2025-05-06T12:08:31+00:00 2024-06-30 350921680 CROWE LLP 225 West Wacker Drive Suite 2600 Chicago IL 606061224 990 2023-07-01 371163402 Hospital Sisters Services Inc HOSP 2175234747 4936 LAVERNA ROAD Springfield IL 62707 MICHAEL SCIALDONE SVP, System CFO 2025-05-06 true Mallory Fairless P01321579 3128997000 2025-05-06 2023 2025-03-06 01:10:19Z Damond Boatwright 4936 LAVERNA ROAD Springfield IL 62707 11955091 false 0928 X WWW.HSHS.ORG X 1983 IL TO PROMOTE AND SUPPORT, DIRECTLY OR INDIRECTLY, BY DONATION, LOAN, OR OTHERWISE, THE INTERESTS AND PURPOSES OF THE HOSPITAL SISTERS OF THE 3RD ORDER OF ST. FRANCIS. 10 9 0 9 0 0 0 10740197 11600950 63198 227406 253474 126735 11056869 11955091 0 0 0 0 0 8487792 8998327 8487792 8998327 2569077 2956764 34296975 36403397 4649640 3675516 29647335 32727881 TO REVEAL AND EMBODY CHRIST'S HEALING LOVE FOR ALL PEOPLE THROUGH A HEALTH CARE MINISTRY BY PROMOTING AND SUPPORTING, DIRECTLY OR INDIRECTLY, BY DONATION, LOAN, OR OTHERWISE, THE INTERESTS AND PURPOSES OF THE HOSPITAL SISTERS OF THE 3RD ORDER OF ST. FRANCIS. false false 8998327 11727685 See Schedule O 8998327 true false false false false false false false false true false true false false true false true false false true false false false false false false false false true true false false false false false false false false false false false false false false true true true true false false true X 0 0 0 false true CJ false false false false false false false false false false X 10 9 false false false false true true true true true false false true true true true true true true true false X LINDA DACE 6182342120 3051 Hollis Drive SPRINGFIELD IL 62704 BILL BLUM CHAIR (Until 10/31/23) 0.3 1.3 X X 0 0 0 DAMOND BOATWRIGHT PRESIDENT/CEO 0.5 59.5 X X 0 1539956 284036 J Michael Houston Chair 0.3 2.3 X X 0 0 0 JANICE WIEGMAN PHD Secretary (Until 10/31/23) 0.3 1.3 X X 0 0 0 JOHN SHEEHAN Vice Chair 0.3 1.3 X X 0 0 0 Chris Allen Board Member 0.3 1.3 X 0 0 0 FRANK BYRNE MD BOARD MEMBER 0.3 1.3 X 0 0 0 Jeff Halloin BOARD MEMBER (Until 12/31/23) 0.3 2.3 X 0 0 0 Jenny Sarpalius Board Member 0.3 1.3 X 0 0 0 Laura Walczak Board Member 0.3 1.3 X 0 0 0 MATTHEW LAMBERT MD Board Member 0.3 1.3 X 0 0 0 SR CHRISTA ANN STRUEWING OSF Board Member 0.3 1.3 X 0 0 0 WILLIAM S LYKE Board Member 0.3 1.3 X 0 0 0 AMY BULPITT Secretary / HSHS SVP-Chief Legal Officer 1.0 59.0 X 0 784631 84865 Kimberly Hodgkinson CFO/Foundation Treasurer (UNTIL 9/7/23) 0.5 59.5 X 0 841183 26440 Michael Scialdone Treasurer / HSHS SVP & CFO (began 01/08/24) 0.3 59.7 X 0 0 0 TODD Smart Treasurer (UNTIL 5/3/24) 0.3 59.7 X 0 315606 66527 0 3481376 461868 0 false true false 0 0 0 0 0 0 0 0 0 Physician and Clinic Revenue 561000 11600950 11600950 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11600950 104813 0 0 104813 0 0 0 0 0 0 122593 0 0 0 122593 0 122593 0 0 122593 0 0 0 0 0 0 0 0 0 0 Guaranty Fees 561000 126735 126735 0 0 0 0 126735 11955091 11727685 0 227406 231918 231918 0 0 369 369 975650 975650 1711 1711 981 981 10549 10549 0 0 125383 125383 PHYSICIAN & CLINIC DISTRIBUTIONS 5256579 5256579 Shared Services Fee 2395000 2395000 SOFTWARE SUBSCRIPTIONS 187 187 0 0 8998327 8998327 0 0 0 0 16132102 18598018 0 0 3628559 2750198 0 0 0 0 0 0 14732 8894347 8894347 0 0 7492487 8026086 0 7029095 7029095 0 0 0 34296975 36403397 4149640 3175516 0 500000 500000 0 0 0 0 0 0 0 0 4649640 3675516 X 29647335 32727881 0 0 0 0 29647335 32727881 34296975 36403397 2956764 123782 0 X false true X true false X X 15 ST ELIZABETH'S HOSPITAL O'FALLON ILLINOIS 370663567 3 false 0 0 ST JOSEPH'S HOSPITAL BREESE ILLINOIS 371208459 3 false 0 0 ST JOSEPH'S HOSPITAL HIGHLAND ILLINOIS 370663568 3 false 0 0 ST JOSEPH'S HOSPITAL CHIPPEWA FALLS WISCONSIN 390810545 3 false 0 0 ST MARY'S HOSPITAL DECATUR ILLINOIS 370661244 3 false 0 0 ST MARY'S HOSPITAL GREEN BAY WISCONSIN 390818682 3 false 0 0 ST ANTHONY'S HOSPITAL EFFINGHAM ILLINOIS 370661233 3 false 0 0 ST FRANCIS HOSPITAL LITCHFIELD ILLINOIS 370661236 3 false 0 0 ST JOHN'S HOSPITAL SPRINGFIELD ILLINOIS 370661238 3 false 0 0 ST VINCENT HOSPITAL GREEN BAY WISCONSIN 390817529 3 false 0 0 SACRED HEART HOSPITAL EAU CLAIRE WISCONSIN 390807060 3 false 0 0 ST NICHOLAS HOSPITAL SHEBOYGAN WISCONSIN 390808480 3 false 0 0 ST CLARE MEMORIAL HOSPITAL OCONTO FALLS WISCONSIN 390848401 3 false 0 0 HSHS HOLY FAMILY HOSPITAL GREENVILLE ILLINOIS 370792770 3 false 0 0 HSHS GOOD SHEPHERD HOSPITAL INC 370512290 3 false 0 0 15 0 0 false true false false false false false false false false false false false false false true true false X true true Schedule A, Part I, Line 12g(ii) AMOUNT OF MONETARY SUPPORT PROVIDED TO SUPPORTED ORGS HOSPITAL SISTERS SERVICES, INC. IS THE SOLE MEMBER OF AND IS THE HOLDING COMPANY THAT SERVES AS THE CONDUIT FOR TAX EXEMPT DEBT FINANCING, FOR THE 501(C)(3) AFFILIATED HOSPITALS REFERRED TO AS THE OBLIGATED GROUP. THE AMOUNT OF SUPPORT PROVIDED TO THE MEMBERS OF THE OBLIGATED GROUP IS NOT DETERMINABLE. Schedule A, Part IV, Section D, Line 3 Supported org. voice in investment policies The overall investment objective of Hospital Sisters Health System (HSHS), the sole corporate member of Hospital Sisters Services, Inc. (HSSI), is to invest its assets in a prudent manner that will achieve an expected rate of return, manage risk exposure, and focus on downside protection. HSHS' invested assets will maintain sufficient liquidity to fund a portion of HSHS' annual operating activities and structure the invested assets to maintain a high percentage of available liquidity. HSHS diversifies its investments among various asset classes incorporating multiple strategies and managers. The HSHS board approves the investment policy statement ("IPS"). HSHS has an Investment Subcommittee comprised of individuals experienced in investments and investment related matters. The Investment Subcommittee oversees the investment program in accordance with the IPS. The subcommittee includes both those who serve on the HSHS Board of Directors and others. The subcommittee, management, and the investment consultant develop investment policies, recommend asset allocation and investment manager changes, monitor and review investment performance, risk, and adherence to the IPS. Schedule A, Part IV, Section D, Line 2 OFFICERS APPOINTED OR SERVING SUPPORTED ORG. THE SOLE CORPORATE MEMBER OF HOSPITAL SISTERS SERVICES, INC ("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. PURSUANT TO SECTION 2.3 OF THE CORPORATION'S BYLAWS, HSHS HAS THE RIGHT TO APPOINT AND REMOVE THE CORPORATION'S BOARD OF DIRECTORS, CHAIRPERSON OF THE BOARD AND PRESIDENT. AS THE PARENT CORPORATION HSHS, EXERTS CONTROL OVER THE POLICIES, PROGRAMS AND ACTIVITIES OF HSSI's SUPPORTED ORGANIZATIONS THROUGH VARIOUS RESERVED POWERS AND THE PROVISION OF OVERALL STRATEGIC PLANNING AND DIRECTION TO ITS SUPPORTED ORGANIZATIONS. SPECIFICALLY, HSHS PROVIDES CONSULTATION, MANAGEMENT, AND COORDINATION AND SHARED PROGRAMS FOR ITS SUPPORTED ORGANIZATIONS. HSHS ALSO PROVIDES RELIGIOUS, EDUCATIONAL, CHARITABLE AND OTHER SUCH ACTIVITIES, SERVICES AND PROGRAMS AS ARE RELATED TO EDUCATIONAL/SOCIAL SERVICE AND HEALTH CARE INSTITUTIONS. RESPONSIBILITY FOR THE POLICY AND OPERATIONS OF HOSPITAL SISTERS SERVICES, INC. (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 SYSTEM ("HSHS"). The governance and operations of the Corporation shall be subject in all respects to the Member's right to exercise the reserved powers set forth in this section (the "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 (the "Affiliates"). The Member shall have the exclusive right to exercise the Reserved Powers, and the Board of Directors of the Corporation shall have no power or authority over the Corporation which would in any way conflict with the Member's exclusive right to exercise the Reserved Powers. The Reserved Powers shall include all rights granted to the Member of a not for-profit corporation 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, the Chairperson of the Corporation, and the 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, the Chairperson of the Corporation, and the 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, tangible or intangible property of the Corporation or of any Affiliate, which property has a value in excess of limits set from time to time by the Member; (g) Approve debt incurred by the Corporation or any Affiliate in an amount in excess of limits set from time to time by the Member; (h) Approve the operating and capital budgets of the Corporation or of any Affiliate, and any deviations by the Corporation or any Affiliate from such budgets in an amount or percentage specified by the Member from time to time; (i) Approve the strategic plan and annual goals of the Corporation or of any Affiliate; (j) Approve the sale of substantially all of the assets of the Corporation or of any Affiliate; (k) Approve the merger or dissolution of the Corporation or of any Affiliate; (l) Adopt or amend the plan for ministry education and governance for the Corporation and its Affiliates; (m) Approve the Corporation's Mission Accountability Reports and those of any Affiliate; (n) 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; (o) Approve material actions with respect to employee retirement plans sponsored by the Corporation or any Affiliate; and (p) Adopt policies to implement the Reserved Powers of the Member. Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name Hospital Sisters Services, Inc. (the "Corporation") is an Illinois not-for-profit corporation, which is organized and operated exclusively for religious, charitable, educational and/or scientific purposes within the meaning of Section 501(c)(3) of the Internal Revenue Code to promote and support, directly or indirectly, by donation, loan or otherwise, the interests and purposes of the Hospital Sisters of St. Francis through the Hospital Sisters Ministries, a public juridic person of pontifical right, which has been constituted upon the petitions of the Provincial Superior of Hospital Sisters of St. Francis ("Founding Institute") by the decree of the Congregation for Institutes of Consecrated Life and Societies of Apostolic Life dated July 2, 2015 to carry on the health, education, social service and related ministries of the Hospital Sisters of St. Francis , and the organizations affiliated with the Hospital Sisters Ministries, provided that such organizations fall within the categories of Section 501(c)(3) and Section 509(a)(l) or Section 509(a)(2) of the Internal Revenue Code. HSSI is the sole member of 15 hospitals in Illinois and Wisconsin. The hospitals are organized for the purpose of providing inpatient and outpatient healthcare services. HSSI and each supported hospital organization is listed in the Official Catholic Directory and is recognized as exempt under section 501(c)(3) of the Internal Revenue Code under Group Exemption Number (GEN) 0928. Schedule A, Part IV, Section A, Line 2 Supported Org. Without IRS Status 509(a)1 or (2) Each of the supporting hospital organizations is listed in the Official Catholic Directory and is recognized as exempt under section 501(c)(3) of the Internal Revenue Code under Group Exemption Number (GEN) 0928. Subordinate organizations under a group exemption do not receive individual exemption letters. Also see narrative for Schedule A, Part IV, Section A, line 1. Schedule A, Part IV, Section E, Line 3a Power To Appoint/Elect Majority of Officer/Director/Trustee HOSPITAL SISTERS SERVICES, INC. ("HSSI") IS THE SOLE CORPORATE MEMBER OF EACH SUPPORTED ORGANIZATION. PURSUANT TO THE BYLAWS OF EACH SUPPORTED ORGANIZATION, HSSI HAS THE RIGHT TO APPOINT AND REMOVE THE SUPPORTED ORGANIZATION'S BOARD OF DIRECTORS, CHAIRPERSON OF THE BOARD, AND PRESIDENT. RESPONSIBILITY FOR THE POLICY AND OPERATIONS OF EACH SUPPORTED ORGANIZATION IS VESTED IN ITS BOARD OF DIRECTORS, EXCEPT WITH RESPECT TO SPECIFIC POWERS RESERVED IN THE ORGANIZATIONS' BYLAWS TO HSSI (THE ORGANIZATIONS' SOLE CORPORATE MEMBER). 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 Member of HSHS Hospital Sisters Ministries, which shall consist of the individuals who from time to time are duly appointed by the Provincial Council of the Hospital Sisters of St. Francis to be members of the Hospital Sisters Ministries and shall have all powers granted to members of not-for-profit corporations under the laws of the State of Illinois, the Corporation's Articles of Incorporation and Bylaws. The governance and operations of the Corporation shall be subject in all respects to the Member's right to exercise the reserved powers set forth in this section (the "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 (the "Affiliates"). The Member shall have the exclusive right to exercise the Reserved Powers, and the Board of Directors of the Corporation shall have no power or authority over the Corporation which would in any way conflict with the Member's exclusive right to exercise the Reserved Powers. The Reserved Powers shall include all rights granted to the Member of a notfor-profit corporation 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, the Chairperson of the Corporation, and the 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, the Chairperson of the Corporation, and the 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, tangible or intangible property of the Corporation or of any Affiliate, which property has a value in excess of limits set from time to time by the Member; (g) Approve debt incurred by the Corporation or any Affiliate in an amount in excess of limits set from time to time by the Member; (h) Approve the operating and capital budgets of the Corporation or of any Affiliate, and any deviations by the Corporation or any Affiliate from such budgets in an amount or percentage specified by the Member from time to time; (i) Approve the strategic plan and annual goals of the Corporation or of any Affiliate; (j) Approve the sale of substantially all of the assets of the Corporation or of any Affiliate; (k) Approve the merger or dissolution of the Corporation or of any Affiliate; (l) Adopt or amend the plan for ministry education and governance for the Corporation and its Affiliates; (m) Approve the Corporation's Mission Accountability Reports and those of any Affiliate; (n) 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; (o) Approve material actions with respect to employee retirement plans sponsored by the Corporation or any Affiliate; and (p) Adopt policies to implement the Reserved Powers of the Member. Schedule A, Part IV, Section E, Line 3b Substantial Direction Over Policies/Programs/Activities SEE NARRATIVE FOR SCHEDULE A, PART IV, SECTION E, LINE 3A 1508 1508 0 8892839 8892839 0 0 Investment in Renaissance Quality Insurance, Ltd. (RQIL) 7029095 F 7029095 INTEREST PAYABLE BONDS INTERCOMPANY NOTE PAYABLE LONG TERM LEASE INTEREST PAYABLE 0 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote HSHS and the Foundation are Illinois not-for-profit organizations as described in Section 501(c)(3) of the Internal Revenue Code (the Code) and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Kiara, Inc. is an Illinois for-profit corporation that recognizes income taxes under the asset-and-liability method. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the consolidated financial statement carrying amounts of existing assets and liabilities and their respective tax basis and operating loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using the enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. In assessing the realizability of deferred tax assets, management considers whether it is more likely than not that some portion or all the deferred tax assets will not be realized. The ultimate realization of deferred tax assets is dependent upon the generation of future taxable income during the periods in which those temporary differences become deductible. Management considers projected future taxable income and tax planning strategies in making this assessment. Based upon the level of historical taxable losses and projections for future taxable losses over the periods for which the deferred tax assets are deductible, management believes it is more likely Kiara, Inc. will not realize most of the benefits of these deductible differences. Full valuation allowances have been applied against the deferred tax assets attributable to the net operating loss carryforwards not realized as of June 30, 2024 and 2023 in the accompanying consolidated financial statements due to the uncertainty of realization. HSHS recognizes the tax benefit from an uncertain tax position only if it is more likely than not the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. As of June 30, 2024 and 2023, HSHS does not have any liabilities for unrecognized tax benefits. Central America and the Caribbean 0 0 Investments 7029095 0 0 0 0 0 0 7029095 0 7029095 true false true false false false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual X X X X X true true false false false false false false false DAMOND BOATWRIGHT PRESIDENT/CEO 0 1245335 0 294621 0 0 0 249526 0 34510 0 1823992 0 0 AMY BULPITT Secretary / HSHS SVP-Chief Legal Officer 0 581631 0 120690 0 82310 0 83807 0 1058 0 869496 0 49802 Kimberly Hodgkinson CFO/Foundation Treasurer (UNTIL 9/7/23) 0 501978 0 140847 0 198358 0 6600 0 19840 0 867623 0 0 TODD Smart Treasurer (UNTIL 5/3/24) 0 275819 0 37512 0 2275 0 46882 0 19645 0 382133 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation PLEASE SEE RESPONSE TO FORM 990, PART VI, LINE 15A IN SCHEDULE O Schedule J, Part I, Line 4a Severance or change-of-control payment ORGANIZATION: HOSPITAL SISTERS HEALTH SYSTEM EIN: 37-1058692 INTERESTED PERSON: KIMBERLY HODGKINSON AMOUNT: $192,500 TERMS: COMPENSATION PAID AS A RESULT OF A SEVERANCE FROM THE POSITION OF CFO/FOUNDATION TREASURER. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan HSHS EXECUTIVES ELIGIBLE TO PARTICIPATE IN SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) ARE DEFINED IN THE SERP PLAN DOCUMENTS. THE SERP WAS ESTABLISHED TO PROVIDE ADDITIONAL RETIREMENT BENEFITS TO ENSURE REASONABLE MARKET COMPETITIVE BENEFITS IN ACCORDANCE WITH THE HSHS EXECUTIVE COMPENSATION PHILOSOPHY ESTABLISHED BY THE HSHS COMPENSATION COMMITTEE. THE PLAN PROVIDES A DEFINED RETIREMENT CONTRIBUTION TO PARTICIPANTS COMMENCING ON JANUARY 1, 2008, EQUAL TO A PERCENTAGE OF COMPENSATION AS DEFINED IN THE SERP PLAN DOCUENTS FOR THE PLAN YEAR. PARTICIPANTS CONSTRUCTIVELY RECEIVE A DISTRIBUTION FROM THE PLAN NO LATER THAN MARCH 15TH OF THE CALENDAR YEAR FOLLOWING THE CALENDAR YEAR IN WHICH AN AMOUNT IS VESTED AND TAXABLE PURSUANT TO A VESTING SCHEDULE AS SPECIFIED IN THE PLAN DOCUMENT. THE ACTUAL DISTRIBUTION OF THE VESTED BENEFIT UNDER THE PLAN IS PAID IN A SINGLE LUMP SUM TO THE PARTICIPANT OR THE PARTICIPANT'S BENEFICIARY UPON THE EARLIER OF THE PARTICIPANT'S TERMINATION OF EMPLOYMENT, DEATH, OR TOTAL AND PERMANENT DISABILITY. THE FOLLOWING INTERESTED PERSONS CONSTRUCTIVELY RECEIVED DEFERRALS TO THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2023 THESE DEFERRALS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). DAMOND BOATWRIGHT -- $233,026 TODD SMART -- $25,441 AMY BULPITT -- $83,807 THE FOLLOWING INTERESTED PERSONS RECEIVED DISTRIBUTIONS FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2023 THESE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III) AND SCHEDULE J, PART II, COLUMN (F), AS APPLICABLE. AMY BULPITT -- $49,802 A SOUTHWESTERN ILLINOIS DEVELOPMENT AUTHORITY 371234684 84553AAJ1 2016-12-23 75000000 See Part VI false false false B ILLINOIS FINANCE AUTHORITY 861091967 45203HLY6 2012-10-01 417370795 See Part VI false false false C WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 97712DHN9 2014-11-12 207357897 See Part VI false false false D SOUTHWESTERN ILLINOIS DEVELOPMENT AUTHORITY 371234684 84553AAN2 2017-02-08 67031955 SEE PART VI false false false A 0 0 75000000 0 4089570 0 576708 0 0 70333722 0 0 2016 false false true true B 199765000 0 417371330 0 0 0 2390795 0 0 160000535 254980000 0 2014 true false true true C 84605000 0 207357897 0 0 0 1777898 0 0 0 205579999 0 2014 true false true true D 0 0 67202243 0 2570158 0 799855 0 0 63832230 0 0 2017 false false true true A true true true true true true 0.0 0.0 0.0 false false true B true true true true true true 0.0 0.0 0.0 false false true C true true true true true true 0.009 0.0 0.009 false false true D true true true true true true 0.0 0.0 0.0 false false true A false false false true false true JPMorgan Chase Bank 10.0 false false false false true B false false false true true false false false true C false false true false false false false false true D false false false true false false false false true A true B true C true D true Schedule K, Part I, Column (f) A DESCRIPTION OF PURPOSE OF TAX-EXEMPT BONDS THE FOLLOWING DETAIL DESCRIBES THE PURPOSE OF EACH TAX EXEMPT BOND AS USED FOR THE ENTIRE OBLIGATED GROUP. HOSPITAL SISTERS SERVICES, INC. (HSSI) AND ITS 15 HOSPITAL AFFILIATES ARE INCLUDED IN THE "HSSI - OBLIGATED GROUP." UNDER THE TERMS OF THE OBLIGATED GROUP MASTER TRUST INDENTURE, EACH MEMBER OF THE OBLIGATED GROUP IS JOINTLY AND SEVERALLY LIABLE FOR ALL OBLIGATIONS ISSUED THEREUNDER. THE TAX EXEMPT BONDS ARE ISSUED BY ILLINOIS FINANCE AUTHORITY AND WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY ON BEHALF OF HSSI AND THEN ALLOCATED TO THE 15 HOSPITALS FOR REPORTING ON THE BALANCE SHEET. THE BONDS ARE REPORTED ON SCHEDULE K OF THE HSSI RETURN FOR THE ENTIRE OBLIGATED GROUP. Schedule K, Part I, Column (f) BOND C, Page 1: DESCRIPTION OF PURPOSE (11/12/2014 ISSUE) ISSUER NAME: WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY THE PROCEEDS OF THE BONDS WILL BE USED TO: (A) CURRENTLY REFUND $61,455,000 OF THE OUTSTANDING $106,270,000 ILLINOIS FINANCE AUTHORITY REVENUE BOND, SERIES 2012A, ORIGINALLY ISSUED ON OCTOBER 1, 2012 (HOSPITAL SISTERS SERVICES, INC. - OBLIGATED GROUP) (THE "SERIES 2012A BOND"), (B) CURRENTLY REFUND THE OUTSTANDING $61,050,000 WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE REFUNDING BONDS, SERIES 2012D, ORIGINALLY ISSUED ON OCTOBER 1, 2012 (HOSPITAL SISTERS SERVICES, INC. - OBLIGATED GROUP) (THE "SERIES 2012D BONDS"), (C) CURRENTLY REFUND THE OUTSTANDING $41,550,000 WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE REFUNDING BONDS, SERIES 2012E, ORIGINALLY ISSUED ON OCTOBER 1, 2012 (HOSPITAL SISTERS SERVICES, INC. - OBLIGATED GROUP) (THE "SERIES 2012E BONDS"), (D) CURRENTLY REFUND THE OUTSTANDING $31,645,000 ILLINOIS FINANCE AUTHORITY REVENUE REFUNDING BONDS, SERIES 2012F, ORIGINALLY ISSUED ON OCTOBER 1, 2012 (HOSPITAL SISTERS SERVICES, INC. - OBLIGATED GROUP) (THE "SERIES 2012F BONDS"), (E) CURRENTLY REFUND THE OUTSTANDING $14,160,000 WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE REFUNDING BONDS, SERIES 2012J, ORIGINALLY ISSUED ON OCTOBER 1, 2012 (HOSPITAL SISTERS SERVICES, INC. - OBLIGATED GROUP) (THE "SERIES 2012J BONDS AND TOGETHER WITH THAT PORTION OF THE SERIES 2012A BOND TO BE REFUNDED, THE SERIES 2012D BONDS, THE SERIES 2012E BONDS AND THE SERIES 2012F BONDS, THE "PRIOR BONDS"), AND (F) PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE BONDS AND THE REFUNDING OF THE PRIOR BONDS, ALL AS PERMITTED UNDER THE ACT. Schedule K, Part I, Column (f) BOND B, Page 1: DESCRIPTION OF PURPOSE (10/01/2012 ISSUE)(2 of 2) ISSUER NAME: ILLINOIS FINANCE AUTHORITY THE PROCEEDS OF THE BONDS WERE USED TO PROVIDE THE CORPORATION WITH ALL OR A PORTION OF THE FUNDS TO BE APPLIED, TOGETHER WITH CERTAIN OTHER FUNDS, TO: (I) CURRENTLY REFUND ALL OR A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF $65,550,000 ILLINOIS HEALTH FACILITIES AUTHORITY REVENUE BONDS, SERIES 2003A, ORIGINALLY ISSUED ON DECEMBER 18, 2003 (HOSPITAL SISTERS SERVICES, INC. - OBLIGATED GROUP) (THE "SERIES 2003A BONDS"); (II) CURRENTLY REFUND ALL OR A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF THE $100,425,000 ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2007C, ORIGINALLY ISSUED ON MARCH 13, 2007 (HOSPITAL SISTERS SERVICES, INC. - OBLIGATED GROUP) (THE "SERIES 2007C BONDS"); (III) CURRENTLY REFUND ALL OR A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF THE $127,410,000 ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2008A, ORIGINALLY ISSUED ON JUNE 17, 2008 (HOSPITAL SISTERS SERVICES, INC. - OBLIGATED GROUP) (THE "SERIES 2008A BONDS"), AND TOGETHER WITH THE SERIES 2003A BONDS AND THE SERIES 2007C BONDS, THE "PRIOR BONDS (IV) PAY OR REIMBURSE THE CORPORATION OR ST. ELIZABETH'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS, ST. JOSEPH'S HOSPITAL, BREESE, OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS; ST. MARY'S HOSPITAL, DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS; ST. ANTHONY'S MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS; ST. FRANCIS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS; ST. JOHN'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS; AND ST. MARY'S HOSPITAL , STREATOR, OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS, EACH AN ILLINOIS NOT FOR PROFIT CORPORATION, FOR THE COSTS OF ACQUIRING, CONSTRUCTING, RENOVATING, REMODELING AND EQUIPPING CERTAIN HEALTH FACILITIES OF THE CORPORATION AND THE USERS, INCLUDING BUT NOT LIMITED TO, (A) THE ACQUISITION, CONSTRUCTION AND EQUIPPING OF AN APPROXIMATELY 25-BED CRITICAL ACCESS HOSPITAL LOCATED AT 12866 TROXLER AVENUE IN HIGHLAND, ILLINOIS AND (B) THE CONSTRUCTION, REMODELING, RENOVATION AND EQUIPPING OF INPATIENT SURGERY FACILITIES AND A PATIENT TOWER AT 800 EAST CARPENTER STREET IN SPRINGFIELD, ILLINOIS; (V) PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE BONDS AND THE CURRENT REFUNDING OF THE PRIOR BONDS, INCLUDING BUT NOT LIMITED TO FEES FOR CREDIT ENHANCEMENT OR A LIQUIDITY FACILITY FOR THE BONDS. Schedule K, Part I, Column (f) BOND B, Page 1: DESCRIPTION OF PURPOSE (10/01/2012 ISSUE)(1 of 2) ISSUER NAME: WISCONSIN HEALTH & EDUCATION FACILITIES AUTHORITY THE PROCEEDS OF THE BONDS WERE APPLIED, TOGETHER WITH CERTAIN OTHER FUNDS TO: (I) CURRENTLY REFUND ALL OR A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF THE $69,850,000 WISCONSIN HEALTH & EDUCATION FACILITIES AUTHORITY REVENUE BONDS, SERIES 2003B, ORIGINALLY ISSUED ON DECEMBER 18, 2003 (HOSPITAL SISTERS SERVICES - INC. - OBLIGATED GROUP); (II) CURRENTLY REFUND ALL OR A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF $76,750,000 WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 2007B-1, ORIGINALLY ISSUED MARCH 13, 2007 (HOSPITAL SISTERS SERVICES, INC. - OBLIGATED GROUP); (III) CURRENTLY REFUND ALL OR A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF THE $41,300,0000 WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 2007B-2, ORIGINALLY ISSUED MARCH 13, 2007 (HOSPITAL SISTERS SERVICES, INC. - OBLIGATED GROUP); (IV) CURRENTLY REFUND ALL OR A PORTION OF THE OUTSTANDING PRINCIPAL AMOUNT OF THE $20,450,000 WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES 2008B, ORIGINALLY ISSUED JUNE 17, 2008 (HOSPITAL SISTERS SERVICES, INC. - OBLIGATED GROUP); (V) PAY OR REIMBURSE ST. JOSEPH'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS, SACRED HEART HOSPITAL OF THE HOSPITALS OF THE THIRD ORDER OF ST. FRANCIS, ST. MARY'S MEDICAL CENTER OF GREEN BAY, INC., ST. VINCENT HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS, ST. NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS, EACH A WISCONSIN NONSTOCK NONPROFIT CORPORATION, OR THE CORPORATION, FOR THE COSTS OF ACQUIRING, CONSTRUCTING, RENOVATING, REMODELING AND EQUIPPING CERTAIN HEALTH FACILITIES OF THE CORPORATION OR THE USERS, INCLUDING NECESSARY AND ATTENDANT EQUIPMENT, FACILITIES, SITE WORK AND UTILITIES THERETO; (VI) AND PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE BONDS AND THE CURRENT REFUNDING OF THE PRIOR BONDS, INCLUDING BUT NOT LIMITED TO FEES FOR CREDIT ENHANCEMENT OR A LIQUIDITY FACILITY FOR THE BONDS. Schedule K, Part II, Line 3 BOND C: TOTAL PROCEEDS OF ISSUE (10/01/2012 ISSUE) ISSUER NAME: ILLINOIS FINANCE AUTHORITY TOTAL AMOUNT OF PROCEEDS REPORTED ON LINE 3 DOES NOT MATCH THE ISSUE PRICE REPORTED IN PART I, COLUMN (C) DUE TO INTEREST ON PROJECT FUNDS. Schedule K, Part II, Line 11 BOND C: OTHER SPENT PROCEEDS (10/01/2012 ISSUE) ISSUER NAME: ILLINOIS FINANCE AUTHORITY The amount reported on line 11 (other spent proceeds) represents proceeds spent to pay off the prior bond issues (see Bond C, Part I, column (f)). Schedule K, Part II, Line 11 BOND B: OTHER SPENT PROCEEDS (10/01/2012 ISSUE) ISSUER NAME: WISCONSIN HEALTH & EDUCATION FACILITIES AUTHORITY The amount reported on line 11 (other spent proceeds) represents proceeds spent to pay off the prior bond issues (see Bond B, Part I, column (f)). Schedule K, Part I, Column (f) Bond A, Page 1: Description of Purpose (12/23/2016) ISSUER NAME: SOUTHWESTERN ILLINOIS DEVELOPMENT AUTHORITY THE BONDS WILL BE USED, TOGETHER WITH CERTAIN OTHER FUNDS, TO (I) PAY OR REIMBURSE THE CORPORATION AND/OR THE USERS FOR THE COSTS OF ACQUIRING, CONSTRUCTING, REMODELING, RENOVATING, AND EQUIPPING CERTAIN HEALTH FACILITIES OWNED BY THE CORPORATION AND THE USERS INCLUDING (A) THE RENOVATION AND EQUIPPING OF THE EXISTING HOSPITAL OF ST. JOSEPH'S HOSPITAL, BREESE, OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS, AN AFFILIATE OF THE CORPORATION ("ST. JOSEPH'S - BREESE"), LOCATED IN THE CITY OF BREESE, CLINTON COUNTY, ILLINOIS, INCLUDING AN APPROXIMATELY 14,399 SQUARE FOOT ADDITION FOR OUTPATIENT SURGERY, THE RELOCATION OF THE AMBULANCE GARAGE AND HELIPORT AND THE RENOVATION OF THE CENTRAL STERILE SERVICES DEPARTMENT; AND (B) THE CONSTRUCTION AND EQUIPPING OF AN APPROXIMATELY 344,000 SQUARE FOOT, 144-BED REPLACEMENT HOSPITAL FOR ST. ELIZABETH'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS, AN AFFILIATE OF THE CORPORATION ("ST. ELIZABETH'S TOGETHER WITH ST. JOSEPH'S - BREESE, THE "USERS"), LOCATED IN THE CITY OF O'FALLON, ST. CLAIR COUNTY, ILLINOIS; (II) PAY A PORTION OF THE INTEREST ACCRUING ON THE BONDS, IF DEEMED NECESSARY OR ADVISABLE BY THE ISSUER AND CORPORATION; (III) FUND ON OR MORE DEBT SERVICE RESERVE FUNDS, IF DEEMED NECESSARY OR ADVISABLE BY THE ISSUER AND THE CORPORATION; AND (IV) PAY CERTAIN EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE BONDS. Schedule K, Part II, Line 11 Bond C: OTHER SPENT PROCEEDS (11/12/2014 issue) ISSUER NAME: Wisconsin Health & Educational Facilities Authority THE AMOUNT REPORTED ON LINE 11 (OTHER SPENT PROCEEDS) REPRESENTS PROCEEDS SPENT TO PAY OFF THE PRIOR BOND ISSUES (SEE BOND D, PART I, COLUMN (F)). Schedule K, Part I, Column (f) Bond D, Page 1: DESCRIPTION OF PURPOSE (02/08/2017) ISSUE 2017A The Bonds will be used, together with certain other funds, to (i) pay or reimburse the Corporation and/or the Users for the costs of acquiring, constructing, remodeling, renovating and equipping certain health care facilities owned by the Corporation and the Users including (a) the renovation and equipping of the existing hospital of St. Joseph's Hospital, Breese, of the Hospital Sisters of the Third Order of St. Francis, an affiliate of the Corporation ("St. Joseph's-Breese"), located in the City of Breese, Clinton County, Illinois, including an approximately 14,399 square foot addition for outpatient surgery, the relocation of the ambulance garage and heliport and the renovation of the central sterile services department; and (b) the construction and equipping of an approximately 344,000 square foot, 144-bed replacement hospital for St. Elizabeth's Hospital of the Hospital Sisters of the Third Order of St. Francis, an affiliate of the Corporation ("St. Elizabeth's together with St. Joseph's-Breese, the "Users"), located in the City of O'Fallon, St. Clair County, Illinois; (ii) pay a portion of the interest accruing on the Bonds, if deemed necessary or advisable by the Issuer and the Corporation; (iii) fund one or more debt service reserve funds, if deemed necessary or advisable by the Issuer and the Corporation; and (iv) pay certain expenses incurred in connection with the issuance of the Bonds. Schedule K, Part I, Column (f) Bond A, Page 2: DESCRIPTION OF PURPOSE (02/08/2017) ISSUE 2017B The Bonds will be used, together with certain other funds, to (i) pay or reimburse the Corporation and/or the Users for the costs of acquiring, constructing, remodeling, renovating and equipping certain health care facilities owned by the Corporation and the Users including (a) the renovation and equipping of the existing hospital of St. Joseph's Hospital, Breese, of the Hospital Sisters of the Third Order of St. Francis, an affiliate of the Corporation ("St. Joseph's-Breese"), located in the City of Breese, Clinton County, Illinois, including an approximately 14,399 square foot addition for outpatient surgery, the relocation of the ambulance garage and heliport and the renovation of the central sterile services department; and (b) the construction and equipping of an approximately 344,000 square foot, 144-bed replacement hospital for St. Elizabeth's Hospital of the Hospital Sisters of the Third Order of St. Francis, an affiliate of the Corporation ("St. Elizabeth's together with St. Joseph's-Breese, the "Users"), located in the City of O'Fallon, St. Clair County, Illinois; (ii) pay a portion of the interest accruing on the Bonds, if deemed necessary or advisable by the Issuer and the Corporation; (iii) fund one or more debt service reserve funds, if deemed necessary or advisable by the Issuer and the Corporation; and (iv) pay certain expenses incurred in connection with the issuance of the Bonds. Schedule K, Part II, Line 3 Pg 2 Bond A: Total Proceeds of Issue (2-08-2017 issue) ISSUER NAME: SOUTHWESTERN ILLINOIS DEVELOPMENT AUTHORITY; TOTAL AMOUNT OF PROCEEDS REPORTED ON LINE 3 DOES NOT MATCH THE ISSUE PRICE REPORTED IN PART I, COLUMN (C) DUE TO INTEREST ON PROJECT FUNDS. Schedule K, Part II, Line 3 Pg 2 Bond B: Total Proceeds of Issue (2-08-2017 issue) ISSUER NAME: SOUTHWESTERN ILLINOIS DEVELOPMENT AUTHORITY; TOTAL AMOUNT OF PROCEEDS REPORTED ON LINE 3 DOES NOT MATCH THE ISSUE PRICE REPORTED IN PART I, COLUMN (C) DUE TO INTEREST ON PROJECT FUNDS. Schedule K, Part II, Line 11 Bond D: OTHER SPENT PROCEEDS (6/15/16 issue) ISSUER NAME: CITY OF GREENVILLE, ILLINOIS THE AMOUNT REPORTED ON LINE 11 (OTHER SPENT PROCEEDS) REPRESENTS PROCEEDS SPENT TO PAY OFF THE PRIOR BOND ISSUES (SEE BOND D, PART I, COLUMN (F)). Schedule K, Part IV, Line 2c COLUMN A Issuer name: SOUTHWESTERN ILLINOIS DEVELOPMENT AUTHORITY The calculation for computing no rebate due was performed on 10/01/2021 Schedule K, Part IV, Line 2c COLUMN B Issuer name: ILLINOIS FINANCE AUTHORITY The calculation for computing no rebate due was performed on 12/10/2022 Schedule K, Part IV, Line 2c COLUMN D Issuer name: SOUTHWESTERN ILLINOIS DEVELOPMENT AUTHORITY The calculation for computing no rebate due was performed on 04/05/2022 Schedule K, Part IV, Line 2c COLUMN A Issuer name: SOUTHWESTERN ILLINOIS DEVELOPMENT AUTHORITY The calculation for computing no rebate due was performed on 04/05/2022 Schedule K, Part IV, Line 2c COLUMN C Issuer name: CITY OF SHELBYVILLE The calculation for computing no rebate due was performed on 12/01/2020 A SOUTHWESTERN ILLINOIS DEVELOPMENT AUTHORITY 371234684 84553AAP7 2017-02-08 64870000 SEE PART VI false false false B CITY OF GREENVILLE ILLINOIS 376000403 000000000 2016-06-15 7223467 Series 2011 reissuance refunding Series 2003 bond; construction/remodel projects & equipment false false false C CITY OF SHELBYVILLE 376002116 000000000 2015-12-01 7500000 2015 ISSUE REFUNDED THE 2010 ISSUE, WHICH WAS ORIGINALLY ISSUED ON 12/30/10 & REISSUED ON 10/31/13 false false false A 0 0 64922262 0 491121 0 682456 0 0 63911341 0 0 2017 false false true true B 5367176 0 7223467 0 0 0 0 0 0 0 7223467 0 2014 true false true true C 2625000 7500000 7500000 2015 true false true true A true true true true true true 0.0 0.0 0.0 false false true B true true true true false 0.0 0.0 0.0 false false true C true true true true false 0.0 0.0 0.0 false false true A false false false true true false false false true B false false true false false false false false true C false false false true true false false false true A true B true C true Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS HOSPITAL SISTERS SERVICES, INC. (HSSI) IS THE PARENT ORGANIZATION FOR VARIOUS INCORPORATED MINISTRY ORGANIZATIONS WHOSE SOLE CORPORATE MEMBER IS HOSPITAL SISTERS HEALTH SYSTEM (HSHS). ALL EXPENSES INCURRED ASSIST IN ACHIEVING THE PRIMARY EXEMPT PURPOSE OF HOSPITAL SISTERS SERVICES, INC. WHICH IS AS FOLLOWS: HSSI SERVES AS THE CHANNEL FOR TAX EXEMPT DEBT FINANCING FOR THE 501(C)(3) AFFILIATED HOSPITALS LISTED ON SCHEDULE R. KIARA CLINICAL INTEGRATION NETWORK (KCIN) AND PHYSICIANS CLINICAL INTEGRATION NETWORK (PCIN) ARE DISREGARDED ENTITIES OF HSSI. PCIN ORGANIZES, MAINTAINS, AND OPERATES FOR CHARITABLE, RELIGIOUS, EDUCATIONAL AND SCIENTIFIC PURPOSES A PROGRAM OF CLINICAL INTEGRATION AMONG HEALTH CARE PROVIDERS DESIGNED TO IMPROVE THE QUALITY OF AND ACCESS TO, AND CONTROL THE COST OF, HEALTH CARE FOR THE PATIENTS AND POPULATIONS SERVED BY THE 501(C)(3) HOSPITALS AND AFFILIATED ORGANIZATIONS OF HSSI. ALL COSTS INCURRED, EXCEPT THOSE DETAILED ON THE FORM 990-T, RELATE TO ADVANCING THIS PURPOSE. KCIN EXISTS TO DIRECTLY OR INDIRECTLY CREATE AND PROVIDE A PLATFORM FOR STORAGE, USE AND EXCHANGE OF HEALTH INFORMATION, PROVIDE LEADERSHIP IN THE ASSEMBLAGE AND USE OF HEALTH INFORMATION AND PROVIDE FOR THE EXCHANGE OF HEALTH INFORMATION AMONGST AUTHORIZED PERSONS, AND OTHERWISE CONDUCT, ENGAGE IN, DEVELOP, ARRANGE FOR, OR SUPPORT PROGRAMS, RELATIONSHIPS, SYSTEMS, PROCESSES AND INFRASTRUCTURE SO AS TO IMPROVE THE QUALITY OF AND ACCESS TO, AND CONTROL THE COST OF, HEALTH CARE FOR PATIENTS OF THE AFFILIATED 501(C)(3) HOSPITALS OF HSSI. ALL COSTS INCURRED EXCEPT THOSE DETAILED ON THE FORM 990-T RELATE TO ADVANCING THIS PURPOSE. Form 990, Part VI, Line 13 WHISTLEBLOWER POLICY PROVISIONS WITHIN THE CORPORATE COMPLIANCE PROGRAM AND CONFLICT OF INTEREST POLICY PROVIDE PROTECTIONS FOR WHISTLEBLOWER TYPE ACTIVIITES. Form 990, Part VI, Line 1a Executive Committee PER ARTICLE 5.5 OF THE ORGANIZATION'S BY-LAWS, THE GOVERNING BODY DELEGATES BROAD AUTHORITY TO AN EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL BE VESTED WITH AND MAY IN ITS DISCRETION EXERCISE THE FULL POWERS, DUTIES, RESPONSIBILITIES, AND AUTHORITY OF THE BOARD EXCEPT WHERE PROHIBITED BY LAW AND SUBJECT TO ANY LIMITATIONS IMPOSED BY THE BYLAWS OR THE BOARD OF DIRECTORS. AS PROVIDED IN THE BY-LAWS, THE EXECUTIVE COMMITTEE SHALL CONSIST OF FOUR TO SIX MEMBERS, INCLUDING THE CHAIRPERSON OF THE BOARD, THE VICE CHAIRPERSON, THE PRESIDENT AND OTHER MEMBERS SELECTED FROM AMONG THE DIRECTORS BY THE BOARD. Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE CORPORATE MEMBER OF HOSPITAL SISTERS SERVICES, INC (THE "CORPORATION") IS THE MEMBER OF THE CORPORATION, WHICH 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. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body PURSUANT TO SECTION 2.3 OF THE CORPORATION'S BYLAWS, THE ORGNIZATION'S MEMBER, 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, HAS THE RIGHT TO APPOINT AND REMOVE THE CORPORATION'S BOARD OF DIRECTORS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders RESPONSIBILITY FOR THE POLICY AND OPERATIONS OF HOSPITAL SISTERS SERVICES, INC. (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 SYSTEM("HSHS"), AN ILLINOIS NOT FOR PROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. The governance and operations of the Corporation shall be subject in all respects to the Member's right to exercise the reserved powers set forth in this section (the "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 (the "Affiliates"). The Member shall have the exclusive right to exercise the Reserved Powers, and the Board of Directors of the Corporation shall have no power or authority over the Corporation which would in any way conflict with the Member's exclusive right to exercise the Reserved Powers. The Reserved Powers shall include all rights granted to the Member of a notfor-profit corporation 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, the Chairperson of the Corporation, and the 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, the Chairperson of the Corporation, and the 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, tangible or intangible property of the Corporation or of any Affiliate, which property has a value in excess of limits set from time to time by the Member; (g) Approve debt incurred by the Corporation or any Affiliate in an amount in excess of limits set from time to time by the Member; (h) Approve the operating and capital budgets of the Corporation or of any Affiliate, and any deviations by the Corporation or any Affiliate from such budgets in an amount or percentage specified by the Member from time to time; (i) Approve the strategic plan and annual goals of the Corporation or of any Affiliate; (j) Approve the sale of substantially all of the assets of the Corporation or of any Affiliate; (k) Approve the merger or dissolution of the Corporation or of any Affiliate; (l) Adopt or amend the plan for ministry education and governance for the Corporation and its Affiliates; (m) Approve the Corporation's Mission Accountability Reports and those of any Affiliate; (n) 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; (o) Approve material actions with respect to employee retirement plans sponsored by the Corporation or any Affiliate; and (p) Adopt policies to implement the Reserved Powers of the Member. Form 990, Part VI, Line 11b Review of form 990 by governing body THE ORGANIZATION EMPLOYS CROWE LLP TO ASSIST IN THE OVERALL REVIEW AND ELECTRONIC SUBMISSION OF ITS FORM 990. CROWE LLP PROVIDES GUIDANCE IN IDENTIFYING CRITICAL ERRORS IN THE RETURN SUBMISSION AND FEEDBACK ON QUANTITATIVE AND QUALITATIVE RESPONSES. ADDITIONALLY, THE ORGANIZATION'S CFO PERFORMS A THOROUGH REVIEW OF THE RETURN AND REVIEWS IT WITH THE ORGANIZATION'S CEO AND/OR SENIOR LEADERS BEFORE PRESENTING IT IN ITS ENTIRETY TO THE ORGANIZATION'S BOARD FOR QUESTIONING AND REVIEW PRIOR TO THE RETURN'S SIGNING AND SUBMISSION TO THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy 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 USED SINCE JANUARY, 2009 TO ESTABLISH THE PRACTICE OF MANAGING CONFLICTS OF INTEREST USING A SYSTEM-WIDE PROTOCOL FOR DISCLOSURE STATEMENTS. IN ACCORDANCE WITH THE 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 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 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 INTEREST 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 CONIDERS NECESSARY AND APPROPRIATE. IN ADDITION TO THE COMMITTEE, THE SYSTEM OFFICE VICE PRESIDENT 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. Form 990, Part VI, Line 15a Process to establish compensation of top management official 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 HSHS EXECUTIVES, (the top management official, other officers and key employees). SULLIVAN COTTER, 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 HSHS executives. SULLIVAN COTTER 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. 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. Form 990, Part VI, Line 15b Process to establish compensation of other employees PLEASE SEE RESPONSE TO FORM 990, PART VI, LINE 15A. Form 990, Part VI, Line 19 Required documents available to the public 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. Form 990, Part VII, Section A COMPENSATION ARRANGEMENT HOSPITAL SISTERS HEALTH SYSTEM EMPLOYS THE MANAGEMENT/OFFICERS OF THE VARIOUS ENTITIES WHICH ARE CENTRALLY SUPPORTED FOR THE BENEFIT OF THE FIFTEEN HOSPITALS IT SPONSORS. Form 990, Part X, Line 23 Tax Exempt Bond Liabilities Hospital Sisters Services, Inc (HSSI) and its 15 Hospital Affiliates are included in the "HSSI - Obligated Group." Under the terms of the obligated group master trust indenture, each member of the obligated group is jointly and severally liable for all obligations issued thereunder. The tax exempt bonds are issued by Illinois Finance Authority and Wisconsin Health and educational facilities authority on behalf of HSSI and then allocated to the 15 hospitals for reporting on their respective balance sheets. Accordingly, this line is left blank on the HSSI Form 990, Part X. SCHEDULE O AFFILIATED HEALTH CARE SYSTEM Headquartered in Springfield, Illinois, Hospital Sisters Health System (HSHS) is a highly integrated, multi-institutional health care system comprised of 15 hospitals and more than 200 physician practice sites in Illinois and Wisconsin. HSHS is sponsored by Hospital Sisters Ministries (HSM), which is a public juridic person of the Roman Catholic Church. HSHS continues the health care ministries begun by its founders, the Hospital Sisters of St. Francis, more than 140 years ago, in rural and midsized communities throughout Illinois and Wisconsin. HSHS provides compassionate, holistic, high quality, and cost-effective health care through its acute care hospitals, physician practices, home health programs, palliative and hospice programs, and community outreach services. In addition, HSHS affiliated hospitals include critical access facilities that offer essential health services that otherwise would not be available in many communities. Our mission calls us to reveal and embody Christ's healing love for all people, and we extend our high-quality Franciscan health care ministry beyond the walls of our hospitals by providing community health improvement services with special emphasis on the poor and vulnerable. In addition to providing community health improvement services to the broader community, HSHS cares for everyone who comes to its facilities, regardless of their ability to pay. In tandem with a variety of cross sector community partners, HSHS's Community Benefit initiatives are strategically planned and professionally implemented to improve access to health care services; enhance the health of the community; advance medical or general health care knowledge; and relieve or reduce the burden of government to improve health. In FY2024, HSHS collectively provided $259.6 million in Community Benefit (8.1% of total hospital expenses). Of the total Community Benefit provided, HSHS provided $2.8 million for Financial Assistance (aka Charity Care) and $191.3 million for unreimbursed care provided as part of the Medicaid program. In addition, HSHS hospitals committed significant resources to treat 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 $379.4 million. HSHS hospitals also recorded $72.8 million in uncollectible accounts. While HSHS does not count the latter two amounts as Community Benefit, they nonetheless reflect our commitment to serving all persons in need of care. In addition to the dollars invested in our Community Benefit programs, HSHS 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 so, we ensure our ability to meet the ongoing demand for high quality, efficient and easily accessible health care. KIARA CLINICAL INTEGRATION NETWORK LLC 4936 LAVERNA ROAD SPRINGFIELD IL 62707 261417684 HEALTHCARE IL -56794 391070 HSSI PHYSICIAN CLINICAL INTEGRATION NETWORK LLC 4936 LAVERNA ROAD SPRINGFIELD IL 62707 371668647 HEALTHCARE IL 1447225 16542871 KCIN HSHS ACO LLC 4936 LAVERNA ROAD SPRINGFIELD IL 62707 320465666 HEALTHCARE & SOCIAL ASSISTANCE IL 1212193 4311892 KCIN HOSPITAL SISTERS HEALTH SYSTEM 4936 LAVERNA ROAD SPRINGFIELD IL 62707 371058692 HEALTHCARE IL 501(c)(3) Type III-FI NA false HOSPITAL SISTERS OF ST FRANCIS FOUNDATION INC 4936 LAVERNA ROAD SPRINGFIELD IL 62707 371186514 HEALTHCARE IL 501(c)(3) 7 HSHS true HOSPITAL SISTERS HEALTHCARE-WEST INC 2661 COUNTY HIGHWAY 1 CHIPPEWA FALLS WI 54729 510157933 HEALTHCARE WI 501(c)(3) Type I HSSI true SACRED HEART HOSPITAL OF HOSPITAL SISTERS OF THIRD ORDER OF ST FRANCIS 990 WEST CLAIREMONT AVENUE EAU CLAIRE WI 54701 390807060 HEALTHCARE WI 501(c)(3) 3 HSSI true ST ANTHONY'S MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER O F ST FRANCIS 503 N MAPLE STREET EFFINGHAM IL 62401 370661233 HEALTHCARE IL 501(c)(3) 3 HSSI true ST ELIZABETH'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FR ANCIS ONE ST ELIZABETHS BLVD OFALLON IL 62269 370663567 HEALTHCARE IL 501(c)(3) 3 HSSI true ST NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANC IS 3100 SUPERIOR AVENUE SHEBOYGAN WI 53081 390808480 HEALTHCARE WI 501(c)(3) 3 HSSI true ST JOHN'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS 800 EAST CARPENTER STREET SPRINGFIELD IL 62769 370661238 HEALTHCARE IL 501(c)(3) 3 HSSI true ST JOSEPH'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANC IS 9515 HOLY CROSS LANE BREESE IL 62230 371208459 HEALTHCARE IL 501(c)(3) 3 HSSI true ST JOSEPH'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANC IS 2661 COUNTY HIGHWAY 1 CHIPPEWA FALLS WI 54729 390810545 HEALTHCARE WI 501(c)(3) 3 HSSI true ST MARY'S HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS 1800 E LAKE SHORE DRIVE DECATUR IL 62521 370661244 HEALTHCARE IL 501(c)(3) 3 HSSI true ST MARY'S HOSPITAL MEDICAL CENTER OF GREEN BAY INC - HOSPITAL SISTERS 1762 SHAWANO AVENUE GREEN BAY WI 54303 390818682 HEALTHCARE WI 501(c)(3) 3 HSSI true ST VINCENT HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCI S 835 S VAN BUREN GREEN BAY WI 51301 390817529 HEALTHCARE WI 501(c)(3) 3 HSSI true ST JOSEPH'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANC IS 12866 TROXLER AVENUE HIGHLAND IL 62249 370663568 HEALTHCARE IL 501(c)(3) 3 HSSI true ST FRANCIS HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS 1215 FRANCISCAN DRIVE LITCHFIELD IL 62056 370661236 HEALTHCARE IL 501(c)(3) 3 HSSI true HSHS MEDICAL GROUP INC 3051 HOLLIS DRIVE SPRINGFIELD IL 62704 263956318 HEALTHCARE IL 501(c)(3) Type III-FI HSSI true HSHS WISCONSIN MEDICAL GROUP INC 3051 HOLLIS DRIVE SPRINGFIELD IL 62704 264515959 HEALTHCARE WI 501(c)(3) Type III-FI HSSI true ORANGE CROSS AMBULANCE INC 919 ASHLAND AVENUE SHEBOYGAN WI 53081 391860942 HEALTHCARE WI 501(c)(3) 10 ST NICHOLAS true UNITY LIMITED PARTNERSHIP 2366 OAK RIDGE CIRCLE DE PERE WI 54115 391750729 HEALTHCARE WI 501(c)(3) 10 HSSI true PRAIRIE EDUCATION & RESEARCH COOPERATIVE 800 EAST CARPENTER STREET 62 SPRINGFIELD IL 62769 371157915 HEALTHCARE IL 501(c)(3) 4 HSSI true ST CLARE MEMORIAL HOSPITAL INC 855 S MAIN STREET OCONTO FALLS WI 54154 390848401 HEALTHCARE WI 501(c)(3) 3 HSSI true HSHS HOLY FAMILY HOSPITAL 200 HEALTHCARE DRIVE GREENVILLE IL 62246 370792770 HEALTHCARE IL 501(c)(3) 3 HSSI true UTLAUT MEMORIAL FOUNDATION 200 HEALTHCARE DRIVE GREENVILLE IL 62246 371140166 FUNDRAISING IL 501(c)(3) Type II HSSI true HSHS GOOD SHEPHERD HOSPITAL INC 200 SOUTH CEDAR STREET SHELBYVILLE IL 62565 370512290 HEALTHCARE IL 501(c)(3) 3 HSSI true HOSPITAL SISTERS MISSION OUTREACH CORPORATION 4849 LAVERNA ROAD SPRINGFIELD IL 62707 352271729 RECYCLING MEDICAL SUPPLIES IL 501(c)(3) HSHS true PRAIRIE CARDIOVASCULAR CONSULTANTS LTD 3051 HOLLIS DRIVE SPRINGFIELD IL 62704 371071858 HEALTHCARE IL 501(c)(3) 10 HSSI true PRAIRIE HEART INSTITUTE MANAGEMENT COMPANY LLC 4936 LAVERNA ROAD SPRINGFIELD IL 62707 261479945 MEDICAL IL HSHS Related 0 0 false true 1 KIARA INC 4936 LAVERNA ROAD SPRINGFIELD IL 62707 371163401 HEALTHCARE IL HSHS C Corporation 953484 19065022 1 true LASANTE WISCONSIN INC 4936 LAVERNA ROAD SPRINGFIELD IL 62707 391572196 HEALTHCARE IL KIARA INC C Corporation true LASANTE INC 4936 LAVERNA ROAD SPRINGFIELD IL 62707 371163400 HEALTHCARE IL KIARA INC C Corporation true PREVEA HEALTH SERVICES INC 2710 EXECUTIVE DRIVE GREEN BAY WI 54304 391839351 HEALTHCARE WI HSSI C Corporation -678213 23739679 0.5 true PREVEA CLINIC INC 2710 EXECUTVE DRIVE GREEN BAY WI 54304 391839349 HEALTHCARE WI PHSI C Corporation true RENAISSANCE QUALITY INSURANCE LTD PO BOX 1159 GRAND CAYMAN CJ KY11102 980669953 INSURANCE CJ HSSI C Corporation 0 204854765 1 true false true false true false true false false false false false false false false true false false true true RENAISSANCE QUALITY INSURANCE LTD B 58610478 FMV RENAISSANCE QUALITY INSURANCE LTD F 22859065 FMV Schedule R, Part V, Line 2 TRANSACTIONS WITH RELATED ENTITIES ANY TRANSACTIONS LISTED ON SCHEDULE R, PART V, LINE 1 AND NOT ON SCHEDULE R, PART V, LINE 2 ARE BETWEEN RELATED 501(C)(3) AND DO NOT REQUIRE REPORTING ON THIS SECTION. Schedule R, Part VII Related Organizations Due to the increasingly complex organization structure of Hospital Sisters Health System and Affiliates, the filing organization has elected to report all tax-exempt organizations, partnerships, and corporations within Hospital Sisters Health System as related, regardless of ownership interest or "control" as defined by the instructions to Schedule R. The intent of this reporting is to promote transparency and increase consistency across the numerous Form 990 submissions by Hospital Sisters Health System and Affiliates.