Saint Anthony's Health Center: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- Saint Anthony's Health Center (EIN 37-0661234)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-10-29
- IRS object ID
- 201423029349300852
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-10-29T13:10:54-05:00 | ReturnTs |
| Tax Period End | 2013-12-31 | 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 | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 370661234 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Saint Anthony's Health Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % MICHAEL L NELSON | InCareOfNm |
| Business Name Control | SAIN | BusinessNameControlTxt |
| Phone | 6184652571 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | One Saint Anthonys Way PO Box 3 | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | Alton | City |
| State | IL | State |
| ZIP Code | 620020340 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SR M MIKELA MEIDL | PersonNm |
| Person Title | PRESIDENT & CEO, SAHS | PersonTitleTxt |
| Phone | 6184652571 | PhoneNum |
| Signature | 2014-10-29 | 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 | 6184652571 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SR M MIKELA MEIDL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | SAINT ANTHONYS WAY PO BOX 340 | AddressLine1 |
| City | ALTON | City |
| State | IL | State |
| ZIP Code | 62002 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $83,548,241 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SAHC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1925 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 830 | TotalEmployeeCnt |
| Total Volunteers | 72 | TotalVolunteersCnt |
| Total Gross UBI | $892,549 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $35,207 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,797,240 | PYContributionsGrantsAmt |
| CY Contributions Grants | $669,404 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $84,292,027 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $79,337,812 | CYProgramServiceRevenueAmt |
| PY Investment Income | $234,973 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,932,133 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,636,771 | PYOtherRevenueAmt |
| CY Other Revenue | $1,385,964 | CYOtherRevenueAmt |
| PY Total Revenue | $88,961,011 | PYTotalRevenueAmt |
| CY Total Revenue | $83,325,313 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,679 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $6,200 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $36,471,272 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $34,416,015 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $46,612,719 | PYOtherExpensesAmt |
| CY Other Expenses | $43,099,707 | CYOtherExpensesAmt |
| PY Total Expenses | $83,086,670 | PYTotalExpensesAmt |
| CY Total Expenses | $77,521,922 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,874,341 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,803,391 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $59,833,151 | TotalAssetsBOYAmt |
| Total Assets EOY | $53,676,571 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $57,901,997 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $40,326,770 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,931,154 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $13,349,801 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SPONSORED BY THE SISTERS OF ST. FRANCIS OF THE MARTYR ST. GEORGE, SAINT ANTHONY'S HEALTH CENTER IS A TWO-CAMPUS SYSTEM WITH A MISSION OF MAKING CHRIST'S MERCIFUL LOVE VISIBLE BY PROVIDING QUALITY HEALTH CARE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $33,560,800 | ExpenseAmt |
| Grant | $6,200 | GrantAmt |
| Revenue | $36,837,551 | RevenueAmt |
| Desc | INPATIENT SERVICES: SAINT ANTHONY'S HEALTH CENTER IS A TWO-CAMPUS, 199-BED ACUTE CARE FACILITY LOCATED IN ALTON, ILLINOIS. COMPRISED OF THE SAINT ANTHONY'S HEALTH CENTER CAMPUS AND SAINT CLARE'S HOSPITAL, THE ORGANIZATION OFFERS THE LATEST IN TECHNOLOGY AND STATE-OF-THE-ART MEDICINE ADMINISTERED WITH COMPASSION AND SKILL. INPATIENT SERVICES BASED AT THE SAINT ANTHONY'S CAMPUS INCLUDE MEDICAL, SURGICAL, AND OBSTETRICS. WE PROVIDE ADDITIONAL SERVICES TO OUR INPATIENTS INCLUDING: PAIN MANAGEMENT, SURGICAL SERVICES, GASTROENTEROLOGY, LABORATORY SERVICES, CARDIOLOGY, STRESS LAB, DIAGNOSTIC RADIOLOGY SERVICES, CARDIOVASCULAR SERVICES, RADIATION THERAPY, ONCOLOGY SERVICES, PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND SPEECH THERAPY. INPATIENT SERVICES AT SAINT CLARE'S HOSPITAL INCLUDE REHABILITATION SERVICES AND A SKILLED NURSING FACILITY. SAINT ANTHONY'S HEALTH CENTER PROVIDES PRIVATE ROOMS TO THEIR INPATIENTS. DURING 2013, SAINT ANTHONY'S HEALTH CENTER HAD 4,010 ADMISSIONS, 20,395 PATIENT DAYS, 311 BIRTHS, AND 532 SURGERIES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $22,713,893 | ExpenseAmt |
| Revenue | $33,323,021 | RevenueAmt |
| Desc | OUTPATIENT SERVICES: SAINT ANTHONY'S HEALTH CENTER IS A TWO-CAMPUS, 199-BED ACUTE CARE FACILITY LOCATED IN ALTON, ILLINOIS. COMPRISED OF THE SAINT ANTHONY'S HEALTH CENTER CAMPUS AND SAINT CLARE'S HOSPITAL, THE ORGANIZATION OFFERS THE LATEST IN TECHNOLOGY AND STATE-OF-THE-ART MEDICINE ADMINISTERED WITH COMPASSION AND SKILL. OUTPATIENT SERVICES INCLUDE: CENTER FOR WOUND HEALING & HYPERBARIC MEDICINE, SURGICAL SERVICES, DIABETES SERVICES, HOME-HEALTH SERVICES, CANCER CENTER OF EXCELLENCE, RADIATION ONCOLOGY, CHEMOTHERAPY, ADULT DAY SERVICES PSYCHOLOGICAL SERVICES, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, GASTROENTEROLOGY, PAIN MANAGEMENT, CARDIOVASCULAR LAB, DIAGNOSTIC RADIOLOGY, SLEEP STUDIES AND RESPIRATORY CARE SERVICES. DURING 2013, WE PERFORMED 1,812 OUTPATIENT SURGERIES, 119,389 OUTPATIENT REGISTRATIONS, AND 20,749 HOME HEALTH VISITS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $8,051,110 | ExpenseAmt |
| Revenue | $9,177,240 | RevenueAmt |
| Desc | EMERGENCY SERVICES: SERVING THE COMMUNITY WITH ADVANCED TECHNOLOGY AND COMPASSIONATE CARE LOCATED ON THE CAMPUS OF SAINT ANTHONY'S HOSPITAL, OUR EMERGENCY DEPARTMENT USES THE LATEST TECHNOLOGY TO EVALUATE MINOR TO MORE SERIOUS, LIFE-THREATENING EMERGENCY NEEDS, WITH 24-HOUR AVAILABILITY OF OPERATING ROOMS, EQUIPMENT, DIAGNOSTIC SERVICES AND STAFFING. SAINT ANTHONY'S EMERGENCY DEPARTMENT USES A MULTI-LEVEL TRIAGE SYSTEM TO PRIORITIZE TRUE EMERGENCIES TO ENSURE IMMEDIATE CARE, FOR ENHANCED PATIENT FLOW, AND SHORTER PATIENT WAIT TIMES. WE OFFER QUALITY PATIENT CARE, BOARD CERTIFIED EMERGENCY ROOM PHYSICIANS, PHYSICIAN'S ASSISTANTS, NURSES, NURSE PRACTITIONERS, AND TECHNICIANS. SAINT ANTHONY'S IS ALSO A DESIGNATED EMERGENCY FACILITY APPROVED FOR PEDIATRICS BY THE STATE OF ILLINOIS PROVIDING SPECIALIZED EMERGENCY CARE FOR CHILDREN - DAY OR NIGHT. IN 2013 SAINT ANTHONY'S HEALTH CENTER WAS DESIGNATED AS A PRIMARY STROKE CENTER AND BECAME THE FIRST HOSPITAL IN ILLINOIS TO OFFER TELEMEDICINE FOR NEUROLOGIC EMERGENCIES. DURING 2013, WE HAD 22,418 VISITS TO OUR EMERGENCY ROOM. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $64,325,803 | 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 | Yes (true) | 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 | Yes (true) | 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 | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | 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 | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 90 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 830 | 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 | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | 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 | false | 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 | MICHAEL L NELSON | PersonNm |
| Phone | 6184635616 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 815 EAST FIFTH STREET SUITE 401 | AddressLine1 |
| City | ALTON | City |
| State | IL | State |
| ZIP Code | 62002 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| REP DANIEL V BEISER | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| SISTER M ANSELMA BELONGEA | |||||||||
| VP OF PROFESSIONAL SERVICES | 40.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| EDWARD BLAIR JR MD | |||||||||
| DIRECTOR | 1.0 | 40.0 | Yes (X) | $2,044 | $193,715 | $15,027 | |||
| DALE CHAPMAN | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| MOTHER M REGINA PACIS COURY | |||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| SISTER M KATERI HAWLEY | |||||||||
| VICE CHAIR - DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| A JESSE HOPKINS | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JAMES HUDSON MD | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| SISTER M AGNES LABBE | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| SISTER M MIKELA MEIDL | |||||||||
| CHAIR/VP MISSION STEWARDSHIP | 40.0 | 3.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| THOMAS MOORE | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| SISTER M STEPHANIE BELGERI | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| DONALD NORTON | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JOAN SHEPPARD | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JIM SHRADER | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| STEVEN ZENKER MD | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| EVERT J KUIPER | |||||||||
| PRESIDENT/CEO | 40.0 | 3.0 | Yes (X) | $644,252 | $0 | $19,826 | Yes (X) | ||
| SISTER M ANASTASIA MAHER | |||||||||
| SECRETARY | 40.0 | 3.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| SISTER M ALEXANDRA MORRISON | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JAMES PIEPHOFF MD | |||||||||
| DIRECTOR | 1.0 | 40.0 | Yes (X) | $12,863 | $705,334 | $22,952 | |||
| KENNETH SPELLS | |||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL L NELSON | |||||||||
| EVP/CFO | 40.0 | 1.0 | $276,557 | $0 | -$6,390 | Yes (X) | |||
| PATTI FISCHER | |||||||||
| VP OF PHYSICIAN SERVICES | 13.0 | 27.0 | $161,576 | $0 | -$12,553 | Yes (X) | |||
| DENISE BOETTGER | |||||||||
| AVP, PATIENT CARE SERVICES | 40.0 | 0.0 | $115,814 | $0 | -$63 | Yes (X) | |||
| MARY WENDLE | |||||||||
| PHARMACY DIRECTOR | 40.0 | 0.0 | $117,783 | $0 | -$11,942 | Yes (X) | |||
| DIANE SCHUETTE | |||||||||
| AVP, MARKETING & DEVELOPMENT | 30.0 | 10.0 | $116,221 | $0 | -$15,954 | Yes (X) | |||
| JOHN PEIPERT | |||||||||
| DIRECTOR OF EMERGENCY SERVICES | 40.0 | 0.0 | $123,006 | $0 | $14,049 | Yes (X) | |||
| MARK WEBER | |||||||||
| FORMER PRESIDENT/CEO | 0.0 | 0.0 | $445,329 | $0 | $21,845 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,015,445 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $899,049 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $46,797 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 13 | 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 |
|---|---|---|---|---|---|
| CONIFER HEALTH SOLUTIONS | |||||
| 1500 S DOUGLASS RD | ANAHEIM | CA | 92806 | BILLING SERVICES | $1,525,597 |
| CROTHALL HEALTHCARE | |||||
| 13028 COLLECTIONS CENTER DR | CHICAGO | IL | 60693 | EVS/ENG/BIOMED SRVS | $3,049,037 |
| SISTERS OF STFRANCIS OF THE MARTYR | |||||
| 1 FRANSCISCAN WAY PO BOX 9020 | ALTON | IL | 62002 | ADMIN&NURSING SRVCS | $871,676 |
| ACROPOLIS TECHNOLOGY GROUP INC | |||||
| 300 HUNTER AVE SUITE 103 | CLAYTON | MO | 63124 | IT SERVICES | $578,721 |
| UMR | |||||
| PO BOX 88822 | MILWAUKEE | WI | 53288 | ADMINISTER HEALTH PL | $689,240 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 24 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $236,280 | RelatedOrganizationsAmt |
| Government Grants | $144,313 | GovernmentGrantsAmt |
| All Other Contributions | $288,811 | AllOtherContributionsAmt |
| Noncash Contributions | $42,905 | NoncashContributionsAmt |
| Total Contributions | $669,404 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 621110 | $77,247,159 | $77,247,159 |
| EHR INCENTIVE PAYMENT | 621110 | $2,090,653 | $2,090,653 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $79,337,812 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $355,127 | TotalRevenueColumnAmt |
| Exclusion | $355,127 | 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 | $8,303 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $8,303 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,303 | TotalRevenueColumnAmt |
| Exclusion | $8,303 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $194,351 | SecuritiesAmt |
| Other | $1,605,583 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $222,928 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $194,351 | SecuritiesAmt |
| Other | $1,382,655 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,577,006 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $200,717 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,376,289 | 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 |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| CAFETERIA SALES | 722514 | $426,130 | $426,130 | |
| MANAGEMENT FEE | 561000 | $250,000 | $250,000 | |
| NON-PATIENT DME SALES | 453000 | $691,832 | $691,832 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,699 | TotalRevenueColumnAmt |
| Exclusion | $9,699 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,377,661 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $83,325,313 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $79,337,812 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $892,549 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,425,548 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,200 | TotalAmt |
| Program Services | $6,200 | 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 | $1,419,826 | TotalAmt |
| Management And General | $1,419,826 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,831 | TotalAmt |
| Program Services | $59,831 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,148,227 | TotalAmt |
| Program Services | $24,277,732 | ProgramServicesAmt |
| Management And General | $2,870,495 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,035,322 | TotalAmt |
| Program Services | $928,135 | ProgramServicesAmt |
| Management And General | $107,187 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,642,330 | TotalAmt |
| Program Services | $2,368,769 | ProgramServicesAmt |
| Management And General | $273,561 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,110,479 | TotalAmt |
| Program Services | $1,794,192 | ProgramServicesAmt |
| Management And General | $316,287 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,720 | TotalAmt |
| Management And General | $125,720 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $628,648 | TotalAmt |
| Management And General | $628,648 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,220 | TotalAmt |
| Management And General | $110,220 | 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 | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,964,857 | TotalAmt |
| Program Services | $7,672,975 | ProgramServicesAmt |
| Management And General | $2,291,882 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $768,964 | TotalAmt |
| Management And General | $768,964 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,469,195 | TotalAmt |
| Program Services | $14,979,891 | ProgramServicesAmt |
| Management And General | $489,304 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,566,427 | TotalAmt |
| Program Services | $313,218 | ProgramServicesAmt |
| Management And General | $1,253,209 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,442,489 | TotalAmt |
| Program Services | $1,405,739 | ProgramServicesAmt |
| Management And General | $36,750 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $189,468 | TotalAmt |
| Program Services | $144,801 | ProgramServicesAmt |
| Management And General | $44,667 | 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 | $33,506 | TotalAmt |
| Program Services | $757 | ProgramServicesAmt |
| Management And General | $32,749 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $655,895 | TotalAmt |
| Program Services | $655,895 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,808,747 | TotalAmt |
| Program Services | $3,285,362 | ProgramServicesAmt |
| Management And General | $523,385 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,501,408 | TotalAmt |
| Management And General | $1,501,408 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DPA PROVIDER TAX | $5,256,190 | $5,256,190 | |
| BAD DEBT EXPENSE | $976,222 | $976,222 | |
| DUES & SUBSCRIPTIONS | $392,850 | $47,123 | $345,727 |
| MINOR EQUIPMENT | $123,251 | $67,121 | $56,130 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,650 | TotalAmt |
| Program Services | $85,650 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,521,922 | TotalAmt |
| Program Services | $64,325,803 | ProgramServicesAmt |
| Management And General | $13,196,119 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,751 | BOYAmt |
| EOY | $3,378 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,114,943 | BOYAmt |
| EOY | $7,163,075 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,120,668 | BOYAmt |
| EOY | $9,709,428 | 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 | $3,466,352 | BOYAmt |
| EOY | $3,499,969 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,697,388 | BOYAmt |
| EOY | $1,802,080 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $927,024 | BOYAmt |
| EOY | $417,002 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $104,023,125 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $79,110,427 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,374,429 | BOYAmt |
| EOY | $24,912,698 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,300,719 | BOYAmt |
| EOY | $4,138,973 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,492,231 | BOYAmt |
| EOY | $1,492,197 | 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 | $335,646 | BOYAmt |
| EOY | $537,771 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,833,151 | BOYAmt |
| EOY | $53,676,571 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,654,306 | BOYAmt |
| EOY | $7,685,935 | 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 | $10,645,962 | BOYAmt |
| EOY | $6,222,379 | 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 | $2,980,322 | BOYAmt |
| EOY | $2,122,459 | 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 | $35,621,407 | BOYAmt |
| EOY | $24,295,997 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,901,997 | BOYAmt |
| EOY | $40,326,770 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $618,985 | BOYAmt |
| EOY | $12,023,592 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,312,169 | BOYAmt |
| EOY | $1,326,209 | 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 | $1,931,154 | BOYAmt |
| EOY | $13,349,801 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,833,151 | BOYAmt |
| EOY | $53,676,571 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $5,803,391 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $326,886 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $5,288,370 | 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) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| 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 | Yes (true) | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (true) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $41,516 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $12,380 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Total Lobbying Expenditures | $53,896 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE G | FormAndLineReferenceDesc |
| Explanation | THE AMOUNT REPORTED FOR LOBBYING EXPENSES ON LINE 1F IS ATTRIBUTABLE TO A PORTION OF MEMBERSHIP DUES PAID TO ORGANIZATIONS FOR LOBBYING EXPENSES. THE AMOUNT REPORTED ON LINE 1G IS ATTRIBUTABLE TO DIRECT MEETINGS WITH SENATORS AND CONGRESSMEN IN THEIR OFFICES. | 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 | $1,312,169 | BeginningYearBalanceAmt |
| Contributions | $669,404 | ContributionsAmt |
| Investment Earnings Or Losses | $79,037 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $734,401 | OtherExpendituresAmt |
| End Year Balance | $1,326,209 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,735,465 | BeginningYearBalanceAmt |
| Contributions | $3,199,311 | ContributionsAmt |
| Investment Earnings Or Losses | $96,972 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $4,719,579 | OtherExpendituresAmt |
| End Year Balance | $1,312,169 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,899,164 | BeginningYearBalanceAmt |
| Contributions | $1,290,200 | ContributionsAmt |
| Investment Earnings Or Losses | -$9,337 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $1,444,562 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $2,735,465 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,679,513 | BeginningYearBalanceAmt |
| Contributions | $291,592 | ContributionsAmt |
| Investment Earnings Or Losses | $45,651 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $117,592 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $2,899,164 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,642,125 | BeginningYearBalanceAmt |
| Contributions | $113,220 | ContributionsAmt |
| Investment Earnings Or Losses | $92,664 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $168,496 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $2,679,513 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.95000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.05000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (true) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,883,217 | OtherCostOrOtherBasisAmt |
| Book Value | $3,883,217 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $48,886,695 | OtherCostOrOtherBasisAmt |
| Depreciation | $41,766,829 | DepreciationAmt |
| Book Value | $7,119,866 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $40,088,952 | OtherCostOrOtherBasisAmt |
| Depreciation | $31,183,606 | DepreciationAmt |
| Book Value | $8,905,346 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,164,261 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,159,992 | DepreciationAmt |
| Book Value | $5,004,269 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $24,912,698 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| THIRD PARTY SETTLEMENTS | $3,069,610 |
| PENSION LIABILITY | $20,163,052 |
| ASSET RETIREMENT OBLIGATION | $1,063,335 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $24,295,997 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $82,623,515 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $326,886 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $624,188 | OtherRevenueAmt |
| Revenue Not Reported | $951,074 | RevenueNotReportedAmt |
| Revenue Subtotal | $81,672,441 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $117,445 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $1,535,427 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $1,652,872 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $83,325,313 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $76,428,254 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $1,723 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $1,723 | ExpensesNotReportedAmt |
| Expenses Subtotal | $76,426,531 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $117,445 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $977,946 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,095,391 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $77,521,922 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| INTENDED USES OF ENDOWMENT FUNDS | PART V, LINE 4 THESE FUNDS ARE TO BE USED FOR FUTURE CAPITAL IMPROVEMENTS AND OPERATING EXPENSES. |
| FIN 48 | PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| OTHER REVENUE ON BOOKS BUT NOT ON RETURN | PART XI, LINE 2D LOSS FROM SALE OF ASSETS 1,710 NET ASSETS RELEASED FROM RESTRICTION 622,478 -------- $624,188 |
| OTHER REVENUE ON RETURN BUT NOT ON BOOKS | PART XI, LINE 4B RESTRICTED CONTRIBUTION REVENUE 557,481 BAD DEBT EXPENSE 976,222 OTHER ADJUSTMENT 1,724 ---------- $1,535,427 |
| OTHER EXPENSES ON BOOKS BUT NOT ON RETURN | PART XII, LINE 2D LOSS FROM SALE OF ASSETS 1,710 ROUNDING 13 ------ $1,723 |
| OTHER EXPENSES ON RETURN BUT NOT ON BOOKS | PART XII, LINE 4B BAD DEBT EXPENSE 976,222 OTHER ADJUSTMENT 1,724 -------- $977,946 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 600. | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | false | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,262,808 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,262,808 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04260 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,496,300 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,873,742 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $622,558 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00810 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,759,108 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,873,742 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,885,366 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05070 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $477,892 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,535 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $461,357 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00600 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $973,496 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $973,496 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01270 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,943,432 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,605,835 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,337,597 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $119,519 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $119,519 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,514,339 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,622,370 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,891,969 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02070 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,273,447 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,496,112 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,777,335 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07140 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $184,799 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $3,696 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $32,564,345 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $29,570,946 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $2,993,399 | 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 |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | OtherOtherDesc |
|---|---|---|---|---|---|---|---|---|---|---|
| SAINT ANTHONY'S HEALTH CENTER | ||||||||||
| 1 | ONE SAINT ANTHONYS WAY | ALTON | IL | 62002 | WWW.SAHC.ORG | 2287 | Yes (X) | Yes (X) | Yes (X) | |
| SAINT CLARE'S HOSPITAL | ||||||||||
| 2 | 915 EAST 5TH STREET | ALTON | IL | 62002 | WWW.SAHC.ORG | 4218 | Yes (X) | ACUTE INPATIENT PHYSICAL REHABILITATION | ||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| FacilityFacilityNum | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Information GapsInformationGapsInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Rpt Available Upon RequestRptAvailableUponRequestInd | Adopt Implementation StrategyAdoptImplementationStrategyInd | Exec Implementation StrategyExecImplementationStrategyInd | Develop Community Wide PlanDevelopCommunityWidePlanInd | Exec Community Wide PlanExecCommunityWidePlanInd | Include Operational PlanIncludeOperationalPlanInd | Adopt BudgetAdoptBudgetInd | Prioritize Health NeedsPrioritizeHealthNeedsInd | Prioritize ServicesPrioritizeServicesInd | All Needs AddressedAllNeedsAddressedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareInd | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Explained BasisExplainedBasisInd | Income LevelIncomeLevelInd | Asset LevelAssetLevelInd | Medical IndigencyMedicalIndigencyInd | Insurance StatusInsuranceStatusInd | Uninsured DiscountUninsuredDiscountInd | Medicaid MedicareMedicaidMedicareInd | State RegulationStateRegulationInd | ResidencyResidencyInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Collection ActivitiesCollectionActivitiesInd | FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd | FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Other Method UsedOtherMethodUsedInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SAINT ANTHONY'S HEALTH CENTER | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (true) | Yes (true) | Yes (true) | Yes (X) | SEE PART V, SECTION C | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | false | false | Yes (true) | Yes (true) | 200. | Yes (true) | 600. | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (true) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false |
| SAINT CLARE'S HOSPITAL | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (true) | Yes (true) | Yes (true) | Yes (X) | SEE PART V, SECTION C | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | false | false | Yes (true) | Yes (true) | 200. | Yes (true) | 600. | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (true) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PERSONS WHO REPRESENT THE COMMUNITY | PART V, SECTION B, LINE 3 FACILITY 1 & 2 KEY STAKEHOLDERS WHO WOULD HAVE SPECIFIC INSIGHTS INTO THE HEALTHCARE NEEDS OF THE AREA WERE INVITED TO PARTICIPATE IN THE CHNA, REPRESENTING ETHNIC AND PATIENT-TYPE GROUPS. |
| CHNA CONDUCTED WITH ONE OR MORE HOSPITALS | PART V, SECTION B, LINE 4 FACILITY 1 & 2 THE CHNA WAS CONDUCTED BY SAINT ANTHONY'S HEALTH CENTER, SAINT CLARE'S HOSPITAL AND ALTON MEMORIAL HOSPITAL. |
| CHNA WEB ADDRESS | PART V, SECTION B, LINE 5A FACILITY 1 HTTP://WWW.SAHC.ORG/UPLOADEDFILES/COMMUNITYHEALTHNEEDSASSESSMENT-SAHC.PDF THE IMPLEMENTATION STRATEGY HAS BEEN INCLUDED WITH THE CHNA. FACILITY 2 HTTP://WWW.SAHC.ORG/UPLOADEDFILES/COMMUNITYHEALTHNEEDSASSESSMENT-SCH.PDF THE IMPLEMENTATION STRATEGY HAS BEEN INCLUDED WITH THE CHNA. |
| NEEDS NOT IDENTIFIED IN CHNA | PART V, SECTION B, LINE 7 FACILITY 1 & 2 DENTAL CARE WAS NOT ADDRESSED AS OUR CARE MANAGEMENT TEAM REFERS PATIENTS NEEDING DENTAL CARE TO THE SIU SCHOOL OF DENTAL MEDICINE AND AREA DENTISTS. THE DENTAL SCHOOL IS A MEDICAID PROVIDER. REPRODUCTIVE HEALTH - FOR PERSONAL HEALTH ISSUES, MADISON COUNTY HEALTH DEPARTMENT OFFERS CLINICS FOR SEXUALLY TRANSMITTED DISEASES. |
| MEASURES TO PUBLICIZE FINANCIAL ASSISTANCE POLICY WITHIN THE COMMUNITY | PART V, SECTION B, LINE 14G FACILITY 1 & 2 THE ACTUAL POLICY IS NOT PROVIDED TO THE PUBLIC BUT A SUMMARY IS AVAILABLE ON OUR WEBSITE. WE HAVE SIGNS IN VARIOUS LOCATIONS THROUGHOUT OUR FACILITIES INDICATING FINANCIAL ASSISTANCE IS AVAILABLE. WE HAVE ALSO INCLUDED A STATEMENT ON OUR PATIENT BILLS STATING THAT FINANCIAL ASSISTANCE IS AVAILABLE. |
| MAXIMUM AMOUNT CHARGED TO FAP-ELIGIBLE INDIVIDUALS | PART V, SECTION B, LINE 20D FACILITY 1 & 2 WE BILL EVERYONE A STANDARD CHARGE PER CMS REQUIREMENTS. ALL UNINSURED RECEIVE AT LEAST A 25% DISCOUNT OFF CHARGES. THOSE AT OR BELOW 600% OF FPG RECEIVE A DISCOUNT OF 75% TO 100%. SAINT ANTHONY'S HEALTH CENTER AND SAINT CLARE'S HOSPITAL ARE IN COMPLIANCE WITH THE STATE OF ILLINOIS LAW THAT INDIGENT AND UNINSURED WILL NOT BE EXPECTED TO PAY MORE THAN 135% OF COST. |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| COSTING METHODOLOGY | PART I, LINE 7 THE ORGANIZATION USES THE COST TO CHARGE RATIO FROM WORKSHEET C OF THEIR MEDICARE COST REPORT AS THEIR COSTING METHODOLOGY FOR THE AMOUNTS IN THE TABLE ON PART I, LINE 7. PART I, LINE 7, COLUMN F: THE ORGANIZATION HAD BAD DEBT EXPENSE IN THE AMOUNT OF $976,222 REPORTED ON PART IX, LINE 24 OF THE FORM 990; HOWEVER, IT HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN PART I, LINE 7, COLUMN F. |
| BAD DEBT EXPENSE | PART III, LINE 4A ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HEALTH CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HEALTH CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HEALTH CENTER RECORDS A SIGNIFICANT ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE PROVISION FOR DOUBTFUL ACCOUNTS. |
| BAD DEBT METHODOLOGY | PART III, LINES 2 & 3 THE AMOUNT ON LINE 2 WAS DETERMINED USING THE COST TO CHARGE RATIO FROM WORKSHEET C OF THE MEDICARE COST REPORT AS APPLIED TO THE TOTAL BAD DEBT EXPENSE TO CALCULATE THE COST OF UNCOLLECTIBLE ACCOUNTS. WE DO NOT INCLUDE ANY BAD DEBT IN OUR COMMUNITY BENEFIT. SAINT ANTHONY'S HEALTH CENTER HAS A PRESUMPTIVE CHARITY POLICY TO DETERMINE IF PATIENTS WHO DID NOT OR COULD NOT COMPLETE CHARITY APPLICATION QUALIFIED UNDER SAINT ANTHONY'S HEALTH CENTER'S FINANCIAL ASSISTANCE PROGRAM. A TOOL THROUGH SEARCH AMERICA WAS USED TO DETERMINE ELIGIBILITY. |
| MEDICARE | PART III, LINE 8 THE COST ON LINE 6 IS FROM THE FILED 12/31/2013 MEDICARE COST REPORT. WE DO NOT INCLUDE THE COST OF MEDICARE IN OUR COMMUNITY BENEFIT REPORT. |
| COLLECTION PRACTICES | PART III, LINE 9B IF THERE IS A BALANCE LEFT AFTER CHARITY CARE HAS BEEN APPLIED OR FINANCIAL ASSISTANCE APPROVED, THEN PAYMENT ARRANGEMENTS ARE MUTUALLY AGREED UPON BY BOTH THE APPLICANT AND SAINT ANTHONY'S HEALTH CENTER. |
| NEEDS ASSESSMENT | PART VI, LINE 2 SAINT ANTHONY'S HEALTH CENTER MAINTAINS ONGOING DIALOGUE WITH KEY MEMBERS OF THE COMMUNITY SUCH AS HEADS OF VARIOUS COMMUNITY ORGANIZATIONS, CHARITY ORGANIZATIONS, AND EDUCATIONAL INSTITUTIONS. THE DIALOGUE AND RELATIONSHIPS WITH THESE COMMUNITY MEMBERS ASSIST US IN UNDERSTANDING THE HEALTH NEEDS OF OUR COMMUNITY, AND HOW WE CAN BEST POSITION OURSELVES TO SUPPORT THE NEEDS OF THE COMMUNITY. WE HAVE, PERIODICALLY, COMPLETED FOCUS GROUPS WITH MEMBERS OF THE COMMUNITY TO ASCERTAIN THEIR VISION OF WHAT IS NEEDED FROM A HEALTH CARE PERSPECTIVE. WE ALSO SEEK TO UNDERSTAND THE DEMOGRAPHICS OF OUR SERVICE AREA, AS THAT OFTEN HELPS US ZERO IN ON THE PARTICULAR HEALTH NEEDS OF THE COMMUNITY. |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | PART VI, LINE 3 DOCUMENTATION IS PROVIDED AT THE TIME OF REGISTRATION INFORMING PATIENTS THAT THERE IS FINANCIAL ASSISTANCE AVAILABLE. THE DOCUMENTATION PROVIDES NAMES AND PHONE NUMBERS OF OUR FINANCIAL COUNSELORS. WHEN NOTIFIED BY A PATIENT, OUR FINANCIAL COUNSELORS WORK INDIVIDUALLY WITH EACH APPLICANT SCREENING THEM FOR THEIR ELIGIBILITY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. |
| COMMUNITY INFORMATION | PART VI, LINE 4 THE CITY OF ALTON, IL, LOCATED 15 MILES NORTH OF ST. LOUIS, MO, PLUS THE SURROUNDING CITIES AND TOWNSHIPS OF GODFREY, EAST ALTON, WOOD RIVER, BETHALTO, JERSEYVILLE, BRIGHTON, AND COTTAGE HILLS COMPRISE OUR PRIMARY SERVICE AREA (PSA). |
| PROMOTION OF COMMUNITY HEALTH | PART VI, LINE 5 SAINT ANTHONY'S HEALTH CENTER MAINTAINS AN OPEN MEDICAL STAFF. WE INCLUDE NUMEROUS COMMUNITY MEMBERS ON OUR GOVERNING BOARD AND SAINT ANTHONY'S FOUNDATION BOARD. THE HOSPITAL OPERATES AT LOW PROFIT MARGINS AND AT LOW CASH LEVELS, RETURNING SURPLUSES TO ENHANCE THE MISSION OF OUR FACILITIES. |
| AFFILIATED HEALTH CARE SYSTEM | PART VI, LINE 6 SAINT ANTHONY'S HEALTH SYSTEM CONSISTS OF SAINT ANTHONY'S HEALTH CENTER AND SAINT ANTHONY'S PHYSICIAN GROUP. SAINT ANTHONY'S PHYSICIAN GROUP IS INSTRUMENTAL IN FULFILLING THE HEALTH NEEDS OF THE COMMUNITY THROUGH ITS PHYSICIAN PROVIDERS. TO MEET THE NEEDS OF OUR COMMUNITIES, SAINT ANTHONY'S PHYSICIAN GROUP HAS CONTINUED RECRUITING PHYSICIANS WE HAVE NEW PHYSICIANS STARTING IN 2013 PROVIDING SERVICES IN MEDICAL ONCOLOGY/HEMATOLOGY, NEUROLOGY, AND SURGERY. WHERE SAINT ANTHONY'S PHYSICIAN GROUP OFFERS THE PHYSICIAN SERVICES TO OUR POPULATION, THE HEALTH CENTER PROVIDES A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES TO FULFILL THE NEEDS IDENTIFIED BY THE PHYSICIANS. DIALOGUE WITH OUR MEDICAL STAFF IS AN IMPORTANT MEANS OF UNDERSTANDING THE NEEDS OF OUR POPULATION, AS WELL. |
| STATE FILING OF COMMUNITY BENEFIT REPORT | PART VI, LINE 7 IL, |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PROCEDURES FOR MONITORING GRANT FUNDS | FormAndLineReferenceDesc |
| Explanation | PART I, LINE 2 TRADITIONALLY, SAINT ANTHONY'S HEALTH CENTER DOES NOT OFFER GRANTS OR ASSISTANCE. ALL DONATIONS WERE MADE TO PRE-SELECTED, REPUTABLE, PUBLICLY SUPPORTED CHARITABLE ORGANIZATIONS. DURING 2013, NO RECIPIENT RECEIVED MORE THAN $5,000. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| 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 |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | 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 | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EDWARD BLAIR JR MD | ||||||||||||||
| DIRECTOR | $2,044 | $186,796 | $0 | $0 | $0 | $6,919 | $0 | $0 | $0 | $15,027 | $2,044 | $208,742 | $0 | $0 |
| MARK WEBER | ||||||||||||||
| FORMER PRESIDENT/CEO | $425,000 | $0 | $0 | $0 | $20,329 | $0 | $0 | $0 | $21,845 | $0 | $467,174 | $0 | $0 | $0 |
| EVERT J KUIPER | ||||||||||||||
| PRESIDENT/CEO | $414,160 | $0 | $206,319 | $0 | $23,773 | $0 | -$3,247 | $0 | $23,073 | $0 | $664,078 | $0 | $0 | $0 |
| MICHAEL L NELSON | ||||||||||||||
| EVP/CFO | $235,407 | $0 | $40,358 | $0 | $792 | $0 | -$27,105 | $0 | $20,715 | $0 | $270,167 | $0 | $0 | $0 |
| JAMES PIEPHOFF MD | ||||||||||||||
| DIRECTOR | $12,863 | $551,063 | $0 | $141,005 | $0 | $13,266 | $0 | $0 | $0 | $22,952 | $12,863 | $728,286 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| DESCRIPTION OF ADDITIONAL BENEFITS PROVIDED | PART I, LINE 1A EVERT KUIPER RECEIVED TAX GROSS-UP PAYMENTS IN THE AMOUNT OF $9,478.49, WHICH WERE INCLUDED IN HIS TAXABLE COMPENSATION. THERE WERE NO CLUB DUES IN 2013. |
| NON-FIXED PAYMENTS | 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 $40,357.87 BASED ON QUALITY MEASURES, FINANCIAL METRICS, AND PATIENT SATISFACTION SCORES. PATRICIA FISCHER EARNED BONUSES TOTALING $22,301.54 BASED ON CEO DISCRETION AND FINANCIAL METRICS. |
| RETIREMENT AND OTHER DEFERRED COMPENSATION | PART II, COLUMN C CERTAIN RETIREMENT AND OTHER DEFERRED COMPENSATION AMOUNTS IN COLUMN F ARE NEGATIVE DUE TO THE DECREASE IN ACTUARIAL VALUE OF DEFINED BENEFIT PLAN ACCRUALS. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| ILLINOIS FINANCE AUTHORITY | |||||||
| A | 861091967 | 2004-11-30 | $4,975,000 | Construction & Equipment Purchase | false | false | false |
| ILLINOIS FINANCE AUTHORITY | |||||||
| B | 861091967 | 2010-03-18 | $10,000,000 | Construction & Equipment Purchase | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $0 | $0 | $4,975,000 | $0 | $0 | $0 | $0 | $0 | $0 | $4,975,000 | $0 | $0 | 2007 | false | false | Yes (true) | Yes (true) |
| B | $0 | $0 | $10,001,152 | $0 | $0 | $0 | $101,424 | $0 | $0 | $9,899,728 | $0 | $0 | 2012 | false | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropPct | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | 0.00000 | 0.00000 | 0.00000 | false | false | 0.00000 | false | Yes (true) |
| B | false | false | false | false | 0.00000 | 0.00000 | 0.00000 | false | false | 0.00000 | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Exception To RebateExceptionToRebateInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1 | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|
| 0 | ||||||||
| A | false | false | false | false | false | 0 | false | false |
| 0 | ||||||||
| B | false | false | false | false | false | 0 | false | false |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | false |
| B | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | TOTAL PROCEEDS OF ISSUE | FormAndLineReferenceDesc |
| Explanation | PART II, LINE 3, COLUMN B, INCLUDES $1,132 OF INTEREST EARNINGS IN THE ESCROW ACCOUNT. THE AMOUNT ATTRIBUTABLE TO 2013 IS $20. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TERESA BEISER | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SPOUSE IS DIRECTOR | RelationshipDescriptionTxt |
| Transaction | $59,831 | TransactionAmt |
| Transaction | EMPLOYEE COMPENSATION | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArtGrp | |
| Art Historical Treasures | ArtHistoricalTreasuresGrp | |
| Art Fractional Interest | ArtFractionalInterestGrp | |
| Books And Publications | BooksAndPublicationsGrp | |
| Clothing And Household Goods | ClothingAndHouseholdGoodsGrp | |
| Cars And Other Vehicles | CarsAndOtherVehiclesGrp | |
| Boats And Planes | BoatsAndPlanesGrp | |
| Intellectual Property | IntellectualPropertyGrp | |
| Securities Publicly Traded | SecuritiesPubliclyTradedGrp | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStockGrp | |
| Secur Prtnrshp Trust Intrsts | SecurPrtnrshpTrustIntrstsGrp | |
| Securities Miscellaneous | SecuritiesMiscellaneousGrp | |
| Qualified Contrib Hist Struct | QualifiedContribHistStructGrp | |
| Qualified Contrib Other | QualifiedContribOtherGrp | |
| Real Estate Residential | RealEstateResidentialGrp | |
| Real Estate Commercial | RealEstateCommercialGrp | |
| Real Estate Other | RealEstateOtherGrp | |
| Collectibles | CollectiblesGrp | |
| Food Inventory | FoodInventoryGrp | |
| Drugs And Medical Supplies | DrugsAndMedicalSuppliesGrp | |
| Taxidermy | TaxidermyGrp | |
| Historical Artifacts | HistoricalArtifactsGrp | |
| Scientific Specimens | ScientificSpecimensGrp | |
| Archaeological Artifacts | ArchaeologicalArtifactsGrp |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | BEDS | Desc |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $42,905 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | NUMBER OF CONTRIBUTIONS | FormAndLineReferenceDesc |
| Explanation | PART I, LINE 25 THE NUMBER LISTED IN PART I, COLUMN (B), IS THE NUMBER OF CONTRIBUTIONS RECEIVED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ORGANIZATION'S MISSION | PART I, LINE I SPONSORED BY THE SISTERS OF ST. FRANCIS OF THE MARTYR ST. GEORGE, SAINT ANTHONYS HEALTH CENTER IS A TWO-CAMPUS SYSTEM WITH A MISSION OF MAKING CHRISTS MERCIFUL LOVE VISIBLE BY PROVIDING QUALITY HEALTH CARE DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS PART VI, LINE 6 SAINT ANTHONY'S HEALTH CENTER HAS ONE MEMBER, DESIGNATED AS THE CORPORATE MEMBER, WHICH SHALL BE SAINT ANTHONY'S HEALTH SYSTEM, AN ILLINOIS NOT-FOR-PROFIT CORPORATION. SAINT ANTHONY'S HEALTH SYSTEM SHALL ACT IN STEWARDSHIP CAPACITY AND ENSURE THAT ALL ACTIONS OF SAINT ANTHONY'S HEALTH CENTER ARE CONSISTENT WITH THE PURPOSES, AND ETHICAL AND RELIGIOUS PRINCIPLES IN FURTHERANCE OF THEIR CHARITABLE APOSTOLATE OF QUALITY HEALTH CARE. |
| APPROVAL AND VOTING RIGHTS OF MEMBERS OR STOCKHOLDERS | PART VI, LINE 7A & 7B SAINT ANTHONY'S HEALTH SYSTEM HAS THE EXCLUSIVE POWER TO APPOINT AND REMOVE THE DIRECTORS AND THE PRESIDENT/CEO, ADOPT, AMEND, RESTATE AND REPEAL THE ARTICLES OF INCORPORATION AND THE BYLAWS, ADOPT ANY PLAN OF MERGER, CONSOLIDATION, OR DISSOLUTION, ADOPT STATEMENT OF PHILOSOPHY, MISSION, AND APOSTOLATE, ESTABLISH A CORPORATE LIMIT FOR EXPENDITURES, AND APPROVE THE MISSION STATEMENT, STRATEGIC PLAN, AND ANNUAL OPERATING BUDGET. SAINT ANTHONY'S HEALTH SYSTEM MUST APPROVE PURCHASES, SALES, TRANSFERS, LEASES OR ENCUMBRANCES OF REAL PROPERTY OR OF SUBSTANTIALLY ALL OF THE PERSONAL PROPERTY, BORROWING WHICH IS IN EXCESS OF THE CORPORATE LIMIT AS DETERMINED FROM TIME TO TIME BY SAINT ANTHONY'S HEALTH SYSTEM, THE EXECUTION OF ANY DEEDS, MORTGAGES, OR BONDS, ANY TRANSACTION WHICH INVOLVES AN ALIENATION OF PROPERTY OR OTHER ACT OF EXTRAORDINARY ADMINISTRATION, AND EXTRAORDINARY MEDICAL/MORAL ISSUES AND ANY MATTER CHALLENGING THE CATHOLICITY OF SAINT ANTHONY'S HEALTH CENTER. |
| PROCESS TO REVIEW FORM 990 | PART VI, LINE 11B SAINT ANTHONY'S HEALTH CENTER USES AN OUTSIDE PREPARER TO PREPARE ITS FORM 990 AND 990-T. ONCE COMPLETED, THE RETURNS ARE REVIEWED INTERNALLY BY THE PRESIDENT/CEO, EVP/CFO AND THE CONTROLLER BEFORE FILING. ANNUALLY, THE RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, FORM 990, AND THE EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN, FORM 990-T, 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 FOR SAINT ANTHONY'S HEALTH CENTER, SAINT ANTHONY'S PHYSICIAN GROUP, AND SAINT ANTHONY'S FOUNDATION. WRITTEN NOTIFICATION WILL BE SENT TO EACH OF THE GOVERNING BOARDS' MEMBERS OF SAINT ANTHONY'S HEALTH CENTER, SAINT ANTHONY'S PHYSICIAN GROUP, AND SAINT ANTHONY'S FOUNDATION ADVISING THEM THAT THE RETURNS HAVE BEEN FILED AND TO CONTACT MICHAEL NELSON AT (618) 463-5616 IF THEY WOULD LIKE TO REVIEW THEIR RESPECTIVE RETURN. |
| COMPLIANCE WITH CONFLICT OF INTEREST POLICY | PART VI, LINE 12C A CONFLICT OF INTEREST DISCLOSURE STATEMENT MUST BE COMPLETED ANNUALLY BY: ALL BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS, BOARD DESIGNEES, SENIOR MANAGEMENT, DIRECTORS, MANAGERS, EMPLOYED PHYSICIANS, MEMBERS OF ANY COMMITTEE THAT OVERSEES THE APPROVAL OF PHARMACEUTICAL AND MEDICAL DEVICES, AND ANY OTHER INDIVIDUAL WHO HOLDS A POSITION OF TRUST; AND NON-EMPLOYED MEMBERS OF THE MEDICAL STAFF WHO ALSO EITHER: HOLDS PAID OR UNPAID MEDICAL ADMINISTRATIVE POSITIONS OR HAVE PROCUREMENT RESPONSIBILITY OR THE AUTHORITY EFFECTIVELY TO RECOMMEND SUCH PROCUREMENT. THE STATEMENTS ARE REVIEWED ANNUALLY BY THE PRESIDENT/CEO AND THE BOARD SECRETARY. ANY MEMBER OF A BOARD INCLUDING PHYSICIANS SHALL REFRAIN FROM VOTING ON ANY POTENTIAL CONFLICTS. |
| PROCESS FOR DETERMINING COMPENSATION | 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. 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. 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 2013. THE 2010 DATA WAS ADJUSTED BY AN AGING FACTOR AND CHANGES IN THE MARKET TO CREATE THE 2013 COMPENSATION FOR SENIOR TEAM MEMBERS IN 2013. ALL OF THIS ACTIVITY IS DOCUMENTED IN THE MINUTES OF THE COMPENSATION COMMITTEE. |
| AVAILABILITY TO THE PUBLIC | PART VI, LINE 19 FINANCIAL INFORMATION IS PROVIDED IN ACCORDANCE WITH THE FREEDOM OF INFORMATION ACT. |
| OTHER COMPENSATION | PART VII, SECTION A, COLUMN F CERTAIN RETIREMENT AND OTHER DEFERRED COMPENSATION AMOUNTS IN COLUMN F ARE NEGATIVE DUE TO THE DECREASE IN ACTUARIAL VALUE OF DEFINED BENEFIT PLAN ACCRUALS. |
| OTHER FEES FOR SERVICES | PART IX, LINE 11G CONTRACT SERVICES $4,005,424 PURCHASED SERVICES 2,929,635 PHYSICIAN FEES 1,043,709 PHYSICIAN SUPPORT SERVICES 557,780 REFERENCE LAB SERVICES 322,019 PURCHASED LAUNDRY SERVICES 288,825 OTHER FEES FOR SERVICES 817,465 ---------- $9,964,857 |
| OTHER CHANGES TO NET ASSETS | PART XI, LINE 9 CHANGE IN TEMPORARILY RESTRICTED ASSETS 79,037 FAS 158 ADJUSTMENT 9,432,380 CHANGE IN INVESTMENT IN UNCONSOLIDATED ORGANIZATIONS (34) TRANSFER TO ST. ANTHONY HEALTH SYSTEM (4,223,000) ROUNDING (13) ----------- 5,288,370 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT ANTHONY'S LLC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 915 EAST FIFTH STREET | AddressLine1 |
| City | ALTON | City |
| State | IL | State |
| ZIP Code | 62002 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 371407745 | EIN |
| Primary Activities | ASSISTED LIV. | PrimaryActivitiesTxt |
| Legal Domicile State | DE | LegalDomicileStateCd |
| Total Income | $99,220 | TotalIncomeAmt |
| End Of Year Assets | $8,114 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAHC | BusinessNameLine1 |
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 HEALTH CENTER AUXILIARY | ||||||||||
| SAINT ANTHONYS WAYPO BOX 340 | ALTON | IL | 62002 | 376048318 | SUPPORT | IL | 501(C)(3) | 11 II | NA | false |
| SAINT ANTHONY'S HEALTH SYSTEM | ||||||||||
| SAINT ANTHONYS WAYPO BOX 340 | ALTON | IL | 62002 | 371252623 | SUPPORT | IL | 501(C)(3) | 11 I | NA | false |
| SAINT ANTHONY'S FOUNDATION | ||||||||||
| SAINT ANTHONYS WAYPO BOX 340 | ALTON | IL | 62002 | 371325398 | SUPPORT | IL | 501(C)(3) | 11 II | SA HLTH SYST | false |
| ST ANTHONY'S PHYSICIAN GROUP | ||||||||||
| 915 EAST FIFTH STREET | ALTON | IL | 62002 | 371365059 | HEALTH CARE | IL | 501(C)(3) | 9 | SA HLTH SYST | false |
| SISTERS OF ST FRANCIS MARTYR ST GEORGE | ||||||||||
| 1 FRANCISCAN WAY PO BOX 9020 | ALTON | IL | 62002 | 376034163 | RELIGIOUS | IL | 501(C)(3) | 1 | NA | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT CLARE'S VILLA LTD PARTNERSHIP | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 915 E 5TH ST ALTON IL 62002 | AddressLine1 |
| City | ALTON | City |
| State | IL | State |
| ZIP Code | 62002 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 371397289 | EIN |
| Primary Activities | LOW INCOME HOUSIN | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST ANTHONY LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | UNRELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | -$34 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $2,811,706 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| UBI Code V | $0 | UBICodeVAmt |
| General Or Managing Partner | Yes (true) | GeneralOrManagingPartnerInd |
| Ownership | 0.00010 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | 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 | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |