STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDE: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDE (EIN 37-0663567)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-05-13
IRS object ID
201521339349302357
Schema version
2013v4.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-05-13T12:02:04-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1225 WEST WACKER DRIVEAddressLine1
Address Line2SUITE 2600AddressLine2
CityCHICAGOCity
StateILState
ZIP Code606061224ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN370663567EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST ELIZABETH'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRBusinessNameLine1
Business Name Line2ANCISBusinessNameLine2
FieldValueIRS element (for citing)
Business Name ControlSTELBusinessNameControlTxt
Phone6182342120PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1211 SOUTH THIRD STREETAddressLine1
CityBellevilleCity
StateILState
ZIP Code622201998ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARYANN REESEPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Signature2015-04-22SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJohn V WoodhullPreparerPersonNm
PTINP01305268PTIN
Phone3128997000PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Principal Ofcr Business Address PrincipalOfcrBusinessAddress

FieldValueIRS element (for citing)
Business Name Line1MARYANN REESEBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1211 SOUTH THIRD STREETAddressLine1
CityBellevilleCity
StateILState
ZIP Code622201998ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$173,519,554GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STELIZ.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1875FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTO REVEAL AND EMBODY CHRIST'S HEALING LOVE FOR ALL PEOPLE THROUGH OUR HIGH QUALITY FRANCISCAN HEALTH CARE MINISTRY.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee1553TotalEmployeeCnt
Total Volunteers263TotalVolunteersCnt
Total Gross UBI$31,668TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$10,379NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$443,646PYContributionsGrantsAmt
CY Contributions Grants$489,851CYContributionsGrantsAmt
PY Program Service Revenue$160,336,773PYProgramServiceRevenueAmt
CY Program Service Revenue$168,021,864CYProgramServiceRevenueAmt
PY Investment Income$636,187PYInvestmentIncomeAmt
CY Investment Income$673,522CYInvestmentIncomeAmt
PY Other Revenue$3,432,337PYOtherRevenueAmt
CY Other Revenue$2,415,614CYOtherRevenueAmt
PY Total Revenue$164,848,943PYTotalRevenueAmt
CY Total Revenue$171,600,851CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$72,356,370PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$69,903,855CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$107,651,328PYOtherExpensesAmt
CY Other Expenses$116,362,483CYOtherExpensesAmt
PY Total Expenses$180,007,698PYTotalExpensesAmt
CY Total Expenses$186,266,338CYTotalExpensesAmt
PY Revenues Less Expenses-$15,158,755PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$14,665,487CYRevenuesLessExpensesAmt
Total Assets BOY$113,735,179TotalAssetsBOYAmt
Total Assets EOY$119,425,238TotalAssetsEOYAmt
Total Liabilities BOY$117,771,927TotalLiabilitiesBOYAmt
Total Liabilities EOY$136,875,198TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$4,036,748NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$17,449,960NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE O.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$42,851,117ExpenseAmt
Revenue$35,645,040RevenueAmt
DescSURGICAL SERVICES - SEE SCHEDULE ODesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$21,283,561ExpenseAmt
Revenue$21,929,328RevenueAmt
DescCARDIAC SERVICES - SEE SCHEDULE ODesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$10,021,109ExpenseAmt
Revenue$9,426,128RevenueAmt
DescGATROENTEROLOGY SERVICES - SEE SCHEDULE ODesc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$77,348,459ExpenseAmt
Revenue$101,021,368RevenueAmt
DescHEALTH 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 PROVIDE 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 1,313 COLLEAGUES. INPATIENT ADMISSIONS FOR FISCAL YEAR 2014 WERE 10,263. THE EMERGENCY DEPARTMENT HAD 36,881 VISITS AND ADMITTED 6,251 TO INPATIENT SERVICES. THE URGI-CENTER IN O'FALLON, AN OFFSITE FACILITY, HAD 21,600 VISITS. TOTAL OUTPATIENT VISITS FOR THE HOSPITAL WERE 171,576. COMMUNITY BENEFIT CHARITY AND GOVERNMENT MEANS-TESTED PROGRAM: DURING THE PERIOD, ST. ELIZABETH'S PROVIDED IN EXCESS OF $16 MILLION TO SUPPORT OUR COMMITMENT TO THE COMMUNITY. INCLUDED IN THIS TOTAL WAS CHARITY CARE PROVIDED TO INDIVIDUALS UNABLE TO AFFORD THEIR CARE. THE COST OF CHARITY CARE WAS $4,311,587. ST. ELIZABETH'S HOSPITAL ALSO PROVIDED CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST. THIS RESULTED IN PROVIDING $12,193,760 TO MEDICAID PATIENTS WHICH WAS NOT REIMBURSED. ALSO, INCLUDED IN THE TOTAL WAS THE EXTENSIVE NUMBER OF FREE EDUCATIONAL PROGRAMS, SCREENINGS, CLINICAL SERVICES AND CONSULTATIONS PROVIDED AT A REDUCED FEE OR AT NO CHARGE TO OTHER HEALTHCARE AGENCIES AND HUMAN SERVICE AGENCIES IN OUR SERVICE AREA. TO THE EXTENT THAT REIMBURSEMENT WAS BELOW COST, ST. ELIZABETH'S HOSPITAL RECOGNIZED THESE EXPENSES AS A COST OF FULFILLING ITS MISSION FOR THE ENTIRE COMMUNITY. OTHER BENEFITS: ST. ELIZABETH'S HOSPITAL TAKES A PROACTIVE ROLE IN EDUCATING ITS COMMUNITIES ON WELLNESS PROGRAMS, SPONSORING HEALTH SCREENINGS, COLLABORATING WITH THE LOCAL HEALTH DISTRICT IN TARGETING LOCAL HEALTH CONCERNS, AND ORGANIZING SUPPORT GROUPS. INCLUDED IN THE ABOVE COMMUNITY BENEFIT FIGURES ARE INITIATIVES AIMED AT IMPROVING ACCESS AND PROMOTING HEALTH FOR THE PEOPLE OF BELLEVILLE AND SURROUNDING COMMUNITIES. THE TOTAL OTHER BENEFITS REPORTED VALUE $2,072,896.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$77,348,459TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$101,021,368TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$151,504,246TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document118IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1553EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1David NosackaBusinessNameLine1
FieldValueIRS element (for citing)
Phone6182342120PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1211 SOUTH THIRD STREETAddressLine1
CityBELLEVILLECity
StateILState
ZIP Code622201998ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
MARYANN REESE
PRESIDENT & CEO60.000Yes (X)Yes (X)$0$401,185$108,839
SISTER JANICE SCHNIEDER OSF
BOARD VICE-CHAIRPERSON1.001.00Yes (X)Yes (X)$0$0$0
THOMAS M EGAN
BOARD SECRETARY1.000Yes (X)Yes (X)$0$0$0
WILLIAM S LYKE
BOARD CHAIRPERSON1.000Yes (X)Yes (X)$0$0$0
J DAVID MCCAUSLAND
BOARD MEMBER1.000Yes (X)$0$0$0
JACQUELYN M CLEMENT PHD
BOARD MEMBER1.000Yes (X)$0$0$0
JIM CLANAHAN MD
BOARD MEMBER1.000Yes (X)$0$0$0
REVEREND JAMES E DEITERS
BOARD MEMBER1.000Yes (X)$0$0$0
RICHARD J THOMAN
BOARD MEMBER1.000Yes (X)$0$0$0
SR MARYBETH CULNAN OSF
BOARD MEMBER1.0010.00Yes (X)$0$0$0
STEPHANIE STRANO-MAINE
BOARD MEMBER1.000Yes (X)$0$0$0
ANN M CARR
TREASURER0.2561.75Yes (X)$0$318,955$255,068
DAVID NOSACKA
DIVISION CFO18.6039.00Yes (X)$0$0$0
JOHNNY WATKINS
DIVISION CFO18.6041.40Yes (X)$273,309$0$77,178
LAWRENCE SCHUMACHER
DIVISION CEO - INTERIM2.0059.00Yes (X)$0$1,234,818$204,518
LESLIE LOVSHIN
Director of Finance60.000Yes (X)$171,332$0$33,231
MARK REIFSTECK
DIVISION CEO18.6041.40Yes (X)$0$730,423$192,914
MARY LOU TATE
DIRECTOR OF FINANCE60.000Yes (X)$0$0$0
SHELLEY HARRIS
CHIEF NURSING OFFICER60.000Yes (X)$187,467$0$135,479
SHELLY HARKINS MD
CHIEF MEDICAL OFFICER60.000Yes (X)$332,810$0$48,877
ADAM THACKER
DIVISION CHIEF PERFORMANCE IMPROVEMENT OFFICER60.000$166,906$0$17,081Yes (X)
MARGARET LUNA
DIVISION CPO18.6041.40$166,723$0$71,060Yes (X)
AMY BALLANCE
DIVISION VICE PRESIDENT BUSINESS DEVELOPMENT19.0040.00$154,951$0$45,907Yes (X)
BRIAN D JOHNSON
DIRECTOR OF SURGICAL SERVICES60.000$140,776$0$33,978Yes (X)
JACQUELYNNE N HOLST
DIVISION ASSOCIATE GENERAL COUNSEL60.000$139,776$0$19,994Yes (X)
JAMES BURKE
DIVISION VP OF LEGAL SERVICE18.6041.40$238,254$0-$26,070Yes (X)
SUSAN BEELER
ADMIN DIRECTOR - PATIENT CARE60.000$153,766$0$81,122Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,126,070TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,685,381TotReportableCompRltdOrgAmt
Total Other Compensation$1,299,176TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K33IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
PROFESSIONAL THERAPY SERVICES INC
2810 FRANK SCOTT PKWY WEST STE 824BELLEVILLEIL62223PHYSICAL THERAPY$3,043,437
SODEXO OPERATIONS LLC
4880 PAYSHERE CIRCLECHICAGOIL60674FOOD SERVICE$1,580,967
SLU CARE
1402 S GRAND BLVDST LOUISMO63104PHYSICIAN SERVICES$1,294,382
KAHLER SLATER INC
111 WEST WISCONSIN AVENUEMILWAUKEEWI532032501ARCHITECTURAL SERVICES$1,021,472
GUARANTEE ELECTRICAL CONSTRUCTION
3405 BENT AVENUEST LOUISMO631162601ELECTRICAL CONSTRUCTION SERVICES$922,431
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K39CntrctRcvdGreaterThan100KCnt
Related Organizations$223,681RelatedOrganizationsAmt
Government Grants$266,170GovernmentGrantsAmt
Total Contributions$489,851TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE900099$166,598,733$166,598,733
PHARMACY446110$110,385$110,385
HEALTH PROGRAMS900099$3,661$3,661
ONCOLOGY CENTER900099$599,299$599,299
RENTAL INCOME-RELATED ORGANIZATIONS900099$709,786$709,786

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$168,021,864TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$876,411TotalRevenueColumnAmt
Exclusion$876,411ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,431,261RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,685,339RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$254,078RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$254,078TotalRevenueColumnAmt
Exclusion-$254,078ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$4,823SecuritiesAmt
Other$25,652OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$233,364OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,823SecuritiesAmt
Other-$207,711OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$202,889TotalRevenueColumnAmt
Exclusion-$202,889ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
ADMINISTRATION900099$1,703,329$1,703,329
PURCHASE DISCOUNT900099$379,130$379,130
CAFETERIA SALES722210$36,762$36,762

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$550,471TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$31,668UnrelatedBusinessRevenueAmt
Exclusion$518,803ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,669,692OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$171,600,851TotalRevenueColumnAmt
Related Or Exempt Func Income$168,021,864RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$31,668UnrelatedBusinessRevenueAmt
Exclusion$3,057,468ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,671,329TotalAmt
Program Services$702,524ProgramServicesAmt
Management And General$968,805ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$50,654,145TotalAmt
Program Services$43,034,205ProgramServicesAmt
Management And General$7,619,940ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,577,596TotalAmt
Program Services$2,990,367ProgramServicesAmt
Management And General$587,229ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,996,084TotalAmt
Program Services$7,697,984ProgramServicesAmt
Management And General$2,298,100ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,004,701TotalAmt
Program Services$3,347,366ProgramServicesAmt
Management And General$657,335ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$9,661,095TotalAmt
Management And General$9,661,095ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total-$57,745TotalAmt
Management And General-$57,745ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$39,865TotalAmt
Management And General$39,865ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$37,985TotalAmt
Program Services$37,985ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$29,007,792TotalAmt
Program Services$25,616,335ProgramServicesAmt
Management And General$3,391,457ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$121,325TotalAmt
Program Services$71ProgramServicesAmt
Management And General$121,254ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,074,565TotalAmt
Program Services$825,624ProgramServicesAmt
Management And General$248,941ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,997,252TotalAmt
Management And General$2,997,252ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,814,559TotalAmt
Program Services$3,811,207ProgramServicesAmt
Management And General$3,352ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$202,305TotalAmt
Program Services$36,082ProgramServicesAmt
Management And General$166,223ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$34,943TotalAmt
Program Services$7,756ProgramServicesAmt
Management And General$27,187ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,171,548TotalAmt
Management And General$1,171,548ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$8,532,157TotalAmt
Program Services$6,811,760ProgramServicesAmt
Management And General$1,720,397ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,573,474TotalAmt
Program Services$360,482ProgramServicesAmt
Management And General$2,212,992ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$22,812,991$22,812,991
PROVISION FOR UNCOLLECTIBLE ACCOUNTS$19,361,295$19,361,295
LICENSE & TAXES$10,896,720$10,837,886$58,834
MAINTENANCE & REPAIRS$1,328,319$1,301,422$26,897

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,752,038TotalAmt
Program Services$1,910,904ProgramServicesAmt
Management And General$841,134ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$186,266,338TotalAmt
Program Services$151,504,246ProgramServicesAmt
Management And General$34,762,092ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,288,153BOYAmt
EOY$946,248EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,684,512BOYAmt
EOY$2,551,854EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$27,297,099BOYAmt
EOY$40,228,267EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$297,060BOYAmt
EOY$239,496EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,421,397BOYAmt
EOY$2,338,360EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$678,601BOYAmt
EOY$693,879EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$214,367,949LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$152,220,352LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$60,263,878BOYAmt
EOY$62,147,597EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$13,255,350BOYAmt
EOY$5,144,623EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$4,331,971BOYAmt
EOY$4,931,271EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$217,158BOYAmt
EOY$203,643EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$113,735,179BOYAmt
EOY$119,425,238EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$15,865,587BOYAmt
EOY$16,029,860EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$68,436,234BOYAmt
EOY$96,476,080EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$33,470,106BOYAmt
EOY$24,369,258EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$117,771,927BOYAmt
EOY$136,875,198EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$10,926,920BOYAmt
EOY-$25,144,611EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,798,100BOYAmt
EOY$7,592,579EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$92,072BOYAmt
EOY$102,072EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$4,036,748BOYAmt
EOY-$17,449,960EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$113,735,179BOYAmt
EOY$119,425,238EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$14,665,487ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$386,596NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$865,679OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$37,985OtherActivitiesAmt
Total Lobbying Expenditures$37,985TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1, Description of the activities reported on Lines 1a through 1iFormAndLineReferenceDesc
ExplanationST. 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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,630,755OtherCostOrOtherBasisAmt
Book Value$3,630,755BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$127,950,536OtherCostOrOtherBasisAmt
Depreciation$91,910,168DepreciationAmt
Book Value$36,040,368BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,995OtherCostOrOtherBasisAmt
Depreciation$24,995DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$75,624,060OtherCostOrOtherBasisAmt
Depreciation$60,285,189DepreciationAmt
Book Value$15,338,871BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,137,603OtherCostOrOtherBasisAmt
Book Value$7,137,603BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$62,147,597TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
RETIRE OBLIGATION ASBESTOS$8,732,779
ACCRUED PENSION BENEFIT$15,636,479
FieldValueIRS element (for citing)
Total Liability$24,369,258TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2, FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationHSHS 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 FORM 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 INT HE 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 ONT EH TECHNICAL MERITS OF THE POSITION. AS OF JUNE 30 2014 AND 2013, HSHS DOES NOT HAVE ANY LIABILITIES FOR UNRECOGNIZED TAX BENEFITS.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,311,587TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,311,587NetCommunityBenefitExpnsAmt
Total Expense0.02580TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$35,959,865TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,766,105DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,193,760NetCommunityBenefitExpnsAmt
Total Expense0.07310TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$40,271,452TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,766,105DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,505,347NetCommunityBenefitExpnsAmt
Total Expense0.09890TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs30ActivitiesOrProgramsCnt
Persons Served12484PersonsServedCnt
Total Community Benefit Expns$284,503TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,996DirectOffsettingRevenueAmt
Net Community Benefit Expns$276,507NetCommunityBenefitExpnsAmt
Total Expense0.00170TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs9ActivitiesOrProgramsCnt
Persons Served1316PersonsServedCnt
Total Community Benefit Expns$2,329,453TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$741,989DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,587,464NetCommunityBenefitExpnsAmt
Total Expense0.00950TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served4514PersonsServedCnt
Total Community Benefit Expns$105,825TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$105,825NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served774PersonsServedCnt
Total Community Benefit Expns$83,800TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$83,800NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs47ActivitiesOrProgramsCnt
Persons Served19088PersonsServedCnt
Total Community Benefit Expns$2,803,581TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$749,985DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,053,596NetCommunityBenefitExpnsAmt
Total Expense0.01230TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs47ActivitiesOrProgramsCnt
Persons Served19088PersonsServedCnt
Total Community Benefit Expns$43,075,033TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,516,090DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,558,943NetCommunityBenefitExpnsAmt
Total Expense0.11120TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs8ActivitiesOrProgramsCnt
Persons Served731PersonsServedCnt
Total Community Benefit Expns$27,325TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,025DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,300NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs8ActivitiesOrProgramsCnt
Persons Served731PersonsServedCnt
Total Community Benefit Expns$27,325TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,025DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,300NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$19,361,296BadDebtExpenseAmt
Reimbursed By Medicare$49,440,369ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$45,244,571CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$4,195,798MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPct
MEMORIAL & ST ELIZABETH'S HEALTHCARE SERVICES
HEALTHCARE0.5
SOUTHERN ILLINOIS CARDIOVASCULAR FACILITY
FACILITATE CARDIOVASCULAR SERVICES0.5
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST ELIZABETH'S HOSPITALBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1211 SOUTH 3RD STREETAddressLine1
CityBELLEVILLECity
StateILState
ZIP Code62220ZIPCode
FieldValueIRS element (for citing)
Website AddressHTTP://WWW.STELIZ.ORG/WebsiteAddressTxt
State License00002345StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST ELIZABETH'S HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted11CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://steliz.org/our-hospital/community-benefitOwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs AddressedfalseAllNeedsAddressedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (true)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care200FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (true)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care600FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Insurance StatusYes (X)InsuranceStatusInd
Uninsured DiscountYes (X)UninsuredDiscountInd
Medicaid MedicareYes (X)MedicaidMedicareInd
State RegulationYes (X)StateRegulationInd
ResidencyYes (X)ResidencyInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
Provided On AdmissionYes (X)ProvidedOnAdmissionInd
Available On RequestYes (X)AvailableOnRequestInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Collection ActivitiesfalseCollectionActivitiesInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Average Negotiated RatesYes (X)AverageNegotiatedRatesInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V Sec B, Line 3, Community Served by Needs Assessment(1) - ST. ELIZABETH'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS: IN MARCH 2012, ST. ELIZABETH'S HOSPITAL HOSTED FIVE, TWO-HOUR COMMUNITY ENGAGEMENT SESSIONS WITH 10 TO 15 PARTICIPANTS PER SESSION. PARTICIPANTS WERE INVITED BASED ON THEIR AWARENESS AND EXPERTISE IN THE HEALTH CARE NEEDS OF OUR COMMUNITY. PARTICIPANTS BRAINSTORMED COMMUNITY HEALTH NEEDS, REVIEWED PERTINENT HEALTH DATA, AND PRIORITIZED THE REGION'S TOP NEEDS EMPHASIS WAS PLACED ON REPRESENTATION OF THE UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS AS WELL AS POPULATIONS WITH CHRONIC DISEASE. NINETY PEOPLE WERE INVITED TO PARTICIPATE. FIFTY-EIGHT PEOPLE ATTENDED AT LEAST ONE OF THE SESSIONS. THE FOLLOWING DESCRIBES THOSE WHO PARTICIPATED AND THE SPECIAL NEED AREAS THEY REPRESENTED ARE SHOWN IN ITALICS: * PHYSICIANS (ER, PRIMARY CARE PHYSICIANS, DENTISTS, UROLOGIST) - CHRONIC DISEASE, UNDERSERVED, LOW INCOME, MINORITY * PRACTICING NURSES, RETIRED NURSES, HOSPICE NURSES, UNIVERSITY NURSE EDUCATORS, PARISH NURSES - CHRONIC DISEASE * BUSINESS LEADERS * CIVIC LEADERS (MAYOR'S OFFICE, CHAMBER OF COMMERCE, ALDERMEN) * LEGAL COMMUNITY (LAWYER AND JUDGE, ADVISOR FOR THE LEGAL AID SOCIETY) - LOW INCOME, MINORITY * HEALTH AGENCIES (AMERICAN CANCER, CALL FOR HELP, FIRST RESPONDERS/EMS) - CHRONIC DISEASE, UNDERSERVED, MINORITY, LOW INCOME * COMMUNITY SERVICE AGENCY DIRECTORS - UNDERSERVED, MINORITY, LOW INCOME * SCHOOL REPRESENTATIVES (PRIMARY AND SECONDARY REPRESENTATION) - UNDERSERVED, MINORITY, LOW INCOME * MENTAL HEALTH AGENCY DIRECTORS (INCLUDING ALCOHOL AND DRUG ADDICTION EXPERTS) - UNDERSERVED, MINORITY, LOW INCOME * PARENTS OF SPECIAL NEEDS CHILDREN -- UNDERSERVED * HISPANIC SERVICE AGENCY - UNDERSERVED, MINORITY, LOW INCOME * RELIGIOUS LEADERS - INNER CITY AND RURAL - MINORITY, LOW INCOME * AGENCY FOR THE AGING - MINORITY * MILITARY COMMANDER FOR SCOTT AIR FORCE BASE HEALTH SERVICES COMMUNITY INPUT WAS ALSO OBTAINED THROUGH A HOUSEHOLD SURVEY. ;
Schedule H, Part V Sec B, Line 5d, Availability of Needs Assessment(1) - ST. ELIZABETH'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS: IN ADDITION, THE REPORT IS POSTED ON OUR HOSPITAL INTRANET MISSION PAGE FOR OUR COLLEAGUES AND WAS SHARED WITH THE ST. CLAIR COUNTY HEALTH CARE COMMISSION AT THEIR QUARTERLY MEETING IN JULY, 2012.;
Schedule H, Part V Sec B, Line 7, Needs not addressed in Needs Assessment(1) - ST. ELIZABETH'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS: THE ST. ELIZABETH'S HOSPITAL BOARD OF DIRECTORS APPROVED THE COMMUNITY BENEFIT IMPLEMENTATION STRATEGY BASED ON THE FY2012 CHNA. THE APPROVED IMPLEMENTATION STRATEGY WAS EXECUTED IN OUR FY2013 AND FY2014. BASED ON HOSPITAL CAPABILITIES, RESOURCES, SEVERITY OF THE NEED, AND OTHER FACTORS, ST. ELIZABETH'S ADDRESSED THREE AREAS: - IMPROVE ACCESS TO HEALTHCARE, ESPECIALLY FOR THOSE WHO ARE UNINSURED OR UNDERINSURED - MENTAL HEALTH, REDUCE THE RATE OF DEPRESSION AND SUICIDE IN THE ADULT POPULATION IN THE COUNTY - CHRONIC DISEASE, EDUCATE AND EMPOWER DIABETICS TO LIVE A HEALTHIER LIFESTYLE THE FOLLOWING ADDITIONAL NEEDS WERE IDENTIFIED AND WERE NOT ADDRESSED DIRECTLY BY THE HOSPITAL IN FY2013 AND FY2014 FOR THE REASONS INDICATED. - MENTAL HEALTH - APPROPRIATE SERVICES FOR UNINSURED: THIS WAS PARTLY ADDRESSED AS A COROLLARY OF THE MENTAL HEALTH SUICIDE/DEPRESSION INITIATIVE. - CONSOLIDATION OF COMMUNITY HEALTH/RESOURCE INFORMATION: ST. ELIZABETH'S HOSPITAL LACKS THE EXPERTISE TO DEVELOP AND MAINTAIN THIS DATA BASE. UNITED WAY MAINTAINED A DATA BASE IN THEIR "211" SYSTEM. - DEVELOP RESPONSIBILITY FOR ONE'S HEALTHCARE: ST. ELIZABETH'S HOSPITAL ADDRESSES THIS ISSUE ON A CASE BY CASE BASIS (NOT COMMUNITY LEVEL) THROUGH OUR SOCIAL SERVICE DEPARTMENT - GERIATRIC POPULATION (ACCESS MEDICAL/PSYCHIATRIC): ST. ELIZABETH'S HOSPITAL PROVIDES INPATIENT AND OUTPATIENT CARE AS PART OF THE BEHAVIORAL HEALTHCARE SERVICE LINE TO THIS POPULATION. THE HOSPITAL LACKS ADEQUATE SPACE TO ESTABLISH A SEPARATE GERIATRIC-PSYCH PROGRAM. ADDRESSING THE LACK OF GERIATRIC TRAINED PHYSICIANS IS BEYOND THE SCOPE OF THIS FACILITY. - VIOLENCE PREVENTION AND SAFETY: THIS NEED IS AN IDENTIFIED NEED IN THE IPLAN (ILLINOIS PROJECT FOR LOCAL ASSESSMENT OF NEEDS). THE ST. CLAIR COUNTY HEALTH DEPARTMENT IS THE LEAD AGENCY ADDRESSING THIS NEED. ST. ELIZABETH'S HOSPITAL LACKS THE ABILITY TO ADDRESS THIS ISSUE IN ANY MEANINGFUL WAY. - LUNG CANCER AND COPD: THIS NEED IS AN IDENTIFIED NEED IN THE IPLAN. THIS ISSUE IS BEING ADDRESSED BY THE HOSPITAL, ST. CLAIR COUNTY HEALTH DEPARTMENT AND OTHER COMMUNITY BASED PROGRAMS. - MATERNAL AND CHILD HEALTH AS RELATED TO INFANT MORTALITY, TEEN PREGNANCY AND STD/HIV: THIS NEED IS AN IDENTIFIED NEED IN THE IPLAN . THE HOSPITAL CURRENTLY HAS A LEVEL 2 NICU WITH PEDIATRICIAN ON THE MEDICAL STAFF, BUT LACKS THE REQUIRED RESOURCES TO FURTHER ENHANCE PROGRAMS FOR MATERNAL AND CHILD HEALTH AT THIS TIME. ;
Schedule H, Part V Sec B, Line 14g, Other ways hospital publicized Financial Assistance Policy(1) - ST. ELIZABETH'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS: COMMUNICATION/NOTIFICATION OF THE FINANCIAL ASSISTANCE PROGRAM TO PATIENTS INCLUDES THE FOLLOWING: A. FINANCIAL ASSISTANCE APPLICATIONS: THE FINANCIAL ASSISTANCE APPLICATION IS PROVIDED TO PATIENTS UPON REQUEST AND THROUGHOUT THE REGISTRATION AND POST-REGISTRATION PROCESS. THIS APPLICATION COMPLIES WITH CURRENT ILLINOIS AND WISCONSIN STATUTES AND ANY APPLICABLE FEDERAL STATUTES. B. POSTERS: THE AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAM IS ADVERTISED ON POSTER-SIZED SIGNAGE LOCATED IN ADMISSIONS, OUTPATIENT, WAITING ROOM AREAS. A TOLL-FREE PHONE NUMBER IS INCLUDED. C. BROCHURES: BROCHURES OUTLINING THE FINANCIAL ASSISTANCE PROGRAM, APPLICATION PROCESS AND TOLL-FREE PHONE NUMBER ARE AVAILABLE AT ALL PATIENT REGISTRATION DESKS AND IN ALL WAITING AREAS. D. INTERNET: THE AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAM AND ILLINOIS UNINSURED DISCOUNT ACT OF 2009 ARE POSTED ON THE HSHS INTERNET HOME PAGE. E. PATIENT STATEMENTS: EACH BILL, INVOICE OR OTHER SUMMARY OF CHARGES TO AN UNINSURED PATIENT INCLUDES WITH IT, OR ON IT, A PROMINENT STATEMENT THAT AN UNINSURED PATIENT WHO MEETS CERTAIN INCOME REQUIREMENTS MAY QUALIFY FOR AN UNINSURED DISCOUNT AND INFORMATION REGARDING HOW AN UNINSURED PATIENT MAY APPLY FOR CONSIDERATION UNDER THE HSHS FINANCIAL ASSISTANCE PROGRAM. ;

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C, FACTORS OTHER THAN FPG USED IN DETERMINING ELIGIBILITYNOT APPLICABLE, ST. ELIZABETH'S HOSPITAL FOLLOWS FPG TO DETERMINE ELIGIBILITY FOR PROVIDING CHARITY AND DISCOUNTED CARE TO LOW-INCOME, UNINSURED AND UNDERINSURED INDIVIDUALS.
SCHEDULE H, PART I, LINE 6A, COMMUNITY BENEFIT REPORTTHE HOSPITAL'S COMMUNITY BENEFIT REPORT CAN BE ACCESSED AT HTTP://WWW.STELIZ.ORG/OUR-HOSPITAL/COMMUNITY-BENEFIT/ THE HOSPITAL'S COMMUNITY BENEFIT REPORT MAY ALSO BE REQUESTED BY CONTACTING THE MISSION INTEGRATION DEPARTMENT AT 618-234-2120 EXT 2132.
Schedule H, Part I, Line 7, Costing Methodology used to calculate financial assistanceTO 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. THE HOSPITAL HAS NOT INCLUDED ANY BAD DEBT EXPENSE AMONG ITS "TOTAL FUNCTIONAL EXPENSES" ON PAGE 10, PART IX OF THE CORE FORM 990.
Schedule H, Part I, Line 7, col(f), Bad Debt Expense excluded from financial assistance calculation19,361,296
Schedule H, Part II, Community Building ActivitiesST ELIZABETH'S ENGAGES IN THE FOLLOWING COMMUNITY BUILDING ACTIVITIES TO PROMOTE THE HEALTH OF THE COMMUNITY: BRIDGES CONNECTIONS DISTRICT 201 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. 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 THROUGHOUT THE YEAR, THESE PROGRAMS ARE SUPPORTED BY HOSPITAL COLLEAGUES TO MEET COMMUNITY NEED. ITEMS ARE DONATED TO LOCAL AGENCIES THAT WORK WITH THE POOR AND/OR TO LOCAL FOOD PANTRIES, IN TURN REDUCING THE BURDEN OF GOVERNMENT. IN FY2014, COLLEAGUES DONATED MORE THAN 1,444 POUNDS OF CLOTHING, 200 POUNDS OF SCHOOL SUPPLIES AND 260 POUNDS OF FOOD TO A VARIETY OF COMMUNITY SOCIAL SERVICE AGENCIES. DISASTER PREPAREDNESS ST. ELIZABETH'S HOSPITAL HAS MADE A SIGNIFICANT INVESTMENT IN EMERGENCY MANAGEMENT PREPAREDNESS BY INITIALLY TRAINING COLLEAGUES AND MEMBERS OF THE COMMUNITY TO INCLUDE BUT NOT LIMITED TO EMS STAFF IN NATIONAL INCIDENT MANAGEMENT SYSTEM AND INCIDENT COMMAND SYSTEM. (NIMS COURSES 300 & 400) THE HOSPITAL PARTICIPATES IN NUMEROUS EMERGENCY MANAGEMENT DRILLS IN COOPERATION WITH OUR LOCAL, REGION AND STATE PARTNERS IN ADDITION TO OUR REQUIRED TWO ANNUAL DRILLS. BASIC INITIATIVE: BASIC (BELLEVILLE ACHIEVES STRENGTH IN CHARACTER) BASIC 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. ST. CLAIR COUNTY HEALTH DEPARTMENT HEALTH CARE COMMISSION 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. LAPTOP DONATIONS 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. FRANCISCAN INSPIRED LIFE LONG LEARNING PROGRAM THE LEADERSHIP TEAM AT ST ELIZABETH'S IS COMMITTED TO HELPING THE POOR AND VULNERABLE BY ASSISTING THOSE INDIVIDUALS WHO ARE INTERESTED IN IMPROVING THEMSELVES THROUGH ACADEMIC LEARNING. KEY MEMBERS OF THE LEADERSHIP MET WITH THE EAST SAINT LOUIS VOCATIONAL DIRECTOR, THE DIRECTOR OF ST EAST LOUIS COMMUNITY CENTER THAT HOUSES BOTH KASKASKIA COLLEGE AND SOUTHWESTERN ILLINOIS COMMUNITY COLLEGE, AND KASKASKIA COLLEGE DEAN OF NURSING TO DISCUSS OPPORTUNITIES TO PARTNER FOR THE GOAL OF IMPROVING THE LIVES OF THOSE LIVING IN IMPOVERISHED AREAS. THROUGH EDUCATION AND JOB PLACEMENT INDIVIDUALS HAVE THE OPPORTUNITY TO IMPROVE THEIR LIVES FOR THEMSELVES AND THEIR FAMILIES. TO FURTHER THIS VISION, ST ELIZABETH'S PEOPLE SERVICES DEPARTMENT PLANNED A VISIT TO EAST SAINT LOUIS HIGH SCHOOL TO DEMONSTRATE HOW TO SEARCH AND APPLY FOR A POSITION. 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 amountSELF-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. THAT 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. EACH MATRIX IN USE HAS BEEN UPDATED WITHIN THE PAST YEAR. ST ELIZABETH'S REPORTS BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT 15, AS MODIFIED BY AND CONSISTENT WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP).
Schedule H, Part III, Line 3, Bad Debt Expense MethodologyTHE 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 footnoteTHE TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGE 19 OF THE HSHS CONSOLIDATED AUDIT REPORT.
Schedule H, Part III, Line 8, Community benefit & methodology for determining medicare costsST ELIZABETH'S CONTINUALLY STRIVES TO PROVIDE EXCELLENT PATIENT CARE IN THE MOST COST EFFECTIVE MANNER. IN FY2014, ST ELIZABETH'S HOSPITAL HAD NO MEDICARE SHORTFALL. THE HOSPITAL MEDICARE SURPLUS AT COST FOR FY2014 WAS $4.1 MILLION DOLLARS. THE AMOUNT REPORTED COMES FROM OUR MOST RECENT FILED MEDICARE COST REPORT.
Schedule H, Part III, Line 9b, Collection practices for patients eligible for financial assistanceTHE 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 WHO ARE UNINSURED AND NOT ELIGIBLE FOR MEDICAID ARE GIVEN A FINANCIAL ASSISTANCE APPLICATION. EACH PATIENT WILL THEN RECEIVE 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 SENT TO A COLLECTION AGENCY. IF THE COLLECTION AGENCY HAS EVIDENCE THAT THE PATIENT MAY QUALIFY FOR FINANCIAL ASSISTANCE, THE ACCOUNT WILL BE RETURNED TO THE HOSPITAL AND A FINANCIAL ASSISTANCE APPLICATION PROCESS WILL BEGIN.
Schedule H, Part VI, Line 2, Needs assessment.AS INDICATED IN PART V, SECTION B, ST ELIZABETH'S CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN OUR FY2012 (JULY 1, 2011 THROUGH JUNE 30, 2012). IN PREVIOUS YEARS, WE 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, ST. ELIZABETH'S WILL LEAD A COLLABORATIVE APPROACH TO CONDUCT ITS CHNA AND ADOPT AN IMPLEMENTATION PLAN IN OUR 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 PATIENT ACCESS DEPARTMENT PROVIDES EACH PATIENT WITH INFORMATION ABOUT THE CHRISTIAN ASSISTANCE PROGRAM (CAP) AVAILABLE AT ST. ELIZABETH'S HOSPITAL. PATIENTS RECEIVE A CONTACT PHONE NUMBER FOR FURTHER ASSISTANCE. INFORMATION ABOUT THE CHRISTIAN ASSISTANCE PROGRAM IS ALSO AVAILABLE ON THE HOSPITAL'S WEB SITE ALONG WITH THE APPLICATION FORM AND CONTACT NUMBERS. THE HOSPITAL HAS A REPRESENTATIVE ON SITE TO ASSIST PATIENTS WHO MAY BE ELIGIBLE FOR MEDICAID ASSISTANCE THROUGH THE ILLINOIS DEPARTMENT OF PUBLIC ASSISTANCE. THE HOSPITAL REPRESENTATIVE WORKS WITH PATIENTS AND ASSISTS THEM WITH THE APPLICATION PROCESS. PATIENTS DETERMINED INELIGIBLE FOR MEDICAID ARE GIVEN A CAP APPLICATION FORM AND INSTRUCTION LETTER WITH A PHONE NUMBER TO CONTACT FOR FURTHER HELP IN MAKING APPLICATION FOR ASSISTANCE. ASSISTANCE IS PROVIDED AS NEEDED. EACH BILL THAT A PATIENT RECEIVES HAS INFORMATION ABOUT THE CHRISTIAN ASSISTANCE PROGRAM AND A PHONE NUMBER TO CONTACT FOR HELP IN APPLYING. PATIENTS WHO COME TO THE CASHIER'S OFFICE ARE GIVEN INFORMATION ABOUT PAYMENT OPTIONS, INCLUDING THE CHRISTIAN ASSISTANCE PROGRAM. EVEN AFTER AN ACCOUNT IS SENT TO A COLLECTION AGENCY AND/OR ANYTIME IN THE PROCESS THEY BELIEVE A PATIENT MAY BE ELIGIBLE FOR CHRISTIAN ASSISTANCE, THE ACCOUNT IS RETURNED TO THE HOSPITAL AND EVALUATED FOR CHRISTIAN ASSISTANCE.
Schedule H, Part VI, Line 4, Community information.BELLEVILLE, THE COUNTY SEAT OF ST. CLAIR COUNTY, HAS A POPULATION OF 43,756. ST. CLAIR COUNTY HAS A POPULATION OF 270,259. IN ST. CLAIR COUNTY, 10% OF THE POPULATION LIVES IN RURAL COMMUNITIES. THE MEDIAN HOUSEHOLD INCOME IS $49,634 COMPARED TO THE NATIONAL MEDIAN INCOME OF $53,271. 19.4% OF POPULATION LIVES BELOW THE POVERTY LINE. 27.4% OF FAMILIES EARN LESS THAN $25,000 A YEAR. FAMILIES LIVING BELOW THE POVERTY LEVEL WAS 9.3% COMPARED TO NATIONAL AVERAGE OF 9.2%. IN ST. CLAIR COUNTY, 8.2% OF THE POPULATION IS COVERED BY MEDICAID COMPARED TO 7.5% FOR THE STATE. PERCENT OF UNINSURED ADULTS, NON-SENIORS IN THE COUNTY IS 12% COMPARED TO 16% FOR THE STATE OF ILLINOIS. THE 2013 COUNTY HEALTH RANKINGS RATES ST. CLAIR COUNTY FOR HEALTH FACTORS AT 88 OUT OF 102 COUNTIES IN ILLINOIS (ONE IS BEST, 102 IS WORST RANKING). (DATA FROM COUNTY HEALTH RANKINGS AND US CENSUS DATA). THE PRIMARY SERVICE AREA FOR ST. ELIZABETH'S HOSPITAL COVERS MOST OF ST. CLAIR COUNTY. THE SECONDARY SERVICE AREA EXTENDS INTO MONROE, CLINTON, RANDOLPH AND MADISON COUNTIES. TOTAL POPULATION OF THE PRIMARY AND SECONDARY SERVICE AREA IS 353,346 (2010 CENSUS). ST. ELIZABETH'S HOSPITAL ALSO SERVES AS A REFERRAL HOSPITAL IN HOSPITAL SISTERS HEALTH SYSTEM'S SOUTHERN ILLINOIS DIVISION WHICH INCLUDES ST. JOSEPH'S HOSPITAL IN HIGHLAND, ST. JOSEPH'S HOSPITAL IN BREESE AND ST. ANTHONY'S MEMORIAL HOSPITAL IN EFFINGHAM. ST. ELIZABETH'S HAS SERVED THIS COMMUNITY SINCE ITS FOUNDING IN 1875 BY THE HOSPITAL SISTERS OF ST. FRANCIS. THE HOSPITAL CURRENTLY STAFFS 260 INPATIENT BEDS. THE HOSPITAL EMPLOYS 1,313 COLLEAGUES. INPATIENT ADMISSIONS FOR FY2014 WERE 10,263. THE EMERGENCY DEPARTMENT HAD 36,881 VISITS AND ADMITTED 6,251 TO INPATIENT SERVICES. THE URGICARE CENTER IN O'FALLON, AN OFFSITE FACILITY, HAD 21,600 VISITS. TOTAL OUTPATIENT VISITS FOR THE HOSPITAL WERE 171,576. ST. ELIZABETH'S HOSPITAL RECEIVED THE ILLINOIS PERFORMANCE EXCELLENCE 2013 BRONZE AWARD FOR COMMITMENT TO EXCELLENCE. THE HOSPITAL HAS BEEN A RECOGNIZED ACCREDITED CHEST PAIN CENTER SINCE 2004 AND NAMED BY TRUVEN ANALYTICS AS A TOP 50 CARDIOVASCULAR HOSPITAL. THE CHEST PAIN CENTER RECEIVED THE AMERICAN HEART ASSOCIATION MISSION LIFE LINE BRONZE AWARD FOR OVERALL CARDIAC CARE AND RECEIVED THE ACTION REGISTRY-GWTG PLATINUM PERFORMANCE ACHEIVEMENT AWARD. FOR THE PAST FIVE YEARS, THE INTENSIVE CARE UNIT HAS BEEN RECOGNIZED TO BE IN THE TOP 10% IN THE NATION. ST. ELIZABETH'S IS ALSO DESIGNATED AS AN EMERGENCY STROKE READY HOSPITAL. IN ADDITION THE HOSPITAL IS ALSO LICENSED AS AN EMERGENCY DEPARTMENT APPROVED FOR PEDIATRICS THROUGH THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH.
Schedule H, Part VI, Line 5, Promotion of community healthST. ELIZABETH'S HOSPITAL OFFERS HOPE TO OUR COMMUNITY IN THE TRADITION OF THE HOSPITAL SISTERS OF ST. FRANCIS. AS A HEALING MINISTRY OF THE CATHOLIC CHURCH AND AN AFFILIATE OF THE 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 137 YEARS AGO TO BRING A HEALING PRESENCE AND IMPROVE THE HEALTH OF OUR COMMUNITY, ESPECIALLY FOR PEOPLE WHO ARE SICK, POOR, AND DISADVANTAGED. BECAUSE OF THE HOSPITAL'S MISSION 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, THE MAJORITY OF WHOM RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE HOSPITAL (NOR FAMILY MEMBERS THEREOF). THE BOARD ENSURES THAT ST. ELIZABETH'S HOSPITAL IS RESPONDING TO COMMUNITY NEED. DURING THE LAST FISCAL YEAR, FOR EXAMPLE, THE BOARD REVIEWED THE COMMUNITY HEALTH NEEDS ASSESSMENT AND APPROVED AN IMPLEMENTATION STRATEGY FOR ADDRESSING IDENTIFIED NEEDS. OUR ADVISORY BOARD AND FRIENDS BOARD CONSIST OF PERSONS WHO RESIDE IN OUR PRIMARY SERVICE AREA. MEMBERS OF THESE BOARDS PARTICIPATED IN THE COMMUNITY ENGAGEMENT GROUPS THAT WERE INTEGRAL IN DEVELOPMENT OF THE CHNA. ALSO CONSISTENT WITH ITS EXEMPT PURPOSE, ST. ELIZABETH'S HOSPITAL 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, ST. ELIZABETH'S HOSPITAL REINVESTS SURPLUS FUNDS INTO THE MISSION OF THE ORGANIZATION AND HEALTH OF THE COMMUNITY RATHER THAN DISTRIBUTING THEM 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 AND CONDUCT MEDICAL RESEARCH AND EDUCATION. FOR EXAMPLE, ST. ELIZABETH'S HOSPITAL IS CURRENTLY WORKING WITH ITS PARENT ORGANIZATION, HOSPITAL SISTERS HEALTH SYSTEM, TO CONTINUOUSLY ENHANCE QUALITY AND IMPROVE COORDINATION OF CARE BOTH INSIDE THE HOSPITAL AND WITH A GROWING NUMBER OF PHYSICIAN PARTNERS. SUPPORTED BY INVESTMENTS IN INFORMATION TECHNOLOGY, THIS "CARE INTEGRATION" STRATEGY IS DESIGNED TO BETTER COORDINATE CARE, IMPROVE HEALTH OUTCOMES, CREATE NEW EFFICIENCIES, AND HELP ENSURE THAT PATIENTS (ESPECIALLY THOSE WITH CHRONIC CONDITIONS) GET WELL AND STAY WELL. ST. ELIZABETH'S ALSO DEVOTES SIGNIFICANT RESOURCES TO ACCESS FOR PATIENTS WHO CANNOT AFFORD CARE, ALONG WITH OTHER COMMUNITY BENEFITS. IN FY2014, ST. ELIZABETH'S PROVIDED MORE THAN $18.5 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. ST. ELIZABETH'S HOSPITAL PROVIDES A RANGE OF COMMUNITY BENEFITS THAT FLOWS FROM OUR MISSION AND LONG-STANDING COMMITMENT TO OUR COMMUNITY. IN MANY CASES, THESE PROGRAMS WOULD NOT TO EXIST WITHOUT THE LEADERSHIP ROLE PLAYED BY ST. ELIZABETH'S HOSPITAL. THESE PROGRAMS RELIEVE A BURDEN THAT WOULD OTHERWISE BE CARRIED BY GOVERNMENT. SEVERAL OF THESE PROGRAMS AND ACTIVITIES ARE DESIGNED TO RESPOND TO OUR FY2012 COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH SURFACED THE FOLLOWING PRIORITY NEEDS FOR ATTENTION FROM THE HOSPITAL IN COLLABORATION WITH OTHER 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 EXPANDED MEDICAID. IN ADDITION, ST ELIZABETH'S PARTNERED WITH EAST SIDE HEALTH DISTRICT WHO PROVIDED A CERTIFIED APPLICATION COUNSELOR (CAC) AND ASSISTED CLIENTS WITH THE ENROLLMENT PROCESS. ST ELIZABETH'S SUPPORTED AN "ENROLLMENT BLITZ" THAT OCCURRED THE LAST WEEKEND OF THE PROGRAM AND OUR PARTNERS HAD ACCESS TO SPACE AND EQUIPMENT FOR 18 HOURS A DAY. EASTSIDE REMAINED PRESENT THROUGHPUT THE REST OF THE FISCAL YEAR TO SUPPORT CLIENTS WHO HAD QUESTIONS, NEEDED FOLLOW UP AND THE CACS WORKED IN CONCERT WITH ST ELIZABETH'S FINANCIAL COUNSELORS TO ENROLL MORE QUALIFIED INDIVIDUALS IN THE EXPANDED MEDICAID PROGRAM. MENTAL HEALTH, REDUCE THE RATE OF DEPRESSION AND SUICIDE IN THE ADULT POPULATION IN THE COUNTY: IN THIS PROGRAM, ST. ELIZABETH'S IS PARTNERING WITH THE KARLA SMITH FOUNDATION (SUPPORT SERVICE FOR FAMILIES COPING WITH MENTAL ILLNESS AND SUICIDE), THE LOCAL MENTAL HEALTH BOARD, CALL FOR HELP (PROVIDES CRISIS INTERVENTION), LOCAL HOSPICE PROGRAMS UNDER THE GUIDANCE OF THE ST. CLAIR COUNTY HEALTH DEPARTMENT IPLAN TO DEPLOY A DEPRESSION AND SUICIDE RISK ASSESSMENT TOOL KNOWN AS QPR (QUESTION, PERSUADE AND REFER). SEVERAL MEMBERS OF THE PARTNERSHIP HAVE BEEN TRAINED AS A CERTIFIED QPR GATEKEEPER INSTRUCTOR AND ARE DEPLOYING THE EDUCATION IN ST. CLAIR COUNTY. A ST. ELIZABETH'S COLLEAGUE WAS TRAINED AS A CERTIFIED QPR GATEKEEPER INSTRUCTOR AND CONDUCTED EDUCATION IN THE COMMUNITY . CHRONIC DISEASE, EDUCATE AND EMPOWER DIABETICS TO LIVE A HEALTHIER LIFESTYLE: ST. ELIZABETH'S OFFERED OUTPATIENT NUTRITION COUNSELING TO HELP PERSONS WITH DIABETES MANAGE THEIR ILLNESS. THE 1:1 NUTRITION COUNSELING SESSION MET THE INDIVIDUAL NEEDS OF PATIENTS. IN 2010 IT WAS IDENTIFIED THAT THERE WERE MANY PEOPLE IN NEED OF SUPPORT SERVICES WHO COULD NOT AFFORD THE COST OF THE 1:1 COUNSELING SESSIONS. A MONTHLY DIABETIC EDUCATION SUPPORT GROUP WAS STARTED AND THE PROGRAM IS OFFERED AT NO COST. TOPICS INCLUDE: CARBOHYDRATE COUNTING, STRESS MANAGEMENT, CARDIOVASCULAR DISEASE, MEDICATION MANAGEMENT, PAIN MANAGEMENT, EXERCISE AND FOOT CARE. IN JANUARY, 2012 THE OUTPATIENT DIETITIAN COLLABORATED WITH THE CARDIAC REHAB DEPARTMENT AND ADDED AN EXERCISE COMPONENT TO THE DIABETIC SUPPORT GROUP. TWICE A WEEK THE DIABETIC SUPPORT GROUP NOW OFFERS A ONE HOUR EXERCISE SESSION IN THE CARDIAC REHAB GYM, FOLLOWED BY A HALF-HOUR OF YOGA. THE COMBINATION OF EDUCATION AND EXERCISE IS DESIGNED TO ENHANCE BETTER OUTCOMES FOR THIS PATIENT POPULATION. IN ADDITION TO THE SUPPORT GROUP THE HOSPITAL SPONSORED A DIABETES ALERT DAY; CLIENTS WERE SCREENED FOR RISK FACTORS RELATED TO DIABETES AND GIVEN EDUCATION AND FOLLOW UP RECOMMENDATIONS. MEMBERS FOR THE DIABETIC SUPPORT WERE PRESENT TO ENGAGE CLIENTS AND SHARE THEIR STORIES FOR THE GOAL OF EXPANDING THE PROGRAM. EDUCATORS ATTENDED MULTIPLE HEALTH FAIRS AND EDUCATED ON DIABETES. ONGOING COMMUNITY HEALTH PROGRAMS BREAST HEALTH AWARENESS MONTH OCTOBER IS BREAST HEALTH AWARENESS MONTH. ANNUALLY, 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 FY2014, 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" THE EVENT HOSTED AT THE HOSPITAL FOR WOMEN TO LEARN ABOUT BREAST AND WOMEN'S HEALTH IN A WARM AND COMFORTING ENVIRONMENT. THE EVENT INCLUDED BRA FITTINGS, WIG AND SKIN CARE INFORMATION, PROSTHETIC INFORMATION, MINI-MANICURES, CHAIR MASSAGES, WOMEN'S PHYSICAL THERAPY, NUTRITION INFORMATION, HEALTHY COOKING DEMO, BREAST HEALTH INFORMATION AND ON-SITE BONE DENSITY SCREENINGS AND MAMMOGRAM APPOINTMENT SCHEDULING. A RADIOLOGIST, A SURGEON, AND OB/GYN PHYSICIANS WERE PRESENT TO ANSWER QUESTIONS. THE FOOD AND NUTRITION DEPARTMENT DEMONSTRATED HEALTHY COOKING IDEAS AND A DIETITIAN WAS PRESENT TO ANSWER QUESTIONS ABOUT HEALTHY EATING. MORE THAN 100 WOMEN PARTICIPATED IN THE EVENT. IN ADDITION A MEMBER OF THE ILLINOIS BREAST AND CERVICAL CANCER PROGRAM WAS PRESENT TO SHARE INFORMATION ABOUT THEIR PROGRAMS FOR QUALIFIED INDIVIDUALS. OTHER EVENTS INCLUDED PARTICIPATING IN TWO HEALTH FAIRS AND OTHER LOCAL COMMUNITY EVENTS TO PROVIDE EDUCATION AND AWARENESS ABOUT BREAST CANCER. IN THE COURSE OF THE MONTH OVER 1500 INDIVIDUALS RECEIVED INFORMATION OR EDUCATION ON BREAST HEALTH. HEART2HEART MONTH FEBRUARY IS HEART2HEART MONTH AT ST. ELIZABETH'S HOSPITAL. IN FY2014 A MOCK STEMI DRILL WAS HELD AT MACY'S IN ST CLAIR SQUARE MALL TO PROMOTE AWARENESS OF EARLY INTERVENTION. THE MOCK DRILL WAS COMPRISED OF THE HOSPITAL'S CARDIAC TEAM, THE O'FALLON EMS AND MACY'S EMPLOYEES. SHOPPERS AT MACY'S WITNESSED A PUBLIC MEDICAL DRILL THAT RECREATED A PERSON HAVING AN ST-ELEVATION MYOCARDIAL INFARCTION (STEMI), ALSO KNOWN AS A HEART ATTACK. THIS MOCK CHEST PAIN DRILL HELPED OUR HOSPITAL AND EMS MEASURE RESPONSE TIME AND PRACTICE APPROPRIATE MEDICAL PROTOCOLS. ST. ELIZABETH'S COLLEAGUES WERE ON HAND TO SHARE HEART HEALTH INFORMATION AS PART OF THE MOCK DRILL.
SCHEDULE H, PART VI, LINE 5, PROMOTION OF COMMUNITY HEALTH (CONTINUED)MENTORING FUTURE HEALTHCARE PROFESSIONALS ST. ELIZABETH'S HOSPITAL IS COMMITTED TO HELPING TO PREPARE FUTURE HEALTHCARE PROFESSIONALS. STUDENTS FROM LOCAL COMMUNITY COLLEGES AND UNIVERSITIES PARTICIPATE IN CLINICAL TRAINING IN THE FOLLOWING AREAS: NURSING, BEHAVIORAL HEALTHCARE, RESPIRATORY, PHYSICAL & OCCUPATIONAL THERAPY, PHARMACY, RADIOLOGY, SURGERY, PATIENT ACCOUNTS AND DIETARY. THIS PAST YEAR 637 STUDENTS IN UNDERGRADUATE, GRADUATE AND INTERNSHIP PROGRAMS PARTICIPATED. THIS MENTORING IS VALUED AT OVER $440,000. THROUGH THE CLINICAL ROUNDS AND INTERNSHIPS THESE STUDENTS GAINED VALUABLE SKILLS IN THEIR RESPECTIVE HEALTHCARE PROFESSIONS. PRESENTLY, THERE IS A SHORTAGE OF PRIMARY CARE FAMILY PRACTICE DOCTORS IN ST. CLAIR COUNTY. ST. ELIZABETH'S HOSPITAL ADDRESS THIS NEED BY SUBSIDIZES THE SLU FAMILY MEDICINE RESIDENCY PROGRAM. IN FY2014, ST. ELIZABETH'S SPEND OVER $1.6 MILLION TO SUPPORT THE RESIDENCY. THIS PROGRAM IS UNIQUE IN THAT IT IS A MERGER OF A COMMUNITY-BASED SETTING, AN ACADEMIC CENTER AND A MILITARY-BASED RESIDENCY. THIS PROGRAM EMPHASIZES THE BROAD BASE OF FAMILY MEDICINE SKILLS THAT ARE NEEDED TO PRACTICE IN A VARIETY OF SETTINGS. CLINICAL EDUCATION SITES INCLUDE: ST. ELIZABETH'S HOSPITAL, CARDINAL GLENNON CHILDREN'S HOSPITAL, THE OFFICES OF COMMUNITY PHYSICIANS AND SCOTT AIR FORCE BASE OUTPATIENT CLINICS. SUPPORTING OUR COMMUNITY: COLLEAGUES REACH OUT TO HELP THE POOR AND VULNERABLE THROUGHOUT THE YEAR COLLEAGUES EMBRACE THE HOSPITAL'S MISSION TO CARE FOR THE SICK IN THE COMMUNITY, ESPECIALLY THE POOR. THROUGH THE HOSPITAL'S MISSION INTEGRATION COMMITTEE, COLLEAGUES GENEROUSLY DONATE FOOD AND FRESH PRODUCE TO THE NEEDY IN THE COMMUNITY. IN THE SUMMER OF 2011, COLLEAGUES STARTED A COMMUNITY GARDEN ON THE HOSPITAL CAMPUS. ALL PRODUCE IS DONATED TO LOCAL FOOD PANTRIES. IN ADDITION, COLLEAGUES DONATE SURPLUS PRODUCE FROM THEIR HOME GARDENS TO LOCAL FOOD PANTRIES; IN FY2014 LOCAL FOOD PANTRIES RECEIVED 320 POUNDS OF FRESH PRODUCE. AMERICAN HEART ASSOCIATION CLASSES ST ELIZABETH'S RECOGNIZES THE NEED FOR OUR PARTNERS IN THE HEALTH CARE FIELD TO MAINTAIN THEIR COMPETENCE IN BASIC LIFE SUPPORT COURSES ALONG WITH PEDIATRIC AND ADVANCED LIFE SUPPORT PROGRAMS. IN EFFORT TO ENSURE OUR COMMUNITY HAS COMPETENT CAREGIVERS, ST ELIZABETH'S PROVIDES COURSES AMERICAN HEART ASSOCIATION CLASSES. IN FY14 712 PROFESSIONALS PARTICIPATED IN A AMERICAN HEART ASSOCIATION COURSE.
Schedule H, Part VI, Line 6, Affiliated health care systemST. ELIZABETH'S HOSPITAL IN BELLEVILLE IS AN AFFILIATE OF HOSPITAL SISTERS HEALTH SYSTEM (HSHS), A HEALTH CARE MINISTRY THAT INCLUDES 13 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 FURTHERING MEDICAL EDUCATION AND KNOWLEDGE. IN FY2014, OUR 13 HOSPITALS RESPONDED TO NEEDS IDENTIFIED IN EACH OF THEIR COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS) COMPLETED IN FY2012. THE INFORMATION GATHERED FROM THESE ASSESSMENTS WAS USED TO DEVELOP NEW AND ENHANCE EXISTING COMMUNITY BENEFIT PROGRAMS AND SERVICES THAT BEST ADDRESSED COMMUNITY NEEDS. INCLUDED 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. ACROSS HSHS, WE COLLECTIVELY PROVIDED $174.0 MILLION IN COMMUNITY BENEFIT (OR 9.3% OF TOTAL HOSPITAL EXPENSES) IN FY2014. INCLUDED IN THIS AMOUNT WAS $39.9 MILLION PROVIDED FOR FINANCIAL ASSISTANCE (I.E. CHARITY CARE) AND $95.8 MILLION FOR UNREIMBURSED CARE PROVIDED UNDER 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 $175.2 MILLION. HSHS HOSPITALS ALSO RECORDED $94.2 MILLION IN UNCOLLECTIBLE ACCOUNTS. WHILE THE LATTER TWO AMOUNTS ARE NOT COUNTED 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 ALSO 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 WE ARE ABLE TO MEET THE ONGOING DEMAND FOR HIGH QUALITY, EFFICIENT AND EASILY ACCESSIBLE HEALTH CARE. RECOGNIZING THAT THE HEALTH CARE DELIVERY MODEL IN THE UNITED STATES IS EVOLVING, HSHS REMAINS FOCUSED ON IMPLEMENTING OUR CARE INTEGRATION STRATEGY. CARE INTEGRATION COORDINATES THE DELIVERY OF CARE AROUND THE NEEDS OF EACH PATIENT. DURING FY2014, WE MADE SIGNIFICANT PROGRESS WITH THIS STRATEGY AS WE FURTHER IMPLEMENTED INTEROPERABLE HEALTH INFORMATION TECHNOLOGIES, EXPANDED THE NUMBER OF MEDICAL HOMES, AND STRENGTHENED OUR ALIGNMENT WITH PHYSICIANS. GREATER ACCESS TO CARE AS A FRANCISCAN HEALTH CARE MINISTRY, HSHS IS DEEPLY COMMITTED TO SERVING THOSE WHO ARE MOST IN NEED. 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 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 FY2014, HSHS AND OUR 13 HOSPITALS INVESTED A CONSIDERABLE AMOUNT OF COMMUNITY BENEFIT RESOURCES TO EDUCATE THE UNINSURED ABOUT HISTORIC NEW OPPORTUNITIES TO ENROLL IN AFFORDABLE HEALTH CARE COVERAGE AND TO FACILITATE THE ENROLLMENT 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 13 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, IN 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 MOVED TOWARD MEDICAID EXPANSION UNDER THE AFFORDABLE CARE ACT. WITH THE SUPPORT OF ST. MARY'S HOSPITAL MEDICAL CENTER AND ST. VINCENT HOSPITAL IN GREEN BAY, WISCONSIN, THE NEW COMMUNITY CLINIC DENTAL PROGRAM ON THE CAMPUS OF NORTHEAST WISCONSIN (NEW) TECHNICAL COLLEGE WAS ABLE TO PURCHASE EQUIPMENT TO ENABLE LOCAL ORAL SURGEONS TO PROVIDE CARE (ON A VOLUNTEER BASIS) AT THE CLINIC - THE SITE THAT ST. MARY'S AND ST. VINCENT HOSPITALS HELPED TO ESTABLISH IN 2013. ANNUALLY, THE CLINIC PROVIDES DENTAL SERVICES TO APPROXIMATELY 6,000 LOW-INCOME AND UNINSURED PERSONS INCLUDING THE HOMELESS IN BROWN COUNTY. 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 EXAMS AND SCREENINGS, X-RAYS AND HYGIENE TO THOSE IN NEED. IN WESTERN WISCONSIN, A PARTNERSHIP BETWEEN ST. JOSEPH'S HOSPITAL IN CHIPPEWA FALLS, THE CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP (CHIP), LE PHILLIPS-LIBERTAS TREATMENT CENTER AND THE OPEN DOOR CLINIC (A FREE CLINIC SUPPORTED BY ST. JOSEPH'S HOSPITAL AND CHIP) WAS DEVELOPED IN FY2014 TO PROVIDE FREE BEHAVIORAL HEALTH SERVICES TO ELIGIBLE PATIENTS OF THE OPEN DOOR CLINIC. THIS INITIATIVE IS IN DIRECT RESPONSE TO THE IDENTIFIED NEED TO PROVIDE BETTER ACCESS TO MENTAL HEALTH SERVICES FOR THOSE WITHOUT INSURANCE COVERAGE. IN FY2014, 105 REFERRALS WERE MADE FROM THE OPEN DOOR CLINIC TO LE PHILLIPS-LIBERTAS TREATMENT CENTER. IN TOTAL, 950 VISITS WERE PROVIDED TO REFERRED PATIENTS INCLUDING INITIAL INTAKE AND FOLLOW UP THERAPY SESSIONS - MENTAL HEALTH SERVICES THAT WOULD NOT HAVE BEEN RECEIVED HAD THE PROGRAM NOT BEEN DEVELOPED AND IMPLEMENTED. IN SOUTHEAST ILLINOIS, AREA RESIDENTS CAN GET HELP FILLING A PRESCRIPTION THROUGH THE LONG-TERM COLLABORATION BETWEEN ST. ANTHONY'S MEMORIAL HOSPITAL IN EFFINGHAM AND CATHOLIC CHARITIES. IN FY2014, ST. ANTHONY'S HELPED UNDERWRITE THE COST OF PRESCRIPTION MEDICATIONS FOR 311 RESIDENTS, A 10% INCREASE OVER FY2013. ST. ANTHONY'S AND CATHOLIC CHARITIES BELIEVE THAT NO ONE SHOULD BE WITHOUT PRESCRIBED MEDICATIONS BECAUSE OF INABILITY TO PAY. IN SOUTHWEST ILLINOIS, 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 AN INTENSIVE 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% 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% REDUCTION OFF BILLED CHARGES IF AN UNINSURED PATIENT'S FAMILY INCOME LEVEL IS DETERMINED TO BE ABOVE 500% BUT EQUAL TO OUR LESS THAN 600% OF THE CURRENT FEDERAL POVERTY GUIDELINES. ALL CHARGES ARE WAIVED FOR PATIENTS BELOW 200% 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 6, AFFILIATED HEALTH CARE SYSTEM (CONTINUED)BETTER 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, EACH OF OUR 13 HOSPITALS COMPLETED COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) DURING FY2012. THE INFORMATION GATHERED FROM THESE ASSESSMENTS IS BEING USED TO HELP US DEVELOP NEW, AND ENHANCE EXISTING, PROGRAMS AND SERVICES THAT BEST ADDRESS THE NEEDS OF THE COMMUNITY. SEVERAL PRIORITY NEEDS WERE IDENTIFIED IN THE CHNAS INCLUDING METABOLIC AND CARDIOVASCULAR DISEASE MANAGEMENT, ADEQUATE FOOD AND NUTRITION, AND MENTAL HEALTH. HSHS HOSPITALS ARE ADDRESSING THESE AND OTHER NEEDS BY PROACTIVELY OFFERING EDUCATIONAL OPPORTUNITIES, PREVENTATIVE SCREENINGS, AND NEW OR ENHANCED CLINICAL SERVICES. IN MANY CASES, THE HOSPITALS COLLABORATE WITH OTHER COMMUNITY ORGANIZATIONS TO ADDRESS IDENTIFIED NEEDS. IN PARTNERSHIP WITH THE SANGAMON COUNTY HEALTH DEPARTMENT AND LOCAL FARMERS, ST. JOHN'S HOSPITAL IN SPRINGFIELD, ILLINOIS TOOK A LEAD ROLE IN BRINGING A FARMERS MARKET TO THE EAST SIDE OF SPRINGFIELD. THE EAST SIDE FARMERS MARKET (ESFM) ADDRESSES THREE COMMUNITY NEEDS: CHILDHOOD OBESITY, CHILDHOOD POVERTY (26% OF CHILDREN IN SANGAMON COUNTY LIVE IN POVERTY VS. 18% IN THE STATE) AND PROVIDING FRESH PRODUCE TO PERSONS LIVING IN A KNOWN "FOOD DESERT." OVER THE LAST THREE SUMMERS (JUNE - OCTOBER), ESFM HAS SERVED 3,074 FAMILIES. WIC CLIENTS, SENIOR CITIZENS AND DISABLED PERSONS HAVE ESPECIALLY BENEFITTED DUE TO ESFM BEING OFFERED ON THE SAME DAY AS WIC EDUCATION CLASSES, AND THE CLOSE PROXIMITY OF PARKING TO VENDORS. IN ADDITION, THE FARMERS CREATED A "DRIVE THROUGH" TO MAKE SHOPPING EASIER FOR SENIORS AND DISABLED PERSONS. 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 300 PARTICIPANTS, 80% OF WHOM WERE RETURNING PARTICIPANTS FROM FY2013, TO LOSE WEIGHT AND MAINTAIN A HEALTHY LIFESTYLE. 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 - 53% STATED THEY WERE ABLE TO MAINTAIN THEIR WEIGHT LOSS AND 74% WERE ABLE TO CONTINUE TO LOSE WEIGHT. IN FY2014, HEALTHY YOU PARTICIPANTS COLLECTIVELY LOST 2,853 POUNDS OR 4.42% OF TOTAL BODY WEIGHT. IN FY2014, ST. MARY'S HOSPITAL IN DECATUR, ILLINOIS PARTNERED WITH LOCAL PROVIDERS TO PROMOTE THE LEARN MORE, BREATHE BETTER CAMPAIGN IN COORDINATION WITH THE NATIONAL HEART, LUNG AND BLOOD INSTITUTE TO EDUCATE THE COMMUNITY ABOUT COPD AND OTHER BREATHING ISSUES AND TO PROMOTE BEHAVIORS THAT IMPROVE HEALTH. BREATHING ISSUES ARE PREVALENT IN THE DECATUR AREA DUE TO THE CONCENTRATION OF MANUFACTURING AND POOR AIR QUALITY. ST. MARY'S HAS RESEARCHED AND COMPILED ADMISSIONS DATA RELATED TO COPD AND HAS INCREASED PATIENT, PROVIDER AND COMMUNITY EDUCATION TO BETTER COORDINATE CARE ACROSS THE CONTINUUM FOR BETTER PATIENT OUTCOMES. IN ADDITION, ST. MARY'S HOSPITAL'S MODEL FOR COPD CORE MEASURES HAS BEEN SHARED AT NATIONAL BEST PRACTICES SEMINARS TO BENEFIT OTHER COMMUNITIES. ACCORDING TO THE NATIONAL ASSESSMENT OF ADULT LITERACY, ONLY 12% 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 ST. NICHOLAS HOSPITAL IN SHEBOYGAN AND THE DEPARTMENT OF PUBLIC HEALTH IN FY2012. IN TURN, ST. NICHOLAS HOSPITAL SPONSORED A SYMPOSIUM FOR HEALTH CARE PROVIDERS AND SOCIAL SERVICES ORGANIZATIONS AND A COMMUNITY-WIDE CME FOR ALL SHEBOYGAN PHYSICIANS AS WELL AS STAFF TRAINING AS FIRST STEPS IN ADDRESSING THE HEALTH LITERACY NEEDS OF THE SHEBOYGAN COMMUNITY IN FY2013. 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. WITH THE SUPPORT OF ST. NICHOLAS HOSPITAL, A HEALTH LITERACY COMMUNITY AWARENESS CAMPAIGN IS BEING DEVELOPED. SACRED HEART HOSPITAL IN EAU CLAIRE, WISCONSIN ADDRESSED THE NEED FOR MENTAL AND BEHAVIORAL HEALTH SERVICES THROUGH THE HEALING PLACE. FREE GRIEF AND HOLISTIC SUPPORT SERVICES SUCH AS ONE ON ONE COUNSELING, WORKSHOPS AND PRESENTATIONS ARE PROVIDED FOR INDIVIDUALS AND FAMILIES DEALING WITH LOSS AND MAJOR LIFE TRANSITIONS DUE TO MILITARY SERVICE, ILLNESS, DEATH, DIVORCE, ETC. EXPANDED MEDICAL KNOWLEDGE HSHS WORKS TO ADVANCE MEDICAL KNOWLEDGE BY SUPPORTING RESEARCH INITIATIVES AND EDUCATIONAL OPPORTUNITIES. IN FY2014, HSHS HOSPITALS AND AFFILIATED PHYSICIAN GROUPS CONTRIBUTED MORE THAN $18.5 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. ANOTHER EXAMPLE OF THIS COMMITMENT INCLUDES ST. JOHN'S COLLEGE OF NURSING IN SPRINGFIELD, ILLINOIS, WHICH OFFERS THE LAST TWO YEARS OF THE BACCALAUREATE DEGREE IN NURSING, AS WELL AS CONTINUING EDUCATION PROGRAMS FOR NURSES AND HEALTH PROFESSIONALS. ST. JOHN'S COLLEGE HAS BEEN CITED AS THE OLDEST CATHOLIC HOSPITAL-BASED SCHOOL OF NURSING IN THE UNITED STATES. FOUNDED IN 1886, THE COLLEGE HAS REMAINED DEDICATED THROUGHOUT ITS RICH HISTORY TO THE EDUCATION OF PROFESSIONAL NURSES WHOSE PRACTICE EXEMPLIFIES EXCELLENCE IN AN INTEGRATED HEALTH CARE SYSTEM. THE COLLEGE IS ALSO HELPING TO ADDRESS THE SHORTAGE OF PRIMARY CARE PROFESSIONALS IN DOWNSTATE ILLINOIS. ST. ELIZABETH'S HOSPITAL IN BELLEVILLE, ILLINOIS PROVIDED CLINICAL EDUCATION IN NURSING, RADIOLOGY, SURGERY, RESPIRATORY, DIETARY, PHYSICAL AND OCCUPATIONAL THERAPY, PHARMACY AND BEHAVIORAL HEALTH TO 637 AREA COMMUNITY COLLEGE AND UNIVERSITY STUDENTS. THIS MENTORING IS VALUED AT MORE THAN $440,000. IN ADDITION, TO ADDRESS A SHORTAGE OF PRIMARY CARE FAMILY PRACTICE DOCTORS IN ST. CLAIR COUNTY, ST. ELIZABETH'S SUBSIDIZED THE ST. LOUIS UNIVERSITY FAMILY MEDICINE RESIDENCY PROGRAM, A UNIQUE MERGER OF A COMMUNITY-BASED SETTING, AN ACADEMIC CENTER AND A MILITARY-BASED RESIDENCY. CLINICAL EDUCATION SITES INCLUDED ST. ELIZABETH'S HOSPITAL, CARDINAL GLENNON CHILDREN'S HOSPITAL, AREA PHYSICIANS' OFFICES AND SCOTT AIR FORCE BASE OUTPATIENT CLINICS. ALSO IN SOUTHERN ILLINOIS, 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 HOSPITAL WAS RECENTLY RECOGNIZED BY THE ILLINOIS PRINCIPALS ASSOCIATION - KASKASKIA REGION FOR SPONSORING THE PROGRAM FOR MORE THAN 30 YEARS. ST. JOSEPH'S HOSPITAL ALSO PROVIDES CLINICAL EXPERIENCE FOR KASKASKIA COLLEGE STUDENTS ENROLLED IN THE NURSING, PHYSICAL THERAPY AND RADIOLOGY PROGRAMS. PHARMACY STUDENTS HAVE ALSO COMPLETED THEIR CLINICAL TRAINING AT ST. JOSEPH'S HOSPITAL. HIGHER LEVEL OF CARE HSHS COMMUNITY BENEFIT INITIATIVES ARE A VITAL PART OF OUR OVERALL MISSION. WE BELIEVE THAT THROUGH OUR WORK TO CREATE GREATER ACCESS TO CARE, BETTER COMMUNITY HEALTH, AND EXPANDED MEDICAL KNOWLEDGE, WE MADE A POSITIVE DIFFERENCE IN THE LIVES OF TENS OF THOUSANDS OF PEOPLE IN ILLINOIS AND WISCONSIN IN FY2014. HOSPITAL SISTERS HEALTH SYSTEM'S COMMITMENT TO COMMUNITY BENEFIT STEMS FROM THE FRANCISCAN AND CATHOLIC VALUES SHARED BY OUR 14,000 COLLEAGUES ACROSS WISCONSIN AND ILLINOIS. CATHOLIC HEALTH CARE IS COMMITTED TO PROMOTING AND DEFENDING HUMAN DIGNITY, CARING FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE POPULATIONS, AND PROMOTING THE COMMON GOOD. WE REMAIN DEDICATED TO CONTINUOUSLY IMPROVE COMMUNITY HEALTH THROUGH OUR STRATEGIC, WELL-DEFINED COMMUNITY BENEFIT INITIATIVES SO THAT WE CAN HELP MORE PEOPLE LIVE HEALTHIER LIVES.
Schedule H, Part VI, Line 7, State filing of community benefit reportIL

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARYANN REESE
PRESIDENT & CEO$0$314,911$0$58,994$0$27,280$0$82,829$0$26,010$0$510,024$0$0
LAWRENCE SCHUMACHER
DIVISION CEO - INTERIM$0$658,748$0$185,209$0$390,861$0$178,777$0$25,741$0$1,439,336$0$332,388
ANN M CARR
TREASURER$0$223,926$0$38,138$0$56,891$0$236,713$0$18,355$0$574,023$0$24,602
MARK REIFSTECK
DIVISION CEO$0$451,423$0$102,926$0$176,074$0$167,044$0$25,870$0$923,337$0$141,969
JOHNNY WATKINS
DIVISION CFO$241,033$0$31,706$0$570$0$66,134$0$11,044$0$350,487$0$0$0
LESLIE LOVSHIN
DIRECTOR OF FINANCE$86,572$0$0$0$84,760$0$19,491$0$13,740$0$204,563$0$0$0
SHELLEY HARRIS
CHIEF NURSING OFFICER$174,166$0$12,521$0$780$0$114,277$0$21,202$0$322,946$0$0$0
SHELLY HARKINS MD
CHIEF MEDICAL OFFICER$310,220$0$21,810$0$780$0$29,755$0$19,122$0$381,687$0$0$0
MARGARET LUNA
DIVISION CPO$152,473$0$13,860$0$390$0$56,575$0$14,485$0$237,783$0$0$0
ADAM THACKER
DIVISION CHIEF PERFORMANCE IMPROVEMENT OFFICER$95,193$0$40,000$0$31,713$0$16,631$0$450$0$183,987$0$0$0
AMY BALLANCE
DIVISION VICE PRESIDENT BUSINESS DEVELOPMENT$154,171$0$0$0$780$0$27,334$0$18,573$0$200,858$0$0$0
JAMES BURKE
DIVISION VP OF LEGAL SERVICE$196,277$0$0$0$41,977$0-$42,400$0$16,330$0$212,184$0$0$0
SUSAN BEELER
ADMIN DIRECTOR - PATIENT CARE$153,376$0$0$0$390$0$73,251$0$7,871$0$234,888$0$0$0
JACQUELYNNE N HOLST
DIVISION ASSOCIATE GENERAL COUNSEL$139,386$0$0$0$390$0$12,289$0$7,705$0$159,770$0$0$0
BRIAN D JOHNSON
DIRECTOR OF SURGICAL SERVICES$139,996$0$0$0$780$0$15,319$0$18,659$0$174,754$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a, Tax indemnification and gross-up paymentsTAX GROSS-UPS WERE PAID BY HSHS TO ANN CARR IN THE AMOUNT OF $35 DURING THE YEAR. THE FAIR VALUE OF THIS WAS INCLUDED IN HER ANNUAL REPORTED INCOME.
Schedule J, Part I, Line 3, Arrangement used to establish the top management official's compensationPLEASE SEE RESPONSE TO FORM 990, PART VI, LINE 15A IN SCHEDULE O.
Schedule J, Part I, Line 4a, Severance or change-of-control paymentPER THE TERMS OF LESLIE LOVSHIN'S SEVERANCE AGREEEMENT, SHE AS 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 planHSHS 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 2013; THESE DEFERRALS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). ANN M. CARR -- $28,503 LAWRENCE SCHUMACHER -- $121,580 MARK REIFSTECK -- $57,801 MARYANN REESE -- $39,901 THE FOLLOWING INTERESTED PERSONS RECEIVED DISTRIBUTIONS FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2013; THESE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III) AND SCHEDULE J, PART II, COLUMN (F), AS APPLICABLE. ANN M. CARR -- $24,602 LAWRENCE SCHUMACHER -- $332,388 MARK REIFSTECK -- $141,969

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 1, ORGANIZATION'S MISSIONTHE 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 4A, PROGRAM SERVICESSURGICAL SERVICE - 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 NEW SURGERY SUITES. OUR BOARD CERTIFIED ANESTHESIOLOGISTS AND CERTIFIED NURSE ANESTHETISTS PROVIDE EXCELLENT ANESTHESIA CARE. DURING FY 2014, ST. ELIZABETH'S HOSPITAL HAD 4,362 SURGICAL CASES.
FORM 990, PART III, LINE 4B, PROGRAM SERVICESCARDIAC 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. CURRENTLY, MORE THAN 5 AREA HOSPITALS SEND THEIR PATIENTS TO US FOR HEART ATTACK CARE. OUR PATIENTS BENEFIT FROM OUR HIGHLY CREDENTIALED PHYSICIANS AND STATE-OF-THE-ART TECHNOLOGIES, AS WELL AS OUR COMMITMENT TO SUPERIOR PATIENT OUTCOMES. SOME OF THE SERVICES PROVIDED INCLUDED: CARDIAC CATHETERIZATION, STENT PLACEMENT, STRESS TESTING, PACEMAKER, IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (ICD), ELECTROCARDIOGRAPHY, CORONARY ARTERY BYPASS GRAFT (OPEN HEART) SURGERY AND CARDIAC REHABILITATION. DURING FY 2014, ST. ELIZABETH'S HOSPITAL HAD 12,535 CARDIAC CASES.
FORM 990, PART III, LINE 4C, PROGRAM SERVICESGASTROENTEROLOGY SERVICES - ST. ELIZABETH'S HOSPITAL'S COMPREHENSIVE ENDOSCOPY UNIT PROVIDES AN ARRAY OF GASTROENTEROLOGY SERVICES INCLUDING COLONOSCOPY, LIVER BIOPSY, BRONCHOSCOPY AND MORE. WE SPECIALIZE IN EXAMINING ALL OF THE ORGANS OF THE GASTROINTESTINAL (GI) TRACT FOR DIAGNOSIS AND TREATMENT. DURING FY 2014 OUR ENDOSCOPY UNIT PERFORMED 9,630 CASES.
FORM 990, PART IV, LINE 24A, TAX EXEMPT BONDSST. 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, Sec A, Line 6, Classes of members or stockholdersTHE 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, Sec A, Line 7a, Members or stockholders electing members of governing bodyPURSUANT 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, Sec A, Line 7b, Decisions requiring approval by members or stockholdersRESPONSIBILITY 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, Sec B, Line 11b, Review of form 990 by governing bodyTHE 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, Sec B, Line 12c, Conflict of interest policyA 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 13, WHISTLEBLOWER POLICYPROVISIONS WITHIN THE CORPORATE COMPLIANCE HOTLINE AND CONFLICT OF INTEREST POLICY PROVIDE PROTECTIONS FOR WHISTLEBLOWER TYPE ACTIVITIES.
Form 990, Part VI, Sec B, Line 15a, Process to establish compensation of top management officialTHE 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, Sec B, Line 15b, Process to establish compensation of other employeesPLEASE SEE RESPONSE TO FORM 990, PART VI, LINE 15A.
FORM 990, PART VI, LINE 16B, JOINT VENTURESHOSPITAL 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, Sec C, Line 19, Required documents available to the publicBOARD-APPROVED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC AT THIS TIME.
Form 990, Part IX, Line 11g, Other ExpensesPURCHASED SERVICES - TOTAL EXPENSE: 21899601, PROGRAM SERVICE EXPENSE: 20430559, MANAGEMENT AND GENERAL EXPENSES: 1469042, FUNDRAISING EXPENSES: ; PROFESSIONAL FEES - TOTAL EXPENSE: 4175489, PROGRAM SERVICE EXPENSE: 2256157, MANAGEMENT AND GENERAL EXPENSES: 1919332, FUNDRAISING EXPENSES: ; CONTRACT LABOR - TOTAL EXPENSE: 2932702, PROGRAM SERVICE EXPENSE: 2929619, MANAGEMENT AND GENERAL EXPENSES: 3083, FUNDRAISING EXPENSES: ;
FORM 990, PART X, LINE 11, POOLED INVESTMENT ACCOUNTPARTICIPATION 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 balancesPENSION ADJUSTMENT - 6002562; TRANSFERS TO AFFILIATES - -5665250; SWAP PAYMENTS - -224; CHANGE IN TEMPORARILY RESTRICTED NET ASSETS - 484934; CHANGE IN PERMANENTLY RESTRICTED NET ASSETS - 10000; CHANGE IN FAIR VALUE OF INTREST SWAP RATES - 33657;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
SPRINGFIELD HEALTH PARTNERS LLC
4936 LAVERNA ROADSPRINGFIELDIL62707371364419HEALTHCARE (DISSOLVED 03/22/13)IL$0$0HSHS MG
KIARA CLINICAL INTEGRATION NETWORK LLC
4936 LAVERNA ROADSPRINGFIELDIL62707261417684HEALTHCAREIL-$3,651,339$7,292,316HSSI
PHYSICIAN CLINICAL INTEGRATION NETWORK LLC
4936 LAVERNA ROADSPRINGFIELDIL62707371668647HEALTHCAREIL-$779,271$1,233,121KCIN

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
HOSPITAL SISTERS HEALTH SYSTEM
4936 LAVERNA ROADSPRINGFIELDIL62707371058692HEALTHCAREIL501(C)(3)11 - Type III - FINAfalse
HOSPITAL SISTERS OF ST FRANCIS FDTN
4936 LAVERNA ROADSPRINGFIELDIL62707371186514HEALTHCAREIL501(C)(3)9HSHSYes (true)
HSHS HEALTHCARE PLAN TRUST FUND
4936 LAVERNA ROADSPRINGFIELDIL62707371137724HEALTHCAREIL501(C)(9)N/AHSHSYes (true)
HSHS SELF INSURANCE TRUST
4936 LAVERNA ROADSPRINGFIELDIL62707371120626INSURANCEIL501(C)(3)11 - Type IHSHSYes (true)
HOSPITAL SISTERS HEALTHCARE WEST INC
2661 COUNTY HIGHWAY 1CHIPPEWA FALLSWI54729510157933HEALTHCAREWI501(C)(3)11 - Type III - FIHSSIYes (true)
SACRED HEART HOSPITAL
990 WEST CLAIREMONT AVENUEEAU CLAIREWI54701390807060HEALTHCAREWI501(C)(3)3HSSIYes (true)
ST ANTHONY'S HOSPITAL
503 N MAPLE STREETEFFINGHAMIL62401370661233HEALTHCAREIL501(C)(3)3HSSIYes (true)
ST NICHOLAS HOSPITAL
3100 SUPERIOR AVENUESHEBOYGANWI53081390808480HEALTHCAREWI501(C)(3)3HSSIYes (true)
ST JOHN'S HOSPITAL
800 EAST CARPENTER STREETSPRINGFIELDIL62769370661238HEALTHCAREIL501(C)(3)3HSSIYes (true)
ST JOSEPH'S HOSPITAL
9515 HOLY CROSS LANEBREESEIL62230371208459HEALTHCAREIL501(C)(3)3HSSIYes (true)
ST JOSEPH'S HOSPITAL
2661 COUNTY HIGHWAY 1CHIPPEWA FALLSWI54729390810545HEALTHCAREWI501(C)(3)3HSSIYes (true)
ST MARY'S HOSPITAL
1800 E LAKE SHORE DRIVEDECATURIL62521370661244HEALTHCAREIL501(C)(3)3HSSIYes (true)
ST MARY'S HOSPITAL
111 SPRING STREETSTREATORIL61364362169181HEALTHCAREIL501(C)(3)3HSSIYes (true)
ST MARY'S MEDICAL CENTER
1762 SHAWANO AVENUEGREEN BAYWI54303390818682HEALTHCAREWI501(C)(3)3HSSIYes (true)
ST VINCENT HOSPITAL
835 S VAN BURENGREEN BAYWI51301390817529HEALTHCAREWI501(C)(3)3HSSIYes (true)
ST JOSEPH'S HOSPITAL
12866 TROXLER AVENUEHIGHLANDIL62249370663568HEALTHCAREIL501(C)(3)3HSSIYes (true)
ST FRANCIS HOSPITAL
1215 FRANCISCAN DRIVELITCHFIELDIL62056370661236HEALTHCAREIL501(C)(3)3HSSIYes (true)
HOSPITAL SISTERS SERVICES INC
4936 LAVERNA ROADSPRINGFIELDIL62707371163402HEALTHCAREIL501(C)(3)11 - Type III - FIHSHSYes (true)
HSHS MEDICAL GROUP INC
3215 EXECUTIVE PARK DRIVESPRINGFIELDIL62703263956318HEALTHCAREIL501(C)(3)11 - Type III - FIHSSIYes (true)
HSHS WISCONSIN MEDICAL GROUP INC
3215 EXECUTIVE PARK DRIVESPRINGFIELDIL62703264515959HEALTHCAREWI501(C)(3)11 - Type III - FIHSSIYes (true)
ORANGE CROSS AMBULANCE INC
919 ASHLAND AVENUESHEBOYGANWI53081391860942HEALTHCAREWI501(C)(3)9ST NICHOLASYes (true)
WISCONSIN UPPER PENINSULA ONCOLOGY MGMT
835 S VAN BURENGREEN BAYWI54301391677100HEALTHCAREWI501(C)(3)3ST VINCENTYes (true)
UNITY LIMITED PARTNERSHIP
2366 OAK RIDGE CIRCLEDE PEREWI54115391750729HEALTHCAREWI501(C)(3)9HSSIYes (true)
PRAIRIE EDUCATION & RESEARCH COOPERATIVE
317 NORTH 5TH STREETSPRINGFIELDIL62701371157915HEALTHCAREIL501(C)(3)4HSSIYes (true)
COMMUNITY MEMORIAL HOSPITAL
855 S MAIN STREETOCONTO FALLSWI54154390848401HEALTHCAREWI501(C)(3)3HSSI (SEE PART VII)Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
MEMORIAL AND ST ELIZABETH'S HEALTHCARE CANCER TREATMENT CENTER
4000 NORTH ILLINOIS STREETSWANSEAIL62226371312961HEALTHCAREILST ELIZABETH'SRELATED$599,299$4,931,271falsefalse0
PRAIRIE HEART INSTITUTE ST JOHN'S
800 EAST CARPENTER STREETSPRINGFIELDIL62769371321197HEALTHCAREILHSHSRELATED-$1,018$47,055falsefalse0
NORTHEAST WISCONSIN RADIATION THERAPY SERVICES LLC
1726 SHAWANO AVEGREEN BAYWI543079047263749065HEALTHCAREWISMGBRELATED$147,184$514,563falseYes (true)0
PAIN CENTER OF WISCONSIN
4131 W LOOMIS ROAD SUITE 300GREENFIELDWI53221263155343HEALTHCAREWIST VINCENTRELATED$1,752,500$1,353,813falsefalse0
SURGERY CENTER OF SHEBOYGAN LLC
3141 SAEMANN AVENUESHEBOYGANWI53081260822209HEALTHCAREWIST NICHOLAS (SOLD 1114)RELATED$155,892$0falsefalse0
CARPENTER STREET HOTEL LLC
525 NORTH SIXTH STREETSPRINGFIELDIL62702364128127HOTELILLASANTE INCN/A
SPRINGFIELD URGENT CARE REAL ESTATE LLC
PO BOX 19456SPRINGFIELDIL727949456030413258RENTAL REAL ESTATEILLASANTE INCN/A
PRAIRIE HEART INSTITUTE MANAGEMENT COMPANY LLC
4936 LAVERNA ROADSPRINGFIELDIL62707261479945MEDICALILHSHSRELATED-$7,553$9,078falseYes (true)0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1Province Or StateForeignAddress/ProvinceOrStateCountryForeignAddress/CountryPostal CodeForeignAddress/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
KIARA INC
4936 LAVERNA ROADSPRINGFIELDIL62707371163401HEALTHCAREILHSHSC CORPORATION-$23,279,067$45,045,0720Yes (true)
LASANTE WISCONSIN INC
4936 LAVERNA ROADSPRINGFIELDIL62707391572196HEALTHCAREILKIARA INCC CORPORATIONYes (true)
LASANTE INC
4936 LAVERNA ROADSPRINGFIELDIL62707371163400HEALTHCAREILKIARA INCC CORPORATIONYes (true)
PRAIRIE CARDIOVASCULAR
619 EAST MASON SUITE 4P57SPRINGFIELDIL62701371071858HEALTHCAREILKIARA INCC CORPORATIONYes (true)
PREVEA HEALTH SERVICES INC
2710 EXECUTIVE DRIVEGREEN BAYWI54304391839351HEALTHCAREWIHSSIC CORPORATION$2,912,268$45,322,0600Yes (true)
PREVEA CLINIC INC
2710 EXECUTVE DRIVEGREEN BAYWI54304391839349HEALTHCAREWIPHSIC CORPORATIONYes (true)
RENAISSANCE QUALITY INSURANCE LTD
980669953INSURANCEHSSIC CORPORATION$0$100,258,1390Yes (true)PO BOX 1159GRAND CAYMANCJKY1-1102CJ
OJV INC
4936 LAVERNA ROADSPRINGFIELDIL62707460873384HEALTHCAREILLASANTE INCC CORPORATIONYes (true)
STREATORLAND QUALITY CARE PHO LLC
111 SPRING STREETSTREATORIL61364364105007HEALTHCAREILST MARY'S STREATORC CORPORATION-$3,136$20,6010Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART II, COLUMN (F), DIRECT CONTROLLING ENTITY (CMH)ON SEPTEMBER 1, 2014, HSSI BECAME THE SOLE CORPORATE MEMBER OF COMMUNITY MEMORIAL HOSPITAL (CMH) IN OCONTO FALLS, WISCONSIN. EFFECTIVE ON THE ACQUISITION DATE, CMH BECAME A CATHOLIC ENTITY AND THE HOSPITAL NAME WAS CHANGED TO ST. CLARE MEMORIAL HOSPITAL, INC. PREVIOUS TO THE ACQUISITION, TWO HSSI AFFILIATES HELD A COMBINED 24% MINORITY INTEREST IN CMH. REVISED GOVERNING DOCUMENTS ARE CONSISTENT WITH HSHS POLICIES APPLICABLE TO AFFILIATES. HSSI WILL RETAIN CERTAIN RESERVE POWERS OVER ST. CLARE MEMORIAL HOSPITAL, INC. CONSISTENT WITH OTHER HSSI SUBSIDIARIES.
PART V, LINE 2, TRANSACTIONS WITH RELATED ENTITIESTHE TRANSACTIONS REPORTED IN QUESTION 1 ARE BETWEEN RELATED 501(C)(3) PUBLIC CHARITIES AND ARE NOT REPORTED IN THIS SECTION.