ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F (EIN 37-0661238)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-12
- IRS object ID
- 201421329349302862
- 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 I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-12T14:25:05-05:00 | 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 | 370661238 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOHN'S HOSPITAL OF THE HOSPITAL | BusinessNameLine1 |
| Business Name Line2 | SISTERS OF THE THIRD ORDER OF ST FRANCIS | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % LARRY RAGEL | InCareOfName |
| Name Control | STJO | NameControl |
| Phone | 2175446464 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 EAST CARPENTER STREET | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | SPRINGFIELD | City |
| State | IL | State |
| ZIP Code | 62769 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Larry Ragel | Name |
| Title | CFO | Title |
| Phone | 2175446464 | Phone |
| Date Signed | 2014-04-08 | 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 | Robert Ritz | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 East Carpenter | AddressLine1 |
| City | Springfield | City |
| State | IL | State |
| ZIP Code | 62769 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 476234946 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.st-johns.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1878 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | ST. JOHN'S HOSPITAL PROVIDES A MINISTRY OF EXCEPTIONAL HEALTH CARE SERVICES TO THE PEOPLE OF CENTRAL ILLINOIS IN THE CATHOLIC TRADITION OF COMPASSION, JUSTICE AND REVERENCE FOR LIFE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3578 | TotalNbrEmployees |
| Total Nbr Volunteers | 664 | TotalNbrVolunteers |
| Total Gross UBI | 1330923 | TotalGrossUBI |
| Contributions Grants Prior Year | 5015123 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 9413052 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 430085881 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 450835659 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 23826253 | InvestmentIncomePriorYear |
| Investment Income Current Year | 13896749 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1396247 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1930052 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 460323504 | TotalRevenuePriorYear |
| Total Revenue Current Year | 476075512 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 5269 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 5511 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 176362998 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 188974015 | 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 | 280458033 | OtherExpensePriorYear |
| Other Expenses Current Year | 284876634 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 456826300 | TotalExpensesPriorYear |
| Total Expenses Current Year | 473856160 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 3497204 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2219352 | RevenuesLessExpensesCY |
| Total Assets BOY | 754069315 | TotalAssetsBOY |
| Total Assets EOY | 792569828 | TotalAssetsEOY |
| Total Liabilities BOY | 369484363 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 362110954 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 384584952 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 430458874 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | To reveal and embody Christ's healing love for all people through our high quality Franciscan health care ministry. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 97719927 | Expense |
| Revenue | 122567738 | Revenue |
| Description | SEE SCHEDULE O - PROGRAM SERVICE REVENUE - CARDIOVASCULAR | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 43541000 | Expense |
| Revenue | 39926389 | Revenue |
| Description | SEE SCHEDULE O - PROGRAM SERVICE REVENUE - ORTHOPEDICS | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 29325647 | Expense |
| Revenue | 27104274 | Revenue |
| Description | SEE SCHEDULE O - PROGRAM SERVICE REVENUE - Gastroenterology | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 216348930 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 261237258 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 386935504 | 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 | true | 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 | false | 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 | 445 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 1 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 3578 | 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 | 10 | 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 | false | 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 | LARRY RAGEL | NamePerson |
| Telephone Number | 2175446464 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 EAST CARPENTER STREET | AddressLine1 |
| City | SPRINGFIELD | City |
| State | IL | State |
| ZIP Code | 62769 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | OfficerOfficer | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| J Michael Houston | ||||||||
| Director | 1.0 | X | 0 | |||||
| Robert Ritz | ||||||||
| President & CEO | 75.0 | X | X | 695726 | 115400 | |||
| Lynn Scott | ||||||||
| Director | 1.0 | X | ||||||
| Robert Bunn | ||||||||
| Vice Chair | 1.0 | X | X | |||||
| Richard Corkery | ||||||||
| Director | 1.0 | X | ||||||
| Roger Sables | ||||||||
| Director | 1.0 | X | ||||||
| John Slayton | ||||||||
| CHAIRPERSON | 5.0 | X | X | |||||
| Sr Marybeth Culnan OSF | ||||||||
| Director | 1.0 | X | 59.0 | |||||
| Donald Graham MD | ||||||||
| Director | 1.0 | X | ||||||
| Sr Mary Kelly OSF | ||||||||
| Secretary | 5.0 | X | X | |||||
| Mark Puczynski MD | ||||||||
| Director | 1.0 | X | ||||||
| Lawrence Schumacher | ||||||||
| Interim President | 10.0 | X | X | 958737 | 168542 | 50.0 | ||
| Ann M Carr | ||||||||
| Treasurer | 0.25 | X | 272146 | 138031 | 59.75 | |||
| David Olejniczak | ||||||||
| Chief Operating Officer | 75.0 | 411605 | X | 38638 | ||||
| Larry J Ragel | ||||||||
| Chief Financial Officer | 75.0 | 312900 | X | 58424 | ||||
| Sherri A Greenwood | ||||||||
| Chief Nursing Officer | 75.0 | 197866 | X | 37672 | ||||
| PATRICIA SCHULZ | ||||||||
| CHIEF PEOPLE OFFICER | 75.0 | 226451 | X | 41336 | ||||
| Margaret L Curtin | ||||||||
| Asstnt Administrator of Childr | 40.0 | 190496 | 26504 | X | ||||
| Jianxin Wang | ||||||||
| Manager | 40.0 | 193940 | 0 | 29143 | X | |||
| Ann Derrick | ||||||||
| Exe Dir of Continuum of care | 40.0 | 192190 | 0 | -5773 | X | |||
| AMY K BULPITT | ||||||||
| DIRECTOR OF LEGAL SERVICES | 40.0 | 226464 | 0 | 6235 | X | |||
| TOMMY A IBRAHIM | ||||||||
| MEDICAL DIRECTOR | 40.0 | 363738 | 0 | 26486 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2315650 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1926609 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 680638 | TotalOtherCompensation |
| Number Individuals GT100 K | 71 | NumberIndividualsGT100K |
| Formers Listed | false | 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 |
|---|---|---|---|---|---|
| SOUTHERN IL UNIV SCHOOL OF MEDICINE | |||||
| PO BOX 19230 | SPRINGFIELD | IL | 62704 | PHYSICIANS | 22948780 |
| Walsh Miron | |||||
| 301 N EIGHT STREET | SPRINGFIELD | IL | 62701 | Contractors | 36673556 |
| SANGAMON ASSOCIATED ANESTHESIOLOGIS | |||||
| 800 EAST CARPENTER | SPRINGFIELD | IL | 62769 | PHYSICIAN | 5519058 |
| SODEXO INC | |||||
| 4880 PAYSPHERE CIRCLE | CHICAGO | IL | 60674 | Food Srvc&Hskpng mgt | 2764561 |
| Siemens Medical Solutions | |||||
| Despt CH 14195 | Palatine | IL | 600554195 | Medical Equp&Service | 2160302 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 124 | NumberOfContractorsGT100K |
| Related Organizations | 1965539 | RelatedOrganizations |
| Government Grants | 7447513 | GovernmentGrants |
| Total Contributions | 9413052 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 900099 | 438963737 | 438963737 |
| DEPARTMENTAL INCOME | 900099 | 11871922 | 11871922 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 450835659 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5963767 | TotalRevenueColumn |
| Exclusion | $5,963,767 | 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 |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 8060246 | Securities |
| Other | 32170 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 159434 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 8060246 | Securities |
| Other | -127264 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7932982 | TotalRevenueColumn |
| Exclusion | $7,932,982 | 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 | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| DIETARY | 541900 | 66328 | $66,328 | |
| MEDICAL AND DIAGNOSTIC LAB | 621500 | 1202147 | 1202147 | |
| GIFT SHOP | 453220 | 415043 | $415,043 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 246534 | TotalRevenueColumn |
| Unrelated Business Revenue | 128776 | UnrelatedBusinessRevenue |
| Exclusion | $117,758 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1930052 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 476075512 | TotalRevenueColumn |
| Related Or Exempt Function Income | 450835659 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1330923 | UnrelatedBusinessRevenue |
| Exclusion | $14,495,878 | 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 | 5511 | Total |
| Program Services | 5511 | ProgramServices |
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 | 1219716 | Total |
| Management And General | 1219716 | 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 | 137330310 | Total |
| Program Services | 121764267 | ProgramServices |
| Management And General | 15566043 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12901825 | Total |
| Program Services | 11439436 | ProgramServices |
| Management And General | 1462389 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27454600 | Total |
| Program Services | 24342691 | ProgramServices |
| Management And General | 3111909 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10067564 | Total |
| Program Services | 8926431 | ProgramServices |
| Management And General | 1141133 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29498352 | Total |
| Program Services | 5819889 | ProgramServices |
| Management And General | 23678463 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 551214 | Total |
| Management And General | 551214 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50000 | Total |
| Management And General | 50000 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
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 | 60117059 | Total |
| Program Services | 49403601 | ProgramServices |
| Management And General | 10713458 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3014254 | Total |
| Program Services | 674592 | ProgramServices |
| Management And General | 2339662 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 81948264 | Total |
| Program Services | 81467778 | ProgramServices |
| Management And General | 480486 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7282272 | Total |
| Program Services | 7104582 | ProgramServices |
| Management And General | 177690 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8015054 | Total |
| Program Services | 7957160 | ProgramServices |
| Management And General | 57894 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 411658 | Total |
| Program Services | 361451 | ProgramServices |
| Management And General | 50207 | 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 | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2413375 | Total |
| Program Services | 273550 | ProgramServices |
| Management And General | 2139825 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25885287 | Total |
| Program Services | 24324007 | ProgramServices |
| Management And General | 1561280 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8281702 | Total |
| Program Services | 41606 | ProgramServices |
| Management And General | 8240096 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PROVISION FOR BAD DEBT | 37485109 | 37361215 | 123894 |
| MEDICAID TAXES | 11185035 | 11185035 | |
| LICENSES, BOOKS AND LEASES | 5399916 | 2993360 | 2406556 |
| MISCELLANEOUS | 1898468 | 1599334 | 299134 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1439615 | Total |
| Program Services | 1075043 | ProgramServices |
| Management And General | 364572 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 473856160 | Total |
| Program Services | 386935504 | ProgramServices |
| Management And General | 86920656 | 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 | 281195 | BOY |
| EOY | 310069 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10791541 | BOY |
| EOY | 1891054 | 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 | 89722035 | BOY |
| EOY | 93360414 | 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 | 11000577 | BOY |
| EOY | 10975241 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3687229 | BOY |
| EOY | 3607325 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 707347334 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 376234911 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 290596479 | BOY |
| EOY | 331112423 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 345479024 | BOY |
| EOY | 346456301 | 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 | 2511235 | BOY |
| EOY | 4857001 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 754069315 | BOY |
| EOY | 792569828 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43982878 | BOY |
| EOY | 46907910 | 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 | 188843157 | BOY |
| EOY | 228054515 | 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 | 136658328 | BOY |
| EOY | 87148529 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 369484363 | BOY |
| EOY | 362110954 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 357558194 | BOY |
| EOY | 402509500 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24550160 | BOY |
| EOY | 25457798 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2476598 | BOY |
| EOY | 2491576 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 384584952 | BOY |
| EOY | 430458874 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 754069315 | BOY |
| EOY | 792569828 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 2219352 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 14196212 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 29458358 | 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 | $46,410 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 46410 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Other Lobbying Activities | Identifier |
| Return Reference | Part II-B Question 11 | ReturnReference |
| Explanation | ST. JOHN'S HOSPITAL (THE HOSPITAL) IS A MEMBER OF THE CATHOLIC HEALTH ASSOCIATION ("CHA"), THE ILLINOIS HEALTH ASSOCIATION ("IHA"), THE NATIONAL ASSOCIATION FOR HOME CARE AND HOSPICE, AND THE AMERICAN HEALTH ASSOCIATION ("AHA"). AS A MEMBER OF THESE ORGANIZATIONS, THE HOSPITAL PAYS DUES, WITH PART OF THESE DUES BEING ATTRIBUTABLE TO LOBBYING FEES PAID BY THE ORGANIZATIONS. THE AMOUNT LISTED 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 | |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | false | IncludedOnFS |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Current Year Minus4 Years | CurrentYearMinus4Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 18766949 | OtherCostOrOtherBasis |
| Book Value | 18766949 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 175466045 | OtherCostOrOtherBasis |
| Depreciation | 90435218 | Depreciation |
| Book Value | 85030827 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8025247 | OtherCostOrOtherBasis |
| Depreciation | 5173444 | Depreciation |
| Book Value | 2851803 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 236115104 | OtherCostOrOtherBasis |
| Depreciation | 179129985 | Depreciation |
| Book Value | 56985119 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 268973989 | OtherCostOrOtherBasis |
| Depreciation | 101496264 | Depreciation |
| Book Value | 167477725 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 331112423 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED BENEFIT LIABILITY | $51,999,186 |
| ASSET RETIREMENT OBLIGATION | $10,202,629 |
| SETTLEMENT VALUE OF INT. | $8,091,712 |
| THIRD PARTY REIMBURSEMENT PROG | $10,394,226 |
| ESTIMATED SELF-INSURANCE COSTS | $6,460,776 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 87148529 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION FOR ADOPTION OF ASC SUBTOPIC 740-10 | Identifier |
| Return Reference | ASC SUBTOPIC 740-10 | ReturnReference |
| 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. AS OF JUNE 30, 2013 AND 2012, HSHS DOES NOT HAVE AN OR 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 |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 250. | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 600. | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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) |
|---|---|---|
| Persons Served | 7090 | PersonsServed |
| Total Community Benefit Expense | 9263289 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 9263289 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02120 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 91237618 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 74023416 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 17214202 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03940 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 7090 | PersonsServed |
| Total Community Benefit Expense | 100500907 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 74023416 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 26477491 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06060 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 50 | NumberOfActivitiesOrPrograms |
| Persons Served | 41759 | PersonsServed |
| Total Community Benefit Expense | 781039 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 781039 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 7 | NumberOfActivitiesOrPrograms |
| Persons Served | 745 | PersonsServed |
| Total Community Benefit Expense | 16359276 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5702732 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10656544 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02440 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 338 | PersonsServed |
| Total Community Benefit Expense | 121920 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 121920 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 68 | PersonsServed |
| Total Community Benefit Expense | 218830 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 218830 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 12 | NumberOfActivitiesOrPrograms |
| Persons Served | 3656 | PersonsServed |
| Total Community Benefit Expense | 614309 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 614308 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 73 | NumberOfActivitiesOrPrograms |
| Persons Served | 46566 | PersonsServed |
| Total Community Benefit Expense | 18095374 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5702732 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 12392641 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02830 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 73 | NumberOfActivitiesOrPrograms |
| Persons Served | 53656 | PersonsServed |
| Total Community Benefit Expense | 118596281 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 79726148 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 38870132 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08910 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 810 | PersonsServed |
| Total Community Building Expense | 25321 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 25321 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 735 | PersonsServed |
| Total Community Building Expense | 25824 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 1590 | DirectOffsettingRevenue |
| Net Community Building Expense | 24234 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 55 | PersonsServed |
| Total Community Building Expense | 492 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 492 | NetCommunityBuildingExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 496 | PersonsServed |
| Total Community Building Expense | 5164 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 5164 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 8 | NumberOfActivitiesOrPrograms |
| Persons Served | 2096 | PersonsServed |
| Total Community Building Expense | 56801 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 1590 | DirectOffsettingRevenue |
| Net Community Building Expense | 55211 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $37,485,109 | BadDebtExpenseAmount |
| Amount Attributable To | 1495656 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 143722330 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 156260661 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -12538331 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | X | CostAccountingSystem |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Prairie Heart Inst | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | MARKETING | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.50000 | OrganizationProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | St Johns Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 East Carpenter Street | AddressLine1 |
| City | Springfield | City |
| State | IL | State |
| ZIP Code | 62769 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Childrens Hospital | X | ChildrensHospital |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St John's Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | false | 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 | 250. | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 600. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| 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 |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (19 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 | Yes. The hospital's community benefit report can be accessed at https://www.st-johns.org/stjohns/community-needs-assessment.aspx | |
| Part I, Line 7g | Currently St. John's Hospital's only subsidized program is the neonatal intensive care unit (NICU) follow up clinic, which is a multidisciplinary clinic for follow up care for infants who were patients in the NICU. The primary purpose is to assess patients for growth and developmental delays, and to refer patients to the appropriate services as needed. | |
| 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 8.9%. The amount of bad debt expense removed when calculating this percentage was $37,485,109. | |
| 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 plus an allowance accrual adjustment. 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 | St. John's Hospital is involved in a variety of community building activities including economic development initiatives. Examples of these initiatives include, but are not limited to active staff participation with the following organizations: United Way of Central Illinois, genHkids Coalition, District 186 school mentoring program, District 186 school Coordinated Approach to Community Health (CATCH) elementary school program, Central Illinois Community Blood Center, Hospital Sisters Mission Outreach, Homeless United for Change, Greater Springfield Chamber of Commerce, Downtown Springfield Inc., Pregnancy Care Center, Elizabeth Ann Seton Program, Mid Illinois Medical District, Lincoln Land Community College Workforce Investment Board, Lincoln Land Stroke Support Network, Sangamon County Department of Public Health WIC program, and various State of Illinois advisory boards for Public Health, Information Technology and Emergency Management. Without St. John's Hospital's leadership and involvement in several of these efforts - Sangamon County Department of Public Health WIC Programming, Downtown Springfield Inc., and the genHkids Coalition specifically - these particular initiatives would not have the means to continue effecting change for our low-income and underserved populations. Our collaborative partnerships with community groups have developed a solid foundation on which we are able to build sustainable infrastructures to support healthy communities for a healthier future. | |
| 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 continually strives to provide excellent patient care in the most cost effective fashion. Nonetheless, the Medicare program, in many cases, does not provide payment that covers the full cost of the care provided. Since it is the mission of the hospital to respond to community need, hospital management continually advocates for improved Medicare payment so that the cost of quality care to those patients that are not able to afford it is not compromised and is fairly subsidized by all payers. While this shortfall in Medicare payments is not classified as community benefit by the IRS, we nonetheless believe it is an important contribution made by the hospital to the health and well-being of the community. The hospital Medicare shortfall at cost for fiscal year 2013 was $12,538,331. | |
| Part III, Line 9b | Every effort is made prior to, during and after provision of medical services to determine whether a patient is eligible for charity/community care and to assist the patient in completing the application and providing adequate documentation. If the patient qualified for charity/community care for the full balance of their account, the entire amount is written off to charity/community care and hence no debt collection is pursued. If the patient qualified for charity/community care for a portion of their account balance, that portion is written off to charity/community care, with the patient being responsible for the remainder of the balance. Additionally, reasonable effort will be made to obtain third-party or government payer reimbursement on behalf of the patient. If those efforts are not fruitful, an offer will be extended to the patient to make installment payments on their balance. Only at such point that the patient defaults on installment payments or refuses to cooperate with the hospital's efforts to be reimbursed will the account be sent to collections. For additional information, see response to question vi, 3. | |
| Part V, Section B, Line 3 | The hospital's Community Benefit Subcommittee represented the community in the needs assessment process. This group includes local health care providers, hospital representatives, public health officials, community stakeholders including nonprofit employees working with underserved communities, school board and district representatives, and leaders and representatives of underserved, low-income and minority populations. Public health officials serving on the Subcommittee were also able to represent the needs of persons with chronic diseases. The Community Benefit Subcommittee was organized to 1) to guide and participate in the planning, development and implementation of projects and programs aimed at improving the health of the St. John's Hospital service area; 2) to address the needs of those communities where there are disproportionate unmet health needs; and 3) to ensure St. John's remains committed to its Charitable Mission by improving the quality of lives in Sangamon County and the surrounding region. The Subcommittee is responsible for recommending and overseeing Community Benefit policies and programs designed to carry out the mission of St. John's Hospital to provide exceptional health care services to the people of central Illinois. Community input was also obtained through a household survey conducted by Leede Research, a firm specializing in healthcare information programs and tools. | |
| Part V, Section B, Line 5C | The Community Health Needs Assessment is available on-line: https://www.st-johns.org/stjohns/community-needs-assessment.aspx. Organizations who comprise our Community Benefit Subcommittee received copies to share with their constituents. The document is also available through St. John's Hospital's Health Sciences Library. | |
| Part V, Section B, Line 7 | No. Approximately half of the original needs identified were combined with other priority areas in order to narrow the list down from the original twenty areas of need identified. Of the 10 that were ranked by the internal and external committees, seven were not considered a primary focus for St. John's Hospital in FY2013. This decision was made based on two primary factors: 1. The need is currently being addressed by another organization in the community. 2. There is another organization within the community better equipped to address the need. While the needs listed below were not areas of primary focus for St. John's, the hospital continued to support other organizations as appropriate. o Asthma remains a concern in the community because Sangamon County has important risk factors such as population density and demographics. The local Public Health Department is the lead on asthma education and the treatment of affected community members. o Health Environment: Nonprofit community groups such as genH and others are working to expand healthy options in the local area. o Substance Abuse: The Gateway Foundation and the Triangle Center address substance abuse in Sangamon County in addition to public health education and law enforcement programs. o Teen Pregnancy: Local organizations such as the Springfield Pregnancy Center operate in Sangamon County and work on this issue. o Bicycle Helmets: St. John's Hospital and other organizations currently provide free helmets to children. o Sexually Transmitted Infections: Organizations such as the Sangamon County Department of Public Health provide education and treatment. o Mental Health: The Sangamon County Department of Public Health is one of the leads for mental health support in the area. More than 20 other organizations or resources exist in and around the collar counties including the National Alliance for the Mentally Ill and Macoupin County Mental Health. Due to the prevalent need for mental health services in the community, St. John's Hospital is considering the expansion of internal services and partnerships with external services. It is our hope to better position the hospital and community partners to address Mental Health needs in the future. | |
| Part V, Section B, Line 12H | Yes, the Financial Assistance Policy contains a detailed description of the Purpose, Definitions and Guidelines for financial assistance. Part V, Section B, Line 14G Yes, section I of the Financial Assistance Policy describes the "Communication of the Financial Assistance Program to Patients" in detail. Part V, Section B, Line 20D We automatically give a 45% uninsured discount to all of our uninsured patients. We also review the patient's accounts to ensure they are not charged more than 25% of their annual gross income. Once the charges for a self-pay balance exceed 25% of the patient's annual gross income, the remaining balance is adjusted off to Christian Care. | |
| Needs assessment | As indicated in Part V, Section B, St. John's conducted a Community Health Needs Assessment in our FY2012. In previous years, we assessed community need by looking at our hospitals discharge data, existing data sets and other needs assessments conducted in the community. In FY2013 we continued to address needs identified in the previous Fiscal Year. In addition, we will continue gathering new data as it becomes available and analyze it against data collected from our FY2012 needs assessment. | |
| Patient education of eligibility for assistance | The Registration Department provides brochures to patients upon registration regarding the Payment Assistance Program available to them at St. John's Hospital. The brochures are also supplied in waiting and ancillary areas for easy access by the patient. The brochures include contact numbers for the Business Office. Available on the hospital's website is information about how to read and understand the billing information on payment assistance, billing procedures and explanation of Medicare forms. Signage indicating that Financial Assistance is available, is located at hospital patient Access points. The organization has a representative on site to assist patients who may be eligible for Medicaid assistance through the Illinois Department of Public Assistance. The representative works with patients to determine if they may be eligible, and if so, assist in pulling together the necessary application for submission. Patients are also provided at registration information regarding separate physician billing they can expect to receive, plus information about the patient's financial responsibility if their insurance plan is out of network. One-on-one conversations to educate patients about financial assistance often stem from patients receiving a statement or a pre-collection letter. At that point, the customer service representative or cashier, or other qualified staff, will inform/educate the caller about financial assistance options. The first pre-collection letter reminds the patient their account is in delinquent status. It also informs them they may be eligible for financial assistance through the organization's charity care program. The letter provides direct contact information to begin the application process for charity care. A system called Search America is now being utilized after failed attempts made by the hospital and our law firm to work out payment arrangements. That system accesses credit and other information and allows us to see the probability of a patient being able to pay their bill. After assessing that information, the hospital makes a determination whether to grant charity or continue collection efforts. | |
| Community Information | St. John's Hospital is located in the center of Springfield, Illinois and serves not only Sangamon County but also the surrounding counties (Cass, Christian, Logan, Macon, Macoupin, Menard, Montgomery and Morgan). The total primary and secondary service area of the hospital has a population of 505,772 people: 194,912 reside in Sangamon County and 310,860 reside in the surrounding counties. Additionally, St. John's Hospital provides tertiary care to residents of Bond, Brown, Clay, Coles, De Witt, Effingham, Fayette, Greene, Marion, Mason, Moultrie, Piatt, Pike, Schuyler, Scott and Shelby counties, a combined population of 311,583 people. In addition to the city of Springfield, the economy of St. John's Hospital's service area is primarily rural and is supported by small businesses, industries, mining and agriculture. Springfield, on the other hand, is an urban area supported by large businesses, such as the Illinois State Government and industries. Based on 2011 population estimates derived from the 2010 census, Sangamon County's population of 194,912 people is comprised of 60.6% Caucasians, 5.1% African-Americans, 2.2% American Indians/Alaska Natives, 0.8% Asians, 0.6% Native Hawaiians/Other Pacific Islanders, 22.6% people stating another race and 8.2% people stating two or more races. Twenty-nine percent of Sangamon County's residents have a high school diploma, 8.4% hold an Associate Degree, 19.5% have a Bachelor's Degree, 8.0% have a Master's Degree and 2.9% have a Professional School Degree or Doctorate Degree. The current unemployment rate of Sangamon County is 6.8%, according to the Illinois Department of Employment Security, and the median household income is $49,286. St. John's Hospital's secondary service area is comprised of 310,860 people, of whom 56.3% are Caucasian, 3.1% are African-American, 1.0% are American Indian/Alaska Native, 0.4% are Asian, 0.3% are Native Hawaiian/Other Pacific Islander, 33.6% state another race and 5.3% state two or more races. Educational levels of this population reflect that 38.8% graduated high school, 7.0% have with an Associate Degree, 11.9% have a Bachelor's Degree, 4.1% have a Master's Degree and 1.6% graduated with either a Professional School Degree or a Doctorate Degree. The average unemployment rate of the combined counties is 9.4% and the median household income is $43,247. The counties comprising St. John's tertiary service area have a combined population of 311,583 people. Ninety-five percent of residents are Caucasian, 2.6% are African-American, 0.3% are American Indian/Alaska Native, 0.5% are Asian, 0.03% are Native Hawaiian/Other Pacific Islander, 0.4% state another race and 1.0% state two or more races. Thirty-nine percent of St. John's tertiary service area population have only a High School Diploma, 8.8% hold an Associate Degree, 11.1% have a Bachelor's Degree, 4.4% hold a Master's Degree and 1.53% have either a Professional School Degree or a Doctorate Degree. The average unemployment rate of the combined area is 8.9% and the median household income is $41,276. The 2011 poverty rates in the combined service area were between 8.2% and 10% which is below the national average of 11.9%-14.3%. St. John's Hospital employs more than 3,000 people and is a regional medical center and the flagship hospital of Hospital Sisters Health System. Dedicated to providing exceptional care to the whole patient, St. John's offers services spanning from primary care to complex tertiary care, including a Birth Center, a Cancer Institute, a Center for Metabolic and Weight Loss Surgery, a Children's Hospital, a Neurosciences Institute, a Pain Management Center, Prairie Heart Institute, a Regional Wound Care Center, a Sleep Center and many others. | |
| Promotion of Community Health. | St. John's Hospital offers hope to our community in the tradition of the Hospital Sisters of St. Francis. As a healing ministry of the Catholic Church and an affiliate of the Hospital Sisters Health System (HSHS), St. John's is committed to delivering high quality, compassionate, and cost-effective health care services to all. The hospital was founded over 135 years ago to bring a healing presence and improve the health of our community, especially for people who are sick, poor, and disadvantaged. Because of the hospital's purpose and tradition, it is organized to promote the health of Sangamon County and surrounding areas. The hospital is governed by a Board of Directors, the majority of whom reside in the organization's primary service area and who are neither employees nor contractors of the hospital (nor family members thereof). The Board ensures that St. John's is responding to community need. During the last year, for example, the Board reviewed the Community Health Needs Assessment and approved an implementation strategy for addressing selected needs. In 2010, the Board commissioned the Community Benefit Subcommittee of the Board to oversee Community Benefit policies and programs designed to carry out the mission of St. John's Hospital to provide exceptional health care services to the people of central Illinois. Now in its third year, the subcommittee continues to address the needs of those communities where there are disproportionate unmet health needs. The subcommittee is comprised of St. John's Hospital colleagues, members of the board and community stakeholders. Also consistent with its exempt purpose, St. John's Hospital has an open medical staff with privileges available to all qualified physicians in the area. In addition, the hospital operates an emergency department that is open 24 hours to all persons regardless of their ability to pay. As a not-for-profit hospital, St. John's reinvests surplus funds into the mission of the organization and health of the community rather than distributing them as profits to shareholders or individuals. Funds not committed to ongoing operations are generally used to upgrade facilities, secure new technologies, improve patient care, and support initiatives designed to promote health and ensure access for all. For example, St. John's is currently working with its parent organization, Hospital Sisters Health System, to continuously enhance quality and improve coordination of care both inside the hospital and with a growing number of physician partners. Supported by investments in information technology, this "care integration" strategy is designed to better coordinate care, improve health outcomes, create new efficiencies, and help ensure that patients (especially those with chronic conditions) get well and stay well. St. John's also devotes significant resources to access for patients who cannot afford care, along with other community benefits. In fiscal year 2013, St. John's provided over $38.8 million in community benefit services, including charity care at cost, unpaid costs of Medicaid and other public programs, and a range of diverse programs designed to enhance access and improve community health. Additionally, during this period, St. John's provided $9.9 million (at cost) in uncompensated care to patients that did not qualify for charity care or public assistance and over $12 million (at cost) in excess of Medicare payment for health care services. St. John's Hospital provides a range of community benefits which flows from our mission and long-standing commitment to our community. In many cases, these programs would be unlikely to exist without the leadership role played by St. John's, and they often relieve a burden that would otherwise be carried by government. Several of these programs and activities are designed to respond to our FY2012 Community Health Needs Assessment, which surfaced the following priority needs for attention from the hospital in collaboration with other community organizations: . Metabolic Syndrome . Cardiovascular Disease . Lifestyle Following are examples of new or enhanced community benefit programs developed in FY2013 in response to goals identified as a result of the hospital's FY2012 CHNA. Kohl's Gotta Dance - Identified need: Lifestyle and Metabolic Syndrome St. John's Children's Hospital partnered with Kohl's Cares for Kids to offer "Kohl's Gotta Dance", an innovative way to address childhood obesity in our community. Dancing helps to slow the heart rate, to lower or maintain healthy blood pressure and to improve or maintain healthy cholesterol levels. Dancing also improves circulation, lung performance, flexibility and helps grow healthy and strong bones. One hundred and twenty pre-teens and early teens, including students with special needs, participated in one of four free classes offered weekly for 30 weeks, and were given the opportunity to perform live several times throughout the year. East Side Farmer's Market - Identified need: Lifestyle and Cardiovascular Disease The East Side Farmer's Market is a collaboration between St. John's Hospital, the Sangamon County Department of Public Health (SCDPH) and the Downtown Farmer's Market to improve access to fresh, healthy produce in a known food desert in our community. Hosted in the SCDPH parking lot, the East Side Farmer's Market provides fresh produce from July through September. WIC Coupons, Link, Debit, and Credit Cares are accepted, with opportunities to double the value of WIC coupons and Link dollars. Cooking classes are also offered at SCDPH so participants can learn to clean and prepare local, fresh fruits and vegetables they buy at the Farmer's Market. Pediatric Continuing Medical Education Series - Identified need: Cardiovascular and Metabolic Syndrome The hospital offered a three-part multidisciplinary educational series open to all clinicians in the community on preventing childhood obesity and helping children to obtain and maintain their optimal health. Entitled "Childhood Obesity in Central Illinois: Weighing in on The Problem", each session was one-hour in length and addressed: The Biology of Obesity and Implications for Society; Community Resources and Solutions; and Back to the Clinic. As a result of participating in this series, more than 90 clinicians will be able to create a management plan for children who are overweight or obese; utilize community resources to help children adopt healthy lifestyles; and interact effectively with children and their families in discussing a child's weight. Plans are underway to replicate the program and introduce it to other medical grand rounds. Future plans for this need include a day-long CME tentatively scheduled for spring 2014 and a Community Education series tentatively scheduled for fall 2014. Additional community benefit programs provided to address cardiovascular disease, metabolic syndrome and healthy lifestyle include: . Free screenings for heart disease and stroke risk . My Choice Challenge, a daytime health fair designed to educate elementary-aged students on healthy lifestyle choices; currently offered in 30 elementary schools . Annual genH Day of Health, a program that promotes worksite wellness in five schools . SIU Homeless Clinic, a partnership between St. John's Hospital and the Southern Illinois University School of Medicine, provides two screenings annually for homeless persons . Destination Dinner Table, a program that teaches families how to cook healthy meals . My Body, My Choice, pre and post-testing of third graders fitness levels and interactive lessons to achieve improved fitness results . CATCH, a collaboration between St. John's Hospital, the Sangamon County Medical Alliance, Memorial Medical Center and the SIU School of Medicine to provide a medical home for low-income residents of Sangamon County | |
| Affiliated health care system | St. John's Hospital in Springfield, Illinois 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 completed | |
| STATE FILING OF COMMUNITY BENEFIT REPORT | IL, | 990 SCHEDULE H, PART VI |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | Nursing students at College of Nursing | TypeOfGrant |
| Number Of Recipients | 32 | NumberOfRecipients |
| Amount Of Cash Grant | 5511 | AmountOfCashGrant |
| Method Of Valuation | N/A | MethodOfValuation |
| Description Of Non Cash Assistance | N/A | DescriptionOfNonCashAssistance |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Grants and assistance | Identifier |
| Return Reference | schedule i, part i, line 2 | ReturnReference |
| Explanation | St. John's Hospital participates in various Federal loan and grant programs. These programs are administered in accordance with guidelines established by the U.S. Department of Education, and the U.S. Department of Health and Human Services. These programs are audited annually in accordance with OMB Circular A-133 "Audits of Institutions of Higher Education and Other Nonprofit Institutions". | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| 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 | false | 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 (12 entries)
| TitleTitle | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs | Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Robert Ritz | ||||||||||||||
| President & CEO | 558815 | 106586 | 30325 | 86678 | 40417 | 822821 | 0 | |||||||
| Lawrence Schumacher | ||||||||||||||
| Interim President | 647266 | 259077 | 52394 | 152700 | 16735 | 1128172 | 0 | |||||||
| Ann M Carr | ||||||||||||||
| Treasurer | 193454 | 29440 | 49252 | 121170 | 17686 | 411002 | 18215 | |||||||
| David Olejniczak | ||||||||||||||
| Chief Operating Officer | 378380 | 33225 | 19749 | 19792 | 451146 | |||||||||
| Larry J Ragel | ||||||||||||||
| Chief Financial Officer | 256392 | 56508 | 39535 | 19792 | 372227 | |||||||||
| Sherri A Greenwood | ||||||||||||||
| Chief Nursing Officer | 187986 | 9880 | 18783 | 19753 | 236402 | |||||||||
| PATRICIA SCHULZ | ||||||||||||||
| CHIEF PEOPLE OFFICER | 226451 | 29005 | 13234 | 268690 | ||||||||||
| Margaret L Curtin | ||||||||||||||
| Asstnt Administrator of Childr | 190496 | 19126 | 8228 | 217850 | ||||||||||
| Jianxin Wang | ||||||||||||||
| Manager | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 189127 | 4813 | 10254 | 19762 | 223956 | 0 | 0 |
| Ann Derrick | ||||||||||||||
| Exe Dir of Continuum of care | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 192190 | 0 | -13150 | 8259 | 187299 | 0 | 0 |
| AMY K BULPITT | ||||||||||||||
| DIRECTOR OF LEGAL SERVICES | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 226464 | 0 | 6236 | 903 | 233603 | 0 | 0 |
| TOMMY A IBRAHIM | ||||||||||||||
| MEDICAL DIRECTOR | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 346334 | 17404 | 7597 | 19792 | 391127 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Schedule J, Part I, Line 1A | Travel for companions Lawrence Schumacher received $550 for companion travel. The fair value of this travel was included in his annual report income. Tax indemnification and gross-up payments Tax gross-ups were paid by HSHS to Ann Carr for $11 and to Lawrence Schumacher for $11 during the year. The fair value of these were included in their annual reported income. Health or social club dues or initiative fees Social club dues were paid by HSHS on behalf of Robert Ritz and Lawrence Schumacher during the year. The fair value of the dues were included in his annual reported income. |
| Schedule J, Part I, Line 4B | Robert Ritz Robert Ritz participated in a SERP during the year in the amount of $68,574. Ann M. Carr Ann M. Carr participated in a SERP during the year in the amount of $42,817. Lawrence Schumacher Lawrence Schumacher participated in a SERP during the year in the amount of $129,818. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PROGRAM SERVICE REVENUE - CARDIOVASCULAR | 990 PART III LINE 4A | St. John's Hospital is one of the largest heart programs in Illinois. We have developed a reputation as one of the premier cardiovascular programs in the country, but it's our dedication to providing compassionate care to patients and their families that makes us unique. In 2013, the Prairie Heart Institute at St. John's Hospital received the platinum performance achievement award from the National Cardiovascular Data Registry for meeting 11 key quality and treatment measures at least 90% of the time for eight consecutive quarters. In addition, St. John's cardiac programs have received the following Awards, Designations and Accomplishments: o Cardiac Institute of Quality designation by Aetna Insurance Company. o St. John's was designated a Blue Distinction Center for cardiac care by BlueCross and BlueShield of Illinois. o A Circle of Excellence Award from Comparion Medical Analytics for being ranked in the top 10% of hospitals in the U.S. for cardiac care, cancer care and trauma care. o Prairie Heart earned for the American Heart Association's Mission: Lifeline Gold Performance Achievement Award for its care of heart attack patients. o Prairie Heart Institute at St. John's Hospital was recognized as one of HealthGrades 100 Best Hospitals for Cardiac surgery (2013, 2012 & 2011) o Prairie Heart is a HealthGrades five-star recipient for Cardiac Surgery (2013 & 2012); Coronary Bypass Surgery (2013, 2012 & 2011); Valve Surgery (2013, 2012, 2011 & 2010); and for treatment of Heart Failure (2013, 2012 & 2011). o Becker's Hospital Review named St. John's one of the "100 hospitals for great heart programs." o Truven Health Analytics named the Prairie Heart Institute at St. John's Hospital one of the nation's 50 Top Cardiovascular Hospitals. In addition to the list of Catheterization, Surgical and Non-invasive procedures below, St. John's offers a Cardiac Rehabilitation program, and other stress-reduction services through the St. John's Center for Living. Catheterization Laboratory Procedures Abdominal aortic aneurysm graphs Ablation of complex arrhythmias Angioplasty with stenting Balloon angioplasty Carotid stents Defibrillator implantation Diagnostic cardiac catheterization Drug-eluting stents Electro physiologic evaluation of complex arrhythmias Evaluation of cardiac valves Evaluation of congenital heart disease Pacemaker implantation Peripheral vascular stents Percutaneous translumina myocardial revascularization Renal stents Coated Stents Surgical Procedures Beating heart bypass surgery Coronary artery bypass graft surgery General thoracic surgery Heart valve replacement and repair Laser pacemaker lead extraction Minimally invasive atrial ablation surgery Minimally invasive valve replacement repair surgery Pacemaker and defibrillator implantation Vascular surgery (aortic, cerebrovascular, renal, and peripheral) Noninvasive Cardiovascular Diagnostic Procedures Audicor testing Bio-Z Cardiac and vascular ultrasound Cardioversions Doppler exams Electrocardiograms Holter monitoring/Arrhythmia monitoring/Pacemaker checks Nuclear stress testing Pediatric Cardiology Clinic Preadmission testing (chest X-rays and blood tests) Stress echocardiography Tran esophageal echocardiography T-Wave alternans |
| PROGRAM SERVICE REVENUE - ORTHOPEDICS | 990 PART III LINE 4B | Orthopedic services at St. John's Hospital include musculoskeletal injuries to the bones, joints, muscles, ligaments or tendons, and conditions such as arthritis and osteoporosis. Sports injuries, trauma, spine, fractures, chronic pain and total joint replacements are the main reasons why patients need orthopedic care. The service line offers more than 20 educational events/lectures annually to the general public on orthopedic procedures and care. The specific services include: Major Orthopedic Procedures: . Knee & Hip Arthroplasty/Joint Replacements (Totals, Partials, Revisions) o 666 in FY13, o 1322 in last 2 fiscal years. . Spinal Fusion & Decompression, Lumbar & Cervical o 545 Spine Cases in FY 13 Other Orthopedic Procedures: . Arthroscopy/Arthroplasty/Arthrotomy: Knee, Hip, Shoulder, Elbow, Toe, Wrist, Ankle . Rotator Cuff Repair . Arthroscopic ACL Knee . Carpal Tunnel (100 Procedures) . Nailing/Rodding Tibia & Femoral . ORIF: Acetabulum, Ankle, Calcaneous, Clavical, Elbow, Femur, Finger, Foot, Hip, Humerus, Patella, Pelvis, Radius, Scapula, Shoulder, Tibia, Tibial Plateau, Ulna, Wrist " Repair of tendons. ligaments, soft tissue and conditions caused by arthritis and repetitive motion injuries Non-Surgical Services . Physical Therapy . Occupational Therapy . Aquatic Therapy . Athletic Training . Rehab, Wellness, . Exercise Physiology . Monthly Public Education Seminars . ACL Injury Prevention & Performance Training MAKOplasty Acquisition MAKOplasty has developed the amazing precision of the RIO Robotic Arm Interactive Orthopedic System. RIO assists the surgeon in achieving natural knee kinematics and optimal results at a level of precision previously unattainable with conventional instrumentation. It is a revolutionary solution for the complexity of osteoarthritis in one or more compartments of the knee and precision of hip arthroplasty. It is a less invasive solution that provides choices for today's patient and surgeon. The MAKOplasty was purchased in July 2012, at the beginning of Fiscal Year 2013. The first 2 procedures were performed in late August. The first several months were spent holding outreach events to market the new technology, exclusive to St. John's Hospital. . Mako Outreach Events: 6 for the general public, 1 for SJS community, 1 for physicians . 55 procedures performed through June 2013 |
| PROGRAM SERVICE REVENUE - Gastroenterology | 990 PART III LINE 4C | Gastroenterology Services is a small, but typically busy unit that sees approximately 18-25 patients per day. Seventy percent are outpatients and 30% are inpatients. Both diagnostic and therapeutic procedures are performed including, but not limited to, colonoscopy, EGD (esophagogastroduodenoscopy), ERCP, PEG placement, dilatations, 24 hour pH and manometrics. Nursing responsibilities for a routine outpatient include completing a comprehensive patient assessment; obtaining a written consent for treatment; starting an IV line; administering pre-procedure antibiotics if ordered; transporting the patient to the procedural room; assisting the physician with the procedure; administering conscious sedation if ordered; assessing and treating discomfort; and overall patient monitoring. Post procedure, the patient spends approximately one hour in recovery and is discharged to a responsible person after discharge instructions and teaching is complete. Gastroenterology Services at St. John's Hospital is now offering Endoscopic Ultrasound (EUS) services. This cutting-edge technique provides staging information for cancer and can also reduce surgical risk by giving physicians comprehensive information about the lesion, thus preventing unnecessary invasive exploratory procedures. We have one of the most advanced EUS instruments available in U.S. PROGRAM SERVICE REVENUE - OTHER 990 PART III LINE 4D St. Johns other specialized services include Cancer Care, Womens Services, a Neurosciences Institute, Home Health, Hospice, an Emergency Department that nearly 55,000 people per year seek care in and the St. Johns Childrens Hospital. Our childrens hospital is the only comprehensive child health care facility in south-central Illinois and provides vital health care for the regions children, from infancy through age 18. Recognized by the Childrens Hospital Association and a member of the Association of Illinois Childrens Hospitals, St. Johns Childrens Hospital offers a wide range of services for children and their families both here at our facilities and extending into the home. Services include: - General pediatric beds, with private bath, shower and parental sleeping area - Pediatric ICU - Pediatric Hematology/Oncology - Level III Neonatal ICU - Pediatric Emergency Room services - Neonatal and pediatric transportation - The only regional Level III Perinatal Care Center in the area - Child and family support and services through our Child Life Specialists and Social and Spiritual Services Departments. - Comprehensive outpatient services such as Home Health, Children's Rehabilitation Center and Early Intervention Program - A Ronald McDonald House On Site |
| RIGHTS OF MEMBERS TO ELECT GOVERNING BODY | FORM 990 PART VI, LINES 6 & 7A | THE SENIOR GOVERNING BODY OF ST. JOHN'S HOSPITAL (THE CORPORATION) IS THE MEMBER OF THE CORPORATION, WHICH IS HOSPITAL SISTERS SERVICES, INC. ("HSSI"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. 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 St. John's Hospital (the "Corporation") is vested in its Board of Directors, except with respect to specific powers reserved in the Corporation's Bylaws to the Corporation's Member, Hospital Sisters Services, Inc. ("HSSI"), an Illinois not for profit corporation exempt from federal taxation under Section 501(c)(3) of the Internal Revenue Code. The member of HSSI is Hospital Sisters Health System ("HSHS"), an Illinois not for profit corporation exempt from federal taxation under Section 501(c)(3) of the Internal Revenue Code. The members of HSHS are the individual sisters who, from time to time, are the duly elected Provincial Superior and Provincial Councilors, respectively, of the American Province of the Hospital Sisters of St. Francis ("American Province"). The American Province is the United States organization of the Congregation of the Hospital Sisters of the Third Order Regular of St. Francis, a religious institute of the Roman Catholic Church. The governance and operations of the Corporation are subject to HSSI's right to exercise these reserved powers with respect to the Corporation and organizations of which the Corporation is either, directly or indirectly, a controlling member or a controlling shareholder ("Affiliates"). HSSI's right to exercise certain of these reserved powers is, in turn, subject to the approval of HSHS and HSHS' members. The reserved powers include all rights granted to HSSI by law and the right to: (a)Adopt, approve amendments to, or amend any statement of philosophy, mission, mission integration or values, or any name, logo, or mark of the Corporation or of any Affiliate; (b)Adopt, approve amendments to, or amend the Articles of Incorporation of the Corporation or of any Affiliate; (c)Adopt, approve amendments to, or amend the Bylaws of the Corporation or of any Affiliate; (d)Appoint and remove the Board of Directors, any one or more of the Directors of the Corporation or of any Affiliate, and the Chairperson and President of the Corporation or of any Affiliate; (e)Approve the recommendation of the Board of Directors to appoint or remove the Board of Directors, any one or more Directors of the Corporation or of any Affiliate, or the Chairperson and President of the Corporation or of any Affiliate. (f)With respect to the Corporation or any Affiliate, approve the purchase, sale, alienation, exchange, lease, or encumbrance of any real property of the Corporation or of any Affiliate, which property has a value in excess of limits set from time to time by HSSI; (g)Approve the operating and capital budgets of the Corporation or of any Affiliate, and any deviations by the Corporation or of any Affiliate from such budgets in an amount or percentage specified by HSSI from time to time; (h)Approve the strategic plan and goals of the Corporation or of any Affiliate; (i)Approve the sale of substantially all of the assets of the 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 preparation, 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 | A revised Corporate Compliance Program and Conflict of Interest Policy has been used since January 2010 to establish the practice of managing conflicts of interest using a system-wide protocol for disclosure statements. In accordance with our Conflict of Interests Policy, all Covered Persons have a duty to comply with the Conflict of Interest Policy for any contract, transaction, relationship, or activity contemplated, entered into, or conducted at HSHS. The policy defines covered persons as 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 HSHS discloses a copy of the Conflict of Interest Policy (and all corresponding procedures, guidelines, forms, and tools) to all Covered Persons, and advises all Covered Persons in writing of any substantive changes to this Policy and such related materials. The Covered Persons are required to review and complete the corresponding Conflict of Interest Statement. The System Office Vice President - System Responsibility, Vice President - Risk & Compliance, or members of the Audit and Integrity Committee ("Committee") are available to answer any questions a Covered Person may have. In addition, if at any time after submitting an annual Conflict of Interest Statement, a Covered Person becomes aware of an Interest that he or she would have had to disclose at the annual interval, the Covered Person shall promptly disclose the Interest to the Committee using the HSHS Conflict of Interest Disclosure Statement. Completed Conflict of Interest statements are submitted to the Committee of HSHS which is responsible for identifying, assessing, and managing Conflicts of Interest that arise in the course of conducting the affairs of HSHS. If the Committee determines that a Conflict of Interest exists, HSHS shall not engage in, or enter into a proposed contract, transaction, relationship, arrangement, or activity unless the Committee or, where necessary, the Board of Directors (acting through its disinterested members), has investigated alternatives to the proposed contract, transaction, relationship, arrangement, or activity and, in the absence of alternatives that are in the best interests of HSHS, has determined: 1. that, regardless of whether the Covered Person participates in the implementation of the proposed contract, transaction, relationship, arrangement, or activity; 2. the contract, transaction, arrangement, or activity is in the best interests of HSHS; 3. the contract, transaction, arrangement, or activity is fair and reasonable from the perspective of HSHS; and 4. HSHS cannot obtain a more advantageous contract, transaction, arrangement, or activity with reasonable efforts under the circumstances. In determining whether a contract, transaction, or arrangement is fair and reasonable to HSHS, the Committee shall consider, where applicable: 1. appraisals or other independent valuations of the Fair Market Value of the contract, transaction, or arrangement; 2. information regarding comparable contracts, transactions, or arrangements between unrelated parties; 3. offers from comparable competing entities; and/or 4. studies of comparable compensation arrangements. In any case in which the Committee finds, after taking the steps described above, that HSHS should participate in a proposed transaction or arrangement despite the existence of a conflict of interest, the Committee shall develop, implement, monitor, and enforce compliance with, a Conflict Management Plan for managing the Conflict of Interest as it considers necessary for such findings to remain valid throughout the life of the contract, transaction, relationship, arrangement, or activity. All Conflict Management Plans shall: 1. state that the Committee will oversee, monitor, and enforce compliance with the plan throughout the course of the study, and specify means for doing so, including, without limitation, that the appropriate individuals must provide the Committee with written reports pertaining to compliance with the Conflict Management Plan, that the Committee shall have the right to audit the study for such compliance, and the right to impose sanctions for non-compliance; 2. state that the Plan must be shared with 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. |
| COMPENSATION PROCESS | 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. |
| DOCUMENTS 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 | ST. JOHN'S HOSPITAL'S CASH RESERVES ARE INVESTED IN A POOLED INVESTMENT ACCOUNT. PARTICIPATION IN THE POOLED FUND IS LIMITED TO THE 501(C)(3) HOSPITALS AND RELATED HEALTH SERVICES ORGANIZATIONS SPONSORED BY HOSPITAL SISTERS HEALTH SYSTEM. THE POOLED ACCOUNT CONSISTS OF CASH, AND EQUITY AND DEBT SECURITIES THAT ARE PUBLICLY TRADED. IN ACCORDANCE WITH THE PROVISIONS OF SFAS NO. 124 "ACCOUNTING FOR CERTAIN INVESTMENTS HELD BY NOT-FOR-PROFIT ORGANIZATIONS", INVESTMENTS IN EQUITY SECURITIES WITH READILY DETERMINABLE VALUES, AND ALL INVESTMENTS IN DEBT SECURITIES, ARE REPORTED AT FAIR VALUE ON THE BALANCE SHEET. INCOME, REALIZED AND UNREALIZED GAINS AND LOSSES ARE POOLED AND ALLOCATED TO THE PARTICIPANTS. INDIVIDUAL COMPONENTS OF ASSETS AND REVENUE ARE NOT IDENTIFIED TO THE INDIVIDUAL HOSPITAL PARTICIPANTS. |
| Other Changes in Net Assets or Fund Balances | Form 990, Part XI, Line 9 | Change in Foundation Net Assets (802,461) Direct Benefit Costs (14,290) Change in Pension Funded Status 37,387,252 Transfer to/from HSHS (18,149,155) Change in Fair Value of Interest Rate Swaps 14,770,469 Early extinguishment of Debt (1,350,837) Swap Payments (2,195,270) Unrestricted net assets released for purchase of PPE 41,310 Interest Income Capitalized as part of CIP (532) Difference in Temporarily Restricted Net Assets (228,128) ------------ Total 29,458,358 ============ |
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 | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|
| SpringField Health Partners LLC | ||||||||
| 4936 Laverna Road | Springfield | IL | 62707 | 371364419 | HealthCare | IL | 0 | HSHS MG |
| Kiara Clinical Integration Network | ||||||||
| 4936 Laverna ROAd | springfield | IL | 62707 | 261417684 | HealthCare | IL | 0 | HSSI |
| PHYSICIAN CLINICAL INTEGRATION NETWORK | ||||||||
| 4936 LAVERNA ROAD | SPRINGFIELD | IL | 62707 | 371668647 | HEALTHCARE | IL | 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 | HSHS | 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 Self Insurance Trust Fund | ||||||||||
| 4936 laverna Road | SPRINGFIELD | IL | 62707 | 371120626 | INSURANCE | IL | 501(c)(3) | 11a | HSHS | false |
| HSHS Health Care Plan Trust Fund | ||||||||||
| 4936 laverna Road | SPRINGFIELD | IL | 62707 | 371137724 | HEALTHCARE | IL | 501(c)(9) | N/A | HSHS | false |
| Hospital Sisters Healthcare West Inc | ||||||||||
| 2661 COUNTY HIGHWAY I | CHIPPEWA FALLS | WI | 54729 | 510157933 | HEALTHCARE | WI | 501(c)(3) | 11a | HSSI | false |
| Sacred Heart Hospital | ||||||||||
| 900 WEST CLAIREMONT AVENUE | EAU CLAIRE | WI | 54701 | 390807060 | HEALTHCARE | WI | 501(c)(3) | 3 | HSSI | 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 Nicholas Hospital | ||||||||||
| 3100 SUPERIOR AVENUE | SHEBOYGAN | WI | 53081 | 390808480 | HEALTHCARE | WI | 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 Joseph's Hospital | ||||||||||
| 9515 Holy Cross Lane PO Box 99 | BREESE | IL | 62230 | 371208459 | 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 | 362169181 | 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 Vincent Hospital | ||||||||||
| 835 S VAN BUREN | GREEN BAY | WI | 54301 | 390817529 | HEALTHCARE | WI | 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 |
| 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 Ave | Sheboygan | WI | 53081 | 391860942 | Healthcare | WI | 501(c)(3) | 9 | St Nicholas | false |
| Wisconsin Upper Pen Ocn Mngmt Services | ||||||||||
| 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) | 11A | HSSI | false |
Form990 Schedule R Part III Form990ScheduleRPartIII (9 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Disproportionate AllocationsDisproportionateAllocations | Code VCodeVAmount | General Or Managing PartnerGeneralOrManagingPartner | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Memorial and St Elizabeth's Healthcare | |||||||||||||
| 4000 North Illinois Street | Swansea | IL | 62226 | 371312961 | HealthCare | IL | St Elizabeth's | Related | false | $0 | false | ||
| Prairie Heart Institute - CarbondaleLLC | |||||||||||||
| 800 East Carpenter Street | Springfield | IL | 62769 | 371321197 | HealthCare | IL | St John's | Related | false | $0 | false | ||
| Northeast Wisconsin Radiation Therapy Se | |||||||||||||
| 1821 S Webster Ave STE 300 | Green Bay | WI | 543079047 | 263749065 | HealthCare | WI | HSSI | Related | false | $0 | false | ||
| Pain Center of Wisconsin | |||||||||||||
| 4131 W Loomis Rd STE 300 | Greenfield | WI | 53221 | 263155343 | HealthCare | WI | St Vincent | Related | false | $0 | false | ||
| Surgery Center of Sheboygan | |||||||||||||
| 3141 Saemann AveNUE | Sheboygan | WI | 53081 | 260822209 | HealthCare | WI | St Nicholas | Related | false | $0 | false | ||
| Prevea Ventures LLC | |||||||||||||
| 2710 EXECUTIVE DRIVE | Green Bay | WI | 54304 | 203775127 | HealthCare | WI | HSSI | Related | false | $0 | false | ||
| Carpenter Street Hotel LLC | |||||||||||||
| 525 North 6th Street | Springfield | IL | 62702 | 364128127 | Hotel | IL | Lasante Inc | Related | false | $0 | false | ||
| Springfield Urgent Care Real Estate | |||||||||||||
| PO Box 19456 | Springfield | IL | 627949456 | 030413258 | Rent Real Est | IL | Lasante Inc | Related | false | $0 | false | ||
| Prairie Heart Institute Management LLC | |||||||||||||
| 4936 Laverna Road | Springfield | IL | 62707 | 261417684 | Medical | IL | HSHS | Related | false | false | -7837 | 20799 | |
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 | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Kiara Inc | |||||||||||||||
| 4936 Laverna ROAd | Springfield | IL | 62707 | 371163401 | HealthCare | IL | HSHS | C Corp | -12988 | 33262 | false | ||||
| Lasante Wisconsin Inc | |||||||||||||||
| 4936 Laverna ROAd | Springfield | IL | 62707 | 391572196 | HealthCare | IL | Kiara Inc | C Corp | false | ||||||
| Lasante Inc | |||||||||||||||
| 4936 Laverna ROAd | Springfield | IL | 62707 | 371163400 | HealthCare | IL | Kiara Inc | C Corp | false | ||||||
| Prairie Cardiovascular Consultants | |||||||||||||||
| 619 E Mason STE 4P57 | Springfield | IL | 62701 | 371071858 | HealthCare | IL | Kiara Inc | C Corp | false | ||||||
| Prevea Health Services | |||||||||||||||
| 2710 EXECUTIVE DRIVE | Green Bay | WI | 54304 | 391839351 | HealthCare | WI | HSSI | C Corp | false | ||||||
| Prevea Clinic Inc | |||||||||||||||
| 2710 EXECUTIVE DRIVE | Green Bay | WI | 54304 | 391839349 | HealthCare | WI | HSSI | C Corp | false | ||||||
| Prevea Health Network | |||||||||||||||
| 2710 EXECUTIVE DRIVE | Green Bay | WI | 54304 | 392000537 | HealthCare | WI | HSSI | C Corp | false | ||||||
| Renaissance Quality Insurance | |||||||||||||||
| 980669953 | Insurance | HSSI | C corp | 0 | 0 | false | PO Box 1159 KY1-1102 | Grand Gayman | CJ | 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 | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | 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 | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | 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 | ANY TRANSACTIONS LISTED ON SCH R, PART V, LINE 1 AND NOT ON SCH R, PART V, R, PART V, LINE 2 ARE BETWEEN RELATED 501(C)(3) AND DO NOT REQUIRE REPORTING ON THIS SECTION. | Explanation |