2018-05-11T14:46:39-05:00 2017-06-30 420714325 RSM US LLP 1 S Wacker Drive Ste 800 Chicago IL 60606 990 2016-07-01 237448580 Saint Anthony Hospital Foundation SAIN 7734844831 2875 West 19th Street Chicago IL 60623 Guy A Medaglia President and CEO 7734844831 2018-05-10 1 Wayne Harder P00294296 3126343400 108.171.131.187 2018-05-10 15:27:04 CD P 4B8E1423B9F197D509CCF13AB357181C17C415CB 4EC0B96C62AE7F3F798FFAAE8A06701F68EED858 2016 2021-01-29 14:40:06Z Guy A Medaglia 2875 West 19th Street Chicago IL 60623 1693607 0 X www.sahchicago.org X 1983 IL Saint 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. 4 2 0 2 0 0 936627 891131 0 0 520523 760476 -10265 -3635 1446885 1647972 225734 353258 0 0 563072 540079 0 0 399584 340944 214376 1129750 1107713 317135 540259 25508582 29500440 137934 15952 25370648 29484488 X Saint 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. 0 0 473015 353258 Saint 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. 473015 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 27 0 1 0 0 0 0 0 0 0 0 0 0 0 X 4 2 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X Michael Kittoe 7734844831 2875 West 19th Street Chicago IL 60623 Bernadette M O'Shea Executive Director 40.00 X X 0 180484 17718 Guy A Medaglia President & CEO 3.00 80.00 X X 0 558151 18242 Peter V Fazio Jr Chair 1.00 4.00 X X 0 0 0 Azeem Ibrahim PhD Board Member 1.00 X 0 0 0 Michael Kittoe Executive VP & CFO (as of 10/15/16) 1.00 44.00 X 0 29077 0 Candyce Mayer Interim CFO (until 10/14/16) 1.00 44.00 X 0 136876 12282 Justin Bynum Former CFO 0.00 X 0 119690 14284 0 1024278 62526 0 1 1 0 Jones Lang LaSalle Americas Inc 33832 Treasury Center Dr Chicago IL 60694 Property Management 287087 1 147439 743692 16405 891131 760476 760476 42000 147439 45635 -3635 -3635 1647972 0 0 756841 353258 353258 185866 185866 320684 320684 33529 33529 2627 2627 47742 2371 45371 30331 24265 6066 Community Outreach 65624 65624 Dues and Subscriptions 22407 22407 45645 27497 18148 1107713 473015 235114 399584 966748 288742 16015998 12422401 8525836 14353251 0 2436046 25508582 29500440 25796 15952 112138 0 137934 15952 X 21958331 25587992 1471289 1955468 1941028 1941028 25370648 29484488 25508582 29500440 X 540259 3573581 X 0 1 X 1 0 X 1097191 1092507 807732 936627 891131 4825188 1097191 1092507 807732 936627 891131 4825188 576079 4249109 41239 22777 49026 520523 760476 1394041 6219229 235020 0.68320 0.88880 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1941028 1941028 1941028 1941028 1941028 2778 2778 1941028 1941028 3881 3881 1941028 1941028 1941028 1.00000 0 0 0 Due from Saint Anthony Hospital 2436046 2436046 X 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. Golf Outing 189439 147439 42000 5000 2436 16950 11369 9880 189439 147439 42000 5000 2436 16950 11369 9880 45635 -3635 1 Saint Anthony Hospital 2875 W 19th Street Chicago IL 60623 510217097 501(C)(3) 353258 To support the hospital's community wellness programs 1 0 Part I, Line 2: Funds 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. 0 0 0 0 0 0 0 0 0 Bernadette M O'Shea Executive Director 0 179914 0 0 0 570 0 7456 0 10262 0 198202 0 0 Guy A Medaglia President & CEO 0 484111 0 0 0 74040 0 0 0 18242 0 576393 0 0 Justin Bynum Former CFO 0 119487 0 0 0 203 0 5053 0 9231 0 133974 0 0 Schedule J, Part 1, Line 3 Compensation 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. Form 990, Part VI, Section A, line 6 The sole corporate member of Saint Anthony Hospital Foundation is Saint Anthony Hospital. Form 990, Part VI, Section A, line 7a Voting 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 7b The 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 11b A 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 12c Annually, 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 15 The 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 19 Financial 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. Saint Anthony Hospital 2875 West 19th Street Chicago IL 60623 510217097 Healthcare IL 501(c)(3) Line 3 Saint Anthony Health Ministries 0 Saint Anthony Health Ministries 2875 West 19th Street Chicago IL 60623 363903595 Management IL 501(c)(3) Line 12b, II N/A 0 Saint Anthony Health Affiliates 2875 West 19th Street Chicago IL 60623 364340137 Healthcare IL 501(c)(3) Line 10 Saint Anthony Hospital 0 Chicago Southwest Development Corporation 2875 West 19th Street Chicago IL 60623 461575093 Community Development IL 501(c)(3) Line 12a, I Chicago Southwest Community Organization 0 Chicago Southwest Community Organization 2875 West 19th Street Chicago IL 60623 461578466 Community Development IL 501(c)(3) Line 7 N/A 0 SAH Anesthesia Group LLC 2875 West 19th Street Chicago IL 60623 474991463 Healthcare IL N/A S 1 0 1 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1