Saint Anthony's Health Center: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- Saint Anthony's Health Center (EIN 37-0661234)
- Tax period
- 2014-01-01 to 2014-10-31
- Filed
- 2015-09-14
- IRS object ID
- 201532579349300048
- Schema version
- 2014v5.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-09-14T12:13:26-05:00 | ReturnTs |
| Tax Period End | 2014-10-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 211 N BROADWAY SUITE 600 | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 631022733 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 370661234 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Saint Anthony's Health Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % MICHAEL L NELSON | InCareOfNm |
| Business Name Control | SAIN | BusinessNameControlTxt |
| Phone | 6184652571 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE SAINT ANTHONYS WAY PO BOX 3 | AddressLine1Txt |
| Address Line2 | Suite | AddressLine2Txt |
| City | ALTON | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 620020340 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | AJAY PATHAK | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 6184652571 | PhoneNum |
| Signature | 2015-09-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Donna J Larson | PreparerPersonNm |
| PTIN | P00043751 | PTIN |
| Phone | 3142315544 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-04-25 22:37:26Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Final Return | Yes (X) | FinalReturnInd |
| Principal Officer | AJAY PATHAK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | SAINT ANTHONYS WAY PO BOX 340 | AddressLine1Txt |
| City | ALTON | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62002 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $61,118,504 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTPS://WWW.OSFHEALTHCARE.ORG/SAINT-ANTHONYS/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1925 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 21 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 781 | TotalEmployeeCnt |
| Total Volunteers | 94 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $669,404 | PYContributionsGrantsAmt |
| CY Contributions Grants | $369,515 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $79,337,812 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $59,739,657 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,932,133 | PYInvestmentIncomeAmt |
| CY Investment Income | $352,483 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,385,964 | PYOtherRevenueAmt |
| CY Other Revenue | $642,283 | CYOtherRevenueAmt |
| PY Total Revenue | $83,325,313 | PYTotalRevenueAmt |
| CY Total Revenue | $61,103,938 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $6,200 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $13,024 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $34,416,015 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $27,893,867 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $43,099,707 | PYOtherExpensesAmt |
| CY Other Expenses | $38,105,598 | CYOtherExpensesAmt |
| PY Total Expenses | $77,521,922 | PYTotalExpensesAmt |
| CY Total Expenses | $66,012,489 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,803,391 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$4,908,551 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $53,676,571 | TotalAssetsBOYAmt |
| Total Assets EOY | $0 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $40,326,770 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $13,349,801 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $0 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SPONSORED BY THE SISTERS OF ST. FRANCIS OF THE MARTYR ST. GEORGE, SAINT ANTHONY'S HEALTH CENTER IS A TWO-CAMPUS SYSTEM WITH A MISSION OF MAKING CHRIST'S MERCIFUL LOVE VISIBLE BY PROVIDING QUALITY HEALTH CARE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $26,442,863 | ExpenseAmt |
| Grant | $13,024 | GrantAmt |
| Revenue | $29,630,393 | RevenueAmt |
| Desc | INPATIENT SERVICES: SAINT ANTHONY'S HEALTH CENTER IS A TWO-CAMPUS, 203-BED ACUTE CARE FACILITY LOCATED IN ALTON, ILLINOIS. COMPRISED OF THE SAINT ANTHONY'S HEALTH CENTER CAMPUS AND SAINT CLARE'S HOSPITAL, THE ORGANIZATION OFFERS THE LATEST IN TECHNOLOGY AND STATE-OF-THE-ART MEDICINE ADMINISTERED WITH COMPASSION AND SKILL. INPATIENT SERVICES BASED AT THE SAINT ANTHONY'S CAMPUS INCLUDE MEDICAL, SURGICAL, AND OBSTETRICS. WE PROVIDE ADDITIONAL SERVICES TO OUR INPATIENTS INCLUDING: PAIN MANAGEMENT, SURGICAL SERVICES, GASTROENTEROLOGY, LABORATORY SERVICES, CARDIOLOGY, STRESS LAB, DIAGNOSTIC RADIOLOGY SERVICES, CARDIOVASCULAR SERVICES, RADIATION THERAPY, ONCOLOGY SERVICES, PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND SPEECH THERAPY. INPATIENT SERVICES AT SAINT CLARE'S HOSPITAL INCLUDE REHABILITATION SERVICES AND A SKILLED NURSING FACILITY. SAINT ANTHONY'S HEALTH CENTER PROVIDES PRIVATE ROOMS TO THEIR INPATIENTS. DURING 2014, SAINT ANTHONY'S HEALTH CENTER HAD 3,058 ADMISSIONS, 17,423 PATIENT DAYS, 242 BIRTHS, AND 492 SURGERIES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $20,531,067 | ExpenseAmt |
| Revenue | $21,806,389 | RevenueAmt |
| Desc | OUTPATIENT SERVICES: SAINT ANTHONY'S HEALTH CENTER IS A TWO-CAMPUS, 203-BED ACUTE CARE FACILITY LOCATED IN ALTON, ILLINOIS. COMPRISED OF THE SAINT ANTHONY'S HEALTH CENTER CAMPUS AND SAINT CLARE'S HOSPITAL, THE ORGANIZATION OFFERS THE LATEST IN TECHNOLOGY AND STATE-OF-THE-ART MEDICINE ADMINISTERED WITH COMPASSION AND SKILL. OUTPATIENT SERVICES INCLUDE: CENTER FOR WOUND HEALING AND HYPERBARIC MEDICINE, SURGICAL SERVICES, DIABETES SERVICES, HOME-HEALTH SERVICES, CANCER CENTER OF EXCELLENCE, RADIATION ONCOLOGY, CHEMOTHERAPY, ADULT DAY SERVICES PSYCHOLOGICAL SERVICES, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, GASTROENTEROLOGY, PAIN MANAGEMENT, CARDIOVASCULAR LAB, DIAGNOSTIC RADIOLOGY, SLEEP STUDIES AND RESPIRATORY CARE SERVICES. DURING 2014, WE PERFORMED 1,439 OUTPATIENT SURGERIES, 98,558 OUTPATIENT REGISTRATIONS, AND 15,869 HOME HEALTH VISITS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,715,788 | ExpenseAmt |
| Revenue | $8,302,875 | RevenueAmt |
| Desc | EMERGENCY SERVICES: SERVING THE COMMUNITY WITH ADVANCED TECHNOLOGY AND COMPASSIONATE CARE LOCATED ON THE CAMPUS OF SAINT ANTHONY'S HOSPITAL, OUR EMERGENCY DEPARTMENT USES THE LATEST TECHNOLOGY TO EVALUATE MINOR TO MORE SERIOUS, LIFE-THREATENING EMERGENCY NEEDS, WITH 24-HOUR AVAILABILITY OF OPERATING ROOMS, EQUIPMENT, DIAGNOSTIC SERVICES AND STAFFING. SAINT ANTHONY'S EMERGENCY DEPARTMENT USES A MULTI-LEVEL TRIAGE SYSTEM TO PRIORITIZE TRUE EMERGENCIES TO ENSURE IMMEDIATE CARE, FOR ENHANCED PATIENT FLOW, AND SHORTER PATIENT WAIT TIMES. WE OFFER QUALITY PATIENT CARE, BOARD CERTIFIED EMERGENCY ROOM PHYSICIANS, PHYSICIAN'S ASSISTANTS, NURSES, NURSE PRACTITIONERS, AND TECHNICIANS. SAINT ANTHONY'S IS ALSO A DESIGNATED EMERGENCY FACILITY APPROVED FOR PEDIATRICS BY THE STATE OF ILLINOIS PROVIDING SPECIALIZED EMERGENCY CARE FOR CHILDREN - DAY OR NIGHT. SAINT ANTHONY'S HEALTH CENTER IS DESIGNATED AS A PRIMARY STROKE CENTER AND BECAME THE FIRST HOSPITAL IN ILLINOIS TO OFFER TELEMEDICINE FOR NEUROLOGIC EMERGENCIES. DURING 2014, WE HAD 19,712 VISITS TO OUR EMERGENCY ROOM. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $53,689,718 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | Yes (true) | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | Yes (true) | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 78 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 781 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 21 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL L NELSON | PersonNm |
| Phone | 6184635616 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 815 EAST FIFTH STREET SUITE 401 | AddressLine1Txt |
| City | ALTON | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62002 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| BEISER REPRESENTATIVE DANIEL | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| BELONGEA SR M ANSELMA | ||||||||
| CHIEF OPERATING OFFICER | 40.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||
| BLAIR DR EDWARD | ||||||||
| DIRECTOR | 1.0 | 40.0 | Yes (X) | $1,500 | $200,428 | $11,066 | ||
| CHAPMAN DALE | ||||||||
| DIRECTOR | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| COURY MOTHER M REGINA PACIS | ||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||
| CROWDER SR M CHRISTINE | ||||||||
| DIRECTOR | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| FLANAGAN SR M ISIDORIS | ||||||||
| DIRECTOR | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| HAWLEY SR M KATERI | ||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||
| HUDSON DR JAMES | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| KRATSCHMER MARK | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| LABBE SR M AGNES | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| MAHER SR M ANASTASIA | ||||||||
| SEC/DIR OF ST CLARE'S VILLA | 40.0 | 3.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MEIDL SR M MIKELA | ||||||||
| PRESIDENT & CEO | 40.0 | 3.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MORRISON SR M ALEXANDRA | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| NELSON ELIZABETH | ||||||||
| DIRECTOR | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| NORTON DONALD | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| PIEPHOFF DR JAMES | ||||||||
| DIRECTOR | 1.0 | 40.0 | Yes (X) | $9,900 | $567,912 | $13,195 | ||
| SHEPPARD JOAN | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| SPELLS DR KENNETH | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| WERTS DWIGHT | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| ZENKER DR STEVEN | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| KUIPER EVERT | ||||||||
| PRESIDENT & CEO | 40.0 | 3.0 | Yes (X) | $210,533 | $0 | $34,256 | Yes (X) | |
| NELSON MICHAEL | ||||||||
| EVP/CFO | 40.0 | 1.0 | $250,007 | $0 | $166,865 | Yes (X) | ||
| FISCHER PATRICIA | ||||||||
| VP OF PHYSICIAN SERVICES | 13.0 | 27.0 | $130,302 | $0 | $73,036 | Yes (X) | ||
| SCHUETTE DIANE | ||||||||
| AVP, MARKETING & DEVELOPMENT | 30.0 | 10.0 | $100,636 | $0 | $56,545 | Yes (X) | ||
| PEIPERT JOHN | ||||||||
| DIRECTOR OF EMERGENCY SERVICES | 40.0 | 0.0 | $112,552 | $0 | $8,737 | Yes (X) | ||
| WENDLE MARY | ||||||||
| PHARMACY DIRECTOR | 40.0 | 0.0 | $104,226 | $0 | $121,103 | Yes (X) | ||
| BOETTGER DENISE | ||||||||
| AVP, PCS OPERATIONS | 40.0 | 0.0 | $111,771 | $0 | $79,877 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,031,427 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $768,340 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $564,680 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 11 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CROTHALL HEALTHCARE INC | |||||
| 13028 COLLECTION CENTER DR | CHICAGO | IL | 60693 | EVS/ENG/BIOMED SRVS | $3,018,092 |
| CONIFER HEALTH SOLUTIONS | |||||
| 1500 SOUTH DOUGLASS ROAD | ANAHEIM | CA | 92806 | BILLING SERVICES | $1,206,738 |
| SISTERS OF ST FRANCIS OF THE MARTYR | |||||
| 1 FRANCISCAN WAY | ALTON | IL | 62002 | ADMIN/NURSING SRVS | $1,086,145 |
| THOMPSON COBURN | |||||
| 721 LOCUST ST | ST LOUIS | MO | 63101 | LEGAL SERVICES | $674,067 |
| LEGATUS EMERGENCY SERVICES S IL | |||||
| PO BOX 790126 DEPT 30535 | ST LOUIS | MO | 63179 | EMERGENCY SERVICES | $520,594 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 21 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $158,951 | RelatedOrganizationsAmt |
| Government Grants | $159,561 | GovernmentGrantsAmt |
| All Other Contributions | $51,003 | AllOtherContributionsAmt |
| Total Contributions | $369,515 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 621110 | $58,892,748 | $58,892,748 |
| EHR INCENTIVE PAYMENT | 621110 | $846,909 | $846,909 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $59,739,657 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $165,431 | TotalRevenueColumnAmt |
| Exclusion | $165,431 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $193,034 | SecuritiesAmt |
| Other | $8,584 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $14,566 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $193,034 | SecuritiesAmt |
| Other | -$5,982 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $187,052 | TotalRevenueColumnAmt |
| Exclusion | $187,052 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA SALES | 722514 | $346,498 | $346,498 |
| MANAGEMENT FEE | 561000 | $208,330 | $208,330 |
| PHARM SALES - EMPLOYEE | 446110 | $2,420 | $2,420 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $85,035 | TotalRevenueColumnAmt |
| Exclusion | $85,035 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $642,283 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $61,103,938 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $59,739,657 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $994,766 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,024 | TotalAmt |
| Program Services | $13,024 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $673,060 | TotalAmt |
| Management And General | $673,060 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,738 | TotalAmt |
| Program Services | $56,738 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,850,033 | TotalAmt |
| Program Services | $19,885,992 | ProgramServicesAmt |
| Management And General | $2,964,041 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $578,244 | TotalAmt |
| Program Services | $503,236 | ProgramServicesAmt |
| Management And General | $75,008 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,037,395 | TotalAmt |
| Program Services | $1,773,110 | ProgramServicesAmt |
| Management And General | $264,285 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,698,397 | TotalAmt |
| Program Services | $1,435,794 | ProgramServicesAmt |
| Management And General | $262,603 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,804 | TotalAmt |
| Management And General | $94,804 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,084,494 | TotalAmt |
| Management And General | $1,084,494 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,078 | TotalAmt |
| Management And General | $115,078 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,401,369 | TotalAmt |
| Program Services | $6,502,694 | ProgramServicesAmt |
| Management And General | $1,898,675 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $660,097 | TotalAmt |
| Management And General | $660,097 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,273,675 | TotalAmt |
| Program Services | $12,922,683 | ProgramServicesAmt |
| Management And General | $350,992 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,512,878 | TotalAmt |
| Program Services | $222,316 | ProgramServicesAmt |
| Management And General | $1,290,562 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,360,648 | TotalAmt |
| Program Services | $1,330,648 | ProgramServicesAmt |
| Management And General | $30,000 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,452 | TotalAmt |
| Program Services | $108,504 | ProgramServicesAmt |
| Management And General | $13,948 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,574 | TotalAmt |
| Program Services | $764 | ProgramServicesAmt |
| Management And General | $23,810 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $380,902 | TotalAmt |
| Program Services | $380,902 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,205,294 | TotalAmt |
| Program Services | $2,675,565 | ProgramServicesAmt |
| Management And General | $529,729 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,311,436 | TotalAmt |
| Management And General | $1,311,436 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DPA PROVIDER TAX | $3,558,119 | $3,558,119 | |
| BAD DEBT EXPENSE | $1,670,839 | $1,670,839 | |
| DUES & SUBSCRIPTIONS | $392,030 | $71,928 | $320,102 |
| PROPERTY TAXES | $107,781 | $107,781 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $829,128 | TotalAmt |
| Program Services | $469,081 | ProgramServicesAmt |
| Management And General | $360,047 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,012,489 | TotalAmt |
| Program Services | $53,689,718 | ProgramServicesAmt |
| Management And General | $12,322,771 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,378 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,163,075 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,709,428 | BOYAmt |
| EOY | $0 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,499,969 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,802,080 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $417,002 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $0 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,912,698 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,138,973 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,492,197 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $537,771 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,676,571 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,685,935 | BOYAmt |
| EOY | $0 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,222,379 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,122,459 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,295,997 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,326,770 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,023,592 | BOYAmt |
| EOY | $0 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,326,209 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,349,801 | BOYAmt |
| EOY | $0 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,676,571 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$4,908,551 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$54,531 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$8,386,719 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | Yes (true) | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (true) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $35,762 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $384 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $36,146 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINES 1F & 1G | FormAndLineReferenceDesc |
| Explanation | THE AMOUNT REPORTED FOR LOBBYING EXPENSES ON LINE 1F IS ATTRIBUTABLE TO A PORTION OF MEMBERSHIP DUES PAID TO ORGANIZATIONS FOR LOBBYING EXPENSES. THE AMOUNT REPORTED ON LINE 1G IS ATTRIBUTABLE TO DIRECT MEETINGS WITH SENATORS AND CONGRESSMEN IN THEIR OFFICES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,326,209 | BeginningYearBalanceAmt |
| Contributions | $369,515 | ContributionsAmt |
| Investment Earnings Or Losses | $8,657 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $407,839 | OtherExpendituresAmt |
| End Year Balance | $1,296,542 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,312,169 | BeginningYearBalanceAmt |
| Contributions | $669,404 | ContributionsAmt |
| Investment Earnings Or Losses | $79,037 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $734,401 | OtherExpendituresAmt |
| End Year Balance | $1,326,209 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,735,465 | BeginningYearBalanceAmt |
| Contributions | $3,199,311 | ContributionsAmt |
| Investment Earnings Or Losses | $96,972 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $4,719,579 | OtherExpendituresAmt |
| End Year Balance | $1,312,169 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,899,164 | BeginningYearBalanceAmt |
| Contributions | $1,290,200 | ContributionsAmt |
| Investment Earnings Or Losses | -$9,337 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $1,444,562 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $2,735,465 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,679,513 | BeginningYearBalanceAmt |
| Contributions | $291,592 | ContributionsAmt |
| Investment Earnings Or Losses | $45,651 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $117,592 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $2,899,164 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.98000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.02000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (true) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
| Land | LandGrp | |
| Buildings | BuildingsGrp | |
| Leasehold Improvements | LeaseholdImprovementsGrp | |
| Equipment | EquipmentGrp | |
| Other Land Buildings | OtherLandBuildingsGrp | |
| Total Rev Etc Audited Fincl Stmt | $59,327,896 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$54,531 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $375,420 | OtherRevenueAmt |
| Revenue Not Reported | $320,889 | RevenueNotReportedAmt |
| Revenue Subtotal | $59,007,007 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $103,562 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $1,993,369 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $2,096,931 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $61,103,938 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $64,252,654 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $14,566 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $14,566 | ExpensesNotReportedAmt |
| Expenses Subtotal | $64,238,088 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $103,562 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $1,670,839 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,774,401 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $66,012,489 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART V, LINE 4 | THESE FUNDS ARE TO BE USED FOR FUTURE CAPITAL IMPROVEMENTS AND OPERATING EXPENSES. |
| SCHEDULE D, PART X, LINE 2 | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| SCHEDULE D, PART XI, LINE 2D | LOSS FROM SALE OF ASSETS 14,566 NET ASSETS RELEASED FROM RESTRICTION 360,854 -------- 375,420 |
| SCHEDULE D, PART XI, LINE 4B | RESTRICTED CONTRIBUTION REVENUE 322,530 BAD DEBT EXPENSE 1,670,839 ---------- 1,993,369 |
| SCHEDULE D, PART XII, LINE 2D | LOSS FROM SALE OF ASSETS 14,566 |
| SCHEDULE D, PART XII, LINE 4B | BAD DEBT EXPENSE 1,670,839 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | false | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,810,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,810,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02800 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,324,417 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,011,439 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,312,978 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03600 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,134,417 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,011,439 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,122,978 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06400 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 13753 | PersonsServedCnt |
| Total Community Benefit Expns | $368,812 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,183 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $356,629 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00600 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 250 | PersonsServedCnt |
| Total Community Benefit Expns | $312,818 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $312,818 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00500 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2568 | PersonsServedCnt |
| Total Community Benefit Expns | $3,463,984 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,244,913 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,219,071 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01900 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $67,288 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $67,288 | NetCommunityBenefitExpnsAmt |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 16571 | PersonsServedCnt |
| Total Community Benefit Expns | $4,212,902 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,257,096 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,955,806 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03000 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 16571 | PersonsServedCnt |
| Total Community Benefit Expns | $20,347,319 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,268,535 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,078,784 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09400 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $311,444 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $6,229 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $32,533,102 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $23,600,577 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $8,932,525 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | OtherOtherDesc |
|---|---|---|---|---|---|---|---|---|---|---|
| SAINT ANTHONY'S HEALTH CENTER | ||||||||||
| 1 | ONE SAINT ANTHONYS WAY | ALTON | IL | 62002 | WWW.OSFHEALTHCARE.ORG/SAINT-ANTHONYS/ | 2287 | Yes (X) | Yes (X) | Yes (X) | |
| SAINT CLARE'S HOSPITAL | ||||||||||
| 2 | 915 EAST 5TH STREET | ALTON | IL | 62002 | WWW.OSFHEALTHCARE.ORG/SAINT-ANTHONYS/ | 4218 | Yes (X) | ACUTE INPATIENT PHYSICAL REHABILITATION | ||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Information GapsInformationGapsInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Strategy AttachedStrategyAttachedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Residency CriteriaResidencyCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd | FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Other Method UsedOtherMethodUsedInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SAINT ANTHONY'S HEALTH CENTER | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (true) | Yes (true) | false | Yes (true) | Yes (X) | SEE PART V, SECTION C | Yes (X) | Yes (true) | 13 | Yes (true) | SEE PART V, SECTION C | false | false | Yes (true) | Yes (X) | 200. | 600. | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | X | Yes (X) | X | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false |
| SAINT CLARE'S HOSPITAL | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (true) | Yes (true) | false | Yes (true) | Yes (X) | SEE PART V, SECTION C | Yes (X) | Yes (true) | 13 | Yes (true) | SEE PART V, SECTION C | false | false | Yes (true) | Yes (X) | 200. | 600. | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | X | Yes (X) | X | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 | FACILITY 1 & 2 KEY STAKEHOLDERS WHO WOULD HAVE SPECIFIC INSIGHTS INTO THE HEALTHCARE NEEDS OF THE AREA WERE INVITED TO PARTICIPATE IN THE CHNA, REPRESENTING ETHNIC AND PATIENT-TYPE GROUPS. |
| SCHEDULE H, PART V, SECTION B, LINE 6A | FACILITY 1 & 2 THE CHNA WAS CONDUCTED BY SAINT ANTHONY'S HEALTH CENTER, SAINT CLARE'S HOSPITAL AND ALTON MEMORIAL HOSPITAL. |
| SCHEDULE H, PART V, SECTION B, LINES 7A & 10A | FACILITY 1 WWW.OSFHEALTHCARE.ORG/SAINT-ANTHONYS/ABOUT/COMMUNITY-HEALTH/ HTTP://WWW.SAHC.ORG/UPLOADEDFILES/COMMUNITYHEALTHNEEDSASSESSMENT-SAHC.PDFT THE IMPLEMENTATION STRATEGY HAS BEEN INCLUDED WITH THE CHNA. FACILITY 2 SAME AS ABOVE HTTP://WWW.SAHC.ORG/UPLOADEDFILES/COMMUNITYHEALTHNEEDSASSESSMENT-SCH.PDF THE IMPLEMENTATION STRATEGY HAS BEEN INCLUDED WITH THE CHNA. |
| SCHEDULE H, PART V, SECTION B, LINE 11 | FACILITY 1 & 2 DENTAL CARE WAS NOT ADDRESSED AS OUR CARE MANAGEMENT TEAM REFERS PATIENTS NEEDING DENTAL CARE TO THE SIU SCHOOL OF DENTAL MEDICINE AND AREA DENTISTS. THE DENTAL SCHOOL IS A MEDICAID PROVIDER. REPRODUCTIVE HEALTH - FOR PERSONAL HEALTH ISSUES, MADISON COUNTY HEALTH DEPARTMENT OFFERS CLINICS FOR SEXUALLY TRANSMITTED DISEASES. |
| SCHEDULE H, PART V, SECTION B, LINE 16B | FACILITY 1 & 2 WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/ |
| SCHEDULE H, PART V, SECTION B, LINE 16C | FACILITY 1 & 2 WWW.OSFHEALTHCARE.ORG/BILLING/FINANCIAL-ASSISTANCE/ |
| SCHEDULE H, PART V, SECTION B, LINE 16I | FACILITY 1 & 2 THE ACTUAL POLICY IS NOT PROVIDED TO THE PUBLIC BUT A SUMMARY IS AVAILABLE ON OUR WEBSITE. WE HAVE SIGNS IN VARIOUS LOCATIONS THROUGHOUT OUR FACILITIES INDICATING FINANCIAL ASSISTANCE IS AVAILABLE. WE HAVE ALSO INCLUDED A STATEMENT ON OUR PATIENT BILLS STATING THAT FINANCIAL ASSISTANCE IS AVAILABLE. |
| SCHEDULE H, PART V, SECTION B, LINE 22D | FACILITY 1 & 2 WE BILL EVERYONE A STANDARD CHARGE PER CMS REQUIREMENTS. ALL UNINSURED RECEIVE AT LEAST A 25% DISCOUNT OFF CHARGES. THOSE AT OR BELOW 600% OF FPG RECEIVE A DISCOUNT OF 75% TO 100%. SAINT ANTHONY'S HEALTH CENTER AND SAINT CLARE'S HOSPITAL ARE IN COMPLIANCE WITH THE STATE OF ILLINOIS LAW THAT INDIGENT AND UNINSURED WILL NOT BE EXPECTED TO PAY MORE THAN 135% OF COST. |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART III, SECTION A, LINE 2 | THE AMOUNT ON LINE 2 WAS DETERMINED USING THE COST TO CHARGE RATIO FROM WORKSHEET C OF THE MEDICARE COST REPORT AS APPLIED TO THE TOTAL BAD DEBT EXPENSE TO CALCULATE THE COST OF UNCOLLECTIBLE ACCOUNTS. WE DO NOT INCLUDE ANY BAD DEBT IN OUR COMMUNITY BENEFIT. SAINT ANTHONY'S HEALTH CENTER HAS A PRESUMPTIVE CHARITY POLICY TO DETERMINE IF PATIENTS WHO DID NOT OR COULD NOT COMPLETE CHARITY APPLICATION QUALIFIED UNDER SAINT ANTHONY'S HEALTH CENTER'S FINANCIAL ASSISTANCE PROGRAM. A TOOL THROUGH SEARCH AMERICA WAS USED TO DETERMINE ELIGIBILITY. |
| SCHEDULE H, PART III, SECTION A, LINE 3 | SAINT ANTHONY'S HEALTH CENTER HAS A PRESUMPTIVE CHARITY POLICY TO DETERMINE IF PATIENTS, WHO DID NOT COMPLETE A CHARITY APPLICATION, QUALIFIED UNDER SAHC'S FINANCIAL ASSISTANCE PROGRAM. A TOOL THROUGH SEARCH AMERICA WAS USED TO DETERMINE ELIGIBILITY. |
| SCHEDULE H, PART III, SECTION A, LINE 4 | PLEASE REFER TO PAGE 12 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. |
| SCHEDULE H, PART III, SECTION B, LINE 8 | THE COST ON LINE 6 IS FROM THE FILED 10/31/2014 MEDICARE COST REPORT. WE DO NOT INCLUDE THE COST OF MEDICARE IN OUR COMMUNITY BENEFIT REPORT. |
| SCHEDULE H, PART III, SECTION B, LINE 9B | IF THERE IS A BALANCE LEFT AFTER CHARITY CARE HAS BEEN APPLIED OR FINANCIAL ASSISTANCE APPROVED, THEN PAYMENT ARRANGEMENTS ARE MUTUALLY AGREED UPON BY BOTH THE APPLICANT AND SAINT ANTHONY'S HEALTH CENTER. |
| SCHEDULE H, PART VI, LINE 2 | SAINT ANTHONY'S HEALTH CENTER MAINTAINS ONGOING DIALOGUE WITH KEY MEMBERS OF THE COMMUNITY SUCH AS HEADS OF VARIOUS COMMUNITY ORGANIZATIONS, CHARITY ORGANIZATIONS, AND EDUCATIONAL INSTITUTIONS. THE DIALOGUE AND RELATIONSHIPS WITH THESE COMMUNITY MEMBERS ASSIST US IN UNDERSTANDING THE HEALTH NEEDS OF OUR COMMUNITY, AND HOW WE CAN BEST POSITION OURSELVES TO SUPPORT THE NEEDS OF THE COMMUNITY. WE HAVE, PERIODICALLY, COMPLETED FOCUS GROUPS WITH MEMBERS OF THE COMMUNITY TO ASCERTAIN THEIR VISION OF WHAT IS NEEDED FROM A HEALTH CARE PERSPECTIVE. WE ALSO SEEK TO UNDERSTAND THE DEMOGRAPHICS OF OUR SERVICE AREA, AS THAT OFTEN HELPS US ZERO IN ON THE PARTICULAR HEALTH NEEDS OF THE COMMUNITY. |
| SCHEDULE H, PART VI, LINE 3 | DOCUMENTATION IS PROVIDED AT THE TIME OF REGISTRATION INFORMING PATIENTS THAT THERE IS FINANCIAL ASSISTANCE AVAILABLE. THE DOCUMENTATION PROVIDES NAMES AND PHONE NUMBERS OF OUR FINANCIAL COUNSELORS. WHEN NOTIFIED BY A PATIENT, OUR FINANCIAL COUNSELORS WORK INDIVIDUALLY WITH EACH APPLICANT SCREENING THEM FOR THEIR ELIGIBILITY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. |
| SCHEDULE H, PART VI, LINE 4 | THE CITY OF ALTON, IL, LOCATED 15 MILES NORTH OF ST. LOUIS, MO, PLUS THE SURROUNDING CITIES AND TOWNSHIPS OF GODFREY, EAST ALTON, WOOD RIVER, BETHALTO, JERSEYVILLE, BRIGHTON, AND COTTAGE HILLS COMPRISE OUR PRIMARY SERVICE AREA (PSA). |
| SCHEDULE H, PART VI, LINE 5 | SAINT ANTHONY'S HEALTH CENTER MAINTAINS AN OPEN MEDICAL STAFF. WE INCLUDE NUMEROUS COMMUNITY MEMBERS ON OUR GOVERNING BOARD AND SAINT ANTHONY'S FOUNDATION BOARD. THE HOSPITAL OPERATES AT LOW PROFIT MARGINS AND AT LOW CASH LEVELS, RETURNING SURPLUSES TO ENHANCE THE MISSION OF OUR FACILITIES. |
| SCHEDULE H, PART VI, LINE 6 | SAINT ANTHONY'S HEALTH SYSTEM CONSISTS OF SAINT ANTHONY'S HEALTH CENTER AND SAINT ANTHONY'S PHYSICIAN GROUP. SAINT ANTHONY'S PHYSICIAN GROUP IS INSTRUMENTAL IN FULFILLING THE HEALTH NEEDS OF THE COMMUNITY THROUGH ITS PHYSICIAN PROVIDERS. TO MEET THE NEEDS OF OUR COMMUNITIES, SAINT ANTHONY'S PHYSICIAN GROUP HAS CONTINUED RECRUITING PHYSICIANS TO HELP SERVE THE NEEDS OF OUR PATIENTS. WHERE SAINT ANTHONY'S PHYSICIAN GROUP OFFERS THE PHYSICIAN SERVICES TO OUR POPULATION, THE HEALTH CENTER PROVIDES A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES TO FULFILL THE NEEDS IDENTIFIED BY THE PHYSICIANS. DIALOGUE WITH OUR MEDICAL STAFF IS AN IMPORTANT MEANS OF UNDERSTANDING THE NEEDS OF OUR POPULATION, AS WELL. |
| SCHEDULE H, PART VI, LINE 7 | IL |
| SCHEDULE H, PART I, LINE 7 | THE ORGANIZATION USES THE COST TO CHARGE RATIO FROM WORKSHEET C OF THEIR MEDICARE COST REPORT AS THEIR COSTING METHODOLOGY FOR THE AMOUNTS IN THE TABLE ON PART I, LINE 7. |
| SCHEDULE H, PART I, LINE 7, COLUMN F | THE ORGANIZATION HAD BAD DEBT EXPENSE IN THE AMOUNT OF $1,670,839 REPORTED ON PART IX, LINE 24 OF THE FORM 990; HOWEVER, IT HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN PART I, LINE F, COLUMN F. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BLAIR DR EDWARD | ||||||||||||||
| DIRECTOR | $1,500 | $192,126 | $0 | $35 | $0 | $8,267 | $0 | $0 | $11,066 | $1,500 | $211,494 | $0 | ||
| PIEPHOFF DR JAMES | ||||||||||||||
| DIRECTOR | $9,900 | $545,888 | $0 | $35 | $0 | $21,989 | $0 | $0 | $13,195 | $9,900 | $581,107 | $0 | ||
| KUIPER EVERT | ||||||||||||||
| PRESIDENT & CEO | $5,086 | $0 | $110,681 | $0 | $94,766 | $0 | $34,256 | $0 | $244,789 | $0 | $0 | $0 | ||
| NELSON MICHAEL | ||||||||||||||
| EVP/CFO | $204,673 | $0 | $45,004 | $0 | $330 | $0 | $155,035 | $11,830 | $0 | $416,872 | $0 | $0 | $0 | |
| FISCHER PATRICIA | ||||||||||||||
| VP OF PHYSICIAN SERVICES | $109,675 | $0 | $19,382 | $0 | $1,245 | $0 | $70,354 | $2,682 | $0 | $203,338 | $0 | $0 | $0 | |
| SCHUETTE DIANE | ||||||||||||||
| AVP, MARKETING & DEVELOPMENT | $99,925 | $0 | $0 | $0 | $711 | $0 | $54,861 | $1,684 | $0 | $157,181 | $0 | $0 | $0 | |
| WENDLE MARY | ||||||||||||||
| PHARMACY DIRECTOR | $103,370 | $0 | $0 | $0 | $856 | $0 | $111,968 | $9,135 | $0 | $225,329 | $0 | $0 | $0 | |
| BOETTGER DENISE | ||||||||||||||
| AVP, PCS OPERATIONS | $100,728 | $0 | $10,995 | $0 | $48 | $0 | $69,564 | $10,313 | $0 | $191,648 | $0 | $0 | $0 | |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 1A | EVERT KUIPER RECEIVED TAX GROSS-UP PAYMENTS IN THE AMOUNT OF $65.47, WHICH WERE INCLUDED IN HIS TAXABLE COMPENSATION. THERE WERE NO CLUB DUES IN 2014. |
| SCHEDULE J, PART I, LINE 7 | EVERT KUIPER EARNED BONUSES TOTALING $110,681 BASED ON QUALITY MEASURES, FINANCIAL METRICS, AND PATIENT SATISFACTION SCORES. MICHAEL NELSON EARNED BONUSES TOTALING $45,004.21 BASED ON QUALITY MEASURES, FINANCIAL METRICS, AND PATIENT SATISFACTION SCORES. PATRICIA FISCHER EARNED BONUSES TOTALING $19,381.96 BASED ON CEO DISCRETION AND FINANCIAL METRICS. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| ILLINOIS FINANCE AUTHORITY | |||||||
| A | 861091967 | 2004-11-30 | $4,975,000 | CONSTRUCTION & EQUIPMENT PURCHASE | false | false | false |
| ILLINOIS FINANCE AUTHORITY | |||||||
| B | 861091967 | 2010-03-18 | $10,000,000 | CONSTRUCTION & EQUIPMENT PURCHASE | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $0 | $0 | $4,975,000 | $0 | $0 | $0 | $0 | $0 | $0 | $4,975,000 | $0 | $0 | 2007 | false | false | Yes (true) | Yes (true) |
| B | $0 | $0 | $10,001,152 | $0 | $0 | $0 | $101,424 | $0 | $0 | $9,899,728 | $0 | $0 | 2012 | false | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | 0 | false | false | false | Yes (true) |
| B | false | false | false | false | 0 | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Exception To RebateExceptionToRebateInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|
| 0 | ||||||||
| A | false | false | false | false | false | 0 | false | false |
| 0 | ||||||||
| B | false | false | false | false | false | 0 | false | false |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | false |
| B | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K, PART II, LINE 3, COLUMN B | FormAndLineReferenceDesc |
| Explanation | THIS LINE INCLUDES $1,152 OF INTEREST EARNINGS IN THE ESCROW ACCOUNT. THERE WAS NO INTEREST FOR 2014. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| TERESA BEISER | |||
| SPOUSE IS DIRECTOR | $56,738 | EMPLOYEE COMPENSATION | false |
| MICHAEL NELSON | |||
| SPOUSE IS DIRECTOR | $416,872 | EMPLOYEE COMPENSATION | false |
Schedule N IRS990ScheduleN
Liquidation Of Assets Table LiquidationOfAssetsTableGrp
Liquidation Of Assets Detail LiquidationOfAssetsDetail (9 entries)
| Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDesc | DistributionDistributionDt | Fair Market Value Of AssetFairMarketValueOfAssetAmt | Method Of FMV DeterminationMethodOfFMVDeterminationTxt | EINEIN | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | IRC SectionIRCSectionTxt |
|---|---|---|---|---|---|---|---|---|---|
| OSF HEALTHCARE SYSTEM | |||||||||
| CASH AND CASH EQUIVALENTS | 2014-11-01 | $5,131,130 | BOOK VALUE | 370813229 | 800 N E GLEN OAK AVE | PEORIA | IL | 61603 | 501(C)(3) |
| OSF HEALTHCARE SYSTEM | |||||||||
| SHORT-TERM INVESTMENTS | 2014-11-01 | $4,370,508 | BOOK VALUE | 370813229 | 800 N E GLEN OAK AVE | PEORIA | IL | 61603 | 501(C)(3) |
| OSF HEALTHCARE SYSTEM | |||||||||
| PATIENT ACCOUNTS RECEIVABLE | 2014-11-01 | $10,058,106 | BOOK VALUE | 370813229 | 800 N E GLEN OAK AVE | PEORIA | IL | 61603 | 501(C)(3) |
| OSF HEALTHCARE SYSTEM | |||||||||
| SUPPLIES | 2014-11-01 | $2,109,859 | BOOK VALUE | 370813229 | 800 N E GLEN OAK AVE | PEORIA | IL | 61603 | 501(C)(3) |
| OSF HEALTHCARE SYSTEM | |||||||||
| PREPAID EXPENSE AND OTHER CURRENT ASSETS | 2014-11-01 | $1,485,421 | BOOK VALUE | 370813229 | 800 N E GLEN OAK AVE | PEORIA | IL | 61603 | 501(C)(3) |
| OSF HEALTHCARE SYSTEM | |||||||||
| PROPERTY AND EQUIPMENT | 2014-11-01 | $21,861,942 | BOOK VALUE | 370813229 | 800 N E GLEN OAK AVE | PEORIA | IL | 61603 | 501(C)(3) |
| OSF HEALTHCARE SYSTEM | |||||||||
| DUE FROM AFFILIATES | 2014-11-01 | $1,120,064 | BOOK VALUE | 370813229 | 800 N E GLEN OAK AVE | PEORIA | IL | 61603 | 501(C)(3) |
| OSF HEALTHCARE SYSTEM | |||||||||
| INVESMENT IN SAINT CLAIRE'S VILLA | 2014-11-01 | $1,492,170 | BOOK VALUE | 370813229 | 800 N E GLEN OAK AVE | PEORIA | IL | 61603 | 501(C)(3) |
| OSF HEALTHCARE SYSTEM | |||||||||
| OTHER ASSETS | 2014-11-01 | $1,872,227 | BOOK VALUE | 370813229 | 800 N E GLEN OAK AVE | PEORIA | IL | 61603 | 501(C)(3) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor | false | DirectorOfSuccessorInd |
| Employee Of Successor | Yes (true) | EmployeeOfSuccessorInd |
| Owner Of Successor | false | OwnerOfSuccessorInd |
| Receive Compensation | false | ReceiveCompensationInd |
| Assets Distributed | Yes (true) | AssetsDistributedInd |
| Required To Notify AG | Yes (true) | RequiredToNotifyAGInd |
| Attorney General Notified | Yes (true) | AttorneyGeneralNotifiedInd |
| Liabilities Paid | false | LiabilitiesPaidInd |
| Bonds Outstanding | Yes (true) | BondsOutstandingInd |
| Bond Liabilities Discharged | false | BondLiabilitiesDischargedInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE N, PART I, LINE 2E | SR. M. MIKELA MEIDL, PRESIDENT/CEO OF SAINT ANTHONY'S HEALTH SYSTEM, AS AN AGENT OF THE SISTERS OF ST. FRANCIS OF THE MARYTR ST. GEORGE, IS WORKING FOR OSF HEALTHCARE AS AN EXECUTIVE VICE PRESIDENT. COMPENSATION IS PAID DIRECTLY TO THE SISTERS OF ST. FRANCIS OF THE MARYTR ST. GEORGE ON HER BEHALF. MICHAEL NELSON, EVP/CFO, CONTINUED HIS EMPLOYMENT WITH OSF HEALTHCARE AS CFO. SR. M. ANSELMA, CHIEF OPERATING OFFICER, AS AN AGENT OF THE SISTERS OF ST. FRANCIS OF THE MARYTR ST. GEORGE, IS WORKING FOR OSF HEALTHCARE AS THE CHIEF OPERATING OFFICER. COMPENSATION IS PAID DIRECTLY TO THE SISTERS OF ST. FRANCIS OF THE MARYTR ST. GEORGE ON HER BEHALF. SR. M. ANASTASIA MAHER, SECRETARY/DIRECTOR OF SAINT CLARE'S VILLA, AS AN AGENT OF THE SISTERS OF ST. FRANCIS OF THE MARYTR ST. GEORGE, IS WORKING FOR OSF HEALTHCARE AS THE DIRECTOR OF SAINT CLARE'S VILLA. COMPENSATION IS PAID DIRECTLY TO THE SISTERS OF ST. FRANCIS OF THE MARYTR ST. GEORGE ON HER BEHALF. |
| SCHEDULE N, PART I, LINE 3 | THE NECESSARY APPROVALS WERE RECEIVED BY EVERYONE BEFORE THE MERGER WAS COMPLETE. |
| SCHEDULE N, PART I, LINE 6C | OSF HEALTHCARE PAID THE BALANCE OF THE BOND ISSUE ON NOVEMBER 1, 2014. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 1 | SPONSORED BY THE SISTERS OF ST. FRANCIS OF THE MARTYR ST. GEORGE, SAINT ANTHONYS HEALTH CENTER IS A TWO-CAMPUS SYSTEM WITH A MISSION OF MAKING CHRISTS MERCIFUL LOVE VISIBLE BY PROVIDING QUALITY HEALTH CARE |
| FORM 990, PART VI, SECTION A, LINE 2 | MICHAEL NELSON IS THE SPOUSE OF ELIZABETH NELSON. |
| FORM 990, PART VI, SECTION A, LINE 6 | SAINT ANTHONY'S HEALTH CENTER HAS ONE MEMBER, DESIGNATED AS THE CORPORATE MEMBER, WHICH SHALL BE SAINT ANTHONY'S HEALTH SYSTEM, AN ILLINOIS NOT-FOR-PROFIT CORPORATION. SAINT ANTHONY'S HEALTH SYSTEM SHALL ACT IN STEWARDSHIP CAPACITY AND ENSURE THAT ALL ACTIONS OF SAINT ANTHONY'S HEALTH CENTER ARE CONSISTENT WITH THE PURPOSES, AND ETHICAL AND RELIGIOUS PRINCIPLES IN FURTHERANCE OF THEIR CHARITABLE APOSTOLATE OF QUALITY HEALTH CARE. |
| FORM 990, PART VI, SECTION A, LINES 7A & 7B | SAINT ANTHONY'S HEALTH SYSTEM HAS THE EXCLUSIVE POWER TO APPOINT AND REMOVE THE DIRECTORS AND THE PRESIDENT/CEO, ADOPT, AMEND, RESTATE AND REPEAL THE ARTICLES OF INCORPORATION AND THE BYLAWS, ADOPT ANY PLAN OF MERGER, CONSOLIDATION, OR DISSOLUTION, ADOPT STATEMENT OF PHILOSOPHY, MISSION, AND APOSTOLATE, ESTABLISH A CORPORATE LIMIT FOR EXPENDITURES, AND APPROVE THE MISSION STATEMENT, STRATEGIC PLAN, AND ANNUAL OPERATING BUDGET. SAINT ANTHONY'S HEALTH SYSTEM MUST APPROVE PURCHASES, SALES, TRANSFERS, LEASES OR ENCUMBRANCES OF REAL PROPERTY OR OF SUBSTANTIALLY ALL OF THE PERSONAL PROPERTY, BORROWING WHICH IS IN EXCESS OF THE CORPORATE LIMIT AS DETERMINED FROM TIME TO TIME BY SAINT ANTHONY'S HEALTH SYSTEM, THE EXECUTION OF ANY DEEDS, MORTGAGES, OR BONDS, ANY TRANSACTION WHICH INVOLVES AN ALIENATION OF PROPERTY OR OTHER ACT OF EXTRAORDINARY ADMINISTRATION, AND EXTRAORDINARY MEDICAL/MORAL ISSUES AND ANY MATTER CHALLENGING THE CATHOLICITY OF SAINT ANTHONY'S HEALTH CENTER. |
| FORM 990, PART VI, SECTION B, LINE 11B | SAINT ANTHONY'S HEALTH CENTER USES AN OUTSIDE PREPARER TO PREPARE ITS FORM 990. ONCE COMPLETED, THE RETURNS ARE REVIEWED INTERNALLY BY THE PRESIDENT, CFO AND THE CONTROLLER BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | A CONFLICT OF INTEREST DISCLOSURE STATEMENT MUST BE COMPLETED ANNUALLY BY: ALL BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS, BOARD DESIGNEES, SENIOR MANAGEMENT, DIRECTORS, MANAGERS, EMPLOYED PHYSICIANS, MEMBERS OF ANY COMMITTEE THAT OVERSEES THE APPROVAL OF PHARMACEUTICAL AND MEDICAL DEVICES, AND ANY OTHER INDIVIDUAL WHO HOLDS A POSITION OF TRUST; AND NON-EMPLOYED MEMBERS OF THE MEDICAL STAFF WHO ALSO EITHER: HOLDS PAID OR UNPAID MEDICAL ADMINISTRATIVE POSITIONS OR HAVE PROCUREMENT RESPONSIBILITY OR THE AUTHORITY EFFECTIVELY TO RECOMMEND SUCH PROCUREMENT. THE STATEMENTS ARE REVIEWED ANNUALLY BY THE PRESIDENT/CEO AND THE BOARD SECRETARY. ANY MEMBER OF A BOARD INCLUDING PHYSICIANS SHALL REFRAIN FROM VOTING ON ANY POTENTIAL CONFLICTS. |
| FORM 990, PART VI, SECTION B, LINE 15A | IN 2010, HEWITT ASSOCIATES WAS ENGAGED TO PERFORM A REVIEW OF EXECUTIVE COMPENSATION, INCLUDING ALL DISQUALIFIED PERSONS. HEWITT ASSOCIATES ISSUED AN OPINION LETTER SHOWING REBUTTABLE PRESUMPTION OF REASONABLENESS OF EXECUTIVE COMPENSATION FOR SAINT ANTHONY'S. THIS ANALYSIS INVOLVED COMPARABLE DATA. SAINT ANTHONY'S CONTINUES TO USE HEWITT'S DATA BY ADJUSTING FOR AN AGING FACTOR AND LOOKING AT ANY MARKET DYNAMICS SINCE 2010 WHEN MAKING CHANGES TO EXECUTIVE COMPENSATION. THE COMPENSATION COMMITTEE OF THE HEALTH SYSTEM BOARD OVERSEES MATTERS OF EXECUTIVE COMPENSATION AND UTILIZES OUTSIDE CONSULTING SERVICES WHEN APPROPRIATE. THE PROCESS IS DOCUMENTED IN COMPENSATION COMMITTEE MEETING MINUTES. THERE HAVE BEEN NO CHANGES TO THIS PROCESS IN THE PAST YEAR. DURING 2014, COMPENSATION THAT WOULD HAVE BEEN PAID DIRECTLY TO THE CEO WAS PAID TO THE SISTERS OF ST. FRANCIS OF THE MARTYR ST. GEORGE ON HER BEHALF. |
| FORM 990, PART VI, SECTION B, LINE 15B | THE COMPENSATION COMMITTEE OF SAINT ANTHONY'S HEALTH SYSTEM, PARENT CORPORATION, RELIED ON MARKET SURVEYS AND COMPENSATION ANALYSIS COMPLETED BY HEWITT ASSOCIATES DURING 2010 TO ASSIST IN CALCULATING COMPENSATION IN 2014. THE 2010 DATA WAS ADJUSTED BY AN AGING FACTOR AND CHANGES IN THE MARKET TO CREATE THE 2014 COMPENSATION FOR SENIOR TEAM MEMBERS IN 2014. ALL OF THIS ACTIVITY IS DOCUMENTED IN THE MINUTES OF THE COMPENSATION COMMITTEE. |
| FORM 990, PART VI, SECTION C, LINE 19 | FINANCIAL INFORMATION IS PROVIDED IN ACCORDANCE WITH THE FREEDOM OF INFORMATION ACT. |
| FORM 990, PART IX, LINE 11G | CONTRACT SERVICES 3,638,885 PURCHASED SERVICES 2,079,236 PHYSICIAN FEES 1,002,080 PHYSICIAN SUPPORT SERVICES 522,932 REFERENCE LAB SERVICES 249,046 PURCHASED LAUNDRY SERVICES 246,431 OTHER FEES FOR SERVICES 662,759 ---------- 8,401,369 |
| FORM 990, PART XI, LINE 9 | CHANGE IN TEMPORARILY RESTRICTED ASSETS 8,657 FAS 158 ADJUSTMENT (11,334,247) CHANGE IN INVESTMENT IN UNCONSOLIDATED ORGANIZATIONS (27) TRANSFER TO ST. ANTHONY HEALTH SYSTEM (5,058,218) NET ASSET TRANSFER TO OSF 7,997,116 ------------ (8,386,719) |
| FORM 990, PART VI, SECTION A, LINE 4 | ARTICLES OF AMENDMENT WERE ADOPTED BY THE ORGANIZATION ON OCTOBER 31, 2014. COPY ATTACHED. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT ANTHONY'S LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 915 EAST FIFTH STREET | AddressLine1Txt |
| City | ALTON | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62002 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 371407745 | EIN |
| Primary Activities | ASSISTED LIV. | PrimaryActivitiesTxt |
| Legal Domicile State | DE | LegalDomicileStateCd |
| Total Income | $89,720 | TotalIncomeAmt |
| End Of Year Assets | $9,681 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAHC | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ST ANTHONY'S HEALTH CENTER AUXILIARY | ||||||||||
| SAINT ANTHONYS WAYPO BOX 340 | ALTON | IL | 62002 | 376048318 | SUPPORT | IL | 501(C)(3) | 11 II | NA | false |
| SAINT ANTHONY'S HEALTH SYSTEM | ||||||||||
| SAINT ANTHONYS WAYPO BOX 340 | ALTON | IL | 62002 | 371252623 | SUPPORT | IL | 501(C)(3) | 11 I | NA | false |
| SAINT ANTHONY'S FOUNDATION | ||||||||||
| SAINT ANTHONYS WAYPO BOX 340 | ALTON | IL | 62002 | 371325398 | SUPPORT | IL | 501(C)(3) | 11 II | SA HLTH SYST | false |
| ST ANTHONY'S PHYSICIAN GROUP | ||||||||||
| 915 EAST FIFTH STREET | ALTON | IL | 62002 | 371365059 | HEALTH CARE | IL | 501(C)(3) | 9 | SA HLTH SYST | false |
| SISTERS OF ST FRANCIS MARTYR ST GEORGE | ||||||||||
| 1 FRANCISCAN WAY PO BOX 9020 | ALTON | IL | 62002 | 376034163 | RELIGIOUS | IL | 501(C)(3) | 1 | NA | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT CLARE'S VILLA LTD PARTNERSHIP | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 915 E 5TH ST ALTON IL 62002 | AddressLine1Txt |
| City | ALTON | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62002 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 371397289 | EIN |
| Primary Activities | LOW INCOME HOUSIN | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST ANTHONY LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | UNRELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | -$25 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $2,800,067 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| UBI Code V | $0 | UBICodeVAmt |
| General Or Managing Partner | Yes (true) | GeneralOrManagingPartnerInd |
| Ownership | 0.00010 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |