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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. true true true X true X true true true false true true 6213957 0 6213957 0.01550 52566375 51899323 667052 0.00170 0 0 0 0.00000 58780332 51899323 6881009 0.01720 295962 13858 282104 0.00070 302451 0 302451 0.00080 8689425 8071348 618077 0.00150 0 0 0 0.00000 62307 0 62307 0.00020 9350145 8085206 1264939 0.00320 68130477 59984529 8145948 0.02040 1712 1712 2000 23150 23150 0.00010 2000 24862 24862 0.00010 true 9124964 0 130168391 136366430 -6198039 X true true SOUTH COUNTY PET IMAGING SERVICES 0.52000 0.00000 0.42000 PLAZA SURGERY SVCS OUTPATIENT SERVICES 0.54000 0.00000 0.46000 1 1 ST ANTHONY'S MEDICAL CENTER

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URGENT CARE FACILITY 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, true MISSOURI STATE MEDICAL ASSOCIATION 680 CRAIG ROAD SUITE 308 ST LOUIS MO 63141 431572458 501(C)(3) 10000 SUPPORT DR. HEALTH 1 0 PROCEDURE FOR MONITORING GRANTS PART I, LINE 2 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. X X true true X X X X true true false false true true false false false 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 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 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 11400000 0 101212940 0 0 164541 826257 1654145 47800 0 98520198 0 1991 false true true true 1250000 0 73778079 0 18095 0 609414 2200845 0 70949725 0 0 2008 false false true true 1702107 0 3100000 0 0 0 0 0 0 3100000 0 0 2007 false false true true false false false false false 0.00000 0.00000 0.00000 false false false false false true 0.00000 0.00000 0.00000 false false false false false true 0.00000 0.00000 0.00000 false false true true UBS AG 25. false false false true false false true true UBS AG 30.4 false false false false false false false false false false false false true MANAGEMENT PRACTICES AND PROCEDURES PART III, LINE 7 SEE STATEMENT IN SCHEDULE O 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 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 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 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 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 false false true false false false false false false false true true false false false true false true 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