SAINT ANTHONY HOSPITAL: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- SAINT ANTHONY HOSPITAL (EIN 51-0217097)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-13
- IRS object ID
- 201321339349302147
- Schema version
- 2011v1.2
- 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 O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-13T12:00:42-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE HORWATH LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 70 West Madison Street | AddressLine1 |
| Address Line2 | Suite 700 | AddressLine2 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 606024903 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 510217097 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT ANTHONY HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SAIN | NameControl |
| Phone | 7734844831 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2875 West 19th Street | AddressLine1 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 60623 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CHARLES R BROBST | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Date Signed | 2012-09-29 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Geralyn Hurd | Name |
| PTIN | P00933422 | PTIN |
| Phone | 3128997000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Name Of Principal Officer Business NameOfPrincipalOfficerBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GUY A MEDAGLIA | BusinessNameLine1 |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2875 West 19th Street | AddressLine1 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 60623 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 103400514 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SAINTANTHONYHOSPITAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1897 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | SAINT ANTHONY HOSPITAL LIVES OUT THE LOVING MINISTRY OF JESUS CHRIST BY OFFERING HEALTH, HEALING AND HOPE TO THE FAMILIES OF OUR COMMUNITY, REGARDLESS OF A PATIENT'S ABILITY TO PAY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1019 | TotalNbrEmployees |
| Total Nbr Volunteers | 125 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 283869 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3833755 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 100886739 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 99252623 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 46790 | InvestmentIncomePriorYear |
| Investment Income Current Year | 29017 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 259090 | OtherRevenuePriorYear |
| Other Revenue Current Year | 285119 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 101476488 | TotalRevenuePriorYear |
| Total Revenue Current Year | 103400514 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 632468 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 300000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 55072296 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 54785591 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 45895146 | OtherExpensePriorYear |
| Other Expenses Current Year | 45732321 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 101599910 | TotalExpensesPriorYear |
| Total Expenses Current Year | 100817912 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -123422 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2582602 | RevenuesLessExpensesCY |
| Total Assets BOY | 78244619 | TotalAssetsBOY |
| Total Assets EOY | 81330365 | TotalAssetsEOY |
| Total Liabilities BOY | 18143593 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 17038306 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 60101026 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 64292059 | NetAssetsOrFundBalancesEOY |
| Mission Description | SAINT ANTHONY HOSPITAL (SAH) LIVES OUT THE LOVING MINISTRY OF JESUS CHRIST BY OFFERING HEALTH, HEALING AND HOPE TO THE FAMILIES OF OUR COMMUNITY, REGARDLESS OF A PATIENT'S ABILITY TO PAY. SAINT ANTHONY HOSPITAL IS A SUBSIDIARY CORPORATION OF SAINT ANTHONY HEALTH MINISTRIES. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 78169017 | Expense |
| Grants | 142936 | Grants |
| Revenue | 99519543 | Revenue |
