FURP.ORG / PUBLIC DATA EXPLORER

SAINT ANTHONY HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SAINT ANTHONY HOSPITAL (EIN 51-0217097)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-14
IRS object ID
201441349349304499
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-14T13:38:50-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line170 West Madison StreetAddressLine1
Address Line2Suite 700AddressLine2
CityChicagoCity
StateILState
ZIP Code606024903ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN510217097EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SAINT ANTHONY HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSAINNameControl
Phone7734844831Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12875 West 19th StreetAddressLine1
CityChicagoCity
StateILState
ZIP Code60623ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJUSTIN BYNUMName
TitleCHIEF FINANCIAL OFFICERTitle
Date Signed2013-10-08DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGeralyn HurdName
PTINP00933422PTIN
Phone3128997000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1GUY A MEDAGLIABusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12875 West 19th StreetAddressLine1
CityChicagoCity
StateILState
ZIP Code60623ZIPCode
FieldValueIRS element (for citing)
Gross Receipts103909807GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.SAINTANTHONYHOSPITAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1897YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionSAINT ANTHONY HOSPITAL LIVES OUT THE LOVING MINISTRY OF JESUS CHRIST BY OFFERING HEALTH, HEALING AND HOPE TO THE FAMILIES OF OUR COMMUNITY, REGARDLESS OF A PATIENT'S ABILITY TO PAY. THE AMOUNT OF CHARITY CARE PROVIDED DURING FISCAL YEAR 2013 $7,537,275.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees1160TotalNbrEmployees
Total Nbr Volunteers125TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3833755ContributionsGrantsPriorYear
Contributions Grants Current Year222227ContributionsGrantsCurrentYear
Program Service Revenue Prior Year99252623ProgramServiceRevenuePriorYear
Program Service Revenue CY103364998ProgramServiceRevenueCY
Investment Income Prior Year29017InvestmentIncomePriorYear
Investment Income Current Year42497InvestmentIncomeCurrentYear
Other Revenue Prior Year285119OtherRevenuePriorYear
Other Revenue Current Year280085OtherRevenueCurrentYear
Total Revenue Prior Year103400514TotalRevenuePriorYear
Total Revenue Current Year103909807TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year300000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY476417GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year54785591SalariesEtcPriorYear
Salaries Etc Current Year56231504SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year45732321OtherExpensePriorYear
Other Expenses Current Year48121251OtherExpensesCurrentYear
Total Expenses Prior Year100817912TotalExpensesPriorYear
Total Expenses Current Year104829172TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2582602RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-919365RevenuesLessExpensesCY
Total Assets BOY81330365TotalAssetsBOY
Total Assets EOY81100199TotalAssetsEOY
Total Liabilities BOY17038306TotalLiabilitiesBOY
Total Liabilities EOY18734090TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY64292059NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY62366109NetAssetsOrFundBalancesEOY
Mission DescriptionSAINT ANTHONY HOSPITAL (SAH) LIVES OUT THE LOVING MINISTRY OF JESUS CHRIST BY OFFERING HEALTH, HEALING AND HOPE TO THE FAMILIES OF OUR COMMUNITY, REGARDLESS OF A PATIENT'S ABILITY TO PAY. SAINT ANTHONY HOSPITAL IS A SUBSIDIARY CORPORATION OF SAINT ANTHONY HEALTH MINISTRIES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense83452829Expense
Revenue103623805Revenue
DescriptionSAINT ANTHONY HOSPITAL (SAH) PROVIDES MEDICAL CARE, SOCIAL SERVICES, AND COMMUNITY OUTREACH TO CHICAGO'S WEST AND SOUTHSIDE COMMUNITIES. SAH ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, WHETHER THEY CANNOT AFFORD HEALTH CARE OR ARE UNINSURED OR UNDERINSURED. SAINT ANTHONY PROVIDES OVER $13.5 MILLION IN NET COMMUNITY BENEFIT EXPENSE. FOUNDED IN 1897, SAINT ANTHONY HOSPITAL IS A 151-BED, FAITH BASED, NON-PROFIT COMMUNITY TEACHING HOSPITAL DEDICATED TO SERVING THE HEALTH NEEDS OF CHICAGO'S NEAR SOUTHWEST SIDE. SAINT ANTHONY HOSPITAL EMPLOYS APPROXIMATELY 1,000 PEOPLE IN 700 FULL-TIME EQUIVALENT POSITIONS, IN ADDITION TO A LARGE NUMBER OF DOCTORS. EVEN THE LEAST COMPENSATED EMPLOYEES EARN THE HIGHEST SUBSIDY FOR THEIR OWN HEALTH INSURANCE. FOR OVER 100 YEARS, SAINT ANTHONY HOSPITAL HAS OFFERED QUALITY AND AFFORDABLE MEDICAL SERVICES IN A CARING AND SUPPORTIVE ENVIRONMENT. OUR OPERATING ROOMS, EMERGENCY DEPARTMENT AND IMAGING CENTER OFFER MODERN TECHNOLOGY, THAT HELPS US IN PROVIDING OUR PATIENTS THE QUALITY SERVICES THEY NEED IN OUR COMMUNITIES. SAINT ANTHONY HOSPITAL USES FOUR CATEGORIES TO IDENTIFY THE RESOURCES UTILIZED FOR THE CARE OF PERSONS WHO ARE POOR AND COMMUNITY BENEFIT PROGRAMS: -TRADITIONAL CHARITY CARE INCLUDES THE COST OF SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE OF INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED. -UNPAID COST OF PUBLIC PROGRAMS REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PERSONS COVERED BY PUBLIC PROGRAMS FOR THE POOR. -COST OF OTHER PROGRAMS FOR THE POOR INCLUDES UNREIMBURSED COSTS OF PROGRAMS INTENTIONALLY DESIGNED TO SERVE THE POOR AND VULNERABLE OF THE COMMUNITY, INCLUDING SUBSTANCE ABUSERS, THE HOMELESS, VICTIMS OF CHILD ABUSE, AND PERSONS WITH ACQUIRED IMMUNE DEFICIENCY SYNDROME. -COMMUNITY BENEFIT CONSISTS OF THE UNREIMBURSED COSTS OF COMMUNITY BENEFIT PROGRAMS AND SERVICES FOR THE GENERAL COMMUNITY, NOT SOLELY FOR THE POOR, INCLUDING HEALTH PROMOTION AND EDUCATION, HEALTH CLINICS AND SCREENINGS, AND MEDICAL RESEARCH.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense121952Expense
Grants120476Grants
Revenue0Revenue
DescriptionCOMMUNITY WELLNESS MEETS THE NEEDS OF THE COMMUNITY THROUGH A COMPREHENSIVE SET OF SERVICES IN FOUR TARGET AREAS. AT ITS CORE, THE PROGRAM PROMOTES HEALTHIER PRENATAL OUTCOMES, SOUND DEVELOPMENTAL OUTCOMES FOR YOUNG CHILDREN, POSITIVE FAMILY FUNCTIONING AND, OVERALL, HEALTHIER COMMUNITIES. THE FOUR INITIATIVES OF THE COMMUNITY WELLNESS PROGRAM INCLUDE: (1) HEALTHY BEGINNINGS, A NEWLY RENAMED AND EXPANDED INITIATIVE THAT INCLUDES PRENATAL CLASSES, POST-PARTUM AND EARLY CHILDHOOD SUPPORTS (INCLUDING A NEW MOMS CLUB), PARENTING EDUCATION, DEVELOPMENTAL SCREENINGS, REFERRALS, AND FOLLOW-UP CASE MANAGEMENT. (2) SCHOOL WELLNESS, A RESPONSE TO THE INCREASING CONCERN ABOUT CHILDHOOD OBESITY AND INTEREST IN IMPROVING SCHOOLS' HEALTH AND WELLNESS PRACTICES. IT IS AN OUTGROWTH OF THE POPULAR MISSION NUTRITION HEALTH EDUCATION CURRICULUM THAT SAINT ANTHONY HOSPITAL STAFF MEMBERS HAVE ALREADY BEEN IMPLEMENTING IN COMMUNITY SCHOOLS. IN ADDITION TO THE VARIETY OF HEALTH AND WELLNESS EDUCATIONAL SERVICES AVAILABLE TO STUDENTS AND THEIR FAMILIES, THE PROGRAM SUPPORTS SCHOOLS IN IDENTIFYING AND IMPLEMENTING SYSTEMIC CHANGES RELATED TO HEALTH AND WELLNESS. (3) PUBLIC BENEFITS AND REFERRAL SERVICE, WHICH PROVIDES INFORMATION AND ASSISTANCE IN ACCESSING CRITICAL PUBLIC HEALTH BENEFITS AND SAFETY-NET RESOURCES, PARTICULARLY TO SPANISH-SPEAKING PATIENTS. INDIVIDUALS CAN LEARN ABOUT THE BENEFITS THEY'RE ENTITLED TO, INCLUDING THE ALL-KIDS (PUBLIC HEALTH INSURANCE) PROGRAM, MEDICAID, WIC, AND THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP). (4) MENTAL HEALTH SERVICES, WHICH ADDRESSES THE GROWING NEED FOR NO-CHARGE BILINGUAL COUNSELING FOR A RANGE OF ADULT MENTAL HEALTH ISSUES, INCLUDING DEPRESSION AND ANXIETY.Description
FieldValueIRS element (for citing)
Total Program Service Expense83574781TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096153NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1160NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Justin BynumBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7734844831TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12875 WEST 19TH STREETAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60623ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
BERNARD FORD
TREASURER1.000.00XX000
DORVAL CARTER JR
VICE CHAIR1.000.00XX000
GUY A MEDAGLIA
PRESIDENT & CEO40.003.00XX583255028003
PETER V FAZIO JR
CHAIRMAN1.001.00XX000
SISTER JOAN MCGLINCHEY
SECRETARY1.001.00XX000
LEONARD E WIATR
BOARD MEMBER1.000.00X000
MARY CAHILLANE
BOARD MEMBER1.000.00X000
MOHAMED DAHODWALA
BOARD MEMBER1.000.00X000
MOHAMMAD CHAUDHARY MD
BOARD MEMBER1.000.00X000
TYLA COURTNEY
BOARD MEMBER1.000.00X000
WAYNE DETMER MD
BOARD MEMBER1.000.00X000
CHARLES R BROBST
CHIEF FINANCIAL OFFICER40.002.00X310455023109
JUSTIN BYNUM
VP, CHIEF FINANCIAL OFFICER40.002.00X000
JILL M STEMMERMAN
VP NURSING40.000.00203011027115X
ASMA QUNAYATH KHATOON
PHYSICIAN40.000.00299887024321X
EPHRIAM T GRIMES
PHYSICIAN40.000.0024096201330X
JOSE DEURRUTIA
PHYSICIAN40.000.0023746305920X
KALEEM MALIK
PHYSICIAN40.000.0034407607121X
ROMEEN LAVANI
PHYSICIAN40.000.00260335018096X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2479444TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation135015TotalOtherCompensation
Number Individuals GT100 K72NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MCKESSON TECHNOLOGIES
PO BOXCHICAGOIL60693SOFTWARE SERVICES2276919
MCKESSON AUTOMATION
PO BOX 642164PITTSBURGHPA152642164SOFTWARE SERVICES926649
METRO ANESTH CONSULTANTS
2720 S RIVER RD SUITE 218DES PLAINESIL60018ANESTHESIOLOGY SERVICES836298
FRESENIUS MEDICAL CARE
4013 PAYSHERE CIRCLECHICAGOIL60674DIALYSIS SERVICES266249
CATHOLIC HEALTH AUDIT NETWORK
231 S BEMISTON 300CLAYTONMO63105INTERNAL AUDIT SERVICES214756
FieldValueIRS element (for citing)
Number Of Contractors GT100 K10NumberOfContractorsGT100K
Related Organizations222227RelatedOrganizations
Total Contributions222227TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE9000999680398296803982
FAMILY SERVICES900099321216321216
MEDICAL STUDENT PROGRAM90009911505931150593
CAFETERIA900099461726461726
MEDICAL RECORDS90009930866773086677

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column1540804TotalRevenueColumn
Related Or Exempt Function Income1540804RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue103364998TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column42497TotalRevenueColumn
Exclusion$42,497ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real258807Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real258807Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column258807TotalRevenueColumn
Related Or Exempt Function Income258807RelatedOrExemptFunctionIncome

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
PARKING REVENUE21278$21,278
0
0

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue21278TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column103909807TotalRevenueColumn
Related Or Exempt Function Income103623805RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$63,775ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total476417Total
Program Services476417ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1153342Total
Management And General1153342ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total45026513Total
Program Services37914805ProgramServices
Management And General7111708ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1166994Total
Program Services880088ProgramServices
Management And General286906ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5640480Total
Program Services4625194ProgramServices
Management And General1015286ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3244175Total
Program Services2660223ProgramServices
Management And General583952ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total989736Total
Management And General989736ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total241238Total
Management And General241238ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total88856Total
Management And General88856ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total120201Total
Program Services120201ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3029845Total
Program Services1817907ProgramServices
Management And General1211938ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total61226Total
Program Services61226ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total353952Total
Management And General353952ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total391674Total
Program Services215420ProgramServices
Management And General176254ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total80Total
Management And General80ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2828212Total
Program Services1555517ProgramServices
Management And General1272695ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total351139Total
Program Services193127ProgramServices
Management And General158012ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL & PATIENT SUPPLIES1037478868473603527428
PURCHASED SERVICE879526465964482198816
PROVIDER TAX61973886197388
BAD DEBT1077209810772098

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3525554Total
Program Services2641362ProgramServices
Management And General884192ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total104829172Total
Program Services83574781ProgramServices
Management And General21254391ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY12155121BOY
EOY9142190EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2557883BOY
EOY1852544EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY11964924BOY
EOY10982086EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1665794BOY
EOY1739179EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY715141BOY
EOY2442554EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis63890126LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec37902023LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY21130765BOY
EOY25988103EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY29524273BOY
EOY27347507EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1616464BOY
EOY1606036EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY81330365BOY
EOY81100199EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5923481BOY
EOY5644781EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY174872BOY
EOY136192EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY10939953BOY
EOY12953117EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY17038306BOY
EOY18734090EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY59093444BOY
EOY59758613EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3257587BOY
EOY666468EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1941028BOY
EOY1941028EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY64292059BOY
EOY62366109EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY81330365BOY
EOY81100199EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-919365ReconcilationRevenueExpenses
Reconciliation Unrealized Invest48517ReconciliationUnrealizedInvest
Reconcilation Other Changes-1055112ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$116,667DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$3,534OtherActivitiesAmount
Total Lobbying Expenditures IIB120201TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierDescription of the activities reported on Lines 1a through 1iIdentifier
Return ReferenceSchedule C, Part II-B, Line 1ReturnReference
ExplanationBRUCE SIMON CONSULTING REPRESENTS SAINT ANTHONY HOSPITAL AND OTHER SAFETY NET HOSPITALS BY EDUCATING ELECTED OFFICIALS ON THE IMPACT OF LEGISLATION. A PORTION OF THE ORGANIZATION'S DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION MAY BE ATTRIBUTED TO LOBBYING. THIS AMOUNT IS REPORTED ON LINE 1I.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1941028BeginningOfYearBalance
End Of Year Balance1941028EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1941028BeginningOfYearBalance
End Of Year Balance1941028EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1941028BeginningOfYearBalance
Investment Earnings Or Losses5407InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures5407OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance1941028EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2007638BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses2294InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures68904OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance1941028EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2007638BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses73573InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures73573OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance2007638EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis973786OtherCostOrOtherBasis
Book Value973786BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis24056501OtherCostOrOtherBasis
Depreciation16269000Depreciation
Book Value7787501BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2135456OtherCostOrOtherBasis
Book Value2135456BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis31771416OtherCostOrOtherBasis
Depreciation21633023Depreciation
Book Value10138393BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4952967OtherCostOrOtherBasis
Book Value4952967BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings25988103TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
INVESTMENT IN NET ASSETS OF FOUNDATION27256481F
INVESTMENT IN AFFILIATE91026F
FieldValueIRS element (for citing)
Total Of Book Value Program Related27347507TotalOfBookValueProgramRelated
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
SELF INSURANCE RESERVES$7,826,285
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS, NET$4,294,596
ASSET RETIREMENT OBLIGATION$189,732
DIVERSIFIED 401A MATCH$295,263
WORKERS COMP SELF INSURANCE$347,241
FieldValueIRS element (for citing)
Total Of Amounts12953117TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Intended uses of endowment fundsSchedule D, Part V, Line 4THE INCOME FROM THE ENDOWMENT IS USED FOR GENERAL OPERATIONS TO SUPPORT SAINT ANTHONY HOSPITAL. THE ENDOWMENT IS HELD BY SAINT ANTHONY HOSPITAL FOUNDATION, A RELATED TAX-EXEMPT ORGANIZATION.
FIN 48 (ASC 740) footnoteSchedule D, Part X, Line 2THE HOSPITAL 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 990T, AS APPROPRIATE. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES THAT IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE "MORE LIKELY THAN NOT" RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50 PERCENT LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS REFLECTED AS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. FORMS 990 FILED BY THE HOSPITAL ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS) UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. FORMS 990 FILED BY THE HOSPITAL ARE NO LONGER SUBJECT TO EXAMINATION FOR THE YEARS 2009 AND PRIOR.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense7537275TotalCommunityBenefitExpense
Net Community Benefit Expense7537275NetCommunityBenefitExpense
Percent Of Total Expense0.08010PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense7537275TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense7537275NetCommunityBenefitExpense
Percent Of Total Expense0.08010PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1103124TotalCommunityBenefitExpense
Net Community Benefit Expense1103124NetCommunityBenefitExpense
Percent Of Total Expense0.01170PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense2246252TotalCommunityBenefitExpense
Direct Offsetting Revenue1310087DirectOffsettingRevenue
Net Community Benefit Expense936165NetCommunityBenefitExpense
Percent Of Total Expense0.01000PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense6368256TotalCommunityBenefitExpense
Direct Offsetting Revenue2957911DirectOffsettingRevenue
Net Community Benefit Expense3410345NetCommunityBenefitExpense
Percent Of Total Expense0.03620PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense557232TotalCommunityBenefitExpense
Net Community Benefit Expense557232NetCommunityBenefitExpense
Percent Of Total Expense0.00590PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense10274864TotalCommunityBenefitExpense
Direct Offsetting Revenue4267998DirectOffsettingRevenue
Net Community Benefit Expense6006866NetCommunityBenefitExpense
Percent Of Total Expense0.06380PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense17812139TotalCommunityBenefitExpense
Direct Offsetting Revenue4267998DirectOffsettingRevenue
Net Community Benefit Expense13544141NetCommunityBenefitExpense
Percent Of Total Expense0.14390PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$10,772,088BadDebtExpenseAmount
Amount Attributable To3554789AmountAttributableTo
Amount Reimbursed By Medicare22175243AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare22155142CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall20101MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1SAINT ANTHONY PHO LLCBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityPHYSICIAN-HOSPITAL ORGANIZATIONDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.5OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership0OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership0PhysicansProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1SAINT ANTHONY HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line12875 WEST 19TH STREETAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60623ZIPCode
FieldValueIRS element (for citing)
Website AddressWWW.SAINTANTHONYHOSPITAL.ORGWebsiteAddress
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er OtherXErOther
Facility Reporting GroupAFacilityReportingGroup

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
OtherXOther
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiesfalseOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
Adopt Implement StrategyXAdoptImplementStrategy
All Needs AddressedtrueAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent400FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Medicare RateXMedicareRate
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities6NumberOfOtherFacilities

Other Facilities OtherFacilities (6 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
SAINT ANTHONY HOSPITAL PHYSICIAN CENTER
2875 W 19TH STRCHICAGOIL60623OUTPATIENT CLINIC
BRIGHTON PARK CLINIC
4177 S ARCHERCHICAGOIL60632OUTPATIENT CLINIC
KEDZIE AVE CLINIC
4455 S KEDZIECHICAGOIL60632OUTPATIENT CLINIC
ROOSEVELT CLINIC
3600 W ROOSEVELT RDCHICAGOIL60624OUTPATIENT CLINIC
59TH STR CLINIC
3124 W 59TH STRCHICAGOIL60629OUTPATIENT CLINIC
BERWYN CLINIC
6917 CERMAK SUITE BBERWYNIL60402OUTPATIENT CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Bad Debt Expense excluded from financial assistance calculationSchedule H, Part I, Line 7, column(f)10,772,088
Bad debt expense - methodology used to estimate amountSchedule H, Part III, Line 21.POTENTIAL PUBLIC AID THIRD PARTY LIABILITY ACCOUNTS ARE IDENTIFIED BY A MONTHLY REPORT GENERATED BY THE COLLECTION SYSTEM. 2.THE MEDICARE BAD DEBT SPECIALIST WILL REVIEW THE ACCOUNTS TO ENSURE THAT THE PROPER BALANCE IS ON THE ACCOUNT. 3.ACCOUNTS RETURNED FROM COLLECTION AGENCY AS UNCOLLECTIBLE WILL BE REVIEWED TO ENSURE THAT THEY HAVE AGED GREATER THAN 120 DAYS FROM 1ST NOTICE TO PATIENT PRIOR TO THE ACCOUNT PLACEMENT WITH AGENCY. 4.THE MEDICARE BAD DEBT SPECIALIST WILL OBTAIN COPIES OF THE MEDICARE VOUCHER SHOWING THE DEDUCTIBLE AND CO-INSURANCE AMOUNT; ACCOUNTS WILL BE LOGGED WITH THE BALANCE OF THE CO-INSURANCE AND DEDUCTIBLE AMOUNT FROM THE MEDICARE VOUCHER. 5.PUBLIC AID THIRD PARTY LIABILITY ACCOUNTS WILL BE LOGGED WITH COPIES OF THE MEDICARE AND PUBLIC AID VOUCHERS. THE AMOUNT LOGGED WILL REFLECT THE MEDICARE DEDUCTIBLE AND COINSURANCE MINUS ANY PAYMENT AMOUNT FROM PUBLIC AID. 6.A COPY OF THE COMPLETED LOG WILL BE PROVIDED TO REIMBURSEMENT AND A COPY WILL BE MAINTAINED IN THE PATIENT FINANCIAL SERVICES DEPARTMENT.
Bad debt expense - methodology used to estimate amount as community benefitSchedule H, Part III, Line 3AS A HOSPITAL SOLELY SERVING OUR LOCAL COMMUNITY, BAD DEBT IS CONSIDERED A BENEFIT TO THE PILSEN AND LAWNDALE COMMUNITIES, AS THEY RESULT FROM THE EXTENSION OF CREDIT FOR SERVICES THE HOSPITAL PROVIDED FOR WHICH PAYMENT WAS EXPECTED BUT NOT RECEIVED.
Bad debt expense - financial statement footnoteSchedule H, Part III, Line 4PATIENT RECEIVABLES DUE DIRECTLY FROM PATIENTS ARE CARRIED AT THE ORIGINAL CHARGE FOR THE SERVICES PROVIDED LESS AMOUNTS COVERED BY THIRD-PARTY PAYORS AND LESS ESTIMATED ALLOWANCES FOR DOUBTFUL ACCOUNTS AND CHARITY. MANAGEMENT ESTIMATED THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON THE AGING OF ITS ACCOUNTS RECEIVABLE AND ITS HISTORICAL COLLECTION EXPERIENCE FOR EACH PAYOR TYPE. MANAGEMENT ESTIMATES THE ALLOWANCE FOR CHARITY BASED ON THE HOSPITAL'S CHARITY CARE POLICY AND HISTORICAL CHARITY CARE EXPERIENCE. RECOVERIES OF ACCOUNTS RECEIVABLE PREVIOUSLY WRITTEN OFF AS UNCOLLECTED ARE RECORDED AS A REDUCTION OF THE PROVISION FOR BAD DEBTS WHEN RECEIVED.
Collection practices for patients eligible for financial assistanceSchedule H, Part III, Line 9bSAINT ANTHONY HOSPITAL HAS POSTED SIGNAGE THROUGHOUT THE HOSPITAL INFORMING ALL PATIENTS ABOUT THE FINANCIAL ASSISTANCE PROGRAM. IN ADDITION TO THE SIGNAGE THE FINANCIAL ASSISTANCE PROGRAM IS LISTED ON THE HOSPITALS WEBSITE. PATIENTS WHO QUALIFY FOR ASSISTANCE OFTEN HAVE THEIR ENTIRE BALANCE WRITTEN OFF. PATIENTS WHO DO NOT QUALIFY FOR ANY ASSISTANCE CAN ENTER INTO PAYMENT ARRANGEMENTS WITH THE HOSPITAL. IF THAT PATIENT FAILS TO KEEP THOSE ARRANGEMENTS, THEIR ACCOUNT WILL BE REFERRED TO AN OUTSIDE COLLECTION AGENCY AND SUBJECT TO THE PRACTICES OF THAT AGENCY.
Community Served by Needs AssessmentSchedule H, Part V Section B, Line 3(1) SAINT ANTHONY HOSPITAL - SAINT ANTHONY HOSPITAL USED PROFESSIONAL RESEARCH CONSULTANTS (PRC) TO COLLECT THE RELVANT DATA FOR THE CHNA. PRC COLLECTED DATA THAT WAS LARGELY BASED ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM. PRC CONDUCTED A TELEPHONE SURVEY OF 396 INDIVIDUALS AGE 18 AND OLDER IN SAINT ANTHONY'S SERVICE AREA TO OBTAIN PRELIMINARY INFORMATION REGARDING THE COMMUNITIES HEALTH NEEDS.;
EXPLANATION OF COLLECTION EFFORTSSCHEDULE H, PART V, SECTION B, LINE 15BEFORE ANY COLLECTIONS EFFORTS ARE INITIATED, THE HOSPITAL PERFORMS REASONABLE EFFORTS BY SENDING TWO STATEMENTS AND TWO LETTERS. THE STATEMENTS AND LETTERS INDICATE THE OPTION TO APPLY FOR FINANCIAL ASSISTANCE, IF NEEDED.
Needs assessment.Schedule H, Part VI, Line 2SAINT ANTHONY HOSPITAL COMPLETED ITS LATEST COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2012 IN COOPERATION WITH THE METROPOLITAN CHICAGO HEALTHCARE COUNCIL (MCHC). THIS CHNA, A FOLLOW-UP TO A SIMILAR ASSESSMENT CONDUCTED IN 2009, IS A SYSTEMATIC, DATA-DRIVEN APPROACH TO DETERMINING THE HEALTH STATUS, BEHAVIORS, AND NEEDS OF RESIDENTS IN SAINT ANTHONY HOSPITAL'S COMMUNITY. IT IS A TOOL TO ASSIST US IN REACHING THREE BASIC GOALS: * IMPROVING RESIDENTS' HEALTH STATUS, INCREASING THEIR LIFE SPANS, AND ELEVATING THEIR OVERALL QUALITY OF LIFE, * REDUCING THE HEALTH DISPARITIES AMONG RESIDENTS, AND * INCREASING ACCESSIBILITY TO PREVENTIVE SERVICES FOR ALL COMMUNITY RESIDENTS. OUR CHNA WAS CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC), A NATIONALLY-RECOGNIZED HEALTHCARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING ASSESSMENTS IN HUNDREDS OF COMMUNITIES ACROSS THE UNITED STATES SINCE 1994. IT INCORPORATES DATA FROM BOTH QUANTITATIVE AND QUALITATIVE SOURCES. QUANTITATIVE DATA INPUT INCLUDES RESULTS FROM THE PRC COMMUNITY HEALTH SURVEY AND SECONDARY RESEARCH. QUALITATIVE DATA INPUT INCLUDES PRIMARY RESEARCH GATHERED THROUGH A SERIES OF KEY INFORMANT FOCUS GROUPS. THE SURVEY INSTRUMENT USED FOR THIS CHNA WAS BASED LARGELY ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) AS WELL AS VARIOUS OTHER PUBLIC HEALTH SURVEYS AND CUSTOMIZED QUESTIONS ADDRESSING GAPS IN INDICATOR DATA RELATIVE TO HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES AND OTHER RECOGNIZED HEALTH ISSUES. TO ENSURE THE BEST REPRESENTATION OF THE POPULATION SURVEYED, A TELEPHONE INTERVIEW METHODOLOGY, INCORPORATING BOTH LANDLINE AND CELL PHONE INTERVIEWS, WAS EMPLOYED. THE SAMPLE DESIGN USED FOR THIS EFFORT CONSISTED OF A RANDOM SAMPLE OF 396 INDIVIDUALS AGE 18 AND OLDER IN SAINT ANTHONY'S SERVICE AREA. ALL ADMINISTRATION OF THE SURVEYS, DATA COLLECTION, AND DATA ANALYSIS WAS CONDUCTED BY PRC. IN ADDITION, THREE FOCUS GROUPS WERE HELD AS PART OF THIS CNHA: * JUNE 19, 2012, WITH KEY INFORMANTS FROM THE SOUTHSIDE OF CHICAGO (INCLUDING HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND OTHER COMMUNITY LEADERS), * JUNE 21, 2012, WITH KEY INFORMANTS FROM THROUGHOUT COOK COUNTY (INCLUDING REPRESENTATIVES FROM PUBLIC HEALTH; PHYSICIANS; OTHER HEALTH PROFESSIONALS; SOCIAL SERVICE PROVIDERS; AND OTHER COMMUNITY LEADERS), AND * JUNE 22, 2012, WITH KEY INFORMANTS FROM THE LOOP AND THE WESTSIDE OF CHICAGO (A PHYSICIAN, SOCIAL SERVICE PROVIDERS, AND ANOTHER COMMUNITY LEADER). MCHC AND SAINT ANTHONY PROVIDED PRC WITH A LIST OF RECOMMENDED PARTICIPANTS FOR THE FOCUS GROUPS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK AS WELL AS OF THE COMMUNITY OVERALL. AUDIO FROM THE FOCUS GROUP SESSIONS WAS RECORDED; PARTICIPANTS WERE ASKED TO SPEAK CANDIDLY AND ASSURED OF CONFIDENTIALITY. THESE FINDINGS REPRESENT QUALITATIVE RATHER THAN QUANTITATIVE DATA. THE GROUP WAS DESIGNED TO GATHER INPUT FROM PARTICIPANTS REGARDING THEIR OPINIONS AND PERCEPTIONS OF THE HEALTH OF THE RESIDENTS IN THE AREA. THUS, THESE FINDINGS ARE BASED ON PERCEPTIONS, NOT FACTS. A VARIETY OF SECONDARY DATA SOURCES WAS CONSULTED TO COMPLEMENT THE RESEARCH QUALITY OF THIS CHNA. SAINT ANTHONY'S CHNA STEERING COMMITTEE INCLUDES THE HOSPITAL'S VICE PRESIDENT OF MISSION AND COMMUNITY DEVELOPMENT AND HIS COORDINATOR FOR SPECIAL PROJECTS ALONG WITH THE MANAGER OF DEVELOPMENT COMMUNICATIONS FROM THE SAINT ANTHONY HOSPITAL FOUNDATION. THE STEERING COMMITTEE DIGESTED THE RESULTS OF THE ASSESSMENT AND THEN MET TO DETERMINE THE PROCESS AND CRITERIA FOR PRIORITIZING THE AREAS OF OPPORTUNITY IDENTIFIED THROUGH THE ASSESSMENT.
Patient education of eligibility for assistance.Schedule H, Part VI, Line 3SIGNS ARE POSTED IN WAITING AREAS OF THE HOSPITAL AS WELL AS ON THE HOSPITAL'S WEBSITE ANNOUNCING THE AVAILABILITY OF CHARITY CARE. HOSPITAL PATIENT ACCESS STAFF ASSISTS UNINSURED OR UNDER-INSURED PATIENTS IN APPLYING FOR ANY GOVERNMENT ASSISTANCE PROGRAMS THEY MAY QUALIFY FOR AS WELL AS THE HOSPITAL'S CHARITY CARE PROGRAM. HOSPITAL BILLS TO PATIENTS ALSO HAVE INFORMATION ON APPLYING FOR FINANCIAL ASSISTANCE.
Community information.Schedule H, Part VI, Line 4SAINT ANTHONY HOSPITAL IS A 151 BED HEALTH CARE FACILITY LOCATED ON THE BORDER OF THE NORTH LAWNDALE AND SOUTH LAWNDALE COMMUNITIES ON CHICAGO'S WEST AND NEAR SOUTHWEST SIDE. THE AREA INCLUDES THE NORTH LAWNDALE, LITTLE VILLAGE, SOUTH LAWNDALE, PILSEN, BRIGHTON PARK, MCKINLEY PARK AND BACK OF THE YARDS NEIGHBORHOODS. SAINT ANTHONY IS IN A MEDICALLY UNDER-SERVED AREA, A PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREA, A MENTAL HEALTH PROFESSIONAL SHORTAGE AREA, AND A DENTAL CARE HEALTH PROFESSIONAL SHORTAGE AREA AS CLASSIFIED BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION OF THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE SURROUNDING AREA HAS AROUND 410,000 RESIDENTS OF WHICH MORE THAN 50% ARE LATINO AND MORE THAN 30% ARE AFRICAN AMERICAN.
Promotion of community healthSchedule H, Part VI, Line 5SAINT ANTHONY HOSPITAL IS A 151 BED INDEPENDENT, FAITH BASED, NON-PROFIT, ACUTE CARE COMMUNITY HOSPITAL FOUNDED IN 1897. THE HOSPITAL PROVIDES A WIDE RANGE OF SERVICES AND COMMUNITY BENEFIT PROGRAMS TO ITS UNDER-SERVED COMMUNITY. SAINT ANTHONY BELIEVES IN TAKING A HOLISTIC APPROACH TO THE CARE OF OUR COMMUNITY. THEREFORE WE STRENGTHEN THE COMMUNITY NOT ONLY THROUGH HEALTH CARE BUT ALSO FOCUSING ON BUILDING AND SUPPORTING HEALTHY COMMUNITIES THROUGH THE POWER OF ADVOCACY AND ECONOMIC AND WORKFORCE DEVELOPMENT. WE PARTICIPATE ACTIVELY WITH A VARIETY OF COMMUNITY ORGANIZATIONS, INCLUDING THE ILLINOIS MATERNAL/CHILD HEALTH COALITION, THE RAUNER FAMILY YMCA, CENTRAL STATES SER, THE MARCH OF DIMES, THE CHICAGO ASTHMA CONSORTIUM, THE NATIONAL MUSEUM OF MEXICAN ARTS, LOCAL COMMUNITY CHURCHES, ENLACE AND THE RESURRECTION PROJECT. SAINT ANTHONY HAS AND WILL ALWAYS TRY TO HIRE QUALIFIED STAFF FROM WITHIN THE COMMUNITIES IN ITS SERVICE AREA. THAT INCLUDES BOTH PROFESSIONAL STAFF AND NON-PROFESSIONAL STAFF.
State filing of community benefit reportSchedule H, Part VI, Line 7IL

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1CENTRO DE SALUD ESPERANZABusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12001 S CALIFORNIAAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60625ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient320115907EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant476417AmountOfCashGrant
Method Of ValuationN/AMethodOfValuation
Description Of Non Cash AssistanceN/ADescriptionOfNonCashAssistance
Purpose Of GrantGENERAL OPERATIONSPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedures for monitoring use of grant fundsIdentifier
Return ReferenceSchedule I, Part I, Line 2ReturnReference
ExplanationTHE ORGANIZATION WAS INVOLVED IN THE ORIGINAL CREATION OF ESPERANZA, A COMMUNITY HEALTH CENTER CLINIC LOCATED NEAR THE HOSPITAL, AND ANNUALLY PROVIDES FUNDS FOR GENERAL OPERATIONS. THE CEO APPROVES THE GRANT PAYMENT AND THE FINANCIAL DEPARTMENT ENSURES THE PAYMENT IS USED BY ESPERANZA FOR ITS INTENDED PURPOSES.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ROMEEN LAVANI
PHYSICIAN2603350000010908071880278431000
GUY A MEDAGLIA
PRESIDENT & CEO48402900099226099480180550611258000
ASMA QUNAYATH KHATOON
PHYSICIAN29988700000112720130490324208000
JILL M STEMMERMAN
VP NURSING20301100000127880143270230126000
CHARLES R BROBST
CHIEF FINANCIAL OFFICER3104550000018519045900333564000
KALEEM MALIK
PHYSICIAN34407600000699101300351197000
JOSE DEURRUTIA
PHYSICIAN237463000000059200243383000
EPHRIAM T GRIMES
PHYSICIAN240962000000013300242292000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Classes of members or stockholdersForm 990, Part VI, Section A, Line 6THE ORGANIZATION IS ORGANIZED AS A NOT-FOR-PROFIT CORPORATION. PURSUANT TO THE ORGANIZATION'S GOVERNING DOCUMENTS, SAINT ANTHONY HEALTH MINISTRIES (FORMERLY KNOWN AS CATHOLIC HEALTH PARTNERS) IS THE SOLE MEMBER OF SAINT ANTHONY HOSPITAL WITH CERTAIN RESERVED POWERS.
Members or stockholders electing members of governing bodyForm 990, Part VI, Section A, Line 7aAS THE SOLE CORPORATE MEMBER OF SAINT ANTHONY HOSPITAL, SAINT ANTHONY HEALTH MINISTRIES HAS THE RIGHT TO APPOINT OR REMOVE MEMBERS OF THE GOVERNING BODY.
Decisions requiring approval by members or stockholdersForm 990, Part VI, Section A, Line 7bAS THE SOLE CORPORATE MEMBER OF SAINT ANTHONY HOSPITAL, SAINT ANTHONY HEALTH 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; 7) APPROVING THE INCURRENCE OF DEBT OF THE ORGANIZATION.
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bA THOROUGH REVIEW OF THE FORM 990 IS PERFORMED BY MANAGEMENT. A PRESENTATION IS MADE BY THE PAID TAX PREPARERS AND A COPY OF THE RETURN IS SHARED WITH THE BOARD OF DIRECTORS PRIOR TO FILING THE FORM 990 WITH THE IRS.
Conflict of interest policyForm 990, Part VI, Section B, Line 12cANNUALLY, THE CORPORATE RESPONSIBILITY OFFICER HAS THE BOARD, AS WELL AS OFFICERS AND VICE PRESIDENTS, REVIEW, FILL OUT AND SIGN THE CONFLICT OF INTEREST QUESTIONNAIRE. IF A CONFLICT OF INTEREST ARISES, THE AFFECTED BOARD MEMBER (OR OFFICER) ABSTAINS FROM VOTING ON THE RESPECTIVE ISSUE. THE CORPORATE RESPONSIBILITY OFFICER MAINTAINS ALL SIGNED CONFLICT OF INTEREST STATEMENTS ON FILE.
Process used to establish compensation of top management officialForm 990, Part VI, Section B, Line 15aALL ANNUAL SALARY INCREASES FOR THE TOP MANAGEMENT OFFICIAL ARE REVIEWED AND APPROVED BY THE BOARD AND DOCUMENTED IN MINUTES PREPARED FOR EACH MEETING. ALSO, AN INDEPENDENT MARKET SURVEY WAS CONDUCTED IN FY13 TO ENSURE THAT THE SALARIES OF THE CEO AND VICE PRESIDENTS WERE WITHIN MARKET.
Process used to establish compensation of other officers/key employeesForm 990, Part VI, Section B, Line 15bALL ANNUAL SALARY INCREASES FOR VICE PRESIDENTS AND OTHER OFFICERS ARE REVIEWED AND APPROVED BY THE BOARD AND DOCUMENTED IN MINUTES PREPARED FOR EACH MEETING. ALSO AN INDEPENDENT MARKET SURVEY WAS CONDUCTED IN FY13 TO ENSURE THAT THE SALARIES OF VICE PRESIDENTS AND ABOVE WERE WITHIN MARKET.
Governing documents, conflict of interest policy and financial statements available to the publicForm 990, Part VI, Section C, Line 19FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME.
Other changes in net assets or fund balancesForm 990 , Part XI, Line 9INCOME FROM SAINT ANTHONY AFFILIATES INCLUDE IN NET ASSETS OF THE HOSPITAL - 1169888; CHANGE IN INTEREST OF FOUNDATION - -2225000;

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SAINT ANTHONY EMERGENCY SERVICES PHYSBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12875 WEST 19TH STREETAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60623ZIPCode
FieldValueIRS element (for citing)
EIN300261806EIN
Primary ActivitiesHEALTHCAREPrimaryActivities
Legal Domicile StateILLegalDomicileState
Total Income13419747TotalIncome
EOY Assets306650EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
SAINT ANTHONY HEALTH AFFILIATES
2875 WEST 19TH STREETCHICAGOIL60623HEALTH CAREIL501(C)(3)9SAINT ANTHONY HOSPITALtrue
SAINT ANTHONY HOSPITAL FOUNDATION
2875 WEST 19TH STREETCHICAGOIL60623FUNDRAISINGIL501(C)(3)7SAINT ANTHONY HEALTH MINISTRIEStrue
SAINT ANTHONY HEALTH MINISTRIES
2875 WEST 19TH STREETCHICAGOIL60623MANAGEMENTIL501(C)(3)11 - Type III - FINAfalse
CHICAGO SOUTHWEST DEVELOPMENT CORPORATION
2875 WEST 19TH STREETCHICAGOIL60623REAL ESTATE HOLDINGIL501(C)(3)11 - Type ICHICAGO SOUTHWEST COMMUNITY ORGANIZATIONtrue
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1CHICAGO SOUTHWEST DEVELOPMENT CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeBTransactionType
Amount Involved970813AmountInvolved
Method Of Amt DeterminationBOOK AMOUNTMethodOfAmtDetermination