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Nonprofiteer
← HSHS HOLY FAMILY HOSPITAL INC

Form 990 for tax year 2023

Filed by HSHS HOLY FAMILY HOSPITAL INC.

Totals

Total revenue
$23,890,896
Total expenses
$25,645,176
Contributions and grants received
$42,348
Grants paid
$0
Program service revenue
$22,670,299
Investment income
$13,916
Other revenue
$1,164,333
Total assets, end of year
$24,626,908
Total liabilities, end of year
$58,874,997
Net assets or fund balances, end of year
-$34,248,089
Program services expenses (Part IX)
$21,473,894
Management and general expenses
$4,171,282
Fundraising expenses
$0
Program service expenses (Part III)
$21,473,894

Program services were 83.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $30,000

  • 1e · Government grants (contributions)

    $12,348

  • 2a · Program service revenue: NET PATIENT REVENUES

    total $22,551,489 · related or exempt $22,551,489

  • 2b · Program service revenue: Affiliate Rental Revenue

    total $118,810 · related or exempt $118,810

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $3,924 · excluded $3,924

  • 6a · Gross rents

    real property $403,760

  • 6b · Less rental expenses

    real property $432,276

  • 6c · Rental income or loss

    real property -$28,516 · personal property $0

  • 6d · Net rental income or loss

    total -$28,516 · excluded -$28,516

  • 7a · Gross sales of assets other than inventory

    securities $9,992

  • 7c · Gain or loss

    securities $9,992 · other assets $0

  • 7d · Net gain or loss

    total $9,992 · excluded $9,992

  • 11a · Other revenue: Gift Shop / Auxiliary

    total $637,669 · excluded $637,669

  • 11b · Other revenue: Other Revenue

    total $441,845 · related or exempt $441,845

  • 11c · Other revenue: Athletic Trainer

    total $113,335 · related or exempt $113,335

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $1,192,849

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $357,876 · program services $343,959 · management and general $13,917

  • 7 · Other salaries and wages

    total $5,271,084 · program services $5,066,106 · management and general $204,978

  • 8 · Pension plan contributions

    total $227,060 · program services $218,230 · management and general $8,830

  • 9 · Other employee benefits

    total $1,241,041 · program services $1,192,780 · management and general $48,261

  • 10 · Payroll taxes

    total $414,065 · program services $397,963 · management and general $16,102

  • 11b · Fees: legal

    total $1,248 · management and general $1,248

  • 11f · Fees: investment management

    total $2,021 · management and general $2,021

  • 11g · Fees: other

    total $5,418,952 · program services $5,390,201 · management and general $28,751 · fundraising $0

  • 12 · Advertising and promotion

    total $24,359 · management and general $24,359

  • 13 · Office expenses

    total $73,851 · program services $60,441 · management and general $13,410

  • 14 · Information technology

    total $64,924 · program services $60,980 · management and general $3,944

  • 16 · Occupancy

    total $1,530,754 · program services $1,436,162 · management and general $94,592

  • 17 · Travel

    total $43,656 · program services $26,897 · management and general $16,759

  • 19 · Conferences, conventions and meetings

    total $33,346 · program services $515 · management and general $32,831

  • 20 · Interest

    total $51,454 · management and general $51,454

  • 22 · Depreciation, depletion and amortization

    total $753,008 · program services $700,510 · management and general $52,498

  • 23 · Insurance

    total $532,029 · program services $427,308 · management and general $104,721

  • 24a · Other expenses: Purchased Services

    total $5,848,073 · program services $2,601,165 · management and general $3,246,908

  • 24b · Other expenses: Supplies

    total $1,550,986 · program services $1,545,209 · management and general $5,777

  • 24c · Other expenses: Medicaid Assessment

    total $1,508,279 · program services $1,508,279

  • 24d · Other expenses: Equipment Rental

    total $313,759 · program services $303,680 · management and general $10,079

  • 24e · All other expenses

    total $383,351 · program services $193,509 · management and general $189,842 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,788,533 · end of year $297,800

  • 3 · Pledges and grants receivable

    beginning of year $0

  • 4 · Accounts receivable

    beginning of year $3,141,991 · end of year $2,041,503

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $256,424 · end of year $254,271

  • 9 · Prepaid expenses and deferred charges

    beginning of year $14,628 · end of year $67,972

  • 10a · Land, buildings and equipment: cost or other basis

    $25,098,741

  • 10b · Land, buildings and equipment: accumulated depreciation

    $4,925,459

  • 10c · Land, buildings and equipment, net

    beginning of year $15,185,561 · end of year $20,173,282

  • 11 · Investments: publicly traded securities

    beginning of year $613,665 · end of year $642,193

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $805,599 · end of year $1,149,887

  • 17 · Accounts payable and accrued expenses

    beginning of year $4,533,266 · end of year $4,301,109

  • 20 · Tax-exempt bond liabilities

    beginning of year $2,755,202 · end of year $1,919,834

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $44,553,925 · end of year $52,380,598

  • 25 · Other liabilities

    beginning of year $669,575 · end of year $273,456

  • 27 · Net assets without donor restrictions

    beginning of year -$30,705,567 · end of year -$34,248,089

Mission and programs · 2023

Mission

TO REVEAL AND EMBODY CHRIST'S HEALING LOVE FOR ALL PEOPLE THROUGH OUR HIGH QUALITY FRANCISCAN HEALTH CARE MINISTRY.

  • Emergency Services: HSHS Holy Family Hospital's Emergency Department is a continuous operation department that must be staffed and able to receive patients at all hours of the day. The department is comprised of specially trained nurses and physicians who are supported by departments representative of the gamut of our Ministry. This team can rapidly identify, treat, and/or stabilize emergency medical conditions in patients ranging in age from newborns to centenarians and sees an average of 600 patients per month in our recently renovated Emergency Department. As a community hospital, our Ministry has been able to provide lifesaving care to our community as well as serve as a local, and familiar, entry point into the juggernaut that is the healthcare system. Additionally, the department serves as a community resource for those struggling with substance use disorders, addiction related concerns, and acute mental health crisis through rapid identification of needs and provision of resources or transfer to specialty care facilities.

    Expenses $9,094,835 · Revenue $5,905,747

  • Outpatient services: HSHS Holy Family provides outpatient services for physical, occupational and speech therapy across all age populations. Services include therapy for orthopedic, neurologic, pediatric, and general medical care as some examples. We have specialty therapy services for those with Parkinson's disease, bladder care/pelvic pain, dry needling, sports therapy, vestibular rehab, concussion care, balance assessments, lymphedema care, hand therapy, voice therapy and modified barium swallow testing. We have one primary location on the hospital property that is open Monday through Friday. Visits seen in therapy for FY24 is 2,536.

    Expenses $7,227,340 · Revenue $4,826,636

  • General patient care: Holy Family Hospital is an acute care facility that provides high quality, cost-effective emergency, medical and surgical care, and skilled nursing services. The hospital serves patients of all ages. The hospital is licensed by the State of Illinois to provide quality health care to local residents as well as consumers in surrounding areas. The hospital is accredited by the Joint Commission. St. Joseph's Hospital employees over 100 colleagues and contracts with several services to provide a comprehensive panel of competent and mission-oriented colleagues. Fiscal year 2024 had a inpatient average daily census was 4.5 with 363 admissions, 39,475 outpatient visits, 6280 Emergency Room visits, and 507 surgical cases.

    Expenses $3,096,091 · Revenue $10,834,469

  • Surgical Services: HSHS Holy Family hospitals' surgery department has been enjoying its newly renovated space for over 2 years. With 9 pre/post bays, 3 surgical suites and a fully upgraded Central Sterile Processing department, we are well placed to accommodate growth. We are able to provide a wide range of surgical specialties including: general surgery, gastrointestinal, gynecology, podiatry, orthopedics and ophthalmology. We provide exceptional patient care in our department and have plans to increase our surgical volume significantly. In FY24, we performed 946 surgeries and are looking forward to growth.

    Expenses $2,055,628 · Revenue $1,658,627

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Bart Caldieraro

    Chair

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Chris Klay

    PRESIDENT/CEO

    Total calculated
    $559,838
    From this org
    $0
    From related orgs
    $494,100
    Other
    $65,738
    Hours/week
    15 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $379,320 related
    Bonus
    $0 + $24,696 related
    Other
    $0 + $90,084 related
    Deferred
    $0 + $36,236 related
    Nontaxable benefits
    $0 + $29,502 related
    Filer's total
    $0 + $559,838 related

  • Crystal Grove

    Vice Chair (Until 6/12/24)

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Kelly M Sager

    President/CEO (Until 6/5/24)

    Total calculated
    $357,876
    From this org
    $322,147
    From related orgs
    $0
    Other
    $35,729
    Hours/week
    59 + 1 related

    Schedule J breakdown matched by us

    Base
    $259,377
    Bonus
    $60,908
    Other
    $1,862
    Deferred
    $13,034
    Nontaxable benefits
    $22,695
    Filer's total
    $357,876

  • Suzanne Davis

    Secretary (Until 10/31/23)

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Eugene Dunkley

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Jamie Baum MD

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Nick Suess

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Randy Alderman

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Travis Thacker

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • William Walker

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Michael Scialdone

    Treasurer / HSHS SVP & CFO (began 01/08/24)

    Total calculated
    $0
    Hours/week
    0.3 + 59.7 related

  • Paige Toth

    Secretary (began 11/1/23)

    Total calculated
    $372,277
    From this org
    $0
    From related orgs
    $306,108
    Other
    $66,169
    Hours/week
    4.2 + 55.8 related

    Schedule J breakdown matched by us

    Base
    $0 + $283,016 related
    Bonus
    $0 + $23,092 related
    Other
    $0
    Deferred
    $0 + $33,609 related
    Nontaxable benefits
    $0 + $32,560 related
    Filer's total
    $0 + $372,277 related

  • Patricia Allen

    CFO - CARE DELIVERY

    Total calculated
    $773,133
    From this org
    $0
    From related orgs
    $649,506
    Other
    $123,627
    Hours/week
    2 + 58 related

    Schedule J breakdown matched by us

    Base
    $0 + $498,772 related
    Bonus
    $0 + $53,821 related
    Other
    $0 + $96,913 related
    Deferred
    $0 + $99,475 related
    Nontaxable benefits
    $0 + $24,152 related
    Filer's total
    $0 + $773,133 related

  • TODD Smart

    Treasurer (UNTIL 5/3/24)

    Total calculated
    $382,133
    From this org
    $0
    From related orgs
    $315,606
    Other
    $66,527
    Hours/week
    0.3 + 59.7 related

    Schedule J breakdown matched by us

    Base
    $0 + $275,819 related
    Bonus
    $0 + $37,512 related
    Other
    $0 + $2,275 related
    Deferred
    $0 + $46,882 related
    Nontaxable benefits
    $0 + $19,645 related
    Filer's total
    $0 + $382,133 related

  • Cynthia Crouch

    Assistant Manager-Nursing

    Total calculated
    $137,045
    From this org
    $111,901
    From related orgs
    $0
    Other
    $25,144
    Hours/week
    40

  • Kacie Ann Blaser

    Director-Nursing

    Total calculated
    $128,219
    From this org
    $111,447
    From related orgs
    $0
    Other
    $16,772
    Hours/week
    40

  • Katlyn Obermark

    Clinical Pharmacist Specialist

    Total calculated
    $159,979
    From this org
    $136,714
    From related orgs
    $0
    Other
    $23,265
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $136,614
    Bonus
    $0
    Other
    $100
    Deferred
    -$5,947
    Nontaxable benefits
    $29,212
    Filer's total
    $159,979

  • Kelli Clutts

    Director - Nursing

    Total calculated
    $142,715
    From this org
    $138,151
    From related orgs
    $0
    Other
    $4,564
    Hours/week
    40

  • Rebecca L Martin

    Director-Operations

    Total calculated
    $130,920
    From this org
    $119,182
    From related orgs
    $0
    Other
    $11,738
    Hours/week
    40

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
PLEASE SEE RESPONSE TO FORM 990, PART VI, LINE 15A IN SCHEDULE O.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
HSHS EXECUTIVES ELIGIBLE TO PARTICIPATE IN SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) ARE DEFINED IN THE SERP PLAN DOCUMENTS. THE SERP WAS ESTABLISHED TO PROVIDE ADDITIONAL RETIREMENT BENEFITS TO ENSURE REASONABLE MARKET COMPETITIVE BENEFITS IN ACCORDANCE WITH THE HSHS EXECUTIVE COMPENSATION PHILOSOPHY ESTABLISHED BY THE HSHS COMPENSATION COMMITTEE. THE PLAN PROVIDES A DEFINED RETIREMENT CONTRIBUTION TO PARTICIPANTS COMMENCING ON JANUARY 1, 2008, EQUAL TO A PERCENTAGE OF COMPENSATION AS DEFINED IN THE SERP PLAN DOCUENTS FOR THE PLAN YEAR. PARTICIPANTS CONSTRUCTIVELY RECEIVE A DISTRIBUTION FROM THE PLAN NO LATER THAN MARCH 15TH OF THE CALENDAR YEAR FOLLOWING THE CALENDAR YEAR IN WHICH AN AMOUNT IS VESTED AND TAXABLE PURSUANT TO A VESTING SCHEDULE AS SPECIFIED IN THE PLAN DOCUMENT. THE ACTUAL DISTRIBUTION OF THE VESTED BENEFIT UNDER THE PLAN IS PAID IN A SINGLE LUMP SUM TO THE PARTICIPANT OR THE PARTICIPANT'S BENEFICIARY UPON THE EARLIER OF THE PARTICIPANT'S TERMINATION OF EMPLOYMENT, DEATH, OR TOTAL AND PERMANENT DISABILITY. THE FOLLOWING INTERESTED PERSONS CONSTRUCTIVELY RECEIVED DEFERRALS TO THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2023; THESE DEFERRALS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). CHRIS KLAY-- $40,910 TODD SMART -- $25,441 KELLY M. SAGER -- $32,807 PATRICIA ALLEN -- $44,695 PAIGE TOTH -- $14,542 THE FOLLOWING INTERESTED PERSONS RECEIVED DISTRIBUTIONS FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2023; THESE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III) AND SCHEDULE J, PART II, COLUMN (F), AS APPLICABLE. PATRICIA ALLEN -- $34,179 CHRIS KLAY-- $30,652

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • PRAIRIE HEART INSTITUTE MANAGEMENT COMPANY LLC

    Related · MEDICAL · IL · 100% owned · share of income $0 · share of assets $0 · general or managing partner

    Directly controlled by HSHS

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • KIARA INC

    C Corporation · HEALTHCARE · IL · 100% owned · share of income $953,484 · share of assets $19,065,022 · controlled entity

    Directly controlled by HSHS

  • LASANTE WISCONSIN INC

    C Corporation · HEALTHCARE · IL · controlled entity

    Directly controlled by KIARA INC

  • LASANTE INC

    C Corporation · HEALTHCARE · IL · controlled entity

    Directly controlled by KIARA INC

  • PREVEA HEALTH SERVICES INC

    C Corporation · HEALTHCARE · WI · 50% owned · share of income -$678,213 · share of assets $23,739,679 · controlled entity

    Directly controlled by HSSI

  • PREVEA CLINIC INC

    C Corporation · HEALTHCARE · WI · controlled entity

    Directly controlled by PHSI

  • RENAISSANCE QUALITY INSURANCE LTD

    C Corporation · INSURANCE · CJ · 100% owned · share of income $0 · share of assets $204,854,765 · controlled entity

    Directly controlled by HSSI

Provenance

Return type
form_990
Tax year
2023
Filed
6 May 2025
IRS schema version
2023v6.0
Source object
202511269349302416

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