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INSURANCE TRUST OF THE ORGANIZATION, WHICH IS USED TO COVER MALPRACTICE CLAIMS. THE TOTAL AMOUNTS FOR THE CURRENT AND THREE PRIOR YEARS INCLUDE FUNDS HELD BY RELATED ORGANIZATIONS FOR THE BENEFIT OF THE HOSPITAL. THESE FUNDS ARE TO BE USED FOR FUTURE CAPITAL IMPROVEMENTS. SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS UNDER FIN 48: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT INDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true true true X true X true true false true true 1730897 1730897 0.00420 50316112 43360017 6956095 0.01690 52047009 43360017 8686992 0.02110 386009 12264 373745 0.00090 410490 410490 0.00100 1893665 1679202 214463 0.00050 35078 35078 0.00010 2725242 1691466 1033776 0.00250 54772251 45051483 9720768 0.02360 true 34766457 122868062 126020098 -3152036 X true true 1 1 ST ANTHONY'S MEDICAL CENTER 10010 KENNERLY ROAD ST LOUIS MO 63128 WWW.STANTHONYSMEDCENTER.COM 273-39 X X X ST ANTHONY'S MEDICAL CENTER 1 false false true X X X X X X X X X 15 true true false true X SEE SUPPLEMENTAL INFO X true 15 true SEE SUPPLEMENTAL INFO false true X 200. 400. X X X X X X true true X X X X true X SEE SUPPLEMENTAL INFO X SEE SUPPLEMENTAL INFO X SEE SUPPLEMENTAL INFO X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 CHNA COMMUNITY INPUT: ST. ANTHONY'S MEDICAL CENTER SOUGHT TO CONDUCT ITS NEEDS ASSESSMENT IN PART BY COLLECTING PRIMARY DATA FROM KEY COMMUNITY MEMBERS. DATA WAS COLLECTED IN THREE WAYS - A COLLABORATION OF KEY STAKEHOLDERS IN A FOCUS GROUP SETTING; A TELEPHONE SURVEY OF 500 ADULT COMMUNITY MEMBERS; AND PHYSICIAN SURVEYS. IN THE KEY STAKEHOLDER ANALYSIS, ST. ANTHONY'S MEDICAL CENTER PARTNERED WITH BARNES JEWISH WEST COUNTY HOSPITAL (BJWCH), MISSOURI BAPTIST MEDICAL CENTER (MBMC), ST. LUKE'S HOSPITAL (SLH) AND MERCY ST. LOUIS. TO FULFILL PPACA REQUIREMENTS, BJWCH, MBMC, SAMC AND MERCY ST. LOUIS HOSTED A SINGLE FOCUS GROUP WITH PUBLIC HEALTH EXPERTS AND THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN WEST AND SOUTH ST. LOUIS COUNTY. THIS DISCUSSION LASTED 90 MINUTES AND WAS FACILITATED BY A MODERATOR. THERE WAS A GENERAL CONSENSUS THAT THE PRIORITIES IDENTIFIED IN THE PREVIOUS ASSESSMENT ARE STILL THOSE AT WHICH THE HOSPITALS SHOULD FOCUS. PARTICIPANTS WERE GIVEN THE LIST OF NEEDS IDENTIFIED IN THE 2012-2013 ASSESSMENT BY EACH HOSPITAL AND ASKED TO RE-RANK THEM ON A SCALE OF 1 (LOW) TO 5 (HIGH) BASED ON THEIR PERCEIVED LEVEL OF COMMUNITY CONCERN AND THE ABILITY OF COMMUNITY ORGANIZATIONS TO COLLABORATE AROUND THEM, BEHAVIORAL/MENTAL HEALTH AND ALCOHOL/SUBSTANCE ABUSE RATED HIGHEST IN TERMS OF LEVEL OF CONCERN AND ABILITY TO COLLABORATE. ST. ANTHONY'S MEDICAL CENTER PARTNERED WITH THE PRELL ORGANIZATION TO ASSESS THE HEALTH-CARE NEEDS OF THE COMMUNITY BY CONDUCTING A TELEPHONE SURVEY WITH BOTH LANDLINE AND CELL-PHONE NUMBERS UTILIZING A RANDOM SAMPLE OF 500 ADULTS AGE 21 YEARS OR OLDER IN THE COMMUNITY. THESE INTERVIEWS WERE CONDUCTED IN JUNE 2015 AT COMMUNICATIONS FOR RESEARCH IN STEELVILLE, MO, USING A COMPUTER ASSISTED TELEPHONE INTERVIEW INTERVIEWING SYSTEM. PRELL EMPLOYED A STRATIFIED RANDOM SAMPLE THAT SET QUOTAS FOR EACH ZIP CODE TO MATCH THE OVERALL ADULT POPULATION IN THE PSA. THIS HAD THE EFFECT OF REDUCING THE SAMPLING ERROR FOR THIS SURVEY. BECAUSE PHYSICIANS PLAY A ROLE IN RECOGNIZING THE HEALTH NEEDS OF THE POPULATION, ST. ANTHONY'S MEDICAL CENTER CHOSE TO SURVEY PRIMARY CARE PHYSICIANS AND SPECIALISTS AFFILIATED WITH ST. ANTHONY'S MEDICAL CENTER. FORTY-THREE PHYSICIANS TOOK PART IN A SEVEN-QUESTION SURVEY USING AN ONLINE SURVEY TOOL. THE PHYSICIANS WERE ASKED THREE OPEN-ENDED QUESTIONS AND FOUR CLOSED QUESTIONS FOCUSED ON THE HEALTH NEEDS OF OUR POPULATION. SCHEDULE H, PART V, SECTION B, LINE 6A OTHER HOSPITALS CHNA CONDUCTED WITH: ST. ANTHONY 'S MEDICAL CENTER PARTNERED WITH BARNES JEWISH WEST COUNTY HOSPITAL (BJWCH), MISSOURI BAPTIST MEDICAL CENTER (MBMC), ST. LUKE'S HOSPITAL (SLH) AND MERCY ST. LOUIS. TO FULFILL PPACA REQUIREMENTS, BJWCH, MBMC, SAMC AND MERCY ST. LOUIS HOSTED A SINGLE FOCUS GROUP WITH PUBLIC HEALTH EXPERTS AND THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN WEST AND SOUTH ST. LOUIS COUNTY. THIS DISCUSSION LASTED 90 MINUTES AND WAS FACILITATED BY A MODERATOR. THERE WAS A GENERAL CONSENSUS THAT THE PRIORITIES IDENTIFIED IN THE PREVIOUS ASSESSMENT ARE STILL THOSE AT WHICH THE HOSPITALS SHOULD FOCUS. PARTICIPANTS WERE GIVEN THE LIST OF NEEDS IDENTIFIED IN THE 2012-2013 ASSESSMENT BY EACH HOSPITAL AND ASKED TO RE-RANK THEM ON A SCALE OF 1 (LOW) TO 5 (HIGH) BASED ON THEIR PERCEIVED LEVEL OF COMMUNITY CONCERN AND THE ABILITY OF COMMUNITY ORGANIZATIONS TO COLLABORATE AROUND THEM. SCHEDULE H, PART V, SECTION B, LINES 7A & 7D HOW CHNA WAS MADE WIDELY AVALIABLE: THE CHNA CAN BE ACCESSED ON THE HOSPITAL WEBSITE AT THE FOLLOWING ADDRESS: HTTP://WWW.STANTHONYSMEDCENTER.COM/ AT THE BOTTOM OF THE MAIN PAGE. THE IMPLEMENTATION PLAN HAS ALSO BEEN POSTED TO THE WEBSITE AND CAN BE ACCESSED AT THE FOLLOWING ADDRESS: HTTP://WWW.STANTHONYSMEDCENTER.COM/ AT THE BOTTOM OF THE MAIN PAGE. The current CHNA & implementation plan can also be found at http://www.stanthonysmedcenter.com/about-us/communitybenefit. The previous CHNA can be found at: http://stanthonysmedcenter.com/about-us/2013chna. OTHER WAYS IN WHICH THE NEEDS ASSESSMENT WAS MADE WIDELY AVAILABLE: - THE ST. ANTHONY'S MEDICAL CENTER CHNA DOCUMENT DISPLAYED CONSPICUOUSLY ON WEB SITE WITH DIRECTIONS TO DOWNLOAD - SHARED FINAL DOCUMUMENT AND NEXT STEPS WITH THE ST. ANTHONY'S MEDICAL CENTER COMMUNITY BENEFIT COUNCIL - SHARED HIGHLIGHTS AND OVERVIEW OF THE CHNA AND PROCESS WITH EMPLOYEES IN "THIS WEEK" (AN EMPLOYEE PUBLICATION) - SHARED HIGHLIGHTS AND OVERVIEW OF THE CHNA WITH A LINK TO THE WEBSITE IN A PRESS RELEASE TO THE COMMUNITY - SHARED THE CHNA ON SOCIAL MEDIA - SHARED THE CHNA WITH THE COMMUNITY BY PROVIDING FLIERS IN LOCAL LIBRARIES WITH A LINK TO THE DOCUMENT/WEBSITE - SHARED THE CHNA/IMPLEMENTATION STRATEGY AND BACKGROUND IN "YOUR HEALTH TODAY" (A QUARTERLY PUBLICATION THAT REACHES 100,000 LOCAL MEMBERS OF THE ST. ANTHONY'S MEDICAL CENTER COMMUNITY) SCHEDULE H, PART V, SECTION B, LINES 10 & 11 THE IMPLEMENTATION STRATEGY IS POSTED AT: HTTP://WWW.STANTHONYSMEDCENTER.COM/AT THE BOTTOM OF THE MAIN PAGE. THE IMPLEMENTATION STRATEGY POSTED AT: (HTTP://WWW.STANTHONYSMEDCENTER.COM/) EXPLAINS HOW THE SIGNIFICANT NEEDS ARE BEING ADDRESSED. In any case of prioritization, THERE will be some areas of needs that are identified that are not chosen as a priority. Because St. Anthony's Medical Center has limited resources, not every community need will be addressed. Throughout the CHNA process, the following needs arose as community concerns. However, they will not be addressed at this time due to the need already being addressed by another community organization or due to a limitation of resources: tobacco use in Jefferson County, violence in the community, maternal/child health, sexually transmitted infections and alcohol-impaired driving deaths. While these needs will not specifically be addressed by our priorities, they will most likely be impacted indirectly through the work in our other community outreach priorities. SCHEDULE H, PART V, SECTION B, LINE 13B INCOME LEVEL OTHER THAN FPG: REFER TO FAP SCHEDULE H, PART V, SECTION B, LINE 16A, 16B, & 16C WEBSITE FOR FAP, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY OF FAP: HTTP://WWW.STANTHONYSMEDCENTER.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 22D CHARGES FOR MEDICAL CARE: FINANCIAL ASSISTANCE DETERMINATION LEVELS ARE UPDATED ANNUALLY BASED ON FEDERAL POVERTY GUIDELINES USUALLY PUBLISHED IN JANUARY. THE MEDICARE COST-TO-CHARGE RATIO IS UPDATED ANNUALLY AFTER PREPARATION OF THE MEDICARE COST REPORT. THE FINANCIAL ASSISTANCE POLICY ALSO INCLUDES AN UNINSURED DISCOUNT FOR PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, WHICH IS REVIEWED ANNUALLY AND IS BASED ON LOW VOLUMES MANAGED CARE CONTRACT DISCOUNTS. POLICIES WILL BE UPDATED ANNUALLY AFTER RECEIPT OF THE FEDERAL POVERTY GUIDELINES AND THE CMS TENTATIVE REVIEW OF THE COST REPORT SETTLEMENT. 8 FENTON URGENT CARE 714 GRAVOIS ROAD FENTON MO 63026 URGENT CARE FACILITY ARNOLD URGENT CARE 3619 RICHARDSON ROAD ARNOLD MO 63010 URGENT CARE FACILITY LEMAY URGENT CARE 2900 LEMAY FERRY ROAD ST LOUIS MO 63125 URGENT CARE FACILITY BIG BEND URGENT CARE 10296 BIG BEND BLVD ST LOUIS MO 63122 URGENT CARE FACILITY KIRKWOOD URGENT CARE 1001 S KIRKWOOD RD ST LOUIS MO 63122 URGENT CARE FACILITY ST ANTHONY'S MEDICAL PLAZA 12700 SOUTHFORK ROAD ST LOUIS MO 63128 IMAGING, LAB, BREAST CENTER AND WOUND CARE SVCS ST ANTHONY'S SPORTS AND THERAPY SVCS 9964 KENNERLY ROAD STE D ST LOUIS MO 63128 OUTPATIENT THERAPY ORTHOPEDIC AND SPORTS REHABILITATION 12639 OLD TESSON FERRY ROAD STE 120 ST LOUIS MO 63128 OUTPATIENT THERAPY SCHEDULE H, PART III, SECTION A, LINE 2 & 4 METHODOLOGY USED TO DETERMINE BAD DEBT EXPENSE: THE AMOUNT ENTERED REPRESENTS THE BAD DEBT EXPENSE RECORDED IN THE AUDITED FINANCIAL STATEMENTS. FOOTNOTE TO AUDITED FINANCIAL STATEMENTS - BAD DEBT EXPENSE: NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS, PAGE 10 SEE NOTE 1: PATIENT ACCOUNTS RECEIVABLE. SCHEDULE H, PART III, SECTION B, LINE 8 MEDICARE SHORTFALL TREATED AS COMMUNITY BENEFIT: THE SHORTFALL IS UNCOMPENSATED MEDICARE COST WHICH SHOULD BE INCLUDED IN COMMUNITY BENEFITS SINCE MEDICALLY NECESSARY SERVICES WERE PROVIDED AND NOT REIMBURSED. COSTING METHODOLOGY USED FOR MEDICARE: THE COSTING METHODOLOGY SOURCE USED WAS THE FY 2016 MEDICARE COST REPORT. SCHEDULE H, PART III, SECTION C, LINE 9B DEBT COLLECTION POLICY: PROCEDURES ARE IN PLACE TO PROCESS ACCOUNTS FOR PATIENTS THAT QUALIFY FOR CHARITY CARE. NO COLLECTION PRACTICES TAKE PLACE FOR THOSE PATIENTS. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: ST. ANTHONY'S MEDICAL CENTER (SAMC) CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND DEVELOPED AN IMPLEMENTATION PLAN WITH STRATEGIES TO ADDRESS IDENTIFIED NEEDS. THIS PROCESS WAS UNDERTAKEN BY THE COMMUNITY OUTREACH TEAM AT SAMC, LED BY COMMUNITY OUTREACH COORDINATOR LAURA BUB, MPH. ST. ANTHONY'S SOUGHT GUIDANCE AND PARTNERSHIP FROM THE ST. LOUIS DEPARTMENT OF HEALTH AND IN COLLABORATION WITH BARNES-JEWISH WEST COUNTY HOSPITAL (BJWCH), MISSOURI BAPTIST MEDICAL CENTER (MBMC), AND ST. LUKE'S HOSPITAL (SLH). SAMC USED SURVEY DATA FROM COMMUNITY MEMBERS AND LOCAL PHYSICIANS, A KEY STAKEHOLDER ANALYSIS, AND SECONDARY DATA FROM EXISTING RESOURCES TO IDENTIFY AND PRIORITIZE HEALTH PROBLEMS AND RISK FACTORS IN THE ST. ANTHONY'S MEDICAL CENTER SERVICE AREA. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: THE MEDICAL ELIGIBILITY PROGRAM IS A HOSPITAL SERVICE PROVIDED TO PATIENTS AT NO COST. PATIENTS MAY QUALIFY FOR GOVERNMENT PROGRAMS WHICH PAY FOR ALL OR PART OF THEIR HOSPITAL AND MEDICAL EXPENSES. IF PATIENT IS UNDER 21 OR OVER 65 YEARS OLD, HAVE CHILDREN IN THE HOUSEHOLD, ARE PREGNANT, POTENTIALLY DISABLED, OR HAVE BEEN A VICTIM OF CRIME THEY MAY QUALIFY. SAMC HOSPITAL FINANCIAL COUNSELORS WILL ASSIST PATIENTS WITH THE APPLICATION PROCESS. PATIENTS ARE INFORMED ABOUT OUR FINANCIAL ASSISTANCE PROCESS IN A NUMBER OF WAYS: - FINANCIAL COUNSELORS ARE AVAILABLE TO PATIENTS DURING THEIR STAY. - DISCUSSIONS ABOUT FINANCIAL ASSISTANCE OCCUR WHEN SPEAKING TO PATIENTS ON THE PHONE ABOUT THEIR ACCOUNT BALANCES. - INFORMATION REGARDING OUR FINANCIAL ASSISTANCE POLICY IS LOCATED AT SAMC AND ON THE BILLING STATEMENTS. - ADDITIONAL INFORMATION IN REGARD TO FINANCIAL ASSISTANCE IS LISTED ON BILLING STATEMENTS OR CAN BE FOUND ON SAMC'S WEBSITE. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: THE PRIMARY COMMUNITY THAT ST. ANTHONY'S SERVES INCLUDES A GEOGRAPHIC AREA OF SOUTH ST. LOUIS COUNTY, SOUTH ST. LOUIS CITY AND JEFFERSON COUNTY IN MISSOURI AND MONROE COUNTY IN ILLINOIS. THE SERVICE AREA COULD BEST BE DESCRIBED AS A COMBINATION SUBURBAN COMMUNITY. ST. ANTHONY'S SERVES A COMBINED POPULATION OF MORE THAN 564,000 RESIDENTS WHO RESIDE WITHIN A 25-30 MINUTE DRIVE TO ST. ANTHONY'S. THE PRIMARY SERVICE AREA ACCOUNTS FOR ABOUT 80% OF THE PATIENTS SERVED. THE DEMOGRAPHIC DATA* FOR THE PRIMARY SERVICE AREA INCLUDES A POPULATION OF MORE THAN 564,000 WITH TOTAL HOUSEHOLDS OF MORE THAN 228,000. MOST OF THE RESIDENTS ARE WHITE (94%), WITH 4% BLACK RESIDENTS, AND 2% BEING OF OTHER RACE. WE ALSO SERVE A LARGE BOSNIAN POPULATION. THE APPROXIMATE OCCUPATION BREAKOUT OF THE PRIMARY SERVICE AREA IS: 62% WHITE COLLAR, 22% BLUE COLLAR AND ABOUT 16% SERVICE WORKERS. THE AVERAGE HOUSEHOLD INCOME IS ABOUT $70,000/YR. THE ELDERLY POPULATION OF AGES 65 AND OLDER IS 23%. THE HOUSEHOLDS OWNER OCCUPIED ARE 77% VERSUS 23% RENTER OCCUPIED. SINGLE PARENT HOUSEHOLDS ARE ABOUT 34%. THE PERCENTAGE OF RESIDENTS WITH INCOME LEVELS OF LESS THAN $25,000 IS 18%. *SOURCE : 2010 ESTIMATES AND 2015 PROJECTIONS: NIELSEN CLARITAS THE PRIMARY SERVICE AREA PAYOR MIX OF SELF-PAY AND MEDICAID PATIENTS AT ST. ANTHONY'S FROM FISCAL YEAR 2010, WAS 18%. DATA SHOWS THIS PERCENTAGE HAS RISEN MORE THAN 4% OVER THE LAST FIVE FISCAL YEARS. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: -ST. ANTHONY'S OPERATES AN EMERGENCY ROOM THAT ACCEPTS ALL PERSONS WHO ARE IN NEED OF MEDICAL ATTENTION REGARDLESS OF THEIR ABILITY TO PAY. -ST. ANTHONY'S HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. -ST. ANTHONY'S HAS A GOVERNING BOARD OF DIRECTORS IN WHICH INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY COMPRISE A MAJORITY. -ST. ANTHONY'S WORKS IN COOPERATION WITH LOCAL UNIVERSITIES AND HEALTH CARE ORGANIZATIONS TO ADVANCE THE SCIENCE OF MEDICINE BY PROVIDING A CLINICAL SETTING WHERE INNOVATIVE TREATMENTS AND NEW THERAPEUTIC PROTOCOLS CAN BE DEVELOPED AND STUDIED. -ST. ANTHONY'S ENGAGES IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS BY TEAMING UP WITH LOCAL COMMUNITY COLLEGES AND UNIVERSITIES TO PROVIDE A CLINICAL SETTING FOR HEALTH CARE STUDENTS. -ST. ANTHONY'S PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, TRICARE, AND OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. -ST. ANTHONY'S MEDICAL CENTER FOUNDATION SET UP $521,000 IN SCHOLARSHIP FUNDING FOR EMPLOYEES' SONS AND DAUGHTERS WHICH IS NOT INCLUDED IN THIS TAX RETURN. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: MO SCHEDULE H, PART I, LINE 7 COST METHODOLOGY: THE COSTS REPORTED IN THE TABLE IN PART I, LINE 7 USED THE COST ACCOUNTING METHODOLOGY. THIS METHODOLOGY WAS USED FOR ALL PATIENT SEGMENTS, WITH THE EXCEPTION OF PART I, LINES 7(A) AND 7(B), WHICH USED A RATIO OF PATIENT CARE COSTS TO CHARGES AS COMPUTED IN WORKSHEET 2 OF THE FORM INSTRUCTIONS. SCHEDULE H, PART I, LINE 7, COLUMN F BAD DEBT EXPENSE: THE ORGANIZATION HAD BAD DEBT EXPENSE IN THE AMOUNT OF $34,766,456 REPORTED ON PART IX, LINE 24. HOWEVER, IT HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. SCHEDULE H, PART I, LINE 7G SUBSIDIZED HEALTH SERVICES: THE SUBSIDIZED HEALTH SERVICES DO NOT INCLUDE COSTS ASSOCIATED WITH STAND-ALONE PHYSICIAN CLINICS. SCHEDULE H, PART I, LINE 3C SEE PART V, LINE 13 FOR OTHER CRITERIA USED TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. true PARENTS AS TEACHERS NATIONAL CENTER INC 2228 BALL STREET ST LOUIS MO 63146 431569124 501(C)(3) 9850 MEDICAL EDUCATION 1 SCHEDULE I, PART I, LINE 2 PROCEDURE FOR MONITORING GRANTS: THE ORGANIZATION MONITORS THE GRANT MONEY BY HAVING EACH RECIPIENT COMPLETE A MID-YEAR AND FINAL REPORT. THE FINAL REPORT INCLUDES ITEMIZED EXPENDITURES AND HOW THE PROGRAMMING FITS THE GOALS OF THE GRANT. X true true X X X X X false false false false false false false false false DAVID SINDELAR CEO AND CHAIRMAN OF THE BOARD 349261 0 0 0 0 0 18271 0 0 0 367532 0 MARY GRAHAM MEMBER 0 675012 0 126007 0 2587 0 5211 0 11263 0 820080 DAVID MORTON CSO 679996 0 50000 0 24822 0 29630 0 11263 0 795711 0 BEVERLY BOKOVITZ CNO 475708 0 50000 0 1107 0 23122 0 11263 0 561200 0 KENNETH VENUTO FORMER CFO 380595 0 25000 0 2614 0 5079 0 11263 0 424551 0 CHRISTOPHER BOWE PHYSICIAN ORGS/PRES OF SAPO BD 397762 658665 50000 48726 13340 858 30133 0 11263 0 502498 708249 GREGORY BOTTERON PHYSICIAN 827674 0 64539 0 20267 0 5175 0 7950 0 925605 0 RAJIV HANDA PHYSICIAN 824010 0 64539 0 18391 0 30410 0 11263 0 948613 0 MICHAEL SHAPIRO PHYSICIAN 821510 0 64539 0 20263 0 30410 0 11263 0 947985 0 MICHAEL GOLDMEIER PHYSICIAN 820610 0 64539 0 20263 0 30410 0 11263 0 947085 0 JAMES PERSCHBACHER PHYSICIAN 823222 0 64539 0 17175 0 30410 0 11263 0 946609 0 CAROL ELLIS VP NURSING 222448 0 0 0 406 0 13665 0 10514 0 247033 0 JAMES WELDON CIO 270624 0 25000 0 398 0 839 0 7950 0 304811 0 LAURA FRAME VP GENERAL COUNCIL 198972 0 0 0 423 0 11029 0 8468 0 218892 0 JIMMIE TUNE FORMER VP QUALITY 196491 0 0 0 688 0 6346 0 1502 0 205027 0 ERIC APPELGREN VP CLINICAL SERVICES 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE J, PART I, LINE 1A SOCIAL CLUB DUES WERE PROVIDED FOR CHRISTOPHER BOWE AND DAVID MORTON. THE BENEFIT WAS TREATED AS TAXABLE COMPENSATION. FORM 990, PART VII, SECTION A, LINE 5 ERIC APPELGREN IS COMPENSATED BY AN UNRELATED ENTITY, SC ANESTHESIA GROUP, FOR SERVICES HE PROVIDES TO SAMC. SAMC PROVIDED COMPENSATION TO SC ANESTHESIA GROUP IN THE AMOUNT OF $402,700. A HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF MO 431178966 2015-10-28 189439910 SEE PART VI false false false A 1220000 0 189439910 0 0 0 1617349 0 0 10562350 172815247 4444964 true false false true A false false true true true true 0 false false false true A false true true true PNC BANK NA 27.26 false false false 0 false true A true SCHEDULE K, PART I, LINE A, COLUMN A HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF THE STATE OF MISSOURI SCHEDULE K, PART I, LINE A, COLUMN C THE LATEST MATURITY IS WITH RESPECT TO A PORTION OF THE BONDS THAT IS A PRIVATE PLACEMENT AND HAS NO CORRESPONDING CUSIP. THE LATEST MATURITY OF THE PUBLICLY OFFERED PORTION OF THE BONDS THAT HAS A CORRESPONDING CUSIP IS FOR THE 02/01/2045 MATURITY. THE CUSIP NUMBER IS 60637AJY9. SCHEDULE K, PART I, LINE A, COLUMN F THE BONDS WERE ISSUED TO PROVIDES FUNDS TO: (1) CURRENTLY REFUND THE SERIES 2013BD BONDS, (2) REISSUE THE SERIES 2013AC BONDS, (3) PAY COSTS ASSOCIATED WITH THE TERMINATION OF AN INTEREST RATE SWAP AGREEMENT, AND (4) PAY FOR THE PROJECT WHICH CONSISTS OF CERTAIN ADDITIONS AND IMPROVEMENTS TO, AND EQUIPMENT FOR, THE ST. ANTHONY'S MEDICAL CENTER CAMPUS. SCHEDULE K, PART II, LINE 13, COLUMN A THE PROJECT HAD NOT BEEN PLACED IN SERVICE AS OF ST. ANTHONY'S FISCAL YEAR END. SCHEDULE L, PART IV ALL TRANSACTIONS WITH INTERESTED PERSONS ARE BELOW THE THRESHOLD FOR REPORTING ON SCHEDULE L. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS: JOHN H BERRA JR HAS A BUSINESS RELATIONSHIP WITH STACIE HASTIE. FORM 990, PART VI, SECTION B, LINE 11B REVIEW PROCESS: RETURNS ARE PREPARED AND INITIALLY REVIEWED BY ST ANTHONY'S FINANCE STAFF AND PREPARER BKD. AFTER THESE REVIEWS ARE COMPLETED, THE RETURNS ARE THEN REVIEWED WITH THE CHIEF FINANCIAL OFFICER (CFO) BY FINANCE STAFF. ONCE THIS REVIEW OCCURS, RETURNS ARE MAILED TO BOARD / FINANCE COMMITTEE MEMBERS FOR REVIEW, QUESTIONS, AND COMMENTS DIRECTED TO THE CFO OR THEIR DESIGNEE. ONCE ALL REVIEWS HAVE TAKEN PLACE, THE RETURNS ARE FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C COMPLIANCE WITH CONFLICT OF INTEREST POLICY: TO ENSURE THAT ST. ANTHONY'S OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT ENGAGES ONLY IN TRANSACTIONS THAT ARE REASONABLE AND ARE THE RESULT OF ARM'S LENGTH BARGAINING, THE BOARD HAS ADOPTED AND ENFORCES COMPLIANCE WITH A CONFLICT OF INTEREST POLICY, WHICH REQUIRES DISCLOSURE OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST. IF THE BOARD OR COMMITTEE OR ADMINISTRATOR HAS REASONABLE CAUSE TO BELIEVE THAT AN INDIVIDUAL HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE INDIVIDUAL OF THE BASIS FOR SUCH BELIEF AND AFFORD THE INDIVIDUAL AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE OF THE INDIVIDUAL AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR COMMITTEE OR ADMINISTRATOR DETERMINES THAT THE INDIVIDUAL HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. FORM 990, PART VI, SECTION B, LINE 15A PROCESS FOR DETERMINING COMPENSATION: COMPENSATION FOR THE CEO IS BASED UPON COMPARABLE MARKET RATES FOR SIMILAR POSITIONS WITHIN THE NATION. PERIODICALLY, AN OUTSIDE COMPENSATION CONSULTANT IS HIRED TO REVIEW COMPENSATION AND COMPARE IT TO APPROPRIATE PEER GROUPS. THESE EXTERNAL REPORTS ARE PRESENTED TO THE BOARD OF DIRECTORS' COMPENSATION COMMITTEE FOR REVIEW AND APPROVAL ALONG WITH THE ANNUAL EVALUATIONS OF THE SENIOR STAFF MEMBERS. THE MOST RECENT COMPENSATION REVIEW WAS CONDUCTED IN APRIL OF 2014 AND FEBRUARY OF 2015. IN ADDITION, COMPARABLE COMPENSATION DATA OR VALUATION EXPERTS ARE CONSULTED WHEN NEW EXECUTIVES ARE ENGAGED. FORM 990, PART VI, SECTION B, LINE 15B PROCESS FOR DETERMINING COMPENSATION: COMPENSATION FOR ALL SENIOR MANAGEMENT STAFF MEMBERS IS BASED UPON COMPARABLE MARKET RATES FOR SIMILAR POSITIONS WITHIN THE NATION. PERIODICALLY, AN OUTSIDE COMPENSATION CONSULTANT IS HIRED TO REVIEW COMPENSATION AND COMPARE IT TO APPROPRIATE PEER GROUPS. THESE EXTERNAL REPORTS ARE PRESENTED TO THE BOARD OF DIRECTORS' COMPENSATION COMMITTEE FOR REVIEW AND APPROVAL ALONG WITH THE ANNUAL EVALUATIONS OF THE SENIOR STAFF MEMBERS. THE MOST RECENT COMPENSATION REVIEWS WERE CONDUCTED IN JULY OF 2014 AND FEBRUARY OF 2015. FORM 990, PART VI, SECTION C, LINE 19 PROCESS FOR MAKING DOCUMENTS AVAILABLE TO PUBLIC: THE ORGANIZATION CONSIDERS ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS TO BE PROPRIETARY. ACCORDINGLY THEY ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES: DEFINED BENEFIT PENSION PLANS (1,077,838) LOSS ON REFINANCING (349,439) LOSS ON SWAP (4,199,650) CURTAILMENT LOSS (596,735) INTEREST RATE SWAP (9,386,147) OTHER CHANGES IN FUND BALANCE 183,863 FUND BALANCE TRANSFER (416,661) SELF INSURANCE TRUST INCOME 1,548,491 DISTRIBUTION TO NONCONTROLLING INTEREST 9,114 CHANGE IN SELF INS TRUST NET ASSETS 11,115,028 ----------- TOTAL OTHER CHANGES IN NET ASSETS (3,169,974) PHYSICIANS OF SAMC LLC 10010 KENNERLY ROAD ST LOUIS MO 63128 270440956 MANAGEMENT MO 795454 160003 SAMC ST ANTHONY'S PROFESSIONAL PHARMACY LLC 10010 KENNERLY ROAD ST LOUIS MO 63128 431659671 PHARMACY MO 3343493 390689 SAMC URGENT CARE CENTERS OF SAMC LLC 10010 KENNERLY ROAD ST LOUIS MO 63128 270440900 MANAGEMENT MO 10692258 1640924 SAMC HEART SPECIALTY ASSOCIATES LLC 10010 KENNERLY ROAD ST LOUIS MO 63128 274084620 SPECIALISTS MO 16201804 1072911 SAMC SOUTH CO PET IMAGING LLC 10010 KENNERLY ROAD ST LOUIS MO 63128 431932907 INACTIVE MO 0 0 SAMC ST ANTHONY'S PULMONARY SPECIALISTS LLC 10010 KENNERLY ROAD ST LOUIS MO 63128 300787362 INACTIVE MO 0 0 SAMC 1001 KIRKWOOD ROAD LLC 10010 KENNERLY ROAD ST LOUIS MO 63128 611736257 REAL ESTATE MO 1456117 16521 SAMC ST ANTHONYS PHYSICIAN ORGANIZATION 10010 KENNERLY ROAD ST LOUIS MO 63128 431784536 HEALTH CARE MO 501(C)3 3 SAMC true ST ANTHONYS MEDICAL CENTER FOUNDATION 10010 KENNERLY ROAD ST LOUIS MO 63128 431841204 SUPPORT ORG MO 501(C)3 11A SAMC true ST ANTHONYS CHARITABLE FOUNDATION 10010 KENNERLY ROAD ST LOUIS MO 63128 261516789 FUNDRAISING MO 501(C)3 11A SAMC true ST ANTHONYS MED CTR PROF AND GEN LIAB 10010 KENNERLY ROAD ST LOUIS MO 63128 436331002 SUPPORT ORG MO 501(C)3 11C NA false PLZ SURGERY SVCS CO 12700 SOUTHFORK ROAD ST LOUIS MO 63128 204709312 INACTIVE MO SAMC RELATED 0 0 false false 0.52083 ST ANTHONYS PHYSICIAN ORG OF ILL 10010 KENNERLY ROAD ST LOUIS MO 63128 320457168 HEALTH CARE MO SAMC 0 0 false false false true false false false false false false false false true true false false false true false true ST ANTHONY'S CHARITABLE FOUNDATION C 689728 COST ST ANTHONY'S CHARITABLE FOUNDATION M 407346 COST ST ANTHONY'S PHYSICIAN ORGANIZATION Q 12200000 COST ST ANTHONY'S CHARITABLE FOUNDATION S 839372 COST