STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

HOSPITAL SISTERS HEALTH SYSTEM: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
HOSPITAL SISTERS HEALTH SYSTEM (EIN 37-1058692)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-14
IRS object ID
201201359349306380
Schema version
2010v3.7
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)
Timestamp2012-05-14T18:09:31-04:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

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 Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN371058692EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOSPITAL SISTERS HEALTH SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOSPNameControl
Phone2175234747Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14936 LAVERNA ROADAddressLine1
CitySPRINGFIELDCity
StateILState
ZIP Code62707ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMichael W CottrellName
TitleChief Financial OfficerTitle
Phone2175234747Phone
Date Signed2012-04-24DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone6142492300Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMICHAEL W COTTRELLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14936 LAVERNA ROADAddressLine1
CitySPRINGFIELDCity
StateILState
ZIP Code62707ZIPCode
FieldValueIRS element (for citing)
Gross Receipts131908099GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1978YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionTO PROMOTE AND SUPPORT, DIRECTLY OR INDIRECTLY, BY DONATION, LOAN, OR OTHERWISE, THE INTERESTS AND PURPOSES OF THE HOSPITAL SISTERS OF THE 3RD ORDER OF ST. FRANCIS.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees293TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI4217824TotalGrossUBI
Net Unrelated Business Txbl Income-1770867NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year74356688ProgramServiceRevenuePriorYear
Program Service Revenue CY93657920ProgramServiceRevenueCY
Investment Income Prior Year7519505InvestmentIncomePriorYear
Investment Income Current Year6875981InvestmentIncomeCurrentYear
Other Revenue Prior Year11045386OtherRevenuePriorYear
Other Revenue Current Year31374198OtherRevenueCurrentYear
Total Revenue Prior Year92921579TotalRevenuePriorYear
Total Revenue Current Year131908099TotalRevenueCurrentYear
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 Year33031518SalariesEtcPriorYear
Salaries Etc Current Year35517295SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year49435213OtherExpensePriorYear
Other Expenses Current Year60457105OtherExpensesCurrentYear
Total Expenses Prior Year82466731TotalExpensesPriorYear
Total Expenses Current Year95974400TotalExpensesCurrentYear
Revenues Less Expenses Prior Year10454848RevenuesLessExpensesPriorYear
Revenues Less Expenses CY35933699RevenuesLessExpensesCY
Total Assets BOY247386788TotalAssetsBOY
Total Assets EOY269315206TotalAssetsEOY
Total Liabilities BOY106684616TotalLiabilitiesBOY
Total Liabilities EOY119341545TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY140702172NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY149973661NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO REVEAL AND EMBODY CHRIST'S HEALING LOVE FOR ALL PEOPLE THROUGH A HEALTH CARE MINISTRY BY PROMOTING AND SUPPORTING, DIRECTLY OR INDIRECTLY, BY DONATION, LOAN, OR OTHERWISE, THE INTERESTS AND PURPOSES OF THE HOSPITAL SISTERS OF THE 3RD ORDER OF ST. FRANCIS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense91853681Expense
Revenue93657920Revenue
DescriptionHOSPITAL SISTERS HEALTH SYSTEM (HSHS) IS THE PARENT CORPORATION WHICH HOLDS THE VARIOUS HOSPITAL AND HEALTH CARE RELATED CORPORATIONS FOR THE CONGREGATION OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS. INTEGRITY OF THE SISTERS' MISSION IS PRESERVED BY THE DESIGNATION OF HSHS AS THE SOLE CORPORATE MEMBER OF EACH OF THE AFFILIATED HEALTH CARE ORGANIZATIONS. THE MISSION OF HSHS IS TO PROVIDE A STRUCTURE AND THE MEANS WHEREBY THE HOSPITAL SISTERS CONTINUE THEIR HEALING MINISTRY. HSHS PROVIDES PROFESSIONAL AND TECHNICAL EXPERTISE IN THE MANAGEMENT OF THE AFFILIATED ORGANIZATIONS.Description
Total Program Service Expense91853681TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
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
HospitalfalseHospital
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 EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgtrueTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109682NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees293NumberOfEmployees
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
Excess Business HoldingsfalseExcessBusinessHoldings
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
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 PersonMICHAEL W COTTRELLNamePerson
Telephone Number2175234747TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14936 LAVERNA ROADAddressLine1
CitySPRINGFIELDCity
StateILState
ZIP Code62707ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormer
SISTER MARY ANN MINOR OSF
CHAIRPERSON2.25XX000
SISTER MAUREEN O'CONNOR OSF
SECRETARY1.25XX000
SISTER MARY MORIN OSF
BOARD MEMBER1.25X000
SISTER MARYANN FALBE OSF
BOARD MEMBER1.25X000
JOHN E STAUDT
Board Member1.25X000
SISTER MARY MOLLISON CSA
VICE CHAIRPERSON1.25XX000
SISTER BERNICE COREIL DC
BOARD MEMBER1.25X000
STEPHEN J BOCHENEK
BOARD MEMBER1.25X000
JOHN R COMBES MD
BOARD MEMBER1.25X000
Mary Starmann-Harrison
President & CEO68.25XX000
LAWRENCE SCHUMACHER
COO68.25X8115380261591
LEO A LENN
TREASURER - Previous73.75X41469305627
ANN CARR
TREASURER70.5X1913360109542
MICHAEL W COTTRELL
CFO71.75X5676890168292
STEPHANIE S MCCUTCHEON
PRESIDENT & CEO - previous0.02187613054096X
GARY LEACH
PREVIOUS CFO0.0113459079725X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4286328TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation678873TotalOtherCompensation
Number Individuals GT100 K61NumberIndividualsGT100K
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
DEARBORN ADVISORS LLC
PO BOX 66391CHICAGOIL606660391COMPUTER CONSULTING17696186
Clinical Intergration Network
4936 Laverna RdSPRINGFIELDIL627949455medicity sublicense3750000
Medical Information Technology Inc
Meditech CircleWESTWOODMA02090computer consulting3682862
Willis of Illinois Inc
PO BOX 93225CHICAGOIL606733225insurance2797158
PriceWaterhouseCoopers LLP
101 W Washington St STE 1300INDIANAPOLISIN462043409Consulting2357720
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionAFFILIATE FEESDescription
Business Code561000BusinessCode
Total Revenue Column93657920TotalRevenueColumn
Related Or Exempt Function Income89440096RelatedOrExemptFunctionIncome
Unrelated Business Revenue4217824UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue93657920TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5092616TotalRevenueColumn
Exclusion$5,092,616ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1783365TotalRevenueColumn
Exclusion$1,783,365ExclusionAmount

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
OTHER INCOME FROM DEVELOPMENT FUND90009924500000$24,500,000
ADMINISTRATION REVENUE5610006568935$6,568,935
OTHER900099305263$305,263
FieldValueIRS element (for citing)
Total Other Revenue31374198TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column131908099TotalRevenueColumn
Related Or Exempt Function Income89440096RelatedOrExemptFunctionIncome
Unrelated Business Revenue4217824UnrelatedBusinessRevenue
Exclusion$38,250,179ExclusionAmount

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)
Total2207040Total
Program Services1986336ProgramServices
Management And General220704ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total26282756Total
Program Services24622248ProgramServices
Management And General1660508ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2532304Total
Program Services2386667ProgramServices
Management And General145637ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2765548Total
Program Services2579982ProgramServices
Management And General185566ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1729647Total
Program Services1644899ProgramServices
Management And General84748ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1325084Total
Program Services1201622ProgramServices
Management And General123462ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total699885Total
Program Services629896ProgramServices
Management And General69989ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total954044Total
Program Services954044ProgramServices

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)
Total9932748Total
Program Services9085997ProgramServices
Management And General846751ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total398339Total
Program Services358505ProgramServices
Management And General39834ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2376866Total
Program Services2329570ProgramServices
Management And General47296ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1842740Total
Program Services1804572ProgramServices
Management And General38168ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total419582Total
Program Services390705ProgramServices
Management And General28877ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total666224Total
Program Services618738ProgramServices
Management And General47486ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3432580Total
Program Services3432382ProgramServices
Management And General198ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total15467006Total
Program Services15375164ProgramServices
Management And General91842ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1106890Total
Program Services1026640ProgramServices
Management And General80250ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
EQUIP. RENTAL AND MAINT.106222021058602036182
SOFTWARE SUBSCRIPTIONS88759828719051156931
RECRUITING57694653299243954
DUES & MEMBERSHIPS45444741027344174
MISCELLANEOUS EXPENSES24678322297523808

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1058757Total
Program Services954403ProgramServices
Management And General104354ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total95974400Total
Program Services91853681ProgramServices
Management And General4120719ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3358205BOY
EOY3325770EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY13619052BOY
EOY5362425EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY4325000BOY
EOY7201785EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY40578BOY
EOY40578EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3434909BOY
EOY3826064EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis217606147LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec70979796LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY122911233BOY
EOY146626351EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY99395067BOY
EOY102932233EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY302744BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY247386788BOY
EOY269315206EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY40570016BOY
EOY32350914EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY66114600BOY
EOY86990631EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY106684616BOY
EOY119341545EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY139703735BOY
EOY149173689EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY998437BOY
EOY799972EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY140702172BOY
EOY149973661EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY247386788BOY
EOY269315206EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses35933699ReconcilationRevenueExpenses
Reconcilation Other Changes-26662210ReconcilationOtherChanges
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)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox

Supported Org Information SupportedOrgInformation (20 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
HOSPITAL SISTERS OF ST FRANCIS FOUNDATION INC
37118651403truetruetrue$0
HOSPITAL SISTERS SERVICES INC
37116340203truetruetrue$0
HSHS HEALTH CARE PLAN TRUST FUND
3711377240truetruetrue$0
HSHS SELF INSURANCE TRUST FUND
37112062603truetruetrue$0
SACRED HEART HOSPITAL
39080706003truetruetrue$0
ST ANTHONY'S HOSPITAL EFFINGHAM ILLINOIS
37066123303truetruetrue$0
ST ELIZABETH'S HOSPITAL BELLEVILLE ILLINOIS
37066359703truetruetrue$0
ST FRANCIS HOSPITAL LITCHFIELD ILLINOIS
37066123603truetruetrue$0
ST JOHN'S HOSPITAL SPRINGFIELD ILLINOIS
37066123803truetruetrue$0
ST JOSEPH'S HOSPITAL BREESE ILLINOIS
37120845903truetruetrue$0
ST JOSEPH'S HOSPITAL
37066356803truetruetrue$0
ST JOSEPH'S HOSPITAL
39081054503truetruetrue$0
ST MARY'S HOSPITAL
37066124403truetruetrue$0
ST MARY'S HOSPITAL
37216918103truetruetrue$0
ST MARY'S HOSPITAL MEDICAL CENTER
39081868203truetruetrue$0
ST NICHOLAS HOSPITAL
39080848003truetruetrue$0
ST VINCENT HOSPITAL
39081752903truetruetrue$0
HOSPITAL SISTERS HEALTHCARE - WEST INC
51015793303truetruetrue$0
HSHS MEDICAL GROUP INC
26395631803truetruetrue$0
HSHS WISCONSIN MEDICAL GROUP INC
26451595903truetruetrue$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs20TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts
General ExplanationHospital sisters health system ("HSHS") administers the development fund, workers compensation fund, health care trust fund, self insurance fund, flex plan, and investment fund for HSHS and the related hospitals and exempt organizations. HSHS utilizes these funds to provide centralized management and computer services to its thirteen affiliated hospitals. The hospitals pay a management fee to HSHS for these services. Additionally, HSHS administers the self-insurance programs for professional and general liability, workers' compensation, and employee health, along with a centralized investment on behalf of all HSHS entities. Monetary amount of support provided are not determinable. The following is a list of management fees paid by each Local Hospital system: St. Elizabeth's Hospital - Belleville $10,297,200 St. Joseph's Hospital - Breese $2,032,800 St. Mary's Hospital - Decatur $6,223,200 St. Anthony's Hospital - Effingham $4,692,000 St. Joseph's Hospital - Highland $1,380,000 St. Francis Hospital - Litchfield $1,788,000 St. John's Hospital - Springfield $22,404,000 St. Mary's Hospital - Streator $3,312,000 St. Joseph's Hospital - Chippewa Falls $3,430,800 Sacred Heart Hospital - Eau Claire $8,670,000 St. Mary's Hospital - Green Bay $5,581,200 St. Vincent Hospital - Green Bay $13,138,800 St. Nicholas Hospital - Sheboygan $3,813,600 ---------- TOTAL $86,763,600 ==========GeneralExplanation

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
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 ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$954,044GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB954044TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierN/AIdentifier

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis25936OtherCostOrOtherBasis
Book Value25936BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis25574125OtherCostOrOtherBasis
Depreciation7124964Depreciation
Book Value18449161BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis308576OtherCostOrOtherBasis
Depreciation54903Depreciation
Book Value253673BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis20949351OtherCostOrOtherBasis
Depreciation12923114Depreciation
Book Value8026237BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis170748159OtherCostOrOtherBasis
Depreciation50876815Depreciation
Book Value119871344BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings146626351TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionRELATED HOSPITALS IT NOTES PAYABLEDescription
Amount$86,990,631Amount
FieldValueIRS element (for citing)
Total Of Amounts86990631TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierFIN 48 DISCLOSUREIdentifier
Return ReferenceFORM 990, SCHEDULE D, PART XReturnReference
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, 2011 and 2010, HSHS does not have a liability for unrecognized tax benefits.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelXFirstClassOrCharterTravel
Travel For CompanionsXTravelForCompanions
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
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 (6 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
LAWRENCE SCHUMACHER
645175013000003636302461050163060107394901210040
LEO A LENN
3249650276000621280-32080965504211400417800
ANN CARR
1522280111000280080921650180900301591000
STEPHANIE S MCCUTCHEON
41533200017722810399430145630224211909643110
MICHAEL W COTTRELL
467479062500037710014163602747607368010551390
GARY LEACH
967850001667406036301989701937190164940

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Lawrence SchumacherSchedule J, Part IILawrence Schumacher's reportable compensation includes an amount he was paid above his base compensation while he stepped up to serve in the role as interim CEO. This amount has been included as part of the total in the bonus section of Schedule J, Part II.
STEPHANIE MCCUTCHEON'S SEVERANCE PACKAGESCHEDULE J, PART I, LINE 4ASTEPHANIE MCCUTCHEON RECEIVED A SEVERANCE PACKAGE DURING THE YEAR IN THE AMOUNT OF $386,212 FOR HER SERVICES AS PRESIDENT AND CEO OF HOSPITAL SISTERS HEALTH SYSTEM.
STEPHANIE MCCUTCHEON'S PREVIOUSLY REPORTED COMPENSATIONSCHEDULE J, PART IIOF THE $2,242,199 REPORTED AS COMPENSATION FOR STEPHANIE MCCUTCHEON, $964,311 WAS REPORTED ON PRIOR YEAR RETURNS. ACCORDINGLY, ONLY $1,277,888 OF THE TOTAL IS FOR EARNINGS NOT REPORTED IN PREVIOUS YEARS.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (29 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RIGHTS OF MEMBERS TO ELECT GOVERNING BODYFORM 990 PART VI, LINES 6 AND 7ATHE SENIOR GOVERNING BODY OF HOSPITAL SISTERS HEALTH SYSTEM ("HSHS") ARE THE MEMBERS, WHO ARE THE INDIVIDUAL SISTERS, WHO FROM TIME TO TIME ARE THE DULY ELECTED PROVINCIAL SUPERIOR AND PROVINCIAL COUNCILORS 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. PURSUANT TO SECTION 2.3 OF THE HSHS BYLAWS, THE MEMBERS HAVE THE RIGHT TO APPOINT AND REMOVE HSHS BOARD OF DIRECTORS, CHAIRPERSON OF THE BOARD, AND PRESIDENT.
member reserved powersform 990 part vi, line 7bResponsibility for the policy and operations of Hospital Sisters Health System (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 Members. The members of the corporation are the individual sisters, who from time to time are the duly elected Provincial Superior and Provincial Councilors 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 the members' rights 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"). The members' reserved powers include all rights granted to the members 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 Hospital Sisters Services, Inc. ("HSSI"), and the Chairperson and President of the Corporation or of HSSI; (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 HSSI, or the Chairperson and President of the Corporation or of HSSI. (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 the members; (g) approve debt incurred by the corporation or any affiliate in an amount in excess of limits set from time to time by the members; (h) Approve deviations by the Corporation from the annual capital and operating budgets in an amount or percentage specified by the members from time to time; (i) Approve the consolidated strategic plan and goals of the Corporation; (j) Approve the sale of substantially all of the assets of the Corporation or of any Affiliate; (k) Approve the merger or dissolution of the Corporation or of any Affiliate; (l) Adopt or amend the plan for ministry education and governance for the Corporation and its Affiliates; (m) Approve the Corporation's Mission Accountability Reports and those of any Affiliate; (n) Adopt policies to implement the Reserved Powers of the members.
FORM 990 REVIEW PROCESSFORM 990, PART VI, LINE 11bThe organization employs KPMG to assist in the overall review and electronic submission of its Form 990. KPMG provides guidance in identifying critical errors in the return submission and feedback on quantitative and qualitative responses. Additionally, the organization's CFO performs a thorough review of the return, and reviews it with the organization's 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 have 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 the organization's Conflict of Interest Policy, all Covered Persons have a duty to comply with the Conflict of Interest Policy for any contract, transaction, relationship, or activity contemplated, entered into, or conducted at HSHS. The policy defines covered persons as Board members, Board committee members, Officers, Board designees, senior management, members of any committee that oversees the approval of pharmaceuticals and medical devices, and any other individual who holds a position of trust. On an annual basis, HSHS discloses a copy of the Conflict of Interest Policy, (and all corresponding procedures, guidelines, forms, and tools), to all Covered Persons, and advises all Covered Persons in writing of any substantive changes to this Policy and such related materials. The Covered Persons are required to review and complete the corresponding Conflict of Interest Statement. The System Office Vice President - System Responsibility, Vice President - Risk & Compliance, or members of the Audit and Integrity Committee ("Committee") are available to answer any questions a Covered Person may have. In addition, if, at any time after submitting an annual Conflict of Interest Statement, a Covered Person becomes aware of an Interest that he or she would have had to disclose at the annual interval, the Covered Person shall promptly disclose the Interest to the Committee using the HSHS Conflict of Interest Disclosure Statement. Completed Conflict of Interest statements are submitted to the Committee of HSHS which is responsible for identifying, assessing, and managing Conflicts of Interest that arise in the course of conducting the affairs of HSHS. If the Committee determines that a Conflict of Interest exists, HSHS shall not engage in, or enter into a proposed contract, transaction, relationship, arrangement, or activity unless the Committee or, where necessary, the Board of Directors (acting through its disinterested members), has investigated alternatives to the proposed contract, transaction, relationship, arrangement, or activity and, in the absence of alternatives that are in the best interests of HSHS, has determined: 1. that, regardless of whether the Covered Person participates in the implementation of the proposed contract, transaction, relationship, arrangement, or activity; 2. the contract, transaction, arrangement, or activity is in the best interests of HSHS; 3. the contract, transaction, arrangement, or activity is fair and reasonable from the perspective of HSHS; and 4. HSHS cannot obtain a more advantageous contract, transaction, arrangement or activity with reasonable efforts under the circumstances. In determining whether a contract, transaction, or arrangement is fair and reasonable to HSHS, the Committee shall consider, where applicable: 1. appraisals or other independent valuations of the Fair Market Value of the contract, transaction, or arrangement; 2. information regarding comparable contracts, transactions, or arrangements between unrelated parties; 3. offers from comparable competing entities; and/or 4. studies of comparable compensation arrangements. In any case in which the Committee finds, after taking the steps described above, that HSHS should participate in a proposed transaction or arrangement despite the existence of a conflict of interest, the Committee shall develop, implement, monitor, and enforce compliance with a Conflict Management Plan for managing the Conflict of Interest as it considers necessary for such findings to remain valid throughout the life of the contract, transaction, relationship, arrangement, or activity. All Conflict Management Plans shall: 1. state that the Committee will oversee, monitor, and enforce compliance with the plan throughout the course of the study, and specify means for doing so, including, without limitation, that the appropriate individuals must provide the Committee with written reports pertaining to compliance with the Conflict Management Plan, that the Committee shall have the right to audit the study for such compliance, and the right to impose sanctions for non-compliance; 2. state that the Plan must be shared with Covered Person whose Interests it was developed to manage; 3. state that the Plan must be shared with, and periodic reports on compliance with the Plan must be provided to, the Board, senior management and/or government agencies; and 4. provide for such other management steps and mechanisms the Committee considers necessary and appropriate. In addition to the Committee, the System Office Vice Presidents of System Responsibility and Risk & Compliance may retain such independent advisors or experts as deemed necessary to assist in making its determinations and decisions. If the Committee determines that the contemplated transaction, relationship, arrangement or activity cannot proceed due to a Conflict of Interest, the Committee shall inform the applicable Covered Person or decision-making body of such determination within one week of the Committee meeting at which the contemplated transaction was discussed. The Committee shall document its rejection of the contemplated transaction in the Committee's meeting minutes.
WHISTLEBLOWER POLICYFORM 990, PART VI, LINE 13Provisions within the Corporate Compliance Program 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.
COMPENSATION ARRANGEMENTFORM 990, PART VII, SECTION AHOSPITAL SISTERS HEALTH SYSTEM EMPLOYS THE MANAGEMENT/OFFICERS OF THE VARIOUS ENTITIES WHICH ARE CENTRALLY SUPPORTED FOR THE BENEFIT OF THE THIRTEEN HOSPITALS IT SPONSORS.
POOLED INVESTMENT ACCOUNTFORM 990, PART X, LINE 11HOSPITAL SISTERS HEALTH SYSTEM CASH RESERVES ARE INVESTED IN A POOLED INVESTMENT ACCOUNT. PARTICIPATION IN THE POOLED FUND IS LIMITED TO THE 501(C)(3) HOSPITALS AND RELATED HEALTH SERVICES ORGANIZATIONS SPONSORSD BY HSHS. THE POOLED ACCOUNT CONSISTS OF CASH, AND EQUITY AND DEBT SECURITIES that are publicly traded. IN ACCORDANCE WITH THE PROVISIONS OF SFAS NO. 124 "ACCOUNTING FOR CERTAIN INVESTMENTS HELD BY NOT-FOR-PROFIT ORGANIZATIONS," INVESTMENTS IN EQUITY SECURITIES WITH READILY DETERMINABLE VALUES, AND ALL INVESTMENTS IN DEBT SECURITIES, ARE REPORTED AT FAIR VALUE ON THE BALANCE SHEET. INCOME, REALIZED AND UNREALIZED GAINS AND LOSSES ARE NOT IDENTIFIED TO THE PARTICIPANTS.
Other Change in Net AssetsForm 990, Part XI, Line 5Transfer from Affiliate 22,945,000 Change in Pension fund status 1,897,000 Contributions on Foundation's 990 (348,000) Investment Income on Foundation's 990 149,000 Change in Accounting Principle (38,732,704) Unrealized Gain 2,692,604 Equity in Earnings of Kiara (15,265,110) ------------ TOTAL OTHER CHANGE IN NET ASSETS (26,662,210) ============
AFFILIATED SYSTEM DISCLOSUREThe mission of Hospital Sisters Health System ("HSHS") is to serve those in need through a health care ministry that values compassion, respect and reverence for life. The nearly 14,000 colleagues who make up HSHS are dedicated to this mission and to providing high quality health care to whoever seeks our services. By living our mission each day, HSHS colleagues constantly strive to provide the highest quality and most cost-effective and compassionate health care to those we are privileged to serve. Our health care ministry extends across 12 communities in Wisconsin and Illinois and includes 13 hospitals, dozens of community-based health centers and clinics, and more than 2,000 physician partners. As part of our mission to provide healing and hope to the three million people we serve, we have developed Community Benefit initiatives that 1) expand access to health care, 2) enhance overall health status and 3) promote medical education. In the Fiscal Year that ended June 30, 2011, HSHS hospitals provided $166.1 million in Community Benefits (or 8.7% of total expenses), an increase of $15.7 million from FY 2010. Of this amount, $37.1 million was provided for charity care and $99.8 million was the amount of unreimbursed care provided under the Medicaid program. In addition, HSHS hospitals committed significant resources in serving the Medicare population. The cost of providing services to primarily elderly beneficiaries of the Medicare program, in excess of governmental and managed care contract payments, was $183.8 million during Fiscal Year 2011. HSHS hospitals also recorded $103.9 million in uncollectible accounts. HSHS strengthens the health of our communities by continually reinvesting any surplus revenue from operations and investments into new medical technology, facility infrastructure and health care services. These investments ensure that our hospitals can continue to provide high quality, compassionate care to our patients. During Fiscal Year 2011, HSHS also continued to invest in our Care Integration strategy that places the patient at the center of our work while allowing us to deliver care in a more cost-effective and efficient manner. These investments are 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. Our Care Integration strategy is delivering promising results. An example is our three Medical Home pilot projects. Diabetic Patients enrolled in Medical Homes in rural Illinois experienced an average 42 percent decrease in their blood glucose levels while their unplanned readmissions to the hospital dropped to zero. HSHS is making significant progress implementing interoperable health information technologies and robust health information exchanges. In central Illinois, HSHS is joining with other health care providers to develop a statewide Health Information Exchange ("HIE") that will allow health care providers to exchange clinical information, such as medication histories and test results, access that information at the point of care and make better informed decisions with their patients. HSHS understands that our investments in information technology will have a positive impact on the quality, safety and efficiency of health care. 1. Expanding access to health care An integral component of our Community Benefit initiatives is to provide care to every patient who seeks our services without exception. To that end, HSHS hospitals have established Charity Care program guidelines that cover 100% of hospital charges for individuals and families who earn 125% to 250% of the federal poverty level. HSHS hospital's Charity Care guidelines have sliding scales, in some instances providing up to a 50% discount on charges for those earning up to 600% of the federal poverty level. HSHS hospitals have created simple forms for those wishing to apply for Charity Care and assign counselors to visit with inpatients who are uninsured to let them know about our charity care policies and provide assistance filling out applications for financial assistance or enrollment in publicly funded health care programs. HSHS hospitals also work collaboratively with others to enhance access to health care services for those in need. St. John's Hospital in Springfield, IL has partnered with Memorial Medical Center, Southern Illinois University School and Medicine and other community partners to support the Coordinated Access to Community Health ("CATCH") initiative. The free program is being made available to uninsured adults in Sangamon County to help them access routine medical care, specialty doctors and affordable medicine. Launched in May 2011, CATCH enrolls patients as they visit social service agencies or when they leave hospital emergency rooms. Enrollees are then referred to Springfield's federally funded primary care clinic, Capitol Community Health Center, or participating doctors' private offices. Grants from St. John's Hospital, Memorial Medical Center, United Way of Central Illinois and the Dominican Sisters offset CATCH's first year of expenses. Patient advocates at St. John's Hospital and Memorial Medical Center help uninsured patients find primary or specialty doctors and make appointments, and arrange for financial assistance from participating social service agencies for prescription drugs.
affiliated system disclosureIn the first three months since the program was launched, CATCH signed up more than 250 physicians in the community who agreed to see patients at no charge. The program endeavors to enroll up to 6,000 uninsured patients within the next few years. By making it easier for uninsured residents to get preventive health care services, CATCH organizers believe uninsured patients' medical problems will be addressed early, helping improve their quality of life. St. Mary's Hospital Medical Center in Green Bay, WI supports the NEW Community Clinic, a 38-year-old free health center for the uninsured and underinsured. St. Mary's provides free and discounted laboratory and radiology services to the clinic. More than 70 percent of patients say the clinic's care allowed them to avoid having to seek care in a local Emergency Room. For the past decade, St. Anthony's Memorial Hospital in Effingham, IL has teamed up with Effingham Catholic Charities to co-sponsor the Prescription Assistance Program. Catholic Charities' staff members work with clients who need prescription medication but may not be able to afford them because they are uninsured or underinsured. Due to the financial support of St. Anthony's, the program is able to provide needed prescriptions to dozens of residents each month. St. Francis Hospital in Litchfield, IL collaborated with local dental care providers to coordinate and provide a free day of dental care to uninsured individuals. The collaboration was the result of a community needs assessment that determined access to dental care was a priority in the community. The "Community Day of Dental Care" provided free dental cleanings, X-Rays, and extractions to 90 uninsured individuals. Among those 90 people served included a military veteran who has been unable to obtain dental care after a St. Louis facility closed. He was able to have five teeth extracted. Another person served was a young woman who needed some minor restorative care which greatly improved her appearance. She was very grateful because she had a job interview coming up and would be able to attend the interview feeling better about her appearance. 2. Enhancing the health status of the community Another component of our Community Benefit initiatives is to improve the quality of life in our communities. Our hospitals work closely with a wide array of public and private organizations that share our commitment to enhancing health and wellness. We know that by working together, we can maximize our efforts by sharing resources, reduce duplication of services, and make it easier for residents to get the services and knowledge they need to live healthier lives. HSHS hospitals also understand they need to listen closely to the residents of the communities they serve to ensure the health care needs of all are being met. Sacred Heart Hospital in Eau Claire, WI invited more than 1,400 area residents to share their vision for health care during a series of focus groups. Participants included constituents that are often overlooked: low-income, vulnerable populations and minority groups. The visioning sessions captured the voices of special populations, Among Mutual Assistance Association members, Amish farmers, seniors, young children and other diverse groups. The feedback provided led to more than 100 actionable items that were assessed and/or implemented over the first six months since the sessions concluded. One action taken by Sacred Heart Hospital and St. Joseph's Hospital in Chippewa Falls, WI was to work closely with 16 other organizations to secure federal funding to accelerate networking infrastructure expansion across western Wisconsin, including rural and critical access hospitals in surrounding communities. The collaboration led to the creation of a Community Area Network consisting of 70 miles of fiber-optic cable with 150 connections. This network provides a multitude of fiber-optic services and high speed connectivity that can easily accommodate telemedicine and other advanced applications. St. Mary's Hospital in Decatur, IL heard a specific need and responded by leading a successful community effort to help Catholic Charities maintain Meals on Wheels in Decatur after state funding cuts resulted in a drastic reduction to the program's services. St. Mary's pledged $45,000 to launch the "Buy a Senior a Meal" community campaign in which area residents could sponsor meals for area seniors at the cost of $7 each. St. Mary's also solicited support from the Howard G. Buffett Foundation and Neuhoff Media. In the first six months of the campaign, more than $100,000 was raised. With the donations, Catholic Charities was able to increase the number of clients served by 141 and provide more than 14,000 meals to seniors and veterans. In response to a report by Feeding America and the St. Louis Area Foodbank that more than 15,000 children in St. Clair County worry about where their next meal is coming from, St. Elizabeth's Hospital in Belleville, IL sponsored two hospital-wide food drives - one in the summer and the other during the Christmas holiday season. During 2010-2011, a total of 8,381 pounds of non-perishable food items were collected at both drives and donated to the Community Interfaith Food Pantry, Catholic Urban Programs and St. Vincent DePaul Society at Cathedral Food Pantry. While canned food is shelf-stable and easy to donate, food pantries were also looking for fresh, nutritious vegetables which are expensive to store. To address this need, St. Elizabeth's planted a vegetable garden on-site to grow fresh produce specifically for the food pantries. Start-up funds for the aptly named "Elizabeth's Garden" were donated by the Friends of St. Elizabeth's Hospital Foundation. Area business partners turned the soil and donated seeds and plants. The 24-foot by 35-foot plot was tended by hospital colleagues who donated their time weeding, staking and harvesting. In its first growing season, more than 300 pounds of produce was harvested from Elizabeth's Garden. St. Mary's Hospital in Streator, IL has long recognized that transportation options in the community are severely limited. Not only is there no public transportation system, there is not even a taxi company. This leaves many people, especially the elderly or disabled, at the mercy of others' kindness. St. Mary's responded by developing a medical transportation program that offers free rides to patients, particularly those with disabilities, who have no other way of getting to and from their medical appointments. Transportation is provided by qualified staff members who assist individuals with boarding and disembarking in vans maintained to Illinois Department of Transportation Standards. During Fiscal Year 2011, nearly 7,000 trips were made and 268 individuals were served by this program. St. Nicholas Hospital in Sheboygan, WI actively participates in "Healthy Sheboygan County 2020," a collaborative group made up of local health care organizations. The group's primary focus is to improve the lives of people in the area. Responding to a need in the community, St. Nicholas Hospital colleagues helped organize a first ever county-wide medication drop off program, which served as a springboard for permanent drop off locations within Sheboygan County.
affiliated system disclosureSt. Joseph's Hospital in Highland, IL began providing geriatric outpatient counseling after the need arose in the community for such services. The program, Senior Renewal, was created to help seniors - and their families - to have purposeful, healthy and independent lives. The program operates under the philosophy that even though loss may be a normal part of aging, emotional despair does not have to be an acceptable condition. Senior Renewal treats a variety of emotional problems, including difficulty coping with change, trouble adjusting to retirement, loneliness and isolation, and deterioration of daily living skills. Since being introduced at St. Joseph's in late 2009, Senior Renewal has helped more than 120 clients. St. Joseph's Hospital in Breese, IL is working to improve the quality of life for patients with congestive heart failure ("CHF") through education. With one out of four patients with CHF readmitted within 30 days after discharge, education is being provided free of charge to patients and their caregivers to increase their involvement in self-care following discharge. This project has developed into a community-wide initiative with training also provided to staff working at area nursing homes and senior living facilities. 3. Supporting medical education and research Another important aspect of our Community Benefit initiatives is ensuring HSHS helps advance medical knowledge through our support of research and education. In Fiscal Year 2010 we contributed more than $12.1 million to research and education. HSHS hospitals host Continuing Medical Education courses which are attended by hundreds of physicians each year. Several HSHS hospitals support medical residency programs. St. Vincent Hospital in Green Bay, WI spent more than $682,000 providing on-site training and education for nursing and allied health professionals within its facilities. St. Vincent also provides training and education programs at schools such as the University of Wisconsin-Green Bay, Bellin College of Nursing, Northeast Wisconsin Technical College and others around the state. St. John's College is educating the nurses of today and tomorrow by offering an upper division Baccalaureate Nursing Degree Program and Continuing Education Programs to serve nurses and allied health professionals in Central and Southern Illinois. The College offers a variety of clinical experiences ranging from wellness to care of the dying. Commitment to Care In conclusion, HSHS is working tirelessly to bring together the various elements of health care services to create better, more efficient care for our patients. Our commitment to high quality, cost-effective care is based on our Franciscan and Catholic values. These values include coverage and access for all and special attention to the sick, poor and vulnerable.
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SISTER MARY ANN MINOR, OSF TITLE:CHAIRPERSON HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SISTER MAUREEN O'CONNOR, OSF TITLE:SECRETARY HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SISTER MARY MORIN, OSF TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SISTER MARYANN FALBE, OSF TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOHN E. STAUDT TITLE:Board Member HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SISTER MARY MOLLISON, CSA TITLE:VICE CHAIRPERSON HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SISTER BERNICE COREIL, DC TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:STEPHEN J. BOCHENEK TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOHN R. COMBES, M.D. TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Mary Starmann-Harrison TITLE:President & CEO HOURS:7
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LAWRENCE SCHUMACHER TITLE:COO HOURS:7
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LEO A. LENN TITLE:TREASURER - Previous HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ANN CARR TITLE:TREASURER HOURS:5
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MICHAEL W. COTTRELL TITLE:CFO HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:STEPHANIE S. MCCUTCHEON TITLE:PRESIDENT & CEO - previous HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:GARY LEACH TITLE:PREVIOUS CFO HOURS:10

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 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 RoadSpringfieldIL62707261417684HealthCareIL-98530910504564Kiara Inc

Form990 Schedule R Part II Form990ScheduleRPartII (23 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
HOSPITAL SISTERS OF ST FRANCIS FDTN
4936 LAVERNA ROADSPRINGFIELDIL62707371186514HEALTHCAREIL501(c)(3)11ANA
HSHS HEALTHCARE PLAN TRUST FUND
4936 LAVERNA ROADSPRINGFIELDIL62707371137724HEALTHCAREIL501(c)(9)N/ANA
HSHS SELF INSURANCE TRUST
4936 LAVERNA ROADSPRINGFIELDIL62707371120626INSURANCEIL501(c)(3)11ANA
HOSPITAL SISTERS HEALTHCARE WEST INC
2661 COUNTY HIGHWAY 1CHIPPEWA FALLSWI54729510157933HEALTHCAREWI501(c)(3)11ANA
SACRED HEART HOSPITAL
990 WEST CLAIREMONT AVEEAU CLAIREWI54701390807060HEALTHCAREWI501(c)(3)3NA
ST ANTHONY'S HOSPITAL
503 N MAPLE STREETEFFINGHAMIL62401370661233HEALTHCAREIL501(c)(3)3NA
ST ELIZABETH'S HOSPITAL
211 SOUTH THIRD STREETBELLEVILLEIL62220370663567HEALTHCAREIL501(c)(3)3NA
ST NICHOLAS HOSPITAL
3100 SUPERIOR AVENUESHEBOYGANWI53081390808480HEALTHCAREWI501(c)(3)3NA
ST JOHN'S HOSPITAL
800 EAST CARPENTER STREETSPRINGFIELDIL62769370661238HEALTHCAREIL501(c)(3)3NA
ST JOSEPH'S HOSPITAL
9515 HOLY CROSS LANEBREESEIL62230371208459HEALTHCAREIL501(c)(3)3NA
ST JOSPEH'S HOSPITAL
2661 COUNTY HIGHWAY 1CHIPPEWA FALLSWI54729390810545HEALTHCAREWI501(c)(3)3NA
ST MARY'S HOSPITAL
1800 E LAKE SHORE DRIVEDECATURIL62521370661244HEALTHCAREIL501(c)(3)3NA
ST MARY'S HOSPITAL
111 SPRING STREETSTREATORIL61364362169181HEALTHCAREIL501(c)(3)3NA
ST MARY'S MEDICAL CENTER
1762 SHAWANO AVENUEGREEN BAYWI54303390818682HEALTHCAREWI501(c)(3)3NA
ST VINCENT HOSPITAL
835 S VAN BURENGREEN BAYWI51301390817529HEALTHCAREWI501(c)(3)3NA
ST JOSEPH'S HOSPITAL
1515 MAIN STREETHIGHLANDIL62249370663568HEALTHCAREIL501(c)(3)3NA
ST FRANCIS HOSPITAL
1215 FRANCISCAN DRIVELITCHFIELDIL62056370661236HEALTHCAREIL501(c)(3)3NA
HOSPITAL SISTERS SERVICES INC
4936 LAVERNA ROADSPRINGFIELDIL62707371163402HEALTHCAREIL501(c)(3)11ANA
HSHS MEDICAL GROUP INC
4936 LAVERNA ROADSPRINGFIELDIL62707263956318HEALTHCAREIL501(c)(3)11ANA
HSHS WISCONSIN MEDICAL GROUP INC
8040 EXCELSIOR DRIVEMADISONWI53717264515959HEALTHCAREWI501(c)(3)11ANA
orange cross ambulance inc
919 ashland avenuesheboyganWI53081391860942healthcareWI501(c)(3)3st nicholas
wisconsin upper peninsula oncology mgmt
835 s van burengreen bayWI54301391677100healthcareWI501(c)(3)3st vincent
unity limited partnership
2366 oak ridge circlede pereWI54115391750729healthcareWI501(c)(3)11aHSSI

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 StreetSwanseaIL62226371312961HealthCareILSt Elizabeth'sRELATED28321849232986false$0false0.50000
Prairie Heart Institute - Carbondale
800 East Carpenter StreetSpringfieldIL62769371321197HealthCareILSt John'sRELATED-15538635false$0false0.50000
Northeast Wisconsin Radiation Therapy Se
1821 S Webster Ave Ste 300Green BayWI543079047263749065HealthCareWIHSSIRELATED-931423639862false$0false0.50000
Pain Center of Wisconsin
4131 W Loomis Road Suite 300GreenfieldWI53221263155343HealthCareWISt VincentRELATED30788532643923false$0false0.00000
Surgery Center of Sheboygan LLC
3141 Saemann AvenueSheboyganWI53081260822209HealthCareWISt NicholasRELATED6733581485193false$0false0.50000
Prevea Ventures LLC
2710 EXECUTIVE DRiveGreen BayWI54304203775127HealthCareWIHSSIRELATED00false$0false0.00000
CARPENTER STREET HOTEL LLC
hotelILlasante increlated-1105241271048false$0false0.50500
SPRINGFIELD URGENT CARE REAL E
rent. real estateILLasante increlated236601054529false$0false0.51000

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/AddressLine1Province Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
Kiara Inc
4936 Laverna RdSpringfieldIL62707371163401HealthCareILNAC Corp-28384384150831.00000
LaSante Wisconsin Inc
4936 Laverna RdSpringfieldIL62707391572196HealthCareILKiara IncC Corp159873797402301.00000
LaSante Inc
4936 Laverna RdSpringfieldIL62707371163400HealthCareILKiara IncC Corp27623511352011.00000
Prairie Cardiovascular
619 East Mason Suite 4P57SpringfieldIL62701371071858HealthCareILKiara IncC Corp-14044790275450731.00000
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 Ltd
980669953InsuranceHSSIC Corp000.00000PO Box 1159Grand CaymanCJKY1-1102CJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
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 OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1KIARA INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypebTransactionType
Amount Involved22208983AmountInvolved

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
Identifiertransactions with related organizationsIdentifier
Return Referenceschedule r, part v, line 2ReturnReference
Explanationany transactions listed on schedule r, part v, line 1 and not on schedule r, part v, line 2 are between related 501(c)(3) and do not require reporting on this section.Explanation