MERCY HOSPITAL SOUTH: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: MERCY HOSPITAL SOUTH (EIN 43-0980256)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2012-05-12
IRS object ID: 201201339349300725
Schema version: 2010v3.7
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 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	2012-05-12T15:30:23-04:00	Timestamp
Tax Period End Date	2011-06-30	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	2010-07-01	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)
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	JOHN SKEANS	Name
Title	CFO	Title
Date Signed	2012-05-11	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	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JOHN SKEANS	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	480074473	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	16	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	5409	TotalNbrEmployees
Total Nbr Volunteers	400	TotalNbrVolunteers
Total Gross UBI	33291	TotalGrossUBI
Net Unrelated Business Txbl Income	31766	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2084731	ContributionsGrantsPriorYear
Contributions Grants Current Year	1144832	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	397300301	ProgramServiceRevenuePriorYear
Program Service Revenue CY	424984380	ProgramServiceRevenueCY
Investment Income Prior Year	1182602	InvestmentIncomePriorYear
Investment Income Current Year	2539555	InvestmentIncomeCurrentYear
Other Revenue Prior Year	17760591	OtherRevenuePriorYear
Other Revenue Current Year	18483993	OtherRevenueCurrentYear
Total Revenue Prior Year	418328225	TotalRevenuePriorYear
Total Revenue Current Year	447152760	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	32143	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	197750181	SalariesEtcPriorYear
Salaries Etc Current Year	211858569	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	206871611	OtherExpensePriorYear
Other Expenses Current Year	218322978	OtherExpensesCurrentYear
Total Expenses Prior Year	404621792	TotalExpensesPriorYear
Total Expenses Current Year	430213690	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	13706433	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	16939070	RevenuesLessExpensesCY
Total Assets BOY	443868067	TotalAssetsBOY
Total Assets EOY	459543114	TotalAssetsEOY
Total Liabilities BOY	266272861	TotalLiabilitiesBOY
Total Liabilities EOY	249891628	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	177595206	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	209651486	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	403790420	Expense
Grants	32143	Grants
Revenue	424984380	Revenue
Description	SEE COMMUNITY BENEFIT REPORT - SCHEDULE O	Description
Total Program Service Expense	403790420	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
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	5409	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	16	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	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	JOHN SKEANS	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	617058	0	63735
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
JOHN H BERRA JR
MEMBER	1.0	X		0	0	0
ROBERT F BECKMAN MD
MEMBER - MED STAFF PRESIDENT	2.0	X	X	72750	0	0
DANIEL BIPPEN
MEMBER	1.0	X		0	0	0
RICHARD MAYHALL
MEMBER	1.0	X		0	0	0
JAMES G POWERS
MEMBER	1.0	X		0	0	0
JEFFREY D WILKINSON MD
MEMBER	1.0	X		0	0	0
DAVID MORTON
MEMBER	1.0	X		0	0	0
JOHN SKEANS
EXECUTIVE VP - CFO	40.0		X	284130	0	17955
ROBERT P THAMES
EXECUTIVE VP - COO	40.0		X	366885	0	23876
ROBERT GRIESBAUM
VP - PATIENT CARE QUALITY	40.0			295928	0	23368	X
ANN BOLLONE
VP - HUMAN RESOURCES	40.0			263756	0	17379	X
SHERRY NELSON
VP - PATIENT CARE SERVICES	40.0			228169	0	17298	X
EMILY NIEHAUS
VP - MARKETING	40.0			232245	0	21929	X
GORDON LASHMETT
VP - CIO	40.0			211348	0	16523	X
KEVIN SPRECHER
VP - CLINICAL EFFECTIVENESS	40.0			157851	0	12692	X
BABU R DANDAMUDI
PHYSICIAN	40.0			298810	0	12555		X
IQBAL AMIN MD
PHYSICIAN	40.0			591567	0	26393		X
MOHAMMED MOJID MD
PHYSICIAN	40.0			255320	0	19971		X
RIFFAT IMDAD
PHYSICIAN	40.0			295400	0	4438		X
KURT JAEGER
PHYSICIAN	40.0			220739	0	10900		X
JOHN P MCGUIRE
FORMER EXECUTIVE VP - CFO	0.0			363835	0	30000			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4755791	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	319012	TotalOtherCompensation
Number Individuals GT100 K	127	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
ST LOUIS UNIVERSITY HOSPITAL SURGE
3635 VISTA AVE DEPT OF SURGERY CT-	ST LOUIS	MO	63110	PHYSICIAN SERVICES	2344580
MIDWEST ACUTE CARE CONSULTANTS
11155 DUNN ROAD	ST LOUIS	MO	63136	MEDICAL SERVICES	1253955
ASPEN ADVISORS LLC
22337 MEADOW VIEW ROAD	MORRISON	CO	80465	IT PLAN & DEVELOP	2532656
SSM CARDINAL GLENNON CHILDRENS HOSP
1195 CORPORATE LAKE DR	ST LOUIS	MO	63132	PEDIATRIC PHYSICIANS	1636353
DIAMOND HEALTH PARTNERS LLC
10012 KENNERLY ROAD	ST LOUIS	MO	63128	PHYSICIAN SERVICES	1699992

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	52	NumberOfContractorsGT100K
Related Organizations	1067105	RelatedOrganizations
All Other Contributions	77727	AllOtherContributions
Total Contributions	1144832	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT CARE	621110	424921353	424921353
EDUCATIONAL PGMS	611710	63027	63027

Field	Value	IRS element (for citing)
Total Program Service Revenue	424984380	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1246337	TotalRevenueColumn
Exclusion	$1,246,337	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	126784	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	246786	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-120002	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-120002	TotalRevenueColumn
Exclusion	-$120,002	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	31729948	Securities
Other	0	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	30127028	Securities
Other	309702	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	1602920	Securities
Other	-309702	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1293218	TotalRevenueColumn
Exclusion	$1,293,218	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	7470778	GrossSalesOfInventory
Cost Of Goods Sold	2238197	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	5232581	TotalRevenueColumn
Unrelated Business Revenue	31720	UnrelatedBusinessRevenue
Exclusion	$5,200,861	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
CAFETERIA SALES	722210	2663430	$2,663,430
RENT REVENUE	532000	1310556	$1,310,556
AMORT OF DEFERRED GAIN ON SALE OF BLDGS	900099	833004	$833,004

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	8564424	TotalRevenueColumn
Unrelated Business Revenue	1571	UnrelatedBusinessRevenue
Exclusion	$8,562,853	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	13371414	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	447152760	TotalRevenueColumn
Related Or Exempt Function Income	424984380	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	33291	UnrelatedBusinessRevenue
Exclusion	$20,990,257	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	32143	Total
Program Services	32143	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	3338710	Total
Program Services	963177	ProgramServices
Management And General	2375533	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	172195742	Total
Program Services	163394003	ProgramServices
Management And General	8801739	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	6118909	Total
Program Services	5754314	ProgramServices
Management And General	364595	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	17715436	Total
Program Services	16982124	ProgramServices
Management And General	733312	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	12489772	Total
Program Services	11619648	ProgramServices
Management And General	870124	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	281153	Total
Management And General	281153	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	136704	Total
Management And General	136704	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	10904679	Total
Program Services	7375925	ProgramServices
Management And General	3528754	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1929919	Total
Program Services	1929919	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	110184364	Total
Program Services	109030690	ProgramServices
Management And General	1153674	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	4215874	Total
Program Services	4215874	ProgramServices

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	4103978	Total
Program Services	4103978	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	421917	Total
Program Services	400724	ProgramServices
Management And General	21193	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	223991	Total
Program Services	205299	ProgramServices
Management And General	18692	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	7651033	Total
Program Services	7651033	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	29817833	Total
Program Services	22590085	ProgramServices
Management And General	7227748	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	4474531	Total
Program Services	4474531	ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBTS	28416798	28416798
MEDICAL SPECIALIST	8110426	8110426
LEASE RENT BUILDING	3220217	3220217
SHARED EXPENSES	934964	729272	205692
MEDICAL CODING COMPLIANCE	782473	610329	172144

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2512124	Total
Program Services	1979911	ProgramServices
Management And General	532213	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	430213690	Total
Program Services	403790420	ProgramServices
Management And General	26423270	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	48999026	BOY
EOY	1405589	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	250001	BOY
EOY	759040	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	53756686	BOY
EOY	63532729	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	30671540	BOY
EOY	39559411	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	5834447	BOY
EOY	5903852	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2043674	BOY
EOY	2508266	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	601621212	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	326199566	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	271906389	BOY
EOY	275421646	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	23646733	BOY
EOY	63404123	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	539559	BOY
EOY	631427	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	6220012	BOY
EOY	6417031	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	443868067	BOY
EOY	459543114	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	53569938	BOY
EOY	55846433	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	148854572	BOY
EOY	145310176	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	198348	BOY
EOY	144390	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	63650003	BOY
EOY	48590629	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	266272861	BOY
EOY	249891628	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	177595206	BOY
EOY	209651486	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	177595206	BOY
EOY	209651486	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	443868067	BOY
EOY	459543114	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	16939070	ReconcilationRevenueExpenses
Reconcilation Other Changes	15117210	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 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	20897736	BeginningOfYearBalance
Contributions	19335	Contributions
Investment Earnings Or Losses	4285185	InvestmentEarningsOrLosses
Other Expenditures	3403625	OtherExpenditures
End Of Year Balance	21798631	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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	1.00000	BoardDesignatedEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

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	237143479	OtherCostOrOtherBasis
Depreciation	78402901	Depreciation
Book Value	158740578	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	327004908	OtherCostOrOtherBasis
Depreciation	239245344	Depreciation
Book Value	87759564	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	27628719	OtherCostOrOtherBasis
Depreciation	8551321	Depreciation
Book Value	19077398	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	275421646	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
RESERVE - SELF INSURANCE LIABI	$17,476,544
PENSION PAYABLE	$4,972,011
GIFT ANNUITIES	$2,167
DEFERRED GAIN ON SALE LEASEBAC	$4,975,032
INTEREST RATE SWAP LIABILITY	$20,877,828
CAPITAL LEASE	$287,047

Field	Value	IRS element (for citing)
Total Of Amounts	48590629	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.
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 identified 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	6213957	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	6213957	NetCommunityBenefitExpense
Percent Of Total Expense	0.01550	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	52566375	TotalCommunityBenefitExpense
Direct Offsetting Revenue	51899323	DirectOffsettingRevenue
Net Community Benefit Expense	667052	NetCommunityBenefitExpense
Percent Of Total Expense	0.00170	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	58780332	TotalCommunityBenefitExpense
Direct Offsetting Revenue	51899323	DirectOffsettingRevenue
Net Community Benefit Expense	6881009	NetCommunityBenefitExpense
Percent Of Total Expense	0.01720	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	295962	TotalCommunityBenefitExpense
Direct Offsetting Revenue	13858	DirectOffsettingRevenue
Net Community Benefit Expense	282104	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	302451	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	302451	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8689425	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8071348	DirectOffsettingRevenue
Net Community Benefit Expense	618077	NetCommunityBenefitExpense
Percent Of Total Expense	0.00150	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	62307	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	62307	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9350145	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8085206	DirectOffsettingRevenue
Net Community Benefit Expense	1264939	NetCommunityBenefitExpense
Percent Of Total Expense	0.00320	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	68130477	TotalCommunityBenefitExpense
Direct Offsetting Revenue	59984529	DirectOffsettingRevenue
Net Community Benefit Expense	8145948	NetCommunityBenefitExpense
Percent Of Total Expense	0.02040	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	1712	TotalCommunityBuildingExpense
Net Community Building Expense	1712	NetCommunityBuildingExpense

Other Other

Field	Value	IRS element (for citing)
Persons Served	2000	PersonsServed
Total Community Building Expense	23150	TotalCommunityBuildingExpense
Net Community Building Expense	23150	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Persons Served	2000	PersonsServed
Total Community Building Expense	24862	TotalCommunityBuildingExpense
Net Community Building Expense	24862	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$9,124,964	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	130168391	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	136366430	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-6198039	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	0.42000
PLAZA SURGERY SVCS
OUTPATIENT SERVICES	0.54000	0.00000	0.46000

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

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 (14 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, LINE 7(A), 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 $28,416,798 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 2011 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.
NEEDS ASSESSMENT	PART VI, QUESTION 2	ST. ANTHONY'S SEEKS TO ADDRESS THE HEALTH CARE NEEDS OF ITS GEOGRAPHIC AREA AND TARGET POPULATION IN SOUTH ST. LOUIS COUNTY, SOUTH ST. LOUIS CITY, AND JEFFERSON COUNTY IN MISSOURI AND MONROE COUNTY IN ILLINOIS. MAJOR TRENDS, NEEDS, AND PROBLEMS ARE IDENTIFIED THROUGH ANALYSIS OF FEDERAL AND STATE DATA (E.G., CENTERS FOR DISEASE CONTROL AND THE MISSOURI HOSPITAL ASSOCIATION) AS WELL AS OUR OWN PATIENT DATA. ADDITIONALLY, ST. ANTHONY'S LEADERSHIP AND STAFF ENGAGE IN FREQUENT AND ONGOING DIALOGUE WITH OUR COMMUNITY, INCLUDING, BUT NOT LIMITED TO, ELECTED REPRESENTATIVES; BUSINESS LEADERS; SCHOOL, FIRE AND POLICE OFFICIALS; LOCAL NON-PROFIT ORGANIZATIONS, PARISH AND CHURCH LEADERS, CHAMBERS OF COMMERCE AND PROFESSIONALS PROVIDING MENTAL HEALTH SERVICES TO THE COMMUNITY. BASED ON QUANTITATIVE AND QUALITATIVE ANALYSIS, ST. ANTHONY'S MEDICAL CENTER DEVELOPS PROGRAMS, SERVICES, AND EVENTS ANNUALLY TO CONNECT WITH AND SERVE ITS COMMUNITY IN A VARIETY OF WAYS.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PART VI, QUESTION 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 FOOUND ON SAMC'S WEBSITE.
COMMUNITY INFORMATION	PART VI, QUESTION 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, QUESTION 5	BASED ON QUANTITATIVE AND QUALITATIVE ANALYSIS OF THE HEALTH NEEDS OF ITS COMMUNITY, ST. ANTHONY'S MEDICAL CENTER DEVELOPS PROGRAMS, SERVICES, AND EVENTS TO CONNECT WITH AND SERVE ITS COMMUNITY 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. FOR EXAMPLE, OBESITY AND DIABETES ARE KEY ISSUES IN OUR COMMUNITY. IN RESPONSE, ST. ANTHONY'S INITIATED AND CONTINUES TO MAKE THE COMMUNITY AWARE OF NUMEROUS FREE OR AFFORDABLE NUTRITION/DIABETES EDUCATION AND PHYSICAL ACTIVITY PROGRAMS TO HELP INDIVIDUALS GAIN ACCESS TO EDUCATION AND PROGRAMS REGARDING PROPER NUTRITION AND EXERCISE. THIS IS ONE OF DOZENS OF EXAMPLES OF HOW ST. ANTHONY'S ALIGNS ITS SERVICES AND PROGRAMS TO MEET A SPECIFIC COMMUNITY HEALTH NEED. ST. ANTHONY'S MEDICAL CENTER ALSO 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. OTHER INFORMATION IMPORTANT TO HOW THE ORGANIZATION FURTHERS ITS EXEMPT PURPOSE BY PROMOTING HEALTH OF THE COMMUNITY: -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 $220,445 IN CASH DONATIONS TO NON-PROFIT ORGANIZATIONS AND SET UP $465,000 IN SCHOLARSHIP FUNDING FOR EMPLOYEE'S SONS AND DAUGHTERS WHICH IS NOT INCLUDED IN THIS TAX RETURN.
AFFILIATED HEALTH CARE SYSTEM	PART VI, QUESTION 6	NOT APPLICABLE TO ST. ANTHONY'S MEDICAL CENTER
STATE FILING OF COMMUNITY BENEFIT REPORT	PART VI, QUESTION 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

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	MISSOURI STATE MEDICAL ASSOCIATION	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	680 CRAIG ROAD SUITE 308	AddressLine1
City	ST LOUIS	City
State	MO	State
ZIP Code	63141	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	431572458	EINOfRecipient
IRC Section	501(C)(3)	IRCSection
Amount Of Cash Grant	10000	AmountOfCashGrant
Purpose Of Grant	SUPPORT DR. HEALTH	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

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
Personal Services	X	PersonalServices
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	true	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
485314	0	109046	0	22698	0	60413	0	3322	0	680793	0	0	0
JOHN P MCGUIRE
161635	0	0	0	202200	0	30000	0	0	0	393835	0	0	0
JOHN SKEANS
237665	0	42465	0	4000	0	10337	0	7618	0	302085	0	0	0
ROBERT P THAMES
299463	0	55404	0	12018	0	10413	0	13463	0	390761	0	0	0
BABU R DANDAMUDI
145452	0	119361	0	33997	0	11319	0	1236	0	311365	0	0	0
IQBAL AMIN MD
369888	0	221679	0	0	0	12863	0	13530	0	617960	0	0	0
MOHAMMED MOJID MD
129938	0	125382	0	0	0	7066	0	12905	0	275291	0	0	0
ROBERT GRIESBAUM
230181	0	42491	0	23256	0	9981	0	13387	0	319296	0	0	0
ANN BOLLONE
222283	0	41473	0	0	0	9777	0	7602	0	281135	0	0	0
SHERRY NELSON
192096	0	36073	0	0	0	8503	0	8795	0	245467	0	0	0
EMILY NIEHAUS
195818	0	36427	0	0	0	8576	0	13353	0	254174	0	0	0
GORDON LASHMETT
178123	0	33225	0	0	0	7829	0	8694	0	227871	0	0	0
RIFFAT IMDAD
84446	0	210954	0	0	0	4433	0	5	0	299838	0	0	0
KEVIN SPRECHER
131836	0	24661	0	1354	0	5744	0	6948	0	170543	0	0	0
KURT JAEGER
220739	0	0	0	0	0	7288	0	3612	0	231639	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES AND PERSONAL SERVICES	PART I, LINE 1(A)	THOMAS ROCKERS, THE PRESIDENT, RECEIVED AN ALLOWANCE FOR HEALTH/SOCIAL CLUB MEMBERSHIP DUES, LEGAL SERVICES, AND FINANCIAL PLANNING SERVICES. THE SOCIAL CLUB MEMBERSHIP IS TO BE USED EXCLUSIVELY FOR BUSINESS PURPOSES. THE VALUE OF THE OTHER SERVICES ARE INCLUDED IN TAXABLE COMPENSATION.
SEVERANCE PAYMENT	PART I, LINE 4(A)	THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT PER A CONTRACTUAL TERMINATION AGREEMENT: JOHN MCGUIRE $198,700 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): TOM ROCKERS $34,500 JOHN MCGUIRE $30,000
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: BABU DANDAMUDI $119,361 IQBAL AMIN $221,679 MOHAMMED MOJID $125,382 RIFFAT IMDAD $210,954
COMPENSATION CONTINGENT ON NET EARNINGS	PART I, LINE 6(A)	SAMC PAYS MANAGERS AND ABOVE AN INCENTIVE BASED ON A POSITIVE VARIANCE TO THE BUDGET AND OTHER NON-FINANCIAL CRITERIA. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII RECEIVED THIS TYPE OF COMPENSATION: THOMAS ROCKERS $109,046 JOHN SKEANS $42,465 ROBERT THAMES $55,404 ROBERT GRIESBAUM $42,491 ANN BOLLONE $41,473 SHERRY NELSON $36,073 EMILY NIEHAUS $36,427 GORDON LASHMETT $33,225 KEVIN SPRECHER $24,661

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	Refunding EscrowRefundingEscrow	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
11400000	101212940	0	164541	826257	1654145	47800	0	98520198	1991	false	true	true	true
1250000	73778079	18095	0	609414	2200845	0	70949725	0	2008	false	false	true	true
1702107	3100000	0	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	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	false	false	false	false
false	false	false	false	true	false
false	false	false	false	true	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	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
UBS AG
false	true	true	25.	false	false	false	true	false
UBS AG
false	true	true	30.4	false	false	false	false	false
(no name)
false	false	false		false	false	false	false	true

Form990 Schedule K Part V Form990ScheduleKPartV

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

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (8 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
STERLING ENGINEERING
J BERRA, BOARD MEMBER,	127563	SURVEYING	false
STERLING ENGINEERING CON'T
IS AN OWNER IN STERLING			false
QMC
D PARASHAK, BOARD MEMBER,	744374	CARE MANAGEMENT SERVICES	false
QMC CON'T
IS A DIRECTOR OF QMC			false
LEWIS RICE AND FINGERISH
J PRUELLAGE,BOARD MEMBER,	877477	LEGAL SERVICES	false
LEWIS RICE AND FINGERISH CON
IS AN OFFICER OF LRF			false
SC ANESTHESIA
J WILKINSON, BOARD MEMBER	806236	ANESTHESIA SERVICES	false
SC ANESTHESIA CON'T
IS A CO-OWNER OF SCA			false

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; 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 GAINS ON INVESTMENTS 1,974,689 DEFINED BENEFIT PENSION PLANS 8,471,494 RECLASS NONCONTROLLING INTEREST 485,329 CURTAILMENT LOSS (757,968) INEFFECTIVE PORTION OF BOND SWAP 4,943,666 ----------- TOTAL OTHER CHANGES IN NET ASSETS 15,117,210
TAX-EXEMPT BOND MANAGEMENT PRACTICES AND PROCEDURES	SCHEDULE K, PART III, LINE 7	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. FOR FISCAL YEAR 2010, SAMC 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, SAMC HAS BECOME 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 HAS ELECTED TO RESPOND TO THE QUESTION IN PART III, LINE 7 AS "NO" AND PLANS TO WORK WITH COUNSEL TO DEVELOP SEPARATE WRITTEN TAX COMPLIANCE PROCEDURES OVER THE NEXT SEVERAL MONTHS. SAMC ANTICIPATES THAT IT WILL BE ABLE TO ANSWER "YES" TO A QUESTION REGARDING SEPARATE, WRITTEN MANAGEMENT PRACTICES AND PROCEDURES FOR ENSURING POST-ISSUANCE TAX COMPLIANCE AS PART OF SCHEDULE K FOR ITS FORM 990 NEXT FISCAL YEAR.
PRIVATE BUSINESS USE	SCHEDULE K, PART III, LINES 1-7	BOND A - NOT APPLICABLE - THE SERIES 2005AB BONDS ADVANCED REFUNDED THE SERIES 2000 BONDS WHICH WERE ISSUED PRIOR TO JANUARY 1, 2003.
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JOSEPH LIPIC TITLE:MEMBER HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:THOMAS ROCKERS TITLE:PRESIDENT HOURS:4
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:JOHN H BERRA JR TITLE:MEMBER 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 SKEANS TITLE:EXECUTIVE VP - CFO HOURS:1

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	2269930	343512	NA
PHYSICIANS OF SAMC LLC
10010 KENNERLY ROAD	ST LOUIS	MO	63128	270440956	MANAGEMENT	MO	703518	389118	NA
URGENT CARE CENTERS OF SAMC LLC
10010 KENNERLY ROAD	ST LOUIS	MO	63128	270440900	MANAGEMENT	MO	8236269	1630620	NA
HEART SPECIALTY ASSOCIATES
10010 KENNERLY ROAD	ST LOUIS	MO	63128	274084620	MEDICAL	MO	3382670	1249587	NA

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
ST ANTHONY'S PHYSICIAN ORGANIZATION
10010 KENNERLY ROAD	ST LOUIS	MO	63128	431784536	HEALTH CARE	MO	501(C)(3)	3	SAMC
ST ANTHONY'S MEDICAL CENTER FOUNDATION
10010 KENNERLY ROAD	ST LOUIS	MO	63128	431841204	SUPPORT ORG	MO	501(C)(3)	11 - I	SAMC
ST ANTHONY'S CHARITABLE FOUNDATION
10010 KENNERLY ROAD	ST LOUIS	MO	63128	261516789	FUNDRAISING	MO	501(C)(3)	11 - I	SAMC
AUXILIARY OF ST ANTHONY'S MEDICAL CTR
10010 KENNERLY ROAD	ST LOUIS	MO	63128	436056990	FUNDRAISING	MO	501(C)(3)	9	SAMC

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 SERVI	MO	NA	RELATED	425767	760623	false	false	0.52400
PLZ SRGICL SERVS CO
12700 SOUTHFORK ROAD	ST LOUIS	MO	63128	204709312	SURGICAL SERV	MO	NA	RELATED	142727	85716	false	true	0.53760

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 (7 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
AUXILIARY OF ST ANTHONY'S MEDICAL CTR
C	245000
ST ANTHONY'S PHYSICIAN ORGANIZATION
K	8641406
ST ANTHONY'S CHARITABLE FOUNDATION
L	671958
ST ANTHONY'S PHYSICIAN ORGANIZATION
P	22037830
ST ANTHONY'S CHARITABLE FOUNDATION
C	822105
ST ANTHONY'S CHARITABLE FOUNDATION
R	723898
ST ANTHONY'S CHARITABLE FOUNDATION
P	670706