ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F (EIN 37-0661238)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-14
- IRS object ID
- 201521349349303762
- 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 I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-14T12:01:13-05:00 | 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 | 370661238 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOHN'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STJO | BusinessNameControlTxt |
| Phone | 2175446464 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 EAST CARPENTER STREET | AddressLine1 |
| City | Springfield | City |
| State | IL | State |
| ZIP Code | 62769 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PATRICIA ALLEN | PersonNm |
| Person Title | VICE PRESIDENT OF FINANCE | PersonTitleTxt |
| Signature | 2015-04-24 | 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 | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Address PrincipalOfcrBusinessAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHARLES LUCORE MD | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 EAST CARPENTER STREET | AddressLine1 |
| City | Springfield | City |
| State | IL | State |
| ZIP Code | 62769 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $500,691,380 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ST-JOHNS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1987 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | ST. JOHN'S HOSPITAL PROVIDES A MINISTRY OF EXCEPTIONAL HEALTH CARE SERVICES TO THE PEOPLE OF CENTRAL ILLINOIS IN THE CATHOLIC TRADITION OF COMPASSION, JUSTICE AND REVERENCE FOR LIFE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 3678 | TotalEmployeeCnt |
| Total Volunteers | 395 | TotalVolunteersCnt |
| Total Gross UBI | $1,660,828 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $9,413,052 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,742,381 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $450,835,659 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $469,138,465 | CYProgramServiceRevenueAmt |
| PY Investment Income | $13,896,749 | PYInvestmentIncomeAmt |
| CY Investment Income | $22,399,316 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,930,052 | PYOtherRevenueAmt |
| CY Other Revenue | $2,252,458 | CYOtherRevenueAmt |
| PY Total Revenue | $476,075,512 | PYTotalRevenueAmt |
| CY Total Revenue | $500,532,620 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $5,511 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $16,146 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $188,974,015 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $188,859,520 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $284,876,634 | PYOtherExpensesAmt |
| CY Other Expenses | $300,914,466 | CYOtherExpensesAmt |
| PY Total Expenses | $473,856,160 | PYTotalExpensesAmt |
| CY Total Expenses | $489,790,132 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,219,352 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $10,742,488 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $792,569,828 | TotalAssetsBOYAmt |
| Total Assets EOY | $829,352,834 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $362,110,954 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $389,905,718 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $430,458,874 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $439,447,116 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO REVEAL AND EMBODY CHRIST'S HEALING LOVE FOR ALL PEOPLE THROUGH OUR HIGH QUALITY FRANCISCAN HEALTH CARE MINISTRY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $109,641,078 | ExpenseAmt |
| Revenue | $143,820,560 | RevenueAmt |
| Desc | SEE SCHEDULE O - PROGRAM SERVICE REVENUE - CARDIOVASCULAR | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $45,277,869 | ExpenseAmt |
| Revenue | $49,250,930 | RevenueAmt |
| Desc | SEE SCHEDULE O - PROGRAM SERVICE REVENUE - ORTHOPEDICS | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $32,432,245 | ExpenseAmt |
| Revenue | $34,538,395 | RevenueAmt |
| Desc | SEE SCHEDULE O - PROGRAM SERVICE REVENUE - GASTROENTEROLOGY | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $199,813,663 | ExpenseAmt |
| Grant | $16,146 | GrantAmt |
| Revenue | $241,528,580 | RevenueAmt |
| Desc | ST. JOHN'S OTHER SPECIALIZED SERVICES INCLUDE CANCER CARE, WOMEN'S SERVICES, A NEUROSCIENCES INSTITUTE, HOME HEALTH, HOSPICE, AN EMERGENCY DEPARTMENT THAT NEARLY 55,000 PEOPLE PER YEAR SEEK CARE IN AND THE ST. JOHN'S CHILDREN'S HOSPITAL. OUR CHILDREN'S HOSPITAL IS THE ONLY COMPREHENSIVE CHILD HEALTH CARE FACILITY IN SOUTH-CENTRAL ILLINOIS AND PROVIDES VITAL HEALTH CARE FOR THE REGION'S CHILDREN, FROM INFANCY THROUGH AGE 18. RECOGNIZED BY THE CHILDREN'S HOSPITAL ASSOCIATION AND A MEMBER OF THE ASSOCIATION OF ILLINOIS CHILDREN'S HOSPITALS, ST. JOHN'S CHILDREN'S HOSPITAL OFFERS A WIDE RANGE OF SERVICES FOR CHILDREN AND THEIR FAMILIES BOTH HERE AT OUR FACILITIES AND EXTENDING INTO THE HOME. SERVICES INCLUDE: - GENERAL PEDIATRIC BEDS, WITH PRIVATE BATH, SHOWER AND PARENTAL SLEEPING AREA - PEDIATRIC ICU - PEDIATRIC HEMATOLOGY/ONCOLOGY - LEVEL III NEONATAL ICU - PEDIATRIC EMERGENCY ROOM SERVICES - NEONATAL AND PEDIATRIC TRANSPORTATION - THE ONLY REGIONAL LEVEL III PERINATAL CARE CENTER IN THE AREA - CHILD AND FAMILY SUPPORT AND SERVICES THROUGH OUR CHILD LIFE SPECIALISTS AND SOCIAL AND SPIRITUAL SERVICES DEPARTMENTS. - COMPREHENSIVE OUTPATIENT SERVICES SUCH AS HOME HEALTH, CHILDREN'S REHABILITATION CENTER AND EARLY INTERVENTION PROGRAM - A RONALD MCDONALD HOUSE ON SITE | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $199,813,663 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $16,146 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $241,528,580 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $387,164,855 | 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 | Yes (true) | 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 | Yes (true) | 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 | 211 | IRPDocumentCnt |
| IRP Document W2 G | 1 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 3678 | 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 | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Patricia Allen | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2175446464 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 EAST CARPENTER STREET | AddressLine1 |
| City | SPRINGFIELD | City |
| State | IL | State |
| ZIP Code | 62769 | 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| CHARLES LUCORE | |||||||||
| CHIEF EXECUTIVE OFFICER AND PRESIDENT | 75.00 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOHN SLAYTON | |||||||||
| CHAIRPERSON | 5.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| LAWRENCE SCHUMACHER | |||||||||
| INTERIM PRESIDENT | 10.00 | 51.00 | Yes (X) | Yes (X) | $0 | $1,234,818 | $204,518 | ||
| ROBERT BUNN | |||||||||
| VICE CHAIR | 1.00 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DONALD GRAHAM MD | |||||||||
| DIRECTOR | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| J MICHAEL HOUSTON | |||||||||
| DIRECTOR | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| LYNN SCOTT | |||||||||
| DIRECTOR | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| MARK PUCZYNSKI MD | |||||||||
| DIRECTOR | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD CORKERY | |||||||||
| DIRECTOR | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| ROGER SABLES | |||||||||
| DIRECTOR | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| SR MARY KELLY OSF | |||||||||
| Director | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| SR MARYBETH CULNAN OSF | |||||||||
| DIRECTOR | 1.00 | 10.00 | Yes (X) | $0 | $0 | $0 | |||
| TRUDY NELSON | |||||||||
| DIRECTOR | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| ANN M CARR | |||||||||
| TREASURER | 0.25 | 61.75 | Yes (X) | $0 | $318,955 | $255,068 | |||
| DAVID OLEJNICZAK | |||||||||
| CHIEF OPERATING OFFICER | 55.00 | 20.00 | Yes (X) | $403,341 | $0 | $89,256 | |||
| EVERT J KUIPER | |||||||||
| Central Illinois Division CEO | 25.00 | 50.00 | Yes (X) | $0 | $158,209 | $0 | |||
| GERALD PAULE | |||||||||
| DIVISION FINANCIAL OFFICER | 45.00 | 30.00 | Yes (X) | $0 | $0 | $0 | |||
| LARRY J RAGEL | |||||||||
| CHIEF FINANCIAL OFFICER | 71.00 | 3.75 | Yes (X) | $353,114 | $0 | $88,518 | |||
| PATRICIA SCHULZ | |||||||||
| CHIEF PEOPLE OFFICER | 75.00 | 0 | Yes (X) | $243,209 | $0 | $51,372 | |||
| REBECCA PUCLIK | |||||||||
| DIVISONAL CHIEF PEOPLE OFFICER | 45.00 | 30.00 | Yes (X) | $78,965 | $0 | $32,766 | |||
| SHERRI A GREENWOOD | |||||||||
| CHIEF NURSING OFFICER | 45.00 | 15.00 | Yes (X) | $230,068 | $0 | $61,738 | |||
| AMY K BULPITT | |||||||||
| DIRECTOR OF LEGAL SERVICES | 40.00 | 0 | $230,704 | $0 | $18,805 | Yes (X) | |||
| ANN DERRICK | |||||||||
| EXEC DIR OF CONTINUUM OF CARE | 40.00 | 0 | $197,074 | $0 | $125,106 | Yes (X) | |||
| JIANXIN WANG | |||||||||
| MANAGER | 40.00 | 0 | $189,382 | $0 | $55,933 | Yes (X) | |||
| MARGARET L CURTIN | |||||||||
| ASST ADMINISTRATOR OF CHILDREN | 40.00 | 0 | $213,811 | $0 | $64,567 | Yes (X) | |||
| TOMMY A IBRAHIM | |||||||||
| MEDICAL DIRECTOR | 40.00 | 0 | $421,790 | $0 | $26,788 | Yes (X) | |||
| ROBERT RITZ | |||||||||
| FORMER PRESIDENT & CEO | 0.00 | 0.00 | $0 | $588,613 | $66,278 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,561,458 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,300,595 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,140,713 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 80 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| WALSH MIRON | |||||
| 301 N EIGHT STREET | SPRINGFIELD | IL | 62701 | CONTRACTORS | $48,943,455 |
| SOUTHERN IL UNIV SCHOOL OF MEDICINE | |||||
| PO BOX 19230 | SPRINGFIELD | IL | 62704 | PHYSICIANS | $25,111,712 |
| SANGAMON ASSOCIATED ANESTHESIOLOGIST | |||||
| 800 EAST CARPENTER | SPRINGFIELD | IL | 62769 | PHYSICIANS | $6,819,909 |
| SODEXO INC | |||||
| 4880 PAYSPHERE CIRCLE | CHICAGO | IL | 60674 | FOOD SRVC & HSKPNG MGT | $3,233,049 |
| MISSISSIPPI VALLEY REGIONAL BLOOD CENTER | |||||
| PO BOX 3655 | DAVENPORT | IA | 52808 | BLOOD PROCESSING | $1,954,319 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 130 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,232,018 | RelatedOrganizationsAmt |
| Government Grants | $5,510,363 | GovernmentGrantsAmt |
| Total Contributions | $6,742,381 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 900099 | $454,146,677 | $454,146,677 |
| DEPARTMENTAL INCOME | 900099 | $14,991,788 | $14,991,788 |
| $0 | |||
| $0 | |||
| $0 |
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 | $469,138,465 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,342,889 | TotalRevenueColumnAmt |
| Exclusion | $6,342,889 | 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 |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $16,215,187 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $158,760 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $16,215,187 | SecuritiesAmt |
| Other | -$158,760 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,056,427 | TotalRevenueColumnAmt |
| Exclusion | $16,056,427 | 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 | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| DIETARY | 541900 | $65,483 | $65,483 | |
| MEDICAL AND DIAGNOSTIC LAB | 621500 | $1,493,213 | $1,493,213 | |
| GIFT SHOP | 453220 | $439,833 | $439,833 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $253,929 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $167,615 | UnrelatedBusinessRevenueAmt |
| Exclusion | $86,314 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,252,458 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $500,532,620 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $469,138,465 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,660,828 | UnrelatedBusinessRevenueAmt |
| Exclusion | $22,990,946 | 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 | $16,146 | TotalAmt |
| Program Services | $16,146 | ProgramServicesAmt |
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 | $1,590,718 | TotalAmt |
| Management And General | $1,590,718 | 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 | $141,144,494 | TotalAmt |
| Program Services | $125,468,308 | ProgramServicesAmt |
| Management And General | $15,676,186 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,249,084 | TotalAmt |
| Program Services | $7,332,901 | ProgramServicesAmt |
| Management And General | $916,183 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,005,409 | TotalAmt |
| Program Services | $24,006,058 | ProgramServicesAmt |
| Management And General | $2,999,351 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,869,815 | TotalAmt |
| Program Services | $9,662,561 | ProgramServicesAmt |
| Management And General | $1,207,254 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,995,530 | TotalAmt |
| Program Services | $1,259,582 | ProgramServicesAmt |
| Management And General | $31,735,948 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $794,039 | TotalAmt |
| Management And General | $794,039 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$48,690 | TotalAmt |
| Management And General | -$48,690 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $68,161,717 | TotalAmt |
| Program Services | $59,510,529 | ProgramServicesAmt |
| Management And General | $8,651,188 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,047,970 | TotalAmt |
| Program Services | $465,910 | ProgramServicesAmt |
| Management And General | $2,582,060 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,948,694 | TotalAmt |
| Program Services | $5,288,894 | ProgramServicesAmt |
| Management And General | $659,800 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,303,417 | TotalAmt |
| Program Services | $8,889,417 | ProgramServicesAmt |
| Management And General | $414,000 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,027,828 | TotalAmt |
| Program Services | $8,921,339 | ProgramServicesAmt |
| Management And General | $106,489 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $437,297 | TotalAmt |
| Program Services | $379,940 | ProgramServicesAmt |
| Management And General | $57,357 | 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 | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,469,044 | TotalAmt |
| Program Services | $274,224 | ProgramServicesAmt |
| Management And General | $2,194,820 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,322,098 | TotalAmt |
| Program Services | $21,907,054 | ProgramServicesAmt |
| Management And General | $4,415,044 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,247,754 | TotalAmt |
| Program Services | $32,488 | ProgramServicesAmt |
| Management And General | $6,215,266 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PROVISION FOR BAD DEBT | $28,110,656 | $28,021,031 | $89,625 |
| MEDICAID TAXES | $17,203,486 | $34,182 | $17,169,304 |
| LICENSES, BOOKS AND LEASES | $8,321,339 | $4,430,597 | $3,890,742 |
| MEDICAL SUPPLIES | $78,634,434 | $78,342,377 | $292,057 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,937,853 | TotalAmt |
| Program Services | $2,921,317 | ProgramServicesAmt |
| Management And General | $1,016,536 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $489,790,132 | TotalAmt |
| Program Services | $387,164,855 | ProgramServicesAmt |
| Management And General | $102,625,277 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Joint Costs TotalJointCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $310,069 | BOYAmt |
| EOY | $1,601,321 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,891,054 | BOYAmt |
| EOY | $6,497,922 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,360,414 | BOYAmt |
| EOY | $94,061,113 | 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 |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,975,241 | BOYAmt |
| EOY | $9,807,986 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,607,325 | BOYAmt |
| EOY | $4,037,384 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $772,208,258 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $387,231,576 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $331,112,423 | BOYAmt |
| EOY | $384,976,682 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $346,456,301 | BOYAmt |
| EOY | $317,018,617 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,857,001 | BOYAmt |
| EOY | $11,351,809 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $792,569,828 | BOYAmt |
| EOY | $829,352,834 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,907,910 | BOYAmt |
| EOY | $41,306,373 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $228,054,515 | BOYAmt |
| EOY | $277,435,412 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,275,000 | 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 | $87,148,529 | BOYAmt |
| EOY | $69,888,933 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $362,110,954 | BOYAmt |
| EOY | $389,905,718 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $402,509,500 | BOYAmt |
| EOY | $407,664,069 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,457,798 | BOYAmt |
| EOY | $29,181,080 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,491,576 | BOYAmt |
| EOY | $2,601,967 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $430,458,874 | BOYAmt |
| EOY | $439,447,116 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $792,569,828 | BOYAmt |
| EOY | $829,352,834 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $10,742,488 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $15,339,431 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$17,093,677 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $52,393 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $52,393 | 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. JOHN'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, WITH PART OF THESE DUES BEING 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | false | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (true) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,961,448 | OtherCostOrOtherBasisAmt |
| Book Value | $22,961,448 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $261,809,175 | OtherCostOrOtherBasisAmt |
| Depreciation | $95,144,917 | DepreciationAmt |
| Book Value | $166,664,258 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,301,273 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,729,097 | DepreciationAmt |
| Book Value | $4,572,176 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $236,322,421 | OtherCostOrOtherBasisAmt |
| Depreciation | $180,190,911 | DepreciationAmt |
| Book Value | $56,131,510 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $240,813,941 | OtherCostOrOtherBasisAmt |
| Depreciation | $106,166,651 | DepreciationAmt |
| Book Value | $134,647,290 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $384,976,682 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED BENEFIT LIABILITY | $37,564,900 |
| SETTLEMENT VALUE OF INT RATE SWAP PROGRAM | $7,116,383 |
| THIRD PARTY REIMBURSEMENT PROGRAM | $15,315,056 |
| ASSET RETIREMENT OBLIGATION | $9,892,594 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $69,888,933 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part IV, Line 2b, Explanation of escrow agreement | IN FISCAL YEAR 2014, ST JOHN'S PURCHASED THE TANGIBLE AND INTANGIBLE ASSETS OF THE AMBULATORY SURGERY CENTER LOCATED AT 2020 WEST ILES AVENUE, SPRINGFILED, ILLINOIS FROM PRAIRIE SURGICENTER ASSOCIATES. AS PART OF THAT PURCHASE AGREEMENT 15% OF THE PURCHASE PRICE, $1,275,000 (ESCROW AMOUNT) WAS DEPOSITED BY THE BUYER (SJS) WITH JP MORGAN CHASE BANK (THE ESCROW AGENT) VIA FEDERAL WIRE TRANSFER TO AN ACCOUNT ESTABLISHED BY THE ESCROW AGENT PRIOR TO THE CLOSING DATE. ANY PORTION OF THE ESCROW AMOUNT THAT HAS NOT BEEN PAID BY THE ESCROW AGENT TO BUYER INDEMNIFIED PARTIES TO SATISFY INDEMNITY CLAIMS OF SUCH BUYER INDEMNIFIED PARTIES SHALL BE RELEASED BY THE ESCROW AGENT TO PRAIRIE SURGICENTER ASSOCIATES ON THE FIRST ANNIVERSARY OF THE CLOSING DATE; PROVIDED, HOWEVER, THAT IF ON OR PRIOR TO SUCH DATE A BUYER INDEMNIFIED PARTY HAS, IN GOOD FAITH GIVEN NOTICE TO THE ESCROW AGENT AND PRAIRIE SURGICENTER ASSOCIATES OF ANY CLAIM OR LIABILITY FOR WHICH SUCH BUYER INDEMNIFIED PARTY IS DULY ENTITLED TO INDEMNIFICATION BY PRAIRIE SURGICENTER ASSOCIATES, A PORTION OF THE ESCROW AMOUNT EQUAL TO THE AGGREGATE AMOUNT THAT WOULD BE PAYABLE TO SUCH BUYER INDEMNIFIED IF IT WERE DETERMINED TO BE ENTITLED TO INDEMNIFICATION WITH RESPECT TO SUCH CLAIM OR LIABILITY IS RESOLVED. SJS AND PRAIRIE SURGICENTER ASSOCIATES WILL EACH BE RESPONSIBLE FOR ONE-HALF OF THE FEES AND EXPENSES OF THE ESCROW AGENT. |
| Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnote | HSHS AND THE FOUNDATION ARE ILLINOIS NOT FOR PROFIT ORGANIZATIONS AS DESCRIBED IN SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE FUTURE TAX CONSEQUENCES ATTRIBUTABLE TO DIFFERENCES BETWEEN THE CONSOLIDATED FINANCIAL STATEMENT CARRYING AMOUNTS OF EXISTING ASSETS AND LIABILITIES AND THEIR RESPECTIVE TAX BASIS AND OPERATING LOSS AND TAX CREDIT CARRYFORWARDS. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING THE ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN INCOME IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. IN ASSESSING THE REALIZABILITY OF DEFERRED TAX ASSETS, MANAGEMENT CONSIDERS WHETHER IT IS MORE LIKELY THAN NOT THAT SOME PORTION OR ALL OF THE DEFERRED TAX ASSETS WILL NOT BE REALIZED. THE ULTIMATE REALIZATION OF DEFERRED TAX ASSETS IS DEPENDENT UPON THE GENERATION OF FUTURE TAXABLE INCOME DURING THE PERIODS IN WHICH THOSE TEMPORARY DIFFERENCES BECOME DEDUCTIBLE. MANAGEMENT CONSIDERS PROJECTED FUTURE TAXABLE INCOME AND TAX PLANNING STRATEGIES IN MAKING THIS ASSESSMENT. BASED UPON THE LEVEL OF HISTORICAL TAXABLE LOSSES AND PROJECTIONS FOR FUTURE TAXABLE LOSSES OVER THE PERIODS FOR WHICH THE DEFERRED TAX ASSETS ARE DEDUCTIBLE, MANAGEMENT BELIEVES IT IS MORE LIKELY THAN NOT THAT KIARA, INC. WILL NOT REALIZE THE MAJORITY OF THE BENEFITS OF THESE DEDUCTIBLE DIFFERENCES. THE DEFERRED TAX ASSETS ATTRIBUTABLE TO THE NET OPERATING LOSS CARRYFORWARDS NOT REALIZED AS OF JUNE 30, 2014 AND 2013 HAVE BEEN FULLY RESERVED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS DUE TO THE UNCERTAINTY OF REALIZATION. HSHS RECOGNIZES THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. AS OF JUNE 30, 2014 AND 2013, HSHS DOES NOT HAVE ANY LIABILITIES FOR UNRECOGNIZED TAX BENEFITS. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 6 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,437,483 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,437,483 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01610 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $98,873,832 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $93,536,548 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,337,284 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01160 | 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 | $106,311,315 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $93,536,548 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,774,767 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02770 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,297,926 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $525 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,297,401 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00280 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,762,156 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,992,859 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,769,297 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02770 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $145,688 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $145,688 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $582,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $582,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $751,950 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $751,950 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $21,539,720 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,993,384 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,546,336 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03370 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $127,851,035 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $99,529,932 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $28,321,103 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06140 | 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 | 5 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $29,801 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $29,801 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | 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) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $28,838 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,250 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $25,588 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $4,411 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,411 | 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 | 11 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $63,050 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,250 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $59,800 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $28,110,656 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,205,947 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $130,342,051 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $161,440,196 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$31,098,145 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| 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
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRAIRIE HEART INSTITUTE ST JOHN'S LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | HEALTH CARE | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.5 | OrgProfitOrOwnershipPct |
| 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 JOHN'S HOSPITAL | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 EAST CARPENTER STREET | AddressLine1 |
| City | SPRINGFIELD | City |
| State | IL | State |
| ZIP Code | 62769 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTPS://WWW.ST-JOHNS.ORG/ | WebsiteAddressTxt |
| State License | 1927332 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Childrens Hospital | Yes (X) | ChildrensHospitalInd |
| 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 JOHN'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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| 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 | https://www.st-johns.org/stjohns/community-needs-assessment.aspx | 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 |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| 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 |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| 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 (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V Sec B, Line 3, Community Served by Needs Assessment | (1) - ST. JOHN'S HOSPITAL: ST. JOHN'S HOSPITAL COMMISSIONED A SURVEY THROUGH LEEDE RESEARCH TO HELP GAUGE THE NEEDS OF THE POPULATION IN SANGAMON AND THE COLLAR COUNTIES. IN ADDITION TO THIS SURVEY AND THE RESULTING DATA, SECONDARY DATA FROM THE *BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, THE ILLINOIS PLANNING FOR LOCAL ASSESSMENT OF NEED (IPLAN), AND OTHER SOURCES WERE ALSO INCLUDED IN THE ASSESSMENT PROCESS. PRIMARY DATA FOR THE STUDY WAS COLLECTED BY LEEDE RESEARCH USING A TELEPHONE SURVEY WITH THE GOAL OF MEASURING COMMUNITY HEALTH, IDENTIFYING SENSITIVE HEALTH ISSUES IN THE COMMUNITY AND EXPLORING PERCEPTIONS OF HEALTH ISSUES IN THE COMMUNITY. THE SURVEY WAS DEVELOPED THROUGH WORK BETWEEN ST. JOHN'S HOSPITAL, LEEDE RESEARCH AND HOSPITAL SISTERS HEALTH SYSTEM (HSHS). THE SURVEY TOOL WAS APPROVED BY THE INTERNAL COMMUNITY BENEFIT COMMITTEE, MADE UP OF ST. JOHN'S HOSPITAL COLLEAGUES, AND THE COMMUNITY BENEFIT SUB COMMITTEE, MADE UP OF COMMUNITY STAKEHOLDERS. THE SURVEY REGION CONSISTED OF SANGAMON COUNTY AND ITS COLLAR COUNTIES. THE ONLY EXCEPTION WAS MONTGOMERY COUNTY, WHICH WAS NOT INCLUDED BECAUSE IT IS SERVED BY ANOTHER SYSTEM HOSPITAL. THESE ARE THE AREAS FROM WHICH ST. JOHN'S HOSPITAL PATIENTS MOST COMMONLY COME. A TOTAL OF 400 COMPLETED INTERVIEWS WERE CONDUCTED IN THIS STUDY. THE SAMPLE USED IN THE STUDY WAS PROVIDED BY NATIONAL SAMPLE SOURCE SURVEY SAMPLING AND WAS A REPRESENTATIVE SAMPLE OF MEMBERS IN THE TARGETED GEOGRAPHIC AREA AT THE TIME OF THE STUDY. A PROPORTIONATE STRATIFIED SAMPLE WAS USED TO GIVE THE ENTIRE SERVICE AREA EQUAL REPRESENTATION BY ZIP CODE POPULATION. USING UNLIMITED POPULATION SAMPLING, THE STUDY RESULTED IN A MAXIMUM ERROR OF +/- 4/9% BASED ON 95% CONFIDENCE. LEEDE RESEARCH COMPLETED ALL VALIDATION, REPORTING, ANALYSIS AND PRESENTATION MATERIALS. LEEDE RESEARCH REVIEWED PRELIMINARY DATA FROM THE STUDY COMPARED TO DEMOGRAPHIC INFORMATION FROM THE SERVICE AREA, AND ON THE BASIS OF THIS REVIEW, THEY DETERMINED THAT THE SAMPLE REQUIRED WEIGHTED ADJUSTMENTS TO AGE AND INCOME RATIOS. THE YOUNGER AND POPULATIONS AND LOWER INCOME LEVELS WERE UNDER-REPRESENTED IN THE OVERALL STUDY. LEEDE RESEARCH WEIGHTED THE STUDY SAMPLE BY AGE AND INCOME TO MORE ACCURATELY MATCH THE ACTUAL POPULATION OF THE SERVICE AREA. THE GOAL OF THIS WEIGHTING WAS THE IMPROVEMENT OF THE OVERALL ACCURACY OF THE INFORMATION TO BETTER IDENTIFY COMMUNITY NEEDS. THIS FORMED THE BASIS OF THE ANALYSIS OF THE SURVEY DATA. SECONDARY DATA FOR THIS ASSESSMENT WAS GATHERED FROM SOURCES SUCH AS BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, IPLAN AND THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH (IDPH). THIS SECONDARY DATA HELPED TO INFORM CONCERNS BROUGHT UP THROUGH THE NEEDS ASSESSMENT PROCESS. AT EACH STEP OF THE PROCESS, MEMBERS OF THE INTERNAL COMMUNITY BENEFIT COMMITTEE AND COMMUNITY BENEFIT SUB COMMITTEE WERE ASKED TO REVIEW THE DATA, TOOLS AND RESULTS OF THE RESEARCH, AND THEIR INPUT WAS INCLUDED TO MAXIMIZE THE RELEVANCE AND EFFECTIVENESS OF THE RESEARCH. COMMUNITY REPRESENTATION THE AGE BREAKDOWN OF THE RESPONDENTS TO THE TELEPHONE SURVEY WAS 23.8% IN THE 18-34 GROUP, 39.1% IN THE AGES OF 35-54, 22.8% IN THE 55-74 AGE GROUP AND 14.4% OF RESPONDENTS WERE 75+. THE MAJORITY (61.0%) OF RESPONDENTS WERE MARRIED, WHILE 13.4% WERE SINGLE, 13.6% SEPARATED, 11.7% WERE DIVORCED AND 0.3% WERE WIDOWED. FIFTY-FIVE PERCENT OF RESPONDENTS HAD CHILDREN LIVING AT HOME. EIGHTY-NINE PERCENT OF RESPONDENTS WERE CAUCASIAN, WITH 5.5% AFRICAN AMERICAN AND THE REMAINDER A MIXTURE OF OTHER RACES AND MULTIRACIAL INDIVIDUALS. THIRTY-THREE PERCENT OF THE STUDY GROUP WERE HIGH SCHOOL GRADUATES OR GED HOLDERS, 20.4% HAD COMPLETED SOME COLLEGE OR A TECHNICAL SCHOOL. THREE PERCENT HAD COMPLETED A TECHNICAL DEGREE, 28.7% WERE FOUR YEAR DEGREE HOLDERS AND 13.2% HAD AN ADVANCED OR PROFESSIONAL DEGREE. THE INCOME BREAK DOWN RESULTED IN A MAJORITY OF THE POPULATION FALLING BETWEEN 35,000 AND 99,999 ANNUAL HOUSEHOLD INCOME. ABOUT 35% OF THE POPULATION WAS BELOW $35,000, AND LESS THAN 10% WAS AT $100,000 OR HIGHER. SIXTY-TWO PERCENT OF RESPONDENTS WERE FEMALE AND 37.9% WERE MALE. THE COMMUNITY BENEFIT SUB COMMITTEE ALSO REPRESENTED THE COMMUNITY IN THIS NEEDS ASSESSMENT PROCESS. THIS GROUP INCLUDES LOCAL HEALTH CARE PROVIDERS; HOSPITAL REPRESENTATIVES; PUBLIC HEALTH OFFICIALS ; COMMUNITY STAKEHOLDERS INCLUDING NONPROFIT EMPLOYEES WORKING WITH UNDERSERVED COMMUNITIES; SCHOOL BOARD AND DISTRICT REPRESENTATIVES; AND LEADERS AND REPRESENTATIVES OF UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. PUBLIC HEALTH OFFICIALS SERVING ON THE COMMITTEE WERE ALSO ABLE TO REPRESENT THE NEEDS OF PERSONS WITH CHRONIC DISEASES. THE COMMUNITY BENEFIT SUB COMMITTEE WAS ORGANIZED TO 1) TO GUIDE AND PARTICIPATE IN THE PLANNING, DEVELOPMENT AND IMPLEMENTATION OF PROJECTS AND PROGRAMS AIMED AT IMPROVING THE HEALTH OF THE ST. JOHN'S HOSPITAL SERVICE AREA; 2) TO ADDRESS THE NEEDS OF THOSE COMMUNITIES WHERE THERE ARE DISPROPORTIONATE UNMET HEALTH NEEDS AND 3) TO ENSURE ST. JOHN'S REMAINS COMMITTED TO ITS CHARITABLE MISSION BY IMPROVING THE QUALITY OF LIVES IN SANGAMON COUNTY AND THE SURROUNDING REGION. THE COMMITTEE IS RESPONSIBLE FOR RECOMMENDING AND OVERSEEING COMMUNITY BENEFIT POLICIES AND PROGRAMS DESIGNED TO CARRY OUT THE MISSION OF ST. JOHN'S HOSPITAL TO PROVIDE EXCEPTIONAL HEALTH CARE SERVICES TO THE PEOPLE OF CENTRAL ILLINOIS. ; |
| Schedule H, Part V Sec B, Line 5a, Hospital Facility's Website (list URL) | (1) - ST. JOHN'S HOSPITAL: HTTPS://WWW.ST-JOHNS.ORG/STJOHNS/COMMUNITY-NEEDS-ASSESSMENT.ASPX; |
| Schedule H, Part V Sec B, Line 5d, Availability of Needs Assessment | (1) - ST. JOHN'S HOSPITAL: ORGANIZATIONS MAKING UP OUR COMMUNITY BENEFIT SUB COMMITTEE RECEIVED COPIES TO SHARE WITH THEIR CONSTITUENTS. THE DOCUMENT IS ALSO AVAILABLE THROUGH OUR HEALTH SCIENCES LIBRARY AND MAY BE OBTAINED BY CALLING COMMUNITY RELATIONS: (217) 814-4308.; |
| Schedule H, Part V Sec B, Line 7, Needs not addressed in Needs Assessment | (1) - ST. JOHN'S HOSPITAL: TWENTY TOP ISSUES WERE UNCOVERED FROM PRIMARY AND SECONDARY DATA GATHERED THROUGH THE SURVEY AND EXISTING DATA SETS INCLUDING: BLOOD PRESSURE, CHILDHOOD OBESITY, HIGH CHOLESTEROL, DIABETES, SMOKING, ASTHMA, HEART DISEASE, STROKE, FRUIT AND VEGETABLE CONSUMPTION, FAST FOOD CONSUMPTION, EXERCISE, MENTAL HEALTH, DRUG USE, DRINKING, TEEN PREGNANCY, SEXUALLY TRANSMITTED DISEASES, LACK OF MOTIVATION, LACK OF EXERCISE TOOLS, FLU SHOTS, AND BICYCLE HELMETS. BEFORE PRIORITIZING NEEDS, THE INTERNAL COMMUNITY BENEFIT COMMITTEE WAS PROVIDED A LIST OF THE TOP 20 NEEDS DERIVED FROM OUR PRIMARY AND SECONDARY DATA COLLECTION. OUR INTERNAL COMMUNITY BENEFIT COMMITTEE IS COMPRISED OF LEADERS AND PHYSICIAN EXPERTS FROM ST. JOHN'S HOSPITAL. MEMBERS GAVE INPUT THAT COMBINED VARIOUS ISSUES ACCORDING TO COMMON FACTORS, YIELDING A LIST OF TEN PRIORITIES INCLUDING: METABOLIC SYNDROME, CARDIOVASCULAR DISEASE, LIFESTYLE, ASTHMA, MENTAL HEALTH, HEALTH ENVIRONMENT, SUBSTANCE ABUSE, TEEN PREGNANCY, BICYCLE HELMETS, AND SEXUALLY TRANSMITTED INFECTIONS. THIS GROUPING OF TEN IDENTIFIED NEEDS WAS THEN SUBMITTED TO THE EXTERNAL COMMUNITY BENEFIT SUB COMMITTEE AND PRIORITIZED TO ADDRESS THE THREE TOP NEEDS BY RANKING EACH ISSUE BY MAGNITUDE, SERIOUSNESS AND FEASIBILITY. ABOUT HALF OF THE ORIGINAL NEEDS WERE COMBINED WITH OTHER PRIORITY AREAS IN ORDER TO NARROW THE LIST DOWN FROM THE ORIGINAL TWENTY AREAS OF NEED. OF THE TEN THAT WERE RANKED BY THE INTERNAL AND EXTERNAL COMMITTEES, SEVEN WERE NOT CONSIDERED A PRIMARY FOCUS FOR ST. JOHN'S HOSPITAL. THIS DECISION WAS MADE BASED ON TWO PRIMARY FACTORS: 1. THE NEED IS CURRENTLY BEING ADDRESSED BY ANOTHER ORGANIZATION IN THE COMMUNITY; AND 2. THERE IS ANOTHER ORGANIZATION WITHIN THE COMMUNITY BETTER EQUIPPED TO ADDRESS THE NEED. WHILE THE LIST BELOW WILL NOT BE AREAS OF PRIMARY FOCUS FOR ST. JOHN'S, THE HOSPITAL WILL CONTINUE TO PARTICIPATE IN EFFORTS WITH OTHER ORGANIZATIONS AS APPROPRIATE AND WHERE THE HOSPITAL CAN LEND SUPPORT. - ASTHMA REMAINS A CONCERN IN THE COMMUNITY BECAUSE SANGAMON COUNTY HAS IMPORTANT RISK FACTORS SUCH AS POPULATION DENSITY AND DEMOGRAPHICS. THE MOST IMPORTANT ACTOR AGAINST ASTHMA IS THE LOCAL PUBLIC HEALTH DEPARTMENT WHICH EDUCATES AND HELPS TO TREAT AFFECTED COMMUNITY MEMBERS. - HEALTH ENVIRONMENT: NONPROFIT GROUPS SUCH AS GENH AND OTHERS ARE WORKING TO EXPAND HEALTHY OPTIONS IN THE LOCAL AREA. - SUBSTANCE ABUSE: THE GATEWAY FOUNDATION AND THE TRIANGLE CENTER BOTH WORK TO FIGHT SUBSTANCE ABUSE IN SANGAMON COUNTY IN ADDITION TO PUBLIC HEALTH EDUCATION AND LAW ENFORCEMENT PROGRAMS. - TEEN PREGNANCY: ORGANIZATIONS LIKE THE SPRINGFIELD PREGNANCY CENTER OPERATE IN SANGAMON COUNTY AND ARE ONE OF THE MAIN SOURCES OF RELIEF FROM THIS ISSUE FOR COMMUNITY MEMBERS. - BICYCLE HELMETS: ST. JOHNS AND OTHER ORGANIZATIONS CURRENTLY PROVIDE FREE HELMETS TO CHILDREN. - SEXUALLY TRANSMITTED INFECTIONS: ORGANIZATIONS SUCH AS THE SANGAMON COUNTY DEPARTMENT OF PUBLIC HEALTH ARE PROVIDING RELIEF FROM THIS ISSUE FOR COMMUNITY MEMBERS. - MENTAL HEALTH: THE SANGAMON COUNTY DEPARTMENT OF PUBLIC HEALTH IS ONE OF THE MAIN ORGANIZATIONS FOR MENTAL HEALTH SUPPORT IN THE AREA. OVER 20 OTHER ORGANIZATIONS OR RESOURCES EXIST IN AND AROUND THE COLLAR COUNTIES INCLUDING THE NATIONAL ALLIANCE FOR THE MENTALLY ILL AND MACOUPIN COUNTY MENTAL HEALTH. DUE TO A PREVALENT NEED FOR MENTAL HEALTH SERVICES, ST. JOHN'S HOSPITAL HAS DECIDED TO PUT A GROUP IN PLACE TO LOOK AT THE EXPANSION OF INTERNAL SERVICES AND PARTNERSHIPS WITH EXTERNAL SERVICES. IT IS OUR HOPE TO BETTER POSITION THE HOSPITAL AND COMMUNITY PARTNERS TO ADDRESS MENTAL HEALTH NEEDS IN THE FUTURE. ; |
| Schedule H, Part V Sec B, Line 14g, Other ways hospital publicized Financial Assistance Policy | (1) - ST. JOHN'S HOSPITAL: COMMUNICATION/NOTIFICATION ABOUT FINANCIAL ASSISTANCE AVAILABILITY FROM HSHS INCLUDES THE FOLLOWING: A. FINANCIAL ASSISTANCE APPLICATIONS: THE FINANCIAL ASSISTANCE APPLICATION IS PROVIDED TO PATIENTS UPON REQUEST AND THROUGHOUT THE REGISTRATION AND POSTREGISTRATION 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. IN ADDITION, REFERRAL OF PATIENTS MAY BE MADE BY ANY MEMBER OF THE HSHS STAFF OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS, CASE MANAGERS, CHAPLAIN'S, AND RELIGIOUS SPONSORS. A REQUEST FOR FINANCIAL ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND, OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS.; |
Supplemental Information Detail SupplementalInformationDetail (18 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 3C, FACTORS OTHER THAN FPG | NOT APPLICABLE. THE ORGANIZATION 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 HTTPS://WWW.ST-JOHNS.ORG/STJOHNS/PUBLICATIONS.ASPX. HARD COPIES OF THE REPORT CAN BE OBTAINED BY CALLING COMMUNITY RELATIONS: (217) 814-4308. |
| Schedule H, Part I, Line 7, Costing Methodology used to calculate financial assistance | TO DETERMINE THE ACTUAL COST OF THESE SERVICES, THE HOSPITAL USES A COST-TO-CHARGE RATIO BASED ON OUR AUDITED FINANCIAL STATEMENTS TO CALCULATE THE AMOUNTS REPORTED ON LINES 7A THROUGH 7I. SPECIFICALLY, CHARITY CARE IS CALCULATED BY DETERMINING THE TOTAL AMOUNT FROM PATIENT BILLING THAT IS WRITTEN OFF TO CHARITY CARE CHARGE CODES PLUS AN ALLOWANCE ACCRUAL ADJUSTMENT. THIS AMOUNT MATCHES THE NUMBER THAT IS REPORTED ON OUR FISCAL YEAR ENDING 2014 AUDITED FINANCIAL STATEMENTS. THE TOTAL CHARITY CARE DOLLAR AMOUNT IS THEN REDUCED TO COST BY APPLYING THE HOSPITAL'S COST TO CHARGE RATIO AS CALCULATED ON IRS SCHEDULE H - WORKSHEET 2. |
| Schedule H, Part I, Line 7, col(f), Bad Debt Expense excluded from financial assistance calculation | 28,110,656 |
| Schedule H, Part I, Line 7g, Subsidized Health Services | CURRENTLY ST. JOHN'S HOSPITAL'S ONLY SUBSIDIZED PROGRAM IS THE NEONATAL INTENSIVE CARE UNIT (NICU) FOLLOW UP CLINIC, WHICH IS A MULTIDISCIPLINARY CLINIC FOR FOLLOW UP CARE FOR INFANTS WHO WERE PATIENTS IN THE NICU. THE PRIMARY PURPOSE IS TO ASSESS PATIENTS FOR GROWTH AND DEVELOPMENTAL DELAYS, AND TO REFER PATIENTS TO THE APPROPRIATE SERVICES AS NEEDED. |
| Schedule H, Part II, Community Building Activities | ST. JOHN'S HOSPITAL IS INVOLVED IN A VARIETY OF COMMUNITY BUILDING INITIATIVES THAT PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES. EXAMPLES OF THESE INITIATIVES INCLUDE, BUT ARE NOT LIMITED TO ACTIVE STAFF PARTICIPATION WITH THE FOLLOWING ORGANIZATIONS: UNITED WAY OF CENTRAL ILLINOIS, GENHKIDS COALITION, DISTRICT 186 SCHOOL MENTORING PROGRAM, DISTRICT 186 SCHOOL COORDINATED APPROACH TO COMMUNITY HEALTH (CATCH) ELEMENTARY SCHOOL PROGRAM, REAL MEN READ (A PROGRAM DESIGNED TO TEACH ALL GRADE LEVELS THE IMPORTANCE OF READING AND ENHANCE READING SKILLS), CENTRAL ILLINOIS COMMUNITY BLOOD CENTER, HOSPITAL SISTERS MISSION OUTREACH, HOMELESS UNITED FOR CHANGE, GREATER SPRINGFIELD CHAMBER OF COMMERCE, DOWNTOWN SPRINGFIELD INC. , PREGNANCY CARE CENTER, ELIZABETH ANN SETON PROGRAM, MID ILLINOIS MEDICAL DISTRICT, LINCOLN LAND COMMUNITY COLLEGE WORKFORCE INVESTMENT BOARD, LINCOLNLAND STROKE SUPPORT NETWORK, SANGAMON COUNTY DEPARTMENT OF PUBLIC HEALTH WIC PROGRAM, AND VARIOUS STATE OF ILLINOIS ADVISORY BOARDS FOR PUBLIC HEALTH, INFORMATION TECHNOLOGY AND EMERGENCY MANAGEMENT. WITHOUT ST. JOHN'S HOSPITAL'S LEADERSHIP AND INVOLVEMENT, THE FOLLOWING INITITATIVES WOULD NOT HAVE THE MEANS TO CONTINUE POSITIVELY IMPACTING OUR LOW-INCOME AND UNDERSERVED POPULATIONS: SANGAMON COUNTY DEPARTMENT OF PUBLIC HEALTH WIC PROGRAMMING, DOWNTOWN SPRINGFIELD INC., REAL MEN READ, AND THE GENHKIDS COALITION. THE HOSPITAL'S PARTNERSHIPS WITH COMMUNITY GROUPS HAS DEVELOPED A SOLID FOUNDATION ON WHICH WE ARE ABLE TO BUILD SUSTAINABLE INFRASTRUCTURES TO SUPPORT PROMOTE THE HEALTH OF OUR COMMUNITIES. |
| 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. JOHN'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 | THE HOSPITAL CONTINUALLY STRIVES TO PROVIDE EXCELLENT PATIENT CARE IN THE MOST COST EFFECTIVE FASHION. NONETHELESS, THE MEDICARE PROGRAM, IN MANY CASES, DOES NOT PROVIDE PAYMENT THAT COVERS THE FULL COST OF THE CARE PROVIDED. SINCE IT IS THE MISSION OF THE HOSPITAL TO RESPOND TO COMMUNITY NEED, HOSPITAL MANAGEMENT CONTINUALLY ADVOCATES FOR IMPROVED MEDICARE PAYMENT SO THAT THE COST OF QUALITY CARE TO THOSE PATIENTS WHO ARE NOT ABLE TO AFFORD IT IS NOT COMPROMISED AND IS FAIRLY SUBSIDIZED BY ALL PAYERS. WHILE THIS SHORTFALL IN MEDICARE PAYMENTS IS NOT CLASSIFIED AS COMMUNITY BENEFIT BY THE IRS, WE NONETHELESS BELIEVE IT IS AN IMPORTANT CONTRIBUTION MADE BY THE HOSPITAL TO THE HEALTH AND WELL-BEING OF THE COMMUNITY. IF THE MEDICARE PROGRAM DID NOT EXIST, MANY MEDICARE PATIENTS WOULD BE ELIGIBLE FOR CHARITY CARE OR OTHER MEANS-TESTED GOVERNMENT PROGRAMS. FURTHER, BY ABSORBING THIS PAYMENT SHORTFALL AND PROVIDING CARE BELOW COST TO THESE INDIVIDUALS, ST. JOHN'S IS RELIEVING THE BURDENS OF THE GOVERNMENT. ACCORDINGLY, THIS SHORTFALL RESTRICTS ST. JOHN'S ABILITY TO MAKE FUNDS AVAILABLE TO PROVIDE FOR CHARITY CARE AND OTHER COMMUNITY BENEFITS. THE HOSPITAL MEDICARE SHORTFALL AT COST FOR FISCAL YEAR 2014 WAS $31,098,145. MEDICARE ALLOWABLE COSTS OF CARE RELATING TO REVENUE RECEIVED FROM MEDICARE WAS CALCULATED FROM THE MOST RECENTLY FILED COST REPORT AND CALCULATED USING A COST TO CHARGE RATIO. |
| Schedule H, Part III, Line 9b, Collection practices for patients eligible for financial assistance | EVERY EFFORT IS MADE PRIOR TO, DURING AND AFTER PROVISION OF MEDICAL SERVICES TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR CHARITY/COMMUNITY CARE AND TO ASSIST THE PATIENT IN COMPLETING THE APPLICATION AND PROVIDE ADEQUATE DOCUMENTATION. IF THE PATIENT QUALIFIED FOR CHARITY/COMMUNITY CARE FOR THE FULL BALANCE OF THEIR ACCOUNT, THE ENTIRE AMOUNT IS WRITTEN OFF TO CHARITY/COMMUNITY CARE AND HENCE NO DEBT COLLECTION IS PURSUED. IF THE PATIENT QUALIFIED FOR CHARITY/COMMUNITY CARE FOR A PORTION OF THEIR ACCOUNT BALANCE, THAT PORTION IS WRITTEN OFF TO CHARITY/COMMUNITY CARE, WITH THE PATIENT BEING RESPONSIBLE FOR THE REMAINDER OF THE BALANCE. ADDITIONALLY, REASONABLE EFFORT WILL BE MADE TO OBTAIN THIRD-PARTY OR GOVERNMENT PAYER REIMBURSEMENT ON BEHALF OF THE PATIENT. IF THOSE EFFORTS ARE NOT FRUITFUL, AN OFFER WILL BE EXTENDED TO THE PATIENT TO MAKE INSTALLMENT PAYMENTS ON THEIR BALANCE. ONLY AT SUCH POINT THAT THE PATIENT DEFAULTS ON INSTALLMENT PAYMENTS OR REFUSES TO COOPERATE WITH THE HOSPITAL'S EFFORTS TO BE REIMBURSED WILL THE ACCOUNT BE SENT TO COLLECTIONS. FOR ADDITIONAL INFORMATION, SEE RESPONSE TO QUESTION VI, 3. |
| Schedule H, Part VI, Line 2, Needs assessment. | AS INDICATED IN PART V, SECTION B, ST. JOHN'S HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN OUR FY2012 (JULY 1, 2011 THROUGH JUNE 30, 2012). IN PREVIOUS YEARS, WE ASSESSED COMMUNITY NEED THROUGH AN ANNUAL REVIEW OF EXISTING DATA SETS AND EXISTING NEEDS ASSESSMENTS. FOLLOWING IS A SAMPLE OF DATA SETS REVIEWED: - SANGAMON COUNTY RESIDENTS DEATH CERTIFICATES, - IDPH / IPLAN DATA SETS, - IDPH BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM DATA, - U.S. CENSUS DATA, - 2006 UNITED WAY OF CENTRAL ILLINOIS COMMUNITY NEEDS ASSESSMENT, - HEALTHY PEOPLE 2010 AND - GREATER SPRINGFIELD CHAMBER OF COMMERCE ECONOMIC DEVELOPMENT REPORT NEEDS WERE PRIORITIZED BASED ON ASSETS AND GAPS IN THE COMMUNITY AROUND EACH NEED. 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. JOHN'S HOSPITAL 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 REGISTRATION DEPARTMENT PROVIDES BROCHURES TO PATIENTS UPON REGISTRATION REGARDING THE PAYMENT ASSISTANCE PROGRAM AVAILABLE TO THEM AT ST. JOHN'S HOSPITAL. THE BROCHURES ARE ALSO SUPPLIED IN WAITING AND ANCILLARY AREAS FOR EASY ACCESS BY THE PATIENT. THE BROCHURES INCLUDE CONTACT NUMBERS FOR THE BUSINESS OFFICE. AVAILABLE ON SJS WEBSITE IS INFORMATION ABOUT HOW TO READ AND UNDERSTAND THE BILLING INFORMATION ON PAYMENT ASSISTANCE, BILLING PROCEDURES AND EXPLANATION OF MEDICARE FORMS. SIGNAGE INDICATING THAT FINANCIAL ASSISTANCE IS AVAILABLE, IS LOCATED AT HOSPITAL PATIENT ACCESS POINTS. THE ORGANIZATION HAS A REPRESENTATIVE ON SITE TO ASSIST PATIENTS WHO MAY BE ELIGIBLE FOR MEDICAID ASSISTANCE THROUGH THE ILLINOIS DEPARTMENT OF PUBLIC ASSISTANCE. THE REPRESENTATIVE WORKS WITH PATIENTS TO DETERMINE IF THEY MAY BE ELIGIBLE, AND IF SO, ASSIST IN PULLING TOGETHER THE NECESSARY APPLICATION FOR SUBMISSION. PATIENTS ARE ALSO PROVIDED A FAIR BILLING ACT NOTIFICATION AT THE POINT OF REGISTRATION REGARDING SEPARATE PHYSICIAN BILLING THEY CAN EXPECT TO RECEIVE, PLUS INFORMATION ABOUT THE PATIENT'S FINANCIAL RESPONSIBILITY IF THEIR INSURANCE PLAN IS OUT OF NETWORK. ONE-ON-ONE CONVERSATIONS TO EDUCATE PATIENTS ABOUT FINANCIAL ASSISTANCE OFTEN STEM FROM PATIENTS RECEIVING A STATEMENT OR A PRE-COLLECTION LETTER. AT THAT POINT, THE CUSTOMER SERVICE REPRESENTATIVE OR CASHIER, OR OTHER QUALIFIED STAFF, WILL INFORM/EDUCATE THE CALLER ABOUT FINANCIAL ASSISTANCE OPTIONS. THE FIRST PRE-COLLECTION LETTER REMINDS THE PATIENT THEIR ACCOUNT IS IN DELINQUENT STATUS. IT ALSO INFORMS THEM THEY MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE THROUGH THE ORGANIZATION'S CHARITY CARE PROGRAM. THE LETTER PROVIDES DIRECT CONTACT INFORMATION TO BEGIN THE APPLICATION PROCESS FOR CHARITY CARE. |
| Schedule H, Part VI, Line 4, Community information. | ST. JOHN'S HOSPITAL IS LOCATED IN THE CENTER OF SPRINGFIELD, ILLINOIS AND SERVES NOT ONLY SANGAMON COUNTY BUT ALSO THE SURROUNDING COUNTIES (CASS, CHRISTIAN, LOGAN, MACON, MACOUPIN, MENARD, MONTGOMERY AND MORGAN). THE TOTAL PRIMARY AND SECONDARY SERVICE AREA OF THE HOSPITAL HAS A POPULATION OF 505,772 PEOPLE, 194,912 PEOPLE FROM SANGAMON COUNTY AND 310,860 PEOPLE FROM THE SURROUNDING COUNTIES. ADDITIONALLY, ST. JOHN'S PROVIDES TERTIARY CARE TO RESIDENTS OF BOND, BROWN, CLAY, COLES, DE WITT, EFFINGHAM, FAYETTE, GREENE, MARION, MASON, MOULTRIE, PIATT, PIKE, SCHUYLER, SCOTT AND SHELBY COUNTIES. THIS COMBINED AREA HAS A POPULATION OF 311,583 PEOPLE. ASIDE FROM THE CITY OF SPRINGFIELD, THE ECONOMY OF ST. JOHN'S SERVICE AREA IS PRIMARILY RURAL AND IS SUPPORTED BY SMALL BUSINESSES, INDUSTRIES, MINING AND AGRICULTURE. SPRINGFIELD, ON THE OTHER HAND, IS AN URBAN AREA SUPPORTED BY LARGE BUSINESSES, SUCH AS THE ILLINOIS STATE GOVERNMENT AND INDUSTRIES. BASED ON 2011 POPULATION ESTIMATES DERIVED FROM THE 2010 CENSUS, SANGAMON COUNTY'S POPULATION OF 194,912 PEOPLE IS COMPRISED OF 60.6% CAUCASIANS, 5.1% AFRICAN-AMERICANS, 2.2% AMERICAN INDIANS/ALASKA NATIVES, 0.8% ASIANS, 0.6% NATIVE HAWAIIANS/OTHER PACIFIC ISLANDERS, 22.6% PEOPLE STATING ANOTHER RACE AND 8.2% PEOPLE STATING TWO OR MORE RACES. TWENTY-NINE PERCENT OF SANGAMON COUNTY'S RESIDENTS HAVE A HIGH SCHOOL DIPLOMA, 8.4% HOLD AN ASSOCIATE DEGREE, 19.5% HAVE A BACHELOR'S DEGREE, 8.0% HOLD A MASTER'S DEGREE AND 2.9% HAVE A PROFESSIONAL SCHOOL DEGREE OR DOCTORATE DEGREE. THE CURRENT UNEMPLOYMENT RATE OF SANGAMON COUNTY IS 6.8%, ACCORDING TO THE ILLINOIS DEPARTMENT OF EMPLOYMENT SECURITY, AND THE MEDIAN HOUSEHOLD INCOME IS $49,286. ST. JOHN'S SECONDARY SERVICE AREA IS COMPRISED OF 310,860 PEOPLE, OF WHOM 56.3% ARE CAUCASIAN, 3.1% ARE AFRICAN-AMERICAN, 1.0% ARE AMERICAN INDIAN/ALASKA NATIVE, 0.4% ARE ASIAN, 0.3% ARE NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER, 33.6% STATE ANOTHER RACE AND 5.3% STATE TWO OR MORE RACES. EDUCATIONAL LEVELS OF THIS POPULATION REFLECT THAT 38.8% GRADUATED HIGH SCHOOL, 7.0% GRADUATED WITH AN ASSOCIATE DEGREE, 11.9% GRADUATED WITH A BACHELOR'S DEGREE, 4.1% GRADUATED WITH A MASTER'S DEGREE AND 1.6% GRADUATED WITH EITHER A PROFESSIONAL SCHOOL DEGREE OR A DOCTORATE DEGREE. THE AVERAGE UNEMPLOYMENT RATE OF THE COMBINED COUNTIES IS 9.4% AND THE MEDIAN HOUSEHOLD INCOME IS $43,247. THE COUNTIES COMPRISING ST. JOHN'S TERTIARY SERVICE AREA HAVE A COMBINED POPULATION OF 311,583 PEOPLE. NINETY-FIVE PERCENT OF RESIDENTS ARE CAUCASIAN, 2.6% ARE AFRICAN-AMERICAN, 0.3% ARE AMERICAN INDIAN/ALASKA NATIVE, 0.5% ARE ASIAN, 0.03% ARE NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER, 0.4% STATE ANOTHER RACE AND 1.0% STATE TWO OR MORE RACES. THIRTY-NINE PERCENT OF ST. JOHN'S TERTIARY SERVICE AREA POPULATION HAVE ONLY A HIGH SCHOOL DIPLOMA, 8.8% HOLD AN ASSOCIATE DEGREE, 11.1% HAVE A BACHELOR'S DEGREE, 4.4% HOLD A MASTER'S DEGREE AND 1.53% HAVE EITHER A PROFESSIONAL SCHOOL DEGREE OR A DOCTORATE DEGREE. THE AVERAGE UNEMPLOYMENT RATE OF THE COMBINED AREA IS 8.9% AND THE MEDIAN HOUSEHOLD INCOME IS $41,276. THE 2011 POVERTY RATES IN THE COMBINED SERVICE AREA WERE BETWEEN 8.2% AND 10% WHICH IS BELOW THE NATIONAL AVERAGE OF 11.9%-14.3%. ST. JOHN'S HOSPITAL, EMPLOYING OVER 3,000 PEOPLE, IS A REGIONAL MEDICAL CENTER AND THE FLAGSHIP HOSPITAL OF HOSPITAL SISTERS HEALTH SYSTEM. DEDICATED TO PROVIDING EXCEPTIONAL CARE TO THE WHOLE PATIENT, ST. JOHN'S OFFERS SERVICES SPANNING FROM PRIMARY CARE TO COMPLEX TERTIARY CARE, INCLUDING A BIRTH CENTER, A CANCER INSTITUTE, A CENTER FOR METABOLIC AND WEIGHT LOSS SURGERY, A CHILDREN'S HOSPITAL, A NEUROSCIENCES INSTITUTE, A PAIN MANAGEMENT CENTER, PRAIRIE HEART INSTITUTE, A REGIONAL WOUND CARE CENTER, A SLEEP CENTER AND MANY OTHERS. |
| Schedule H, Part VI, Line 5, Promotion of community health | ST. JOHN'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. JOHN'S HOSPITAL IS COMMITTED TO DELIVERING HIGH QUALITY, COMPASSIONATE, AND COST-EFFECTIVE HEALTH CARE SERVICES TO ALL. THE HOSPITAL WAS FOUNDED MORE THAN 130 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 PURPOSE AND TRADITION, IT IS ORGANIZED TO PROMOTE THE HEALTH OF SPRINGFIELD AND SURROUNDING AREAS. THE HOSPITAL IS GOVERNED BY A BOARD OF DIRECTORS, A 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. JOHN'S HOSPITAL IS RESPONDING TO COMMUNITY NEED. DURING FY2012, FOR EXAMPLE, THE BOARD REVIEWED THE COMMUNITY HEALTH NEEDS ASSESSMENT AND APPROVED AN IMPLEMENTATION STRATEGY FOR ADDRESSING SELECTED NEEDS. ALSO CONSISTENT WITH ITS EXEMPT PURPOSE, ST. JOHN'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. JOHN'S 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, CONDUCT MEDICAL EDUCATION, MEDICAL RESEARCH, AND SUPPORT INITIATIVES DESIGNED TO PROMOTE HEALTH AND ENSURE ACCESS FOR ALL. FOR EXAMPLE, ST. JOHN'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. JOHN'S HOSPITAL ALSO DEVOTES SIGNIFICANT RESOURCES TO ACCESS FOR PATIENTS WHO CANNOT AFFORD CARE, ALONG WITH OTHER COMMUNITY BENEFITS. IN FISCAL YEAR 2014, ST. JOHN'S PROVIDED MORE THAN $28.3 MILLION IN COMMUNITY BENEFIT SERVICES, INCLUDING CHARITY CARE AT COST, UNPAID COSTS OF MEDICAID AND OTHER PUBLIC PROGRAMS, AND A RANGE OF DIVERSE PROGRAMS DESIGNED TO ENHANCE ACCESS AND IMPROVE COMMUNITY HEALTH. ADDITIONALLY, DURING THIS PERIOD, ST. JOHN'S PROVIDED $7.4 MILLION (AT COST) IN UNCOMPENSATED CARE TO PATIENTS THAT DID NOT QUALIFY FOR CHARITY CARE OR PUBLIC ASSISTANCE AND MORE THAN $31 MILLION (AT COST) IN EXCESS OF MEDICARE PAYMENT FOR HEALTH CARE SERVICES. ST. JOHN'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 BE UNLIKELY TO EXIST WITHOUT THE LEADERSHIP ROLE PLAYED BY ST. JOHN'S AND THEY OFTEN 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: * LIFESTYLE (STRATEGIES FOCUS ON HEALTHY CHOICES AND BEHAVIOR CHANGE) * CARDIOVASCULAR DISEASE * METABOLIC SYNDROME FOLLOWING ARE EXAMPLES OF NEW OR ENHANCED COMMUNITY BENEFIT PROGRAMS DEVELOPED IN FY2014 IN RESPONSE TO NEEDS IDENTIFIED IN THE HOSPITAL'S FY2012 CHNA. KOHL'S GOTTA DANCE (LIFESTYLE AND METABOLIC SYNDROME) THIS PROGRAM IS IMPLEMENTED IN PARTNERSHIP WITH KOHL'S, FOUR LOCAL DANCE STUDIOS AND FAITH-BASED ORGANIZATIONS. THROUGH A SERIES OF 24 DANCE CLASSES, PARTICIPANTS LEARN, PRACTICE AND REPEAT HEALTHY LIFESTYLE BEHAVIORS. THE OVERALL GOAL OF THIS PROGRAM IS TO GET KIDS PHYSICALLY ACTIVE FOR AT LEAST 60-MINUTES PER DAY. IN ITS SECOND YEAR, WE ARE SEEING A TREMENDOUS POSITIVE IMPACT ON PARTICIPANTS' SELF-ESTEEM, COMMUNICATION SKILLS, PROBLEM SOLVING SKILLS, HEALTHY PEER INTERACTION, AND A DEVELOPMENT OF LEADERSHIP SKILLS. EAST SIDE FARMER'S MARKET (LIFESTYLE AND METABOLIC SYNDROME) THE HOSPITAL PLAYED A LEAD ROLE IN OPENING A FARMER'S MARKET IN A LOW-INCOME PART OF SPRINGFIELD WHICH HAS ALSO BEEN IDENTIFIED AS A FOOD DESERT BY THE USDA. IN COLLABORATION WITH THE SANGAMON COUNTY DEPARTMENT OF PUBLIC HEALTH, THE ESFM IS OFFERED WEEKLY IN JUNE TO SEPTEMBER. OVER THE LAST THREE SUMMERS, 3,074 FAMILIES HAVE BEEN SERVED BY THE ESFM. WIC CLIENTS, SENIOR CITIZENS, AND DISABLED PERSONS HAVE SPECIFICALLY BENEFITED FROM THE ESFM DUE TO THE MARKET BEING OFFERED ON THE SAME DAY AS WIC EDUCATION CLASSES AND THE CLOSE PROXIMITY OF PARKING TO VENDORS. FOR SENIORS AND DISABLED PERSONS IN PARTICULAR THE FARMERS HAVE CREATED A DRIVE THROUGH MODEL TO MAKE SHOPPING EASIER. WIC COOKING CLASSES (CARDIOVASCULAR DISEASE, LIFESTYLE AND METABOLIC SYNDROME) THIS PROGRAM IS ALSO IMPLEMENTED IN COLLABORATION WITH THE PUBLIC HEALTH DEPARTMENT. IT IS DESIGNED TO TEACH PARTICIPANTS HOW TO PREPARE FRESH PRODUCE AND INCORPORATE FRUITS AND VEGETABLES INTO DAILY MEALS AND SNACKS. OVER THE LAST THREE SUMMERS, 480 PARTICIPANTS HAVE BENEFITED FROM THIS PROGRAM. WHAT STARTED OUT AS AN ADULT-ONLY CLASS QUICKLY TURNED INTO A FAMILY-BASED CLASS. CHILDREN LEARN ALONGSIDE THEIR PARENTS OR GUARDIANS THE VALUE OF MEAL PLANNING, PRODUCE SELECTION, FOOD HANDLING AND PREPARATION, AND HEALTHY EATING. PARISH NURSE PROGRAM (CARDIOVASCULAR DISEASE) PARISH NURSING SCHOLARSHIPS WILL BE PROVIDED TO NURSES FROM EAST SIDE CHURCHES TO ATTEND THE PARISH NURSE PROGRAM AT ST. JOHN'S COLLEGE OF NURSING. IN RETURN, NURSES WILL PROVIDE A SET NUMBER OF HEART RELATED EVENTS IN PARTNERSHIP WITH ST. JOHN'S HOSPITAL TO THEIR CONGREGATION. THIS PROGRAM WAS ESTABLISHED TO INCREASE ACCESS TO WORKING IN UNDERSERVED, AT-RISK POPULATIONS. HEALTHCARE PROFESSIONAL EDUCATION SERIES (CARDIOVASCULAR DISEASE AND METABOLIC SYNDROME) THE GOAL OF THIS EDUCATIONAL SERIES IS TO IDENTIFY PRACTICE GAPS AND RESEARCH BEST PRACTICES AND EVIDENCE-BASED POLICY TO REDUCE THE PROGRESSION OF METABOLIC SYNDROME. EDUCATION TAKES PLACE DURING GRAND ROUNDS AND THROUGH CME EVENTS. THIS IS A COLLABORATIVE EFFORT BETWEEN ST. JOHN'S HOSPITAL, SIU SCHOOL OF MEDICINE, THE PUBLIC HEALTH DEPARTMENT, GENHKIDS COALITION, AND SPRINGFIELD CLINIC. ENROLLMENT OUTREACH AND ASSISTANCE IN FY2014, HOSPITAL SISTERS HEALTH SYSTEM (HSHS) AND OUR 13 LOCAL SYSTEMS INVESTED A CONSIDERABLE AMOUNT OF COMMUNITY BENEFIT RESOURCES TO EDUCATE THE UNINSURED ABOUT HISTORIC NEW OPPORTUNITIES TO ENROLL IN AFFORDABLE HEALTH INSURANCE COVERAGE AND TO FACILITATE THE ENROLLMENT PROCESS. BETWEEN OCTOBER 1, 2013 AND MARCH 31, 2014, STATE-BASED INSURANCE EXCHANGES BEGAN A SIX-MONTH OPEN ENROLLMENT PERIOD THAT GAVE MILLIONS OF AMERICANS ACCESS TO HEALTH INSURANCE COVERAGE. ST. JOHN'S HOSPITAL PLAYED A VITAL ROLE IN EDUCATING ELIGIBLE PEOPLE IN THEIR LOCAL COMMUNITIES, REFERRING THEM TO CERTIFIED APPLICATION COUNSELORS AND/OR IN ENROLLING THEM IN THE HEALTH INSURANCE EXCHANGES OR IN SECURING COVERAGE THROUGH MEDICAID EXPANSION. MEDICAID EXPANSION IS A KEY PART OF THE REFORM LAW'S STRATEGY TO PROVIDE HEALTH COVERAGE FOR MANY OF THE NATION'S UNINSURED. 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. ST. JOHN'S HOSPITAL'S ENROLLMENT OUTREACH AND ASSISTANCE INCLUDED EDUCATIONAL FLYERS, BOOKMARKS, POSTERS; EDUCATIONAL MATERIALS FOR SWITCHBOARD AND REGISTRATION COLLEAGUES; AND ONGOING EMAIL UPDATES AND EDUCATION TO KEY HOSPITAL COLLEAGUES. ST. JOHN'S WAS AN ACTIVE MEMBER OF THE SANGAMON COUNTY HEALTH EXCHANGE COALITION; PARTNERED WITH THE SANGAMON COUNTY DEPARTMENT OF HEALTH AND LOCAL COMMUNITY COLLEGE TO HOST ENROLLMENT EVENTS; AND HOSTED ONSITE MIDNIGHT ENROLLMENT EVENTS ON THE LAST TWO DAYS OF OPEN ENROLLMENT TO INCREASE ACCESS AND ENCOURAGE ENROLLMENT. |
| Schedule H, Part VI, Line 6, Affiliated health care system | ST. JOHN'S HOSPITAL 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 I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| FEDERAL WORK STUDY GRANT | 7 | $8,481 |
| FEDERAL SUPPLEMENTAL EDUCATION OPPORTUNITY GRANT | 14 | $7,665 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2, Procedures for monitoring use of grant funds | FormAndLineReferenceDesc |
| Explanation | ST. JOHN'S HOSPITAL PARTICIPATES IN VARIOUS FEDERAL LOAN AND GRANT PROGRAMS. THESE PROGRAMS ARE ADMINISTERED IN ACCORDANCE WITH GUIDELINES ESTABLISHED BY THE U.S. DEPARTMENT OF EDUCATION, AND THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. THESE PROGRAMS ARE AUDITED ANNUALLY IN ACCORDANCE WITH OMB CIRCULAR A-133 "AUDITS OF INSTITUTIONS OF HIGHER EDUCATION AND OTHER NONPROFIT INSTITUTIONS". | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT RITZ | ||||||||||||||
| FORMER PRESIDENT & CEO | $0 | $308,684 | $0 | $0 | $0 | $279,929 | $0 | $51,520 | $0 | $14,758 | $0 | $654,891 | $0 | $210,511 |
| LAWRENCE SCHUMACHER | ||||||||||||||
| INTERIM PRESIDENT | $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 |
| LARRY J RAGEL | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $290,797 | $0 | $62,273 | $0 | $44 | $0 | $67,000 | $0 | $21,518 | $0 | $441,632 | $0 | $0 | $0 |
| DAVID OLEJNICZAK | ||||||||||||||
| CHIEF OPERATING OFFICER | $386,853 | $0 | $16,444 | $0 | $44 | $0 | $67,541 | $0 | $21,715 | $0 | $492,597 | $0 | $0 | $0 |
| SHERRI A GREENWOOD | ||||||||||||||
| CHIEF NURSING OFFICER | $223,850 | $0 | $6,174 | $0 | $44 | $0 | $40,406 | $0 | $21,332 | $0 | $291,806 | $0 | $0 | $0 |
| PATRICIA SCHULZ | ||||||||||||||
| CHIEF PEOPLE OFFICER | $133,473 | $0 | $0 | $0 | $109,736 | $0 | $38,566 | $0 | $12,806 | $0 | $294,581 | $0 | $0 | $0 |
| EVERT J KUIPER | ||||||||||||||
| CENTRAL ILLINOIS DIVISION CEO | $0 | $2,250 | $0 | $100,000 | $0 | $55,959 | $0 | $0 | $0 | $0 | $0 | $158,209 | $0 | $0 |
| MARGARET L CURTIN | ||||||||||||||
| ASST ADMINISTRATOR OF CHILDREN | $213,717 | $0 | $50 | $0 | $44 | $0 | $55,919 | $0 | $8,648 | $0 | $278,378 | $0 | $0 | $0 |
| JIANXIN WANG | ||||||||||||||
| MANAGER | $189,288 | $0 | $50 | $0 | $44 | $0 | $36,052 | $0 | $19,881 | $0 | $245,315 | $0 | $0 | $0 |
| ANN DERRICK | ||||||||||||||
| EXEC DIR OF CONTINUUM OF CARE | $196,980 | $0 | $50 | $0 | $44 | $0 | $115,124 | $0 | $9,982 | $0 | $322,180 | $0 | $0 | $0 |
| AMY K BULPITT | ||||||||||||||
| DIRECTOR OF LEGAL SERVICES | $230,610 | $0 | $50 | $0 | $44 | $0 | $17,724 | $0 | $1,081 | $0 | $249,509 | $0 | $0 | $0 |
| TOMMY A IBRAHIM | ||||||||||||||
| MEDICAL DIRECTOR | $391,715 | $0 | $18,031 | $0 | $12,044 | $0 | $17,189 | $0 | $9,599 | $0 | $448,578 | $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 TO DAVID OLEJNICZAK FOR $44, TO LARRY RAGEL FOR $44, TO SHERRI GREENWOOD FOR $44, TO REBECCA PUCLIK FOR $48, TO TOMMY IBRAHIM FOR $44, TO AMY BULPITT FOR $44, TO JIANXIN WANG FOR $44, TO ANN DERRICK FOR $44, AND TO MARGARET CURTIN FOR $44 DURING THE YEAR. THE FAIR VALUE OF THESE WERE INCLUDED IN THEIR 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 PATRICIA SCHULZ'S EMPLOYMENT AGREEMENT, SHE WAS TO RECEIVE SEVERANCE PAYMENTS THROUGH 08/30/2014. DURING CALENDARE YEAR 2013, PATRICIA RECEIVED SEVERANCE PAYMENTS TOTALING $81,850. |
| 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 DAVID OLEJNICZAK -- $20,617 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 ROBERT RITZ -- $210,511 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4A, PROGRAM SERVICE REVENUE - CARDIOVASCULAR | ST. JOHN'S HOSPITAL IS ONE OF THE LARGEST HEART PROGRAMS IN ILLINOIS. WE HAVE DEVELOPED A REPUTATION AS ONE OF THE PREMIER CARDIOVASCULAR PROGRAMS IN THE COUNTRY, BUT IT'S OUR DEDICATION TO PROVIDING COMPASSIONATE CARE TO PATIENTS AND THEIR FAMILIES THAT MAKES US UNIQUE. IN FISCAL YEAR 2014, EIGHT CARDIOLOGISTS AT THE PRAIRIE HEART INSTITUTE AT ST. JOHN'S HOSPITAL APPEARED ON THE BEST DOCTORS IN AMERICA LIST. RECEIVED THE PLATINUM PERFORMANCE ACHIEVEMENT AWARD FROM THE NATIONAL CARDIOVASCULAR DATA REGISTRY FOR MEETING 11 KEY QUALITY AND TREATMENT MEASURES AT LEAST 90% OF THE TIME FOR EIGHT CONSECUTIVE QUARTERS. IN ADDITION, ST. JOHN'S CARDIAC PROGRAMS HAVE RECEIVED THE FOLLOWING AWARDS, DESIGNATIONS AND ACCOMPLISHMENTS: - CARDIAC INSTITUTE OF QUALITY DESIGNATION BY AETNA INSURANCE COMPANY. - ST. JOHN'S WAS DESIGNATED A BLUE DISTINCTION CENTER FOR CARDIAC CARE BY BLUECROSS AND BLUESHIELD OF ILLINOIS. - A CIRCLE OF EXCELLENCE AWARD FROM COMPARION MEDICAL ANALYTICS FOR BEING RANKED IN THE TOP 10% OF HOSPITALS IN THE U.S. FOR CARDIAC CARE, CANCER CARE AND TRAUMA CARE. - PRAIRIE HEART EARNED FOR THE AMERICAN HEART ASSOCIATION'S MISSION: LIFELINE GOLD PERFORMANCE ACHIEVEMENT AWARD FOR ITS CARE OF HEART ATTACK PATIENTS. - PRAIRIE HEART INSTITUTE AT ST. JOHN'S HOSPITAL WAS RECOGNIZED AS ONE OF HEALTHGRADES 100 BEST HOSPITALS FOR CARDIAC SURGERY (2013, 2012 & 2011) - PRAIRIE HEART IS A HEALTHGRADES FIVE-STAR RECIPIENT FOR CARDIAC SURGERY (2013 & 2012); CORONARY BYPASS SURGERY (2013, 2012 & 2011); VALVE SURGERY (2013, 2012, 2011 & 2010); AND FOR TREATMENT OF HEART FAILURE (2013, 2012 & 2011). - BECKER'S HOSPITAL REVIEW NAMED ST. JOHN'S ONE OF THE "100 HOSPITALS FOR GREAT HEART PROGRAMS." - TRUVEN HEALTH ANALYTICS NAMED THE PRAIRIE HEART INSTITUTE AT ST. JOHN'S HOSPITAL ONE OF THE NATION'S 50 TOP CARDIOVASCULAR HOSPITALS. THE NEW INNOVATIONS BEING UTILIZED BY ST. JOHN'S HOSPITAL'S CARDIOVASCULAR SERVICES INCLUDE: - WATCHMEN PROCEDURE - USED TO REPLACE BLOOD THINNERS FOR PATIENTS WITH ATRIAL FIBRILLATION. - LARIAT DEVICE - PERCUTANEOUS LEFT ATRAIL APPENDAGE SUTURE LIGATION, USING THE LARIAT DEVIDE IN PATIENTS WITH ATRIAL FIBRILLATION WHO CANNOT TOLERATE OR ARE NOT CANDIDATES FOR ANTICOAGULATION. - TAVR DEVICES - SMALLER, MORE EASILY DELIVERED CARDIAC VALVES IMPLANTED WITHOUT THE NEED FOR OPEN HEART SURGERY. - REPRISE III - FULLY REPOSITIONABLE TAVR VALVES. - MITRA CLIP - MIMIMALLY INVASIVE REPAIR OF THE MITRAL VALVE. - PRAIRIE CARDIOVASCULAR CARDIOLOGISTS AT ST. JOHN'S HOSPITAL WERE THE FIRST TO ENROLL PATIENTS INTO LUTONIX'S LEVANT 2. THIS IS A GLOBAL RANDOMIZED TRIAL TO EVALUATE THE SAFETY AND EFFICIANCY OF THE MOXY DRUG COATED BALLOON COMPARTED TO A STANDARD ANGIOPLASTY BALLOON FOR THE TREATMENT OF PERIPHERAL ATERIAL DISEASE. - CREST 2 - RANDOMIZED TRIAL COMPARING CAROTID SURGERY TO CAROTID STENTING. - ALLSTAR - THE USE OF CARDIAC DERIVED CELLS IN HOPES TO REGENERATE AND IMPROVE CARDIAC FUNCTION AFTER A HEART ATTACK. - PARACHUTE - IMPLANTABLE DEVICE USED TO RESHAPE THE LEFT VENTRICLE THUS IMPROVING THE HEART FUNCTION. - EVERA - UPDATED IDC TECHNOLOGY ALLOWING PATIENTS TO SAFELY UNDERGO MRI SCAN. IN ADDITION TO THE LIST OF CATHETERIZATION, SURGICAL AND NON-INVASIVE PROCEDURES BELOW, ST. JOHN'S OFFERS A CARDIAC REHABILITATION PROGRAM, AND OTHER STRESS-REDUCTION SERVICES THROUGH THE ST. JOHN'S CENTER FOR LIVING. CATHETERIZATION LABORATORY PROCEDURES: -ABDOMINAL AORTIC ANEURYSM GRAPHS -ABLATION OF COMPLEX ARRHYTHMIAS -ANGIOPLASTY WITH STENTING -ATRIALFIBRILLATION ABLATIONS -BALLOON ANGIOPLASTY -CAROTID STENTS -DEFIBRILLATOR IMPLANTATION -DIAGNOSTIC CARDIAC CATHETERIZATION -DRUG-ELUTING STENTS -ELECTRO PHYSIOLOGIC EVALUATION OF COMPLEX ARRHYTHMIAS -EVALUATION OF CARDIAC VALVES -EVALUATION OF CONGENITAL HEART DISEASE -NEUROLOGICAL INTERVENTIONS -PACEMAKER IMPLANTATION -PERIPHERAL VASCULAR STENTS -PERCUTANEOUS TRANSLUMINA MYOCARDIAL REVASCULARIZATION -RENAL STENTS -COATED STENTS SURGICAL PROCEDURES: -BEATING HEART BYPASS SURGERY -CORONARY ARTERY BYPASS GRAFT SURGERY -GENERAL THORACIC SURGERY -HEART VALVE REPLACEMENT AND REPAIR -LASER PACEMAKER LEAD EXTRACTION -MINIMALLY INVASIVE ATRIAL ABLATION SURGERY -MINIMALLY INVASIVE VALVE REPLACEMENT REPAIR SURGERY -PACEMAKER AND DEFIBRILLATOR IMPLANTATION -VASCULAR SURGERY (AORTIC, CEREBROVASCULAR, RENAL, AND PERIPHERAL) NONINVASIVE CARDIOVASCULAR DIAGNOSTIC PROCEDURES: -AUDICOR TESTING -A-V OPTIMIZATION -BIO-Z -CARDIAC CT'S -CARDIAC AND VASCULAR ULTRASOUND -CARDIOVERSIONS -DOPPLER EXAMS -ECHOCARDIOGRAPHY -ELECTROCARDIOGRAMS -HOLTER MONITORING/ARRHYTHMIA MONITORING/PACEMAKER CHECKS -NUCLEAR STRESS TESTING -PEDIATRIC CARDIOLOGY CLINIC -PREADMISSION TESTING (CHEST X-RAYS AND BLOOD TESTS) -STRESS ECHOCARDIOGRAPHY -TRAN ESOPHAGEAL ECHOCARDIOGRAPHY -T-WAVE ALTERNANS |
| FORM 990, PART III, LINE 4B, PROGRAM SERVICE REVENUE - ORTHOPEDICS | ORTHOPEDIC SERVICES AT ST. JOHN'S HOSPITAL INCLUDE MUSCULOSKELETAL INJURIES TO THE BONES, JOINTS, MUSCLES, LIGAMENTS OR TENDONS, AND CONDITIONS SUCH AS ARTHRITIS AND OSTEOPOROSIS. SPORTS INJURIES, TRAUMA, SPINE, FRACTURES, CHRONIC PAIN AND TOTAL JOINT REPLACEMENTS ARE THE MAIN REASONS WHY PATIENTS NEED ORTHOPEDIC CARE. - THE SERVICE LINE AVERAGES 3,100 SURGICAL AND 6,300 NON-SURGICAL PROCEDURES ANNUALLY. - SURGICAL CASE VOLUME IN FY14 (JULY '13 - JUNE '14) WAS 3,094 CASES. - OF THE TOP 10 SURGEONS IN VOLUME, 4 ARE ORTHOPEDIC (1 PEDIATRIC ORTHO). - OF THE TOP 10 PROCEDURES PERFORMED AT SJS, 4 OF THOSE ARE ORTHOPEDIC. - ORTHOPEDICS IS NUMBER 1 IN CASE PERCENTAGE OF TOTAL VOLUME FOR SJS MAIN OR AND OUTPATIENT SURGERY CLINIC AT 23.7% OF CASES PERFORMED; 3,050 OF THESE CASES WERE PERFORMED IN MAIN OR, PUTTING ORTHOPEDICS AGAIN AT NUMBER 1 FOR CASE VOLUME AT 36.9% OF TOTAL CASE VOLUME IN MAIN OR. - ADMISSION TYPE: 57.2% OUTPATIENT; 19.0% AM ADMISSION; 20.7% INPATIENT; 3.1% 23-HOUR OBSERVATION - CASE TYPE: 81.6% ELECTIVE; 15.5% ELECTIVE ON-CALL; 2.2% EMERGENT THE SERVICE LINE OFFERS MORE THAN 20 EDUCATIONAL EVENTS/LECTURES ANNUALLY TO THE GENERAL PUBLIC ON ORTHOPEDIC PROCEDURES AND CARE. THE SPECIFIC SERVICES INCLUDE: SURGICAL: INPATIENT & OUTPATIENT MAJOR ORTHOPEDIC PROCEDURES: -- KNEE & HIP ARTHROPLASTY/JOINT REPLACEMENTS (TOTALS, PARTIALS, REVISIONS): -748 IN FY14 -1458 IN LAST 2 FISCAL YEARS -38 USING MAKOPLASTY* -- SPINAL FUSION & DECOMPRESSION, LUMBAR & CERVICAL: -381 SPINE FUSION CASES IN FY 14 OTHER ORTHOPEDIC PROCEDURES: -- ARTHROSCOPY/ARTHROPLASTY/ARTHROTOMY: KNEE, HIP, SHOULDER, ELBOW, TOE, WRIST, ANKLE: -ROTATOR CUFF REPAIR -ARTHROSCOPIC ACL KNEE -CARPAL TUNNEL -FUSION: SPINE, FOOT, ANKLE, FINGER, TOE, WRIST, TIBIA -NAILING/RODDING TIBIA & FEMORAL -LAMINECTOMY, FACETECTOMY, DISKECTOMY, LAMINOTOMY, FORAMINOTOMY -ORIF: ACETABULUM, ANKLE, CALCANEUS, CLAVICLE, ELBOW, FEMUR, FINGER, FOOT, HIP, HUMERUS, PATELLA, PELVIS, RADIUS, SCAPULA, SHOULDER, TIBIA, TIBIAL PLATEAU, ULNA, WRIST -REPAIR OF TENDONS, LIGAMENTS, SOFT TISSUE AND CONDITIONS CAUSED BY ARTHRITIS AND REPETITIVE MOTION INJURIES NON-SURGICAL SERVICES: --PHYSICAL THERAPY: -SPORTS INJURIES -MUSCLE STRAINS AND SPRAINS -BACK AND NECK PAIN -HIP AND KNEE INJURIES -SHOULDER AND ELBOW INJURIES -ANKLE AND FOOT INJURIES -HAND AND UPPER EXTREMITY INJURIES -WORK-RELATED INJURIES -OVERUSE INJURIES, SUCH AS CARPAL TUNNEL SYNDROME -DIZZINESS AND BALANCE PROBLEMS --OCCUPATIONAL THERAPY: -BONE AND JOINT INJURIES/SURGERIES -CHRONIC PAIN -ARTHRITIS -WORK-RELATED INJURIES -HAND/WRIST INJURIES AND POST-SURGICAL CARE; SPLINTING -OVERUSE SYNDROMES, SUCH AS TENDONITIS AND CARPAL TUNNEL SYNDROME -STROKE -BRAIN AND SPINAL CORD INJURY -AMPUTATIONS --AQUATIC THERAPY: -ARTHRITIS -BACK INJURIES -GENERAL BONE AND JOINT INJURIES -JOINT REPLACEMENTS -NEUROLOGICAL CONDITIONS, SUCH AS STROKE; PARKINSON'S -SPORTS INJURIES --ATHLETIC TRAINING: -PREVENTION OF ATHLETIC INJURIES -IMMEDIATE CARE OF ATHLETIC INJURIES -REHABILITATION/RECONDITIONING OF ATHLETIC INJURIES -HEALTH CARE ADMINISTRATION -PROVIDING EDUCATION IN SCHOOLS -COMMUNITY EVENT COVERAGE |
| FORM 990, PART III, LINE 4C, PROGRAM SERVICE REVENUE - GASTROENTEROLOGY | GASTROENTEROLOGY SERVICES IS A SMALL, BUT TYPICALLY BUSY UNIT THAT SEES APPROXIMATELY 18-25 PATIENTS PER DAY. SEVENTY PERCENT ARE OUTPATIENTS AND 30% ARE INPATIENTS. BOTH DIAGNOSTIC AND THERAPEUTIC PROCEDURES ARE PERFORMED INCLUDING, BUT NOT LIMITED TO, COLONOSCOPY, EGD (ESOPHAGOGASTRODUODENOSCOPY), ERCP, PEG PLACEMENT, DILATATIONS, 24 HOUR PH AND MANOMETRICS. NURSING RESPONSIBILITIES FOR A ROUTINE OUTPATIENT INCLUDE COMPLETING A COMPREHENSIVE PATIENT ASSESSMENT; OBTAINING A WRITTEN CONSENT FOR TREATMENT; STARTING AN IV LINE; ADMINISTERING PRE-PROCEDURE ANTIBIOTICS IF ORDERED; TRANSPORTING THE PATIENT TO THE PROCEDURAL ROOM; ASSISTING THE PHYSICIAN WITH THE PROCEDURE; ADMINISTERING CONSCIOUS SEDATION IF ORDERED; ASSESSING AND TREATING DISCOMFORT; AND OVERALL PATIENT MONITORING. POST PROCEDURE, THE PATIENT SPENDS APPROXIMATELY ONE HOUR IN RECOVERY AND IS DISCHARGED TO A RESPONSIBLE PERSON AFTER DISCHARGE INSTRUCTIONS AND TEACHING IS COMPLETE. THE GIDA UNIT AT ST. JOHN'S HOSPITAL IS NOW OFFERING ENDOSCOPIC ULTRASOUND (EUS) SERVICES. THIS CUTTING-EDGE TECHNIQUE PROVIDES STAGING INFORMATION FOR CANCER AND CAN ALSO REDUCE SURGICAL RISK BY GIVING PHYSICIANS COMPREHENSIVE INFORMATION ABOUT THE LESION, THUS PREVENTING UNNECESSARY INVASIVE EXPLORATORY PROCEDURES. WE HAVE TWO OF THE MOST ADVANCED EUS INSTRUMENTS AVAILABLE IN THE U.S. WITH GI PHYSICIANS PERFORMING SOME OF THE MOST ADVANCED ENDOSCOPIC PROCEDURES, INCLUDING ENDOSCOPIC SUB-MUCOSAL DISSECTION. THIS PROCEDURE IN PARTICULAR, HAS THE ABILITY TO SAVE OUR PATIENTS FROM HAVING TO GO THROUGH AN OPEN SURGICAL PROCEDURE FOR REMOVAL OF CANCEROUS LESIONS. ST. JOHN'S IS THE ONLY HOSPITAL IN CENTRAL ILLINOIS PERFORMING THESE TYPES OF CASES. |
| FORM 990, PART IV, LINE 24A, TAX EXEMPT BONDS | ST. JOHN'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. JOHN'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. JOHN'S HOSPITAL SPRINGFIELD (THE "CORPORATION") IS VESTED IN ITS BOARD OF DIRECTORS, EXCEPT WITH RESPECT TO SPECIFIC POWERS RESERVED IN THE CORPORATION'S BYLAWS TO THE CORPORATION'S MEMBER, HOSPITAL SISTERS SERVICES, INC. ("HSSI"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE MEMBER OF HSSI IS HOSPITAL SISTERS HEALTH SYSTEM ("HSHS"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE MEMBERS OF HSHS ARE THE INDIVIDUAL SISTERS WHO, FROM TIME TO TIME, ARE THE DULY ELECTED PROVINCIAL SUPERIOR AND PROVINCIAL COUNCILORS, RESPECTIVELY, OF THE AMERICAN PROVINCE OF THE HOSPITAL SISTERS OF ST. FRANCIS ("AMERICAN PROVINCE"). THE AMERICAN PROVINCE IS THE UNITED STATES ORGANIZATION OF THE CONGREGATION OF THE HOSPITAL SISTERS OF THE THIRD ORDER REGULAR OF ST. FRANCIS, A RELIGIOUS INSTITUTE OF THE ROMAN CATHOLIC CHURCH. THE GOVERNANCE AND OPERATIONS OF THE CORPORATION ARE SUBJECT TO HSSI'S RIGHT TO EXERCISE THESE RESERVED POWERS WITH RESPECT TO THE CORPORATION AND ORGANIZATIONS OF WHICH THE CORPORATION IS EITHER, DIRECTLY OR INDIRECTLY, A CONTROLLING MEMBER OR A CONTROLLING SHAREHOLDER ("AFFILIATES"). HSSI'S RIGHT TO EXERCISE CERTAIN OF THESE RESERVED POWERS IS, IN TURN, SUBJECT TO THE APPROVAL OF HSHS AND HSHS' MEMBERS. THE RESERVED POWERS INCLUDE ALL RIGHTS GRANTED TO HSSI BY LAW AND THE RIGHT TO: (A) ADOPT, APPROVE AMENDMENTS TO, OR AMEND ANY STATEMENT OF PHILOSOPHY, MISSION, MISSION INTEGRATION OR VALUES, OR ANY NAME, LOGO, OR MARK OF THE CORPORATION OR OF ANY AFFILIATE; (B) ADOPT, APPROVE AMENDMENTS TO, OR AMEND THE ARTICLES OF INCORPORATION OF THE CORPORATION OR OF ANY AFFILIATE; (C) ADOPT, APPROVE AMENDMENTS TO, OR AMEND THE BYLAWS OF THE CORPORATION OR OF ANY AFFILIATE; (D) APPOINT AND REMOVE THE BOARD OF DIRECTORS, ANY ONE OR MORE OF THE DIRECTORS OF THE CORPORATION OR OF ANY AFFILIATE, AND THE CHAIRPERSON AND PRESIDENT OF THE CORPORATION OR OF ANY AFFILIATE; (E) APPROVE THE RECOMMENDATION OF THE BOARD OF DIRECTORS TO APPOINT OR REMOVE THE BOARD OF DIRECTORS, ANY ONE OR MORE DIRECTORS OF THE CORPORATION OR OF ANY AFFILIATE, OR THE CHAIRPERSON AND PRESIDENT OF THE CORPORATION OR OF ANY AFFILIATE. (F) WITH RESPECT TO THE CORPORATION OR ANY AFFILIATE, APPROVE THE PURCHASE, SALE, ALIENATION, EXCHANGE, LEASE, OR ENCUMBRANCE OF ANY REAL PROPERTY OF THE CORPORATION OR OF ANY AFFILIATE, WHICH PROPERTY HAS A VALUE IN EXCESS OF LIMITS SET FROM TIME TO TIME BY HSSI; (G) APPROVE THE OPERATING AND CAPITAL BUDGETS OF THE CORPORATION OR OF ANY AFFILIATE, AND ANY DEVIATIONS BY THE CORPORATION OR OF ANY AFFILIATE FROM SUCH BUDGETS IN AN AMOUNT OR PERCENTAGE SPECIFIED BY HSSI FROM TIME TO TIME; (H) APPROVE THE STRATEGIC PLAN AND GOALS OF THE CORPORATION OR OF ANY AFFILIATE; (I) APPROVE THE SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR OF ANY AFFILIATE; (J) APPROVE THE MERGER OR DISSOLUTION OF THE CORPORATION OR OF ANY AFFILIATE; (K) ADOPT OR AMEND THE PLAN FOR MINISTRY EDUCATION AND GOVERNANCE FOR THE CORPORATION AND ITS AFFILIATES; (L) APPROVE THE CORPORATION'S MISSION ACCOUNTABILITY REPORTS AND THOSE OF ANY AFFILIATE; (M) APPROVE THE FINANCIAL POLICIES AND PROCEDURES OF THE CORPORATION OR OF ANY AFFILIATE AND APPROVE ANY DEVIATIONS FROM SUCH POLICIES AND PROCEDURES BY THE CORPORATION OR ANY AFFILIATE; AND (N) ADOPT POLICIES TO IMPLEMENT THE RESERVED POWERS OF HSSI. |
| Form 990, Part VI, 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 HAVE BEEN USED SINCE JANUARY, 2010 TO ESTABLISH THE PRACTICE OF MANAGING CONFLICTS OF INTEREST USING A SYSTEM-WIDE PROTOCOL FOR DISCLOSURE STATEMENTS. IN ACCORDANCE WITH THE ORGANIZATON'S CONFLICT OF INTEREST POLICY, ALL COVERED PERSONS HAVE A DUTY TO COMPLY WITH THE CONFLICT OF INTEREST POLICY FOR ANY CONTRACT, TRANSACTION, RELATIONSHIP, OR ACTIVITY CONTEMPLATED, ENTERED INTO, OR CONDUCTED AT HSHS OR ITS AFFILIATES. THE POLICY DEFINES COVERED PERSONS AS BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS, BOARD DESIGNEES, SENIOR MANAGEMENT, MEMBERS OF ANY COMMITTEE THAT OVERSEES THE APPROVAL OF PHARMACEUTICALS, AND MEDICAL DEVICES, ANY OTHER INDIVIDUAL WHO HOLDS A POSITION OF TRUST. ON AN ANNUAL BASIS, HSHS DISCLOSES A COPY OF THE CONFLICT OF INTEREST POLICY (AND ALL CORRESPONDING PROCEDURES, GUIDELINES, FORMS, AND TOOLS) TO ALL COVERED PERSONS AND ADVISES ALL COVERED PERSONS IN WRITING OF ANY SUBSTANTIVE CHANGES TO THIS POLICY AND SUCH RELATED MATERIALS. COVERED PERSONS ARE REQUIRED TO REVIEW AND COMPLETE THE CORRESPONDING CONFLICT OF INTEREST STATEMENT. THE SYSTEM OFFICE VICE PRESIDENT - SYSTEM RESPONSIBILITY, VICE PRESIDENT - RISK & COMPLIANCE, OR MEMBERS OF THE AUDIT AND INTEGRITY COMMITTEE ("COMMITTEE") ARE AVAILABLE TO ANSWER ANY QUESTIONS A COVERED PERSON MAY HAVE. IN ADDITION, IF, AT ANY TIME AFTER SUBMITTING AN ANNUAL CONFLICT OF INTEREST STATEMENT, A COVERED PERSON BECOMES AWARE OF AN INTEREST THAT HE OR SHE WOULD HAVE HAD TO DISCLOSE AT THE ANNUAL INTERVAL, THE COVERED PERSON IS REQUIRED PROMPTLY TO DISCLOSE THE INTEREST TO THE COMMITTEE USING THE HSHS CONFLICT OF INTEREST DISCLOSURE STATEMENT. COMPLETED CONFLICT OF INTEREST STATEMENTS ARE SUBMITTED TO THE COMMITTEE, WHICH IS RESPONSIBLE FOR IDENTIFYING, ASSESSING, AND MANAGING CONFLICTS OF INTEREST THAT ARISE IN THE COURSE OF CONDUCTING THE AFFAIRS OF HSHS AND ITS AFFILIATES. IF THE COMMITTEE DETERMINES THAT A CONFLICT OF INTEREST EXISTS, THE CONFLICT OF INTEREST POLICY REQUIRES HSHS NOT TO ENGAGE IN, OR ENTER INTO, A PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY UNLESS THE COMMITTEE OR, WHERE NECESSARY, THE BOARD OF DIRECTORS (ACTING THROUGH ITS DISINTERESTED MEMBERS), HAS INVESTIGATED ALTERNATIVES TO THE PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY AND, IN THE ABSENCE OF ALTERNATIVES THAT ARE IN THE BEST INTERESTS OF HSHS, HAS DETERMINED: 1. THAT, REGARDLESS OF WHETHER THE COVERED PERSON PARTICIPATES IN THE IMPLEMENTATION OF THE PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY; 2. THE CONTRACT, TRANSACTION, ARRANGEMENT, OR ACTIVITY IS IN THE BEST INTERESTS OF HSHS; 3. THE CONTRACT, TRANSACTION, ARRANGEMENT, OR ACTIVITY IS FAIR AND REASONABLE FROM THE PERSPECTIVE OF HSHS; AND 4. HSHS CANNOT OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION, ARRANGEMENT, OR ACTIVITY WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. IN DETERMINING WHETHER A CONTRACT, TRANSACTION OR ARRANGEMENT IS FAIR AND REASONABLE TO HSHS, THE COMMITTEE SHALL CONSIDER, WHERE APPLICABLE: 1. APPRAISALS OR OTHER INDEPENDENT VALUATIONS OF THE FAIR MARKET VALUE OF THE CONTRACT, TRANSACTION, OR ARRANGEMENT; 2. INFORMATION REGARDING COMPARABLE CONTRACTS, TRANSACTIONS, OR ARRANGEMENTS BETWEEN UNRELATED PARTIES; 3. OFFERS FROM COMPARABLE COMPETING ENTITIES; AND/OR 4. STUDIES OF COMPARABLE COMPENSATION ARRANGEMENTS. IN ANY CASE IN WHICH THE COMMITTEE FINDS, AFTER TAKING THE STEPS DESCRIBED ABOVE, THAT HSHS SHOULD PARTICIPATE IN A PROPOSED TRANSACTION OR ARRANGEMENT DESPITE THE EXISTENCE OF A CONFLICT OF INTEREST, THE COMMITTEE SHALL DEVELOP, IMPLEMENT, MONITOR, AND ENFORCE COMPLIANCE WITH, A CONFLICT MANAGEMENT PLAN FOR MANAGING THE CONFLICT OF INTEREST AS IT CONSIDERS NECESSARY FOR SUCH FINDINGS TO REMAIN VALID THROUGHOUT THE LIFE OF THE CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY. ALL CONFLICT MANAGEMENT PLANS SHALL: 1. STATE THAT THE COMMITTEE WILL OVERSEE, MONITOR, AND ENFORCE COMPLIANCE WITH THE PLAN THROUGHOUT THE COURSE OF THE STUDY AND SPECIFY MEANS FOR DOING SO, INCLUDING, WITHOUT LIMITATION, THAT THE APPROPRIATE INDIVIDUALS MUST PROVIDE THE COMMITTEE WITH WRITTEN REPORTS PERTAINING TO COMPLIANCE WITH THE CONFLICT MANAGEMENT PLAN, THAT THE COMMITTEE SHALL HAVE THE RIGHT TO AUDIT THE STUDY FOR SUCH COMPLIANCE, AND THE RIGHT TO IMPOSE SANCTIONS FOR NON-COMPLIANCE; 2. STATE THAT THE PLAN MUST BE SHARED WITH COVERED PERSON WHOSE INTERESTS IT WAS DEVELOPED TO MANAGE; 3. STATE THAT THE PLAN MUST BE SHARED WITH, AND PERIODIC REPORTS ON COMPLIANCE WITH THE PLAN MUST BE PROVIDED TO, THE BOARD, SENIOR MANAGEMENT, AND/OR GOVERNMENT AGENCIES; AND 4. PROVIDE FOR SUCH OTHER MANAGEMENT STEPS AND MECHANISMS THE COMMITTEE CONSIDERS NECESSARY AND APPROPRIATE. IN ADDITION TO THE COMMITTEE, THE SYSTEM OFFICE VICE PRESIDENTS OF SYSTEM RESPONSIBILITY AND RISK & COMPLIANCE MAY RETAIN SUCH INDEPENDENT ADVISORS OR EXPERTS AS DEEMED NECESSARY TO ASSIST IN MAKING ITS DETERMINATIONS AND DECISIONS. IF THE COMMITTEE DETERMINES THAT THE CONTEMPLATED TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY CANNOT PROCEED DUE TO A CONFLICT OF INTEREST, THE COMMITTEE SHALL INFORM THE APPLICABLE COVERED PERSON OR DECISION-MAKING BODY OF SUCH DETERMINATION WITHIN ONE WEEK OF THE COMMITTEE MEETING AT WHICH THE CONTEMPLATED TRANSACTION WAS DISCUSSED. THE COMMITTEE SHALL DOCUMENT ITS REJECTION OF THE CONTEMPLATED TRANSACTION IN THE COMMITTEE'S MEETING MINUTES. |
| FORM 990, PART VI, LINE 13, WHISTLEBLOWER POLICY | PROVISIONS WITHIN THE CORPORATE COMPLIANCE PROGRAM 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. JOHN'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 SACRED HEART HOSPITAL, AND ALL HSHS HOSPITALS, TO EVALUATE THEIR PARTICIPATION IN JOINT VENTURE ARRANGEMENTS, INCLUDING UNDER APPLICABLE FEDERAL TAX LAWS, AND TO SAFEGUARD SACRED HEART HOSPITAL'S TAX EXEMPT STATUS WITH RESPECT TO ANY JOINT VENTURE ARRANGEMENTS. |
| Form 990, Part VI, 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 | OTHER PURCHASED SERVICES - TOTAL EXPENSE: 27407683, PROGRAM SERVICE EXPENSE: 24879775, MANAGEMENT AND GENERAL EXPENSES: 2527908, FUNDRAISING EXPENSES: ; PROFESSIONAL FEES - TOTAL EXPENSE: 40754034, PROGRAM SERVICE EXPENSE: 34630754, MANAGEMENT AND GENERAL EXPENSES: 6123280, FUNDRAISING EXPENSES: ; |
| FORM 990, PART X, LINE 11, POOLED INVESTMENT ACCOUNT | ST. JOHN'S HOSPITAL'S CASH RESERVES ARE INVESTED IN A POOLED INVESTMENT ACCOUNT. PARTICIPATION IN THE POOLED FUND IS LIMITED TO THE 501(C)(3) HOSPITALS AND RELATED HEALTH SERVICES ORGANIZATIONS SPONSORED BY HOSPITAL SISTERS HEALTH SYSTEM. THE POOLED ACCOUNT CONSISTS OF CASH, AND EQUITY AND DEBT SECURITIES THAT ARE PUBLICLY TRADED. IN ACCORDANCE WITH THE PROVISIONS OF SFAS NO. 124 "ACCOUNTING FOR CERTAIN INVESTMENTS HELD BY NOT-FOR-PROFIT ORGANIZATIONS", INVESTMENTS IN EQUITY SECURITIES WITH READILY DETERMINABLE VALUES, AND ALL INVESTMENTS IN DEBT SECURITIES, ARE REPORTED AT FAIR VALUE ON THE BALANCE SHEET. INCOME, REALIZED AND UNREALIZED GAINS AND LOSSES ARE POOLED AND ALLOCATED TO THE PARTICIPANTS. INDIVIDUAL COMPONENTS OF ASSETS AND REVENUE ARE NOT IDENTIFIED TO THE INDIVIDUAL HOSPITAL PARTICIPANTS. |
| Form 990 , Part XI, Line 9, Other changes in net assets or fund balances | CHANGE IN FOUNDATION RESCRITED NET ASSETS - 2383916; CHANGE IN PENSION FUNDED STATUS - 14434286; TRANSFERS TO HSHS - -35003949; CHANGE IN FAIR VALUE OF INTEREST RATE SWAPS - 975329; UNRESTRICTED NET ASSETS RELEASED FOR PURCHASE OF PPE - 2192; CHANGE IN FOUNDATION PERM RESTRICTED NET ASSETS - 110390; CHANGE IN COLLEGE OF NURSING TEMP RESTRICTED NET ASSETS - 4159; |
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 ELIZABETH'S HOSPITAL | ||||||||||
| 211 SOUTH THIRD STREET | BELLEVILLE | IL | 62220 | 370663567 | HEALTHCARE | IL | 501(C)(3) | 3 | HSSI | Yes (true) |
| ST NICHOLAS HOSPITAL | ||||||||||
| 3100 SUPERIOR AVENUE | SHEBOYGAN | WI | 53081 | 390808480 | HEALTHCARE | WI | 501(C)(3) | 3 | HSSI | Yes (true) |
| ST 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 | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | 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 | ANY TRANSACTIONS LISTED ON SCH R, PART V, LINE 1 AND NOT ON SCH R, PART V, R, PART V, LINE 2 ARE BETWEEN RELATED 501(C)(3) AND DO NOT REQUIRE REPORTING ON THIS SECTION. |