| Description | SAINT ANTHONY HOSPITAL (SAH) PROVIDES MEDICAL CARE, SOCIAL SERVICES, AND COMMUNITY OUTREACH TO CHICAGO'S WEST AND SOUTHSIDE COMMUNITIES. SAH ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, WHETHER THEY CANNOT AFFORD HEALTH CARE OR ARE UNINSURED OR UNDERINSURED. SAINT ANTHONY PROVIDES OVER $13.8 MILLION IN NET COMMUNITY BENEFIT EXPENSE. FOUNDED IN 1897, SAINT ANTHONY HOSPITAL IS A 151-BED, FAITH BASED, NON-PROFIT COMMUNITY TEACHING HOSPITAL DEDICATED TO SERVING THE HEALTH NEEDS OF CHICAGO'S NEAR SOUTHWEST SIDE. SAINT ANTHONY HOSPITAL EMPLOYS APPROXIMATELY 1,000 PEOPLE IN 700 FULL-TIME EQUIVALENT POSITIONS, IN ADDITION TO A LARGE NUMBER OF DOCTORS. EVEN THE LEAST COMPENSATED EMPLOYEES EARN THE HIGHEST SUBSIDY FOR THEIR OWN HEALTH INSURANCE. FOR OVER 100 YEARS, SAINT ANTHONY HOSPITAL HAS OFFERED QUALITY AND AFFORDABLE MEDICAL SERVICES IN A CARING AND SUPPORTIVE ENVIRONMENT. OUR OPERATING ROOMS, EMERGENCY DEPARTMENT AND IMAGING CENTER OFFER MODERN TECHNOLOGY, THAT HELPS US IN PROVIDING OUR PATIENTS THE QUALITY SERVICES THEY NEED IN OUR COMMUNITIES. SAINT ANTHONY HOSPITAL USES FOUR CATEGORIES TO IDENTIFY THE RESOURCES UTILIZED FOR THE CARE OF PERSONS WHO ARE POOR AND COMMUNITY BENEFIT PROGRAMS: -TRADITIONAL CHARITY CARE INCLUDES THE COST OF SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE OF INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED. -UNPAID COST OF PUBLIC PROGRAMS REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PERSONS COVERED BY PUBLIC PROGRAMS FOR THE POOR. -COST OF OTHER PROGRAMS FOR THE POOR INCLUDES UNREIMBURSED COSTS OF PROGRAMS INTENTIONALLY DESIGNED TO SERVE THE POOR AND VULNERABLE OF THE COMMUNITY, INCLUDING SUBSTANCE ABUSERS, THE HOMELESS, VICTIMS OF CHILD ABUSE, AND PERSONS WITH ACQUIRED IMMUNE DEFICIENCY SYNDROME. -COMMUNITY BENEFIT CONSISTS OF THE UNREIMBURSED COSTS OF COMMUNITY BENEFIT PROGRAMS AND SERVICES FOR THE GENERAL COMMUNITY, NOT SOLELY FOR THE POOR, INCLUDING HEALTH PROMOTION AND EDUCATION, HEALTH CLINICS AND SCREENINGS, AND MEDICAL RESEARCH. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 216118 | Expense |
| Grants | 157064 | Grants |
| Description | COMMUNITY WELLNESS MEETS THE NEEDS OF THE COMMUNITY THROUGH A COMPREHENSIVE SET OF SERVICES IN FOUR TARGET AREAS. AT ITS CORE, THE PROGRAM PROMOTES HEALTHIER PRENATAL OUTCOMES, SOUND DEVELOPMENTAL OUTCOMES FOR YOUNG CHILDREN, POSITIVE FAMILY FUNCTIONING AND, OVERALL, HEALTHIER COMMUNITIES. THE FOUR INITIATIVES OF THE COMMUNITY WELLNESS PROGRAM INCLUDE: (1) HEALTHY BEGINNINGS, A NEWLY RENAMED AND EXPANDED INITIATIVE THAT INCLUDES PRENATAL CLASSES, POST-PARTUM AND EARLY CHILDHOOD SUPPORTS (INCLUDING A NEW MOMS CLUB), PARENTING EDUCATION, DEVELOPMENTAL SCREENINGS, REFERRALS, AND FOLLOW-UP CASE MANAGEMENT. (2) SCHOOL WELLNESS, A RESPONSE TO THE INCREASING CONCERN ABOUT CHILDHOOD OBESITY AND INTEREST IN IMPROVING SCHOOLS' HEALTH AND WELLNESS PRACTICES. IT IS AN OUTGROWTH OF THE POPULAR MISSION NUTRITION HEALTH EDUCATION CURRICULUM THAT SAINT ANTHONY HOSPITAL STAFF MEMBERS HAVE ALREADY BEEN IMPLEMENTING IN COMMUNITY SCHOOLS. IN ADDITION TO THE VARIETY OF HEALTH AND WELLNESS EDUCATIONAL SERVICES AVAILABLE TO STUDENTS AND THEIR FAMILIES, THE PROGRAM SUPPORTS SCHOOLS IN IDENTIFYING AND IMPLEMENTING SYSTEMIC CHANGES RELATED TO HEALTH AND WELLNESS. (3) PUBLIC BENEFITS AND REFERRAL SERVICE, WHICH PROVIDES INFORMATION AND ASSISTANCE IN ACCESSING CRITICAL PUBLIC HEALTH BENEFITS AND SAFETY-NET RESOURCES, PARTICULARLY TO SPANISH-SPEAKING PATIENTS. INDIVIDUALS CAN LEARN ABOUT THE BENEFITS THEY'RE ENTITLED TO, INCLUDING THE ALL-KIDS (PUBLIC HEALTH INSURANCE) PROGRAM, MEDICAID, WIC, AND THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP). (4) MENTAL HEALTH SERVICES, WHICH ADDRESSES THE GROWING NEED FOR NO-CHARGE BILINGUAL COUNSELING FOR A RANGE OF ADULT MENTAL HEALTH ISSUES, INCLUDING DEPRESSION, ANXIETY. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 78385135 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | true | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 171 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1019 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHARLES R BROBST | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7734844831 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2875 WEST 19TH STREET | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60623 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (18 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| BERNARD FORD | ||||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | ||
| DORVAL CARTER JR | ||||||||
| VICE CHAIR | 1.00 | X | X | 0 | 0 | 0 | ||
| GUY A MEDAGLIA | ||||||||
| PRESIDENT & CEO | 40.00 | X | X | 548209 | 0 | 6957 | ||
| PETER V FAZIO JR | ||||||||
| CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | ||
| SISTER JOAN MCGLINCHEY | ||||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | ||
| LEONARD E WIATR | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| MARY CAHILLANE | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| MOHAMED DAHODWALA | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| MOHAMMAD CHAUDHARY MD | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| TYLA COURTNEY | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| WAYNE DETMER MD | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| CHARLES R BROBST | ||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | X | 272301 | 0 | 13913 | |||
| JILL M STEMMERMAN | ||||||||
| VP NURSING | 40.00 | 174607 | 0 | 20455 | X | |||
| ASMA QUNAYATH KHATOON | ||||||||
| PHYSICIAN | 40.00 | 285880 | 0 | 5683 | X | |||
| JOSE DEURRUTIA | ||||||||
| PHYSICIAN | 40.00 | 230279 | 0 | 2471 | X | |||
| KALEEM MALIK | ||||||||
| PHYSICIAN | 40.00 | 337270 | 0 | 6349 | X | |||
| ROMEEN LAVANI | ||||||||
| PHYSICIAN | 40.00 | 253963 | 0 | 13296 | X | |||
| STEPHEN L CO | ||||||||
| PHYSICIAN | 40.00 | 219291 | 0 | 9605 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2321800 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 78729 | TotalOtherCompensation |
| Number Individuals GT100 K | 54 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MCKESSON TECHNOLOGIES | |||||
| PO BOX | CHICAGO | IL | 60693 | SOFTWARE SERVICES | 3550514 |
| METRO ANESTH CONSULTANTS | |||||
| 2720 S RIVER RD SUITE 218 | DES PLAINES | IL | 60018 | ANESTHESIOLOGY SERVICES | 905327 |
| ME COMPUTER | |||||
| 1955 W DOWNER PL | AURORA | IL | 60506 | SOFTWARE SERVICES | 625000 |
| FRESENIUS MEDICAL CARE | |||||
| 4013 PAYSHERE CIRCLE | CHICAGO | IL | 60674 | DIALYSIS SERVICES | 340014 |
| CATHOLIC HEALTH AUDIT NETWORK | |||||
| 231 S BEMISTON 300 | CLAYTON | MO | 63105 | INTERNAL AUDIT SERVICES | 222627 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 8 | NumberOfContractorsGT100K |
| Related Organizations | 333755 | RelatedOrganizations |
| Government Grants | 3500000 | GovernmentGrants |
| Total Contributions | 3833755 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| NET PATIENT REVENUE | 96586204 | 96586204 |
| MEDICAL STUDENT PROGRAM | 707734 | 707734 |
| CAFETERIA | 524211 | 524211 |
| FAMILY HEALTH NETWORK | 265536 | 265536 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1168938 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1168938 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 99252623 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 29017 | TotalRevenueColumn |
| Exclusion | $29,017 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 266920 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 266920 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 266920 | TotalRevenueColumn |
| Related Or Exempt Function Income | 266920 | RelatedOrExemptFunctionIncome |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 0 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PARKING REVENUE | Description |
| Total Revenue Column | 18199 | TotalRevenueColumn |
| Exclusion | $18,199 | ExclusionAmount |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 18199 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 103400514 | TotalRevenueColumn |
| Related Or Exempt Function Income | 99519543 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $47,216 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 300000 | Total |
| Program Services | 300000 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1983249 | Total |
| Management And General | 1983249 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42331752 | Total |
| Program Services | 35939567 | ProgramServices |
| Management And General | 6392185 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1362327 | Total |
| Program Services | 1048992 | ProgramServices |
| Management And General | 313335 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5864833 | Total |
| Program Services | 4985108 | ProgramServices |
| Management And General | 879725 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3243430 | Total |
| Program Services | 2831466 | ProgramServices |
| Management And General | 411964 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1246050 | Total |
| Management And General | 1246050 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 245271 | Total |
| Management And General | 245271 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 80908 | Total |
| Management And General | 80908 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 106820 | Total |
| Program Services | 106820 | ProgramServices |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4286318 | Total |
| Program Services | 2569063 | ProgramServices |
| Management And General | 1717255 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 351912 | Total |
| Program Services | 351912 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 424609 | Total |
| Management And General | 424609 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 701736 | Total |
| Program Services | 382574 | ProgramServices |
| Management And General | 319162 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 409 | Total |
| Management And General | 409 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1632255 | Total |
| Program Services | 889876 | ProgramServices |
| Management And General | 742379 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1554543 | Total |
| Program Services | 847509 | ProgramServices |
| Management And General | 707034 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT | 7246653 | 7246653 | |
| PROVIDER TAX | 6197388 | 6197388 | |
| PURCHASED SERVICE | 9572868 | 7140635 | 2432233 |
| MEDICAL AND PATIENT SUPPLIES | 10432543 | 6848565 | 3583978 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1652038 | Total |
| Program Services | 699007 | ProgramServices |
| Management And General | 953031 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 100817912 | Total |
| Program Services | 78385135 | ProgramServices |
| Management And General | 22432777 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Joint Costs TotalJointCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8657813 | BOY |
| EOY | 12155121 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25140038 | BOY |
| EOY | 2557883 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14484165 | BOY |
| EOY | 11964924 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20034 | BOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1047378 | BOY |
| EOY | 1665794 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 568773 | BOY |
| EOY | 715141 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 56235038 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 35104273 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17470765 | BOY |
| EOY | 21130765 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10357197 | BOY |
| EOY | 29524273 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 498456 | BOY |
| EOY | 1616464 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 78244619 | BOY |
| EOY | 81330365 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7280419 | BOY |
| EOY | 5923481 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 192550 | BOY |
| EOY | 174872 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10670624 | BOY |
| EOY | 10939953 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18143593 | BOY |
| EOY | 17038306 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 53392299 | BOY |
| EOY | 59093444 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4767699 | BOY |
| EOY | 3257587 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1941028 | BOY |
| EOY | 1941028 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60101026 | BOY |
| EOY | 64292059 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 78244619 | BOY |
| EOY | 81330365 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 2582602 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1608431 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | Volunteers |
| Paid Staff Or Management | true | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $100,000 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $6,820 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 106820 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of the activities reported on Lines 1a through 1i | Identifier |
| Return Reference | Schedule C, Part II-B, Line 1 | ReturnReference |
| Explanation | BRUCE SIMON CONSULTING REPRESENTS SAINT ANTHONY HOSPITAL AND OTHER SAFETY NET HOSPITALS BY EDUCATING ELECTED OFFICIALS ON THE IMPACT OF LEGISLATION. A PORTION OF THE ORGANIZATION'S DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION MAY BE ATTRIBUTED TO LOBBYING. THIS AMOUNT IS REPORTED ON LINE 1I. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1941028 | BeginningOfYearBalance |
| End Of Year Balance | 1941028 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1941028 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 5407 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 5407 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 1941028 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2007638 | BeginningOfYearBalance |
| Contributions | 0 | Contributions |
| Investment Earnings Or Losses | 2294 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 68904 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 1941028 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2007638 | BeginningOfYearBalance |
| Contributions | 0 | Contributions |
| Investment Earnings Or Losses | 73573 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 73573 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 2007638 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | true | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 965899 | OtherCostOrOtherBasis |
| Book Value | 965899 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 23935471 | OtherCostOrOtherBasis |
| Depreciation | 16269000 | Depreciation |
| Book Value | 7666471 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1879992 | OtherCostOrOtherBasis |
| Book Value | 1879992 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 28747139 | OtherCostOrOtherBasis |
| Depreciation | 18835273 | Depreciation |
| Book Value | 9911866 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 706537 | OtherCostOrOtherBasis |
| Book Value | 706537 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 21130765 | TotalOfBookValueLandBuildings |
Investments Program Related InvestmentsProgramRelated (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| INVESTMENT IN NET ASSETS OF FOUNDATION | 29480566 | F |
| INVESTMENT IN AFFILIATE | 43707 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 29524273 | TotalOfBookValueProgramRelated |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| SELF INSURANCE RESERVES | $8,078,547 |
| ESTIMATED THIRD PARTY PAYOR SETTLEMENTS, NET | $2,049,351 |
| ASSET RETIREMENT OBLIGATION | $180,331 |
| DIVERSIFIED 401A MATCH | $352,828 |
| WORKERS COMP SELF INSURANCE | $278,896 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 10939953 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Intended uses of endowment funds | Schedule D, Part V, Line 4 | THE INCOME FROM THE ENDOWMENT IS USED FOR GENERAL OPERATIONS TO SUPPORT SAINT ANTHONY HOSPITAL. THE ENDOWMENT IS HELD BY SAINT ANTHONY HOSPITAL FOUNDATION, A RELATED TAX-EXEMPT ORGANIZATION. |
| FIN 48 (ASC 740) footnote | Schedule D, Part X, Line 2 | THE HOSPITAL FILES A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THIS RETURN IS FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. UBIT IS REPORTED ON FORM 990T, AS APPROPRIATE. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES THAT IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE "MORE LIKELY THAN NOT" RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50 PERCENT LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS REFLECTED AS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. FORMS 990 FILED BY THE HOSPITAL ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS) UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. FORMS 990 FILED BY THE HOSPITAL ARE NO LONGER SUBJECT TO EXAMINATION FOR THE YEARS 2009 AND PRIOR. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7587000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7587000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08110 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 7587000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7587000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08110 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1057303 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1057303 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01130 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2293562 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 780995 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1512567 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01620 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6157260 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2911065 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3246195 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03470 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 398316 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 398316 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00430 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 9906441 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3692060 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6214381 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06650 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 17493441 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3692060 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 13801381 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.14760 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $7,246,654 | BadDebtExpenseAmount |
| Amount Attributable To | 2391396 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 18920664 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 18965443 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -44779 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT ANTHONY PHO LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | PHYSICIAN-HOSPITAL ORGANIZATION | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.5 | OrganizationProfitOrOwnership |
| Officers Etc Profit Or Ownership | 0 | OfficersEtcProfitOrOwnership |
| Physicans Profit Or Ownership | 0 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 7 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (7 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Teaching HospitalTeachingHospital | Er OtherErOther | OtherOther |
|---|---|---|---|---|---|---|---|---|---|
| SAINT ANTHONY HOSPITAL | |||||||||
| 1 | 2875 WEST 19TH STREET | CHICAGO | IL | 60623 | X | X | X | X | |
| SAINT ANTHONY HOSPITAL PHYSICIAN CENTER | |||||||||
| 2 | 2875 W 19TH ST | CHICAGO | IL | 60623 | OUTPATIENT CLINIC | ||||
| BRIGHTON PARK CLINIC | |||||||||
| 3 | 4177 S ARCHER AVE | CHICAGO | IL | 60632 | OUTPATIENT CLINIC | ||||
| ROOSEVELT RD CLINIC | |||||||||
| 4 | 3600 W ROOSEVELT RD | CHICAGO | IL | 60624 | OUTPATIENT CLINIC | ||||
| KEDZIE AVE CLINIC | |||||||||
| 5 | 4455 S KEDZIE | CHICAGO | IL | 60632 | OUTPATIENT CLINIC | ||||
| 59TH ST CLINIC | |||||||||
| 6 | 3124 W 59TH ST | CHICAGO | IL | 60629 | OUTPATIENT CLINIC | ||||
| BERWYN CLINIC | |||||||||
| 7 | 6917 CERMAK RD SUITE B | BERWYN | IL | 60402 | OUTPATIENT CLINIC | ||||
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (7 entries)
| Hospital Facility NumberHospitalFacilityNumber | CHNA ConductedCHNAConducted | Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | FPG Discount PercentFPGDiscountPercent | Explains BasisExplainsBasis | Income LevelIncomeLevel | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Posted On WebsitePostedOnWebsite | Attached To InvoicesAttachedToInvoices | Posted In Emergency RoomPostedInEmergencyRoom | Available On RequestAvailableOnRequest | Actions On NonpaymentActionsOnNonpayment | Permit Report To Credit AgencyPermitReportToCreditAgency | Collection ActivitiesCollectionActivities | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Medicare RateMedicareRate | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges | Uninsured DiscountUninsuredDiscount |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SAINT ANTHONY HOSPITAL | ||||||||||||||||||||||
| 1 | false | true | true | 200 | true | 400 | true | X | true | true | X | X | X | X | true | X | false | true | X | false | false | |
| SAINT ANTHONY HOSPITAL PHYSICIAN CENTER | ||||||||||||||||||||||
| 2 | false | false | false | false | true | false | false | true | X | false | true | X | false | false | X | |||||||
| BRIGHTON PARK CLINIC | ||||||||||||||||||||||
| 3 | false | false | false | false | true | false | false | true | X | false | true | X | false | false | X | |||||||
| ROOSEVELT RD CLINIC | ||||||||||||||||||||||
| 4 | false | false | false | false | true | false | false | true | X | false | true | X | false | false | X | |||||||
| KEDZIE AVE CLINIC | ||||||||||||||||||||||
| 5 | false | false | false | false | true | false | false | true | X | false | true | X | false | false | X | |||||||
| 59TH ST CLINIC | ||||||||||||||||||||||
| 6 | false | false | false | false | true | false | false | true | X | false | true | X | false | false | X | |||||||
| BERWYN CLINIC | ||||||||||||||||||||||
| 7 | false | false | false | false | true | false | false | true | X | false | true | X | false | false | X | |||||||
Form990 Schedule H Part VI Form990ScheduleHPartVI (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Bad Debt Expense excluded from financial assistance calculation | Schedule H, Part I, Line 7, column(f) | 7,246,653 |
| Bad debt expense - financial statement footnote | Schedule H, Part III, Line 4 | PATIENT RECEIVABLES DUE DIRECTLY FROM PATIENTS ARE CARRIED AT THE ORIGINAL CHARGE FOR THE SERVICES PROVIDED LESS AMOUNTS COVERED BY THIRD-PARTY PAYORS AND LESS ESTIMATED ALLOWANCES FOR DOUBTFUL ACCOUNTS AND CHARITY. MANAGEMENT ESTIMATED THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON THE AGING OF ITS ACCOUNTS RECEIVABLE AND ITS HISTORICAL COLLECTION EXPERIENCE FOR EACH PAYOR TYPE. MANAGEMENT ESTIMATES THE ALLOWANCE FOR CHARITY BASED ON THE HOSPITAL'S CHARITY CARE POLICY AND HISTORICAL CHARITY CARE EXPERIENCE. RECOVERIES OF ACCOUNTS RECEIVABLE PREVIOUSLY WRITTEN OFF AS UNCOLLECTED ARE RECORDED AS A REDUCTION OF THE PROVISION FOR BAD DEBTS WHEN RECEIVED. THE PAST DUE STATUS OF RECEIVABLES IS DETERMINED ON A CASE-BY-CASE BASIS DEPENDING ON THE PAYOR RESPONSIBLE. |
| EXPLANATION OF COLLECTION EFFORTS | SCHEDULE H, PART V, SECTION B, LINE 15 | BEFORE ANY COLLECTIONS EFFORTS ARE INITIATED, THE HOSPITAL PERFORMS REASONABLE EFFORTS BY SENDING TWO STATEMENTS AND TWO LETTERS. THE STATEMENTS AND LETTERS INDICATE THE OPTION TO APPLY FOR FINANCIAL ASSISTANCE, IF NEEDED. |
| Patient education of eligibility for assistance. | Schedule H, Part VI, Line 3 | SIGNS ARE POSTED IN WAITING AREAS OF THE HOSPITAL AS WELL AS ON THE HOSPITAL'S WEBSITE ANNOUNCING THE AVAILABILITY OF CHARITY CARE. HOSPITAL PATIENT ACCESS STAFF ASSISTS UNINSURED OR UNDER-INSURED PATIENTS IN APPLYING FOR ANY GOVERNMENT ASSISTANCE PROGRAMS THEY MAY QUALIFY FOR AS WELL AS THE HOSPITAL'S CHARITY CARE PROGRAM. HOSPITAL BILLS TO PATIENTS ALSO HAVE INFORMATION ON APPLYING FOR FINANCIAL ASSISTANCE. |
| Community information. | Schedule H, Part VI, Line 4 | SAINT ANTHONY HOSPITAL IS A 151 BED HEALTH CARE FACILITY LOCATED ON THE BORDER OF THE NORTH LAWNDALE AND SOUTH LAWNDALE COMMUNITIES ON CHICAGO'S WEST AND NEAR SOUTHWEST SIDE. THE AREA INCLUDES THE NORTH LAWNDALE, LITTLE VILLAGE, SOUTH LAWNDALE, PILSEN, BRIGHTON PARK, MCKINLEY PARK AND BACK OF THE YARDS NEIGHBORHOODS. SAINT ANTHONY IS IN A MEDICALLY UNDER-SERVED AREA, A PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREA, A MENTAL HEALTH PROFESSIONAL SHORTAGE AREA, AND A DENTAL CARE HEALTH PROFESSIONAL SHORTAGE AREA AS CLASSIFIED BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION OF THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE SURROUNDING AREA HAS AROUND 410,000 RESIDENTS OF WHICH MORE THAN 50% ARE LATINO AND MORE THAN 30% ARE AFRICAN AMERICAN. |
| Promotion of community health | Schedule H, Part VI, Line 5 | SAINT ANTHONY HOSPITAL IS A 151 BED INDEPENDENT, FAITH BASED, NON-PROFIT, ACUTE CARE COMMUNITY HOSPITAL FOUNDED IN 1897. THE HOSPITAL PROVIDES A WIDE RANGE OF SERVICES AND COMMUNITY BENEFIT PROGRAMS TO ITS UNDER-SERVED COMMUNITY. SAINT ANTHONY BELIEVES IN TAKING A HOLISTIC APPROACH TO THE CARE OF OUR COMMUNITY. THEREFORE WE STRENGTHEN THE COMMUNITY NOT ONLY THROUGH HEALTH CARE BUT ALSO FOCUSING ON BUILDING AND SUPPORTING HEALTHY COMMUNITIES THROUGH THE POWER OF ADVOCACY AND ECONOMIC AND WORKFORCE DEVELOPMENT. WE PARTICIPATE ACTIVELY WITH A VARIETY OF COMMUNITY ORGANIZATIONS, INCLUDING THE ILLINOIS MATERNAL/CHILD HEALTH COALITION, THE RAUNER FAMILY YMCA, CENTRAL STATES SER, THE MARCH OF DIMES, THE CHICAGO ASTHMA CONSORTIUM, THE NATIONAL MUSEUM OF MEXICAN ARTS, LOCAL COMMUNITY CHURCHES, ENLACE AND THE RESURRECTION PROJECT. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRO DE SALUD Y ESPERANZA | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 S CALIFORNIA | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60625 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 320115907 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 300000 | AmountOfCashGrant |
| Method Of Valuation | N/A | MethodOfValuation |
| Description Of Non Cash Assistance | N/A | DescriptionOfNonCashAssistance |
| Purpose Of Grant | GENERAL OPERATIONS | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedures for monitoring use of grant funds | Identifier |
| Return Reference | Schedule I, Part I, Line 2 | ReturnReference |
| Explanation | THE ORGANIZATION WAS INVOLVED IN THE ORIGINAL CREATION OF ESPERANZA, A COMMUNITY HEALTH CENTER CLINIC LOCATED NEAR THE HOSPITAL, AND ANNUALLY PROVIDES FUNDS FOR GENERAL OPERATIONS. THE CEO APPROVES THE GRANT PAYMENT AND THE FINANCIAL DEPARTMENT ENSURES THE PAYMENT IS USED BY ESPERANZA FOR ITS INTENDED PURPOSES. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROMEEN LAVANI | |||||||||||||
| 253963 | 0 | 0 | 0 | 0 | 0 | 10101 | 0 | 3195 | 0 | 267259 | 0 | 0 | 0 |
| GUY A MEDAGLIA | |||||||||||||
| 442250 | 0 | 0 | 0 | 105959 | 0 | 318 | 0 | 6639 | 0 | 555166 | 0 | 0 | 0 |
| STEPHEN L CO | |||||||||||||
| 219291 | 0 | 0 | 0 | 0 | 0 | 9475 | 0 | 130 | 0 | 228896 | 0 | 0 | 0 |
| ASMA QUNAYATH KHATOON | |||||||||||||
| 285880 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5683 | 0 | 291563 | 0 | 0 | 0 |
| JILL M STEMMERMAN | |||||||||||||
| 174607 | 0 | 0 | 0 | 0 | 0 | 8361 | 0 | 12094 | 0 | 195062 | 0 | 0 | 0 |
| CHARLES R BROBST | |||||||||||||
| 272301 | 0 | 0 | 0 | 0 | 0 | 11025 | 0 | 2888 | 0 | 286214 | 0 | 0 | 0 |
| KALEEM MALIK | |||||||||||||
| 337150 | 0 | 0 | 0 | 120 | 0 | 6219 | 0 | 130 | 0 | 343619 | 0 | 0 | 0 |
| JOSE DEURRUTIA | |||||||||||||
| 230279 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2471 | 0 | 232750 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Non-fixed payments | Identifier |
| Return Reference | Schedule J, Part I, Line 7 | ReturnReference |
| Explanation | ALTHOUGH THE BONUS PROGRAM PROVIDED TO SELECT INDIVIDUALS DOES NOT FIT WITHIN LINES 5 OR 6 ON SCHEDULE J, A DETAIL OF THE PROGRAM IS PROVIDED HERE. THE EXECUTIVE INCENTIVE PROGRAM INCLUDED GOALS RELATED TO FINANCIAL PERFORMANCE, QUALITY, PHYSICIAN RELATIONS. THESE ARE ALSO TEAM GOALS AND THESE GOALS ACCOUNTED FOR 60% OF ANY POTENTIAL INCENTIVE. THE FINANCIAL PERFORMANCE GOAL OF ACHIEVING THE HOSPITAL'S QUALITY OF EARNINGS ADJUSTED OPERATING MARGIN WAS THE TRIGGER FOR THE ENTIRE PROGRAM. NO INCENTIVES WOULD BE EARNED IF THE OPERATING MARGIN GOAL WAS NOT ACHIEVED. 30% OF THE INCENTIVE PROGRAM WAS BASED UPON ACHIEVING INDIVIDUAL GOALS AND THE REMAINING 10% WAS AT THE DISCRETION OF THE CEO. THE MAXIMUM INCENTIVE FOR THE CFO WAS 25% OF BASE SALARY AND THE MAXIMUM INCENTIVE FOR ALL OTHER VICE PRESIDENTS WAS 20% OF BASE SALARY. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Classes of members or stockholders | Form 990, Part VI, Section A, Line 6 | THE ORGANIZATION IS ORGANIZED AS A NOT-FOR-PROFIT CORPORATION. PURSUANT TO THE ORGANIZATION'S GOVERNING DOCUMENTS, SAINT ANTHONY HEALTH MINISTRIES (FORMERLY KNOWN AS CATHOLIC HEALTH PARTNERS) IS THE SOLE MEMBER OF SAINT ANTHONY HOSPITAL WITH CERTAIN RESERVED POWERS. |
| Members or stockholders electing members of governing body | Form 990, Part VI, Section A, Line 7a | AS THE SOLE CORPORATE MEMBER OF SAINT ANTHONY HOSPITAL, SAINT ANTHONY HEALTH MINISTRIES HAS THE RIGHT TO APPOINT OR REMOVE MEMBERS OF THE GOVERNING BODY. |
| Decisions requiring approval by members or stockholders | Form 990, Part VI, Section A, Line 7b | AS THE SOLE CORPORATE MEMBER OF SAINT ANTHONY HOSPITAL, SAINT ANTHONY HEALTH MINISTRIES HAS THE RIGHT TO APPROVE OR RATIFY SIGNIFICANT DECISIONS MADE BY THE GOVERNING BODY. SUCH RIGHTS INCLUDE: 1) APPROVING THE MISSION AND VISION STATEMENTS OF THE ORGANIZATION; 2) APPROVING CHANGES TO THE GOVERNING DOCUMENTS; 3) APPOINTMENT OR REMOVAL OF MEMBERS OF THE GOVERNING BOARD; 4) APPROVING OR RECOMMENDING THE FORMATION OF LEGAL ENTITIES, THE SALE, TRANSFER OR SUBSTANTIAL CHANGE IN USE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS, DIVESTITURES, DISSOLUTIONS, CLOSURES, MERGERS, CONSOLIDATIONS OR CHANGES IN CORPORATE MEMBERSHIP; 5) APPROVING THE OPERATING BUDGET AND CAPITAL PLAN; 6) APPROVING THE TRANSFER OR ENCUMBRANCE OF THE ASSETS; 7) APPROVING THE INCURRENCE OF DEBT OF THE ORGANIZATION. |
| Review of form 990 by governing body | Form 990, Part VI, Section B, Line 11b | A THOROUGH REVIEW OF THE FORM 990 IS PERFORMED BY MANAGEMENT. A PRESENTATION IS MADE BY THE PAID TAX PREPARERS AND A COPY OF THE RETURN IS SHARED WITH THE BOARD OF DIRECTORS PRIOR TO FILING THE FORM 990 WITH THE IRS. |
| Conflict of interest policy | Form 990, Part VI, Section B, Line 12c | ANNUALLY THE CORPORATE RESPONSIBILITY OFFICER HAS THE BOARD, AS WELL AS OFFICERS AND VICE PRESIDENTS, REVIEW, FILL OUT AND SIGN THE CONFLICT OF INTEREST QUESTIONNAIRE. IF A CONFLICT OF INTEREST ARISES, THE AFFECTED BOARD MEMBER (OR OFFICER) ABSTAINS FROM VOTING ON THE RESPECTIVE ISSUE. THE CORPORATE RESPONSIBILITY OFFICER MAINTAINS ALL SIGNED CONFLICT OF INTEREST STATEMENTS ON FILE. |
| Process used to establish compensation of top management official | Form 990, Part VI, Section B, Line 15a | ALL ANNUAL SALARY INCREASES FOR THE CEO AND VICE PRESIDENTS ARE REVIEWED AND APPROVED BY THE BOARD AND DOCUMENTED IN MINUTES PREPARED FOR EACH MEETING. ALSO AN INDEPENDENT MARKET SURVEY WAS CONDUCTED IN FY12 TO ENSURE THAT THE SALARIES OF VICE PRESIDENTS AND ABOVE WERE WITHIN MARKET. |
| Process used to establish compensation of other officers/key employees | Form 990, Part VI, Section B, Line 15b | ALL ANNUAL SALARY INCREASES FOR VICE PRESIDENTS AND ABOVE ARE REVIEWED AND APPROVED BY THE BOARD AND DOCUMENTED IN MINUTES PREPARED FOR EACH MEETING. ALSO AN INDEPENDENT MARKET SURVEY WAS CONDUCTED IN FY12 TO ENSURE THAT THE SALARIES OF VICE PRESIDENTS AND ABOVE WERE WITHIN MARKET. |
| Governing documents, conflict of interest policy and financial statements available to the public | Form 990, Part VI, Section C, Line 19 | FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME. |
| COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES | FORM 990, PART VII, SECTION B, LINE 1, COLUMN (B) | SELECT BOARD MEMBERS AND OFFICERS REPORTED ON PART VII DEVOTE APPROXIMATELY 1-5HRS A WEEK TO VARIOUS RELATED ORGANIZATIONS REPORTED ON SCHEDULE R. |
| Other changes in net assets or fund balances | Form 990, Part XI, Line 5 | PRIOR PERIOD ADJUSTMENTS - -143016; CHANGE IN INTEREST IN THE FOUNDATION'S NET ASSETS - -875000; INCOME FROM SAINT ANTHONY AFFILIATES INCLUDED IN NET ASSETS OF THE HOSPITAL - 2626447; |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT ANTHONY EMERGENCY SERVICES PHYS | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2875 WEST 19TH STREET | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60623 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 300261806 | EIN |
| Primary Activities | HEALTHCARE | PrimaryActivities |
| Legal Domicile State | IL | LegalDomicileState |
| Total Income | 13262895 | TotalIncome |
| EOY Assets | 256408 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| SAINT ANTHONY HEALTH AFFILIATES | ||||||||||
| 2875 WEST 19TH STREET | CHICAGO | IL | 60623 | 364340137 | HEALTH CARE | IL | 501(C)(3) | 9 | NA | true |
| SAINT ANTHONY HOSPITAL FOUNDATION | ||||||||||
| 2875 WEST 19TH STREET | CHICAGO | IL | 60623 | 237448580 | FUNDRAISING | IL | 501(C)(3) | 7 | NA | false |
| SAINT ANTHONY HEALTH MINISTRIES | ||||||||||
| 2875 WEST 19TH STREET | CHICAGO | IL | 60623 | 363903595 | MANAGEMENT | IL | 501(C)(3) | 11 - Type III - FI | NA | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |