FURP.ORG / PUBLIC DATA EXPLORER

SAINT ANTHONY HOSPITAL FOUNDATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
SAINT ANTHONY HOSPITAL FOUNDATION (EIN 23-7448580)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-11
IRS object ID
201801319349303190
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-11T14:46:39-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11 S Wacker Drive Ste 800AddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237448580EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Saint Anthony Hospital FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSAINBusinessNameControlTxt
Phone7734844831PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12875 West 19th StreetAddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP60623ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGuy A MedagliaPersonNm
Person TitlePresident and CEOPersonTitleTxt
Phone7734844831PhoneNum
Signature2018-05-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWayne HarderPreparerPersonNm
PTINP00294296PTIN
Phone3126343400PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address108.171.131.187IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-05-10IPDt
IP Tm15:27:04IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id4B8E1423B9F197D509CCF13AB357181C17C415CBAtSubmissionCreationDeviceId
At Submission Filing Device Id4EC0B96C62AE7F3F798FFAAE8A06701F68EED858AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerGuy A MedagliaPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12875 West 19th StreetAddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP60623ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,693,607GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.sahchicago.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1983FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionSaint Anthony Hospital Foundation's mission is to foster the spirit of philanthropy for every donor and provide capital resources to support the mission of Saint Anthony Hospital.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers2TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$936,627PYContributionsGrantsAmt
CY Contributions Grants$891,131CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$520,523PYInvestmentIncomeAmt
CY Investment Income$760,476CYInvestmentIncomeAmt
PY Other Revenue-$10,265PYOtherRevenueAmt
CY Other Revenue-$3,635CYOtherRevenueAmt
PY Total Revenue$1,446,885PYTotalRevenueAmt
CY Total Revenue$1,647,972CYTotalRevenueAmt
PY Grants And Similar Paid$225,734PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$353,258CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$563,072PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$540,079CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$399,584CYTotalFundraisingExpenseAmt
PY Other Expenses$340,944PYOtherExpensesAmt
CY Other Expenses$214,376CYOtherExpensesAmt
PY Total Expenses$1,129,750PYTotalExpensesAmt
CY Total Expenses$1,107,713CYTotalExpensesAmt
PY Revenues Less Expenses$317,135PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$540,259CYRevenuesLessExpensesAmt
Total Assets BOY$25,508,582TotalAssetsBOYAmt
Total Assets EOY$29,500,440TotalAssetsEOYAmt
Total Liabilities BOY$137,934TotalLiabilitiesBOYAmt
Total Liabilities EOY$15,952TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$25,370,648NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$29,484,488NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSaint Anthony Hospital Foundation's mission is to foster the spirit of philanthropy for every donor and provide capital resources to support the mission of Saint Anthony Hospital.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$473,015ExpenseAmt
Grant$353,258GrantAmt
DescSaint Anthony Hospital Foundation raises funds to support Saint Anthony Hospital's Community Development Department's Community Wellness programs. Saint Anthony Hospital community-based services are directed by Senior Vice President for Mission and Community Development, currently James Sifuentes. With an annual operating budget of nearly $1 million, Community Wellness provides services from infant care through adulthood, reaching multiple generations of community residents with dozens of free service offerings, screenings, social events, educational programs and assistance. Community-based staffing includes five therapists, four community resource educators in Family Support Services, four health care access community resource educators, a community nursing supervisor, a project director and three pastoral care workers. The goal of Community Wellness Programs is to support individuals and families, who face the impacts of trauma, poverty, violence, language barriers and limited health access, to achieve an improved quality of life by offering free culturally-respectful services out of two community wellness centers and in various locations across communities.Community Wellness Program - Family Support ServicesThis Community Wellness Program promotes the social, emotional, and intellectual development of young children, as well as strong, healthy, parent-child attachments. Four free services provide a continuum of developmental support for children and their parents: 1. The Developmental Support Project, which promotes improved developmental care and outcomes for children from birth to eight years of age2. Adults and Children Together Against Violence: Parents Raising Safe Kids, which improves the parenting skills of parents and other primary caregivers and teaches practices that protect children from violence; 3. Adolescent and Parent Education, provides education and skills to assist families in navigating this developmental stage and to strengthen families and prevent involvement violence, and; 4. Little Explorers, an interactive parent-child playgroup. Saint Anthony Hospital Community Wellness began offering these services 20 years ago with a focus on families in Little Village. Since that time, the hospital has continued to expand the Family Support Service programming by opening a community wellness center in North Lawndale and offering programs in Brighton Park and Gage Park. All services are offered in English and Spanish, at no cost to participating families, to provide a continuum of developmental support for children and their parents.The Community Wellness Program has a history of developing community-defined social services that fill in gaps in the community as well as fostering strong relationships with community organizations in order to impact the social needs of underserved communities. This wraparound model of comprehensive support provides residents with a greater chance for improved health outcomes. Additional programs supported by the Foundation include: Buy A Mom A Mammogram, cancer support groups, and training development programs, among others.Desc
Total Program Service Expenses$473,015TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document27IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Michael KittoeBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7734844831PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12875 West 19th StreetAddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP60623ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Bernadette M O'Shea
Executive Director40.00Yes (X)Yes (X)$0$180,484$17,718
Guy A Medaglia
President & CEO3.00Yes (X)Yes (X)$0$558,151$18,24280.00
Peter V Fazio Jr
Chair1.00Yes (X)Yes (X)$0$0$04.00
Azeem Ibrahim PhD
Board Member1.00Yes (X)$0$0$0
Michael Kittoe
Executive VP & CFO (as of 10/15/16)1.00Yes (X)$0$29,077$044.00
Candyce Mayer
Interim CFO (until 10/14/16)1.00Yes (X)$0$136,876$12,28244.00
Justin Bynum
Former CFO0.00$0$119,690$14,284Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,024,278TotReportableCompRltdOrgAmt
Total Other Compensation$62,526TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Jones Lang LaSalle Americas IncBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line133832 Treasury Center DrAddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP60694ZIPCd
FieldValueIRS element (for citing)
ServicesProperty ManagementServicesDesc
Compensation$287,087CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Fundraising$147,439FundraisingAmt
All Other Contributions$743,692AllOtherContributionsAmt
Noncash Contributions$16,405NoncashContributionsAmt
Total Contributions$891,131TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$760,476TotalRevenueColumnAmt
Exclusion$760,476ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$42,000FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$147,439ContriRptFundraisingEventAmt
Fundraising Direct Expenses$45,635FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$3,635TotalRevenueColumnAmt
Exclusion-$3,635ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,647,972TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$756,841ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$353,258TotalAmt
Program Services$353,258ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$185,866TotalAmt
Management And General$185,866ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$320,684TotalAmt
Fundraising$320,684FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$33,529TotalAmt
Fundraising$33,529FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,627TotalAmt
Management And General$2,627ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$47,742TotalAmt
Program Services$2,371ProgramServicesAmt
Fundraising$45,371FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$30,331TotalAmt
Program Services$24,265ProgramServicesAmt
Management And General$6,066ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Community Outreach$65,624$65,624
Dues and Subscriptions$22,407$22,407

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$45,645TotalAmt
Program Services$27,497ProgramServicesAmt
Management And General$18,148ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,107,713TotalAmt
Program Services$473,015ProgramServicesAmt
Management And General$235,114ManagementAndGeneralAmt
Fundraising$399,584FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$966,748BOYAmt
EOY$288,742EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$16,015,998BOYAmt
EOY$12,422,401EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$8,525,836BOYAmt
EOY$14,353,251EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$2,436,046EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$25,508,582BOYAmt
EOY$29,500,440EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$25,796BOYAmt
EOY$15,952EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$112,138BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$137,934BOYAmt
EOY$15,952EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$21,958,331BOYAmt
EOY$25,587,992EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,471,289BOYAmt
EOY$1,955,468EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,941,028BOYAmt
EOY$1,941,028EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$25,370,648BOYAmt
EOY$29,484,488EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$25,508,582BOYAmt
EOY$29,500,440EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$540,259ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$3,573,581OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,097,191CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,092,507CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$807,732CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$936,627CurrentTaxYearMinus1YearAmt
Current Tax Year$891,131CurrentTaxYearAmt
Total$4,825,188TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,097,191CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,092,507CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$807,732CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$936,627CurrentTaxYearMinus1YearAmt
Current Tax Year$891,131CurrentTaxYearAmt
Total$4,825,188TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$576,079SubstantialContributorsTotAmt
Public Support Total170$4,249,109PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$41,239CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$22,777CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49,026CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$520,523CurrentTaxYearMinus1YearAmt
Current Tax Year$760,476CurrentTaxYearAmt
Total$1,394,041TotalAmt
FieldValueIRS element (for citing)
Total Support$6,219,229TotalSupportAmt
Gross Receipts Rltd Activities$235,020GrossReceiptsRltdActivitiesAmt
Public Support CY1700.68320PublicSupportCY170Pct
Public Support PY1700.88880PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,941,028BeginningYearBalanceAmt
End Year Balance$1,941,028EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,941,028BeginningYearBalanceAmt
End Year Balance$1,941,028EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,941,028BeginningYearBalanceAmt
Investment Earnings Or Losses$2,778InvestmentEarningsOrLossesAmt
Other Expenditures$2,778OtherExpendituresAmt
End Year Balance$1,941,028EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,941,028BeginningYearBalanceAmt
Investment Earnings Or Losses$3,881InvestmentEarningsOrLossesAmt
Other Expenditures$3,881OtherExpendituresAmt
End Year Balance$1,941,028EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,941,028BeginningYearBalanceAmt
End Year Balance$1,941,028EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDue from Saint Anthony HospitalDesc
Book Value$2,436,046BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,436,046TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:The income from the endowment is used for general operations to support Saint Anthony Hospital, a related tax-exempt organization.
Part X, Line 2:Saint Anthony Hospital Foundation (SAHF) is a tax-exempt organization under Internal Revenue Code Section 501(c)(3) and, as required, files a Form 990 (Return of Organization Exempt from Income Tax) annually. Accordingly, income taxes are not provided for in the accompanying consolidated financial statements. SAHF files a Form 990 annually. When this return is filed, it is highly certain that some positions taken would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the position taken or the amount of the position that would ultimately be sustained. UBIT is reported on Form 990T, as appropriate. The benefit of a tax position is recognized in the consolidated financial statements in the period during which, based on all available evidence, management believes that it is more likely than not that the position will be sustained upon examination, including the resolution of appeals or litigation processes, if any. Tax positions are not offset or aggregated with other positions. Tax positions that meet the "more likely than not" recognition threshold are measured as the largest amount of tax benefit that is more than 50 percent likely to be realized on settlement with the applicable taxing authority. The portion of the benefits associated with tax positions taken that exceeds the amount measured as described above is reflected as a liability for unrecognized tax benefits in the accompanying consolidated balance sheets along with any associated interest and penalties that would be payable to the taxing authorities upon examination. Forms 990 filed by SAHF are subject to examination by the Internal Revenue Service (IRS) up to three years from the extended due date of each return. Forms 990 filed by SAHF are no longer subject to examination for the years 2013 and prior.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Golf OutingEvent1Nm
Gross Receipts Event1$189,439GrossReceiptsEvent1Amt
Charitable Contri Event1$147,439CharitableContriEvent1Amt
Gross Revenue Event1$42,000GrossRevenueEvent1Amt
Cash Prizes Event1$5,000CashPrizesEvent1Amt
Non Cash Prizes Event1$2,436NonCashPrizesEvent1Amt
Rent Facility Costs Event1$16,950RentFacilityCostsEvent1Amt
Food And Beverage Event1$11,369FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$9,880OtherDirectExpensesEvent1Amt
Gross Receipts Total$189,439GrossReceiptsTotalAmt
Charitable Contributions Tot$147,439CharitableContributionsTotAmt
Gross Revenue Total Events$42,000GrossRevenueTotalEventsAmt
Cash Prizes Total Events$5,000CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$2,436NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$16,950RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$11,369FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$9,880OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$45,635DirectExpenseSummaryEventsAmt
Net Income Summary-$3,635NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Saint Anthony HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12875 W 19th StreetAddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP60623ZIPCd
FieldValueIRS element (for citing)
Recipient EIN510217097RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$353,258CashGrantAmt
Purpose Of GrantTo support the hospital's community wellness programsPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationFunds are provided to Saint Anthony Hospital, a related tax-exempt organization. Finance provides monthly reports by fund showing when and how the support is used by the Hospital.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Bernadette M O'Shea
Executive Director$0$179,914$0$0$0$570$0$7,456$0$10,262$0$198,202$0$0
Guy A Medaglia
President & CEO$0$484,111$0$0$0$74,040$0$0$0$18,242$0$576,393$0$0
Justin Bynum
Former CFO$0$119,487$0$0$0$203$0$5,053$0$9,231$0$133,974$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule J, Part 1, Line 3FormAndLineReferenceDesc
ExplanationCompensation of the organization's President & CEO is set by Saint Anthony Hospital (SAH), a related organization. All annual salary increases are reviewed and approved by SAH's President Compensation Sub-Committee and documented in minutes prepared for each meeting. Also, an independent market survey was conducted in November 2015 to ensure that the salaries of the CEO and other officers were within standard market range.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6The sole corporate member of Saint Anthony Hospital Foundation is Saint Anthony Hospital.
Form 990, Part VI, Section A, line 7aVoting members of the Board of Directors shall be appointed, upon recommendation of the Board of the Corporation, by the corporate member.
Form 990, Part VI, Section A, line 7bThe following matters which require the approval of the corporate member: 1) Approve changes to the Governing Documents of the Corporation and its noncontrolled subsidiary organizations. 2) Appoint, upon the recommendation of the Board of the Corporation, or remove, with or without cause, the members of the Board of Directors of the Corporation. Removal does not require a recommendation of the Corporation's Board. 3) Approve the incurrence of debt of the Corporation in accordance with the System Authority Matrix. 4) Subject to canonical requirements, approve and recommend the formation of legal entities, the sale, transfer or substantial change in use of all or substantially all of the assets, divestitures, dissolutions, closures, mergers, consolidations, or changes in corporate membership of the Corporation in accordance with the System Authority Matrix. 5) Approve the transfer or encumbrance of the assets of the Corporation in accordance with the System Authority Matrix. 6) Approve the operating budget and capital plan for the Corporation. 7) Ratify the appointment and removal of the President and CEO of the Corporation.
Form 990, Part VI, Section B, line 11bA thorough review of Form 990 is performed by management. A copy of the return is shared with the Board of Directors prior to filing Form 990 with the IRS.
Form 990, Part VI, Section B, line 12cAnnually, the Corporate Responsibility Officer has the Board fill out and sign the conflict of interest questionnaire. The Corporate Responsibility Officer reviews the completed conflict of interest questionnaires. If a conflict of interest arises, the affected Board member abstains from voting on the respective issue. The Corporate Responsibility Officer maintains all signed conflict of interest statements on file.
Form 990, Part VI, Section B, line 15The filing organization does not compensate its officers, directors, or trustees; instead, they are compensated by Saint Anthony Hospital, a related organization. All annual salary increases for the CEO and officers are reviewed and approved by the Compensation Committee of Saint Anthony Hospital and documented in minutes prepared for each meeting. Also, an independent market survey was conducted in November 2015 to ensure that the salaries of the CEO and officers were within standard market range.
Form 990, Part VI, Section C, line 19Financial statements, governing documents, and conflict of interest policies are not required disclosures pursuant to Internal Revenue Code Section 6104. These documents are not available to the public at this time.
Form 990, Part XI, line 9:Net Asset Transfer to Hospital 3,573,581.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Saint Anthony Hospital
2875 West 19th StreetChicagoIL60623510217097HealthcareIL501(c)(3)Line 3Saint Anthony Health Ministries0
Saint Anthony Health Ministries
2875 West 19th StreetChicagoIL60623363903595ManagementIL501(c)(3)Line 12b, II0N/A
Saint Anthony Health Affiliates
2875 West 19th StreetChicagoIL60623364340137HealthcareIL501(c)(3)Line 10Saint Anthony Hospital0
Chicago Southwest Development Corporation
2875 West 19th StreetChicagoIL60623461575093Community DevelopmentIL501(c)(3)Line 12a, IChicago Southwest Community Organization0
Chicago Southwest Community Organization
2875 West 19th StreetChicagoIL60623461578466Community DevelopmentIL501(c)(3)Line 70N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SAH Anesthesia Group LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12875 West 19th StreetAddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP60623ZIPCd
FieldValueIRS element (for citing)
EIN474991463EIN
Primary ActivitiesHealthcarePrimaryActivitiesTxt
Legal Domicile StateILLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeSEntityTypeTxt
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd