2012-05-03T16:00:20-05:00 2011-06-30 CROWE HORWATH LLP 70 West Madison Street Suite 700 Chicago IL 606024903 990 2010-07-01 237448580 SAINT ANTHONY HOSPITAL FOUNDATION SAIN 7734844831 2875 West 19th Street Chicago IL 60623 CHARLES R BROBST 2012-04-23 true 3128997000 2010 2016-02-24 21:20:13Z GUY A MEDAGLIA 2875 West 19th Street Chicago IL 60623 460293 false 0928 X WWW.SAINTANTHONYHOSPITAL.ORG X 1983 IL 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. 7 3 3 4 0 0 400278 406034 0 0 60481 29144 -7214 -22156 453545 413022 238809 288369 0 0 86385 217730 0 0 219695 30125 37317 355319 543416 98226 -130394 11015932 10402675 30407 45648 10985525 10357027 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. false false 310503 283869 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. 4500 4500 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. 315003 true true false false false false false false true false false false false false true false true false false false false false false true false false true false true false false false false false false false false false false false false false true false false false false true 7 0 true 3 true false false false false false true true false false false false X 7 3 false false false false true true true true true false false true true true true true true true true false X CHARLES R BROBST 7734844831 2875 WEST 19TH STREET CHICAGO IL 60623 X NANCY BADROV-EISEMAN 1 X 0 81304 2350 SISTER CATHERINE GARRY 1 X 0 0 0 WILLIAM CAHILL 1 X 0 0 0 MARK JUNDANIAN 1 X X 0 0 0 CHARLES R BROBST 1 X X 0 301033 7715 STEPHEN RUFF JR 1 X 0 0 0 GUY A MEDAGLIA 1 X X 0 612336 2694 ELIZABETH C VERNICK 40 X X 12942 0 25 12942 994673 12784 0 false true false 0 112692 293342 406034 0 0 0 0 0 29204 29204 0 0 0 0 0 0 60 -60 0 -60 -60 25055 112692 47211 -22156 -22156 0 0 0 0 0 0 0 413022 0 0 6988 283869 283869 4500 4500 0 0 0 0 195943 195943 0 6641 6641 15146 15146 0 0 0 0 0 0 26276 26276 0 1864 112 1752 4913 246 2702 1965 0 0 0 0 0 0 0 0 0 DUES & SUBSCRIPTIONS 1039 1039 CAFETERIA EXPENSE 1121 1121 OUTSIDE TRAINING 795 795 TELEPHONE 1309 1309 0 0 0 0 543416 315003 8718 219695 0 4162274 1673394 6852871 8728494 787 787 0 0 0 0 0 0 0 0 0 0 11015932 10402675 30407 45648 0 0 30407 45648 X 6764300 6490571 2280197 1925428 1941028 1941028 10985525 10357027 11015932 10402675 X -130394 -498104 X false true true X false X 1252953 255782 293181 400278 406034 2608228 0 0 1252953 255782 293181 400278 406034 2608228 504162 2104066 220714 620716 221071 60481 29204 1152186 0 0 3760414 12527 0.55950 0.59400 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2007638 5407 72017 1941028 2007638 0 2294 0 2294 0 2007638 2007638 0 73573 0 73573 0 2007638 1.00000 false false 0 0 0 0 0 0 0 0 90536 302257 -211721 0 0 -211721 0 0 0 0 0 0 0 0 0 0 0 0 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. GOLF OUTING 137747 112692 25055 5100 1691 26392 1491 0 12537 0 0 137747 112692 25055 5100 1691 26392 1491 0 12537 47211 -22156 true SAINT ANTHONY HOSPITAL 2875 WEST 19TH STREET CHICAGO IL 60623 510217097 501(C)(3) 283869 0 N/A N/A OPERATING SUPPORT 1 0 Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 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. X X X X X false false false false false false false false 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 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. 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; 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 false true false false false false false false false false true false true true false false false true