2026-05-15T15:08:07+00:00 2025-06-30 350921680 CROWE LLP 701 13th St NW Suite 852 Washington DC 20005 990 2024-07-01 510217097 Saint Anthony Hospital SAIN 7734844831 2875 West 19th Street Chicago IL 60623 DORVAL R CARTER JR PRESIDENT AND CEO 7734844831 2026-05-15 true STEVE LENIVY P01635350 2026245555 2026-05-15 2024 2025-03-06 01:10:19Z DORVAL R CARTER JR 2875 West 19th Street Chicago IL 60623 158997124 false 0928 X www.sahchicago.org X 1897 IL Saint Anthony Hospital lives out the loving ministry of Jesus Christ by offering health, healing, and hope to the families of our community, regardless of a patient's ability to pay. 8 5 1336 6 0 9035646 1573476 154691118 147397146 123889 123104 2880487 9903398 166731140 158997124 0 0 94011993 94624712 0 0 74291425 54992074 168303418 149616786 -1572278 9380338 116412961 131905630 54264231 64190179 62148730 67715451 Saint Anthony Hospital (SAH) lives out the loving ministry of Jesus Christ by offering health, healing, and hope to the families of our community, regardless of a patient's ability to pay. SAH is a subsidiary corporation of Saint Anthony Health Ministries. false false 136237416 0 156078053 Saint Anthony Hospital (SAH) provides medical care, social services, and community outreach to Chicago's West and Southwest communities. SAH accepts patients regardless of their ability to pay, whether they cannot afford healthcare or are uninsured or underinsured. Saint Anthony has continually provided millions of dollars in net community benefit expense. Founded in 1897, SAH is a 151-bed, faith based, non-profit community teaching hospital dedicated to serving the health needs of Chicago's near southwest side. For over 100 years, Saint Anthony Hospital has offered quality and affordable medical services in a caring and supportive environment. SAH's operating rooms, emergency department, and imaging center offer modern technology that helps us in providing our patients the quality services they need in our communities. Saint Anthony Hospital uses four categories to identify the resources utilized for the care of persons who are poor and for community benefit programs: - Traditional charity care includes the cost of services provided to persons who cannot afford healthcare because of inadequate resources and/or who are uninsured or underinsured. - Unpaid cost of public programs represents the unpaid cost of services provided to persons covered by public programs for the poor. - Cost of other programs for the poor includes unreimbursed costs of programs intentionally designed to serve the poor and vulnerable of the community, including substance abusers, the homeless, victims of child abuse, and persons with Acquired Immune Deficiency Syndrome. - Community benefit consists of the unreimbursed costs of community benefit programs and services for the general community, not solely for the poor, including health promotion and education, health clinics and screenings, and medical research. 136237416 true true false true false false false false false true true true false true true false false false false false false false false false false false true true false false true false false false false false false false false false false false false false false true true true true false false true 147 0 true 1336 true false false false false false false false false false false false false X 8 5 false false false false true true true true false false false false true true true true true true true true false false X Jerry Harris 7734844834 2875 W 19th Street Chicago IL 60623 Dorval R Carter JR Chair (through 3/2025); President and CEO (as of 3/2025) 40.0 35.0 X X 0 0 0 Guy A Medaglia President and CEO (Through 3/2025); Chair (as of 3/2025) 30.0 55.0 X X 992582 0 437153 Sister Joan McGlinchey MSC Secretary 1.0 1.0 X X 0 0 0 Frank Zappa MD Board Member 1.0 1.0 X 81281 0 0 Jaime Di Paulo Board Member 1.0 1.0 X 0 0 0 Rev Richard Nelson Board Member 1.0 1.0 X 0 0 0 Tyla Courtney MD Board Member 1.0 1.0 X 0 0 0 Wayne Detmer MD Board Member 1.0 1.0 X 0 0 0 Dennis Anosike EVP and CFO (From 08/2024) 50.0 15.0 X 212293 0 12270 Eden Takhsh MD SENIOR VICE PRESIDENT OF OPERATIONS 40.0 0 X 442125 0 21919 Kaman Cipi MD CHAIRMAN, ANESTHESIOLOGY 40.0 0 X 527362 0 79359 Mohamed Dahodwala CLINICAL DEPT CHAIR, MEDICINE 40.0 0 X 360510 0 58454 Romeen Lavani MD VP, CHIEF MEDICAL OFFICER & CHAIR, MEDICAL ED 40.0 0 X 427841 0 34968 Vikrant Azad SECTION CHIEF OF ORTHOPEDICS 40.0 0 X 403661 0 5145 Javier Fajardo MD OB HOSPITALIST 40.0 0 X 590581 0 35657 Litisha Deal ANESTHESIOLOGIST 40.0 0 X 449223 0 25976 Magdy Michael HOSPITALIST, INTERNAL MEDICINE 40.0 0 X 353068 0 35410 Mayra Yanez OB Hospitalist 40.0 0 X 340859 0 27105 Vikas V Sharma MD ANESTHESIOLOGIST 40.0 0 X 494010 0 83669 5675396 0 857085 178 false true false GRM information Management 2211 s troop chicago IL 60608 General Management system 3639297 OR Staffing PO Box 671255 dallas TX 752671255 Operating Room agency 1269763 Trimedx llc PO Box 636129 cincinnati OH 45263 Medical Equipment Service 1092422 Medical Information technology PO box 74569 chicago IL 60696 information system 1053842 omnicell po box 787521 philadelphia PA 191787521 Medical Management system 956981 19 1457213 116263 1573476 Net Patient Service Revenue 622110 145107162 145107162 Medical Student Program 622110 2289984 2289984 0 0 0 0 147397146 123104 123104 268702 0 268702 0 268702 0 268702 0 0 Cafeteria 622110 953789 953789 Administrative Services 622110 465677 465677 Provider Tax 622110 6276851 6276851 1938379 1938379 0 0 9634696 158997124 156078053 0 1345595 7378637 5475097 1903540 70776759 67189834 3586925 11017142 9144227 1872915 5452174 5247661 204513 623346 623346 504548 504548 144000 144000 6827502 5803377 1024125 0 189395 189395 338645 338645 5421713 4608456 813257 1067060 744885 322175 2013351 2013351 1851986 1851986 Medical and patient supplies 9202139 9202139 Provider Tax 8961756 8961756 Utilities 2099867 2099867 Legal Settlements 1277893 1277893 14468873 14468873 0 0 149616786 136237416 13379370 0 36075728 43334422 7110959 9653368 0 0 0 0 1434956 1713215 404657 1721006 84418736 73762731 11134718 10656005 41282374 44727489 46236 18923333 20100125 116412961 131905630 20722874 17933813 472338 472338 0 0 0 33069019 45784028 54264231 64190179 X 56718996 62552990 5429734 5162461 62148730 67715451 116412961 131905630 X 9380338 -3813617 X false false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 144000 false true 18853 162853 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY The firms Keller Partners and Stratagem Consulting LLC represent Saint Anthony Hospital by educating elected officials on the impact of legislation. Saint Anthony Hospital also pays dues to Catholic Health Association of the United States and Illinois Health and Hospital Association. A portion of those dues are used for lobbying activities. 1941028 1941028 1941028 1941028 1941028 1941028 1941028 1941028 1941028 1941028 0.0 1.0 0.0 false true true 1045944 1045944 35370074 73762731 -38392657 48002718 48002718 10656005 Closely-held equity interests Financial derivatives Interest in Net Assets of Foundation 44727489 F 44727489 Management Services Receivable 8067612 Funded Letter of Credit 2359721 Investments - Self-Insurance Fund 28857 Investment - 457(f) Plan 284883 Due from Saint Anthony Hospital Foundation 3811172 Investment in Chicago Southwest Development Corporation 2033122 Security Deposit 10000 NMTC Issuance Cost Operating Lease Use 3504758 20100125 Federal Income Taxes Self Insurance Reserves 10658862 Estimated Third Party Payor Settlements, Net 31541815 Asset Retirement Obligation 403(b) Match 457(f) Plan Liability Other Long term Liability 3583351 45784028 Schedule D, Part V, Line 4 Intended uses of endowment funds The income from the endowment is used for general operations to support Saint Anthony Hospital. The endowment is held by Saint Anthony Hospital Foundation, a related tax-exempt organization. true true X true X true 3180605 3180605 0.02126 89562816 124574237 0 0.0 0 0.0 0 0 92743421 124574237 3180605 0.02126 0 0.0 116218 0 0.0 10058142 21906608 0 0.0 0 0.0 0 0.0 0 0 10058142 22022826 0 0.0 0 0 102801563 146597063 3180605 0.02126 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 0 0 7063300 9279444 -2216144 X true true 1 1 Saint Anthony Hospital 2875 West 19th Street Chicago IL 60623 www.sahchicago.org 0005637 X X X X Saint Anthony Hospital 1 false false false true true 50000 true X 200.0 600.0 X true true X X X true X See Statement X See Statement X See Statement X X X X X X true X false X X X X X true X false false Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - Saint Anthony Hospital. Before any collections efforts are initiated, the Hospital performs reasonable efforts by sending two statements and two letters. The statements and letters indicate the option to apply for financial assistance, if needed. 3 Saint Anthony Hospital Physician Cntr 2875 W 19th Street Chicago IL 60623 Outpatient Clinic Kedzie Ave Clinic 4455 S Kedzie Chicago IL 60632 Outpatient Clinic Brighton Park Clinic 4177 S Archer Chicago IL 60632 Outpatient Clinic Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE https://sahchicago.org/images/patients-and-visitors/forms/sah-Financial-Assistance-Policy-CHARITY-CARE-for-website-English_.pdf Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE https://sahchicago.org/images/patients-and-visitors/forms/sah-patient-financial-assistance-application-en_2024.pdf Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE https://sahchicago.org/images/patients-and-visitors/SAH-Financial-Assistance-Plain-Language-Summary-ENG.pdf Schedule H, Part V, Section B Supplemental Information Regarding Part V, Section B, Line 3 Part V, Section B, line 3 asks whether the hospital facility conducted a community health needs assessment (CHNA) during the tax year or either of the two immediately preceding tax years. Under Treas. Reg. §1.501(r)-3, a CHNA is considered conducted only when all required steps have been completed, including adoption of the CHNA report by an authorized body of the hospital facility and making the CHNA report widely available to the public. Saint Anthony Hospital answered line 3 "No" because its 2024 CHNA has not yet been adopted by an authorized body of the hospital facility and made widely available to the public during the applicable reporting period (by the year ended June 30, 2025). The non-compliance resulted from several factors, including the attrition of key organizational personnel who, in prior years, would have led the CHNA process and coordinated review and approval by the hospital's Board of Directors. In addition, as a designated safety net hospital in Chicago serving vulnerable and underserved populations within its community, Saint Anthony Hospital remained focused on maintaining access to essential health care services and addressing significant patient and community care needs while simultaneously managing staffing and administrative challenges, which contributed to delays in completing the CHNA approval process. Accordingly, the facility is reporting and paying the section 4959 excise tax on Form 4720 for the failure to meet section 501(r)(3) for the tax year ended June 30, 2025. Saint Anthony Hospital is actively working to complete the steps necessary to come into full compliance with section 501(r)(3) and anticipates completing those steps no later than June 30, 2026. As part of this process, Saint Anthony Hospital is working to make a complete, publicly available copy of the 2024 CHNA report and the 2025-2027 Implementation Strategy available on the Saint Anthony Hospital public website (https://sahchicago.org/about-us/community-health-needs-assessment), including the date of posting and the date of Board approval, when known. Draft copies have currently been made available as of the time of filing. The hospital facility also intends to obtain an appropriately approved and adopted Board resolution accepting the findings of the 2024 CHNA report and approving the related implementation strategy for implementation no later than June 30, 2026. In addition, Saint Anthony Hospital is taking steps to properly document its CHNA procedures and policies, including the timeline associated with the current and upcoming CHNA cycles, Board minutes, Board packets, resolutions, and written consents, as applicable. The hospital facility is also working with outside consultants experienced in section 501(r) compliance matters to correct identified deficiencies and assist with planning for the next CHNA reporting cycle. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance The cost to charge ratio derived from Worksheet 2 was used to calculate the amounts reported in Lines 7a, 7b, and 7g. Line 7e was derived from a cost accounting system that addresses all patient segments. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount As noted in the most recently issued audited financial statements, the Organization has determined that amounts not expected to be collected from patients represent implicit price concessions rather than bad debts. Accordingly, patient service revenue is recorded at the estimated transaction price, reflecting these concessions at the time of service, and is reported net of such amounts. As a result, no separate bad debt expense is recognized in the audited financial statements. Schedule H, Part III, Line 3 Bad Debt Expense Methodology As noted in the most recently issued audited financial statements, the Organization does not record bad debt expense, as amounts not expected to be collected from patients - including those eligible for financial assistance - are treated as implicit price concessions. These amounts are reflected as a reduction of patient service revenue. Accordingly, there is no bad debt attributable to patients eligible for financial assistance. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote Please see Note 1 of the attached financial statements for the footnote describing bad debt expense. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs The shortfall is arrived at by using the Medicare Cost and Reimbursement Summary. The Summary takes into account the Medicare cost less the Medicare reimbursement. SAINT ANTHONY HOSPITAL ACCEPTS ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS AND OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. SAINT ANTHONY HOSPITAL BELIEVES THAT ANY MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE MEDICARE DOES NOT TYPICALLY FULLY COMPENSATE THE HOSPITAL FOR THE COST OF PROVIDING HOSPITAL CARE TO MEDICARE BENEFICIARIES. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance Saint Anthony Hospital informs patients about the availability of financial assistance through signage posted throughout the Hospital, information on the website, and through counseling provided by staff during the admission process. For patients known to qualify for financial assistance under the FAP, the Hospital's policy is to ensure they are not subject to certain collection actions. Patients who do not qualify for any assistance can enter into payment arrangements with the Hospital. If that patient fails to keep those arrangements, their account will be referred to an outside collection agency. When a patient in need applies by submitting an application, a personal statement, and supporting resource documents, the case is reviewed for eligibility. Once verified, the process requires the Controller, CFO, and President to approve the assistance at their respective approval levels. For accounts granted assistance or determined to be presumptively eligible, the Hospital reclassifies the account under the FAP, and these accounts are not sent to collection or subject to further collection actions. Specifically, for patients known to qualify for assistance, Saint Anthony Hospital prohibits the use of liens on personal residences and does not pursue wage garnishments, involuntary bankruptcy proceedings, or any actions that would result in a bench warrant or body attachment. Furthermore, no interest charges are assessed on accounts for patients eligible for assistance. If a patient is determined to be FAP-eligible after an account has already been referred to an outside collection agency, the Hospital will review the account for retroactive relief and potential recall from the agency to apply the appropriate assistance. Schedule H, Part V, Section B, Line 16a FAP website - Saint Anthony Hospital: Line 16a URL: See Statement; Schedule H, Part V, Section B, Line 16b FAP Application website - Saint Anthony Hospital: Line 16b URL: See Statement; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Saint Anthony Hospital: Line 16c URL: See Statement; Schedule H, Part VI, Line 2 Needs assessment Saint Anthony Hospital completed its latest Community Health Needs Assessment (CHNA) in 2021, in cooperation with Professional Research Consultants (PRC). This CHNA, a follow-up to a similar assessment conducted in 2018, is a systematic, data-driven approach to determining the health status, behaviors, and needs of residents in Saint Anthony Hospital's community. It is a tool to assist the hospital in accomplishing three basic goals: - improving residents' health status, increasing their life spans, and elevating their overall quality of life, - reducing the health disparities among residents, and - increasing accessibility to preventive services for all community residents. Our CHNA was conducted by Professional Research Consultants, Inc. (PRC), a nationally-recognized healthcare consulting firm with extensive experience conducting assessments in hundreds of communities across the United States since 1994. It incorporates data from both quantitative and qualitative sources. Quantitative data input includes results from the PRC community health survey and secondary research. Qualitative data input includes primary research gathered through a series of key informant focus groups. The survey instrument used for this CHNA was based largely on the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System (BRFSS), as well as various other public health surveys and customized questions addressing gaps in indicator data relative to health promotion and disease prevention objectives and other recognized health issues. To ensure the best representation of the population surveyed, a telephone interview methodology, incorporating both landline and cell phone interviews, was employed. The sample design used for this effort consisted of a random sample of 200 individuals, age 18 and older, in Saint Anthony's service area. All administration of the surveys, data collection, and data analysis was conducted by PRC. The same survey was also made available via a link and administered to people in community within the seven chosen zip codes. This data was also analyzed by PRC. Saint Anthony provided PRC with a list of recommended community stakeholders to participate in additional qualitative research gathering. Potential participants were chosen because of their ability to identify primary concerns of the community overall. These findings represent qualitative rather than quantitative data. The group was designed to gather input from participants regarding their opinions and perceptions of the health of the residents in the area. Thus, these findings are based on perceptions, not facts. From the data collected and analyzed by PRC, the focus areas were chosen based on community input from the survey. While the implementation strategy focuses on the top six issues, the areas have been categorized into four main priorities which include aspects of each need identified in the CHNA. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Signs are posted in waiting areas of the Hospital, as well as on the Hospital's website, announcing the availability of financial assistance. Hospital Patient Access staff assists uninsured or under-insured patients in applying for any government assistance programs for which they may qualify, as well as the Hospital's financial assistance program. Information regarding financial assistance is presented and discussed with patients during the admission process, and Hospital bills to patients also include information on applying for financial assistance. Patients in need may apply by submitting an application, together with a personal statement and supporting resource documents. Each application is reviewed for eligibility based on the documentation submitted by the patient, and, once verified, approvals are made in accordance with the Hospital's established approval process and approval levels. Schedule H, Part VI, Line 4 Community information Saint Anthony Hospital is a 151-bed healthcare facility located on the border of the North Lawndale and South Lawndale communities on Chicago's West and Near Southwest side. Saint Anthony Hospital also serves as a safety net hospital within the City of Chicago, providing access to essential health care services for uninsured, Medicaid, low income, and other vulnerable populations within the communities it serves. The Primary Service Area (PSA) is defined as seven Chicago ZIP codes: 60608, 60609, 60623, 60624, 60629, 60632, and 60804. This area encompasses the North Lawndale, East and West Garfield Park, Little Village, South Lawndale, Pilsen, Brighton Park, McKinley Park, and Back of the Yards neighborhoods. The PSA has approximately 410,000 residents and is characterized by a significant minority and low-income population. According to data collected for the 2024 CHNA, 62.5% of residents identify as Hispanic or Latino and 26.1% identify as Diverse Races (of which 24.3% are Black or African American). Economic vulnerability is widespread; 53.3% of the PSA population lives in 'Low Income' households, defined as living under 200% of the Federal Poverty Level (FPL). Access to healthcare remains a critical challenge. The area is designated by the Health Resources and Services Administration as a Medically Underserved Area (MUA) and a Health Professional Shortage Area (HPSA) for primary care, mental health, and dental care. Notably, 16.4% of adults aged 18 to 64 in the PSA lack health insurance coverage, which is double the national average of 8.1%. Furthermore, 19.3% of currently insured residents reported a time in the past year when they were without insurance. Access barriers have led 16.0% of PSA adults to visit an emergency room more than once in the past year, with 29.8% of those individuals citing access-related reasons for seeking care at the hospital instead of a clinic. Schedule H, Part VI, Line 5 Promotion of community health Saint Anthony Hospital is a 151-bed, independent, faith-based, non-profit, acute care community hospital founded in 1897. A majority of the Hospital's governing body is comprised of persons who reside in the Chicago community who are not employees or independent contractors of the Hospital, nor family members thereof. The Hospital extends medical privileges to all qualified physicians. The Hospital provides a wide range of services and community benefit programs to its underserved community. Saint Anthony believes in taking a holistic approach to the care of our community. Therefore, we strengthen the community not only through healthcare, but also focusing on building and supporting healthy communities through advocacy, economic and workforce development. We participate actively with a variety of community organizations and local community churches. Saint Anthony, its neighborhood clinics, and the offices of its community-based human services programs further the organization's exempt purpose by providing the following services at no cost to community residents: pregnancy testing, prenatal education, gestational diabetes education, early childhood development consultation and support, parent-child play groups, parenting skills training, blood pressure and blood glucose screenings, health and nutrition education presentations, mental health counseling, transportation to and from hospital appointments, patient navigation, and state and federal government benefits counseling and application assistance. Saint Anthony has and will always try to hire qualified professional and non-professional staff from within the communities in its service area. Schedule H, Part VI, Line 6 Affiliated health care system For over 100 years, Saint Anthony Hospital has been improving the health and wellness of families across Chicagoland by providing medical care, social services, and community outreach to the residents of eight city neighborhoods: Little Village, North Lawndale, Pilsen, Brighton Park, Back of the Yards, McKinley Park, Archer Heights, and Chicago Lawn, as well as suburban Cicero and Berwyn. The outpatient clinics are strategically located within the surrounding communities to provide healthcare services just as the Hospital does, but on a smaller scale. Individuals requiring more care are referred to the Hospital for further evaluation. Saint Anthony Health Affiliates provides non-emergency physician services to the community that the Hospital serves. The Foundation was organized for the purpose of soliciting, earning, and receiving funds from public and private sources, accumulating such funds, and making distributions to the Hospital. Saint Anthony Health Ministries (SAHM) is the sole corporate member of the Hospital, and SAHM supports the Hospital. Schedule H, Part VI, Line 7 State filing of community benefit report IL X X X X false true false false false false false false false Guy A Medaglia President and CEO (Through 3/2025); Chair (as of 3/2025) 985152 0 0 0 7430 0 410869 0 26284 0 1429735 0 0 0 Dennis Anosike EVP and CFO (From 08/2024) 212293 0 0 0 0 0 0 0 12270 0 224563 0 0 0 Kaman Cipi MD CHAIRMAN, ANESTHESIOLOGY 526484 0 0 0 878 0 9150 0 70209 0 606721 0 0 0 Eden Takhsh MD SENIOR VICE PRESIDENT OF OPERATIONS 398359 0 0 0 43766 0 1437 0 20482 0 464044 0 42421 0 Romeen Lavani MD VP, CHIEF MEDICAL OFFICER & CHAIR, MEDICAL ED 383204 0 0 0 44637 0 8962 0 26006 0 462809 0 43760 0 Vikrant Azad SECTION CHIEF OF ORTHOPEDICS 403661 0 0 0 0 0 4618 0 527 0 408806 0 0 0 Mohamed Dahodwala CLINICAL DEPT CHAIR, MEDICINE 356649 0 0 0 3861 0 5953 0 52501 0 418964 0 0 0 Javier Fajardo MD OB HOSPITALIST 553921 0 36660 0 0 0 9150 0 26507 0 626238 0 0 0 Vikas V Sharma MD ANESTHESIOLOGIST 493643 0 0 0 367 0 6913 0 76756 0 577679 0 0 0 Litisha Deal ANESTHESIOLOGIST 449119 0 0 0 104 0 868 0 25108 0 475199 0 0 0 Magdy Michael HOSPITALIST, INTERNAL MEDICINE 350080 0 0 0 2988 0 7160 0 28250 0 388478 0 0 0 Mayra Yanez OB Hospitalist 318749 0 22110 0 0 0 1997 0 25108 0 367964 0 0 0 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FOLLOWING INDIVIDUAL PARTICIPATES IN A 457(F) PLAN AND RECEIVED AMOUNTS DEFERRED BY SAINT ANTHONY DURING 2024: GUY A. MEDAGLIA - $403,000 THE FOLLOWING INDIVIDUALS PARTICIPATE IN A 457(F) PLAN AND RECEIVED AMOUNTS PAID OUT BY THE PLAN DURING 2024: ROMEEN LAVANI - $43,760 EDEN TAKHSH - $42,421 Form 990, Part VI, Line 6 Classes of members or stockholders Saint Anthony Health Ministries is the sole corporate member of Saint Anthony Hospital. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body As the sole corporate member of Saint Anthony Hospital, Saint Anthony Health Ministries has the right to appoint or remove members of the governing body. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders As the sole corporate member of Saint Anthony Hospital, the Canonical Directors of Saint Anthony Health Ministries have 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, and 7) Approving the incurrence of debt of the organization. The following powers are reserved to the Board of Directors of Saint Anthony Health Ministries : 1) Appointing or removing with or without cause the Chair of the corporation, 2) Ratifying the appointment and removal of the president of the Corporation, and 3) Appointing, upon the recommendation of the Corporation's Board of Directors, the members of Corporation's Board of Directors. Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. Form 990, Part VI, Line 11b Review of form 990 by governing body A thorough review of Form 990 is performed by management. A copy of the return is shared with the Board of Directors prior to filing Form 990 with the IRS. Form 990, Part VI, Line 12c Conflict of interest policy Annually, the Corporate Responsibility Officer has the Board, as well as officers, vice presidents, and operational department heads, review, fill out, and sign the conflict of interest questionnaire. The Corporate Responsibility Officer reviews the completed conflict of interest questionnaires. If a conflict of interest arises, the affected board member (or officer) abstains from voting on the respective issue. The Corporate Responsibility Officer maintains all signed conflict of interest statements on file. Form 990, Part VI, Line 15a Process to establish compensation of top management official All annual salary increases for the President & CEO are reviewed and approved by the President Compensation Sub-Committee and documented in minutes prepared for each meeting. An independent market survey was conducted in August 2021 to ensure that the salaries of the CEO and other officers were within standard market range. Form 990, Part VI, Line 15b Process to establish compensation of other employees All annual salary increases for other officers are reviewed and approved by the Compensation Committee and documented in minutes prepared for each meeting. An independent market survey was conducted in August 2021 to ensure that the salaries of the CEO and other officers were within standard market range. Form 990, Part VI, Line 19 Required documents available to the public Financial statements, governing documents, and conflict of interest policies are not required disclosures pursuant to Internal Revenue Code Section 6104. These documents are not available to the public at this time. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Other Income - Total Revenue: 1938379, Related or Exempt Function Revenue: 1938379, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Net Asset Transfer with Affiliates - -3813617; Total - -3813617; SAH Emergency Services LLC 2875 West 19th Street CHICAGO IL 60623 300261806 BILLING SERVICES IL 2870685 0 SAINT ANTHONY HOSPITAL SAH Anesthesia Group LLC 2875 West 19th Street Chicago IL 60623 474991463 BILLIING SERVICES IL 687270 0 SAINT ANTHONY HOSPITAL SAH Radiology LLC 2875 West 19th Street Chicago IL 60623 994809604 BILLING SERVICES IL 0 0 SAINT ANTHONY HOSPITAL Saint Anthony Health Affiliates 2875 West 19th Street Chicago IL 60623 364340137 Healthcare IL 501(c)(3) 10 Saint Anthony Hospital true Saint Anthony Hospital Foundation 2875 West 19th Street Chicago IL 60623 237448580 Fundraising IL 501(c)(3) 7 Saint Anthony Hospital true Saint Anthony Health Ministries 2875 West 19th Street Chicago IL 60623 363903595 Management IL 501(c)(3) Type II NA false Chicago Southwest Development Corporation 2875 West 19th Street Chicago IL 60623 461575093 Community Development IL 501(c)(3) Type II Chicago Southwest Community Organization true Chicago Southwest Community Organization 2875 West 19th Street Chicago IL 60623 461578466 Community Development IL 501(c)(3) PF NA true false false false true false false false false false false false true false true true false false true true CHICAGO SOUTHWEST DEVELOPMENT CORPORATION D 2033122 cash CHICAGO SOUTHWEST DEVELOPMENT CORPORATION L 497453 CASH SAINT ANTHONY HEALTH AFFILIATES R 3308678 CASH Saint Anthony Hospital Foundation S 267274 Cash