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Nonprofiteer
← ST FRANCIS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F

Form 990 for tax year 2022

Filed by ST FRANCIS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F.

Totals

Total revenue
$63,623,138
Total expenses
$50,326,095
Contributions and grants received
$276,531
Grants paid
$0
Program service revenue
$62,227,122
Investment income
$708,019
Other revenue
$411,466
Total assets, end of year
$143,816,141
Total liabilities, end of year
$16,163,927
Net assets or fund balances, end of year
$127,652,214
Program services expenses (Part IX)
$43,485,895
Management and general expenses
$6,840,200
Fundraising expenses
$0
Program service expenses (Part III)
$43,485,895

Program services were 86.4% 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.

  • 1e · Government grants (contributions)

    $159,223

  • 1f · All other contributions, gifts and grants

    $117,308

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $61,575,106 · related or exempt $61,575,106

  • 2b · Program service revenue: OTHER DEPARTMENTAL REVENUE

    total $615,120 · related or exempt $615,120

  • 2c · Program service revenue: REFERENCE LAB

    total $36,896 · unrelated business $36,896

  • 2f · All other program service revenue

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

  • 3 · Investment income

    total $391,407 · excluded $391,407

  • 6a · Gross rents

    real property $328,579

  • 6c · Rental income or loss

    real property $328,579 · personal property $0

  • 6d · Net rental income or loss

    total $328,579 · excluded $328,579

  • 7a · Gross sales of assets other than inventory

    securities $329,543

  • 7b · Less cost or other basis and sales expenses

    other assets $12,931

  • 7c · Gain or loss

    securities $329,543 · other assets -$12,931

  • 7d · Net gain or loss

    total $316,612 · excluded $316,612

  • 11a · Other revenue: AUXILIARY & GIFT SHOP

    total $63,838 · excluded $63,838

  • 11b · Other revenue: PATIENT PROMPT PAYMENT FEES

    total $19,049 · related or exempt $19,049

  • 11d · All other revenue

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

  • 11e · Other revenue, total

    $82,887

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $421,419 · program services $395,460 · management and general $25,959

  • 7 · Other salaries and wages

    total $13,894,957 · program services $13,039,032 · management and general $855,925

  • 8 · Pension plan contributions

    total $686,873 · program services $644,562 · management and general $42,311

  • 9 · Other employee benefits

    total $2,800,735 · program services $2,628,210 · management and general $172,525

  • 10 · Payroll taxes

    total $1,073,199 · program services $1,007,090 · management and general $66,109

  • 11b · Fees: legal

    total $1,399 · management and general $1,399

  • 11c · Fees: accounting

    total $18,518 · management and general $18,518

  • 11g · Fees: other

    total $5,757,019 · program services $5,460,421 · management and general $296,598 · fundraising $0

  • 12 · Advertising and promotion

    total $153,137 · program services $415 · management and general $152,722

  • 13 · Office expenses

    total $8,994,074 · program services $9,040,626 · management and general -$46,552

  • 14 · Information technology

    total $1,692,913 · program services $1,649,246 · management and general $43,667

  • 16 · Occupancy

    total $1,742,412 · program services $1,707,043 · management and general $35,369

  • 17 · Travel

    total $2,094 · program services $2,094

  • 19 · Conferences, conventions and meetings

    total $13,390 · program services $8,935 · management and general $4,455

  • 20 · Interest

    total $442,404 · program services $6 · management and general $442,398

  • 22 · Depreciation, depletion and amortization

    total $2,209,029 · program services $2,157,179 · management and general $51,850

  • 23 · Insurance

    total $711,867 · program services $577,775 · management and general $134,092

  • 24a · Other expenses: Medicaid Tax Assessment

    total $1,743,389 · program services $1,743,389

  • 24b · Other expenses: Equipment Rental

    total $235,459 · program services $209,358 · management and general $26,101

  • 24c · Other expenses: Dues

    total $84,482 · program services $445 · management and general $84,037

  • 24d · Other expenses: Purchased Services

    total $4,555,951 · program services $3,671,002 · management and general $884,949

  • 24e · All other expenses

    total $3,091,375 · program services -$456,393 · management and general $3,547,768 · fundraising $0

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year -$13,104 · end of year $82,084

  • 4 · Accounts receivable

    beginning of year $7,532,095 · end of year $8,327,724

  • 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 $1,038,366 · end of year $977,810

  • 9 · Prepaid expenses and deferred charges

    beginning of year $361,800 · end of year $428,287

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

    $55,616,333

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

    $29,990,606

  • 10c · Land, buildings and equipment, net

    beginning of year $26,141,710 · end of year $25,625,727

  • 11 · Investments: publicly traded securities

    beginning of year $94,692,775 · end of year $106,630,208

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $477,175 · end of year $1,744,301

  • 17 · Accounts payable and accrued expenses

    beginning of year $8,287,846 · end of year $5,491,605

  • 19 · Deferred revenue

    end of year $32,589

  • 20 · Tax-exempt bond liabilities

    beginning of year $8,396,609 · end of year $8,178,091

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $2,960,474 · end of year $2,461,642

  • 27 · Net assets without donor restrictions

    beginning of year $110,585,888 · end of year $127,652,214

Mission and programs · 2022

Mission

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

  • OTHER - St. Francis Hospital provides comprehensive health care services with the latest technology to the Litchfield area 24 hours a day, 7 days a week. St. Francis Hospital offers a full range of services including heart care, orthopedics, radiology, rehabilitation, women and infant services all in one convenient location. Specialists work with health care professionals across our health system to ensure each patient has seamless access to care.

    Expenses $13,021,239 · Revenue $32,572,307

  • EMERGENCY SERVICES - St. Francis Hospital's ER has the latest technology which allows our nurses and doctors to provide excellent care. There are nine rooms including two trauma rooms and one safe room for behavioral health patients. Emergency services provide care to people suffering injuries ranging from a fractured bone to a heart attack or stroke. Our emergency department is staffed with board certified emergency medicine physicians, nurses, and other medical experts who handle a variety of conditions. Total patients served - 10.719

    Expenses $11,949,502 · Revenue $12,951,905

  • SURGERY - St. Francis hospital's surgery center has more than 16,000 square feet of space with a waiting/registration area; a private family consult room; four surgery suites and private pre- and post-operative patient rooms. Two operating rooms are used for ear/nose and throat procedures and general and orthopedic surgeries. The other operating rooms are used for endoscopy and urology procedures. The Ambulatory Surgery Unit within the Surgery Center has twelve private rooms for patients undergoing outpatient procedures. Total patients served - 1,914

    Expenses $10,306,879 · Revenue $10,778,735

  • INFUSION / ONCOLOGY - St. Francis Hospital's cancer care center offers a comfortable and healing environment for our patients and their families. Features include: two private patient exam rooms, two private infusion rooms and four semi-private infusion bays and comfortable reclining chairs and individual television monitors for use during treatment. Infusion Services - An intravenous (IV) infusion is the medical term for the administration of liquid substances/ medications into the bloodstream. In addition to chemotherapy, the Cancer Care Center offers a full continuum of outpatient infusion services including: blood transfusions, infusions and injections of supportive medications, immunotherapy treatments and port maintenance and flushing. Chemotherapy - A cancer treatment using drugs that are given intravenously through an injection or by mouth. These drugs destroy cancer cells by impeding their growth and reproduction. Total patients served - 2,758.

    Expenses $8,208,275 · Revenue $5,906,328

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • James Timpe

    President & CEO

    Total calculated
    $421,419
    From this org
    $353,251
    From related orgs
    $0
    Other
    $68,168
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $245,613
    Bonus
    $68,927
    Other
    $38,711
    Deferred
    $36,448
    Nontaxable benefits
    $31,720
    Filer's total
    $421,419

  • Jane Martin

    Vice Chair

    Total calculated
    $0
    Hours/week
    1

  • Marchelle Kassebaum

    Secretary

    Total calculated
    $0
    Hours/week
    1

  • Steve Bryant

    Chair

    Total calculated
    $0
    Hours/week
    1

  • Gerald Williams

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Jennifer Reid Baugher

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Jerome Epplin MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Kevin Niemann

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Sr Ritamary Brown

    BOARD MEMBER/HSHS SISTER

    Total calculated
    $0
    Hours/week
    1

  • Thomas Baker

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • William Montgomery

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Patricia Allen

    Interim CFO - Illinois

    Total calculated
    $695,496
    From this org
    $0
    From related orgs
    $541,100
    Other
    $154,396
    Hours/week
    3 + 57 related

    Schedule J breakdown matched by us

    Base
    $0 + $414,598 related
    Bonus
    $0 + $44,684 related
    Other
    $0 + $81,818 related
    Deferred
    $0 + $126,563 related
    Nontaxable benefits
    $0 + $27,833 related
    Filer's total
    $0 + $695,496 related

  • TODD Smart

    Treasurer

    Total calculated
    $410,831
    From this org
    $0
    From related orgs
    $329,569
    Other
    $81,262
    Hours/week
    0.3 + 59.8 related

    Schedule J breakdown matched by us

    Base
    $0 + $267,686 related
    Bonus
    $0 + $38,335 related
    Other
    $0 + $23,548 related
    Deferred
    $0 + $45,254 related
    Nontaxable benefits
    $0 + $36,008 related
    Filer's total
    $0 + $410,831 related

  • Brian Strader

    Director-Pharmacy

    Total calculated
    $228,311
    From this org
    $212,585
    From related orgs
    $0
    Other
    $15,726
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $175,053
    Bonus
    $0
    Other
    $37,532
    Deferred
    $2,464
    Nontaxable benefits
    $13,262
    Filer's total
    $228,311

  • Heather Senaldi

    Director - Nursing

    Total calculated
    $151,216
    From this org
    $138,141
    From related orgs
    $0
    Other
    $13,075
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $109,299
    Bonus
    $0
    Other
    $28,842
    Deferred
    $1,141
    Nontaxable benefits
    $11,934
    Filer's total
    $151,216

  • Jill Moutria

    PHARMACIST

    Total calculated
    $182,200
    From this org
    $164,705
    From related orgs
    $0
    Other
    $17,495
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $159,353
    Bonus
    $3,099
    Other
    $2,253
    Deferred
    $5,371
    Nontaxable benefits
    $12,124
    Filer's total
    $182,200

  • Susan Stromsland

    Laboratory Manager

    Total calculated
    $166,787
    From this org
    $147,992
    From related orgs
    $0
    Other
    $18,795
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $146,092
    Bonus
    $0
    Other
    $1,900
    Deferred
    $3,606
    Nontaxable benefits
    $15,189
    Filer's total
    $166,787

  • Tammy Keiser-Donoho

    Registered Nurse - Critical Care

    Total calculated
    $191,791
    From this org
    $138,847
    From related orgs
    $0
    Other
    $52,944
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $136,847
    Bonus
    $1,610
    Other
    $390
    Deferred
    $17,572
    Nontaxable benefits
    $35,372
    Filer's total
    $191,791

  • Aaron Puchbauer

    FORMER INTERIM CEO

    Total calculated
    $402,755
    From this org
    $0
    From related orgs
    $332,481
    Other
    $70,274
    Hours/week
    0 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $211,993 related
    Bonus
    $0 + $31,750 related
    Other
    $0 + $88,738 related
    Deferred
    $0 + $29,558 related
    Nontaxable benefits
    $0 + $40,716 related
    Filer's total
    $0 + $402,755 related

  • Evert J Kuiper

    Former Division CEO - Illinois (until Jan 2022)

    Total calculated
    $532,473
    From this org
    $0
    From related orgs
    $526,246
    Other
    $6,227
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $51,437 related
    Bonus
    $0
    Other
    $0 + $474,809 related
    Deferred
    $0 + $3,413 related
    Nontaxable benefits
    $0 + $2,814 related
    Filer's total
    $0 + $532,473 related

  • Patricia Fischer

    Former Chief Executive Officer

    Total calculated
    $103,688
    From this org
    $0
    From related orgs
    $32,914
    Other
    $70,774
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $32,914 related
    Deferred
    $0 + $70,774 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $103,688 related

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 2022 THESE DEFERRALS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). Patricia Allen -- $37,240 John Ludwig -- $35,698 AARON PUCHBAUER -- $25,396 Todd Smart -- $25,135 James Timpe -- $32,382 THE FOLLOWING INTERESTED PERSONS RECEIVED DISTRIBUTIONS FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2022 THESE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III) AND SCHEDULE J, PART II, COLUMN (F), AS APPLICABLE. Patricia Fischer -- $32,914 EVERT KUIPER -- $196,540 John Ludwig -- $86,566

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.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • KIARA CLINICAL INTEGRATION NETWORK LLC

    HEALTHCARE · IL · income -$105,950 · assets $447,864

    Directly controlled by HSSI

  • PHYSICIAN CLINICAL INTEGRATION NETWORK LLC

    HEALTHCARE · IL · income $554,315 · assets $15,980,466

    Directly controlled by KCIN

  • HSHS ACO LLC

    HEALTHCARE & SOCIAL ASSISTANCE · IL · income $1,805,698 · assets $3,189,003

    Directly controlled by KCIN

Related partnerships

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

  • SPRINGFIELD URGENT CARE REAL ESTATE LLC

    N/A · RENTAL REAL ESTATE · IL · 0% owned

    Directly controlled by LASANTE INC

  • PRAIRIE HEART INSTITUTE MANAGEMENT COMPANY LLC

    Related · MEDICAL · IL · 100% owned · share of income -$7,032 · share of assets $12,572 · general or managing partner

    Directly controlled by HSHS

  • SOUTHWEST ILLINOIS HEALTH SERVICES REAL ESTATE LLP

    Related · REAL ESTATE · IL · 50% owned · share of income -$126,650 · share of assets $1,434,911

    Directly controlled by St John's

  • REHABILITATION HOSPITAL OF WESTERN WISCONSIN LLC

    Related · Medical · DE · 50% owned · share of income -$80,505 · share of assets $4,187,830

    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 $601,904 · share of assets $18,670,450 · 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 -$1,641,640 · share of assets $24,425,128 · 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 $156,895,227 · controlled entity

    Directly controlled by HSSI

  • OJV INC

    C Corporation · HEALTHCARE · IL · controlled entity

    Directly controlled by LASANTE INC

Provenance

Return type
form_990
Tax year
2022
Filed
10 May 2024
IRS schema version
2022v5.0
Source object
202401319349305155

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