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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-13T12:02:04-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE HORWATH LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 WEST WACKER DRIVE | AddressLine1 |
| Address Line2 | SUITE 2600 | AddressLine2 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 606061224 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 370663567 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST ELIZABETH'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FR | BusinessNameLine1 |
| Business Name Line2 | ANCIS | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STEL | BusinessNameControlTxt |
| Phone | 6182342120 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 211 SOUTH THIRD STREET | AddressLine1 |
| City | Belleville | City |
| State | IL | State |
| ZIP Code | 622201998 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARYANN REESE | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Signature | 2015-04-22 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | John V Woodhull | PreparerPersonNm |
| PTIN | P01305268 | PTIN |
| Phone | 3128997000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Address PrincipalOfcrBusinessAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARYANN REESE | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 211 SOUTH THIRD STREET | AddressLine1 |
| City | Belleville | City |
| State | IL | State |
| ZIP Code | 622201998 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $173,519,554 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.STELIZ.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1875 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | TO REVEAL AND EMBODY CHRIST'S HEALING LOVE FOR ALL PEOPLE THROUGH OUR HIGH QUALITY FRANCISCAN HEALTH CARE MINISTRY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 1553 | TotalEmployeeCnt |
| Total Volunteers | 263 | TotalVolunteersCnt |
| Total Gross UBI | $31,668 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $10,379 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $443,646 | PYContributionsGrantsAmt |
| CY Contributions Grants | $489,851 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $160,336,773 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $168,021,864 | CYProgramServiceRevenueAmt |
| PY Investment Income | $636,187 | PYInvestmentIncomeAmt |
| CY Investment Income | $673,522 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,432,337 | PYOtherRevenueAmt |
| CY Other Revenue | $2,415,614 | CYOtherRevenueAmt |
| PY Total Revenue | $164,848,943 | PYTotalRevenueAmt |
| CY Total Revenue | $171,600,851 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $72,356,370 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $69,903,855 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $107,651,328 | PYOtherExpensesAmt |
| CY Other Expenses | $116,362,483 | CYOtherExpensesAmt |
| PY Total Expenses | $180,007,698 | PYTotalExpensesAmt |
| CY Total Expenses | $186,266,338 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$15,158,755 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$14,665,487 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $113,735,179 | TotalAssetsBOYAmt |
| Total Assets EOY | $119,425,238 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $117,771,927 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $136,875,198 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$4,036,748 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$17,449,960 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $42,851,117 | ExpenseAmt |
| Revenue | $35,645,040 | RevenueAmt |
| Desc | SURGICAL SERVICES - SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $21,283,561 | ExpenseAmt |
| Revenue | $21,929,328 | RevenueAmt |
| Desc | CARDIAC SERVICES - SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $10,021,109 | ExpenseAmt |
| Revenue | $9,426,128 | RevenueAmt |
| Desc | GATROENTEROLOGY SERVICES - SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $77,348,459 | ExpenseAmt |
| Revenue | $101,021,368 | RevenueAmt |
| Desc | HEALTH CARE SERVICES ST. ELIZABETH'S DELIVERS A COMPREHENSIVE ARRAY OF HEALTHCARE SERVICES TO BOTH INPATIENTS AND OUTPATIENTS. OUR ACCREDITED PROGRAMS HAVE CONSISTENTLY DEMONSTRATED QUALITY OUTCOMES THAT POSITIVELY IMPACT OUR PATIENTS, THEIR FAMILIES AND THE ENTIRE COMMUNITY. WE 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $77,348,459 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $101,021,368 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $151,504,246 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 118 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1553 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | David Nosacka | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6182342120 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 211 SOUTH THIRD STREET | AddressLine1 |
| City | BELLEVILLE | City |
| State | IL | State |
| ZIP Code | 622201998 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| MARYANN REESE | |||||||||
| PRESIDENT & CEO | 60.00 | 0 | Yes (X) | Yes (X) | $0 | $401,185 | $108,839 | ||
| SISTER JANICE SCHNIEDER OSF | |||||||||
| BOARD VICE-CHAIRPERSON | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| THOMAS M EGAN | |||||||||
| BOARD SECRETARY | 1.00 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM S LYKE | |||||||||
| BOARD CHAIRPERSON | 1.00 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| J DAVID MCCAUSLAND | |||||||||
| BOARD MEMBER | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| JACQUELYN M CLEMENT PHD | |||||||||
| BOARD MEMBER | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| JIM CLANAHAN MD | |||||||||
| BOARD MEMBER | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| REVEREND JAMES E DEITERS | |||||||||
| BOARD MEMBER | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD J THOMAN | |||||||||
| BOARD MEMBER | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| SR MARYBETH CULNAN OSF | |||||||||
| BOARD MEMBER | 1.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| STEPHANIE STRANO-MAINE | |||||||||
| BOARD MEMBER | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| ANN M CARR | |||||||||
| TREASURER | 0.25 | 61.75 | Yes (X) | $0 | $318,955 | $255,068 | |||
| DAVID NOSACKA | |||||||||
| DIVISION CFO | 18.60 | 39.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHNNY WATKINS | |||||||||
| DIVISION CFO | 18.60 | 41.40 | Yes (X) | $273,309 | $0 | $77,178 | |||
| LAWRENCE SCHUMACHER | |||||||||
| DIVISION CEO - INTERIM | 2.00 | 59.00 | Yes (X) | $0 | $1,234,818 | $204,518 | |||
| LESLIE LOVSHIN | |||||||||
| Director of Finance | 60.00 | 0 | Yes (X) | $171,332 | $0 | $33,231 | |||
| MARK REIFSTECK | |||||||||
| DIVISION CEO | 18.60 | 41.40 | Yes (X) | $0 | $730,423 | $192,914 | |||
| MARY LOU TATE | |||||||||
| DIRECTOR OF FINANCE | 60.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| SHELLEY HARRIS | |||||||||
| CHIEF NURSING OFFICER | 60.00 | 0 | Yes (X) | $187,467 | $0 | $135,479 | |||
| SHELLY HARKINS MD | |||||||||
| CHIEF MEDICAL OFFICER | 60.00 | 0 | Yes (X) | $332,810 | $0 | $48,877 | |||
| ADAM THACKER | |||||||||
| DIVISION CHIEF PERFORMANCE IMPROVEMENT OFFICER | 60.00 | 0 | $166,906 | $0 | $17,081 | Yes (X) | |||
| MARGARET LUNA | |||||||||
| DIVISION CPO | 18.60 | 41.40 | $166,723 | $0 | $71,060 | Yes (X) | |||
| AMY BALLANCE | |||||||||
| DIVISION VICE PRESIDENT BUSINESS DEVELOPMENT | 19.00 | 40.00 | $154,951 | $0 | $45,907 | Yes (X) | |||
| BRIAN D JOHNSON | |||||||||
| DIRECTOR OF SURGICAL SERVICES | 60.00 | 0 | $140,776 | $0 | $33,978 | Yes (X) | |||
| JACQUELYNNE N HOLST | |||||||||
| DIVISION ASSOCIATE GENERAL COUNSEL | 60.00 | 0 | $139,776 | $0 | $19,994 | Yes (X) | |||
| JAMES BURKE | |||||||||
| DIVISION VP OF LEGAL SERVICE | 18.60 | 41.40 | $238,254 | $0 | -$26,070 | Yes (X) | |||
| SUSAN BEELER | |||||||||
| ADMIN DIRECTOR - PATIENT CARE | 60.00 | 0 | $153,766 | $0 | $81,122 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,126,070 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,685,381 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,299,176 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 33 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PROFESSIONAL THERAPY SERVICES INC | |||||
| 2810 FRANK SCOTT PKWY WEST STE 824 | BELLEVILLE | IL | 62223 | PHYSICAL THERAPY | $3,043,437 |
| SODEXO OPERATIONS LLC | |||||
| 4880 PAYSHERE CIRCLE | CHICAGO | IL | 60674 | FOOD SERVICE | $1,580,967 |
| SLU CARE | |||||
| 1402 S GRAND BLVD | ST LOUIS | MO | 63104 | PHYSICIAN SERVICES | $1,294,382 |
| KAHLER SLATER INC | |||||
| 111 WEST WISCONSIN AVENUE | MILWAUKEE | WI | 532032501 | ARCHITECTURAL SERVICES | $1,021,472 |
| GUARANTEE ELECTRICAL CONSTRUCTION | |||||
| 3405 BENT AVENUE | ST LOUIS | MO | 631162601 | ELECTRICAL CONSTRUCTION SERVICES | $922,431 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 39 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $223,681 | RelatedOrganizationsAmt |
| Government Grants | $266,170 | GovernmentGrantsAmt |
| Total Contributions | $489,851 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 900099 | $166,598,733 | $166,598,733 |
| PHARMACY | 446110 | $110,385 | $110,385 |
| HEALTH PROGRAMS | 900099 | $3,661 | $3,661 |
| ONCOLOGY CENTER | 900099 | $599,299 | $599,299 |
| RENTAL INCOME-RELATED ORGANIZATIONS | 900099 | $709,786 | $709,786 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $168,021,864 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $876,411 | TotalRevenueColumnAmt |
| Exclusion | $876,411 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,431,261 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,685,339 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$254,078 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$254,078 | TotalRevenueColumnAmt |
| Exclusion | -$254,078 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,823 | SecuritiesAmt |
| Other | $25,652 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $233,364 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,823 | SecuritiesAmt |
| Other | -$207,711 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$202,889 | TotalRevenueColumnAmt |
| Exclusion | -$202,889 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| ADMINISTRATION | 900099 | $1,703,329 | $1,703,329 |
| PURCHASE DISCOUNT | 900099 | $379,130 | $379,130 |
| CAFETERIA SALES | 722210 | $36,762 | $36,762 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $550,471 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $31,668 | UnrelatedBusinessRevenueAmt |
| Exclusion | $518,803 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,669,692 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $171,600,851 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $168,021,864 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $31,668 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,057,468 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,671,329 | TotalAmt |
| Program Services | $702,524 | ProgramServicesAmt |
| Management And General | $968,805 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,654,145 | TotalAmt |
| Program Services | $43,034,205 | ProgramServicesAmt |
| Management And General | $7,619,940 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,577,596 | TotalAmt |
| Program Services | $2,990,367 | ProgramServicesAmt |
| Management And General | $587,229 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,996,084 | TotalAmt |
| Program Services | $7,697,984 | ProgramServicesAmt |
| Management And General | $2,298,100 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,004,701 | TotalAmt |
| Program Services | $3,347,366 | ProgramServicesAmt |
| Management And General | $657,335 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,661,095 | TotalAmt |
| Management And General | $9,661,095 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$57,745 | TotalAmt |
| Management And General | -$57,745 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,865 | TotalAmt |
| Management And General | $39,865 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,985 | TotalAmt |
| Program Services | $37,985 | ProgramServicesAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,007,792 | TotalAmt |
| Program Services | $25,616,335 | ProgramServicesAmt |
| Management And General | $3,391,457 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,325 | TotalAmt |
| Program Services | $71 | ProgramServicesAmt |
| Management And General | $121,254 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,074,565 | TotalAmt |
| Program Services | $825,624 | ProgramServicesAmt |
| Management And General | $248,941 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,997,252 | TotalAmt |
| Management And General | $2,997,252 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,814,559 | TotalAmt |
| Program Services | $3,811,207 | ProgramServicesAmt |
| Management And General | $3,352 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $202,305 | TotalAmt |
| Program Services | $36,082 | ProgramServicesAmt |
| Management And General | $166,223 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,943 | TotalAmt |
| Program Services | $7,756 | ProgramServicesAmt |
| Management And General | $27,187 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,171,548 | TotalAmt |
| Management And General | $1,171,548 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,532,157 | TotalAmt |
| Program Services | $6,811,760 | ProgramServicesAmt |
| Management And General | $1,720,397 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,573,474 | TotalAmt |
| Program Services | $360,482 | ProgramServicesAmt |
| Management And General | $2,212,992 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,752,038 | TotalAmt |
| Program Services | $1,910,904 | ProgramServicesAmt |
| Management And General | $841,134 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $186,266,338 | TotalAmt |
| Program Services | $151,504,246 | ProgramServicesAmt |
| Management And General | $34,762,092 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Joint Costs TotalJointCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,288,153 | BOYAmt |
| EOY | $946,248 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,684,512 | BOYAmt |
| EOY | $2,551,854 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,297,099 | BOYAmt |
| EOY | $40,228,267 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $297,060 | BOYAmt |
| EOY | $239,496 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,421,397 | BOYAmt |
| EOY | $2,338,360 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $678,601 | BOYAmt |
| EOY | $693,879 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $214,367,949 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $152,220,352 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,263,878 | BOYAmt |
| EOY | $62,147,597 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,255,350 | BOYAmt |
| EOY | $5,144,623 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,331,971 | BOYAmt |
| EOY | $4,931,271 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $217,158 | BOYAmt |
| EOY | $203,643 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,735,179 | BOYAmt |
| EOY | $119,425,238 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,865,587 | BOYAmt |
| EOY | $16,029,860 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,436,234 | BOYAmt |
| EOY | $96,476,080 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,470,106 | BOYAmt |
| EOY | $24,369,258 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,771,927 | BOYAmt |
| EOY | $136,875,198 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$10,926,920 | BOYAmt |
| EOY | -$25,144,611 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,798,100 | BOYAmt |
| EOY | $7,592,579 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,072 | BOYAmt |
| EOY | $102,072 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$4,036,748 | BOYAmt |
| EOY | -$17,449,960 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,735,179 | BOYAmt |
| EOY | $119,425,238 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$14,665,487 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $386,596 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $865,679 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $37,985 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $37,985 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1, Description of the activities reported on Lines 1a through 1i | FormAndLineReferenceDesc |
| Explanation | ST. ELIZABETH'S HOSPITAL ("THE HOSPITAL") IS A MEMBER OF THE CATHOLIC HEALTH ASSOCIATION ("CHA"), THE ILLINOIS HEALTH ASSOCIATION ("IHA"), THE NATIONAL ASSOCIATION FOR HOME CARE AND HOSPICE, AND THE AMERICAN HEALTH ASSOCIATION ("AHA"). AS A MEMBER OF THESE ORGANIZATIONS, THE HOSPITAL PAYS DUES, PART OF WHICH ARE ATTRIBUTABLE TO LOBBYING FEES PAID BY THE ORGANIZATIONS. THE AMOUNT LISTED IS THE AMOUNT ATTRIBUTABLE TO THE HOSPITAL FROM ITS DUES PAID. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,630,755 | OtherCostOrOtherBasisAmt |
| Book Value | $3,630,755 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $127,950,536 | OtherCostOrOtherBasisAmt |
| Depreciation | $91,910,168 | DepreciationAmt |
| Book Value | $36,040,368 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,995 | OtherCostOrOtherBasisAmt |
| Depreciation | $24,995 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $75,624,060 | OtherCostOrOtherBasisAmt |
| Depreciation | $60,285,189 | DepreciationAmt |
| Book Value | $15,338,871 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,137,603 | OtherCostOrOtherBasisAmt |
| Book Value | $7,137,603 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $62,147,597 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| RETIRE OBLIGATION ASBESTOS | $8,732,779 |
| ACCRUED PENSION BENEFIT | $15,636,479 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $24,369,258 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | HSHS AND THE FOUNDATION ARE ILLINOIS NOT-FOR-PROFIT 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,311,587 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,311,587 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02580 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $35,959,865 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,766,105 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,193,760 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07310 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $40,271,452 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,766,105 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,505,347 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09890 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 30 | ActivitiesOrProgramsCnt |
| Persons Served | 12484 | PersonsServedCnt |
| Total Community Benefit Expns | $284,503 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,996 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $276,507 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 1316 | PersonsServedCnt |
| Total Community Benefit Expns | $2,329,453 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $741,989 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,587,464 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00950 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 4514 | PersonsServedCnt |
| Total Community Benefit Expns | $105,825 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $105,825 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 774 | PersonsServedCnt |
| Total Community Benefit Expns | $83,800 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $83,800 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 47 | ActivitiesOrProgramsCnt |
| Persons Served | 19088 | PersonsServedCnt |
| Total Community Benefit Expns | $2,803,581 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $749,985 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,053,596 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01230 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 47 | ActivitiesOrProgramsCnt |
| Persons Served | 19088 | PersonsServedCnt |
| Total Community Benefit Expns | $43,075,033 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,516,090 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,558,943 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11120 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 731 | PersonsServedCnt |
| Total Community Benefit Expns | $27,325 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,025 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,300 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 731 | PersonsServedCnt |
| Total Community Benefit Expns | $27,325 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,025 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,300 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $19,361,296 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $49,440,369 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $45,244,571 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $4,195,798 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct |
|---|---|
| MEMORIAL & ST ELIZABETH'S HEALTHCARE SERVICES | |
| HEALTHCARE | 0.5 |
| SOUTHERN ILLINOIS CARDIOVASCULAR FACILITY | |
| FACILITATE CARDIOVASCULAR SERVICES | 0.5 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST ELIZABETH'S HOSPITAL | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 211 SOUTH 3RD STREET | AddressLine1 |
| City | BELLEVILLE | City |
| State | IL | State |
| ZIP Code | 62220 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTP://WWW.STELIZ.ORG/ | WebsiteAddressTxt |
| State License | 00002345 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST ELIZABETH'S HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 11 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | http://steliz.org/our-hospital/community-benefit | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | false | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 600 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| Residency | Yes (X) | ResidencyInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Average Negotiated Rates | Yes (X) | AverageNegotiatedRatesInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 3C, FACTORS OTHER THAN FPG USED IN DETERMINING ELIGIBILITY | NOT 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 REPORT | THE 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 assistance | TO DETERMINE THE ACTUAL COST OF THESE SERVICES, THE HOSPITAL USES A COST-TO-CHARGE RATIO BASED ON OUR AUDITED FINANCIAL STATEMENTS TO CALCULATE THE AMOUNTS REPORTED ON LINES 7AND 7B. THE AMOUNTS REPORTED IN 7E THROUGH 7I ARE BASED ON DEPARTMENT SALARIES AND SUPPLIES USED TO PERFORM ACTIVITIES. 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 calculation | 19,361,296 |
| Schedule H, Part II, Community Building Activities | ST 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 amount | SELF-PAY PATIENTS ARE SCREENED FOR VERIFICATION OF NO INSURANCE COVERAGE. ONCE VERIFICATION OF NO COVERAGE HAS BEEN COMPLETED, THE GUARANTORS WILL BE SCREENED FOR CHARITY OR UNINSURED DISCOUNTS BASED ON INCOME LEVELS. THOSE GUARANTORS THAT DO NOT QUALIFY FOR CHARITY THROUGH THE SCREENING PROCESS WILL BE ASKED TO PROVIDE PROOF OF INCOME IN THE FORM OF A RECENT PAY STUB AND/OR RECENT TAX RETURN TO DETERMINE THE LEVEL OF UNINSURED DISCOUNTING. IF NO PROOF OF INCOME IS PROVIDED OR A GUARANTOR'S INCOME IS GREATER THAN 201% OF THE FEDERAL POVERTY LEVEL, THE APPROPRIATE DISCOUNT ACCORDING TO THE ESTABLISHED CRITERIA WILL BE APPLIED. 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 Methodology | THE HOSPITAL STRONGLY BELIEVES THAT ITS CHARITY CARE, AND THE RELATED COMMUNITY BENEFIT OBTAINED FROM SUCH CARE, IS UNDERSTATED BECAUSE OF THOSE PATIENTS WHO POTENTIALLY QUALIFY FOR CHARITY CARE BUT DO NOT WISH TO APPLY FOR IT. IN ADDITION, SOME CARE IS NOT CLASSIFIED AS CHARITY BECAUSE OF MISSING DOCUMENTATION ON PATIENT RESOURCES. THUS, THE HOSPITAL'S BAD DEBT INCLUDES A PORTION THAT COULD BE CLASSIFIED AS CHARITY CARE IF APPLICATION FOR SUCH CARE WAS SOUGHT AND/OR COMPLETED. CURRENTLY, THE HOSPITAL IS IMPLEMENTING PROCESSES, PROCEDURES AND SYSTEMS TO MORE EFFECTIVELY DETERMINE CHARITY CARE THAT WILL REDUCE A PATIENT'S DOCUMENTATION REQUIREMENTS AND EASE THE PATIENT'S EMOTIONAL BURDEN IN APPLYING FOR CHARITY CARE. THIS WILL PROVIDE A MORE ACCURATE REPORTING OF CHARITY CARE SERVICES PROVIDED BY THE HOSPITAL. |
| Schedule H, Part III, Line 4, Bad debt expense - financial statement footnote | THE TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE CAN BE FOUND ON PAGE 19 OF THE HSHS CONSOLIDATED AUDIT REPORT. |
| Schedule H, Part III, Line 8, Community benefit & methodology for determining medicare costs | ST 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 assistance | THE HOSPITAL MAKES REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY FOR THE FINANCIAL ASSISTANCE PROGRAM BEFORE UTILIZING ANY EXTRAORDINARY COLLECTION ACTIONS. UPON ADMISSION, A PATIENT RECEIVES INFORMATION ABOUT THE FINANCIAL ASSISTANCE PROGRAM AND HOW TO FILL OUT AN APPLICATION, ALONG WITH A PHONE NUMBER TO CONTACT FOR FURTHER HELP. INPATIENTS 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 health | ST. 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 system | ST. 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 report | IL |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARYANN REESE | ||||||||||||||
| PRESIDENT & CEO | $0 | $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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a, Tax indemnification and gross-up payments | TAX 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 compensation | PLEASE SEE RESPONSE TO FORM 990, PART VI, LINE 15A IN SCHEDULE O. |
| Schedule J, Part I, Line 4a, Severance or change-of-control payment | PER THE TERMS OF LESLIE LOVSHIN'S SEVERANCE AGREEEMENT, SHE 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 plan | HSHS EXECUTIVES ELIGIBLE TO PARTICIPATE IN SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) ARE DEFINED IN THE SERP PLAN DOCUMENTS. THE SERP WAS ESTABLISHED TO PROVIDE ADDITIONAL RETIREMENT BENEFITS TO ENSURE REASONABLE MARKET COMPETITIVE BENEFITS IN ACCORDANCE WITH THE HSHS EXECUTIVE COMPENSATION PHILOSOPHY ESTABLISHED BY THE HSHS COMPENSATION COMMITTEE. THE PLAN PROVIDES A DEFINED RETIREMENT CONTRIBUTION TO PARTICIPANTS COMMENCING ON JANUARY 1, 2008, EQUAL TO A PERCENTAGE OF COMPENSATION AS DEFINED IN THE SERP PLAN DOCUENTS FOR THE PLAN YEAR. PARTICIPANTS CONSTRUCTIVELY RECEIVE A DISTRIBUTION FROM THE PLAN NO LATER THAN MARCH 15TH OF THE CALENDAR YEAR FOLLOWING THE CALENDAR YEAR IN WHICH AN AMOUNT IS VESTED AND TAXABLE PURSUANT TO A VESTING SCHEDULE AS SPECIFIED IN THE PLAN DOCUMENT. THE ACTUAL DISTRIBUTION OF THE VESTED BENEFIT UNDER THE PLAN IS PAID IN A SINGLE LUMP SUM TO THE PARTICIPANT OR THE PARTICIPANT'S BENEFICIARY UPON THE EARLIER OF THE PARTICIPANT'S TERMINATION OF EMPLOYMENT, DEATH, OR TOTAL AND PERMANENT DISABILITY. THE FOLLOWING INTERESTED PERSONS CONSTRUCTIVELY RECEIVED DEFERRALS TO THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 1, ORGANIZATION'S MISSION | THE MISSION OF ST. ELIZABETH'S HOSPITAL IS TO REVEAL AND EMBODY CHRIST'S HEALING LOVE FOR ALL PEOPLE THROUGH OUR HIGH QUALITY FRANCISCAN HEALTH CARE MINISTRY. IN THE PERFORMANCE OF ITS MISSION, ST. ELIZABETH'S HOSPITAL WILL FOSTER THE VALUES OF RESPECT, CARE, COMPETENCE AND JOY. RESPECT IS THE FRANCISCAN RESPECT FOR LIFE FROM CONCEPTION TO DEATH AND FOR THE DIGNITY OF EACH INDIVIDUAL PERSON. IT IS A COMMITMENT TO FREEING AND EMPOWERING EACH PERSON TO DEVELOP TO HIS OR HER FULL POTENTIAL. CARE EMBODIES THE CONCERN, COMPASSION, AND SENSITIVITY WITH WHICH WE CARE FOR PATIENTS, CLIENTS, EMPLOYEES AND CO-WORKERS. MANY TIMES IT IS THOUGHT OF AS BEDSIDE BEHAVIOR, BUT IT BELONGS IN BUSINESS OFFICES, CAFETERIAS AND BOARDROOMS. COMPETENCE MEANS THAT OUR WORK IS PERFORMED AND ST. ELIZABETH'S IS MANAGED WITH THE HIGHEST LEVEL OF SKILL AND ABILITY. WE ARE COMMITTED TO RECRUITING AND DEVELOPING PEOPLE WHO ARE COMPETENT IN THEIR WORK AND WHOSE VALUES REFLECT OUR OWN. OUR VALUES ARE AN INTEGRAL PART OF OUR SYSTEM'S STRATEGIC PLAN, WHICH PROVIDES THE OVERALL FRAMEWORK FOR LOCAL ACTIVITIES. JOY IS THE MANNER IN WHICH OUR EMPLOYEES AND ALL WHO JOIN US IN OUR MINISTRY SEEK TO PERFORM THEIR WORK -- THE PERSONAL FULFILLMENT OF CARING FOR OTHERS. IT IS AN ESSENTIAL INGREDIENT IN BRINGING A SENSE OF HOPE TO THOSE WHO SUFFER. |
| FORM 990, PART III, LINE 4A, PROGRAM SERVICES | SURGICAL 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 SERVICES | CARDIAC SERVICES - ST. ELIZABETH'S PROVIDES COMPREHENSIVE CARDIOVASCULAR SERVICES FROM DIAGNOSIS TO SURGERY TO REHABILITATION AND WELLNESS. ST. ELIZABETH'S IS ACCREDITED BY THE SOCIETY OF CHEST PAIN CENTERS, A PROFESSIONAL ORGANIZATION FOCUSED ON IMPROVING CARE FOR PATIENTS WITH ACUTE CORONARY SYNDROMES AND TEACHING THE PUBLIC TO RECOGNIZE AND REACT TO THE EARLY SYMPTOMS OF A POSSIBLE HEART ATTACK. THIS ACCREDITATION ATTESTS THAT ST. ELIZABETH'S MEETS STRICT CRITERIA FOR RECOGNIZING AND TREATING PATIENTS WHO COME TO THE EMERGENCY ROOM WITH HEART ATTACK SYMPTOMS. WE ARE ALSO A HEART ATTACK RECEIVING CENTER. 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 SERVICES | GASTROENTEROLOGY 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 BONDS | ST. ELIZABETH'S HOSPITAL HOLDS A LIABILITY ON ITS BOOKS FOR TAX-EXEMPT BONDS, WHICH IS AN ALLOCATION FROM ITS SOLE CORPORATE MEMBER, HOSPITAL SISTERS SERVICES, INC. AS A RESULT, THIS QUESTION WAS ANSWERED NO, AND SCHEDULE K WILL BE COMPLETED ON THE HOSPITAL SISTERS SERVICES, INC. FORM 990. |
| Form 990, Part VI, Sec A, Line 6, Classes of members or stockholders | THE SENIOR GOVERNING BODY OF ST. ELIZABETH'S HOSPITAL (THE CORPORATION) IS THE MEMBER OF THE CORPORATION, WHICH IS HOSPITAL SISTERS SERVICES, INC. ("HSSI"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. |
| Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing body | PURSUANT TO SECTION 2.3 OF THE CORPORATION'S BYLAWS, THE ORGANIZATION'S MEMBER, HOSPITAL SISTERS SERVICES, INC. ("HSSI"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, HAS THE RIGHT TO APPOINT AND REMOVE THE CORPORATION'S BOARD OF DIRECTORS, CHAIRPERSON OF THE BOARD AND PRESIDENT. |
| Form 990, Part VI, Sec A, Line 7b, Decisions requiring approval by members or stockholders | RESPONSIBILITY FOR THE POLICY AND OPERATIONS OF ST. ELIZABETH'S HOSPITAL (THE "CORPORATION") IS VESTED IN ITS BOARD OF DIRECTORS, EXCEPT WITH RESPECT TO SPECIFIC POWERS RESERVED IN THE CORPORATION'S BYLAWS TO THE CORPORATION'S MEMBER, HOSPITAL SISTERS SERVICES, INC. ("HSSI"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE MEMBER OF HSSI IS HOSPITAL SISTERS HEALTH SYSTEM ("HSHS"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE MEMBERS OF HSHS ARE THE INDIVIDUAL SISTERS WHO FROM TIME TO TIME ARE THE DULY ELECTED PROVINCIAL SUPERIOR AND PROVINCIAL COUNCILORS, RESPECTIVELY OF THE AMERICAN PROVINCE OF THE HOSPITAL SISTERS OF ST. FRANCIS ("AMERICAN PROVINCE"). THE AMERICAN PROVINCE IS THE UNITED STATES ORGANIZATION OF THE CONGREGATION OF THE HOSPITAL SISTERS OF THE THIRD ORDER REGULAR OF ST. FRANCIS, A RELIGIOUS INSTITUTE OF THE ROMAN CATHOLIC CHURCH. THE GOVERNANCE AND OPERATIONS OF THE CORPORATION ARE SUBJECT TO HSSI'S RIGHT TO EXERCISE THESE RESERVED POWERS WITH RESPECT TO THE CORPORATION AND ORGANIZATIONS OF WHICH THE CORPORATION IS EITHER, DIRECTLY OR INDIRECTLY, A CONTROLLING MEMBER OR A CONTROLLING SHAREHOLDER ("AFFILIATES"). HSSI'S RIGHT TO EXERCISE CERTAIN OF THESE RESERVED POWERS IS, IN TURN, SUBJECT TO THE APPROVAL OF HSHS AND HSHS' MEMBERS. THE RESERVED POWERS INCLUDE ALL RIGHTS GRANTED TO HSSI BY LAW AND THE RIGHT TO: (A) ADOPT, APPROVE AMENDMENTS TO, OR AMEND ANY STATEMENT OF PHILOSOPHY, MISSION, MISSION INTEGRATION OR VALUES OR ANY NAME, LOGO, OR MARK OF THE CORPORATION OR OF ANY AFFILIATE; (B) ADOPT, APPROVE AMENDMENTS TO, OR AMEND THE ARTICLES OF INCORPORATION OF THE CORPORATION OR OF ANY AFFILIATE; (C) ADOPT, APPROVE AMENDMENTS TO, OR AMEND THE BYLAWS OF THE CORPORATION OR OF ANY AFFILIATE; (D) APPOINT AND REMOVE THE BOARD OF DIRECTORS, ANY ONE OR MORE OF THE DIRECTORS OF THE CORPORATION OR OF ANY AFFILIATE, AND THE CHAIRPERSON AND PRESIDENT OF THE CORPORATION OR OF ANY AFFILIATE; (E) APPROVE THE RECOMMENDATION OF THE BOARD OF DIRECTORS TO APPOINT OR REMOVE THE BOARD OF DIRECTORS, ANY ONE OR MORE DIRECTORS OF THE CORPORATION OR OF ANY AFFILIATE, OR THE CHAIRPERSON AND PRESIDENT OF THE CORPORATION OR OF ANY AFFILIATE. (F) WITH RESPECT TO THE CORPORATION OR ANY AFFILIATE, APPROVE THE PURCHASE, SALE, ALIENATION, EXCHANGE, LEASE OR ENCUMBRANCE OF ANY REAL PROPERTY OF THE CORPORATION OR OF ANY AFFILIATE, WHICH PROPERTY HAS A VALUE IN EXCESS OF LIMITS SET FROM TIME TO TIME BY HSSI; (G) APPROVE THE OPERATING AND CAPITAL BUDGETS OF THE CORPORATION OR OF ANY AFFILIATE, AND ANY DEVIATIONS BY THE CORPORATION OR OF ANY AFFILIATE FROM SUCH BUDGETS IN AN AMOUNT OR PERCENTAGE SPECIFIED BY HSSI FROM TIME TO TIME; (H) APPROVE THE STRATEGIC PLAN AND GOALS OF THE CORPORATION OR OF ANY AFFILIATE; (I) APPROVE THE SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE (II) CORPORATION OR OF ANY AFFILIATE; (J) APPROVE THE MERGER OR DISSOLUTION OF THE CORPORATION OR OF ANY AFFILIATE; (K) ADOPT OR AMEND THE PLAN FOR MINISTRY EDUCATION AND GOVERNANCE FOR THE CORPORATION AND ITS AFFILIATES; (L) APPROVE THE CORPORATION'S MISSION ACCOUNTABILITY REPORTS AND THOSE OF ANY AFFILIATE; (M) APPROVE THE FINANCIAL POLICIES AND PROCEDURES OF THE CORPORATION OR OF ANY AFFILIATE AND APPROVE ANY DEVIATIONS FROM SUCH POLICIES AND PROCEDURES BY THE CORPORATION OR ANY AFFILIATE; AND (N) ADOPT POLICIES TO IMPLEMENT THE RESERVED POWERS OF HSSI. |
| Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing body | THE HOSPITAL EMPLOYS CROWE HORWATH TO ASSIST IN THE OVERALL PREPARATION, REVIEW AND ELECTRONIC SUBMISSION OF ITS FORM 990. CROWE HORWATH PROVIDES GUIDANCE IN IDENTIFYING CRITICAL ERRORS IN THE RETURN SUBMISSION AND FEEDBACK ON QUANTITATIVE AND QUALITATIVE RESPONSES. ADDITIONALLY, THE HOSPITAL CFO PERFORMS A THOROUGH REVIEW OF THE RETURN AND REVIEWS IT WITH THE HOSPITAL CEO AND/OR SENIOR LEADERS BEFORE PRESENTING IT IN ITS ENTIRETY TO THE HOSPITAL BOARD FOR QUESTIONING AND REVIEW PRIOR TO THE RETURN'S SIGNING AND SUBMISSION TO THE IRS. |
| Form 990, Part VI, Sec B, Line 12c, Conflict of interest policy | A REVISED CORPORATE COMPLIANCE PROGRAM AND CONFLICT OF INTEREST POLICY HAS BEEN USED SINCE JANUARY, 2009 TO ESTABLISH THE PRACTICE OF MANAGING CONFLICTS OF INTEREST USING A SYSTEM-WIDE PROTOCOL FOR DISCLOSURE STATEMENTS. IN ACCORDANCE WITH OUR CONFLICT OF INTEREST POLICY ALL COVERED PERSONS HAVE A DUTY TO COMPLY WITH THE CONFLICT OF INTEREST POLICY FOR ANY CONTRACT, TRANSACTION, RELATIONSHIP OR ACTIVITY CONTEMPLATED, ENTERED INTO OR CONDUCTED AT HSHS. THE POLICY DEFINES COVERED PERSONS AS A.) BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS, BOARD DESIGNEES, SENIOR MANAGEMENT, MEMBERS OF ANY COMMITTEE THAT OVERSEES THE APPROVAL OF PHARMACEUTICALS AND MEDICAL DEVICES, ANY OTHER INDIVIDUAL WHO HOLDS A POSITION OF TRUST AND B.) NON-EMPLOYED MEMBERS OF THE MEDICAL STAFF WHO ALSO EITHER: 1) HOLD PAID OR UNPAID MEDICAL ADMINISTRATIVE POSITIONS, SUCH AS CHAIRS OF CLINICAL DEPARTMENTS, SECTION AND DIVISION CHIEFS, DIRECTORS OF SPECIAL CARE UNITS, DIRECTORS OF RESEARCH OR INDIVIDUALS WHO OTHERWISE DIRECT OR MATERIALLY INFLUENCE RESEARCH; OR 2) HAVE PROCUREMENT RESPONSIBILITY, OR THE AUTHORITY EFFECTIVELY TO RECOMMEND SUCH PROCUREMENT. ON AN ANNUAL BASIS HSHS DISCLOSES A COPY OF THE CONFLICT OF INTEREST POLICY (AND ALL CORRESPONDING PROCEDURES, GUIDELINES, FORMS AND TOOLS), TO ALL COVERED PERSONS AND ADVISES ALL COVERED PERSONS IN WRITING OF ANY SUBSTANTIVE CHANGES TO THIS POLICY AND SUCH RELATED MATERIALS. THE COVERED PERSONS ARE REQUIRED TO REVIEW AND COMPLETE THE CORRESPONDING CONFLICT OF INTEREST STATEMENT. THE SYSTEM OFFICE VICE PRESIDENT, SYSTEM RESPONSIBILITY, VICE PRESIDENT, RISK & COMPLIANCE OR MEMBERS OF THE AUDIT AND INTEGRITY COMMITTEE ("COMMITTEE") ARE AVAILABLE TO ANSWER ANY QUESTIONS A COVERED PERSON MAY HAVE. IN ADDITION, IF, AT ANY TIME AFTER SUBMITTING AN ANNUAL CONFLICT OF INTEREST STATEMENT, A COVERED PERSON BECOMES AWARE OF AN INTEREST THAT HE OR SHE WOULD HAVE HAD TO DISCLOSE AT THE ANNUAL INTERVAL, THE COVERED PERSON SHALL PROMPTLY DISCLOSE THE INTEREST TO THE COMMITTEE USING THE HSHS CONFLICT OF INTEREST DISCLOSURE STATEMENT. COMPLETED CONFLICT OF INTEREST STATEMENTS ARE SUBMITTED TO THE COMMITTEE OF HSHS WHICH IS RESPONSIBLE FOR IDENTIFYING, ASSESSING, AND MANAGING CONFLICTS OF INTEREST THAT ARISE IN THE COURSE OF CONDUCTING THE AFFAIRS OF HSHS. IF THE COMMITTEE DETERMINES THAT A CONFLICT OF INTEREST EXISTS, HSHS SHALL NOT ENGAGE IN OR ENTER INTO A PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT OR ACTIVITY UNLESS THE COMMITTEE OR, WHERE NECESSARY, THE BOARD OF DIRECTORS (ACTING THROUGH ITS DISINTERESTED MEMBERS), HAS INVESTIGATED ALTERNATIVES TO THE PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT OR ACTIVITY AND, IN THE ABSENCE OF ALTERNATIVES THAT ARE IN THE BEST INTERESTS OF HSHS, HAS DETERMINED: 1. THAT, REGARDLESS OF WHETHER THE COVERED PERSON PARTICIPATES IN THE IMPLEMENTATION OF THE PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY; 2. THE CONTRACT, TRANSACTION, ARRANGEMENT OR ACTIVITY IS IN THE BEST INTERESTS OF HSHS; 3. THE CONTRACT, TRANSACTION, ARRANGEMENT OR ACTIVITY IS FAIR AND REASONABLE FROM THE PERSPECTIVE OF HSHS; AND 4. HSHS CANNOT OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION, ARRANGEMENT OR ACTIVITY WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. IN DETERMINING WHETHER A CONTRACT, TRANSACTION OR ARRANGEMENT IS FAIR AND REASONABLE TO HSHS, THE COMMITTEE SHALL CONSIDER, WHERE APPLICABLE: 1. APPRAISALS OR OTHER INDEPENDENT VALUATIONS OF THE FAIR MARKET VALUE OF THE CONTRACT, TRANSACTION OR ARRANGEMENT; 2. INFORMATION REGARDING COMPARABLE CONTRACTS, TRANSACTIONS OR ARRANGEMENTS BETWEEN UNRELATED PARTIES; 3. OFFERS FROM COMPARABLE COMPETING ENTITIES; AND/OR 4. STUDIES OF COMPARABLE COMPENSATION ARRANGEMENTS. IN ANY CASE IN WHICH THE COMMITTEE FINDS, AFTER TAKING THE STEPS DESCRIBED ABOVE, THAT HSHS SHOULD PARTICIPATE IN A PROPOSED TRANSACTION OR ARRANGEMENT DESPITE THE EXISTENCE OF A CONFLICT OF INTEREST, THE COMMITTEE SHALL DEVELOP, IMPLEMENT, MONITOR, AND ENFORCE COMPLIANCE WITH, A CONFLICT MANAGEMENT PLAN FOR MANAGING THE CONFLICT OF INTEREST AS IT CONSIDERS NECESSARY FOR SUCH FINDINGS TO REMAIN VALID THROUGHOUT THE LIFE OF THE CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT OR ACTIVITY. ALL CONFLICT MANAGEMENT PLANS SHALL: 1. STATE THAT THE COMMITTEE WILL OVERSEE, MONITOR AND ENFORCE COMPLIANCE WITH THE PLAN THROUGHOUT THE COURSE OF THE STUDY AND SPECIFY MEANS FOR DOING SO, INCLUDING, WITHOUT LIMITATION, THAT THE APPROPRIATE INDIVIDUALS MUST PROVIDE THE COMMITTEE WITH WRITTEN REPORTS PERTAINING TO COMPLIANCE WITH THE CONFLICT MANAGEMENT PLAN, THAT THE COMMITTEE SHALL HAVE THE RIGHT TO AUDIT THE STUDY FOR SUCH COMPLIANCE AND THE RIGHT TO IMPOSE SANCTIONS FOR NON-COMPLIANCE; 2. STATE THAT THE PLAN MUST BE SHARED WITH THE COVERED PERSON OR PERSONS WHOSE INTERESTS IT WAS DEVELOPED TO MANAGE; 3. STATE THAT THE PLAN MUST BE SHARED WITH, AND PERIODIC REPORTS ON COMPLIANCE WITH THE PLAN MUST BE PROVIDED TO, THE BOARD, SENIOR MANAGEMENT AND/OR GOVERNMENT AGENCIES; AND 4. PROVIDE FOR SUCH OTHER MANAGEMENT STEPS AND MECHANISMS THE COMMITTEE CONSIDERS NECESSARY AND APPROPRIATE. IN ADDITION TO THE COMMITTEE, THE SYSTEM OFFICE VICE PRESIDENTS OF SYSTEM RESPONSIBILITY AND RISK & COMPLIANCE MAY RETAIN SUCH INDEPENDENT ADVISORS OR EXPERTS AS DEEMED NECESSARY TO ASSIST IN MAKING ITS DETERMINATIONS AND DECISIONS. IF THE COMMITTEE DETERMINES THAT THE CONTEMPLATED TRANSACTION, RELATIONSHIP ARRANGEMENT OR ACTIVITY CANNOT PROCEED DUE TO A CONFLICT OF INTEREST, THE COMMITTEE SHALL INFORM THE APPLICABLE COVERED PERSON OR DECISION-MAKING BODY OF SUCH DETERMINATION WITHIN ONE WEEK OF THE COMMITTEE MEETING AT WHICH THE CONTEMPLATED TRANSACTION WAS DISCUSSED. THE COMMITTEE SHALL DOCUMENT ITS REJECTION OF THE CONTEMPLATED TRANSACTION IN THE COMMITTEE'S MEETING MINUTES. |
| FORM 990, PART VI, LINE 13, WHISTLEBLOWER POLICY | PROVISIONS 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 official | THE COMPENSATION COMMITTEE (COMMITTEE) IS COMPRISED OF INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. THE COMMITTEE DEVELOPS A COMPENSATION PHILOSOPHY FOR THE SYSTEM AND ALL AFFILIATES. THE COMMITTEE SELECTS AND HIRES THE INDEPENDENT COMPENSATION CONSULTANT TO DEVELOP COMPARABILITY DATA AND ADVISE THE COMMITTEE DURING ITS DELIBERATIONS REGARDING ALL ELEMENTS OF TOTAL COMPENSATION FOR ALL DISQUALIFIED INDIVIDUALS. INTEGRATED HEALTHCARE STRATEGIES ("IHS"), THE CONSULTANTS UTILIZED BY THE COMMITTEE, USE DATA FROM MULTIPLE TAX-EXEMPT PEER GROUP SOURCES TO DETERMINE SALARY RANGES, INCENTIVE OPPORTUNITY RANGES AND BENEFITS FOR THE DISQUALIFIED INDIVIDUALS. IHS THEN ASSISTS THE COMMITTEE IN PREPARING CONTEMPORANEOUS DOCUMENTATION OF ALL ACTIONS. EACH COMMITTEE MEETING IS CONDUCTED WITH THE INTENT TO CREATE A REBUTTABLE PRESUMPTION OF REASONABLENESS FOR ALL ELEMENTS OF EXECUTIVE TOTAL COMPENSATION FOR THE DISQUALIFIED INDIVIDUALS. THE CHAIRMAN MAKES THIS DECLARATION AND ALSO INQUIRES IF THERE ARE ANY CONFLICTS OF INTEREST BY ANY ATTENDEES. ANY CONFLICTS ARE DISCLOSED AND THE COMMITTEE THEN ACTS IN A MANNER TO AVOID ANY CONFLICTED INDIVIDUAL PARTICIPATING IN ANY MANNER WHERE A CONFLICT MIGHT EXIST. AT THE END OF THE MEETING, THE COMMITTEE PREPARES CONTEMPORANEOUS MINUTES THAT RECORD ALL ACTIONS TAKEN DURING THE MEETING. |
| Form 990, Part VI, Sec B, Line 15b, Process to establish compensation of other employees | PLEASE SEE RESPONSE TO FORM 990, PART VI, LINE 15A. |
| FORM 990, PART VI, LINE 16B, JOINT VENTURES | HOSPITAL SISTERS HEALTH SYSTEM ADOPTED A JOINT VENTURE COMPLIANCE PROGRAM POLICY EFFECTIVE ON JANUARY 1, 2012 FOR ALL SYSTEM HOSPITALS, INCLUDING ST. ELIZABETH'S HOSPITAL. THE OVERALL PURPOSE OF THE POLICY IS TO PROVIDE PRACTICAL GUIDELINES FOR ETHICAL BUSINESS CONDUCT, TO ACHIEVE COMPLIANCE, AND TO DETECT AND PREVENT VIOLATIONS OF APPLICABLE LAWS. THE POLICY REQUIRES ST. ELIZABETH'S HOSPITAL, AND ALL HSHS HOSPITALS, TO EVALUATE THEIR PARTICIPATION IN JOINT VENTURE ARRANGEMENTS, INCLUDING UNDER APPLICABLE FEDERAL TAX LAWS, AND TO SAFEGUARD ST. ELIZABETH'S HOSPITAL'S TAX EXEMPT STATUS WITH RESPECT TO ANY JOINT VENTURE ARRANGEMENTS. |
| Form 990, Part VI, Sec C, Line 19, Required documents available to the public | BOARD-APPROVED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC AT THIS TIME. |
| Form 990, Part IX, Line 11g, Other Expenses | PURCHASED 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 ACCOUNT | PARTICIPATION IN THE POOLED FUND IS LIMITED TO THE 501(C)(3) HOSPITALS AND RELATED HEALTH SERVICES ORGANIZATIONS SPONSORED BY HOSPITAL SISTERS HEALTH SYSTEM. THE POOLED ACCOUNT CONSISTS OF CASH, EQUITY AND DEBT SECURITIES THAT ARE PUBLICLY TRADED. IN ACCORDANCE WITH THE PROVISIONS OF SFAS NO. 124 "ACCOUNTING FOR CERTAIN INVESTMENTS HELD BY NOT-FOR-PROFIT ORGANIZATIONS", INVESTMENTS IN EQUITY SECURITIES WITH READILY DETERMINABLE VALUES AND ALL INVESTMENTS IN DEBT SECURITIES ARE REPORTED AT FAIR VALUE ON THE BALANCE SHEET. INCOME, REALIZED AND UNREALIZED GAINS AND LOSSES ARE POOLED AND ALLOCATED TO THE PARTICIPANTS. INDIVIDUAL COMPONENTS OF ASSETS AND REVENUE ARE NOT IDENTIFIED TO THE PARTICIPANTS. |
| Form 990 , Part XI, Line 9, Other changes in net assets or fund balances | PENSION ADJUSTMENT - 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/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| SPRINGFIELD HEALTH PARTNERS LLC | |||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371364419 | HEALTHCARE (DISSOLVED 03/22/13) | IL | $0 | $0 | HSHS MG |
| KIARA CLINICAL INTEGRATION NETWORK LLC | |||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 261417684 | HEALTHCARE | IL | -$3,651,339 | $7,292,316 | HSSI |
| PHYSICIAN CLINICAL INTEGRATION NETWORK LLC | |||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371668647 | HEALTHCARE | IL | -$779,271 | $1,233,121 | KCIN |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| HOSPITAL SISTERS HEALTH SYSTEM | ||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371058692 | HEALTHCARE | IL | 501(C)(3) | 11 - Type III - FI | NA | false |
| HOSPITAL SISTERS OF ST FRANCIS FDTN | ||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371186514 | HEALTHCARE | IL | 501(C)(3) | 9 | HSHS | Yes (true) |
| HSHS HEALTHCARE PLAN TRUST FUND | ||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371137724 | HEALTHCARE | IL | 501(C)(9) | N/A | HSHS | Yes (true) |
| HSHS SELF INSURANCE TRUST | ||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371120626 | INSURANCE | IL | 501(C)(3) | 11 - Type I | HSHS | Yes (true) |
| HOSPITAL SISTERS HEALTHCARE WEST INC | ||||||||||
| 2661 COUNTY HIGHWAY 1 | CHIPPEWA FALLS | WI | 54729 | 510157933 | HEALTHCARE | WI | 501(C)(3) | 11 - Type III - FI | HSSI | Yes (true) |
| SACRED HEART HOSPITAL | ||||||||||
| 990 WEST CLAIREMONT AVENUE | EAU CLAIRE | WI | 54701 | 390807060 | HEALTHCARE | WI | 501(C)(3) | 3 | HSSI | Yes (true) |
| ST ANTHONY'S HOSPITAL | ||||||||||
| 503 N MAPLE STREET | EFFINGHAM | IL | 62401 | 370661233 | HEALTHCARE | IL | 501(C)(3) | 3 | HSSI | Yes (true) |
| ST NICHOLAS HOSPITAL | ||||||||||
| 3100 SUPERIOR AVENUE | SHEBOYGAN | WI | 53081 | 390808480 | HEALTHCARE | WI | 501(C)(3) | 3 | HSSI | Yes (true) |
| ST JOHN'S HOSPITAL | ||||||||||
| 800 EAST CARPENTER STREET | SPRINGFIELD | IL | 62769 | 370661238 | HEALTHCARE | IL | 501(C)(3) | 3 | HSSI | Yes (true) |
| ST JOSEPH'S HOSPITAL | ||||||||||
| 9515 HOLY CROSS LANE | BREESE | IL | 62230 | 371208459 | HEALTHCARE | IL | 501(C)(3) | 3 | HSSI | Yes (true) |
| ST JOSEPH'S HOSPITAL | ||||||||||
| 2661 COUNTY HIGHWAY 1 | CHIPPEWA FALLS | WI | 54729 | 390810545 | HEALTHCARE | WI | 501(C)(3) | 3 | HSSI | Yes (true) |
| ST MARY'S HOSPITAL | ||||||||||
| 1800 E LAKE SHORE DRIVE | DECATUR | IL | 62521 | 370661244 | HEALTHCARE | IL | 501(C)(3) | 3 | HSSI | Yes (true) |
| ST MARY'S HOSPITAL | ||||||||||
| 111 SPRING STREET | STREATOR | IL | 61364 | 362169181 | HEALTHCARE | IL | 501(C)(3) | 3 | HSSI | Yes (true) |
| ST MARY'S MEDICAL CENTER | ||||||||||
| 1762 SHAWANO AVENUE | GREEN BAY | WI | 54303 | 390818682 | HEALTHCARE | WI | 501(C)(3) | 3 | HSSI | Yes (true) |
| ST VINCENT HOSPITAL | ||||||||||
| 835 S VAN BUREN | GREEN BAY | WI | 51301 | 390817529 | HEALTHCARE | WI | 501(C)(3) | 3 | HSSI | Yes (true) |
| ST JOSEPH'S HOSPITAL | ||||||||||
| 12866 TROXLER AVENUE | HIGHLAND | IL | 62249 | 370663568 | HEALTHCARE | IL | 501(C)(3) | 3 | HSSI | Yes (true) |
| ST FRANCIS HOSPITAL | ||||||||||
| 1215 FRANCISCAN DRIVE | LITCHFIELD | IL | 62056 | 370661236 | HEALTHCARE | IL | 501(C)(3) | 3 | HSSI | Yes (true) |
| HOSPITAL SISTERS SERVICES INC | ||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371163402 | HEALTHCARE | IL | 501(C)(3) | 11 - Type III - FI | HSHS | Yes (true) |
| HSHS MEDICAL GROUP INC | ||||||||||
| 3215 EXECUTIVE PARK DRIVE | SPRINGFIELD | IL | 62703 | 263956318 | HEALTHCARE | IL | 501(C)(3) | 11 - Type III - FI | HSSI | Yes (true) |
| HSHS WISCONSIN MEDICAL GROUP INC | ||||||||||
| 3215 EXECUTIVE PARK DRIVE | SPRINGFIELD | IL | 62703 | 264515959 | HEALTHCARE | WI | 501(C)(3) | 11 - Type III - FI | HSSI | Yes (true) |
| ORANGE CROSS AMBULANCE INC | ||||||||||
| 919 ASHLAND AVENUE | SHEBOYGAN | WI | 53081 | 391860942 | HEALTHCARE | WI | 501(C)(3) | 9 | ST NICHOLAS | Yes (true) |
| WISCONSIN UPPER PENINSULA ONCOLOGY MGMT | ||||||||||
| 835 S VAN BUREN | GREEN BAY | WI | 54301 | 391677100 | HEALTHCARE | WI | 501(C)(3) | 3 | ST VINCENT | Yes (true) |
| UNITY LIMITED PARTNERSHIP | ||||||||||
| 2366 OAK RIDGE CIRCLE | DE PERE | WI | 54115 | 391750729 | HEALTHCARE | WI | 501(C)(3) | 9 | HSSI | Yes (true) |
| PRAIRIE EDUCATION & RESEARCH COOPERATIVE | ||||||||||
| 317 NORTH 5TH STREET | SPRINGFIELD | IL | 62701 | 371157915 | HEALTHCARE | IL | 501(C)(3) | 4 | HSSI | Yes (true) |
| COMMUNITY MEMORIAL HOSPITAL | ||||||||||
| 855 S MAIN STREET | OCONTO FALLS | WI | 54154 | 390848401 | HEALTHCARE | WI | 501(C)(3) | 3 | HSSI (SEE PART VII) | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MEMORIAL AND ST ELIZABETH'S HEALTHCARE CANCER TREATMENT CENTER | |||||||||||||
| 4000 NORTH ILLINOIS STREET | SWANSEA | IL | 62226 | 371312961 | HEALTHCARE | IL | ST ELIZABETH'S | RELATED | $599,299 | $4,931,271 | false | false | 0 |
| PRAIRIE HEART INSTITUTE ST JOHN'S | |||||||||||||
| 800 EAST CARPENTER STREET | SPRINGFIELD | IL | 62769 | 371321197 | HEALTHCARE | IL | HSHS | RELATED | -$1,018 | $47,055 | false | false | 0 |
| NORTHEAST WISCONSIN RADIATION THERAPY SERVICES LLC | |||||||||||||
| 1726 SHAWANO AVE | GREEN BAY | WI | 543079047 | 263749065 | HEALTHCARE | WI | SMGB | RELATED | $147,184 | $514,563 | false | Yes (true) | 0 |
| PAIN CENTER OF WISCONSIN | |||||||||||||
| 4131 W LOOMIS ROAD SUITE 300 | GREENFIELD | WI | 53221 | 263155343 | HEALTHCARE | WI | ST VINCENT | RELATED | $1,752,500 | $1,353,813 | false | false | 0 |
| SURGERY CENTER OF SHEBOYGAN LLC | |||||||||||||
| 3141 SAEMANN AVENUE | SHEBOYGAN | WI | 53081 | 260822209 | HEALTHCARE | WI | ST NICHOLAS (SOLD 1114) | RELATED | $155,892 | $0 | false | false | 0 |
| CARPENTER STREET HOTEL LLC | |||||||||||||
| 525 NORTH SIXTH STREET | SPRINGFIELD | IL | 62702 | 364128127 | HOTEL | IL | LASANTE INC | N/A | |||||
| SPRINGFIELD URGENT CARE REAL ESTATE LLC | |||||||||||||
| PO BOX 19456 | SPRINGFIELD | IL | 727949456 | 030413258 | RENTAL REAL ESTATE | IL | LASANTE INC | N/A | |||||
| PRAIRIE HEART INSTITUTE MANAGEMENT COMPANY LLC | |||||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 261479945 | MEDICAL | IL | HSHS | RELATED | -$7,553 | $9,078 | false | Yes (true) | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1 | Province Or StateForeignAddress/ProvinceOrState | CountryForeignAddress/Country | Postal CodeForeignAddress/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KIARA INC | |||||||||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371163401 | HEALTHCARE | IL | HSHS | C CORPORATION | -$23,279,067 | $45,045,072 | 0 | Yes (true) | |||||
| LASANTE WISCONSIN INC | |||||||||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 391572196 | HEALTHCARE | IL | KIARA INC | C CORPORATION | Yes (true) | ||||||||
| LASANTE INC | |||||||||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371163400 | HEALTHCARE | IL | KIARA INC | C CORPORATION | Yes (true) | ||||||||
| PRAIRIE CARDIOVASCULAR | |||||||||||||||||
| 619 EAST MASON SUITE 4P57 | SPRINGFIELD | IL | 62701 | 371071858 | HEALTHCARE | IL | KIARA INC | C CORPORATION | Yes (true) | ||||||||
| PREVEA HEALTH SERVICES INC | |||||||||||||||||
| 2710 EXECUTIVE DRIVE | GREEN BAY | WI | 54304 | 391839351 | HEALTHCARE | WI | HSSI | C CORPORATION | $2,912,268 | $45,322,060 | 0 | Yes (true) | |||||
| PREVEA CLINIC INC | |||||||||||||||||
| 2710 EXECUTVE DRIVE | GREEN BAY | WI | 54304 | 391839349 | HEALTHCARE | WI | PHSI | C CORPORATION | Yes (true) | ||||||||
| RENAISSANCE QUALITY INSURANCE LTD | |||||||||||||||||
| 980669953 | INSURANCE | HSSI | C CORPORATION | $0 | $100,258,139 | 0 | Yes (true) | PO BOX 1159 | GRAND CAYMAN | CJ | KY1-1102 | CJ | |||||
| OJV INC | |||||||||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 460873384 | HEALTHCARE | IL | LASANTE INC | C CORPORATION | Yes (true) | ||||||||
| STREATORLAND QUALITY CARE PHO LLC | |||||||||||||||||
| 111 SPRING STREET | STREATOR | IL | 61364 | 364105007 | HEALTHCARE | IL | ST MARY'S STREATOR | C CORPORATION | -$3,136 | $20,601 | 0 | Yes (true) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 ENTITIES | THE TRANSACTIONS REPORTED IN QUESTION 1 ARE BETWEEN RELATED 501(C)(3) PUBLIC CHARITIES AND ARE NOT REPORTED IN THIS SECTION. |