2014-10-30T12:56:29-05:00 2013-12-31 CJ SCHLOSSER & COMPANY LLC 233 E CENTER DR ALTON IL 620025931 990 2013-01-01 371365059 SAINT ANTHONY'S PHYSICIAN GROUP SAIN 6184635616 PO BOX 340 ALTON IL 62002 SR M MIKELA MEIDL PRESIDENT & CEO 6184635616 2014-10-29 DAVID M BARTOSIAK P00383784 6184657717 2014-10-29 2013 2015-11-30 17:44:51Z SR M MIKELA MEIDL PO BOX 340 ALTON IL 62002 7906632 false X X 1997 IL PROVIDE QUALITY HEALTH CARE SERVICES 11 4 136 0 0 7731138 7889555 -1678 7378 17077 7738516 7904954 0 0 8152166 9081489 0 0 2845890 2945019 10998056 12026508 -3259540 -4121554 903269 890717 849977 735979 53292 154738 PROVIDE QUALITY HEALTH CARE SERVICES false false 11776508 7887877 PROVIDE 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. 11776508 true false false false false false false false false false true false false false true false false true false false false false false false false false false false false true false false false false false false false true false false false false false true false false false true 20 0 true 136 true false false false false false false false false false false X 11 4 false false false false true true true true true false false false true true true true true true true false X MICHAEL NELSON 6184635616 815 E 5TH STREET ALTON IL 62002 DR JAMES PIEPHOFF DIRECTOR 40.00 1.00 X 705334 12863 22952 EVERT KUIPER PRESIDENT/CE 1.00 42.00 X X 0 644252 19826 MICHAEL NELSON TREASURER 1.00 40.00 X X 0 276557 -6390 DR EDWARD BLAIR CHAIR 40.00 1.00 X X 193715 2044 15027 DR COLIN BUTTERFIELD DIRECTOR 40.00 0.00 X 192447 0 16908 PATRICIA FISCHER DIRECTOR 27.00 13.00 X 0 161576 -12553 SR M ANASTASIA MAHER SECRETARY 1.00 42.00 X X 0 0 0 SR M ANSELMA BELONGEA DIRECTOR 1.00 41.00 X 0 0 0 DR LAWRENCE BURCH DIRECTOR 1.00 1.00 X 0 0 0 SR M CARITAS GRAHAM DIRECTOR 1.00 40.00 X 0 0 0 SR M MIKELA MEIDL DIRECTOR 1.00 42.00 X 0 0 0 DR MARK KLUCKA PHYSICIAN 40.00 0.00 X 670850 0 21059 DR NAEEM ASLAM PHYSICIAN 40.00 0.00 X 632575 0 24921 DR PAUL LOETHEN PHYSICIAN 40.00 0.00 X 459542 0 21252 DR KEITH BONACQUISTI PHYSICIAN 40.00 0.00 X 398276 0 22871 DR KEVIN PALKA PHYSICIAN 40.00 0.00 X 389995 0 17473 MARK WEBER FORMER PRESI 0.00 0.00 X 0 445329 21845 3642734 1542621 185191 21 true true false KSL BILLING MGMT INC 1120S 6TH STREET 4TH FLOOR ST LOUIS MO 63104 BILLING SERVICE 461399 DR CHARLES HALBECK 271 BELLINGTON LANE CREVE COEUR MO 63141 PHYSICIAN SERVI 202918 CHG COMPANIES INC D/B/A COMPHEALTH PO BOX 972651 DALLAS TX 75397 NEUROLOGY 133636 3 PATIENT SERVICES 621110 7889431 7889431 PA OTHER SERVICES 621110 124 124 7889555 17077 17077 17077 17077 1678 -1678 -1678 -1678 7904954 7887877 17077 1032496 1032496 7278173 7278173 38109 38109 306304 306304 426407 426407 250000 250000 33514 33514 3681 3681 1149909 1149909 172995 172995 33848 33848 302831 302831 3170 3170 60906 60906 438294 438294 SUPPLIES 220058 220058 PUBLICATIONS/BOOKS 88207 88207 DUES AND FEES 74798 74798 PURCHASED SERVICES 58694 58694 54114 54114 12026508 11776508 250000 0 60019 26387 695296 711871 1907 4118 2622 50846 261273 215120 43125 46153 93050 51342 7250 903269 890717 590958 576914 259019 159065 849977 735979 X 53292 154738 53292 154738 903269 890717 -4121554 4223000 X false true X true false X 4841150 5504840 6476842 7731138 7889555 32443525 4841150 5504840 6476842 7731138 7889555 32443525 32443525 10590 7378 17077 35045 10590 7378 17077 35045 4841150 5504840 6487432 7738516 7906632 32478570 0.99890 0.99940 0.00000 X 261273 215120 46153 46153 PAYROLL AND WITHHOLDINGS PAYABLE 111057 LONG TERM BENEFITS - PIEPHOFF 44772 UNCLAIMED CHECKS 2731 DUE TO SAINT ANTHONY'S FOUNDATION 358 DUE TO SAINT ANTHONY'S FUND 147 159065 false false false false false false false true false DR JAMES PIEPHOFF DIRECTOR 551063 12863 141005 13266 22952 728286 12863 EVERT KUIPER PRESIDENT/CEO 414160 206319 23773 -3247 23073 664078 MICHAEL NELSON TREASURER 235407 40358 792 -27105 20715 270167 DR EDWARD BLAIR CHAIR 186796 2044 6919 15027 208742 2044 DR COLIN BUTTERFIELD DIRECTOR 185859 6588 16908 209355 DR MARK KLUCKA PHYSICIAN 651398 12864 6588 21059 691909 DR NAEEM ASLAM PHYSICIAN 490031 106419 36125 24921 657496 DR PAUL LOETHEN PHYSICIAN 384031 69412 6099 21252 480794 DR KEITH BONACQUISTI PHYSICIAN 392031 6245 22871 421147 DR KEVIN PALKA PHYSICIAN 383926 6069 17473 407468 MARK WEBER FORMER PRESIDENT/CEO 425000 20329 21845 467174 SCHEDULE J, PAGE 1, PART I, LINE 7 EVERT 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. OVERWATCH STRATEGIC SERVICES DIRECTOR-RELATE 82800 SEE STATEMENT false SCHEDULE L, PART V DR. 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. FORM 990, PAGE 6, PART VI, LINE 6 SAINT ANTHONY'S HEALTH SYSTEM IS THE SPONSORING ORGANIZATION AND ITS SOLE MEMBER. FORM 990, PAGE 6, PART VI, LINE 7A THE GOVERNING BODY ARE ELECTED/APPOINTED BY THE GOVERNING BODY OF SAINT ANTHONY'S HEALTH SYSTEM. FORM 990, PAGE 6, PART VI, LINE 7B THE 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 11B ANNUALLY 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 12C A 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 15A IN 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 15B THE 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 19 THESE DOCUMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9 CAPITAL CONTRIBUTIONS FROM SAHS 4,223,000 SAINT ANTHONY'S HEALTH SYSTEM 915 EAST FIFTH STREET ALTON IL 62002 371252623 SUPPORTING IL 501C3 11B NA false SAINT ANTHONY'S FOUNDATION 915 EAST FIFTH STREET ALTON IL 62002 371325398 SUPPORTING IL 501C3 11B 1 SAINT ANTHONY'S HEALTH SYSTEM false SAINT ANTHONY'S HEALTH CENTER 915 EAST FIFTH STREET ALTON IL 62002 370661234 HEALTH CAR IL 501C3 3 1 SAINT ANTHONY'S HEALTH SYSTEM false false false true false false false false false false false true true true true true true true false false