SAINT ANTHONY HOSPITAL FOUNDATION: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
SAINT ANTHONY HOSPITAL FOUNDATION (EIN 23-7448580)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-11
IRS object ID
201111319349301816
Schema version
2009v1.3
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-11T12:00:15-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line170 West Madison StreetAddressLine1
Address Line2Suite 700AddressLine2
CityChicagoCity
StateILState
ZIP Code606024903ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN237448580EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SAINT ANTHONY HOSPITAL FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSAINNameControl
Phone7734844831Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12875 WEST 19TH STREETAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60623ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGUY A MEDAGLIAName
TitlePresidentTitle
Date Signed2011-05-03DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3128997000Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCHARLES R BROBSTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12875 WEST 19TH STREETAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60623ZIPCode
FieldValueIRS element (for citing)
Gross Receipts511929GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501cXOrganization501c
Web SiteWWW.SAINTANTHONYHOSPITAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2003YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionSAINT ANTHONY HOSPITAL FOUNDATION LIVES OUT THE LOVING MINISTRY OF JESUS CHRIST BY OFFERING HEALTH, HEALING AND HOPE TO THE FAMILIES OF OUR COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers4TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year293181ContributionsGrantsPriorYear
Contributions Grants Current Year400278ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year221071InvestmentIncomePriorYear
Investment Income Current Year60481InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year-7214OtherRevenueCurrentYear
Total Revenue Prior Year514252TotalRevenuePriorYear
Total Revenue Current Year453545TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year686760GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY238809GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year57175SalariesEtcPriorYear
Salaries Etc Current Year86385SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year90468TotalFundrsngExpCurrentYear
Other Expense Prior Year42763OtherExpensePriorYear
Other Expenses Current Year30125OtherExpensesCurrentYear
Total Expenses Prior Year786698TotalExpensesPriorYear
Total Expenses Current Year355319TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-272446RevenuesLessExpensesPriorYear
Revenues Less Expenses CY98226RevenuesLessExpensesCY
Total Assets BOY4780575TotalAssetsBOY
Total Assets EOY11015932TotalAssetsEOY
Total Liabilities BOY12254TotalLiabilitiesBOY
Total Liabilities EOY30407TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4768321NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10985525NetAssetsOrFundBalancesEOY
Mission DescriptionSAINT ANTHONY HOSPITAL FOUNDATION LIVES OUT THE LOVING MINISTRY OF JESUS CHRIST BY OFFERING HEALTH, HEALING AND HOPE TO THE FAMILIES OF OUR COMMUNITY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense244289Expense
Grants235209Grants
Revenue0Revenue
DescriptionSAINT 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

FieldValueIRS element (for citing)
Expense3600Expense
Grants3600Grants
Revenue0Revenue
DescriptionSAINT 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
FieldValueIRS element (for citing)
Total Program Service Expense247889TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10964NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCHARLES R BROBSTNamePerson
Telephone Number7734844831TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12875 WEST 19TH STREETAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60623ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
MARK JUNDANIAN
SECRETARY1XX000
CHARLES R BROBST
TREASURER1XX03212957179
GUY A MEDAGLIA
BOARD MEMBER/ INTERIM PRESIDENT & CEO1XX000
NANCY BADROV-EISEMAN
BOARD MEMBER1X02970814935
SISTER CATHERINE GARRY
BOARD MEMBER1X000
WILLIAM CAHILL
BOARD MEMBER1X000
STEPHEN RUFF JR
BOARD MEMBER1X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs618376TotalReportableCompFrmRltdOrgs
Total Other Compensation12114TotalOtherCompensation
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events59695FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants0GovernmentGrants
All Other Contributions340583AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions400278TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
0000$0
0000$0
0000$0
0000$0
0000$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column60481TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$60,481ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities0Securities
Other0Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events51170GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events59695CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses58384FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-7214TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$7,214ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming0GrossIncomeGaming
Gaming Direct Expenses0GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory0GrossSalesOfInventory
Cost Of Goods Sold0CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

Total Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
000$0
000$0
000$0

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column453545TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$53,267ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total235209Total
Program Services235209ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total3600Total
Program Services3600ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total75667Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising75667Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5511Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising5511Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5207Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising5207Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total15603Total
Program Services8350ProgramServices
Management And General6140ManagementAndGeneral
Fundraising1113Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5628Total
Program Services328ProgramServices
Management And General5300ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total7483Total
Program Services402ProgramServices
Management And General4111ManagementAndGeneral
Fundraising2970Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DUES & SUBSCRIPTIONS70507050
CAFETERIA EXPENSE70607060
0000
0000
0000

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total355319Total
Program Services247889ProgramServices
Management And General16962ManagementAndGeneral
Fundraising90468Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY315126BOY
EOY4162274EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4464662BOY
EOY6852871EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY787BOY
EOY787EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis0LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec0LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4780575BOY
EOY11015932EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY12254BOY
EOY30407EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY12254BOY
EOY30407EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY523717BOY
EOY6764300EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2303576BOY
EOY2280197EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1941028BOY
EOY1941028EOY

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4768321BOY
EOY10985525EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4780575BOY
EOY11015932EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi
Total Number Of Supported Orgs0TotalNumberOfSupportedOrgs

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1101589CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1252953CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years255782CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year293181CurrentTaxYearMinus1Year
Current Tax Year400278CurrentTaxYear
Total3303783Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1101589CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1252953CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years255782CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year293181CurrentTaxYearMinus1Year
Current Tax Year400278CurrentTaxYear
Total3303783Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total501505AmountsSubstContributorsTotal
Public Support Total1702802278PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years290902CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years220714CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years620716CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year221071CurrentTaxYearMinus1Year
Current Tax Year60481CurrentTaxYear
Total1413884Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total
FieldValueIRS element (for citing)
Total Support4717667TotalSupport
Gross Receipts From Admissions Etc169677GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.594PublicSupportPertcentage170
Public Support Pertcent Prior Year0.6138PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance2007638BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses2294InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures2294OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance2007638EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance2007638BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses73573InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures73573OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance2007638EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Book Value0BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability
Total Of Amounts0TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Intended uses of endowment fundsSchedule D, Part V, Line 4THE INCOME FROM THE ENDOWMENT IS USED FOR GENERAL OPERATIONS TO SUPPORT SAINT ANTHONY HOSPITAL, A RELATED TAX-EXEMPT ORGANIZATION.
FIN 48 footnoteSchedule D, Part X, Line 2IN JUNE 2006, THE FASB ISSUED GUIDANCE FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH THE CORPORATION ADOPTED ON JULY 1, 2007. THE PARENT, THE HOSPITAL, AND THE FOUNDATION ALL FILE A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THESE RETURNS ARE 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. AS OF AND DURING THE YEARS ENDED JUNE 30, 2010 AND 2009, THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED AND RECORDED AS LIABILITIES. FORMS 990 FILED BY THE PARENT, THE HOSPITAL AND 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 PARENT, THE HOSPITAL, AND THE FOUNDATION ARE NO LONGER SUBJECT TO EXAMINATION FOR THE YEARS 2007 AND PRIOR.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF OUTINGNameOfEvent1
Gross Receipts Event1110865GrossReceiptsEvent1
Charitable Contributions Event159695CharitableContributionsEvent1
Gross Revenue Event151170GrossRevenueEvent1
Cash Prizes Event118221CashPrizesEvent1
Food And Beverage Event112195FoodAndBeverageEvent1
Other Direct Expenses Event127968OtherDirectExpensesEvent1
Gross Receipts Total110865GrossReceiptsTotal
Charitable Contributions Total59695CharitableContributionsTotal
Gross Revenue Total Events51170GrossRevenueTotalEvents
Cash Prizes Total Events18221CashPrizesTotalEvents
Food And Beverage Total Events12195FoodAndBeverageTotalEvents
Other Direct Expenses Total Events27968OtherDirectExpensesTotalEvents
Direct Expense Summary Events58384DirectExpenseSummaryEvents
Net Income Summary-7214NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1SAINT ANTHONY HOSPITALBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12875 WEST 19TH STREETAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60623ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient510217097EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant235209AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Method Of ValuationN/AMethodOfValuation
Description Of Non Cash AssistanceN/ADescriptionOfNonCashAssistance
Purpose Of GrantOPERATING SUPPORTPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedures for monitoring use of grant fundsIdentifier
Return ReferenceSchedule I, Part I, Line 2ReturnReference
ExplanationFUNDS 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

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
NANCY BADROV-EISEMAN
0296847000234046740261030201600
CHARLES R BROBST
0254900060756056390436402815032847400

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMPENSATION CONTINGENT ON NET EARNINGSSCHEDULE J, PART I, LINES 5 OR 6THE 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 COMPENSATIONSCHEDULE J, PART I, LINE 3THE 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. THE CEO WAS EMPLOYED BY FTI HEALTHCARE THROUGH JUNE 30, 2010 AND HIRED ON FULL TIME BY SAINT ANTHONY HOSPITAL EFFECTIVE JULY 1, 2010. BEFORE BEING HIRED ON FULL TIME, THE CONTACT WITH FTI HEALTHCARE WAS APPROVED BY THE BOARD AND DOCUMENTED IN THE MINUTES.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Classes of members or stockholdersForm 990, Part VI, Section A, Line 6THE 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 bodyForm 990, Part VI, Section A, Line 7aTHE 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 stockholdersForm 990, Part VI, Section A, Line 7bTHE 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 bodyForm 990, Part VI, Section B, Line 11AA THOROUGH REVIEW OF THE FORM 990 IS PERFORMED BY MANAGEMENT. THE FORM 990 IS THEN REVIEWED BY THE FINANCE COMMITTEE WITH A PRESENTATION MADE BY THE PAID TAX PREPARERS. A COPY OF THE RETURN AND SUMMARY IS SHARED WITH THE BOARD OF DIRECTORS PRIOR TO FILING THE FORM 990 WITH THE IRS.
Conflict of interest policyForm 990, Part VI, Section B, Line 12cANNUALLY 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.
Public DisclosureForm 990, Part VI, Section C, Line 19FINANCIAL 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.
PROCESS USED TO ESTABLISH COMPENSATIONFORM 990, PART VI, SECTION B, LINES 15A AND 15BTHE FILING ORGANIZATION DOES NOT COMPENSATE THE TOP MANAGEMENT OFFICIAL OR HAVE ANY OTHER OFFICERS OR KEY EMPLOYEES. THIS QUESTION HAS BEEN INTENTIONALLY LEFT BLANK. THE OFFICERS ARE PAID BY SAINT ANTHONY HOSPITAL, A RELATED TAX-EXEMPT ORGANIZATION.
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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
SAINT ANTHONY HOSPITAL
2875 WEST 19TH STREETCHICAGOIL60623510217097HEALTHCAREIL501(C)(3)3SAHM
SAINT ANTHONY HEALTH MINISTRIES
2875 WEST 19TH STREETCHICAGOIL60623363903595MANAGEMENTIL501(C)(3)11 - Type III - FINA
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

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