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← ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THRID ORDER OF ST F

Form 990 for tax year 2022

Filed by ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THRID ORDER OF ST F.

Totals

Total revenue
$51,691,447
Total expenses
$44,427,510
Contributions and grants received
$139,360
Grants paid
$0
Program service revenue
$50,870,335
Investment income
$63,114
Other revenue
$618,638
Total assets, end of year
$64,883,287
Total liabilities, end of year
$48,930,620
Net assets or fund balances, end of year
$15,952,667
Program services expenses (Part IX)
$39,685,332
Management and general expenses
$4,742,178
Fundraising expenses
$0
Program service expenses (Part III)
$39,685,332

Program services were 89.3% 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)

    $29,232

  • 1f · All other contributions, gifts and grants

    $110,128

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $50,870,335 · related or exempt $50,870,335

  • 2f · All other program service revenue

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

  • 3 · Investment income

    total $42,884 · excluded $42,884

  • 6a · Gross rents

    real property $175,028

  • 6c · Rental income or loss

    real property $175,028 · personal property $0

  • 6d · Net rental income or loss

    total $175,028 · excluded $175,028

  • 7a · Gross sales of assets other than inventory

    securities $14,413 · other assets $5,817

  • 7c · Gain or loss

    securities $14,413 · other assets $5,817

  • 7d · Net gain or loss

    total $20,230 · excluded $20,230

  • 11a · Other revenue: GIFT SHOP

    total $22,024 · excluded $22,024

  • 11b · Other revenue: CAFETERIA

    total $135,258 · excluded $135,258

  • 11c · Other revenue: Health Improvement Rebates

    total $78,947 · related or exempt $78,947

  • 11d · All other revenue

    total $207,381 · related or exempt $207,381 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $443,610

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $613,644 · program services $588,362 · management and general $25,282

  • 7 · Other salaries and wages

    total $11,520,530 · program services $11,045,884 · management and general $474,646

  • 8 · Pension plan contributions

    total -$408,772 · program services -$391,931 · management and general -$16,841

  • 9 · Other employee benefits

    total $2,335,633 · program services $2,239,405 · management and general $96,228

  • 10 · Payroll taxes

    total $904,439 · program services $867,176 · management and general $37,263

  • 11b · Fees: legal

    total $1,399 · program services $1,370 · management and general $29

  • 11g · Fees: other

    total $5,894,725 · program services $5,772,704 · management and general $122,021 · fundraising $0

  • 12 · Advertising and promotion

    total $77,190 · program services $53,138 · management and general $24,052

  • 13 · Office expenses

    total $29,152 · program services $28,791 · management and general $361

  • 16 · Occupancy

    total $1,683,492 · program services $1,158,916 · management and general $524,576

  • 17 · Travel

    total $50,305 · program services $34,630 · management and general $15,675

  • 19 · Conferences, conventions and meetings

    total $7,339 · program services $5,052 · management and general $2,287

  • 20 · Interest

    total $1,568,611 · management and general $1,568,611

  • 22 · Depreciation, depletion and amortization

    total $2,141,918 · program services $1,158,135 · management and general $983,783

  • 23 · Insurance

    total $522,110 · program services $359,421 · management and general $162,689

  • 24a · Other expenses: MEDICAL / PHARM SUPPLIES

    total $5,935,362 · program services $5,861,763 · management and general $73,599

  • 24b · Other expenses: REPAIRS/MAINTENANCE

    total $977,305 · program services $672,777 · management and general $304,528

  • 24c · Other expenses: PURCHASE SERV/RELATED ORG

    total $8,612,957 · program services $8,434,669 · management and general $178,288

  • 24d · Other expenses: STATE OF IL ASSESSMENT TAX

    total $1,430,320 · program services $1,430,320

  • 24e · All other expenses

    total $529,851 · program services $364,750 · management and general $165,101 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $540 · end of year $354,333

  • 4 · Accounts receivable

    beginning of year $6,252,519 · end of year $7,541,424

  • 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 $781,761 · end of year $742,738

  • 9 · Prepaid expenses and deferred charges

    beginning of year $141,888 · end of year $332,810

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

    $57,514,535

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

    $24,958,583

  • 10c · Land, buildings and equipment, net

    beginning of year $33,469,691 · end of year $32,555,952

  • 11 · Investments: publicly traded securities

    beginning of year $16,796,221 · end of year $14,375,466

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $7,079,116 · end of year $8,980,564

  • 17 · Accounts payable and accrued expenses

    beginning of year $3,429,884 · end of year $3,038,577

  • 19 · Deferred revenue

    beginning of year $4,384,641 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $31,006,578 · end of year $28,605,284

  • 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 $9,375,000 · end of year $7,812,500

  • 25 · Other liabilities

    beginning of year $8,493,501 · end of year $9,474,259

  • 27 · Net assets without donor restrictions

    beginning of year $7,832,132 · end of year $15,952,667

Mission and programs · 2022

Mission

To reveal and embody Christ's healing love for all people through our high quality Franciscan health care ministry.

Activities or mission (Part I)

To reveal and embody Christ's healing love for all people through our high quality Franciscan health care ministry (CONTINUED ON SCHEDULE O)

  • EMERGENCY DEPARTMENT - The emergency department is staffed 24 hours a day, seven days a week by specially trained physicians and nurses, all of whom provide quality patient care for a wide range of concerns. We have access to a wide range of specialists either in-house or through advanced telemedicine to help diagnose and provide treatment for those requiring a higher level of care.

    Expenses $11,414,917 · Revenue $15,197,487

  • SURGERY CENTER - The SJH surgical teams work together, using the latest technology and modern facilities to provide excellent care close to home. These highly trained and experienced surgeons represent a wide range of specialties. The SJH Surgery Center features 12 private rooms for patients before and after surgery and for outpatient procedures, as well as 25% larger operating suites with the latest technology. This includes new high-definition video cameras for arthroscopic and laparoscopic procedures. During FY2023, 1,850 cases were performed.

    Expenses $10,415,013 · Revenue $7,972,458

  • OTHER - St. Joseph's Hospital combines state-of-the-art technologies with highly trained and experienced staff to meet the changing health care needs of local residents. St. Joseph's Hospital reveals and embodies Christ's healing love to its patients through a wide array of inpatient and outpatient services including surgery, specialty clinics, rehab, digital imaging, laboratory, wound care, cancer care, sleep center, and community health and education outreach programs.

    Expenses $10,386,232 · Revenue $20,320,204

  • INTERNAL MEDICINE - St. Joseph's hospital has many providers that see patients on a daily basis. These specialties include Heart care, Cancer care, Orthopedics, Women's Health, ENT, Gastrointestinal, and Wound care. The services provided alleviates the need for patients to travel long distances to see specialists.

    Expenses $7,469,170 · Revenue $7,666,514

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

Listed in Part VII

  • Chris Klay

    PRESIDENT & CEO (BEG June 2023)

    Total calculated
    $549,061
    From this org
    $0
    From related orgs
    $470,446
    Other
    $78,615
    Hours/week
    30 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $317,870 related
    Bonus
    $0 + $83,734 related
    Other
    $0 + $68,842 related
    Deferred
    $0 + $46,020 related
    Nontaxable benefits
    $0 + $32,595 related
    Filer's total
    $0 + $549,061 related

  • Frank Padak

    Vice Chair

    Total calculated
    $0
    Hours/week
    2

  • James Burgett

    Chair

    Total calculated
    $0
    Hours/week
    2

  • John Ludwig

    PRESIDENT & CEO (UNTIL 6/1/23)

    Total calculated
    $613,644
    From this org
    $490,866
    From related orgs
    $0
    Other
    $122,778
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $274,594
    Bonus
    $76,615
    Other
    $139,657
    Deferred
    $96,258
    Nontaxable benefits
    $26,520
    Filer's total
    $613,644

  • Tricia Buehne

    Secretary

    Total calculated
    $0
    Hours/week
    1

  • Bill Sullivan

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Debra Feldott - Johnson

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Jeannie Korte

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Lynn Billhartz

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Marcus Alvarado MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Marshall Rinderer

    Board Member

    Total calculated
    $0
    Hours/week
    2

  • Sr Anna Phiri Osf

    Board Member

    Total calculated
    $0
    Hours/week
    2 + 1 related

  • 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

  • Christina Frank

    Director of Rehab Services

    Total calculated
    $183,687
    From this org
    $160,289
    From related orgs
    $0
    Other
    $23,398
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $131,825
    Bonus
    $0
    Other
    $28,464
    Deferred
    $4,732
    Nontaxable benefits
    $18,666
    Filer's total
    $183,687

  • Joel Tucker

    DIRECTOR OF PHARMACY

    Total calculated
    $257,736
    From this org
    $212,104
    From related orgs
    $0
    Other
    $45,632
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $189,538
    Bonus
    $0
    Other
    $22,566
    Deferred
    $2,906
    Nontaxable benefits
    $42,726
    Filer's total
    $257,736

  • Mark Ennen

    Director of Finance

    Total calculated
    $213,836
    From this org
    $169,539
    From related orgs
    $0
    Other
    $44,297
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $141,967
    Bonus
    $0
    Other
    $27,572
    Deferred
    $31,472
    Nontaxable benefits
    $12,825
    Filer's total
    $213,836

  • Megan Espenschied

    DIRECTOR OF SURGERY

    Total calculated
    $184,131
    From this org
    $160,031
    From related orgs
    $0
    Other
    $24,100
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $138,192
    Bonus
    $0
    Other
    $21,839
    Deferred
    $23,264
    Nontaxable benefits
    $836
    Filer's total
    $184,131

  • Teresa Cornelius

    CHIEF NURSING OFFICER

    Total calculated
    $241,648
    From this org
    $220,014
    From related orgs
    $0
    Other
    $21,634
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $180,911
    Bonus
    $17,435
    Other
    $21,668
    Deferred
    $3,756
    Nontaxable benefits
    $17,878
    Filer's total
    $241,648

  • 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

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 Chris Klay -- $40,675 John Ludwig -- $35,698 Todd Smart -- $25,135 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. Evert Kuiper - $196,540 John Ludwig -- $27,587

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
202431319349304298

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