TY 2010 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) ROGER FULTON MD SECRETARY	2.0	X	X		0	0	0
(2) THOMAS HILL JD CHAIRPERSON	2.0	X	X		0	0	0
(3) SR MARYBETH CULNAN OSF DIRECTOR	2.0	X			0	0	0
(4) SR JOSINE MONDLOCH OSF DIRECTOR	2.0	X			0	0	0
(5) SR JOSEPHA SCHAEFFER OSF DIRECTOR	2.0	X			0	0	0
(6) BONNIE MCGINLEY DIRECTOR	2.0	X			0	0	0
(7) BILL SULLIVAN DIRECTOR	2.0	X			0	0	0
(8) JIM BURGETT DIRECTOR	2.0	X			0	0	0
(9) MARK KORTE DIRECTOR	2.0	X			0	0	0
(10) JEANNE MEYER DIRECTOR	2.0	X			0	0	0
(11) PEGGY SEBASTIAN CHIEF EXECUTIVE OFFICER	60.0	X	X		0	215,962	61,516
(12) JAMES M JOHNSON chief financial officer	60.0		X		115,396	0	33,423
(13) ANN CARR TREASURER	.25		X		0	191,336	109,542
(14) JOHNNY WATKINS CFO - SOUTHERN ILLINOIS DIV	3.5		X		0	236,604	43,441
(15) JAMES BURKE DIVISIONAL VICE PRESIDENT	6.3		X		0	174,982	34,530
(16) MARK REIFSTECK DIVISION PRESIDENT	6.3		X		0	417,093	161,140
(17) MAXINE A JOHNSON CHIEF NURSING OFFICER	60.0			X	123,140	0	31,112

(A) Name and business address	(B) Description of services	(C) Compensation
MIDWEST EMERGENCY SERVICES 320 E HIGHWAY 50 OFALLON,IL62269	ER PHYS. COVERAGE	1,356,307
ODELL ASSOCIATES PO BOX 1070 CHARLOTTE,NC28201	CONSULTANT	534,676
PREMIER CARE SUITE 202 HOUSTON,TX77069	SENIOR RENEWAL PROG	455,632
MOBILE INTERIM SOLUTION PO BOX 844727 DALLAS,TX752844724	RENTAL	361,200
G G ANESTHESIA LLC 5112 DOMINION DRIVE ARNOLD,MO63010	ANESTHESIA SERVICES	320,064
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 9

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21	0
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	598,310	234,990	363,320	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	7,734,108	4,670,492	3,063,616	0
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	696,733	400,603	296,130	0
9	Other employee benefits .......	2,181,364	1,253,916	927,448	0
10	Payroll taxes ...........	604,475	347,557	256,918	0
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	168,274	0	168,274	0
c	Accounting ...........	0
d	Lobbying ...........	0			0
e	Professional fundraising. See Part IV, line 17..	0
f	Investment management fees ......	0
g	Other ..........	6,686,113	3,159,719	3,526,394
12	Advertising and promotion ....	0
13	Office expenses .......	75,777	0	75,777	0
14	Information technology ......	0
15	Royalties ..	0
16	Occupancy ...........	499,040	0	499,040	0
17	Travel ............	4,955	1,744	3,211	0
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	9,817	6,750	3,067	0
20	Interest ...........	243,631	0	243,631	0
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	1,372,808	691,013	681,795	0
23	Insurance ..............	0
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	SUPPLIES	2,532,657	2,304,813	227,844	0
b	BAD DEBT	1,779,116	1,779,116	0	0
c	EQUIPMENT RENTAL & MAINT.	645,640	397,355	248,285	0
d	INSURANCE	226,521	0	226,521	0
e	DUES AND SUBSCRIPTIONS	10,492	0	10,492	0
f	All other expenses	494,924	17,101	477,823	0
25	Total functional expenses. Add lines 1 through 24f	26,564,755	15,265,169	11,299,586	0
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	616,388	1	-94,308
2	Savings and temporary cash investments .......		2
3	Pledges and grants receivable, net .........		3
4	Accounts receivable, net .........	3,454,527	4	3,550,080
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........		5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............	364,192	8	375,415
9	Prepaid expenses and deferred charges ............	215,853	9	253,213
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	29,375,410
b	Less: accumulated depreciation. .....	10b	18,936,846	8,423,564	10c	10,438,564
11	Investments—publicly traded securities ..........	7,647,835	11	7,265,788
12	Investments—other securities. See Part IV, line 11 ......		12
13	Investments—program-related. See Part IV, line 11 ..		13
14	Intangible assets .........		14
15	Other assets. See Part IV, line 11 ...........	1,183,627	15	1,364,356
16	Total assets. Add lines 1 through 15 (must equal line 34)...	21,905,986	16	23,153,108
	17	Accounts payable and accrued expenses .	2,523,518	17	1,712,581
18	Grants payable ..........		18
19	Deferred revenue ..........		19
20	Tax-exempt bond liabilities ..........	4,179,407	20	4,067,049
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..	4,325,000	23	7,201,785
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities. Complete Part X of Schedule D.....	8,710,545	25	5,796,827
26	Total liabilities. Add lines 17 through 25.....	19,738,470	26	18,778,242
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	396,242	27	2,311,234
28	Temporarily restricted net assets .....	1,771,274	28	2,063,632
29	Permanently restricted net assets .....		29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	2,167,516	33	4,374,866
34	Total liabilities and net assets/fund balances .....	21,905,986	34	23,153,108

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

ST JOSEPH'S HOSPITAL OF THE HOSPITAL
SISTERS OF THE THIRD ORDER OF ST FRANCIS

Employer identification number

37-0663568

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2010

Name of organization

ST JOSEPH'S HOSPITAL OF THE HOSPITAL
SISTERS OF THE THIRD ORDER OF ST FRANCIS

Employer identification number

37-0663568

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ, that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization ST JOSEPH'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part I
Part I	Contributors (see Instructions)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization ST JOSEPH'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part II
Part II	Noncash Property (see Instructions)
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Page 1 of 1 of Part III

Name of organization
ST JOSEPH'S HOSPITAL OF THE HOSPITAL
SISTERS OF THE THIRD ORDER OF ST FRANCIS

Employer identification number

37-0663568

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below.
SchCMd Bullet

Attach to Form 990 or Form 990-EZ. SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

ST JOSEPH'S HOSPITAL OF THE HOSPITAL
SISTERS OF THE THIRD ORDER OF ST FRANCIS

Employer identification number

37-0663568

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities .................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2010

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check if the filing organization belongs to an affiliated group.
B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated Group Totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) Total

2a	Lobbying non-taxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots non-taxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2010

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? If "Yes," describe in Part IV ..........................

Yes

10,492

Total. lines 1c through 1i ...................................

10,492

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.

Dues, assessments and similar amounts from members .....................

Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
DESCRIPTION OF OTHER LOBBYING ACTIVITIES	SCHEDULE C, PART II-B, QUESTION 1I	ST. JOSEPH'S HOSPITAL ("THE HOSPITAL") IS A MEMBER OF THE CATHOLIC HEALTH ASSOCIATION ("CHA"), THE ILLINOIS HEALTH ASSOCIATION ("IHA"), THE NATIONAL ASSOCIATION FOR HOME CARE AND HOSPICE, AND THE AMERICAN HEALTH ASSOCIATION ("AHA"). AS A MEMBER OF THESE ORGANIZATIONS, THE HOSPITAL PAYS DUES, with part of these dues being ATTRIBUTABLE TO LOBBYING FEES PAID BY THE ORGANIZATIONS. THE AMOUNT LISTED ABOVE IS THE AMOUNT ATTRIBUTABLE TO THE HOSPITAL FROM ITS DUES PAID.

Schedule C (Form 990 or 990EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

ST JOSEPH'S HOSPITAL OF THE HOSPITAL
SISTERS OF THE THIRD ORDER OF ST FRANCIS

Employer identification number

37-0663568

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back	(d)Three Years Back	(e)Four Years Back
1a	Beginning of year balance ....
b	Contributions ........
c	Investment earnings or losses ...
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

Permanent endowment: SchDMd Bullet

Term endowment: SchDMd Bullet

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	1,510,827		1,510,827
b	Buildings ................	15,289,315	10,257,179	5,032,136
c	Leasehold improvements ............
d	Equipment ................	11,387,606	8,666,107	2,721,499
e	Other .................	1,187,662	13,560	1,174,102
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........				10,438,564

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) RECEIVABLE				759,228
(2) REIMBURSEMENT PROGRAM				578,442
(3) AMORTIZED ISSUE COSTS OF BONDS				23,699
(4) PHYSICIAN ARRANGEMENTS				2,987





Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........				1,364,356

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes		0
MINIMUM PENSION LIABILITY		3,910,592
NON-CURRENT LIABILITY ASBESTOS		1,726,832
ESTIMATED SELF INSURANCE LIABI		159,403






Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		5,796,827
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3
4	Net unrealized gains (losses) on investments ..........................	4
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8
9	Total adjustments (net). Add lines 4 - 8 .............................	9
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV): ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......		5

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV): ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ......		5

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
ASC SUBTOPIC 740-10		ON JULY 1, 2007, HSHS ADOPTED ASC SUBTOPIC 740-10, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES - AN INTERPRETATION OF FASB STATEMENT NO.109. ASC SUBTOPIC 740-10 ADDRESSES THE DETERMINATION OF HOW TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. UNDER ASC SUBTOPIC 740-10, HSHS MUST RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. ASC SUBTOPIC 740-10 ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES, ACCOUNTING IN INTERIM PERIODS, AND REQUIRES INCREASED DISCLOSURES. AT THE DATE OF ADOPTION, AND AS OF JUNE 30, 2011 AND 2010, HSHS DOES NOT HAVE A LIABILITY FOR UNRECOGNIZED TAX BENEFITS.

Schedule D (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

ST JOSEPH'S HOSPITAL OF THE HOSPITAL
SISTERS OF THE THIRD ORDER OF ST FRANCIS

Employer identification number

37-0663568

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Does the organization have a charity care policy? If "No," skip to question 6a...........

Yes

If "Yes," is it a written policy? .......................

Yes

If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.

Applied uniformly to all hospitals Applied uniformly to most hospitals Generally tailored to individual hospitals

Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.

Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low

income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If

"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....

Yes

200% 250% 300% 350% 400% Other

If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Does the organization's policy provide free or discounted care to the "medically indigent"? ......

Yes

Does the organization budget amounts for free or discounted care provided under its charity care policy? ...

Yes

If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............

Does the organization prepare an annual community benefit report?.............

Yes

If "Yes," does the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Charity Care and Certain Other Community Benefits at Cost

	(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Charity care at cost (from Worksheets 1 and 2) ..	1		280,279	0	280,279	1.130 %
b Unreimbursed Medicaid (from Worksheet 3, column a) .	1		2,015,527	1,247,798	767,729	3.100 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....
dTotal Charity Care and Means-Tested Government Programs .....	2		2,295,806	1,247,798	1,048,008	4.230 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	17	2,896	61,646	3,985	57,611	0.230 %
f Health professions education (from Worksheet 5) ..
g Subsidized health services (from Worksheet 6) ..
h Research (from Worksheet 7)
i Cash and in-kind contributions to community groups (from Worksheet 8) ..
jTotal Other Benefits ...	17	2,896	61,646	3,985	57,611	0.230 %
kTotal. Add lines 7d and 7j. ..	19	2,896	2,357,452	1,251,783	1,105,619	4.460 %

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010

Schedule H (Form 990) 2010

Page 2

Part II

Community Building Activities Complete this table if the organization conducted any community building activities.

		(b) Persons served (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	264	29,659	29,659	0.120 %
8	Workforce development
9	Other
10	Total	264	29,659	29,659	0.120 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense (at cost).....

783,237

Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

11,422,549

Enter Medicare allowable costs of care relating to payments on line 5.....

11,538,914

Subtract line 6 from line 5. This is the surplus or (shortfall)........

-116,365

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Does the organization have a written debt collection policy? ...............

Yes

If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......

Yes

Part IV

Management Companies and Joint Ventures

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership%	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2010

Page 3

Part VFacility Information

Section A. Hospital Facilities (list in order of size, measured by total revenue per facility, from largest to smallest) How many hospital facilities did the organization operate during the tax year?1 Name and address		Other (Describe)
1	ST JOSEPH'S HOSPITAL 1515 MAIN STREET HIGHLAND,IL62249	X	X	X

Schedule H (Form 990) 2010

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Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:ST JOSEPH'S HOSPITAL

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 7

Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, measured by total revenue per facility, from largest to smallest) How many non-hospital facilities did the organization operate during the tax year?
Name and address		Type of Facility (Describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2010

Page 8

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2	Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
PART I, LINE 3C		NOT APPLICABLE AS ST. JOSEPH'S HOSPITAL IN HIGHLAND DOES FOLLOW FPG TO DETERMINE ELIGIBILITY FOR PROVIDING CHARITY AND DISCOUNTED CARE TO LOW-INCOME UNINSURED AND UNDERINSURED INDIVIDUALS.
PART I, LINE 6A		ST. JOSEPH'S HOSPITAL'S (HIGHLAND) COMMUNITY BENEFIT REPORT (WHICH IS INCLUDED AS A PART OF THE HOSPITAL'S ANNUAL REPORT PUBLICATION) CAN BE ACCESSED AT WWW.STJOSEPHSHIGHLAND.ORG. IN ADDITION, A COPY CAN BE OBTAINED BY CONTACTING THE COMMUNITY RELATIONS DEPARTMENT AT 618-651-2590 OR BY SENDING A WRITTEN REQUEST TO: ST. JOSEPH'S HOSPITAL ATTN: COMMUNITY RELATIONS 1515 MAIN STREET HIGHLAND, IL 62249
PART I, LINE 7G		ST. JOSEPH'S HOSPITAL IN HIGHLAND DOES NOT HAVE ANY SUBSIDIZED HEALTH SERVICES.
PART I, LINE 7, COLUMN (F)		THE PERCENT OF CHARITY CARE AND CERTAIN OTHER BENEFITS AT COST AS A PERCENT OF TOTAL EXPENSE LESS BAD DEBT IS 4.46%. THE AMOUNT OF BAD DEBT EXPENSE REMOVED WHEN CALCULATING THE PERCENTAGES IN PART I, LINE 7, COLUMN (F) WAS $1,779,116.
PART I, LINE 7		OUR CALCULATION OF COST IS BASED ON THE CHARGES FOR THESE SERVICES multiplied by THE OVERALL COST TO CHARGE RATIO. the cost to charge ratio is based on the actual costs of these services according to the financial statements.
PART II		St. Joseph's Hospital ("SJH") in Highland maintains consistent communication with the Illinois Department of Public Health ("IDPH") through the Madison County (IL) Public Health Department. Ms. Amy Yeager, community health coordinator, is one of our main contacts in this agency. Through the Madison County (IL) Public Health Department, SJH senior leaders and managers participate in focus groups and planning sessions to evaluate plans to address community health needs. One instrument through the health department that SJH uses is the IDPH "I" Plan. In addition to Ms. Yeager in the Madison County Health Dept., St. Joseph's Hospital also collaborates with non-profit agencies such as the Highland Pregnancy Care Center, Highland Area Community Foundation, and other civic organizations, as well as public/civic entities to evaluate the health care needs of the constituents within the hospital's service area. In response to the needs assessments through the above mentioned entities, SJH has developed programs and services to address diabetes management, access to primary health care services, and senior mental health counseling - among other initiatives.
PART III, LINE 4		THE HOSPITAL STRONGLY BELIEVES THAT ITS CHARITY CARE, AND THE RELATED COMMUNITY BENEFIT OBTAINED FROM SUCH CARE, IS UNDERSTATED BECAUSE OF THOSE PATIENTS THAT POTENTIALLY QUALIFY FOR CHARITY CARE BUT DO NOT WISH TO APPLY FOR IT. IN ADDITION, SOME CARE IS NOT CLASSIFIED AS CHARITY DUE TO MISSING DOCUMENTATION ON PATIENT RESOURCES. THUS, THE HOSPITAL'S BAD DEBT may include A PORTION THAT COULD BE CLASSIFIED AS CHARITY CARE IF APPLICATION FOR SUCH CARE WAS SOUGHT AND/OR COMPLETED. CURRENTLY, THE HOSPITAL IS IMPLEMENTING PROCESSES, PROCEDURES, AND SYSTEMS TO MORE EFFECTIVELY DETERMINE CHARITY CARE THAT WILL REDUCE A PATIENT'S DOCUMENTATION REQUIREMENTS, AND EASE THE PATIENT'S EMOTIONAL BURDEN IN APPLYING FOR CHARITY CARE. THIS WILL PROVIDE A MORE ACCURATE REPORTING OF CHARITY CARE SERVICES PROVIDED BY THE HOSPITAL. THE BAD DEBT EXPENSE ON THE FINANCIAL STATEMENTS INCLUDES WRITE-OFFS FROM THE PATIENT BILLING SYSTEM LESS BAD DEBT RECOVERIES AND ADJUSTMENTS TO THE BAD DEBT ALLOWANCE ACCOUNT. THE ADJUSTMENTS TO THE ALLOWANCE ACCOUNT ARE NECESSARY TO ENSURE THAT THE ALLOWANCE FOR BAD DEBTS ON THE BALANCE SHEET ACCURATELY REFLECTS ESTIMATED FUTURE BAD DEBT WRITE-OFFS (NET OF RECOVERIES) FOR THE CURRENT ACCOUNTS RECEIVABLE. THE REPORTED TOTAL BAD DEBT AMOUNT MATCHES OUR FISCAL YEAR ENDING 2011 AUDITED FINANCIAL STATEMENT. THE BAD DEBT NUMBER IS THEN REDUCED TO COST BY APPLYING THE HOSPITAL'S COST TO CHARGE RATIO AS CALCULATED ON THE IRS SCHEDULE H - WORKSHEET 2.
PART III, LINE 8		THE HOSPITAL CONTINUALLY STRIVES TO PROVIDE EXCELLENT PATIENT CARE IN THE MOST COST EFFECTIVE FASHION. NONETHELESS, THE MEDICARE PROGRAM, IN MANY CASES, DOES NOT PROVIDE PAYMENT THAT COVERS THE FULL COST OF THE CARE PROVIDED. SINCE IT IS THE MISSION OF THE HOSPITAL TO RESPOND TO COMMUNITY NEED, HOSPITAL MANAGEMENT CONTINUALLY ADVOCATES FOR IMPROVED MEDICARE PAYMENT SO THAT THE COST OF QUALITY CARE TO THOSE PATIENTS THAT ARE NOT ABLE TO AFFORD IT IS NOT COMPROMISED AND IS FAIRLY SUBSIDIZED BY ALL PAYERS. WHILE THIS SHORTFALL IN MEDICARE PAYMENTS IS NOT CLASSIFIED AS COMMUNITY BENEFIT BY THE IRS, WE NONETHELESS BELIEVE IT IS AN IMPORTANT CONTRIBUTION MADE BY THE HOSPITAL TO THE HEALTH AND WELL BEING OF THE COMMUNITY. OUR MISSION CALLS US TO SERVE ALL PATIENTS WITH THE HIGHEST POSSIBLE QUALITY AND EFFICIENCY, EVEN IF WE ARE NOT PAID FULLY FOR DOING SO.
PART III, LINE 9B		LISTED BELOW ARE THE PROCESSES EMPLOYED BY ST. JOSEPH'S HOSPITAL IN HIGHLAND WITH REGARD TO DEBT COLLECTION POLICIES RELATING TO CHRISTIAN/CHARITY CARE AND FINANCIAL ASSISTANCE PROVISIONS: CHRISTIAN/CHARITY CARE PROVISIONS = 1. APPLICANTS WILL BE NOTIFIED IN WRITING THAT THEY ARE ELIGIBLE AND WHAT AMOUNT OF ASSISTANCE HAS BEEN ALLOWED. 2. ADJUSTMENT WILL BE MADE TO BILL, AND PAYMENT PLAN WILL BE ESTABLISHED ON REMAINING BALANCE IF ONE EXISTS. 3. APPLICATION WILL BE HELD ON FILE AND WILL REMAIN FOR SIX MONTHS FOR FUTURE VISITS. FINANCIAL ASSISTANCE PROVISIONS = 1. APPLICANTS WILL BE NOTIFIED IN WRITING THAT they have BEEN APPROVED FOR FINANCIAL ASSISTANCE, AND THE DEGREE OF ASSISTANCE GRANTED. 2. THE DESIGNATED AMOUNT WILL BE SUBTRACTED FROM THE BILL. 3. FINANCIAL ARRANGEMENTS TO PAY ANY REMAINING BALANCE (INCLUDING APPROVED PAYMENT PLANS) MUST BE MADE WITHIN 10 DAYS OF RECEIPT OF PATIENT'S ACCEPTANCE LETTER.
NEEDS ASSESSMENT		ST. JOSEPH'S HOSPITAL ("SJH") IN HIGHLAND MAINTAINS CONSISTENT COMMUNICATION WITH THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH ("IDPH") THROUGH THE MADISON COUNTY (IL) PUBLIC HEALTH DEPARTMENT. MS. AMY YEAGER, COMMUNITY HEALTH COORDINATOR, IS ONE OF OUR MAIN CONTACTS IN THIS AGENCY. THROUGH THE MADISON COUNTY (IL) PUBLIC HEALTH DEPARTMENT, SJH SENIOR LEADERS AND MANAGERS PARTICIPATE IN FOCUS GROUPS AND PLANNING SESSIONS TO EVALUATE PLANS TO ADDRESS COMMUNITY HEALTH NEEDS. ONE INSTRUMENT THROUGH THE HEALTH DEPARTMENT THAT SJH USES IS THE IDPH "I" PLAN. IN ADDITION TO MS. YEAGER IN THE MADISON COUNTY HEALTH DEPT., ST. JOSEPH'S HOSPITAL ALSO COLLABORATES WITH NON-PROFIT AGENCIES SUCH AS THE HIGHLAND PREGNANCY CARE CENTER, HIGHLAND AREA COMMUNITY FOUNDATION, and OTHER CIVIC ORGANIZATIONS, AS WELL AS PUBLIC/CIVIC ENTITIES TO EVALUATE THE HEALTH CARE NEEDS OF THE CONSTITUENTS WITHIN THE HOSPITAL'S SERVICE AREA. IN RESPONSE TO THE NEEDS ASSESSMENTS THROUGH THE ABOVE MENTIONED ENTITIES, SJH HAS DEVELOPED PROGRAMS AND SERVICES TO ADDRESS DIABETES MANAGEMENT, ACCESS TO PRIMARY HEALTH CARE SERVICES, AND SENIOR MENTAL HEALTH COUNSELING - AMONG OTHER INITIATIVES. DURING THE 2010/2011 REPORTING YEAR, ONE SUCH HEALTH ISSUE IDENTIFIED WITHIN MADISON COUNTY IS THE RISING INCIDENCE OF OBESITY - ESPECIALLY AMONG CHILDREN. CINDY HARTMAN, A REGISTERED DIETICIAN AT SJH, IS ACTIVELY ENGAGED IN THIS ISSUE, AND PARTICIPATED IN THE 2011 MADISON COUNTY YOUTH FORUM ON MONDAY, JANUARY 31ST AT SOUTHERN ILLINOIS UNIVERSITY EDWARDSVILLE, MORRIS UNIVERSITY CENTER, MERIDIAN BALLROOM. THIS EVENT WAS OPEN TO THE PUBLIC. "BE AN EVERYDAY HERO" WAS THE THEME FOR THIS YEAR'S YOUTH FORUM. MADISON COUNTY (IL) HIGH SCHOOLS PARTICIPATED BY SENDING A CROSS-SECTION OF STUDENTS WITH APPROXIMATELY 120 YOUTH REPRESENTING MADISON COUNTY SCHOOLS AND COMMUNITIES - AMONG WHICH HIGHLAND HIGH SCHOOL WAS A PARTICIPATING INSTITUTION. THE 2011 YOUTH FORUM PROVIDED AN OPPORTUNITY FOR MADISON COUNTY TEENAGERS TO DISCUSS REAL ISSUES THAT CURRENTLY AFFECT YOUTH. MOLLY SIVIA, HEALTH EDUCATOR AT MADISON COUNTY HEALTH DEPARTMENT SAID, "I AM EXCITED OBESITY IS INCLUDED IN THE TOPIC OF DISCUSSION THIS YEAR. SINCE MADISON COUNTY RESIDENTS HAVE SET OBESITY AS A HEALTH PRIORITY ISSUE TO ADDRESS IN THE NEXT FIVE YEARS, IT IS ONLY NECESSARY THAT THE STUDENTS INVOLVED IN THE 2011 YOUTH FORUM BEGIN DISCUSSION ON THE TOPIC AND DEVELOP IDEAS AND SOLUTIONS FOR THE PROBLEM." PRIOR TO THE YOUTH FORUM, SCHOOLS PARTICIPATED IN SCHOOL-BASED FOCUS GROUPS TO IDENTIFY PROBLEMS RELATED TO OBESITY AND OTHER ISSUES. DURING THE AFTERNOON, THE HIGH SCHOOL STUDENTS HEARD A MOTIVATIONAL PRESENTATION FROM NICOLE KLEIN, PHD, PROFESSOR OF HEALTH EDUCATION AT SOUTHERN ILLINOIS UNIVERSITY EDWARDSVILLE TO ENGAGE THEM IN THE PROCESS OF VOICING THEIR CONCERNS, CREATING SOLUTIONS, and INCREASing THEIR UNDERSTANDING OF THE TOPIC. THE YOUTH PARTICIPANTS THEN SPENT MOST OF THE AFTERNOON IN SMALL GROUPS LEAD BY HIGH SCHOOL PEER LEADERS AND COLLEGE HEALTH EDUCATION HONOR SOCIETY STUDENTS CREATING SOLUTIONS TO THE IDENTIFIED PROBLEMS. IN THE EVENING, THE STUDENTS PRESENTED THEIR PROBLEM STATEMENTS AND RECOMMENDED SOLUTIONS TO A DESIGNATED PANEL OF LOCAL OFFICIALS - WHICH INCLUDED MS. HARTMANN - AND THE COMMUNITY. MS. HARTMANN CONTINUES TO PARTICIPATE IN PANEL DISCUSSIONS, OBESITY TASK FORCE MEETINGS, AND OTHER ACTIVITIES SURROUNDING THIS ISSUE TO NOT ONLY HELP RESIDENTS WITHIN THE SJH SERVICE AREA, BUT THROUGHOUT THE ENTIRE MADISON COUNTY (IL) REGION.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE		ST. JOSEPH'S HOSPITAL ("SJH") IN HIGHLAND PROMINENTLY DISPLAYS A WALL-MOUNTED "FINANCIAL ASSISTANCE & UNINSURED" NOTICE IN THE FOLLOWING AREAS: * THREE REGISTRATION/ADMITTING ROOMS (LOCATED IN THE MAIN LOBBY OF THE HOSPITAL) * CUSTOMER SERVICE OFFICE * BILLING OFFICE THIS NOTICE IS BROUGHT TO THE ATTENTION OF ALL PATIENTS (AND THEIR REPRESENTATIVES IF NECESSARY) WHEN DISCUSSIONS CONCERNING PAYMENTS, CHARGES, AND OTHER BILLING INFORMATION TAKE PLACE. IN ADDITION TO THE ABOVE-MENTIONED NOTICED BEING PROMINENTLY DISPLAYED IN THOSE THREE PUBLIC AREAS, THE FOLLOWING ADDITIONAL BROCHURES, NOTICES, AND FORMS ARE AVAILABLE AND DISPLAYED IN WALL-MOUNTED FIXTURES NEXT TO THE "FINANCIAL ASSISTANCE & UNINSURED" NOTICE: * FINANCIAL ASSISTANCE PROGRAM BROCHURE (THIS PUBLICATION OUTLINES INCOME GUIDELINES AND CRITERIA ASSOCIATED WITH FINANCIAL SUPPORT BASED ON PAYMENT CAPABILITY WITH REGARD TO SJH'S CHRISTIAN CARE ELIGIBILITY AND UNINSURED INCOME ELIGIBILITY) * CHRISTIAN CARE PROGRAM BROCHURE (THIS PUBLICATION PROVIDES INSTRUCTIONS ON HOW TO APPLY FOR SJH'S CHRISTIAN CARE PROGRAM IN ADDITION TO PROVIDING INFORMATION FOR THOSE WHO DO AND DON'T QUALIFY) * UNINSURED DISCOUNT NOTICE (THIS NOTICE IS GIVEN TO UNINSURED PATIENTS OUTLINING INSTRUCTIONS ON HOW TO APPLY FOR DISCOUNTS AS WELL AS NOTIFICATION ON HOW THE PROGRAM WORKS) * ILLINOIS DEPARTMENT OF HUMAN SERVICES REQUEST FOR CASH/MEDICAL/FOOD STAMP ASSISTANCE FORM (THIS 10-PAGE FORM IS PROVIDED TO HELP patients APPLY FOR FINANCIAL ASSISTANCE TO HELP PAY FOR MEDICAL SERVICES) IN ADDITION TO ALL OF THE ABOVE MENTIONED INFORMATION BEING DISPLAYED IN PUBLIC AREAS OF THE HOSPITAL, PATIENTS (AND THEIR REPRESENTATIVES) CAN ALSO LEARN ABOUT (AND DOWNLOAD BROCHURES, FORMS, NOTICES, and APPLICATIONS RELATING TO) FINANCIAL ASSISTANCE AND UNINSURED DISCOUNT PROGRAMS AT SJH BY VISITING THE HOSPITAL'S WEB SITE AT WWW.STJOSEPHSHIGHLAND.ORG. FINALLY, ALL BILLING STATEMENTS GENERATED FROM SJH CONTAIN INFORMATION INFORMING PATIENTS (AND THEIR REPRESENTATIVES) OF THE HOSPITAL'S FINANCIAL ASSISTANCE AND UNINSURED DISCOUNT PROGRAMS, AND HOW TO GO ABOUT OBTAINING THAT INFORMATION. IN SUMMARY, SJH PERSONNEL IN REGISTRATION/ADMITTING, CUSTOMER SERVICE, AND BILLING DEPARTMENTS - AS A MATTER OF STANDARD PROTOCOL - PROVIDE A COMPREHENSIVE REVIEW OF SJH'S FINANCIAL/PAYMENT/BILLING POLICIES AND PROCEDURES AT TIME OF ADMITTANCE/REGISTRATION, OR WHENEVER A PATIENT (OR DESIGNATED REPRESENTATIVE/ADVOCATE) CONTACTS THE HOSPITAL (VIA PHONE, IN-PERSON, ETC.,) WITH QUESTIONS. SJH FINANCIAL COUNSELORS, CUSTOMER SERVICE STAFF, AND BILLING OFFICE PERSONNEL REVIEW ELIGIBILITY REQUIREMENTS and PROCEDURES, AS WELL AS OFFER ASSISTANCE IN COMPLETING APPLICATIONS/ELIGIBILITY REQUIREMENTS TO PATIENTS WHO ARE INTERESTED IN UTILIZING THESE RESOURCES.
COMMUNITY INFORMATION		ST. JOSEPH'S HOSPITAL ("SJH") HAS A TOTAL POPULATION OF 32,462 (2009) RESIDENTS LOCATED WITHIN ITS SERVICE AREA THAT INCLUDES THE FOLLOWING TOWNS: * HIGHLAND * POCAHONTAS * ALHAMBRA * TRENTON * ST. JACOB * MARINE * PIERRON * NEW DOUGLAS SJH'S SERVICE AREA IS PROJECTED TO INCREASE ALMOST 5% DURING THE NEXT 5 YEARS TO A TOTAL POPULATION OF 34,056 RESIDENTS. IN 2014, OVER 40% OF THE POPULATION IS PROJECTED TO FALL IN THE 45-64 AND 65+ AGE COHORTS. GROWTH IS PROJECTED FOR ALL AGE COHORTS (<18 AT 1.5%, 18-44 AT 2%, 45-64 AT 7% AND 65+ AT 13%). THE NUMBER OF WOMEN FALLING BETWEEN THE AGES OF 15 AND 44 IS ALSO PROJECTED TO INCREASE SLIGHTLY DURING THIS TIME (1%). AGE GROUP # OF RESIDENTS YEAR UNDER 18 YEARS OLD 7,549 2009 18-44 YEARS OLD 11,415 2009 45-64 YEARS OLD 8,694 2009 65+ YEARS OLD 4,804 2009 UNDER 18 YEARS OLD 7,653 2014 18-44 YEARS OLD 11,682 2014 45-64 YEARS OLD 9,310 2014 65+ YEARS OLD 5,411 2014
PROMOTION OF COMMUNITY HEALTH		ST. JOSEPH'S HOSPITAL ("SJH") IS A 25-BED CRITICAL ACCESS HOSPITAL ("CAH") THAT HAS BEEN PROVIDING RESIDENTS OF HIGHLAND AND SURROUNDING COMMUNITIES WITH HIGH-QUALITY, PROVEN-EFFECTIVE CARE FOR MORE THAN 134 YEARS. ESTABLISHED IN 1878, OUR MISSION HAS ALWAYS BEEN TO BE THE PRIMARY HEALTH CARE RESOURCE FOR THE COMMUNITY. SJH 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"), SJH IS COMMITTED TO DELIVERING COMPASSIONATE AND COST-EFFECTIVE HEALTH CARE SERVICES TO ALL - ESPECIALLY PEOPLE WHO ARE SICK, POOR, AND DISADVANTAGED. BECAUSE OF THE HOSPITAL'S PURPOSE AND TRADITION, IT IS ORGANIZED TO PROMOTE THE HEALTH OF HIGHLAND, IL AND SURROUNDING AREAS. THE HOSPITAL IS GOVERNED BY A BOARD OF DIRECTORS, THE MAJORITY OF WHICH IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE HOSPITAL (NOR FAMILY MEMBERS THEREOF). THE BOARD ENSURES THAT ST. JOSEPH'S HOSPITAL IS RESPONDING TO COMMUNITY NEED IN ACCORDANCE WITH THE PROCESS DESCRIBED UNDER ITEM #2 ABOVE. IN ADDITION, VOLUNTEER ENTITIES OF ST. JOSEPH'S HOSPITAL SUCH AS ADVISORY COUNCILS, FRIENDS OF ST. JOSEPH'S HOSPITAL FOUNDATION, AND THE HOSPITAL'S AUXILIARY ALSO ENSURE THAT THE MISSION OF THE HOSPITAL ARE EFFECTIVELY AND EFFICIENTLY DEMONSTRATED ON A DAILY BASIS. ALSO CONSISTENT WITH ITS EXEMPT PURPOSE, ST. JOSEPH'S HOSPITAL HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. IN ADDITION, THE HOSPITAL OPERATES AN EMERGENCY DEPARTMENT THAT IS OPEN 24 HOURS TO ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY. AS A NOT-FOR-PROFIT HOSPITAL, ST. JOSEPH'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. JOSEPH'S HOSPITAL IS CURRENTLY WORKING WITH ITS PARENT ORGANIZATION, HOSPITAL SISTERS HEALTH SYSTEM, TO CONTINUOUSLY ENHANCE QUALITY AND IMPROVE COORDINATION OF CARE BOTH INSIDE THE HOSPITAL AND WITH A GROWING NUMBER OF PHYSICIAN PARTNERS. SUPPORTED BY INVESTMENTS IN INFORMATION TECHNOLOGY, THIS "CARE INTEGRATION" STRATEGY IS DESIGNED TO BETTER COORDINATE CARE, IMPROVE HEALTH OUTCOMES, CREATE NEW EFFICIENCIES, AND HELP ENSURE THAT PATIENTS (ESPECIALLY THOSE WITH CHRONIC CONDITIONS) GET WELL AND STAY WELL. ST. JOSEPH'S HOSPITAL ALSO DEVOTES SIGNIFICANT RESOURCES TO ACCESS FOR PATIENTS WHO CANNOT AFFORD CARE, ALONG WITH OTHER COMMUNITY BENEFITS. IN FISCAL YEAR 2011, ST. JOSEPH'S HOSPITAL PROVIDED MORE THAN $1.3 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. THE RANGE OF BENEFITS PROVIDED BY ST. JOSEPH'S HOSPITAL FLOWS FROM OUR MISSION AND LONG-STANDING COMMITMENT TO OUR COMMUNITY. IN MANY CASES, THESE PROGRAMS WOULD BE UNLIKELY TO EXIST WITHOUT THE LEADERSHIP ROLE PLAYED BY ST. JOSEPH'S HOSPITAL. they also OFTEN RELIEVE A BURDEN THAT WOULD OTHERWISE BE CARRIED BY GOVERNMENT. BASED ON THE ASSESSMENT OF COMMUNITY NEEDS DESCRIBED UNDER #2 ABOVE (WHICH INCLUDES OBESITY), ST. JOSEPH'S CONTINUES TO FOCUS ON THE FOLLOWING PRIORITIES: PRIMARY HEALTH CARE ACCESS; SENIOR MENTAL HEALTH COUNSELING. 1) ACCESS TO PRIMARY HEALTH CARE SERVICES: HIGHLAND PRIORITY CARE PROVIDES ADDITIONAL ACCESS TO PRIMARY CARE HEALTH SERVICES. HPC IS DESIGNED TO TREAT MINOR INJURIES AND ILLNESSES THAT REQUIRE IMMEDIATE ATTENTION, SUCH AS SPRAINS AND STRAINS, ACHES AND PAINS, AND MINOR LACERATIONS, FOR EXAMPLE. ADULTS AND CHILDREN OF ALL AGES, RACES, AND ABILITY (AS WELL AS NON-ABILITY) TO PAY ARE DIAGNOSED AND TREATED AT HPC. NO PATIENT IS EVER TURNED AWAY. HPC OFFERS BOTH WALK-IN AND PRIMARY CARE SERVICES - DEPENDING UPON THE PATIENT'S NEEDS. HPC IS AN IDEAL OPTION FOR THOSE INDIVIDUALS WHO CANNOT VISIT THEIR PRIMARY CARE PHYSICIAN'S OFFICE DURING NORMAL BUSINESS HOURS, IF THEY NEED MORE SCHEDULING FLEXIBILITY DURING THE DAY, OR HAVE NO OFFICIAL PRIMARY HEALTH CARE PROVIDER. NO APPOINTMENT IS REQUIRED, AND WALK-IN PATIENTS TYPICALLY SPEND ABOUT 45 MINUTES AT HPC. SINCE OPENING ITS DOORS TO THE COMMUNITY IN NOVEMBER 2009, HPC HAS TREATED MORE THAN 13,000 WALK-IN PATIENTS. HPC WAS PLANNED, IMPLEMENTED, AND CONTINUES TO BE OPERATED AS A NATURAL WAY FOR ST. JOSEPH'S HOSPITAL TO EXTEND ITSELF TO THE COMMUNITY IN CONTINUING TO PROMOTE THE HEALING MINISTRY OF JESUS CHRIST IN ACCORDANCE WITH THE CORE VALUES, GUIDING PRINCIPLES, AND FRANCISCAN HERITAGE OF HOSPITAL SISTERS HEALTH SYSTEM ("HSHS") AND THE HOSPITAL SISTERS OF ST. FRANCIS. ALSO, ST. JOSEPH'S HOSPITAL OFFERS A FREE TRANSPORTATION SERVICE THROUGH THE COURTESY OF THE FRIENDS' VAN. THE FRIENDS' VAN, 100% UNDERWRITTEN BY THE FRIENDS OF ST. JOSEPH'S HOSPITAL, PROVIDES TRANSPORTATION TO INDIVIDUALS FOR MEDICAL, DENTAL, AND OTHER PERSONAL APPOINTMENTS THAT ENCOMPASS A SERVICE AREA WITHIN A 20-MILE RADIUS OF HIGHLAND. THIS INCLUDES HIGHLAND, BREESE, GRANTFORK, ALHAMBRA, POCAHONTAS, ST. JACOB, MARINE, PIERRON, AVISTON, TRENTON, AND TROY. FROM JULY 2010 THROUGH JUNE 2011, THE FRIENDS OF ST. JOSEPH'S VAN TRANSPORTED 2,261 INDIVIDUALS, ACCUMULATED 17,225 MILES, AND INCURRED EXPENSES TOTALING $29,659 - AN AVERAGE PER MILE COST OF $1.72. 2) MENTAL HEALTH: SJH'S GERIATRIC OUTPATIENT COUNSELING PROGRAM, SENIOR RENEWAL, HELPS SENIORS WHO FACE UNIQUE EMOTIONAL PROBLEMS THAT CAN MAKE LIFE ABNORMALLY DIFFICULT. SENIOR RENEWAL WAS CREATED TO HELP SENIORS - AND THEIR FAMILIES - TO HAVE PURPOSEFUL, HEALTHY, AND INDEPENDENT LIVES. THE PROGRAM OPERATES UNDER THE PHILOSOPHY THAT, EVEN THOUGH LOSS MAY BE A NORMAL PART OF AGING, EMOTIONAL DESPAIR DOES NOT HAVE TO BE AN ACCEPTABLE CONDITION. SENIOR RENEWAL TREATS A VARIETY OF EMOTIONAL PROBLEMS, INCLUDING DIFFICULTY COPING WITH CHANGE, TROUBLE ADJUSTING TO RETIREMENT, LONELINESS AND ISOLATION, DETERIORATION OF DAILY LIVING SKILLS, AND MORE. SINCE INTRODUCED AT SJH IN LATE 2009, SENIOR RENEWAL HAS HELPED IMPROVE QUALITY OF LIFE FOR MORE THAN NEARLY 120 CLIENTS. ST. JOSEPH'S HOSPITAL ALSO PROVIDES NUMEROUS OPPORTUNITIES TO OUR SERVICE AREA RESIDENTS TO GAIN ACCESS TO WELLNESS AND HEALTH CARE INFORMATION AND SERVICES. ON A MONTHLY BASIS, SJH PROVIDES THE FOLLOWING SUPPORT GROUPS, ACTIVITIES, AND EVENTS AS EXAMPLES OF COMMUNITY BENEFIT: * DIABETES SUPPORT GROUP * ALZHEIMERS SUPPORT GROUP * DIABETES SELF-MANAGEMENT SERIES * CANCER SUPPORT GROUP * BLOOD DRIVE SPONSORSHIP * LOOK GOOD, FEEL BETTER CANCER SUPPORT GROUP * FIRST AID & CPR TRAINING SESSIONS * NEW DAY GRIEF SUPPORT GROUP ALSO, SJH SPONSORS ANNUAL HEALTH FAIRS, IMMUNIZATION CLINICS, AND COMMUNITY HEALTH/WELLNESS GUEST SPEAKERS THAT ARE OPEN TO THE PUBLIC IN ADDITION TO HOLDING HEALTH FAIRS AND IMMUNIZATION CLINICS FOR LOCAL EMPLOYERS AND ORGANIZED LABOR GROUPS.
AFFILIATED HEALTH CARE SYSTEM		ST. JOSEPH'S HOSPITAL - HIGHLAND IS AN AFFILIATE OF HOSPITAL SISTERS HEALTH SYSTEM. THE MISSION OF HOSPITAL SISTERS HEALTH SYSTEM ("HSHS") IS TO SERVE THOSE IN NEED THROUGH A HEALTH CARE MINISTRY THAT VALUES COMPASSION, RESPECT AND REVERENCE FOR LIFE. THE NEARLY 14,000 COLLEAGUES WHO MAKE UP HSHS ARE DEDICATED TO THIS MISSION AND TO PROVIDING HIGH QUALITY HEALTH CARE TO WHOEVER SEEKS OUR SERVICES. BY LIVING OUR MISSION EACH DAY, HSHS COLLEAGUES CONSTANTLY STRIVE TO PROVIDE THE HIGHEST QUALITY AND MOST COST-EFFECTIVE AND COMPASSIONATE HEALTH CARE TO THOSE WE ARE PRIVILEGED TO SERVE. OUR HEALTH CARE MINISTRY EXTENDS ACROSS 12 COMMUNITIES IN WISCONSIN AND ILLINOIS AND INCLUDES 13 HOSPITALS, DOZENS OF COMMUNITY-BASED HEALTH CENTERS AND CLINICS, AND MORE THAN 2,000 PHYSICIAN PARTNERS. AS PART OF OUR MISSION TO PROVIDE HEALING AND HOPE TO THE THREE MILLION PEOPLE WE SERVE, WE HAVE DEVELOPED COMMUNITY BENEFIT INITIATIVES THAT 1) EXPAND ACCESS TO HEALTH CARE, 2) ENHANCE OVERALL HEALTH STATUS AND 3) PROMOTE MEDICAL EDUCATION. IN THE FISCAL YEAR THAT ENDED JUNE 30, 2011, HSHS HOSPITALS PROVIDED $166.1 MILLION IN COMMUNITY BENEFITS (OR 8.7% OF TOTAL EXPENSES), AN INCREASE OF $15.7 MILLION FROM FY 2010. OF THIS AMOUNT, $37.1 MILLION WAS PROVIDED FOR CHARITY CARE AND $99.8 MILLION WAS THE AMOUNT OF UNREIMBURSED CARE PROVIDED UNDER THE MEDICAID PROGRAM. IN ADDITION, HSHS HOSPITALS COMMITTED SIGNIFICANT RESOURCES IN SERVING THE MEDICARE POPULATION. THE COST OF PROVIDING SERVICES TO PRIMARILY ELDERLY BENEFICIARIES OF THE MEDICARE PROGRAM, IN EXCESS OF GOVERNMENTAL AND MANAGED CARE CONTRACT PAYMENTS, WAS $183.8 MILLION DURING FISCAL YEAR 2011. HSHS HOSPITALS ALSO RECORDED $103.9 MILLION IN UNCOLLECTIBLE ACCOUNTS. HSHS STRENGTHENS THE HEALTH OF OUR COMMUNITIES BY CONTINUALLY REINVESTING ANY SURPLUS REVENUE FROM OPERATIONS AND INVESTMENTS INTO NEW MEDICAL TECHNOLOGY, FACILITY INFRASTRUCTURE AND HEALTH CARE SERVICES. THESE INVESTMENTS ENSURE THAT OUR HOSPITALS CAN CONTINUE TO PROVIDE HIGH QUALITY, COMPASSIONATE CARE TO OUR PATIENTS. DURING FISCAL YEAR 2011, HSHS ALSO CONTINUED TO INVEST IN OUR CARE INTEGRATION STRATEGY THAT PLACES THE PATIENT AT THE CENTER OF OUR WORK WHILE ALLOWING US TO DELIVER CARE IN A MORE COST-EFFECTIVE AND EFFICIENT MANNER. THESE INVESTMENTS ARE DESIGNED TO BETTER COORDINATE CARE, IMPROVE HEALTH OUTCOMES, CREATE NEW EFFICIENCIES, AND HELP ENSURE THAT PATIENTS (ESPECIALLY THOSE WITH CHRONIC CONDITIONS) GET WELL AND STAY WELL. OUR CARE INTEGRATION STRATEGY IS DELIVERING PROMISING RESULTS. AN EXAMPLE IS OUR THREE MEDICAL HOME PILOT PROJECTS. DIABETIC PATIENTS ENROLLED IN MEDICAL HOMES IN RURAL ILLINOIS EXPERIENCED AN AVERAGE 42 PERCENT DECREASE IN THEIR BLOOD GLUCOSE LEVELS WHILE THEIR UNPLANNED READMISSIONS TO THE HOSPITAL DROPPED TO ZERO. HSHS IS MAKING SIGNIFICANT PROGRESS IMPLEMENTING INTEROPERABLE HEALTH INFORMATION TECHNOLOGIES AND ROBUST HEALTH INFORMATION EXCHANGES. IN CENTRAL ILLINOIS, HSHS IS JOINING WITH OTHER HEALTH CARE PROVIDERS TO DEVELOP A STATEWIDE HEALTH INFORMATION EXCHANGE ("HIE") THAT WILL ALLOW HEALTH CARE PROVIDERS TO EXCHANGE CLINICAL INFORMATION, SUCH AS MEDICATION HISTORIES AND TEST RESULTS, ACCESS THAT INFORMATION AT THE POINT OF CARE AND MAKE BETTER INFORMED DECISIONS WITH THEIR PATIENTS. HSHS UNDERSTANDS THAT OUR INVESTMENTS IN INFORMATION TECHNOLOGY WILL HAVE A POSITIVE IMPACT ON THE QUALITY, SAFETY AND EFFICIENCY OF HEALTH CARE. 1. EXPANDING ACCESS TO HEALTH CARE AN INTEGRAL COMPONENT OF OUR COMMUNITY BENEFIT INITIATIVES IS TO PROVIDE CARE TO EVERY PATIENT WHO SEEKS OUR SERVICES WITHOUT EXCEPTION. TO THAT END, HSHS HOSPITALS HAVE ESTABLISHED CHARITY CARE PROGRAM GUIDELINES THAT COVER 100% OF HOSPITAL CHARGES FOR INDIVIDUALS AND FAMILIES WHO EARN 125% TO 250% OF THE FEDERAL POVERTY LEVEL. HSHS HOSPITAL'S CHARITY CARE GUIDELINES HAVE SLIDING SCALES, IN SOME INSTANCES PROVIDING UP TO A 50% DISCOUNT ON CHARGES FOR THOSE EARNING UP TO 600% OF THE FEDERAL POVERTY LEVEL. HSHS HOSPITALS HAVE CREATED SIMPLE FORMS FOR THOSE WISHING TO APPLY FOR CHARITY CARE AND ASSIGN COUNSELORS TO VISIT WITH INPATIENTS WHO ARE UNINSURED TO LET THEM KNOW ABOUT OUR CHARITY CARE POLICIES AND PROVIDE ASSISTANCE FILLING OUT APPLICATIONS FOR FINANCIAL ASSISTANCE OR ENROLLMENT IN PUBLICLY FUNDED HEALTH CARE PROGRAMS. HSHS HOSPITALS ALSO WORK COLLABORATIVELY WITH OTHERS TO ENHANCE ACCESS TO HEALTH CARE SERVICES FOR THOSE IN NEED. ST. JOHN'S HOSPITAL IN SPRINGFIELD, IL HAS PARTNERED WITH MEMORIAL MEDICAL CENTER, SOUTHERN ILLINOIS UNIVERSITY SCHOOL AND MEDICINE AND OTHER COMMUNITY PARTNERS TO SUPPORT THE COORDINATED ACCESS TO COMMUNITY HEALTH ("CATCH") INITIATIVE. THE FREE PROGRAM IS BEING MADE AVAILABLE TO UNINSURED ADULTS IN SANGAMON COUNTY TO HELP THEM ACCESS ROUTINE MEDICAL CARE, SPECIALTY DOCTORS AND AFFORDABLE MEDICINE. LAUNCHED IN MAY 2011, CATCH ENROLLS PATIENTS AS THEY VISIT SOCIAL SERVICE AGENCIES OR WHEN THEY LEAVE HOSPITAL EMERGENCY ROOMS. ENROLLEES ARE THEN REFERRED TO SPRINGFIELD'S FEDERALLY FUNDED PRIMARY CARE CLINIC, CAPITOL COMMUNITY HEALTH CENTER, OR PARTICIPATING DOCTORS' PRIVATE OFFICES. GRANTS FROM ST. JOHN'S HOSPITAL, MEMORIAL MEDICAL CENTER, UNITED WAY OF CENTRAL ILLINOIS AND THE DOMINICAN SISTERS OFFSET CATCH'S FIRST YEAR OF EXPENSES. PATIENT ADVOCATES AT ST. JOHN'S HOSPITAL AND MEMORIAL MEDICAL CENTER HELP UNINSURED PATIENTS FIND PRIMARY OR SPECIALTY DOCTORS AND MAKE APPOINTMENTS, AND ARRANGE FOR FINANCIAL ASSISTANCE FROM PARTICIPATING SOCIAL SERVICE AGENCIES FOR PRESCRIPTION DRUGS. IN THE FIRST THREE MONTHS SINCE THE PROGRAM WAS LAUNCHED, CATCH SIGNED UP MORE THAN 250 PHYSICIANS IN THE COMMUNITY WHO AGREED TO SEE PATIENTS AT NO CHARGE. THE PROGRAM ENDEAVORS TO ENROLL UP TO 6,000 UNINSURED PATIENTS WITHIN THE NEXT FEW YEARS. BY MAKING IT EASIER FOR UNINSURED RESIDENTS TO GET PREVENTIVE HEALTH CARE SERVICES, CATCH ORGANIZERS BELIEVE UNINSURED PATIENTS' MEDICAL PROBLEMS WILL BE ADDRESSED EARLY, HELPING IMPROVE THEIR QUALITY OF LIFE. ST. MARY'S HOSPITAL MEDICAL CENTER IN GREEN BAY, WI SUPPORTS THE NEW COMMUNITY CLINIC, A 38-YEAR-OLD FREE HEALTH CENTER FOR THE UNINSURED AND UNDERINSURED. ST. MARY'S PROVIDES FREE AND DISCOUNTED LABORATORY AND RADIOLOGY SERVICES TO THE CLINIC. MORE THAN 70 PERCENT OF PATIENTS SAY THE CLINIC'S CARE ALLOWED THEM TO AVOID HAVING TO SEEK CARE IN A LOCAL EMERGENCY ROOM. FOR THE PAST DECADE, ST. ANTHONY'S MEMORIAL HOSPITAL IN EFFINGHAM, IL HAS TEAMED UP WITH EFFINGHAM CATHOLIC CHARITIES TO CO-SPONSOR THE PRESCRIPTION ASSISTANCE PROGRAM. CATHOLIC CHARITIES' STAFF MEMBERS WORK WITH CLIENTS WHO NEED PRESCRIPTION MEDICATION BUT MAY NOT BE ABLE TO AFFORD THEM BECAUSE THEY ARE UNINSURED OR UNDERINSURED. DUE TO THE FINANCIAL SUPPORT OF ST. ANTHONY'S, THE PROGRAM IS ABLE TO PROVIDE NEEDED PRESCRIPTIONS TO DOZENS OF RESIDENTS EACH MONTH. ST. FRANCIS HOSPITAL IN LITCHFIELD, IL COLLABORATED WITH LOCAL DENTAL CARE PROVIDERS TO COORDINATE AND PROVIDE A FREE DAY OF DENTAL CARE TO UNINSURED INDIVIDUALS. THE COLLABORATION WAS THE RESULT OF A COMMUNITY NEEDS ASSESSMENT THAT DETERMINED ACCESS TO DENTAL CARE WAS A PRIORITY IN THE COMMUNITY. THE "COMMUNITY DAY OF DENTAL CARE" PROVIDED FREE DENTAL CLEANINGS, X-RAYS, AND EXTRACTIONS TO 90 UNINSURED INDIVIDUALS. AMONG THOSE 90 PEOPLE SERVED INCLUDED A MILITARY VETERAN WHO HAS BEEN UNABLE TO OBTAIN DENTAL CARE AFTER A ST. LOUIS FACILITY CLOSED. HE WAS ABLE TO HAVE FIVE TEETH EXTRACTED. ANOTHER PERSON SERVED WAS A YOUNG WOMAN WHO NEEDED SOME MINOR RESTORATIVE CARE WHICH GREATLY IMPROVED HER APPEARANCE. SHE WAS VERY GRATEFUL BECAUSE SHE HAD A JOB INTERVIEW COMING UP AND WOULD BE ABLE TO ATTEND THE INTERVIEW FEELING BETTER ABOUT HER APPEARANCE. 2. ENHANCING THE HEALTH STATUS OF THE COMMUNITY ANOTHER COMPONENT OF OUR COMMUNITY BENEFIT INITIATIVES IS TO IMPROVE THE QUALITY OF LIFE IN OUR COMMUNITIES. OUR HOSPITALS WORK CLOSELY WITH A WIDE ARRAY OF PUBLIC AND PRIVATE ORGANIZATIONS THAT SHARE OUR COMMITMENT TO ENHANCING HEALTH AND WELLNESS. WE KNOW THAT BY WORKING TOGETHER, WE CAN MAXIMIZE OUR EFFORTS BY SHARING RESOURCES, REDUCE DUPLICATION OF SERVICES, AND MAKE IT EASIER FOR RESIDENTS TO GET THE SERVICES AND KNOWLEDGE THEY NEED TO LIVE HEALTHIER LIVES. HSHS HOSPITALS ALSO UNDERSTAND THEY NEED TO LISTEN CLOSELY TO THE RESIDENTS OF THE COMMUNITIES THEY SERVE TO ENSURE THE HEALTH CARE NEEDS OF ALL ARE BEING MET. SACRED HEART HOSPITAL IN EAU CLAIRE, WI INVITED MORE THAN 1,400 AREA RESIDENTS TO SHARE THEIR VISION FOR HEALTH CARE DURING A SERIES OF FOCUS GROUPS. PARTICIPANTS INCLUDED CONSTITUENTS THAT ARE OFTEN OVERLOOKED: LOW-INCOME, VULNERABLE POPULATIONS AND MINORITY GROUPS. THE VISIONING SESSIONS CAPTURED THE VOICES OF SPECIAL POPULATIONS, AMONG MUTUAL ASSISTANCE ASSOCIATION MEMBERS, AMISH FARMERS, SENIORS, YOUNG CHILDREN AND OTHER DIVERSE GROUPS. THE FEEDBACK PROVIDED LED TO MORE THAN 100 ACTIONABLE ITEMS THAT WERE ASSESSED AND/OR IMPLEMENTED OVER THE FIRST SIX MONTHS SINCE THE SESSIONS CONCLUDED. ONE ACTION TAKEN BY SACRED HEART HOSPITAL AND ST. JOSEPH'S HOSPITAL I
STATE FILING OF COMMUNITY BENEFIT REPORT	990 SCHEDULE H, PART VI	IL,

Schedule H (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

ST JOSEPH'S HOSPITAL OF THE HOSPITAL
SISTERS OF THE THIRD ORDER OF ST FRANCIS

Employer identification number

37-0663568

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported in prior Form 990 or Form 990-EZ
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) PEGGY SEBASTIAN	(i) (ii)	0 187,345	0 10,400	0 18,217	0 51,180	0 11,118	0 278,260	0 0
(2) MAXINE A JOHNSON	(i) (ii)	123,140 0	0 0	0 0	23,333 0	8,309 0	154,782 0	0 0
(3) ANN CARR	(i) (ii)	0 152,228	0 11,100	0 28,008	0 92,165	0 18,090	0 301,591	0 0
(4) JOHNNY WATKINS	(i) (ii)	0 236,604	0 0	0 0	0 34,208	0 10,122	0 280,934	0 0
(5) JAMES BURKE	(i) (ii)	0 174,982	0 0	0 0	0 9,943	0 25,400	0 210,325	0 0
(6) ILLA DAVID	(i) (ii)	0 140,957	0 0	0 0	0 11,418	0 3,040	0 155,415	0 0
(7) MICHAEL TRAME	(i) (ii)	113,344 0	0 0	780 0	32,395 0	20,149 0	166,668 0	0 0
(8) MARK REIFSTECK	(i) (ii)	0 359,796	0 31,000	0 26,297	0 133,800	0 34,130	0 585,023	0 0

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation

Schedule J (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

ST JOSEPH'S HOSPITAL OF THE HOSPITAL
SISTERS OF THE THIRD ORDER OF ST FRANCIS

Employer identification number

37-0663568

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(b) Description of transaction	(c) Corrected?
1(a) Name of disqualified person	(b) Description of transaction	Yes	No

Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.

(a) Name of interested person and purpose	(b) Loan to or from the organization?		(c)Original principal amount	(d)Balance due	(e) In default?		(f) Approved by board or committee?		(g)Written agreement?
(a) Name of interested person and purpose	To	From	(c)Original principal amount	(d)Balance due	Yes	No	Yes	No	Yes	No
(1) PEGGY SEBASTIAN ACQUISITION OF HOME		X	40,000	40,000		No	Yes		Yes





Total ............... $				40,000

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b)Relationship between interested person and the organization	(c)Amount of grant or type of assistance

For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2010

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person	(c) Amount of transaction	(d) Description of transaction	Yes	No

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation
loans to/from interested persons	schedule l, part ii	All transactions involving interested persons are compliant with the organization's conflict of interest policy and valued at fair market value. Any transactions requiring Board approval are reviewed by an independent Board prior to being approved.

Schedule L (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

ST JOSEPH'S HOSPITAL OF THE HOSPITAL
SISTERS OF THE THIRD ORDER OF ST FRANCIS

Employer identification number

37-0663568

Identifier	Return Reference	Explanation
PROGRAM SERVICE ACCOMPLISHMENTS	990 PART III, Line 4A	St. Joseph Hospital of the Hospital Sisters Health System of the Third Order of St. Francis provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age or ability to pay. Although, reimbursement for services rendered is critical to the operation and stability of St. Joseph's Hospital, it is recognized that not all individuals possess the ability to purchase essential medical services. This furthers our mission to serve the community with respect to providing health care services and healthcare education. Therefore, in keeping with this Hospital's commitment to serve all members of its community, the hospital will consider the following where the need and/or an individual's inability to pay coexist: > care is provided to persons covered by governmental programs at or below cost, and > health activities and programs to support the community. These activities include wellness programs, community education programs, special programs for the elderly, and a variety of broad community support activities. St. Joseph Hospital provided 2,147 Acute I/P days, and 2,004 Swing bed days. The Hospital also provided 48,277 outpatient visits during the fiscal year. St. Joseph Hospital provides care to persons covered by governmental programs at or below cost. Recognizing its mission to the community, services provided are provided to both Medicare and Medicaid patients. To the extent reimbursement is below cost, St. Joseph's Hospital recognizes these amounts as charity care in meeting its mission to the entire community. The unreimbursed value of providing care to these patients was $767,729. Charity care write-offs were $636,998 for the year. St. Joseph also provided charity through many reduced price services and free programs offered throughout the year based upon activities and services which St. Joseph's Hospital believes will serve a bona fide community health need. These include: > Preparing 18,861 meals for community residents who were unable to prepare a meal for themselves due to their medical condition. These meals were provided at a minimal subsidized fee. > Offering various educational classes such as: CPR and heart programs. Other programs offered are Alzheimer, diabetic, cancer support, and grief care workshops. > During the fiscal year the community has contributed approximately 7,578 hours towards the common purpose of servicing the healthcare of the community. The value of this contribution is approximately $68,202 which is given back to the community through lower costs in patient services. > General information referral services and crisis intervention is offered by the Social Services department. > SJH Provides meeting facilities to various health related organizations; > Sponsors annual Health Fair for the community; and > Provides transportation services to those in need at no cost. Last year St. Joseph's Hospital spent: $51,013 to provide transportation to passengers who cannot transport themselves to medical appointments. And absorbed: $280,279 in costs for care for patients who could not pay. $767,729 million in services not fully reimbursed by Medicaid. The bottom line: St. Joseph's invested more than $1.1 million in care for the poor and services to the community in fiscal year 2010-2011. For the past ten years, more than 500 individuals - members and their families - from Operating Engineers Union - Local #520 have attended a health fair sponsored by St. Joseph's Hospital in Highland. Every year, Local #520 members have received inexpensive or free health screenings and picked up information with tips on how to stay well. Among a variety of services offered to attendees at this health fair include: Comprehensive Blood Screenings This screening includes a blood chemistry panel, coronary risk profile including HDL and LDL cholesterol levels and a complete blood count. If you intend to have your blood screened, please drink only water for 12 hours before the test. Prostatic Specific Antigen ("PSA") Screenings This screening is offered to men who receive the comprehensive blood screening. St. Joseph's Hospital will also be partnering with the Madison County Health Department ("MCHD") to offer vouchers to cover the cost of the PSA for men who meet certain criteria. Caucasian men ages 50-64, and African-American men ages 40-64, who are uninsured, underinsured, or have catastrophic coverage only can obtain a voucher from the Madison County Health Department at the Health Fair to cover the cost of the PSA. A representative from the MCHD will be available at the event to distribute the vouchers. 150 vouchers will be available on a first-come, first-serve basis. Additional services/screenings offered include: * Hearing * Vision * Nutrition counseling * Flu shots * General health information is distributed TAX EXEMPT BONDS FORM 990, PART IV, LINE 24 ST JOSEPH'S HOSPITAL HOLDS A LIABILITY ON ITS BOOKS FOR TAX-EXEMPT BONDS, WHICH IS AN ALLOCATION FROM ITS SOLE COROPORATE MEMBER, HOSPITAL SISTERS SERVICES, INC. AS A RESULT, THIS QUESTION WAS ANSWERED NO, AND SCHEDULE K WILL BE COMPLETED ON THE HOSPITAL SISTERS SERVICES, INC. FORM 990.
RIGHTS OF MEMBERS TO ELECT GOVERNING BODY	FORM 990, PART VI, LINE 6 & 7A	THE SENIOR GOVERNING BODY OF ST. JOSEPH'S HOSPITAL HIGHLAND (THE "CORPORATION") IS THE MEMBER OF THE CORPORATION, WHICH IS HOSPITAL SISTERS 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 REVISED POWERS	FORM 990, PART VI, LINE 7B	Responsibility for the policy and operations of St. Joseph's Hospital Highland (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 Services, Inc. ("HSSI"), an Illinois not for profit corporation exempt from federal taxation under Section 501(c)(3) of the Internal Revenue Code. The member of HSSI is Hospital Sisters Health System ("HSHS"), an Illinois not for profit corporation exempt from federal taxation under Section 501(c)(3) of the Internal Revenue Code. The members of HSHS are the individual sisters who, from time to time, are the duly elected Provincial Superior and Provincial Councilors, respectively of the American Province of the Hospital Sisters of St. Francis ("American Province"). The American Province is the United States organization of the Congregation of the Hospital Sisters of the Third Order Regular of St. Francis, a religious institute of the Roman Catholic Church. The governance and operations of the Corporation are subject to HSSI's right to exercise these reserved powers with respect to the Corporation and organizations of which the Corporation is either, directly or indirectly, a controlling member or a controlling shareholder ("Affiliates"). HSSI's right to exercise certain of these reserved powers is, in turn, subject to the approval of HSHS and HSHS' members. The reserved powers include all rights granted to HSSI by law and the right to: (a) Adopt, approve amendments to, or amend any statement of philosophy, mission, mission integration or values, or any name, logo, or mark of the Corporation or of any Affiliate; (b) Adopt, approve amendments to, or amend the Articles of Incorporation of the Corporation or of any Affiliate; (c) Adopt, approve amendments to, or amend the Bylaws of the Corporation or of any Affiliate; (d) Appoint and remove the Board of Directors, any one or more of the Directors of the Corporation or of any Affiliate, and the Chairperson and President of the Corporation or of any Affiliate; (e) Approve the recommendation of the Board of Directors to appoint or remove the Board of Directors, any one or more Directors of the Corporation or of any Affiliate, or the Chairperson and President of the Corporation or of any Affiliate. (f) With respect to the Corporation or any Affiliate, approve the purchase, sale, alienation, exchange, lease, or encumbrance of any real property of the Corporation or of any Affiliate, which property has a value in excess of limits set from time to time by HSSI; (g) Approve the operating and capital budgets of the Corporation or of any Affiliate, and any deviations by the Corporation or of any Affiliate from such budgets in an amount or percentage specified by HSSI from time to time; (h) Approve the strategic plan and goals of the Corporation or of any Affiliate; (i) Approve the sale of substantially all of the assets of the Corporation or of any Affiliate; (j) Approve the merger or dissolution of the Corporation or of any Affiliate; (k) Adopt or amend the plan for ministry education and governance for the Corporation and its Affiliates; (l) Approve the Corporation's Mission Accountability Reports and those of any Affiliate; (m) Approve the financial policies and procedures of the Corporation or of any Affiliate, and approve any deviations from such policies and procedures by the Corporation or any Affiliate; and (n) Adopt policies to implement the Reserved Powers of HSSI.
FORM 990 REVIEW PROCESS	FORM 990, PART VI, LINE 11B	The hospital employs KPMG to assist in the overall review and electronic submission of its Form 990. KPMG provides guidance in identifying critical errors in the return submission, and feedback on quantitative and qualitative responses. Additionally, the hospital CFO performs a thorough review of the return and reviews it with the hospital CEO and/or senior leaders before presenting it in its entirety to the hospital Board for questioning and review prior to the return's signing and submission to the IRS.
CONFLICT OF INTEREST POLICY	FORM 990, PART VI, LINE 12C	The organization is subject to the corporate compliance program and conflict of interest policy ("policy") of Hospital Sisters Health System, an Illinois not for profit corporation exempt from federal taxation under section 501(c)(3) of the internal revenue code. A REVISED CORPORATE COMPLIANCE PROGRAM AND CONFLICT OF INTEREST POLICY HAVE BEEN IMPLEMENTED SINCE JANUARY, 2009 TO MANAGE CONFLICTS OF INTEREST USING A SYSTEM-WIDE PROTOCOL FOR DISCLOSURE STATEMENTS. IN ACCORDANCE WITH the organizaton's CONFLICT OF INTEREST POLICY, ALL COVERED PERSONS HAVE A DUTY TO COMPLY WITH THE CONFLICT OF INTEREST POLICY FOR ANY CONTRACT, TRANSACTION, RELATIONSHIP, OR ACTIVITY CONTEMPLATED, ENTERED INTO, OR CONDUCTED AT HSHS OR ITS AFFILIATES. THE POLICY DEFINES COVERED PERSONS AS BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS, BOARD DESIGNEES, SENIOR MANAGEMENT, MEMBERS OF ANY COMMITTEE THAT OVERSEES THE APPROVAL OF PHARMACEUTICALS AND MEDICAL DEVICES, and ANY OTHER INDIVIDUAL WHO HOLDS A POSITION OF TRUST. ON AN ANNUAL BASIS, HSHS DISCLOSES A COPY OF THE CONFLICT OF INTEREST POLICY (AND ALL CORRESPONDING PROCEDURES, GUIDELINES, FORMS, AND TOOLS) TO ALL COVERED PERSONS, AND ADVISES ALL COVERED PERSONS IN WRITING OF ANY SUBSTANTIVE CHANGES TO THIS POLICY AND SUCH RELATED MATERIALS. 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 IS REQUIRED PROMPTLY TO DISCLOSE THE INTEREST TO THE COMMITTEE USING THE HSHS CONFLICT OF INTEREST DISCLOSURE STATEMENT. COMPLETED CONFLICT OF INTEREST STATEMENTS ARE SUBMITTED TO THE COMMITTEE, WHICH IS RESPONSIBLE FOR IDENTIFYING, ASSESSING, AND MANAGING CONFLICTS OF INTEREST THAT ARISE IN THE COURSE OF CONDUCTING THE AFFAIRS OF HSHS AND ITS AFFILIATES. IF THE COMMITTEE DETERMINES THAT A CONFLICT OF INTEREST EXISTS, THE CONFLICT OF INTEREST POLICY REQUIRES HSHS NOT TO ENGAGE IN, OR ENTER INTO, A PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY UNLESS THE COMMITTEE OR, WHERE NECESSARY, THE BOARD OF DIRECTORS (ACTING THROUGH ITS DISINTERESTED MEMBERS), HAS INVESTIGATED ALTERNATIVES TO THE PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY AND, IN THE ABSENCE OF ALTERNATIVES THAT ARE IN THE BEST INTERESTS OF HSHS, HAS DETERMINED: 1. THAT, REGARDLESS OF WHETHER THE COVERED PERSON PARTICIPATES IN THE IMPLEMENTATION OF THE PROPOSED CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY; 2. THE CONTRACT, TRANSACTION, ARRANGEMENT, OR ACTIVITY IS IN THE BEST INTERESTS OF HSHS; 3. THE CONTRACT, TRANSACTION, ARRANGEMENT, OR ACTIVITY IS FAIR AND REASONABLE FROM THE PERSPECTIVE OF HSHS; AND 4. HSHS CANNOT OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION, ARRANGEMENT, OR ACTIVITY WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. IN DETERMINING WHETHER A CONTRACT, TRANSACTION, OR ARRANGEMENT IS FAIR AND REASONABLE TO HSHS, THE COMMITTEE SHALL CONSIDER, WHERE APPLICABLE: 1. APPRAISALS OR OTHER INDEPENDENT VALUATIONS OF THE FAIR MARKET VALUE OF THE CONTRACT, TRANSACTION, OR ARRANGEMENT; 2. INFORMATION REGARDING COMPARABLE CONTRACTS, TRANSACTIONS, OR ARRANGEMENTS BETWEEN UNRELATED PARTIES; 3. OFFERS FROM COMPARABLE COMPETING ENTITIES; AND/OR 4. STUDIES OF COMPARABLE COMPENSATION ARRANGEMENTS. IN ANY CASE IN WHICH THE COMMITTEE FINDS, AFTER TAKING THE STEPS DESCRIBED ABOVE, THAT HSHS SHOULD PARTICIPATE IN A PROPOSED TRANSACTION OR ARRANGEMENT DESPITE THE EXISTENCE OF A CONFLICT OF INTEREST, THE COMMITTEE SHALL DEVELOP, IMPLEMENT, MONITOR, AND ENFORCE COMPLIANCE WITH, A CONFLICT MANAGEMENT PLAN FOR MANAGING THE CONFLICT OF INTEREST AS IT CONSIDERS NECESSARY FOR SUCH FINDINGS TO REMAIN VALID THROUGHOUT THE LIFE OF THE CONTRACT, TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY. ALL CONFLICT MANAGEMENT PLANS SHALL: 1. STATE THAT THE COMMITTEE WILL OVERSEE, MONITOR, AND ENFORCE COMPLIANCE WITH THE PLAN THROUGHOUT THE COURSE OF THE STUDY, AND SPECIFY MEANS FOR DOING SO, INCLUDING, WITHOUT LIMITATION, THAT THE APPROPRIATE INDIVIDUALS MUST PROVIDE THE COMMITTEE WITH WRITTEN REPORTS PERTAINING TO COMPLIANCE WITH THE CONFLICT MANAGEMENT PLAN, THAT THE COMMITTEE SHALL HAVE THE RIGHT TO AUDIT THE STUDY FOR SUCH COMPLIANCE, AND THE RIGHT TO IMPOSE SANCTIONS FOR NON-COMPLIANCE; 2. STATE THAT THE PLAN MUST BE SHARED WITH COVERED PERSON WHOSE INTERESTS IT WAS DEVELOPED TO MANAGE; 3. STATE THAT THE PLAN MUST BE SHARED WITH, AND PERIODIC REPORTS ON COMPLIANCE WITH THE PLAN MUST BE PROVIDED TO, THE BOARD, SENIOR MANAGEMENT, AND/OR GOVERNMENT AGENCIES; AND 4. PROVIDE FOR SUCH OTHER MANAGEMENT STEPS AND MECHANISMS THE COMMITTEE CONSIDERS NECESSARY AND APPROPRIATE. IN ADDITION TO THE COMMITTEE, THE SYSTEM OFFICE VICE PRESIDENTS OF SYSTEM RESPONSIBILITY AND RISK & COMPLIANCE MAY RETAIN SUCH INDEPENDENT ADVISORS OR EXPERTS AS DEEMED NECESSARY TO ASSIST IN MAKING ITS DETERMINATIONS AND DECISIONS. IF THE COMMITTEE DETERMINES THAT THE CONTEMPLATED TRANSACTION, RELATIONSHIP, ARRANGEMENT, OR ACTIVITY CANNOT PROCEED DUE TO A CONFLICT OF INTEREST, THE COMMITTEE SHALL INFORM THE APPLICABLE COVERED PERSON OR DECISION-MAKING BODY OF SUCH DETERMINATION WITHIN ONE WEEK OF THE COMMITTEE MEETING AT WHICH THE CONTEMPLATED TRANSACTION WAS DISCUSSED. THE COMMITTEE SHALL DOCUMENT ITS REJECTION OF THE CONTEMPLATED TRANSACTION IN THE COMMITTEE'S MEETING MINUTES.
WHISTLEBLOWER POLICY	FORM 990, PART VI, LINE 13	Provisions within the Corporate Compliance Program and Conflict of Interest Policy provide protections for whistleblower type activities.
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.
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	St. Joseph's Hospital's cash reserves are invested in a pooled investment account. Participation in the pooled fund is limited to the 501(C)(3) Hospitals and related health services organizations sponsored by the Hospital Sisters Health System. The pooled account consists of cash, and equity and debt securities that are publicly traded. In accordance with the provisions of SFAS No. 124 "Accounting for certain investments held by Not-For-Profit Organizations," investments in equity securities with readily determinable values, and all investments in debt securities, are reported at fair value on the Balance Sheet. Income, realized and unrealized gains and losses are pooled and allocated to the participants. Individual components of assets and revenue are not identified to the participants.
OTHER CHANGES IN NET ASSETS	FORM 990, PART XI, LINE 5	Transfer to affiliates (412,000) unrealized gains 344,057 increase in temporarily restricted net assets 292,000 recognition of changes in pension funded status 1,974,350 --------- total 2,198,407 =========
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:ANN CARR TITLE:TREASURER HOURS:75
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JOHNNY WATKINS TITLE:CFO - SOUTHERN ILLINOIS DIV HOURS:72
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JAMES BURKE TITLE:DIVISIONAL VICE PRESIDENT HOURS:69
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:MARK REIFSTECK TITLE:DIVISION PRESIDENT HOURS:69
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:ILLA DAVID TITLE:CIO HOURS:69

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

ST JOSEPH'S HOSPITAL OF THE HOSPITAL
SISTERS OF THE THIRD ORDER OF ST FRANCIS

Employer identification number

37-0663568

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) Springfield Health Partners LLC 4936 Laverna Road Springfield,IL62707 37-1364419	Healthcare	IL	0	0	HSHS mg

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) HOSPITAL SISTERS HEALTH SYSTEM 4936 LAVERNA ROAD SPRINGFIELD,IL62707 37-1058692	HEALTHCARE	IL	501(c)(3)	11A	NA
(2) HOSPITAL SISTERS SERVICES INC 4936 LAVERNA ROAD SPRINGFIELD,IL62707 37-1163402	HEALTHCARE	IL	501(c)(3)	11A	NA
(3) HOSPITAL SISTERS OF ST FRANCIS FDTN 4936 LAVERNA ROAD SPRINGFIELD,IL62707 37-1186514	HEALTHCARE	IL	501(c)(3)	11A	NA
(4) Hospital Sisters Healthcare - West Inc 2661 COUNTY HIGHWAY I CHIPPEWA FALLS,WI54729 51-0157933	HEALTHCARE	WI	501(c)(3)	11A	NA
(5) HSHS SELF INSURANCE TRUST FUND 4936 LAVERNA ROAD SPRINGFIELD,IL62707 37-1120626	INSURANCE	IL	501(c)(3)	11A	NA
(6) HSHS HEALTH CARE PLAN TRUST FUND 4936 LAVERNA ROAD SPRINGFIELD,IL62707 37-1137724	HEALTHCARE	IL	501(c)(9)	N/A	NA
(7) SACRED HEART HOSPITAL 900 WEST CLAIREMONT AVENUE EAU CLAIRE,WI54701 39-0807060	HEALTHCARE	WI	501(c)(3)	3	NA
(8) ST ANTHONY'S HOSPITAL 503 N MAPLE STREET EFFINGHAM,IL624012099 37-0661233	HEALTHCARE	IL	501(c)(3)	3	NA
(9) ST ELIZABETH'S HOSPITAL 211 SOUTH THIRD STREET BELLEVILLE,IL622201998 37-0663567	HEALTHCARE	IL	501(c)(3)	3	NA
(10) ST FRANCIS HOSPITAL 1215 FRANCISCAN DRIVE LITCHFIELD,IL62056 37-0661236	HEALTHCARE	IL	501(c)(3)	3	NA
(11) ST JOHN'S HOSPITAL 800 EAST CARPENTER STREET SPRINGFIELD,IL62769 37-0661238	HEALTHCARE	IL	501(c)(3)	3	NA
(12) ST JOSEPH'S HOSPITAL 9515 HOLY CROSS LANE BREESE,IL622300099 37-1208459	HEALTHCARE	IL	501(c)(3)	3	NA
(13) ST JOSEPH'S HOSPITAL 2661 COUNTY HIGHWAY 1 CHIPPEWA FALLS,WI54729 39-0810545	HEALTHCARE	WI	501(c)(3)	3	NA
(14) ST MARY'S HOSPITAL 1800 E LAKE SHORE DRIVE DECATUR,IL62521 37-0661244	HEALTHCARE	IL	501(c)(3)	3	NA
(15) ST MARY'S HOSPITAL 111 SPRING STREET STREATOR,IL613643332 36-2169181	HEALTHCARE	IL	501(c)(3)	3	NA
(16) ST MARY'S HOSPITAL MEDICAL CENTER 1726 SHAWANO AVENUE GREEN BAY,WI54303 39-0818682	HEALTHCARE	WI	501(c)(3)	3	NA
(17) ST NICHOLAS HOSPITAL 3100 SUPERIOR AVENUE SHEBOYGAN,WI530811948 39-0808480	HEALTHCARE	WI	501(c)(3)	3	NA
(18) ST VINCENT HOSPITAL 835 S VAN BUREN GREEN BAY,WI54301 39-0817529	HEALTHCARE	WI	501(c)(3)	3	NA
(19) HSHS Medical Group Inc 4936 LaVerna Road Springfield,IL62707 26-3956318	Healthcare	IL	501(c)(3)	11A	NA
(20) HSHS Wisconsin Medical Group Inc 8040 excelsior drive ste 200 Madison,WI53717 26-4515959	Healthcare	IL	501(c)(3)	11A	NA
(21) Orange Cross Ambulance Inc 919 ASHLAND AVENUE SHEBOYGAN,WI53081 39-1860942	HEALTHCARE	WI	501(c)(3)	9	ST NICHOLAS
(22) WISCONSIN UPPER PENINSULA ONCOLOGY MGMT 835 S VAN BUREN GREEN BAY,WI54301 39-1677100	HEALTHCARE	WI	501(c)(3)	3	ST VINCENT
(23) UNITY LIMITED PARTNERSHIP 2366 OAK RIDGE CIRCLE DE PERE,WI54115 39-1750729	HEALTHCARE	WI	501(c)(3)	9	HSSI

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) Memorial and St Elizabeth's Healthcare 4000 North Illinois Street Swansea,IL62226 37-1312961	Healthcare	IL	St Elizabeth's	RELATED	0	0		No	0		No	0 %
(2) Health Ventures of So Illinois LLC 2810 Frank Scott Pkwy W STE 700 Belleville,IL62223 37-1334060	Healthcare	IL	St Elizabeth's	RELATED	0	0		No	0		No	0 %
(3) Prairie Heart Institute - Carbondale LLC 800 East Carpenter Street Springfield,IL62769 37-1321197	Healthcare	IL	St John's	RELATED	0	0		No	0		No	0 %
(4) Northeast Wisconsin Radiation Therapy Se 1821 S Webster Avenue STE 300 Green Bay,WI543079047 26-3749065	Healthcare	WI	HSSI	RELATED	0	0		No	0		No	0 %
(5) Pain Center of Wisconsin 4131 W Loomis Road STE 300 Greenfield,WI53221 26-3155343	Healthcare	WI	St Vincent	RELATED	0	0		No	0		No	0 %
(6) Surgery Center of Sheboygan LLC 3141 Saemann Avenue Sheboygan,WI53081 26-0822209	Healthcare	WI	St Nicholas	RELATED	0	0		No	0		No	0 %
(7) Prevea Ventures LLC 2710 Executive Drive Green Bay,WI54304 20-3775127	Healthcare	WI	HSSI	RELATED	0	0		No	0		No	0 %
(8) Kiara Clinical Integration Network LLC 4936 Laverna Road Springfield,IL62707 26-1417684	Healthcare	IL	Kiara Inc	RELATED	0	0		No	0		No	0 %
(9) CARPENTER STREET HOTEL LLC 36-	HOTEL	IL	LASANTE INC	RELATED	0	0		No	0		No	0 %
(10) SPRINGFIELD URGENT CARE REAL E	RENT. REAL ES	IL	LASANTE INC	RELATED	0	0		No	0		No	0 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)
(1) Kiara Inc 4936 Laverna ROAd Springfield,IL62707 37-1163401	HealthCare	IL	HSHS	C Corp
(2) LaSante Wisconsin Inc 4936 Laverna ROAd Springfield,IL62707 39-1572196	HealthCare	IL	Kiara Inc	C Corp
(3) LaSante Inc 4936 Laverna ROAd Springfield,IL62707 37-1163400	HealthCare	IL	Kiara Inc	C Corp
(4) Prairie Cardiovascular 619 East Mason STE 4P57 Springfield,IL62701 37-1071858	HealthCare	IL	Kiara Inc	C Corp
(5) Prevea Health Services 2710 EXECUTIVE DRIVE Green Bay,WI54304 39-1839351	HealthCare	WI	HSSI	C Corp
(6) Prevea Clinic Inc 2710 EXECUTIVE DRIVE Green Bay,WI54304 39-1839349	HealthCare	WI	HSSI	C Corp
(7) Prevea Health Network 2710 EXECUTIVE DRIVE Green Bay,WI54304 39-2000537	HealthCare	WI	HSSI	C Corp
(8) Prevea Regional Services 2710 EXECUTIVE DRIVE Green Bay,WI54304 39-1909993	HealthCare	WI	HSSI	C Corp
(9) Renaissance Quality Insurance PO Box 1159 Grand Cayman KY1-1102 CJ 98-0669953	Insurance	CJ	HSSI	c corp

Schedule R (Form 990) 2010

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1)
(2)
(3)
(4)
(5)
(6)

Schedule R (Form 990) 2010

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Are all partners section 501(c)(3) organizations?		(e) Share of end-of-year assets	(f) Disproprtionate allocations?		(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation
TRANSACTIONS WITH RELATED ORGANIZATIONS	Schedule R, Part V, Line 2	The transactions reported on line 1 are between related 501(c)(3) public charities and are not reported in this section.

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: St. Joseph's Hospital is a Catholic organization committed to being the primary healthcare resource for the community through excellence in care and compassion in service.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	11
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	10
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	295
6	Total number of volunteers (estimate if necessary) ....	6	334
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	143,046	202,577
9	Program service revenue (Part VIII, line 2g) .........	23,730,968	25,757,556
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	240,040	219,570
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	337,203	393,995
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	24,451,257	26,573,698
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4) ....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	12,082,351	11,814,990
16a	Professional fundraising fees (Part IX, column (A), line 11e)....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	13,278,030	14,749,765
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	25,360,381	26,564,755
19	Revenue less expenses. Subtract line 18 from line 12......	-909,124	8,943
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	21,905,986	23,153,108
21	Total liabilities (Part X, line 26)............	19,738,470	18,778,242
22	Net assets or fund balances. Subtract line 21 from line 20 .....	2,167,516	4,374,866

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.


4a	(Code: ) (Expenses $ 15,265,169 including grants of $ ) (Revenue $ 25,757,556 )
	SEE SCHEDULE O - PART III PROGRAM SERVICE ACCOMPLISHMENTS

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services. (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 15,265,169

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)			(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) ILLA DAVID CIO	6.3	X		0	140,957	13,888
(19) DENNIS L HUTCHISON DIRECTOR BUS. DEVELOPMENT	40.0		X	111,079	0	35,159
(20) MICHAEL TRAME SUPERVISOR RADIOLOGY	40.0		X	114,124	0	52,222
(21) RUSSELL M NEWTON DIRECTOR PHARMACY	40.0		X	109,915	0	7,680

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	573,654	1,376,934	583,653

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		147,442
e	Government grants (contributions)1e		55,135

f	All other contributions, gifts, grants, and similar amounts not included above1f
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			202,577
			Business Code
2a	PATIENT SERVICE REVENUE		900,099	25,757,556	25,757,556
b
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			25,757,556
3	Investment income (including dividends, interest
	and other similar amounts).....			219,570			219,570
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties............			0
		(i) Real	(ii) Personal
6a	Gross Rents	86,224
b	Less: rental expenses	83,245
c	Rental income or (loss)	2,979
d	Net rental income or (loss).......			2,979			2,979
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses
c	Gain or (loss)
d	Net gain or (loss)..........			0
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Miscellaneous Revenue			Business Code
11a	HEALTH FAIR		900,099	89,155			89,155
b	MEALS ON WHEELS		722,210	67,331			67,331
c	EQUIPMENT/SERVICE LEASE		900,099	50,666			50,666
d	All other revenue ....			183,864			183,864
e	Total. Add lines 11a–11d ......			391,016
12	Total revenue. See Instructions....			26,573,698	25,757,556		613,565


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			616,388	1	-94,308
2	Savings and temporary cash investments .......				2
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........			3,454,527	4	3,550,080
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............			364,192	8	375,415
9	Prepaid expenses and deferred charges ............			215,853	9	253,213
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	29,375,410
b	Less: accumulated depreciation. .....	10b	18,936,846	8,423,564	10c	10,438,564
11	Investments—publicly traded securities ..........			7,647,835	11	7,265,788
12	Investments—other securities. See Part IV, line 11 ......				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets .........				14
15	Other assets. See Part IV, line 11 ...........			1,183,627	15	1,364,356
16	Total assets. Add lines 1 through 15 (must equal line 34)...			21,905,986	16	23,153,108
17	Accounts payable and accrued expenses .			2,523,518	17	1,712,581
18	Grants payable ..........				18
19	Deferred revenue ..........				19
20	Tax-exempt bond liabilities ..........			4,179,407	20	4,067,049
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..			4,325,000	23	7,201,785
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities. Complete Part X of Schedule D.....			8,710,545	25	5,796,827
26	Total liabilities. Add lines 17 through 25.....			19,738,470	26	18,778,242
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			396,242	27	2,311,234
28	Temporarily restricted net assets .....			1,771,274	28	2,063,632
29	Permanently restricted net assets .....				29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			2,167,516	33	4,374,866
34	Total liabilities and net assets/fund balances .....			21,905,986	34	23,153,108