2014-05-13T09:19:59-05:00 2013-06-30 KPMG LLP 191 West Nationwide Blvd Ste 500 Columbus OH 432152568 990 2012-07-01 370663567 ST ELIZABETH'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS % JOHNNY WATKINS STEL 6182342120 211 SOUTH THIRD STREET Suite BELLEVILLE IL 622201998 David Nosacka Division 6182342120 2014-05-11 true 6142492300 2012 2015-11-30 17:44:51Z MARYANN REESE 211 SOUTH THIRD STREET BELLEVILLE IL 622201998 166432286 false 0928 X WWW.STELIZ.ORG X 1875 IL TO REVEAL AND EMBODY CHRIST'S HEALING LOVE FOR ALL PEOPLE THROUGH OUR HIGH QUALITY FRANCISCAN HEALTH CARE MINISTRY. 12 10 1661 244 26082 2338 317879 443646 167054450 160336773 -2523354 636187 2058748 3432337 166907723 164848943 0 0 0 0 73654386 72356370 0 0 0 107971159 107651328 181625545 180007698 -14717822 -15158755 122615352 113735179 127642383 117771927 -5027031 -4036748 X SEE SCHEDULE O. false false 42685388 34541431 CARDIAC SERVICES - SEE SCHEDULE O 21154968 20275320 SURGICAL SERVICES - SEE SCHEDULE O 9681018 8643105 REHABILITATION SERVICES - SEE SCHEDULE O 74691221 96876917 148212595 true true false true false false false false false false true false false false true true false true false false false false false false false false true true false false true false false false false false false false false false false false false true true false false false true 127 0 true 1661 true true true false false false false false false false false false X 12 10 false false false false true true true true true false false true true true true true true true true false true X JOHNNY WATKINS 6182342120 211 SOUTH THIRD BELLEVILLE IL 622201998 SISTER JANICE SCHNEIDER OSF 1.0 X X 0 0 0 MARYANN REESE 60.0 X X 0 428003 92918 WILLIAM S LYKE 1.0 X X 0 0 0 THOMAS M EGAN 1.0 X X 0 0 0 REV JAMES E DEITERS 1.0 X 0 0 0 STEPHANIE STRANO-MAINE 1.0 X 0 0 0 JIM CLANAHAN MD 1.0 X 0 0 0 JACQUELYN M CLEMENT PHD 1.0 X 0 0 0 SISTER MARYBETH CULNAN OSF 1.0 59.0 X 0 0 0 J DAVID MCCAUSLAND 1.0 X 0 0 0 RICHARD J THOMAN 1.0 X 0 0 0 ANWAR KHAN MD 1.0 X 40008 0 0 ANN M CARR 0.25 59.75 X 0 272146 138031 MARK REIFSTECK 19.0 41.0 X 0 495721 98441 JOHNNY E WATKINS 19.0 41.0 X 274329 0 45867 LESLIE LOVSHIN 60.0 X 156068 0 20152 SHELLEY HARRIS 60.0 X 170108 0 61782 ADAM THACKER 19.0 41.0 X 154912 0 2852 SHELLY HARKINS MD 60.0 X 261341 0 31164 MARGARET LUNA 19.0 41.0 X 126901 0 14861 JAMES BURKE 19.0 41.0 X 215858 0 38693 AMY BALLANCE 19.0 41.0 X 129475 0 29212 COREY J HASTINGS 19.0 41.0 X 125445 0 28874 SUSAN BEELER 60.0 X 129544 0 26994 JULIA SCHIMMELPFENNIG 60.0 X 126651 6836 JAMES RUSHFORD 60.0 X 332152 214461 48895 DONALD JOHNSTON 60.0 X 321507 284196 41081 2564299 1694527 726653 33 true true false PROFESSIONAL THERAPY SERVICES INC 2810 FRANK SCOTT PKWY WEST SUITE 8 BELLEVILLE IL 62223 Physical Therapy 3192926 SODEXO OPERATIONS LLC 4880 Payshere Circle CHICAGO IL 60674 Food service 1579948 SLU CARE 1402 S Grand Blvd ST LOUIS MO 63104 Physician services 1241443 AMPHION MEDICAL SOLUTIONS 8301 EXCELSIOR DRIVE MADISON WI 53717 TRANSCRIPTION SERVIC 668457 SOUTHERN IL CARDIOVASCULAR 211 S 3RD ST BELLEVILLE IL 62220 CARDIOVASC SERVICES 630000 34 177476 266170 0 443646 NET PATIENT REVENUE 900000 158547047 158547047 PHARMACY 446110 113532 113532 HEALTH PROGRAMS 900000 7847 7847 ONCOLOGY CENTER INCOME 900000 887195 887195 RENTAL INCOME-AFFILIATED ORGANIZATION 900099 781152 781152 160336773 347948 347948 0 0 1372581 1289646 82935 0 82935 82935 221887 293697 360049 -71810 288239 288239 0 0 0 ADMINISTRATION INCOME 900000 2676319 2676319 PURCHASE DISCOUNTS 900000 310167 310167 CAFETERIA SALES 722210 69336 69336 293580 26082 267498 3349402 164848943 160336773 26082 4042442 0 0 0 0 1283483 674547 608936 0 51786337 46326327 5460010 5395626 4778576 617050 10112998 8524415 1588583 3777926 3345878 432048 2889198 2889198 561173 561173 0 33420 33420 0 0 25590647 22303948 3286699 115725 115725 1004854 789517 215337 10348903 513452 9835451 0 3716790 3716790 138717 81232 57485 0 40560 35349 5211 857165 857165 0 8864301 7036670 1827631 3202511 469645 2732866 MEDICAL SUPPLIES 21304346 21304346 PROVISION FOR BAD DEBTS 17624150 17624150 LICENSE AND TAXES 7129066 7128118 948 MAINTENANCE & REPAIRS 3651868 3340414 311454 577934 185801 392133 180007698 148212595 31795103 0 X 0 0 -4023125 2288153 7247610 2684512 32423111 27297099 0 0 0 0 101817 297060 2566401 2421397 1016709 678601 205761675 145497797 62250125 60263878 16615232 13255350 0 0 3944776 4331971 0 0 472696 217158 122615352 113735179 15389849 15865587 0 0 9199 0 62791810 68436234 0 0 0 0 0 0 0 0 49451525 33470106 127642383 117771927 X -11327023 -10926920 6226005 6798100 73987 92072 -5027031 -4036748 122615352 113735179 X -15158755 656152 15492886 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X false false false false false false false false true 33420 33420 false DESCRIPTION OF OTHER LOBBYING ACTIVITIES SCHEDULE C, PART II-B, QUESTION 1I 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, PART OF WHICH ARE ATTRIBUTABLE TO LOBBYING FEES PAID BY THE ORGANIZATIONS. THE AMOUNT LISTED ABOVE IS THE AMOUNT ATTRIBUTABLE TO THE HOSPITAL FROM ITS DUES PAID. false 3630755 3630755 118768466 82385041 36383425 359390 209365 150025 72855752 57395352 15460400 10147312 5508039 4639273 60263878 0 ACCRUED BENEFIT LIABILITY 21639040 RETIREMENT OBLIGATION ASBESTOS 8487877 SELF INSURANCE COST 3343189 33470106 X FIN 48 (ASC 740 FOOTNOTE) SCHEDULE D, PART X, LINE 2 HSHS HAS ADOPTED ASC SUBTOPIC 740-10, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES - AN INTERPRETATION OF FASB STATEMENT NO. 109. ASC SUBTOPIC 740-10 ADDRESSES THE DETERMINATION OF HOW TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. UNDER ASC SUBTOPIC 740-10, HSHS MUST RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. ASC SUBTOPIC 740-10 ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST, AND PENALTIES ON INCOME TAXES, ACCOUNTING IN INTERIM PERIODS AND REQUIRES INCREASED DISCLOSURES. AT THE DATE OF ADOPTION, AND AS OF JUNE 30, 2013 AND 2012, HSHS DOES NOT HAVE A LIABILITY FOR UNRECOGNIZED TAX BENEFITS. true true true X true X 600. true true true false true true 4398861 4398861 0.02710 28199365 18468242 9731123 0.05990 32598226 18468242 14129984 0.08700 32 8395 337219 337219 0.00210 7 1100 2393055 584365 1808690 0.01110 1 4289 176908 176908 0.00110 7 3642 62740 62740 0.00040 47 17426 2969922 584365 2385557 0.01470 47 17426 35568148 19052607 16515541 0.10170 7 875 42567 42567 0.00030 2 320 1726 1726 1 350 218 218 10 1545 44511 44511 0.00030 true 17624150 50336141 48493111 1843030 X true true MEM & ST ELIZ'S HEALTHCARE 0.50000 HEALTHCARE SVS SOUTHERN ILLINOIS FACILITATE CARDIOVASCULAR SVS 0.50000 CARDIOVASCULAR FAC 1 1 St Elizabeth's Hospital

211 South 3rd Street Belleville IL 62220

X St Elizabeth's Hospital true X X X X X X X X X 12 true false true X X X X X X X X false false true true 150. true 600. true X X X X X X X X true true X X X X true false true false false PART I, LINE 3C Not applicable, St. Elizabeth's Hospital follows FPG to determine eligibility for providing charity and discounted care to low-income, uninsured and underinsured individuals. PART I, LINE 6A The hospital's community benefit report can be accessed at: http://steliz.org/our-hospital/community-benefit/. Part I, Line 7, Column (F) The percentage of charity care and certain other benefits at cost as a percent of total expenses less bad debt is 10.17%. The amount of bad debt removed when calculating Part I, Line 7, Column (F) was $17,624,150. PART I, LINE 7 The calculation of cost is based on the charges for these services multiplied by the overall cost to charge ratio based on the hospital's financial statements to determine the actual cost of these services. PART II Under Community Building Activities, St. Elizabeth's Hospital provides the following community support: Bridges Connections District 201: This program is designed to help special needs students learn marketable skills through on the job training; up to three students receive two hours of supervised job training. Each student progresses through a three phase program. As they progress through each phase of the program, the Hospital absorbs an increasing percentage of the cost. This program enhances this high risk population's ability to be a productive part of our community. Food, clothing, school supply drives and Elizabeth's Garden: Throughout the year, these programs are supported by hospital colleagues to meet community need. Items are donated to local agencies that work with the poor and/or to local food pantries, in turn reducing the burden of government. In FY2013, colleagues donated 2,100 pounds of clothing, 220 pounds of school supplies and 346 pounds of food to a variety of community social service agencies. Mentoring at Henry Raab Elementary School: The school selects students from low income, at risk families who are in need of an adult role model. Directors/Managers spend one-on-one time with their assigned student to both encourage growth and offer assistance with school work and relationship building. This enhances the learning experience of these children, which will increase their chances of graduating and improve their health outcomes. Disaster Preparedness: St. Elizabeth's Hospital has made a significant investment in emergency management preparedness by initially training 15 colleagues in National Incident Management System and Incident Command System. The hospital participates in numerous emergency management drills in cooperation with our local, region and state partners in addition to our required two annual drills. Pathways Alternative High School: Assisted with an outdoor adventure program for Pathways Alternative High School, a high school for students with significant emotional or behavioral issues. Students scaled a climbing tower to develop confidence and interaction skills with adults and their peers. Under Community Building Activities, St. Elizabeth's Hospital also provides the following for leadership development/training for community members: BASIC Initiative: BASIC (Belleville Achieves Strength in Character) is a partnership of schools, the City of Belleville, and the business community to strengthen character in our youth and in the community. BASIC encourages youth and adults to be productive citizens in our community. PART III, LINE 4 Bad debt expense of HSHS is described on pages 18 and 19 of the audited financial statements, a copy of which is attached to the return. PART III, LINE 8 The hospital continually strives to provide excellent patient care in the most cost effective manner. In FY2013, St. Elizabeth's Hospital had no Medicare shortfall. The amount reported comes from our most recently filed Medicare Cost Report. PART III, LINE 9B EVERY EFFORT IS MADE PRIOR TO, DURING AND AFTER PROVISION OF MEDICAL SERVICES TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR CHARITY/COMMUNITY CARE AND TO ASSIST THE PATIENT IN COMPLETING THE APPLICATION AND PROVIDING ADEQUATE DOCUMENTATION. IF THE PATIENT QUALIFIED FOR CHARITY/COMMUNITY CARE FOR THE FULL BALANCE OF THEIR ACCOUNT, THE ENTIRE AMOUNT IS WRITTEN OFF TO CHARITY/COMMUNITY CARE AND HENCE NO DEBT COLLECTION IS PURSUED. IF THE PATIENT QUALIFIED FOR CHARITY/COMMUNITY CARE FOR A PORTION OF THEIR ACCOUNT BALANCE, THAT PORTION IS WRITTEN OFF TO CHARITY/COMMUNITY CARE, WITH THE PATIENT BEING RESPONSIBLE FOR THE REMAINDER OF THE BALANCE. ADDITIONALLY, REASONABLE EFFORT WILL BE MADE TO OBTAIN THIRD-PARTY OR GOVERNMENT PAYER REIMBURSEMENT ON BEHALF OF THE PATIENT. IF THOSE EFFORTS ARE NOT FRUITFUL, AN OFFER WILL BE EXTENDED TO THE PATIENT TO MAKE INSTALLMENT PAYMENTS ON THEIR BALANCE. ONLY AT SUCH POINT THAT THE PATIENT DEFAULTS ON INSTALLMENT PAYMENTS OR REFUSES TO COOPERATE WITH THE HOSPITAL'S EFFORTS TO BE REIMBURSED WILL THE ACCOUNT BE SENT TO COLLECTIONS. FOR ADDITIONAL INFORMATION, SEE RESPONSE TO QUESTION VI, 3. Part V, Section B, 1J During Fiscal Year 2012 (July 1, 2011 to June 30, 2012), a Community Health Needs Assessment (CHNA)was conducted by St. Elizabeths Hospital. The hospitals primary service area, considered part of the greater Metropolitan St. Louis Area, includes both urban and rural areas. The 2012 CHNA process identified and the Board of Directors approved the following three strategic initiatives: . Access to healthcare for the underserved and uninsured . Mental health - decrease depression and rate of suicide . Chronic disease - improve management of diabetes PART V, LINE 3 IN MARCH 2012, ST. ELIZABETH'S HOSPITAL HOSTED FIVE TWO-HOUR COMMUNITY ENGAGEMENT SESSIONS WITH 10 TO 15 PARTICIPANTS PER SESSION. PARTICIPANTS WERE INVITED BASED ON THEIR AWARENESS AND EXPERTISE IN THE HEALTHCARE NEEDS OF OUR COMMUNITY. EMPHASIS WAS PLACED ON REPRESENTATION OF THE UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS AS WELL AS POPULATIONS WITH CHRONIC DISEASE. NINETY PEOPLE WERE INVITED TO PARTICIPATE. FIFTY-EIGHT PEOPLE ATTENDED ONE OF THE SESSIONS. THE FOLLOWING DESCRIBES THOSE WHO PARTICIPATED AND THE SPECIAL NEED AREAS THEY REPRESENTED ARE SHOWN IN ITALICS: PHYSICIANS (ER, PRIMARY CARE PHYSICIANS, DENTISTS, UROLOGIST) - CHRONIC DISEASE, UNDERSERVED, LOW INCOME, MINORITY PRACTICING NURSES, RETIRED NURSES, HOSPICE NURSES, UNIVERSITY NURSE EDUCATORS, PARISH NURSES - CHRONIC DISEASE BUSINESS LEADERS CIVIC LEADERS (MAYOR'S OFFICE, CHAMBER OF COMMERCE, ALDERMEN) LEGAL COMMUNITY (LAWYER AND JUDGE, ADVISOR FOR THE LEGAL AID SOCIETY) - LOW INCOME, MINORITY HEALTH AGENCIES (AMERICAN CANCER, CALL FOR HELP, FIRST RESPONDERS/EMS) - CHRONIC DISEASE, UNDERSERVED, MINORITY, LOW INCOME COMMUNITY SERVICE AGENCY DIRECTORS - UNDERSERVED, MINORITY, LOW INCOME SCHOOLS REPRESENTATION (PRIMARY AND SECONDARY REPRESENTATION) - UNDERSERVED, MINORITY, LOW INCOME MENTAL HEALTH AGENCY DIRECTORS (INCLUDING ALCOHOL AND DRUG ADDICTION EXPERTS) - UNDERSERVED, MINORITY, LOW INCOME PARENTS OF SPECIAL NEEDS CHILDREN - UNDERSERVED HISPANIC SERVICE AGENCY - UNDERSERVED, MINORITY, LOW INCOME RELIGIOUS LEADERS - INNER CITY AND RURAL - MINORITY, LOW INCOME AGENCY FOR THE AGING - MINORITY MILITARY COMMANDER FOR SCOTT AIR FORCE BASE HEALTH SERVICES COMMUNITY INPUT WAS ALSO OBTAINED THROUGH A HOUSEHOLD SURVEY. PART V, LINE 4 ST. ELIZABETH'S HOSPITAL CONDUCTED THE COMMUNITY HEALTH NEEDS ASSESSMENT IN COLLABORATION WITH THE ST. CLAIR COUNTY HEALTH DEPARTMENT, KARLA SMITH FOUNDATION AND 708 MENTAL HEALTH BOARD. PART V, LINE 5C The CHNA Report is posted on our Hospital website at: http://steliz.org/our-hospital/community-benefit. In addition, the report is posted on our Hospital Intranet Mission page for our colleagues and was shared with the St. Clair County Health Care Commission at their quarterly meeting in July, 2012. PART V, LINE 7 The St. Elizabeth's Hospital Board of Directors approved the Community Benefit Implementation Strategy based on the FY2012 CHNA. The approved Implementation Strategy was executed in our FY2013. Based on hospital capabilities, resources, severity of the need, and other factors, St. Elizabeth's addressed three areas: . Improve access to healthcare, especially for those who are uninsured or underinsured . Mental health, reduce the rate of depression and suicide in the adult population in the County . Chronic disease, educate and empower diabetics to live a healthier lifestyle The following additional needs were identified and were not addressed directly by the hospital in FY2013 for the reasons indicated. . Mental health - Appropriate services for uninsured: this was partly addressed as a corollary of the Mental Health Suicide/Depression initiative. . Consolidation of community health/resource information: St. Elizabeth's Hospital lacks the expertise to develop and maintain this data base. United Way maintained a data base in their "211" system. . Develop responsibility for one's healthcare: St. Elizabeth's Hospital addresses this issue on a case by case basis (not community level) through our Social Service Department . Geriatric population (access medical/psychiatric): St. Elizabeth's Hospital provides inpatient and outpatient care as part of the Behavioral Healthcare Service line to this population. The hospital lacks adequate space to establish a separate Geriatric-psych program. Addressing the lack of geriatric trained physicians is beyond the scope of this facility. . Violence prevention and safety: This need is an identified need in the IPLAN (Illinois Project for Local Assessment of Needs). The St. Clair County Health Department is the lead agency addressing this need. St. Elizabeth's Hospital lacks the ability to address this issue in any meaningful way. . Lung Cancer and COPD: This need is an identified need in the IPLAN. This issue is being addressed by the hospital, St. Clair County Health Department and other community based programs. . Material and Child Health as related to Infant Mortality, Teen Pregnancy and STD/HIV: This need is an identified need in the IPLAN . The hospital currently has a level 2 NICU with pediatrician on the medical staff, but lacks the required resources to further enhance programs for maternal and child health at this time. PART V, LINE 12h Yes, the Financial Assistance Policy contains a detailed description of the Purpose, Definitions and Guidelines for financial assistance. PART V, LINE 14g Yes, section I of the Financial Assistance Policy describes the "Communication of the Financial Assistance Program to Patients" in detail. 2, NEEDS ASSESSMENT Traditionally, St. Elizabeth's Hospital works closely with the St. Clair County Health Department and participates in developing the County's IPLAN. The IPLAN is a community health assessment and planning process that is conducted every five years by the local health jurisdictions in Illinois. In the past, the IPLAN was used to help determine the hospital's community benefit improvement strategies. In FY2012, a team consisting of a Hospital Administrative Consultant, the Director of Mission Integration and the Director of Pastoral Care facilitated the CHNA for the hospital in collaboration with the St. Clair County Health Department. St. Elizabeth's Hospital's parent organization, Hospital Sisters Health System (HSHS), established a goal for all 13 of its hospitals to complete a CHNA by the end of Fiscal Year 2012. HSHS selected Leede Research, a marketing research firm specializing in health care information, to complete an independent health needs assessment survey of our community. Leede utilized a set of standard health assessment questions and locally defined custom questions. In December 2011, Leede completed 400 telephone surveys in the hospital's primary service area. St. Elizabeth's FY2012 CHNA integrated the following data sources to develop our implementation strategy: . Leede Research Survey . St. Clair County Health Department IPLAN . Missouri Hospital Association - Assessing the Health of Communities . University of Wisconsin County Health Rankings . Dignity Health Community Need Index In March 2012, St. Elizabeth's hosted five two-hour Community Engagement sessions with 10 to 15 participants per session. Participants were invited based on their awareness and expertise in the healthcare needs of our community. Emphasis was placed on representation of underserved, low-income and minority populations as well as populations with chronic disease. Ninety people were invited to participate. Fifty-eight people attended at least one of the sessions. Each session identified the five most significant health needs in our service area, utilizing all of the health data provided, the needs identified in a brainstorming session and the participants' personal expertise to formulate their table's top five health needs. 1. Access to Health Care . Clinics for uninsured . Lack of Primary Care Providers . Insurance costs 2. Education . Healthy living . Healthcare resources . End of Life 3. Mental Health/Addictions 4. Chronic Issues . Diabetes . Cardiac/Pulmonary . Obesity 5. Services . Geriatric . Special needs . Mother/Child The 16 member Community Benefit Steering Committee evaluated the data sources and the Community Engagement Groups results with the hospital's mission and resources. The goal was to determine the needs of our community that could best be addressed by St. Elizabeth's Hospital. This committee represented clinical specialties from the hospital as well as experts from the community, (Director of Community Health, St. Clair County Health Department; Executive Director, St. Clair County 708 Mental Health Board; President Karla Smith Foundation, Suicide and Family Support Group; Pastor, St. Paul's United Church of Christ in Lebanon, IL ). Using four criteria, the Steering Committee members rank ordered the list of health needs identified by the Community Engagement Groups: . Meets the mission of the Hospital . The magnitude of the need . The feasibility or available resources to address those needs . The severity of the health need in our community The Steering Committee identified three primary needs: . Access to healthcare, especially for those who are uninsured or underinsured . Mental health, reduce the rate of depression and suicide in the adult population in the County . Chronic disease, educate and empower diabetics to live a healthier lifestyle Hospital colleagues and community members were assigned to each of the top three health needs. Each committee then focused on one specific priority to define the implementation strategy, taking into account the assets in the community available to help address the health need. Goals, objectives, and indicators were then developed to measure success. St. Elizabeth's Hospital Board of Directors, which includes representation from Religious Leaders, Community Service, Education, Advocacy, Physicians, Expertise in Governance, Business, Organization and Planning, reviewed the FY2013 Community Benefit Implementation Strategy for addressing priorities identified in the most recent CHNA. This report was approved by the Board of Directors Executive Committee on May 25, 2012. The Community Health Needs and associated implementation strategy was used to guide our efforts in FY2013. 3, PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE The Patient Access Department provides each patient with information about the Christian Assistance Program (CAP) available at St. Elizabeth's Hospital. Patients receive a contact phone number for further assistance. Information about the Christian Assistance Program is also available on the hospital's web site along with the application form and contact numbers. The hospital has a representative on site to assist patients who may be eligible for Medicaid assistance through the Illinois Department of Public Assistance. The hospital representative works with patients and assists them with the application process. Patients determined ineligible for Medicaid are given a CAP Application form and instruction letter with a phone number to contact for further help in making application for assistance. Assistance is provided as needed. Each bill that a patient receives has information about the Christian Assistance Program and a phone number to contact for help in applying. Patients who come to the Cashier's Office are given information about payment options, including the Christian Assistance Program. Even after an account is sent to a collection agency and/or anytime in the process they believe a patient may be eligible for Christian Assistance, the account is returned to the hospital and evaluated for Christian Assistance. 4, COMMUNITY INFORMATION Belleville, the County Seat for St. Clair County, has a population of 43,756. St. Clair County has a population of 270,259. In St. Clair County, 10% of the population lives in rural communities. The median household income is $49,634 compared to the National income of $53,271. 19.4% of population lives below the poverty line. 27.4% of families earn less than $25,000 a year. Families living below the poverty level was 9.3% compared to National average of 9.2%. In St. Clair County, 8.2% of the population is covered by Medicaid compared to 7.5% for the State. Percent of uninsured adults, non-seniors in the County is 12% compared to 16% for the State of Illinois. The 2013 County Health Rankings rates St. Clair County for Health Factors at 88 out of 102 counties in Illinois (one is best, 102 is worst ranking). (Data from county Health Rankings and US Census data) The primary service area for St. Elizabeth's Hospital covers most of St. Clair County. The secondary service area extends into Monroe, Clinton, Randolph and Madison Counties. Total population of the primary and secondary service area is 353,346 (2010 Census). St. Elizabeth's Hospital also serves as a referral hospital in Hospital Sisters Health System's Southern Illinois Division which includes St. Joseph's Hospital in Highland, St. Joseph's Hospital in Breese and St. Anthony's Memorial Hospital in Effingham. St. Elizabeth's has served this community since its founding in 1875 by the Hospital Sisters of St. Francis. The hospital currently staffs 260 inpatient beds. The hospital employs 1,349 colleagues. Inpatient admissions for Fiscal Year 2013 were 11,361. The Emergency Department had 27,749 visits and admitted 6.322 to inpatient services. The Urgicare Center in O'Fallon, an offsite facility, had 19,440 visits. Total Outpatient visits for the hospital were 161,310. St. Elizabeth's Hospital is a recognized Accredited Chest Pain Center since 2004. The Center received the American Heart Association Mission Life Line Bronze Award for overall Cardiac Care. The Intensive Care Unit for the past five years has been recognized to be in the Top 10% in the nation. 5, PROMOTION OF COMMUNITY HEALTH St. Elizabeth's Hospital offers hope to our community in the tradition of the Hospital Sisters of St. Francis. As a healing ministry of the Catholic Church and an affiliate of the Hospital Sisters Health System (HSHS), St. Elizabeth's is committed to delivering high quality, compassionate, and cost-effective health care services to all. The hospital was founded 136 years ago to bring a healing presence and improve the health of our community, especially for people who are sick, poor, and disadvantaged. Because of the hospital's mission and tradition, it is organized to promote the health of St. Clair County and surrounding areas. The hospital is governed by a Board of Directors, the majority of whom reside in the hospital's primary service area and who are neither employees nor contractors of the hospital (nor family members thereof). The Board ensures that St. Elizabeth's Hospital is responding to community need. During the last fiscal year, for example, the Board reviewed the Community Health Needs Assessment and approved an implementation strategy for addressing identified needs. Our Advisory Board and Friends Board consist of persons who reside in our primary service area. Members of these Boards participated in the Community Engagement Groups that were integral in development of the CHNA. Also consistent with its exempt purpose, St. Elizabeth's Hospital has an open medical staff with privileges available to all qualified physicians in the area. In addition, the hospital operates an emergency department that is open 24 hours to all persons regardless of their ability to pay. As a not-for-profit hospital, St. Elizabeth's Hospital reinvests surplus funds into the mission of the organization and health of the community rather than distributing them as profits to shareholders or individuals. Funds not committed to ongoing operations are generally used to upgrade facilities, secure new technologies, improve patient care, and support initiatives designed to promote health and ensure access for all. For example, St. Elizabeth's Hospital is currently working with its parent organization, Hospital Sisters Health System, to continuously enhance quality and improve coordination of care both inside the hospital and with a growing number of physician partners. Supported by investments in information technology, this "care integration" strategy is designed to better coordinate care, improve health outcomes, create new efficiencies, and help ensure that patients (especially those with chronic conditions) get well and stay well. St. Elizabeth's also devotes significant resources to access for patients who cannot afford care, along with other community benefits. In fiscal year 2013, St. Elizabeth's provided over $16.5 million in community benefit services, including charity care at cost, unpaid costs of Medicaid and other public programs, and a range of diverse programs designed to enhance access and improve community health. Additionally, during this period, St. Elizabeth's provided $5.2 million (at cost) in uncompensated care to patients that did not qualify for charity care or public assistance. St. Elizabeth's Hospital provides a range of community benefits that flows from our mission and long-standing commitment to our community. In many cases, these programs would not exist without the leadership role played by St. Elizabeth's Hospital. These programs relieve a burden that would otherwise be carried by government. Several of these programs and activities are designed to respond to our FY2012 Community Health Needs Assessment, which surfaced the following priority needs for attention from the hospital in collaboration with other community organizations: Access to healthcare, especially for those who are uninsured or underinsured: In this new program, St. Elizabeth's is enhancing access to care by working in the new Health Insurance Marketplace (HIM) under the Affordable Care Act. In conjunction with our parent organization Hospital Sisters Health System, the hospital applied for a grant to host at least one In-Person Counselor (IPC), but did not receive. We are planning to provide a community access location within our facility for the HIM staffed by partner organizations with IPC's and Navigators in addition to planned Certified Application Counselors funded by St. Elizabeth's. St. Elizabeth has been active in coordination of efforts around the HIM. Mental health, reduce the rate of depression and suicide in the adult population in the County: In this new program, St. Elizabeth's is partnering with the Karla Smith Foundation (support service for families coping with mental illness and suicide), the local mental health board, Call for Help (provides crisis intervention), local hospice programs under the guidance of the St. Clair County Health Department IPLAN to deploy a depression and suicide risk assessment tool known as QPR (Question, Persuade and Refer). Several members of the partnership have been trained as a Certified QPR Gatekeeper Instructor and are deploying the education in St. Clair County. A St. Elizabeth's Colleague will be trained as a Certified QPR Gatekeeper Instructor in FY14 to increase the pool of certified QPR educators. Chronic disease, educate and empower diabetics to live a healthier lifestyle: For four years St. Elizabeth's has offered outpatient nutrition counseling to help persons with diabetes manage their illness. The 1:1 nutrition counseling session met the individual needs of patients. In 2010 it was identified that there were many people in need of support services who could not afford the cost of the 1:1 counseling sessions. A monthly diabetic education support group was started and the program is offered at no cost. Topics include: carbohydrate counting, stress management, cardiovascular disease, medication management, pain management, exercise and foot care. In January 2012 the Outpatient Dietitian collaborated with the Cardiac Rehab Department and added an exercise component to the Diabetic Support Group. Twice a week the Diabetic Support Group now offers a one hour exercise session in the Cardiac Rehab Gym, followed by a half-hour of yoga. The combination of education and exercise is designed to enhance better outcomes for this patient population. Twenty-one people have joined the exercise group. On average 16 people participate each week in the exercise/yoga session. Ongoing Community Health Programs Breast Health Awareness Month October is Breast Health Awareness month. Annually, St. Elizabeth's Hospital works together to enhance community awareness and connect with civic and community leaders in an effort to educate and raise awareness of the importance of breast health. In FY2013, "Now is the Time" flyers promoting breast health awareness events were available in the hospital, Urgicare Center, and downtown Belleville and O'Fallon; a "Real Men Wear Pink" campaign was launched in the media; and the hospital partnered with the local newspaper and area businesses to promote a "Pink Passion Spa Day," an event hosted at the hospital for women to learn about breast and women's health in a warm and comforting environment. The event included bra fittings, wig and skin care information, mini-manicures, chair massages, women's physical therapy, nutrition information, healthy cooking demo, breast health information and on-site mammogram appointment scheduling. A radiologist, a surgeon, and two OB/GYN physicians were present to answer questions. The Food and Nutrition Department demonstrated healthy cooking ideas and a dietitian was present to answer questions about healthy eating. A healthy Mediterranean themed buffet and drinks were served. More than 70 women participated in the event. As a result of the hospital's Breast Health Awareness month programming, the St. Clair County Health Department reported that 18 women presented to their Breast and Cervical Cancer program for mammograms. Heart2Heart Month February is Heart2Heart Month at St. Elizabeth's Hospital. In FY2013, a mock STEMI drill was held at Sam's Club in O'Fallon to promote awareness of early intervention. The mock drill was comprised of the hospital's cardiac team, the O'Fallon EMS and Sam's Club employees. Shoppers at Sam's Club witnessed a public medical drill that recreated a person having an ST-Elevation Myocardial Infarction (STEMI), also known as a heart attack. This mock chest pain drill helped our hospital and EMS measure response time and practice appropriate medical protocols. St. Elizabeth's colleagues were on hand to share heart health information as part of the mock drill. Mentoring Future Healthcare Professionals St. Elizabeth's Hospital is committed to helping to prepare future healthcare professionals. Students from local Community Colleges and Universities participate in clinical training in the following areas: Nursing, Behavioral Healthcare, Respiratory, Physical & Occupational Therapy, Pharmacy, Radiology, Surgery, Patient 6, AFFILIATED HEALTH CARE SYSTEM. St. Elizabeth's Hospital in Belleville, Illinois is an affiliate of Hospital Sisters Health System (HSHS), a health care ministry that includes 13 hospitals, scores of community-based health centers and clinics, and hundreds of physician partners across Illinois and Wisconsin. The Mission of HSHS is "to reveal and embody Christ's healing love for all people through our high quality Franciscan health care ministry." We live our Mission by providing holistic healing to all who seek our care, as well as through Community Benefit. Working collaboratively with others in the communities we serve, our Community Benefit initiatives are strategically and successfully expanding access to care, improving the health status of residents, and furthering medical education and knowledge. In FY2013, our 13 hospitals responded to needs identified in each of their Community Health Needs Assessments (CHNAs) completed in FY2012. The information gathered from these assessments was used to develop new and enhance existing Community Benefit programs and services that best addressed community needs. Included among the many priority needs identified in our CHNAs were chronic disease prevention and management, obesity, adequate food and nutrition, mental health, and access to health care services. HSHS hospitals are proactively addressing these and other needs through patient, provider and community education, preventative screenings, self-management classes, and new or enhanced clinical services. Across HSHS, we collectively provided $185.6 million in Community Benefit (or 10.2% of total hospital expenses) in FY2013. Included in this amount was $45.9 million provided for Financial Assistance (i.e. Charity Care) and $104.2 million for unreimbursed care provided under the Medicaid program. In addition, HSHS hospitals committed significant resources to care for Medicare patients. The cost of providing services to primarily elderly beneficiaries of the Medicare program - in excess of governmental and managed care contract payments - was $152.3 million. HSHS hospitals also recorded $107.1 million in uncollectible accounts. In addition to the dollars invested in our Community Benefit programs, HSHS also continues to reinvest any surplus revenue from operations and investments into new medical technology, facility infrastructure and health care services in our communities. By doing do, we ensure we are able to meet the ongoing demand for high quality, efficient and easily accessible health care. Recognizing that the health care delivery model in the United States is evolving, HSHS remains focused on implementing our Care Integration strategy. Care Integration coordinates the delivery of care around the needs of each patient. During FY2013, we made significant progress with this strategy as we further implemented interoperable health information technologies, expanded the number of Medical Homes, and strengthened our alignment with physicians. Greater access to care As a Franciscan health care ministry, HSHS is deeply committed to serving those who are most in need. We not only provide care to every patient who walks through our doors, but also reach out beyond the walls of our hospitals and clinics to care for those in our communities. Our efforts to ensure residents in the communities we serve receive the right care at the right time in the right setting often involve partnering with others to achieve this goal. Across our two-state System, there are numerous examples of HSHS collaborating with other organizations to enhance access to care for those in need. From 2006 to 2009, the United States saw a 16% increase in individuals seeking dental care at hospital emergency rooms. With the support of St. Mary's Hospital Medical Center and St. Vincent Hospital in Green Bay, Wisconsin, the NEW Dental Clinic on the campus of Northeast Wisconsin Technical College expanded in FY2013 and was able to accommodate up to 6,000 visits. The clinic provides dental services to low-income and uninsured persons including the homeless in Brown County. St. Francis Hospital in Litchfield, Illinois partnered with Lewis & Clark Community College to bring their mobile health unit to the Litchfield area; the unit provides dental exams and screenings, x-rays and dental hygiene to those in need. In western Wisconsin, St. Joseph's Hospital in Chippewa Falls works closely with the Chippewa Health Improvement Partnership (CHIP) to support the Open Door Clinic. The free medical clinic provides health care for those without insurance coverage. This past year, the clinic received a total of 2,672 patient visits, an 11% increase from the prior year. With more than 166 individuals volunteering, the clinic provided more than 6,751 hours (including 753 provider hours and 675 nursing hours) of service to individuals. The Open Door Clinic is an example of HSHS providing leadership and support to a community-based program designed to meet the needs of those less fortunate. In southeast Illinois, area residents can get help filling a prescription through the long-term collaboration between St. Anthony's Memorial Hospital in Effingham and Catholic Charities. Last year, St. Anthony's helped underwrite the cost of prescription medications for more than 280 residents. In southwest Illinois, St. Joseph's Hospital in Highland enhanced their offerings to their senior population based on their CHNA. "Senior Renewal" is an outpatient counseling program for senior adults who may be facing emotional and physical problems unique to the aging process such as feelings of loneliness, isolation and anxiety. Clients receive an intensive level of treatment without inpatient hospitalization through counseling strategies and education. In addition, in collaboration with the Illinois Department of Insurance, St. Joseph's Hospital participates in the Senior Health Insurance Program (SHIP), a free health insurance counseling service for Medicare beneficiaries and their caregivers. In addition to programs such as these, HSHS makes sure that those who need financial assistance for care receive it. Our Financial Assistance (i.e. Charity Care) program covers 100% of hospital charges for individuals and families who earn less than 200% of the federal poverty level. HSHS Financial Assistance programs have a sliding scale, in some instances providing up to a 60% discount on charges for those earning up to 600% of the federal poverty level. Counselors are available in our hospitals to explain our financial assistance policies to patients, provide them with assistance in filling out a simple application form, or help them enroll in publicly funded health care programs. Better community health As part of our Mission to embody Christ's healing love, we understand that we have a responsibility to improve the overall quality of life in our communities by supporting initiatives that promote health and wellness. We recognize we are most successful when we work together with a wide array of public and private organizations that share our commitment to improving lives. By doing so, we maximize our efforts and reduce the duplication of services. HSHS hospitals also understand we need to listen closely to the residents of the communities we serve to ensure the health care needs of all are being met. To that end, each of our 13 hospitals completed Community Health Needs Assessments (CHNA) during FY2012. The information gathered from these assessments is being used to help us develop new, and enhance existing, programs and services that best address the needs of the community. Among the many priority needs identified from the CHNAs include metabolic and cardiovascular disease management, adequate food and nutrition, and mental health. HSHS hospitals are addressing these and other needs by proactively offering educational opportunities, preventative screenings, and new or enhanced clinical services. In partnership with the Sangamon County Health Department (SCDH) and local farmers, St. John's Hospital in Springfield, Illinois took a lead role in bringing a Farmers Market to the east side of Springfield. The East Side Farmers Market addresses three community needs: childhood obesity, childhood poverty (26% of children in Sangamon County live in poverty vs. 18% in the state) and providing fresh produce to persons living in a known "food desert." WIC Cooking Classes are also offered in tandem with the East Side Farmers Market to teach participants how to prepare fresh produce. The Farmers Market and cooking classes are hosted at the SCDH. St. Mary's Hospital in Streator, Illinois teamed up with the Streator YMCA to offer a 12 week weight loss program - Healthy You - to motivate 282 participants (nearly double the participants from last year) to lose weight and maintain a healthy lifestyle. The program included aerobics classes, cooking classes, and a maintenance program to encourage participants to weigh in monthly. A total of 191 participants comple STATE FILING OF COMMUNITY BENEFIT REPORT 990 SCHEDULE H, PART VI IL, X X X X X X X false true false false false false false false false MARYANN REESE 0 308148 0 70214 0 49641 0 66859 0 26952 0 521814 0 0 ANN M CARR 0 193454 0 29440 0 49252 0 121170 0 17686 0 411002 0 18215 MARK REIFSTECK 0 397173 0 66854 0 31694 0 74658 0 30647 0 601026 0 0 JOHNNY E WATKINS 242237 0 31702 0 390 0 36688 0 10141 0 321158 0 0 LESLIE LOVSHIN 125612 0 17233 0 13223 0 3540 0 17312 0 176920 0 0 SHELLEY HARRIS 155887 0 13441 0 780 0 34967 0 27583 0 232658 0 0 ADAM THACKER 137912 0 0 0 17000 0 2852 0 688 0 158452 0 0 SHELLY HARKINS MD 246980 0 0 14361 0 11295 0 20583 0 293219 0 0 JAMES RUSHFORD 319617 213559 0 0 12535 902 28278 0 12355 9170 372785 223631 0 DONALD JOHNSTON 321087 261660 0 0 420 22536 20204 0 12601 9170 354312 293366 0 JAMES BURKE 215078 0 0 780 0 12171 0 27484 0 255513 0 0 AMY BALLANCE 121906 0 0 0 7569 0 4059 0 25820 0 159354 0 0 0 COREY J HASTINGS 118101 0 0 0 7344 0 4205 0 25291 0 154941 0 0 0 SUSAN BEELER 129154 0 0 0 390 0 18060 0 9602 0 157206 0 0 0 SCHEDULE J, PART I, LINE 1A Tax Indemnification and Gross-up Payments Tax gross-ups were paid by HSHS to Ann Carr for $11 during the year. The fair value of this was included in her annual reported income. SCHEDULE J, PART I, LINE 3 PLEASE SEE RESPONSE TO FORM 990, PART VI, LINE 15 IN SCHEDULE O. PLEASE SEE RESPONSE TO FORM 990, PART VI, LINE 15 IN SCHEDULE O. ANN M. CARR SCHEDULE J, PART I, LINE 4B ANN M. CARR PARTICIPATED IN A SERP DURING THE YEAR IN THE AMOUNT OF $42,817. MARYANN L. REESE SCHEDULE J, PART I, LINE 4B MARYANN L. REESE PARTICIPATED IN A SERP DURING THE YEAR IN THE AMOUNT OF $40,277. MARK REIFSTECK SCHEDULE J, PART I, LINE 4B MARK REIFSTECK PARTICIPATED IN A SERP DURING THE YEAR IN THE AMOUNT OF $48,937. ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 THE MISSION OF ST. ELIZABETH'S HOSPITAL IS TO REVEAL AND EMBODY CHRIST'S HEALING LOVE FOR ALL PEOPLE THROUGH OUR HIGH QUALITY FRANCISCAN HEALTH CARE MINISTRY. IN THE PERFORMANCE OF ITS MISSION, ST. ELIZABETH'S HOSPITAL WILL FOSTER THE VALUES OF RESPECT, CARE, COMPETENCE AND JOY. RESPECT IS THE FRANCISCAN RESPECT FOR LIFE FROM CONCEPTION TO DEATH AND FOR THE DIGNITY OF EACH INDIVIDUAL PERSON. IT IS A COMMITMENT TO FREEING AND EMPOWERING EACH PERSON TO DEVELOP TO HIS OR HER FULL POTENTIAL. CARE EMBODIES THE CONCERN, COMPASSION, AND SENSITIVITY WITH WHICH WE CARE FOR PATIENTS, CLIENTS, EMPLOYEES AND CO-WORKERS. MANY TIMES IT IS THOUGHT OF AS BEDSIDE BEHAVIOR, BUT IT BELONGS IN BUSINESS OFFICES, CAFETERIAS AND BOARDROOMS. COMPETENCE MEANS THAT OUR WORK IS PERFORMED AND ST. ELIZABETH'S IS MANAGED WITH THE HIGHEST LEVEL OF SKILL AND ABILITY. WE ARE COMMITTED TO RECRUITING AND DEVELOPING PEOPLE WHO ARE COMPETENT IN THEIR WORK AND WHOSE VALUES REFLECT OUR OWN. OUR VALUES ARE AN INTEGRAL PART OF OUR SYSTEM'S STRATEGIC PLAN, WHICH PROVIDES THE OVERALL FRAMEWORK FOR LOCAL ACTIVITIES. JOY IS THE MANNER IN WHICH OUR EMPLOYEES AND ALL WHO JOIN US IN OUR MINISTRY SEEK TO PERFORM THEIR WORK -- THE PERSONAL FULFILLMENT OF CARING FOR OTHERS. IT IS AN ESSENTIAL INGREDIENT IN BRINGING A SENSE OF HOPE TO THOSE WHO SUFFER. PROGRAM SERVICES FORM 990, PART III, LINE 4A Surgical Services (Expense $42,685,388 Revenue $34,541,431) Our highly trained and experienced surgeons perform surgical and non-surgical procedures in a variety of areas and represent a wide range of specialties, including: cardiothoracic, orthopedic, plastic surgery, neurosurgery, podiatry and more. Your surgical team will perform your surgery using the latest technology and least invasive procedures possible in one of our 16 new surgery suites. Our board certified anesthesiologists and certified nurse anesthetists provide excellent anesthesia care. During FY 2013, St. Elizabeth's Hospital had 4,195 surgical cases. PROGRAM SERVICES FORM 990, PART III, LINE 4B Cardiac Services (Expense $21,154,968 Revenue $20,275,320) St. Elizabeth's provides comprehensive cardiovascular services from diagnosis to surgery to rehabilitation and wellness. St. Elizabeth's is accredited by the Society of Chest Pain Centers, a professional organization focused on improving care for patients with acute coronary syndromes and teaching the public to recognize and react to the early symptoms of a possible heart attack. This accreditation attests that St. Elizabeth's meets strict criteria for recognizing and treating patients who come to the emergency room with heart attack symptoms. We are also a heart attack receiving center. Currently, more than 5 area hospitals send their patients to us for heart attack care. Our patients benefit from our highly credentialed physicians and state-of-the-art technologies, as well as our commitment to superior patient outcomes. Some of the services provided included: Cardiac catheterization, stent placement, stress testing, pacemaker, implantable cardioverter defibrillator (ICD), electrocardiography, coronary artery bypass graft (open heart) surgery and cardiac rehabilitation. During FY 2013, St. Elizabeth's Hospital had 11,801 cardiac cases. PROGRAM SERVICES FORM 990, PART III, LINE 4C Rehabilitation Services (Expense $9,681,018 Revenue $8,643,105) St. Elizabeth's Hospital's comprehensive rehabilitation unit provides the care that maximizes the patient's capabilities. We assist in achieving full recovery potential allowing patients to live as independently as possible. We support patients families by providing them with the education, resources and encouragement needed to achieve positive outcomes. Our comprehensive integrated inpatient rehabilitation program is accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF). We are one of the few accredited rehab facilities in Southern Illinois and the only one available in St. Clair County. The rehabilitation unit is accredited to provide services to those adults who have been affected by stroke, amputation, arthritis, spinal cord injury, joint replacement, hip fracture, neurological disease, and more. When admitted to our program, patients are treated by a multi-disciplinary team of caring professionals. During FY 2013 our Rehabilitation Unit performed 4,505 cases. PROGRAM SERVICES FORM 990, PART III, LINE 4D Other Program Services (Expense $74,691,221 Revenue $96,851,792) Health Care Services St. Elizabeth's delivers a comprehensive array of healthcare services to both inpatients and outpatients. Our accredited programs have consistently demonstrated quality outcomes that positively impact our patients, their families and the entire community. We provide quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of St. Elizabeth's Hospital, it is recognized that not all individuals possess the ability to purchase essential medical services. It is our mission to serve the sick, especially the poor, with quality healthcare services and healthcare education. We have further defined our mission of identifying those who are at greatest health risk, the elderly, children, those coping with mental illness, and those with less means who are dependent on quality healthcare. St. Elizabeth's Hospital currently staffs 260 inpatient beds. The hospital employs 1,661 colleagues. Inpatient admissions for Fiscal Year 2013 were 11,361. The Emergency Department had 27,749 visits and admitted 6,322 to inpatient services. The Urgi-Center in O'Fallon, an offsite facility, had 19,440 visits. Total Outpatient visits for the hospital were 161,310. Community Benefit Charity and Government Means-Tested Program: During the period, St. Elizabeth's provided in excess of $13,561,291 million to support our commitment to the community. Included in this total was charity care provided to individuals unable to afford their care. The cost of charity care was $3,830,168. St. Elizabeth's Hospital also provided care to persons covered by governmental programs at or below cost. This resulted in providing $9,731,123 to Medicaid patients which was not reimbursed. Also, included in the total was the extensive number of free educational programs, screenings, clinical services and consultations provided at a reduced fee or at no charge to other healthcare agencies and human service agencies in our service area. To the extent that reimbursement was below cost, St. Elizabeth's Hospital recognized these expenses as a cost of fulfilling its mission for the entire community. Other Benefits: St. Elizabeth's Hospital takes a proactive role in educating its communities on wellness programs, sponsoring health screenings, collaborating with the local health district in targeting local health concerns, and organizing support groups. Included in the above Community Benefit figures are initiatives aimed at improving access and promoting health for the people of Belleville and surrounding communities. The total other benefits reported value $2,429,937. In addition to the Community Benefit total, St. Elizabeth's provided 5.1 million (at cost) in uncompensated care to patients that did not qualify for charity care or public assistance. TAX EXEMPT BONDS FORM 990, PART IV, LINE 24 ST. ELIZABETH'S HOSPITAL HOLDS A LIABILITY ON ITS BOOKS FOR TAX-EXEMPT BONDS, WHICH IS AN ALLOCATION FROM ITS SOLE CORPORATE MEMBER, HOSPITAL SISTERS SERVICES, INC. AS A RESULT, THIS QUESTION WAS ANSWERED NO, AND SCHEDULE K WILL BE COMPLETED ON THE HOSPITAL SISTERS SERVICES, INC. FORM 990. RIGHTS OF MEMBERS TO ELECT GOVERNING 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 (II) CORPORATION OR OF ANY AFFILIATE; (J) APPROVE THE MERGER OR DISSOLUTION OF THE CORPORATION OR OF ANY AFFILIATE; (K) ADOPT OR AMEND THE PLAN FOR MINISTRY EDUCATION AND GOVERNANCE FOR THE CORPORATION AND ITS AFFILIATES; (L) APPROVE THE CORPORATION'S MISSION ACCOUNTABILITY REPORTS AND THOSE OF ANY AFFILIATE; (M) APPROVE THE FINANCIAL POLICIES AND PROCEDURES OF THE CORPORATION OR OF ANY AFFILIATE AND APPROVE ANY DEVIATIONS FROM SUCH POLICIES AND PROCEDURES BY THE CORPORATION OR ANY AFFILIATE; AND (N) ADOPT POLICIES TO IMPLEMENT THE RESERVED POWERS OF HSSI. FORM 990 REVIEW PROCESS FORM 990, PART VI, LINE 11b THE HOSPITAL EMPLOYS KPMG TO ASSIST IN THE OVERALL PREPARATION, REVIEW AND ELECTRONIC SUBMISSION OF ITS FORM 990. KPMG PROVIDES GUIDANCE IN IDENTIFYING CRITICAL ERRORS IN THE RETURN SUBMISSION AND FEEDBACK ON QUANTITATIVE AND QUALITATIVE RESPONSES. ADDITIONALLY, THE HOSPITAL CFO PERFORMS A THOROUGH REVIEW OF THE RETURN AND REVIEWS IT WITH THE HOSPITAL CEO AND/OR SENIOR LEADERS BEFORE PRESENTING IT IN ITS ENTIRETY TO THE HOSPITAL BOARD FOR QUESTIONING AND REVIEW PRIOR TO THE RETURN'S SIGNING AND SUBMISSION TO THE IRS. CONFLICT OF INTEREST POLICY FORM 990, PART VI, LINE 12C A REVISED CORPORATE COMPLIANCE PROGRAM AND CONFLICT OF INTEREST POLICY HAS BEEN USED SINCE JANUARY, 2009 TO ESTABLISH THE PRACTICE OF MANAGING CONFLICTS OF INTEREST USING A SYSTEM-WIDE PROTOCOL FOR DISCLOSURE STATEMENTS. IN ACCORDANCE WITH OUR CONFLICT OF INTEREST POLICY ALL COVERED PERSONS HAVE A DUTY TO COMPLY WITH THE CONFLICT OF INTEREST POLICY FOR ANY CONTRACT, TRANSACTION, RELATIONSHIP OR ACTIVITY CONTEMPLATED, ENTERED INTO OR CONDUCTED AT HSHS. THE POLICY DEFINES COVERED PERSONS AS A.) BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS, BOARD DESIGNEES, SENIOR MANAGEMENT, MEMBERS OF ANY COMMITTEE THAT OVERSEES THE APPROVAL OF PHARMACEUTICALS AND MEDICAL DEVICES, ANY OTHER INDIVIDUAL WHO HOLDS A POSITION OF TRUST AND B.) NON-EMPLOYED MEMBERS OF THE MEDICAL STAFF WHO ALSO EITHER: 1) HOLD PAID OR UNPAID MEDICAL ADMINISTRATIVE POSITIONS, SUCH AS CHAIRS OF CLINICAL DEPARTMENTS, SECTION AND DIVISION CHIEFS, DIRECTORS OF SPECIAL CARE UNITS, DIRECTORS OF RESEARCH OR INDIVIDUALS WHO OTHERWISE DIRECT OR MATERIALLY INFLUENCE RESEARCH; OR 2) HAVE PROCUREMENT RESPONSIBILITY, OR THE AUTHORITY EFFECTIVELY TO RECOMMEND SUCH PROCUREMENT. ON AN ANNUAL BASIS HSHS DISCLOSES A COPY OF THE CONFLICT OF INTEREST POLICY (AND ALL CORRESPONDING PROCEDURES, GUIDELINES, FORMS AND TOOLS), TO ALL COVERED PERSONS AND ADVISES ALL COVERED PERSONS IN WRITING OF ANY SUBSTANTIVE CHANGES TO THIS POLICY AND SUCH RELATED MATERIALS. THE COVERED PERSONS ARE REQUIRED TO REVIEW AND COMPLETE THE CORRESPONDING CONFLICT OF INTEREST STATEMENT. THE SYSTEM OFFICE VICE PRESIDENT, SYSTEM RESPONSIBILITY, VICE PRESIDENT, RISK & COMPLIANCE OR MEMBERS OF THE AUDIT AND INTEGRITY COMMITTEE ("COMMITTEE") ARE AVAILABLE TO ANSWER ANY QUESTIONS A COVERED PERSON MAY HAVE. IN ADDITION, IF, AT ANY TIME AFTER SUBMITTING AN ANNUAL CONFLICT OF INTEREST STATEMENT, A COVERED PERSON BECOMES AWARE OF AN INTEREST THAT HE OR SHE WOULD HAVE HAD TO DISCLOSE AT THE ANNUAL INTERVAL, THE COVERED PERSON SHALL PROMPTLY DISCLOSE THE INTEREST TO THE COMMITTEE USING THE HSHS CONFLICT OF INTEREST DISCLOSURE STATEMENT. COMPLETED CONFLICT OF INTEREST STATEMENTS ARE SUBMITTED TO THE COMMITTEE OF HSHS WHICH IS RESPONSIBLE FOR IDENTIFYING, ASSESSING, AND MANAGING CONFLICTS OF INTEREST THAT ARISE IN THE COURSE OF CONDUCTING THE AFFAIRS OF HSHS. IF THE COMMITTEE DETERMINES THAT A CONFLICT OF INTEREST EXISTS, HSHS SHALL NOT ENGAGE IN OR ENTER INTO A PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT OR ACTIVITY UNLESS THE COMMITTEE OR, WHERE NECESSARY, THE BOARD OF DIRECTORS (ACTING THROUGH ITS DISINTERESTED MEMBERS), HAS INVESTIGATED ALTERNATIVES TO THE PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT OR ACTIVITY AND, IN THE ABSENCE OF ALTERNATIVES THAT ARE IN THE BEST INTERESTS OF HSHS, HAS DETERMINED: 1. THAT, REGARDLESS OF WHETHER THE COVERED PERSON PARTICIPATES IN THE IMPLEMENTATION OF THE PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY; 2. THE CONTRACT, TRANSACTION, ARRANGEMENT OR ACTIVITY IS IN THE BEST INTERESTS OF HSHS; 3. THE CONTRACT, TRANSACTION, ARRANGEMENT OR ACTIVITY IS FAIR AND REASONABLE FROM THE PERSPECTIVE OF HSHS;AND 4. HSHS CANNOT OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION, ARRANGEMENT OR ACTIVITY WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. IN DETERMINING WHETHER A CONTRACT, TRANSACTION OR ARRANGEMENT IS FAIR AND REASONABLE TO HSHS, THE COMMITTEE SHALL CONSIDER, WHERE APPLICABLE: 1. APPRAISALS OR OTHER INDEPENDENT VALUATIONS OF THE FAIR MARKET VALUE OF THE CONTRACT, TRANSACTION OR ARRANGEMENT; 2. INFORMATION REGARDING COMPARABLE CONTRACTS, TRANSACTIONS OR ARRANGEMENTS BETWEEN UNRELATED PARTIES; 3. OFFERS FROM COMPARABLE COMPETING ENTITIES; AND/OR 4. STUDIES OF COMPARABLE COMPENSATION ARRANGEMENTS. IN ANY CASE IN WHICH THE COMMITTEE FINDS, AFTER TAKING THE STEPS DESCRIBED ABOVE, THAT HSHS SHOULD PARTICIPATE IN A PROPOSED TRANSACTION OR ARRANGEMENT DESPITE THE EXISTENCE OF A CONFLICT OF INTEREST, THE COMMITTEE SHALL DEVELOP, IMPLEMENT, MONITOR, AND ENFORCE COMPLIANCE WITH, A CONFLICT MANAGEMENT PLAN FOR MANAGING THE CONFLICT OF INTEREST AS IT CONSIDERS NECESSARY FOR SUCH FINDINGS TO REMAIN VALID THROUGHOUT THE LIFE OF THE CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT OR ACTIVITY. ALL CONFLICT MANAGEMENT PLANS SHALL: 1. STATE THAT THE COMMITTEE WILL OVERSEE, MONITOR AND ENFORCE COMPLIANCE WITH THE PLAN THROUGHOUT THE COURSE OF THE STUDY AND SPECIFY MEANS FOR DOING SO, INCLUDING, WITHOUT LIMITATION, THAT THE APPROPRIATE INDIVIDUALS MUST PROVIDE THE COMMITTEE WITH WRITTEN REPORTS PERTAINING TO COMPLIANCE WITH THE CONFLICT MANAGEMENT PLAN, THAT THE COMMITTEE SHALL HAVE THE RIGHT TO AUDIT THE STUDY FOR SUCH COMPLIANCE AND THE RIGHT TO IMPOSE SANCTIONS FOR NON-COMPLIANCE; 2. STATE THAT THE PLAN MUST BE SHARED WITH THE COVERED PERSON OR PERSONS WHOSE INTERESTS IT WAS DEVELOPED TO MANAGE; 3. STATE THAT THE PLAN MUST BE SHARED WITH, AND PERIODIC REPORTS ON COMPLIANCE WITH THE PLAN MUST BE PROVIDED TO, THE BOARD, SENIOR MANAGEMENT AND/OR GOVERNMENT AGENCIES; AND 4. PROVIDE FOR SUCH OTHER MANAGEMENT STEPS AND MECHANISMS THE COMMITTEE CONSIDERS NECESSARY AND APPROPRIATE. IN ADDITION TO THE COMMITTEE, THE SYSTEM OFFICE VICE PRESIDENTS OF SYSTEM RESPONSIBILITY AND RISK & COMPLIANCE MAY RETAIN SUCH INDEPENDENT ADVISORS OR EXPERTS AS DEEMED NECESSARY TO ASSIST IN MAKING ITS DETERMINATIONS AND DECISIONS. IF THE COMMITTEE DETERMINES THAT THE CONTEMPLATED TRANSACTION, RELATIONSHIP ARRANGEMENT OR ACTIVITY CANNOT PROCEED DUE TO A CONFLICT OF INTEREST, THE COMMITTEE SHALL INFORM THE APPLICABLE COVERED PERSON OR DECISION-MAKING BODY OF SUCH DETERMINATION WITHIN ONE WEEK OF THE COMMITTEE MEETING AT WHICH THE CONTEMPLATED TRANSACTION WAS DISCUSSED. THE COMMITTEE SHALL DOCUMENT ITS REJECTION OF THE CONTEMPLATED TRANSACTION IN THE COMMITTEE'S MEETING MINUTES. WHISTLEBLOWER 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. JOINT VENTURES FORM 990 PART VI, LINE 16B HOSPITAL SISTERS HEALTH SYSTEM ADOPTED A JOINT VENTURE COMPLIANCE PROGRAM POLICY EFFECTIVE ON JANUARY 1, 2012 FOR ALL SYSTEM HOSPITALS, INCLUDING ST. ELIZABETH'S HOSPITAL. THE OVERALL PURPOSE OF THE POLICY IS TO PROVIDE PRACTICAL GUIDELINES FOR ETHICAL BUSINESS CONDUCT, TO ACHIEVE COMPLIANCE, AND TO DETECT AND PREVENT VIOLATIONS OF APPLICABLE LAWS. THE POLICY REQUIRES ST. ELIZABETH'S HOSPITAL, AND ALL HSHS HOSPITALS, TO EVALUATE THEIR PARTICIPATION IN JOINT VENTURE ARRANGEMENTS, INCLUDING UNDER APPLICABLE FEDERAL TAX LAWS, AND TO SAFEGUARD ST. ELIZABETH'S HOSPITAL'S TAX EXEMPT STATUS WITH RESPECT TO ANY JOINT VENTURE ARRANGEMENTS. 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. OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 5 SWAP PAYMENTS (517,635) CHANGES IN PENSION 16,927,520 CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 5,673,358 AFFILIATE TRANSFER (4,548,500) BOND REALLOCATION (1,833,743) INCREASE IN TEMPORARILY RESTRICTED ASSETS 143,727 PERMANENTLY RESTRICTED NET INCOME 18,086 Loss on Extinguishment of Debt (369,927) ------------- TOTAL OTHER CHANGES IN NET ASSETS OR FUND BALANCES 15,492,886 ============= OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:21155819 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL SERVICES TOTAL FEES:4434828 SPRINGFIELD HEALTH PARTNERS LLC 4936 LAVERNA ROAD SPRINGFIELD IL 62707 371364419 HEALTHCARE IL 0 HSHS MG KIARA CLINICAL INTEGRATION NETWORK LLC 4936 LAVERNA RD SPRINGFIELD IL 62707 261417684 HEALTHCARE IL 0 KIARA INC PHYSICIAN CLINICAL INTEGRATION NETWORK 4936 LAVERNA ROAD SPRINGFIELD IL 62707 371668647 HEALTHCARE IL 0 KCIN HOSPITAL SISTERS HEALTH SYSTEM 4936 LAVERNA ROAD SPRINGFIELD IL 62707 371058692 HEALTHCARE IL 501(C)(3) 11A NA false HOSPITAL SISTERS SERVICES INC 4936 LAVERNA ROAD SPRINGFIELD IL 62707 371163402 HEALTHCARE IL 501(C)(3) 11A HSHS false HOSPITAL SISTERS OF ST FRANCIS FDTN 4936 LAVERNA ROAD SPRINGFIELD IL 62707 371186514 HEALTHCARE IL 501(C)(3) 11A HSHS false HSHS SELF INSURANCE TRUST FUND 4936 LAVERNA ROAD SPRINGFIELD IL 62707 371120626 INSURANCE IL 501(C)(3) 11A HSHS false HSHS HEALTH CARE PLAN TRUST FUND 4936 LAVERNA ROAD SPRINGFIELD IL 62707 371137724 HEALTHCARE IL 501(C)(9) N/A HSHS false HOSPITAL SISTERS HEALTHCARE - 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CARBONDALE LL 800 EAST CARPENTER STREET SPRINGFIELD IL 62769 371321197 HEALTHCARE IL ST JOHN'S RELATED false 0 NORTHEAST WISCONSIN RADIATION THERAPY SE 1821 S WEBSTER AVENUE SUITE 300 GREEN BAY WI 543079047 263749065 HEALTHCARE WI HSSI RELATED false 0 PAIN CENTER OF WISCONSIN 4131 W LOOMIS ROAD SUITE 300 GREENFIELD WI 53221 263155343 HEALTHCARE WI ST VINCENT RELATED false 0 SURGERY CENTER OF SHEBOYGAN LLC 3141 SAEMANN AVE SHEBOYGAN WI 53081 260822209 HEALTHCARE WI ST NICHOLAS RELATED false 0 PREVEA VENTURES LLC 2710 EXECUTIVE DR GREEN BAY WI 54304 203775127 HEALTHCARE WI HSSI RELATED false 0 CARPENTER STREET HOTEL LLC 36- HOTEL IL LASANTE INC RELATED false 0 SPRINGFIELD URGENT CARE REAL E IL LASANTE INC RELATED false 0 PRAIRIE HEART INSTITUTE MANAGEMENT LLC 4936 Laverna Road Springfield IL 62707 261417684 Medical IL HSHS Related 0 0 false false KIARA INC 4936 LAVERNA RD SPRINGFIELD IL 62707 371163401 HEALTHCARE IL HSHS C CORP false LASANTE WISCONSIN INC 4936 LAVERNA RD SPRINGFIELD IL 62707 391572196 HEALTHCARE IL KIARA INC C CORP false LASANTE INC 4936 LAVERNA RD SPRINGFIELD IL 62707 371163400 HEALTHCARE IL KIARA INC C CORP false PRAIRIE CARDIOVASCULAR 619 EAST MASON SUITE 4P57 SPRINGFIELD IL 62701 371071858 HEALTHCARE IL KIARA INC C CORP false PREVEA HEALTH SERVICES 2710 EXECUTIVE DR GREEN BAY WI 54304 391839351 HEALTHCARE WI HSSI C CORP false PREVEA CLINIC INC 2710 EXECUTIVE DR GREEN BAY WI 54304 391839349 HEALTHCARE WI HSSI C CORP false PREVEA HEALTH NETWORK 2710 EXECUTIVE DR GREEN BAY WI 54304 392000537 HEALTHCARE WI HSSI C CORP false RENAISSANCE QUALITY INSURANCE PO Box 1159 KY1-1102 GRAND CAYMAN CAYMAN ISLANDS CJ KY1-1102 980669953 INSURANCE CJ HSSI C CORP 0 0 false OJV INC 4936 LAVERNA RD SPRINGFIELD IL 62707 460873384 HEALTHCARE IL LASANTE C CORP 0 0 false false false true false false false false false false false false false false true true true false false 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.