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Saint Anthony's Health Center: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
Saint Anthony's Health Center (EIN 37-0661234)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-08
IRS object ID
201303129349301325
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-08T10:07:30-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1211 N BROADWAY SUITE 600AddressLine1
CityST LOUISCity
StateMOState
ZIP Code631022733ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN370661234EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Saint Anthony's Health CenterBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% MICHAEL L NELSONInCareOfName
Name ControlSAINNameControl
Phone6184652571Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Saint Anthonys Way PO Box 3AddressLine1
Address Line2SuiteAddressLine2
CityAltonCity
StateILState
ZIP Code620020340ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameEVERT J KUIPERName
TitlePRESIDENT & CEOTitle
Phone6184652571Phone
Date Signed2013-11-07DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDonna J LarsonName
Phone3142315544Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonEVERT J KUIPERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1SAINT ANTHONYS WAY PO BOX 340AddressLine1
CityALTONCity
StateILState
ZIP Code62002ZIPCode
FieldValueIRS element (for citing)
Gross Receipts88961079GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.SAHC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1925YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionSPONSORED 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 CAREActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees886TotalNbrEmployees
Total Nbr Volunteers89TotalNbrVolunteers
Total Gross UBI892252TotalGrossUBI
Contributions Grants Prior Year1488801ContributionsGrantsPriorYear
Contributions Grants Current Year2797240ContributionsGrantsCurrentYear
Program Service Revenue Prior Year85251852ProgramServiceRevenuePriorYear
Program Service Revenue CY84292027ProgramServiceRevenueCY
Investment Income Prior Year227117InvestmentIncomePriorYear
Investment Income Current Year234973InvestmentIncomeCurrentYear
Other Revenue Prior Year1796454OtherRevenuePriorYear
Other Revenue Current Year1636771OtherRevenueCurrentYear
Total Revenue Prior Year88764224TotalRevenuePriorYear
Total Revenue Current Year88961011TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year26448GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2679GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year42110663SalariesEtcPriorYear
Salaries Etc Current Year36471272SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year46187995OtherExpensePriorYear
Other Expenses Current Year46612719OtherExpensesCurrentYear
Total Expenses Prior Year88325106TotalExpensesPriorYear
Total Expenses Current Year83086670TotalExpensesCurrentYear
Revenues Less Expenses Prior Year439118RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5874341RevenuesLessExpensesCY
Total Assets BOY59901825TotalAssetsBOY
Total Assets EOY59833151TotalAssetsEOY
Total Liabilities BOY56018356TotalLiabilitiesBOY
Total Liabilities EOY57901997TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3883469NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1931154NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSPONSORED 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense34167978Expense
Grants2679Grants
Revenue43975924Revenue
DescriptionINPATIENT SERVICES: SAINT ANTHONY'S HEALTH CENTER IS A TWO-CAMPUS, 203-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 2012 SAINT ANTHONY'S HEALTH CENTER HAD 4,520 ADMISSIONS, 23,513 PATIENT DAYS, 389 BIRTHS, AND 666 SURGERIES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense27403631Expense
Revenue32025197Revenue
DescriptionOUTPATIENT SERVICES: SAINT ANTHONY'S HEALTH CENTER IS A TWO-CAMPUS, 203-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 2012 WE PERFORMED 2,293 OUTPATIENT SURGERIES, 132,219 OUTPATIENT REGISTRATIONS, AND 21,307 HOME HEALTH VISITS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense8736708Expense
Revenue8290906Revenue
DescriptionEMERGENCY 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. DURING 2012 WE HAD 23,366 VISITS TO OUR EMERGENCY ROOM.Description
FieldValueIRS element (for citing)
Total Program Service Expense70308317TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccounttrueEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109687NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees886NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMICHAEL L NELSONNamePerson
Telephone Number6184635616TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1815 EAST FIFTH STREET SUITE 401AddressLine1
CityALTONCity
StateILState
ZIP Code62002ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelatedOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
DANIEL V BEISER
DIRECTOR1.0X000
SISTER M ANSELMA BELONGEA
VP OF PROFESSIONAL SERVICES40.0X0002.0
EDWARD BLAIR JR MD
DIRECTOR1.0X2075191880958640.0
DALE CHAPMAN
DIRECTOR1.0X000
MOTHER M REGINA COURY PACIS
DIRECTOR1.0X0002.0
SISTER M KATERI HAWLEY
VICE CHAIR - DIRECTOR1.0X0001.0X
A JESSE HOPKINS
DIRECTOR1.0X000
JAMES HUDSON MD
DIRECTOR1.0X000
SISTER M AGNES LABBE
DIRECTOR1.0X000
SISTER M MIKELA MEIDL
CHAIR - DIRECTOR40.0X0003.0X
THOMAS MOORE
DIRECTOR1.0X000
SISTER M STEPHANIE BELGERI
DIRECTOR1.0X000
DONALD NORTON
DIRECTOR1.0X0001.0
LARRY REED MD
DIRECTOR1.0X1500000
JANE SAALE
DIRECTOR1.0X000
JOAN SHEPPARD
DIRECTOR1.0X000
JIM SHRADER
DIRECTOR1.0X000
STEVEN ZENKER MD
DIRECTOR1.0X000
EVERT J KUIPER
PRESIDENT/CEO40.0X5981650454563.0X
SISTER M ANASTASIA MAHER
SECRETARY40.0X0003.0X
SISTER M ALEXANDRA MORRISON
DIRECTOR1.0X000
MICHAEL L NELSON
EVP/CFO40.026054501088321.0X
PATTI FISCHER
VP OF PHYSICIAN SERVICES13.016101805805627.0X
DENISE BOETTGER
AVP, PATIENT CARE SERVICES40.0111721085452X
MARY WENDLE
PHARMACY DIRECTOR40.01155050107995X
DIANE SCHUETTE
AVP, MARKETING & DEVELOPMENT30.011264004231010.0X
SUSAN CURFMAN
AVP, POST ACUTE CARE40.0115643016148X
MARK WEBER
FORMER PRESIDENT/CEO44422601373X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1936538TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs191880TotalReportableCompFrmRltdOrgs
Total Other Compensation475208TotalOtherCompensation
Number Individuals GT100 K13NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
DELL MARKETING LP
120 ROYALL STREETCANTONMA02021BILLING SERVICES1243844
CROTHALL HEALTHCARE
13028 COLLECTIONS CENTER DRCHICAGOIL60693EVS/ENG/BIOMED SRVS2191985
SISTERS OF STFRANCIS OF THE MARTYR
1 FRANSCISCAN WAY PO BOX 9020ALTONIL62002ADMIN&NURSING SRVCS778944
ACROPOLIS TECHNOLOGY GROUP INC
300 HUNTER AVE SUITE 103CLAYTONMO63124IT SERVICES387841
FAULTLESS LINEN INC
330 WEST 19TH TERRACEKANSAS CITYMO64108LINEN SERVICES300403
FieldValueIRS element (for citing)
Number Of Contractors GT100 K14NumberOfContractorsGT100K
Related Organizations356795RelatedOrganizations
Government Grants210001GovernmentGrants
All Other Contributions2230444AllOtherContributions
Total Contributions2797240TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE6211108388995783889957
EHR INCENTIVE PAYMENT621110402070402070
FieldValueIRS element (for citing)
Total Program Service Revenue84292027TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column86816TotalRevenueColumn
Exclusion$86,816ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real36666Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real36666Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column36666TotalRevenueColumn
Exclusion$36,666ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities148225Securities
Other0Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other68Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities148225Securities
Other-68Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column148157TotalRevenueColumn
Exclusion$148,157ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA SALES722210445526$445,526
MANAGEMENT FEE561000250000$250,000
NON-PATIENT DME SALES453000892252892252

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column12327TotalRevenueColumn
Exclusion$12,327ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1600105TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column88961011TotalRevenueColumn
Related Or Exempt Function Income84292027RelatedOrExemptFunctionIncome
Unrelated Business Revenue892252UnrelatedBusinessRevenue
Exclusion$979,492ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total2679Total
Program Services2679ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1475672Total
Management And General1475672ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total65028Total
Program Services65028ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total28835283Total
Program Services26131427ProgramServices
Management And General2703856ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total886157Total
Program Services803250ProgramServices
Management And General82907ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2942387Total
Program Services2667103ProgramServices
Management And General275284ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2266745Total
Program Services1954856ProgramServices
Management And General311889ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total108753Total
Management And General108753ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total542233Total
Management And General542233ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total143446Total
Management And General143446ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total8750621Total
Program Services6436838ProgramServices
Management And General2313783ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total588169Total
Management And General588169ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total16024657Total
Program Services15386250ProgramServices
Management And General638407ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1298909Total
Program Services307229ProgramServices
Management And General991680ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1430875Total
Program Services1394875ProgramServices
Management And General36000ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total220551Total
Program Services180191ProgramServices
Management And General40360ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total14895Total
Program Services4104ProgramServices
Management And General10791ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total924718Total
Program Services924718ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3790624Total
Program Services3474130ProgramServices
Management And General316494ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1766298Total
Program Services250ProgramServices
Management And General1766048ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE76939027693902
DPA PROVIDER TAX25004512500451
DUES & SUBSCRIPTIONS41442461472352952
MINOR EQUIPMENT18361010398179629

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total215583Total
Program Services215583ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total83086670Total
Program Services70308317ProgramServices
Management And General12778353ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3701BOY
EOY3751EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3888020BOY
EOY7114943EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY13099050BOY
EOY12120668EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY3134921BOY
EOY3466352EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1579805BOY
EOY1697388EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1977835BOY
EOY927024EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis103393885LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec77019456LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY27182663BOY
EOY26374429EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY7244527BOY
EOY6300719EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY1492275BOY
EOY1492231EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY299028BOY
EOY335646EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY59901825BOY
EOY59833151EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY9924384BOY
EOY8654306EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY13542838BOY
EOY10645962EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2844028BOY
EOY2980322EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY29707106BOY
EOY35621407EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY56018356BOY
EOY57901997EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2731504BOY
EOY618985EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1151965BOY
EOY1312169EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3883469BOY
EOY1931154EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY59901825BOY
EOY59833151EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses5874341ReconcilationRevenueExpenses
Reconciliation Unrealized Invest125172ReconciliationUnrealizedInvest
Reconcilation Other Changes-7951828ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$41,879DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Total Lobbying Expenditures IIB41879TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance2735465BeginningOfYearBalance
Contributions3199311Contributions
Investment Earnings Or Losses96972InvestmentEarningsOrLosses
Other Expenditures4719579OtherExpenditures
End Of Year Balance1312169EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance2899164BeginningOfYearBalance
Contributions1290200Contributions
Investment Earnings Or Losses-9337InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures1444562OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance2735465EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2679513BeginningOfYearBalance
Contributions291592Contributions
Investment Earnings Or Losses45651InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures117592OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance2899164EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2642125BeginningOfYearBalance
Contributions113220Contributions
Investment Earnings Or Losses92664InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures168496OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance2679513EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2910435BeginningOfYearBalance
Contributions181151Contributions
Investment Earnings Or Losses-222283InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures227178OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance2642125EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.90000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.10000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3883217OtherCostOrOtherBasis
Book Value3883217BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis49584204OtherCostOrOtherBasis
Depreciation42092645Depreciation
Book Value7491559BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis38897158OtherCostOrOtherBasis
Depreciation29128771Depreciation
Book Value9768387BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11029306OtherCostOrOtherBasis
Depreciation5798040Depreciation
Book Value5231266BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings26374429TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
THIRD PARTY SETTLEMENTS$4,562,534
PENSION LIABILITY$29,965,232
ASSET RETIREMENT OBLIGATION$1,093,641
FieldValueIRS element (for citing)
Total Of Amounts35621407TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt81207168TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments125172NetUnrealizedGainsInvestments
Other Revenues2070520OtherRevenues
Revenue Not Rptd F9902195692RevenueNotRptdF990
Revenue Subtotal79011476RevenueSubtotal
Investment Expenses Not Included121948InvestmentExpensesNotIncluded
Other Revenues Not Included9827587OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt9949535RevenueNotRptdOnFinStmt
Total Revenue Per Form99088961011TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt75270888TotExpensesEtcAuditedFinclStmt
Other Expenses Included68OtherExpensesIncluded
Expenses Not Rptd F99068ExpensesNotRptdF990
Expenses Subtotal75270820ExpensesSubtotal
Investment Expenses Not Included2121948InvestmentExpensesNotIncluded2
Other Expenses Not Included7693902OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt7815850ExpensesNotRptdOnFinStmt
Total Expenses Per Form99083086670TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INTENDED USES OF ENDOWMENT FUNDSPART V, LINE 4THESE FUNDS ARE TO BE USED FOR FUTURE CAPITAL IMPROVEMENTS AND OPERATING EXPENSES.
FIN 48PART X, LINE 2MANAGEMENT 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 RETURNPART XI, LINE 2DLOSS FROM SALE OF ASSETS $68 RELEASE FROM RESTRICTIONS $2,070,452 ----------- $2,070,520
OTHER REVENUE ON RETURN BUT NOT ON BOOKSPART XI, LINE 4BRESTRICTED CONTRIBUTION REVENUE $2,133,685 BAD DEBT EXPENSE $7,693,902 ----------- $9,827,587
OTHER EXPENSES ON BOOKS BUT NOT ON RETURNPART XII, LINE 2DLOSS FROM SALE OF ASSETS $68
OTHER EXPENSES ON RETURN BUT NOT ON BOOKSPART XII, LINE 4BBAD DEBT EXPENSE $7,693,902

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage600.DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailablefalseReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense4084271TotalCommunityBenefitExpense
Net Community Benefit Expense4084271NetCommunityBenefitExpense
Percent Of Total Expense0.05420PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense11114449TotalCommunityBenefitExpense
Direct Offsetting Revenue9924156DirectOffsettingRevenue
Net Community Benefit Expense1190293NetCommunityBenefitExpense
Percent Of Total Expense0.01580PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense15198720TotalCommunityBenefitExpense
Direct Offsetting Revenue9924156DirectOffsettingRevenue
Net Community Benefit Expense5274564NetCommunityBenefitExpense
Percent Of Total Expense0.07000PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense492047TotalCommunityBenefitExpense
Direct Offsetting Revenue15525DirectOffsettingRevenue
Net Community Benefit Expense476522NetCommunityBenefitExpense
Percent Of Total Expense0.00630PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense945514TotalCommunityBenefitExpense
Net Community Benefit Expense945514NetCommunityBenefitExpense
Percent Of Total Expense0.01250PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense3930981TotalCommunityBenefitExpense
Direct Offsetting Revenue2408928DirectOffsettingRevenue
Net Community Benefit Expense1522053NetCommunityBenefitExpense
Percent Of Total Expense0.02020PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense28982TotalCommunityBenefitExpense
Net Community Benefit Expense28982NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense5397524TotalCommunityBenefitExpense
Direct Offsetting Revenue2424453DirectOffsettingRevenue
Net Community Benefit Expense2973071NetCommunityBenefitExpense
Percent Of Total Expense0.03940PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense20596244TotalCommunityBenefitExpense
Direct Offsetting Revenue12348609DirectOffsettingRevenue
Net Community Benefit Expense8247635NetCommunityBenefitExpense
Percent Of Total Expense0.10940PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$1,305,655BadDebtExpenseAmount
Amount Attributable To26113AmountAttributableTo
Amount Reimbursed By Medicare32886771AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare29630731CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall3256040MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities2NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24HoursOtherOther
SAINT ANTHONY'S HEALTH CENTER
1ONE SAINT ANTHONYS WAYALTONIL62002XXX
SAINT CLARE'S HOSPITAL
2915 EAST 5TH STREETALTONIL62002XACUTE INPATIENT PHYSICAL REHABILITATION

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Eligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelMedical IndigencyMedicalIndigencyInsurance StatusInsuranceStatusUninsured DiscountUninsuredDiscountMedicaid MedicareMedicaidMedicareState RegulationStateRegulationExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresOther PublicityOtherPublicityActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNotify Upon AdmissionNotifyUponAdmissionNotify Before DischargeNotifyBeforeDischargeNotified All PatientsNotifiedAllPatientsDocumented DeterminationDocumentedDeterminationNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
SAINT ANTHONY'S HEALTH CENTER
truetrue200.true600.trueXXXXXXXtruetrueXtruefalseXXXXtrueXfalsefalse
SAINT CLARE'S HOSPITAL
truetrue200.true600.trueXXXXXXXtruetrueXtruefalseXXXXtrueXfalsefalse

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities1NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

FieldValueIRS element (for citing)
Business Name Line1SAINT ANTHONY'S IMAGING CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1325 EAST MADISON AVENUEAddressLine1
CityWOOD RIVERCity
StateILState
ZIP Code62095ZIPCode
FieldValueIRS element (for citing)
Facility TypeOUTPATIENT DIAGNOSTIC RADIOLOGY FACILITYFacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COSTING METHODOLOGYPART I, LINE 7THE 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 $7,693,902 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 EXPENSEPART III, LINE 4AACCOUNTS 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 METHODOLOGYPART III, LINE 4BTHE 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. DURING 2012, SAINT ANTHONY'S HEALTH CENTER IMPLEMENTED 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.
MEDICAREPART III, LINE 8THE COST ON LINE 6 IS FROM THE FILED 12/31/2012 MEDICARE COST REPORT. WE DO NOT INCLUDE THE COST OF MEDICARE IN OUR COMMUNITY BENEFIT REPORT.
COLLECTION PRACTICESPART III, LINE 9BIF 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.
FINANCIAL ASSISTANCE POLICYPART V, SECTION B, LINE 14THE ACTUAL POLICY IS NOT PROVIDED TO THE PUBLIC BUT THE SUMMARY IS ON OUR WEBSITE. ALSO, IN VARIOUS LOCATIONS THROUGHOUT THE HEALTH CENTER IT IS INDICATED THAT FINANCIAL ASSISTANCE IS AVAILABLE. WE HAVE A STATEMENT ON PATIENT BILLS STATING THAT WE HAVE FINANCIAL ASSISTANCE AVAILABLE.
CHARGES FOR MEDICAL CAREPART V, SECTION B, LINE 20WE 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 WRITE OFF DISCOUNT OF 75% TO 100%. SAINT ANTHONY'S HEALTH CENTER IS IN COMPLIANCE WITH THE STATE OF ILLINOIS LAW THAT INDIGENT AND UNINSURED WILL NOT BE EXPECTED TO PAY MORE THAN 135% OF COST.
NEEDS ASSESSMENTPART VI, LINE 2SAINT 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 ASSISTANCEPART VI, LINE 3DOCUMENTATION 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 INFORMATIONPART VI, LINE 4THE 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 HEALTHPART VI, LINE 5SAINT 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 SYSTEMPART VI, LINE 6SAINT 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 REPORT990 SCHEDULE H, PART VIIL,

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
EDWARD BLAIR JR MD
DIRECTOR207518530200065780009586207520146600
MARK WEBER
FORMER PRESIDENT/CEO4250000001922600013730445599000
EVERT J KUIPER
PRESIDENT/CEO38938001771120316730200090254470643621000
MICHAEL L NELSON
EVP/CFO226537028324056840936210152110369377000
PATTI FISCHER
VP OF PHYSICIAN SERVICES1330310270000987052906051500219074000
DENISE BOETTGER
AVP, PATIENT CARE SERVICES11169700024078504069480197173000
MARY WENDLE
PHARMACY DIRECTOR1131430139609660909920170030223500000
DIANE SCHUETTE
AVP, MARKETING & DEVELOPMENT111853000787039717025930154950000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF ADDITIONAL BENEFITS PROVIDEDPART I, LINE 1ACOUNTRY CLUB BENEFITS WERE PROVIDED TO THE FOLLOWING OFFICERS: EVERT KUIPER $4,603 AND MICHAEL NELSON $4,652. ALL OF THESE AMOUNTS WERE INCLUDED IN THEIR TAXABLE COMPENSATION. EVERT KUIPER ALSO RECEIVED TAX GROSS-UP PAYMENTS IN THE AMOUNT OF $10,840, WHICH WERE INCLUDED IN TAXABLE COMPENSATION.
NON-FIXED PAYMENTSPART I, LINE 7EVERT KUIPER EARNED BONUSES TOTALING $77,112 BASED ON QUALITY MEASURES, FINANCIAL METRICS, AND PATIENT SATISFACTION SCORES. MICHAEL NELSON EARNED BONUSES TOTALING $28,324 BASED ON QUALITY MEASURES, FINANCIAL METRICS, AND PATIENT SATISFACTION SCORES. PATRICIA FISCHER EARNED BONUSES TOTALING $27,000 BASED ON CEO DISCRETION AND FINANCIAL METRICS.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
ILLINOIS FINANCE AUTHORITY
A8610919672004-11-304975000Construction & Equipment Purchasefalsefalsefalse
ILLINOIS FINANCE AUTHORITY
B8610919672010-03-1810000000Construction & Equipment Purchasefalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A0049750000000049750000002007falsefalsetruetrue
B001000113200010142408976597009231112012falsefalsefalsetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
Afalsefalsefalsefalse0truefalsefalsetrue
Bfalsefalsefalsefalse0truefalsefalsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledException To RebateExceptionToRebateVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvested
0
Afalsefalsefalsefalsefalse0false
0
Bfalsefalsefalsefalsefalse0false

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Afalse
Bfalse

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierTOTAL PROCEEDS OF ISSUEIdentifier
Return ReferencePART II, LINE 3ReturnReference
ExplanationPART II, LINE 3, COLUMN B, INCLUDES $1,132 OF INTEREST EARNINGS IN THE ESCROW ACCOUNT.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonTERESA BEISERNamePerson
FieldValueIRS element (for citing)
RelationshipSPOUSE IS DIRECTORRelationship
Amount Of Transaction65028AmountOfTransaction
Description Of TransactionEMPLOYEE COMPENSATIONDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERSPART VI, LINE 6SAINT 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 STOCKHOLDERSPART VI, LINE 7A AND 7BSAINT 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 990PART VI, LINE 11BSAINT 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 VP/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 POLICYPART VI, LINE 12CA 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 COMPENSATIONPART VI, LINE 15AIN 2010, HEWITT ASSOCIATES WAS ENGAGED TO PERFORM A REVIEW OF EXECUTIVE COMPENSATION, INCLUDING ALL DISQUALIFIED PERSONS. HEWITT ASSOCIATES ISSUED AN OPINION LETTER SHOWING REBUTTABLE PRESUMPTION OF REASONABLENESS OF EXECUTIVE COMPENSATION FOR SAINT ANTHONY'S. 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. 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 2012 COMPENSATION FOR SENIOR TEAM MEMBERS IN 2012. ALL OF THIS ACTIVITY IS DOCUMENTED IN THE MINUTES OF THE COMPENSATION COMMITTEE.
AVAILABILITY TO THE PUBLICPART VI, LINE 19FINANCIAL INFORMATION IS PROVIDED IN ACCORDANCE WITH THE FREEDOM OF INFORMATION ACT.
OTHER CHANGES TO NET ASSETSPART XI, LINE 9CHANGE IN TEMPORARILY RESTRICTED ASSETS $96,971 FAS 158 ADJUSTMENT ($5,073,756) CHANGE IN INVESTMENT IN UNCONSOLIDATED ORGANIZATIONS ($44) TRANSFER TO ST. ANTHONY HEALTH SYSTEM ($2,975,000) ROUNDING 1 ------------ ($7,951,828)

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SAINT ANTHONY'S LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1915 EAST FIFTH STREETAddressLine1
CityALTONCity
StateILState
ZIP Code62002ZIPCode
FieldValueIRS element (for citing)
EIN371407745EIN
Primary ActivitiesASSISTED LIV.PrimaryActivities
Legal Domicile StateDELegalDomicileState
Total Income116433TotalIncome
EOY Assets7846EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SAHCBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ST ANTHONY'S HEALTH CENTER AUXILIARY
SAINT ANTHONYS WAYPO BOX 340ALTONIL62002376048318SUPPORTIL501(C)(3)11 IINAfalse
SAINT ANTHONY'S HEALTH SYSTEM
SAINT ANTHONYS WAYPO BOX 340ALTONIL62002371252623SUPPORTIL501(C)(3)11 INAfalse
SAINT ANTHONY'S FOUNDATION
SAINT ANTHONYS WAYPO BOX 340ALTONIL62002371325398SUPPORTIL501(C)(3)11 IISA HLTH SYSTfalse
ST ANTHONY'S PHYSICIAN GROUP
915 EAST FIFTH STREETALTONIL62002371365059HEALTH CAREIL501(C)(3)9SA HLTH SYSTfalse
SISTERS OF ST FRANCIS MARTYR ST GEORGE
1 FRANCISCAN WAY PO BOX 9020ALTONIL62002376034163RELIGIOUSIL501(C)(3)1NAfalse

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1SAINT CLARE'S VILLA LTD PARTNERSHIPBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1915 E 5TH ST ALTON IL 62002AddressLine1
CityALTONCity
StateILState
ZIP Code62002ZIPCode
FieldValueIRS element (for citing)
EIN371397289EIN
Primary ActivityLOW INCOME HOPrimaryActivity
Legal Domicile StateILLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ST ANTHONY LLCBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeUNRELATEDPredominantIncomeType
Share Of Total Income-45ShareOfTotalIncome
Share Of EOY Assets2601157ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
Code V$0CodeVAmount
General Or Managing PartnertrueGeneralOrManagingPartner
Percentage Ownership0.00010PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg