2014-05-14T13:38:50-05:00 2013-06-30 CROWE HORWATH LLP 70 West Madison Street Suite 700 Chicago IL 606024903 990 2012-07-01 510217097 SAINT ANTHONY HOSPITAL SAIN 7734844831 2875 West 19th Street Chicago IL 60623 JUSTIN BYNUM 2013-10-08 true Geralyn Hurd P00933422 3128997000 2012 2015-11-30 17:44:51Z GUY A MEDAGLIA 2875 West 19th Street Chicago IL 60623 103909807 false 0928 X WWW.SAINTANTHONYHOSPITAL.ORG X 1897 IL SAINT 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. 11 10 1160 125 0 0 3833755 222227 99252623 103364998 29017 42497 285119 280085 103400514 103909807 300000 476417 0 0 54785591 56231504 0 0 0 45732321 48121251 100817912 104829172 2582602 -919365 81330365 81100199 17038306 18734090 64292059 62366109 SAINT 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. false false 83452829 103623805 SAINT 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. 121952 120476 0 COMMUNITY 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. 83574781 true true false true false false false false true true false true false true true false true false false false false false false false false true true true false true false false false false false false false false false false false false true true true true false false true 153 0 true 1160 true false false false false false false false false false false X 11 10 false false false false true true true true true false false true true true true true true true true true true X Justin Bynum 7734844831 2875 WEST 19TH STREET CHICAGO IL 60623 BERNARD FORD 1.00 0.00 X X 0 0 0 DORVAL CARTER JR 1.00 0.00 X X 0 0 0 GUY A MEDAGLIA 40.00 3.00 X X 583255 0 28003 PETER V FAZIO JR 1.00 1.00 X X 0 0 0 SISTER JOAN MCGLINCHEY 1.00 1.00 X X 0 0 0 LEONARD E WIATR 1.00 0.00 X 0 0 0 MARY CAHILLANE 1.00 0.00 X 0 0 0 MOHAMED DAHODWALA 1.00 0.00 X 0 0 0 MOHAMMAD CHAUDHARY MD 1.00 0.00 X 0 0 0 TYLA COURTNEY 1.00 0.00 X 0 0 0 WAYNE DETMER MD 1.00 0.00 X 0 0 0 CHARLES R BROBST 40.00 2.00 X 310455 0 23109 JUSTIN BYNUM 40.00 2.00 X 0 0 0 JILL M STEMMERMAN 40.00 0.00 X 203011 0 27115 ASMA QUNAYATH KHATOON 40.00 0.00 X 299887 0 24321 EPHRIAM T GRIMES 40.00 0.00 X 240962 0 1330 JOSE DEURRUTIA 40.00 0.00 X 237463 0 5920 KALEEM MALIK 40.00 0.00 X 344076 0 7121 ROMEEN LAVANI 40.00 0.00 X 260335 0 18096 2479444 0 135015 72 false true false MCKESSON TECHNOLOGIES PO BOX CHICAGO IL 60693 SOFTWARE SERVICES 2276919 MCKESSON AUTOMATION PO BOX 642164 PITTSBURGH PA 152642164 SOFTWARE SERVICES 926649 METRO ANESTH CONSULTANTS 2720 S RIVER RD SUITE 218 DES PLAINES IL 60018 ANESTHESIOLOGY SERVICES 836298 FRESENIUS MEDICAL CARE 4013 PAYSHERE CIRCLE CHICAGO IL 60674 DIALYSIS SERVICES 266249 CATHOLIC HEALTH AUDIT NETWORK 231 S BEMISTON 300 CLAYTON MO 63105 INTERNAL AUDIT SERVICES 214756 10 222227 222227 NET PATIENT REVENUE 900099 96803982 96803982 FAMILY SERVICES 900099 321216 321216 MEDICAL STUDENT PROGRAM 900099 1150593 1150593 CAFETERIA 900099 461726 461726 MEDICAL RECORDS 900099 3086677 3086677 1540804 1540804 0 0 103364998 42497 42497 0 0 258807 258807 0 258807 258807 0 0 0 0 0 0 PARKING REVENUE 21278 21278 0 0 0 0 0 0 21278 103909807 103623805 0 63775 476417 476417 0 0 0 1153342 1153342 0 45026513 37914805 7111708 1166994 880088 286906 5640480 4625194 1015286 3244175 2660223 583952 989736 989736 241238 241238 88856 88856 120201 120201 0 0 3029845 1817907 1211938 0 61226 61226 353952 353952 0 0 391674 215420 176254 0 0 0 80 80 0 2828212 1555517 1272695 351139 193127 158012 MEDICAL & PATIENT SUPPLIES 10374788 6847360 3527428 PURCHASED SERVICE 8795264 6596448 2198816 PROVIDER TAX 6197388 6197388 BAD DEBT 10772098 10772098 3525554 2641362 884192 0 104829172 83574781 21254391 0 0 12155121 9142190 2557883 1852544 11964924 10982086 0 0 1665794 1739179 715141 2442554 63890126 37902023 21130765 25988103 0 0 29524273 27347507 1616464 1606036 81330365 81100199 5923481 5644781 174872 136192 0 10939953 12953117 17038306 18734090 X 59093444 59758613 3257587 666468 1941028 1941028 64292059 62366109 81330365 81100199 X -919365 48517 -1055112 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 116667 false true 3534 120201 false Description of the activities reported on Lines 1a through 1i Schedule C, Part II-B, Line 1 BRUCE 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. 1941028 1941028 1941028 1941028 1941028 5407 0 5407 0 1941028 2007638 0 2294 0 68904 0 1941028 2007638 0 73573 0 73573 0 2007638 1.00000 false true true 973786 973786 24056501 16269000 7787501 2135456 2135456 31771416 21633023 10138393 4952967 4952967 25988103 INVESTMENT IN NET ASSETS OF FOUNDATION 27256481 F INVESTMENT IN AFFILIATE 91026 F 27347507 0 SELF INSURANCE RESERVES 7826285 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS, NET 4294596 ASSET RETIREMENT OBLIGATION 189732 DIVERSIFIED 401A MATCH 295263 WORKERS COMP SELF INSURANCE 347241 12953117 X Intended uses of endowment funds Schedule D, Part V, Line 4 THE 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) footnote Schedule D, Part X, Line 2 THE 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. 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OUTPATIENT CLINIC Bad Debt Expense excluded from financial assistance calculation Schedule H, Part I, Line 7, column(f) 10,772,088 Bad debt expense - methodology used to estimate amount Schedule H, Part III, Line 2 1.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 benefit Schedule H, Part III, Line 3 AS 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 footnote Schedule H, Part III, Line 4 PATIENT 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 assistance Schedule H, Part III, Line 9b SAINT 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 Assessment Schedule 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 EFFORTS SCHEDULE H, PART V, SECTION B, LINE 15 BEFORE 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 2 SAINT 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 3 SIGNS 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 4 SAINT 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 health Schedule H, Part VI, Line 5 SAINT 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 report Schedule H, Part VI, Line 7 IL true CENTRO DE SALUD ESPERANZA 2001 S CALIFORNIA CHICAGO IL 60625 320115907 501(C)(3) 476417 N/A N/A GENERAL OPERATIONS 1 0 Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 THE 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. X X X X false false false false false false false false false ROMEEN LAVANI 260335 0 0 0 0 0 10908 0 7188 0 278431 0 0 0 GUY A MEDAGLIA 484029 0 0 0 99226 0 9948 0 18055 0 611258 0 0 0 ASMA QUNAYATH KHATOON 299887 0 0 0 0 0 11272 0 13049 0 324208 0 0 0 JILL M STEMMERMAN 203011 0 0 0 0 0 12788 0 14327 0 230126 0 0 0 CHARLES R BROBST 310455 0 0 0 0 0 18519 0 4590 0 333564 0 0 0 KALEEM MALIK 344076 0 0 0 0 0 6991 0 130 0 351197 0 0 0 JOSE DEURRUTIA 237463 0 0 0 0 0 0 0 5920 0 243383 0 0 0 EPHRIAM T GRIMES 240962 0 0 0 0 0 0 0 1330 0 242292 0 0 0 Classes of members or stockholders Form 990, Part VI, Section A, Line 6 THE 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 body Form 990, Part VI, Section A, Line 7a AS 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 stockholders Form 990, Part VI, Section A, Line 7b AS 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 body Form 990, Part VI, Section B, Line 11b A 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 policy Form 990, Part VI, Section B, Line 12c ANNUALLY, 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 official Form 990, Part VI, Section B, Line 15a ALL 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 employees Form 990, Part VI, Section B, Line 15b ALL 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 public Form 990, Part VI, Section C, Line 19 FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME. Other changes in net assets or fund balances Form 990 , Part XI, Line 9 INCOME FROM SAINT ANTHONY AFFILIATES INCLUDE IN NET ASSETS OF THE HOSPITAL - 1169888; CHANGE IN INTEREST OF FOUNDATION - -2225000; SAINT ANTHONY EMERGENCY SERVICES PHYS 2875 WEST 19TH STREET CHICAGO IL 60623 300261806 HEALTHCARE IL 13419747 306650 NA SAINT ANTHONY HEALTH AFFILIATES 2875 WEST 19TH STREET CHICAGO IL 60623 HEALTH CARE IL 501(C)(3) 9 SAINT ANTHONY HOSPITAL true SAINT ANTHONY HOSPITAL FOUNDATION 2875 WEST 19TH STREET CHICAGO IL 60623 FUNDRAISING IL 501(C)(3) 7 SAINT ANTHONY HEALTH MINISTRIES true SAINT ANTHONY HEALTH MINISTRIES 2875 WEST 19TH STREET CHICAGO IL 60623 MANAGEMENT IL 501(C)(3) 11 - Type III - FI NA false CHICAGO SOUTHWEST DEVELOPMENT CORPORATION 2875 WEST 19TH STREET CHICAGO IL 60623 REAL ESTATE HOLDING IL 501(C)(3) 11 - Type I CHICAGO SOUTHWEST COMMUNITY ORGANIZATION true false true true false false false false false false false false false false true true false true true false CHICAGO SOUTHWEST DEVELOPMENT CORPORATION B 970813 BOOK AMOUNT