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ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDE: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDE (EIN 37-0663567)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-14
IRS object ID
201301349349305365
Schema version
2011v1.5
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-14T15:08:10-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1191 West Nationwide Blvd Ste 500AddressLine1
CityColumbusCity
StateOHState
ZIP Code432152568ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN370663567EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST ELIZABETH'S HOSPITAL of the hospitalBusinessNameLine1
Business Name Line2sisters of THE THIRD ORDER OF ST FRANCISBusinessNameLine2
FieldValueIRS element (for citing)
In Care Of Name% LESLIE LOVSHINInCareOfName
Name ControlSTELNameControl
Phone6182342120Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1211 SOUTH THIRD STREETAddressLine1
CityBELLEVILLECity
StateILState
ZIP Code622201998ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLeslie LovshinName
TitleChief Financial OfficerTitle
Phone6182342120Phone
Date Signed2013-05-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone6142492300Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARYANN REESENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1211 SOUTH THIRD STREETAddressLine1
CityBELLEVILLECity
StateILState
ZIP Code622201998ZIPCode
FieldValueIRS element (for citing)
Gross Receipts168280652GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.STELIZ.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1875YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionTO REVEAL AND EMBODY CHRIST'S HEALING LOVE FOR ALL PEOPLE THROUGH OUR HIGH QUALITY FRANCISCAN HEALTH CARE MINISTRY.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees1755TotalNbrEmployees
Total Nbr Volunteers229TotalNbrVolunteers
Total Gross UBI17731TotalGrossUBI
Net Unrelated Business Txbl Income1006NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year366018ContributionsGrantsPriorYear
Contributions Grants Current Year317879ContributionsGrantsCurrentYear
Program Service Revenue Prior Year173382447ProgramServiceRevenuePriorYear
Program Service Revenue CY167054450ProgramServiceRevenueCY
Investment Income Prior Year2249698InvestmentIncomePriorYear
Investment Income Current Year-2523354InvestmentIncomeCurrentYear
Other Revenue Prior Year1057936OtherRevenuePriorYear
Other Revenue Current Year2058748OtherRevenueCurrentYear
Total Revenue Prior Year177056099TotalRevenuePriorYear
Total Revenue Current Year166907723TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year81215417SalariesEtcPriorYear
Salaries Etc Current Year73654386SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year118902735OtherExpensePriorYear
Other Expenses Current Year107971159OtherExpensesCurrentYear
Total Expenses Prior Year200118152TotalExpensesPriorYear
Total Expenses Current Year181625545TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-23062053RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-14717822RevenuesLessExpensesCY
Total Assets BOY127988273TotalAssetsBOY
Total Assets EOY122615352TotalAssetsEOY
Total Liabilities BOY96905178TotalLiabilitiesBOY
Total Liabilities EOY127642383TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY31083095NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-5027031NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE O.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense24587457Expense
Revenue23407883Revenue
DescriptionCARDIAC SERVICES - SEE SCHEDULE ODescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense10818507Expense
Revenue9879200Revenue
DescriptionORTHOPEDIC SERVICES - SEE SCHEDULE ODescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense10212563Expense
Revenue9334732Revenue
DescriptionREHABILITATION SERVICES - SEE SCHEDULE ODescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp101883526TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev124432635TotalOfOtherProgramServiceRev
Total Program Service Expense147502053TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096150NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees1755NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonLESLIE LOVSHINNamePerson
Telephone Number6182342120TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1211 SOUTH THIRDAddressLine1
CityBELLEVILLECity
StateILState
ZIP Code622201998ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
LINDA A CAMP MD
BOARD MEMBER1.0X054458015558
MARYANN L REESE RN
PRESIDENT & CEO60.0X044413882810X
WILLIAM S LYKE
BOARD CHAIRPERSON1.0X000X
SISTER JANICE SCHNEIDER OSF
BOARD MEMBER1.0X000
THOMAS M EGAN
BOARD SECRETARY1.0X000X
JACQUELYN M CLEMENT PHD
BOARD MEMBER1.0X000
SISTER MARYBETH CULNAN OSF
BOARD MEMBER1.0X000
REV JAMES E DEITERS
BOARD MEMBER1.0X000
ANWAR A KHAN MD
BOARD MEMBER1.0X3718700
STEPHANIE STRANO-MAINE
BOARD MEMBER1.0X000
KEVIN PESKO
BOARD MEMBER1.0X000
ANN M CARR
TREASURER0.250225812215561X
MARK REIFSTECK
DIVISION CEO38.10392603214175X
JOHNNY E WATKINS
DIVISION CFO38.1253946060364X
LESLIE LOVSHIN
CHIEF FINANCIAL OFFICER60.0131234028663X
SHELLEY HARRIS
CHIEF NURSING OFFICER60.01379790120613X
TERENCE WADE MD
CHIEF MEDICAL OFFICER60.0290737013530X
JAMES RUSHFORD
PHYSICIAN60.0597709059465X
DONALD JOHNSTON
PHYSICIAN60.0654263052357X
JAMES BURKE
DIVISION VP OF LEGAL SERVICES38.1192773045402X
ADAM THACKER
ADMIN DIRECTOR PTCS & PL60.014412209306X
JOSEPH B STASIAK
PHARMACY-PERF EXCELL COORD60.01311760167434X
ALICE CHATLEY
CHIEF NURSING OFFICER0.01122670-8285X
EDWARD JACQUIN
ASST ADMIN-SUPPORT SVCS0.0114339021673X
ROBERT S MILLER
CHIEF OPERATING OFFICER0.02511710256414X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3048903TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1607133TotalReportableCompFrmRltdOrgs
Total Other Compensation1355040TotalOtherCompensation
Number Individuals GT100 K12NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PROFESSIONAL THERAPY SVC INC
2810 Frank Scott Pkwy West Suite 8BELLEVILLEIL62223Physical Therapy3330665
SODEXO OPERATIONS LLC
4880 Payshere CircleCHICAGOIL60674Food service1304839
SLU CARE
1402 S Grand BlvdST LOUISMO63104Physician services1291796
Impact Strategies
340 Office CourtFAIRVIEW HEIGHTSIL62208Construction850039
ERLINGER CONSTRUCTION CO
2502 S Belt WestBELLEVILLEIL62226construction748855
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Related Organizations317879RelatedOrganizations
Total Contributions317879TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE900000165837296165837296
PHARMACY446110109868109868
HEALTH PROGRAMS90000071957195
ONCOLOGY CENTER INCOME90000011000911100091
FieldValueIRS element (for citing)
Total Program Service Revenue167054450TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column-2507040TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$2,507,040ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1460182Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1134060Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real326122Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column326122TotalRevenueColumn
Exclusion$326,122ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities222555Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities238869Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-16314Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-16314TotalRevenueColumn
Exclusion-$16,314ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
ADMINISTRATION INCOME900099996410$996,410
PURCHASE DISCOUNTS900099444036$444,036
CAFETERIA SALES72221053557$53,557

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column238623TotalRevenueColumn
Unrelated Business Revenue17731UnrelatedBusinessRevenue
Exclusion$220,892ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1732626TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column166907723TotalRevenueColumn
Related Or Exempt Function Income167054450RelatedOrExemptFunctionIncome
Unrelated Business Revenue17731UnrelatedBusinessRevenue
Exclusion-$482,337ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1088204Total
Program Services456033ProgramServices
Management And General632171ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total54974143Total
Program Services46908392ProgramServices
Management And General8065751ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3553962Total
Program Services3002574ProgramServices
Management And General551388ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total10048890Total
Program Services7870920ProgramServices
Management And General2177970ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3989187Total
Program Services3370275ProgramServices
Management And General618912ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total3564918Total
Management And General3564918ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total938800Total
Program Services0ProgramServices
Management And General938800ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total28903Total
Program Services28903ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total24879370Total
Program Services21120665ProgramServices
Management And General3758705ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total88730Total
Program Services2372ProgramServices
Management And General86358ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1099227Total
Program Services886768ProgramServices
Management And General212459ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total7564828Total
Program Services32008ProgramServices
Management And General7532820ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4281682Total
Program Services4281017ProgramServices
Management And General665ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total102457Total
Program Services61675ProgramServices
Management And General40782ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total49074Total
Program Services29158ProgramServices
Management And General19916ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total395471Total
Management And General395471ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total9281289Total
Program Services7530467ProgramServices
Management And General1750822ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3099977Total
Program Services392531ProgramServices
Management And General2707446ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES2142884021428840
PROVISION FOR BAD DEBTS1938860419388604
LICENSE AND TAXES71702957158097121980
MAINTENANCE & REPAIRS40187013400253618448

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total589993Total
Program Services152501ProgramServices
Management And General437492ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total181625545Total
Program Services147502053ProgramServices
Management And General34123492ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY-2050973BOY
EOY-4023125EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY935530BOY
EOY7247610EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY23000542BOY
EOY32423111EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY464693BOY
EOY101817EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2400379BOY
EOY2566401EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1490338BOY
EOY1016709EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis205736492LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec143486367LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY64051241BOY
EOY62250125EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY32839677BOY
EOY16615232EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY4344685BOY
EOY3944776EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY512161BOY
EOY472696EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY127988273BOY
EOY122615352EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY14382276BOY
EOY15389849EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY2130BOY
EOY9199EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY48367764BOY
EOY62791810EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY34153008BOY
EOY49451525EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY96905178BOY
EOY127642383EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY24892315BOY
EOY-11327023EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6146850BOY
EOY6226005EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY43930BOY
EOY73987EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY31083095BOY
EOY-5027031EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY127988273BOY
EOY122615352EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-14717822ReconcilationRevenueExpenses
Reconcilation Other Changes-21392304ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Org Belongs To Affiliated GroupXOrgBelongsToAffiliatedGroup
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$28,903OtherActivitiesAmount
Total Lobbying Expenditures IIB28903TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF OTHER LOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II-B, QUESTION 1IReturnReference
ExplanationST. ELIZABETH'S HOSPITAL ("THE HOSPITAL") IS A MEMBER OF THE CATHOLIC HEALTH ASSOCIATION ("CHA"), THE ILLINOIS HEALTH ASSOCIATION ("IHA"), THE NATIONAL ASSOCIATION FOR HOME CARE AND HOSPICE, AND THE AMERICAN HEALTH ASSOCIATION ("AHA"). AS A MEMBER OF THESE ORGANIZATIONS, THE HOSPITAL PAYS DUES, PART OF WHICH ARE ATTRIBUTABLE TO LOBBYING FEES PAID BY THE ORGANIZATIONS. THE AMOUNT LISTED ABOVE IS THE AMOUNT ATTRIBUTABLE TO THE HOSPITAL FROM ITS DUES PAID.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Agent Trustee EtcfalseAgentTrusteeEtc
Current Year Minus3 YearsCurrentYearMinus3Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3630755OtherCostOrOtherBasis
Book Value3630755BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis117009758OtherCostOrOtherBasis
Depreciation78546032Depreciation
Book Value38463726BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis359390OtherCostOrOtherBasis
Depreciation182552Depreciation
Book Value176838BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis75156706OtherCostOrOtherBasis
Depreciation59345730Depreciation
Book Value15810976BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9579883OtherCostOrOtherBasis
Depreciation5412053Depreciation
Book Value4167830BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings62250125TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ACCRUED BENEFIT LIABILITY$38,566,561
RETIREMENT OBLIGATION ASBESTOS$8,250,172
SELF INSURANCE COST$2,634,792
FieldValueIRS element (for citing)
Total Of Amounts49451525TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierFIN 48 (ASC 740 FOOTNOTE)Identifier
Return ReferenceSCHEDULE D, PART X, LINE 2ReturnReference
ExplanationON JULY 1, 2007, HSHS ADOPTED ASC SUBTOPIC 740-10, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES - AN INTERPRETATION OF FASB STATEMENT NO. 109. ASC SUBTOPIC 740-10 ADDRESSES THE DETERMINATION OF HOW TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. UNDER ASC SUBTOPIC 740-10, HSHS MUST RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. ASC SUBTOPIC 740-10 ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST, AND PENALTIES ON INCOME TAXES, ACCOUNTING IN INTERIM PERIODS AND REQUIRES INCREASED DISCLOSURES. AT THE DATE OF ADOPTION, AND AS OF JUNE 30, 2012 AND 2011, HSHS DOES NOT HAVE A LIABILITY FOR UNRECOGNIZED TAX BENEFITS.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent150XPcent150
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage600.DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense4559607TotalCommunityBenefitExpense
Net Community Benefit Expense4559607NetCommunityBenefitExpense
Percent Of Total Expense0.02810PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense28849020TotalCommunityBenefitExpense
Direct Offsetting Revenue18628153DirectOffsettingRevenue
Net Community Benefit Expense10220867NetCommunityBenefitExpense
Percent Of Total Expense0.06300PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense33408627TotalCommunityBenefitExpense
Direct Offsetting Revenue18628153DirectOffsettingRevenue
Net Community Benefit Expense14780474NetCommunityBenefitExpense
Percent Of Total Expense0.09110PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs39NumberOfActivitiesOrPrograms
Persons Served10472PersonsServed
Total Community Benefit Expense332690TotalCommunityBenefitExpense
Net Community Benefit Expense332690NetCommunityBenefitExpense
Percent Of Total Expense0.00210PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served1808PersonsServed
Total Community Benefit Expense2250537TotalCommunityBenefitExpense
Direct Offsetting Revenue466145DirectOffsettingRevenue
Net Community Benefit Expense1784392NetCommunityBenefitExpense
Percent Of Total Expense0.01100PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served2189PersonsServed
Total Community Benefit Expense190128TotalCommunityBenefitExpense
Net Community Benefit Expense190128NetCommunityBenefitExpense
Percent Of Total Expense0.00120PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served627PersonsServed
Total Community Benefit Expense78919TotalCommunityBenefitExpense
Net Community Benefit Expense78919NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs52NumberOfActivitiesOrPrograms
Persons Served15096PersonsServed
Total Community Benefit Expense2852274TotalCommunityBenefitExpense
Direct Offsetting Revenue466145DirectOffsettingRevenue
Net Community Benefit Expense2386129NetCommunityBenefitExpense
Percent Of Total Expense0.01480PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs52NumberOfActivitiesOrPrograms
Persons Served15096PersonsServed
Total Community Benefit Expense36260901TotalCommunityBenefitExpense
Direct Offsetting Revenue19094298DirectOffsettingRevenue
Net Community Benefit Expense17166603NetCommunityBenefitExpense
Percent Of Total Expense0.10590PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served1043PersonsServed
Total Community Building Expense44757TotalCommunityBuildingExpense
Net Community Building Expense44757NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served724PersonsServed
Total Community Building Expense1564TotalCommunityBuildingExpense
Net Community Building Expense1564NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served350PersonsServed
Total Community Building Expense237TotalCommunityBuildingExpense
Net Community Building Expense237NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs9NumberOfActivitiesOrPrograms
Persons Served2117PersonsServed
Total Community Building Expense46558TotalCommunityBuildingExpense
Net Community Building Expense46558NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$5,613,001BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare52786538AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare48196120CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall4590418MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (4 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipOfficers Etc Profit Or OwnershipOfficersEtcProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
MEM & ST ELIZ'S
HEALTHCARE0.500000.000000.00000
HEALTHCARE SVS
SOUTHERN ILLINOIS
FACILITATE CARDIOVASCULAR SVS0.500000.000000.00000
CARDIOVASCULAR FAC
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1St Elizabeth's Hospital - BellevilleBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1211 South Third StreetAddressLine1
CityBellevilleCity
StateILState
ZIP Code622201998ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1St Elizabeth's Hospital - BellevilleBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Needs Assessment Conducted11NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiesfalseOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Other MethodXOtherMethod
Adopt Implement StrategyXAdoptImplementStrategy
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs AddressedfalseAllNeedsAddressed
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent150.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent600.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (20 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
PART I, LINE 3CNOT APPLICABLE AS ST. ELIZABETH'S HOSPITAL DOES FOLLOW FPG TO DETERMINE ELIGIBILITY FOR PROVIDING CHARITY AND DISCOUNTED CARE TO LOW-INCOME, UNINSURED AND UNDERINSURED INDIVIDUALS.
PART I, LINE 6ATHE HOSPITAL'S COMMUNITY BENEFIT REPORT CAN BE ACCESSED AT: HTTP://WWW.STELIZ.ORG/ABOUT/
PART I, LINE 7THE CALCULATION OF COST IS BASED ON THE CHARGES FOR THESE SERVICES MULTIPLIED BY THE OVERALL COST TO CHARGE RATIO BASED ON THE HOSPITAL'S FINANCIAL STATEMENTS TO DETERMINE THE ACTUAL COST OF THESE SERVICES.
PART IIUNDER COMMUNITY BUILDING ACTIVITIES, ST. ELIZABETH'S HOSPITAL PROVIDES THE FOLLOWING FOR COMMUNITY SUPPORT: BRIDGES CONNECTIONS DISTRICT 201: THIS PROGRAM IS DESIGNED TO HELP SPECIAL NEEDS STUDENTS LEARN MARKETABLE SKILLS THROUGH ON THE JOB TRAINING. TWO HOURS A DAY AND UP TO THREE STUDENTS RECEIVE SUPERVISED JOB TRAINING. EACH STUDENT PROGRESSES THROUGH A THREE PHASE PROGRAM. AS THEY PROGRESS THROUGH EACH PHASE OF THE PROGRAM, THE HOSPITAL ABSORBS AN INCREASING PERCENTAGE OF THE COST. THIS PROGRAM ENHANCES THIS HIGH RISK POPULATION'S ABILITY TO BE A PRODUCTIVE PART OF OUR COMMUNITY. FOOD, CLOTHING, SCHOOL SUPPLY DRIVES AND ELIZABETH'S GARDEN: THROUGHOUT THE YEAR, THESE PROGRAMS ARE SUPPORTED BY OUR COLLEAGUES TO SUPPORT OUR COMMUNITY NEED. ITEMS ARE DONATED TO LOCAL AGENCIES THAT WORK WITH THE POOR AND/OR TO LOCAL FOOD PANTRIES; THUS, REDUCING THE BURDEN TO GOVERNMENT. MENTORING AT HENRY RAAB ELEMENTARY SCHOOL: THE SCHOOL SELECTS STUDENTS FROM LOW INCOME, AT RISK FAMILIES WHO ARE IN NEED OF AN ADULT ROLE-MODEL. DIRECTORS/MANAGERS SPEND ONE-ON-ONE TIME WITH THEIR ASSIGNED STUDENT TO BOTH ENCOURAGE GROWTH AND OFFER ASSISTANCE WITH SCHOOL WORK AND RELATIONSHIP BUILDING. THIS ENHANCES THE LEARNING EXPERIENCE OF THESE CHILDREN, WHICH WILL INCREASE THEIR CHANCES OF GRADUATING AND IMPROVE THEIR HEALTH OUTCOMES. UNDER COMMUNITY BUILDING ACTIVITIES, ST. ELIZABETH'S HOSPITAL PROVIDES THE FOLLOWING FOR LEADERSHIP DEVELOPMENT/ TRAINING FOR COMMUNITY MEMBERS: BASIC INITIATIVE: BASIC (BELLEVILLE ACHIEVES STRENGTH IN CHARACTER) IS A PARTNERSHIP OF SCHOOLS, THE CITY OF BELLEVILLE, AND THE BUSINESS COMMUNITY TO STRENGTHEN CHARACTER IN OUR YOUTH AND IN THE COMMUNITY. BASIC ENCOURAGES YOUTHS AND ADULTS TO BE PRODUCTIVE CITIZENS IN OUR COMMUNITY.
PART III, LINE 4SINCE THE HOSPITAL IMPLEMENTED THE SEARCH AMERICA PROCESS, A MUCH CLOSER REPRESENTATION OF THE TRUE COMMUNITY BENEFIT IS REFLECTED. SELF-PAY PATIENTS ARE SCREENED FOR VERIFICATION OF NO INSURANCE COVERAGE. ONCE VERIFICATION OF NO COVERAGE HAS BEEN COMPLETED, THE GUARANTORS WILL BE SCREENED FOR CHARITY CARE OR UNINSURED DISCOUNTS BASED ON INCOME LEVELS. THOSE GUARANTORS THAT DO NOT QUALIFY FOR CHARITY CARE THROUGH THE SCREENING PROCESS WILL BE ASKED TO PROVIDE PROOF OF INCOME IN THE FORM OF A RECENT PAY STUB AND/OR RECENT TAX RETURN TO DETERMINE THE LEVEL OF UNINSURED DISCOUNTING. IF NO PROOF OF INCOME IS PROVIDED, AN APPROPRIATE DISCOUNT ACCORDING TO THE ESTABLISHED CRITERIA WILL BE APPLIED. THAT AMOUNT OF MONEY NOT COLLECTED FROM THOSE SELF-PAY PATIENTS WHO ARE NOT ELIGIBLE FOR CHARITY CARE IS CALCULATED AS PART OF BAD DEBT. DURING THE YEAR, THE HOSPITAL'S BAD DEBT EXPENSE (AT COST) WAS $5.6 MILLION. BAD DEBT AT COST IS DERIVED BY MULTIPLYING THE HOSPITAL'S TOTAL BAD DEBT EXPENSE FOR THE FISCAL YEAR BY THE COST TO CHARGE RATIO. THE COST TO CHARGE RATIO USED WAS DERIVED BY DIVIDING THE HOSPITAL'S OPERATING EXPENSES MINUS BAD DEBT BY NET PATIENT SERVICE REVENUE LESS ANY NON PATIENT CARE ACTIVITIES.
PART III, LINE 8The amount reported on Part III, line 6 is pulled from our most recent Medicare Cost Report. The cost reported on our Medicare Cost Report is derived by using a cost to charge ratio.
PART III, LINE 9BEVERY 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, 1ST. ELIZABETH'S HOSPITAL IS A CATHOLIC-SPONSORED, NOT-FOR-PROFIT, COMMUNITY HOSPITAL LOCATED IN ST. CLAIR COUNTY, ILLINOIS. THE HOSPITAL HAS SERVED THIS COMMUNITY SINCE ITS FOUNDING IN 1875 BY THE HOSPITAL SISTERS OF ST. FRANCIS. ST. ELIZABETH'S HOSPITAL IS PART OF THE HOSPITAL SISTERS HEALTHCARE SYSTEM (HSHS), LOCATED IN SPRINGFIELD, ILLINOIS. THE HOSPITAL HAS A WELL-ESTABLISHED TRADITION OF PARTNERING WITH THE COMMUNITY TO IMPROVE THE HEALTH OF THE COMMUNITY. THE PRIMARY SERVICE AREA FOR ST. ELIZABETH'S HOSPITAL COVERS MOST OF ST. CLAIR COUNTY, POP. 270,046 (2010 CENSUS). THE SECONDARY SERVICE AREA EXTENDS INTO MONROE, CLINTON, RANDOLPH AND MADISON COUNTIES. TOTAL POPULATION OF THE PRIMARY AND SECONDARY SERVICE AREA IS 353,346 (2010 CENSUS). ST. ELIZABETH'S HOSPITAL ALSO SERVES AS A REFERRAL HOSPITAL FOR THE HSHS SOUTHERN ILLINOIS DIVISION WHICH INCLUDES ST. JOSEPH'S HOSPITAL IN HIGHLAND, ST. JOSEPH'S HOSPITAL IN BREESE AND ST. ANTHONY'S MEMORIAL HOSPITAL IN EFFINGHAM. ST. ELIZABETH'S HOSPITAL CURRENTLY STAFFS 260 INPATIENT BEDS. THE HOSPITAL EMPLOYS 1,349 COLLEAGUES. INPATIENT ADMISSIONS FOR FISCAL YEAR 2012 WERE 12,486. THE EMERGENCY DEPARTMENT HAD 28,514 VISITS AND ADMITTED 7,096 TO INPATIENT SERVICES. THE URGI-CENTER IN O'FALLON, AN OFFSITE FACILITY, HAD 18,143 VISITS. TOTAL OUTPATIENT VISITS FOR THE HOSPITAL WERE 176,824. ST. ELIZABETH'S HOSPITAL IS A RECOGNIZED ACCREDITED CHEST PAIN CENTER SINCE 2004. THE CENTER RECEIVED THE AMERICAN HEART ASSOCIATION MISSION LIFE LINE BRONZE AWARD FOR OVERALL CARDIAC CARE. THE INTENSIVE CARE UNIT FOR THE PAST FOUR YEARS HAS BEEN RECOGNIZED TO BE IN THE TOP 10% IN THE NATION. RESPONDING TO THE IDENTIFIED NEEDS IN THE 2012 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), ST. ELIZABETH'S HOSPITAL CONTINUES TO FOCUS ON PROVIDING ACCESS TO CARE AND SERVICES TO THE UNDERSERVED AND UNINSURED IN THE SERVICE AREA. FIVE COMMUNITY ENGAGEMENT GROUPS BRAINSTORMED HEALTH NEEDS OF THE COMMUNITY, REVIEWED PERTINENT HEALTH DATA AND PRIORITIZED THE REGION'S TOP NEEDS. THE COMMUNITY BENEFIT STEERING COMMITTEE THEN REVIEWED ALL OF THESE FINDINGS AND RANKED EACH NEED BASED ON THE MISSION OF THE HOSPITAL, THE MAGNITUDE, FEASIBILITY AND SEVERITY OF THE NEED THE 2012 CHNA PROCESS IDENTIFIED AND THE BOARD OF DIRECTORS APPROVED THE FOLLOWING THREE STRATEGIC INITIATIVES: ACCESS TO HEALTHCARE FOR THE UNDERSERVED AND UNINSURED MENTAL HEALTH - DECREASE DEPRESSION AND RATE OF SUICIDE CHRONIC DISEASE - IMPROVE MANAGEMENT OF DIABETES ST. ELIZABETH'S COMMITMENT TO IMPROVING THE HEALTH OF OUR COMMUNITY, REDUCING THE BURDEN OF GOVERNMENT, IMPROVING ACCESS TO HEALTH CARE SERVICES TO THE UNINSURED AND UNDERSERVED AND PROVIDING HEALTH PROFESSION EDUCATION IS EVIDENCED BY THE VALUE OF OUR COMMUNITY BENEFIT. THE FY 2012 COMMUNITY BENEFIT EQUALS $17,213,161.
PART V, LINE 3IN MARCH 2012, ST. ELIZABETH'S HOSPITAL HOSTED FIVE TWO-HOUR COMMUNITY ENGAGEMENT SESSIONS WITH 10 TO 15 PARTICIPANTS PER SESSION. PARTICIPANTS WERE INVITED BASED ON THEIR AWARENESS AND EXPERTISE IN THE HEALTHCARE NEEDS OF OUR COMMUNITY. EMPHASIS WAS PLACED ON REPRESENTATION OF THE UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS AS WELL AS POPULATIONS WITH CHRONIC DISEASE. NINETY PEOPLE WERE INVITED TO PARTICIPATE. FIFTY-EIGHT PEOPLE ATTENDED ONE OF THE SESSIONS. THE FOLLOWING DESCRIBES THOSE WHO PARTICIPATED AND THE SPECIAL NEED AREAS THEY REPRESENTED ARE SHOWN IN ITALICS: PHYSICIANS (ER, PRIMARY CARE PHYSICIANS, DENTISTS, UROLOGIST) - CHRONIC DISEASE, UNDERSERVED, LOW INCOME, MINORITY PRACTICING NURSES, RETIRED NURSES, HOSPICE NURSES, UNIVERSITY NURSE EDUCATORS, PARISH NURSES - CHRONIC DISEASE BUSINESS LEADERS CIVIC LEADERS (MAYOR'S OFFICE, CHAMBER OF COMMERCE, ALDERMEN) LEGAL COMMUNITY (LAWYER AND JUDGE, ADVISOR FOR THE LEGAL AID SOCIETY) - LOW INCOME, MINORITY HEALTH AGENCIES (AMERICAN CANCER, CALL FOR HELP, FIRST RESPONDERS/EMS) - CHRONIC DISEASE, UNDERSERVED, MINORITY, LOW INCOME COMMUNITY SERVICE AGENCY DIRECTORS - UNDERSERVED, MINORITY, LOW INCOME SCHOOLS REPRESENTATION (PRIMARY AND SECONDARY REPRESENTATION) - UNDERSERVED, MINORITY, LOW INCOME MENTAL HEALTH AGENCY DIRECTORS (INCLUDING ALCOHOL AND DRUG ADDICTION EXPERTS) - UNDERSERVED, MINORITY, LOW INCOME PARENTS OF SPECIAL NEEDS CHILDREN - UNDERSERVED HISPANIC SERVICE AGENCY - UNDERSERVED, MINORITY, LOW INCOME RELIGIOUS LEADERS - INNER CITY AND RURAL - MINORITY, LOW INCOME AGENCY FOR THE AGING - MINORITY MILITARY COMMANDER FOR SCOTT AIR FORCE BASE HEALTH SERVICES COMMUNITY INPUT WAS ALSO OBTAINED THROUGH A HOUSEHOLD SURVEY.
PART V, LINE 4ST. ELIZABETH'S HOSPITAL CONDUCTED THE COMMUNITY HEALTH NEEDS ASSESSMENT IN COLLABORATION WITH THE ST. CLAIR COUNTY HEALTH DEPARTMENT, KARLA SMITH FOUNDATION AND 708 MENTAL HEALTH BOARD.
PART V, LINE 5CTHE CHNA REPORT IS POSTED ON OUR HOSPITAL WEBSITE AT: HTTP://WWW.STELIZ.ORG/ABOUT/ IN ADDITION, THE REPORT IS POSTED ON OUR HOSPITAL INTRANET MISSION PAGE FOR ALL OF OUR COLLEAGUES AND WAS SHARED WITH THE ST. CLAIR COUNTY HEALTH CARE COMMISSION AT THEIR QUARTERLY MEETING IN JULY, 2012.
PART V, LINE 7PRIORITY NEEDS NOT BEING ADDRESSED AND THE REASONS: THE BOARD OF DIRECTORS APPROVED THE COMMUNITY BENEFIT IMPLEMENTATION STRATEGY BASED ON THE CHNA DURING THE REPORTING YEAR. THE APPROVED IMPLEMENTATION STRATEGY WILL BE EXECUTED IN THE FOLLOWING YEAR (FY2013). BASED ON HOSPITAL CAPABILITIES, RESOURCES, SEVERITY OF THE NEED, AND OTHER FACTORS, ST. ELIZABETH'S WILL BE ADDRESSING THREE AREAS: IMPROVE ACCESS TO HEALTHCARE, ESPECIALLY FOR THOSE WHO ARE UNINSURED OR UNDERINSURED MENTAL HEALTH, REDUCE THE RATE OF DEPRESSION AND SUICIDE IN THE ADULT POPULATION IN THE COUNTY CHRONIC DISEASE, EDUCATE AND EMPOWER DIABETICS TO LIVE A EALTHIER LIFESTYLE THE FOLLOWING ADDITIONAL NEEDS WERE IDENTIFIED AND THE REASONS THEY WILL NOT BE ADDRESSED DIRECTLY BY THE HOSPITAL IN FY2013 FOR THE REASONS INDICATED: MENTAL HEALTH - APPROPRIATE SERVICES FOR UNINSURED: THIS WILL BE PARTLY ADDRESSED AS A COROLLARY OF THE MENTAL HEALTH SUICIDE/ DEPRESSION INITIATIVE. CONSOLIDATION OF COMMUNITY HEALTH/RESOURCE INFORMATION: ST. ELIZABETH'S HOSPITAL LACKS THE EXPERTISE TO DEVELOP AND MAINTAIN THIS DATA BASE. UNITED WAY MAINTAINS A DATA BASE IN THEIR "211" SYSTEM. DEVELOP RESPONSIBILITY FOR ONE'S HEALTHCARE: ST. ELIZABETH'S HOSPITAL ADDRESSES THIS ISSUE THROUGH OUR SOCIAL SERVICE DEPARTMENT ON CASE BY CASE BASIS. GERIATRIC POPULATION (ACCESS MEDICAL/PSYCHIATRIC):ST. ELIZABETH'S HOSPITAL PROVIDES INPATIENT AND OUTPATIENT CARE AS PART OF THE BEHAVIORAL HEALTHCARE SERVICE LINE TO THIS POPULATION. THE HOSPITAL LACKS ADEQUATE SPACE TO ESTABLISH A SEPARATE GERO-PSYCH PROGRAM. ADDRESSING THE LACK OF GERIATRIC TRAINED PHYSICIANS IS BEYOND THE SCOPE OF THIS FACILITY. VIOLENCE PREVENTION AND SAFETY: THIS NEED IS AN IDENTIFIED NEED IN THE IPLAN (ILLINOIS PROJECT FOR LOCAL ASSESSMENT OF NEEDS). THE ST. CLAIR COUNTY HEALTH DEPARTMENT WILL BE THE LEAD AGENCY ADDRESSING THIS NEED. ST. ELIZABETH'S HOSPITAL LACKS THE ABILITY TO ADDRESS THIS ISSUE IN ANY MEANINGFUL WAY. LUNG CANCER AND COPD: THIS NEED IS AN IDENTIFIED NEED IN THE IPLAN. THIS ISSUE IS ALREADY BEING ADDRESSED BY THE HOSPITAL, ST. CLAIR COUNTY HEALTH DEPARTMENT AND OTHER COMMUNITY BASED PROGRAMS. MATERIAL AND CHILD HEALTH AS RELATED TO INFANT MORTALITY, TEEN PREGNANCY AND STD/HIV: THIS NEED IS AN IDENTIFIED NEED IN THE IPLAN. THE HOSPITAL CURRENTLY HAS A LEVEL 2 NICU WITH A NEONATOLOGIST AND PERINATOLOGIST ON THE MEDICAL STAFF. THE HOSPITAL LACKS THE REQUIRED RESOURCES TO FURTHER ENHANCE PROGRAMS FOR MATERNAL AND CHILD HEALTH AT THIS TIME.
PART V, LINE 15-17THE HOSPITAL MAKES REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY FOR THE CHRISTIAN ASSISTANCE PROGRAM BEFORE UTILIZING ANY EXTRAORDINARY COLLECTION ACTIONS. ON ADMISSION, A PATIENT RECEIVES INFORMATION ABOUT THE CHRISTIAN ASSISTANCE PROGRAM AND HOW TO FILL OUT AN APPLICATION, ALONG WITH A PHONE NUMBER TO CONTACT FOR FURTHER HELP. INPATIENTS, WHO ARE UNINSURED AND NOT ELIGIBLE FOR MEDICAID, ARE GIVEN A CHRISTIAN ASSISTANCE APPLICATION. EACH PATIENT WILL THEN RECEIVE THREE BILLS WITH INFORMATION ON HOW TO APPLY FOR CHRISTIAN ASSISTANCE. PATIENTS WHO HAVE NOT RESPONDED TO ANY OF THESE INQUIRIES WILL BE SENT TO A COLLECTION AGENCY. IF THE COLLECTION AGENCY HAS EVIDENCE THAT THE PATIENT MAY QUALIFY FOR CHRISTIAN ASSISTANCE, THE ACCOUNT WILL BE RETURNED TO THE HOSPITAL AND A CHRISTIAN ASSISTANCE APPLICATION PROCESS WILL BEGIN. EXTRAORDINARY COLLECTION EFFORTS ARE UTILIZED ONLY AFTER REASONABLE EFFORTS HAVE BEEN TAKEN TO DETERMINE A PATIENT IS NOT ELIGIBLE FOR CHRISTIAN ASSISTANCE.
PART V, LINE 19DWE ASK EACH PATIENT TO FILL OUT A FORM IN ORDER TO DETERMINE THEIR ELIGIBILITY UNDER THE ILLINOIS UNINSURED ACT. IF THE PATIENT FAILS TO FILL OUT THE FORM, FINANCIAL COUNSELORS WILL SEEK TO DETERMINE PATIENT ELIGIBILITY BY SEEKING APPROPRIATE INFORMATION IN THE SEARCH AMERICA PROGRAM. WE ALSO REVIEW THE PATIENTS' 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 PATIENTS' ANNUAL GROSS INCOME, THE REMAINING BALANCE IS ADJUSTED OFF TO CHRISTIAN CARE.
PART VI, NEEDS ASSESSMENTTRADITIONALLY, ST. ELIZABETH'S HOSPITAL WORKED CLOSELY WITH THE ST. CLAIR COUNTY HEALTH DEPARTMENT AND PARTICIPATED IN DEVELOPING OF THE COUNTY'S IPLAN. THE IPLAN IS A COMMUNITY HEALTH ASSESSMENT AND PLANNING PROCESS THAT IS CONDUCTED EVERY FIVE YEARS BY THE LOCAL HEALTH JURISDICTIONS IN ILLINOIS. IN THE PAST, THE IPLAN WAS UTILIZED TO HELP DETERMINE THE HOSPITAL'S COMMUNITY BENEFIT IMPROVEMENT STRATEGIES. THIS YEAR (FY2012) A TEAM, CONSISTING OF A HOSPITAL ADMINISTRATIVE CONSULTANT, THE DIRECTOR OF MISSION INTEGRATION AND THE DIRECTOR OF PASTORAL CARE, FACILITATED THE CHNA FOR THE HOSPITAL IN COLLABORATION WITH THE ST. CLAIR COUNTY HEALTH DEPARTMENT. HOSPITAL SISTERS HEALTH SYSTEM (HSHS) ESTABLISHED A GOAL FOR ALL SYSTEM HOSPITALS TO COMPLETE A CHNA BY THE END OF FISCAL YEAR 2012. HSHS SELECTED LEEDE RESEARCH, A MARKETING RESEARCH FIRM SPECIALIZING IN HEALTHCARE INFORMATION, TO COMPLETE AN INDEPENDENT HEALTH NEEDS ASSESSMENT SURVEY OF OUR COMMUNITY. LEEDE RESEARCH UTILIZED A SET OF STANDARD HEALTH ASSESSMENT QUESTIONS AND LOCALLY DEFINED CUSTOM QUESTIONS. DURING DECEMBER, 2011 LEEDE RESEARCH COMPLETED 400 TELEPHONE SURVEYS IN THE HOSPITAL'S PRIMARY SERVICE AREA. OUR CHNA INTEGRATED THE FOLLOWING DATA SOURCES TO DEVELOP OUR IMPLEMENTATION STRATEGY: LEEDE RESEARCH SURVEY ST. CLAIR COUNTY HEALTH DEPARTMENT IPLAN MISSOURI HOSPITAL ASSOCIATION - ASSESSING THE HEALTH OF COMMUNITIES UNIVERSITY OF WISCONSIN COUNTY HEALTH RANKINGS DIGNITY HEALTH COMMUNITY NEED INDEX IN MARCH 2012, THE HOSPITAL HOSTED FIVE TWO-HOUR COMMUNITY ENGAGEMENT SESSIONS WITH 10 TO 15 PARTICIPANTS PER SESSION. PARTICIPANTS WERE INVITED BASED ON THEIR AWARENESS AND EXPERTISE IN THE HEALTHCARE NEEDS OF OUR COMMUNITY, EMPHASIS WAS PLACED ON REPRESENTATION OF UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS AS WELL AS POPULATIONS WITH CHRONIC DISEASE. NINETY PEOPLE WERE INVITED TO PARTICIPATE. FIFTY-EIGHT PEOPLE ATTENDED AT LEAST ONE OF THE SESSIONS. EACH SESSION IDENTIFIED THE FIVE MOST SIGNIFICANT HEALTH NEEDS IN OUR SERVICE AREA, UTILIZING ALL OF THE HEALTH DATA PROVIDED, THE NEEDS IDENTIFIED IN A BRAINSTORMING SESSION AND THE PARTICIPANTS' PERSONAL EXPERTISE TO FORMULATE THEIR TABLE'S TOP FIVE HEALTH NEEDS. 1. ACCESS TO HEALTH CARE CLINICS FOR UNINSURED LACK OF PRIMARY CARE PROVIDERS INSURANCE COSTS 2. EDUCATION HEALTHY LIVING HEALTHCARE RESOURCES END OF LIFE 3. MENTAL HEALTH/ADDICTIONS 4. CHRONIC ISSUES DIABETES CARDIAC/PULMONARY OBESITY MOTHER /CHILD 5. SERVICES GERIATRIC SPECIAL NEEDS THE 16 MEMBER COMMUNITY BENEFIT STEERING COMMITTEE EVALUATED THE DATA SOURCES AND THE COMMUNITY ENGAGEMENT GROUP'S RESULTS WITH THE HOSPITAL'S MISSION AND RESOURCES. THE GOAL WAS TO DETERMINE THE NEEDS OF OUR COMMUNITY THAT COULD BEST BE ADDRESSED BY ST. ELIZABETH'S HOSPITAL. THIS COMMITTEE REPRESENTED CLINICAL SPECIALTIES FROM THE HOSPITAL AS WELL AS EXPERTS FROM THE COMMUNITY, (DIRECTOR OF COMMUNITY HEALTH, ST. CLAIR COUNTY HEALTH DEPARTMENT; EXECUTIVE DIRECTOR, ST. CLAIR COUNTY 708 MENTAL HEALTH BOARD; PRESIDENT KARLA SMITH FOUNDATION, SUICIDE AND FAMILY SUPPORT GROUP; PASTOR, ST. PAUL'S UNITED CHURCH OF CHRIST IN LEBANON, IL). USING FOUR CRITERIA, THE STEERING COMMITTEE MEMBERS RANK ORDERED THE LIST OF HEALTH NEEDS IDENTIFIED BY THE COMMUNITY ENGAGEMENT GROUPS. THE CRITERIA CONSISTED OF: MEETS THE MISSION OF THE HOSPITAL THE MAGNITUDE OF THE NEED THE FEASIBILITY OR AVAILABLE RESOURCES TO ADDRESS THOSE NEEDS THE SEVERITY OF THE HEALTH NEED IN OUR COMMUNITY THE STEERING COMMITTEE IDENTIFIED THREE PRIMARY NEEDS; ACCESS TO HEALTHCARE, ESPECIALLY FOR THOSE WHO ARE UNINSURED OR UNDERINSURED MENTAL HEALTH, REDUCE THE RATE OF DEPRESSION AND SUICIDE IN THE ADULT POPULATION IN THE COUNTY CHRONIC DISEASE, EDUCATE AND EMPOWER DIABETICS TO LIVE A HEALTHIER LIFESTYLE HOSPITAL COLLEAGUES AND COMMUNITY MEMBERS WERE ASSIGNED TO EACH OF THE TOP THREE HEALTH NEEDS. EACH COMMITTEE THEN FOCUSED ON ONE SPECIFIC PRIORITY TO DEFINE THE IMPLEMENTATION STRATEGY, TAKING INTO ACCOUNT THE ASSETS IN THE COMMUNITY AVAILABLE TO HELP ADDRESS THE HEALTH NEED GOALS, OBJECTIVES, AND INDICATORS WERE THEN DEVELOPED TO MEASURE SUCCESS. ST. ELIZABETH'S HOSPITAL BOARD OF DIRECTORS, WHICH INCLUDES REPRESENTATION FROM RELIGIOUS LEADERS, COMMUNITY SERVICE, EDUCATION, ADVOCACY, PHYSICIANS, EXPERTISE IN GOVERNANCE, BUSINESS, ORGANIZATION AND PLANNING, REVIEWED THE FY2013 COMMUNITY BENEFIT IMPLEMENTATION STRATEGY FOR ADDRESSING PRIORITIES IDENTIFIED IN THE MOST RECENT CHNA. THIS REPORT WAS APPROVED BY THE BOARD OF DIRECTORS EXECUTIVE COMMITTEE ON MAY 25, 2012. THE COMMUNITY HEALTH NEEDS AND ASSOCIATED IMPLEMENTATION STRATEGY WILL BE USED TO GUIDE OUR EFFORTS IN FY2013. THE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE ACCESSED AT: http://www.steliz.org/about/
PART VI, PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCETHE PATIENT ACCESS DEPARTMENT PROVIDES EACH PATIENT WITH INFORMATION ABOUT THE CHRISTIAN ASSISTANCE PROGRAM (CAP) AVAILABLE AT ST. ELIZABETH'S HOSPITAL. PATIENTS RECEIVE A CONTACT PHONE NUMBER FOR FURTHER ASSISTANCE. INFORMATION ABOUT THE CHRISTIAN ASSISTANCE PROGRAM IS ALSO AVAILABLE ON THE HOSPITAL'S WEB SITE ALONG WITH THE APPLICATION FORM AND CONTACT NUMBERS. THE HOSPITAL HAS A REPRESENTATIVE ON SITE TO ASSIST PATIENTS WHO MAY BE ELIGIBLE FOR MEDICAID ASSISTANCE THROUGH THE ILLINOIS DEPARTMENT OF PUBLIC ASSISTANCE. THE HOSPITAL REPRESENTATIVE WORKS WITH PATIENTS AND ASSISTS THEM WITH THE APPLICATION PROCESS. PATIENTS DETERMINED INELIGIBLE FOR MEDICAID ARE GIVEN A CAP APPLICATION FORM AND INSTRUCTION LETTER WITH A PHONE NUMBER TO CONTACT FOR FURTHER HELP IN MAKING APPLICATION FOR ASSISTANCE. ASSISTANCE IS PROVIDED AS NEEDED. EACH BILL A PATIENT RECEIVES HAS INFORMATION ABOUT THE CHRISTIAN ASSISTANCE PROGRAM AND A PHONE NUMBER TO CONTACT FOR HELP IN APPLYING. PATIENTS WHO COME TO THE CASHIER'S OFFICE ARE GIVEN INFORMATION ABOUT PAYMENT OPTIONS, INCLUDING THE CHRISTIAN ASSISTANCE PROGRAM. EVEN AFTER AN ACCOUNT IS SENT TO A COLLECTION AGENCY AND/OR ANYTIME IN THE PROCESS THEY BELIEVE A PATIENT MAY BE ELIGIBLE FOR CHRISTIAN ASSISTANCE, THE ACCOUNT IS RETURNED TO THE HOSPITAL AND EVALUATED FOR CHRISTIAN ASSISTANCE.
PART VI, COMMUNITY INFORMATIONDURING FISCAL YEAR 2012 (JULY 1, 2011 TO JUNE 30, 2012), A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED BY ST. ELIZABETH'S HOSPITAL, LOCATED IN BELLEVILLE, IL. OUR PRIMARY SERVICE AREA, CONSIDERED PART OF THE GREATER METROPOLITAN ST. LOUIS AREA, INCLUDES BOTH URBAN AND RURAL AREAS. BELLEVILLE, THE COUNTY SEAT FOR ST. CLAIR COUNTY, HAS A POPULATION OF 41,410. ST. CLAIR COUNTY HAS A POPULATION OF 270,086. IN ST. CLAIR COUNTY, 11% OF THE POPULATION LIVES IN RURAL COMMUNITIES. THE MEDIAN HOUSEHOLD INCOME IS $35,979 COMPARED TO THE NATIONAL INCOME OF $41,994. 19.4% OF POPULATION LIVES BELOW THE POVERTY LINE. 27.4% OF FAMILIES EARN LESS THAN $25,000 A YEAR. FAMILIES LIVING BELOW THE POVERTY LEVEL WAS 9.3% COMPARED TO NATIONAL AVERAGE OF 9.2%. IN ST. CLAIR COUNTY 8.2% OF THE POPULATION IS COVERED BY MEDICAID COMPARED TO 7.5% FOR THE STATE. PERCENT OF UNINSURED ADULTS, NON-SENIORS IN THE COUNTY IS 16.6% COMPARED TO 16.8% FOR THE STATE AND 20.4% FOR THE NATION. THE COUNTY HEALTH RANKINGS RATES ST. CLAIR COUNTY FOR HEALTH FACTORS AT 100 OUT OF 102 COUNTIES IN ILLINOIS (1 IS BEST, 102 IS WORST RANKING).
PART VI PROMOTION OF COMMUNITY HEALTHST. ELIZABETH'S HOSPITAL OFFERS HOPE TO OUR COMMUNITY IN THE TRADITION OF THE HOSPITAL SISTERS OF ST. FRANCIS. AS A HEALING MINISTRY OF THE CATHOLIC CHURCH AND AN AFFILIATE OF THE HOSPITAL SISTERS HEALTH SYSTEM (HSHS), ST.ELIZABETH'S IS COMMITTED TO DELIVERING HIGH QUALITY, COMPASSIONATE, AND COST-EFFECTIVE HEALTH CARE SERVICES TO ALL. THE HOSPITAL WAS FOUNDED 136 YEARS AGO TO BRING A HEALING PRESENCE AND IMPROVE THE HEALTH OF OUR COMMUNITY, ESPECIALLY FOR PEOPLE WHO ARE SICK, POOR, AND DISADVANTAGED. BECAUSE OF THE HOSPITAL'S MISSION AND TRADITION, IT IS ORGANIZED TO PROMOTE THE HEALTH OF ST. CLAIR COUNTY AND SURROUNDING AREAS. THE HOSPITAL IS GOVERNED BY A BOARD OF DIRECTORS, THE MAJORITY OF WHICH IS COMPRISED OF PERSONS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE HOSPITAL (NOR FAMILY MEMBERS THEREOF). THE BOARD ENSURES THAT ST. ELIZABETH'S HOSPITAL IS RESPONDING TO COMMUNITY NEED. DURING THE LAST YEAR, FOR EXAMPLE, THE BOARD REVIEWED THE COMMUNITY HEALTH NEEDS ASSESSMENT AND APPROVED AN IMPLEMENTATION STRATEGY FOR ADDRESSING IDENTIFIED NEEDS. OUR ADVISORY BOARD AND FRIENDS BOARD CONSIST OF PERSONS WHO RESIDE IN OUR PRIMARY SERVICE AREA. MEMBERS OF THESE BOARDS PARTICIPATED IN THE COMMUNITY ENGAGEMENT GROUPS THAT WERE INTEGRAL IN DEVELOPMENT OF THE CHNA. ALSO CONSISTENT WITH ITS EXEMPT PURPOSE, ST. ELIZABETH'S HOSPITAL HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. IN ADDITION, THE HOSPITAL OPERATES AN EMERGENCY DEPARTMENT THAT IS OPEN 24 HOURS TO ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY. AS A NOT-FOR-PROFIT HOSPITAL, ST. ELIZABETH'S HOSPITAL REINVESTS SURPLUS FUNDS INTO THE MISSION OF THE ORGANIZATION AND HEALTH OF THE COMMUNITY RATHER THAN DISTRIBUTING THEM AS PROFITS TO SHAREHOLDERS OR INDIVIDUALS. FUNDS NOT COMMITTED TO ONGOING OPERATIONS ARE GENERALLY USED TO UPGRADE FACILITIES, SECURE NEW TECHNOLOGIES, IMPROVE PATIENT CARE, AND SUPPORT INITIATIVES DESIGNED TO PROMOTE HEALTH AND ENSURE ACCESS FOR ALL. FOR EXAMPLE, ST. ELIZABETH'S HOSPITAL IS CURRENTLY WORKING WITH ITS PARENT ORGANIZATION, HOSPITAL SISTERS HEALTH SYSTEM, TO CONTINUOUSLY ENHANCE QUALITY AND IMPROVE COORDINATION OF CARE BOTH INSIDE THE HOSPITAL AND WITH A GROWING NUMBER OF PHYSICIAN PARTNERS. SUPPORTED BY INVESTMENTS IN INFORMATION TECHNOLOGY, THIS "CARE INTEGRATION" STRATEGY IS DESIGNED TO BETTER COORDINATE CARE, IMPROVE HEALTH OUTCOMES, CREATE NEW EFFICIENCIES, AND HELP ENSURE THAT PATIENTS (ESPECIALLY THOSE WITH CHRONIC CONDITIONS) GET WELL AND STAY WELL. STANDARDIZED ORDER SETS, USING EVIDENCED BASED MEDICINE, WERE DEVELOPED IN PREPARATION FOR GO LIVE FOR CPOE (COMPUTERIZED PROVIDER ORDER ENTRY) IN FY13. THE GOAL IS TO: REDUCE VARIATION IN PROCESSES BY LOOKING TO THE EVIDENCE FOR THE STANDARD OF CARE ENHANCE CLINICAL EFFICIENCY FOR OPTIMAL MANAGEMENT OF INDIVIDUAL PATIENT CONDITIONS IMPROVE OUTCOMES OF CARE THROUGH BEST PRACTICE ORDER SETS CPOE WILL REDUCE ORDER ENTRY ERRORS AND INCREASE EFFICIENCY IN THE HEALTHCARE SYSTEM. ST. ELIZABETH'S ALSO DEVOTES SIGNIFICANT RESOURCES TO ACCESS FOR PATIENTS WHO CANNOT AFFORD CARE, ALONG WITH OTHER COMMUNITY BENEFITS. IN FISCAL YEAR 2012, ST. ELIZABETH'S PROVIDED OVER $17.2 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. ELIZABETH'S PROVIDED $5.6 MILLION (AT COST) IN UNCOMPENSATED CARE TO PATIENTS THAT DID NOT QUALIFY FOR CHARITY CARE FOR PUBLIC ASSISTANCE. THE RANGE OF BENEFITS PROVIDED BY ST. ELIZABETH'S FLOWS FROM OUR MISSION AND LONG-STANDING COMMITMENT TO OUR COMMUNITY. IN MANY CASES, THESE PROGRAMS WOULD NOT EXIST WITHOUT THE LEADERSHIP ROLE PLAYED BY ST. ELIZABETH'S HOSPITAL. THESE PROGRAMS RELIEVE A BURDEN THAT WOULD OTHERWISE BE CARRIED BY GOVERNMENT. IN THE COMING YEAR, MANY OF THESE ACTIVITIES WILL BE MODIFIED OR SUPPLEMENTED TO FOCUS ON THE PRIORITY NEEDS IDENTIFIED BY THE FY 2012 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. ENHANCING HEALTH OF OUR COMMUNITY: HEALTHY HEART FAIR AT ECKERT'S COUNTRY STORE HEART DISEASE WAS IDENTIFIED IN THE ST. CLAIR COUNTY HEALTH DEPARTMENT'S IPLAN FOR 2005-2010 AS THE NUMBER ONE CAUSE OF DEATH. ST. ELIZABETH'S HOSPITAL HAS FOR THE PAST FOUR YEARS SPONSORED MANY ACTIVITIES IN FEBRUARY TO PROMOTE HEALTHY HEARTS IN A PROGRAM CALLED, "HEART2HEART". ONE OF THE PROGRAMS WAS A FREE HEALTHY HEART FAIR HELD AT ECKERT'S COUNTRY STORE AND FARMS IN BELLEVILLE. OVER 125 PEOPLE PARTICIPATED. ACTIVITIES INCLUDED EDUCATIONAL AND FITNESS INFORMATION AND PRESENTATIONS, FREE COOKING DEMONSTRATIONS FOR BOTH ADULTS AND CHILDREN, AND COMPLIMENTARY CHAIR MASSAGES PROVIDED BY SWIC'S MASSAGE THERAPY PROGRAM. THE COOKING DEMONSTRATIONS, PRESENTED BY LANA SHEPEK , DIETITIAN FROM ECKERT'S, FOCUSED ON HEART HEALTHY MEALS FOR ADULTS AND TAUGHT CHILDREN THE IMPORTANCE OF EATING HEALTHY WITH A SPECIAL MENU GEARED TOWARD THEM. HSHS MEDICAL GROUP FAMILY PHYSICIAN, DR. GREG CLIMACO, PRESENTED A PROGRAM ENTITLED HEART DISEASE AND HORMONE REPLACEMENT THERAPY. HE ADDRESSED RISK FACTORS AND CURRENT GUIDANCE RELATED TO HEART HEALTH. OTHER DEMONSTRATIONS THROUGHOUT THE DAY HIGHLIGHTED THE IMPORTANCE OF EXERCISE IN THE FIGHT AGAINST HEART DISEASE. HEALTH BOUND, ST. ELIZABETH'S EMPLOYEE HEALTH AND FITNESS SERVICES, PERFORMED EASY AT-HOME EXERCISES WHILE MEMBERS OF ST. LOUIS HOOP CLUB SPOKE OF THE FUN AND BENEFITS OF THE CHILDHOOD FAVORITE, HULA-HOOPING. MANY MEMBERS OF THE PUBLIC JOINED IN FOR THIS INTERACTIVE PROGRAM. ALL OF THE EXERCISE SESSIONS EMPHASIZED THE MESSAGE THAT GETTING REGULAR PHYSICAL ACTIVITY CAN HELP HEART AND LUNGS WORK BETTER, LOWER BLOOD PRESSURE, BLOOD CHOLESTEROL, AND LOWER BLOOD SUGAR, AND HELP PEOPLE CONTROL THEIR APPETITE AND WEIGHT. WHAT'S MORE, IT CAN HELP ONE RELAX AND SLEEP BETTER. ALL ARE IMPORTANT ASPECTS FOR A HEALTHY HEART. MANAGING CARE FOR CHRONIC DISEASE: DIABETIC SUPPORT GROUP THE ST. CLAIR COUNTY IPLAN FOR 2005-2010 AND 2011-2016 IDENTIFIED CHRONIC DISEASE, INCLUDING DIABETES, AS A SERIOUS CONCERN FOR ST. CLAIR COUNTY. THE DEVELOPMENT OF THE HOSPITAL'S DIABETIC SUPPORT GROUP HELPED ADDRESS THIS ISSUE, ESPECIALLY FOR THE UNINSURED AND UNDERINSURED. THE LEEDE RESEARCH SURVEY DISCOVERED THAT 22.9% OF THOSE SURVEYED IN OUR PRIMARY REFERRAL AREA HAD A DIAGNOSIS OF DIABETES. THE COMMUNITY ENGAGEMENT GROUPS AND THE COMMUNITY BENEFIT STEERING COMMITTEE IDENTIFIED DIABETES AS ONE OF THE HOSPITAL'S STRATEGIC INITIATIVES TO IMPROVE THE HEALTH OF THE COMMUNITY OVER THE NEXT THREE YEARS. FOR FOUR YEARS ST. ELIZABETH'S HOSPITAL HAS OFFERED OUTPATIENT NUTRITION COUNSELING TO HELP DIABETICS MANAGE THEIR ILLNESS. THE 1:1 NUTRITION COUNSELING SESSION MET THE INDIVIDUAL NEEDS OF PATIENTS. IN 2010 IT WAS IDENTIFIED THAT THERE WERE MANY PEOPLE IN NEED OF SUPPORT SERVICES WHO COULD NOT AFFORD THE COST OF THE 1:1 COUNSELING SESSIONS. A MONTHLY DIABETIC EDUCATION SUPPORT GROUP WAS STARTED. THIS PROGRAM IS OFFERED AT NO COST TO THOSE ATTENDING. THE GOAL IS TO EDUCATE DIABETICS ON HOW TO MANAGE THEIR ILLNESS. TOPICS INCLUDE: CARBOHYDRATE COUNTING, STRESS MANAGEMENT, CARDIOVASCULAR DISEASE, MEDICATION MANAGEMENT, PAIN MANAGEMENT, AND EXERCISE AND FOOT CARE. IN JANUARY, 2012 THE OUTPATIENT DIETITIAN COLLABORATED WITH THE CARDIAC REHAB DEPARTMENT AND ADDED AN EXERCISE COMPONENT TO THE DIABETIC SUPPORT GROUP. TWICE A WEEK THE DIABETIC SUPPORT GROUP NOW OFFERS A ONE HOUR EXERCISE SESSION IN THE CARDIAC REHAB GYM, FOLLOWED BY A HALF-HOUR OF YOGA. THE COMBINATION OF EDUCATION AND EXERCISE IS DESIGNED TO ENHANCE BETTER OUTCOMES FOR THIS PATIENT POPULATION. TWENTY-ONE PEOPLE FROM THE COMMUNITY HAVE JOINED THE EXERCISE GROUP. ON AN AVERAGE 16 PEOPLE PARTICIPATE EACH WEEK IN THE EXERCISE/YOGA SESSION. SOME COME ONCE A WEEK, OTHERS TWICE A WEEK. THE MARKETING DEPARTMENT PROMOTES THIS SERVICE. PRESS RELEASES ARE ROUTINELY SENT OUT. INFORMATION IS SENT TO COMMUNITY PARTNERS, SUCH AS, CHURCHES, ASKING THEM TO PROMOTE THE DIABETIC SUPPORT GROUP. MENTORING FUTURE HEALTHCARE PROFESSIONALS ST. ELIZABETH'S HOSPITAL IS COMMITTED TO HELPING TO PREPARE FUTURE HEALTHCARE PROFESSIONALS. STUDENTS FROM LOCAL COMMUNITY COLLEGES AND UNIVERSITIES PARTICIPATE IN CLINICAL TRAINING IN THE FOLLOWING AREAS: NURSING, BEHAVIORAL HEALTHCARE, RESPIRATORY, PHYSICAL & OCCUPATIONAL THERAPY, PHARMACY, RADIOLOGY, SURGERY, PASTORAL CARE, PATIENT ACCOUNTS AND DIETARY. THIS PAST YEAR 744 STUDENTS IN UNDERGRADUATE, GRADUATE AND INTERNSHIP PROGRAMS PARTICIPATED IN OVER 93,000 HOURS OF CLINICAL EDUCATION. STAFF PROVIDED 10,732 HOURS OF MENTORING, VALUED AT OVER $485,000. THROUGH THE CLINICAL ROUNDS AND INTERNSHIPS THESE STUDENTS GAINED VALUABLE SKILLS IN THEIR RESPECTIVE HEALTHCARE PROFESSIONS. PRESENTLY, THERE IS A SHORTAGE IN ST. CLAIR COUNTY OF PRIMARY CARE FAMILY PRACTICE DOCTORS. ST. ELIZABETH'S HOSPITAL SUBSIDIZES THE SLU FAMILY MEDICINE R
PART VI, AFFILIATED HEALTH CARE SYSTEM.ST. ELIZABETH'S HOSPITAL 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 MORE THAN 2,000 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 HEALING THOSE WHO SEEK OUR CARE, AS WELL AS THROUGH OUR COMMUNITY BENEFIT INITIATIVES. WORKING COLLABORATIVELY WITH OTHERS IN THE 12 COMMUNITIES WE SERVE, OUR COMMUNITY BENEFIT EFFORTS ARE SUCCESSFULLY EXPANDING ACCESS TO CARE, IMPROVING THE HEALTH STATUS OF RESIDENTS, AND FURTHERING MEDICAL EDUCATION AND KNOWLEDGE. ACROSS HSHS, WE COLLECTIVELY PROVIDED $174.2 MILLION IN COMMUNITY BENEFITS (OR 9.7% OF TOTAL HOSPITAL EXPENSES) IN FY2012. INCLUDED IN THIS AMOUNT WAS $43.1 MILLION PROVIDED FOR CHARITY CARE AND $97.9 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 $168.4 MILLION. HSHS HOSPITALS ALSO RECORDED $106.6 MILLION IN UNCOLLECTIBLE ACCOUNTS. BEYOND 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 DO, 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 U.S. 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 FY2012, 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 THE INDIVIDUAL. OUR EFFORTS TO ENSURE RESIDENTS IN THE COMMUNITIES WE SERVE RECEIVE THE RIGHT CARE AT THE RIGHT TIME OFTEN INVOLVE PARTNERING WITH OTHERS TO ACHIEVE THIS GOAL. ACROSS OUR TWO-STATE SYSTEM, THERE ARE NUMEROUS EXAMPLES OF HSHS COLLABORATING WITH OTHER ORGANIZATIONS TO ENHANCE ACCESS TO CARE FOR THOSE IN NEED. IN 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 2,216 PATIENT VISITS, A 25% INCREASE FROM THE PRIOR YEAR. WITH MORE THAN 150 INDIVIDUALS VOLUNTEERING, THE CLINIC PROVIDED OVER 6,500 HOURS (INCLUDING 700 PHYSICIAN HOURS AND 1,500 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 NORTHEASTERN WISCONSIN, ST. VINCENT HOSPITAL IN GREEN BAY SUPPORTS PATIENT CARE FOR THE UNINSURED AT THE NEW COMMUNITY CLINIC BY PAYING A NURSE'S SALARY AND OFFERING FREE AND DISCOUNTED LABORATORY AND RADIOLOGY SERVICES. MORE THAN 70% OF PATIENTS WHO USE THE CLINIC REPORT THE CARE THEY RECEIVED HELPED KEEP THEM OUT OF THE EMERGENCY DEPARTMENT. ST. NICHOLAS HOSPITAL IN SHEBOYGAN PROACTIVELY REACHES OUT TO LOCAL HMONG AND HISPANIC ORGANIZATIONS TO ENSURE THESE POPULATIONS CAN PARTICIPATE IN FREE SCREENINGS AND HEALTH EDUCATION PROGRAMS. THROUGH THIS ONGOING OUTREACH INITIATIVE, ST. NICHOLAS ENGAGED MORE THAN 350 PEOPLE LAST YEAR, AND IN MANY CASES WAS ABLE TO IDENTIFY CRITICAL HEALTH CONDITIONS EARLY AND PROVIDE APPROPRIATE FOLLOW-UP CARE. A WOMAN'S PLACE AT ST. MARY'S HOSPITAL MEDICAL CENTER IN GREEN BAY REACHES OUT TO HISPANIC NEIGHBORS TO PROVIDE HEALTH AND WELLNESS EDUCATION, HEALTH SCREENINGS, RESOURCES AND REFERRAL SERVICES. LAST YEAR A WOMAN'S PLACE TOUCHED THE LIVES OF MORE THAN 7,000 WOMEN THROUGH HEALTH SCREENINGS, EDUCATIONAL EVENTS, CLASSES AND ITS RESOURCE CENTER. 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 430 RESIDENTS. IN SOUTHWEST ILLINOIS, ST. JOSEPH'S HOSPITAL IN HIGHLAND RECOGNIZED MANY RURAL RESIDENTS DID NOT HAVE A RELIABLE MEANS OF TRANSPORTATION AND PARTNERED WITH GENEROUS INDIVIDUALS IN THE COMMUNITY TO OFFER A FREE TRANSPORTATION SERVICE. THE "FRIENDS' VAN," FULLY SUPPORTED BY THE FRIENDS OF ST. JOSEPH'S HOSPITAL, PROVIDES FREE RIDES TO MEDICAL, DENTAL AND OTHER PERSONAL APPOINTMENTS WITHIN A 20-MILE RADIUS OF HIGHLAND. IN FY2012, THE FRIENDS VAN TRANSPORTED 2,050 INDIVIDUALS FOR A TOTAL OF 12,561 MILES. IN ADDITION TO PROGRAMS SUCH AS THESE, HSHS MAKES SURE THAT THOSE WHO NEED FINANCIAL ASSISTANCE FOR CARE RECEIVE IT. OUR CHARITY CARE PROGRAM COVERS 100% OF HOSPITAL CHARGES FOR INDIVIDUALS AND FAMILIES WHO EARN LESS THAN 200% OF THE FEDERAL POVERTY LEVEL. HSHS CHARITY CARE 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 CHARITY CARE 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. TO ADDRESS METABOLIC DISEASE MANAGEMENT, ST. FRANCIS HOSPITAL IN LITCHFIELD, ILLINOIS, PARTNERS WITH MONTGOMERY COUNTY HEALTH DEPARTMENT TO PROVIDE SCREENING FOR DIABETES AND RENAL DISEASE. ST. FRANCIS HOSPITAL TEAMS UP WITH MACOUPIN COUNTY HEALTH DEPARTMENT TO PROVIDE DIABETES SELF-MANAGEMENT CLASSES. ST. JOSEPH'S HOSPITAL IN BREESE, ILLINOIS COORDINATES SEVERAL COMMUNITY EDUCATION SEMINARS AND HEALTH FAIRS ON CARDIOVASCULAR DISEASE AND HEALTHY EATING EACH YEAR. OVER 3,000 RESIDENTS PARTICIPATED IN THESE HEALTH EVENTS LAST YEAR. RECOGNIZING THE IMPORTANCE OF PROPER FOOD AND NUTRITION TO OVERALL HEALTH, ST. JOHN'S HOSPITAL IN SPRINGFIELD INITIATED THE DESTINATION DINNER PROGRAM WHICH TEACHES FAMILIES HOW TO COOK HEALTHY, FROM-SCRATCH MEALS, AND EAT TOGETHER AS A FAMILY. FAMILIES MEET QUARTERLY TO LEARN NEW COOKING SKILLS. THEY ALSO LEARN HOW TO PREPARE A MEAL FOR A FAMILY OF FOUR ON A BUDGET OF $8.00. IN ADDITION TO RAISING AWARENESS ABOUT HOW TO EAT HEALTHY ON A LIMITED BUDGET, THE PROGRAM BRINGS FAMILIES TOGETHER AROUND THE DINNER TABLE, WHICH RESEARCH SHOWS PROMOTES HEALTHY RELATIONSHIPS, INCREASED ACADEMIC PERFORMANCE AND DECREASED RISK FOR SUBSTANCE ABUSE AND RISKY SEXUAL BEHAVIOR. SACRED HEART HOSPITAL IN EAU CLAIRE, WISCONSIN ADDRESSED THE NEED FOR ACCESS TO MENTAL HEALTH SERVICES FOR CHILDREN AND ADOLESCENTS BY OPENING AN OUTPATIENT BEHAVIORAL HEALTH CLINIC. SACRED HEART HAS ALSO ADOPTED SCREENING TOOLS FOR BEHAVIORAL AND MENTAL HEALTH RISK FACTORS FOR USE AT AFFILIATED CLINICS. THE GOAL IS TO BETTER IDENTIFY MENTAL HEALTH ISSUES AND PROVIDE EARLIER INTERVENTION. SACRED HEART HOSPITAL IS ALSO WORKING WITH THE CHIPPEWA VALLEY FREE CLINIC (CVFC) TO DEVELOP EXPANDED PROVIDER COVERAGE FOR CVFC PATIENTS WHO REQUIRE MENTAL HEALTH SERVICES. ST. MARY
STATE FILING OF COMMUNITY BENEFIT REPORTIL,990 SCHEDULE H, PART VI

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
LINDA A CAMP MD
05280440001653600016378056095800
ANN M CARR
01803820004543001976220186520442086015440
MARYANN L REESE RN
02992900100000044848060006023530052767400
MARK REIFSTECK
03681110002449201869860339790613568041500
ROBERT S MILLER
997160680001446550253897029620508030000
JOHNNY E WATKINS
24244601150000051651096020315199000
ALICE CHATLEY
21823037500866940-8880010660104453000
EDWARD JACQUIN
4657400067765017361045670136267000
LESLIE LOVSHIN
120435000107990129550163360160525000
SHELLEY HARRIS
13797900000996880213380259005000
JAMES RUSHFORD
575710000219990385400217720658021000
DONALD JOHNSTON
5774870569760198000309830221940707440000
JAMES BURKE
19277300000194720267740239019000
TERENCE WADE MD
25315700037580000141920304929000
ADAM THACKER
127622000165000930605890154017000
JOSEPH B STASIAK
826230104104751201497280181910299095000

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
SCHEDULE J, PART I, LINE 3PLEASE SEE RESPONSE TO FORM 990, PART VI, LINE 15 IN SCHEDULE O.
Severance PaymentTHE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: EDWARD JACQUIN $35,188 ROBERT S. MILLER $95,406 ALICE CHATLEY $82,795.Schedule J, Part I, Line 4a
ANN M. CARRANN M. CARR PARTICIPATED IN A SERP DURING THE YEAR IN THE AMOUNT OF $33,655.SCHEDULE J, PART I, LINE 4B
MARYANN L. REESEMARYANN L. REESE PARTICIPATED IN A SERP DURING THE YEAR IN THE AMOUNT OF $30,462.SCHEDULE J, PART I, LINE 4B
MARK REIFSTECKMARK REIFSTECK PARTICIPATED IN A SERP DURING THE YEAR IN THE AMOUNT OF $80,860.SCHEDULE J, PART I, LINE 4B

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (19 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990, PART III, LINE 1THE MISSION OF ST. ELIZABETH'S HOSPITAL IS TO REVEAL AND EMBODY CHRIST'S HEALING LOVE FOR ALL PEOPLE THROUGH OUR HIGH QUALITY FRANCISCAN HEALTH CARE MINISTRY. IN THE PERFORMANCE OF ITS MISSION, ST. ELIZABETH'S HOSPITAL WILL FOSTER THE VALUES OF RESPECT, CARE, COMPETENCE AND JOY. RESPECT IS THE FRANCISCAN RESPECT FOR LIFE FROM CONCEPTION TO DEATH AND FOR THE DIGNITY OF EACH INDIVIDUAL PERSON. IT IS A COMMITMENT TO FREEING AND EMPOWERING EACH PERSON TO DEVELOP TO HIS OR FULL POTENTIAL. CARE EMBODIES THE CONCERN, COMPASSION, AND SENSITIVITY WITH WHICH WE CARE FOR PATIENTS, CLIENTS, EMPLOYEES AND CO-WORKERS. MANY TIMES IT IS THOUGHT OF AS BEDSIDE BEHAVIOR, BUT IT BELONGS IN BUSINESS OFFICES, CAFETERIAS AND BOARDROOMS. COMPETENCE MEANS THAT OUR WORK IS PERFORMED AND ST. ELIZABETH'S IS MANAGED WITH THE HIGHEST LEVEL OF SKILL AND ABILITY. WE ARE COMMITTED TO RECRUITING AND DEVELOPING PEOPLE WHO ARE COMPETENT IN THEIR WORK AND WHOSE VALUES REFLECT OUR OWN. OUR VALUES ARE AN INTEGRAL PART OF OUR SYSTEM'S STRATEGIC PLAN, WHICH PROVIDES THE OVERALL FRAMEWORK FOR LOCAL ACTIVITIES. JOY IS THE MANNER IN WHICH OUR EMPLOYEES AND ALL WHO JOIN US IN OUR MINISTRY SEEK TO PERFORM THEIR WORK -- THE PERSONAL FULFILLMENT OF CARING FOR OTHERS. IT IS AN ESSENTIAL INGREDIENT IN BRINGING A SENSE OF HOPE TO THOSE WHO SUFFER.
PROGRAM SERVICESFORM 990, PART III, LINE 4ACardiac Services (Expense $24,587,457 Revenue $23,407,882) St. Elizabeth's provides comprehensive cardiovascular services from diagnosis to surgery to rehabilitation and wellness. St. Elizabeth's is accredited by the Society of Chest Pain Centers, a professional organization focused on improving care for patients with acute coronary syndromes and teaching the public to recognize and react to the early symptoms of a possible heart attack. This accreditation attests that St. Elizabeth's meets strict criteria for recognizing and treating patients who come to the emergency room with heart attack symptoms. We are also a heart attack receiving center. Currently, more than 5 area hospitals send their patients to us for heart attack care. Our patients benefit from our highly credentialed physicians and state-of-the-art technologies, as well as our commitment to superior patient outcomes. Some of the services provided included: Cardiac catheterization, stent placement, stress testing, pacemaker, implantable cardioverter defibrillator (ICD), electrocardiography, coronary artery bypass graft (open heart) surgery and cardiac rehabilitation. During FY 2012, St. Elizabeth's Hospital had 12,147 cardiac cases. PROGRAM SERVICES FORM 990, PART III, LINE 4B Rehabilitation Services (Expense $10,818,507 Revenue $9,879,200) St. Elizabeth's Hospital's comprehensive rehabilitation unit provides the care that maximizes the patient's capabilities. We assist in achieving full recovery potential allowing patients to live as independently as possible. We support patients families by providing them with the education, resources and encouragement needed to achieve positive outcomes. Our comprehensive integrated inpatient rehabilitation program is accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF). We are one of the few accredited rehab facilities in Southern Illinois and the only one available in St. Clair County. The rehabilitation unit is accredited to provide services to those adults who have been affected by stroke, amputation, arthritis, spinal cord injury, joint replacement, hip fracture, neurological disease, and more. When admitted to our program, patients are treated by a multi-disciplinary team of caring professionals. During FY 2012 our Rehabilitation Unit performed 5,363 cases. PROGRAM SERVICES FORM 990, PART III, LINE 4C Orthopedic Services (Expense $10,212,563 Revenue $9,334,732) St. Elizabeth's specializes in the treatment and prevention of orthopedic problems and sports-related musculoskeletal injuries. We perform surgical and non-surgical procedures. Our orthopedic surgical services are provided on an inpatient and outpatient basis. Our physicians are all board certified and provide first class care. Some of the orthopedic services provided include: General orthopedics, fracture care, total joint replacement, carpal tunnel treatment, arthroscopic and reconstructive surgery, and foot and ankle orthopedic care. During FY 2012, St. Elizabeth's Hospital had 7,979 orthopedic cases.
PROGRAM SERVICESFORM 990, PART III, LINE 4DOther Program Services (Expense $101,883,526 Revenue $124,432,635) Health Care Services St. Elizabeth's delivers a comprehensive array of healthcare services to both inpatients and outpatients. Our accredited programs have consistently demonstrated quality outcomes that positively impact our patients, their families and the entire community. We provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of St. Elizabeth's Hospital, it is recognized that not all individuals possess the ability to purchase essential medical services. It is our mission to serve the sick, especially the poor, with quality healthcare services and healthcare education. We have further defined our mission of identifying those who are at greatest health risk, the elderly, children, those coping with mental illness, and those with less means who are dependent on quality healthcare. St. Elizabeth's Hospital currently staffs 260 inpatient beds. The hospital employs 1,349 colleagues. Inpatient admissions for Fiscal Year 2012 were 12,486. The Emergency Department had 28,514 visits and admitted 7,096 to inpatient services. The Urgi-Center in O'Fallon, an offsite facility, had 18,143 visits. Total Outpatient visits for the hospital were 176,824 Community Benefit Charity and Government Means-Tested Program: During the period, St. Elizabeth's provided in excess of $14,780,474 million to support our commitment to the community. Included in this total was charity care provided to individuals unable to afford their care. The cost of charity care was $4,559,607. St. Elizabeth's Hospital also provided care to persons covered by governmental programs at or below cost. This resulted in providing $10,220,867 to Medicaid patients which was not reimbursed. Also, included in the total was the extensive number of free educational programs, screenings, clinical services and consultations provided at a reduced fee or at no charge to other healthcare agencies and human service agencies in our service area. To the extent that reimbursement was below cost, St. Elizabeth's Hospital recognized these expenses as a cost of fulfilling its mission for the entire community. Other Benefits: St. Elizabeth's Hospital takes a proactive role in educating its communities on wellness programs, sponsoring health screenings, collaborating with the local health district in targeting local health concerns, and organizing support groups. Included in the above Community Benefit figures are the following initiatives aimed at improving access and promoting health for the people of Belleville and surrounding communities. The total other benefits reported value $2,432,687. In addition to the Community Benefit total, St. Elizabeth's provided 5.6 million (at cost) in uncompensated care to patients that did not qualify for charity care or public assistance, and over $4 million (at cost) in excess of Medicare payment for health services.
TAX EXEMPT BONDSFORM 990, PART IV, LINE 24ST. ELIZABETH'S HOSPITAL HOLDS A LIABILITY ON ITS BOOKS FOR TAX-EXEMPT BONDS, WHICH IS AN ALLOCATION FROM ITS SOLE CORPORATE MEMBER, HOSPITAL SISTERS SERVICES, INC. AS A RESULT, THIS QUESTION WAS ANSWERED NO, AND SCHEDULE K WILL BE COMPLETED ON THE HOSPITAL SISTERS SERVICES, INC. FORM 990.
RIGHTS OF MEMBERS TO ELECT GOVERNING BODYFORM 990, PART VI, LINEs 6 & 7ATHE SENIOR GOVERNING BODY OF ST. ELIZABETH'S HOSPITAL (THE "CORPORATION") IS THE MEMBER OF THE CORPORATION, WHICH IS HOSPITAL SISTERS HEALTH SERVICES, INC. ("HSSI"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. PURSUANT TO SECTION 2.3 OF THE CORPORATION'S BYLAWS, HSSI HAS THE RIGHT TO APPOINT AND REMOVE THE CORPORATION'S BOARD OF DIRECTORS, CHAIRPERSON OF THE BOARD AND PRESIDENT.
MEMBER RESERVED POWERSFORM 990, PART VI, LINE 7BRESPONSIBILITY FOR THE POLICY AND OPERATIONS OF ST. ELIZABETH'S HOSPITAL (THE "CORPORATION") IS VESTED IN ITS BOARD OF DIRECTORS, EXCEPT WITH RESPECT TO SPECIFIC POWERS RESERVED IN THE CORPORATION'S BYLAWS TO THE CORPORATION'S MEMBER, HOSPITAL SISTERS HEALTH SERVICES, INC. ("HSSI"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE MEMBER OF HSSI IS HOSPITAL SISTERS HEALTH SYSTEM ("HSHS"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE MEMBERS OF HSHS ARE THE INDIVIDUAL SISTERS WHO FROM TIME TO TIME ARE THE DULY ELECTED PROVINCIAL SUPERIOR AND PROVINCIAL COUNCILORS, RESPECTIVELY OF THE AMERICAN PROVINCE OF THE HOSPITAL SISTERS OF ST. FRANCIS ("AMERICAN PROVINCE"). THE AMERICAN PROVINCE IS THE UNITED STATES ORGANIZATION OF THE CONGREGATION OF THE HOSPITAL SISTERS OF THE THIRD ORDER REGULAR OF ST. FRANCIS, A RELIGIOUS INSTITUTE OF THE ROMAN CATHOLIC CHURCH. THE GOVERNANCE AND OPERATIONS OF THE CORPORATION ARE SUBJECT TO HSSI'S RIGHT TO EXERCISE THESE RESERVED POWERS WITH RESPECT TO THE CORPORATION AND ORGANIZATIONS OF WHICH THE CORPORATION IS EITHER, DIRECTLY OR INDIRECTLY, A CONTROLLING MEMBER OR A CONTROLLING SHAREHOLDER ("AFFILIATES"). HSSI'S RIGHT TO EXERCISE CERTAIN OF THESE RESERVED POWERS IS, IN TURN, SUBJECT TO THE APPROVAL OF HSHS AND HSHS' MEMBERS. THE RESERVED POWERS INCLUDE ALL RIGHTS GRANTED TO HSSI BY LAW AND THE RIGHT TO: (A) ADOPT, APPROVE AMENDMENTS TO, OR AMEND ANY STATEMENT OF PHILOSOPHY, MISSION, MISSION INTEGRATION OR VALUES OR ANY NAME, LOGO, OR MARK OF THE CORPORATION OR OF ANY AFFILIATE; (B) ADOPT, APPROVE AMENDMENTS TO, OR AMEND THE ARTICLES OF INCORPORATION OF THE CORPORATION OR OF ANY AFFILIATE; (C) ADOPT, APPROVE AMENDMENTS TO, OR AMEND THE BYLAWS OF THE CORPORATION OR OF ANY AFFILIATE; (D) APPOINT AND REMOVE THE BOARD OF DIRECTORS, ANY ONE OR MORE OF THE DIRECTORS OF THE CORPORATION OR OF ANY AFFILIATE, AND THE CHAIRPERSON AND PRESIDENT OF THE CORPORATION OR OF ANY AFFILIATE; (E) APPROVE THE RECOMMENDATION OF THE BOARD OF DIRECTORS TO APPOINT OR REMOVE THE BOARD OF DIRECTORS, ANY ONE OR MORE DIRECTORS OF THE CORPORATION OR OF ANY AFFILIATE, OR THE CHAIRPERSON AND PRESIDENT OF THE CORPORATION OR OF ANY AFFILIATE. (F) WITH RESPECT TO THE CORPORATION OR ANY AFFILIATE, APPROVE THE PURCHASE, SALE, ALIENATION, EXCHANGE, LEASE OR ENCUMBRANCE OF ANY REAL PROPERTY OF THE CORPORATION OR OF ANY AFFILIATE, WHICH PROPERTY HAS A VALUE IN EXCESS OF LIMITS SET FROM TIME TO TIME BY HSSI; (G) APPROVE THE OPERATING AND CAPITAL BUDGETS OF THE CORPORATION OR OF ANY AFFILIATE, AND ANY DEVIATIONS BY THE CORPORATION OR OF ANY AFFILIATE FROM SUCH BUDGETS IN AN AMOUNT OR PERCENTAGE SPECIFIED BY HSSI FROM TIME TO TIME; (H) APPROVE THE STRATEGIC PLAN AND GOALS OF THE CORPORATION OR OF ANY AFFILIATE; (I) APPROVE THE SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE (II) CORPORATION OR OF ANY AFFILIATE; (J) APPROVE THE MERGER OR DISSOLUTION OF THE CORPORATION OR OF ANY AFFILIATE; (K) ADOPT OR AMEND THE PLAN FOR MINISTRY EDUCATION AND GOVERNANCE FOR THE CORPORATION AND ITS AFFILIATES; (L) APPROVE THE CORPORATION'S MISSION ACCOUNTABILITY REPORTS AND THOSE OF ANY AFFILIATE; (M) APPROVE THE FINANCIAL POLICIES AND PROCEDURES OF THE CORPORATION OR OF ANY AFFILIATE AND APPROVE ANY DEVIATIONS FROM SUCH POLICIES AND PROCEDURES BY THE CORPORATION OR ANY AFFILIATE; AND (N) ADOPT POLICIES TO IMPLEMENT THE RESERVED POWERS OF HSSI.
FORM 990 REVIEW PROCESSFORM 990, PART VI, LINE 11bTHE 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 POLICYFORM 990, PART VI, LINE 12CA REVISED CORPORATE COMPLIANCE PROGRAM AND CONFLICT OF INTEREST POLICY HAS BEEN USED SINCE JANUARY, 2009 TO ESTABLISH THE PRACTICE OF MANAGING CONFLICTS OF INTEREST USING A SYSTEM-WIDE PROTOCOL FOR DISCLOSURE STATEMENTS. IN ACCORDANCE WITH OUR CONFLICT OF INTEREST POLICY ALL COVERED PERSONS HAVE A DUTY TO COMPLY WITH THE CONFLICT OF INTEREST POLICY FOR ANY CONTRACT, TRANSACTION, RELATIONSHIP OR ACTIVITY CONTEMPLATED, ENTERED INTO OR CONDUCTED AT HSHS. THE POLICY DEFINES COVERED PERSONS AS A.) BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS, BOARD DESIGNEES, SENIOR MANAGEMENT, MEMBERS OF ANY COMMITTEE THAT OVERSEES THE APPROVAL OF PHARMACEUTICALS AND MEDICAL DEVICES, ANY OTHER INDIVIDUAL WHO HOLDS A POSITION OF TRUST AND B.) NON-EMPLOYED MEMBERS OF THE MEDICAL STAFF WHO ALSO EITHER: 1) HOLD PAID OR UNPAID MEDICAL ADMINISTRATIVE POSITIONS, SUCH AS CHAIRS OF CLINICAL DEPARTMENTS, SECTION AND DIVISION CHIEFS, DIRECTORS OF SPECIAL CARE UNITS, DIRECTORS OF RESEARCH OR INDIVIDUALS WHO OTHERWISE DIRECT OR MATERIALLY INFLUENCE RESEARCH; OR 2) HAVE PROCUREMENT RESPONSIBILITY, OR THE AUTHORITY EFFECTIVELY TO RECOMMEND SUCH PROCUREMENT. ON AN ANNUAL BASIS HSHS DISCLOSES A COPY OF THE CONFLICT OF INTEREST POLICY (AND ALL CORRESPONDING PROCEDURES, GUIDELINES, FORMS AND TOOLS), TO ALL COVERED PERSONS AND ADVISES ALL COVERED PERSONS IN WRITING OF ANY SUBSTANTIVE CHANGES TO THIS POLICY AND SUCH RELATED MATERIALS. THE COVERED PERSONS ARE REQUIRED TO REVIEW AND COMPLETE THE CORRESPONDING CONFLICT OF INTEREST STATEMENT. THE SYSTEM OFFICE VICE PRESIDENT, SYSTEM RESPONSIBILITY, VICE PRESIDENT, RISK & COMPLIANCE OR MEMBERS OF THE AUDIT AND INTEGRITY COMMITTEE ("COMMITTEE") ARE AVAILABLE TO ANSWERS ANY QUESTIONS A COVERED PERSON MAY HAVE. IN ADDITION, IF, AT ANY TIME AFTER SUBMITTING AN ANNUAL CONFLICT OF INTEREST STATEMENT, A COVERED PERSON BECOMES AWARE OF AN INTEREST THAT HE OR SHE WOULD HAVE HAD TO DISCLOSE AT THE ANNUAL INTERVAL, THE COVERED PERSON SHALL PROMPTLY DISCLOSE THE INTEREST TO THE COMMITTEE USING THE HSHS CONFLICT OF INTEREST DISCLOSURE STATEMENT. COMPLETED CONFLICT OF INTEREST STATEMENTS ARE SUBMITTED TO THE COMMITTEE OF HSHS WHICH IS RESPONSIBLE FOR IDENTIFYING, ASSESSING, AND MANAGING CONFLICTS OF INTEREST THAT ARISE IN THE COURSE OF CONDUCTING THE AFFAIRS OF HSHS. IF THE COMMITTEE DETERMINES THAT A CONFLICT OF INTEREST EXISTS, HSHS SHALL NOT ENGAGE IN OR ENTER INTO A PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT OR ACTIVITY UNLESS THE COMMITTEE OR, WHERE NECESSARY, THE BOARD OF DIRECTORS (ACTING THROUGH ITS DISINTERESTED MEMBERS), HAS INVESTIGATED ALTERNATIVES TO THE PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT OR ACTIVITY AND, IN THE ABSENCE OF ALTERNATIVES THAT ARE IN THE BEST INTERESTS OF HSHS, HAS DETERMINED: 1. THAT, REGARDLESS OF WHETHER THE COVERED PERSON PARTICIPATES IN THE IMPLEMENTATION OF THE PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY; 2. THE CONTRACT, TRANSACTION, ARRANGEMENT OR ACTIVITY IS IN THE BEST INTERESTS OF HSHS; 3. THE CONTRACT, TRANSACTION, ARRANGEMENT OR ACTIVITY IS FAIR AND REASONABLE FROM THE PERSPECTIVE OF HSHS;AND 4. HSHS CANNOT OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION, ARRANGEMENT OR ACTIVITY WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. IN DETERMINING WHETHER A CONTRACT, TRANSACTION OR ARRANGEMENT IS FAIR AND REASONABLE TO HSHS, THE COMMITTEE SHALL CONSIDER, WHERE APPLICABLE: 1. APPRAISALS OR OTHER INDEPENDENT VALUATIONS OF THE FAIR MARKET VALUE OF THE CONTRACT, TRANSACTION OR ARRANGEMENT; 2. INFORMATION REGARDING COMPARABLE CONTRACTS, TRANSACTIONS OR ARRANGEMENTS BETWEEN UNRELATED PARTIES; 3. OFFERS FROM COMPARABLE COMPETING ENTITIES; AND/OR 4. STUDIES OF COMPARABLE COMPENSATION ARRANGEMENTS. IN ANY CASE IN WHICH THE COMMITTEE FINDS, AFTER TAKING THE STEPS DESCRIBED ABOVE, THAT HSHS SHOULD PARTICIPATE IN A PROPOSED TRANSACTION OR ARRANGEMENT DESPITE THE EXISTENCE OF A CONFLICT OF INTEREST, THE COMMITTEE SHALL DEVELOP, IMPLEMENT, MONITOR, AND ENFORCE COMPLIANCE WITH, A CONFLICT MANAGEMENT PLAN FOR MANAGING THE CONFLICT OF INTEREST AS IT CONSIDERS NECESSARY FOR SUCH FINDINGS TO REMAIN VALID THROUGHOUT THE LIFE OF THE CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT OR ACTIVITY. ALL CONFLICT MANAGEMENT PLANS SHALL: 1. STATE THAT THE COMMITTEE WILL OVERSEE, MONITOR AND ENFORCE COMPLIANCE WITH THE PLAN THROUGHOUT THE COURSE OF THE STUDY AND SPECIFY MEANS FOR DOING SO, INCLUDING, WITHOUT LIMITATION, THAT THE APPROPRIATE INDIVIDUALS MUST PROVIDE THE COMMITTEE WITH WRITTEN REPORTS PERTAINING TO COMPLIANCE WITH THE CONFLICT MANAGEMENT PLAN, THAT THE COMMITTEE SHALL HAVE THE RIGHT TO AUDIT THE STUDY FOR SUCH COMPLIANCE AND THE RIGHT TO IMPOSE SANCTIONS FOR NON-COMPLIANCE; 2. STATE THAT THE PLAN MUST BE SHARED WITH THE COVERED PERSON OR PERSONS WHOSE INTERESTS IT WAS DEVELOPED TO MANAGE; 3. STATE THAT THE PLAN MUST BE SHARED WITH, AND PERIODIC REPORTS ON COMPLIANCE WITH THE PLAN MUST BE PROVIDED TO, THE BOARD, SENIOR MANAGEMENT AND/OR GOVERNMENT AGENCIES; AND 4. PROVIDE FOR SUCH OTHER MANAGEMENT STEPS AND MECHANISMS THE COMMITTEE CONSIDERS NECESSARY AND APPROPRIATE. IN ADDITION TO THE COMMITTEE, THE SYSTEM OFFICE VICE PRESIDENTS OF SYSTEM RESPONSIBILITY AND RISK & COMPLIANCE MAY RETAIN SUCH INDEPENDENT ADVISORS OR EXPERTS AS DEEMED NECESSARY TO ASSIST IN MAKING ITS DETERMINATIONS AND DECISIONS. IF THE COMMITTEE DETERMINES THAT THE CONTEMPLATED TRANSACTION, RELATIONSHIP ARRANGEMENT OR ACTIVITY CANNOT PROCEED DUE TO A CONFLICT OF INTEREST, THE COMMITTEE SHALL INFORM THE APPLICABLE COVERED PERSON OR DECISION-MAKING BODY OF SUCH DETERMINATION WITHIN ONE WEEK OF THE COMMITTEE MEETING AT WHICH THE CONTEMPLATED TRANSACTION WAS DISCUSSED. THE COMMITTEE SHALL DOCUMENT ITS REJECTION OF THE CONTEMPLATED TRANSACTION IN THE COMMITTEE'S MEETING MINUTES.
WHISTLEBLOWER POLICYFORM 990, PART VI, LINE 13PROVISIONS WITHIN THE CORPORATE COMPLIANCE HOTLINE AND CONFLICT OF INTEREST POLICY PROVIDE PROTECTIONS FOR WHISTLEBLOWER TYPE ACTIVITIES.
COMPENSATION PROCESSFORM 990, PART VI, LINE 15THE 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.
DISCLOSURE: DOCUMENTS AVAILABLE TO THE PUBLICFORM 990, PART VI, LINE 19BOARD-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 ACCOUNTFORM 990, PART X, LINE 11PARTICIPATION IN THE POOLED FUND IS LIMITED TO THE 501(C)(3) HOSPITALS AND RELATED HEALTH SERVICES ORGANIZATIONS SPONSORED BY HOSPITAL SISTERS HEALTH SYSTEM. THE POOLED ACCOUNT CONSISTS OF CASH, EQUITY AND DEBT SECURITIES THAT ARE PUBLICLY TRADED. IN ACCORDANCE WITH THE PROVISIONS OF SFAS NO. 124 "ACCOUNTING FOR CERTAIN INVESTMENTS HELD BY NOT-FOR-PROFIT ORGANIZATIONS", INVESTMENTS IN EQUITY SECURITIES WITH READILY DETERMINABLE VALUES AND ALL INVESTMENTS IN DEBT SECURITIES ARE REPORTED AT FAIR VALUE ON THE BALANCE SHEET. INCOME, REALIZED AND UNREALIZED GAINS AND LOSSES ARE POOLED AND ALLOCATED TO THE PARTICIPANTS. INDIVIDUAL COMPONENTS OF ASSETS AND REVENUE ARE NOT IDENTIFIED TO THE PARTICIPANTS.
OTHER CHANGES IN NET ASSETS OR FUND BALANCESFORM 990, PART XI, LINE 5UNREALIZED GAIN ON INVESTMENTS (563,282) RECOGNITION OF CHANGES IN PENSION FUNDED STATUS (15,264,000) NET ASSETS RELEASED FROM RESTRICTIONS 19,389 CONTRIBUTIONS FROM RELATED PARTIES (327,879) TEMPORARILY RESTRICTED NET INCOME 198,000 PERMANENTLY RESTRICTED NET INCOME 30,000 TRANSFER TO AFFILIATES (5,495,000) FAMLAND INCOME 10,000 ROUNDING 468 ----------- TOTAL OTHER CHANGES IN NET ASSETS OR FUND BALANCES (21,392,304) ===========
TRANSACTIONS WITH RELATED ENTITIESFORM 990 SCHEDULE R, PART V, LINE 2THE TRANSACTIONS REPORTED IN QUESTION 1 ARE BETWEEN RELATED 501(C)(3) PUBLIC CHARITIES AND ARE NOT REPORTED IN THIS SECTION.
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SISTER MARYBETH CULNAN, OSF TITLE:BOARD MEMBER HOURS:59
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ANN M. CARR TITLE:TREASURER HOURS:60
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MARK REIFSTECK TITLE:DIVISION CEO HOURS:22
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOHNNY E. WATKINS TITLE:DIVISION CFO HOURS:22
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JAMES BURKE TITLE:DIVISION VP OF LEGAL SERVICES HOURS:22

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
SPRINGFIELD HEALTH PARTNERS LLC
4936 LAVERNA ROADSPRINGFIELDIL62707371364419HEALTHCAREIL00HSHS MG
KIARA CLINICAL INTEGRATION NETWORK LLC
4936 LAVERNA RDSPRINGFIELDIL62707261417684HEALTHCAREIL00KIARA INC
PHYSICIAN CLINICAL INTEGRATION NETWORK
4936 LAVERNA ROADSPRINGFIELDIL62707371668647HEALTHCAREIL00KCIN

Form990 Schedule R Part II Form990ScheduleRPartII (23 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
HOSPITAL SISTERS HEALTH SYSTEM
4936 LAVERNA ROADSPRINGFIELDIL62707371058692HEALTHCAREIL501(C)(3)11ANAfalse
HOSPITAL SISTERS SERVICES INC
4936 LAVERNA ROADSPRINGFIELDIL62707371163402HEALTHCAREIL501(C)(3)11ANAfalse
HOSPITAL SISTERS OF ST FRANCIS FDTN
4936 LAVERNA ROADSPRINGFIELDIL62707371186514HEALTHCAREIL501(C)(3)11ANAfalse
HSHS SELF INSURANCE TRUST FUND
4936 LAVERNA ROADSPRINGFIELDIL62707371120626INSURANCEIL501(C)(3)11ANAfalse
HSHS HEALTH CARE PLAN TRUST FUND
4936 LAVERNA ROADSPRINGFIELDIL62707371137724HEALTHCAREIL501(C)(9)N/ANAfalse
HOSPITAL SISTERS HEALTHCARE - WEST INC
2661 COUNTY HIGHWAY ICHIPPEWA FALLSWI54729510157933HEALTHCAREWI501(C)(3)11ANAfalse
SACRED HEART HOSPITAL
900 WEST CLAIREMONT AVENUEEAU CLAIREWI54701390807060HEALTHCAREWI501(C)(3)3NAfalse
ST ANTHONY'S HOSPITAL
503 N MAPLE STREETEFFINGHAMIL62401370661233HEALTHCAREIL501(C)(3)3NAfalse
ST JOHN'S HOSPITAL
800 EAST CARPENTER STREETSPRINGFIELDIL62769370661238HEALTHCAREIL501(C)(3)3NAfalse
ST FRANCIS HOSPITAL
1215 FRANCISCAN DRIVELITCHFIELDIL62056370661236HEALTHCAREIL501(C)(3)3NAfalse
ST JOSEPH'S HOSPITAL
9515 HOLY CROSS LANEBREESEIL62230371208459HEALTHCAREIL501(C)(3)3NAfalse
ST JOSEPH'S HOSPITAL
1515 MAIN STREETHIGHLANDIL62249370663568HEALTHCAREIL501(C)(3)3NAfalse
ST JOSEPH'S HOSPITAL
2661 COUNTY HIGHWAY 1CHIPPEWA FALLSWI54729390810545HEALTHCAREWI501(C)(3)3NAfalse
ST MARY'S HOSPITAL
1800 E LAKE SHORE DRIVEDECATURIL62521362169181HEALTHCAREIL501(C)(3)3NAfalse
ST MARY'S HOSPITAL
111 SPRING STREETSTREATORIL61364362169181HEALTHCAREIL501(C)(3)3NAfalse
ST NICHOLAS HOSPITAL
3100 SUPERIOR AVENUESHEBOYGANWI53081390808480HEALTHCAREWI501(C)(3)3NAfalse
ST VINCENT HOSPITAL
835 S VAN BURENGREEN BAYWI54301390817529HEALTHCAREWI501(C)(3)3NAfalse
ST MARY'S HOSPITAL MEDICAL CENTER
1726 SHAWANO AVENUEGREEN BAYWI54303390818682HEALTHCAREWI501(C)(3)3NAfalse
HSHS MEDICAL GROUP INC
3215 EXECUTIVE PARK DRIVESPRINGFIELDIL62703263956318HEALTHCAREIL501(C)(3)11ANAfalse
HSHS WISCONSIN MEDICAL GROUP INC
3215 EXECUTIVE PARK DRIVESPRINGFIELDIL62703264515959HEALTHCAREWI501(C)(3)11ANAfalse
ORANGE CROSS AMBULANCE INC
919 ASHLAND AVESHEBOYGANWI53081391860942HEALTHCAREWI501(C)(3)9ST NICHOLASfalse
WISCONSIN UPPER PEN ONC MNGMT SERVICES
835 S VAN BURENGREEN BAYWI54304391677100HEALTHCAREWI501(C)(3)3ST VINCENTfalse
UNITY LIMITED PARTNERHSHIP
2366 OAK RIDGE CIRCLEDE PEREWI54115391750729HEALTHCAREWI501(C)(3)9HSSIfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
MEMORIAL AND ST ELIZABETH'S HEALTHCARE
4000 NORTH ILLINOIS STREETSWANSEAIL62226371312961HEALTHCAREILNARELATED11000913944776false$0false0.50000
PRAIRIE HEART INSTITUTE - CARBONDALE LL
800 EAST CARPENTER STREETSPRINGFIELDIL62769371321197HEALTHCAREILST JOHN'SRELATED00false$0
NORTHEAST WISCONSIN RADIATION THERAPY SE
1821 S WEBSTER AVENUE SUITE 300GREEN BAYWI543079047263749065HEALTHCAREWIHSSIRELATED00false$0
PAIN CENTER OF WISCONSIN
4131 W LOOMIS ROAD SUITE 300GREENFIELDWI53221263155343HEALTHCAREWIST VINCENTRELATED00false$0
SURGERY CENTER OF SHEBOYGAN LLC
3141 SAEMANN AVESHEBOYGANWI53081260822209HEALTHCAREWIST NICHOLASRELATED00false$0
PREVEA VENTURES LLC
2710 EXECUTIVE DRGREEN BAYWI54304203775127HEALTHCAREWIHSSIRELATED00false$0
CARPENTER STREET HOTEL LLC 36-
HOTELILLASANTE INCRELATED00false$0
SPRINGFIELD URGENT CARE REAL E
ILLASANTE INCRELATED00false$0

Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
KIARA INC
4936 LAVERNA RDSPRINGFIELDIL62707371163401HEALTHCAREILHSHSC CORP000.00000
LASANTE WISCONSIN INC
4936 LAVERNA RDSPRINGFIELDIL62707391572196HEALTHCAREILKIARA INCC CORP000.00000
LASANTE INC
4936 LAVERNA RDSPRINGFIELDIL62707371163400HEALTHCAREILKIARA INCC CORP000.00000
PRAIRIE CARDIOVASCULAR
619 EAST MASON SUITE 4P57SPRINGFIELDIL62701371071858HEALTHCAREILKIARA INCC CORP000.00000
PREVEA HEALTH SERVICES
2710 EXECUTIVE DRGREEN BAYWI54304391839351HEALTHCAREWIHSSIC CORP000.00000
PREVEA CLINIC INC
2710 EXECUTIVE DRGREEN BAYWI54304391839349HEALTHCAREWIHSSIC CORP000.00000
PREVEA HEALTH NETWORK
2710 EXECUTIVE DRGREEN BAYWI54304392000537HEALTHCAREWIHSSIC CORP000.00000
RENAISSANCE QUALITY INSURANCE
980669953INSURANCEHSSIC CORP000.00000PO Box 1159 KY1-1102GRAND CAYMANCAYMAN ISLANDSCJKY1-1102CJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg