MERCY HOSPITAL SOUTH: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: MERCY HOSPITAL SOUTH (EIN 43-0980256)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-06
IRS object ID: 201311269349300441
Schema version: 2011v1.5
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-06T11:44:45-05:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	211 N BROADWAY SUITE 600	AddressLine1
City	ST LOUIS	City
State	MO	State
ZIP Code	631022733	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	430980256	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	St Anthony's Medical Center	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% KENNETH J VENUTO	InCareOfName
Name Control	STAN	NameControl
Phone	3145251000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10010 Kennerly Road	AddressLine1
City	St Louis	City
State	MO	State
ZIP Code	63128	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	KENNETH VENUTO	Name
Title	CFO	Title
Date Signed	2013-05-01	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Donna J Larson	Name
Phone	3142315544	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	KENNETH J VENUTO	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	10010 KENNERLY RD	AddressLine1
City	ST LOUIS	City
State	MO	State
ZIP Code	63128	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	462692435	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.STANTHONYSMEDCENTER.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1971	YearFormation
State Legal Domicile	MO	StateLegalDomicile
Activity Or Mission Description	SEE COMMUNITY BENEFIT REPORT - SCHEDULE O	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	5070	TotalNbrEmployees
Total Nbr Volunteers	299	TotalNbrVolunteers
Total Gross UBI	91593	TotalGrossUBI
Net Unrelated Business Txbl Income	78044	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1144832	ContributionsGrantsPriorYear
Contributions Grants Current Year	611845	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	424984380	ProgramServiceRevenuePriorYear
Program Service Revenue CY	407435858	ProgramServiceRevenueCY
Investment Income Prior Year	2539555	InvestmentIncomePriorYear
Investment Income Current Year	431280	InvestmentIncomeCurrentYear
Other Revenue Prior Year	18483993	OtherRevenuePriorYear
Other Revenue Current Year	20139655	OtherRevenueCurrentYear
Total Revenue Prior Year	447152760	TotalRevenuePriorYear
Total Revenue Current Year	428618638	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	32143	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	20505	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	211858569	SalariesEtcPriorYear
Salaries Etc Current Year	210053883	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	218322978	OtherExpensePriorYear
Other Expenses Current Year	213452939	OtherExpensesCurrentYear
Total Expenses Prior Year	430213690	TotalExpensesPriorYear
Total Expenses Current Year	423527327	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	16939070	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	5091311	RevenuesLessExpensesCY
Total Assets BOY	459543114	TotalAssetsBOY
Total Assets EOY	456076109	TotalAssetsEOY
Total Liabilities BOY	249891628	TotalLiabilitiesBOY
Total Liabilities EOY	265836559	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	209651486	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	190239550	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	SEE COMMUNITY BENEFIT REPORT - SCHEDULE O	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	394983366	Expense
Grants	20505	Grants
Revenue	407515032	Revenue
Description	SEE COMMUNITY BENEFIT REPORT - SCHEDULE O	Description
Total Program Service Expense	394983366	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	147	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	5070	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	KENNETH J VENUTO	NamePerson
Telephone Number	3145251000	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	10010 KENNERLY ROAD	AddressLine1
City	ST LOUIS	City
State	MO	State
ZIP Code	63128	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (31 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
K DANE BROOKSHER
FIRST VICE CHAIRMAN	1.0	X	X	0	0	0
JOSEPH LIPIC
MEMBER	1.0	X		0	0	0
THOMAS ROCKERS
PRESIDENT	40.0	X	X	659454	0	64499
THOMAS KUTIS
SECOND VICE CHAIRMAN	1.0	X	X	0	0	0
JOHN K PRUELLAGE
TREASURER	3.0	X	X	0	0	0
PAUL G LORENZINI
MEMBER	0.5	X		0	0	0
PAUL A NOVELLY
MEMBER	0.25	X		0	0	0
HOWARD CHILCUTT
SECRETARY	2.0	X	X	0	0	0
DAVID M SINDELAR
CHAIRMAN	3.0	X	X	0	0	0
DOUGLAS PARASHAK MD
MEMBER	1.0	X		0	0	0
ROBERT F BECKMAN MD
MEMBER - MED STAFF PRESIDENT	2.0	X	X	25000	0	0
DANIEL BIPPEN
MEMBER	1.0	X		0	0	0
RICHARD MAYHALL
MEMBER	1.0	X		0	0	0
JOHN H BERRA JR
MEMBER	1.0	X		0	0	0
JAMES POWERS
MEMBER	1.0	X		0	0	0
STACY HASTIE
MEMBER	1.0	X		0	0	0
JEFFREY WILKINSON
MEMBER	1.0	X		0	0	0
JOHN SKEANS
EXECUTIVE VP - CFO	40.0		X	350653	0	34907
PATRICK GARRETT
EXECUTIVE VP - PHYS NETWORKS	40.0		X	441813	0	31558
ROBERT GRIESBAUM
VP - PATIENT CARE QUALITY	40.0			304582	0	23785	X
ANN BOLLONE
VP - HUMAN RESOURCES	40.0			277591	0	17676	X
SHERRY NELSON
VP - PATIENT CARE SERVICES	40.0			253616	0	36072	X
EMILY NIEHAUS
VP - MARKETING	40.0			242844	0	23753	X
GORDON LASHMETT
VP - CIO	40.0			239131	0	18149	X
KEVIN SPRECHER
VP - CLINICAL EFFECTIVENESS	40.0			179846	0	30117	X
MICHAEL L SHAPIRO
PHYSICIAN	40.0			824496	0	40975		X
GREGORY W BOTTERON
PHYSICIAN	40.0			825926	0	21112		X
MICHAEL G GOLDMEIER
PHYSICIAN	40.0			820040	0	40975		X
RAJIV R HANDA
PHYSICIAN	40.0			825458	0	40975		X
CHARLES F CAREY
PHYSICIAN	40.0			824040	0	35498		X
ROBERT P THAMES
FORMER EXECUTIVE VP - COO				437034	0	34638			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	7531524	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	494689	TotalOtherCompensation
Number Individuals GT100 K	145	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
ASPEN ADVISORS LLC
22337 MEADOW VIEW ROAD	MORRISON	CO	80465	I.T. PLANNING	3202080
SSM CARDINAL GLENNON CHILDRENS HOSP
1195 CORPORATE LAKE DR	ST LOUIS	MO	63132	PEDIATRIC PHYSICIANS	1696176
LARRY BAST CONSTRUCTION CO INC
1409 HERCULANEUM DR	HERCULANEUM	MO	63048	CONSTRUCTION	3745263
PAVILION SERVICES LLC
12855 N FORTY DR SUITE 300	ST LOUIS	MO	63141	BILLING SERVICES	3463371
DIAMOND HEALTH PARTNERS
10012 KENNERLY ROAD	ST LOUIS	MO	63128	PHYSICIAN SERVICES	1699992

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	51	NumberOfContractorsGT100K
Related Organizations	535171	RelatedOrganizations
All Other Contributions	76674	AllOtherContributions
Total Contributions	611845	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT CARE	621110	407353766	407353766
EDUCATIONAL PGMS	611710	82092	82092

Field	Value	IRS element (for citing)
Total Program Service Revenue	407435858	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	483292	TotalRevenueColumn
Exclusion	$483,292	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1423996	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	231677	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	1192319	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	1192319	TotalRevenueColumn
Exclusion	$1,192,319	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	31067556	Securities
Other	0	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	31119568	Securities
Other	0	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-52012	Securities
Other	0	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-52012	TotalRevenueColumn
Exclusion	-$52,012	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	8078358	GrossSalesOfInventory
Cost Of Goods Sold	2722552	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	5355806	TotalRevenueColumn
Unrelated Business Revenue	79174	UnrelatedBusinessRevenue
Exclusion	$5,276,632	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
CAFETERIA SALES	722210	2635984	$2,635,984
JOINT VENTURE INCOME	900099	1507859	$1,507,859
AMORTIZATION OF DEFERRED GAIN ON SALE OF BLDGS	900099	833004	$833,004

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	8614683	TotalRevenueColumn
Unrelated Business Revenue	12419	UnrelatedBusinessRevenue
Exclusion	$8,602,264	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	13591530	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	428618638	TotalRevenueColumn
Related Or Exempt Function Income	407435858	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	91593	UnrelatedBusinessRevenue
Exclusion	$20,479,342	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	20505	Total
Program Services	20505	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	4188630	Total
Program Services	1085297	ProgramServices
Management And General	3103333	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	169671553	Total
Program Services	163526099	ProgramServices
Management And General	6145454	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	7481626	Total
Program Services	7201371	ProgramServices
Management And General	280255	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	16300981	Total
Program Services	15478285	ProgramServices
Management And General	822696	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	12411093	Total
Program Services	11563035	ProgramServices
Management And General	848058	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	369794	Total
Program Services	182655	ProgramServices
Management And General	187139	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	129396	Total
Management And General	129396	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	13096432	Total
Program Services	10438622	ProgramServices
Management And General	2657810	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1815110	Total
Program Services	1815110	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	101015143	Total
Program Services	99891917	ProgramServices
Management And General	1123226	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	5054337	Total
Program Services	361067	ProgramServices
Management And General	4693270	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1581343	Total
Program Services	1581343	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	391242	Total
Program Services	391242	ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	223476	Total
Program Services	223476	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	7678428	Total
Program Services	7678428	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	30640083	Total
Program Services	23318601	ProgramServices
Management And General	7321482	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3439724	Total
Program Services	3439724	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	FundraisingFundraising	Management And GeneralManagementAndGeneral
BAD DEBTS	27291936	27291936	0
MEDICAL SPECIALIST	9722504	9522504		200000
LEASE RENT BUILDING	6379040	5989536		389504
MEDICAL CODING COMPLIANCE	760395	760395

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	3864556	Total
Program Services	3222218	ProgramServices
Management And General	642338	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	423527327	Total
Program Services	394983366	ProgramServices
Management And General	28543961	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	2771124	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1405589	BOY
EOY	2901909	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	759040	BOY
EOY	160001	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	63532729	BOY
EOY	59310975	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	39559411	BOY
EOY	52387156	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	5903852	BOY
EOY	5474895	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2508266	BOY
EOY	2673597	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	625446846	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	357225212	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	275421646	BOY
EOY	268221634	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	63404123	BOY
EOY	53218118	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	631427	BOY
EOY	730843	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	6417031	BOY
EOY	8225857	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	459543114	BOY
EOY	456076109	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	55846433	BOY
EOY	53143625	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	145310176	BOY
EOY	141597628	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	144390	BOY
EOY	88357	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	48590629	BOY
EOY	71006949	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	249891628	BOY
EOY	265836559	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	209651486	BOY
EOY	189490218	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	749332	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	209651486	BOY
EOY	190239550	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	459543114	BOY
EOY	456076109	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	5091311	ReconcilationRevenueExpenses
Reconcilation Other Changes	-24503247	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	true	GrantsOtherOrganizations
Grants Other Organizations	$32,610	GrantsOtherOrganizationsAmount
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	32610	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	21798631	BeginningOfYearBalance
Contributions	208253399	Contributions
Investment Earnings Or Losses	-8383763	InvestmentEarningsOrLosses
Other Expenditures	3093519	OtherExpenditures
End Of Year Balance	218574748	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	20897736	BeginningOfYearBalance
Contributions	19335	Contributions
Investment Earnings Or Losses	4285185	InvestmentEarningsOrLosses
Other Expenditures	3403625	OtherExpenditures
End Of Year Balance	21798631	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	18436504	BeginningOfYearBalance
Contributions	58094	Contributions
Investment Earnings Or Losses	2518572	InvestmentEarningsOrLosses
Other Expenditures	115434	OtherExpenditures
End Of Year Balance	20897736	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	21577451	BeginningOfYearBalance
Contributions	832413	Contributions
Investment Earnings Or Losses	-3230778	InvestmentEarningsOrLosses
Other Expenditures	742582	OtherExpenditures
End Of Year Balance	18436504	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.98715	BoardDesignatedEOYBalance
Term Endowment EOY Balance	0.01285	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	true	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	true	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	9844106	OtherCostOrOtherBasis
Book Value	9844106	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	242440727	OtherCostOrOtherBasis
Depreciation	87415759	Depreciation
Book Value	155024968	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	352094421	OtherCostOrOtherBasis
Depreciation	260632255	Depreciation
Book Value	91462166	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	21067593	OtherCostOrOtherBasis
Depreciation	9177199	Depreciation
Book Value	11890394	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	268221634	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
RESERVE - SELF INSURANCE LIABI	$17,318,063
PENSION PAYABLE	$9,216,220
CAPITAL LEASES	$420,731
GIFT ANNUITIES	$917
DEFERRED GAIN ON SALE LEASEBAC	$4,142,028
INTEREST RATE SWAP LIABILITY	$39,908,990

Field	Value	IRS element (for citing)
Total Of Amounts	71006949	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ENDOWMENT FUNDS	PART V, LINE 4	THE FUNDS ARE TO BE USED FOR THE SELF INSURANCE TRUST OF THE ORGANIZATION, WHICH IS USED TO COVER MALPRACTICE CLAIMS. THE CURRENT YEAR COLUMN INCLUDES FUNDS HELD BY RELATED ORGANIZATIONS FOR THE BENEFIT OF THE HOSPITAL. THESE FUNDS ARE TO BE USED FOR FUTURE CAPITAL IMPROVEMENTS.
UNCERTAIN TAX POSITIONS UNDER FIN 48	PART X, LINE 2	MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT INDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7529044	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	7529044	NetCommunityBenefitExpense
Percent Of Total Expense	0.01910	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	55274155	TotalCommunityBenefitExpense
Direct Offsetting Revenue	50749122	DirectOffsettingRevenue
Net Community Benefit Expense	4525033	NetCommunityBenefitExpense
Percent Of Total Expense	0.01150	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	62803199	TotalCommunityBenefitExpense
Direct Offsetting Revenue	50749122	DirectOffsettingRevenue
Net Community Benefit Expense	12054077	NetCommunityBenefitExpense
Percent Of Total Expense	0.03060	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	271672	TotalCommunityBenefitExpense
Direct Offsetting Revenue	16232	DirectOffsettingRevenue
Net Community Benefit Expense	255440	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	315977	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	315977	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9513612	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9253015	DirectOffsettingRevenue
Net Community Benefit Expense	260597	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	55639	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	55639	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	10156900	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9269247	DirectOffsettingRevenue
Net Community Benefit Expense	887653	NetCommunityBenefitExpense
Percent Of Total Expense	0.00220	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	72960099	TotalCommunityBenefitExpense
Direct Offsetting Revenue	60018369	DirectOffsettingRevenue
Net Community Benefit Expense	12941730	NetCommunityBenefitExpense
Percent Of Total Expense	0.03280	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	20500	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	20500	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	20500	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	20500	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$8,535,843	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	135821645	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	143175942	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-7354297	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
SOUTH COUNTY PET
IMAGING SERVICES	0.52000	0.00000	0.48000
PLAZA SURGERY SVCS
OUTPATIENT SERVICES	0.52000	0.00000	0.48000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ST ANTHONY'S MEDICAL CENTER	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	10010 KENNERLY ROAD	AddressLine1
City	ST LOUIS	City
State	MO	State
ZIP Code	63128	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ST ANTHONY'S MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	400.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
State Regulation	X	StateRegulation
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	4	NumberOfOtherFacilities

Other Facilities OtherFacilities (4 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
FENTON URGENT CARE
714 GRAVOIS ROAD	FENTON	MO	63026	URGENT CARE FACILITY
ARNOLD URGENT CARE
3619 RICHARDSON ROAD	ARNOLD	MO	63010	URGENT CARE FACILITY
LEMAY URGENT CARE
2900 LEMAY FERRY ROAD	ST LOUIS	MO	63125	URGENT CARE FACILITY
BIG BEND URGENT CARE
10296 BIG BEND BLVD	ST LOUIS	MO	63122	URGENT CARE FACILITY

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
COST METHODOLOGY	PART I, LINE 7	THE COSTS REPORTED IN THE TABLE IN PART I, LINE 7 USED THE COST ACCOUNTING METHODOLOGY. THIS METHODOLOGY WAS USED FOR ALL PATIENT SEGMENTS, WITH THE EXCEPTION OF PART I, LINES 7(A) AND 7(B), WHICH USED A RATIO OF PATIENT CARE COSTS TO CHARGES AS COMPUTED IN WORKSHEET 2 OF THE FORM INSTRUCTIONS.
BAD DEBT EXPENSE	PART I, LINE 7, COLUMN F	THE ORGANIZATION HAD BAD DEBT EXPENSE IN THE AMOUNT OF $27,291,936 REPORTED ON PART IX, LINE 24. HOWEVER, IT HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN.
FOOTNOTE TO AUDITED FINANCIAL STATEMENTS - BAD DEBT EXPENSE	PART III, LINE 4	THE MEDICAL CENTER REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS, AND OTHERS. THE MEDICAL CENTER PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION, AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE MEDICAL CENTER BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBT BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT.
COSTING METHODOLOGY USED FOR BAD DEBT EXPENSE	PART III, LINE 4	THE COSTING METHODOLOGY USED FOR DETERMINING BAD DEBT EXPENSE AS REPORTED IN PART III, LINE 2 AND 3 WAS THE RATIO OF PATIENT CARE COSTS TO CHARGES AS COMPUTED IN WORKSHEET 2 OF THE FORM INSTRUCTIONS. THE RATIONALE FOR INCLUDING BAD DEBT IN COMMUNITY BENEFITS IS THAT MEDICALLY NECESSARY SERVICES WERE PROVIDED AND NO REIMBURSEMENT WAS RECEIVED.
MEDICARE SHORTFALL TREATED AS COMMUNITY BENEFIT	PART III, LINE 8	THE SHORTFALL IS UNCOMPENSATED MEDICARE COST WHICH SHOULD BE INCLUDED IN COMMUNITY BENEFITS SINCE MEDICALLY NECESSARY SERVICES WERE PROVIDED AND NOT REIMBURSED.
COSTING METHODOLOGY USED FOR MEDICARE	PART III, LINE 8	THE COSTING METHODOLOGY SOURCE USED WAS THE FY 2012 MEDICARE COST REPORT.
DEBT COLLECTION POLICY	PART III, LINE 9(B)	PROCEDURES ARE IN PLACE TO PROCESS ACCOUNTS FOR PATIENTS THAT QUALIFY FOR CHARITY CARE. NO COLLECTION PRACTICES TAKE PLACE FOR THOSE PATIENTS.
CHARGES FOR MEDICAL CARE	PART V, LINE 19	FINANCIAL ASSISTANCE DETERMINATION LEVELS ARE UPDATED ANNUALLY BASED ON FEDERAL POVERTY GUIDELINES USUALLY PUBLISHED IN JANUARY. THE MEDICARE COST-TO-CHARGE RATIO IS UPDATED ANNUALLY AFTER PREPARATION OF THE MEDICARE COST REPORT. THE UNINSURED DISCOUNT FOR PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE IS REVIEWED ANNUALLY AND IS BASED ON LOW VOLUMES MANAGED CARE CONTRACT DISCOUNTS. POLICIES WILL BE UPDATED ANNUALLY AFTER RECEIPT OF THE FEDERAL POVERTY GUIDELINES AND THE CMS TENTATIVE REVIEW OF THE COST REPORT SETTLEMENT.
NEEDS ASSESSMENT	PART VI, LINE 2
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PART VI, LINE 3	THE MEDICAL ELIGIBILITY PROGRAM IS A HOSPITAL SERVICE PROVIDED TO PATIENTS AT NO COST. PATIENTS MAY QUALIFY FOR GOVERNMENT PROGRAMS WHICH PAY FOR ALL OR PART OF THEIR HOSPITAL AND MEDICAL EXPENSES. IF PATIENT IS UNDER 21 OR OVER 65 YEARS OLD, HAVE CHILDREN IN THE HOUSEHOLD, ARE PREGNANT, POTENTIALLY DISABLED, OR HAVE BEEN A VICTIM OF CRIME THEY MAY QUALIFY. SAMC HOSPITAL FINANCIAL COUNSELORS WILL ASSIST PATIENT WITH THE APPLICATION PROCESS. PATIENTS ARE INFORMED ABOUT OUR FINANCIAL ASSISTANCE PROCESS IN A NUMBER OF WAYS: -FINANCIAL COUNSELORS ARE AVAILABLE TO PATIENTS DURING THEIR STAY. -DISCUSSIONS ABOUT FINANCIAL ASSISTANCE OCCUR WHEN SPEAKING TO PATIENTS ON THE PHONE ABOUT THEIR ACCOUNT BALANCES. -INFORMATION REGARDING OUR FINANCIAL ASSISTANCE POLICY IS LOCATED AT SAMC AND ON THE BILLING STATEMENTS. -ADDITIONAL INFORMATION IN REGARD TO FINANCIAL ASSISTANCE IS LISTED ON BILLING STATEMENTS OR CAN BE FOUND ON SAMC'S WEBSITE.
COMMUNITY INFORMATION	PART VI, LINE 4	THE PRIMARY COMMUNITY THAT ST. ANTHONY'S SERVES INCLUDES A GEOGRAPHIC AREA OF SOUTH ST. LOUIS COUNTY, SOUTH ST. LOUIS CITY AND JEFFERSON COUNTY IN MISSOURI AND MONROE COUNTY IN ILLINOIS. THE SERVICE AREA COULD BEST BE DESCRIBED AS A COMBINATION SUBURBAN COMMUNITY. ST. ANTHONY'S SERVES A COMBINED POPULATION OF MORE THAN 566,000 RESIDENTS WHO RESIDE WITHIN A 25-30 MINUTE DRIVE TO ST. ANTHONY'S. THE PRIMARY SERVICE AREA ACCOUNTS FOR ABOUT 80% OF THE PATIENTS SERVED. THE DEMOGRAPHIC DATA* FOR THE PRIMARY SERVICE AREA INCLUDES A POPULATION OF MORE THAN 566,000 WITH TOTAL HOUSEHOLDS OF MORE THAN 227,000. MOST OF THE RESIDENTS ARE WHITE (90%), WITH 4% BLACK RESIDENTS, HISPANIC 2%, ASIAN/PACIFIC ISLANDER 2% AND ALL OTHER 2%. WE ALSO SERVE A LARGE BOSNIAN POPULATION. THE APPROXIMATE OCCUPATION BREAKOUT OF THE PRIMARY SERVICE AREA IS: 62% WHITE COLLAR, 22% BLUE COLLAR AND ABOUT 16% SERVICE WORKERS. THE AVERAGE HOUSEHOLD INCOME IS ABOUT $70,000/YR. THE ELDERLY POPULATION OF AGES 65 AND OLDER IS 23% . THE HOUSEHOLDS OF OWNER OCCUPIED ARE 77% VERSUS 23% RENTER OCCUPIED. SINGLE PARENT HOUSEHOLDS ARE ABOUT 34%. THE PERCENTAGE OF RESIDENTS WITH INCOME LEVELS OF LESS THAN $25,000 IS 18%. *SOURCE : 2010 ESTIMATES AND 2015 PROJECTIONS: NIELSEN CLARITAS THE PRIMARY SERVICE AREA PAYOR MIX OF SELF-PAY AND MEDICAID PATIENTS AT ST. ANTHONY'S FROM FISCAL YEAR 2010, WAS 18%. DATA SHOWS THIS PERCENTAGE HAS RISEN MORE THAN 4% OVER THE LAST FIVE FISCAL YEARS.
PROMOTION OF COMMUNITY HEALTH	PART VI, LINE 5	-ST. ANTHONY'S OPERATES AN EMERGENCY ROOM THAT ACCEPTS ALL PERSONS WHO ARE IN NEED OF MEDICAL ATTENTION REGARDLESS OF THEIR ABILITY TO PAY. -ST. ANTHONY'S HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. -ST. ANTHONY'S HAS A GOVERNING BOARD OF DIRECTORS IN WHICH INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY COMPRISE A MAJORITY; -ST. ANTHONY'S WORKS IN COOPERATION WITH LOCAL UNIVERSITIES AND HEALTH CARE ORGANIZATIONS TO ADVANCE THE SCIENCE OF MEDICINE BY PROVIDING A CLINICAL SETTING WHERE INNOVATIVE TREATMENTS AND NEW THERAPEUTIC PROTOCOLS CAN BE DEVELOPED AND STUDIED. -ST. ANTHONY'S ENGAGES IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS BY TEAMING UP WITH LOCAL COMMUNITY COLLEGES AND UNIVERSITIES TO PROVIDE A CLINICAL SETTING FOR HEALTH CARE STUDENTS. -ST. ANTHONY'S PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, TRICARE, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. -ST. ANTHONY'S MEDICAL CENTER FOUNDATION CONTRIBUTED $150,828 IN CASH DONATIONS TO NON-PROFIT ORGANIZATIONS AND SET UP $636,000 IN SCHOLARSHIP FUNDING FOR EMPLOYEE'S SONS AND DAUGHTERS WHICH IS NOT INCLUDED IN THIS TAX RETURN.
AFFILIATED HEALTH CARE SYSTEM	PART VI, LINE 7
STATE FILING OF COMMUNITY BENEFIT REPORT	PART VI, LINE 7
STATE FILING OF COMMUNITY BENEFIT REPORT	990 SCHEDULE H, PART VI	MO,

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained
No Grant More Than5000	X	NoGrantMoreThan5000

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS	Identifier
Return Reference	PART I, LINE 2	ReturnReference
Explanation	THE ORGANIZATION DOES NOT MONITOR THE GRANTS PAID, BUT IT MAKES GRANTS TO TAX-EXEMPT ORGANIZATIONS THAT ARE REQUIRED TO USE MONEY RECEIVED TOWARDS ITS' EXEMPT PURPOSE.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	true	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
THOMAS ROCKERS
516041	0	126911	0	16502	0	60413	0	4086	0	723953	0	0	0
JOHN SKEANS
280977	0	59020	0	10656	0	26913	0	7994	0	385560	0	0	0
ROBERT P THAMES
313891	0	116440	0	6703	0	26706	0	7932	0	471672	0	0	0
ROBERT GRIESBAUM
230089	0	54312	0	20181	0	10413	0	13372	0	328367	0	0	0
ANN BOLLONE
227779	0	49476	0	336	0	9777	0	7899	0	295267	0	0	0
SHERRY NELSON
199818	0	52990	0	808	0	26913	0	9159	0	289688	0	0	0
EMILY NIEHAUS
199251	0	43160	0	433	0	10413	0	13340	0	266597	0	0	0
GORDON LASHMETT
179848	0	59065	0	218	0	9130	0	9019	0	257280	0	0	0
PATRICK GARRETT
319714	0	121462	0	637	0	26913	0	4645	0	473371	0	0	0
MICHAEL L SHAPIRO
745451	0	75915	0	3130	0	26913	0	14062	0	865471	0	0	0
GREGORY W BOTTERON
749931	0	75915	0	80	0	7350	0	13762	0	847038	0	0	0
MICHAEL G GOLDMEIER
742451	0	75915	0	1674	0	26913	0	14062	0	861015	0	0	0
RAJIV R HANDA
748451	0	75915	0	1092	0	26913	0	14062	0	866433	0	0	0
CHARLES F CAREY
747397	0	75915	0	728	0	26913	0	8585	0	859538	0	0	0
KEVIN SPRECHER
137466	0	42270	0	110	0	22876	0	7241	0	209963	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
HEALTH OR SOCIAL CLUB DUES	PART I, LINE 1(A)	THOMAS ROCKERS, THE PRESIDENT, RECEIVED AN ALLOWANCE FOR HEALTH/SOCIAL CLUB MEMBERSHIP DUES. THE SOCIAL CLUB MEMBERSHIP IS TO BE USED EXCLUSIVELY FOR BUSINESS PURPOSES.
SEVERANCE PAYMENT	PART I, LINE 4(A)	THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT PER A CONTRACTUAL TERMINATION AGREEMENT: GORDON LASHMETT $22,149 ROBERT THAMES $148,090 NONQUALIFIED RETIREMENT PLAN PART I, LINE 4(B) THE FOLLOWING INDIVIDUALS RECEIVED CONTRIBUTIONS FROM THE FILING ORGANIZATION TO A NONQUALIFIED RETIREMENT PLAN UNDER SECTION 457(F): PATRICK GARRETT $16,500 SHERRY R. NELSON $16,500 JOHN SKEANS $16,500 ROBERT THAMES $16,500 KEVIN SPRECHER $15,074 THOMAS ROCKERS $33,500
COMPENSATION CONTINGENT ON REVENUES	PART I, LINE 5(B)	SAMC PAYS AN INCENTIVE TO PHYSICIANS BASED ON BUSINESS GENERATION FOR ST. ANTHONY'S PHYSICIAN ORGANIZATION (A RELATED ORGANIZATION). THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII RECEIVED THIS TYPE OF COMPENSATION: MICHAEL L. SHAPIRO $75,915 GREGORY W. BOTTERON $75,915 MICHAEL G. GOLDMEIER $75,915 RAJIV R. HANDA $75,915 CHARLES F. CAREY $75,915

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
HEALTH & EDUCATIONAL FACILITIES AUTHORITY OF MO
431178966	60635RW60	2005-12-21	86600000	ADVANCE REFUND OF SERIES 2000	false	false	false
HEALTH & EDUCATIONAL FACILITIES AUTHORITY OF MO
431178966	60635RX44	2006-06-13	70000000	EXPANSION, RENOVATION, & EQUIP	false	false	false
HEALTH & EDUCATIONAL FACILITIES AUTHORITY OF MO
431178966		2007-05-09	3100000	ACQUIRE MEDICAL EQUIPMENT	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Capitalized InterestCapitalizedInterest	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
13950000	101212940	0	826257	1654145	47800	0	98684739	1991	false	true	true	true
1950000	73778079	18095	609414	2200845	0	70949725	0	2010	false	false	true	true
2163114	3100000	0	0	0	0	3100000	0	2007	false	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs

false	false	true	true	false	false
false	false	true	true	false	false

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
UBS AG
false	true	true	25.	false	false	false	0	true	false
UBS AG
false	true	true	30.4	false	false	false	0	false	false
0
false	false	false				false	0	false	true

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	MANAGEMENT PRACTICES AND PROCEDURES	Identifier
Return Reference	PART III, LINE 7	ReturnReference
Explanation	SEE SCHEDULE O	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
LEWIS RICE AND FINGERISH
J PRUELLAGE,BOARD MEMBER,	443504	LEGAL SERVICES	false
LEWIS RICE AND FINGERISH CON
IS A BOARD MEMBER OF LRF
SC ANESTHESIA
J WILKINSON, BOARD MEMBER	794341	ANESTHESIA SERVICES	false
SC ANESTHESIA CON'T
IS A CO-OWNER OF SCA

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (18 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENT	FORM 990, SUPPLEMENT TO PART III, LINE 1	THE COMMUNITY BENEFIT CONTRIBUTION OF ST. ANTHONY'S MEDICAL CENTER INCLUDES PROGRAMS AND ACTIVITIES THAT IMPROVE ACCESS TO HEALTH CARE AND IMPROVE HEALTH IN OUR COMMUNITIES. IN ORDER TO PORTRAY THE FULL BREADTH OF OUR CONTRIBUTION, OUR COMMUNITY BENEFIT INFORMATION IS DESCRIBED BELOW: SECTION 1 - QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT 1. ORGANIZATIONAL COMMITMENT TO PROVIDING COMMUNITY BENEFIT A. MISSION STATEMENT: ST. ANTHONY'S, A CATHOLIC MEDICAL CENTER, HAS THE DUTY AND PRIVILEGE TO PROVIDE THE BEST CARE TO EVERY PATIENT, EVERY DAY. PRIMARY EXEMPT PURPOSE: ST. ANTHONY'S PROVIDES CARE IN A NONDISCRIMINATORY MANNER, OPERATES AN EMERGENCY DEPARTMENT OPEN TO ALL, OFFERS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS, AND MAINTAINS A GOVERNING BOARD OF DIRECTORS COMPRISED PRIMARILY OF COMMUNITY MEMBERS. WE PROMOTE AND ADDRESS THE SPECIFIC HEALTH NEEDS OF THE COMMUNITY AND PROVIDE SUPPORT THROUGH EDUCATIONAL, RELIGIOUS, AND CHARITABLE ACTIVITIES. EXCESS REVENUE IS USED FOR THE FURTHER DEVELOPMENT OF SUCH ACTIVITIES. B. ST. ANTHONY'S MEDICAL CENTER'S APPROACH TO PROVIDING COMMUNITY BENEFIT IS ILLUSTRATED AS FOLLOWS: -OUR GEOGRAPHIC AREA AND TARGET POPULATION ARE SOUTH ST. LOUIS COUNTY, JEFFERSON COUNTY, OUTSTATE MISSOURI AND SOUTHERN ILLINOIS. -MAJOR TRENDS, NEEDS, AND PROBLEMS IN THE COMMUNITY ARE ADDRESSED BY ST. ANTHONY'S MEDICAL CENTER IN A VARIETY OF WAYS. ALONG WITH TREATING ILLNESS AND DISEASE, ST. ANTHONY'S SUPPORTS PROGRAMS TO ADDRESS THE ROOT CAUSES OF MANY HEALTH PROBLEMS, SUCH AS POVERTY OR LACK OF EDUCATION. FOR EXAMPLE, OBESITY AND DIABETES ARE KEY ISSUES IN OUR COMMUNITY. IN RESPONSE, ST ANTHONY'S INITIATED AND MADE THE COMMUNITY AWARE OF NUMEROUS NUTRITION/DIABETES EDUCATION AND PHYSICAL ACTIVITY PROGRAMS TO HELP INDIVIDUALS GAIN ACCESS TO EDUCATION AND PROGRAMS REGARDING PROPER NUTRITION AND EXERCISE. -ST. ANTHONY'S MEDICAL CENTER SUPPORTS NEEDS AND PROBLEMS UNIQUE TO ITS COMMUNITY. WHILE NOT DIRECTLY RELATED TO HEALTH CARE, OUR SUPPORT FOR ACTIVITIES SUCH AS NEIGHBORHOOD REVITALIZATION; LOCAL ECONOMIC DEVELOPMENT, EDUCATION, COMMUNITY HEALTH ADVOCACY, AND SIMILAR EFFORTS ALL CONTRIBUTE TO IMPROVEMENT FOR THE PEOPLE WE SERVE THROUGHOUT THE REGION. ST. ANTHONY'S OFFERS NUMEROUS EDUCATIONAL EVENTS, COMMUNITY CLINICS, SUPPORT GROUPS, SELF-HELP PROGRAMS (E.G., WEIGHT MANAGEMENT, SMOKING CESSATION); AND PASTORAL OUTREACH AND SOCIAL SERVICE PROGRAMS. THESE PROGRAMS ARE WIDELY AVAILABLE TO ALL, CONVENIENTLY LOCATED ON OUR CAMPUS AND OFFERED CONTINUOUSLY THROUGHOUT THE YEAR. -VARIOUS COMMUNITY ORGANIZATIONS COLLABORATE WITH ST. ANTHONY'S MEDICAL CENTER TO IMPROVE COMMUNITY HEALTH, EXPAND ACCESS TO HEALTH CARE OR IN OTHER WAYS BENEFIT THE COMMUNITY. ST. ANTHONY'S WORKS IN COLLABORATION WITH THE FOLLOWING GROUPS: HOSPICE AGENCIES, ST. LOUIS ASSOCIATION OF DIABETES EDUCATORS, ST. LOUIS SOCIETY OF THE BLIND, MISSOURI VOCATION REHABILITATION SERVICES, LOCAL SCHOOL DISTRICTS, SALVATION ARMY, FLORISSANT VALLEY COMMUNITY COLLEGE, BARNES JEWISH COLLEGE OF NURSING, AMERICAN LIVER FOUNDATION, CARDINAL GLENNON HOSPITAL, NARCOTICS ANONYMOUS, ST. LOUIS UNIVERSITY, MISSOURI SOCIETY OF RESPIRATORY CARE, AMERICAN LUNG ASSOCIATION, AMERICAN RED CROSS, THE SUBURBAN JOURNALS, AND THE UNIVERSITY MISSOURI-COLUMBIA. -SEVERAL HOSPITAL DEPARTMENTS DEDICATE STAFF TO ASSIST IN COMMUNITY BENEFITS EFFORTS. STAFFING IS BASED UPON TYPE OF COMMUNITY BENEFIT AND LEVEL OF SUPPORT NEEDED. C. ST. ANTHONY'S MEDICAL CENTER HAS FINANCIAL ASSISTANCE AND UNINSURED POLICIES AND PROGRAMS AS DESCRIBED BELOW. FINANCIAL ASSISTANCE POLICY - ST. ANTHONY'S MEDICAL CENTER HAS ESTABLISHED A PROGRAM TO REDUCE OR COMPLETELY ADJUST DEBTS FOR CERTAIN PATIENTS REQUIRING HEALTH CARE BUT LACKING THE MEANS TO PAY FOR SERVICES RENDERED. UNINSURED PATIENTS POLICY - ST. ANTHONY'S MEDICAL CENTER WORKS WITH ALL PATIENTS THAT HAVE SELF-PAY BALANCES TO ESTABLISH PAYMENT PLANS THAT ARE REASONABLE FOR THE PATIENT AND STILL MAINTAIN THE CASH FLOW NEEDS OF THE HOSPITAL. PAYMENT PLANS ARE TYPICALLY ESTABLISHED AFTER SERVICE HAS BEEN RENDERED AND BY COMMUNICATION BETWEEN THE PATIENT/RESPONSIBLE PARTY AND PATIENT ACCOUNTS CUSTOMER SERVICE OR FINANCIAL COUNSELING STAFF. PATIENTS THAT ARE UNINSURED MAY CONTACT OR BE CONTACTED BY CUSTOMER SERVICE OR FINANCIAL COUNSELING STAFF IN ORDER TO DETERMINE WHETHER OTHER MEANS OF PAYMENT OF THE BILL ARE AVAILABLE (E.G., MEDICAID ELIGIBILITY, VICTIMS OF CRIME, THIRD PARTY LIABILITY INSURANCE, ETC.). IF NO ADDITIONAL OUTSIDE FUNDS ARE AVAILABLE, THEN THE PATIENT MAY QUALIFY FOR FINANCIAL ASSISTANCE FROM ST. ANTHONY'S MEDICAL CENTER. ANY PATIENT THAT IS UNINSURED AND DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE OR DOES NOT WANT TO ACCESS HOSPITAL FINANCIAL ASSISTANCE WILL RECEIVE AN AUTOMATIC DISCOUNT OF 40% FROM BILLED CHARGES. COLLECTION POLICY - IT IS THE POLICY OF ST. ANTHONY'S MEDICAL CENTER TO TREAT ALL PATIENTS REQUIRING EMERGENCY TREATMENT REGARDLESS OF THEIR ABILITY TO PAY. IN ADDITION, STAFF WILL ASSIST PATIENTS WHO CANNOT PAY FOR PART OF ALL OF THE CARE THEY RECEIVE BY WORKING WITH THE PATIENT TO FIND ALTERNATIVE SOURCES OF PAYMENT OR TO DEVELOP A PAYMENT SCHEDULE THAT IS SATISFACTORY FOR ALL PARTIES. WE MUST ALSO BALANCE THE NEED FOR FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO KEEP OUR HOSPITAL DOORS OPEN FOR ALL THAT MAY NEED CARE IN THE COMMUNITY. FINANCIAL COUNSELING AND PATIENT ACCOUNT STAFFS ARE AVAILABLE BY TELEPHONE AND IN-PERSON TO DISCUSS HOSPITAL BILLS, BILLING POLICIES, METHODS OF PAYMENT, AND ALTERNATIVE SOURCES OF PAYMENT. QUESTIONS REGARDING HOSPITAL BILLS AND FINANCIAL ASSISTANCE ARE ACKNOWLEDGED PROMPTLY. PRICE QUOTES, ESTIMATES OF CHARGES, AND FULLY ITEMIZED BILLS ARE PROVIDED UPON REQUEST. CHARITY CARE INFORMATION IS PROVIDED TO UNINSURED AND UNDERINSURED PATIENTS UPON REQUEST. THE INFORMATION IS AVAILABLE IN SEVERAL LANGUAGES. ST. ANTHONY'S MEDICAL CENTER PARISH NURSES CAN ALSO PROVIDE THE SAME INFORMATION TO POTENTIAL PATIENTS NEEDING HEALTHCARE SERVICES. THE HOSPITAL PROVIDES ASSISTANCE TO PATIENTS APPLYING FOR MEDICAID OR VICTIM OF CRIMES FUNDS. ST. ANTHONY'S MEDICAL CENTER IS A HOST SITE FOR THE CLAIM PROGRAM IN THE STATE OF MISSOURI. THIS FREE SERVICE PROVIDES ASSISTANCE FOR MEDICARE ELIGIBLE PATIENTS WHO NEED HELP UNDERSTANDING MEDICARE INSURANCE OR THEIR HEALTHCARE BILLS. DISCOUNTS ARE PROVIDED TO UNINSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE. AFTER ALL INSURANCE HAS PAID OR BEEN FINALIZED BY THE INSURANCE PLAN, OUR PATIENTS OR GUARANTORS RECEIVE TWO BILLING STATEMENTS AND TWO PRE-COLLECTION NOTICES PRIOR TO BEING FORWARDED TO AN OUTSIDE AGENCY FOR COLLECTION IF NO PAYMENTS ARE RECEIVED. LARGER ACCOUNTS MAY ALSO RECEIVE FOLLOW UP PHONE CALLS FROM THE HOSPITAL IN ADDITION TO THE BILLING STATEMENTS. PAYMENT OPTIONS INCLUDE A PAYMENT PLAN WITH NO INTEREST OR A LOW-INTEREST BANK LOAN PROGRAM FOR LONGER PAYMENT PLAN PERIODS. IN SOME CASES, ACCOUNTS MAY BE SENT TO A COLLECTION ATTORNEY AND SUIT BY THE HOSPITAL AUTHORIZED WHEN ALL PREVIOUS ATTEMPTS AT COLLECTING PAYMENT OR ESTABLISHING A PAYMENT PLAN FAIL. SUCCESSFUL SUITS ARE COLLECTED BY GARNISHING WAGES, BUT NO ASSETS SUCH AS HOUSES, CARS, OR BANK ACCOUNTS ARE ATTACHED. CUSTOMER COMPLAINTS REGARDING AN AGENCY ARE INVESTIGATED PROMPTLY AND THE RESULTS OF THE INVESTIGATION ARE REPORTED BACK TO THE CUSTOMER. COLLECTION AGENCIES ARE AUTHORIZED BY ST. ANTHONY'S MEDICAL CENTER TO LIST ACCOUNTS WITH CREDIT BUREAUS NINETY DAYS FROM DATE OF PLACEMENT WHEN NO ACCOUNT RESOLUTION OR PAYMENT SCHEDULE AGREEMENT HAS OCCURRED.
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENT	FORM 990, SUPPLEMENT TO PART III, LINE 1 (CONT')	2. ORGANIZATIONAL DESCRIPTION FOR TAX EXEMPTION ST. ANTHONY'S MEDICAL CENTER QUALIFIES FOR TAX EXEMPTION THROUGH VARIOUS ACTIVITIES AND PARTICIPATION AS DESCRIBED BELOW: -ST. ANTHONY'S OPERATES AN EMERGENCY ROOM THAT ACCEPTS ALL PERSONS WHO ARE IN NEED OF MEDICAL ATTENTION REGARDLESS OF THEIR ABILITY TO PAY. -ST. ANTHONY'S HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. -ST. ANTHONY'S HAS A GOVERNING BOARD OF DIRECTORS IN WHICH INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY COMPRISE A MAJORITY; -ST. ANTHONY'S WORKS IN COOPERATION WITH LOCAL UNIVERSITIES AND HEALTH CARE ORGANIZATIONS TO ADVANCE THE SCIENCE OF MEDICINE BY PROVIDING A CLINICAL SETTING WHERE INNOVATIVE TREATMENTS AND NEW THERAPEUTIC PROTOCOLS CAN BE DEVELOPED AND STUDIED. -ST. ANTHONY'S ENGAGES IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS BY TEAMING UP WITH LOCAL COMMUNITY COLLEGES AND UNIVERSITIES TO PROVIDE A CLINICAL SETTING FOR HEALTH CARE STUDENTS. -ST. ANTHONY'S PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, TRICARE, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. 3. DESCRIPTION OF COMMUNITY BENEFIT PROGRAMS A. THE PROGRAMS BELOW DESCRIBE AND HIGHLIGHT SEVERAL PROGRAMS THAT CLEARLY MEET IDENTIFIED COMMUNITY HEALTH NEEDS. HEALTH SCREENINGS, LECTURES AND EVENTS - EACH YEAR, ST. ANTHONY'S OFFERS NUMEROUS HEALTH SCREENINGS, (E.G., SUCH AS CHOLESTEROL, PROSTATE, BONE DENSITY, HEAD AND NECK AND SKIN) THAT ARE FREE AND OPEN TO THE COMMUNITY. THESE SCREENINGS ARE DESIGNED TO RAISE AWARENESS OF THE IMPORTANCE OF PREVENTIVE HEALTH CARE AND EARLY DETECTION OF DISEASE. OFTEN, THE SCREENINGS ARE IN CONJUNCTION WITH LARGER HEALTH FAIRS OFFERING FREE INFORMATION AND CONSULTATION WITH NUMEROUS MEDICAL PROFESSIONALS FROM PHYSICIANS, NURSE PRACTITIONERS AND OTHER CLINICIANS TO NUTRITIONISTS, EXERCISE PHYSIOLOGISTS AND THERAPISTS. ADDITIONALLY, THE MEDICAL CENTER SPONSORS ONGOING FREE LECTURES, HOSTED BY PHYSICIANS AND CLINICIANS, TO ADDRESS KEY CONCERNS, SUCH AS HEART DISEASE, CANCER, DIABETES, AND SAFETY AND INJURY PREVENTION. COMMUNITY OUTREACH HEALTH EDUCATION AND SPEAKERS BUREAU - ST. ANTHONY'S MEDICAL CENTER OFFERS EXTENSIVE PREVENTATIVE HEALTH EDUCATION BY SKILLED STAFF TO COMMUNITY GROUPS SUCH AS SCHOOLS, CHURCH GROUPS, BUSINESSES AND OTHER ORGANIZATIONS FREE OF CHARGE. BASED ON THE NEEDS OF THE GROUPS, ST. ANTHONY'S MEDICAL CENTER PRESENT TOPICS AND HEALTH INFORMATION THAT WILL HELP THE COMMUNITY TO MAKE HEALTHY, EDUCATED AND WISE CHOICES WHEN IT COMES TO THEIR HEALTH. THERAPY INTERNSHIPS AND ROTATIONS - ST. ANTHONY'S MEDICAL CENTER IS NOTED AS A LEADER IN HELPING COLLEGE STUDENTS COMPLETE THEIR CLINICAL ROTATIONS OR INTERNSHIPS IN FIELDS SUCH AS PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AND SPEECH THERAPY. ST. ANTHONY'S HAS ACTIVE THERAPY PROGRAMS INTERNSHIP PROGRAMS WITH WELL OVER A DOZEN UNIVERSITIES, COLLEGES AND COMMUNITY COLLEGES IN THE REGION. BEREAVEMENT AND GRIEF SUPPORT - ADDRESSES THE NEED OF BEREAVEMENT AND GRIEF SUPPORT THROUGH A BROAD RANGE OF PROGRAMS AND SERVICES. THESE TOOLS AND SUPPORT HELP THE PARTICIPANTS TO MOVE THROUGH THE STAGES OF GRIEF TO A PLACE OF UNDERSTANDING AND ACCEPTANCE OF THEIR LOSS. PROGRAMS BEYOND ST. ANTHONY'S MEDICAL CENTER AND EXTEND INTO THE COMMUNITY WITH A PRESENCE AT NURSING HOMES, HELPING THEIR STAFF DEVELOP SKILLS FOR PROVIDING COMPASSIONATE, END OF LIFE CARE. FREE HELMET FITTINGS - TRAINED STAFF MEMBERS FROM THE ST. ANTHONY'S EMERGENCY DEPARTMENT OFFER FREE HELMET FITTINGS FOR BOTH CHILDREN AND ADULTS. BICYCLE SAFETY EDUCATION IS ALSO PROVIDED TO THE CHILDREN. PARTICIPANTS ARE MADE AWARE OF THE SERIOUSNESS OF HEAD INJURIES AND HOW THEY CAN BE PREVENTED, RESULTING IN FEWER HEAD INJURIES IN CHILDREN. 4. LINKS TO ADDITIONAL COMMUNITY BENEFIT INFORMATION A. HTTP://WWW.STANTHONYSMEDCENTER.COM/COMPROGRAMS/COMMUNITYMENU.ASP
BUSINESS RELATIONSHIP	FORM 990, PART VI, SECTION A, LINE 2	JOHN H BERRA JR HAS A BUSINESS RELATIONSHIP WITH HOWARD CHILCUTT AND STACIE HASTIE; PAUL A NOVELLY HAS A BUSINESS RELATIONSHIP WITH PAUL G LORENZINI.
REVIEW PROCESS	FORM 990, PART VI, SECTION B, LINE 11	RETURNS ARE PREPARED AND INITIALLY REVIEWED BY ST ANTHONY'S FINANCE STAFF AND PREPARER BKD. AFTER THESE REVIEWS ARE COMPLETED, THE RETURNS ARE THEN REVIEWED WITH THE CHIEF FINANCIAL OFFICER (CFO) BY FINANCE STAFF. THE CFO THEN REVIEWS THE RETURNS WITH THE CEO. ONCE THIS REVIEW OCCURS, RETURNS ARE MAILED TO BOARD / FINANCE COMMITTEE MEMBERS ALONG WITH THE BOARD / FINANCE COMMITTEE PACKET. REVIEW OF THE 990 IS AN AGENDA ITEM AT THE FINANCE COMMITTEE MEETING WHERE EACH OF THE RETURNS ARE REVIEWED AND DISCUSSED WITH MEMBERS. ONCE THIS REVIEW OCCURS, RETURNS ARE DISTRIBUTED TO THE FULL BOARD FOR REVIEW AND DISCUSSION AS PART OF THE FINANCE COMMITTEE REPORT. ONCE ALL REVIEWS HAVE TAKEN PLACE, THE RETURNS ARE FILED WITH THE INTERNAL REVENUE SERVICE. IN THE EVENT THAT THE FORM 990 CANNOT BE REVIEWED IN A FINANCE COMMITTEE OR BOARD MEETING, THE FORM 990 WILL BE DISTRIBUTED TO THE GOVERNING BODY VIA OTHER MEANS PRIOR TO FILING WITH THE IRS.
COMPLIANCE WITH CONFLICT OF INTEREST POLICY	FORM 990, PART VI, SECTION B, LINE 12C	TO ENSURE THAT ST. ANTHONY'S OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX, PERIODIC REVIEWS SHALL BE CONDUCTED. THE PERIODIC REVIEWS SHALL, AT A MINIMUM, INCLUDE THE FOLLOWING SUBJECTS: -WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE AND ARE THE RESULT OF ARM'S-LENGTH BARGAINING. -WHETHER ACQUISITIONS OF PHYSICIAN PRACTICES AND OTHER PROVIDER SERVICES RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. -WHETHER PARTNERSHIP AND JOINT VENTURE ARRANGEMENTS AND ARRANGEMENTS WITH MANAGEMENT SERVICE ORGANIZATIONS AND PHYSICIAN HOSPITAL ORGANIZATIONS CONFORM TO WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE PAYMENTS FOR GOODS AND SERVICES, FURTHER ST. ANTHONY'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. -WHETHER AGREEMENTS TO PROVIDE HEALTH CARE AND AGREEMENTS WITH OTHER HEALTH CARE PROVIDERS, EMPLOYEES, AND THIRD PARTY PAYORS FURTHER ST. ANTHONY'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. IF THE BOARD OR COMMITTEE OR ADMINISTRATOR HAS REASONABLE CAUSE TO BELIEVE THAT AN INDIVIDUAL HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE INDIVIDUAL OF THE BASIS FOR SUCH BELIEF AND AFFORD THE INDIVIDUAL AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE OF THE INDIVIDUAL AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR COMMITTEE OR ADMINISTRATOR DETERMINES THAT THE INDIVIDUAL HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION.
PROCESS FOR DETERMINING COMPENSATION	FORM 990, PART VI, SECTION B, LINE 15(A & B)	COMPENSATION FOR THE CEO AND ALL SENIOR MANAGEMENT STAFF MEMBERS IS BASED UPON COMPARABLE MARKET RATES FOR SIMILAR POSITIONS WITHIN THE NATION. ANNUALLY, AN OUTSIDE COMPENSATION CONSULTANT IS HIRED TO REVIEW COMPENSATION AND COMPARE IT TO APPROPRIATE PEER GROUPS. THESE EXTERNAL REPORTS ARE PRESENTED TO THE BOARD OF DIRECTORS' COMPENSATION COMMITTEE FOR REVIEW AND APPROVAL ALONG WITH THE ANNUAL EVALUATIONS OF THE SENIOR STAFF MEMBERS.
JOINT VENTURES	FORM 990, PART VI, SECTION B, LINE 16(B)	THE ORGANIZATION DOES NOT HAVE A FORMAL POLICY FOR EVALUATING JOINT VENTURES. HOWEVER, THE ORGANIZATION IS THE MAJORITY OWNER OF THE TWO JOINT VENTURES IN WHICH IT PARTICIPATES, WHICH PLACES IT IN A POSITION TO SAFEGUARD ITS EXEMPT STATUS WITH RESPECT TO THE ARRANGEMENTS.
PROCESS FOR MAKING DOCUMENTS AVAILABLE TO PUBLIC	PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE FINANCIAL STATEMENTS ARE POSTED ON THE ORGANIZATION'S WEBSITE.
OTHER CHANGES IN NET ASSETS OR FUND BALANCES	PART XI, LINE 5	UNREALIZED LOSS IN INVESTMENT RETURN (2,989,956) UNREALIZED GAINS ON INVESTMENTS 3,154,819 UNREALIZED MARKET ADJUSTMENT (914,344) DEFINED BENEFIT PENSION PLANS (3,569,761) RECLASS NONCONTROLLING INTEREST (238,826) CURTAILMENT LOSS (914,017) INEFFECTIVE PORTION OF BOND SWAP (19,031,162) ----------- TOTAL OTHER CHANGES IN NET ASSETS (24,503,247)
TAX-EXEMPT BOND MANAGEMENT PRACTICES AND PROCEDURES	SCHEDULE K, PART III, LINE 7 and PART V	HISTORICALLY, ST. ANTHONY'S MEDICAL CENTER ("SAMC") HAS RELIED UPON THE TAX COMPLIANCE AGREEMENT OR SIMILAR DOCUMENT ENTERED INTO IN CONJUNCTION WITH TAX-EXEMPT FINANCINGS AS THE ORGANIZATION'S WRITTEN PRACTICES AND PROCEDURES FOR ENSURING POST-ISSUANCE COMPLIANCE WITH THE FEDERAL TAX REQUIREMENTS. THESE PROCEDURES INCLUDE REQUIRING SAMC TO CONTACT BOND COUNSEL IN THE EVENT SAMC SEEKS TO ENTER INTO A MANAGEMENT AGREEMENT, LEASE, RESEARCH AGREEMENT OR OTHER ARRANGEMENT THAT MAY GIVE RISE TO PRIVATE BUSINESS USE OF THE FINANCED FACILITY. WHEN SAMC FILED ITS FORM 990 FOR FISCAL YEAR END 6/30/2010, IT INDICATED IT HAD WRITTEN PRACTICES AND PROCEDURES FOR ENSURING POST-ISSUANCE COMPLIANCE WITH THE FEDERAL INCOME TAX REQUIREMENTS BASED ON THESE PRACTICES AND PROCEDURES. AS PART OF THE PREPARATION PROCESS FOR FORM 990, SCHEDULE K, FOR FISCAL YEAR END 6/30/2011, SAMC BECAME AWARE THAT THE IRS DOES NOT VIEW A TAX COMPLIANCE AGREEMENT OR SIMILAR DOCUMENT ENTERED INTO IN CONJUNCTION WITH A TAX-EXEMPT FINANCING AS SUFFICIENT WRITTEN POST-ISSUANCE TAX COMPLIANCE PROCEDURES. INSTEAD, SAMC UNDERSTANDS THAT THE IRS BELIEVES THAT ISSUERS AND CONDUIT BORROWERS SHOULD HAVE WRITTEN PROCEDURES THAT ARE SEPARATE FROM THE TAX COMPLIANCE AGREEMENT. AS A RESULT, SAMC WORKED WITH COUNSEL TO DEVELOP SEPARATE WRITTEN TAX COMPLIANCE PROCEDURES AND ADOPTED SUCH WRITTEN PROCEDURES NOVEMBER 21, 2012. THESE WRITTEN TAX COMPLIANCE PROCEDURES ADDRESS BOTH (A) POST-ISSUANCE COMPLIANCE AND (B) REMEDIATION OF NONQUALIFIED BONDS (INCLUDING UTILIZATION OF THE VOLUNTARY CLOSING AGREEMENT PROGRAM). SAMC ANTICIPATES THAT IT WILL BE ABLE TO ANSWER "YES" TO QUESTIONS REGARDING SEPARATE, WRITTEN MANAGEMENT PRACTICES AND PROCEDURES FOR ENSURING POST-ISSUANCE TAX COMPLIANCE AND REMEDIATION OF NONQUALIFIED BONDS AS PART OF SCHEDULE K IN FUTURE YEARS.
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JOSEPH LIPIC TITLE:MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:THOMAS ROCKERS TITLE:PRESIDENT HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JOHN K PRUELLAGE TITLE:TREASURER HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DAVID M SINDELAR TITLE:CHAIRMAN HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DANIEL BIPPEN TITLE:MEMBER HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JOHN H BERRA JR TITLE:MEMBER HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JOHN SKEANS TITLE:EXECUTIVE VP - CFO HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:PATRICK GARRETT TITLE:EXECUTIVE VP - PHYS NETWORKS HOURS:8

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
ST ANTHONY'S PROFESSIONAL PHARMACY LLC
10010 KENNERLY ROAD	ST LOUIS	MO	63128	431659671	PHARMACY	MO	2797980	424477	SAMC
PHYSICIANS OF SAMC LLC
10010 KENNERLY ROAD	ST LOUIS	MO	63128	270440956	MANAGEMENT	MO	1540880	762931	SAMC
URGENT CARE CENTERS OF SAMC LLC
10010 KENNERLY ROAD	ST LOUIS	MO	63128	270440900	MANAGEMENT	MO	9027053	1762554	SAMC
HEART SPECIALTY ASSOCIATES
10010 KENNERLY ROAD	ST LOUIS	MO	63128	274084620	MEDICAL	MO	7310216	800698	SAMC

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
ST ANTHONY'S PHYSICIAN ORGANIZATION
10010 KENNERLY ROAD	ST LOUIS	MO	63128	431784536	HEALTH CARE	MO	501(C)(3)	3	SAMC	true
ST ANTHONY'S MEDICAL CENTER FOUNDATION
10010 KENNERLY ROAD	ST LOUIS	MO	63128	431841204	SUPPORT ORG	MO	501(C)(3)	11 - I	SAMC	true
ST ANTHONY'S CHARITABLE FOUNDATION
10010 KENNERLY ROAD	ST LOUIS	MO	63128	261516789	FUNDRAISING	MO	501(C)(3)	11 - I	SAMC	true
AUXILIARY OF ST ANTHONY'S MEDICAL CTR
10010 KENNERLY ROAD	ST LOUIS	MO	63128	436056990	FUNDRAISING	MO	501(C)(3)	9	SAMC	true

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
S CNTY PET IMAGLLC
10010 KENNERLY ROAD	ST LOUIS	MO	63128	431932907	IMAGING SERVICES	MO	SAMC	RELATED	308819	724081	false	false	0.52400
PLZ SRGICL SERVS CO
12700 SOUTHFORK ROAD	ST LOUIS	MO	63128	204709312	SURGICAL SERV	MO	SAMC	RELATED	113700	49768	false	true	0.52083

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
AUXILIARY OF ST ANTHONY'S MEDICAL CTR
C	125000	COST
ST ANTHONY'S PHYSICIAN ORGANIZATION
K	12962378	COST
ST ANTHONY'S CHARITABLE FOUNDATION
L	538111	COST
ST ANTHONY'S PHYSICIAN ORGANIZATION
P	31513926	COST
ST ANTHONY'S CHARITABLE FOUNDATION
C	467738	COST
ST ANTHONY'S CHARITABLE FOUNDATION
R	262484	COST
ST ANTHONY'S CHARITABLE FOUNDATION
P	537134	COST
AUXILIARY OF ST ANTHONY'S MEDICAL CTR
P	173731	COST
ST ANTHONY'S MEDICAL CENTER FOUNDATION
Q	122500	COST