ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDE: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDE (EIN 37-0663567)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-13
IRS object ID: 201121339349302007
Schema version: 2009v1.7
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-13T09:00:11-05:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	191 West Nationwide Blvd Ste 500	AddressLine1
City	Columbus	City
State	OH	State
ZIP Code	432152568	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	370663567	EIN

Name Name

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

Field	Value	IRS element (for citing)
Name Control	STEL	NameControl
Phone	6182342120	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	211 SOUTH THIRD STREET	AddressLine1
City	BELLEVILLE	City
State	IL	State
ZIP Code	622201998	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MARYANN REESE	Name
Title	CHIEF EXECUTIVE OFFICER	Title
Date Signed	2011-05-09	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	6142492300	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Maryann Reese	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	211 South Third Street	AddressLine1
City	Belleville	City
State	IL	State
ZIP Code	622201998	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	190894275	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c	X	Organization501c
Web Site	www.steliz.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1875	YearFormation
State Legal Domicile	IL	StateLegalDomicile
Activity Or Mission Description	To MINISTER TO THOSE IN NEED OF HEALTHCARE IN RESPONSE TO GOD'S CALL TO SERVE EACH OTHER,ESPECIALLY THE POOR. IN THE PERFORMANCE OF ITS MISSION, ST.ELIZABETH'S WILL FOSTER RESPECT,CARE,COMPETENCE,AND JOY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	10	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	5	NbrIndependentVotingMembers
Total Nbr Employees	1934	TotalNbrEmployees
Total Nbr Volunteers	142	TotalNbrVolunteers
Total Gross UBI	25573	TotalGrossUBI
Net Unrelated Business Txbl Income	2062	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	374153	ContributionsGrantsPriorYear
Contributions Grants Current Year	1021881	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	188359842	ProgramServiceRevenuePriorYear
Program Service Revenue CY	185756413	ProgramServiceRevenueCY
Investment Income Prior Year	-4029513	InvestmentIncomePriorYear
Investment Income Current Year	720531	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1281618	OtherRevenuePriorYear
Other Revenue Current Year	1394232	OtherRevenueCurrentYear
Total Revenue Prior Year	185986100	TotalRevenuePriorYear
Total Revenue Current Year	188893057	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	37725	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	5000	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	79339924	SalariesEtcPriorYear
Salaries Etc Current Year	84036055	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	114299960	OtherExpensePriorYear
Other Expenses Current Year	119121615	OtherExpensesCurrentYear
Total Expenses Prior Year	193677609	TotalExpensesPriorYear
Total Expenses Current Year	203162670	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-7691509	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-14269613	RevenuesLessExpensesCY
Total Assets BOY	182418397	TotalAssetsBOY
Total Assets EOY	168039041	TotalAssetsEOY
Total Liabilities BOY	107260909	TotalLiabilitiesBOY
Total Liabilities EOY	121623727	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	75157488	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	46415314	NetAssetsOrFundBalancesEOY
Mission Description	THE MISSION OF ST.ELIZABETH'S HOSPITAL IS TO MINISTER TO THOSE IN NEED OF HEALTHCARE IN RESPONSE TO GOD'S CALL TO SERVE EACH OTHER, ESPECIALLY THE POOR. IN THE PERFORMANCE OF ITS MISSION, ST. ELIZABETH'S HOSPITAL WILL FOSTER THE VALUES OF RESPECT, CARE, COMPETENCE, AND JOY. ST. ELIZABETH'S HOSPITAL IS COMMITTED TO PERFORMING ITS MISSION THROUGH COOPERATION WITH OTHER HEALTHCARE PROVIDERS AND THE COMMUNITY, WHENEVER POSSIBLE.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	169226922	Expense
Grants	5000	Grants
Revenue	185756413	Revenue
Description	SEE SCHEDULE O - PART III PROGRAM SERVICE ACCOMPLISHMENTS	Description
Total Program Service Expense	169226922	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	231	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	1934	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Nbr Voting Governing Body Members	10	NbrVotingGoverningBodyMembers
Number Independent Voting Members	5	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	JOHNNY WATKINS	NamePerson
Telephone Number	6182342120	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	211 SOUTH THIRD	AddressLine1
City	BELLEVILLE	City
State	IL	State
ZIP Code	622201998	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Sister Gertrude OConnor OSF
Board Member	1.0	X	0	0	0
Thomas M Egan
Board Vice Chairperson	1.0	X	0	0	0	X
William S Lyke
Board Secretary	1.0	X	0	0	0	X
Sister Marybeth Culnan OSF
BOARD MEMBER	1.0	X	0	0	0
Dennis E Bielke
BOARD CHAIRPERSON	1.0	X	0	0	0	X
Anwar A Khan MD
BOARD MEMBER	1.0	X	48440	0	0
Kevin Pesko
Board Member	1.0	X	0	0	0
FR James E Deiter
BOARD MEMBER	1.0	X	0	0	0
Linda Camp MD
board member	1.0	X	546041	0	0
Steven Wolfe
Board Member	1.0	X	0	0	0
Salil K Gupta
Chief Medical Officer	40.0		477918	0	46507	X
Robert S Miller
Chief Operating Officer	40.0		187545	0	144338	X
Johnny E Watkins
Chief Financial Officer	40.0		232541	0	40364	X
ANN CARR
TREASURER	1.0		0	153448	117382	X
Alice Chatley
Chief Nursing Officer	40.0		123694	0	25826	X
Edward Jacquin
Asst Admin-Support Svcs	40.0		138532	0	17188	X
Mark Reifsteck
Division CEO	40.0		0	492738	164086	X
Sharon Timmons
Interim CEO	40.0		0	0	0	X
Illa J David
Administrative Director IT	40.0		123656	0	11626		X
Linda C Sutterer
RN First Assistant	40.0		109804	0	5382		X
Adam Thacker
Director of Pharmacy	40.0		138627	0	4241		X
Leslie Eckert
Controller	40.0		113326	0	17960		X
Thomas Baker
Pharmacist	40.0		110853	0	10054		X
Kevin Shrake
CEO/board member (PREVIOUS)	40.0		0	385851	63829			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2350977	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1032037	TotalReportableCompFrmRltdOrgs
Total Other Compensation	668783	TotalOtherCompensation
Number Individuals GT100 K	30	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
PROFESSIONAL THERAPY SERVICES INC
2810 FRANK SCOTT PKWY WEST SUITE 8	BELLEVILLE	IL	62223	THERAPIST STAFFING	4191574
DM ANESTHETISTS OF IL LLC
4194 MENDENHALL OAKS PKWY SUITE 16	HIGH POINT	NC	27265	PHYSICIAN SERVICES	1195000
SLU CARE
3635 VISTA AVE PO BOX 15250	ST LOUIS	MO	63110	PHYSICIAN SERVICES	1244449
ST LOUIS UNIV SCHOOL OF MEDICINE
1402 SOUTH GRAND	ST LOUIS	MO	63104	MED. RESIDENCY PROG.	952400
Sodexo Operations LLC
4880 PAYSPHERE CIRCLE	CHICAGO	IL	60674	Food Service	1959010

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	44	NumberOfContractorsGT100K
Related Organizations	1019880	RelatedOrganizations
All Other Contributions	2001	AllOtherContributions
Noncash Contributions	62500	NoncashContributions
Total Contributions	1021881	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE	900099	183292825	183292825
PHARMACY	446110	1078973	1078973
HEALTH PROGRAMS	900099	38391	38391
ONCOLOGY CENTER INCOME	900099	1346224	1346224

Field	Value	IRS element (for citing)
Total Program Service Revenue	185756413	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	881871	TotalRevenueColumn
Exclusion	$881,871	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1362418	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	1839878	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-477460	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-477460	TotalRevenueColumn
Exclusion	-$477,460	ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	161340	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-161340	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-161340	TotalRevenueColumn
Exclusion	-$161,340	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA SALES	722210	516909	$516,909
CHILD CARE CENTER	900099	432571	$432,571
OUTSIDE LAUNDRY	812300	25573		25573

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	896639	TotalRevenueColumn
Exclusion	$896,639	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	1871692	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	188893057	TotalRevenueColumn
Related Or Exempt Function Income	185756413	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	25573	UnrelatedBusinessRevenue
Exclusion	$2,089,190	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	5000	Total
Program Services	5000	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1130231	Total
Program Services	571612	ProgramServices
Management And General	558619	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	63712422	Total
Program Services	55270178	ProgramServices
Management And General	8442244	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	2425624	Total
Program Services	2088921	ProgramServices
Management And General	336703	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	12305247	Total
Program Services	9977859	ProgramServices
Management And General	2327388	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	4462531	Total
Program Services	3843132	ProgramServices
Management And General	619399	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	4619883	Total
Management And General	4619883	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	2607402	Total
Management And General	2607402	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	31056	Total
Program Services	31056	ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	28012306	Total
Program Services	22628888	ProgramServices
Management And General	5383418	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	535328	Total
Program Services	480151	ProgramServices
Management And General	55177	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	0	Total

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	4666222	Total
Program Services	61707	ProgramServices
Management And General	4604515	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1999326	Total
Program Services	1999326	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	105860	Total
Program Services	54680	ProgramServices
Management And General	51180	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	295500	Total
Program Services	99089	ProgramServices
Management And General	196411	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	193903	Total
Management And General	193903	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	9942125	Total
Program Services	8730628	ProgramServices
Management And General	1211497	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3125073	Total
Program Services	2525059	ProgramServices
Management And General	600014	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	25651408	25651408
PROVISION FOR BAD DEBTS	18475914	18475914
LICENSE AND TAXES	7133400	7123553	9847
MAINTENANCE & REPAIRS	6369092	5252583	1116509
UTILITIES	2901351	2344292	557059

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2456466	Total
Program Services	2011886	ProgramServices
Management And General	444580	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	203162670	Total
Program Services	169226922	ProgramServices
Management And General	33935748	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	859926	BOY
EOY	-1784789	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	3245447	BOY
EOY	4913810	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	27943491	BOY
EOY	25707708	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	41646	BOY
EOY	1706906	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2519185	BOY
EOY	2700040	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2095229	BOY
EOY	1684056	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	193207968	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	131565942	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	65617382	BOY
EOY	61642026	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	76169404	BOY
EOY	65888347	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	3332369	BOY
EOY	4678593	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	349631	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	594318	BOY
EOY	552713	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	182418397	BOY
EOY	168039041	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	18232201	BOY
EOY	15942972	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	1011	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	51359675	BOY
EOY	49888720	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	37668022	BOY
EOY	55792035	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	107260909	BOY
EOY	121623727	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	70106000	BOY
EOY	40981396	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5046488	BOY
EOY	5423387	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5000	BOY
EOY	10531	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	75157488	BOY
EOY	46415314	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	182418397	BOY
EOY	168039041	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii
Contrib By Controlling Individual	false	ContribByControllingIndividual
Contribution By Related Party	false	ContributionByRelatedParty
Contrib By35 Controlled Entity	false	ContribBy35ControlledEntity

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Amt Of4955 Tax	0	AmtOf4955Tax
Amt Of4955 Tax On Managers	0	AmtOf4955TaxOnManagers
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$31,056	OtherActivitiesAmount
Total Lobbying Expenditures IIB	31056	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF OTHER LOBBYING ACTIVITIES	Identifier
Return Reference	SCHEDULE C, PART II-B, QUESTION 1I	ReturnReference
Explanation	ST. 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 AND PART OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING FEES PAID BY THE ORGANIZATIONS. THE AMOUNT LISTED ABOVE IS THE AMOUNT ATTRIBUTABLE TO THE HOSPITAL FROM ITS DUES PAID.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3630755	OtherCostOrOtherBasis
Book Value	3630755	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	106372003	OtherCostOrOtherBasis
Depreciation	71480473	Depreciation
Book Value	34891530	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	328544	OtherCostOrOtherBasis
Depreciation	111610	Depreciation
Book Value	216934	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	73199477	OtherCostOrOtherBasis
Depreciation	55101083	Depreciation
Book Value	18098394	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	9677189	OtherCostOrOtherBasis
Depreciation	4872776	Depreciation
Book Value	4804413	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	61642026	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
RETIREMENT OBLIGATION ASBESTOS	$8,067,357
SELF INSURANCE COST	$8,627,393
RATE SWAP PROGRAMS	$3,237,635
ACCRUED BENEFIT LIABILITY	$35,859,650

Field	Value	IRS element (for citing)
Total Of Amounts	55792035	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	ASC SUBTOPIC 740-10	Identifier
Explanation	ON 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, 2010 AND 2009, HSHS DOES NOT HAVE A LIABILITY FOR UNRECOGNIZED TAX BENEFITS.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent100	X	Pcent100
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent200 D	X	Pcent200D
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5695616	TotalCommunityBenefitExpense
Net Community Benefit Expense	5695616	NetCommunityBenefitExpense
Percent Of Total Expense	0.03080	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	19385525	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7971548	DirectOffsettingRevenue
Net Community Benefit Expense	11413977	NetCommunityBenefitExpense
Percent Of Total Expense	0.06180	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	25081141	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7971548	DirectOffsettingRevenue
Net Community Benefit Expense	17109593	NetCommunityBenefitExpense
Percent Of Total Expense	0.09260	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	43	NumberOfActivitiesOrPrograms
Persons Served	13445	PersonsServed
Total Community Benefit Expense	209482	TotalCommunityBenefitExpense
Direct Offsetting Revenue	38817	DirectOffsettingRevenue
Net Community Benefit Expense	170665	NetCommunityBenefitExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	662	PersonsServed
Total Community Benefit Expense	14887	TotalCommunityBenefitExpense
Net Community Benefit Expense	14887	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2740059	TotalCommunityBenefitExpense
Direct Offsetting Revenue	480411	DirectOffsettingRevenue
Net Community Benefit Expense	2259648	NetCommunityBenefitExpense
Percent Of Total Expense	0.01220	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	19	PersonsServed
Total Community Benefit Expense	514	TotalCommunityBenefitExpense
Net Community Benefit Expense	514	NetCommunityBenefitExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	49	NumberOfActivitiesOrPrograms
Persons Served	14126	PersonsServed
Total Community Benefit Expense	2964942	TotalCommunityBenefitExpense
Direct Offsetting Revenue	519228	DirectOffsettingRevenue
Net Community Benefit Expense	2445714	NetCommunityBenefitExpense
Percent Of Total Expense	0.01320	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	49	NumberOfActivitiesOrPrograms
Persons Served	14126	PersonsServed
Total Community Benefit Expense	28046083	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8490776	DirectOffsettingRevenue
Net Community Benefit Expense	19555307	NetCommunityBenefitExpense
Percent Of Total Expense	0.10580	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	18	NumberOfActivitiesOrPrograms
Persons Served	3918	PersonsServed
Total Community Building Expense	115555	TotalCommunityBuildingExpense
Direct Offsetting Revenue	18007	DirectOffsettingRevenue
Net Community Building Expense	97548	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	1200	PersonsServed
Total Community Building Expense	244	TotalCommunityBuildingExpense
Net Community Building Expense	244	NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	7	NumberOfActivitiesOrPrograms
Persons Served	950	PersonsServed
Total Community Building Expense	3644	TotalCommunityBuildingExpense
Net Community Building Expense	3644	NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	18	NumberOfActivitiesOrPrograms
Persons Served	7477	PersonsServed
Total Community Building Expense	84977	TotalCommunityBuildingExpense
Direct Offsetting Revenue	20810	DirectOffsettingRevenue
Net Community Building Expense	64167	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	562	PersonsServed
Total Community Building Expense	20151	TotalCommunityBuildingExpense
Net Community Building Expense	20151	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	19	PersonsServed
Total Community Building Expense	312	TotalCommunityBuildingExpense
Net Community Building Expense	312	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	49	NumberOfActivitiesOrPrograms
Persons Served	14126	PersonsServed
Total Community Building Expense	224883	TotalCommunityBuildingExpense
Direct Offsetting Revenue	38817	DirectOffsettingRevenue
Net Community Building Expense	186066	NetCommunityBuildingExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$6,188,926	BadDebtExpenseAmount
Amount Attributable To	618892	AmountAttributableTo
Amount Reimbursed By Medicare	64103402	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	88235171	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-24131769	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	false	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (4 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership
MEM& STELIZ'S
HEALTHCARE	0.50000
HEALTHCARE SVS

SOUTHERN ILLINOIS

CARDIOVASCULAR FAC
FACILITATE CARDIOVASCULAR SVS	0.50000

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	St Elizabeth's Hospital - Belleville	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	211 SOUTH THIRD STREET	AddressLine1
City	BELLEVILLE	City
State	IL	State
ZIP Code	622201998	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Income Based Criteria	NOT APPLICABLE AS THE ORGANIZATION DOES FOLLOW FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR PROVIDING CHARITY AND DISCOUNTED CARE TO LOW-INCOME UNINSURED AND UNDERINSURED INDIVIDUALS.	IncomeBasedCriteria
Annual Community Benefit Expln	The hospital's community benefit report is available upon request. Please contact Tom Vernier at 618-641-5466.	AnnualCommunityBenefitExpln
Costing Method Used	Charity care is calculated by determining the total amount from patient billing that is written off to charity care charge codes or allowances. This amount matches the number that is reported on our fiscal year ending 2010 audited financial statements. The total charity care dollar amount is then reduced to cost by applying the Hospital's 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.	CostingMethodUsed
Subsidized Health Services Expln	The hospital does not have sufficient information at this time to determine if subsidized services exist based on the definition and calculations required by the IRS and is working to provide such information in next year's return.	SubsidizedHealthServicesExpln
Percent Of Total Expense Expln	The percent of charity care and certain other benefits at cost as a percent of total expense less bad debt is 10.58%. allowances. This amount matches the number that is reported on our fiscal year ending 2010 audited financial statements. The total charity care dollar amount is then reduced to cost by applying the Hospital's 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.	PercentOfTotalExpenseExpln
Bad Debt Footnote	The hospital strongly believes that its charity care, and the related community benefit obtained from such care, is understated because of those patients that potentially qualify for charity care but do not wish to apply for it. In addition, some care is not classified as charity due to missing documentation on patient resources. Thus, the hospital's bad debt includes a portion that could be classified as charity care if application for such care was sought and/or completed. Currently, the hospital is implementing processes, procedures and systems to more effectively determine charity care that will reduce a patient's documentation requirements and ease the patient's emotional burden in applying for charity care. This will provide a more accurate reporting of charity care services provided by the hospital. During the year, the hospital's bad debt expense (at cost) was $6.1 million. We believe that approximately 10% of this amount is owed by individuals who may qualify for charity care.	BadDebtFootnote
Shortfall As Community Benefit	The hospital continually strives to provide excellent patient care in the most cost effective fashion. Nonetheless, the Medicare program, in many cases, does not provide payment that covers the full cost of the care provided. Since it is the mission of the hospital to respond to community need, hospital management continually advocates for improved Medicare payment so that the cost of quality care to those patients that are not able to afford it is not compromised and is fairly subsidized by all payers. During the year, the hospital provided $24.1 million (at cost) in excess of Medicare payments. While this shortfall in Medicare payments is not classified as community benefit by the IRS, we nonetheless believe it is an important contribution made by the hospital to the health and well being of the community. Our mission calls us to serve all patients with the highest possible quality and efficiency, even if we are not paid fully for doing so.	ShortfallAsCommunityBenefit
Debt Collection Policy	Any patient accounts that are sent to a collection agency have an opportunity to complete a financial application for Charity/Christian Care if the patient makes a request or if the collection agency feels the patient may meet criteria. If an account meets the qualifications for financial assistance, St. Elizabeth's will recall the account from bad debt, open the account back up on the hospital's books, and adjust the appropriate amount off to charity care.	DebtCollectionPolicy
Number Of Facility Type Expln	The hospital does not have any healthcare facilities that are not registered as a healthcare facility under state law.	NumberOfFacilityTypeExpln
Needs Assessment	St. Elizabeth's Hospital - Belleville - established a formal Community Benefit Committee in January, 2009. This committee consists of interdisciplinary department representatives and community representatives. The Community Benefit Committee consists of 15 members and meets bi-monthly to assess progress towards the year's goals and targets. With a cross-section of community representatives along with hospital leadership, the Community Benefit Committee truly has the appropriate resources and access to pertinent data and information to build, coordinate, and offer programs and education that meet the health needs of St. Clair County and surrounding counties. Data Sources and Findings: St. Elizabeth's Hospital determined community needs through a collaborative community process undertaken with the St. Clair County Healthcare Commission. The hospital incorporates new data and area health assessments into each year's strategic planning process. This year the committee had access to the most recent demographic healthcare report from the St. Louis Division of United Way, the latest study from the Illinois Behavioral Risk Factor Surveillance Report, and most recently, the assessment study of local communities produced by the Missouri Hospital Association. St. Elizabeth's Hospital was included in this study as a member of the metropolitan statistical area (MSA) for St. Louis. The major causes of death in St. Clair County have not changed much over the past two decades. Heart disease is at the top of the list, followed by cancer. More recent studies have shown the frequency rates of these major causes in the different populations and age groups in this metropolitan service area. The St. Clair County Health Department's IPLAN report, completed in 2006, identified six strategic issues to address in the next five years. The Illinois Project for Local Assessment of Needs or IPLAN is a county-level reporting process for the Illinois Department of Public Health (IDPH). Among these issues, the two that ranked highest were the need to improve health outcomes for conditions such as heart disease, diabetes, COPD, stroke, mental health-related conditions, accidents and violence; and the need to focus on comprehensive prevention programs that can be applied across a lifespan and encourage local communities to connect and collaborate for change. Obesity is another key health issue for the population of St. Clair County. Being obese (or even just overweight) is the second leading cause of preventable death in the United States and is measured by body mass index (BMI), a person's weight to height ratio. Overweight is defined as having a BMI over 25 and obese is defined as having a BMI above 30. In St. Clair County, almost a third of adults are overweight, and nearly 28% are considered obese. This issue is of particular concern because obese and overweight individuals are at much higher risk of suffering from various chronic conditions. Health Risk Factors for St. Clair County: Among the health risk factors are: high blood pressure, lack of physical activity, smoking, poor eating habits and high cholesterol. The Community Benefit Committee uses this data to evaluate past practices as well as to set new targets capitalizing on those resources that we have on staff. The Committee also recognized that efforts in educating the public regarding health risks should not stop with our patients. Each patient with a smoking addiction is identified in the patient's history and physical and is subsequently provided cessation information. Smoking or any of the health risks affect our community. This information is also available to family members and visitors. When St. Elizabeth's does not offer a particular health risk program, the hospital offers a listing of those programs in the community or in the state which address a specific need. Collaboration with other Agencies: St. Elizabeth's has been an active member of the St. Clair County Healthcare Commission, a coalition of major health and human service organizations within St. Clair County. The Commission's main goal has been to identify the health needs of the citizens of St. Clair County and to collaborate on strategies for solutions. The Commission is a valuable resource in that it serves as a central clearinghouse of needs and activities occurring in our service area. St. Elizabeth's has a representative on the Commission and our participation has helped us to identify community needs, as well as coordinate activities so there is less costly duplication of programs and services. Every five years, the Commission participates in a community health assessment and planning process as part of IDPH's IPLAN report. This is the final year of the 2005 plan and already St. Elizabeth's has been invited to take an active role in the planning process for the next five years of the Mobilizing for Action through Planning and Partnership (MAPP) assessment. As part of the new assessment, St. Elizabeth's and the Community Benefit Committee have taken an active role in "Survey Life in St. Clair County," which is being coordinated by nursing students from Southern Illinois University. St. Elizabeth's has been a key sponsor in the past three health assessments both through financial support and through people resources. As a result of this participation, St. Elizabeth's has gained access to the data collected and has provided first-hand input on identifying and helping to meet some of the community's healthcare needs. Each year the Commission sponsors a public conference to raise the awareness of chronic diseases and emerging health concerns and health disparities. Each conference has enhanced the missions of the participating organizations by complementing their existing initiatives. The conferences have also facilitated partnerships and cooperative efforts among participants. For example, as a result of one of the conferences, staff from the Illinois Department of Public Health and local hospitals agreed to provide data to the County Health Department to create the St. Clair County Health-Trak Information System, a population- based, public health surveillance system developed to report and evaluate health outcomes using local morbidity and mortality information. The conferences have also generated collaborative partnerships such as the establishment of the St. Clair County Youth Coalition and the Get Up & Go! Campaign initiated in late fall of 2007. St. Elizabeth's took a lead role in these partnerships. Having the Assistant Director of St. Clair County Healthcare Commission on the Community Benefit Committee and the hospital's Advisory Council has given St. Elizabeth's access to the latest information. This relationship allows us to participate in the delivery of relevant programs and services identified as needs in this county. The hospital's Community Benefit Committee each received a copy of the most recent assessment and studied it relative to our resources. It was the Committee's responsibility to evaluate those needs, and based on our resources, to determine how best we could serve the community. In addition, internal data regarding Emergency patients and our own mortality/morbidity reports were brought to this Committee. The county assessment also identified some needs beyond our resources. The St. Elizabeth's Community Benefit Committee led a consensus-building process of 65 community partners that analyzed the assessment results and determined more specifically where the hospital should focus resources. This analysis yielded seven strategic issues, which were adopted as the current goals of the St. Elizabeth's Community Benefit Committee: - Create a broader sense of community connectedness; - Improve health outcomes for cardiovascular diseases, maternal and child health and respiratory diseases; - Strengthen the public health workforce; - Address local behavioral health services and needs; - Increase efforts to reach out to the aging population in our community; - Establish a monthly dashboard reporting process; - Develop a hospital policy relative to Community Benefit;	NeedsAssessment
Patient Education Assistance	As national unemployment rises, the number of uninsured patients coming to St. Elizabeth's likewise increases. Illinois has a 9.1% unemployment rate. According to the Chicago Tribune (April 1, 2010), there are 1.7 million uninsured Illinoisans. That translates to 10.3% of the total population in St. Clair County. These uninsured struggle to afford medical care and are forced to choose other life essentials over medical coverage. The uninsured and underinsured population puts additional stress on the emergency room resources and increases our annual Charity Care totals. According to the "Fact Sheet from Families USA", the uninsured pay for about 35% of the cost of the care they receive out of pocket. Most people who are uninsured are in low-income families. Last year (FY 2009) Charity Care for St. Elizabeth's was $3.1 million; for FY 2010 it had increased to $5.6 million. That is an 81% increase in just one year. Recognizing this influx, special efforts have been put in place to direct those patients unable to afford their care to other resources. Information about how to apply for Christian Assistance is included on the Patient Information Guide, which is given to all patients admitted. It is also printed on the bills and monthly guarantor statements which are mailed to patients. St. Elizabeth's has contracted with Accordis to assist self-pay (uninsured) in-patients. Accordis provides a representative who visits the patients and discusses the feasibility of applying for Medicaid coverage. They assist patients with the Medicaid application, follow-up on requests from Medicaid, and conduct home visits with patients if needed. If the patient needs to file an appeal, Accordis assists with other qualifying conditions required. If during a visit with a patient, it is determined they do not qualify for Medicaid, then patients are provided one of St. Elizabeth's Charity (Christian Assistance) applications.	PatientEducationAssistance
Community Information	ST. CLAIR COUNTY INFORMATION Comparison of Select Demographic, Biostatistical & Behavioral Data St. Clair County, Illinois based on the 2009 estimate Characteristic St. Clair County Illinois Total Population 263,617 12,910,409 Age Persons under 18 years old 25.3% 24.6% Persons 65 year old and over 12.6% 12.4% Percentage of female persons 52.2% Percentage of male persons 47.7% Race % White 67.3 79.0 % Black 29.6 14.9 Ethnicity Hispanic 2.9 15.2 Median Household Income $46,428 $54,141 Crude Coronary 2006 Mortality 173.9 149.0 Rate/100,000 Premature Coronary 2006 Mortality 42.6 34.2 Rate/100,000 % Adults Obese & Overweight 60.9 62.0 % Adults Not Meeting Physical Activity Standards 63.0 63.0 % Adults Eating <5 Fruits / Vegetables / day 83.6 75.0 % Youth Who Are Obese 2.9 According to the 2008 estimates of the US Census, the demographic make-up of St. Clair County is 68% white, 29% black and 3% other. The 2007 poverty rate for St. Clair County is 32.7% higher than the State of Illinois, with an estimated 16 out of 100 county residents living in poverty. This is a significant fact in that many of these residents are underinsured or uninsured. They need healthcare but cannot afford it. The net result is an alarming increase in our Charity Care. It is the mission of the Hospital Sisters of St. Francis and St. Elizabeth's Hospital to provide care for everyone who enters our facility. We will not turn away anyone with a healthcare need. St. Clair County is known to have communities where as many as 35 to 45 out of every 100 residents live in poverty (U.S. Census). The poor are in our midst and St. Elizabeth's is committed to their care. A comparison of 1999-2004 premature deaths to all women under the age of 65 years for Illinois and St. Clair County residents show mortality rates (per 100,000 population) with calculated percent differences that are significantly higher for female residents of St. Clair County than their Illinois counterparts for the following causes of death: Breast Cancer (14.6% higher), Cervical Cancer (16.3%), Lung Cancer (19.7%), HIV/AIDS (15.1%), Heart Failure (106.8%), Hypertension (96.1%), Stroke (33.1%), Chronic Obstructive Pulmonary Diseases (73.5%), Diabetes mellitus (147.2%), Motor Vehicle Fatalities (53.8%), Suicide (35.7%) and Homicide (90.9%). The combined years of potential life lost to the age of 65 years (YPLL65) for these conditions is a staggering 14,840 (Source: SCC Health-Trak). Hospitalizations for this same population of St. Clair County residents show that the five leading causes of hospitalizations (deliveries not included) are Mental Disorders (12.5%), Heart Disease & Stroke (7.5%), Pneumonia/Influenza (2.2%), Asthma (1.9%) and Diabetes (1.8%) (Source: IDPH EMS Reporting System).	CommunityInformation
Community Building Activities	An important aspect of community building is ensuring there is broad representation of community leaders. St. Elizabeth's Hospital has recognized this involvement and participation as two-fold. First it gives this hospital the opportunity to hear first-hand what community leaders perceive as the top healthcare needs and challenges of this community. Whether it's the need for more physicians, supporting a community-wide effort or initiative within the community, or partnering with educational institutions in encouraging young people to consider a career in healthcare, these are all the types of dialogue that need to occur for mutual and beneficial support . Secondly, when a need is identified, this representation puts us in direct contact with those who have identified the need. This leads to opportunities to strengthen collaboration and help nurture the concept that building a healthy community is also improving individual health. Hospitals can only be a part of such an effort. Good health applies to all the residents in the village. But, St. Elizabeth's recognizes that as a healthcare leader, it has the resources, the knowledge and support that can help address these unmet needs. Currently St. Elizabeth's Hospital has staff serving on the Belleville Chamber of Commerce's Healthcare Subcommittee. We also have representation on the Board of Directors of the local YMCA, on two of the Hospice Organizations serving this community, on the Leadership Council of Southern Illinois, and active participation with the St. Clair County Board of Commissioners on Pioneering Healthy Communities. The Belleville Diocese conducts quarterly meetings of all the healthcare agencies in this Diocese, which serves 28 counties adjacent to Indiana, Kentucky and Missouri. This coalition offers a forum for all the hospitals and Catholic Charities to identify healthcare needs and to share the activities of each agency. Although, some of the Diocesan agencies concentrate on serving the poor in these extremely southern counties, many times those needs can be met through a cooperative effort among the participating agencies. In the past, St. Elizabeth's has offered educational programs and has provided informational material to areas where resources are limited. In the past year, St. Elizabeth's conducted two food drives to benefit local pantries and military families whose chief breadwinner was deployed. St. Elizabeth's has worked jointly with St. Clair County and its Mental Health Board in designing and sponsoring an annual community conference. The conference has adopted the brand of Removing the Stigma. St. Elizabeth's has developed a strong working relationship with area colleges and some of the area high schools. One example of high school participation is the annual service program. This is a three-week experience where high school seniors must choose a community social service agency, and then volunteer full-time doing a variety of assignments in order to get an understanding of what that service offers. This program is required for graduation. This is becoming more and more popular, as it is now being built into the curriculum for students in advanced classes. At the college level, St. Elizabeth's maintains over 30 college affiliation agreements. Interns from nursing, radiology, respiratory therapy, and physical therapy fulfill their required internship training. This training can be formal through classroom instruction or informal through simply observing delivery of medical care. There is no compensation associated with these affiliations. These students are already shouldering a full academic load and having access to St. Elizabeth's for their internships certainly reduces their time and travel. St. Elizabeth's has two in-house affiliations. The space for these additional programs is reimbursed, however it is the value of all the resources that support these programs which indirectly contribute to the community. The Respiratory Therapy program has a classroom and a lab training room in the hospital. Also on the campus of St. Elizabeth's is a General Practice Residency Program under the auspices of St. Louis University. This is a joint military/civilian residency program. There is an average of 42 residents in the program with half of them coming from the nearby Scott Air Force Base. Rated as one of the top medical residencies in Illinois, this residency program has provided the training which has directly impacted the local area. Many of the graduates have elected to remain in the area, serving especially the rural communities surrounding Belleville. Improving access to healthcare is truly a benefit to any community when a physician chooses to establish a practice serving a rural community. St. Elizabeth's Hospital is in the downtown district. It is the oldest part of town. Within 8 blocks of the hospital in all directions are elementary schools with exceptional needs. Managers from St. Elizabeth's give up their time monthly to visit a school. They each are assigned a student who may be experiencing a skills difficulty or is surviving in a dysfunctional environment. Having lunch with the student, listening to their reading or spelling assignment, or simply listening to their life trials, has been well received. In fact, some true friendships have developed through this program, and their mentors have maintained that relationship outside of school hours by including a student on a trip to local entertainment or attraction. Due to budget limitations, these students were lacking recess supplies. Those needs were brought to the management team at St. Elizabeth's and personal donations quickly filled that need. Mentoring, listening, caring, what child does not have those needs. And how can it be measured? The highlight of each year is when the mentors and students are introduced at a regular management huddle and they are treated to a tour of the hospital.	CommunityBuildingActivities
Other Information	St. Elizabeth's Hospital offers hope to our community in the tradition of the Hospital Sisters of St. Francis. St. Elizabeth's 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 is 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 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. Reinvesting in the Needs of the Community Because of the hospital's purpose and tradition, it is organized to promote the health of Belleville and the surrounding areas. The hospital is governed by a Board of Directors, the majority of which is comprised of persons who reside in the organization's primary service area and who are neither employees nor contractors of the hospital (nor family members thereof.) The Board ensures that St. Elizabeth's is responding to community need in accordance with the process described under #2 above. Also consistent with its exempt status, St. Elizabeth's has an open medical staff with privileges available to all qualified physicians in the area. As a not-for-profit hospital, St. Elizabeth's reinvests surplus funds into the mission of the organization and health of the community rather than distributing them as profits to shareholders or individuals. Funds not committed to ongoing operation are generally used to upgrade facilities, secure new technologies, improve patient care, and support initiatives designed to promote helath and insure access for all. The hospital's focus on improving health status for cardiac care, maternal and child health, and behavioral health are all examples of how the hospital is responding to community need. As described under #2 above, St. Elizabeth's is concentrating on quality of our cardiac services by meeting and/or exceeding standards of care. Our door-to-balloon time is an area in which we have consistently exceeded the national standard. We also have begun targeting the female population - that age group in particular that is at great risk than their male counterparts - primarily through education. Although it is too early to measure the true Community Benefit, St. Elizabeth's is the only hospital in southern Illinois with neonatal services and will soon be adding a perinatologist to its staff. The addition of the perinatologist resulted in 760 outpatient visits in a span of four months. In addition to the specialized care that this hospital is equipped and trained to deliver, these services demonstrate an improvement to patient access. Without special neonatal care, these babies would be transferred to St. Louis and the hardship on the parents would multiply. The combined admissions of these two specialists for FY 2010 were 1,150 patients. In addition, St. Elizabeth's offers the only in-patient and outpatient behavioral health program in St. Clair County. In the past year, there have been 1,600 psychiatric admissions and 431 detox admissions. Providing a Wide Range of Community Benefits St. Elizabeth's Hospital provided 59,835 adult and pediatric days of care and had 176,718 outpatient visits during FY 2010. During this period, St. Elizabeth's provided in excess of $43.6 million to support our commitment to the community. Included in this total was $5.6 million at cost of healthcare for individuals unable to afford their care. St. Elizabeth's Hospital also provided care to persons covered by governmental programs at or below cost. This resulted in providing $24.1 million of healthcare to Medicare and $11.4 million to Medicaid patients which was not reimbursed. This resulted in a total of $35.5 million healthcare provided for these two groups. 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. Included in the above figures are the following initiatives aimed at improving access and promoting health for the people of Belleville and surrounding communities. Health Screenings: -Blood pressure screenings -Car seat inspections, installations, and free car seats -Reduced fee for mammograms -Lung Function screenings -Cardiac blood tests at reduced fee -Skin cancer screening -Alzheimer's Disease screening -Anxiety screening -Depression screening -Pulmonary function testing -Alcohol screening -Cholesterol screening -Stroke Screening -Alcohol Abuse Screenings Educational Programs -Student internships with numerous colleges and universities -A work-study program for mentally challenged high school students -Tours for high school students -Healthcare Professions Shadowing -Student volunteer programs (senior community project) -Prenatal classes -Lamaze classes -Mother Child Tours for Expectant Mothers -Adult, infant and child CPR classes -Nutrition classes -Arthritis self-help classes -Aging conference -Ethics conference -Advance Directives Workshop -Nursing support for school physicals -Variety of programs for seniors at the PSOP center -Lunch with a Doctor - ten programs Nutritional Support -Meal coupons for the homeless and indigent -Food items collected and donated to needy families and to an interdenominational food pantry in Belleville and to families of deployed soldiers -Clothing collected and donated to the Violence Prevention Center, Pregnancy Care Center, and Catholic Urban Program -Food coupons to local grocery stores -Diabetic Nutritional Counseling -Free prescriptions for patients unable to pay -Bus passes and cab fare Support Groups -St. Elizabeth's sponsors sixteen support groups and meetings -Diabetic Support Group -Memorial services for deceased family members -Compassionate Friends -Manic Depressive -Recovery, Inc. (support for those dealing with nervous symptoms and fears) -Parkinson Support Group -Life After Breast Cancer -Alcoholics Anonymous Sponsorship -Mended Hearts -Funeral services conducted by Pastoral Care chaplains -Burial along with graveside services for relatives of fetal/premature deaths -Alzheimer's Support Group -Rehab Support Group -Stroke Support Group -Defibbers Support Group -Narcotics Anonymous Sponsorship Health Fairs -At the community events in St. Clair and Monroe Counties -At senior centers and Our Lady of the Snows Retirement Apts -At area churches -For Women, By Women Health Fair -For area clergy -Lipstick Women's Conference Community Involvement -Wellness clinic at the Programs and Services for Older Persons Center -Provided flu shots to the underserved at no charge -Meeting and conference room space for health/civic groups -Actively participate in programs and services of St. Clair County's Health District -Held leadership role in community civic organizations - Healthcare Providers Committee - Greater Belleville Chamber of Commerce -Participated with community groups by providing healthcare information -Participated in major community health events - Cancer Walk and Ride, Trivia Night, March of Dimes Walk, American Lung, Diabetes Walk, Drug Awareness Red Ribbon Walk, Susan B Komen Denim Day, Ride Belleville, Bethany Anniversary -Conducted Lay Ministry Training Program for all denominations -Sponsored six blood drives -Cooperated with local judicial court on family violence programs -Provided space and equipment for the Family Visitation Exchange program -Charity consults with pharmacists -CPR classses -Participated on the planning committee for the St. Clair County Health conference -Gave support to the local AIDS support and residence service -Conducted quarterly memorial services and reception for family members of deceased patients -Red Heart Day sponsorship -Community-wide disaster preparation and drills -Career Days -Gateway Hospital Ethics Committee -Provide graveside services at no charge -Linen donations to area nursing homes and other medical supplies to Mission Outreach -School Mentoring Program -School Supplies for Children residing in the Violence Prevention Center -Food Drive for Local Food Pantry -Clinical education/affiliation with area healthcare programs	OtherInformation
Affiliated Health Care System	St. Elizabeth's Hospital is an affiliate of Hospital Sisters Health System. The foundational mission principles of Hospital Sisters Health System (HSHS) embody the belief that every life is a sacred gift and every human being is a unity of body, mind and spirit. Our health care ministry calls on us to foster healing, serve with compassion, and promote wellness for all persons, with special attention to our neighbors who are sick, poor, underserved, and most vulnerable. These principles have made it possible for HSHS to provide high quality, cost-effective and compassionate health care for millions of people in Illinois and Wisconsin. Our health care ministry consists of 13 hospitals and numerous physician partners committed to continuing the healing ministry of Jesus Christ. Beyond functioning as a primary source for health care in the 12 primary communities we serve, HSHS also provides a wide array of Community Benefits that expand residents' access to health care, enhance their overall health status, and further medical education. In the Fiscal Year that ended June 30, 2010, HSHS hospitals provided $152.2 million in Community Benefits (or 8.5% of total expenses), an increase of $28 million from FY 2009. Of this amount, $32.3 million was provided for charity care and $89.2 million was the amount of unreimbursed care provided under the Medicaid program. In addition, HSHS hospitals provided $159.3 million in health care services primarily to the elderly beneficiaries of the Medicare program in excess of governmental and managed care contract payments. HSHS hospitals also recorded $95 million in uncollectible accounts. HSHS is committed to sustaining and strengthening 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 ongoing enhancements ensure that our hospitals can continue to provide high quality, compassionate care to our patients. During Fiscal Year 2010, HSHS continued to pursue a Care Integration strategy designed to continuously enhance quality and improve coordination of care both inside the hospital and with a growing number of physician partners. Supported by the system investments in information technology, this 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. The Care Integration strategy includes, among other efforts, three "Medical Home" pilot projects, the coordination of care for cardiac patients living in rural communities through the use of telemedicine, and development of a "clinical integration network" that will help independent physicians improve quality and the patient experience by benchmarking their care against best practices. HSHS also placed a special emphasis on investing in interoperable health information technologies and robust health information exchanges. We recognize that our investments in information technology will have a positive impact on the quality, safety and efficiency of health care. These investments also ensure that the patient is at the center of a high quality, highly integrated, compassionate health care delivery system. Expanding access to health care At the heart of our health care ministry is the commitment to care for every patient who seeks our help. Because not all patients have health insurance, HSHS hospitals have generous Charity Care program guidelines that cover 100% of hospital charges for individuals and families who earn less than 250% of the federal poverty level. Under these guidelines a family of four without health insurance that has an annual household income of $55,125 or less is eligible for a 100% discount on their hospital bill. 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. Hospitals have created a simple two page form 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. The gratitude of the people who have benefitted from our Charity Care program (sometimes referred to as Christian Care) is reflected in some of the thank you letters sent to St. Anthony's Memorial Hospital in Effingham, IL. Comments included: "When I opened your letter today and read that you gave me a 100% Christian Care adjustment, I gasped and started crying. I am so grateful. I count this as an unexpected miracle from God working through people willing to show his love to others." - D.K. The King will reply, "I tell you the truth, whatever you did for one of the least of these brothers of mine, you did for me." - Matthew 25:40. "We just want to take a moment to express our deepest gratitude! Your generosity has eased our minds, hearts & pocket book!! Thank you, Thank you, Thank you! God Bless You All! I pray someday I will be able to help someone in such a generous way! You have no idea what a relief this is for us! Thank You seems too simple of words!" - S.L. and C.S. "I want to say at all those who have made it possible to help us pay my hospital bills - Thank You! I don't have words to thank you for all the worry that you have taken away. A thousand "thanks." May God bless you." - L.B. (translated by N.R. and W.R.) "My husband K. and I would like to express our deepest gratitude for your assistance with his medical bill from the hospital. We cannot thank you enough for the help and how this eased a financial burden that we faced. Keeping this gift in mind, we will strive to help others who are in need in whatever way we can to 'Pay it forward.' Thank you and bless you all!" - K.S. and L.S. Our Charity Care programs are only one aspect of our commitment to increasing access to health care services in Illinois and Wisconsin. In many of our communities, HSHS collaborates with Federally Qualified Health Centers (FQHCs) to provide greater access to health care services for low-income residents. For example, St. Elizabeth's Hospital in Belleville, IL hosts a FQHC primary care clinic adjacent to its Emergency Department and St. John's Hospital in Springfield, IL coordinates specialty physician referrals with the local FQHC and provides free health care to its clients. HSHS hospitals work collaboratively in their communities to support the various social services that together make up the fabric of the health care safety net. Sacred Heart Hospital in Eau Claire, WI provides leadership, staff support and laboratory and radiology services for the Chippewa Valley Free Clinic. During FY2010 Sacred Heart's Lab performed 676 tests for patients from the clinic St. Mary's Hospital Medical Center in Green Bay, WI supports a Women's Place, which provides health care services and referrals for men and women in the Latino community. "Because of language barriers, erratic work schedules and the lack of insurance and transportation, many in the Latino community aren't able to access our health system," explains Program Director Carol Ponce. "I feel it is important to overcome those barriers and build bridges for people in the Latino community to access health care and other services that contribute to their well-being. Our programs not only bring health care to the Latino community but joy and connection to other people from Mexico, Honduras, Nicaragua, Peru and Puerto Rico." In rural Illinois, Prairie Heart Institute of Illinois (PHII), a physician group affiliated with HSHS, is bringing a higher level of cardiovascular care to patients in their communities through extensive collaboration with local hospitals and physicians. Through regularly scheduled clinics and sharing of protocols and best practices, rural hospitals across central and southern Illinois can more rapidly and accurately identify heart attack patients and speed treatment to minimize damage to the heart muscle. Meanwhile, access to clinical trials provides opportunities for patients in rural areas to have access to drugs and treatments available only through PHII. "The result of this unique commitment is that regardless of where a patient lives, they will have access to care designed to detect heart disease earlier. We can also offer previously unavailable life-saving techniques and drugs and ensure a return to a quality of life," explains Jim Zito, PHII CEO. The benefits of this type of collaboration are many, including the standardization of quality assurance measures, the sharing of successful patient safety strategies, the addition of clinical research, workforce development and internal benchmarking. Enhancing the health status of the community A spirit of collaboration is pervasive for HSHS hospitals	AffiliatedHealthCareSystem
Reports Filed With States	IL	ReportsFiledWithStates

Schedule J IRS990ScheduleJ

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Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
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Equity Based Comp Arrangement	false	EquityBasedCompArrangement
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Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

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Kevin Shrake
0	279317	0	71470	0	35064	0	50274	0	16758	0	452883	0	28528
Salil K Gupta
430033	0	0		47885		25867		20640		524425	0	0
Robert S Miller
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Johnny E Watkins
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ANN CARR
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Linda Camp MD
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Edward Jacquin
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Mark Reifsteck
0	346885	0	119030	0	26823	0	145985	0	24845	0	663568	0	38948

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

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Chicago Land Of Trust for O'Fallon
Owner is Board Member	532253	RENT	false
Mascoutah Plaza Land of Trust
Owner is Board Member	268261	Rent	false
PROFESSIONAL THERAPY SERVICES PTS
OWNER IS BOARD MEMBER	4191574	STAFFING	false

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

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Noncash Contribs Rptd F990	62500	NoncashContribsRptdF990
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Form990 Schedule M Part II Form990ScheduleMPartII

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Identifier	N/A	Identifier

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Program Services	Form 990, Part III	St. Elizabeth's Hospital provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of St. Elizabeth's Hospital, it is recognized that not all individuals possess the ability to purchase essential medical services. It is our mission is 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 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. During FY 2010, St. Elizabeth's Hospital provided 59,835 adult and pediatric days of care and had 176,718 outpatient visits. During the period, St. Elizabeth's provided in excess of $19.5 million to support our commitment to the community. Included in this total was $5.6 million at cost of healthcare for individuals unable to afford their care. St. Elizabeth's Hospital also provided care to persons covered by governmental programs at or below cost. This resulted in providing $11.4 million 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. In addition to the Community Benefit total, St. Elizabeth's provided 18.4 million (at cost) in uncompensated care to patients that did not qualify for charity care or public assistance, and over $24.1 million (at cost) in excess of Medicare payment for health services. 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. Health Screenings: Blood pressure screenings; Car seat inspections, installations, and free car seats; Reduced fee for mammograms; Lung Function screenings; Cardiac blood tests at reduced fee; Skin cancer screening; Alzheimer's Disease screening; Anxiety screening; Depression screening; Pulmonary function testing; Alcohol screening; Cholesterol screening; Stroke Screening; Sports Physicals for local high school; Bone density assessment; Body Fat Screening; Vascular Screenings; Alcohol Abuse Screenings Educational Programs Student internships with numerous colleges and universities; A work-study program for mentally challenged high school students; Tours for high school students; Healthcare Professions Shadowing; Student volunteer programs (senior community project; Four free community education programs; Prenatal classes; Lamaze classes; Mother Child Tours for Expectant Mothers; Adult, infant and child CPR classes; Nutrition classes; Arthritis self-help classes; Here's to Your Health (a series of 4 presentations); Aging conference; Ethics conference; Advance Directives Workshop; Nursing support for school physicals Variety of programs for seniors at the PSOP center Lunch with a Doctor - ten programs Nutritional Support Meal coupons for the homeless and indigent; Six tons of food items collected and donated to needy families and to an interdenominational food pantry in Belleville; Over one ton of clothing collected and donated to the Violence Prevention Center, Pregnancy Care Center, and Catholic Urban Program; Food coupons to local grocery stores; Diabetic Nutritional Counseling; Free prescriptions for patients unable to pay Support Groups St. Elizabeth's sponsors thirteen support groups and meetings; Grief support (adults); Memorial services for deceased family members; Compassionate Friends; Manic Depressive; Recovery, Inc. (support for those dealing with nervous symptoms and fears); Parkinson Support Group; Life After Breast Cancer; Alcoholics Anonymous Sponsorship; Mended Hearts; Funeral services conducted by Pastoral Care chaplains; Burial along with graveside services for relatives of fetal/ premature deaths; Alzheimer's Support Group; Rehab Support Group; Stroke Support Group; Defibbers Support Group; Narcotics Anonymous Sponsorship; Health Fairs At the community events in St. Clair and Monroe Counties; At senior centers and Our Lady of the Snows Retirement Apts; At area churches; For Women, By Women Health Fair; For area clergy; Lipstick Women's Conference; Community Involvement Wellness clinic at the Programs and Services for Older Persons Center; Provided flu shots to the underserved at no charge; Meeting and conference room space for health/civic groups; Actively participate in programs and services of St. Clair County's Health District; Held leadership role in community civic organizations; - Healthcare Providers Committee - Greater Belleville Chamber of Commerce; Participated with community groups by providing healthcare information; Participated in major community health events; - Cancer Walk and Ride, Trivia Night, March of Dimes Walk, American Lung, Diabetes Walk, Drug Awareness Red Ribbon Walk, Susan B Komen Denim Day, Ride Belleville, Bethany Anniversary; Conducted Lay Ministry Training Program for all denominations; Sponsored six blood drives; Cooperated with local judicial court on family violence programs; Provided space and equipment for the Family Visitation Exchange program; Charity consults with pharmacists; CPR classes; Participated on the planning committee for the St. Clair County Health conference; Gave support to the local AIDS support and residence service; Conducted quarterly memorial services and reception for family members of deceased patients; Red Heart Day sponsorship; Community-wide disaster preparation and drills; Career Days; Gateway Hospital Ethics Committee; Provide graveside services at no charge; Linen donations to area nursing homes and other medical supplies to Mission Outreach; School Mentoring Program; School Supplies for Children residing in the Violence; Prevention Center; Food Drive for Local Food Pantry; Clinical education/affiliation with area healthcare programs TAX EXEMPT BONDS FORM 990, PART IV, LINE 24 ST ELIZABETH'S MEMORIAL HOSPITAL HOLDS A LIABILITY ON ITS BOOKS FOR TAX-EXEMPT BONDS, WHICH IS AN ALLOCATION FROM ITS SOLE CORPORATE MEMBER, HOSPITAL SISTERS SERVICES, INC. AS A RESULT, THIS QUESTION WAS ANSWERED NO, AND SCHEDULE K WILL BE COMPLETED ON THE HOSPITAL SISTERS SERVICES, INC. FORM 990. RIGHTS OF MEMBERS TO ELECT GOVERNING BODY FORM 990, PART VI, LINEs 6 & 7A THE SENIOR GOVERNING BODY OF 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 POWERS	FORM 990, PART VI, LINE 7B	Responsibility 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 Corporation or of any Affiliate; (j) Approve the merger or dissolution of the Corporation or of any Affiliate; (k) Adopt or amend the plan for ministry education and governance for the Corporation and its Affiliates; (l) Approve the Corporation's Mission Accountability Reports and those of any Affiliate; (m) Approve the financial policies and procedures of the Corporation or of any Affiliate and approve any deviations from such policies and procedures by the Corporation or any Affiliate; and (n) Adopt policies to implement the Reserved Powers of HSSI.
FORM 990 REVIEW PROCESS	FORM 990, PART VI, LINE 11a	The hospital employs KPMG to assist in the overall review and electronic submission of its Form 990. KPMG provides guidance in identifying critical errors in the return submission and feedback on quantitative and qualitative responses. Additionally, the hospital CFO performs a thorough review of the return and reviews it with the hospital CEO and/or senior leaders before presenting it in its entirety to the hospital Board for questioning and review prior to the return's signing and submission to the IRS.
CONFLICT OF INTEREST POLICY	FORM 990, PART VI, LINE 12C	The organization is subject to the corporate compliance program and conflict of interest policy ("policy") of Hospital Sisters Health System, an Illinois not for profit corporation exempt from federal taxation under section 501(c)(3) of the internal revenue code. A REVISED CORPORATE COMPLIANCE PROGRAM AND CONFLICT OF INTEREST POLICY HAVE BEEN IMPLEMENTED SINCE JANUARY, 2009 TO MANAGE CONFLICTS OF INTEREST USING A SYSTEM-WIDE PROTOCOL FOR DISCLOSURE STATEMENTS. IN ACCORDANCE WITH the organizaton's CONFLICT OF INTEREST POLICY, ALL COVERED PERSONS HAVE A DUTY TO COMPLY WITH THE CONFLICT OF INTEREST POLICY FOR ANY CONTRACT, TRANSACTION, RELATIONSHIP OR ACTIVITY CONTEMPLATED, ENTERED INTO OR CONDUCTED AT HSHS OR ITS AFFILIATES. THE POLICY DEFINES COVERED PERSONS AS BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS, BOARD DESIGNEES, SENIOR MANAGEMENT, MEMBERS OF ANY COMMITTEE THAT OVERSEES THE APPROVAL OF PHARMACEUTICALS AND MEDICAL DEVICES, ANY OTHER INDIVIDUAL WHO HOLDS A POSITION OF TRUST. ON AN ANNUAL BASIS, HSHS DISCLOSES A COPY OF THE CONFLICT OF INTEREST POLICY (AND ALL CORRESPONDING PROCEDURES, GUIDELINES, FORMS AND TOOLS) TO ALL COVERED PERSONS AND ADVISES ALL COVERED PERSONS IN WRITING OF ANY SUBSTANTIVE CHANGES TO THIS POLICY AND SUCH RELATED MATERIALS. COVERED PERSONS ARE REQUIRED TO REVIEW AND COMPLETE THE CORRESPONDING CONFLICT OF INTEREST STATEMENT. THE SYSTEM OFFICE VICE PRESIDENT - SYSTEM RESPONSIBILITY, 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 IS REQUIRED PROMPTLY TO DISCLOSE THE INTEREST TO THE COMMITTEE USING THE HSHS CONFLICT OF INTEREST DISCLOSURE STATEMENT. COMPLETED CONFLICT OF INTEREST STATEMENTS ARE SUBMITTED TO THE COMMITTEE, WHICH IS RESPONSIBLE FOR IDENTIFYING, ASSESSING, AND MANAGING CONFLICTS OF INTEREST THAT ARISE IN THE COURSE OF CONDUCTING THE AFFAIRS OF HSHS AND ITS AFFILIATES. IF THE COMMITTEE DETERMINES THAT A CONFLICT OF INTEREST EXISTS, THE CONFLICT OF INTEREST POLICY REQUIRES HSHS NOT TO ENGAGE IN OR ENTER INTO A PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT OR ACTIVITY UNLESS THE COMMITTEE OR, WHERE NECESSARY, THE BOARD OF DIRECTORS (ACTING THROUGH ITS DISINTERESTED MEMBERS), HAS INVESTIGATED ALTERNATIVES TO THE PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT OR ACTIVITY AND, IN THE ABSENCE OF ALTERNATIVES THAT ARE IN THE BEST INTERESTS OF HSHS, HAS DETERMINED: 1. THAT, REGARDLESS OF WHETHER THE COVERED PERSON PARTICIPATES IN THE IMPLEMENTATION OF THE PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY; 2. THE CONTRACT, TRANSACTION, ARRANGEMENT OR ACTIVITY IS IN THE BEST INTERESTS OF HSHS; 3. THE CONTRACT, TRANSACTION, ARRANGEMENT OR ACTIVITY IS FAIR AND REASONABLE FROM THE PERSPECTIVE OF HSHS; AND 4. HSHS CANNOT OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION, ARRANGEMENT OR ACTIVITY WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. IN DETERMINING WHETHER A CONTRACT, TRANSACTION OR ARRANGEMENT IS FAIR AND REASONABLE TO HSHS, THE COMMITTEE SHALL CONSIDER, WHERE APPLICABLE: 1. APPRAISALS OR OTHER INDEPENDENT VALUATIONS OF THE FAIR MARKET VALUE OF THE CONTRACT, TRANSACTION OR ARRANGEMENT; 2. INFORMATION REGARDING COMPARABLE CONTRACTS, TRANSACTIONS OR ARRANGEMENTS BETWEEN UNRELATED PARTIES; 3. OFFERS FROM COMPARABLE COMPETING ENTITIES; AND/OR 4. STUDIES OF COMPARABLE COMPENSATION ARRANGEMENTS. IN ANY CASE IN WHICH THE COMMITTEE FINDS, AFTER TAKING THE STEPS DESCRIBED ABOVE, THAT HSHS SHOULD PARTICIPATE IN A PROPOSED TRANSACTION OR ARRANGEMENT DESPITE THE EXISTENCE OF A CONFLICT OF INTEREST, THE COMMITTEE SHALL DEVELOP, IMPLEMENT, MONITOR, AND ENFORCE COMPLIANCE WITH, A CONFLICT MANAGEMENT PLAN FOR MANAGING THE CONFLICT OF INTEREST AS IT CONSIDERS NECESSARY FOR SUCH FINDINGS TO REMAIN VALID THROUGHOUT THE LIFE OF THE CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT OR ACTIVITY. ALL CONFLICT MANAGEMENT PLANS SHALL: 1. STATE THAT THE COMMITTEE WILL OVERSEE, MONITOR AND ENFORCE COMPLIANCE WITH THE PLAN THROUGHOUT THE COURSE OF THE STUDY AND SPECIFY MEANS FOR DOING SO, INCLUDING, WITHOUT LIMITATION, THAT THE APPROPRIATE INDIVIDUALS MUST PROVIDE THE COMMITTEE WITH WRITTEN REPORTS PERTAINING TO COMPLIANCE WITH THE CONFLICT MANAGEMENT PLAN, THAT THE COMMITTEE SHALL HAVE THE RIGHT TO AUDIT THE STUDY FOR SUCH COMPLIANCE AND THE RIGHT TO IMPOSE SANCTIONS FOR NON-COMPLIANCE; 2. STATE THAT THE PLAN MUST BE SHARED WITH COVERED PERSON WHOSE INTERESTS IT WAS DEVELOPED TO MANAGE; 3. STATE THAT THE PLAN MUST BE SHARED WITH, AND PERIODIC REPORTS ON COMPLIANCE WITH THE PLAN MUST BE PROVIDED TO, THE BOARD, SENIOR MANAGEMENT AND/OR GOVERNMENT AGENCIES; AND 4. PROVIDE FOR SUCH OTHER MANAGEMENT STEPS AND MECHANISMS THE COMMITTEE CONSIDERS NECESSARY AND APPROPRIATE. IN ADDITION TO THE COMMITTEE, THE SYSTEM OFFICE VICE PRESIDENTS OF SYSTEM RESPONSIBILITY AND RISK & COMPLIANCE MAY RETAIN SUCH INDEPENDENT ADVISORS OR EXPERTS AS DEEMED NECESSARY TO ASSIST IN MAKING ITS DETERMINATIONS AND DECISIONS. IF THE COMMITTEE DETERMINES THAT THE CONTEMPLATED TRANSACTION, RELATIONSHIP ARRANGEMENT OR ACTIVITY CANNOT PROCEED DUE TO A CONFLICT OF INTEREST, THE COMMITTEE SHALL INFORM THE APPLICABLE COVERED PERSON OR DECISION-MAKING BODY OF SUCH DETERMINATION WITHIN ONE WEEK OF THE COMMITTEE MEETING AT WHICH THE CONTEMPLATED TRANSACTION WAS DISCUSSED. THE COMMITTEE SHALL DOCUMENT ITS REJECTION OF THE CONTEMPLATED TRANSACTION IN THE COMMITTEE'S MEETING MINUTES.
WHISTLEBLOWER POLICY	FORM 990, PART VI, LINE 13	Provisions within the Corporate Compliance Hotline and Conflict of Interest Policy provide protections for whistleblower type activities.
COMPENSATION PROCESS	FORM 990, PART VI, LINE 15	The Compensation Committee (Committee) is comprised of independent members of the Board of Directors. The Committee develops a compensation philosophy for the System and all affiliates. The Committee selects and hires the independent compensation consultant to develop comparability data and advise the Committee during its deliberations regarding all elements of total compensation for all disqualified individuals. Integrated Healthcare Strategies (IHS), the consultants utilized by the Committee, use data from multiple tax-exempt peer group sources to determine salary ranges, incentive opportunity ranges and benefits for the disqualified individuals. IHS then assists the Committee in preparing contemporaneous documentation of all actions. Each Committee meeting is conducted with the intent to create a rebuttable presumption of reasonableness for all elements of executive total compensation for the disqualified individuals. The Chairman makes this declaration and also inquires if there are any conflicts of interest by any attendees. Any conflicts are disclosed and the Committee then acts in a manner to avoid any conflicted individual participating in any manner where a conflict might exist. At the end of the meeting, the Committee prepares contemporaneous minutes that record all actions taken during the meeting.
DISCLOSURE: DOCUMENTS AVAILABLE TO THE PUBLIC	FORM 990, PART VI, LINE 19	Board-approved financial statements are made available to the public upon request. The governing documents and conflict of interest policy are not made available to the general public at this time.
POOLED INVESTMENT ACCOUNT	FORM 990, PART X, LINE 11	PARTICIPATION IN THE POOLED FUND IS LIMITED TO THE 501(C)(3) HOSPITALS AND RELATED HEALTH SERVICES ORGANIZATIONS SPONSORED BY HOSPITAL SISTERS HEALTH SYSTEM. THE POOLED ACCOUNT CONSISTS OF CASH, 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.
TRANSACTIONS WITH RELATED ENTITIES	FORM 990 SCHEDULE R, PART V, LINE 2	The Transactions reported in Question 1 are between related 501(c)(3) public charities and are not reported in this section.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	Springfield Health Partners LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	4936 Laverna Road	AddressLine1
City	Springfield	City
State	IL	State
ZIP Code	62707	ZIPCode

Field	Value	IRS element (for citing)
EIN	371364419	EIN
Primary Activities	Healthcare	PrimaryActivities
Legal Domicile State	IL	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	HSHS MG	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (23 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1
HOSPITAL SISTERS HEALTH SYSTEM
4936 LAVERNA ROAD	SPRINGFIELD	IL	62707	371058692	HEALTHCARE	IL	501(c)(3)	11A	NA
HOSPITAL SISTERS SERVICES INC
4936 LAVERNA ROAD	SPRINGFIELD	IL	62707	371163402	HEALTHCARE	IL	501(c)(3)	11A	NA
HOSPITAL SISTERS OF ST FRANCIS FDTN
4936 LAVERNA ROAD	SPRINGFIELD	IL	62707	371186514	HEALTHCARE	IL	501(c)(3)	11A	NA
HSHS SELF INSURANCE TRUST FUND
4936 LAVERNA ROAD	SPRINGFIELD	IL	62707	371120626	INSURANCE	IL	501(c)(3)	11A	NA
HSHS HEALTH CARE PLAN TRUST FUND
4936 LAVERNA ROAD	SPRINGFIELD	IL	62707	371137724	HEALTHCARE	IL	501(c)(3)		NA
HOSPITAL SISTERS HEALTHCARE - WEST INC
2661 COUNTY HIGHWAY I	CHIPPEWA FALLS	WI	54729	510157933	HEALTHCARE	WI	501(c)(3)	11A	NA
SACRED HEART HOSPITAL
900 W EST CLAIREMONT AVENUE	EAU CLAIRE	WI	54701	390807060	HEALTHCARE	WI	501(c)(3)	3	NA
ST ANTHONY'S HOSPITAL
503 N MAPLE STREET	EFFINGHAM	IL	62401	370661233	HEALTHCARE	IL	501(c)(3)	3	NA
ST JOHN'S HOSPITAL
800 EAST CARPENTER STREET	SPRINGFIELD	IL	62769	370661238	HEALTHCARE	IL	501(c)(3)	3	NA
ST FRANCIS HOSPITAL
1215 FRANCISCAN DRIVE	LITCHFIELD	IL	62056	370661236	HEALTHCARE	IL	501(c)(3)	3	NA
ST JOSEPH'S HOSPITAL
9515 HOLY CROSS LANE	BREESE	IL	62230	371208459	HEALTHCARE	IL	501(c)(3)	3	NA
ST JOSEPH'S HOSPITAL
1515 MAIN STREET	HIGHLAND	IL	62249	370663568	HEALTHCARE	IL	501(c)(3)	3	NA
ST JOSEPH'S HOSPITAL
2661 COUNTY HIGHWAY 1	CHIPPEWA FALLS	WI	54729	390810545	HEALTHCARE	WI	501(c)(3)	3	NA
ST MARY'S HOSPITAL
1800 E LAKE SHORE DRIVE	DECATUR	IL	62521	362169181	HEALTHCARE	IL	501(c)(3)	3	NA
ST MARY'S HOSPITAL
111 SPRING STREET	STREATOR	IL	61364	362169181	HEALTHCARE	IL	501(c)(3)	3	NA
ST NICHOLAS HOSPITAL
3100 SUPERIOR AVENUE	SHEBOYGAN	WI	53081	390808480	HEALTHCARE	WI	501(c)(3)	3	NA
ST VINCENT HOSPITAL
835 S VAN BUREN	GREEN BAY	WI	54301	390817529	HEALTHCARE	WI	501(c)(3)	3	NA
ST MARY'S HOSPITAL MEDICAL CENTER
1726 SHAWANO AVENUE	GREEN BAY	WI	54303	390818682	HEALTHCARE	WI	501(c)(3)	3	NA
HSHS MEDICAL GROUP INC
4936 LAVERNA ROAD	SPRINGFIELD	IL	62707	263956318	HEALTHCARE	IL	501(c)(3)	11A	NA
HSHS WISCONSIN MEDICAL GROUP INC
8040 EXCELSIOR DRIVE STE 200	MADISON	WI	53717	264515959	HEALTHCARE	WI	501(c)(3)	11A	NA
Orange Cross Ambulance Inc
919 Ashland Ave	sheboygan	WI	53081	391860942	healthcare	WI	501(c)(3)	9	St Nicholas
Wisconsin Upper Pen Onc Mngmt Services
835 S Van Buren	green bay	WI	54304	391677100	healthcare	WI	501(c)(3)	3	St Vincents
Unity Limited Partnerhship
2366 Oak Ridge Circle	De Pere	WI	54115	391750729	Healthcare	WI	501(c)(3)	9	HSSI

Form990 Schedule R Part III Form990ScheduleRPartIII (10 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	Code VCodeVAmount	General Or Managing PartnerGeneralOrManagingPartner
Memorial and St Elizabeth's Healthcare
4000 North Illinois Street	Swansea	IL	62226	371312961	HealthCare	IL	NA	RELATED	1346224	4678593	false	$0	false
Health Ventures Of So Illinois LLC
2810 Frank Scott PKWY W STE 700	Belleville	IL	62223	371334060	HealthCare	IL	NA	RELATED			false		false
Prairie Heart Insutute - Carbondale LLC
800 East Carpenter Street	Springfield	IL	62769	371321197	HealthCare	IL	St John's	RELATED			false		false
Northeast Wisconsin Radiation Therapy Se
1821 S Webster Avenue Suite 300	Green Bay	WI	543079047	263749065	HealthCare	WI	St Vincent's	RELATED			false		false
Pain Center of Wisconsin
4131 W Loomis Road Suite 300	Greenfield	WI	53221	263155343	HealthCare	WI	St Vincent's	RELATED			false		false
Surgery Center of Sheboygan LLC
3141 Saemann Ave	Sheboygan	WI	53081	260822209	HealthCare	WI	St Nicholas	RELATED			false		false
Prevea Ventures LLC
2710 EXECUTIVE DR	Green Bay	WI	54304	203775127	HealthCare	WI	HSSI	RELATED			false		false
Kiara Clinical Integration Network LLC
4936 Laverna Rd	Springfield	IL	62707	261417684	HealthCare	IL	Kiara Inc	RELATED			false		false
Carpenter Street Hotel LLC
525 North Sixth Street	Springfield	IL	62702	364128127	Hotel	IL	LaSante Inc	Related			false		false
Springfield Urgent Care Real Estate LLC
PO Box 19456	Springfield	IL	627949456	030413258	Rent. Real Estate	IL	LaSante Inc	related			false		false

Form990 Schedule R Part IV Form990ScheduleRPartIV (9 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountry
Kiara Inc
4936 Laverna Rd	Springfield	IL	62707	371163401	HealthCare	IL	HSHS	C Corp
LaSante Wisconsin Inc
4936 Laverna Rd	Springfield	IL	62707	391572196	HealthCare	IL	Kiara Inc	C Corp
LaSante Inc
4936 Laverna Rd	Springfield	IL	62707	371163400	HealthCare	IL	Kiara Inc	C Corp
Prairie Cardiovascular
619 East Mason Suite 4P57	Springfield	IL	62701	371071858	HealthCare	IL	Kiara Inc	C Corp
Prevea Health Services
2710 EXECUTIVE DR	Green Bay	WI	54304	391839351	HealthCare	WI	HSSI	C Corp
Prevea Clinic Inc
2710 EXECUTIVE DR	Green Bay	WI	54304	391839349	HealthCare	WI	HSSI	C Corp
Prevea Health Network
2710 EXECUTIVE DR	Green Bay	WI	54304	392000537	HealthCare	WI	HSSI	C Corp
Prevea Regional Services
2710 EXECUTIVE DR	Green Bay	WI	54304	391909993	HealthCare	WI	HSSI	C Corp
REnaissance Quality Insurance
				980669953	Insurance		HSSI	c corp	PO Box 1159 KY1-1102	Grand Cayman	Cayman Islands	CJ	KY1-1102	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg