as an Assessing Hospital for the region. An Assessing Hospital receives and cares for patients that are suspect for EBOLA for up to 72 hours. This requires the purchase of personal protective equipment (PPE) for caregivers, extensive training, and development of policies and procedures for this highly contagious disease. It also requires inspection by the CDC. Currently 75 colleagues are trained and prepared for any infectious disease that may present. BASIC (Belleville Achieves Strength in Character) Initiative is a partnership of schools, the City of Belleville, and the business community to strengthen character in our youth and in the community. BASIC encourages youth and adults to be productive citizens in our community. Colleagues and the community start and end a "character walk" in the fall at the hospital. More than 20 hospital leaders participated in the annual event. St. Clair County Health Department Health Care Commission: HSHS St. Elizabeth's Hospital initiated practices that later became part of the health department when they formed in 1985. A member of St Elizabeth's participates in the Health Care Commission. The Health Care Commission, founded in 1991, is a 20 plus organization that serves as a public health system to establish priority health issues, mobilize resources to meet identified needs, and promote the health and well-being of the all-county residents. St Elizabeth's colleagues provided valuable feedback for the St Clair County Public Health Department's first ever accreditation process with the Illinois Department of Public Health. This year HSHS St Elizabeth's presented at the Health Policy Summit and demonstrated our collaboration with the community in the development of our CHNA. HSHS St Elizabeth's donated computers and laptops to local school districts; some schools were in low income areas of the community. Access to these computers can increase a child's educational experience thus addressing one of the social determinates of poverty. In FY2015 HSH St Elizabeth's donated $10,447 in computers based on fair market value. Franciscan Inspired Life Long Learning Program: HSHS St. Elizabeth's is committed to helping the poor and vulnerable by assisting individuals who seek to improve themselves through academic learning. Key members of hospital leadership met with the East Saint Louis vocational director, the director of the East St. Louis Community Center that houses both Kaskaskia College and Southwestern Illinois Community College, and the Kaskaskia College Dean of Nursing to discuss opportunities to partner for the goal of improving the lives of those living in impoverished areas. Through various programs St. Elizabeth's continues to commit to serve the poor and underserved in our community. This year, the Sister Agnes Franciscan Inspired Life Long Learning (FILL) program donated two hospital beds to the East St. Louis Vocational Technical Center. In order for the nursing assistants to complete their academic requirements they must complete clinical competencies. Unfortunately, they recently lost their clinical site, so St. Elizabeth's is in the process of securing a clinical affiliation agreement with them so the students can complete their clinical competencies at our hospital. All applicants can self-identify as a "Franciscan Inspired Life Long Learning Program applicant" for jobs posted on our website. Current colleagues participated in an onsite college fair to support their education goals. St. Elizabeth's joined East Side Aligned. Evan Krauss describes East Side Aligned as "Collective Impact for children and youth within the Greater East St Louis that is led by the United Way." We currently are part of two alignments teams; career pathways and healthcare. As a member of the health care strategy team, we are able to align our Community Health Needs assessment and partner with other agencies that have similar goals. For example, Eastside Health District has a grant sponsored by the CDC (Center of Disease Control) and WIC (Women, Infants, and Children) with a focus on policy change and increasing healthy foods in the area. We also participated in two health fairs during the "40 days of Nonviolence sponsored by City of East St Louis and the Jackie Joyner Kersey Foundation. We provided education about diabetes and cardiac disease, performed blood pressure and glucose screens to a population at high risk for diabetes and heart disease. Also, we were the sole employer representative on the career pathways team at East St. Louis High School to attend the 60/25 Advance Illinois Conference in Aurora, Illinois in January. This initiative is focused on the goal of 60 percent of all working adults in the State of Illinois will hold a high-quality college credential by 2025. Several workshops were held throughout the conference focused on collective impact, various educational topics and employers' roles in advancing education in our communities throughout the State. Pregnancy Care Center: St Elizabeth's provides space and colleagues make donations to support the local pregnancy care center. At the pregnancy care center women receive confidential pregnancy testing and help for any and all circumstances. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | Self-pay patients are screened for verification of no insurance coverage. Once verification of no coverage has been completed, the guarantors will be screened for charity or uninsured discounts based on income levels. Those guarantors that do not qualify for charity through the screening process will be asked to provide proof of income in the form of a recent pay stub and/or recent tax return to determine the level of uninsured discounting. If no proof of income is provided or a guarantor's income is greater than 201% of the federal poverty level, the appropriate discount according to the established criteria will be applied. The amount of money not collected from those self-pay patients who are not eligible for charity care is reported as bad debt. Allowances for Doubtful Accounts have been recorded based on an historical matrix, using collectability percentages by payor and aging category in accordance with HSHS Executive Policy #F-23, Valuation of Net Accounts Receivable. Percentages are based on historical experience at the hospital and adjusted for known limitations. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | 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 | HSHS St Elizabeth's continually strives to provide excellent patient care in the most cost effective fashion. Nonetheless, the Medicare program, in many cases, does not provide payment that covers the full cost of the care provided. Since it is the mission of the hospital to respond to community need, hospital management continually advocates for improved Medicare payment so that the cost of quality care to those patients who are not able to afford it is not compromised and is fairly subsidized by all payers. While this shortfall in Medicare payments is not classified as community benefit by the IRS, we nonetheless believe it is an important contribution made by the hospital to the health and well-being of the community. If the Medicare program did not exist, many Medicare patients would be eligible for charity care or other means-tested government programs. Further, by absorbing this payment shortfall and providing care below cost to these individuals, HSHS St Elizabeth's is relieving the burdens of the government. Accordingly, this shortfall restricts HSHS St Elizabeth'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 $5,684,603. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | The hospital makes reasonable efforts to determine a patient's eligibility for the Financial Assistance Program before utilizing any extraordinary collection actions. Upon admission, a patient receives information about the Financial Assistance Program and how to fill out an application, along with a phone number to contact for further help. Inpatients that are uninsured and not eligible for Medicaid are given a Financial Assistance Application. Each patient will then receive a minimum of three bills with information on how to apply for Financial Assistance. Accounts of patients who have not responded to any of these inquiries will be recommended for bad debt. However, before submitting accounts to a collection agency, the guarantor is screened (using an external program) for charity qualification. If the guarantor qualifies for a full adjustment, the account is settled. We do offer a sliding scale discount for charity. If they qualify for less than 100%, the discount will be posted and the account transferred to the collection agency. The collection agency will do further screening based on their credit score and propensity to pay. Based on this screening, the collection agency may return the account with a recommendation of charity. |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - ST. ELIZABETH'S HOSPITAL: Line 16b URL: http://www.steliz.org/patients-visitors/billingfinancial-assistance/; |
| Schedule H, Part VI, Line 2 Needs assessment | As indicated in Part V, Section C, HSHS St Elizabeth's conducted a Community Health Needs Assessment in FY2015 (July 1, 2014 through June 30, 2015). In FY2012, HSHS St Elizabeth's conducted its first formal CHNA. Engagement sessions were held and participants were invited based on their expertise and in their awareness of health care needs in the community. In previous years, the hospital assessed community need by working closely with the Health Department. Social accountability has always been a part of the hospital's mission. St. Elizabeth's assessed our top ten diagnoses and evaluated how we can impact care for these patient populations. Due to St. Elizabeth's close relationship with the St. Clair County Health Department, information and data were shared and addressed collectively. Provisions in the Affordable Care Act require charitable hospitals to conduct a CHNA and adopt implementation strategies to meet the needs identified. To comply with these requirements, HSHS St Elizabeth's 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 informs all patients about the Financial Assistance Policy and provides applications and brochures upon request. They are printed and readily available. This packet contains a letter identifying financial assistance opportunities offered to our patients as well as a financial assistance application. At the time of registration, a brochure is provided to self-pay patients upon registration regarding the Financial Assistance Program available to them at HSHS St Elizabeth's. The brochures are also supplied in waiting and ancillary areas for easy access by the patient. The hospital has onsite advocates to assist patients with enrollment in several federal, state and local government programs. These advocates visit patients while in the hospital or contact them by phone once discharged. The advocates will also make home visits as needed in order to assist patient with enrollment as well as gathering necessary documents for application. We also offer an online business office portal that provides information on how to read and understand HSHS St Elizabeth's billing information. HSHS St Elizabeth's website provides an explanation of Medicare forms at www.steliz.org. Each statement that a patient receives contains information about our financial assistance program and a phone number for assistance with applying. Any patient visiting the onsite financial counselor as well as contacting us via phone is given information about payment options including our financial assistance options. Even after an account is sent to a collection agency and/or anytime in the process they believe a patient may be eligible for Financial Assistance, the account is returned to the hospital for evaluation. HSHS St. Elizabeth's makes their financial assistance application and standard response letters available in Spanish and English. 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. A system called Payment Navigator is now being utilized after failed attempts made by the hospital, but before sending to a collection agency. 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. St Elizabeth's assessed its community and it does not require the FAP to be translated into the primary language of any population with limited English proficiency. |
| Schedule H, Part VI, Line 4 Community information | HSHS St. Elizabeth Hospital service area is comprised of approximately 1,955 square miles with a population of approximately 610,057 and a population density of 312 per square mile. The service area consists of the following communities: St Clair, Monroe, Madison, and Clinton counties. The population of these counties is 270,056, 32,957, 269,282, and 37,762 respectively. The population increased in the service area by 5.51% between 2000 and 2010. The population in St Elizabeth's service area had a similar age distribution as the state as a whole. Belleville, the county seat of St. Clair county, has median household income of $49,634 compared to the national median income of $53,271. More than 85,000 (14.0%) of residents in the service area live below poverty. Thirty percent of the area's population lives below 200% of the poverty level. The population in Clinton County that is uninsured is 6.9%, Madison County is 9.5%, Monroe County is 5.9%, and St Clair County is 11.4%. Hospitals that also provide services include 5 hospitals in Madison County, one hospital in Clinton county, three hospitals in St Clair county with one being a FQHC, and no hospitals in Monroe county. The hospital does not exclude Medically Underserved Areas (MUAs), low income or minority populations from its service area. |
| Schedule H, Part VI, Line 5 Promotion of community health | As a healing ministry of the Catholic Church and an affiliate of Hospital Sisters Health System HSHS St Elizabeth's is committed to delivering high quality, compassionate, and cost-effective health care services to all. The hospital was founded more than 138 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 St Clair county 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 HSHS St Elizabeth's is responding to community need. In FY2015, for example, the Board reviewed the Community Health Needs Assessment and approved an Implementation Plan for addressing selected health focus areas. In addition the hospital's Advisory/Community Benefit Committee was instrumental in assisting with and identifying priority health needs in the community. The volunteer auxiliary group strongly advocates on behalf of the hospital within the community. Also consistent with its exempt purpose, HSHS St Elizabeth's has an open medical staff with privileges available to all qualified physicians in the area. In addition, the hospital operates an emergency department that is open 24 hours to all persons regardless of their ability to pay. As a not-for-profit hospital, HSHS St Elizabeth's reinvests surplus funds to support the mission of the organization and health of the community rather than distributing surplus funds as profits to shareholders or individuals. Funds not committed to ongoing operations are generally used to upgrade facilities, secure new technologies, improve patient care, and support initiatives designed to promote health and ensure access for all along with providing medical education and research. For example, St. Elizabeth's has a long history strategically planning for the future of healthcare in southern Illinois. On April 21, 2015, HSHS St. Elizabeth's Hospital received unanimous approval from the Illinois Health Facilities and Services Review Board (HFSRB) to begin construction on a new $300 million medical campus along Interstate 64 and Green Mount Road in St. Clair County. The Certificate of Need allows St. Elizabeth's to replace its current hospital, which was built in the 1950s, with a modern hospital that will be built on a 114-acre campus with an adjoining ambulatory care center. The new campus will enhance St. Elizabeth's ability to develop an integrated care delivery model that will serve residents from across Southwestern Illinois. The new St. Elizabeth's is designed for the future of health care delivery. The facility will include 144 private patient rooms, an emergency department, state-of-the art operating rooms, modern birthing suites, an advanced intensive care unit, and inpatient rehabilitation. The adjacent ambulatory care center will offer various outpatient services such as lab, imaging and therapy, and include medical office space for more than 100 physicians. The location of St. Elizabeth's replacement hospital will be centrally located for the patients of the southwestern Illinois region that it serves. It will also be closer to Scott Air Force Base and many of the community hospitals that refer patients to St. Elizabeth's. Through the addition of a Prairie Heart Institute's Electrophysiology (EP) Lab, HSHS St. Elizabeth's is the first hospital in the southwestern Illinois region to perform treatment of the entire spectrum of arrhythmias (an irregular heart beat) and cardiac implantable devices which greatly benefit patients with A-Fibrillation (A-Fib). The featured lab is outfitted with a low radiation dose BiPlane angio suite, a 50" multi input display and a myriad of other moveable advanced technology systems. For patients who failed other forms of therapy for A-Fib, an ablation in our new EP lab can significantly improve quality of life. St. Elizabeth's. St. Elizabeth's has been named a Top 50 Cardiovascular hospital in the country by Truven Health Analytics for three consecutive years. The patient tracing system purchased for surgical services provides real time status updates for patients. Their loved ones can monitor their progress as they transition through the surgical services department. Family members and patients are extremely pleased knowing exactly where their loved one is in real time. HSHS St Elizabeth's also devotes significant resources to access for patients who cannot afford care, along with other community benefits. In fiscal year 2015, HSHS St Elizabeth's provided more than $16 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, HSHS St Elizabeth's provided $13.5 million (at cost) in uncompensated care to patients who did not qualify for charity care or public assistance and more than $5.6 million (at cost) in excess of Medicare payment for health care services. HSHS St Elizabeth's provides a range of Community Benefit activities and programs that furthers our mission and long-standing commitment to our community. In many cases, these Community Benefit initiatives would not exist without the leadership role played by HSHS St Elizabeth's 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: Access to healthcare, especially for those who are uninsured or underinsured: St Elizabeth's provided space and equipment for clients to enroll in the marketplace and in Medicaid. To increase the enrollment capacity, St Elizabeth's continued the partnership with Eastside Health District and added and funded personnel from Cardon Outreach to increase our enrollment ability. Eastside had reduced federal funding; however, they recognized the value of our partnership and provided an In Person Counselor (IPC) at St Elizabeth's once a week. During open enrollment the hospital sponsored two weekend enrollment events and expanded hours from 8 hours to 18 hours/day throughout the weekend. Clients appreciated these extended hours and Eastside experienced an increase in enrollment during these times. In addition Cardon's contract started in October 2014 and they began screening inpatients and outpatients, specifically the Emergency Department patients for Medicaid eligibility. During open enrollment Cardon added a community advocate who was present on campus to assist community members. Cardon continued to assess patients post-enrollment. St. Elizabeth's two prong approach: assessing inpatients and Emergency Department patients and also providing a resource for the community yielded very favorable results. These deliberate efforts to increase our community's access to healthcare were very successful. Our Medicaid enrollment increased 89%, from 135 enrollments to 1280 and marketplace enrollments increased by 77%; 10 enrollments to 45. Any patient screened who did not meet criteria was also screened for St Elizabeth's Financial Assistance Program. |
| Schedule H, Part VI, Line 6 Affiliated health care system | HSHS St. Elizabeth's Hospital 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 | IL |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| 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 (17 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARYANN REESE | ||||||||||||||
| PRESIDENT & CEO | $0 | $331,574 | $0 | $62,179 | $0 | $34,582 | $0 | $87,600 | $0 | $31,553 | $0 | $547,488 | $0 | $0 |
| JOHNNY WATKINS | ||||||||||||||
| Former Division CFO | $94,913 | $0 | $0 | $0 | $51,858 | $0 | $0 | $0 | $5,308 | $0 | $152,079 | $0 | $0 | $0 |
| MARK REIFSTECK | ||||||||||||||
| Former Division CEO | $0 | $41,172 | $0 | $0 | $0 | $130,627 | $0 | $60,172 | $0 | $1,649 | $0 | $233,620 | $0 | $52,192 |
| LESLIE LOVSHIN | ||||||||||||||
| Former Director of Finance | $8,701 | $0 | $0 | $0 | $111,238 | $0 | $0 | $0 | $6,655 | $0 | $126,594 | $0 | $0 | $0 |
| 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 |
| LAWRENCE SCHUMACHER | ||||||||||||||
| DIVISION CEO - INTERIM (partial year) | $0 | $687,223 | $0 | $166,889 | $0 | $224,070 | $0 | $215,175 | $0 | $27,060 | $0 | $1,320,417 | $0 | $118,062 |
| SHELLEY HARRIS | ||||||||||||||
| CHIEF NURSING OFFICER | $193,769 | $0 | $13,197 | $0 | $401 | $0 | $118,525 | $0 | $26,029 | $0 | $351,921 | $0 | $0 | $0 |
| SHELLY HARKINS MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $325,008 | $0 | $22,987 | $0 | $0 | $0 | $28,389 | $0 | $17,398 | $0 | $393,782 | $0 | $0 | $0 |
| DAVID NOSACKA | ||||||||||||||
| DIVISION CFO | $231,852 | $0 | $8,192 | $0 | $174,831 | $0 | $22,452 | $0 | $20,869 | $0 | $458,196 | $0 | $0 | $0 |
| MARGARET LUNA | ||||||||||||||
| DIVISION CPO | $203,277 | $0 | $13,801 | $0 | $0 | $0 | $63,563 | $0 | $16,286 | $0 | $296,927 | $0 | $0 | $0 |
| AMY BALLANCE | ||||||||||||||
| DIVISION VICE PRESIDENT BUSINESS DEVELOPMENT | $173,621 | $0 | $12,183 | $0 | $0 | $0 | $28,662 | $0 | $19,905 | $0 | $234,371 | $0 | $0 | $0 |
| SUSAN BEELER | ||||||||||||||
| PROJECT MANAGER, NEW CONSTRUCTION | $168,409 | $0 | $0 | $0 | $0 | $0 | $81,955 | $0 | $8,357 | $0 | $258,721 | $0 | $0 | $0 |
| JACQUELYNNE N HOLST | ||||||||||||||
| DIVISION ASSOCIATE GENERAL COUNSEL | $169,088 | $0 | $0 | $0 | $0 | $0 | $11,088 | $0 | $9,128 | $0 | $189,304 | $0 | $0 | $0 |
| BRIAN D JOHNSON | ||||||||||||||
| DIRECTOR OF SURGICAL SERVICES | $156,664 | $0 | $0 | $0 | $0 | $0 | $21,877 | $0 | $19,829 | $0 | $198,370 | $0 | $0 | $0 |
| PETER WONG | ||||||||||||||
| CHIEF PERFORMANCE IMPROVEMENT OFFICER | $260,530 | $0 | $11,746 | $0 | $25,568 | $0 | $35,429 | $0 | $23,354 | $0 | $356,627 | $0 | $0 | $0 |
| JULIA SCHIMMELPFENNIG | ||||||||||||||
| DIRECTOR OF PHARMACY | $150,561 | $0 | $0 | $0 | $0 | $0 | $18,830 | $0 | $786 | $0 | $170,177 | $0 | $0 | $0 |
| CHELLIE BUTEL | ||||||||||||||
| EXECUTIVE DIRECTOR OF RISK & PCU | $157,544 | $0 | $0 | $0 | $0 | $0 | $14,143 | $0 | $5,117 | $0 | $176,804 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a Tax indemnification and gross-up payments | TAX GROSS-UPS WERE PAID TO THE FOLLOWING: DAVID NOSACKA IN THE AMOUNT OF $54,125.00. SHELLEY HARRIS IN THE AMOUNT OF $151.00. THE FAIR VALUE OF THESE BENEFITS WAS INCLUDED IN THE INDIVIDUALS' ANNUAL REPORTED INCOME. |
| Schedule J, Part I, Line 1a Housing allowance or residence for personal use | A HOUSING ALLOWANCE WAS PAID TO THE FOLLOWING: MARY LOU TATE IN THE AMOUNT OF $6,000.00 OF NON-TAXABLE COMPENSATION. PETER WONG IN THE AMOUNT OF $5,320.00 OF TAXABLE COMPENSATION. DAVID NOSACKA IN THE AMOUNT OF $2,925.00 OF TAXABLE COMPENSATION. |
| 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 | Per the terms of Leslie Lovshin's severance agreeement, she was to receive payments through July 2014. During calendar year 2014, Leslie Lovshin received severance payments totaling $84,370. |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | HSHS EXECUTIVES ELIGIBLE TO PARTICIPATE IN SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) ARE DEFINED IN THE SERP PLAN DOCUMENTS. THE SERP WAS ESTABLISHED TO PROVIDE ADDITIONAL RETIREMENT BENEFITS TO ENSURE REASONABLE MARKET COMPETITIVE BENEFITS IN ACCORDANCE WITH THE HSHS EXECUTIVE COMPENSATION PHILOSOPHY ESTABLISHED BY THE HSHS COMPENSATION COMMITTEE. THE PLAN PROVIDES A DEFINED RETIREMENT CONTRIBUTION TO PARTICIPANTS COMMENCING ON JANUARY 1, 2008, EQUAL TO A PERCENTAGE OF COMPENSATION AS DEFINED IN THE SERP PLAN DOCUENTS FOR THE PLAN YEAR. PARTICIPANTS CONSTRUCTIVELY RECEIVE A DISTRIBUTION FROM THE PLAN NO LATER THAN MARCH 15TH OF THE CALENDAR YEAR FOLLOWING THE CALENDAR YEAR IN WHICH AN AMOUNT IS VESTED AND TAXABLE PURSUANT TO A VESTING SCHEDULE AS SPECIFIED IN THE PLAN DOCUMENT. THE ACTUAL DISTRIBUTION OF THE VESTED BENEFIT UNDER THE PLAN IS PAID IN A SINGLE LUMP SUM TO THE PARTICIPANT OR THE PARTICIPANT'S BENEFICIARY UPON THE EARLIER OF THE PARTICIPANT'S TERMINATION OF EMPLOYMENT, DEATH, OR TOTAL AND PERMANENT DISABILITY. THE FOLLOWING INTERESTED PERSONS CONSTRUCTIVELY RECEIVED DEFERRALS TO THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2014; THESE DEFERRALS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). Ann Carr -- $29,789 Maryann Reese -- $41,887 Lawrence Schumacher -- $123,058 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 Carr -- $28,503 Mark Reifsteck -- $74,127 Lawrence Schumacher -- $165,835 |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 7 | ContributionCnt |
| Noncash Contributions Rpt F990 | $193,815 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Market value | MethodOfDeterminingRevenuesTxt |
Real Estate Other RealEstateOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $254,300 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Cost | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | Kohler & Campbell Ebony Grand Player Piano | 1 | $6,500 | Market value |
| Yes (X) | Miscellaneous items-baby items/pillows/sporting event tickets/stuffed animal/miscellenanous | 60 | $21,002 | Cost |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule M, Part I Explanations of reporting method for number of contributions | FormAndLineReferenceDesc |
| Explanation | Art - Works of art: The number of contributions is being reported. Other: The amount reported in the number of items received. Other: The number of contributions is being reported. Real estate - Other: The number of contributions is being reported. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 1 ORGANIZATION'S MISSION | THE MISSION OF ST. ELIZABETH'S HOSPITAL IS TO REVEAL AND EMBODY CHRIST'S HEALING LOVE FOR ALL PEOPLE THROUGH OUR HIGH QUALITY FRANCISCAN HEALTH CARE MINISTRY. IN THE PERFORMANCE OF ITS MISSION, ST. ELIZABETH'S HOSPITAL WILL FOSTER THE VALUES OF RESPECT, CARE, COMPETENCE AND JOY. RESPECT IS THE FRANCISCAN RESPECT FOR LIFE FROM CONCEPTION TO DEATH AND FOR THE DIGNITY OF EACH INDIVIDUAL PERSON. IT IS A COMMITMENT TO FREEING AND EMPOWERING EACH PERSON TO DEVELOP TO HIS OR HER FULL POTENTIAL. CARE EMBODIES THE CONCERN, COMPASSION, AND SENSITIVITY WITH WHICH WE CARE FOR PATIENTS, CLIENTS, EMPLOYEES AND CO-WORKERS. MANY TIMES IT IS THOUGHT OF AS BEDSIDE BEHAVIOR, BUT IT BELONGS IN BUSINESS OFFICES, CAFETERIAS AND BOARDROOMS. COMPETENCE MEANS THAT OUR WORK IS PERFORMED AND ST. ELIZABETH'S IS MANAGED WITH THE HIGHEST LEVEL OF SKILL AND ABILITY. WE ARE COMMITTED TO RECRUITING AND DEVELOPING PEOPLE WHO ARE COMPETENT IN THEIR WORK AND WHOSE VALUES REFLECT OUR OWN. OUR VALUES ARE AN INTEGRAL PART OF OUR SYSTEM'S STRATEGIC PLAN, WHICH PROVIDES THE OVERALL FRAMEWORK FOR LOCAL ACTIVITIES. JOY IS THE MANNER IN WHICH OUR EMPLOYEES AND ALL WHO JOIN US IN OUR MINISTRY SEEK TO PERFORM THEIR WORK -- THE PERSONAL FULFILLMENT OF CARING FOR OTHERS. IT IS AN ESSENTIAL INGREDIENT IN BRINGING A SENSE OF HOPE TO THOSE WHO SUFFER. |
| Form 990, Part III, Line 4d Description of other program services | (Expenses $ 74,562,213 including grants of $ 0)(Revenue $ 99,383,287) Other Health Care Services St. Elizabeth's delivers a comprehensive array of healthcare services to both inpatients and outpatients. Our accredited programs have consistently demonstrated quality outcomes that positively impact our patients, their families and the entire community. We provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of St. Elizabeth's Hospital, it is recognized that not all individuals possess the ability to purchase essential medical services. It is our mission to serve the sick, especially the poor, with quality healthcare services and healthcare education. We have further defined our mission of identifying those who are at greatest health risk, the elderly, children, those coping with mental illness, and those with less means who are dependent on quality healthcare. St. Elizabeth's Hospital currently staffs 260 inpatient beds. The hospital employs 1,565 colleagues. Inpatient admissions for Fiscal Year 2015 were 10,479. The Emergency Department had 38,872 visits and admitted 6,591 to inpatient services. The Urgicare Center in O'Fallon, an offsite facility, had 26,859 visits. Total Outpatient visits for the hospital were 187,213. |
| Form 990, Part IV, Line 24a TAX EXEMPT BONDS | ST. ELIZABETH'S 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 HOTLINE AND CONFLICT OF INTEREST POLICY PROVIDE PROTECTIONS FOR WHISTLEBLOWER TYPE ACTIVITIES. |
| Form 990, Part VI, Line 16b JOINT VENTURES | HOSPITAL SISTERS HEALTH SYSTEM ADOPTED A JOINT VENTURE COMPLIANCE PROGRAM POLICY EFFECTIVE ON JANUARY 1, 2012 FOR ALL SYSTEM HOSPITALS, INCLUDING ST. ELIZABETH'S HOSPITAL. THE OVERALL PURPOSE OF THE POLICY IS TO PROVIDE PRACTICAL GUIDELINES FOR ETHICAL BUSINESS CONDUCT, TO ACHIEVE COMPLIANCE, AND TO DETECT AND PREVENT VIOLATIONS OF APPLICABLE LAWS. THE POLICY REQUIRES ST. ELIZABETH'S HOSPITAL, AND ALL HSHS HOSPITALS, TO EVALUATE THEIR PARTICIPATION IN JOINT VENTURE ARRANGEMENTS, INCLUDING UNDER APPLICABLE FEDERAL TAX LAWS, AND TO SAFEGUARD ST. ELIZABETH'S HOSPITAL'S TAX EXEMPT STATUS WITH RESPECT TO ANY JOINT VENTURE ARRANGEMENTS. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | THE SENIOR GOVERNING BODY OF ST. ELIZABETH'S HOSPITAL (THE CORPORATION) IS THE MEMBER OF THE CORPORATION, WHICH IS HOSPITAL SISTERS SERVICES, INC. ("HSSI"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | PURSUANT TO SECTION 2.3 OF THE CORPORATION'S BYLAWS, THE ORGANIZATION'S MEMBER, HOSPITAL SISTERS SERVICES, INC. ("HSSI"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, HAS THE RIGHT TO APPOINT AND REMOVE THE CORPORATION'S BOARD OF DIRECTORS, CHAIRPERSON OF THE BOARD AND PRESIDENT. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | RESPONSIBILITY FOR THE POLICY AND OPERATIONS OF ST. ELIZABETH'S 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 INSTITUTE OF THE ROMAN CATHOLIC CHURCH. THE GOVERNANCE AND OPERATIONS OF THE CORPORATION ARE SUBJECT TO HSSI'S RIGHT TO EXERCISE THESE RESERVED POWERS WITH RESPECT TO THE CORPORATION AND ORGANIZATIONS OF WHICH THE CORPORATION IS EITHER, DIRECTLY OR INDIRECTLY, A CONTROLLING MEMBER OR A CONTROLLING SHAREHOLDER ("AFFILIATES"). HSSI'S RIGHT TO EXERCISE CERTAIN OF THESE RESERVED POWERS IS, IN TURN, SUBJECT TO THE APPROVAL OF HSHS AND HSHS' MEMBERS. THE RESERVED POWERS INCLUDE ALL RIGHTS GRANTED TO HSSI BY LAW AND THE RIGHT TO: (A) ADOPT, APPROVE AMENDMENTS TO, OR AMEND ANY STATEMENT OF PHILOSOPHY, MISSION, MISSION INTEGRATION OR VALUES OR ANY NAME, LOGO, OR MARK OF THE CORPORATION OR OF ANY AFFILIATE; (B) ADOPT, APPROVE AMENDMENTS TO, OR AMEND THE ARTICLES OF INCORPORATION OF THE CORPORATION OR OF ANY AFFILIATE; (C) ADOPT, APPROVE AMENDMENTS TO, OR AMEND THE BYLAWS OF THE CORPORATION OR OF ANY AFFILIATE; (D) APPOINT AND REMOVE THE BOARD OF DIRECTORS, ANY ONE OR MORE OF THE DIRECTORS OF THE CORPORATION OR OF ANY AFFILIATE, AND THE CHAIRPERSON AND PRESIDENT OF THE CORPORATION OR OF ANY AFFILIATE; (E) APPROVE THE RECOMMENDATION OF THE BOARD OF DIRECTORS TO APPOINT OR REMOVE THE BOARD OF DIRECTORS, ANY ONE OR MORE DIRECTORS OF THE CORPORATION OR OF ANY AFFILIATE, OR THE CHAIRPERSON AND PRESIDENT OF THE CORPORATION OR OF ANY AFFILIATE. (F) WITH RESPECT TO THE CORPORATION OR ANY AFFILIATE, APPROVE THE PURCHASE, SALE, ALIENATION, EXCHANGE, LEASE OR ENCUMBRANCE OF ANY REAL PROPERTY OF THE CORPORATION OR OF ANY AFFILIATE, WHICH PROPERTY HAS A VALUE IN EXCESS OF LIMITS SET FROM TIME TO TIME BY HSSI; (G) APPROVE THE OPERATING AND CAPITAL BUDGETS OF THE CORPORATION OR OF ANY AFFILIATE, AND ANY DEVIATIONS BY THE CORPORATION OR OF ANY AFFILIATE FROM SUCH BUDGETS IN AN AMOUNT OR PERCENTAGE SPECIFIED BY HSSI FROM TIME TO TIME; (H) APPROVE THE STRATEGIC PLAN AND GOALS OF THE CORPORATION OR OF ANY AFFILIATE; (I) APPROVE THE SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE (II) CORPORATION OR OF ANY AFFILIATE; (J) APPROVE THE MERGER OR DISSOLUTION OF THE CORPORATION OR OF ANY AFFILIATE; (K) ADOPT OR AMEND THE PLAN FOR MINISTRY EDUCATION AND GOVERNANCE FOR THE CORPORATION AND ITS AFFILIATES; (L) APPROVE THE CORPORATION'S MISSION ACCOUNTABILITY REPORTS AND THOSE OF ANY AFFILIATE; (M) APPROVE THE FINANCIAL POLICIES AND PROCEDURES OF THE CORPORATION OR OF ANY AFFILIATE AND APPROVE ANY DEVIATIONS FROM SUCH POLICIES AND PROCEDURES BY THE CORPORATION OR ANY AFFILIATE; AND (N) ADOPT POLICIES TO IMPLEMENT THE RESERVED POWERS OF HSSI. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE HOSPITAL EMPLOYS CROWE HORWATH TO ASSIST IN THE OVERALL PREPARATION, REVIEW AND ELECTRONIC SUBMISSION OF ITS FORM 990. CROWE HORWATH PROVIDES GUIDANCE IN IDENTIFYING CRITICAL ERRORS IN THE RETURN SUBMISSION AND FEEDBACK ON QUANTITATIVE AND QUALITATIVE RESPONSES. ADDITIONALLY, THE HOSPITAL CFO PERFORMS A THOROUGH REVIEW OF THE RETURN AND REVIEWS IT WITH THE HOSPITAL CEO AND/OR SENIOR LEADERS BEFORE PRESENTING IT IN ITS ENTIRETY TO THE HOSPITAL BOARD FOR QUESTIONING AND REVIEW PRIOR TO THE RETURN'S SIGNING AND SUBMISSION TO THE IRS. |
| Form 990, Part VI, Line 12c Conflict of interest policy | A REVISED CORPORATE COMPLIANCE PROGRAM AND CONFLICT OF INTEREST POLICY HAS BEEN USED SINCE JANUARY, 2009 TO ESTABLISH THE PRACTICE OF MANAGING CONFLICTS OF INTEREST USING A SYSTEM-WIDE PROTOCOL FOR DISCLOSURE STATEMENTS. IN ACCORDANCE WITH OUR 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. THE POLICY DEFINES COVERED PERSONS AS A.) BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS, BOARD DESIGNEES, SENIOR MANAGEMENT, MEMBERS OF ANY COMMITTEE THAT OVERSEES THE APPROVAL OF PHARMACEUTICALS AND MEDICAL DEVICES, ANY OTHER INDIVIDUAL WHO HOLDS A POSITION OF TRUST AND B.) NON-EMPLOYED MEMBERS OF THE MEDICAL STAFF WHO ALSO EITHER: 1) HOLD PAID OR UNPAID MEDICAL ADMINISTRATIVE POSITIONS, SUCH AS CHAIRS OF CLINICAL DEPARTMENTS, SECTION AND DIVISION CHIEFS, DIRECTORS OF SPECIAL CARE UNITS, DIRECTORS OF RESEARCH OR INDIVIDUALS WHO OTHERWISE DIRECT OR MATERIALLY INFLUENCE RESEARCH; OR 2) HAVE PROCUREMENT RESPONSIBILITY, OR THE AUTHORITY EFFECTIVELY TO RECOMMEND SUCH PROCUREMENT. ON AN ANNUAL BASIS HSHS DISCLOSES A COPY OF THE CONFLICT OF INTEREST POLICY (AND ALL CORRESPONDING PROCEDURES, GUIDELINES, FORMS AND TOOLS), TO ALL COVERED PERSONS AND ADVISES ALL COVERED PERSONS IN WRITING OF ANY SUBSTANTIVE CHANGES TO THIS POLICY AND SUCH RELATED MATERIALS. THE COVERED PERSONS ARE REQUIRED TO REVIEW AND COMPLETE THE CORRESPONDING CONFLICT OF INTEREST STATEMENT. THE SYSTEM OFFICE VICE PRESIDENT, SYSTEM RESPONSIBILITY, VICE PRESIDENT, RISK & COMPLIANCE OR MEMBERS OF THE AUDIT AND INTEGRITY COMMITTEE ("COMMITTEE") ARE AVAILABLE TO ANSWER ANY QUESTIONS A COVERED PERSON MAY HAVE. IN ADDITION, IF, AT ANY TIME AFTER SUBMITTING AN ANNUAL CONFLICT OF INTEREST STATEMENT, A COVERED PERSON BECOMES AWARE OF AN INTEREST THAT HE OR SHE WOULD HAVE HAD TO DISCLOSE AT THE ANNUAL INTERVAL, THE COVERED PERSON SHALL PROMPTLY DISCLOSE THE INTEREST TO THE COMMITTEE USING THE HSHS CONFLICT OF INTEREST DISCLOSURE STATEMENT. COMPLETED CONFLICT OF INTEREST STATEMENTS ARE SUBMITTED TO THE COMMITTEE OF HSHS WHICH IS RESPONSIBLE FOR IDENTIFYING, ASSESSING, AND MANAGING CONFLICTS OF INTEREST THAT ARISE IN THE COURSE OF CONDUCTING THE AFFAIRS OF HSHS. IF THE COMMITTEE DETERMINES THAT A CONFLICT OF INTEREST EXISTS, HSHS SHALL NOT 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 THE COVERED PERSON OR PERSONS 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 | Gain/Loss onEarly Extinguishment of Debt - Total Revenue: -53472, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: -53472; Pharmacy Monitoring - Total Revenue: 10020, Related or Exempt Function Revenue: 10020, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part IX, Line 11g Other Fees | Purchased Services - Total Expense: 22492529, Program Service Expense: 21633378, Management and General Expenses: 859151, Fundraising Expenses: ; Professional Fees - Total Expense: 6007650, Program Service Expense: 3694992, Management and General Expenses: 2312658, Fundraising Expenses: ; Contract Labor - Total Expense: 3302613, Program Service Expense: 3207995, Management and General Expenses: 94618, Fundraising Expenses: ; |
| Form 990, Part X, Line 11 POOLED INVESTMENT ACCOUNT | PARTICIPATION IN THE POOLED FUND IS LIMITED TO THE 501(C)(3) HOSPITALS AND RELATED HEALTH SERVICES ORGANIZATIONS SPONSORED BY HOSPITAL SISTERS HEALTH SYSTEM. THE POOLED ACCOUNT CONSISTS OF CASH, EQUITY AND DEBT SECURITIES THAT ARE PUBLICLY TRADED. IN ACCORDANCE WITH THE PROVISIONS OF SFAS NO. 124 "ACCOUNTING FOR CERTAIN INVESTMENTS HELD BY NOT-FOR-PROFIT ORGANIZATIONS", INVESTMENTS IN EQUITY SECURITIES WITH READILY DETERMINABLE VALUES AND ALL INVESTMENTS IN DEBT SECURITIES ARE REPORTED AT FAIR VALUE ON THE BALANCE SHEET. INCOME, REALIZED AND UNREALIZED GAINS AND LOSSES ARE POOLED AND ALLOCATED TO THE PARTICIPANTS. INDIVIDUAL COMPONENTS OF ASSETS AND REVENUE ARE NOT IDENTIFIED TO THE PARTICIPANTS. |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Pension Adjustment - -9575288; Transfer to Affiliates - -9085750; Swap Payments - 2856; Change in Fair Value of Interest Rate Swaps - -741; Change in Temporarily Restricted Net Assets - -917952; Change in Permanently Restricted Net Assets - 31771; |
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) |
| SACRED HEART HOSPITAL | ||||||||||
| 990 WEST CLAIREMONT AVENUE | EAU CLAIRE | WI | 54701 | 390807060 | HEALTHCARE | WI | 501(c)(3 | 3 | HSSI | Yes (true) |
| ST ANTHONY'S HOSPITAL | ||||||||||
| 503 N MAPLE STREET | EFFINGHAM | IL | 62401 | 370661233 | HEALTHCARE | IL | 501(c)(3 | 3 | HSSI | Yes (true) |
| ST 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 | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | 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 |