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

View the entire original 990 at ProPublica ↗

Organization: ST MARYS HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDE (EIN 37-0661244)
Tax period: 2013-07-01 to 2014-06-30
Filed: 2015-05-13
IRS object ID: 201531339349302523
Schema version: 2013v4.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-05-13T12:03:13-05:00	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	370661244	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST MARY'S HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST	BusinessNameLine1
Business Name Line2	FRANCIS	BusinessNameLine2

Field	Value	IRS element (for citing)
Business Name Control	STMA	BusinessNameControlTxt
Phone	2174642966	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1800 E LAKE SHORE DRIVE	AddressLine1
City	Decatur	City
State	IL	State
ZIP Code	62521	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DANIEL PERRYMAN	PersonNm
Person Title	CHIEF EXECUTIVE OFFICER	PersonTitleTxt
Signature	2015-04-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	John V Woodhull	PreparerPersonNm
PTIN	P01305268	PTIN
Phone	3128997000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Address PrincipalOfcrBusinessAddress

Field	Value	IRS element (for citing)
Business Name Line1	DANIEL PERRYMAN	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1800 E LAKE SHORE DRIVE	AddressLine1
City	Decatur	City
State	IL	State
ZIP Code	62521	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$144,919,361	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.STMARYSDECATUR.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1878	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	TO PARTICIPATE IN THE HEALTH CARE MINISTRY OF THE CHURCH AND PROVIDE A FAMILY-CENTERED APPROACH IN MEETING THE COMMUNITY'S HEALTH CARE NEEDS REGARDLESS OF ABILITY TO PAY.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	1304	TotalEmployeeCnt
Total Volunteers	345	TotalVolunteersCnt
Total Gross UBI	$60,341	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$17,310	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$80,762	PYContributionsGrantsAmt
CY Contributions Grants	$1,375,376	CYContributionsGrantsAmt
PY Program Service Revenue	$137,908,679	PYProgramServiceRevenueAmt
CY Program Service Revenue	$138,095,293	CYProgramServiceRevenueAmt
PY Investment Income	$191,592	PYInvestmentIncomeAmt
CY Investment Income	$55,349	CYInvestmentIncomeAmt
PY Other Revenue	$6,692,211	PYOtherRevenueAmt
CY Other Revenue	$4,143,582	CYOtherRevenueAmt
PY Total Revenue	$144,873,244	PYTotalRevenueAmt
CY Total Revenue	$143,669,600	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$58,555,339	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$50,173,840	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$84,836,503	PYOtherExpensesAmt
CY Other Expenses	$86,522,997	CYOtherExpensesAmt
PY Total Expenses	$143,391,842	PYTotalExpensesAmt
CY Total Expenses	$136,696,837	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,481,402	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$6,972,763	CYRevenuesLessExpensesAmt
Total Assets BOY	$143,368,741	TotalAssetsBOYAmt
Total Assets EOY	$143,490,260	TotalAssetsEOYAmt
Total Liabilities BOY	$81,311,630	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$77,459,706	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$62,057,111	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$66,030,554	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF ST. MARY'S HOSPITAL IS 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	$102,115,076	ExpenseAmt
Revenue	$141,379,984	RevenueAmt
Desc	SEE SCHEDULE O - STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Desc
Total Program Service Expenses	$102,115,076	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	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	104	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1304	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	12	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SHANE KITCHENS	BusinessNameLine1

Field	Value	IRS element (for citing)
Phone	2174642590	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1800 E LAKE SHORE DRIVE	AddressLine1
City	DECATUR	City
State	IL	State
ZIP Code	62521	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (26 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
BOB WIESEMANN
VICE-CHAIRPERSON	1.00	0	Yes (X)	Yes (X)	$0	$0	$0
DANIEL PERRYMAN
BOARD MEMBER, CHIEF EXECUTIVE OFFICER	1.00	49.00	Yes (X)	Yes (X)	$0	$358,887	$95,226
JOHN SKEFFINGTON
SECRETARY	1.00	0	Yes (X)	Yes (X)	$0	$0	$0
KEVIN BREHENY
CHAIRPERSON	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
ALAN FRIGY MD
BOARD MEMBER	1.00	0	Yes (X)		$0	$0	$0
CLAUDIA MADDING
BOARD MEMBER	1.00	0	Yes (X)		$0	$0	$0
LORI KERANS
BOARD MEMBER	1.00	0	Yes (X)		$0	$0	$0
MARK CHEVIRON
BOARD MEMBER	1.00	0	Yes (X)		$0	$0	$0
MICHAEL W COTTRELL
BOARD MEMBER	1.00	59.00	Yes (X)		$0	$692,004	$156,526
PAT DAWSON
BOARD MEMBER	1.00	0	Yes (X)		$0	$0	$0
REV JOSEPH MOLLOY
BOARD MEMBER	1.00	0	Yes (X)		$0	$0	$0
SR HELEN PLUMMER OSF
BOARD MEMBER	1.00	0	Yes (X)		$0	$0	$0
ANN M CARR
TREASURER	0.25	59.75		Yes (X)	$0	$318,955	$255,068
DAVID OLEJNICZAK
Interim CEO	10.00	65.00		Yes (X)	$0	$403,341	$89,256
EVERT J KUIPER
Central Illinois Division CEO	17.00	58.00		Yes (X)	$0	$158,209	$0
GERALD PAULE
DIVISION CHIEF FINANCIAL OFFICER	10.00	65.00		Yes (X)	$0	$0	$0
REBECCA COLKER
CHIEF FINANCIAL OFFICER	60.00	0		Yes (X)	$280,014	$0	$68,231
REBECCA PUCLIK
DIVISIONAL CHIEF PEOPLE OFFICER	10.00	65.00		Yes (X)	$0	$78,965	$32,766
SHERRI A GREENWOOD
DIVISION CHIEF NURSING OFFICER	5.00	55.00		Yes (X)	$0	$230,068	$61,738
BETH MCCOY
CRNA	40.00	0			$227,129	$0	$88,910	Yes (X)
DEANNA HITCHENS
CRNA	40.00	0			$195,513	$0	$46,577	Yes (X)
MARY HARTMAN
CRNA	40.00	0			$259,542	$0	$112,000	Yes (X)
ROBERTA MCBRIDE
CRNA	40.00	0			$220,187	$0	$140,865	Yes (X)
SHEILA HOLLINDEN
CRNA	40.00	0			$219,785	$0	$173,349	Yes (X)
KEVIN KAST
CHIEF EXECUTIVE OFFICER	0.00	0.00			$0	$594,630	$166,771		Yes (X)
THERESA J RUTHERFORD
COO	0.00	60.00			$0	$160,594	$94,601		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,402,170	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,995,653	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,581,884	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	33	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
PRAIRIE CARDIOVASCULAR CONSULTING
PO BOX 19420	SPRINGFIELD	IL	627949420	CONSULTANTS	$1,977,573
SODEXO
488 PAYSPHERE CIRCLE	DECATUR	IL	60674	FOOD SERVICE/EVS MANAGEMENT	$1,809,715
ST JOHNS HOSPITAL
800 E CARPENTER STREET	SPRINGFIELD	IL	62769	SHARED SERVICES/DIVISIONAL FEE	$1,549,567
REHAB CARE
7733 FORSYTH BOULEVARD	ST LOUIS	MO	63105	CONTRACTOR	$919,179
CENTRAL IL ASSOCIATES
1800 E LAKE SHORE DR	DECATUR	IL	62521	ANESTHESIA PHY SERV	$884,613

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	29	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,114,178	RelatedOrganizationsAmt
All Other Contributions	$261,198	AllOtherContributionsAmt
Total Contributions	$1,375,376	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PROGRAM SERVICE REVENUE	900099	$138,095,293	$138,095,293
		$0
		$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	$138,095,293	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,725	TotalRevenueColumnAmt
Exclusion	$4,725	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,859,595	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,231,370	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$628,225	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$628,225	TotalRevenueColumnAmt
Exclusion	$628,225	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$34,034	SecuritiesAmt
Other	$34,981	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$18,391	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$34,034	SecuritiesAmt
Other	$16,590	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$50,624	TotalRevenueColumnAmt
Exclusion	$50,624	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	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
REFERENCE LAB	621500	$35,161	$35,161
PHYSICIAN ANSWERING SERVICE	621500	$25,180	$25,180
GIFT SHOP	900099	$170,325		$170,325

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,284,691	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,284,691	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,515,357	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$143,669,600	TotalRevenueColumnAmt
Related Or Exempt Func Income	$141,379,984	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$60,341	UnrelatedBusinessRevenueAmt
Exclusion	$853,899	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$293,621	TotalAmt
Management And General	$293,621	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Management And General	$0	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$39,750,429	TotalAmt
Program Services	$35,918,974	ProgramServicesAmt
Management And General	$3,831,455	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,099,038	TotalAmt
Program Services	$3,099,038	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,125,543	TotalAmt
Program Services	$3,712,989	ProgramServicesAmt
Management And General	$412,554	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,905,209	TotalAmt
Program Services	$2,905,209	ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Management And General	$0	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$320,844	TotalAmt
Management And General	$320,844	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$34,058	TotalAmt
Management And General	$34,058	ManagementAndGeneralAmt

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
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$18,451,973	TotalAmt
Program Services	$15,529,342	ProgramServicesAmt
Management And General	$2,922,631	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$436,314	TotalAmt
Management And General	$436,314	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$456,376	TotalAmt
Program Services	$189,196	ProgramServicesAmt
Management And General	$267,180	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,571,696	TotalAmt
Program Services	$1,545,586	ProgramServicesAmt
Management And General	$26,110	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$105,371	TotalAmt
Program Services	$52,378	ProgramServicesAmt
Management And General	$52,993	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$29,278	TotalAmt
Program Services	$18,968	ProgramServicesAmt
Management And General	$10,310	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$592,519	TotalAmt
Program Services	$592,519	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$8,743,629	TotalAmt
Management And General	$8,743,629	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$8,452,900	TotalAmt
Program Services	$8,452,900	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,810,316	TotalAmt
Program Services	$153,732	ProgramServicesAmt
Management And General	$1,656,584	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
BAD DEBT	$10,700,655	$10,700,655	$0
MEDICAD TAX ASSESSMENT	$6,284,072		$6,284,072
SUPPLIES	$18,543,665	$18,390,196	$153,469

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,989,331	TotalAmt
Program Services	$853,394	ProgramServicesAmt
Management And General	$9,135,937	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$136,696,837	TotalAmt
Program Services	$102,115,076	ProgramServicesAmt
Management And General	$34,581,761	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,394,511	BOYAmt
EOY	$4,730,788	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$23,587,110	BOYAmt
EOY	$32,422,536	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	$3,136,557	BOYAmt
EOY	$2,697,578	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$711,565	BOYAmt
EOY	$440,557	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$222,089,508	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$125,630,603	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$98,542,636	BOYAmt
EOY	$96,458,905	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$10,536,380	BOYAmt
EOY	$7,131,505	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	$2,240,654	BOYAmt
EOY	-$848,927	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
EOY	$250,500	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$219,328	BOYAmt
EOY	$206,818	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$143,368,741	BOYAmt
EOY	$143,490,260	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$20,097,528	BOYAmt
EOY	$20,624,517	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$97,001	BOYAmt
EOY	$74,760	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$35,546,089	BOYAmt
EOY	$34,793,980	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$6,000,000	BOYAmt
EOY	$5,346,750	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$19,571,012	BOYAmt
EOY	$16,619,699	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$81,311,630	BOYAmt
EOY	$77,459,706	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$55,076,341	BOYAmt
EOY	$58,899,050	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,779,767	BOYAmt
EOY	$5,930,481	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,201,003	BOYAmt
EOY	$1,201,023	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$62,057,111	BOYAmt
EOY	$66,030,554	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$143,368,741	BOYAmt
EOY	$143,490,260	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$6,972,763	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$307,124	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$3,306,444	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	$34,058	OtherActivitiesAmt
Total Lobbying Expenditures	$34,058	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. MARY'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. A PART OF THESE DUES IS ATTRIBUTABLE TO LOBBYING FEES PAID BY THE ORGANIZATIONS. THE AMOUNT LISTED IS THE AMOUNT ATTRIBUTABLE TO THE HOSPITAL FROM ITS DUES PAID.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,295,160	OtherCostOrOtherBasisAmt
Book Value	$3,295,160	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$90,635,564	OtherCostOrOtherBasisAmt
Depreciation	$34,526,605	DepreciationAmt
Book Value	$56,108,959	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$42,348,394	OtherCostOrOtherBasisAmt
Depreciation	$27,441,302	DepreciationAmt
Book Value	$14,907,092	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$81,785,098	OtherCostOrOtherBasisAmt
Depreciation	$63,662,696	DepreciationAmt
Book Value	$18,122,402	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,025,292	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$4,025,292	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$96,458,905	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
RETIRE OBLIGATION - ASBESTOS	$1,754,621
ACCRUED BENEFIT LIABILITY	$14,865,078

Field	Value	IRS element (for citing)
Total Liability	$16,619,699	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	HSHS AND THE FOUNDATION ARE ILLINOIS NOT FOR PROFIT ORGANIZATIONS AS DESCRIBED IN SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE FUTURE TAX CONSEQUENCES ATTRIBUTABLE TO DIFFERENCES BETWEEN THE CONSOLIDATED FINANCIAL STATEMENT CARRYING AMOUNTS OF EXISTING ASSETS AND LIABILITIES AND THEIR RESPECTIVE TAX BASIS AND OPERATING LOSS AND TAX CREDIT CARRYFORWARDS. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING THE ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN INCOME IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. IN ASSESSING THE REALIZABILITY OF DEFERRED TAX ASSETS, MANAGEMENT CONSIDERS WHETHER IT IS MORE LIKELY THAN NOT THAT SOME PORTION OR ALL OF THE DEFERRED TAX ASSETS WILL NOT BE REALIZED. THE ULTIMATE REALIZATION OF DEFERRED TAX ASSETS IS DEPENDENT UPON THE GENERATION OF FUTURE TAXABLE INCOME DURING THE PERIODS IN WHICH THOSE TEMPORARY DIFFERENCES BECOME DEDUCTIBLE. MANAGEMENT CONSIDERS PROJECTED FUTURE TAXABLE INCOME AND TAX PLANNING STRATEGIES IN MAKING THIS ASSESSMENT. BASED UPON THE LEVEL OF HISTORICAL TAXABLE LOSSES AND PROJECTIONS FOR FUTURE TAXABLE LOSSES OVER THE PERIODS FOR WHICH THE DEFERRED TAX ASSETS ARE DEDUCTIBLE, MANAGEMENT BELIEVES IT IS MORE LIKELY THAN NOT THAT KIARA, INC. WILL NOT REALIZE THE MAJORITY OF THE BENEFITS OF THESE DEDUCTIBLE DIFFERENCES. THE DEFERRED TAX ASSETS ATTRIBUTABLE TO THE NET OPERATING LOSS 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.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
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)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$3,661,299	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,661,299	NetCommunityBenefitExpnsAmt
Total Expense	0.02910	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$7,372,778	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,372,778	NetCommunityBenefitExpnsAmt
Total Expense	0.05850	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	2035	PersonsServedCnt
Total Community Benefit Expns	$289,740	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$243,059	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$46,681	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	2035	PersonsServedCnt
Total Community Benefit Expns	$11,323,817	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$243,059	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,080,758	NetCommunityBenefitExpnsAmt
Total Expense	0.08800	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,105,543	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$489,711	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$615,832	NetCommunityBenefitExpnsAmt
Total Expense	0.00490	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$116,658	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,425	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$105,233	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$36,411,342	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$33,999,120	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,412,222	NetCommunityBenefitExpnsAmt
Total Expense	0.01910	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,332	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$24,332	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$37,657,875	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,500,256	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,157,619	NetCommunityBenefitExpnsAmt
Total Expense	0.02500	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	2035	PersonsServedCnt
Total Community Benefit Expns	$48,981,692	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,743,315	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,238,377	NetCommunityBenefitExpnsAmt
Total Expense	0.11300	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)
Net Community Benefit Expns	$0	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)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$38,278	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$38,278	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$38,278	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,278	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$10,700,655	BadDebtExpenseAmt
Bad Debt Expense Attributable	$31,950	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$46,926,855	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$43,354,809	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$3,572,046	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST MARY'S HOSPITAL	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1700 E LAKE SHORE DR	AddressLine1
City	DECATUR	City
State	IL	State
ZIP Code	62521	ZIPCode

Field	Value	IRS element (for citing)
Website Address	HTTPS://WWW.STMARYSDECATUR.COM/	WebsiteAddressTxt
State License	0905-2097	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
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 MARY'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
Other	Yes (X)	OtherInd
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	www.stmarysdecatur.com	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
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	150	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (true)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	300	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 (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V Sec B, Line 1j, Other Content in Needs Assessment	(1) - ST. MARY'S HOSPITAL, DECATUR, OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS: DURING FISCAL YEAR 2012, ST. MARY'S HOSPITAL CONDUCTED A HEALTH NEEDS ASSESSMENT OF THE FACILITY'S SERVICE AREA. MACON COUNTY MAKES UP THE MAJORITY OF THE ST. MARY'S HOSPITAL PRIMARY SERVICE AREA, WITH SURROUNDING COUNTIES COMPRISING MUCH OF THE SECONDARY AND TERTIARY AREAS. ST. MARY'S HOSPITAL, WHICH IS AFFILIATED WITH HOSPITAL SISTERS HEALTH SYSTEMS, IS ONE OF TWO ACUTE CARE HOSPITALS SERVING THIS AREA. ST. MARY'S HOSPITAL FIRST PARTICIPATED WITH THE MACON COUNTY HEALTH DEPARTMENT AND OTHER COMMUNITY HEALTH PROVIDERS AS PART OF THE COMMUNITY HEALTH COMMITTEE FOR COMPLETION OF THE ILLINOIS PROJECT FOR LOCAL ASSESSMENT OF NEEDS (IPLAN). ST. MARY'S HOSPITAL THEN SUPPLEMENTED THE IPLAN DATA WITH PRIMARY DATA FROM 400 TELEPHONE SURVEYS, CONDUCTED BY LEEDE RESEARCH, TO THE PRIMARY SERVICE AREA.;
Schedule H, Part V Sec B, Line 3, Community Served by Needs Assessment	(1) - ST. MARY'S HOSPITAL, DECATUR, OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS: ASSESSING THE HEALTH NEEDS OF THE COMMUNITY BEGAN WITH THE COLLABORATION OF HEALTH PROFESSIONALS ON THE COMMUNITY HEALTH COMMITTEE, WHICH WAS ORGANIZED BY THE MACON COUNTY HEALTH DEPARTMENT. THIS COMMITTEE OF 19 MEMBERS WAS LED BY BRANDI BINKLEY, DIRECTOR OF HEALTH PROMOTION. IN ADDITION TO EIGHT REPRESENTATIVES FROM ST. MARY'S HOSPITAL, MEMBERS OF THIS COMMITTEE INCLUDE REPRESENTATIVES FROM UNITED WAY, DECATUR MEMORIAL HOSPITAL, MACON COUNTY MENTAL HEALTH BOARD, DECATUR HOUSING AUTHORITY, DECATUR COMMUNITY PARTNERSHIP, COMMUNITY HEALTH IMPROVEMENT CENTER, DOVE RETIRED SENIOR VOLUNTEER PROGRAM, AMERICAN CANCER SOCIETY, AND A PARISH NURSE. THESE COMMUNITY PARTNERS BRING SPECIAL KNOWLEDGE AND EXPERTISE IN THE AREAS OF PUBLIC HEALTH, UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS, AND CHRONIC DISEASE. THE COMMUNITY HEALTH PLAN (IPLAN) FOR MACON COUNTY WAS CREATED AS A RESULT OF THIS GROUP'S RESEARCH. TO SUPPLEMENT THE WORK OF THE COMMUNITY HEALTH COMMITTEE, ST. MARY'S HOSPITAL SOUGHT ADDITIONAL PRIMARY DATA. IN NOVEMBER 2011, ALONG WITH OTHER HOSPITALS IN THE HOSPITAL SISTERS HEALTH SYSTEM, ST. MARY'S HOSPITAL CONTRACTED WITH LEEDE RESEARCH TO CONDUCT TELEPHONE INTERVIEWS IN EACH LOCAL SERVICE AREA. THE STUDY CONSISTED OF 400 COMPLETED TELEPHONE INTERVIEWS UTILIZING A QUESTIONNAIRE DESIGNED BY LEEDE IN COOPERATION WITH HOSPITAL LEADERSHIP. THE FACILITY'S PARENT ORGANIZATION, HOSPITAL SISTERS HEALTH SYSTEM, FORMED A COMMUNITY BENEFIT PLANNING TEAM THAT DEVELOPED GUIDELINES FOR CONSISTENCY IN COMMUNITY HEALTH NEEDS ASSESSMENTS, IMPLEMENTATION PLANNING AND GUIDELINES FOR REPORTING COMMUNITY BENEFIT. ST. MARY'S HOSPITAL FORMED AN INTERNAL COMMUNITY BENEFIT TEAM CONSISTING OF HOSPITAL COLLEAGUES. THE PURPOSE OF THIS GROUP IS TO PROVIDE INPUT, MONITOR THE PROGRESS OF OUR COMMUNITY BENEFIT INITIATIVE AND IMPLEMENTATION PLAN, AS WELL AS ASSIST IN IDENTIFYING ADDITIONAL OPPORTUNITIES FOR ADDRESSING THE NEEDS OF THE COMMUNITY. SINCE DECEMBER 2009, THE ST. MARY'S STRATEGIC PLANNING COMMITTEE, COMPRISED OF HOSPITAL LEADERSHIP, LOCAL PHYSICIANS, COMMUNITY LEADERS AND LOCAL BOARD MEMBERS, HAS BEEN INSTRUMENTAL IN EXAMINING THE ST. MARY'S MINISTRY FROM EVERY VANTAGE POINT. THEY PROVIDE VALUABLE INPUT ON AN ONGOING BASIS ON THE COMMUNITY'S HEALTHCARE NEEDS. THE HOSPITAL'S STRATEGIC PLAN IS BUILT FROM THE WORK OF THIS GROUP, AND IS UPDATED YEARLY BASED ON THE IDENTIFIED SERVICE GAPS AND NEEDS OF OUR COMMUNITY. MEMBERS OF OUR COMMUNITY-BASED STRATEGIC PLANNING COMMITTEE, HOSPITAL VOLUNTEERS, AND OUR COMMUNITY BENEFIT TEAM WERE ASKED TO PARTICIPATE IN THE PRIORITIZATION PROCESS FOR IDENTIFIED HEALTH NEEDS FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT. IN ADDITION, ST. MARY'S PARTICIPATION IN GROW DECATUR, A COMMUNITY-BASED GROUP WORKING TOWARD BUILDING A HEALTHIER COMMUNITY, LENDS FURTHER PERSPECTIVE INTO THE NEEDS OF THE COMMUNITY AND PRESENTS FURTHER OPPORTUNITIES FOR SERVICE COLLABORATION AMONG LOCAL BUSINESSES AND SERVICE PROVIDERS. ST. MARY'S HOSPITAL REPRESENTATIVE WORKED WITH THE GROUP TO ANALYZE AND PRIORITIZE THE DATA GLEANED FROM THE GROUP'S COMMUNITY ASSESSMENT AND WILL CONTINUE TO PARTICIPATE IN THE IMPROVEMENT PROCESS. INPUT IS CONTINUOUSLY OBTAINED FROM THE PATIENTS WE SERVE THROUGH PATIENT SATISFACTION SURVEYS. INPUT PROVIDED THROUGH SOME OF THESE SURVEYS WAS TAKEN INTO CONSIDERATION IN THE DEVELOPMENT OF THE HOSPITAL'S MASTER FACILITY PLAN, WHICH RESULTED IN THE MAJOR EMERGENCY ROOM CAPITAL PROJECT.;
Schedule H, Part V Sec B, Line 7, Needs not addressed in Needs Assessment	(1) - ST. MARY'S HOSPITAL, DECATUR, OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS: WHILE THE ISSUE OF AFFORDABLE HOUSING WAS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, ST. MARY'S HOSPITAL IS NOT DIRECTLY INVOLVED IN ADDRESSING THAT ISSUE, AS THIS IS OUTSIDE OUR AREA OF FOCUS OR EXPERTISE. THE DECATUR HOUSING AUTHORITY, ENERGY ASSISTANCE FOUNDATION, AND COMMUNITY INVESTMENT CORPORATION OF DECATUR ARE ALL OFFICES IN MACON COUNTY THAT OFFER HOUSING ASSISTANCE.;
Schedule H, Part V Sec B, Line 14g, Other ways hospital publicized Financial Assistance Policy	(1) - ST. MARY'S HOSPITAL, DECATUR, OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS: 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.;

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (20 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C, METHODS 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 WWW.STMARYSDECATUR.COM.
Schedule H, Part I, Line 7, Costing Methodology used to calculate financial assistance	THE COMMON METHOD FOR ESTIMATING THE TRUE ECONOMIC COST OF MEDICAL SERVICES IS TO ADJUST THE CHARGES THROUGH THE USE OF COST-TO-CHARGE RATIOS. COST-TO-CHARGE RATIOS CONVERT CHARGES FOR MEDICAL SERVICES TO THEIR TRUE ECONOMIC COSTS. APPLYING COST-TO-CHARGE RATIOS TO MEDICAL SERVICE CHARGES PRODUCES AVERAGE ESTIMATES OF TRUE COSTS. THE COST-TO-CHARGE RATIO REPRESENTS TOTAL HOSPITAL OPERATING COSTS DIVIDED BY TOTAL GROSS BILLED CHARGES. THE EXCEPTION TO THE COSTING METHODOLOGY DESCRIBED IN THE PRECEDING PARAGRAPH IS FOR THE AMOUNT FOR SUBSIDIZED SERVICES ON LINE 7G, FOR WHICH A COSTING INFORMATION SYSTEM WAS UTILIZED. MORE ACCURATE ALLOCATIONS OF DIRECT COSTS ARE AVAILABLE THROUGH THE USE OF THAT SYSTEM, AND WERE APPLIED FOR THE SUBSIDIZED HEALTH SERVICES.
Schedule H, Part I, Line 7, col(f), Bad Debt Expense excluded from financial assistance calculation	10,700,655
Schedule H, Part II, Community Building Activities	DECATUR HEALTH COALITION ST. MARY'S HOSPITAL PARTNERS WITH LOCAL PROVIDERS TO PROMOTE THE "LEARN MORE BREATHE BETTER" CAMPAIGN, IN COORDINATION WITH THE NATIONAL HEART, LUNG AND BLOOD INSTITUTE (NHLBI), TO EDUCATE THE COMMUNITY ABOUT COPD AND OTHER BREATHING ISSUES, AND TO PROMOTE BEHAVIORS THAT IMPROVE HEALTH. BREATHING ISSUES ARE PREVALENT IN THE DECATUR COMMUNITY DUE TO THE LARGE MANUFACTURING INDUSTRY IN MACON COUNTY AND POOR AIR QUALITY. RESEARCH SHOWS SIGNIFICANT TOXIC AGENTS IN THE AIR AND A CORRELATION BETWEEN A HIGH PERCENTAGE OF BLUE-COLLAR WORKERS AND A HIGH RATE OF OCCURRENCE FOR COPD. ST. MARY'S HAS RESEARCHED AND COMPILED ADMISSIONS DATA RELATED TO COPD AND HAS INCREASED EDUCATION TO PROMOTE IMPROVED HEALTH OF COMMUNITY MEMBERS WITH BREATHING ISSUES. ST. MARY'S HOSPITAL COPD CORE MEASURES WERE IMPLEMENTED, AND HAVE BEEN SHARED AT NATIONAL BEST-PRACTICE SEMINARS TO BENEFIT OTHER COMMUNITIES. THE COALITION BRINGS TOGETHER REPRESENTATIVES FROM ST. MARY'S HOSPITAL, THE AMERICAN LUNG ASSOCIATION, COMMUNITY HEALTH IMPROVEMENT CENTER, DECATUR MEMORIAL HOSPITAL, DECATUR COMMUNITY PARTNERSHIP, HERITAGE BEHAVIORAL HEALTH AND MACON COUNTY HEALTH DEPARTMENT AS PARTNERS IN COMMUNITY OUTREACH AND EDUCATION FOR A BETTER QUALITY OF LIFE FOR PEOPLE LIVING WITH COPD. EDUCATION IS THE KEY COMPONENT OF OUR OUTREACH PROGRAM FOR BOTH HEALTH PROVIDERS AND THE COMMUNITY AND THROUGH COORDINATION OF CARE ACROSS THE CONTINUUM FOR BETTER PATIENT OUTCOMES. THE DECATUR HEALTH COALITION ORGANIZES TWO MAJOR COMMUNITY HEALTH EVENTS EACH YEAR TO PROVIDE FREE COMMUNITY HEALTH EDUCATION AND SCREENINGS, SUCH AS GENETIC COPD, BLOOD PRESSURE, BMI, OXYGEN SATURATION, CHOLESTEROL AND SLEEP APNEA. MACON COUNTY CARE COORDINATION MACON COUNTY CARE COORDINATION (MCCC) IS COMPRISED OF COMMUNITY HEALTH PROVIDERS FROM THE MACON COUNTY MENTAL HEALTH BOARD, COMMUNITY HEALTH IMPROVEMENT CENTER, DECATUR MEMORIAL HOSPITAL, HERITAGE BEHAVIORAL HEALTH CENTER, THE MACON COUNTY HEALTH DEPARTMENT AND ST. MARY'S HOSPITAL. MCCC PROVIDES AN INDIVIDUAL/ FAMILY/ CAREGIVER-CENTERED TEAM APPROACH TO HEALTH CARE FOR MEDICAID RECIPIENTS WITH CHRONIC HEALTH CONDITIONS. LAKE SHORE CONNECTION THE LAKE SHORE CONNECTION PROGRAM FOCUSES ON INDIVIDUALS AGE 55 AND ABOVE AND PROVIDES EMPOWERING INFORMATION, ENLIVENING CONNECTIONS AND A NEW COMMUNITY OF FRIENDS. THE PROGRAM OFFERS PARTICIPANTS FREE QUARTERLY HEALTH SCREENINGS, DISCOUNTS ON MONTHLY LUNCH AND LEARN PROGRAMS, AND OTHER RESOURCES TO ASSIST PARTICIPANTS IN STAYING PRODUCTIVE, HEALTHY AND INDEPENDENT WELL INTO THE FUTURE.
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. MARY'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. MARY'S HOSPITAL IS RELIEVING THE BURDENS OF THE GOVERNMENT. ACCORDINGLY, THIS SHORTFALL RESTRICTS ST. MARY'S HOSPITAL ABILITY TO MAKE FUNDS AVAILABLE TO PROVIDE FOR CHARITY CARE AND OTHER COMMUNITY BENEFITS. THE HOSPITAL MEDICARE SURPLUS AT COST FOR FISCAL YEAR 2014 WAS $3,572,046.
Schedule H, Part III, Line 9b, Collection practices for patients eligible for financial assistance	THE HOSPITAL'S POLICY ON ACCOUNT RESOLUTION OUTLINES THE PROCEDURES TO BE FOLLOWED WHEN COLLECTING BALANCES ON OUTSTANDING PATIENT BILLS. BESIDES ADDRESSING THE PROCEDURES AND FOLLOW-UP FOR ACCOUNTS COVERED BY INSURANCE OR GOVERNMENTAL PROGRAMS, THE POLICY DISCUSSES SITUATIONS WHERE THE PATIENT MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE THROUGH OUR CHARITY CARE PROGRAM. IF A PATIENT IS DEEMED ELIGIBLE, REFERENCE IS MADE TO THE HOSPITAL'S CHARITY CARE POLICY. EVEN WITH THE BEST INTENTIONS, PATIENTS CANNOT ALWAYS MEET THEIR RESPONSIBILITY TO PAY FOR THE CARE THEY RECEIVE. FOR A NUMBER OF REASONS, FROM THE LOSS OF A JOB TO TEMPORARY HARDSHIPS, THIS LEAVES THE HOSPITAL TO COVER THE UNPAID BALANCE OR EVEN THE ENTIRE BILL, AN EXPENSE FOR THE HOSPITAL REFERRED TO AS "BAD DEBT." IN FISCAL YEAR ENDED JUNE 30, 2014, BAD DEBT EXPENSE LESS RECOVERIES WAS $9,569,221 WITH NO OUTSIDE SOURCE OF FUNDING TO HELP COMPENSATE FOR THE EXPENSE. THE COST, AFTER APPLYING THE COST TO CHARGE RATIO, WAS $2,373,167. THIS IS A GROWING PROBLEM. BAD DEBT ACCOUNTED FOR 16.78% OF OUR TOTAL COSTS IN THE FISCAL YEAR ENDED JUNE 30, 2014 AND CONSTITUTED A SIGNIFICANT COMMUNITY BENEFIT.
SCHEDULE H, PART V, SECTION B, LINE 5A, CHNA REPORT WIDELY AVAILABLE	THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS MADE AVAILABLE ON THE HOSPITAL WEBSITE AT WWW.STMARYSDECATUR.COM AND WAS DISTRIBUTED TO AND REVIEWED BY OUR COMMUNITY-BASED BOARDS.
SCHEDULE H, PART V, SECTION C, OTHER HEALTH CARE FACILITIES THAT ARE NOT LICENSED OR REGISTERED	THE ORGANIZATION DOES NOT HAVE ANY HEALTHCARE FACILITIES THAT ARE NOT REGISTERED AS A HEALTHCARE FACILITY UNDER STATE LAW.
Schedule H, Part VI, Line 2, Needs assessment.	AS INDICATED IN PART V, SECTION B, ST. MARY'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 INVOLVEMENT ON THE BOARDS OF OTHER COMMUNITY HEALTH PROVIDERS, SUCH AS MACON COUNTY HEALTH DEPARTMENT, COMMUNITY HEALTH IMPROVEMENT CENTER, AND MACON COUNTY MENTAL HEALTH BOARD. INPUT FROM ST. MARY'S HOSPITAL'S COMMUNITY-BASED BOARD OF DIRECTORS AND ADVISORY COMMITTEE, AS WELL AS PATIENT ADMISSION DATA HAS PROVIDED, AND CONTINUES TO PROVIDE, VALUABLE INFORMATION REGARDING THE HEALTH NEEDS OF OUR SERVICE AREA. 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. MARY'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 PROGRAMS AVAILABLE TO THEM AT ST. MARY'S HOSPITAL. THE BROCHURES ARE ALSO SUPPLIED IN WAITING ROOMS AND ANCILLARY AREAS FOR EASY PATIENT ACCESS. CONTACT NUMBERS FOR SEVERAL AGENCIES ARE LISTED IN THE BROCHURE, AS WELL AS INFORMATION ABOUT HOW TO READ AND UNDERSTAND THE BILL. INFORMATION ON PAYMENT ASSISTANCE, BILLING PROCEDURES AND EXPLANATIONS OF MEDICARE FORMS ARE AVAILABLE ON THE ORGANIZATION'S WEBSITE. THE ORGANIZATION HAS A REPRESENTATIVE ON SITE TO ASSIST PATIENTS WHO MAY BE ELIGIBLE FOR MEDICAID ASSISTANCE THROUGH THE ILLINOIS DEPARTMENT OF PUBLIC ASSISTANCE. THEY WORK 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. A SYSTEM CALLED SEARCH AMERICA IS NOW BEING UTILIZED AFTER FAILED ATTEMPTS MADE BY THE HOSPITAL AND BY OUR LAW FIRM TO WORK OUT PAYMENT ARRANGEMENTS. THAT SYSTEM ACCESSES CREDIT AND OTHER INFORMATION AND ALLOWS US TO SEE THE PROBABILITY OF A PATIENT BEING ABLE TO PAY THEIR BILL. AFTER ASSESSING THAT INFORMATION, THE HOSPITAL MAKES A DETERMINATION WHETHER TO GRANT CHARITY OR CONTINUE COLLECTION EFFORTS.
Schedule H, Part VI, Line 4, Community information.	THE POPULATION OF MACON COUNTY IS 110,122, BASED ON THE UNITED STATES CENSUS BUREAU'S ANNUAL ESTIMATE OF POPULATION FROM APRIL 2010 TO JULY 2012.THIS SHOWS A .6% DECLINE IN POPULATION, AS COMPARED TO THE POPULATION FROM THE 2010 CENSUS REPORTED AT 110,768. THE COUNTY MEDIAN HOUSEHOLD INCOME IS $44,415, WITH 43,604 HOUSEHOLDS. 85% OF HOUSEHOLDS ARE URBAN AND 15% RURAL. THE INCOME FOR 13.9% OF THE POPULATION FALLS BELOW POVERTY LEVEL. IN THE 2011-2012 SCHOOL YEAR, 48.3% OF CHILDREN QUALIFIED FOR FREE OR REDUCED-PRICE LUNCHES. RESULTS FROM THE HOSPITAL'S CHNA SHOWED THAT 14.1% OF THE 400 RESPONDENTS WERE NOT COVERED BY HEALTH INSURANCE. 56.7% HAD COVERAGE PROVIDED BY EMPLOYERS, WHICH IS SLIGHTLY LOWER THAN NATIONAL AVERAGES. UNEMPLOYMENT RATE IN MACON COUNTY WAS RECORDED AT 11.60 % IN JULY OF 2012, ACCORDING TO THE UNITED STATES FEDERAL RESERVE THE RACIAL MAKEUP OF THE COUNTY IN 2011 WAS 78.1% WHITE, 16.9% AFRICAN AMERICAN, WITH OTHER RACES COMPRISING THE REMAINING 5%. 30.5% OF THE MACON COUNTY POPULATION IS AGE 55 OR OLDER. MACON COUNTY'S ADULT OBESITY RATE, AT 33%, GREATLY EXCEEDS THE ILLINOIS RATE OF 20%, AND THE NATIONAL RATE OF 14%. THE RATE OF DIABETES REPORTED BY THE CDC WAS 10% IN MACON COUNTY, EXCEEDING THE ILLINOIS RATE OF 8.5%. MACON COUNTY HAS 580 SQUARE MILES IN LAND AREA AND A POPULATION DENSITY OF 190.8 PER SQUARE MILE. THE TOWN OF DECATUR, WHICH IS WHERE ST. MARY'S HOSPITAL IS LOCATED, IS THE COUNTY SEAT AND ALSO THE LARGEST CITY IN MACON COUNTY. ST. MARY'S HOSPITAL IS ONE OF TWO ACUTE CARE HOSPITALS SERVING THIS AREA. WHILE OUR PRIMARY SERVICE AREA IS NOT DESIGNATED AS A MEDICALLY UNDERSERVED AREA BY THE FEDERAL GOVERNMENT, IT IS A MENTAL HEALTH PROFESSIONAL SHORTAGE AREA.
Schedule H, Part VI, Line 5, Promotion of community health	ST. MARY'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. MARY'S IS COMMITTED TO DELIVERING HIGH QUALITY, COMPASSIONATE, AND COST-EFFECTIVE HEALTH CARE SERVICES TO ALL. THE HOSPITAL WAS FOUNDED OVER 135 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 MACON COUNTY AND SURROUNDING AREAS. THE HOSPITAL IS GOVERNED BY A BOARD OF DIRECTORS, THE MAJORITY OF WHOM RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE HOSPITAL (NOR FAMILY MEMBERS THEREOF). THE BOARD ENSURES THAT ST. MARY'S HOSPITAL IS RESPONDING TO COMMUNITY NEED. DURING 2012, 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. MARY'S HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. IN ADDITION, THE HOSPITAL OPERATES AN EMERGENCY DEPARTMENT THAT IS OPEN 24 HOURS/DAY TO ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY. AS A NOT-FOR-PROFIT HOSPITAL, ST. MARY'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, AND SUPPORT INITIATIVES DESIGNED TO PROMOTE HEALTH AND ENSURE ACCESS FOR ALL. FOR EXAMPLE, ST. MARY'S 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. MARY'S ALSO DEVOTES SIGNIFICANT RESOURCES TO ACCESS FOR PATIENTS WHO CANNOT AFFORD CARE, ALONG WITH OTHER COMMUNITY BENEFITS. IN FY2014, ST. MARY'S PROVIDED OVER $14 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. MARY'S PROVIDED OVER $61 MILLION (AT COST) IN EXCESS OF MEDICARE PAYMENT FOR HEALTH CARE SERVICES. ST. MARY'S HOSPITAL PROVIDES A RANGE OF COMMUNITY BENEFITS WHICH 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. MARY'S, AND THEY OFTEN RELIEVE A BURDEN THAT WOULD OTHERWISE BE CARRIED BY GOVERNMENT. IN FY2014, MANY COMMUNITY BENEFIT ACTIVITIES WERE CONTINUED OR STRENGTHENED AS ST. MARY'S FOCUSED ON THE PRIORITY NEEDS IDENTIFIED IN THE FY2012 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, AS OUTLINED IN A BOARD-APPROVED IMPLEMENTATION STRATEGY. THE CHNA PRESENTED FOUR DELINEATED AREAS OF FOCUS: ACCESS, CARDIOVASCULAR, WOMEN'S HEALTH AND OBESITY. WITH OUR CURRENT FOCUS, MANY OF THE 22 PRIORITIZED HEALTH NEEDS WILL INHERENTLY BE ADDRESSED. FOR EXAMPLE, FOCUSING ON OBESITY WILL IMPACT HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, DIABETES AND ASTHMA. LISTED BELOW ARE NEW, ENHANCED AND ONGOING PROGRAMS THAT WERE DEVELOPED AND IMPLEMENTED WITHIN EACH AREA OF FOCUS: ACCESS TO SERVICES MENTAL HEALTH SERVICES ST. MARY'S HOSPITAL HAS PARTNERED WITH THE MACON COUNTY MENTAL HEALTH BOARD, COMMUNITY HEALTH IMPROVEMENT CENTER, DECATUR MEMORIAL HOSPITAL, HERITAGE BEHAVIORAL HEALTH CENTER, MACON COUNTY HEALTH DEPARTMENT AND SIU SCHOOL OF MEDICINE TO CREATE MY HEALTH CARE COORDINATION (MHCC), IN RESPONSE TO A STATE REQUEST FOR INNOVATIVE PROGRAMS TO IMPROVE THE HEALTH CARE TO MEDICAID RESIDENTS. ST. MARY'S DIRECTOR OF BEHAVIORAL SERVICES SERVES ON THE ADVISORY TEAM FOR THIS PROGRAM, IN WHICH CARE COORDINATION TEAMS WILL COORDINATE THE HEALTH SERVICES, INCLUDING TRANSPORTATION TO APPOINTMENTS, FOR MEMBERS RECEIVING AID TO THE AGED, BLIND AND DISABLE (AABD) MEDICAID BENEFITS, AT NO COST TO THE INDIVIDUAL. THE GOALS OF THIS PROGRAM ARE: * TO COORDINATE CARE ACROSS CONTINUUM BY IDENTIFYING AND SPANNING GAPS IN CARE * TO IDENTIFY AND ADDRESS BARRIERS TO CARE * TO ASSIST INDIVIDUALS IN SELF-MANAGEMENT OF THEIR CHRONIC CONDITIONS BY INCREASING KNOWLEDGE OF THEIR CONDITION AND INCORPORATING SELF-MANAGEMENT ACTIVITIES INTO THE DAILY LIVING HABITS * TO INCREASE ATTENDANCE AT PRIMARY PROVIDER APPOINTMENTS, AND IN TURN REDUCE EMERGENCY ROOM VISITS AND HOSPITALIZATIONS ANY FUNDS THAT ARE RECEIVED FROM THE PROGRAM ARE REINVESTED TO PROVIDE ADDITIONAL PATIENT CARE. THESE FUNDS MAY BE REQUESTED FROM OTHER COMMUNITY AGENCIES AS A GRANT TO ANSWER HEALTH NEEDS IN THE COMMUNITY. PRENATAL CLINIC THE PRENATAL CLINIC SERVES UNINSURED AND UNDERINSURED MOTHERS AND PROVIDES BOTH PRENATAL AND POSTNATAL CARE. EACH YEAR, THE CLINIC CARES FOR APPROXIMATELY 250 WOMEN AND BABIES, WITH AN ESTIMATED 3,500 VISITS. THE CLINIC IS UNIQUE IN THAT EACH WOMAN HAS HER OWN PHYSICIAN, ENSURING COMPREHENSIVE AND CONSISTENT PRENATAL CARE. IN ADDITION, COMMUNITY RESOURCES ARE INVITED TO PARTICIPATE IN THE CLINIC, GIVING PATIENTS FULL EXPOSURE TO OPTIONS AVAILABLE TO THEM. ADULT DAY SERVICES THE ORGANIZATION OPERATES AN ADULT DAY CARE PROGRAM FOR ADULTS UNABLE TO COMPLETELY CARE FOR THEMSELVES AND WHO DO NOT HAVE HOME ASSISTANCE DURING THE DAY. THIS PROGRAM, THE ONLY ONE OF ITS KIND IN DECATUR, PROVIDES A SAFE, CARING ENVIRONMENT FOR PARTICIPANTS, WHILE PROVIDING RESPITE FOR CAREGIVERS. LAKESHORE CONNECTION: KEEPING SENIORS IN A HEALTHY STATE OF MIND ONE OF THE DEFINING CHARACTERISTICS OF ST. MARY'S HOSPITAL IS ITS EMPHASIS ON HOLISTIC CARE-SERVING THE PHYSICAL, SPIRITUAL AND EMOTIONAL NEEDS OF THE DECATUR COMMUNITY. RECENT RESEARCH INDICATES THAT 80 PERCENT OF PEOPLE OVER 55 ARE CONCERNED ABOUT THEIR HEALTH AND WELL-BEING, AND WITH MORE THAN 25 PERCENT OF THE DECATUR COMMUNITY OVER THE AGE OF 55, ST. MARY'S IS CHALLENGED TO FIND INNOVATIVE WAYS TO MEET THOSE NEEDS. ENTER LAKESHORE CONNECTION, ST. MARY'S CLUB FOR PEOPLE AGE 55 AND OLDER. LAKESHORE CONNECTION IS DESIGNED TO SERVE THE PHYSICAL AND EMOTIONAL NEEDS OF SENIORS IN DECATUR. WITH THE UNDERSTANDING THAT SOCIAL ISOLATION IS COMMON AMONG THE ELDERLY AND THAT IT NEGATIVELY IMPACTS HEALTH, LAKESHORE CONNECTION PROVIDES MEMBERS WITH A COMBINATION OF HEALTH EDUCATION AND SOCIAL CONNECTIONS TO HELP THEM LIVE HEALTHY, ACTIVE LIVES FOR YEARS TO COME. THE CLUB BEGAN IN 2007, AND HAS GROWN IN MEMBERSHIP EACH YEAR SINCE. THERE ARE MORE THAN 1,800 MEMBERS. FOR A SMALL ONE-TIME FEE, MEMBERS HAVE ACCESS TO A WEALTH OF PROGRAMS. ONE OF THE MOST POPULAR OFFERINGS IS THE MONTHLY LUNCH AND LEARN SERIES. EACH MONTH, AN EXPERT SPEAKS TO THE CLUB REGARDING A HEALTH TOPIC RELEVANT TO SENIORS AND TAKES QUESTIONS FROM THE GROUP. RECENT EVENTS HAVE FEATURED EXPERTS IN DIABETES, HEART HEALTH, BONE HEALTH AND ALZHEIMER'S WITH ATTENDANCE AVERAGING APPROXIMATELY 200 MEMBERS. LUNCH AND LEARNS ARE A WAY TO IMPROVE SENIORS' KNOWLEDGE OF HEALTH TOPICS WHILE ALSO NURTURING FRIENDSHIPS ESTABLISHED AMONG THE MEMBERS. IN FY2014, ST. MARY'S HOSPITAL EXPANDED LUNCH AND LEARNS TO PROVIDE ADDITIONAL EDUCATION AND SOCIALIZATION OPPORTUNITIES FOR SENIORS. NEW PROGRAM TO IMPROVE ACCESS TO HEALTHCARE/MENTAL HEALTH SERVICES ST. MARY'S BEHAVIORAL HEALTH IS COLLABORATING WITH THE MACON COUNTY MENTAL HEALTH BOARD AND OTHER COMMUNITY HEALTH PROVIDERS TO ESTABLISH THE MY HEALTH CARE COORDINATION. THIS IS AN INTEGRATED CARE DELIVERY SYSTEM IN WHICH PROVIDERS OF CARE PARTICIPATE IN AND ARE RESPONSIBLE FOR ARRANGING FOR A MAJORITY OF CARE AROUND THE PATIENTS' NEEDS, INCLUDING A MEDICAL HOME WITH PRIMARY CARE PROVIDER. BY INCREASING SERVICES AVAILABLE FROM EACH PROVIDER, THE NUMBER OF APPOINTMENTS THAT REQUIRE PLANNING AND TRANSPORTATION IS REDUCED, THEREBY INCREASING THE ACCESS TO ALL HEALTH SERVICES. THE MACON COUNTY CARE COORDINATION PROGRAM BENEFITTED APPROXIMATELY 700 INDIVIDUALS IN FY2014. CARDIOVASCULAR HEALTH HEART HEALTH IS AFFECTED BY SEVERAL CONDITIONS THAT WERE IDENTIFIED AS PREVALENT IN OUR COMMUNITY, SUCH AS OBESITY, DIABETES, AND HIGH BLOOD PRESSURE. ST. MARY'S HOSPITAL WILL CONTINUE TO BE HEAVILY INVOLVED IN HEALTH FAIRS AND OFFERING SCREENINGS FOR MONITORING AND EARLY DETECTION. ST. MARY'S PARTICIPATES ANNUALLY IN THE GO RED FOR WOMEN CAMPAIGN, AND WE OFFER FREE COMMUNITY PROGRAMS REGULARLY THAT INCLUDE TOPICS ON HEART HEALTH, WITH SOME FOCUSING ON HEART HEALTH FOR WOMEN.
SCHEDULE H, PART VI, LINE 5, PROMOTION OF COMMUNITY HEALTH (CONTINUED)	WOMEN'S HEALTH THROUGH OUR BABY-FRIENDLY INITIATIVE, ST. MARY'S HOSPITAL AIMS TO IMPROVE THE CARE OF PREGNANT MOTHERS AND NEWBORNS BY PROTECTING, PROMOTING AND SUPPORTING BREASTFEEDING. STUDIES HAVE SHOWN THAT BREASTFED BABIES ARE LESS LIKELY TO SUFFER FROM SERIOUS ILLNESSES AND AS ADULTS, ARE LESS LIKELY TO DEVELOP RISK FACTORS FOR HEART DISEASE SUCH AS OBESITY AND HIGH BLOOD PRESSURE. BENEFITS FOR MOTHERS ARE A LOWER RISK OF DEVELOPING BREAST OR OVARIAN CANCER. FREE COMMUNITY EDUCATION HELPS RAISE AWARENESS ABOUT THIS NATURAL, PREVENTATIVE WAY TO PROMOTE THE HEALTH OF FUTURE GENERATIONS. NEW PROGRAMS TO ENHANCE CANCER SUPPORT FOR WOMEN THROUGH OUR SUPPORT AND PARTICIPATION IN THE COME TOGETHER LET'S WALK EVENT, ST. MARY'S WAS AWARDED FUNDS RAISED AT THIS EVENT FOR EXPANDED PROGRAMS IN CANCER DIAGNOSIS AND/OR TREATMENT. WITH THE HIGH INSTANCES OF BREAST, CERVICAL, AND OVARIAN CANCER IN OUR AREA, WE PLAN TO FOCUS THESE FUNDS ON WOMEN'S HEALTH. OBESITY OBESITY PREVENTION COALITION ST. MARY'S STAFF PARTICIPATES ON THE LOCAL OBESITY PREVENTION COALITION TO HELP RAISE AWARENESS AND TAKE ACTION IN LOWERING THE NUMBER OF ILLINOISANS THAT ARE CONSIDERED OBESE. LAUNCHED IN 2008 THROUGH A GRANT FROM THE AMERICAN ACADEMY OF PEDIATRICS, THE OBESITY PREVENTION COALITION (OPC) FOCUSES ON THE ISSUE OF CHILDHOOD OBESITY IN MACON COUNTY. THE MISSION OF THE OPC IS TO DECREASE AND PREVENT OBESITY IN BOTH CHILDREN AND ADULTS THROUGHOUT MACON COUNTY. OBESITY HAS REACHED EPIDEMIC PROPORTIONS IN ILLINOIS. ONE IN FIVE CHILDREN ARE OBESE, THE FOURTH WORST RATE IN THE NATION. GIVEN THAT OBESITY AND BEING OVERWEIGHT ARE PRIMARY DETERMINANTS OF CARDIOVASCULAR DISEASES, CANCER, RESPIRATORY DISEASES, AND DIABETES - ALREADY LEADING CAUSES OF DEATH IN ILLINOIS - THE IMPLICATIONS OF THIS EPIDEMIC FOR THE HEALTH OF OUR STATE ARE STAGGERING. LEARN MORE BREATHE BETTER DECATUR HEALTH COALITION: ST. MARY'S HOSPITAL PARTNERS WITH LOCAL PROVIDERS TO PROMOTE THE LEARN MORE BREATHE BETTER CAMPAIGN, IN COORDINATION WITH THE NATIONAL HEART, LUNG AND BLOOD INSTITUTE (NHLBI), TO EDUCATE THE COMMUNITY ABOUT COPD AND OTHER BREATHING ISSUES, AND TO PROMOTE BEHAVIORS THAT IMPROVE HEALTH. ST. MARY'S MODEL FOR COPD CORE MEASURES WAS SHARED AT NATIONAL BEST-PRACTICE SEMINARS IN ORDER TO BENEFIT OTHER COMMUNITIES AS WELL. CAMP CONNECTIONS NUTRITION FAIR FOR AT-RISK DECATUR PUBLIC SCHOOL STUDENTS A NUTRITION FAIR, DESIGNED AND FACILITATED BY ST. MARY'S DIETICIANS, SERVED 480 STUDENTS IN GRADES KINDERGARTEN-3RD IN DECATUR PUBLIC SCHOOL DISTRICT 61 CAMP CONNECTIONS PROGRAM. STUDENTS FROM FIVE SCHOOLS WILL BE INVITED TO PARTICIPATE IN THIS FUN HEALTH EDUCATION. THE FAIR WILL CONSIST OF 5 MANNED STATIONS REPRESENTING THE 5 FOOD GROUPS WITH SAMPLES, EXAMPLES, AND COMPARISONS OF HEALTHY VS. UNHEALTHY CHOICES. THIS ALIGNS WITH THE EDUCATION EFFORTS OF THE OBESITY COALITION. NEW PROGRAMS TO ADDRESS OBESITY BOYS & GIRLS CLUB HEALTH & WELLNESS EDUCATION PROGRAM ST. MARY'S HOSPITAL COLLABORATED WITH THE BOYS & GIRLS CLUB OF DECATUR TO SPONSOR A HEALTH AND WELLNESS EDUCATION PROGRAM IN THE SPRING OF 2014. IN ADDITION TO IN-KIND SUPPORT THROUGH EDUCATION FROM A DIETITIAN, ST. MARY'S HOSPITAL CONTRIBUTED $5,000 TO THE PROGRAM AND LEVERAGED ANOTHER $5,000 OF SUPPORT FROM ARCHER DANIELS MIDLAND COMPANY. THE HEALTHY LIFESTYLE PROGRAM PROVIDED EDUCATION TO ADOPT A HEALTHY DIET, MAKE HEALTHY LIFESTYLE CHOICES AND TO DEVELOP A LIFELONG COMMITMENT TO FITNESS. OBESITY HAS A DIRECT INFLUENCE ON A CHILD'S QUALITY OF LIFE AND AFFECTS THEIR PHYSICAL, SOCIAL AND PSYCHOLOGICAL FUNCTIONING. THE PROGRAM OFFERS MEMBERS THE OPPORTUNITY TO INCREASE THEIR SELF-ESTEEM WHILE ADAPTING TO HEALTHY LIFESTYLE CHANGES. THROUGH THE PROGRAM MORE THAN 100 YOUTH, BETWEEN THE AGES OF SEVEN AND 18 YEARS OF AGE, RECEIVED THE TOOLS NEEDED TO MAKE GOOD CHOICES THAT POSITIVELY INFLUENCE THEIR WELL-BEING AND ENCOURAGE THEIR ENTIRE FAMILY TO ADOPT HEALTHY LIFESTYLE CHOICES. EACH PARTICIPANT COMPLETED INDIVIDUAL FITNESS PLANS AND START A FITNESS REGIMEN. THE BOYS & GIRLS CLUB COLLECTED DATA TO TRACK PARTICIPATION AND PROGRESS IN THE PROGRAM. THE CLUB ALSO SET GOALS AND EVALUATED PROGRESS AT THE END OF THE PROGRAM. THE PROGRAM PROVIDED HEALTHY LIFESTYLE PARTICIPANTS A BETTER UNDERSTANDING OF HEALTHY FOOD CHOICES AND PHYSICAL ACTIVITY, AND IMPROVED COGNITION, IMPROVED DECISION-MAKING, OR PHYSICAL BENEFITS (NORMAL BMI AND IMPROVED WEIGHT MANAGEMENT). ENROLLMENT OUTREACH AND ASSISTANCE IN FY2014, HOSPITAL SISTERS HEALTH SYSTEM (HSHS) AND OUR 13 LOCAL SYSTEMS INVESTED A CONSIDERABLE AMOUNT OF COMMUNITY BENEFIT RESOURCES IN ORDER 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. MARY'S HOSPITAL PLAYED A VITAL ROLE IN EDUCATING ELIGIBLE PEOPLE IN THEIR LOCAL COMMUNITIES, IN 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. MARY'S ENROLLMENT OUTREACH AND ASSISTANCE INCLUDED: PRINT AND ELECTRONIC EDUCATIONAL MATERIALS TO INTERNAL AND EXTERNAL AUDIENCES, PRINT ADS, NEWSPAPER BANNER ADS, AND FLYERS IN NEWSPAPERS. THE HOSPITAL ALSO PARTNERED WITH THE LOCAL HEALTH DEPARTMENT TO HOST ENROLLMENT EVENTS WITH MCHD CACS. OTHER COMMUNITY SUPPORT PROVIDED BY ST. MARY'S HOSPITAL THE HOSPITAL'S SUPPORT GROUPS OFFER PATIENTS, THEIR FAMILIES, AND MEMBERS OF THE COMMUNITY THE OPPORTUNITY TO LEARN MORE ABOUT THEIR HEALTH AND HAVE THEIR VOICES HEARD. SOME OF THE GROUPS THAT THE HOSPITAL FACILITATES ARE STROKE SUPPORT, WIDOW SUPPORT AND BREATH OF LIFE CLUB. A NUMBER OF BENEFITS ARE ASSOCIATED WITH PARTICIPATING IN PROGRAMS OFFERED. FOR EXAMPLE, PARTICIPATING IN SUPPORT GROUPS CAN DECREASE PSYCHOLOGICAL DISTRESS AND ELEVATE A PARTICIPANT'S MOOD. PARTICIPANTS EXCHANGE INFORMATION AND EXPERIENCE EMOTIONAL CONNECTIONS THROUGH THEIR INTERACTION AND PARTICIPATION. THE HOSPITAL RETAINS A HIGHLY CREDENTIALED PASTORAL CARE STAFF, WHO CONDUCT AND ASSIST IN COORDINATING VARIOUS SUPPORT GROUPS FOR PATIENTS AND MEMBERS OF THE COMMUNITY, SUCH AS GRIEF SUPPORT. THE ORGANIZATION PROVIDES EMERGENCY CARE TO MEMBERS OF THE COMMUNITY THROUGH THE EMERGENCY DEPARTMENT, WHICH IS OPERATIONAL SEVEN DAYS PER WEEK, TWENTY-FOUR HOURS PER DAY. CARE IS PROVIDED TO ALL PATIENTS, REGARDLESS OF ABILITY TO PAY. ST. MARY'S HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF. WHEN A COMMUNITY NEED IS IDENTIFIED IN TERMS OF MEDICAL STAFF COVERAGE, THE HOSPITAL ACTIVELY RECRUITS MEDICAL STAFF TO FULFILL THAT NEED. EMPLOYEES, VOLUNTEERS, BOARD MEMBERS AND MEDICAL STAFF PARTICIPATE IN CHARITABLE ACTIVITIES IN THE COMMUNITY THAT REFLECT THE HOSPITAL'S COMMITMENT TO THE UNDERSERVED. THEY CONTRIBUTE BOTH FINANCIAL SUPPORT AND THEIR TIME TO WORTHY NON-PROFIT HEALTH-RELATED ORGANIZATIONS IN THE COMMUNITY, INCLUDING THE AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, AMERICAN RED CROSS, EASTER SEALS, AND THE ALZHEIMER'S ASSOCIATION. THEY PARTICIPATE WITH ORGANIZATIONS SUCH AS UNITED WAY TO ASSIST IN WORTHWHILE COMMUNITY ACTIVITIES. TIME AND EXPERTISE IS ALSO PROVIDED TO VARIOUS ORGANIZATIONS BY SERVING ON THEIR BOARDS OR RELATED COMMITTEES - EXAMPLES INCLUDE THE ORGANIZATIONS ALREADY MENTIONED IN THIS PARAGRAPH, AS WELL AS CATHOLIC CHARITIES, HERITAGE BEHAVIORAL HEALTH CENTER, MACON COUNTY BOARD OF HEALTH, CHAMBER OF COMMERCE BOARD, THE OASIS CENTER (A HOMELESS SHELTER), DECATUR TECH ACADEMY (PART OF DECATUR PUBLIC SCHOOLS ADULT EDUCATION PROGRAM), AND RICHLAND COMMUNITY COLLEGE. COMMUNITY HEALTH EDUCATION MONTHLY HEALTH AND WELLNESS EDUCATION: THE HOSPITAL COLLABORATES WITH MEMBERS OF THE MEDICAL STAFF AND OTHER PROFESSIONALS TO PROVIDE SESSIONS ON IMPORTANT HEALTH TOPICS TO MEMBERS OF THE COMMUNITY. FREE, ACCESSIBLE MONTHLY EDUCATIONAL SESSIONS AND HEALTH SCREENINGS ARE OFFERED AT THE LOCAL LIBRARY ON A VARIETY OF TOPICS INCLUDING CANCER AWARENESS, HEART DISEASE, HIGH BLOOD PRESSURE, ORTHOPEDIC INJURIES, ALZHEIMER'S, DEPRESSION, HEALTHY EATING & COOKING, AND STROKE. EDUCATIONAL TOPICS AND DISCUSSIONS ARE ALSO OFFERED TO THE COMMUNITY THROUGH THE HOSPITAL'S PARTICIPATION ON A LOCAL RADIO SHOW, "PHARMACY FACTS WITH FRIENDS."
Schedule H, Part VI, Line 6, Affiliated health care system	ST. MARY'S HOSPITAL IN DECATUR IS AN AFFILIATE OF HOSPITAL SISTERS HEALTH SYSTEM (HSHS), A HEALTH CARE MINISTRY THAT INCLUDES 13 HOSPITALS, NUMEROUS COMMUNITY-BASED HEALTH CENTERS AND CLINICS, AND HUNDREDS OF PHYSICIAN PARTNERS ACROSS ILLINOIS AND WISCONSIN. THE MISSION OF HSHS IS "TO REVEAL AND EMBODY CHRIST'S HEALING LOVE FOR ALL PEOPLE THROUGH OUR HIGH QUALITY FRANCISCAN HEALTH CARE MINISTRY." WE LIVE OUR MISSION BY PROVIDING HOLISTIC HEALING TO ALL WHO SEEK OUR CARE, AS WELL AS THROUGH COMMUNITY BENEFIT. WORKING COLLABORATIVELY WITH OTHERS IN THE COMMUNITIES WE SERVE, OUR COMMUNITY BENEFIT INITIATIVES ARE STRATEGICALLY AND SUCCESSFULLY EXPANDING ACCESS TO CARE, IMPROVING THE HEALTH STATUS OF RESIDENTS, AND FURTHERING MEDICAL EDUCATION AND KNOWLEDGE. IN FY2014, OUR 13 HOSPITALS RESPONDED TO NEEDS IDENTIFIED IN EACH OF THEIR COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS) COMPLETED IN FY2012. THE INFORMATION GATHERED FROM THESE ASSESSMENTS WAS USED TO DEVELOP NEW AND ENHANCE EXISTING COMMUNITY BENEFIT PROGRAMS AND SERVICES THAT BEST ADDRESSED COMMUNITY NEEDS. INCLUDED AMONG THE MANY PRIORITY NEEDS IDENTIFIED IN OUR CHNAS WERE CHRONIC DISEASE PREVENTION AND MANAGEMENT, OBESITY, ADEQUATE FOOD AND NUTRITION, MENTAL HEALTH, AND ACCESS TO HEALTH CARE SERVICES. HSHS HOSPITALS ARE PROACTIVELY ADDRESSING THESE AND OTHER NEEDS THROUGH PATIENT, PROVIDER AND COMMUNITY EDUCATION, PREVENTATIVE SCREENINGS, SELF-MANAGEMENT CLASSES, AND NEW OR ENHANCED CLINICAL SERVICES. ACROSS HSHS, WE COLLECTIVELY PROVIDED $174.0 MILLION IN COMMUNITY BENEFIT (OR 9.3% OF TOTAL HOSPITAL EXPENSES) IN FY2014. INCLUDED IN THIS AMOUNT WAS $39.9 MILLION PROVIDED FOR FINANCIAL ASSISTANCE (I.E. CHARITY CARE) AND $95.8 MILLION FOR UNREIMBURSED CARE PROVIDED UNDER THE MEDICAID PROGRAM. IN ADDITION, HSHS HOSPITALS COMMITTED SIGNIFICANT RESOURCES TO CARE FOR MEDICARE PATIENTS. THE COST OF PROVIDING SERVICES TO PRIMARILY ELDERLY BENEFICIARIES OF THE MEDICARE PROGRAM - IN EXCESS OF GOVERNMENTAL AND MANAGED CARE CONTRACT PAYMENTS - WAS $175.2 MILLION. HSHS HOSPITALS ALSO RECORDED $94.2 MILLION IN UNCOLLECTIBLE ACCOUNTS. WHILE THE LATTER TWO AMOUNTS ARE NOT COUNTED AS COMMUNITY BENEFIT, THEY NONETHELESS REFLECT OUR COMMITMENT TO ALL PERSONS IN NEED OF CARE. IN ADDITION TO THE DOLLARS INVESTED IN OUR COMMUNITY BENEFIT PROGRAMS, HSHS ALSO CONTINUES TO REINVEST ANY SURPLUS REVENUE FROM OPERATIONS AND INVESTMENTS INTO NEW MEDICAL TECHNOLOGY, FACILITY INFRASTRUCTURE AND HEALTH CARE SERVICES IN OUR COMMUNITIES. BY DOING SO, WE ENSURE WE ARE ABLE TO MEET THE ONGOING DEMAND FOR HIGH QUALITY, EFFICIENT AND EASILY ACCESSIBLE HEALTH CARE. RECOGNIZING THAT THE HEALTH CARE DELIVERY MODEL IN THE UNITED STATES IS EVOLVING, HSHS REMAINS FOCUSED ON IMPLEMENTING OUR CARE INTEGRATION STRATEGY. CARE INTEGRATION COORDINATES THE DELIVERY OF CARE AROUND THE NEEDS OF EACH PATIENT. DURING FY2014, WE MADE SIGNIFICANT PROGRESS WITH THIS STRATEGY AS WE FURTHER IMPLEMENTED INTEROPERABLE HEALTH INFORMATION TECHNOLOGIES, EXPANDED THE NUMBER OF MEDICAL HOMES, AND STRENGTHENED OUR ALIGNMENT WITH PHYSICIANS. GREATER ACCESS TO CARE AS A FRANCISCAN HEALTH CARE MINISTRY, HSHS IS DEEPLY COMMITTED TO SERVING THOSE WHO ARE MOST IN NEED. WE NOT ONLY PROVIDE CARE TO EVERY PATIENT WHO WALKS THROUGH OUR DOORS, BUT ALSO REACH OUT BEYOND THE WALLS OF OUR HOSPITALS AND CLINICS TO CARE FOR THOSE IN OUR COMMUNITIES. OUR EFFORTS TO ENSURE RESIDENTS IN THE COMMUNITIES WE SERVE RECEIVE THE RIGHT CARE AT THE RIGHT TIME IN THE RIGHT SETTING OFTEN INVOLVE PARTNERING WITH OTHERS TO ACHIEVE THIS GOAL. ACROSS OUR TWO-STATE SYSTEM, THERE ARE NUMEROUS EXAMPLES OF HSHS COLLABORATING WITH OTHER ORGANIZATIONS TO ENHANCE ACCESS TO CARE FOR THOSE IN NEED. IN FY2014, HSHS AND OUR 13 HOSPITALS INVESTED A CONSIDERABLE AMOUNT OF COMMUNITY BENEFIT RESOURCES TO EDUCATE THE UNINSURED ABOUT HISTORIC NEW OPPORTUNITIES TO ENROLL IN AFFORDABLE HEALTH CARE COVERAGE AND TO FACILITATE THE ENROLLMENT PROCESS. STUDIES HAVE SHOWN THAT PEOPLE WITHOUT INSURANCE COVERAGE ARE MORE LIKELY THAN THEIR INSURED COUNTERPARTS TO POSTPONE CARE AND TO DEVELOP MORE SEVERE AND EXPENSIVE CONDITIONS. IT IS FOR THIS REASON THAT THE CATHOLIC CHURCH, CATHOLIC HEALTH CARE AND HSHS HAVE LONG PROMOTED "COVERAGE AND ACCESS FOR ALL." HSHS AND OUR 13 HOSPITALS IN PARTNERSHIP WITH LOCAL HEALTH DEPARTMENTS, SOCIAL SERVICE AGENCIES AND OTHER HEALTH CARE PROVIDERS PLAYED A VITAL ROLE IN EDUCATING ELIGIBLE PEOPLE IN THEIR LOCAL COMMUNITIES, IN REFERRING PEOPLE TO CERTIFIED APPLICATION COUNSELORS AND/OR IN ENROLLING THEM IN THE HEALTH INSURANCE EXCHANGES OR IN SECURING COVERAGE THROUGH MEDICAID EXPANSION. OF THE EIGHT STATES WITH THE HIGHEST CONCENTRATION OF UNINSURED, ILLINOIS WAS AMONG 25 STATES THAT MOVED TOWARD MEDICAID EXPANSION UNDER THE AFFORDABLE CARE ACT. WITH THE SUPPORT OF ST. MARY'S HOSPITAL MEDICAL CENTER AND ST. VINCENT HOSPITAL IN GREEN BAY, WISCONSIN, THE NEW COMMUNITY CLINIC DENTAL PROGRAM ON THE CAMPUS OF NORTHEAST WISCONSIN (NEW) TECHNICAL COLLEGE WAS ABLE TO PURCHASE EQUIPMENT TO ENABLE LOCAL ORAL SURGEONS TO PROVIDE CARE (ON A VOLUNTEER BASIS) AT THE CLINIC - THE SITE THAT ST. MARY'S AND ST. VINCENT HOSPITALS HELPED TO ESTABLISH IN 2013. ANNUALLY, THE CLINIC PROVIDES DENTAL SERVICES TO APPROXIMATELY 6,000 LOW-INCOME AND UNINSURED PERSONS INCLUDING THE HOMELESS IN BROWN COUNTY. ST. FRANCIS HOSPITAL IN LITCHFIELD, ILLINOIS PARTNERED WITH LEWIS & CLARK COMMUNITY COLLEGE AND LOCAL DENTAL PROVIDERS TO BRING THE COLLEGE'S MOBILE DENTAL HEALTH UNIT TO THE LITCHFIELD AREA; THE UNIT PROVIDES EXAMS AND SCREENINGS, X-RAYS AND HYGIENE TO THOSE IN NEED. IN WESTERN WISCONSIN, A PARTNERSHIP BETWEEN ST. JOSEPH'S HOSPITAL IN CHIPPEWA FALLS, THE CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP (CHIP), LE PHILLIPS-LIBERTAS TREATMENT CENTER AND THE OPEN DOOR CLINIC (A FREE CLINIC SUPPORTED BY ST. JOSEPH'S HOSPITAL AND CHIP) WAS DEVELOPED IN FY2014 TO PROVIDE FREE BEHAVIORAL HEALTH SERVICES TO ELIGIBLE PATIENTS OF THE OPEN DOOR CLINIC. THIS INITIATIVE IS IN DIRECT RESPONSE TO THE IDENTIFIED NEED TO PROVIDE BETTER ACCESS TO MENTAL HEALTH SERVICES FOR THOSE WITHOUT INSURANCE COVERAGE. IN FY2014, 105 REFERRALS WERE MADE FROM THE OPEN DOOR CLINIC TO LE PHILLIPS-LIBERTAS TREATMENT CENTER. IN TOTAL, 950 VISITS WERE PROVIDED TO REFERRED PATIENTS INCLUDING INITIAL INTAKE AND FOLLOW UP THERAPY SESSIONS - MENTAL HEALTH SERVICES THAT WOULD NOT HAVE BEEN RECEIVED HAD THE PROGRAM NOT BEEN DEVELOPED AND IMPLEMENTED. IN SOUTHEAST ILLINOIS, AREA RESIDENTS CAN GET HELP FILLING A PRESCRIPTION THROUGH THE LONG-TERM COLLABORATION BETWEEN ST. ANTHONY'S MEMORIAL HOSPITAL IN EFFINGHAM AND CATHOLIC CHARITIES. IN FY2014, ST. ANTHONY'S HELPED UNDERWRITE THE COST OF PRESCRIPTION MEDICATIONS FOR 311 RESIDENTS, A 10% INCREASE OVER FY2013. ST. ANTHONY'S AND CATHOLIC CHARITIES BELIEVE THAT NO ONE SHOULD BE WITHOUT PRESCRIBED MEDICATIONS BECAUSE OF INABILITY TO PAY. IN SOUTHWEST ILLINOIS, ST. JOSEPH'S HOSPITAL IN HIGHLAND ENHANCED THEIR OFFERINGS TO THEIR SENIOR POPULATION BASED ON THEIR CHNA. "SENIOR RENEWAL" IS AN OUTPATIENT COUNSELING PROGRAM FOR SENIOR ADULTS WHO MAY BE FACING EMOTIONAL AND PHYSICAL PROBLEMS UNIQUE TO THE AGING PROCESS SUCH AS FEELINGS OF LONELINESS, ISOLATION AND ANXIETY. CLIENTS RECEIVE AN INTENSIVE LEVEL OF TREATMENT WITHOUT INPATIENT HOSPITALIZATION THROUGH COUNSELING STRATEGIES AND EDUCATION. IN ADDITION, ST. JOSEPH'S HOSPITAL IN COLLABORATION WITH THE ILLINOIS DEPARTMENT OF INSURANCE PARTICIPATES IN THE SENIOR HEALTH INSURANCE PROGRAM (SHIP), A FREE HEALTH INSURANCE COUNSELING SERVICE FOR MEDICARE BENEFICIARIES AND THEIR CAREGIVERS. IN ADDITION TO PROGRAMS DESIGNED TO INCREASE ACCESS TO CARE, HSHS MAKES SURE THAT THOSE WHO NEED FINANCIAL ASSISTANCE RECEIVE IT. HSHS'S FINANCIAL ASSISTANCE (CHARITY CARE) POLICY WAS MODIFIED EFFECTIVE JANUARY 1, 2014 TO OFFER A 25% SELF-PAY DISCOUNT TO ALL PATIENTS WHO REGISTER WITHOUT INSURANCE. HSHS FINANCIAL ASSISTANCE PROGRAMS HAVE A SLIDING SCALE, IN SOME INSTANCES PROVIDING UP TO A 55% REDUCTION OFF BILLED CHARGES IF AN UNINSURED PATIENT'S FAMILY INCOME LEVEL IS DETERMINED TO BE ABOVE 500% BUT EQUAL TO OUR LESS THAN 600% OF THE CURRENT FEDERAL POVERTY GUIDELINES. ALL CHARGES ARE WAIVED FOR PATIENTS BELOW 200% OF THE FEDERAL POVERTY LEVELS. COUNSELORS ARE AVAILABLE IN OUR HOSPITALS TO EXPLAIN OUR FINANCIAL ASSISTANCE POLICY TO PATIENTS, PROVIDE THEM WITH ASSISTANCE IN FILLING OUT A SIMPLE APPLICATION FORM, OR HELP THEM ENROLL IN PUBLICLY FUNDED HEALTH CARE PROGRAMS.
SCHEDULE H, PART VI, LINE 6, AFFILIATED HEALTH CARE SYSTEM (CONTINUED)	BETTER COMMUNITY HEALTH AS PART OF OUR MISSION TO EMBODY CHRIST'S HEALING LOVE, WE UNDERSTAND THAT WE HAVE A RESPONSIBILITY TO IMPROVE THE OVERALL QUALITY OF LIFE IN OUR COMMUNITIES BY SUPPORTING INITIATIVES THAT PROMOTE HEALTH AND WELLNESS. WE RECOGNIZE WE ARE MOST SUCCESSFUL WHEN WE WORK TOGETHER WITH A WIDE ARRAY OF PUBLIC AND PRIVATE ORGANIZATIONS THAT SHARE OUR COMMITMENT TO IMPROVING LIVES. BY DOING SO, WE MAXIMIZE OUR EFFORTS AND REDUCE THE DUPLICATION OF SERVICES. HSHS HOSPITALS ALSO UNDERSTAND WE NEED TO LISTEN CLOSELY TO THE RESIDENTS OF THE COMMUNITIES WE SERVE TO ENSURE THE HEALTH CARE NEEDS OF ALL ARE BEING MET. TO THAT END, EACH OF OUR 13 HOSPITALS COMPLETED COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) DURING FY2012. THE INFORMATION GATHERED FROM THESE ASSESSMENTS IS BEING USED TO HELP US DEVELOP NEW, AND ENHANCE EXISTING, PROGRAMS AND SERVICES THAT BEST ADDRESS THE NEEDS OF THE COMMUNITY. SEVERAL PRIORITY NEEDS WERE IDENTIFIED IN THE CHNAS INCLUDING METABOLIC AND CARDIOVASCULAR DISEASE MANAGEMENT, ADEQUATE FOOD AND NUTRITION, AND MENTAL HEALTH. HSHS HOSPITALS ARE ADDRESSING THESE AND OTHER NEEDS BY PROACTIVELY OFFERING EDUCATIONAL OPPORTUNITIES, PREVENTATIVE SCREENINGS, AND NEW OR ENHANCED CLINICAL SERVICES. IN MANY CASES, THE HOSPITALS COLLABORATE WITH OTHER COMMUNITY ORGANIZATIONS TO ADDRESS IDENTIFIED NEEDS. IN PARTNERSHIP WITH THE SANGAMON COUNTY HEALTH DEPARTMENT AND LOCAL FARMERS, ST. JOHN'S HOSPITAL IN SPRINGFIELD, ILLINOIS TOOK A LEAD ROLE IN BRINGING A FARMERS MARKET TO THE EAST SIDE OF SPRINGFIELD. THE EAST SIDE FARMERS MARKET (ESFM) ADDRESSES THREE COMMUNITY NEEDS: CHILDHOOD OBESITY, CHILDHOOD POVERTY (26% OF CHILDREN IN SANGAMON COUNTY LIVE IN POVERTY VS. 18% IN THE STATE) AND PROVIDING FRESH PRODUCE TO PERSONS LIVING IN A KNOWN "FOOD DESERT." OVER THE LAST THREE SUMMERS (JUNE - OCTOBER), ESFM HAS SERVED 3,074 FAMILIES. WIC CLIENTS, SENIOR CITIZENS AND DISABLED PERSONS HAVE ESPECIALLY BENEFITTED DUE TO ESFM BEING OFFERED ON THE SAME DAY AS WIC EDUCATION CLASSES, AND THE CLOSE PROXIMITY OF PARKING TO VENDORS. IN ADDITION, THE FARMERS CREATED A "DRIVE THROUGH" TO MAKE SHOPPING EASIER FOR SENIORS AND DISABLED PERSONS. ST. MARY'S HOSPITAL IN STREATOR, ILLINOIS TEAMED UP WITH THE STREATOR YMCA TO OFFER A 12-WEEK WEIGHT LOSS PROGRAM - HEALTHY YOU - TO MOTIVATE MORE THAN 300 PARTICIPANTS, 80% OF WHOM WERE RETURNING PARTICIPANTS FROM FY2013, TO LOSE WEIGHT AND MAINTAIN A HEALTHY LIFESTYLE. THE PROGRAM INCLUDED AEROBICS CLASSES, COOKING CLASSES, AND A MAINTENANCE PROGRAM TO ENCOURAGE PARTICIPANTS TO WEIGH IN MONTHLY. SURVEYS WERE COLLECTED AT REGISTRATION TO QUANTIFY PROGRESS FOR REPEAT PARTICIPANTS - 53% STATED THEY WERE ABLE TO MAINTAIN THEIR WEIGHT LOSS AND 74% WERE ABLE TO CONTINUE TO LOSE WEIGHT. IN FY2014, HEALTHY YOU PARTICIPANTS COLLECTIVELY LOST 2,853 POUNDS OR 4.42% OF TOTAL BODY WEIGHT. IN FY2014, ST. MARY'S HOSPITAL IN DECATUR, ILLINOIS PARTNERED WITH LOCAL PROVIDERS TO PROMOTE THE LEARN MORE, BREATHE BETTER CAMPAIGN IN COORDINATION WITH THE NATIONAL HEART, LUNG AND BLOOD INSTITUTE TO EDUCATE THE COMMUNITY ABOUT COPD AND OTHER BREATHING ISSUES AND TO PROMOTE BEHAVIORS THAT IMPROVE HEALTH. BREATHING ISSUES ARE PREVALENT IN THE DECATUR AREA DUE TO THE CONCENTRATION OF MANUFACTURING AND POOR AIR QUALITY. ST. MARY'S HAS RESEARCHED AND COMPILED ADMISSIONS DATA RELATED TO COPD AND HAS INCREASED PATIENT, PROVIDER AND COMMUNITY EDUCATION TO BETTER COORDINATE CARE ACROSS THE CONTINUUM FOR BETTER PATIENT OUTCOMES. IN ADDITION, ST. MARY'S HOSPITAL'S MODEL FOR COPD CORE MEASURES HAS BEEN SHARED AT NATIONAL BEST PRACTICES SEMINARS TO BENEFIT OTHER COMMUNITIES. ACCORDING TO THE NATIONAL ASSESSMENT OF ADULT LITERACY, ONLY 12% OF ADULTS HAVE "PROFICIENT" HEALTH LITERACY, I.E. NINE OUT OF 10 ADULTS LACK THE SKILLS NEEDED TO MANAGE THEIR HEALTH. HEALTH LITERACY WAS IDENTIFIED IN THE CHNA COMPLETED BY ST. NICHOLAS HOSPITAL IN SHEBOYGAN AND THE DEPARTMENT OF PUBLIC HEALTH IN FY2012. IN TURN, ST. NICHOLAS HOSPITAL SPONSORED A SYMPOSIUM FOR HEALTH CARE PROVIDERS AND SOCIAL SERVICES ORGANIZATIONS AND A COMMUNITY-WIDE CME FOR ALL SHEBOYGAN PHYSICIANS AS WELL AS STAFF TRAINING AS FIRST STEPS IN ADDRESSING THE HEALTH LITERACY NEEDS OF THE SHEBOYGAN COMMUNITY IN FY2013. IN FY2014, THE HEALTHY SHEBOYGAN COUNTY 2020 HEALTH LITERACY COMMITTEE HOSTED FIVE FOCUS GROUPS (HISPANIC, HMONG, LOW-INCOME, SENIOR CITIZENS AND YOUNG ADULTS) AND AN EXECUTIVE BRIEFING FOR HEALTH CARE LEADERS TO SHARE THE RESULTS OF THE COMMUNITY SURVEY AND FOCUS GROUPS. WITH THE SUPPORT OF ST. NICHOLAS HOSPITAL, A HEALTH LITERACY COMMUNITY AWARENESS CAMPAIGN IS BEING DEVELOPED. SACRED HEART HOSPITAL IN EAU CLAIRE, WISCONSIN ADDRESSED THE NEED FOR MENTAL AND BEHAVIORAL HEALTH SERVICES THROUGH THE HEALING PLACE. FREE GRIEF AND HOLISTIC SUPPORT SERVICES SUCH AS ONE ON ONE COUNSELING, WORKSHOPS AND PRESENTATIONS ARE PROVIDED FOR INDIVIDUALS AND FAMILIES DEALING WITH LOSS AND MAJOR LIFE TRANSITIONS DUE TO MILITARY SERVICE, ILLNESS, DEATH, DIVORCE, ETC. EXPANDED MEDICAL KNOWLEDGE HSHS WORKS TO ADVANCE MEDICAL KNOWLEDGE BY SUPPORTING RESEARCH INITIATIVES AND EDUCATIONAL OPPORTUNITIES. IN FY2014, HSHS HOSPITALS AND AFFILIATED PHYSICIAN GROUPS CONTRIBUTED MORE THAN $18.5 MILLION TOWARD RESEARCH AND EDUCATION. HIGHLIGHTS OF THIS COMMITMENT INCLUDE SUBSIDIZING MEDICAL SCHOOL RESIDENCY PROGRAMS, OFFERING ONGOING MEDICAL EDUCATION TO PHYSICIANS AND CLINICIANS, AND PROVIDING JOB SHADOWING PROGRAMS FOR HIGH SCHOOL STUDENTS. ANOTHER EXAMPLE OF THIS COMMITMENT INCLUDES ST. JOHN'S COLLEGE OF NURSING IN SPRINGFIELD, ILLINOIS, WHICH OFFERS THE LAST TWO YEARS OF THE BACCALAUREATE DEGREE IN NURSING, AS WELL AS CONTINUING EDUCATION PROGRAMS FOR NURSES AND HEALTH PROFESSIONALS. ST. JOHN'S COLLEGE HAS BEEN CITED AS THE OLDEST CATHOLIC HOSPITAL-BASED SCHOOL OF NURSING IN THE UNITED STATES. FOUNDED IN 1886, THE COLLEGE HAS REMAINED DEDICATED THROUGHOUT ITS RICH HISTORY TO THE EDUCATION OF PROFESSIONAL NURSES WHOSE PRACTICE EXEMPLIFIES EXCELLENCE IN AN INTEGRATED HEALTH CARE SYSTEM. THE COLLEGE IS ALSO HELPING TO ADDRESS THE SHORTAGE OF PRIMARY CARE PROFESSIONALS IN DOWNSTATE ILLINOIS. ST. ELIZABETH'S HOSPITAL IN BELLEVILLE, ILLINOIS PROVIDED CLINICAL EDUCATION IN NURSING, RADIOLOGY, SURGERY, RESPIRATORY, DIETARY, PHYSICAL AND OCCUPATIONAL THERAPY, PHARMACY AND BEHAVIORAL HEALTH TO 637 AREA COMMUNITY COLLEGE AND UNIVERSITY STUDENTS. THIS MENTORING IS VALUED AT MORE THAN $440,000. IN ADDITION, TO ADDRESS A SHORTAGE OF PRIMARY CARE FAMILY PRACTICE DOCTORS IN ST. CLAIR COUNTY, ST. ELIZABETH'S SUBSIDIZED THE ST. LOUIS UNIVERSITY FAMILY MEDICINE RESIDENCY PROGRAM, A UNIQUE MERGER OF A COMMUNITY-BASED SETTING, AN ACADEMIC CENTER AND A MILITARY-BASED RESIDENCY. CLINICAL EDUCATION SITES INCLUDED ST. ELIZABETH'S HOSPITAL, CARDINAL GLENNON CHILDREN'S HOSPITAL, AREA PHYSICIANS' OFFICES AND SCOTT AIR FORCE BASE OUTPATIENT CLINICS. ALSO IN SOUTHERN ILLINOIS, ST. JOSEPH'S HOSPITAL IN BREESE, HOSTED MEMBERS OF THE HEALTH OCCUPATIONS STUDENTS OF AMERICA ONSITE TO LEARN ABOUT JOB OPPORTUNITIES IN HEALTH CARE FROM HEALTH CARE PROFESSIONALS; ST. JOSEPH'S HOSPITAL WAS RECENTLY RECOGNIZED BY THE ILLINOIS PRINCIPALS ASSOCIATION - KASKASKIA REGION FOR SPONSORING THE PROGRAM FOR MORE THAN 30 YEARS. ST. JOSEPH'S HOSPITAL ALSO PROVIDES CLINICAL EXPERIENCE FOR KASKASKIA COLLEGE STUDENTS ENROLLED IN THE NURSING, PHYSICAL THERAPY AND RADIOLOGY PROGRAMS. PHARMACY STUDENTS HAVE ALSO COMPLETED THEIR CLINICAL TRAINING AT ST. JOSEPH'S HOSPITAL. HIGHER LEVEL OF CARE HSHS COMMUNITY BENEFIT INITIATIVES ARE A VITAL PART OF OUR OVERALL MISSION. WE BELIEVE THAT THROUGH OUR WORK TO CREATE GREATER ACCESS TO CARE, BETTER COMMUNITY HEALTH, AND EXPANDED MEDICAL KNOWLEDGE, WE MADE A POSITIVE DIFFERENCE IN THE LIVES OF TENS OF THOUSANDS OF PEOPLE IN ILLINOIS AND WISCONSIN IN FY2014. HOSPITAL SISTERS HEALTH SYSTEM'S COMMITMENT TO COMMUNITY BENEFIT STEMS FROM THE FRANCISCAN AND CATHOLIC VALUES SHARED BY OUR 14,000 COLLEAGUES ACROSS WISCONSIN AND ILLINOIS. CATHOLIC HEALTH CARE IS COMMITTED TO PROMOTING AND DEFENDING HUMAN DIGNITY, CARING FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE POPULATIONS, AND PROMOTING THE COMMON GOOD. WE REMAIN DEDICATED TO CONTINUOUSLY IMPROVE COMMUNITY HEALTH THROUGH OUR STRATEGIC, WELL-DEFINED COMMUNITY BENEFIT INITIATIVES SO THAT WE CAN HELP MORE PEOPLE LIVE HEALTHIER LIVES.
Schedule H, Part VI, Line 7, State filing of community benefit report	IL

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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	false	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 (14 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
KEVIN KAST
CHIEF EXECUTIVE OFFICER	$0	$425,428	$0	$83,224	$0	$85,978	$0	$142,584	$0	$24,187	$0	$761,401	$0	$48,641
DANIEL PERRYMAN
BOARD MEMBER, CHIEF EXECUTIVE OFFICER	$0	$271,119	$0	$50,074	$0	$37,694	$0	$78,714	$0	$16,512	$0	$454,113	$0	$30,938
MICHAEL W COTTRELL
BOARD MEMBER	$0	$526,475	$0	$128,573	$0	$36,956	$0	$128,311	$0	$28,215	$0	$848,530	$0	$0
THERESA J RUTHERFORD
COO	$0	$112,300	$0	$26,195	$0	$22,099	$0	$86,634	$0	$7,967	$0	$255,195	$0	$0
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
REBECCA COLKER
CHIEF FINANCIAL OFFICER	$251,448	$0	$28,566	$0	$0	$0	$53,251	$0	$14,980	$0	$348,245	$0	$48,641	$0
DAVID OLEJNICZAK
INTERIM CEO	$0	$386,853	$0	$16,444	$0	$44	$0	$67,541	$0	$21,715	$0	$492,597	$0	$0
SHERRI A GREENWOOD
DIVISION CHIEF NURSING OFFICER	$0	$223,850	$0	$6,174	$0	$44	$0	$40,406	$0	$21,332	$0	$291,806	$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
MARY HARTMAN
CRNA	$259,542	$0	$0	$0	$0	$0	$97,382	$0	$14,618	$0	$371,542	$0	$0	$0
SHEILA HOLLINDEN
CRNA	$215,733	$0	$4,052	$0	$0	$0	$164,958	$0	$8,391	$0	$393,134	$0	$0	$0
BETH MCCOY
CRNA	$221,776	$0	$5,353	$0	$0	$0	$69,474	$0	$19,436	$0	$316,039	$0	$0	$0
ROBERTA MCBRIDE
CRNA	$214,520	$0	$5,667	$0	$0	$0	$126,247	$0	$14,618	$0	$361,052	$0	$0	$0
DEANNA HITCHENS
CRNA	$195,513	$0	$0	$0	$0	$0	$33,549	$0	$13,028	$0	$242,090	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 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 MICHAEL COTTRELL -- $68,239 KEVIN KAST -- $53,196 DANIEL PERRYMAN -- $32,522 THERESA RUTHERFORD -- $14,076 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 KEVIN KAST -- $48,641 DANIEL PERRYMAN -- $30,938
SCHEDULE J, PART II, COLUMN (C), DEFINED BENEFIT PLAN	THE ACTUARY COMPUTES THE DEFINED BENEFIT AMOUNT FOR ALL OF THE DISCLOSURES. THE REDUCTION DIRECTLY RELATES TO THE IMPROVEMENT IN THE DISCOUNT RATE.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KMB SC	BusinessNameLine1

Field	Value	IRS element (for citing)
Relationship Description	BOARD MEMBER	RelationshipDescriptionTxt
Transaction	$110,623	TransactionAmt
Transaction	LAB SERVICES	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	FormAndLineReferenceDesc
Explanation	BOARD MEMBER, ALAN FRIGY, MD, IS A 33.3% PARTNER IN KMB, S.C. WHICH PROVIDES LAB SERVICES TO THE ORGANIZATION. ALL TRANSACTIONS ARE CONSIDERED TO BE AT ARMS-LENGTH.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	ST. MARY'S HOSPITAL PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF ST. MARY'S HOSPITAL, IT IS RECONGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE NECESSARY MEDICAL SERVICES. INHERENT TO OUR MISSION, WE PROVIDE CARE TO THE POOR, THE ELDERLY, AND THE NEEDY OF THE COMMUNITY THROUGH VARIOUS PROGRAMS AND SERVICES. THESE ACTIVITIES INCLUDE COMMUNITY EDUCATION PROGRAMS, WELLNESS PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDERSERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. DURING FISCAL YEAR 2014, ST. MARY'S HOSPITAL PROVIDED 41,878 ADULT AND PEDIATRIC DAYS OF CARE AND 166,433 OUTPATIENT REGISTRATIONS DURING THE SAME TIME PERIOD. ST. MARY'S HOSPITAL PROVIDES BOTH BENEFITS TO THE POOR AND TO THE BROADER COMMUNITY. BENEFITS TO THE POOR ARE PROVIDED ON THE FORM OF TRADITIONAL CHARITY CARE FOR THOSE WHO CANNOT AFFORD TO PAY, UNPAID COSTS OF PUBLIC PROGRAMS SUCH AS MEDICAID AND GENERAL RELIEF, NONBILLED SERVICES FOR THE POOR AND MANY IN-KIND DONATIONS. THE TOTAL VALUES OF THESE UNREIMBURSED BENEFITS FOR THE POOR WERE $14,276,655 IN FISCAL YEAR 2014. ST. MARY'S HOSPITAL PROVIDES NUMEROUS BENEFITS TO THE BROADER COMMUNITY. THIS IS CARRIED OUT THROUGH OUR PARTICIPATION IN THE MEDICARE PROGRAM, PROVIDING MANY PROGRAMS AND SERVICES FREE OR AT A REDUCED PRICE, AND PROVIDING SERVICES THAT BENEFIT THE COMMUNITY BUT HAVE A NEGATIVE MARGIN TOTALED $3,980,653 DURING FISCAL YEAR 2014. ALL OTHER NONBILLED SERVICES PROVIDED TO THE COMMUNITY AND SERVICES PROVIDED AT LOW OR NEGATIVE MARGINS TOTALED $830,111 FOR THE YEAR ENDED 6/30/2014. BELOW ARE SPECIFIC EXAMPLES OF SERVICES INCLUDED IN THE ABOVE FIGURES: THROUGH THE OPERATION OF ITS PRENATAL CLINIC, THE HOSPITAL PROVIDES BOTH PRE AND POST NATAL CARE TO THE POOR. THE HOSPITAL ROUTINELY DONATES FOOD TO LOCAL FOOD PANTRIES. OBSOLETE EQUIPMENT IS ALSO OCCASIONALLY DONATED TO LOCAL AGENCIES. PROVIDE TRAINING TO THE LOCAL PARAMEDICS, FIRST RESPONDER GROUPS, AND FIRE DEPARTMENTS. IN ADDITIONAL, AREA ORGANIZATIONS RECEIVE CPR TRAINING THROUGH THE HOSPITAL'S EMS DEPARTMENT. THE HOSPITAL PARTICIPATES IN THE SECONDARY TRANSITIONAL EXPERIENCE PROGRAM BY PROVIDING EMPLOYMENT OPPORTUNITIES TO HANDICAPPED STUDENTS. PASTORAL CARE AND SOCIAL SERVICE DEPARTMENTS PROVIDE ASSISTANCE FOR PATIENT AND FAMILY NEEDS. PROVIDED LIFELINE VOICE COMMUNICATORS TO ELDERLY PATIENTS WITH SPECIAL NEEDS. EMPLOYEES SERVE AS SPEAKERS AT HEALTH FAIRS, SCHOOLS, AND A VARIETY OF AREA ORGANIZATIONS. ASSIST THE UNITED WAY CAMPAIGN BY HAVING STAFF MEMBERS ORGANIZE THE HOSPITAL'S ANNUAL FUND DRIVE. PROVIDE A VARIETY OF HEALTH SCREENINGS TO THE PUBLIC IN DIFFERENT LOCATIONS THROUGHOUT THE COMMUNITY.
FORM 990, PART IV, LINE 24A, TAX EXEMPT BONDS	ST. MARY'S DECATUR 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. MARY'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. MARY'S HOSPITAL DECATUR (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 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	THE ORGANIZATION IS SUBJECT TO THE CORPORATE COMPLIANCE PROGRAM AND CONFLICT OF INTEREST POLICY ("POLICY") OF HOSPITAL SISTERS HEALTH SYSTEM, AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. A REVISED CORPORATE COMPLIANCE PROGRAM AND CONFLICT OF INTEREST POLICY HAVE BEEN IMPLEMENTED SINCE JANUARY 2009 TO MANAGE CONFLICTS OF INTEREST USING A SYSTEM-WIDE PROTOCOL FOR DISCLOSURE STATEMENTS. IN ACCORDANCE WITH THE ORGANIZATON'S CONFLICT OF INTEREST POLICY, ALL COVERED PERSONS HAVE A DUTY TO COMPLY WITH THE CONFLICT OF INTEREST POLICY FOR ANY CONTRACT, TRANSACTION, RELATIONSHIP OR ACTIVITY CONTEMPLATED, ENTERED INTO OR CONDUCTED AT HSHS OR ITS AFFILIATES. THE POLICY DEFINES COVERED PERSONS AS BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS, BOARD DESIGNEES, SENIOR MANAGEMENT, MEMBERS OF ANY COMMITTEE THAT OVERSEES THE APPROVAL OF PHARMACEUTICALS AND MEDICAL DEVICES, 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- SYSTEM 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. MARY'S HOSPITAL. THE OVERALL PURPOSE OF THE POLICY IS TO PROVIDE PRACTICAL GUIDELINES FOR ETHICAL BUSINESS CONDUCT, TO ACHIEVE COMPLIANCE, AND TO DETECT AND PREVENT VIOLATIONS OF APPLICABLE LAWS. THE POLICY REQUIRES ST. MARY'S HOSPITAL, AND ALL HSHS HOSPITALS, TO EVALUATE THEIR PARTICIPATION IN JOINT VENTURE ARRANGEMENTS, INCLUDING UNDER APPLICABLE FEDERAL TAX LAWS, AND TO SAFEGUARD ST. MARY'S HOSPITAL'S TAX EXEMPT STATUS WITH RESPECT TO ANY JOINT VENTURE ARRANGEMENTS.
Form 990, Part VI, Sec C, Line 19, Required documents available to the public	BOARD-APPROVED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC AT THIS TIME.
Form 990, Part IX, Line 11g, Other Expenses	PROFESSIONAL FEES - TOTAL EXPENSE: 6458848, PROGRAM SERVICE EXPENSE: 6363551, MANAGEMENT AND GENERAL EXPENSES: 95297, FUNDRAISING EXPENSES: ; OTHER PURCHASED SERVICES - TOTAL EXPENSE: 11993125, PROGRAM SERVICE EXPENSE: 9165791, MANAGEMENT AND GENERAL EXPENSES: 2827334, FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: 0, PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ;
FORM 990, PART X, LINE 11, POOLED INVESTMENT ACCOUNT	ST. MARY'S HOSPITAL CASH RESERVES ARE INVESTED IN A POOLED INVESTMENT ACCOUNT MAINTAINED BY HOSPITAL SISTERS HEALTH SYSTEM (HSHS). PARTICIPATION IN THE POOLED INVESTMENT FUND IS LIMITED TO THE 501(C)(3) HOSPITALS AND HEALTH SERVICES ORGANIZATIONS SPONSORED BY HSHS. THE POOLED ACCOUNT CONSISTS OF CASH, EQUITY AND DEBT SECURITIES THAT ARE PUBLICLY TRADED. IN ACCORDANCE WITH THE PROVISIONS OF STATEMENT OF FINANCIAL ACCOUNTING STANDARDS (SFAS) NO. 124, "ACCOUNTING FOR CERTAIN INVESTMENTS HELD BY NOT-FOR-PROFIT ORGANIZATIONS", INVESTMENTS IN EQUITY SECURITIES WITH READILY DETERMINABLE FAIR VALUES AND ALL INVESTMENTS IN DEBT SECURITIES ARE REPORTED AT FAIR VALUE ON THE BALANCE SHEET. 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 FAIR VALUE OF INTEREST RATE SWAP - 7220; SWAP PAYMENTS - 1886; DECREASE IN TEMPORARILY RESTRICTED NET ASSETS - -118105; INCREASE IN PERMANENTLY RESTRICTED NET ASSETS - 20; PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COSTS - 2997162; TRANSFERS TO AFFILIATES - -6194627;

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 JOHN'S HOSPITAL
800 EAST CARPENTER STREET	SPRINGFIELD	IL	62769	370661238	HEALTHCARE	IL	501(C)(3)	3	HSSI	Yes (true)
ST JOSEPH'S HOSPITAL
9515 HOLY CROSS LANE	BREESE	IL	62230	371208459	HEALTHCARE	IL	501(C)(3)	3	HSSI	Yes (true)
ST JOSEPH'S HOSPITAL
2661 COUNTY HIGHWAY 1	CHIPPEWA FALLS	WI	54729	390810545	HEALTHCARE	WI	501(C)(3)	3	HSSI	Yes (true)
ST MARY'S HOSPITAL
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	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
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	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	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 ORGANIZATIONS

THE TRANSACTIONS REPORTED ON LINE 1 AND NOT SPECIFICALLY IDENTIFIED ON LINE 2 ARE BETWEEN RELATED 501(C)(3) PUBLIC CHARITIES. ACCORDINGLY THEY ARE NOT REPORTED IN THIS SECTION.