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Saint Anthony's Physician Group: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
Saint Anthony's Physician Group (EIN 37-1365059)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-10-30
IRS object ID
201413039349301151
Schema version
2013v3.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2014-10-30T12:56:29-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CJ SCHLOSSER & COMPANY LLCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1233 E CENTER DRAddressLine1
CityALTONCity
StateILState
ZIP Code620025931ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN371365059EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAINT ANTHONY'S PHYSICIAN GROUPBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlSAINBusinessNameControlTxt
Phone6184635616PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 340AddressLine1
CityALTONCity
StateILState
ZIP Code62002ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSR M MIKELA MEIDLPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone6184635616PhoneNum
Signature2014-10-29SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVID M BARTOSIAKPreparerPersonNm
PTINP00383784PTIN
Phone6184657717PhoneNum
Preparation2014-10-29PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSR M MIKELA MEIDLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 340AddressLine1
CityALTONCity
StateILState
ZIP Code62002ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$7,906,632GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionPROVIDE QUALITY HEALTH CARE SERVICESActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee136TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$7,731,138PYProgramServiceRevenueAmt
CY Program Service Revenue$7,889,555CYProgramServiceRevenueAmt
CY Investment Income-$1,678CYInvestmentIncomeAmt
PY Other Revenue$7,378PYOtherRevenueAmt
CY Other Revenue$17,077CYOtherRevenueAmt
PY Total Revenue$7,738,516PYTotalRevenueAmt
CY Total Revenue$7,904,954CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,152,166PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,081,489CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,845,890PYOtherExpensesAmt
CY Other Expenses$2,945,019CYOtherExpensesAmt
PY Total Expenses$10,998,056PYTotalExpensesAmt
CY Total Expenses$12,026,508CYTotalExpensesAmt
PY Revenues Less Expenses-$3,259,540PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$4,121,554CYRevenuesLessExpensesAmt
Total Assets BOY$903,269TotalAssetsBOYAmt
Total Assets EOY$890,717TotalAssetsEOYAmt
Total Liabilities BOY$849,977TotalLiabilitiesBOYAmt
Total Liabilities EOY$735,979TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$53,292NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$154,738NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE QUALITY HEALTH CARE SERVICESMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$11,776,508ExpenseAmt
Revenue$7,887,877RevenueAmt
DescPROVIDE COST-EFFECTIVE HEALTH CARE TO THE GENERAL PUBLIC AS AN EXTENSION OF THE SERVICES PROVIDED BY SAINT ANTHONY'S HEALTH SYSTEM. WE HAVE MORE THAN 20 DOCTORS IN SAINT ANTHONY'S PHYSICIAN GROUP, INCLUDING SPECIALISTS IN NEUROLOGY, ENDOCRINOLOGY, PODIATRY, GASTROENTEROLOGY, MEDICAL ONCOLOGY AND HEMATOLOGY, RADIATION ONCOLOGY, RHEUMATOLOGY, EAR, NOSE AND THROAT, SURGICAL SERVICES AND WOUND CARE. WE BELIEVE IN BEING THERE FOR OUR PATIENTS SO WE CONTINUE TO ACTIVELY RECRUIT PHYSICIANS TO PROVIDE THE BEST QUALITY OF CARE POSSIBLE. OUR PHYSICIANS PARTICIPATE IN COMMUNITY EVENTS SUCH AS RELAY FOR LIFE, PROSTATE SCREENING, CANCER SURVIVOR DINNERS, AND LUNCH AND LEARN PROGRAMS.Desc
Total Program Service Expenses$11,776,508TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document20IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee136EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMICHAEL NELSONPersonNm
Phone6184635616PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1815 E 5TH STREETAddressLine1
CityALTONCity
StateILState
ZIP Code62002ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DR JAMES PIEPHOFF
DIRECTOR40.001.00Yes (X)$705,334$12,863$22,952
EVERT KUIPER
PRESIDENT/CE1.0042.00Yes (X)$0$644,252$19,826Yes (X)
MICHAEL NELSON
TREASURER1.0040.00Yes (X)$0$276,557-$6,390Yes (X)
DR EDWARD BLAIR
CHAIR40.001.00Yes (X)$193,715$2,044$15,027Yes (X)
DR COLIN BUTTERFIELD
DIRECTOR40.000.00Yes (X)$192,447$0$16,908
PATRICIA FISCHER
DIRECTOR27.0013.00Yes (X)$0$161,576-$12,553
SR M ANASTASIA MAHER
SECRETARY1.0042.00Yes (X)$0$0$0Yes (X)
SR M ANSELMA BELONGEA
DIRECTOR1.0041.00Yes (X)$0$0$0
DR LAWRENCE BURCH
DIRECTOR1.001.00Yes (X)$0$0$0
SR M CARITAS GRAHAM
DIRECTOR1.0040.00Yes (X)$0$0$0
SR M MIKELA MEIDL
DIRECTOR1.0042.00Yes (X)$0$0$0
DR MARK KLUCKA
PHYSICIAN40.000.00$670,850$0$21,059Yes (X)
DR NAEEM ASLAM
PHYSICIAN40.000.00$632,575$0$24,921Yes (X)
DR PAUL LOETHEN
PHYSICIAN40.000.00$459,542$0$21,252Yes (X)
DR KEITH BONACQUISTI
PHYSICIAN40.000.00$398,276$0$22,871Yes (X)
DR KEVIN PALKA
PHYSICIAN40.000.00$389,995$0$17,473Yes (X)
MARK WEBER
FORMER PRESI0.000.00$0$445,329$21,845Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,642,734TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,542,621TotReportableCompRltdOrgAmt
Total Other Compensation$185,191TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K21IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmtBusiness Name Line2ContractorName/BusinessName/BusinessNameLine2
KSL BILLING MGMT INC
1120S 6TH STREET 4TH FLOORST LOUISMO63104BILLING SERVICE$461,399
DR CHARLES HALBECK
271 BELLINGTON LANECREVE COEURMO63141PHYSICIAN SERVI$202,918
CHG COMPANIES INC
PO BOX 972651DALLASTX75397NEUROLOGY$133,636D/B/A COMPHEALTH
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES621110$7,889,431$7,889,431
PA OTHER SERVICES621110$124$124
FieldValueIRS element (for citing)
Total Program Service Revenue$7,889,555TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$17,077RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$17,077RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,077TotalRevenueColumnAmt
Exclusion$17,077ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$1,678OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$1,678OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,678TotalRevenueColumnAmt
Related Or Exempt Func Income-$1,678RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,904,954TotalRevenueColumnAmt
Related Or Exempt Func Income$7,887,877RelatedOrExemptFuncIncomeAmt
Exclusion$17,077ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,032,496TotalAmt
Program Services$1,032,496ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,278,173TotalAmt
Program Services$7,278,173ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$38,109TotalAmt
Program Services$38,109ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$306,304TotalAmt
Program Services$306,304ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$426,407TotalAmt
Program Services$426,407ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$250,000TotalAmt
Management And General$250,000ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$33,514TotalAmt
Program Services$33,514ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,681TotalAmt
Program Services$3,681ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,149,909TotalAmt
Program Services$1,149,909ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$172,995TotalAmt
Program Services$172,995ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$33,848TotalAmt
Program Services$33,848ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$302,831TotalAmt
Program Services$302,831ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,170TotalAmt
Program Services$3,170ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$60,906TotalAmt
Program Services$60,906ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$438,294TotalAmt
Program Services$438,294ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
SUPPLIES$220,058$220,058
PUBLICATIONS/BOOKS$88,207$88,207
DUES AND FEES$74,798$74,798
PURCHASED SERVICES$58,694$58,694

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$54,114TotalAmt
Program Services$54,114ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$12,026,508TotalAmt
Program Services$11,776,508ProgramServicesAmt
Management And General$250,000ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$60,019BOYAmt
EOY$26,387EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$695,296BOYAmt
EOY$711,871EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,907BOYAmt
EOY$4,118EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,622BOYAmt
EOY$50,846EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$261,273LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$215,120LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$43,125BOYAmt
EOY$46,153EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$93,050BOYAmt
EOY$51,342EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,250BOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$903,269BOYAmt
EOY$890,717EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$590,958BOYAmt
EOY$576,914EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$259,019BOYAmt
EOY$159,065EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$849,977BOYAmt
EOY$735,979EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$53,292BOYAmt
EOY$154,738EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$53,292BOYAmt
EOY$154,738EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$903,269BOYAmt
EOY$890,717EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$4,121,554ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$4,223,000OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,841,150CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,504,840CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,476,842CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,731,138CurrentTaxYearMinus1YearAmt
Current Tax Year$7,889,555CurrentTaxYearAmt
Total$32,443,525TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,841,150CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,504,840CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,476,842CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,731,138CurrentTaxYearMinus1YearAmt
Current Tax Year$7,889,555CurrentTaxYearAmt
Total$32,443,525TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$32,443,525PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$10,590CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,378CurrentTaxYearMinus1YearAmt
Current Tax Year$17,077CurrentTaxYearAmt
Total$35,045TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$10,590CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,378CurrentTaxYearMinus1YearAmt
Current Tax Year$17,077CurrentTaxYearAmt
Total$35,045TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,841,150CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,504,840CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,487,432CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,738,516CurrentTaxYearMinus1YearAmt
Current Tax Year$7,906,632CurrentTaxYearAmt
Total$32,478,570TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99890PublicSupportCY509Pct
Public Support PY5090.99940PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$261,273OtherCostOrOtherBasisAmt
Depreciation$215,120DepreciationAmt
Book Value$46,153BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$46,153TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
PAYROLL AND WITHHOLDINGS PAYABLE$111,057
LONG TERM BENEFITS - PIEPHOFF$44,772
UNCLAIMED CHECKS$2,731
DUE TO SAINT ANTHONY'S FOUNDATION$358
DUE TO SAINT ANTHONY'S FUND$147
FieldValueIRS element (for citing)
Total Liability$159,065TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt
DR JAMES PIEPHOFF
DIRECTOR$551,063$12,863$141,005$13,266$22,952$728,286$12,863
EVERT KUIPER
PRESIDENT/CEO$414,160$664,078$206,319$23,773-$3,247$23,073
MICHAEL NELSON
TREASURER$235,407$270,167$40,358$792-$27,105$20,715
DR EDWARD BLAIR
CHAIR$186,796$2,044$6,919$15,027$208,742$2,044
DR COLIN BUTTERFIELD
DIRECTOR$185,859$6,588$16,908$209,355
DR MARK KLUCKA
PHYSICIAN$651,398$12,864$6,588$21,059$691,909
DR NAEEM ASLAM
PHYSICIAN$490,031$106,419$36,125$24,921$657,496
DR PAUL LOETHEN
PHYSICIAN$384,031$69,412$6,099$21,252$480,794
DR KEITH BONACQUISTI
PHYSICIAN$392,031$6,245$22,871$421,147
DR KEVIN PALKA
PHYSICIAN$383,926$6,069$17,473$407,468
MARK WEBER
FORMER PRESIDENT/CEO$425,000$467,174$20,329$21,845

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PAGE 1, PART I, LINE 7FormAndLineReferenceDesc
ExplanationEVERT KUIPER EARNED BONUSES TOTALING 103,819 BASED ON QUALITY MEASURES, FINANCIAL METRICS, AND PATIENT SATISFACTION SCORES. MICHAEL NELSON EARNED BONUSES TOTALING 40,358 BASED ON QUALITY MEASURES, FINANCIAL METRICS, AND PATIENT SATISFACTION SCORES. PATRICIA FISCHER EARNED BONUSES TOTALING 22,302 BASED ON CEO DISCRETION AND FINANCIAL METRICS.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1OVERWATCH STRATEGIC SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
Relationship DescriptionDIRECTOR-RELATERelationshipDescriptionTxt
Transaction$82,800TransactionAmt
TransactionSEE STATEMENTTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART VFormAndLineReferenceDesc
ExplanationDR. LAWRENCE BURCH, A DIRECTOR OF THE ORGANIZATION, IS THE 100% STOCKHOLDER OF OVERWATCH STRATEGIC SERVICES WHICH PROVIDED SERVICES AND RECEIVED FEES FROM A RELATED ORGANIZATION, SAINT ANTHONY'S HEALTH CENTER, FOR WHICH HE RECEIVED A 1099 IN THE AMOUNT OF 82,800 DURING 2013.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 6SAINT ANTHONY'S HEALTH SYSTEM IS THE SPONSORING ORGANIZATION AND ITS SOLE MEMBER.
FORM 990, PAGE 6, PART VI, LINE 7ATHE GOVERNING BODY ARE ELECTED/APPOINTED BY THE GOVERNING BODY OF SAINT ANTHONY'S HEALTH SYSTEM.
FORM 990, PAGE 6, PART VI, LINE 7BTHE FOLLOWING POWERS AND RESPONSIBILITIES SHALL BE RESERVED TO THE SOLE MEMBER: A. ADOPTION OF OR REVISIONS TO THE PHILOSOPHY,MISSION AND VALUES ACCORDING TO WHICH THE CORPORATION IS OPERATED; B. APPOINT ALL DIRECTORS OF THE CORPORATION FROM CANDIDATES RECOMMENDED BY THE NOMINATING COMMITTEE AND REMOVE ANY DIRECTOR OF THE CORPORATION WITH OR WITHOUT CAUSE; C. APPROVE ALL AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION AND BYLAWS; D. APPROVE ALL CHANGES TO THE ORGANIZATIONAL STRUCTURE OF THE CORPORATION; E. APPROVE ALL PLANS OF MERGER OR CONSOLIDATION RELATING TO THE CORPORATION; F. APPROVE THE SALE, LEASE,EXCHANGE, MORTGAGE, PLEDGE, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL, THE PROPERTY AND ASSETS OF THE CORPORATION; G. APPROVE ANY CONTRACT REQUIRING AN UNBUDGETED ANNUAL EXPENDITURE IN EXCESS OF ONE HUNDRED THOUSAND DOLLARS (100,000); H. APPROVE ANY UNBUDGETED BORROWING OF THE CORPORATION (OR SERIES OF BORROWINGS WITHIN ANY TWELVE (12) MONTH PERIOD) IN AN AMOUNT IN EXCESS OF ONE HUNDRED THOUSAND DOLLARS (100,000); I. APPROVE A VOLUNTARY DISSOLUTION OF THE CORPORATION; J. APPROVE A CREATION OF ALL SUBSIDIARIES AND CONTROLLED AFFILIATES; K. APPROVE OR AMEND, AS APPLICABLE, THE STRATEGIC AND FINANCIAL PLANS, GOALS, AND OBJECTIVES OF THE CORPORATION, INCLUDING, WITHOUT LIMITATION, THE OPERATING AND CAPITAL BUDGETS, INCURRENCE OF DEBT, INVESTMENTS, FINANCIAL TARGETS, CAPITAL LEASES, AND THE FORMATION OR DISSOLUTION OF JOINT VENTURES AND AFFILIATES; L. APPROVE ANY TRANSACTION OF THE CORPORATION OR ANY OF ITS AFFILIATES THAT INVOLVES AN ALIENATION OF PROPERTY OR OTHER ACT OF EXTRAORDINARY ADMINISTRATION UNDER THE CANON LAW OF THE ROMAN CATHOLIC CHURCH; AND M. APPROVE ANY TRANSACTION BY, OR ACTIVITY OF, THE CORPORATION OR ANY OF ITS AFFILIATES IN CONTRAVENTION OF THE PURPOSES OF THE CORPORATION SET FORTH IN THE ARTICLES OF INCORPORATION.
FORM 990, PAGE 6, PART VI, LINE 11BANNUALLY THE RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX FOR SAINT ANTHONY'S PHYSICIAN GROUP WILL BE PROVIDED TO THE SAINT ANTHONY'S HEALTH SYSTEM GOVERNING BOARD AND SAINT ANTHONY'S HEALTH SYSTEM FINANCE COMMITTEE FOR REVIEW PRIOR TO FILING SUCH RETURNS WITH THE INTERNAL REVENUE SERVICE. WRITTEN NOTIFICATION WILL BE SENT TO EACH OF THE GOVERNING BOARDS' MEMBERS FOR SAINT ANTHONY'S PHYSICIAN GROUP ADVISING THEM THAT THE RETURNS HAVE BEEN FILED AND TO CONTACT MIKE NELSON AT (618) 463-5616 IF THEY WOULD LIKE TO REVIEW THE RESPECTIVE RETURN.
FORM 990, PAGE 6, PART VI, LINE 12CA QUESTIONNAIRE IS PROVIDED ANNUALLY TO ALL MEMBERS OF THE GOVERNING BODY REQUESTING INFORMATION RELATED TO POTENTIAL CONFLICTS OF INTEREST. THE QUESTIONNAIRE IS REVIEWED BY THE PRESIDENT/CEO AND THE CORPORATE SECRETARY OF SAINT ANTHONY'S HEALTH SYSTEM. IF THEY DETERMINE THAT A CONFLICT EXISTS, THE AFFECTED BOARD MEMBER IS PROHIBITED FROM VOTING ON ANY ACTIONS RELATED TO THE CONFLICT.
FORM 990, PAGE 6, PART VI, LINE 15AIN 2010, HEWITT ASSOCIATES WAS ENGAGED TO PERFORM A REVIEW OF EXECUTIVE COMPENSATION, INCLUDING ALL DISQUALIFIED PERSONS. HEWITT ASSOCIATES ISSUED AN OPINION LETTER SHOWING REBUTTABLE PRESUMPTION OF REASONABLENESS OF EXECUTIVE COMPENSATION FOR SAINT ANTHONY'S HEALTH CENTER. THIS ANALYSIS INVOLVED COMPARABLE DATA. SAINT ANTHONY'S CONTINUES TO USE HEWITT'S DATA BY ADJUSTING FOR AN AGING FACTOR AND LOOKING AT ANY MARKET DYNAMICS SINCE 2010 WHEN MAKING CHANGES TO EXECUTIVE COMPENSATION. THE COMPENSATION COMMITTEE OF THE HEALTH SYSTEM BOARD OVERSEES MATTERS OF EXECUTIVE COMPENSATION AND UTILIZES OUTSIDE CONSULTING SERVICES WHEN APPROPRIATE. THE PROCESS IS DOCUMENTED IN COMPENSATION COMMITTEE MEETING MINUTES. THERE HAVE BEEN NO CHANGES TO THIS PROCESS IN THE PAST YEAR.
FORM 990, PAGE 6, PART VI, LINE 15BTHE COMPENSATION COMMITTEE OF SAINT ANTHONY'S HEALTH SYSTEM, PARENT CORPORATION, RELIED ON MARKET SURVEYS AND COMPENSATION ANALYSIS COMPLETED BY HEWITT ASSOCIATES DURING 2010 TO ASSIST IN CALCULATING COMPENSATION IN 2012. THE 2010 DATA WAS ADJUSTED BY AN AGING FACTOR AND CHANGES IN THE MARKET TO CREATE THE 2013 COMPENSATION FOR SENIOR TEAM MEMBERS. ALL OF THIS ACTIVITY IS DOCUMENTED IN THE MINUTES OF THE COMPENSATION COMMITTEE.
FORM 990, PAGE 6, PART VI, LINE 19THESE DOCUMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9CAPITAL CONTRIBUTIONS FROM SAHS 4,223,000

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationIndBusiness Name Line2DirectControllingEntityName/BusinessNameLine2
SAINT ANTHONY'S HEALTH SYSTEM
915 EAST FIFTH STREETALTONIL62002371252623SUPPORTINGIL501C311BNAfalse
SAINT ANTHONY'S FOUNDATION
915 EAST FIFTH STREETALTONIL62002371325398SUPPORTINGIL501C311B1falseSAINT ANTHONY'S HEALTH SYSTEM
SAINT ANTHONY'S HEALTH CENTER
915 EAST FIFTH STREETALTONIL62002370661234HEALTH CARIL501C331falseSAINT ANTHONY'S HEALTH SYSTEM
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd