2025-05-15T12:13:42+00:00 2024-06-30 350921680 CROWE LLP 701 13th St NW Suite 852 Washington DC 20005 990 2023-07-01 510217097 Saint Anthony Hospital SAIN 7734844831 2875 West 19th Street Chicago IL 60623 DORVAL R CARTER JR PRESIDENT AND CEO 7734844831 2025-05-15 true true STEVE LENIVY P01635350 2026245555 2025-05-15 2023 2025-03-06 01:10:19Z DORVAL R CARTER JR 2875 West 19th Street Chicago IL 60623 166760448 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 6 1277 8 0 0 9131465 9035646 133295852 154691118 124374 123889 7736884 2880487 150288575 166731140 0 0 82400563 94011993 0 0 64741008 74291425 147141571 168303418 3147004 -1572278 115508778 116412961 57453110 54264231 58055668 62148730 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 157234029 156689135 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. 157234029 true true false true 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 true true true true false false true 346 0 true 1277 true false false false false false false false false false false false false X 8 6 false false false false true true true true false false false true true true true true true true true false X Jamie Mack 7734844831 2875 West 19th Street Chicago IL 60623 Dorval R Carter Jr Vice Chair (through 7/2023); Chairman (as of 8/2023) 1.0 4.0 X X 0 0 0 Guy A Medaglia President & CEO 30.0 55.0 X X 772731 0 450083 Peter V Fazio Jr Chairman (through 7/2023) 1.0 5.0 X X 0 0 0 Sister Joan McGlinchey MSC Secretary 1.0 2.0 X X 0 0 0 Frank Zappa MD Board Member 1.0 1.0 X 76552 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 Bob Enkema CFO (through 3/2024) 41.0 4.0 X 665169 0 0 ANDREW KULIK Clinical Dept Chair, Psychiatry 40.0 0 X 315506 0 25912 Eden Takhsh MD Senior Vice President of Operations 40.0 0 X 405816 0 1807 Kaman Cipi MD Chairman, Anesthesiology 40.0 0 X 466552 0 44502 MOHAMED DAHODWALA Clinical Dept Chair, Medicine 40.0 0 X 362855 0 39266 RAQUEL PRENDKOWSKI VP, Patient Care & Chief Nursing Executive 40.0 0 X 232309 0 2620 Romeen Lavani MD VP, Chief Medical Officer & Chair, Medical Ed 40.0 0 X 412622 0 19439 SIDDIQ HASAN Clinical Dept Chair, Surgery Medicine 40.0 0 X 334757 0 9522 VIKRANT AZAD Section Chief of Orthopedics 40.0 0 X 393531 0 372 EVELYN HOFFERICA Anesthesiologist 40.0 0 X 401051 0 9724 JAVIER FAJARDO MD OB Hospitalist 40.0 0 X 484541 0 27449 LITISHA DEAL Anesthesiologist 40.0 0 X 385623 0 16605 MAGDY MICHAEL Hospitalist, Internal Medicine 40.0 0 X 322873 0 20589 Vikas V Sharma MD Anesthesiologist 40.0 0 X 441554 0 42571 6474042 0 710461 146 false true false CAREREV PO BOX 103151 PASADENA CA 91189 NURSING AGENCY 2878561 ADVANTIS MEDICAL STAFFING PO BOX 840775 LOS ANGELES CA 90084 NURSING AGENCY 2631685 ALLSCRIPTS PO BOX 98347 CHICAGO IL 60693 SOFTWARE SERVICES 2578625 MEA CHICAGO PC PO BOX 634850 CINCINNATI OH 45263 EMERGENCY PHYSICIAN SERVICES 2288110 TRIMEDX PO BOX 636129 CINCINNATI OH 45263 MEDICAL EQUIPMENT SERVICE 1046332 49 9035646 9035646 Patient Revenue 622110 153028255 153028255 Medical Student Program 622110 1662863 1662863 0 0 0 0 154691118 123889 123889 331093 29308 301785 0 301785 301785 0 0 Cafeteria 622110 882470 882470 Administrative Services 622110 649340 649340 1046892 1046892 0 0 2578702 166731140 156689135 0 1006359 X 4909257 3222673 1686584 75033809 73843099 1190710 9080126 7888588 1191538 4988801 4839137 149664 893123 893123 193831 193831 161053 161053 18424682 17068855 1355827 0 167614 167614 322531 322531 9570084 8244540 1325544 1785461 1214113 571348 47156 47156 2711340 2711340 1812866 1812866 Bad Debt 11806312 11806312 Medical and patient supplies 10515429 10515429 Provider Tax 8998092 8998092 Utilities 2467579 2467579 4414272 4414272 0 0 168303418 157234029 11069389 0 X 32307198 36075728 12259757 7110959 0 0 0 0 1234923 1434956 1326526 404657 81961213 70826495 12599761 11134718 38190781 41282374 46236 46236 17543596 18923333 115508778 116412961 14390882 20722874 0 472338 0 0 4730700 0 38331528 33069019 57453110 54264231 X 50987708 56718996 7067960 5429734 58055668 62148730 115508778 116412961 -1572278 5665340 0 X false false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 143354 false true 17699 161053 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY The firms Keller Partners, Gabriel, Lopez & Associates, and Government Solutions 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 1023591 1023591 27323951 22760845 4563106 6392916 0 6392916 47220755 48065650 -844895 0 0 0 11134718 Interest in Net Assets of Foundation 41282374 F 41282374 Management Services Receivable 6732907 Funded Letter of Credit 2059144 Investments - Self-Insurance Fund 28525 Investment - 457(f) Plan 3284883 Due from Saint Anthony Hospital Foundation 3956524 Investment in Chicago Southwest Development Corporation 2737253 Security Deposit 10000 NMTC Issuance Cost 114097 18923333 Self Insurance Reserves 6008798 Estimated Third Party Payor Settlements, Net 26538077 Asset Retirement Obligation 283227 403(b) Match 238917 457(f) Plan Liability 0 33069019 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 X 600 true true true false true true 16517712 16517712 0.1132 89339325 180262806 0 0.0 0 0.0 0 0 105857037 180262806 16517712 0.1132 93281 0 93281 0.0006 0 104444 0 0.0 0 10555596 0 0.0 0 0.0 0 0.0 0 0 93281 10660040 93281 0.0006 0 0 105950318 190922846 16610993 0.1139 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 11806312 0 7874749 9389410 -1514661 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 true X X X X X X X X X 21 true false false true X HTTPS://SAHCHICAGO.ORG/IMAGES/FOUNDATION-AND-GIVING/COMMUNITY-BENEFITS-REPORT/2021-CHNAIMPLEMENTATIO X true 21 true HTTPS://SAHCHICAGO.ORG/IMAGES/FOUNDATION-AND-GIVING/COMMUNITY-BENEFITS-REPORT/2021-CHNAIMPLEMENTATIO false true X 200.0 600.0 X true true X 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 5 Facility , 1 Facility , 1 - Saint Anthony Hospital. Part V, Section B, Line 5: Saint Anthony Hospital used Professional Research Consultants, Inc. (PRC) to collect the relevant data for the CHNA. PRC collected data that was largely based on the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System. PRC conducted a telephone survey of 200 individuals, age 18 and older, in Saint Anthony's service area which is the West and Southwest side of Chicago to obtain preliminary information regarding the community's health needs. In addition, 199 participants completed the survey online during community outreach efforts. To solicit input from key informants, those individuals who have a broad interest in the health of the community, an Online Key Informant Survey also was implemented as part of this process. A list of recommended participants was provided by Saint Anthony Hospital; this list included names and contact information for physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders. Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall. The organizations represented in the key informant survey are listed on Page 8 of the CHNA. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Saint Anthony Hospital. Saint Anthony Hospital takes pride in addressing the health care needs of our community, so we drafted the Implementation Strategy to address the top six areas of need identified in the CHNA over the next three years. However, we are only a piece of the puzzle and must stay focused in our efforts in order to be effective and efficient with our limited resources and stay within our scope of practice and expertise. Working closely with the clinical team at Saint Anthony Hospital, the Community Development Team provides support through direct social service programs. Under this reciprocal referral relationship, both the clinical and social needs of community residents and patients continue to be addressed as it relates to the six focus areas, which are diabetes, nutrition education, mental health, injury and violence, access to healthcare and infant health. The other eight areas - potentially disabling conditions, tobacco use, heart disease & stroke, oral heal, cancer, respiratory disease, sexual health, and kidney disease - were excluded from our implementation strategy but several are still addressed in services we offer. When we come into contact with patients and community members with specific issues outside of our scope, such as oral health, we refer them to other community organizations or healthcare providers with more experience and resources that meet their needs. 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-FINANCIALASSISTANCE- APPLICATION-EN_2024.PDF Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE HTTPS://SAHCHICAGO.ORG/IMAGES/PATIENTS-AND-VISITORS/FORMS/SAH-FINANCIAL-ASSISTANCE-PLAINLANGUAGE-SUMMARY-EN_2020.PDF Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 11806312 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 The Hospital uses the following methods to determine the amount of bad debt reported: 1) Potential public aid third party liability accounts are identified by a monthly report generated by the collection system. 2) The Medicare bad debt specialist will review the accounts to ensure that the proper balance is on the account. 3) Accounts returned from collection agency as uncollectible will be reviewed to ensure that they have aged greater than 120 days from first notice to patient prior to the account placement with agency. 4) The Medicare bad debt specialist will obtain copies of the Medicare voucher showing the deductible and co-insurance amount, and accounts will be logged with the balance of the co-insurance and deductible amount from the Medicare voucher. 5) Public aid third party liability accounts will be logged with copies of the Medicare and public aid vouchers. The amount logged will reflect the Medicare deductible and co-insurance, minus any payment amount from public aid. 6) A copy of the completed log will be provided to reimbursement and a copy will be maintained in the patient financial services department. Schedule H, Part III, Line 3 Bad Debt Expense Methodology Detailed data is unavailable to estimate the amount of bad debt attributable to patients who would likely be 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 has posted signage throughout the Hospital informing all patients about the financial assistance program. In addition to the signage, the financial assistance program is listed on the Hospital's website. Patients who qualify for assistance often have their entire balance written off. 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. 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 us in reaching 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 that they may qualify for, as well as the Hospital's financial assistance program. Hospital bills to patients also have information on applying for financial assistance. 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. The area includes the North Lawndale, East and West Garfield Park, parts of Austin, Little Village, South Lawndale, Pilsen, Brighton Park, McKinley Park, and Back of the Yards neighborhoods. Saint Anthony is in a medically under-served area, a Primary Care Health Professional Shortage Area, a Mental Health Professional Shortage Area, and a Dental Care Health Professional Shortage Area, as classified by the Health Resources and Services Administration of the U.S. Department of Health and Human Services. The surrounding area has around 410,000 residents, of which more than 50% are Latino and more than 30% are African American. 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 in the community. 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 the power of advocacy and 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. Those 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 & CEO 651138 0 0 0 121593 0 436330 0 13753 0 1222814 0 0 0 Bob Enkema CFO (through 3/2024) 665169 0 0 0 0 0 0 0 0 0 665169 0 0 0 Kaman Cipi MD Chairman, Anesthesiology 465674 0 0 0 878 0 9150 0 35352 0 511054 0 0 0 Romeen Lavani MD VP, Chief Medical Officer & Chair, Medical Ed 370259 0 0 0 42363 0 9150 0 10289 0 432061 0 41485 0 Eden Takhsh MD Senior Vice President of Operations 362985 0 0 0 42831 0 0 0 1807 0 407623 0 41485 0 MOHAMED DAHODWALA Clinical Dept Chair, Medicine 358994 0 0 0 3861 0 5657 0 33609 0 402121 0 0 0 VIKRANT AZAD Section Chief of Orthopedics 393531 0 0 0 0 0 0 0 372 0 393903 0 0 0 SIDDIQ HASAN Clinical Dept Chair, Surgery Medicine 334463 0 0 0 294 0 9150 0 372 0 344279 0 0 0 ANDREW KULIK Clinical Dept Chair, Psychiatry 315506 0 0 0 0 0 1137 0 24775 0 341418 0 0 0 RAQUEL PRENDKOWSKI VP, Patient Care & Chief Nursing Executive 232309 0 0 0 0 0 1914 0 706 0 234929 0 0 0 JAVIER FAJARDO MD OB Hospitalist 484541 0 0 0 0 0 5468 0 21981 0 511990 0 0 0 Vikas V Sharma MD Anesthesiologist 441187 0 0 0 367 0 7057 0 35514 0 484125 0 0 0 EVELYN HOFFERICA Anesthesiologist 400745 0 0 0 306 0 9150 0 574 0 410775 0 0 0 LITISHA DEAL Anesthesiologist 385519 0 0 0 104 0 2557 0 14048 0 402228 0 0 0 MAGDY MICHAEL Hospitalist, Internal Medicine 319885 0 0 0 2988 0 6974 0 13615 0 343462 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 2023: GUY A. MEDAGLIA - $427,180 THE FOLLOWING INDIVIDUALS PARTICIPATE IN A 457(F) PLAN AND RECEIVED AMOUNTS PAID OUT BY THE PLAN DURING 2023: ROMEEN LAVANI - $41,485 EDEN TAKHSH - $41,485 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 - Total Revenue: 1046892, Related or Exempt Function Revenue: 1046892, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Other Professional Fees - Total Expense: 8979851, Program Service Expense: 7624024, Management and General Expenses: 1355827, Fundraising Expenses: ; Purchased Services - Total Expense: 9444831, Program Service Expense: 9444831, Management and General Expenses: , Fundraising Expenses: ; SAH Emergency Services LLC 2875 West 19th Street CHICAGO IL 60623 300261806 BILLING SERVICES IL 4541399 0 SAINT ANTHONY HOSPITAL SAH Anesthesia Group LLC 2875 West 19th Street Chicago IL 60623 474991463 BILLIING SERVICES IL 3512657 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 false CHICAGO SOUTHWEST DEVELOPMENT CORPORATION D 2696292 cash CHICAGO SOUTHWEST DEVELOPMENT CORPORATION L 649340 CASH SAINT ANTHONY HEALTH AFFILIATES R 760643 CASH