MERCY HOSPITAL SOUTH: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: MERCY HOSPITAL SOUTH (EIN 43-0980256)
Tax period: 2013-07-01 to 2014-06-30
Filed: 2015-04-27
IRS object ID: 201521179349300732
Schema version: 2013v4.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-04-27T14:14:50-05:00	ReturnTs
Tax Period End	2014-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	211 N BROADWAY SUITE 600	AddressLine1
City	ST LOUIS	City
State	MO	State
ZIP Code	631022733	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	430980256	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	St Anthony's Medical Center	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of	% KENNETH J VENUTO	InCareOfNm
Business Name Control	STAN	BusinessNameControlTxt
Phone	3145251000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10010 Kennerly Road	AddressLine1
Address Line2	Suite	AddressLine2
City	St Louis	City
State	MO	State
ZIP Code	63128	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KENNETH VENUTO	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	3145251000	PhoneNum
Signature	2015-04-27	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Donna J Larson	PreparerPersonNm
PTIN	P00043751	PTIN
Phone	3145251000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	KENNETH J VENUTO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10010 KENNERLY RD	AddressLine1
City	ST LOUIS	City
State	MO	State
ZIP Code	63128	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$428,577,905	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.STANTHONYSMEDCENTER.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1971	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	SEE COMMUNITY BENEFIT REPORT - SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	4483	TotalEmployeeCnt
Total Volunteers	328	TotalVolunteersCnt
Total Gross UBI	-$8,288	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$15,887	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$693,103	PYContributionsGrantsAmt
CY Contributions Grants	$1,725,728	CYContributionsGrantsAmt
PY Program Service Revenue	$398,869,865	PYProgramServiceRevenueAmt
CY Program Service Revenue	$404,450,986	CYProgramServiceRevenueAmt
PY Investment Income	$283,460	PYInvestmentIncomeAmt
CY Investment Income	-$25,081	CYInvestmentIncomeAmt
PY Other Revenue	$24,716,565	PYOtherRevenueAmt
CY Other Revenue	$17,856,610	CYOtherRevenueAmt
PY Total Revenue	$424,562,993	PYTotalRevenueAmt
CY Total Revenue	$424,008,243	CYTotalRevenueAmt
PY Grants And Similar Paid	$25,082	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$81,845	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$194,202,877	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$192,415,311	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$210,908,271	PYOtherExpensesAmt
CY Other Expenses	$218,212,428	CYOtherExpensesAmt
PY Total Expenses	$405,136,230	PYTotalExpensesAmt
CY Total Expenses	$410,709,584	CYTotalExpensesAmt
PY Revenues Less Expenses	$19,426,763	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$13,298,659	CYRevenuesLessExpensesAmt
Total Assets BOY	$479,738,110	TotalAssetsBOYAmt
Total Assets EOY	$489,817,242	TotalAssetsEOYAmt
Total Liabilities BOY	$252,263,715	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$247,940,103	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$227,474,395	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$241,877,139	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE COMMUNITY BENEFIT REPORT - SCHEDULE O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$376,527,472	ExpenseAmt
Grant	$81,845	GrantAmt
Revenue	$409,678,167	RevenueAmt
Desc	SEE COMMUNITY BENEFIT REPORT - SCHEDULE O	Desc
Total Program Service Expenses	$376,527,472	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	165	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4483	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	KENNETH J VENUTO	PersonNm
Phone	3145251000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10010 KENNERLY ROAD	AddressLine1
City	ST LOUIS	City
State	MO	State
ZIP Code	63128	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DANE BROOKSHER
FIRST VICE CHAIRMAN	1.0	0.25	Yes (X)	Yes (X)	$0	$0	$0
PAUL LORENZINI
MEMBER	0.5	0.0	Yes (X)		$0	$0	$0
PAUL NOVELLY
MEMBER	0.25	0.0	Yes (X)		$0	$0	$0
HOWARD CHILCUTT
SECRETARY	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
DAVID SINDELAR
CHAIRMAN	5.0	0.25	Yes (X)	Yes (X)	$0	$0	$0
DANIEL BIPPEN
MEMBER	1.0	0.25	Yes (X)		$0	$0	$0
RICHARD A MAYHALL
SECOND VICE CHAIRMAN	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
JOHN BERRA
MEMBER	1.0	0.25	Yes (X)		$0	$0	$0
JAMES G POWERS
TREASURER	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
STACY HASTIE
MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
JEFFREY WILKINSON
MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
MICHAEL RINDLER
CEO/OFFICE OF THE PRESIDENT	40.0	0.75	Yes (X)	Yes (X)	$0	$0	$0
WINTHROP B REED III
MEMBER	5.0	5.0	Yes (X)		$0	$0	$0
JOSEPH FORAND
MEMBER	0.25	0.5	Yes (X)		$21,250	$0	$0
JACK MITSTIFER
OFFICE OF THE PRESIDENT	40.0	0.0		Yes (X)	$0	$0	$0
KEN VENUTO
CFO	40.0	1.0		Yes (X)	$436,902	$0	$15,228
DAVID MORTON
OFFICE OF THE PRESIDENT / CMO	40.0	0.0		Yes (X)	$993,893	$0	$46,915
CHRISTOPHER BOWE
OFFICE OF THE PRESIDENT	0.0	40.0		Yes (X)	$101,025	$0	$4,276
JAMES WELDON
VP - CIO	40.0	0.0			$272,030	$0	$8,575	Yes (X)
CATHI BLISE
FORMER VP - CNO	40.0	0.0			$267,817	$0	$14,457	Yes (X)
ED CARTHEW
VP - HR	40.0	0.0			$297,231	$0	$35,964	Yes (X)
GREGORY BOTTERON
PHYSICIAN	40.0	0.0			$951,454	$0	$17,704		Yes (X)
DAVID DOBMEYER
PHYSICIAN	40.0	0.0			$947,201	$0	$42,463		Yes (X)
DENNIS DISCH
PHYSICIAN	40.0	0.0			$944,962	$0	$47,042		Yes (X)
CHARLES CAREY
PHYSICIAN	40.0	0.0			$948,052	$0	$38,645		Yes (X)
MICHAEL GOLDMEIER
PHYSICIAN	40.0	0.0			$944,962	$0	$47,657		Yes (X)
THOMAS ROCKERS
FORMER PRESIDENT	0.0	0.0			$278,409	$0	$0			Yes (X)
ROBERT BECKMAN
FORMER MEMBER	0.0	0.0			$37,500	$0	$0			Yes (X)
JOHN SKEANS
FORMER EXECUTIVE VP - CFO	0.0	0.0			$276,888	$0	$458			Yes (X)
PATRICK GARRETT
FORM. EXEC. VP - PHYS NETWORKS	0.0	0.0			$334,303	$0	$23,826			Yes (X)
JAMES E GARDNER
FORMER PRESIDENT	0.0	0.0			$834,509	$0	$6,321			Yes (X)
ANN BOLLONE
FORMER VP - HUMAN RESOURCES	0.0	0.0			$127,270	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,015,658	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$349,531	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	271	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
DELOITTE CONSULTING LLP
111 SOUTH WACKER DRIVE	CHICAGO	IL	606064301	SOFTWARE DEVELOPMENT	$5,258,965
PAVILION SERVICES LLC
12855 N FORTY DR SUITE 300	ST LOUIS	MO	63141	IT & BILLING SERVICE	$3,293,895
EPIC
1979 MILKY WAY	VERONA	WA	53593	SOFTWARE DEVELOPMENT	$3,184,043
DIAMOND HEALTH PARTNERS LLC
10012 KENNERLY ROAD	ST LOUIS	MO	63128	PHYSICIAN SERVICES	$2,626,816
SSM CARDINAL GLENNON CHILDREN'S HOS
1195 CORPORATE LAKE DRIVE	ST LOUIS	MO	63132	PHYSICIAN SERVICES	$1,863,894

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	62	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$1,622,363	RelatedOrganizationsAmt
All Other Contributions	$103,365	AllOtherContributionsAmt
Total Contributions	$1,725,728	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT CARE	621110	$404,378,435	$404,378,435
EDUCATIONAL PGMS	611710	$72,551	$72,551

Field	Value	IRS element (for citing)
Total Program Service Revenue	$404,450,986	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$572,377	TotalRevenueColumnAmt
Exclusion	$572,377	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,167,032	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$542,549	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$624,483	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$624,483	TotalRevenueColumnAmt
Exclusion	$624,483	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$21,795	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$619,253	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$619,253	SecuritiesAmt
Other	$21,795	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$597,458	TotalRevenueColumnAmt
Exclusion	-$597,458	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$9,784,832	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$3,407,860	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,376,972	TotalRevenueColumnAmt
Unrelated Business Revenue	$5,926	UnrelatedBusinessRevenueAmt
Exclusion	$6,371,046	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
MEANINGFUL USE INCOME	621110	$3,805,666	$3,805,666
CAFETERIA SALES	721000	$2,120,244		$2,120,244
JOINT VENTURE INCOME	900099	$1,421,515	$1,421,515

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,507,730	TotalRevenueColumnAmt
Unrelated Business Revenue	-$14,214	UnrelatedBusinessRevenueAmt
Exclusion	$3,521,944	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$10,855,155	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$424,008,243	TotalRevenueColumnAmt
Related Or Exempt Func Income	$409,678,167	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$8,288	UnrelatedBusinessRevenueAmt
Exclusion	$12,612,636	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$81,845	TotalAmt
Program Services	$81,845	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,517,383	TotalAmt
Program Services	$1,603,688	ProgramServicesAmt
Management And General	$2,913,695	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$158,181,087	TotalAmt
Program Services	$151,587,546	ProgramServicesAmt
Management And General	$6,593,541	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,194,890	TotalAmt
Program Services	$5,839,534	ProgramServicesAmt
Management And General	$355,356	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$11,230,993	TotalAmt
Program Services	$10,533,772	ProgramServicesAmt
Management And General	$697,221	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$12,290,958	TotalAmt
Program Services	$11,580,217	ProgramServicesAmt
Management And General	$710,741	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$873,970	TotalAmt
Management And General	$873,970	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$131,496	TotalAmt
Management And General	$131,496	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$90,670	TotalAmt
Management And General	$90,670	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$18,058,345	TotalAmt
Program Services	$13,433,556	ProgramServicesAmt
Management And General	$4,624,789	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$981,515	TotalAmt
Program Services	$981,515	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$104,533,982	TotalAmt
Program Services	$102,991,315	ProgramServicesAmt
Management And General	$1,542,667	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$6,303,188	TotalAmt
Program Services	$450,295	ProgramServicesAmt
Management And General	$5,852,893	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,571,819	TotalAmt
Program Services	$8,223,386	ProgramServicesAmt
Management And General	$348,433	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$182,821	TotalAmt
Program Services	$124,699	ProgramServicesAmt
Management And General	$58,122	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$370,727	TotalAmt
Program Services	$313,408	ProgramServicesAmt
Management And General	$57,319	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,756,450	TotalAmt
Program Services	$4,756,450	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$30,372,575	TotalAmt
Program Services	$21,498,122	ProgramServicesAmt
Management And General	$8,874,453	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$581,224	TotalAmt
Program Services	$581,224	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
BAD DEBTS	$36,296,436	$36,296,436
RECRUITMENT	$886,640	$882,671	$3,969
DUES & SUBSCRIPTIONS	$550,650	$251,066	$299,584
DISPOSAL EXPENSES	$493,752	$493,752

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,176,168	TotalAmt
Program Services	$4,022,975	ProgramServicesAmt
Management And General	$153,193	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$410,709,584	TotalAmt
Program Services	$376,527,472	ProgramServicesAmt
Management And General	$34,182,112	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$8,913,196	BOYAmt
EOY	$8,288,718	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$12,679,112	BOYAmt
EOY	$13,676,108	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$300,000	BOYAmt
EOY	$300,000	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$59,135,978	BOYAmt
EOY	$66,185,944	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$67,704,643	BOYAmt
EOY	$68,650,837	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,638,947	BOYAmt
EOY	$6,529,944	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,539,727	BOYAmt
EOY	$2,699,937	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$676,898,683	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$419,010,821	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$259,303,733	BOYAmt
EOY	$257,887,862	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$44,884,904	BOYAmt
EOY	$49,603,878	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$819,559	BOYAmt
EOY	$58,278	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$17,818,311	BOYAmt
EOY	$15,935,736	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$479,738,110	BOYAmt
EOY	$489,817,242	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$54,401,427	BOYAmt
EOY	$57,713,522	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$173,156,188	BOYAmt
EOY	$168,520,000	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$29,988	BOYAmt
EOY	$2,485,273	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$24,676,112	BOYAmt
EOY	$19,221,308	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$252,263,715	BOYAmt
EOY	$247,940,103	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$226,885,611	BOYAmt
EOY	$241,105,662	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$588,784	BOYAmt
EOY	$771,477	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$227,474,395	BOYAmt
EOY	$241,877,139	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$479,738,110	BOYAmt
EOY	$489,817,242	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$13,298,659	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,425,810	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$321,725	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$40,054	OtherActivitiesAmt
Total Lobbying Expenditures	$40,054	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1I	FormAndLineReferenceDesc
Explanation	LINE 1I REPRESENTS THE PORTION OF DUES PAID TO PROFESSIONAL HOSPITAL ASSOCIATIONS ALLOCATED TO LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$235,209,325	BeginningYearBalanceAmt
Contributions	$3,894,843	ContributionsAmt
Investment Earnings Or Losses	$30,925,688	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,511,398	OtherExpendituresAmt
Administrative Expenses	$1,093,716	AdministrativeExpensesAmt
End Year Balance	$266,424,742	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$218,574,748	BeginningYearBalanceAmt
Contributions	$1,900,675	ContributionsAmt
Investment Earnings Or Losses	$17,964,635	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,298,906	OtherExpendituresAmt
Administrative Expenses	$931,827	AdministrativeExpensesAmt
End Year Balance	$235,209,325	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$21,798,631	BeginningYearBalanceAmt
Contributions	$208,253,399	ContributionsAmt
Investment Earnings Or Losses	-$8,383,763	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,093,519	OtherExpendituresAmt
End Year Balance	$218,574,748	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$20,897,736	BeginningYearBalanceAmt
Contributions	$19,335	ContributionsAmt
Investment Earnings Or Losses	$4,285,185	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,403,625	OtherExpendituresAmt
End Year Balance	$21,798,631	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$18,436,504	BeginningYearBalanceAmt
Contributions	$58,094	ContributionsAmt
Investment Earnings Or Losses	$2,518,572	InvestmentEarningsOrLossesAmt
Other Expenditures	$115,434	OtherExpendituresAmt
End Year Balance	$20,897,736	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.98168	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.01832	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,844,107	OtherCostOrOtherBasisAmt
Book Value	$9,844,107	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$254,281,724	OtherCostOrOtherBasisAmt
Depreciation	$105,454,027	DepreciationAmt
Book Value	$148,827,697	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$394,394,563	OtherCostOrOtherBasisAmt
Depreciation	$303,262,841	DepreciationAmt
Book Value	$91,131,722	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,378,289	OtherCostOrOtherBasisAmt
Depreciation	$10,293,953	DepreciationAmt
Book Value	$8,084,336	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$257,887,862	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
RESERVE - SELF INSURANCE LIABILITY	$14,789,000
PENSION PAYABLE	$1,956,288
DEFERRED GAIN ON SALE LEASEBACK	$2,476,020

Field	Value	IRS element (for citing)
Total Liability	$19,221,308	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4	ENDOWMENT FUNDS: THE FUNDS ARE TO BE USED FOR THE SELF INSURANCE TRUST OF THE ORGANIZATION, WHICH IS USED TO COVER MALPRACTICE CLAIMS. THE TOTAL AMOUNTS FOR THE CURRENT AND TWO PRIOR YEARS INCLUDE FUNDS HELD BY RELATED ORGANIZATIONS FOR THE BENEFIT OF THE HOSPITAL. THESE FUNDS ARE TO BE USED FOR FUTURE CAPITAL IMPROVEMENTS.
PART X, LINE 2	UNCERTAIN TAX POSITIONS UNDER FIN 48: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT INDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,348,511	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,348,511	NetCommunityBenefitExpnsAmt
Total Expense	0.00890	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$49,261,770	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$41,207,287	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,054,483	NetCommunityBenefitExpnsAmt
Total Expense	0.02150	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$52,610,281	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$41,207,287	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,402,994	NetCommunityBenefitExpnsAmt
Total Expense	0.03040	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$311,678	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,385	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$294,293	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$347,363	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$347,363	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,221,761	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$848,965	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$372,796	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$133,753	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$133,753	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,014,555	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$866,350	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,148,205	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$54,624,836	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,073,637	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,551,199	NetCommunityBenefitExpnsAmt
Total Expense	0.03350	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$36,296,436	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$122,388,676	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$126,028,426	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$3,639,750	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
SOUTH COUNTY PET
IMAGING SERVICES	0.75000	0.00000	0.25000
PLAZA SURGERY SVCS
OUTPATIENT SERVICES	0.52000	0.00000	0.48000

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST ANTHONY'S MEDICAL CENTER	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10010 KENNERLY ROAD	AddressLine1
City	ST LOUIS	City
State	MO	State
ZIP Code	63128	ZIPCode

Field	Value	IRS element (for citing)
Website Address	WWW.STANTHONYSMEDCENTER.COM	WebsiteAddressTxt
State License	273-39	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ST ANTHONY'S MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	12	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SUPPLEMENTAL INFO	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Exec Community Wide Plan	Yes (X)	ExecCommunityWidePlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	false	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (true)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (true)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Asset Level	Yes (X)	AssetLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Insurance Status	Yes (X)	InsuranceStatusInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
Medicaid Medicare	Yes (X)	MedicaidMedicareInd
State Regulation	Yes (X)	StateRegulationInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Attached To Invoice	Yes (X)	AttachedToInvoiceInd
Provided On Admission	Yes (X)	ProvidedOnAdmissionInd
Available On Request	Yes (X)	AvailableOnRequestInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 3	CHNA C0MMUNITY INPUT: ST. ANTHONY'S MEDICAL CENTER SOUGHT TO CONDUCT ITS NEEDS ASSESSMENT IN PART BY COLLECTING PRIMARY DATA FROM KEY COMMUNITY MEMBERS. DATA WAS COLLECTED IN THREE WAYS - A COLLABORATION OF KEY STAKEHOLDERS IN A FOCUS GROUP SETTING; A TELEPHONE SURVEY OF 500 ADULT COMMUNITY MEMBERS; AND PHYSICIAN SURVEYS. IN THE KEY STAKEHOLDER ANALYSIS, ST. ANTHONY'S MEDICAL CENTER PARTNERED WITH BARNES JEWISH WEST COUNTY HOSPITAL (BJWCH), MISSOURI BAPTIST MEDICAL CENTER (MBMC), AND ST. LUKE'S HOSPITAL (SLH). EACH HOSPITAL REPRESENTATIVE INVITED UP TO FOUR KEY LEADERS FROM THEIR RESPECTIVE COMMUNITIES TO ATTEND A TWO-PART FOCUS GROUP AND REPRESENT THEIR COMMUNITIES. AN INITIAL FOCUS GROUP WAS CONDUCTED IN JUNE 2012 TO SOLICIT FEEDBACK FROM THE KEY LEADERS ON THE HEALTH NEEDS OF THE ST. LOUIS COUNTY POPULATION. A SECOND MEETING WAS HELD IN JULY 2012 TO SHARE THE RESULTS OF THE FIRST FOCUS GROUP AND FINDINGS FROM OTHER SECONDARY DATA ANALYSIS. EIGHTEEN INDIVIDUALS WERE IN ATTENDANCE, REPRESENTING VARIOUS ST. LOUIS COUNTY ORGANIZATIONS. EACH INDIVIDUAL RECEIVED A WORKSHEET TO COMPLETE PRIOR TO THE FOCUS GROUP, TO IDENTIFY PERCEPTIONS OF THE GREATEST HEALTH-CARE NEEDS IN ST. LOUIS COUNTY. THE SUBSEQUENT FOCUS GROUP SESSION WAS TARGETED AT IDENTIFYING PRIORITY HEALTH-CARE NEEDS IN THE COMMUNITY, AND THE COMMUNITY'S ABILITY TO COLLABORATE ON THEM. ST. ANTHONY'S MEDICAL CENTER PARTNERED WITH THE PRELL ORGANIZATION TO ASSESS THE HEALTH-CARE NEEDS OF THE COMMUNITY BY CONDUCTING A TELEPHONE SURVEY WITH A RANDOM SAMPLE OF 500 ADULTS AGE 21 YEARS OR OLDER IN THE COMMUNITY. THESE INTERVIEWS WERE CONDUCTED IN NOVEMBER 2012 AT COMMUNICATIONS FOR RESEARCH IN STEELVILLE, MO, USING A COMPUTER ASSISTED TELEPHONE INTERVIEW INTERVIEWING SYSTEM. PRELL EMPLOYED A STRATIFIED RANDOM SAMPLE THAT SET QUOTAS FOR EACH ZIP CODE TO MATCH THE OVERALL ADULT POPULATION IN THE PSA. THIS HAD THE EFFECT OF REDUCING THE SAMPLING ERROR FOR THIS SURVEY. BECAUSE PHYSICIANS PLAY THIS ROLE IN RECOGNIZING THE HEALTH NEEDS OF THE POPULATION, ST. ANTHONY'S MEDICAL CENTER CHOSE TO SURVEY PRIMARY CARE PHYSICIANS AND OBSTETRICIAN/GYNECOLOGISTS AFFILIATED WITH ST. ANTHONY'S MEDICAL CENTER. TWENTY-SEVEN PHYSICIANS TOOK PART IN A SEVEN-QUESTION SURVEY USING AN ONLINE SURVEY TOOL. THE PHYSICIANS WERE ASKED THREE OPEN-ENDED QUESTIONS AND FOUR CLOSED QUESTIONS FOCUSED ON THE HEALTH NEEDS OF OUR POPULATION.
PART V, SECTION B, LINE 4	OTHER HOSPITALS CHNA CONDUCTED WITH: ST. ANTHONY'S MEDICAL CENTER PARTNERED WITH BARNES JEWISH WEST COUNTY HOSPITAL (BJWCH), MISSOURI BAPTIST MEDICAL CENTER (MBMC), AND ST. LUKE'S HOSPITAL (SLH) TO CONDUCT A KEY STAKEHOLDER ANALYSIS IN OUR COMMUNITY. IN THE ANALYSIS, EACH HOSPITAL REPRESENTATIVE INVITED UP TO FOUR KEY LEADERS FROM THEIR RESPECTIVE COMMUNITIES TO ATTEND A TWO-PART FOCUS GROUP AND REPRESENT THEIR COMMUNITIES. AN INITIAL FOCUS GROUP WAS CONDUCTED IN JUNE 2012 TO SOLICIT FEEDBACK FROM THE KEY LEADERS ON THE HEALTH NEEDS OF THE ST. LOUIS COUNTY POPULATION. A SECOND MEETING WAS HELD IN JULY 2012 TO SHARE THE RESULTS OF THE FIRST FOCUS GROUP AND FINDINGS FROM OTHER SECONDARY DATA ANALYSIS. EIGHTEEN INDIVIDUALS WERE IN ATTENDANCE, REPRESENTING VARIOUS ST. LOUIS COUNTY ORGANIZATIONS. EACH INDIVIDUAL RECEIVED A WORKSHEET TO COMPLETE PRIOR TO THE FOCUS GROUP, TO IDENTIFY PERCEPTIONS OF THE GREATEST HEALTH-CARE NEEDS IN ST. LOUIS COUNTY.
PART V, SECTION B, LINES 5A & 5C	HOW CHNA WAS MADE WIDELY AVALIABLE: THE CHNA CAN BE ACCESSED ON THE HOSPITAL WEBSITE AT THE FOLLOWING ADDRESS: HTTP://WWW.STANTHONYSMEDCENTER.COM/COMMUNITY/CHNA.PDF. THE IMPLEMENTATION PLAN HAS ALSO BEEN POSTED TO THE WEBSITE AND CAN BE ACCESSED AT THE FOLLOWING ADDRESS: HTTP://WWW.STANTHONYSMEDCENTER.COM/COMMUNITY/CHNA_IMPLEMENTATION_PLAN.PDF OTHER WAYS IN WHICH THE NEEDS ASSESSMENT WAS MADE WIDELY AVALIABLE: - THE ST. ANTHONY'S MEDICAL CENTER CHNA DOCUMENT DISPLAYED CONSPICUOUSLY ON WEB SITE WITH DIRECTIONS TO DOWNLOAD - SHARED FINAL DOCUMENT & NEXT STEPS WITH THE ST. ANTHONY'S MEDICAL CENTER COMMUNITY BENEFIT COUNCIL - SHARED HIGHLIGHTS AND OVERVIEW OF THE CHNA AND PROCESS WITH EMPLOYEES IN THIS WEEK (AN EMPLOYEE PUBLICATION) - SHARED HIGHLIGHTS AND OVERVIEW OF THE CHNA WITH A LINK TO THE WEBSITE IN A PRESS RELEASE TO THE COMMUNITY - SHARED THE CHNA ON SOCIAL MEDIA - SHARED THE CHNA WITH THE COMMUNITY BY PROVIDING FLIERS IN LOCAL LIBRARIES WITH A LINK TO THE DOCUMENT/WEBSITE - SHARED THE CHNA/IMPLEMENTATION STRATEGY AND BACKGROUND IN YOUR HEALTH TODAY (A QUARTERLY PUBLICATION THAT REACHES 100,000 LOCAL MEMBERS OF THE ST. ANTHONY'S MEDICAL CENTER COMMUNITY)
PART V, SECTION B, LINE 7	NEEDS ADDRESSED IN CHNA: THERE WAS A NEED IDENTIFIED IN OUR ASSESSMENT THAT ST. ANTHONY'S MEDICAL CENTER DID NOT CHOOSE TO ADDRESS. ALTHOUGH ALL IDENTIFIED COMMUNITY HEALTH NEEDS ARE IMPORTANT TO ST. ANTHONY'S, WE HAD TO CHOOSE NEEDS IN WHICH WE COULD MAKE THE MOST IMPACT ON OUR COMMUNITY AND IN WHICH WE COULD BEST ALIGN OUR RESOURCES. THE NEED THAT WE CHOSE NOT TO ADDRESS WAS TOBACCO USE. TOBACCO USE, AND SMOKING ATTRIBUTABLE DEATHS, ARE HIGHER IN MISSOURI THAN THE NATIONAL AVERAGE AND POSE A PROBLEM FOR OUR COMMUNITY. WE CHOSE NOT TO ADDRESS THIS NEED BECAUSE OF THE AVAILABILITY OF RESOURCES IN OUR AREA, SPECIFICALLY THE EFFORTS THAT ARE ALREADY BEING PUT FORTH BY THE JEFFERSON COUNTY HEALTH DEPARTMENT TO ADDRESS SMOKING. JEFFERSON COUNTY WAS THE PART OF OUR COMMUNITY THAT WAS IDENTIFIED IN OUR ASSESSMENT AS BEING THE HIGHEST IN TOBACCO USE.
PART V, SECTION B, LINE 20	CHARGES FOR MEDICAL CARE: FINANCIAL ASSISTANCE DETERMINATION LEVELS ARE UPDATED ANNUALLY BASED ON FEDERAL POVERTY GUIDELINES USUALLY PUBLISHED IN JANUARY. THE MEDICARE COST-TO-CHARGE RATIO IS UPDATED ANNUALLY AFTER PREPARATION OF THE MEDICARE COST REPORT. THE UNINSURED DISCOUNT FOR PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE IS REVIEWED ANNUALLY AND IS BASED ON LOW VOLUMES MANAGED CARE CONTRACT DISCOUNTS. POLICIES WILL BE UPDATED ANNUALLY AFTER RECEIPT OF THE FEDERAL POVERTY GUIDELINES AND THE CMS TENTATIVE REVIEW OF THE COST REPORT SETTLEMENT.

Field	Value	IRS element (for citing)
Facility	4	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
FENTON URGENT CARE
714 GRAVOIS ROAD	FENTON	MO	63026	URGENT CARE FACILITY
ARNOLD URGENT CARE
3619 RICHARDSON ROAD	ARNOLD	MO	63010	URGENT CARE FACILITY
LEMAY URGENT CARE
2900 LEMAY FERRY ROAD	ST LOUIS	MO	63125	URGENT CARE FACILITY
BIG BEND URGENT CARE
10296 BIG BEND BLVD	ST LOUIS	MO	63122	URGENT CARE FACILITY

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7	COST METHODOLOGY: THE COSTS REPORTED IN THE TABLE IN PART I, LINE 7 USED THE COST ACCOUNTING METHODOLOGY. THIS METHODOLOGY WAS USED FOR ALL PATIENT SEGMENTS, WITH THE EXCEPTION OF PART I, LINES 7(A) AND 7(B), WHICH USED A RATIO OF PATIENT CARE COSTS TO CHARGES AS COMPUTED IN WORKSHEET 2 OF THE FORM INSTRUCTIONS.
PART I, LINE 7, COLUMN F	BAD DEBT EXPENSE: THE ORGANIZATION HAD BAD DEBT EXPENSE IN THE AMOUNT OF $36,296,436 REPORTED ON PART IX, LINE 24. HOWEVER, IT HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN.
PART III, LINE 2	METHODOLOGY USED TO DETERMINE BAD DEBT EXPENSE: THE AMOUNT ENTERED REPRESENTS THE BAD DEBT EXPENSE RECORDED IN THE AUDITED FINANCIAL STATEMENTS.
PART III, LINE 4	FOOTNOTE TO AUDITED FINANCIAL STATEMENTS - BAD DEBT EXPENSE: NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS, PAGE 9 SEE NOTE 1: PATIENT ACCOUNTS RECEIVABLE
PART III, LINE 8	MEDICARE SHORTFALL TREATED AS COMMUNITY BENEFIT: THE SHORTFALL IS UNCOMPENSATED MEDICARE COST WHICH SHOULD BE INCLUDED IN COMMUNITY BENEFITS SINCE MEDICALLY NECESSARY SERVICES WERE PROVIDED AND NOT REIMBURSED.
PART III, LINE 8	COSTING METHODOLOGY USED FOR MEDICARE: THE COSTING METHODOLOGY SOURCE USED WAS THE FY 2014 MEDICARE COST REPORT.
PART III, LINE 9(B)	DEBT COLLECTION POLICY: PROCEDURES ARE IN PLACE TO PROCESS ACCOUNTS FOR PATIENTS THAT QUALIFY FOR CHARITY CARE. NO COLLECTION PRACTICES TAKE PLACE FOR THOSE PATIENTS.
PART VI, LINE 2	NEEDS ASSESSMENT: ST. ANTHONY'S MEDICAL CENTER (SAMC) CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND DEVELOPED AN IMPLEMENTATION PLAN WITH STRATEGIES TO ADDRESS IDENTIFIED NEEDS. THIS PROCESS WAS UNDERTAKEN BY THE COMMUNITY OUTREACH TEAM AT SAMC, LED BY COMMUNITY OUTREACH COORDINATOR LAURA BUB, MPH. ST. ANTHONY'S SOUGHT GUIDANCE AND PARTNERSHIP FROM THE ST. LOUIS DEPARTMENT OF HEALTH AND IN COLLABORATION WITH BARNES-JEWISH WEST COUNTY HOSPITAL (BJWCH), MISSOURI BAPTIST MEDICAL CENTER (MBMC), AND ST. LUKE'S HOSPITAL (SLH). SAMC USED SURVEY DATA FROM COMMUNITY MEMBERS AND LOCAL PHYSICIANS, A KEY STAKEHOLDER ANALYSIS, AND SECONDARY DATA FROM EXISTING RESOURCES TO IDENTIFY AND PRIORITIZE HEALTH PROBLEMS AND RISK FACTORS IN THE ST. ANTHONY'S MEDICAL CENTER SERVICE AREA.
PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: THE MEDICAL ELIGIBILITY PROGRAM IS A HOSPITAL SERVICE PROVIDED TO PATIENTS AT NO COST. PATIENTS MAY QUALIFY FOR GOVERNMENT PROGRAMS WHICH PAY FOR ALL OR PART OF THEIR HOSPITAL AND MEDICAL EXPENSES. IF PATIENT IS UNDER 21 OR OVER 65 YEARS OLD, HAVE CHILDREN IN THE HOUSEHOLD, ARE PREGNANT, POTENTIALLY DISABLED, OR HAVE BEEN A VICTIM OF CRIME THEY MAY QUALIFY. SAMC HOSPITAL FINANCIAL COUNSELORS WILL ASSIST PATIENT WITH THE APPLICATION PROCESS. PATIENTS ARE INFORMED ABOUT OUR FINANCIAL ASSISTANCE PROCESS IN A NUMBER OF WAYS: - FINANCIAL COUNSELORS ARE AVAILABLE TO PATIENTS DURING THEIR STAY. - DISCUSSIONS ABOUT FINANCIAL ASSISTANCE OCCUR WHEN SPEAKING TO PATIENTS ON THE PHONE ABOUT THEIR ACCOUNT BALANCES. - INFORMATION REGARDING OUR FINANCIAL ASSISTANCE POLICY IS LOCATED AT SAMC AND ON THE BILLING STATEMENTS. - ADDITIONAL INFORMATION IN REGARD TO FINANCIAL ASSISTANCE IS LISTED ON BILLING STATEMENTS OR CAN BE FOUND ON SAMC'S WEBSITE.
PART VI, LINE 4	COMMUNITY INFORMATION: THE PRIMARY COMMUNITY THAT ST. ANTHONY'S SERVES INCLUDES A GEOGRAPHIC AREA OF SOUTH ST. LOUIS COUNTY, SOUTH ST. LOUIS CITY AND JEFFERSON COUNTY IN MISSOURI AND MONROE COUNTY IN ILLINOIS. THE SERVICE AREA COULD BEST BE DESCRIBED AS A COMBINATION SUBURBAN COMMUNITY. ST. ANTHONY'S SERVES A COMBINED POPULATION OF MORE THAN 564,000 RESIDENTS WHO RESIDE WITHIN A 25-30 MINUTE DRIVE TO ST. ANTHONY'S. THE PRIMARY SERVICE AREA ACCOUNTS FOR ABOUT 80% OF THE PATIENTS SERVED. THE DEMOGRAPHIC DATA* FOR THE PRIMARY SERVICE AREA INCLUDES A POPULATION OF MORE THAN 564,000 WITH TOTAL HOUSEHOLDS OF MORE THAN 228,000. MOST OF THE RESIDENTS ARE WHITE (94%), WITH 4% BLACK RESIDENTS, AND 2% BEING OF OTHER RACE. WE ALSO SERVE A LARGE BOSNIAN POPULATION. THE APPROXIMATE OCCUPATION BREAKOUT OF THE PRIMARY SERVICE AREA IS: 62% WHITE COLLAR, 22% BLUE COLLAR AND ABOUT 16% SERVICE WORKERS. THE AVERAGE HOUSEHOLD INCOME IS ABOUT $70,000/YR. THE ELDERLY POPULATION OF AGES 65 AND OLDER IS 23%. THE HOUSEHOLDS OF OWNER OCCUPIED ARE 77% VERSUS 23% RENTER OCCUPIED. SINGLE PARENT HOUSEHOLDS ARE ABOUT 34%. THE PERCENTAGE OF RESIDENTS WITH INCOME LEVELS OF LESS THAN $25,000 IS 18%. *SOURCE : 2010 ESTIMATES AND 2015 PROJECTIONS: NIELSEN CLARITAS THE PRIMARY SERVICE AREA PAYOR MIX OF SELF-PAY AND MEDICAID PATIENTS AT ST. ANTHONY'S FROM FISCAL YEAR 2010, WAS 18%. DATA SHOWS THIS PERCENTAGE HAS RISEN MORE THAN 4% OVER THE LAST FIVE FISCAL YEARS.
PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: -ST. ANTHONY'S OPERATES AN EMERGENCY ROOM THAT ACCEPTS ALL PERSONS WHO ARE IN NEED OF MEDICAL ATTENTION REGARDLESS OF THEIR ABILITY TO PAY. -ST. ANTHONY'S HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. -ST. ANTHONY'S HAS A GOVERNING BOARD OF DIRECTORS IN WHICH INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY COMPRISE A MAJORITY. -ST. ANTHONY'S WORKS IN COOPERATION WITH LOCAL UNIVERSITIES AND HEALTH CARE ORGANIZATIONS TO ADVANCE THE SCIENCE OF MEDICINE BY PROVIDING A CLINICAL SETTING WHERE INNOVATIVE TREATMENTS AND NEW THERAPEUTIC PROTOCOLS CAN BE DEVELOPED AND STUDIED. -ST. ANTHONY'S ENGAGES IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS BY TEAMING UP WITH LOCAL COMMUNITY COLLEGES AND UNIVERSITIES TO PROVIDE A CLINICAL SETTING FOR HEALTH CARE STUDENTS. -ST. ANTHONY'S PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, TRICARE, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. -ST. ANTHONY'S MEDICAL CENTER FOUNDATION CONTRIBUTED $57,161 IN CASH DONATIONS TO NON-PROFIT ORGANIZATIONS AND SET UP $397,500 IN SCHOLARSHIP FUNDING FOR EMPLOYEE'S SONS AND DAUGHTERS WHICH IS NOT INCLUDED IN THIS TAX RETURN.
PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT: MO

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JEFFERSON COLLEGE FOUNDATION	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 VIKING DRIVE	AddressLine1
City	HILLSBORO	City
State	MO	State
ZIP Code	63050	ZIPCode

Field	Value	IRS element (for citing)
Recipient EIN	431611153	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$10,000	CashGrantAmt
Purpose Of Grant	MEDICAL EDUCATION	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2	FormAndLineReferenceDesc
Explanation	PROCEDURE FOR MONITORING GRANTS: THE ORGANIZATION MONITORS THE GRANT MONEY BY HAVING EACH RECIPIENT COMPLETE A MID-YEAR AND FINAL REPORT. THE FINAL REPORT INCLUDES ITEMIZED EXPENDITURES AND HOW THE PROGRAMMING FITS THE GOALS OF THE GRANT.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
THOMAS ROCKERS
FORMER PRESIDENT	$276,360	$0	$0	$0	$2,049	$0	$0	$0	$0	$0	$278,409	$0	$0	$0
JOHN SKEANS
FORMER EXECUTIVE VP - CFO	$276,831	$0	$0	$0	$57	$0	$458	$0	$0	$0	$277,346	$0	$0	$0
ANN BOLLONE
FORMER VP - HUMAN RESOURCES	$127,006	$0	$0	$0	$264	$0	$0	$0	$0	$0	$127,270	$0	$0	$0
ROBERT BECKMAN
FORMER MEMBER	$0	$0	$0	$0	$37,500	$0	$0	$0	$0	$0	$37,500	$0	$0	$0
PATRICK GARRETT
FORM. EXEC. VP - PHYS NETWORKS	$333,959	$0	$0	$0	$344	$0	$23,826	$0	$0	$0	$358,129	$0	$0	$0
GREGORY BOTTERON
PHYSICIAN	$795,229	$0	$135,842	$0	$20,383	$0	$10,054	$0	$7,650	$0	$969,158	$0	$0	$0
DAVID DOBMEYER
PHYSICIAN	$789,174	$0	$135,842	$0	$22,185	$0	$31,625	$0	$10,838	$0	$989,664	$0	$0	$0
DENNIS DISCH
PHYSICIAN	$788,737	$0	$135,842	$0	$20,383	$0	$36,204	$0	$10,838	$0	$992,004	$0	$0	$0
CHARLES CAREY
PHYSICIAN	$792,548	$0	$135,842	$0	$19,662	$0	$27,807	$0	$10,838	$0	$986,697	$0	$0	$0
MICHAEL GOLDMEIER
PHYSICIAN	$788,737	$0	$135,842	$0	$20,383	$0	$36,819	$0	$10,838	$0	$992,619	$0	$0	$0
JAMES E GARDNER
FORMER PRESIDENT	$647,262	$0	$186,000	$0	$1,247	$0	$6,321	$0	$0	$0	$840,830	$0	$0	$0
KEN VENUTO
CFO	$351,486	$0	$65,000	$0	$20,416	$0	$4,390	$0	$10,838	$0	$452,130	$0	$0	$0
DAVID MORTON
OFFICE OF THE PRESIDENT / CMO	$941,104	$0	$32,765	$0	$20,024	$0	$36,077	$0	$10,838	$0	$1,040,808	$0	$0	$0
JAMES WELDON
VP - CIO	$221,726	$0	$50,000	$0	$304	$0	$925	$0	$7,650	$0	$280,605	$0	$0	$0
CATHI BLISE
FORMER VP - CNO	$266,974	$0	$0	$0	$843	$0	$12,195	$0	$2,262	$0	$282,274	$0	$0	$0
ED CARTHEW
VP - HR	$244,041	$0	$50,000	$0	$3,190	$0	$25,968	$0	$9,996	$0	$333,195	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1(A)	HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES: ST. ANTHONY'S PAID $15,000 IN MEMBERSHIP SOCIAL CLUB FEES TO SUNSET HILLS COUNTRY CLUB FOR MICHAEL RINDLER, THE PRESIDENT OF ST. ANTHONY'S MEDICAL CENTER.
PART I, LINE 4(A)	THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT: JAMES GARDNER $155,002 THOMAS ROCKERS $279,400 JOHN SKEANS $243,846 PATRICK GARRETT $212,016 ANNE BOLLONE $129,400 CATHERINE BLISE $10,788

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	HEALTH & EDUCATIONAL FACILITIES AUTHORITY OF MO	BusinessNameLine1

Field	Value	IRS element (for citing)
Bond Issuer EIN	431178966	BondIssuerEIN
Bond Issued	2013-04-25	BondIssuedDt
Issue Price	$172,740,000	IssuePriceAmt
Purpose	CURRENT REFUND OF SERIES 2005&2006	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$1,860,000	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$172,740,000	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$1,094,097	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$0	CapitalExpendituresAmt
Other Spent Proceeds	$171,645,903	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2010	SubstantialCompletionYr
Current Refunding	Yes (true)	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	Yes (true)	AnyResearchAgreementsInd
Engage Bond Counsel Research	Yes (true)	EngageBondCounselResearchInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Change In Use Bond Financed Prop	0.00000	ChangeInUseBondFinancedPropPct
Remedial Action Taken	Yes (true)	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Exception To Rebate	false	ExceptionToRebateInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	Yes (true)	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	SEE PART VI	BusinessNameLine1

Field	Value	IRS element (for citing)
Term Of Hedge	29.8	TermOfHedgePct
Superintegrated Hedge	false	SuperintegratedHedgeInd
Hedge Terminated	false	HedgeTerminatedInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART II, LINE 11, COLUMN A	OTHER SPENT PROCEEDS: THE SERIES 2013 BONDS REFUNDED THE SERIES 2005 BONDS AND THE SERIES 2006 BONDS. SWAP AGREEMENTS WERE ENTERED INTO AND INTEGRATED WITH BOTH THE SERIES 2005 BONDS AND SERIES 2006 BONDS. THESE SWAP AGREEMENTS WERE TERMINATED ON APRIL 23, 2013 IN CONJUNCTION WITH THE ISSUANCE OF THE SERIES 2013 BONDS. $34,242,000 OF SERIES 2013 BOND PROCEEDS WERE USED TO PAY THE ASSOCIATED TERMINATION PAYMENTS. THE REMAINING AMOUNT OF $137,386,500.89 WAS USED TO REDEEM THE SERIES 2005 BONDS AND SERIES 2006 BONDS. THE REMAINING AMOUNT REPRESENTS $17,402.11 OF BOND PROCEEDS ORIGINALLY INTENDED TO BE USED TO PAY COSTS OF ISSUING THE BONDS. THIS AMOUNT WAS TRANSFERRED TO THE DEBT SERVICE FUND AND WAS ALLOCTED TO THE 11/1/2013 DEBT SERVICE PAYMENT ON THE BONDS.
PART III, COLUMN A	PRIVATE BUSINESS USE: THE SERIES 2013 BONDS REFUNDED THE SERIES 2005 BONDS AND THE SERIES 2006 BONDS. THE SERIES 2005 BONDS REFUNDED PROJECTS THAT WERE ORIGINALLY FINANCED PRIOR TO 1/1/2003. ACCORDINGLY, IN PART III, ST. ANTHONY'S IS REPORTING SOLELY ON THE PROJECTS FINANCED BY THE SERIES 2006 BONDS.
PART IV, LINE 4B, COLUMN A	NAME OF PROVIDER: TWO SEPARATE QUALIFIED HEDGES WERE ENTERED INTO WITH RESPECT TO THE SERIES 2013 BONDS. THE TWO HEDGE PROVIDERS WERE PNC BANK, NATIONAL ASSOCIATION AND UNION BANK, NATIONAL ASSOCIATION.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (8 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
LEWIS RICE AND FINGERISH
W REED III, BOARD MEMBER,	$1,272,546	LEGAL SERVICES	false
LEWIS RICE AND FINGERISH CON'T
IS A MEMBER OF LRF
SC ANESTHESIA
J WILKINSON,BOARD MEMBER,	$2,114,619	ANESTHESIA SERVICES	false
SC ANESTHESIA CON'T
IS A CO-OWNER OF SCA
INTEGRITY HOSPITAL COMPANY
M RINDLER, CEO,	$2,460,710	CONSULTING SERVICES	false
INTEGRITY HOSPITAL CO CON'T
IS A PRINCIPAL OF IHC
DIAMOND HEALTH PARTNERS LLC
C BOWE, OFFICE OF PRES,	$2,626,816	PHYSICIAN SERVICES	false
DIAMOND HEALTH PARTNERS CON'T
IS SOLE OWNER OF DHP

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, SUPPLEMENT TO PART III, LINE 1	STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENT: THE COMMUNITY BENEFIT CONTRIBUTION OF ST. ANTHONY'S MEDICAL CENTER INCLUDES PROGRAMS AND ACTIVITIES THAT IMPROVE ACCESS TO HEALTH CARE AND IMPROVE HEALTH IN OUR COMMUNITIES. IN ORDER TO PORTRAY THE FULL BREADTH OF OUR CONTRIBUTION, OUR COMMUNITY BENEFIT INFORMATION IS DESCRIBED BELOW: SECTION 1 - QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT 1. ORGANIZATIONAL COMMITMENT TO PROVIDING COMMUNITY BENEFIT A. MISSION STATEMENT: ST. ANTHONY'S, A CATHOLIC MEDICAL CENTER, HAS THE DUTY AND PRIVILEGE TO PROVIDE THE BEST CARE TO EVERY PATIENT, EVERY DAY. PRIMARY EXEMPT PURPOSE: ST. ANTHONY'S PROVIDES CARE IN A NONDISCRIMINATORY MANNER, OPERATES AN EMERGENCY DEPARTMENT OPEN TO ALL, OFFERS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS, AND MAINTAINS A GOVERNING BOARD OF DIRECTORS COMPRISED PRIMARILY OF COMMUNITY MEMBERS. WE PROMOTE AND ADDRESS THE SPECIFIC HEALTH NEEDS OF THE COMMUNITY AND PROVIDE SUPPORT THROUGH EDUCATIONAL, RELIGIOUS, AND CHARITABLE ACTIVITIES. EXCESS REVENUE IS USED FOR THE FURTHER DEVELOPMENT OF SUCH ACTIVITIES. B. ST. ANTHONY'S MEDICAL CENTER'S APPROACH TO PROVIDING COMMUNITY BENEFIT IS ILLUSTRATED AS FOLLOWS: - OUR GEOGRAPHIC AREA AND TARGET POPULATION ARE SOUTH ST. LOUIS COUNTY, JEFFERSON COUNTY, OUTSTATE MISSOURI AND SOUTHERN ILLINOIS. - ST. ANTHONY'S MEDICAL CENTER COMPLETED ITS FIRST COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN IN 2013 TO GUIDE THE EFFORTS IN OUR COMMUNITY. LINKS CAN BE FOUND BELOW: 1. COMMUNITY HEALTH NEEDS ASSESSMENT: HTTP://WWW.STANTHONYSMEDCENTER.COM/COMMUNITY/CHNA.PDF 2.IMPLEMENTATION PLAN: HTTP://WWW.STANTHONYSMEDCENTER.COM/COMMUNITY/CHNA_IMPLEMENTATION_PLAN .PDF - MAJOR TRENDS, NEEDS, AND PROBLEMS IN THE COMMUNITY ARE ADDRESSED BY ST. ANTHONY'S MEDICAL CENTER IN A VARIETY OF WAYS. ALONG WITH TREATING ILLNESS AND DISEASE, ST. ANTHONY'S SUPPORTS PROGRAMS THAT FOCUS ON DISEASE PREVENTION. CARE IS TAKEN TO PLAN PROGRAMS AND EVENTS THAT ARE TARGETED TO THE NEEDS OF OUR COMMUNITY. PROGRAMS ARE PLANNED BASED ON THE EVIDENCE THAT THE PROGRAM OR EVENT IS ADDRESSING A COMMUNITY HEALTH NEED. COMMUNITY HEALTH NEEDS ARE ESTABLISHED BY EXAMINING DATA AND STATISTICS THAT ARE TARGETED TO RELECTTHE SERVICE AREA OF ST. ANTHONY'S AND BY PRIMARY DATA FROM COMMUNITY EVALUATIONS THROUGH THE ST. ANTHONY'S MEDICAL CENTER COMMUNITY HEALTH NEEDS ASSESSMENT. - ST. ANTHONY'S MEDICAL CENTER SUPPORTS NEEDS AND PROBLEMS UNIQUE TO ITS COMMUNITY. WHILE NOT DIRECTLY RELATED TO HEALTH CARE, OUR SUPPORT FOR ACTIVITIES SUCH AS NEIGHBORHOOD REVITALIZATION; LOCAL ECONOMIC DEVELOPMENT, EDUCATION, COMMUNITY HEALTH ADVOCACY, AND SIMILAR EFFORTS ALL CONTRIBUTE TO IMPROVEMENT FOR THE PEOPLE WE SERVE THROUGHOUT THE REGION. ST. ANTHONY'S OFFERS NUMEROUS EDUCATIONAL EVENTS, COMMUNITY CLINICS, SUPPORT GROUPS, SELF-HELP PROGRAMS (E.G., WEIGHT MANAGEMENT, SMOKING CESSATION); AND PASTORAL OUTREACH AND SOCIAL SERVICE PROGRAMS. THESE PROGRAMS ARE WIDELY AVAILABLE TO ALL, CONVENIENTLY LOCATED ON OUR CAMPUS AND OFFERED CONTINUOUSLY THROUGHOUT THE YEAR. - VARIOUS COMMUNITY ORGANIZATIONS COLLABORATE WITH ST. ANTHONY'S MEDICAL CENTER TO IMPROVE COMMUNITY HEALTH, EXPAND ACCESS TO HEALTH CARE OR IN OTHER WAYS BENEFIT THE COMMUNITY. ST. ANTHONY'S WORKS IN COLLABORATION WITH THE FOLLOWING GROUPS: ST. LOUIS COUNTY DEPARTMENT OF HEALTH, LOCAL SCHOOL DISTRICTS, BARNES-JEWISH WEST COUNTY HOSPITAL, MISSOURI BAPTIST MEDICAL CENTER, ST. LUKES HOSPITAL (THROUGH THE CHNA), HOSPICE AGENCIES, ST. LOUIS ASSOCIATION OF DIABETES EDUCATORS, LOCAL COLLEGES & UNIVERSITIES, AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, CARDINAL GLENNON HOSPITAL, SOUTH COUNTY YMCA, BEHAVIORAL HEALTH SUPPORT GROUPS, ST. LOUIS UNIVERSITY, ,AMERICAN LUNG ASSOCIATION AND THE AMERICAN RED CROSS. - SEVERAL HOSPITAL DEPARTMENTS DEDICATE STAFF TO ASSIST IN COMMUNITY BENEFITS EFFORTS. THESE EFFORTS ARE LED BY LAURA BUB, MPH, COMMUNITY OUTREACH COORDINATOR FOR ST. ANTHONY'S. ST. ANTHONY'S HAS A COMMUNITY BENEFIT COUNCIL THAT IS DESIGNED SPECIFICALLY TO OVERSEE AND ALIGN COMMUNITY RESOURCES AND GUIDE THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN. HOSPITAL STAFF FOR THIS INITIATIVE COME FROM THE AREAS OF COMMUNITY OUTREACH, NUTRITION SERVICES, SENIOR SERVICES, PHYSICIAN RELATIONS, BEHAVIORAL HEALTH, PASTORAL CARE, HEALTH & WELLNESS AND DIABETES EDUCATION, COMMUNITY BENEFIT REPORTS AND ACTIVITIES COME FROM ALL PARTS OF THE HOSPITAL. C. ST. ANTHONY'S MEDICAL CENTER HAS FINANCIAL ASSISTANCE AND UNINSURED POLICIES AND PROGRAMS AS DESCRIBED BELOW. FINANCIAL ASSISTANCE POLICY - ST. ANTHONY'S MEDICAL CENTER HAS ESTABLISHED A PROGRAM TO REDUCE OR COMPLETELY ADJUST DEBTS FOR CERTAIN PATIENTS REQUIRING HEALTH CARE BUT LACKING THE MEANS TO PAY FOR SERVICES RENDERED. UNINSURED PATIENTS POLICY - ST. ANTHONY'S MEDICAL CENTER WORKS WITH ALL PATIENTS THAT HAVE SELF-PAY BALANCES TO ESTABLISH PAYMENT PLANS THAT ARE REASONABLE FOR THE PATIENT AND STILL MAINTAIN THE CASH FLOW NEEDS OF THE HOSPITAL. PAYMENT PLANS ARE TYPICALLY ESTABLISHED AFTER SERVICE HAS BEEN RENDERED AND BY COMMUNICATION BETWEEN THE PATIENT/RESPONSIBLE PARTY AND PATIENT ACCOUNTS CUSTOMER SERVICE OR FINANCIAL COUNSELING STAFF. PATIENTS THAT ARE UNINSURED MAY CONTACT OR BE CONTACTED BY CUSTOMER SERVICE OR FINANCIAL COUNSELING STAFF IN ORDER TO DETERMINE WHETHER OTHER MEANS OF PAYMENT OF THE BILL ARE AVAILABLE (E.G., MEDICAID ELIGIBILITY, VICTIMS OF CRIME, THIRD PARTY LIABILITY INSURANCE, ETC.). IF NO ADDITIONAL OUTSIDE FUNDS ARE AVAILABLE, THEN THE PATIENT MAY QUALIFY FOR FINANCIAL ASSISTANCE FROM ST. ANTHONY'S MEDICAL CENTER. ANY PATIENT THAT IS UNINSURED AND DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE OR DOES NOT WANT TO ACCESS HOSPITAL FINANCIAL ASSISTANCE WILL RECEIVE AN AUTOMATIC DISCOUNT OF 40% FROM BILLED CHARGES. COLLECTION POLICY - IT IS THE POLICY OF ST. ANTHONY'S MEDICAL CENTER TO TREAT ALL PATIENTS REQUIRING EMERGENCY TREATMENT REGARDLESS OF THEIR ABILITY TO PAY. IN ADDITION, STAFF WILL ASSIST PATIENTS WHO CANNOT PAY FOR PART OF ALL OF THE CARE THEY RECEIVE BY WORKING WITH THE PATIENT TO FIND ALTERNATIVE SOURCES OF PAYMENT OR TO DEVELOP A PAYMENT SCHEDULE THAT IS SATISFACTORY FOR ALL PARTIES. WE MUST ALSO BALANCE THE NEED FOR FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO KEEP OUR HOSPITAL DOORS OPEN FOR ALL THAT MAY NEED CARE IN THE COMMUNITY. FINANCIAL COUNSELING AND PATIENT ACCOUNT STAFFS ARE AVAILABLE BY TELEPHONE AND IN-PERSON TO DISCUSS HOSPITAL BILLS, BILLING POLICIES, METHODS OF PAYMENT, AND ALTERNATIVE SOURCES OF PAYMENT. QUESTIONS REGARDING HOSPITAL BILLS AND FINANCIAL ASSISTANCE ARE ACKNOWLEDGED PROMPTLY. PRICE QUOTES, ESTIMATES OF CHARGES, AND FULLY ITEMIZED BILLS ARE PROVIDED UPON REQUEST. CHARITY CARE INFORMATION IS PROVIDED TO UNINSURED AND UNDERINSURED PATIENTS UPON REQUEST. THE INFORMATION IS AVAILABLE IN SEVERAL LANGUAGES. ST. ANTHONY'S MEDICAL CENTER PARISH NURSES CAN ALSO PROVIDE THE SAME INFORMATION TO POTENTIAL PATIENTS NEEDING HEALTHCARE SERVICES. THE HOSPITAL PROVIDES ASSISTANCE TO PATIENTS APPLYING FOR MEDICAID OR VICTIM OF CRIMES FUNDS. ST. ANTHONY'S MEDICAL CENTER IS A HOST SITE FOR THE CLAIM PROGRAM IN THE STATE OF MISSOURI. THIS FREE SERVICE PROVIDES ASSISTANCE FOR MEDICARE ELIGIBLE PATIENTS WHO NEED HELP UNDERSTANDING MEDICARE INSURANCE OR THEIR HEALTHCARE BILLS. DISCOUNTS ARE PROVIDED TO UNINSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE. AFTER ALL INSURANCE HAS PAID OR BEEN FINALIZED BY THE INSURANCE PLAN, OUR PATIENTS OR GUARANTORS RECEIVE TWO BILLING STATEMENTS AND TWO PRE-COLLECTION NOTICES PRIOR TO BEING FORWARDED TO AN OUTSIDE AGENCY FOR COLLECTION IF NO PAYMENTS ARE RECEIVED. LARGER ACCOUNTS MAY ALSO RECEIVE FOLLOW UP PHONE CALLS FROM THE HOSPITAL IN ADDITION TO THE BILLING STATEMENTS. PAYMENT OPTIONS INCLUDE A PAYMENT PLAN WITH NO INTEREST OR A LOW-INTEREST BANK LOAN PROGRAM FOR LONGER PAYMENT PLAN PERIODS. IN SOME CASES, ACCOUNTS MAY BE SENT TO A COLLECTION ATTORNEY AND SUIT BY THE HOSPITAL AUTHORIZED WHEN ALL PREVIOUS ATTEMPTS AT COLLECTING PAYMENT OR ESTABLISHING A PAYMENT PLAN FAIL. SUCCESSFUL SUITS ARE COLLECTED BY GARNISHING WAGES, BUT NO ASSETS SUCH AS HOUSES, CARS, OR BANK ACCOUNTS ARE ATTACHED. CUSTOMER COMPLAINTS REGARDING AN AGENCY ARE INVESTIGATED PROMPTLY AND THE RESULTS OF THE INVESTIGATION ARE REPORTED BACK TO THE CUSTOMER. COLLECTION AGENCIES ARE AUTHORIZED BY ST. ANTHONY'S MEDICAL CENTER TO LIST ACCOUNTS WITH CREDIT BUREAUS NINETY DAYS FROM DATE OF PLACEMENT WHEN NO ACCOUNT RESOLUTION OR PAYMENT SCHEDULE AGREEMENT HAS OCCURRED.
FORM 990, SUPPLEMENT TO PART III, LINE 1 (CONT')	STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENT: 2. ORGANIZATIONAL DESCRIPTION FOR TAX EXEMPTION ST. ANTHONY'S MEDICAL CENTER QUALIFIES FOR TAX EXEMPTION THROUGH VARIOUS ACTIVITIES AND PARTICIPATION AS DESCRIBED BELOW: - ST. ANTHONY'S OPERATES AN EMERGENCY ROOM THAT ACCEPTS ALL PERSONS WHO ARE IN NEED OF MEDICAL ATTENTION REGARDLESS OF THEIR ABILITY TO PAY. - ST. ANTHONY'S HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. - ST. ANTHONY'S HAS A GOVERNING BOARD OF DIRECTORS IN WHICH INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY COMPRISE A MAJORITY; - ST. ANTHONY'S WORKS IN COOPERATION WITH LOCAL UNIVERSITIES AND HEALTH CARE ORGANIZATIONS TO ADVANCE THE SCIENCE OF MEDICINE BY PROVIDING A CLINICAL SETTING WHERE INNOVATIVE TREATMENTS AND NEW THERAPEUTIC PROTOCOLS CAN BE DEVELOPED AND STUDIED. - ST. ANTHONY'S ENGAGES IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS BY TEAMING UP WITH LOCAL COMMUNITY COLLEGES AND UNIVERSITIES TO PROVIDE A CLINICAL SETTING FOR HEALTH CARE STUDENTS. - ST. ANTHONY'S PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, TRICARE, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. 3. DESCRIPTION OF COMMUNITY BENEFIT PROGRAMS A. THE PROGRAMS BELOW DESCRIBE AND HIGHLIGHT SEVERAL PROGRAMS THAT CLEARLY MEET IDENTIFIED COMMUNITY HEALTH NEEDS. HEALTH SCREENINGS, LECTURES AND EVENTS - EACH YEAR, ST. ANTHONY'S OFFERS HEALTH SCREENINGS THAT ARE FREE AND OPEN TO THE COMMUNITY. THESE SCREENINGS ARE DESIGNED TO RAISE AWARENESS OF THE IMPORTANCE OF PREVENTIVE HEALTH CARE AND EARLY DETECTION OF DISEASE. OFTEN, THE SCREENINGS ARE IN CONJUNCTION WITH LARGER HEALTH FAIRS OFFERING FREE INFORMATION AND CONSULTATION WITH NUMEROUS MEDICAL PROFESSIONALS FROM PHYSICIANS, NURSE PRACTITIONERS AND OTHER CLINICIANS TO NUTRITIONISTS, EXERCISE PHYSIOLOGISTS AND THERAPISTS. ADDITIONALLY, THE MEDICAL CENTER SPONSORS ONGOING FREE LECTURES, HOSTED BY PHYSICIANS AND CLINICIANS, TO ADDRESS KEY CONCERNS, SUCH AS HEART DISEASE, CANCER, DIABETES, AND SAFETY AND INJURY PREVENTION. COMMUNITY OUTREACH HEALTH EDUCATION AND SPEAKERS BUREAU - ST. ANTHONY'S MEDICAL CENTER OFFERS EXTENSIVE PREVENTATIVE HEALTH EDUCATION BY SKILLED STAFF TO COMMUNITY GROUPS SUCH AS SCHOOLS, CHURCH GROUPS, BUSINESSES AND OTHER ORGANIZATIONS FREE OF CHARGE. BASED ON THE NEEDS OF THE GROUPS, ST. ANTHONY'S MEDICAL CENTER PRESENTS TOPICS AND HEALTH INFORMATION THAT WILL HELP THE COMMUNITY TO MAKE HEALTHY, EDUCATED AND WISE CHOICES WHEN IT COMES TO THEIR HEALTH. THERAPY INTERNSHIPS AND ROTATIONS - ST. ANTHONY'S MEDICAL CENTER IS NOTED AS A LEADER IN HELPING COLLEGE STUDENTS COMPLETE THEIR CLINICAL ROTATIONS OR INTERNSHIPS IN FIELDS SUCH AS PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AND SPEECH THERAPY. ST. ANTHONY'S HAS ACTIVE THERAPY PROGRAMS INTERNSHIP PROGRAMS WITH WELL OVER A DOZEN UNIVERSITIES, COLLEGES AND COMMUNITY COLLEGES IN THE REGION. BEREAVEMENT AND GRIEF SUPPORT - ADDRESSES THE NEED OF BEREAVEMENT AND GRIEF SUPPORT THROUGH A BROAD RANGE OF PROGRAMS AND SERVICES. THESE TOOLS AND SUPPORT HELP THE PARTICIPANTS TO MOVE THROUGH THE STAGES OF GRIEF TO A PLACE OF UNDERSTANDING AND ACCEPTANCE OF THEIR LOSS. PROGRAMS BEYOND ST. ANTHONY'S MEDICAL CENTER AND EXTEND INTO THE COMMUNITY WITH A PRESENCE AT NURSING HOMES, HELPING THEIR STAFF DEVELOP SKILLS FOR PROVIDING COMPASSIONATE, END OF LIFE CARE. FREE HELMET FITTINGS - TRAINED STAFF MEMBERS FROM THE ST. ANTHONY'S EMERGENCY DEPARTMENT OFFER FREE HELMET FITTINGS FOR BOTH CHILDREN AND ADULTS. BICYCLE SAFETY EDUCATION IS ALSO PROVIDED TO THE CHILDREN. PARTICIPANTS ARE MADE AWARE OF THE SERIOUSNESS OF HEAD INJURIES AND HOW THEY CAN BE PREVENTED, RESULTING IN FEWER HEAD INJURIES IN CHILDREN. 4. LINKS TO ADDITIONAL COMMUNITY BENEFIT INFORMATION A. COMMUNITY HEALTH NEEDS ASSESSMENT: HTTP://WWW.STANTHONYSMEDCENTER.COM/COMMUNITY/CHNA.PDF B. IMPLEMENTATION PLAN: HTTP://WWW.STANTHONYSMEDCENTER.COM/COMMUNITY/CHNA_IMPLEMENTATION_PLAN .PDF C. COMMUNITY EVENTS & PROGRAMS: HTTP://WWW.STANTHONYSMEDCENTER.COM/CLASSES/INDEX.ASP
FORM 990, PART VI, SECTION A, LINE 2	BUSINESS RELATIONSHIPS: JOHN H BERRA JR HAS A BUSINESS RELATIONSHIP WITH HOWARD CHILCUTT AND STACIE HASTIE; PAUL A NOVELLY HAS A BUSINESS RELATIONSHIP WITH PAUL G LORENZINI.
FORM 990, PART VI, SECTION B, LINE 11B	REVIEW PROCESS: RETURNS ARE PREPARED AND INITIALLY REVIEWED BY ST ANTHONY'S FINANCE STAFF AND PREPARER BKD. AFTER THESE REVIEWS ARE COMPLETED, THE RETURNS ARE THEN REVIEWED WITH THE CHIEF FINANCIAL OFFICER (CFO) BY FINANCE STAFF. ONCE THIS REVIEW OCCURS, RETURNS ARE MAILED TO BOARD / FINANCE COMMITTEE MEMBERS ALONG WITH THE BOARD / FINANCE COMMITTEE PACKET. REVIEW OF THE 990 IS AN AGENDA ITEM AT THE FINANCE COMMITTEE MEETING WHERE EACH OF THE RETURNS ARE REVIEWED AND DISCUSSED WITH MEMBERS, TO INCLUDE THE CEO. ONCE THIS REVIEW OCCURS, RETURNS ARE DISTRIBUTED TO THE FULL BOARD FOR REVIEW AND DISCUSSION AS PART OF THE FINANCE COMMITTEE REPORT. ONCE ALL REVIEWS HAVE TAKEN PLACE, THE RETURNS ARE FILED WITH THE INTERNAL REVENUE SERVICE. IN THE EVENT THAT THE FORM 990 CANNOT BE REVIEWED IN A FINANCE COMMITTEE OR BOARD MEETING, THE FORM 990 WILL BE DISTRIBUTED TO THE GOVERNING BODY VIA OTHER MEANS PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	COMPLIANCE WITH CONFLICT OF INTEREST POLICY: TO ENSURE THAT ST. ANTHONY'S OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT ENGAGES ONLY IN TRANSACTIONS THAT ARE REASONABLE AND ARE THE RESULT OF ARM'S LENGTH BARGAINING, THE BOARD HAS ADOPTED AND ENFORCES COMPLIANCE WITH A CONFLICT OF INTEREST POLICY, WHICH REQUIRES DISCLOSURE OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST. IF THE BOARD OR COMMITTEE OR ADMINISTRATOR HAS REASONABLE CAUSE TO BELIEVE THAT AN INDIVIDUAL HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE INDIVIDUAL OF THE BASIS FOR SUCH BELIEF AND AFFORD THE INDIVIDUAL AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE OF THE INDIVIDUAL AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR COMMITTEE OR ADMINISTRATOR DETERMINES THAT THE INDIVIDUAL HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION.
FORM 990, PART VI, SECTION B, LINE 15(A & B)	PROCESS FOR DETERMINING COMPENSATION: COMPENSATION FOR THE CEO AND ALL SENIOR MANAGEMENT STAFF MEMBERS IS BASED UPON COMPARABLE MARKET RATES FOR SIMILAR POSITIONS WITHIN THE NATION. PERIODICALLY, AN OUTSIDE COMPENSATION CONSULTANT IS HIRED TO REVIEW COMPENSATION AND COMPARE IT TO APPROPRIATE PEER GROUPS. THESE EXTERNAL REPORTS ARE PRESENTED TO THE BOARD OF DIRECTORS' COMPENSATION COMMITTEE FOR REVIEW AND APPROVAL ALONG WITH THE ANNUAL EVALUATIONS OF THE SENIOR STAFF MEMBERS. THE MOST RECENT COMPENSATION REVIEW WAS CONDUCTED IN APRIL OF 2013.
FORM 990, PART VI, SECTION B, LINE 16(B)	JOINT VENTURES: THE ORGANIZATION DOES NOT HAVE A FORMAL POLICY FOR EVALUATING JOINT VENTURES. HOWEVER, THE ORGANIZATION IS THE MAJORITY OWNER OF THE TWO JOINT VENTURES IN WHICH IT PARTICIPATES, WHICH PLACES IT IN A POSITION TO SAFEGUARD ITS EXEMPT STATUS WITH RESPECT TO THE ARRANGEMENTS. THE OPERATING AGREEMENTS FOR BOTH OF THE JOINT VENTURES CONTAIN PROVISIONS THAT RESTRICT THE JOINT VENTURES FROM OPERATING IN A MANNER THAT COULD CAUSE THE JOINT VENTURE OR SAMC TO ACT OTHER THAN IN FURTHERANCE OF AND CONSISTENT WITH THE TAX-EXEMPT PURPOSES OF SAMC OR ADVERSELY AFFECT SAMC'S TAX-EXEMPT STATUS.
PART VI, SECTION C, LINE 19	PROCESS FOR MAKING DOCUMENTS AVAILABLE TO PUBLIC: THE ORGANIZATION CONSIDERS ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS TO BE PROPRIETARY. ACCORDINGLY THEY ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC.
PART XI, LINE 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCES: DEFINED BENEFIT PENSION PLANS 1,890,233 RECLASS NONCONTROLLING INTEREST (80,336) CURTAILMENT LOSS (304,877) INTEREST RATE SWAP (2,967,534) OTHER CHANGES IN FUND BALANCE 40,000 FUND BALANCE TRANSFER (1,063,615) SELF INSURANCE TRUST INCOME 2,164,404 ----------- TOTAL OTHER CHANGES IN NET ASSETS (321,725)
PART VI, SECTION A, LINE 3	DELEGATION OF CONTROL OVER MANAGEMENT DUTIES: DURING JUNE OF 2013, THE ORGANIZATION CONTRACTED WITH INTEGRITY HOSPITAL COMPANY TO PROVIDE A CEO TO OVERSEE THE DAY TO DAY OPERATIONS OF THE ORGANIZATION.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1
ST ANTHONY'S PROFESSIONAL PHARMACY LLC
10010 KENNERLY ROAD	ST LOUIS	MO	63128	431659671	PHARMACY	MO	$3,413,822	$649,069	SAMC
PHYSICIANS OF SAMC LLC
10010 KENNERLY ROAD	ST LOUIS	MO	63128	270440956	MANAGEMENT	MO	$825,997	$22,383	SAMC
URGENT CARE CENTERS OF SAMC LLC
10010 KENNERLY ROAD	ST LOUIS	MO	63128	270440900	MANAGEMENT	MO	$8,551,549	$1,754,605	SAMC
HEART SPECIALTY ASSOCIATES
10010 KENNERLY ROAD	ST LOUIS	MO	63128	274084620	SPECIALISTS	MO	$12,112,338	$1,067,460	SAMC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
ST ANTHONY'S PHYSICIAN ORGANIZATION
10010 KENNERLY ROAD	ST LOUIS	MO	63128	431784536	HEALTH CARE	MO	501(C)(3)	3	SAMC	Yes (true)
ST ANTHONY'S MEDICAL CENTER FOUNDATION
10010 KENNERLY ROAD	ST LOUIS	MO	63128	431841204	SUPPORT ORG	MO	501(C)(3)	11 - I	SAMC	Yes (true)
ST ANTHONY'S CHARITABLE FOUNDATION
10010 KENNERLY ROAD	ST LOUIS	MO	63128	261516789	FUNDRAISING	MO	501(C)(3)	11 - I	SAMC	Yes (true)
AUXILIARY OF ST ANTHONY'S MEDICAL CTR
10010 KENNERLY ROAD	ST LOUIS	MO	63128	436056990	FUNDRAISING	MO	501(C)(3)	9	SAMC	Yes (true)
ST ANTHONY'S MED CNT PROF & GEN LIAB
SELF INSURANCE TRUST	PO BOX ST LOUIS	MO	63166	436331002	SUPPORT ORG	MO	501(C)(3)	11 - III	NA	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
S CNTY PET IMAGLLC
10010 KENNERLY ROAD	ST LOUIS	MO	63128	431932907	IMAGING SERVICES	MO	SAMC	RELATED	$553,213	$1,677,283	false	Yes (true)	0.75000
PLZ SRGICL SERVS CO
12700 SOUTHFORK ROAD	ST LOUIS	MO	63128	204709312	SURGICAL SERVICES	MO	SAMC	RELATED	-$13,478	$30,455	false	Yes (true)	0.52083

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
AUXILIARY OF ST ANTHONY'S MEDICAL CENTER
C	$300,000	COST
ST ANTHONY'S CHARITABLE FOUNDATION
M	$613,331	COST
ST ANTHONY'S PHYSICIAN ORGANIZATION
Q	$30,042,000	COST
ST ANTHONY'S CHARITABLE FOUNDATION
C	$822,824	COST
ST ANTHONY'S CHARITABLE FOUNDATION
S	$53,868	COST
ST ANTHONY'S CHARITABLE FOUNDATION
Q	$949,124	COST
ST ANTHONY'S CHARITABLE FOUNDATION
R	$2,554,643	COST
ST ANTHONY'S MEDICAL CENTER FOUNDATION
C	$499,539	COST