2016-05-11T10:31:55-05:00 2015-06-30 420714325 RSM US LLP 1 S WACKER DRIVE STE 800 CHICAGO IL 60606 990 2014-07-01 237448580 Saint Anthony Hospital Foundation SAIN 7734844831 2875 West 19th Street Chicago IL 60623 Guy A Medaglia President and CEO 7734844831 2016-05-02 1 Wayne Harder P00294296 3126343400 2014 2016-08-17 19:52:53Z Guy A Medaglia 2875 West 19th Street Chicago IL 60623 897513 0 0928 X www.saintanthonyhospital.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. 5 3 0 30 0 0 1092507 807732 0 0 22777 49026 3248 -8198 1118532 848560 173498 199048 0 0 224653 359855 0 0 418774 2852921 326586 3251072 885489 -2132540 -36929 25432128 25191711 309186 105698 25122942 25086013 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 402375 198558 Saint Anthony Hospital Foundation raises funds to support Saint Anthony Hospital's community programs. The programs that are supported are the community wellness programs, Women Together Breast Screening Project, and the Workforce Development Program. The following is more information on the community wellness programs: The community wellness programs offer education, support, and linkages to isolated mothers, overwhelmed and frustrated parents, impressionable children, and disadvantaged adults through four initiatives offered free of charge in both English and Spanish:1) Healthy Beginnings/Comienzo Sanos, which provides education and support to pregnant women and families with young children, 2) School Wellness, which partners with children, their families, and their teachers to encourage healthy eating and wellness within the school community, 3) Public benefits and referral services, which links families and individuals to health insurance, food assistance, and community resources, and 4) Mental health services, which provides counseling to high-functioning, immigrant adults. 490 490 Saint Anthony Hospital Foundation awarded scholarships from the Ida Boikan Nurse Scholarship Fund to four Saint Anthony Hospital employees who are currently pursuing nursing degrees. 402865 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 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 0 0 0 1 24 0 1 0 0 0 0 0 0 1 1 0 0 0 0 X 5 3 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X Justin Bynum 7734844831 2875 West 19th Street Chicago IL 60623 Bernadette M O'Shea Executive Director 40.00 X X 0 47293 620 Guy A Medaglia President & CEO 3.00 82.00 X X 0 688803 29438 Mark Jundanian MD Secretary 1.00 X X 0 0 0 Azeem Ibrahim PhD Board Member 1.00 X 0 0 0 Peter V Fazio Jr Chair 1.00 4.00 X 0 0 0 Justin Bynum Chief Financial Officer 1.00 44.00 X 0 307451 19913 0 1043547 49971 0 0 1 0 Jones Lang LaSalle 33832 Treasury Center Dr Chicago IL 60694 Property Management 552309 RSM US LLP One S Wacker Ste 800 Chicago IL 60606 Consulting 150000 Neal & Leroy LLC 120 N LaSalle St Ste 2600 Chicago IL 60602 Legal 112363 The Alford Group 1603 Orrington Evanston IL 60201 Consulting 100882 4 171329 636403 807732 49026 49026 40755 171329 48953 -8198 -8198 848560 0 0 40828 198558 198558 490 490 334740 334740 25115 25115 6876 6876 12418 12418 47712 25034 22678 3500 3500 11798 9539 2259 3647 3647 Event Expense 108938 50019 58919 Community Outreach 103615 103615 Dues and Subscriptions 6859 6859 Bank Fees 3447 3447 17776 8463 9313 885489 402865 63850 418774 5389576 2708635 20042552 16551440 0 5931636 25432128 25191711 237315 71228 71871 34470 309186 105698 X 22479735 22121353 702179 1023632 1941028 1941028 25122942 25086013 25432128 25191711 -36929 0 X 0 1 X 1 0 X 406034 1431110 1097191 1092507 807732 4834574 406034 1431110 1097191 1092507 807732 4834574 4834574 29204 37978 41239 22777 49026 180224 5014798 214150 0.96410 0.93300 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1941028 1941028 1941028 3881 3881 1941028 1941028 1941028 1941028 1941028 1941028 5407 5407 1941028 1.00000 0 0 0 Due to Saint Anthony Hospital 34470 34470 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) files a Form 990 (Return of Organization Exempt from Income Tax) 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 990-T, 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 is 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 2011 and prior. Golf Outing 212084 171329 40755 4200 4193 26439 14121 212084 171329 40755 4200 4193 26439 14121 48953 -8198 1 Saint Anthony Hospital 2875 West 19th Street Chicago IL 60623 510217097 501(C)(3) 198558 To support the operations of the hospital 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 1 0 0 0 0 0 0 0 Guy A Medaglia President & CEO 0 492448 0 25000 0 171355 0 13493 0 15945 0 718241 0 0 Justin Bynum Chief Financial Officer 0 297598 0 0 0 9853 0 6318 0 13595 0 327364 0 0 Part I, Line 4b Guy A. Medaglia participates in a supplemental executive retirement plan (SERP). During FY 2015, Saint Anthony Hospital, a related organization, contributed $104,271 to this plan and it was taxable in the year contributed. Schedule J, Part 1, Line 3 Compensation of the organization's CEO is set by Saint Anthony Hospital (SAH), a related entity. All annual salary increases for the top management official 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 vice presidents and above 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 The sole corporate member of Saint Anthony Hospital Foundation is Saint Anthony Hospital. The sole member of Saint Anthony Hospital is Saint Anthony Health Ministries. Saint Anthony Health Ministries has the right to appoint or remove members of the governing body. Form 990, Part VI, Section A, line 7b The sole corporate member of Saint Anthony Hospital Foundation is Saint Anthony Hospital. The sole member of Saint Anthony Hospital is Saint Anthony Health Ministries. Saint Anthony Hospital Ministries has the right to approve or ratify significant decisions made by the governing body. Such rights include: 1) Approving the mission and vision statements of the organization, 2) Approving changes to the governing documents, 3) Appointment or removal of members of the governing board, 4) Approving or recommending 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, 5) Approving the operating budget and capital plan, 6) Approving the transfer or encumbrance of the assets, and 7) Approving the incurrence of debt of the organization. Form 990, Part VI, Section B, line 11 A thorough review of Form 990 is performed by mangagement. A presentation is made by the paid tax preparer and 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. 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 11b, II N/A 0 Saint Anthony Health Affiliates 2875 West 19th Street Chicago IL 60623 364340137 Healthcare IL 501(c)(3) Line 9 Saint Anthony Hospital 0 Chicago Southwest Development Corporation 2875 West 19th Street Chicago IL 60623 461575093 Community Development IL 501(c)(3) Line 11a, 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 0 1 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0