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

View the entire original 990 at ProPublica ↗

Organization: ST JOSEPHS HOSPITAL BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDE (EIN 37-1208459)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-13
IRS object ID: 201141339349300534
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-13T08:05:58-05:00	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	371208459	EIN

Name Name

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

Field	Value	IRS element (for citing)
Name Control	STJO	NameControl
Phone	6185264511	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	9515 HOLY CROSS LANE PO BOX 99	AddressLine1
City	BREESE	City
State	IL	State
ZIP Code	622300099	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MARK KLOSTERMAN	Name
Title	CEO	Title
Date Signed	2011-05-09	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	KPMG LLP	Name
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	MARK KLOSTERMAN	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	9515 HOLY CROSS LANE	AddressLine1
City	BREESE	City
State	IL	State
ZIP Code	622300099	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	48316759	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c	X	Organization501c
Web Site	www.stjoebreese.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1987	YearFormation
State Legal Domicile	IL	StateLegalDomicile
Activity Or Mission Description	OUR MISSION OF ST. JOSEPH'S HOSPITAL IS TO MINISTER TO THOSE IN NEED AS EXEMPLIFIED BY THE GOSPEL OF CHRIST.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	445	TotalNbrEmployees
Total Nbr Volunteers	418	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	125388	ContributionsGrantsPriorYear
Contributions Grants Current Year	157511	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	43067997	ProgramServiceRevenuePriorYear
Program Service Revenue CY	45651010	ProgramServiceRevenueCY
Investment Income Prior Year	-2970575	InvestmentIncomePriorYear
Investment Income Current Year	1585173	InvestmentIncomeCurrentYear
Other Revenue Prior Year	226167	OtherRevenuePriorYear
Other Revenue Current Year	191891	OtherRevenueCurrentYear
Total Revenue Prior Year	40448977	TotalRevenuePriorYear
Total Revenue Current Year	47585585	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	21208999	SalariesEtcPriorYear
Salaries Etc Current Year	23056312	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	17934570	OtherExpensePriorYear
Other Expenses Current Year	20309687	OtherExpensesCurrentYear
Total Expenses Prior Year	39143569	TotalExpensesPriorYear
Total Expenses Current Year	43365999	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	1305408	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	4219586	RevenuesLessExpensesCY
Total Assets BOY	89101029	TotalAssetsBOY
Total Assets EOY	95915248	TotalAssetsEOY
Total Liabilities BOY	23514655	TotalLiabilitiesBOY
Total Liabilities EOY	26383592	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	65586374	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	69531656	NetAssetsOrFundBalancesEOY
Mission Description	OUR MISSION OF ST. JOSEPH'S HOSPITAL IS TO MINISTER TO THOSE IN NEED AS EXEMPLIFIED BY THE GOSPEL OF CHRIST.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	38364149	Expense
Revenue	45651010	Revenue
Description	SEE SCHEDULE O - PROGRAM SERVICE ACCOMPLISHMENTS	Description
Total Program Service Expense	38364149	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
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	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	40	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	445	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
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	12	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	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	6185265312	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	9515 HOLY CROSS LANE	AddressLine1
City	BREESE	City
State	IL	State
ZIP Code	622300099	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 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
SISTER MARYBETH CULNAN OSF
DIRECTOR	1.0	X	0	0	0
SISTER JOSINE MONDLOCH OSF
DIRECTOR	1.0	X	0	0	0
ELAINE BEHRMANN
DIRECTOR	1.0	X	0	0	0
ERIN GAGEN MD
DIRECTOR	1.0	X	0	0	0
CARSON HEMPEN
DIRECTOR	1.0	X	0	0	0
PATRICK HITPAS
CHAIRPERSON	1.0	X	0	0	0	X
JOHN HUDSPETH
VICE CHAIRPERSON	1.0	X	0	0	0	X
PAUL STRIEKER
DIRECTOR	1.0	X	0	0	0
JONATHAN OSBORN MD
SECRETARY	1.0	X	0	250434	31534	X
MARK KLOSTERMAN
PRES, CEO	1.0	X	0	0	0	X
LOWELL JONES
CEO	1.0	X	0	340488	-22065	X
Janice Wiegmann PhD
Director	1.0	X	0	0	0
DAN POWELL
INTERIM CFO	1.0		0	0	0	X
JOHNNY WATKINS
CFO	1.0		0	0	0	X
ROCH LEFEBVRE MD
PHYSICIAN	1.0		0	211768	26167	X
ANN CARR
TREASURER	1.0		0	153448	117382	X
DENNIS HERZIG
CFO	40.0		153937	0	35539	X
MARK REIFSTECK
INTERIM CEO, Southen IL Div	1.0		0	492738	164087	X
Andrea M Linders
Director of Pharmacy	40.0		111918	0	13557		X
Jene Bieri
Director of Professional Svcs	40.0		107628	0	39109		X
Jan Robert
Dir. of Quality Management	40.0		102161	0	89031		X
Paulette Evans
CNO	40.0		128022	0	57179		X
William Deters
Pharmacist	40.0		105509	0	108604		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	709175	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1448876	TotalReportableCompFrmRltdOrgs
Total Other Compensation	660124	TotalOtherCompensation
Number Individuals GT100 K	15	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Midwest Emergency Dept Serv
320 East Highway 50	OFallon	IL	62269	ER Coverage	1344601
Clinton County Anesthesiology
1320 Pinewood	Breese	TX	62230	Anesthesia physician	909350
PremierCare Inc
13810 Champion Forest Dr	Houston	IL	77069	consulting services	203325
Competitive Edge Sports Medicine
14160 Jamestown Rd	Breese	MO	62230	sports med physician	181811
Quest Diagnostics
PO Box 740709	Atlanta	GA	30374	Lab Services	188111

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	11	NumberOfContractorsGT100K
Related Organizations	148046	RelatedOrganizations
All Other Contributions	9465	AllOtherContributions
Total Contributions	157511	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	NET PATIENT SERVICE REVENUE	Description
Business Code	900099	BusinessCode
Total Revenue Column	45651010	TotalRevenueColumn
Related Or Exempt Function Income	45651010	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	45651010	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1408995	TotalRevenueColumn
Exclusion	$1,408,995	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	42976	TotalRevenueColumn
Exclusion	$42,976	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	300054	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	730724	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-430670	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-430670	TotalRevenueColumn
Exclusion	-$430,670	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	130302	Securities
Other	3350	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	450	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	130302	Securities
Other	2900	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	133202	TotalRevenueColumn
Exclusion	$133,202	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	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
REVENUE CAFETERIA	722320	161525	$161,525
EXERCISE PROGRAMS	900099	114552		114552
HEALTH FAIR REVENUE	900099	171005		171005

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	175479	TotalRevenueColumn
Related Or Exempt Function Income	175479	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	622561	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	47585585	TotalRevenueColumn
Related Or Exempt Function Income	46112046	RelatedOrExemptFunctionIncome
Exclusion	$1,316,028	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	290009	Total
Management And General	290009	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	16421514	Total
Program Services	14784107	ProgramServices
Management And General	1637407	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	880251	Total
Program Services	778727	ProgramServices
Management And General	101524	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	4320941	Total
Program Services	3822586	ProgramServices
Management And General	498355	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	1143597	Total
Program Services	1011701	ProgramServices
Management And General	131896	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	2946606	Total
Program Services	2606761	ProgramServices
Management And General	339845	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	0	Total

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	15617	Total
Program Services	15617	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	2089574	Total
Program Services	1848574	ProgramServices
Management And General	241000	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	270251	Total
Program Services	239082	ProgramServices
Management And General	31169	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	4249762	Total
Program Services	3759619	ProgramServices
Management And General	490143	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	988614	Total
Program Services	874592	ProgramServices
Management And General	114022	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	0	Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	44977	Total
Program Services	39790	ProgramServices
Management And General	5187	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	158001	Total
Program Services	139778	ProgramServices
Management And General	18223	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	806286	Total
Program Services	713294	ProgramServices
Management And General	92992	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	3061650	Total
Program Services	2708535	ProgramServices
Management And General	353115	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	464819	Total
Program Services	411209	ProgramServices
Management And General	53610	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MAINTENANCE REPAIRS & SERVICE	1122957	993440	129517
PHYSICIAN RECRUITMENT	260423	230387	30036
POSTAGE / SHIPPING	102143	90363	11780
BAD DEBT	2503803	2215027	288776
PROVIDER TAX	686809	607596	79213

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	537395	Total
Program Services	473364	ProgramServices
Management And General	64031	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	43365999	Total
Program Services	38364149	ProgramServices
Management And General	5001850	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	3086763	BOY
EOY	3411364	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	12728	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	6479641	BOY
EOY	5601351	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	520139	BOY
EOY	510606	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	509271	BOY
EOY	378344	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	52575142	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	28843365	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	25119771	BOY
EOY	23731777	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	52920069	BOY
EOY	61877341	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	452647	BOY
EOY	404465	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	89101029	BOY
EOY	95915248	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	3296831	BOY
EOY	4109265	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	34859	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	11840000	BOY
EOY	11550000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	8342965	BOY
EOY	10724327	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	23514655	BOY
EOY	26383592	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	63940270	BOY
EOY	68128929	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1646104	BOY
EOY	1402727	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	65586374	BOY
EOY	69531656	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	89101029	BOY
EOY	95915248	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)
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	$15,617	OtherActivitiesAmount
Total Lobbying Expenditures IIB	15617	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Description of other lobbying activities	Identifier
Return Reference	Schedule C, Part II-B, Question 1i	ReturnReference
Explanation	ST. JOSEPH'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 . 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	1344880	OtherCostOrOtherBasis
Book Value	1344880	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	27532004	OtherCostOrOtherBasis
Depreciation	13712693	Depreciation
Book Value	13819311	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Depreciation	0	Depreciation
Book Value	0	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	19267911	OtherCostOrOtherBasis
Depreciation	13586002	Depreciation
Book Value	5681909	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4430347	OtherCostOrOtherBasis
Depreciation	1544670	Depreciation
Book Value	2885677	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	23731777	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
RETIREMENT OBLIGATION-ASBESTOS	$2,292,164
EST. SELF INS LIABILITY	$717,968
EST. WORK COMP SELF INS. LIAB.	$238,139
ACCRUED BENEFIT LIABILITY	$6,725,664
RATE SWAP AGREEMENTS	$750,392

Field	Value	IRS element (for citing)
Total Of Amounts	10724327	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	ADOPTION OF SUBTOPIC ASC 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
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
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	279125	TotalCommunityBenefitExpense
Net Community Benefit Expense	279125	NetCommunityBenefitExpense
Percent Of Total Expense	0.00680	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5179671	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3488015	DirectOffsettingRevenue
Net Community Benefit Expense	1691656	NetCommunityBenefitExpense
Percent Of Total Expense	0.04140	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5458796	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3488015	DirectOffsettingRevenue
Net Community Benefit Expense	1970781	NetCommunityBenefitExpense
Percent Of Total Expense	0.04820	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	9250	PersonsServed
Total Community Benefit Expense	769567	TotalCommunityBenefitExpense
Direct Offsetting Revenue	171755	DirectOffsettingRevenue
Net Community Benefit Expense	597812	NetCommunityBenefitExpense
Percent Of Total Expense	0.01460	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	9250	PersonsServed
Total Community Benefit Expense	769567	TotalCommunityBenefitExpense
Direct Offsetting Revenue	171755	DirectOffsettingRevenue
Net Community Benefit Expense	597812	NetCommunityBenefitExpense
Percent Of Total Expense	0.01460	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	9250	PersonsServed
Total Community Benefit Expense	6228363	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3659770	DirectOffsettingRevenue
Net Community Benefit Expense	2568593	NetCommunityBenefitExpense
Percent Of Total Expense	0.06280	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$1,188,011	BadDebtExpenseAmount
Amount Attributable To	118801	AmountAttributableTo
Amount Reimbursed By Medicare	11594647	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	17780763	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-6186116	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

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

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

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

Address Address

Field	Value	IRS element (for citing)
Address Line1	9515 Holy Cross Lane	AddressLine1
City	Breese	City
State	IL	State
ZIP Code	62230	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Income Based Criteria	Not applicable as the organization does follow FPG 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 can be accessed by contacting Barb Strieker at 9515 Holy Cross Lane, Breese, IL 62230; By phone: (618) 526-5302.	AnnualCommunityBenefitExpln
Costing Method Used	In this section the total community benefit expenses are calculated using a cost to charge ratio from the hospital's audited financial statements. Additional Medicaid expense of $686,808 is for the IDPH tax assessment. The offsetting revenue is the actual payments received from IDPH for access payments.	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 expenses less bad debt is 6.28%.	PercentOfTotalExpenseExpln
Bad Debt Footnote	Bad debt expense at cost totaled $1,188,011. 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.	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. This shortfall cost totaled $6,186,116. Since it is the mission of the hospital to respond to community need, hospital management continually advocates for improved Medicare payment so that the cost of quality care to those patients that are not able to afford it is not compromised and is fairly subsidized by all payers. While this shortfall in Medicare payments is not classified as community benefit by the IRS, we nonetheless believe it is an important contribution made by the hospital to the health and well being of the community. 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	Specific policies are written for Uninsured Patient's Discounts and Charity/Christian Care. The policies outline eligibility criteria and processes to follow for making adjustments to patient bills.	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. Joseph's Hospital coordinates with the Clinton County Health Department in assessing the health care needs of the community. A representative of the hospital is a member of the Health Department's Advisory Board, which is comprised of approximately 20 individuals representing health care organizations, the school system, and a broad spectrum of community members. Through the work of the Advisory Board, the community needs assessment is completed following the Illinois Department of Public Health's I-Plan format. The I-Plan for 2006 - 2011 indicated the three leading causes of mortality for Clinton County are heart disease, malignant neoplasm (lung, breast, colo-rectal) and coronary heart disease. Services and programs to address these areas were considered during the annual budget process. In addition, the top DRG's for St. Joseph's Hospital were considered. With obstetrics among the top, several programs and services relative to obstetrics and child care were held. Access to primary care was also identified as a top priority through feedback received from the community and based on provider- to-population ratios. Based on GMENAC Guidelines, 16 primary care physicians are needed based on the population of the market served. St. Joseph's Hospital, Breese is located in a designated Health Professional Shortage Area with 3 additional primary care physicians needed. Other programs and services were identified through community feedback and through patients receiving care in specific departments.	NeedsAssessment
Patient Education Assistance	As part of the Mission of St. Joseph's Hospital, "to minister to those in need as exemplified by the Gospel of Christ," the hospital has established several financial assistance programs to help patients and families who are unable to pay for the services they have received from the hospital. These programs are: A. Uninsured Christian Care is for those uninsured individuals whose family income falls below 600% of the Federal Poverty Guidelines (FPG) - - with assistance available on a sliding scale basis. B. Uninsured Discount Program is for those uninsured individuals whose family income is in excess of 600% of the Federal Poverty Guidelines (FPG). C. Traditional Christian Care is for those individuals whose gross income falls below 200% of the Federal Poverty Guidelines (FPG). To determine a person's eligibility in a hospital sponsored Financial Assistance Program, the hospital has established a financial eligibility scale. Eligibility requirements are based upon Federal Poverty Guidelines (FPG) published by the Federal Government according to the applicant's family size and family income. St. Joseph's Hospital informs patients about financial assistance programs in various ways. Brochures are available in waiting areas, and information is available on the facility's web-site. Additionally, Business Office staff members provide information about the Hospital's Christian Care Program to all patients receiving services at the hospital. All in-patient admissions are reviewed by the Business Office Manager to determine a patient's ability to pay. Statements, invoices, and summaries of charges indicate the availability of assistance. For patients not adequately covered by insurance or other third party programs, the hospital may assist the patient or their family in applying for Medicaid or other forms of assistance.	PatientEducationAssistance
Community Information	The main geographic area St. Joseph's Hospital serves is Clinton County. As of the 2000 census, there were 35,535 individuals residing in the county. Population estimates for 2006 indicate a slight increase to 36,633. With several surrounding hospitals no longer providing obstetric services, St. Joseph's Hospital's service area for OB includes communities to the north, south, east and west, which more than doubles these population numbers. Clinton County is considered 63% rural with 95% Caucasian, 3% African American, and 2% Hispanic. According to the 2000 US census, 8.4% of residents are living in poverty compared to 12.4% for the state of Illinois.	CommunityInformation
Other Information	St. Joseph's Hospital offers hope to our community in the tradition of the Hospital Sisters of St. Francis. As a healing ministry of the Catholic Church and an affiliate of the Hospital Sisters Health System (HSHS), St. Joseph's is committed to delivering high quality, compassionate, and cost-effective health care services to all. The hospital opened in the year 1898 to bring a healing presence and improve the health of our community, especially for people who are sick, poor, and disadvantaged. Because of the hospital's purpose and tradition, it is organized to promote the health of Breese and 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. Joseph's Hospital is responding to community need in accordance with the process described under item #2 above. In addition, St. Joseph's Hospital receives community support and guidance through the Advisory Board and Friends of St. Joseph's. Both Boards meet quarterly and provide feedback from the community on additional services or improvements needed. In addition, St. Joseph's is blessed with a strong volunteer program. Volunteers donate hours to several community benefit programs. Also consistent with its exempt purpose, St. Joseph's Hospital has an open medical staff with privileges available to all qualified physicians in the area. In addition, the hospital operates an emergency department that is open 24 hours every day to all persons regardless of their ability to pay. As a not-for-profit hospital, St. Joseph's reinvests surplus funds into the mission of the organization and health of the community rather than distributing them as profits to shareholders or individuals. Funds not committed to ongoing operations are generally used to upgrade facilities, secure new technologies, improve patient care, and support initiatives designed to promote health and ensure access for all. For example, St. Joseph's Hospital is currently working with its parent organization, Hospital Sisters Health System, to continuously enhance quality and improve coordination of care both inside the hospital and with a growing number of physician partners. Supported by investments in information technology, this "care integration" strategy is designed to better coordinate care, improve health outcomes, create new efficiencies, and help ensure that patients (especially those with chronic conditions) get well and stay well. Specifically during 2009 - 2010, infrastructure was put in place for Meditech, an electronic health record to improve communication among providers and their accessibility to needed health care information. St. Joseph's also devotes significant resources to access for patients who cannot afford care, along with other community benefits. In fiscal year 2009, St. Joseph's provided over $2 million in community benefit services, including charity care at cost, unpaid costs of Medicaid and other public programs, and a range of diverse programs designed to enhance access and improve community health. Additionally during this period, the hospital provided over $6.1 million to primarily elderly beneficiaries in excess of Medicare payments and managed care contracts. The range of benefits provided by St. Joseph's Hospital flows from the mission as well as a long-standing commitment to the community. In many cases, these programs would be unlikely to exist without the leadership role played by St. Joseph's Hospital and they often relieve a burden that would otherwise be carried by government. Based on the assessment of community needs described under #2 above, St. Joseph's primarily focused on the following three areas during 2009 and 2010: 1) Heart disease as identified in the I-Plan; 2) Programs and services involving obstetrics and child care; and, 3) Access to primary care physicians addressed through efforts to recruit new providers to the area. Related to heart disease and diabetes, St. Joseph's Hospital conducted the following programs: Heart Health Program - Go Red: Community Need Addressed: Heart Disease; How Determined: Community Needs Assessment; Objective: Education regarding a healthy lifestyle to decrease cardiovascular disease and blood pressure; Healthy Community Goals: Education on cardiovascular disease and promote physical activity; Number of individuals served: 174; Diabetes Support Group/Diabetes Related Community Programs: Community Need Addressed: Health & wellness; How Determined: Through diabetes self-management department; Objective: Diabetic education and support. Meeting on a monthly basis as well as various community education programs regarding diabetes; Healthy Community Goals: Promote community-based education on diabetes and improve health communication. Number of individuals served: 395; Health Fairs Held Throughout Area: Community Need Addressed: Heart Disease & General Health & Wellness; How Determined: Community Needs Assessment; Objective: To provide low-cost screenings to the general public as well as free health information; Healthy Community Goals: Promote physical activity and fitness; promote nutrition; Promote community-based education; Improve access to quality preventative care; Number of individuals served: 1,834; Kidney Mobile: Community Need Addressed: Low-cost screenings available for the early detection of factors contributing to diabetes; How Determined: Through diabetes self-management program; Objective: Early detection of factors contributing to diabetes; Healthy Community Goals: Access to preventive care; Promote community-based education; Number of Individuals Served: 375 Related to obstetrics and child care, St. Joseph's Hospital conducted the following programs: Prenatal Classes & Prenatal Exercise Class: Community Need Addressed: Prenatal education resulting in better outcomes; How Determined: Through obstetrics program; Objective: Teach prenatal education to the broader community including uninsured and Hispanic patients; Healthy Community Goal: Promote physical activity & fitness; promote nutrition; reduce tobacco use; reduce use of alcohol & other drugs; Promote family planning; Improve maternal, infant & child health; Number of Individuals Served: 671 Baby Care & Safety: Community Need Addressed: Infant Health & Safety; How Determined: Through OB Program; Objective: Teaching proper care & safety of infants; Healthy Community Goals: Promote community-based education; prevent injuries; prevent violence & abuse; Improve maternal, infant, and child health; Number of Individuals Served: 242 Baby-Sitting Class: Community Need Addressed: Increase the availability of competent baby-sitters in the county; How Determined: Through OB program; Objective: To provide 11 - 13 year olds with the tools needed to become a competent baby-sitter; Healthy Community Goals: Promote community-based education; prevent injuries; Number of Individuals Served: 74 Breastfeeding Classes: Community Need Addressed: Infant health ; How Determined: Through OB program; Objective: Educational support for breastfeeding mothers; Healthy Community Goals: Promote nutrition; Promote community-based education; Improve maternal, infant, and child health; Number of Individuals Served: 170 Car Seat Safety Checks: Community Need Addressed: Infant Safety; How Determined: Through OB program; Objective: To check safety of installation of car seats; Healthy Community Goals: Prevent injuries; Number of Individuals Served: 25 Sibling Class: Community Need Addressed: Newborn infant health & safety. Reducing anxiety/stress in families; How Determined: Through OB program; Objective: Education and activities for parents and siblings to adjust to newborn; Healthy Community Goals: Promote community-based education; prevent violence & abuse; Improve maternal, infant and child health; Number of Individuals Served: 81 Other community benefit activities during FY2010 included the following: Advanced Directive Assistance: Community Need Addressed: Providing community members and patients information on advance directives as well as a form to use. How Determined: Through Pastoral Care; Objective: Assisting patients and their relatives to better understand Advanced Directives; Healthy Community Goals: Promote community-based education; Number of Individuals Served: 174 Alzheimer's Support Group: Community Need Addressed: Community Health Education; How Determined: Services not available in the community; Objective: Provide support for family members of Alzheimer's patients; Healthy Community Goals: Education on Alzheimer's and Mental health & disorders; Number of Individuals Served: 45 Blood Drives: Community Need Addressed: Access & Availability; How Determined: Red Cross; Objective: Provide support to local blood drive which benefits the hospital and community. Healthy	OtherInformation
Affiliated Health Care System	St. Joesph's Breese 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 in al	AffiliatedHealthCareSystem
Reports Filed With States	IL	ReportsFiledWithStates

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JONATHAN OSBORN MD
0	246594	0	2725	0	1115	0	13423	0	18616	0	282473	0	0
ROCH LEFEBVRE MD
0	185599	0	26138	0	31	0	11351	0	15321	0	238440	0	0
Jan Robert
100577	0	253	0	1331	0	81203	0	8322	0	191686	0	0	0
ANN CARR
0	131424	0	0	0	22024	0	104209	0	13649	0	271306	0	0
LOWELL JONES
0	287652	0	0	0	52836	0	-32514	0	11133	0	319107	0	0
DENNIS HERZIG
150500	0	253	0	3184	0	32359	0	3722	0	190018	0	0	0
MARK REIFSTECK
0	346885	0	119030	0	26823	0	145985	0	24845	0	663568	0	38948
Paulette Evans
126447	0	253	0	1322	0	56269	0	1446	0	185737	0	0	0
William Deters
100438	0	3235	0	1836	0	90602	0	18482	0	214593	0	0	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
STATEMENT OF PROGRAM SERVICE ACOMPLISHMENTS	FORM 990, PAGE 2, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	St. Joseph's Hospital, Breese of the Hospital Sisters of the Third Order of St. Francis provides quality healthcare services regardless of race, creed, sex, national origin, handicap, age, religion or ability to pay. Although reimbursement for services is essential to the continued operation and stability of the hospital, it is recognized that not all individuals are able to afford required medical services. Our mission is to serve the community with the best quality healthcare services and healthcare education. Inherent in our mission, we provide care to the poor, the elderly and the needy of the community through various programs and services. These activities include wellness programs, community education programs, and special programs for the elderly, handicapped, medically underserved and a variety of community support activities. In our tax year beginning July 1, 2009 and ending June 30, 2010, St. Joseph's Hospital, Breese provided services to 1,880 inpatients utilizing 6,227 days of care. In addition, St. Joseph's Hospital, Breese provided services to 90,092 outpatients. St. Joseph's Hospital, Breese provides quality medical care to the poor at no cost through our Christian Care Program. In addition, the hospital participates in the Illinois Medicaid Program, which reimburses the hospital at rates substantially below the cost of providing the services. Fulfilling our mission to the community, services were provided to 299 Medicaid Inpatients utilizing 722 days of care. The cost of providing services to Medicaid patients exceeded reimbursement under the State of Illinois Medicaid Program by $1,691,656. The total unreimbursed value of providing care to the poor is $2,031,669. St. Joseph's Hospital, Breese provides quality medical care to members of the broader community through participation in the Medicare Program and through educational programs and activities at a reduced price or at no cost. St. Joseph's Hospital, Breese provided medical services to 864 Medicare Inpatients utilizing 3,665 days of care. The cost of providing services to Medicare patients exceeded reimbursement under the Federal Medicare Program by $6,186,116. The total unreimbursed value of providing care and services to the broader community is $536,923.
TAX EXEMPT BONDS	FORM 990, PART IV, LINE 24	St Josephs Hospital, Breese of the Hospital Sisters of the Third Order of St Francis 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, LINE 6 & 7A	THE SENIOR GOVERNING BODY OF ST. JOSEPH'S HOSPITAL BREESE (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. 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. Joseph's Hospital Breese (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 Program and Conflict of Interest Policy provide protections for whistleblower type activities.
POLICIES COMPENSTION PROCESS	FORM 990, PART VI, LINE 15	The Compensation Committee (Committee) is comprised of independent members of the Board of Directors. The Committee develops a compensation philosophy for the System and all affiliates. The Committee selects and hires the independent compensation consultant to develop comparability data and advise the Committee during its deliberations regarding all elements of total compensation for all disqualified individuals. Integrated Healthcare Strategies (IHS), the consultants utilized by the Committee, use data from multiple tax-exempt peer group sources to determine salary ranges, incentive opportunity ranges and benefits for the disqualified individuals. IHS then assists the Committee in preparing contemporaneous documentation of all actions. Each Committee meeting is conducted with the intent to create a rebuttable presumption of reasonableness for all elements of executive total compensation for the disqualified individuals. The Chairman makes this declaration and also inquires if there are any conflicts of interest by any attendees. Any conflicts are disclosed and the Committee then acts in a manner to avoid any conflicted individual participating in any manner where a conflict might exist. At the end of the meeting, the Committee prepares contemporaneous minutes that record all actions taken during the meeting.
DOCUMENTS AVAILABLE TO THE PUBLIC	FORM 990, PART VI, LINE 19	Board-approved financial statements are made available to the public upon request. The governing documents and conflict of interest policy are not made available to the general public at this time.
Compensation of Officers	Form 990, Page 7, Part VII	Dennis Herzig was CFO of St. Joseph's Hospital until 11/20/2009. He receieved compensation in 2009. Dan Powell served as interim CFO from December 2009 through March 2010. He was compensated in 2009. As of april 2010, Johnny Watkins is the CFO for St. Joseph's Hospital. He received no compensation for calendar year 2009. Therefore, none is reported for him on Form 990.
POOLED INVESTMENT ACCOUNT	FORM 990, PAGE 11, PART X, LINE 11	ST. JOSEPH'S HOSPITAL'S CASH RESERVES ARE INVESTED IN A POOLED INVESTMENT ACCOUNT. PARTICIPATION IN THE POOLED FUND IS LIMITED TO THE 501(C)(3) HOSPITALS AND RELATED HEALTH SERVICES ORGANIZATIONS SPONSORED BY HOSPITAL SISTERS HEALTH SYSTEM. THE POOLED ACCOUNT CONSISTS OF CASH, 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
HSHS Self Insurance Fund
4936 LAVERNA ROAD	SPRINGFIELD	IL	62707	371120626	INSURANCE	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 Health Care Trust Fund
4936 LAVERNA ROAD	SPRINGFIELD	IL	62707	371137724	HEALTHCARE	IL	501(c)(9)		NA
Hospital Sisters Healthcare West Inc
2661 COUNTY HIGHWAY I	CHIPPEWA FALLS	WI	54729	510157933	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
SACRED HEART HOSPITAL
900 WEST 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 Elizabeth's Hospital
211 SOUTH THIRD STREET	BELLEVILLE	IL	62220	370663567	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 John's Hospital
500 EAST CARPENTER STREET	SPRINGFIELD	IL	62769	370661238	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 Joseph's Hospital
1515 MAIN STREET	HIGHLAND	IL	62249	370663568	HEALTHCARE	IL	501(c)(3)	3	NA
St Mary's Hospital
1800 E LAKE SHORE DRIVE	DECATUR	IL	62521	370661244	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 Mary's HOSPITAL Medical Center
1726 SHAWANO AVENUE	GREEN BAY	WI	54303	390818682	HEALTHCARE	WI	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
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	54301	391677100	Healthcare	WI	501(c)(3)	3	St Vincents
Unity Limited Partnership
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	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner
Memorial and St Elizabeth's Healthcare
4000 North Illinois Street	Swansea	IL	62226	371312961	HealthCare	IL	St Elizabeth's	related
Health Ventures Of So Illinois LLC
2810 Frank Scott Pkwy W STE 700	Belleville	IL	62223	371334060	HealthCare	IL	St Elizabeth's	related
Prairie Heart Insutute - Carbondale LLC
800 East Carpenter Street	Springfield	IL	62769	371321197	HealthCare	IL	St John's	related
Northeast Wisconsin Radiation Therapy Se
1821 S Webster Avenue STE 300	Green Bay	WI	543079047	263749065	HealthCare	WI	St Vincent's	related
Pain Center of Wisconsin
4131 W Loomis Road STE 300	Greenfield	WI	53221	263155343	HealthCare	WI	St Vincent's	related
Surgery Center of Sheboygan LLC
3141 Saemann Ave	Sheboygan	WI	53081	260822209	HealthCare	WI	St Nicholas	related
Prevea Ventures LLC
2710 EXECUTIVE DR	Green Bay	WI	54304	203775127	HealthCare	WI	HSSI	related
KIARA Clinical Integration NTWK
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	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 STE 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	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	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	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg