SAINT ANTHONY HOSPITAL FOUNDATION: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- SAINT ANTHONY HOSPITAL FOUNDATION (EIN 23-7448580)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-03
- IRS object ID
- 201211249349300446
- Schema version
- 2010v3.2
- 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 G
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-03T16:00:20-05:00 | 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 | CROWE HORWATH LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 70 West Madison Street | AddressLine1 |
| Address Line2 | Suite 700 | AddressLine2 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 606024903 | 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 | 237448580 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT ANTHONY HOSPITAL FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SAIN | NameControl |
| Phone | 7734844831 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2875 West 19th Street | AddressLine1 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 60623 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CHARLES R BROBST | Name |
| Title | TREASURER | Title |
| Date Signed | 2012-04-23 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3128997000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Name Of Principal Officer Business NameOfPrincipalOfficerBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GUY A MEDAGLIA | BusinessNameLine1 |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2875 West 19th Street | AddressLine1 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 60623 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 460293 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SAINTANTHONYHOSPITAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1983 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | SAINT ANTHONY HOSPITAL FOUNDATION'S MISSION IS TO FOSTER THE SPIRIT OF PHILANTHROPY FOR EVERY DONOR AND PROVIDE CAPITAL RESOURCE TO SUPPORT THE MISSION OF THE SAINT ANTHONY HOSPITAL. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 7 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 3 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3 | TotalNbrEmployees |
| Total Nbr Volunteers | 4 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 400278 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 406034 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 60481 | InvestmentIncomePriorYear |
| Investment Income Current Year | 29144 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -7214 | OtherRevenuePriorYear |
| Other Revenue Current Year | -22156 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 453545 | TotalRevenuePriorYear |
| Total Revenue Current Year | 413022 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 238809 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 288369 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 86385 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 217730 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 219695 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 30125 | OtherExpensePriorYear |
| Other Expenses Current Year | 37317 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 355319 | TotalExpensesPriorYear |
| Total Expenses Current Year | 543416 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 98226 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -130394 | RevenuesLessExpensesCY |
| Total Assets BOY | 11015932 | TotalAssetsBOY |
| Total Assets EOY | 10402675 | TotalAssetsEOY |
| Total Liabilities BOY | 30407 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 45648 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 10985525 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 10357027 | NetAssetsOrFundBalancesEOY |
| Mission Description | SAINT ANTHONY HOSPITAL FOUNDATION'S MISSION IS TO FOSTER THE SPIRIT OF PHILANTHROPY FOR EVERY DONOR AND PROVIDE CAPITAL RESOURCE TO SUPPORT THE MISSION OF THE SAINT ANTHONY HOSPITAL. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 310503 | Expense |
| Grants | 283869 | Grants |
| Description | SAINT ANTHONY HOSPITAL FOUNDATION RAISES FUNDS TO SUPPORT SAINT ANTHONY HOSPITAL'S COMMUNITY PROGRAMS. THE PROGRAMS THAT ARE SUPPORTED ARE THE COMMUNITY WELLNESS PROGRAMS, WOMEN TOGETHER BREAST SCREENING PROJECT AND THE WORKFORCE DEVELOPMENT PROGRAM. THE FOLLOWING IS MORE INFORMATION ON THE COMMUNITY WELLNESS PROGRAMS: THE COMMUNITY WELLNESS PROGRAM OFFERS EDUCATION, SUPPORT, AND LINKAGES TO ISOLATED MOTHERS, OVERWHELMED AND FRUSTRATED PARENTS, IMPRESSIONABLE CHILDREN, AND DISADVANTAGED ADULTS THROUGH FOUR INITIATIVES OFFERED FREE OF CHARGE IN BOTH ENGLISH AND SPANISH: 1) HEALTHY BEGINNINGS/COMIENZO SANOS, WHICH PROVIDES EDUCATION AND SUPPORT TO PREGNANT WOMEN AND FAMILIES WITH YOUNG CHILDREN; 2) SCHOOL WELLNESS, WHICH PARTNERS WITH CHILDREN, THEIR FAMILIES, AND THEIR TEACHERS TO ENCOURAGE HEALTHY EATING AND WELLNESS WITHIN THE SCHOOL COMMUNITY; 3) PUBLIC BENEFITS AND REFERRAL SERVICES, WHICH LINKS FAMILIES AND INDIVIDUALS TO HEALTH INSURANCE, FOOD ASSISTANCE, AND COMMUNITY RESOURCES; AND 4) MENTAL HEALTH SERVICES, WHICH PROVIDES COUNSELING TO HIGH-FUNCTIONING, IMMIGRANT ADULTS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 4500 | Expense |
| Grants | 4500 | Grants |
| Description | SAINT ANTHONY HOSPITAL FOUNDATION AWARDED SCHOLARSHIPS FROM THE ILA BOIKAN NURSE SCHOLARSHIP FUND TO THREE SAINT ANTHONY HOSPITAL EMPLOYEES WHO ARE CURRENTLY PURSUING NURSING DEGREES. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 315003 | 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 | false | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | true | 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 | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| 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 | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 7 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 3 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| 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 | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| 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 | 7 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 3 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | 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 | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHARLES R BROBST | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7734844831 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2875 WEST 19TH STREET | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60623 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (8 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| NANCY BADROV-EISEMAN | ||||||
| BOARD MEMBER | 1 | X | 0 | 81304 | 2350 | |
| SISTER CATHERINE GARRY | ||||||
| BOARD MEMBER | 1 | X | 0 | 0 | 0 | |
| WILLIAM CAHILL | ||||||
| BOARD MEMBER, PARTIAL YEAR | 1 | X | 0 | 0 | 0 | |
| MARK JUNDANIAN | ||||||
| SECRETARY | 1 | X | 0 | 0 | 0 | X |
| CHARLES R BROBST | ||||||
| TREASURER | 1 | X | 0 | 301033 | 7715 | X |
| STEPHEN RUFF JR | ||||||
| BOARD MEMBER | 1 | X | 0 | 0 | 0 | |
| GUY A MEDAGLIA | ||||||
| PRESIDENT & CEO | 1 | X | 0 | 612336 | 2694 | X |
| ELIZABETH C VERNICK | ||||||
| EXECUTIVE DIRECTOR, PARTIAL YEAR | 40 | X | 12942 | 0 | 25 | X |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 12942 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 994673 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 12784 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 112692 | FundraisingEvents |
| All Other Contributions | 293342 | AllOtherContributions |
| Total Contributions | 406034 | TotalContributions |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 0 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 29204 | TotalRevenueColumn |
| Exclusion | $29,204 | 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 |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 60 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -60 | Securities |
| Other | 0 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -60 | TotalRevenueColumn |
| Exclusion | -$60 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 25055 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 112692 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 47211 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -22156 | TotalRevenueColumn |
| Exclusion | -$22,156 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 413022 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $6,988 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 283869 | Total |
| Program Services | 283869 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4500 | Total |
| Program Services | 4500 | ProgramServices |
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 | 0 | Total |
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 | 195943 | Total |
| Fundraising | 195943 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6641 | Total |
| Fundraising | 6641 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15146 | Total |
| Fundraising | 15146 | Fundraising |
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 | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
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 | 26276 | Total |
| Program Services | 26276 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1864 | Total |
| Program Services | 112 | ProgramServices |
| Management And General | 1752 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4913 | Total |
| Program Services | 246 | ProgramServices |
| Management And General | 2702 | ManagementAndGeneral |
| Fundraising | 1965 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral |
|---|---|---|
| DUES & SUBSCRIPTIONS | 1039 | 1039 |
| CAFETERIA EXPENSE | 1121 | 1121 |
| OUTSIDE TRAINING | 795 | 795 |
| TELEPHONE | 1309 | 1309 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 543416 | Total |
| Program Services | 315003 | ProgramServices |
| Management And General | 8718 | ManagementAndGeneral |
| Fundraising | 219695 | Fundraising |
Total Joint Costs TotalJointCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4162274 | BOY |
| EOY | 1673394 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6852871 | BOY |
| EOY | 8728494 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 787 | BOY |
| EOY | 787 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 0 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 0 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11015932 | BOY |
| EOY | 10402675 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30407 | BOY |
| EOY | 45648 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30407 | BOY |
| EOY | 45648 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6764300 | BOY |
| EOY | 6490571 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2280197 | BOY |
| EOY | 1925428 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1941028 | BOY |
| EOY | 1941028 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10985525 | BOY |
| EOY | 10357027 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11015932 | BOY |
| EOY | 10402675 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -130394 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -498104 | 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) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1252953 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 255782 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 293181 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 400278 | CurrentTaxYearMinus1Year |
| Current Tax Year | 406034 | CurrentTaxYear |
| Total | 2608228 | Total |
Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1252953 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 255782 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 293181 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 400278 | CurrentTaxYearMinus1Year |
| Current Tax Year | 406034 | CurrentTaxYear |
| Total | 2608228 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 504162 | AmountsSubstContributorsTotal |
| Public Support Total170 | 2104066 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 220714 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 620716 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 221071 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 60481 | CurrentTaxYearMinus1Year |
| Current Tax Year | 29204 | CurrentTaxYear |
| Total | 1152186 | Total |
Net UBI NetUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 3760414 | TotalSupport |
| Gross Receipts From Admissions Etc | 12527 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.55950 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.59400 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
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
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2007638 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 5407 | InvestmentEarningsOrLosses |
| Other Expenditures | 72017 | OtherExpenditures |
| End Of Year Balance | 1941028 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2007638 | BeginningOfYearBalance |
| Contributions | 0 | Contributions |
| Investment Earnings Or Losses | 2294 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 2294 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 2007638 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2007638 | BeginningOfYearBalance |
| Contributions | 0 | Contributions |
| Investment Earnings Or Losses | 73573 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 73573 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 2007638 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
| Total Of Amounts | 0 | TotalOfAmounts |
| Total Revenue | 90536 | TotalRevenue |
| Total Expenses | 302257 | TotalExpenses |
| Excess Or Deficit For Year | -211721 | ExcessOrDeficitForYear |
| Other | $0 | OtherAmount |
| Total Adjustments | 0 | TotalAdjustments |
| Excess Or Deficit Per FS | -211721 | ExcessOrDeficitPerFS |
| Other Revenues | 0 | OtherRevenues |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 0 | RevenueSubtotal |
| Other Revenues Not Included | 0 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 0 | TotalRevenuePerForm990 |
| Other Expenses Included | 0 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 0 | ExpensesSubtotal |
| Other Expenses Not Included | 0 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 0 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Intended uses of endowment funds | Schedule D, Part V, Line 4 | THE INCOME FROM THE ENDOWMENT IS USED FOR GENERAL OPERATIONS TO SUPPORT SAINT ANTHONY HOSPITAL, A RELATED TAX-EXEMPT ORGANIZATION. |
| FIN 48 (ASC 740) footnote | Schedule D, Part X, Line 2 | THE FOUNDATION FILES A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THIS RETURN IS FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. UBIT IS REPORTED ON FORM 990T, AS APPROPRIATE. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES THAT IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE "MORE LIKELY THAN NOT" RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50 PERCENT LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS REFLECTED AS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. FORMS 990 FILED BY THE FOUNDATION ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS) UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. FORMS 990 FILED BY THE FOUNDATION ARE NO LONGER SUBJECT TO EXAMINATION FOR THE YEARS 2008 AND PRIOR. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF OUTING | NameOfEvent1 |
| Gross Receipts Event1 | 137747 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 112692 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 25055 | GrossRevenueEvent1 |
| Cash Prizes Event1 | 5100 | CashPrizesEvent1 |
| Non Cash Prizes Event1 | 1691 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 26392 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 1491 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 0 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 12537 | OtherDirectExpensesEvent1 |
| Gross Revenue Event2 | 0 | GrossRevenueEvent2 |
| Gross Revenue Other Events | 0 | GrossRevenueOtherEvents |
| Gross Receipts Total | 137747 | GrossReceiptsTotal |
| Charitable Contributions Total | 112692 | CharitableContributionsTotal |
| Gross Revenue Total Events | 25055 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 5100 | CashPrizesTotalEvents |
| Non Cash Prizes Total Events | 1691 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 26392 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 1491 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 0 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 12537 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 47211 | DirectExpenseSummaryEvents |
| Net Income Summary | -22156 | NetIncomeSummary |
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 | SAINT ANTHONY HOSPITAL | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2875 WEST 19TH STREET | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60623 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 510217097 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 283869 | AmountOfCashGrant |
| Amount Of Non Cash Assistance | 0 | AmountOfNonCashAssistance |
| Method Of Valuation | N/A | MethodOfValuation |
| Description Of Non Cash Assistance | N/A | DescriptionOfNonCashAssistance |
| Purpose Of Grant | OPERATING SUPPORT | 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 | Procedures for monitoring use of grant funds | Identifier |
| Return Reference | Schedule I, Part I, Line 2 | ReturnReference |
| Explanation | FUNDS ARE PROVIDED TO SAINT ANTHONY HOSPITAL, A RELATED TAX-EXEMPT ORGANIZATION. FUNDS ARE TRANSFERRED VIA AN INTER-COMPANY GENERAL LEDGER ENTRY AND ARE, THEREFORE, MONITORED COMPLETELY. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
Form990 Schedule J Part II Form990ScheduleJPartII (2 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHARLES R BROBST | |||||||||||||
| 0 | 260292 | 0 | 40281 | 0 | 460 | 0 | 4900 | 0 | 2815 | 0 | 308748 | 0 | 0 |
| GUY A MEDAGLIA | |||||||||||||
| 0 | 208325 | 0 | 0 | 0 | 404011 | 0 | 0 | 0 | 2694 | 0 | 615030 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| COMPENSATION CONTINGENT ON NET EARNINGS | SCHEDULE J, PART I, LINES 5 OR 6 | THE ORGANIZATION'S INCENTIVE PROGRAM DOES NOT FIT WITHIN THE DEFINITIONS OF PART I, LINE 5 OR 6. THE EXECUTIVE INCENTIVE PROGRAM FOR SAINT ANTHONY HOSPITAL, A RELATED TAX-EXEMPT ORGANIZATION, INCLUDED GOALS RELATED TO FINANCIAL PERFORMANCE, QUALITY, AND PHYSICIAN RELATIONS AS WELL AS GOALS SPECIFIC TO THE PENDING TRANSITION FROM THE HOSPITAL'S SPONSORS. THERE ARE ALSO TEAM GOALS AND THESE GOALS ACCOUNTED FOR 60% OF ANY POTENTIAL INCENTIVE. THE FINANCIAL PERFORMANCE GOAL OF ACHIEVING THE HOSPITAL'S QUALITY OF EARNINGS ADJUSTED OPERATING MARGIN WAS THE TRIGGER FOR THE ENTIRE PROGRAM. NO INCENTIVES WOULD BE EARNED IF THE OPERATING MARGIN GOAL WAS NOT ACHIEVED. 30% OF THE INCENTIVE PROGRAM WAS BASED UPON ACHIEVING INDIVIDUAL GOALS AND THE REMAINING 10% WAS AT THE DISCRETION OF THE CEO. THE MAXIMUM INCENTIVE FOR THE CFO AND COO WAS 25% OF BASE SALARY AND THE MAXIMUM INCENTIVE FOR ALL OTHER VICE PRESIDENTS WAS 20% OF BASE SALARY. |
| METHODS USED TO ESTABLISH COMPENSATION | SCHEDULE J, PART I, LINE 3 | THE ORGANIZATION RELIED ON SAINT ANTHONY HOSPITAL, A RELATED TAX-EXEMPT ORGANIZATION, TO DETERMINE THE COMPENSATION OF THE PRESIDENT/CEO WHO IS ALSO A VOTING BOARD MEMBER FOR THE FOUNDATION. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Classes of members or stockholders | Form 990, Part VI, Section A, Line 6 | THE SOLE CORPORATE MEMBER OF THE SAINT ANTHONY HOSPITAL FOUNDATION IS SAINT ANTHONY HOSPITAL. THE SOLE MEMBER OF SAINT ANTHONY HOSPITAL IS SAINT ANTHONY HEALTH MINISTRIES, WHICH HAS CERTAIN RESERVED POWERS OVER THE FOUNDATION. |
| Members or stockholders electing members of governing body | Form 990, Part VI, Section A, Line 7a | THE SOLE CORPORATE MEMBER OF THE SAINT ANTHONY HOSPITAL FOUNDATION IS SAINT ANTHONY HOSPITAL. THE SOLE MEMBER OF SAINT ANTHONY HOSPITAL IS SAINT ANTHONY HEALTH MINISTRIES. SAINT ANTHONY HEALTH MINISTRIES HAS THE RIGHT TO APPOINT OR REMOVE MEMBERS OF THE GOVERNING BODY. |
| Decisions requiring approval by members or stockholders | Form 990, Part VI, Section A, Line 7b | THE SOLE CORPORATE MEMBER OF THE SAINT ANTHONY HOSPITAL FOUNDATION IS SAINT ANTHONY HOSPITAL. THE SOLE MEMBER OF SAINT ANTHONY HOSPITAL IS SAINT ANTHONY HEALTH MINISTRIES. SAINT ANTHONY HOSPITAL MINISTRIES HAS THE RIGHT TO APPROVE OR RATIFY SIGNIFICANT DECISIONS MADE BY THE GOVERNING BODY. SUCH RIGHTS INCLUDE: 1) APPROVING THE MISSION AND VISION STATEMENTS OF THE ORGANIZATION; 2) APPROVING CHANGES TO THE GOVERNING DOCUMENTS; 3) APPOINTMENT OR REMOVAL OF MEMBERS OF THE GOVERNING BOARD; 4) APPROVING OR RECOMMENDING THE FORMATION OF LEGAL ENTITIES, THE SALE, TRANSFER OR SUBSTANTIAL CHANGE IN USE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS, DIVESTITURES, DISSOLUTIONS, CLOSURES, MERGERS, CONSOLIDATIONS OR CHANGES IN CORPORATE MEMBERSHIP; 5) APPROVING THE OPERATING BUDGET AND CAPITAL PLAN; 6) APPROVING THE TRANSFER OR ENCUMBRANCE OF THE ASSETS; 7) APPROVING THE INCURRENCE OF DEBT OF THE ORGANIZATION. |
| Review of form 990 by governing body | Form 990, Part VI, Section B, Line 11b | A THOROUGH REVIEW OF THE FORM 990 IS PERFORMED BY MANAGEMENT. THE FORM 990 IS THEN DISTRIBUTED TO MEMBERS OF THE FINANCE COMMITTEE FOR REVIEW AND WITH A REQUEST FOR RECOMMENDATIONS OR CHANGES. A PRESENTATION IS MADE BY THE PAID TAX PREPARERS AND A COPY OF THE RETURN IS SHARED WITH THE BOARD OF DIRECTORS PRIOR TO FILING THE FORM 990 WITH THE IRS. |
| Conflict of interest policy | Form 990, Part VI, Section B, Line 12c | ANNUALLY THE CORPORATE RESPONSIBILITY OFFICER HAS THE BOARD FILL OUT AND SIGN THE CONFLICT OF INTEREST QUESTIONNAIRE. IF A CONFLICT OF INTEREST ARISES, THE AFFECTED BOARD MEMBER ABSTAINS FROM VOTING ON THE RESPECTIVE ISSUE. THE CORPORATE RESPONSIBILITY OFFICER MAINTAINS ALL SIGNED CONFLICT OF INTEREST STATEMENTS ON FILE. |
| Process used to establish compensation of top management official | Form 990, Part VI, Section B, Line 15a | THE ORGANIZATION'S CEO IS COMPENSATED BY SAINT ANTHONY HOSPITAL, A RELATED ORGANIZATION. ALL ANNUAL SALARY INCREASES FOR THE CEO AND VICE PRESIDENTS ARE REVIEWED AND APPROVED BY THE BOARD OF SAINT ANTHONY HOSPITAL AND DOCUMENTED IN MINUTES PREPARED FOR EACH MEETING. ALSO AN INDEPENDENT MARKET SURVEY WAS CONDUCTED IN FY09 TO ENSURE THAT THE SALARIES OF VICE PRESIDENTS AND ABOVE WERE WITHIN MARKET. |
| Process used to establish compensation of other officers/key employees | Form 990, Part VI, Section B, Line 15b | THE ORGANIZATION RELIES ON SAINT ANTHONY HOSPITAL, A RELATED ORGANIZATION, TO DETERMINE COMPENSATION OF ITS OFFICERS. ALL ANNUAL SALARY INCREASES FOR THE VICE PRESIDENTS AND ABOVE ARE REVIEWED AND APPROVED BY THE BOARD OF SAINT ANTHONY HOSPITAL AND DOCUMENTED IN MINUTES PREPARED FOR EACH MEETING. ALSO AN INDEPENDENT MARKET SURVEY WAS CONDUCTED IN FY09 TO ENSURE THAT THE SALARIES OF VICE PRESIDENTS AND ABOVE WERE WITHIN MARKET. |
| Public Disclosure | Form 990, Part VI, Section C, Line 19 | FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME. |
| COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, ETC. | FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (B) | VARIOUS BOARD MEMBERS DEVOTE APPROXIMATELY 1HR A WEEK TO OTHER RELATED ORGANIZATIONS REPORTED ON SCHEDULE R. CHARLES BROBST, NANCY BADROV-EISEMAN AND GUY MEDAGLIA DEVOTE APPROXIMATELY 15-40 HOURS A WEEK TO SAINT ANTHONY HOSPITAL AND SAINT ANTHONY HEALTH MINISTRIES, BOTH OF WHICH ARE RELATED TAX-EXEMPT ORGANZIATIONS. |
| Other changes in net assets or fund balances | Form 990, Part XI, Line 5 | NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - -1013; INTERCOMPANY TRANSFERS - -497091; |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| SAINT ANTHONY HOSPITAL | ||||||||||
| 2875 WEST 19TH STREET | CHICAGO | IL | 60623 | 510217097 | HEALTHCARE | IL | 501(C)(3) | 3 | SAHM | false |
| SAINT ANTHONY HEALTH MINISTRIES | ||||||||||
| 2875 WEST 19TH STREET | CHICAGO | IL | 60623 | 363903595 | MANAGEMENT | IL | 501(C)(3) | 11 - Type III - FI | NA | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | 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 | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |