SACRED HEART HOSPITAL OF THE HOSPIT AL SISTERS-3RD ORDER OF ST FRANCIS: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- SACRED HEART HOSPITAL OF THE HOSPIT AL SISTERS-3RD ORDER OF ST FRANCIS (EIN 39-0807060)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-12
- IRS object ID
- 201421329349301227
- Schema version
- 2012v2.3
- 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) |
|---|---|---|
| Timestamp | 2014-05-12T14:22:48-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 191 West Nationwide Blvd Ste 500 | AddressLine1 |
| City | Columbus | City |
| State | OH | State |
| ZIP Code | 432152568 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390807060 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SACRED HEART HOSPITAL OF HOSPITAL | BusinessNameLine1 |
| Business Name Line2 | SISTERS OF THIRD ORDER OF ST FRANCIS | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % STEVE PALECEK | InCareOfName |
| Name Control | SACR | NameControl |
| Phone | 7157176122 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 WEST CLAIREMONT AVENUE | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | EAU CLAIRE | City |
| State | WI | State |
| ZIP Code | 54701 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JULIE MANAS | Name |
| Title | PRESIDENT/CEO | Title |
| Phone | 6142492300 | Phone |
| Date Signed | 2014-05-10 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6142492300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Julie Manas | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 West Clairemont Ave | AddressLine1 |
| City | EAU CLAIRE | City |
| State | WI | State |
| ZIP Code | 54701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 234618188 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SACREDHEARTHOSPITAL-EC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1890 | YearFormation |
| State Legal Domicile | WI | StateLegalDomicile |
| Activity Or Mission Description | To provide the means whereby Sacred Heart can Continue their apostolic mission to serve the sick, the aged, the poor and the terminally ill without regard to race, color, creed, or national origin. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1685 | TotalNbrEmployees |
| Total Nbr Volunteers | 300 | TotalNbrVolunteers |
| Total Gross UBI | 1059000 | TotalGrossUBI |
| Contributions Grants Prior Year | 595165 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 733790 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 215050971 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 219031849 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 10636698 | InvestmentIncomePriorYear |
| Investment Income Current Year | 12497032 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2376911 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2355517 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 228659745 | TotalRevenuePriorYear |
| Total Revenue Current Year | 234618188 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 92156664 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 97048490 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 100970670 | OtherExpensePriorYear |
| Other Expenses Current Year | 96513625 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 193127334 | TotalExpensesPriorYear |
| Total Expenses Current Year | 193562115 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 35532411 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 41056073 | RevenuesLessExpensesCY |
| Total Assets BOY | 443986782 | TotalAssetsBOY |
| Total Assets EOY | 495212645 | TotalAssetsEOY |
| Total Liabilities BOY | 129631664 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 119267205 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 314355118 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 375945440 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | SEE SCHEDULE O - ORGANIZATION'S MISSION | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 155823029 | Expense |
| Revenue | 215304496 | Revenue |
| Description | SEE SCHEDULE O - PART III Line 4A | Description |
| Total Program Service Expense | 155823029 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 85 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1685 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | STEVE PALECEK | NamePerson |
| Telephone Number | 7157173783 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 WEST CLAIREMONT AVENUE | AddressLine1 |
| City | EAU CLAIRE | City |
| State | WI | State |
| ZIP Code | 54701 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| SISTER Marybeth Culnan OSF | ||||||||||
| Director | 1.0 | 59.0 | X | 0 | 0 | 0 | ||||
| Dennis Breen MD | ||||||||||
| DIRECTOR | 1.0 | X | ||||||||
| JULIE FURST-BOWE EDD | ||||||||||
| DIRECTOR | 1.0 | X | ||||||||
| JAMES DOCKSEY | ||||||||||
| Vice Chairperson | 1.0 | X | X | |||||||
| Greg Heiler MD | ||||||||||
| Director | 1.0 | X | ||||||||
| Karen Hebert | ||||||||||
| Director | 1.0 | X | ||||||||
| Bruce Barker | ||||||||||
| Director | 1.0 | X | ||||||||
| JOE FESENMAIER | ||||||||||
| DIRECTOR | 1.0 | X | ||||||||
| LARRY SCHUMACHER | ||||||||||
| ASSISTANT SECRETARY | 1.0 | X | 0 | 958737 | 168542 | X | ||||
| JAMES THEISEN | ||||||||||
| SECRETARY | 1.0 | X | X | |||||||
| JULIE MANAS | ||||||||||
| PRESIDENT/CEO | 60.0 | X | 0 | 352133 | 79809 | X | ||||
| JEFFREY R HALLOIN | ||||||||||
| CHAIRPERSON | 1.0 | X | X | |||||||
| Ann m Carr | ||||||||||
| Treasurer | 0.25 | 59.75 | 0 | 272146 | 119816 | X | ||||
| DAVE NELSON | ||||||||||
| DIVISION CFO AS OF MARCH 2013 | 40.0 | 20.0 | 0 | 0 | 0 | X | ||||
| FAYE DEICH | ||||||||||
| COO | 60.0 | 381879 | 0 | 31111 | X | |||||
| Amy Dwyer | ||||||||||
| Chief Nursing Officer | 60.0 | 201249 | 0 | 104152 | X | |||||
| Robert DeFatta | ||||||||||
| Physician | 40.0 | 607758 | 0 | 22866 | X | |||||
| Rima DeFatta | ||||||||||
| Physician | 40.0 | 445658 | 0 | 19615 | X | |||||
| John Lamoureux | ||||||||||
| Physician | 40.0 | 328545 | 0 | 11282 | X | |||||
| John Waciuma | ||||||||||
| Physician | 40.0 | 667041 | 0 | 52115 | X | |||||
| MONICA MCDONALD | ||||||||||
| Physician | 24.0 | 496912 | 0 | 48248 | X | |||||
| STEPHEN RONSTROM | ||||||||||
| Former CHIEF EXECUTIVE OFFICER | 0 | 418889 | 41039 | X | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3129042 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2001905 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 698595 | TotalOtherCompensation |
| Number Individuals GT100 K | 64 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Sodexo Inc | |||||
| 4880 Paysphere Circle | Chicago | IL | 60674 | Management | 1844675 |
| HT Klatzke and Associates | |||||
| 1511 East Superior St | DULUTH | MN | 55812 | Advertising Consult. | 1481403 |
| Amphion Medical Solutions | |||||
| 8301 Excelsior Drive | Madision | WI | 53717 | Transcription Serv | 967107 |
| Samuels Group | |||||
| 311 Financial Way | WAUSAU | WI | 54401 | Construction | 5295788 |
| Infinity Healthcare | |||||
| 111 E Wisconsin Avenue | Milwaukee | WI | 53202 | Provider Staffing | 933018 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 28 | NumberOfContractorsGT100K |
| Related Organizations | 733790 | RelatedOrganizations |
| Total Contributions | 733790 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| NET PATIENT REVENUE | 900099 | 215031784 | 215031784 | |
| REFERENCE LAB SERVICES | 621500 | 897823 | 897823 | |
| DEPARTMENTAL REVENUE | 900099 | 271227 | 271227 | |
| OTHER OPERATING REVENUE | 900099 | 2831015 | 2831015 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 219031849 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4392929 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Exclusion | $4,392,929 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1508065 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1508065 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1508065 | TotalRevenueColumn |
| Exclusion | $1,508,065 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 7705603 | Securities |
| Other | 398500 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 7705603 | Securities |
| Other | 398500 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8104103 | TotalRevenueColumn |
| Exclusion | $8,104,103 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| EMPLOYEE & SENIOR CAFETERIA | 722514 | 323452 | 323452 | |
| GIFT SHOP | 453220 | 310038 | 310038 | |
| SHARED SERVICE INCOME | 621500 | 213962 | 52785 | 161177 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 847452 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 234618188 | TotalRevenueColumn |
| Related Or Exempt Function Income | 218820301 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1059000 | UnrelatedBusinessRevenue |
| Exclusion | $14,005,097 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 747071 | Total |
| Management And General | 747071 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71516728 | Total |
| Program Services | 64001737 | ProgramServices |
| Management And General | 7514991 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6467282 | Total |
| Program Services | 5727865 | ProgramServices |
| Management And General | 739417 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13363154 | Total |
| Program Services | 11835318 | ProgramServices |
| Management And General | 1527836 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4954255 | Total |
| Program Services | 4387825 | ProgramServices |
| Management And General | 566430 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9920208 | Total |
| Management And General | 9920208 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 330114 | Total |
| Management And General | 330114 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7119 | Total |
| Management And General | 7119 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17356141 | Total |
| Program Services | 4792048 | ProgramServices |
| Management And General | 12564093 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1998424 | Total |
| Management And General | 1998424 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 818183 | Total |
| Program Services | 663768 | ProgramServices |
| Management And General | 154415 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1477134 | Total |
| Program Services | 1477134 | ProgramServices |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2352399 | Total |
| Program Services | 1832807 | ProgramServices |
| Management And General | 519592 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 108121 | Total |
| Program Services | 47000 | ProgramServices |
| Management And General | 61121 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 373785 | Total |
| Program Services | 278239 | ProgramServices |
| Management And General | 95546 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 862858 | Total |
| Program Services | 862858 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12811656 | Total |
| Program Services | 12611708 | ProgramServices |
| Management And General | 199948 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 644479 | Total |
| Program Services | 65243 | ProgramServices |
| Management And General | 579236 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| CLINICAL SUPPLIES | 32060635 | 31847138 | 213497 |
| PROVISION FOR BAD DEBT | 5007000 | 5007000 | |
| MEDICAID ASSESSMENT | 6037680 | 6037680 | |
| EQUIPMENT RENTAL | 1490700 | 1490700 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2856989 | Total |
| Program Services | 2856961 | ProgramServices |
| Management And General | 28 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 193562115 | Total |
| Program Services | 155823029 | ProgramServices |
| Management And General | 37739086 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | X | InfoInScheduleOPartX |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 567321 | BOY |
| EOY | 857719 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4652546 | BOY |
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25628957 | BOY |
| EOY | 24297392 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5382739 | BOY |
| EOY | 5100385 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 743671 | BOY |
| EOY | 676684 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 238694123 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 135270214 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 99012897 | BOY |
| EOY | 103423909 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 298004169 | BOY |
| EOY | 360504225 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9994482 | BOY |
| EOY | 352331 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 443986782 | BOY |
| EOY | 495212645 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24159462 | BOY |
| EOY | 24708622 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59527523 | BOY |
| EOY | 59797562 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45944679 | BOY |
| EOY | 34761021 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 129631664 | BOY |
| EOY | 119267205 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 307362244 | BOY |
| EOY | 368794961 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1883699 | BOY |
| EOY | 1813256 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5109175 | BOY |
| EOY | 5337223 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 314355118 | BOY |
| EOY | 375945440 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 443986782 | BOY |
| EOY | 495212645 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 41056073 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 13073636 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 7460613 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $7,119 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 7119 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Schedule C Part IV | Identifier |
| Explanation | SACRED HEART HOSPITAL (THE HOSPITAL) IS A MEMBER OF THE CATHOLIC HEALTH ASSOCIATION ("CHA"), THE WISCONSIN HEALTH ASSOCIATION ("WHA"), AND THE AMERICAN HEALTH ASSOCIATION ("AHA"). AS A MEMBER OF THESE ORGANIZATIONS, THE HOSPITAL PAYS DUES AND PART OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING FEES PAID BY THE ORGANIZATIONS. THE AMOUNT LISTED ABOVE IS THE AMOUNT ATTRIBUTABLE TO THE HOSPITAL FROM ITS DUES PAID. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Current Year Minus4 Years | CurrentYearMinus4Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 812393 | OtherCostOrOtherBasis |
| Book Value | 812393 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 119110980 | OtherCostOrOtherBasis |
| Depreciation | 51733968 | Depreciation |
| Book Value | 67377012 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3487588 | OtherCostOrOtherBasis |
| Depreciation | 2418523 | Depreciation |
| Book Value | 1069065 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 111215348 | OtherCostOrOtherBasis |
| Depreciation | 81117723 | Depreciation |
| Book Value | 30097625 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4067814 | OtherCostOrOtherBasis |
| Book Value | 4067814 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 103423909 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED PENSION LIABILITY | $23,967,370 |
| INTEREST RATE SWAP PROGRAMS | $9,423,643 |
| OTHER LONG-TERM LIABILITIES | $500,000 |
| ESTIMATED SELF-INSURANCE LIAB | $870,008 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 34761021 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ASC SUBTOPIC 740-10 | Identifier |
| Explanation | HSHS HAS ADOPTED ASC SUBTOPIC 740-10, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES - AN INTERPRETATION OF FASB STATEMENT NO.109. ASC SUBTOPIC 740-10 ADDRESSES THE DETERMINATION OF HOW TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. UNDER ASC SUBTOPIC 740-10, HSHS MUST RECOGNIZE 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. THE TAX BENEFITS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. ASC SUBTOPIC 740-10 ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES, ACCOUNTING IN INTERIM PERIODS, AND REQUIRES INCREASED DISCLOSURES. AT THE DATE OF ADOPTION, AND AS OF JUNE 30, 2013 AND 2012, HSHS DOES NOT HAVE A LIABILITY FOR UNRECOGNIZED TAX BENEFITS. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 5568617 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 5568617 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02950 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 30270244 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 21263944 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9006300 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04780 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 818822 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 536624 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 282198 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 36657683 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 21800568 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14857115 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07880 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 107 | NumberOfActivitiesOrPrograms |
| Persons Served | 22619 | PersonsServed |
| Total Community Benefit Expense | 1472449 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 450525 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1021924 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00540 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 11 | NumberOfActivitiesOrPrograms |
| Persons Served | 244 | PersonsServed |
| Total Community Benefit Expense | 1457995 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1457995 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00770 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 2278 | PersonsServed |
| Total Community Benefit Expense | 4971857 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 4971857 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02640 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 36 | PersonsServed |
| Total Community Benefit Expense | 5248 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 5248 | NetCommunityBenefitExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 6 | NumberOfActivitiesOrPrograms |
| Persons Served | 17333 | PersonsServed |
| Total Community Benefit Expense | 152578 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 152578 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 128 | NumberOfActivitiesOrPrograms |
| Persons Served | 42510 | PersonsServed |
| Total Community Benefit Expense | 8060127 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 450525 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7609602 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04030 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 131 | NumberOfActivitiesOrPrograms |
| Persons Served | 42510 | PersonsServed |
| Total Community Benefit Expense | 44717810 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22251093 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 22466717 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.11910 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 202673 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 202673 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 202673 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 202673 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $5,006,772 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 75897839 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 98393442 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -22495603 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sacred Heart Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 West Clairemont Avenue | AddressLine1 |
| City | Eau Claire | City |
| State | WI | State |
| ZIP Code | 54701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
| Other | Behavioral Health Dialysis Inpatient Rehab | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SACRED HEART HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | true | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 11 | NeedsAssessmentConducted |
| Take Into Account | true | TakeIntoAccount |
| Other Facilities | true | OtherFacilities |
| CHNA Widely Available | true | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | false | AllNeedsAddressed |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 200. | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 400. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Medicaid Medicare | X | MedicaidMedicare |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Average Negotiated Rates | X | AverageNegotiatedRates |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Part I, Line 3c | Not applicable. The organization follows FPG to determine eligibility for providing charity and discounted care to low-income uninsured and underinsured individuals. | |
| Part I, Line 6a | The hospital's community benefit report can be accessed at www.sacredhearteauclaire.org Part I, Line 7, column (F) The percent of charity care and certain other benefits at cost as a percent of total expenses less bad debt is 11.91%. The percent of charity bad debt as a percent of total expenses less bad debt is 2.59%. THE AMOUNT OF BAD DEBT EXPENSE REMOVED WHEN CALCULATING THE PERCENTAGES IN PART I, LINE 7, COLUMN (F) WAS $5,007,000. Part I, Line 7(g) The hospital uses lyons software (CBISA) to determine subsidized services. Physician Clinics were not included in the subsidized heatlh services. | |
| Part I, Line 7 | Charity care is calculated by determining the total amount from patient billing that is written off to charity care charge codes or allowances. This amount matches the number that is reported on our fiscal year ending 2013 audited financial statements. The total charity care dollar amount is then reduced to cost by applying the hospital's cost to charge ratio as calculated on IRS schedule H - worksheet 2. | |
| Part II | The hospital continues to be involved in hundreds of community building activities each year that address the root cause of heath care problems or that work to lay a foundation for a healthier, safer, and better educated community. These activities are most often conducted through the hospital's two holistic healing centers: The Center for Healthy Living, and The Healing Place: A Center for Life's Journeys. The hospital's Regional Cancer Center also offers numerous, ongoing programs related to cancer care. In addition, the hospital conducts a variety of "green" initiatives - environmental stewardship and sustainability efforts (recycle and reuse) including donating surplus food to the St. Francis Food Pantry and donating gently used medical equipment to Third World countries via Hospital Sisters Mission Outreach, a medical surplus recovery organization. Other Community Building activities include hosting meetings and drives, and providing sponsorships for: Red Cross blood drives; Catholic Charities events and education, sponsorship of annual fundraising dinner; Sojourner House - Eau Claire homeless shelter; Diocese of La Crosse Office of Family Life; United Way events; Relay for Life - American Cancer Society; Special Olympics Polar Plunge; American Heart Association Heart Walk; Brain Injury Association of Wisconsin; Breakfast in the Valley, to celebrate the importance of agriculture in our local economy; Red Cross Real Heroes banquet; Logistical support and meeting space for the Chippewa Valley Internetworking Consortium to help expand fiber broadband infrastructure and service to the community and to rural and underserved areas to support telemedicine and other health projects, along with city/county governments, EMS, libraries and schools/education; and local "green" initiatives and environmental sustainability educational events. | |
| Part III, Line 4 | Bad debt expense of HSHS is discussed at pages 18 and 19 of the audited financial statements, a copy of which is attached to this return. | |
| Part III, Line 8 | The hospital commits significant resources to serve the Medicare population. The cost (determined using a cost to charge ratio) of providing services to primarily elderly beneficiaries of the Medicare program, in excess of governmental and managed care contract payments. In accordance with the Catholic Health Association, whose guidelines we follow, any shortfall from servicing the Medicare population is not to be considered a community benefit and thus not included in our community benefit calculations. 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. The hospital Medicare shortfall at cost for fiscal year 2013 was $22,495,603. | |
| Part III, Line 9b | Patients are informed of our financial payment options (including Community Care) at the time of registration via the registrars and other hospital personnel, and through our patient statement process; information is also available on our website. The hospital employs financial counselors who educate patients about potential eligibility for assistance under federal, state or local government programs or under the hospital's charity care policy or uninsured patient discount policy. If it is determined that a patient may be eligible for assistance, the financial counselor will assist the patient with applications for the appropriate program. Collection efforts include a series of patient statements, letters, and phone calls; all of which include discussion about the Community Care program. Patients who qualify for the Community Care program can receive up to 100% reduction in their financial obligation. Patients who are granted a partial reduction are expected to set up reasonable payment arrangements to pay the remaining balance. Patients who are referred to a collection agency are encouraged to make payment arrangements with the agency. A 10% prompt payment discount is available to all patients if payment in full is received within 30 days of the first statement. If a patient is unable to pay their balance in full within 30 days of the first statement or need to make alternative payment arrangements, they are responsible for contacting Patient Financial Services to avoid further collection activity. Patients without insurance receive an uninsured discount, which is reflected on the patient statement. Uninsured patients may qualify for an additional discount based on household income and family size and may take advantage of the prompt payment discount. Patient Financial Services can assist patients in this regard. Patients are informed of payment options including: o Cash, Check, or Credit Card (Visa, Mastercard, and Discover) o Helping Hands Lending Program: in collaboration with a local financial institution, the hospital offers a lending program, which provides an interest-bearing monthly payment option. o Community Care: A hospital-based financial assistance program provides full or partial reductions to patients who are not able to meet their obligations and who meet certain income and asset criteria. Patient Financial Services can offer information to patients. Sacred Heart Hospital devotes significant resources to provide access for patients who cannot afford care, along with other community benefits. In fiscal year 2013, in accordance with standards defined by the Catholic Health Association USA (CHAUSA), Sacred Heart Hospital has recognized an unreimbursed cost of community benefit of $22,669,390. The cost of servicing people who qualify for public indigent programs (including Medicaid and other public programs) was $9,288,498. The cost of our hospital-based community care program was $5,568,617. Sacred Heart also provided benefits of $7,812,275 to the community through many reduced price services and free programs offered throughout the year based upon activities and services that Sacred Heart Hospital believes will serve a genuine community health need. | |
| Part V, Section B, line 3 | A comprehensive and unique approach was utilized for this assessment. It included an analysis of reliable health, social and demographic data, survey data, input from local experts in public health, minority health and chronic disease, and the integration of direct input from over 800 citizens who provided voice to what they believe could enhance the health and wellbeing of their community. | |
| Part V, Section B, line 4 | As part of the CHNA process, Sacred Heart Hospital partnered with St. Joseph's Hospital in Chippewa Falls, WI to conduct two "town hall" meeting sessions with more than 800 individuals participating and giving voice to what they believe could enhance the health and wellbeing of their community. | |
| Part V, Section B, line 7 | The CHNA identified three priority health issues for the Eau Claire area and surrounding communities: 1. Mental health 2. Chronic disease prevention and management 3. Alcohol and other drug use Sacred Heart Hospital's Board of Directors approved implementation strategies for each health priority identified through the assessment process. Implementing the CHNA is an ongoing process and continues to be strategically rolled out over a three year time period. The development and expansion of services and programs targeted to meet these three specific health needs, in particular meeting fundamental behavioral health needs, creates an explicit link to improving community health status. Coordination of these preventative and treatment services and programs among local healthcare providers, community health and social service providers, and other health promotion agencies is necessary so that western Wisconsin residents get the appropriate prevention, diagnostic and treatment services needed. Though socioeconomic challenges are difficult to eliminate, western Wisconsin residents will benefit from our specific efforts to improve access to mental health services, preventative health and management services, and health education programming. Access to mental health care services for the uninsured and underinsured Sacred Heart Hospital expanded access to mental healthcare for children and adolescents by opening an outpatient behavioral health clinic in Eau Claire on November 7, 2011. This service is incredibly important as it begins to increase outpatient coverage for mental health services that are lacking in the community. Sacred Heart will continue to expand the program by recruiting additional physician providers to serve this location. In tandem, the use of screening tools for behavioral and mental health risk will be promoted among Hospital-affiliated clinics for improved identification of mental health issues and earlier intervention. Sacred Heart Hospital also partners with the Chippewa Valley Free Clinic (CVFC) to expand provider coverage for CVFC patients who require mental healthcare services. Education and awareness of mental health Programming has been developed in collaboration with other community organizations to educate the public about awareness of mental health issues and treatment, the stigma associated with mental illness, and recognition of mental health needs. Resources and programming for chronic disease prevention and management The Fit Kids=Fit Families program piloted in 2010-2011 through the Hospital's Center for Healthy Living has been enhanced and offered to families in the community. The focus of this effort is to increase education, enhance teaching skills, and modify behaviors of children and their families to improve levels of physical activity and proper nutrition. In addition, Sacred Heart Hospital offers an ongoing community education Metabolic Syndrome Speaker Series to promote awareness and early detection in an effort to minimize the development of chronic conditions. Access and education for stroke care Sacred Heart Hospital continues to enhance community education about the warning signs of stroke, as early identification and intervention is critical to improving outcomes and survival rates. An online screening tool, StrokeAware, was implemented, with the total number of stroke screenings continuing to increase. Education and awareness of alcohol and other drug use In partnership with other community organizations already active in the service area community, Sacred Heart Hospital collaborates with existing agencies to promote, expand and develop community awareness programs aimed at identifying the dangers and risks of alcohol and other drug use. The awareness interventions will be used to decrease the likelihood of individuals engaging in excessive alcohol and other drug use. Sacred Heart Hospital is the proud sponsor of the Chippewa Valley Tar Wars. Tars Wars is a program of the American Academy of Family Physicians, using an innovative approach to teach children positive reasons for not using tobacco. Founded in 1998, the program has reached over eight million children nationally. Since coming to the Chippewa Valley in 2002, Tar Wars has reached over 9,000 fourth-graders. Tar Wars uses an innovative approach to teach children positive reasons for not using tobacco. It focuses on the short-term effects of tobacco use and teaches them critical thinking skills regarding tobacco advertising. Information is presented using a number of interactive activities, including the creation of tobacco-free posters. Last school year we reached 52 classrooms, 1600 students, 13 school districts and 21 total schools. We had eight presenters. Needs Identified which were not addressed and why The hospital's Community Needs Assessment Team (CNAT) undertook a comprehensive review of Healthiest Wisconsin 2020, the 2010 Community Needs Assessment published by the United Way of Eau Claire, and the 2008 Clear Vision Eau Claire report. The Healthiest Wisconsin 2020 framework was adopted by CNAT to discuss and establish 12 health issues. Criteria to rank health issues were developed and each was evaluated against these criteria. This process then identified three priority health issues for the Eau Claire area and surrounding communities that the hospital would address: mental health, chronic disease prevention and management and alcohol and other drug use. While adequate, appropriate and safe food and nutrition was one of the 12 health issues, the hospital felt that this issue was being met by other community groups including St. Francis Food Pantry, Community Safe Food and Nutrition Table, Feed My People, local school districts, and the city and county health departments. Although we are not taking the lead on this issue, Sacred Heart Hospital in partnership with sister hospital St. Joseph's Hospital in Chippewa Falls is involved with various local groups working on this effort: o St. Joseph's Hospital's CHIP program is actively involved in this area and has developed a plot of land that will be planted and harvested. o Sacred Heart Hospital promotes an annual food drive during the month of November and the proceeds go to the St. Francis Food Pantry o Sacred Heart Hospital provides meals as part of the "Meals on Wheels" program | |
| Needs assessment | The assessment process began with a thorough review of Healthiest Wisconsin 2020, the 2010 Community Needs Assessment published by the United Way of Greater Eau Claire, and the 2008 Clear Vision Eau Claire report. Several additional sources of quantitative health, social and demographic data specific to the Hospital's service area provided by local public health agencies, healthcare associations and other data sources were utilized to update this information. Qualitative information included in the assessment was derived from National Research Corporation (NRC) which conducted an internet-based survey of over 300 households in the Eau Claire core-based statistical area (CBSA) in 2010, and from over 800 individuals who participated in the 'visioning' process comprised of over 30 focus groups and two 'town hall' meeting sessions conducted by Sacred Heart and St. Joseph's hospitals. Sacred Heart Hospital's Community Needs Assessment Team (CNAT) was responsible for facilitating the assessment process as well as implementation plan development. The CNAT was comprised of individuals from Sacred Heart Hospital involved in the development and provision of programs and services aimed at meeting the needs of patients and residents of the Eau Claire area and surrounding communities. Their engagement with this process was vital, as each member brought direct knowledge of the population served, their needs, and the services currently available to address these needs. Many of the members were also actively involved in other community health-related groups and non-profit organizations and conveyed input from these groups throughout the process. The Community Health Needs Assessment and associated implementation strategy has guided our efforts in FY2013. For prior years, we used a similar approach to identify community need. Patient education of eligibility for assistance Upon admission to Sacred Heart Hospital, patients are given a "Guide to Services" booklet which includes a section about hospital bills and the availability of financial assistance. The availability of Financial Counselors and their contact information is also provided in the guide. Additionally, patients in Admitting have available to them a printed brochure "About Your Hospital Bill" that thoroughly explains financial assistance, medical claims, charity care, etc. Another print brochure is devoted to thoroughly explaining the hospital's Charity Care program. Social Services staff informs and assist patients and family members about financial assistance programs that the hospital offers and their eligibility and provides assistance in helping patients and family members to access financial assistance. A public notice of medical assistance regarding prescriptions and pharmaceuticals for Social Security recipients is also posted outside of the Admitting area. Sacred Heart Hospital has devoted significant, in-depth information and education on its web homepage focusing on financial assistance, hospital billing, medical claims and charity care. Patients that do not have health insurance are informed of the hospital discount available to them, how to access hospital financial counselors and the availability of charity care and eligibility requirements. Eligibility forms and application forms are available for downloading from the website. | |
| Community Information | Sacred Heart Hospital serves a population of approximately 400,000 people in western Wisconsin. The Hospital's service area includes urban and rural areas and encompasses all of Eau Claire, Chippewa and Rusk counties, as well as portions of Barron, Buffalo, Clark, Dunn, Jackson, Pepin, Sawyer, Trempealeau, and Washburn counties. About 40% of the population lives in Eau Claire and Chippewa counties (51% with the addition of Dunn County). The population in the remaining counties is significantly less, with 10 out of 12 service area counties considered rural by the U.S. Department of Agriculture. The majority (approximately 45%) of all inpatient admissions at Sacred Heart Hospital originate from Eau Claire County. The City of Eau Claire is located 90 miles east of the Twin Cities and is the ninth largest city in the state of Wisconsin, with a population of just over 65,800. The Hospital's service area population is aging, much like the rest of the nation. Though western Wisconsin is less diverse than the nation as a whole (92.9%) white/non-Hispanic), there are several unique minority populations found within the Hospital's service area, including the Amish, Mennonite and Hmong communities. Wisconsin has the fourth highest Amish population in the nation. Sacred Heart's service area mean household income is about $43,000, roughly $7,000 lower than the national average. | |
| Promotion of Community Health | Sacred Heart 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), Sacred Heart Hospital is committed to delivering high quality, compassionate, and cost-effective health care services to all. The hospital was founded more than 124 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 Eau Claire 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 Sacred Heart Hospital is responding to community need. The Board reviews the Community Health Needs Assessment and approves an implementation strategy for addressing selected needs. There are also other bodies that assist Sacred Heart Hospital to connect with the community, such as our Advisory council, Friends of Sacred Heart Hospital Foundation, and our Volunteer Partners Board. Also consistent with its exempt purpose, Sacred Heart Hospital has an open medical staff with privileges available to all qualified physicians in the area. In addition, the hospital operates an emergency department that is open 24 hours to all persons regardless of their ability to pay. As a not-for-profit hospital, Sacred Heart Hospital reinvests surplus funds into the mission of the organization and health of the community rather than distributing them as profits to shareholders or individuals. Funds not committed to ongoing operations are generally used to upgrade facilities, secure new technologies, improve patient care, and support initiatives designed to promote health and ensure access for all. For example, Sacred Heart Hospital is currently working with its parent organization, Hospital Sisters Health System, to continuously enhance quality and improve coordination of care both inside the hospital and with a growing number of physician partners. Supported by investments in information technology, this "care integration" strategy is designed to better coordinate care, improve health outcomes, create new efficiencies, and help ensure that patients (especially those with chronic conditions) get well and stay well. Sacred Heart Hospital also devotes significant resources to provide access for patients who cannot afford care, along with other community benefits. In fiscal year 2013, Sacred Heart Hospital provided over $22,669,390 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, Sacred Heart Hospital provided $2,002,904 (at cost) in uncompensated care to patients that did not qualify for charity care or public assistance and over $22,495,603 million (at cost) in excess of Medicare payment for health care services. Responding to Community Need The range of community benefits provided by Sacred Heart Hospital 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 Sacred Heart Hospital, and they often relieve a burden that would otherwise be carried by government. Based on the assessment of community needs described under #2 above, Sacred Heart Hospital has focused on the following priorities: 1) Mental health; 2) Chronic disease prevention and management; and 3) Alcohol and other drug use. To determine these priorities, the Healthiest Wisconsin 2020 framework was adopted by the Community Needs Assessment Team (CNAT) to discuss and establish health priorities. Criteria to rank health priorities were developed and each of the 12 health issues was evaluated against these criteria. To assign relative importance to each criterion, a weight was assigned to each from one (low importance) to five (high importance). CNAT members then jointly assigned a rating for each criteria ranging from one (low) to five (high) for each health issue. The score for each criterion was calculated by multiplying rating by weight for each criterion and an overall score for the issue was calculated from the sum of the scores for each criterion. The total scores for each of the 12 issues were compared to determine which health issues were of greatest priority. Subsequently, the CNAT entered into dialogue with other key community partners, including representatives of the local city/county health department to discuss the results of the evaluation and select health priorities. CNAT members and others were given the opportunity to revise rankings, discuss and debate health issues until consensus was reached on composite ranking of the health issues. In the coming year, many activities and services will be modified or supplemented to focus on the priority needs identified by the community health needs assessment process. As part of Sacred Heart Hospital's mission to provide healing and hope to the people we serve, we have developed community benefit initiatives that 1) expand access to health care, 2) enhance overall health status, and 3) promote medical education. The hospital strengthens the health of our communities by continually reinvesting any surplus revenue from operations and investments into new medical technology, facility infrastructure and health care services. These investments ensure that our hospital can continue to provide high quality, compassionate care to all who walk through our doors. In accordance with standards defined by the Catholic Health Association USA (CHAUSA), Sacred Heart Hospital has recognized an unreimbursed cost of community benefit of $22,669,390. The cost of servicing people who qualify for public indigent programs (including Medicaid and other public programs) was $9,288,498. The cost of our hospital based community care program was $5,568,617. Sacred Heart also provided benefits of $7,812,275 to the community through many reduced price services and free programs offered throughout the year based upon activities and services that Sacred Heart Hospital believes will serve a genuine community health need, including: The Healing Place: A Center for Life's Journeys is Sacred Heart Hospital's free grief and holistic healing center for those experiencing loss and/or adjustment issues, such as those brought about by death, divorce, disability/illness, unemployment, military service, etc. Support services include: grief support groups, 1:1 counseling, workshops, presentations for individuals and families dealing with loss and major life transitions. During the past year, The Healing Place has offered: o 1:1 counseling to anyone needing help with a life adjustment issue o Evening and Daytime Spouse Loss groups for those who have lost a spouse, both time limited and on-going o Pregnancy and Infant Loss Support Group for miscarriage, stillbirth and early infant death o Parents Grief Group for parents who have lost a child o Sponsor of International Survivors of Suicide Day o Classes for teaching resiliency/coping skills/stress management o Workshops and presentations for various institutions and businesses on topics related to grief, loss, and coping o Special programs and workshops including Grief in the Workplace and Grief and the Holidays o Support groups for those experiencing divorce or loss of a parent Center for Healthy Living and other educational resources including programs, services, screenings and retreats: o Prepared Childbirth (expectant parent classes, sibling classes, breastfeeding classes, and lactation consulting) o Babysitting Seminars o Center for Medical Excellence Community Health Information Room with access to print and electronic medical journals and other health resources for patient, family, and community use o Indoor Sports Center "Get Hooked on Health" Kids Expo (safety education, health & wellness) o Spirit of Women education programs, speakers and free screenings o Bicycle helmet fitting clinics o Joint Renew Camp for patients who will undergo joint replacement surgery o Safety Town program - specific for pre K-K students to teach basic safety (taught in Bloomer, Menomonie and Eau Claire) o Coat Drive collects over 6,000 coats annually and given to those in need o Metabolic Syndrome Series Education Events - ongoing monthly series of education events specifically aimed at those who may have a grouping of risk factors that raise an individual's risk for heart disease and other health problems such as diabetes and stroke. Program topics included risk factors, basic nutrition, label reading, exercise, personal life inventory, work life balance and maintenance. o Metabolic | |
| AFFILIATED HEALTH CARE SYSTEM | Sacred Heart Hospital in Eau Claire, Wisconsin is an affiliate of Hospital Sisters Health System (HSHS), a health care ministry that includes 13 hospitals, scores of 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 FY2013, 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 $185.6 million in Community Benefit (or 10.2% of total hospital expenses) in FY2013. Included in this amount was $45.9 million provided for Financial Assistance (i.e. Charity Care) and $104.2 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 $152.3 million. HSHS hospitals also recorded $107.1 million in uncollectible accounts. 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 FY2013, 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. From 2006 to 2009, the United States saw a 16% increase in individuals seeking dental care at hospital emergency rooms. With the support of St. Mary's Hospital Medical Center and St. Vincent Hospital in Green Bay, Wisconsin, the NEW Dental Clinic on the campus of Northeast Wisconsin Technical College expanded in FY2013 and was able to accommodate up to 6,000 visits. The clinic provides dental services to low-income and uninsured persons including the homeless in Brown County. St. Francis Hospital in Litchfield, Illinois partnered with Lewis & Clark Community College to bring their mobile health unit to the Litchfield area; the unit provides dental exams and screenings, x-rays and dental hygiene to those in need. In western Wisconsin, St. Joseph's Hospital in Chippewa Falls works closely with the Chippewa Health Improvement Partnership (CHIP) to support the Open Door Clinic. The free medical clinic provides health care for those without insurance coverage. This past year, the clinic received a total of 2,672 patient visits, an 11% increase from the prior year. With more than 166 individuals volunteering, the clinic provided more than 6,751 hours (including 753 provider hours and 675 nursing hours) of service to individuals. The Open Door Clinic is an example of HSHS providing leadership and support to a community-based program designed to meet the needs of those less fortunate. 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. Last year, St. Anthony's helped underwrite the cost of prescription medications for more than 280 residents. 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, in collaboration with the Illinois Department of Insurance, St. Joseph's Hospital participates in the Senior Health Insurance Program (SHIP), a free health insurance counseling service for Medicare beneficiaries and their caregivers. In addition to programs such as these, HSHS makes sure that those who need financial assistance for care receive it. Our Financial Assistance (i.e. Charity Care) program covers 100% of hospital charges for individuals and families who earn less than 200% of the federal poverty level. HSHS Financial Assistance programs have a sliding scale, in some instances providing up to a 60% discount on charges for those earning up to 600% of the federal poverty level. Counselors are available in our hospitals to explain our financial assistance policies to patients, provide them with assistance in filling out a simple application form, or help them enroll in publicly funded health care programs. 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. Among the many priority needs identified from the CHNAs include 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 partnership with the Sangamon County Health Department (SCHD) 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 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." WIC Cooking Classes are also offered in tandem with the East Side Farmers Market to teach participants how to prepare fresh produce. The Farmers Market and cooking classes are hosted at the SCHD. 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 282 participants (nearly double the participants from last year) 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. A total of 191 participants complete | |
| STATE FILING OF COMMUNITY BENEFIT REPORT | WI, | 990 SCHEDULE H, PART VI |
Schedule J IRS990ScheduleJ
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|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STEPHEN RONSTROM | ||||||||||||||
| Former CHIEF EXECUTIVE OFFICER | 0 | 0 | 0 | 0 | 0 | 418889 | 0 | 41039 | 0 | 0 | 0 | 459928 | 0 | 0 |
| Ann m Carr | ||||||||||||||
| Treasurer | 0 | 193454 | 0 | 29440 | 0 | 49252 | 0 | 121170 | 0 | 17686 | 0 | 411002 | 0 | 18215 |
| LARRY SCHUMACHER | ||||||||||||||
| ASSISTANT SECRETARY | 0 | 647266 | 0 | 259077 | 0 | 52394 | 0 | 152700 | 0 | 16735 | 0 | 1128172 | 0 | 0 |
| JULIE MANAS | ||||||||||||||
| PRESIDENT/CEO | 0 | 299261 | 0 | 20765 | 0 | 32107 | 0 | 61682 | 0 | 18127 | 0 | 431942 | 0 | 0 |
| Robert DeFatta | ||||||||||||||
| Physician | 537758 | 0 | 70000 | 0 | 0 | 0 | 14030 | 0 | 8836 | 0 | 630624 | 0 | 0 | 0 |
| Rima DeFatta | ||||||||||||||
| Physician | 405658 | 0 | 40000 | 0 | 0 | 0 | 10660 | 0 | 8955 | 0 | 465273 | 0 | 0 | 0 |
| John Lamoureux | ||||||||||||||
| Physician | 298342 | 0 | 30000 | 0 | 203 | 0 | 9305 | 0 | 1977 | 0 | 339827 | 0 | 0 | 0 |
| John Waciuma | ||||||||||||||
| Physician | 667041 | 0 | 0 | 0 | 0 | 0 | 42236 | 0 | 9879 | 0 | 719156 | 0 | 0 | 0 |
| MONICA MCDONALD | ||||||||||||||
| Physician | 496912 | 0 | 0 | 0 | 0 | 0 | 23045 | 0 | 25203 | 0 | 545160 | 0 | 0 | 0 |
| FAYE DEICH | ||||||||||||||
| COO | 271644 | 0 | 96397 | 0 | 13838 | 0 | 0 | 0 | 31111 | 0 | 412990 | 0 | 0 | 0 |
| Amy Dwyer | ||||||||||||||
| Chief Nursing Officer | 189511 | 0 | 11738 | 0 | 0 | 0 | 82000 | 0 | 22152 | 0 | 305401 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Stephen Ronstrom | SCHEDULE J, PART I, LINE 4A | STEPHEN RONSTROM RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $459,928. |
| JULIE MANAS | Schedule J, Part I, Line 4b | JULIE MANAS PARTICIPATED IN A SERP DURING THE YEAR IN THE AMOUNT OF $32,352. |
| larry schumacher | schedule j, part i, line 4b | LARRY SCHUMACHER PARTICIPATED IN A SERP DURING THE YEAR IN THE AMOUNT OF $129,818. |
| ANN M. CARR | schedule j, part i, line 4b | ANN M. CARR PARTICIPATED IN A SERP DURING THE YEAR IN THE AMOUNT OF $42,817. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | pathology service corporation | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | board member is a partner | Relationship |
| Amount Of Transaction | 360900 | AmountOfTransaction |
| Description Of Transaction | hospital based pathology svcs. | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | business transactions with interested persons | Identifier |
| Return Reference | schedule l, part iv | ReturnReference |
| Explanation | Business transactions with interested parties are compliant with the organ organization's conflict of interest policy. any transactions requiring board approval were reviewed by an independent board prior to being approved. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | PART III LINE 1 | THE PRIMARY PURPOSE OF SACRED HEART HOSPITAL IS TO PROVIDE A STRUCTURE AND THE MEANS WHEREBY THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS CAN CONTINUE THEIR APOSTOLIC MISSION TO SERVE THE SICK, THE AGED, THE POOR AND THE TERMINALLY ILL WITHOUT REGARD TO RACE, COLOR, CREED OR NATIONAL ORIGIN. THE PRIMARY CONCERN OF SACRED HEART HOSPITAL AND THE HOSPITAL SISTERS IS THE PATIENT'S WELL BEING... SPIRITUALLY, PHYSICALLY, PSYCHOLOGICAL AND SOCIAL. |
| PROGRAM SERVICES REVENUE - ACCOMPLISHMENTS | FORM 990 PART III, LINE 4A | Sacred Heart 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 Sacred Heart Hospital, it is recognized that not all individuals possess the ability to purchase essential medical services, and further that our mission is to serve the community with respect to providing healthcare services and healthcare education. Health activities and programs to support the community are considered where there is a demonstrated need. These activities include behavioral health services, wellness programs, community education programs, special programs for the elderly, and a variety of broad community support activities. Sacred Heart Hospital provided 46,484 adult and pediatric days of care and 111,024 outpatient visits during fiscal year ended June 30, 2013. Sacred Heart Hospital provides care to persons covered by governmental programs at or below cost. Recognizing our mission to the community, services are provided to both Medicare and Medicaid Patients. In accordance with standards defined by the Catholic Health Association USA (CHAUSA), Sacred Heart Hospital has recognized an unreimbursed cost of community benefit of $22,670,365. The cost of servicing the people qualifying for public indigent programs (including Medicaid and other public programs) was $9,288,498. The cost of our hospital based community care program was $4,568,500. Sacred Heart also provided benefits of $7,813,367 to the community through many reduced price services and free programs offered throughout the year based upon activities and services that Sacred Heart Hospital believes will serve a bona fide community health need. These include: o The Healing Place: A Center for Life's Journeys is Sacred Heart Hospital's free grief and holistic healing center for individuals who have experienced a loss or are dealing with a major life transition. Support includes: grief support groups, counseling, workshops, presentations to grieving individuals and families such as: 1. Evening and Daytime Spouse Loss groups for those who have lost a spouse 2. SHARE Support Group for miscarriage, stillbirth and early infant death 3. Parents Grief Group for parents who have lost a child 4. Adult Loss of a Parent for those who have lost a parent 5. Children's Grief Group for children ages 6-12 who have lost a special person 6. Suicide Survivor's Group for those who have lost a loved one to suicide 7. Workshops and presentations to healthcare, religious, educational and mental health institutions on topics related to grief and loss. 8. Special programs and workshops including Grief in the Workplace and Grief and the Holidays 9. New support services, short-term counseling, classes and workshops provide support for those coping with non-death-related life transitions including: divorce or separation, illness, disability, job changes, military deployment and retirement o Several cancer care related programs, including; "Reach to Recovery" and "Living with Cancer" and wig loan closet support groups for diseases/disorders such as; Alzheimer's, Amputee Clinic, Multiple Sclerosis, Spinal Cord injury, and others o Breastfeeding support group Center for Healthy Living and other educational classes and resources including: o Prepared Childbirth (Lamaze, prenatal, sibling classes and lactation consulting) o EMT and other professional training such as ACLS o Adult, infant and child CPR classes o Babysitting/Smarter Sitter Seminars o Arthritis, Parkinson's disease, Osteoporosis and others o Pediatric Health Fair with hands-on activities in health, wellness and safety. o Wellness programs, services and retreats o Participation in health fairs o Caring for the Caregiver o Center for Medical Excellence Community Health Information Room with access to print and electronic medical journals and other health resources for patient, family, and community use o Annual "Woman to Woman" Healthcare Expo o Indoor Sports Center "Get Hooked on Health" Kids Expo (safety education, health & wellness) o Center for Spiritual Care speakers' bureau Meal programs & support including: o Meals for Senior Citizens and congregate site meals o Thanksgiving St. Francis Food Pantry food drive collection program for needy families o Coat, mitten, linen and blanket drive o Christmas Sponsor-A-Family drive o Essentials (toiletries) drive Health screenings including: o Reduced fee mammograms o Prostate (PSA) screenings o Blood pressure screenings o Stroke Prevention Clinic/screenings Services to the community, including: o Center for Spiritual Care pastoral care chaplain & volunteer assistance with over 650 Power of Attorney for Health Care (Advance Directive) forms o A variety of student intern programs, work shadowing, and tours o Overnight accommodations for families of critically ill patients o Patient follow-up post discharge calls program o Medical equipment, supplies, laboratory services, imaging services donated to the Chippewa Valley Free Clinic and its patients below the federal poverty level o Annual bioethics symposium o Symposium support and sponsorship for the Catholic Medical Association o Disaster preparedness planning o Influenza/H1N1 community education o Symposium sponsorship on financial management during challenging economic times Hosting meetings, drives and sponsorships for: o Red Cross blood drives o Catholic Charities events and education o Diocese of La Crosse Office of Family Life o United Way events o Relay for Life - American Cancer Society o Special Olympics Polar Plunge o American Heart Association Heart Walk o Brain Injury Association of Wisconsin o Breakfast in the Valley o Red Cross Real Heroes banquet o Producers & Buyers Co-op: Linking Local Farms and Institutions, organizational support for meetings and organizational and secretarial support to encourage local food sourcing by institutions to benefit the local economy (in partnership with River Country RC&D and local family farms) o Logistical support and meeting space for the Chippewa Valley Internetworking Consortium to help expand fiber broadband infrastructure and service to the community and to rural and underserved areas to support telemedicine and other health projects, along with city/county governments, EMS, libraries and schools/education o Local "green" and environmental sustainability educational events First Aid booths for community events/festivals, including: o Buckshot Run o Country Jam o Festival in the Pines o International Fall Festival "Green" environmental stewardship and sustainability efforts (recycling and reusing) including: o More than 5 tons of food scrap produce were donated to a local ranch for animal feed o The hospital donated more than 4.5 tons of leftover food to the St. Francis Food Pantry o Donated 11.5 tons of used equipment (8,400 items) to Third World countries via the Hospital Sisters Mission Outreach: Medical equipment went to needy hospitals and clinics in third world countries such as Mongolia and Ukraine and to U.S. Navy Project Handclasp. Equipment included beds, wheelchairs, exam lights, walkers, x-ray aprons, medical carts, surgical instruments, stretchers, linens and various other items. Sacred Heart Hospital has prepared the financial information in this report in accordance with CHAUSA community benefit reporting guidelines. These guidelines recommend the following: - Report community care at cost, not charges. - Do not include bad debt, contractual allowances, and quick pay discounts as part of charity care expense. - Do not count Medicare shortfall as a community benefit. - Report the net expense for community benefit services, i.e., the total community benefit expense minus any associated revenue from patients, payers, and other external sources. The Catholic Health Association's reporting guidelines reflect a conservative approach to reporting quantifiable community benefit. The goal of the reporting guidelines is to produce community benefit financial reports that reflect true costs and that describe community benefit activities that increase access to health care and improve community health. In summary Sacred Heart Hospital financially contributed to the community $22,670,365 for fiscal year ended June 30, 2013 as follows: Charity care - at cost, not including bad debt $5,568,500 Government sponsored health care - net expense 9,288,498 Unpaid cost of public indigent care programs (includes Medicaid and other public programs) Community Benefit Programs - net expense 7,813,367 ------------ Total quantifiable community benefit $22,670,365 ============ |
| In addition to the amounts reported above, Sacred Heart Hospital committed | significant resources to service the Medicare population. The cost (as determined using the cost to charge ratio) of providing services to primarily elderly beneficiaries of the Medicare program in excess of governmental and managed care contract payments was $22,495,603 for the year ended June 30, 2013. TAX-EXEMPT BONDS FORM 990, PART IV, LINE 24 SACRED HEART HOSPITAL HOLDS A LIABILITY ON ITS BOOKS FOR TAX-EXEMPT BONDS, WHICH IS AN ALLOCATION FROM ITS SOLE CORPORATE MEMBER, HOSPITAL SISTERS SERVICES, INC. AS A RESULT, THIS QUESTION WAS ANSWERED NO, AND SCHEDULE K WILL BE COMPLETED ON THE HOSPITAL SISTERS SERVICES, INC. FORM 990. RIGHTS OF MEMBERS TO ELECT GOVERNING BODY FORM 990 PART VI, LINES 6 & 7A THE SENIOR GOVERNING BODY OF SACRED HEART HOSPITAL (THE CORPORATION) IS THE MEMBER OF THE CORPORATION, WHICH IS HOSPITAL SISTERS HEALTH SERVICES, INC. ("HSSI"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. PURSUANT TO SECTION 2.3 OF THE CORPORATION'S BYLAWS, HSSI HAS THE RIGHT TO APPOINT AND REMOVE THE CORPORATION'S BOARD OF DIRECTORS, CHAIRPERSON OF THE BOARD AND PRESIDENT. | |
| MEMBER RESERVED POWERS | FORM 990 PART VI, LINE 7B | Responsibility for the policy and operations of Sacred Heart Hospital (the "Corporation") is vested in its Board of Directors, except with respect to specific powers reserved in the Corporation's Bylaws to the Corporation's Member, Hospital Sisters Health 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 institution 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 REVIEW PROCESS | FORM 990 PART VI, LINE 11b | The hospital employs KPMG to assist in the overall review and electronic submission of its Form 990. KPMG 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. |
| CONFLICT OF INTEREST POLICY | FORM 990 PART VI, LINE 12C | 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, and ANY OTHER INDIVIDUAL WHO HOLDS A POSITION OF TRUST. ON AN ANNUAL BASIS, Hospital Sisters Health System, ("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 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. |
| WHISTLEBLOWER POLICY | FORM 990 PART VI, LINE 13 | Provisions within the Corporate Compliance Program and Conflict of Interest Policy provide protections for whistleblower type activities. |
| Determination of CEO & Key employee Compensation | FORM 990 PART VI, LINE 15 | 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. Joint Ventures Form 990 Part VI, Line 16b Hospital Sisters Health System adopted a joint venture compliance program policy effective on January 1, 2012 for all system hospitals, including sacred heart hospital. The overall purpose of the policy is to provide practical guidelines for ethical business conduct, to achieve compliance, and to detect and prevent violations of applicable laws. The policy requires sacred heart hospital, and all hshs hospitals, to evaluate their participation in joint venture arrangements, including under applicable federal tax laws, and to safeguard sacred heart hospital's tax exempt status with respect to any joint venture arrangements. |
| FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC | FORM 990 PART VI, LINE 19 | 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. |
| POOLED INVESTMENT ACCOUNT | FORM 990 PART X, LINE 11 | SACRED HEART HOSPITAL USES ITS POOLED INVESTMENTS TO CARRY ON ITS MISSION OF CARING FOR THE SICK. THE HOSPITAL'S CASH RESERVES ARE INVESTED IN A POOLED INVESTMENT ACCOUNT MAINTAINED BY HOSPITAL SISTERS HEALTH SYSTEM ("HSHS"). PARTICIPATION IN THE POOLED 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. 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. |
| Other Changes in Net Assets | Part XI, Line 9 | change in fair value of interest rate swaps/swap payments (3,030,381) Pension Related Funding Change 13,522,297 Loss on early extinguishment of debt (693,598) Decrease in temporarily restricted net assets (574,000) increase in permanently restricted net assets 237,000 transfer to affiliates (2,000,885) rounding 1 ------------ Total 7,460,613 ============ |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| Springfield Health Partners | |||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371364419 | HEALTHCARE | IL | 0 | 0 | HSHS MG |
| Kiara Clinical Integration Network LLC | |||||||||
| 4936 Laverna Road | springfield | IL | 62707 | 261417684 | healthcare | IL | 0 | 0 | HSSI |
| Physician Clinical Integration Network L | |||||||||
| 4936 Laverna Road | SPRINGFIELD | IL | 62707 | 371668647 | HEALTHCARE | IL | 0 | 0 | KCIN |
Form990 Schedule R Part II Form990ScheduleRPartII (23 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Hospital Sisters Health System | ||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371058692 | HEALTHCARE | IL | 501(c)(3) | 11A | NA | false |
| Hospital Sisters Services Inc | ||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371163402 | HEALTHCARE | IL | 501(c)(3) | 11A | HSHS | false |
| Hospital Sisters of St Francis FDTN | ||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371186514 | HEALTHCARE | IL | 501(c)(3) | 11A | HSHS | false |
| HSHS Health Care PLAN Trust Fund | ||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371137724 | HEALTHCARE | IL | 501(c)(3) | None | HSHS | false |
| St Anthony's Hospital | ||||||||||
| 503 N MAPLE STREET | EFFINGHAM | IL | 62401 | 370661233 | HEALTHCARE | IL | 501(c)(3) | 3 | HSSI | false |
| St Elizabeth's Hospital | ||||||||||
| 211 SOUTH THIRD STREET | BELLEVILLE | IL | 62220 | 370663567 | HEALTHCARE | IL | 501(c)(3) | 3 | HSSI | false |
| St Francis Hospital | ||||||||||
| 1215 FRANCISCAN DRIVE | LITCHFIELD | IL | 62056 | 370661236 | HEALTHCARE | IL | 501(c)(3) | 3 | HSSI | false |
| St John's Hospital | ||||||||||
| 800 EAST CARPENTER STREET | SPRINGFIELD | IL | 62769 | 370661238 | HEALTHCARE | IL | 501(c)(3) | 3 | HSSI | false |
| St Joseph's Hospital | ||||||||||
| 9515 HOLY CROSS LANE | BREESE | IL | 62230 | 371208459 | HEALTHCARE | IL | 501(c)(3) | 3 | HSSI | false |
| St Joseph's Hospital | ||||||||||
| 1515 MAIN STREET | HIGHLAND | IL | 62249 | 370663568 | HEALTHCARE | IL | 501(c)(3) | 3 | HSSI | false |
| St Joseph's Hospital | ||||||||||
| 2661 COUNTY HIGHWAY 1 | CHIPPEWA FALLS | WI | 54729 | 390810545 | HEALTHCARE | WI | 501(c)(3) | 3 | HSSI | false |
| St Mary's Hospital | ||||||||||
| 1800 E LAKE SHORE DRIVE | DECATUR | IL | 62521 | 370661244 | HEALTHCARE | IL | 501(c)(3) | 3 | HSSI | false |
| St Mary's Hospital | ||||||||||
| 111 SPRING STREET | STREATOR | IL | 61364 | 372169181 | HEALTHCARE | IL | 501(c)(3) | 3 | HSSI | false |
| St Mary's Medical Center | ||||||||||
| 1726 SHAWANO AVENUE | GREEN BAY | WI | 54303 | 390818682 | HEALTHCARE | WI | 501(c)(3) | 3 | HSSI | false |
| St Nicholas Hospital | ||||||||||
| 3100 SUPERIOR AVENUE | SHEBOYGAN | WI | 53081 | 390808480 | HEALTHCARE | WI | 501(c)(3) | 3 | HSSI | false |
| St Vincent Hospital | ||||||||||
| 835 S VAN BUREN | GREEN BAY | WI | 54301 | 390817529 | HEALTHCARE | WI | 501(c)(3) | 3 | HSSI | false |
| Hospital Sisters Healthcare West Inc | ||||||||||
| 2661 COUNTY HIGHWAY I | CHIPPEWA FALLS | WI | 54729 | 510157933 | HEALTHCARE | WI | 501(c)(3) | 11A | HSSI | false |
| HSHS Self Insurance TRUST Fund | ||||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371120626 | INSURANCE | IL | 501(c)(3) | 11A | HSHS | false |
| HSHS Medical Group Inc | ||||||||||
| 3215 Executive Park Drive | springfield | IL | 62703 | 263956318 | healthcare | IL | 501(c)(3) | 11A | HSSI | false |
| hshs WISCONSIN MEDICAL GROUP INC | ||||||||||
| 3215 Executive Park Drive | SPRINGFIELD | IL | 62703 | 264515959 | healthcare | WI | 501(c)(3) | 11a | HSSI | false |
| Orange Cross Ambulance Inc | ||||||||||
| 919 ASHLAND AVENUE | SHEBOYGAN | WI | 53081 | 391860942 | HEALTHCARE | WI | 501(c)(3) | 9 | ST NICHOLAS | false |
| WISCONSIN UPPER PENINSULA ONCOLOGY MGMT | ||||||||||
| 835 S VAN BUREN | GREEN BAY | WI | 54301 | 391677100 | HEALTHCARE | WI | 501(c)(3) | 3 | ST VINCENT | false |
| UNITY LIMITED PARTNERSHIP | ||||||||||
| 2366 OAK RIDGE CIRCLE | DE PERE | WI | 54115 | 391750729 | HEALTHCARE | WI | 501(c)(3) | 9 | HSSI | false |
Form990 Schedule R Part III Form990ScheduleRPartIII (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | Code VCodeVAmount | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Memorial and St Elizabeth's Healthcare | |||||||||||||
| 4000 North Illinois Street | Swansea | IL | 62226 | 371312961 | Healthcare | IL | St Elizabeth's | related | 0 | 0 | false | $0 | false |
| Prairie Heart Institute - Carbondale LLC | |||||||||||||
| 800 EAst Carpenter Street | Springfield | IL | 62769 | 371321197 | Healthcare | IL | St John's | related | 0 | 0 | false | $0 | false |
| Northeast Wisconsin Radiation Therapy Se | |||||||||||||
| 1821 S Webster Avenue STE 300 | Green Bay | WI | 543079047 | 263749065 | Healthcare | WI | HSSI | related | 0 | 0 | false | $0 | false |
| Pain Center of Wisconsin | |||||||||||||
| 4131 W Loomis Road STE 300 | Greenfield | WI | 53221 | 263155343 | Healthcare | WI | St Vincent | related | 0 | 0 | false | $0 | false |
| Surgery Center of Sheboygan LLC | |||||||||||||
| 3141 Saemann Avenue | Sheboygan | WI | 53081 | 260822209 | Healthcare | WI | St Nicholas | related | 0 | 0 | false | $0 | false |
| Prevea Ventures LLC | |||||||||||||
| 2710 Executive Drive | Green Bay | WI | 54304 | 203775127 | Healthcare | WI | HSSI | related | 0 | 0 | false | $0 | false |
| Carpenter Street Hotel LLC | |||||||||||||
| 525 North Sixth Street | springfield | IL | 62702 | 364128127 | hotel | IL | lasante inc | related | 0 | 0 | false | $0 | false |
| Springfield Urgent Care Real Estate LLC | |||||||||||||
| PO Box 19456 | springfield | IL | 627949456 | 030413258 | rent. real es | IL | lasante inc | related | 0 | 0 | false | $0 | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV (9 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Controlled OrgControlledOrg | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Kiara Inc | ||||||||||||
| 4936 Laverna ROAd | Springfield | IL | 62707 | 371163401 | HealthCare | IL | HSHS | C Corp | 0 | 0 | false | |
| LaSante Wisconsin Inc | ||||||||||||
| 4936 Laverna ROAd | Springfield | IL | 62707 | 391572196 | HealthCare | IL | Kiara Inc | C Corp | 0 | 0 | false | |
| LaSante Inc | ||||||||||||
| 4936 Laverna ROAd | Springfield | IL | 62707 | 371163400 | HealthCare | IL | Kiara Inc | C Corp | 0 | 0 | false | |
| Prairie Cardiovascular | ||||||||||||
| 619 East Mason STE 4P57 | Springfield | IL | 62701 | 371071858 | HealthCare | IL | Kiara Inc | C Corp | 0 | 0 | false | |
| Prevea Health Services | ||||||||||||
| 2710 EXECUTIVE DRIVE | Green Bay | WI | 54304 | 391839351 | HealthCare | WI | HSSI | C Corp | 0 | 0 | false | |
| Prevea Clinic Inc | ||||||||||||
| 2710 EXECUTIVE DRIVE | Green Bay | WI | 54304 | 391839349 | HealthCare | WI | HSSI | C Corp | 0 | 0 | false | |
| Prevea Health Network | ||||||||||||
| 2710 EXECUTIVE DRIVE | Green Bay | WI | 54304 | 392000537 | HealthCare | WI | HSSI | C Corp | 0 | 0 | false | |
| Renaissance quality insurance | ||||||||||||
| 980669953 | Insurance | HSSI | C Corp | 0 | 0 | false | CJ | |||||
| OJV INC | ||||||||||||
| 4936 LAVERNA RD | SPRINGFIELD | IL | 62707 | 460873384 | HEALTHCARE | IL | LASANTE INC | C CORP | 0 | 0 | false | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Transactions with related entities | Identifier |
| Return Reference | Form 990, Schedule R, Part V, Line 2 | ReturnReference |
| Explanation | THE TRANSACTIONS REPORTED IN QUESTION 1 ARE BETWEEN RELATED 501(C)(3) PUBLIC CHARITIES AND ARE NOT REPORTED IN THIS SECTION. | Explanation |